What is the cause of pain and swelling? What can JL expect in the days to come as inflammation resolves and healing begins

Contrast the dietary needs of special populations. A variety of ANY 3 special populations.

A friend of yours is interested in a career in coding. He has some health care experience working as a medical office assistant at a local orthopedist clinic. He also has an associate’s degree in computer sciences and needs to make a career change. He looks to you, a successful coding student, for advice.

1. What would you tell your friend about coding?

2. What information would you give him to help him decide if this profession is for him?

3. What would you tell him about finding a coding position once a student graduates from a coding certificate program?

Use Ati Active learning Template system disorder to demonstrate HIV/AIDs

For the assignment, please  completing a post summary of what you read in this article below   ( No PLAGIARISM PLEASE ).

Caring for Patients With Substance Use Disorders During the COVID-19 Pandemic The COVID-19 pandemic

is creating unprecedented impacts and risks across the United States. But other threats to Americans’ health and well-being have not gone away and may indeed be exacerbated. The opioid epidemic continues to affect communities across the nation. And many people who suffer from substance use disorders (SUD) face new challenges resulting from social distancing and shifting priorities for health care resources.

Addiction is a chronic condition that can be worsened by emotional and social loneliness – and policies designed to contain the spread of COVID-19 also put people suffering from SUD at risk of relapse. Patient access to care may be disrupted, including regular in-person care and access to medication-assisted treatment (MAT), clinicians, peer support, or routines that help them manage their conditions. People who are in long-term recovery still need access to the medication and supports required for continued management of SUD. As the demands for medical resources have shifted to the immediate needs of patients with or suspected of the novel coronavirus COVID-19, clinicians, care teams, and health insurance providers must find new ways to meet the ongoing needs of people suffering from SUD.

Health Insurance Providers Innovate for Continued Access

Insurance providers are working with clinicians and recovery teams to deliver necessary care to those in need, and they are looking into new ways of delivering those services. Telehealth has rapidly gained traction in protecting patients and clinicians from the spread of COVID-19. It also helps ensure continuity in SUD management. For example, during the fight against COVID-19, Highmark has extended tele-addiction services to members who are in addiction treatment and need immediate help, but cannot see their provider in-person given the need for widespread social distancing. Telehealth can also connect patients with counseling, peer support, and other behavioral health services remotely to support access to care on an ongoing basis. Maintaining contact with behavioral health support is particularly important during times of need and physical isolation. Tools used to host conference calls for office workers can also be used to connect SUD patients with support groups. Passport Health, for example, is using online platforms to connect patients with support groups. For those patients who may not have a smartphone or Internet connection, the Centers for Medicare and Medicaid Services (CMS) has loosened restrictions on telehealth, allowing audio-only connections with providers (including via telephone). Several health insurance providers, such as Humana, have taken similar steps to ensure that patients with SUD have access to ongoing care and assistance. Recognizing the need for continued access to MAT during the pandemic, the Drug Enforcement Agency (DEA) issued guidance that allows providers to prescribe controlled substances via telehealth without a prior in-person exam, including medications such as buprenorphine used to treat opioid use disorders. To further expand access to care, some insurance providers have waived rules to allow virtual behavioral health practitioners to be the sole health care provider for SUD patients, rather than acting only as complementary care. Easing the DEA rules makes prescribing MAT easier particularly when patients are unable to access in-person care, as do insurance provider initiatives to address gaps in treatment. For patients with other medical conditions, remote patient monitoring tools can be used to maintain a connection between a patient and provider to help ensure the patient stays in good physiological health in addition to good mental health. Health insurance providers are supporting their provider partners in managing their patients’ access to SUD treatment and recovery services. Some health insurance providers are working with clinicians to dispense MAT for longer periods of time for patients who are stable, for example.

Challenges

Despite the promise of telehealth and other tools to support people with SUD, challenges to ideal care remain: • With group meetings banned, many state residents grapple with challenges of addiction without in-person group support. Small gatherings should be deemed “essential” given the needs of attendees. • Inconsistent telehealth regulations between states make practicing across state lines challenging. When resources in certain states may be limited, patients should be able to easily access services across state lines without significant disruption. During this epidemic, the federal government should align state policies so that people can access care when needed. • Inconsistent state laws on MAT dispensing can create challenges. While some states have sufficient supply of methadone clinics to serve patient needs, for example, other states have much lower ratios for how many methadone clinics can be present based on the state population. These rules should be aligned across states especially during a public health emergency to ensure that all patients have access to MAT. • The DEA should eliminate the need for providers to be waivered to prescribe MAT. There are millions of people in need of medication for SUD, and the DATA 2000 waiver stands in the way of getting help for those seeking treatment. • There have also been concerning security breaches of some online platforms that are used to enable virtual meetings including support groups for people with SUDs. While it is important to relax some rules and enforcement during a public health crisis, it is also important for the government and private sector to monitor for bad actors who may take advantage of a crisis and for there to be appropriate recourse.

Conclusion The COVID-19 pandemic has presented new and significant strains on the American health care system and society as a whole. Patients suffering from SUD suffer from unique challenges to their ongoing health, and those challenges can be magnified in times of high stress or isolation. We are committed to working with state, federal and local officials in every way possible, from supporting our public health heroes, to offering specific policy and regulatory changes, to assisting governors, legislatures, the Congress and the Administration. Together, we can and will meet this challenge.

Define the term metaparadigm and discuss its relevance in nursing practice. How are the 4 concepts in the metaparadigm linked? What is the difference between Grand theories and conceptual models, Middle-range theories, and Practice-level theories.

You are caring for a 25-year-old male admitted to the emergency room after passing out at the gym. During your admission assessment, he admits to having a history of “an eating disorder since high school.” Based on your knowledge of the pathophysiology of anorexia orbulimia nervosa address the following:

• Thoroughly explain the epidemiology of the disease process. Examine each of the following three elements:) The cultural; 2.) The financial; and 3.) The environmental implications related to this disease process. Support all three with a scholarly source!
• What would 3-5 priority nursing interventions be for the client with this disease process? This can include labs and diagnostics. What are critical indicators? Support with a scholarly source.
• Provide three areas of patient education you feel are critical to teach the client with a diagnosis of this disease. Consider medical product safety and the length of time the client has had the disease. Support with a scholarly source.
• What members of the interdisciplinary team need to be included for holistic patient-centered care? Provide a rationale and Support with a scholarly source.

Describe the nurse's role and responsibility as health educator. What strategies, besides the use of learning styles, can a nurse educator consider when developing tailored individual care plans, or for educational programs in health promotion? When should behavioral objectives be utilized in a care plan or health promotion? with in text citation and reference.

What are 3 sympathomimetic drugs that can be utilized in the COPD exacerbated patient?

What type of ECMO can be considered for pulmonary patients like the COPD exacerbated one?

Discuss the nursing assessment of the patient with chest pain. What questions are important to include in the nursing history when assessing for stable or unstable angina? Discuss the nursing management of the patient with an ST elevation MI (STEMI).

Case 32: Heck No, I Won’t Go! I’m Not Covering for Free!

On Thursday night Dr. Jones was at home watching television and spending time with his family. The phone rang. The South Shore General Hospital ER physician asked him to see an urgent patient. Dr. Jones replied that he was not on call for the emergency room at South Shore General Hospital, and furthermore, the hospital was paying members of a competing group to cover the emergency room. The emergency room doctor said that he was aware of the arrangement with the competing group. However, the ER could not reach the on-call physician and had tried for some time.

Dr. Jones, who earlier had a glass of wine with dinner, responded, “You’ll have to keep trying. I’m not coming in.”

The next day Dr. Jones called the Chief of Staff and the Chief Medical Officer (CMO) of South Shore General Hospital and informed them that neither he nor any members of his group would cover the ER unless they were compensated in a similar manner to the competing group and had an appropriate contractor arrangement with the hospital. Dr. Jones asked the Chief of Staff and CMO if they worked for free. Dead silence. “While you’re thinking about that question, let me say this to both of you. Doctors are working harder and longer hours and earning less money every year. Why should we give up our free time and work for nothing when you’re willing to pay the other group?”

CASE WRITE UP (PLEASE INCLUDE DETAILED EXPLANATION AND COMPLETE ALL 6 STEPS)

1 - Write a background statement

2- What are the major problems and secondary issues?

3- Your Role

4- Organizational Strengths and Weaknesses

5- Alternatives and Recommended Solution

6- Evaluation

THEIR IS AN EXAMPLE BELOW OF HOW THIS SHOULD LOOK!!!!

Case Write-Up

Background Statement

A Wiccan patient who visited a nondenominational community hospital was discussing her religious beliefs with her primary care nurse, Penny Baker, when suddenly another nurse, Ruth Goose, walked into the conversation and rudely stated, “Thou shalt not suffer a witch amongst you.” The Wiccan nurse felt offended and complained that she was discriminated in the hospital because of her religious beliefs.

Major Problems and Secondary Issues

The major problem is that the two nurses, Penny Baker and Ruth Goose, made the patient feel unwelcomed in the nondenominational community hospital because of her Wiccan religious beliefs. The secondary issues that the nondenominational community hospital may face is that the Wiccan patient is threatening to go to the media. This means that there may be news coverage that your hospital engages in religious discrimination. This may make people, especially Wiccans, look down on your medical services.

Your Role

In this case, I am the Vice President of Nursing Services. As stated in the text, it writes, “You are the Vice President of Nursing Services in a nondenominational community hospital, and you receive a complaint from a patient, who is a Wiccan.” The advantages of this role are that I can sit down with Penny and Ruth to let them know that religious discrimination is not to be tolerated while we are caring for the patients. The disadvantages of this role are that I must decide how I am going to discuss this matter with Penny and Ruth because they’re passionate about being against the Wiccan patient. I need to let Penny and Ruth know that our patient’s care matters above everything else, not what religion they practice.

Organizational Strengths and Weaknesses

As the Vice President of Nursing Services, my strengths are that I can hold a training on racial, ethnic, and religious diversity. This training can supplement nurses with the information they need to work in a diverse environment. Nurses need to know that they must treat their patients justly despite their identity. The weaknesses I may face are that the two nurses are very religious themselves. They may not listen to what I have to say about religious discrimination because the two nurses try to justify their act by saying, “She did the right thing. We don’t have to pray with witches. They worship Satan. It’s blasphemy. What’s next? Human sacrifice?”

Alternatives and Recommended Solution

As a solution for this problem, I will make sure to provide all the nurses working in the hospital with diversity training. It is important that I sit down with the nurses and make it clear that discrimination will not be tolerated while they are working in our hospital. I can also offer every patient visiting the hospital with a survey. The patient can fill out the survey to let us know how they felt about their stay. Nurses who’ve been accused of any sort of discrimination, will have to speak with management. We would keep these incidences of discrimination in a file, and it the dilemma does not change, I would have to begin writing up the nurses. Discrimination would not be tolerated while the patient is in the hospital trying to recover from a medical condition. I would also recommend Penny and Ruth write an official letter of apology to the Wiccan patient before she decides to go to the media. Writing the official letter of apology would be my first recommended solution to Penny and Ruth, so that the patient does not feel unwelcomed to our hospital’s services in the future.

Evaluation

If there are enough surveys to prove that our medical treatment is getting better and there are less patients coming from the patients about discrimination, then I would know that the instances of discrimination have stopped. The goal is to aid in the medical recovery of patients. Patients must also feel welcomed to our hospital services despite their identity. By getting fewer, or even better, no discrimination complaints, I would know that my diversity trainings and meetings have worked.

1. How do you feel about 80/20 rule?

2. What is the difference between fasting, Anorexia and Bulimia nervosa?

3.Name two treatments that may be used to correct this acid-base imbalance.

4. list 3 sources of omega 3 fatty acid.

6. Interpret the following arterial blood gas (ABG) result.