Mr. Miller is a 72-years- Old male with diabetes that comes in for complaints of shortness of breath and weight gain. He states that he frequently becomes exhausted and has extreme shortness of breath climbing the stairs to his bedroom. He has been sleeping on 2 pillows for the past 2 weeks. He also reports a constant, irritating, nonproductive cough lately. Vital signs: T: 98.2; P; 110 BPM; B/P:143/83mm/Hg; RR:30; O2 Sat:90% on RA.

1) Understanding the pathophysiology of heart failure, describe 3 objective findings the nurse should expect when assessing Mr. Miller and provide your rationale for each. Describe 2 priority interventions that should be provided to Mr. Miller.

2) The provider Spironolactone 25mg PO Daily, Carvedilol 6.25mg PO BID, and Digoxin 0.125mg PO daily. For each medication Identify its class and describe its purpose in treating heart failure. Identity priority monitoring for this patient based on these medication orders.

3) Miller receives an EKG on admission and is found to be in atrial fibrillation. He shares that he felt some palpitations over the couple of weeks but denies a previous atrial fibrillation diagnosis. Describe why rhythm is concerning and the treatment nurse the nurse will anticipate.

4) Compare and contrast supraventricular tachycardia and ventricular tachycardia. Discuss EKG findings, manifestations, and treatment for each.

Legislators re-election impact ACA provisions. Adults with coverage of Medicaid under ACA rules affected due to legislators. Re-election for Medicaid expansion that includes the elimination of subsidies, Medicaid funding and loss of consumer protection. Repeal legislation can makeover the gap on congressional effects and government preference. The potential loss of coverage and benefits from repealing financial assistance provisions and Medicaid coverage that opposed the reveal. Public will be affected with repeal efforts.Votes analysis reveals make issues in leaders policy choices. It results in the public to limit their options when the leader's policy was adopted. It affects the Congress decisions that impact the Medicare and Medicaid coverage policy for adults.

Describe the immunological attribute of breast milk.

Week 2: Leadership in Health Care as a Function of Strategic Management

Week 2 Overview

• Evaluate the decision-making process and its relevance in healthcare strategic planning,
• Discuss current trends in the health care field and explain how such trends may impact health care organizations
• Apply evidence-based practices to the decision making process.

Take a look at TED Talk by Simon Sinek on how great leaders inspire action (exploratory).  

Here are some questions to consider during week 2: What does it take to be a great leader? What words describe those who are great leaders? Is there one characteristic that you believe every leader should possess?

Develop a nursing care plan for an older adult with urinary or fecal incontinence.

In three or more sentences what response would you give each statement below? I need a response for each statement . Any correction or add to the statements?

1)The primary difference between consequential and non-consequential approaches towards ethics is that consequential approaches focuses more on the rightness or wrongness of an action based on the consequences that action has. A non-consequential theory focuses on the rightness or wrongness of an action based on properties intrinsics to the action, not on its consequences (Everett, Faber, Savulescu, & Crockett, 2018). A major consequentialism theory that has many objections would be lying. Conseuentialism says if lying would help save someones life then it's the right thing to do. However, objections to this theory would include that lying can never be acceptable such as humans should never lie and should always tell the truth. An example of a non-consequentialist major theory includes how lying should never be permitted because it's not "morally" right no matter the consequences.  Objections to this theory would include that in some instances lying may be necessary to save ones life.

2)

A consequentialist approach is one who thinks of the rightness or wrongness of their actions due to the possible consequences of the action. Where as non-consequentialist is a approach is one who thinks more of the rightness and wrongness of the action instead of the consequences.

One of the major theories associated with consequentialism is utilitarianism. Utilitarianism is when someone does something for the good and pleasure for the greatest amount of people. A potential objection could be too much sacrifice by an individual. A major theory for non-consequentialism is deontology, which is to do what is morally right, follow the rules, and do what is right. An objection to this theory may be stealing. Yes stealing is wrong, but maybe someone was stealing food in order to feed their children/family.

A parish nurse has learned that several families within the church cannot afford health care and are lacking in resources for preventive care. He works with the local health department to have an immunization clinic give flu vaccinations for the parish.

• What are the different levels of health promotion/illness prevention and which is being demonstrated in this example?
• What role does the nurse have in promoting health, preventing illness, and addressing disparities in health care?

What education does the nurse need to provide families information about preventive care?

What is the difference between statistically and clinically significant research

Case Study During her regularly scheduled visit to a blood pressure clinic in a local apartment cluster, an Hispanic resident, Mrs. B., 45 years old, complained of feeling dizzy and forgetful. She could not remember which of her six medications she had taken during the last few days. Her blood pressure readings on reclining, sitting, and standing revealed gross elevation. The nurse and Mrs. B. discussed the danger of her present status and the need to seek medical attention. Mrs. B. called her physician from her apartment and agreed to be transported to the emergency department. In the emergency department, Mrs. B. manifested the progressive signs and symptoms of a cerebrovascular accident (a CVA, or stroke). During hospitalization, she lost her capacity for expressive language and demonstrated hemiparesis and loss of bladder control, her cognitive function became intermittently confused, and she was slow to recognize her physician and neighbors who came to visit. The utilization review/discharge planning nurse at the hospital contacted the case manager from the health department to screen and assess for the continuum of care needs as early as possible, because Mrs. B. lived alone, and family members resided out of town. It became apparent that family caregiving in the community could only be intermittent because family members lived too far away. Mrs. B. had residual function and cognitive deficits that would demand longer-term care.

As the case manager contracted by the plan, what would be the actions you would take to construct a case management plan?

Questions: 1. please state your opinions about the similarities and /or differences between a clinical nursing role and a population-focused role of the public-health nursing specialist. What are some of the complex issues between these roles? Be specific

How these two (2) objectives can be rewritten in a SMART APPROACH (Specific, Measurable, Achievable, Realistic, and Timely).

1. By 2021, to determine the policies needed that are effective in preventing adolescent drug abuse and addiction.

1. To prevent the relapse of these 8th to 12th graders adolescents to drug abuse and addiction using programs by the NIDA and CDC.

Quality improvement projects are implemented with an aim to make healthcare systems safer. How do you know that your specific change project will have this type of an effect on the facility? The title of change project is , "In primary healthcare workers who take care of COVID 19 patients, how does the use of surgical mask compared to the respirator mask prevent COVID-type respiratory illnesses during the entire duration of rendering patient care? "

What type of analgesia is used to access an implanted port for vesicant administration?

The nurse instructs a patient receiving oxaliplatin, fluorouracil, and leucovorin to avoid consuming cold drinks and food for three to four days after therapy to prevent: