Month: June 2020

1) **********minimum 10 full pages (5 pages each document) ( not words)**************************** (cover or reference page not included)

2)¨**********APA norms  (All paragraphs must be narrative and cited in the text- each paragraphs)

3)********** It will be verified by Turnitin and SafeAssign

4) Minimum 5 references not older than 5 years

5) Each answer must be identified according to the question number. Check the list of questions. Your answer should start objectively answering the question

Question:

1)…………

2)…………

3)…………

Answer:

1)…………

2)…………

3)…………

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You must answer (4) points 2 times. 

You must submit 2 documents (each one 5 pages).

Copy and paste will not be admitted. 

You should address the questions with different wording, different references, but always, objectively answering the questions.

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1)Identify and discuss conflicts that exist between ethics and healthcare reform that has been brought upon the execution of the affordable care act aka Obamacare/Trumpcare.

2) Explain how nurses should negotiate such conflicts.

3) Consider how nurses have historically handled conflicts between ethics and their profession in a time where health care reform was obsolete.

4) What happens to those patients that still don’t have insurance?

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

• Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
• Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
• Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.

The Assignment (5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

• Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
• Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
• Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
• Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
• Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

Please use proper APA. Indent each main paragraph, number each page, and use proper references. if you have any questions let me know.

*First paper is attached.

respond

Yahima & Group,

Part II & Response:  While both of us registered as being team leaders according to the Blake and Mouton Managerial Grid our personality types reflected a different perspective on how we both approach team leadership.  The types of personality will be different between most leaders and the same as other leaders.  Defining ones personality helps to determine the rational behind decision making and to understand the way a person acts the way they act (Gunawan, 2016).  These differences and likenesses do not necessarily mean that one personality is more suited to leadership over another but rather there are various approaches to being and effective team leader.  My personality identified that I was a ESTJ meaning I exhibited quite a few differences to your INFJ personality.  While I agree with my test I do sometimes feel that I slip in and out of being introverted and extroverted depending upon the situation thus affecting my specific approach or style of leadership from time to time.  When communicating a message with someone who is an INFJ I would take the approach of fully explaining my message and allowing the INFJ to process and analyze the presented message.  I would also be sensitive the feelings/intuitions expressed by the INFJ personality ensuring that the INFJ was heard and that their opinions on the message being delivered was received and is taken seriously.  This helps to present a message that is clear, validated and well received while giving time to analyze the presented message.  There are many different types of personalities to communicate with as a leader and interacting with all 16 types will inevitably occur through ones career.   The exact personality type with which one is interacting may not always be clear but it is important to foster relationships among one another in order to better understand the personality traits present among ones peers.

If undertaking the task of determining the reason for recent call outs I would organize a group meeting with all of other leaders facing this situation.  In this scenario it would be the group.  The information would be presented and I would allow the other leaders to express their opinion/feelings and/or present additional data to support the issue at hand.  I would then seek the advice of the group to collectively come up with effective solutions to the issue.  This allows all ideas to be presented and discussed before enacting on a plan of action.

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest.
• Describe how you used keywords to search on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

By Day 7 of Week 3

Submit Part 1 and Part 2 of your Evidence-Based Project.

Note: Part 1 is a 4-5 slide PowerPoint and Part 2 is the Matrix. Be sure to attach both of your documents (Part 1 and Part 2) before you click Submit.

Nutrition through the Life Cycle: Pregnancy, Breastfeeding and Infant feeding, Chapter 17

The chapters covering nutrition through the life cycle deserve a full 3 – 5 credit class. For the purpose of an overview, it is most important that students understand the differences in nutrient needs among the various stages of growth, development and maintenance through the ages. These differences are influenced by body changes that affect metabolism, growth rates, absorption effectiveness, activity levels to name a few. The food based guidelines adjust to caloric and nutrient needs and are reflected in various Plate Diagrams intended for specific age groups.

Chapter 17: Pregnancy, Breastfeeding and the first Year of Life  (10 pts)

Please read the following articles in addition to Chapter 17:

https://kidshealth.org/en/parents/feed47m.html?WT.ac=ctg#catfeeding

https://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/American-Academy-of-Pediatrics-Recommends-No-Fruit-Juice-For-Children-Under-1-Year.aspx

1. (5)  What specific nutrient needs change during pregnancy from the adult woman, including calories, macro and micronutrients and fluid needs? (Refer to the the DRI charts in the front of your text book.) Address any supplements that are recommended..

2. (2) What lifestyle changes should a pregnant woman make to ensure a healthy pregnancy outcome?

3. (8) Assume you work in a WIC Clinic. (Women, Infants and Children’s Supplemental Food Program). A woman is asking you why she should consider breastfeeding and what to expect. She is not convinced it is worth all the effort. What information would be important to tell her?

Research Topic and Outline

1. The final project for this course is a Research Paper. The first two assignments will help you find the tools needed to prepare and gradually build your final research paper. The research paper for this course will be argumentative. The argumentative research paper requires you to take a position on an issue and support the position with persuasive facts and statements. 
2. First, select a Research Paper TOPIC that can be assessed using health care economics principles. 

Please choose from the following topics the issue you are going to discuss. 

•          A history of Medicare cost containment policies
•          Not-for-profit versus for profit
•          State children health insurance programs
•          Medicare prospective payment program
•          Medicare and Medicate dual eligibility
•          Health maintenance organizations
•          Long-term health care insurance
•          The managed care backlash
•          Impact of obesity on healthcare costs
•          Impact of diabetes on healthcare costs
•          Impact of smoking on healthcare costs
•          Nursing shortages
•          Cost of Pharmaceuticals

1. Second, provide your research paper with the following OUTLINE (Your final paper assignment should include a detail explanation of this outline):

a. Introduction -Your introduction should give a brief overview of the topic you are going to discuss. The last sentence of your introduction section should be your thesis statement. Your thesis statement should start with – The purpose of this paper is to…..

b. Body of paper – The body of your paper should organize how you plan to address each required section of the paper. Each supporting item is then broken down into smaller supporting items.

•          An overview of the issue
•          Why is this issue a concern from a health care economics perspective?
•          Who are the major parties involved in this issue?
•          Which market forces have an impact on this issue?
•          How is demand illustrated in this issue?
•          How is supply illustrated in this issue?
•          How has the affordable care act impacted this issue?
•          How are health disparities demonstrated in this issue?
•          How has this issue been improved in other global markets?
•          What is your recommendation for making improvements based on economic principles.  

c. Conclusion – The conclusion of your paper should summarize your thesis statement and the supporting items discussed in your paper. In this outline, please indicate what you expect the finding to be. 

d. References – Provide list of five (5) bibliographic references (using APA format).  Your final research paper will require seven (7) bibliographic references. (You may use your textbook as a reference and you should have a minimum of 6 academic outside references including 3 peer-reviewed journal articles

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Please answer the following questions regarding Health Care Costs and Product Differentiation

• Using supply and demand analysis, explain some of the factors that may have led to rising healthcare costs in the United States from 1960 to the present day. In your opinion, which factor has had the greatest impact?
• Discuss the two ways that product differentiation affects the demand for the product. Give an original example of product differentiation.

No special formatting needed – very informal forum post. 250-300 words, please. Thank you!

Discussion

Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder (GI) indicated by abdominal discomfort and impaired bowel habits in the lack of a certain as well as unique natural pathology, though inflammation microscopically is recognized in certain individuals. Very subjective details incorporate repeated abdominal discomfort as well as changes in stool, which might be diarrhea, constipation, or perhaps both. With SCI, individuals grumble of these symptoms with no noticeable signs of disease or damage in the intestinal tract (Emerson, 2015).

The occurrance of irritable bowel syndrome at 10 20 % and also the likelihood of irritable bowel syndrome during 1% 2 % every season is estimated by population-based studies. IBS occurs usually in individuals under the age of fifty. In the United States, IBS is much more typical in females. Estrogen therapy before or maybe after menopause is additionally a risk factor for IBS. Genes, a combination or the environment of environment and genes might be involved in the improvement of irritable bowel syndrome. Any stressed situation, anxiety, depression along with other psychological health concerns are connected with IBS. A history of sexual, emotional or physical abuse might additionally be considered a risk factor. Scientists think that ibs symptoms could be caused by specific foods or maybe drinks including wheat, dairy products, citrus fruits, beans, cabbage, soft drinks and milk (Emerson, 2015).

As a family nurse, health promotion, the use and disease prevention of non pharmacological therapy are crucial. It’s essential to market a change in lifestyle, medications, diet, mental health therapies and probiotics. Modifications in the patient’s diet plan can help cure the symptoms of irritable bowel syndrome. Modifications can include consuming more fiber, staying away from gluten or adhering to an unique diet plan known as very low FODMAP diet plan. Distinct changes are able to be useful people that are different with IBS. Finding ways to deal with emotional stress is able to help stop or even alleviate IBS symptoms. Psychotherapy also can supply a lasting and significant decrease in symptoms. Leisure allows you to concentrate on getting in the second and also putting aside distractions and worries. A number of muscle groups making use of progressive relaxation exercises could alleviate symptoms. Mindfulness training could additionally help. This particular stress reduction method enables you to concentrate on getting in the second and also making out distractions and worries (Saha, June 2014).

IBS therapy focuses on relieving symptoms so as to stay as normally as you can. The number of pharmacological therapy remains with specific symptoms. Agents used to control symptoms of symptom based irritable bowel syndrome (IBS) include:

Fibre supplements. Going for a product as psilium (Metamucil) with fluids are able to assist manage constipation (Saha, June 2014).

Laxatives to alleviate constipation. dental magnesium hydroxide (Phillips Magnesia Milk) or maybe polyethylene glycol (Miralax) (Saha, June 2014).

Anti-diarrhea medications. Otc drugs , like loperamide (Imodium), will help control diarrhea. The dealer might recommend a bile acid binder, like colesiramine () that is prevalent, colestipol (Colestid) or maybe colesevelam (Welchol). Bile acid pasta is able to lead to swelling (Saha, June 2014).

Anticholinergic prescriptions. Medicines like dicyclomine (Bentyl) is able to help alleviate very painful intestinal spasms. They’re often recommended for individuals who have bouts of diarrhea. These medicines are safe, but could cause constipation, mouth that is dry and blurry vision (Saha, June 2014).

Tricyclic antidepressants. This particular medication type is able to help alleviate depression and also prevent the activity of neurons which limit the intestines to help you lower pain. In case the individual has abdominal pain and diarrhea with no depression, the provider might recommend a lower compared to regular serving of imipramine (Tofranil), desipramine (Norpramine) or maybe nortriptyline (Pamelor). Unwanted side effects – which may be decreased if the in-patient is taking drugs at bedtime – can include drowsiness, blurry eyesight, dry mouth and dizziness (Saha, June 2014).

SSRI antidepressants. Selective serotonin reuptake inhibitor (SSRI) antidepressants, for example fluoxetine (Prozac, Sarafem) or perhaps paroxetine (Paxil), will help when the in-patient is depressed and also is suffering from constipation and pain (Saha, June 2014).

Pain treatment. Pregabalin (Lyrica) or maybe gabapentin (Neurontine) is able to alleviate pain that is severe and swelling. Medicines particularly for IBS (Saha, June 2014).

Approved medicines for several individuals with IBS include: Alosetron (Lotronex). Alosetron is created to unwind the colon and impede the motion of waste with the lower intestine. Alosetron can just be given by medical doctors enrolled in a unique program, is designed for serious cases of main diarrhea of females that haven’t answered various other treatments and also isn’t authorized for usage by males. It’s been connected to rare but substantial side effects, therefore it must simply be viewed when various other remedies are not effective (Saha, June 2014).

Eluxadoline (Viberzi). Eluxadolin is able to alleviate diarrhea by decreasing muscle mass contractions as well as substance secretion in the gut and boosting muscle tone in the rectum. Unwanted side effects can include nausea, mild constipation and abdominal pain. Eluxadoline has likewise been connected with pancredity, that may be serious plus more typical in some individuals (Saha, June 2014).

Rifaximin (Xifaxan). This particular antibiotic can reduce the substantial growth of diarrhea and bacteria.

Lubiprostone (Amitiza). Lubiprostone is able to improve substance secretion in the small intestine to assist pass feces. It’s authorized for females with IBS with constipation and it is frequently recommended just for females with serious symptoms that haven’t answered various other treatments (Saha, June 2014).

Linaclota (Linzess). Linaclottide also can improve the secretion of substance in the small intestine to assist the passage of feces. Linaclotide is able to result in diarrhea, but choosing the medication thirty to sixty minutes prior to eating is able to help (Saha, June 2014).

Reference

Saha, L. (2014, June 14). Irritable bowel syndrome: Pathogenesis, evidence-based medicine, treatment and diagnosis. Recovered from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4051916/

Fifteen ways to relieve your IBS symptoms. (n.d.). Recovered from https://www.health.com/ibs/irritable-bowel-syndrome-treatment

Emerson, R. (2015). Irritable bowel syndrome. London: Wellhouse Publishing.

Le Sândrome do intestino irritàvel. (2016). Bethesda, MD: National Digestive Diseases Information Clearinghouse, National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases, U.S. Dept. of Human and Health Services, Public Health Service, National Institutes of Health.