Identify three components of the Patient Protection and Affordable Care Act that went into effect in 2014 and discuss their impact or potential impact on the practice of nursing and medicine. Be specific as to what the provision states, who it affects, and the impact that it may have.

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Patient Protection and Affordable Care Act

Identify three components of the Patient Protection and Affordable Care Act that went into effect in 2014 and discuss their impact or potential impact on the practice of nursing and medicine. Be specific as to what the provision states, who it affects, and the impact that it may have.

Discuss the role that the electoral process and government plays in one’s daily work and family life. As nurses, health policy can influence both arenas of our lives. What policy issues might drive nurses to lobby Congress and/or get involved in campaign politics? What strategies might nurses use to have their voices heard?

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Discussion 7

Discuss the role that the electoral process and government plays in one’s daily work and family life. As nurses, health policy can influence both arenas of our lives. What policy issues might drive nurses to lobby Congress and/or get involved in campaign politics? What strategies might nurses use to have their voices heard?

Image result for electoral process

The American Nurse:

How can the creation of a community health center program help to address this public health problem? What can you as a nurse practitioner and/or nurse leader do to influence policy innovation to resolve the problem?

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Week 5 discussion

Go to the following website by clicking on the provided link, , and select a county and a state (this may be the county/state in which you reside, attend school, or plan to live and work as an APRN). After reviewing the website and the health outcomes in the County Health Rankings for the area, answer the following questions in a few short sentences as part of your discussion.

Briefly list the general statistics pertaining to a specific health concern that is on the rise in selected the city/county.

How can the creation of a community health center program help to address this public health problem?

What can you as a nurse practitioner and/or nurse leader do to influence policy innovation to resolve the problem?

Why does sarcopenia occur? Where do the muscle fibers go?

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Muscle fibers

Initial post: Use the reference article listed below for this discussion. Within the selected article, read the abstract, introduction, conclusion, and at least one additional section of your choosing.

From your research, how would you answer the question: “Why does sarcopenia occur? Where do the muscle fibers go?” While you may use scientific terminology, also include your own words to describe the phenomenon. Support your positions with the assigned reading. Use APA citation to credit your source.

Reply post: In your reply post, discuss possible health and lifestyle real-life applications. You may add additional resources of your own selection to support your positions. Be sure to cite any borrowed material.

Carter, C. S., Justice, J. N., & Thompson, L. (2019). Lipotoxicity, aging, and muscle contractility: does fiber type matter? GeroScience, 41(3), 297–308.

What is the proper technique for measuring a client’s weight? What is the proper technique for measuring a client’s height? What is the proper technique for measuring a client’s waist?

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Height weight and range of motion skill

Height, Weight & Waist Measurement Skills and BMI Assessment Study Questions

Terminology

  1. What is meant by the terms: standing scale, stretcher and chair scales?

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Assessment

  1. Nurses always assess for significant weight losses or increases. Identify what a weight gain of 2.3 kg (5 lb) in one day may mean

 

  1. How much weight loss is considered significant, in a month, and in 6 months?
  2. One month? Six months?

 

  1. Body Mass Index (BMI): Measures weight corrected for height and serves as an alternative for height/weight relationships.  What is a healthy BMI?

 

  1. Waist Circumference (WC): is a measurement used to determine health risk. What is the significance of waist circumference assessments?
  2. What is a healthy waist circumference for men___________ for women _____________?

 

Implementation

  1. What is the proper technique for measuring a client’s weight? What is the proper technique for measuring a client’s height?
  2. What is the proper technique for measuring a client’s waist?

 

Critical Thinking

  1. Explain why it is important to weigh patients at the same time every day, on the same scale in the same type of clothing.

 

Explain the significance of the urinalysis results as they relate to renal involvement with SLE. Why is the ESR increased in inflammatory conditions?

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Case Study 1 Systemic Lupus Erythematosus, Case Study 2 AIDS

Case Studies
A 24-year-old woman had been complaining of multiple joint and muscular pains and
stiffness in the morning. She also noted some hair loss and increased skin sensitivity to light.
Her physical examination showed slight erythema around the cheek bones and some swelling
in the joints of her hands.

Diagnostic Analysis
The positive ANA and ACA tests strongly supported the diagnosis of systemic lupus erythematosus (SLE). The patient also had a facial rash suggestive of SLE. The elevated ESR indicated a systemic inflammatory process. The immunoelectrophoresis results were compatible with either RA or SLE; however, a decreased complement assay is commonly associated with SLE. The abnormal urinalysis indicated that the kidneys also were involved with the disease process. The patient was treated with steroids and did well for 7 years. Unfortunately, her renal function deteriorated, and she required chronic renal dialysis.

Critical Thinking Questions
1. Explain the significance of the urinalysis results as they relate to renal involvement with SLE.
2. Why is the ESR increased in inflammatory conditions?

Research the causes of aneurysm vascular disease, Pathophysiology, Signs and symptoms, Medical diagnosis and Treatment and patient Teaching.

