Category: Health Care and Life Sciences

proposal should be one page single space , explaining why interested in studying on the programme of  “Cardiovascular Sciences”.

Some details about me:
– I am a Cardiovascular Perfusionist. Graduated from USA on may 2019 with bachelor degree in cardiovascular perfusion.
-Recently working in cardiac center where we are doing many types of open heart surgery and ECMO cases.
– I have a governmental scholarship to do master degree, and I am very interested on doing master degree in a related area to my major.

Answer the following questions: What are some of the types of conflicts that present in healthcare?  Who are the parties involved? What are the most common forms of conflict management used?  Do you believe the strategies used are effective why or why not?  What do you see as some of the challenges and obstacles to enhancing, updating or retooling conflict management in health care?

Use the 70/30 rule which means 70 percent your words and 30 percent citations and use online references if you can

Post a brief description of the practice agreements for NPs in your state and the two physician collaboration issues that you identified. Explain what you think are the barriers to NPs practicing independently in your state. Finally, outline a plan for how you might address NP practice issues in your state.
Suggest additional actions to take
Validate an idea with your own clinical experiences with the support of an additional literature search

proposal should be (double spaced). approximately 4000 characters, explaining why interested in studying on the programme of  “Cardiovascular Sciences”.

Some details about me:
– I am a Cardiovascular Perfusionist. Graduated from USA on may 2019 with bachelor degree in cardiovascular perfusion.
-Recently working in cardiac center where we are doing many types of open heart surgery and ECMO cases.
– I have a governmental scholarship to do master degree, and I am very interested on doing master degree in a related area to my major.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is exhausted and cannot eat or drink by herself.
Objective Data

Height 175 cm; Weight 95.5kg.
Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention

The following medications administered through drug therapy control her symptoms:

IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Inhaled short-acting bronchodilator (ProAir HFA)
Inhaled corticosteroid (Flovent HFA)
Oxygen delivered at 2L/ NC
Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

Describe the clinical manifestations present in Mrs. J.
Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Professional Goals Statement. This takes the form of an academic essay that answers: Why I Want to Do What an Masters in Psychiatric Mental Health.

Include your understanding of the role and scope of practice, why you want to pursue this degree and this new role, why this degree is important to your future plans and nursing practice, and why you will be successful in this rigorous online program (I completed and online Bachelors program in 9 months with Cum Laude Honors). Your statement should  describe reasons for seeking the master’s degree in the identified specialty and demonstrating clarity of professional goals.

Reflect on Florida’s current health education programs such as Zika Free Florida, Tobacco Free Florida and consider what part the media plays in such disease prevention programs. Identify a specific public health issue that you believe needs to be highlighted in health policy and based on your textbook readings discuss how social media can be used as a health promotion tool to improve public awareness on the selected topic.

Policy Analysis Paper Guidelines

Purpose: To investigate & integrate knowledge of advanced nursing practice, scholarly inquiry, & leadership by examining a policy at the level of clinical practice, health care systems, or public/social health policy.
Students are to submit a paper 6-8 pages long (Introduction, Background,  Analysis, recommendation, discussion, conclusion)    excluding title page and reference pages . Paper must be organized according to the guidelines below and should include all the identified sections as required. Paper must be completed in APA format and contain current scholarly sources dated from 2014 until current. NO PLAGIARISM. The following may be selected as topic for this paper: Medicaid

Introduction 10 points Generally define & describe the policy issue to be addressed. Identify the purpose of analysis, the targeted level of policy (i.e., clinical practice, health care systems, or public/social health) & significance of topic. Identify questions the policy analysis is intended to address.
Background 10 points Provide details of the issue or problem, including its nature/scope, relevant literature & history, & the context within which the issue exists. Describe existing policy addressing the issue, if any. Discuss strengths & shortcomings in existing policy. Identify & describe key stakeholders (individuals & groups) that are or will be affected by the policy & why.
Analysis 15 points Identify alternative policies to achieve objectives. Establish/identify criteria that will be used for selection of best policy. Evaluate each alternative & its potential impact relative to the healthcare & patient outcomes. Assess the trade-offs between alternatives.
Recommendations 15 points Based on the analysis, identify the best alternative to address the current issue & policy situation. Provide rationale for selection. Describe possible strategies to implement selected alternative. Identify barriers to implementation of selected alternative. Describe methods to evaluate policy implementation.
Discussion 20 points Discuss analysis & recommendations relative to the original questions identified, & the level of policy it is intended to address (i.e., clinical practice, health care systems, or public). Identify limitations of analysis. Discuss implications for practice, education, research, & policymaking.
Conclusion 15 points Summarize findings & recommendations of analysis Identify questions to be addressed in future studies or policy analyses.
References 15 points List all references cited in paper. Must be completed in APA f

differences between the UK and US Health systems.

Review both resources provided below in addition to the assigned readings for this week and reflect on 2 key differences between the UK and US Health systems. What are key opportunities related to advocacy and politics interventions that can be taken by advanced practice nurses to improve our current health system?

Please refer to the resources identified below for details regarding UK Health System.

1. US and UK Health System Comparison- https://www.youtube.com/watch?v=R4Y0TKiwNgo 

2. Peterson-Kaiser Health System Tracker- https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-post-op-clots-better-u-s-comparable-countries 

3. Summary of the American Health Care Act.pdf