Describe your experience with using a facsimile machine and if you agree or not agree it is an essential part of a healthcare facility. With all the bells and whistles on the Electronic Health Records, will the fax machine still be needed in the office? How might the EHR replace the fax machine? Provide one reference to support your discussion.
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The topic of having a “designer” baby is one that can be very controversial. Dictionary online defines a designer baby as, “a baby whose genetic makeup has been selected in order to eradicate a particular defect, or to ensure that a particular gene is present”.
The topic has many pros and cons, and these pros and cons are related to all backgrounds, and beliefs. Research more about designer babies and take a stand either for or against this topic.
In your discussion post address the following:
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Why does Paul Farmer argue that the death of Acephie Joseph was not just a medical issue, but an example of structural violence?
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You are the Director of Acute Respiratory Care in a small community hospital in Suburban Barrie, Ontario. You have been asked to be the leader of a project to design a new protocol for ICU admission. The former criteria of admission to ICU for any respiratory failure was:
Oxygen saturation below 93%
Tachypnea above 30 (RR>30)
Gasping for air and possible confusion/delirium of the patient/Encephalitis
Blood pressure below 90/60
Fail to improve Oxygen saturation upon application of CPAP
Presence of ARDs (acute Respiratory Distress) on imaging
(The above criteria are only few pre-requisitions and are all in combination together. The information only given for your own reference and you are not obligated to talk about the details like above in your essay)
The present criteria are now less sensitive which means that patient for instance need to have oxygen saturation below 89% for admission to ICU and so on. Therefor, due to lack of the number of ICU rooms we need to admit the harsh and sever patient status who are severely unstable, and we transform the regular infected patients into In-ward department and not ICU. Thus, our outcome is to be more specific for admitting patients into ICU- the patients who really are in danger of respiratory failure.
In order to plan for this change, you must design a change process plan which will ensure you will be successful in planning and implementing this change in procedure. Write a scholarly paper to address the following questions:
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Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (PO 5) 1, 3, 5, 7, 8
Apply concepts of person-centered care to nursing practice situations. (PO1, PO2) 3, 7, 8
Analyze essential skills needed to lead within the context of complex systems. (PO2, PO3) 1, 5, 7, 8
Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings. (PO3, PO4) 8
Thinking back over this course, what were the three most important or most interesting things you learned? How do you envision using the information you learned in your future nursing practice? What steps will you take to ensure your success in the master's program?
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write down a brief note on urinary bladder
cancer?
Note: No plagiarism.
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Write down Methodology and performance characteristics
of UROVYSION BLADDER CANCER KIT includes specificity, sensitivity
and accuracy .
NOTE: *No plagiarism
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Describe the official procedures for enacting/passing a policy for hypertension among newark new jersey residents at the state or federal level (i.e. the legislative process)
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Which of the following is a challenge in the implementation of electronic health records?
A. lack of standardization
B. employee resistance
C. multiple end-user needs
D. all of the above
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considering the three types of immigration law- legal, humanitarian, and illegal - what kind of immigration policies do you think the united states should pursue in the future and why?
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Which of the following is NOT true regarding forms of vitamin A compounds?
Retinol is stored in the liver.
Retinal is used in processing visual signals.
Retinoic acid is the hormone form.
Carotenoids are vitamin A precursors found in plant foods.
Only plant foods are preformed vitamin A sources.
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Write discuss the methods of development that were used in "The Importance of Health Education" By Marcy Vadurro's article by bringing the examples.
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There are THREE things you try to change with an audience when you are giving a persuasion speech. One is ATTITUDE. What are the other TWO?
9. What is the hardest to try and change when you are trying to persuade an audience or a person and why?
10. There are several places where you can get documented evidence to support your information when giving a speech. Name FIVE.
11. What is ETHOS?
12. What is PATHOS?
13. True False Pathos deals with the emotional side of a person.
14. There are TWO questions a speaker must ask before they pick a e topic for their speech. One is: “What do I know about the topic?” What is the other question?
15. True False Logos deals with the logical appeal to the audience; does the speaker’s argument makes sense?
16. What is the purpose of the NEED step in your speech?
17. What is the purpose of the SATISFACTION step in your speech?
18. What is bigotry?
19. Who wrote the poem “STILL I RISE?”
20. What does “K.I.S.S.” mean when giving a speech?
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Who are the major stakeholders when it comes to the overuse of medical care in the United States Healthcare system? What are their presepctives when it comes to the over use of medical care in the United States Healthcare system?
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BPH Discussion Case Study
S.M. is a 68-year-old man who is being seen at your clinic for routine health maintenance and health promotion. He reports that he has been feeling well and has no specific complaints, except for some trouble “emptying my bladder.” Vital signs (VS) at this visit are 148/88, 82, 16, 96.9° F (36.1° C). He had a CBC and complete metabolic panel (CMP) completed 1 week before his visit, and the results are listed below.
Laboratory Test Results
Sodium 140 mEq/L
Potassium 4.2 mEq/L
Chloride 100 mEq/L
Bicarbonate 26 mEq/L
BUN 19 mg/dL
Creatinine 0.8 mg/dL
Glucose 94 mg/dL
RBC 5.2 million/mm 3
WBC 7400/mm 3
Hgb 15.2 g/dL
Hct 46%
Platelets 348,000/mm 3
Prostate-specific antigen (PSA) 0.23 ng/mL
Urinalysis WNL
What can you tell S.M. about his lab work?
What is the significance of the PSA result?
What other specific examination will S.M. need to have along with the PSA?
While obtaining your nursing history, you record no family history of cancer or other genitourinary (GU) problems. S.M. reports frequency, urgency, and nocturia × 4; he has a weak stream and has to sit to void. These symptoms have been progressive over the past 6 months. He reports he was diagnosed with a large prostate a number of years ago. Last month, he began taking saw palmetto capsules but had to stop taking them because they “made me sick.
Why did S.M. try taking the saw palmetto, and why do you think he stopped taking it?
S.M. is curious why his enlarged prostate would affect his urination. He is concerned that he has prostate cancer. What would you teach him?
The primary care provider (PCP) asked for a postvoiding residual (PVR) urine test. You use a bedside bladder scanner and document that S.M. voided 60 mL and his PVR is 110 mL. You report the PVR to the PCP. What is the significance of his PVR?
Commonly used medications for BPH are 5-alpha reductase inhibitors, such as finasteride (Proscar) and alpha-blocking drugs, such as tamsulosin (Flomax). How do these drugs differ?
The PCP ordered tamsulosin (Flomax) 0.4 mg/day PO. You enter S.M.'s room to teach him about this medication. What side effects will you tell S.M. about? (Select all that apply.)
a. Dizziness
b. Diarrhea
c. Dry mouth
d. Insomnia
e. Heartburn
f. Orthostatic hypotension
The client asks, “Will this condition affect my relationship with my wife?” What should you tell him?
What would you expect S.M. to report if the medication was successful?
S.M. returns in 8 months to report that his symptoms are worse than ever. He has tried several different medications, but medication management failed, and he is told that surgical intervention is necessary.
What surgical options are available to S.M.?
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