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Aneurysm Vascular Disease

Research the causes of aneurysm vascular disease, Pathophysiology, Signs and symptoms, Medical diagnosis and Treatment and patient Teaching.

Why did you not select the other two options provided in the exercise? What were you hoping to achieve by making this decision? Explain how ethical considerations may impact your treatment plan and communication with patients.

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CASE STUDY INSOMNIA 31 YEAR OLD MALE

The Assignment: 5 pages
Examine Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

How can the work you have undertaken with your capstone project be transferred into your current practice and care setting? How can the work you have undertaken with your capstone project be transferred into other care settings and contexts?

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Evaluation Plan Design

This document is designed to give you questions to consider and additional guidance to help you successfully complete the Evaluation Plan Design assessment. You may find it useful to use this document as a pre-writing exercise, an outlining tool, or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission.

Part 1: Evaluation Plan
Define the outcomes that are the goal of an intervention plan.
• What are the outcomes that you are attempting to achieve with your intervention and project?
o How do the outcomes illustrate the purpose of your intervention and project?
o How do the outcomes illustrate what you hope to accomplish your intervention and project?
o How do the outcomes establish a framework that can be used to achieve an improvement in the quality, safety, and experience of care?
Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need.
• How are you going to measure and evaluate the degree to which you achieved your outcomes?
o What data do you need to fully evaluate the outcomes?
 How will you collect the needed data?
 What tools or technology will you use to aid in data collection?
o What strategies will you use to analyze and evaluate the collected data?
 What tools or technology will you use to aid in data analysis?
• How will the evaluation plan illustrate the impact that your intervention plan had, or will have?

Part 2: Discussion
Advocacy
Analyze the nurse’s role in leading change and driving improvements in the quality and experience of care.
• How does the nurse help to lead change in professional practice and interprofessional teams?
• How does the nurse help to drive improvements in the quality and experience of care in professional practice and interprofessional teams?
Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan.
• How does your intervention plan affect the nursing profession and role?
o In other words, how does your intervention plan improve the nursing profession and practices?
• How does your intervention plan affect interprofessional collaboration related to improving outcomes for the target population and setting of your intervention plan?
• What are other gains and benefits to the health care field in general from your intervention plan and project?

Future Steps
Explain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety.
• How could your intervention plan and project be revised to create improved or broader-reaching impacts for your target population?
• How could your intervention plan and project better take advantage of emerging technology to improve performance related to the outcomes of the intervention plan?
• How could your intervention plan and project better take advantage of emerging care models to improve achievement of the project’s outcomes, as well as to improve patient safety?
Reflection on Leading Change and Improvement
Reflect on how the project has impacted your ability to lead change in personal practice and future leadership positions.
• How has your work on your capstone project impacted your ability to lead change in your personal practice and current care setting?
• How has your work on your capstone project impacted your ability to lead change in any future leadership positions you may have?
Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts.
• How can the work you have undertaken with your capstone project be transferred into your current practice and care setting?
• How can the work you have undertaken with your capstone project be transferred into other care settings and contexts?

Address Generally Throughout
Integrate resources from diverse sources that illustrate support for all aspects of an evaluation plan for an intervention, as well as for professional discussion about the plan.
• Do the resources cited support all aspects of your evaluation plan?
• Do the resources cited support your professional discussion of the plan and your practice?
• Do your resources come from a diversity of sources?
o For example: the literature, professional standards, existing health care policy, relevant health care laws, et cetera.
• Do you cite a minimum of 3–6 resources?

Communicate evaluation plan and discussion of the project in a professional way that helps the audience to understand how the outcomes will be evaluated, as well as what was learned through the project process.
• Is your writing clear and professional?
• Does your writing effectively communicate your proposed evaluation plan?
• Does your writing effectively communicate what was learned throughout the project process?
• Is your writing free from errors?
• Is your submission 4–6 pages?
• Does your submission conform to current APA style standards?

Explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse. Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms?

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PSYCHOPHARMACOLOGY SHORT ANSWER

As a psychiatric nurse practitioner, you will likely encounter patients who suffer from various mental health disorders. Not surprisingly, ensuring that your patients have the appropriate psychopharmacologic treatments will be essential for their overall health and well-being. The psychopharmacologic treatments you might recommend for patients may have potential impacts on other mental health conditions and, therefore, require additional consideration for positive patient outcomes. For this Assignment, you will review and apply your understanding of psychopharmacologic treatments for patients with multiple mental health disorders.

Photo Credit: Getty Images/Collection Mix: Sub

To Prepare
Review the Learning Resources for this week.
Reflect on the psychopharmacologic treatments that you have covered up to this point that may be available to treat patients with mental health disorders.
Consider the potential effects these psychopharmacologic treatments may have on co-existing mental health conditions and/or their potential effects on your patient’s overall health.

To complete:
Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.

In 3 or 4 sentences, explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse. Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms?

List 4 predictors of late onset generalized anxiety disorder.

List 4 potential neurobiology causes of psychotic major depression.

An episode of major depression is defined as a period of time lasting at least 2 weeks. List at least 5 symptoms required for the episode to occur. Be specific.

List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific.