Evidence-Based Practice Project—Intervention Presentation On Diabetes

Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:

1. A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.
2. A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.

 You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin. 

Economics In Healthcare

Click the attach document to view and study the NHE data for selected calendar years between 1970 and 2003 and for selected service categories (with the exception of the catch-all category of “other”) (Centers for Medicare & Medicaid Services [CMS], n.d.).  Answer the following questions:

· Examine the trends in expenditures for the service categories presented in the table. What is the magnitude and direction of spending changes within and across each of these categories: the percentage of GDP spent on NHE and the NHE per capita.

· What can you say about how the price of medical care services changes? As you think about what you might say, realize that the figures have been adjusted for inflation. Also, assume that not all increases in healthcare costs are caused by increases in utilization

· Examine the rates of growth in the service categories (except the category “other”). What trends do you see in the mix of healthcare services used by the US public? What factors might contribute to these trends?

Reference:

Centers for Medicare & Medicaid Services. (2014). National health expenditure data. Retrieved from https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/index.html?redirect=/NationalHealthExpendData/.

To support your work, use textbook readings and also use Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Week 5 Discussion Post

Chief complaint:  “ I have scaly crust in sole of feet and moist white crusts between my toes since I started using boots warm weather” for past 2 weeks.  

HPI: E.D a 45-year-old hispanic female presents to the clinic for complaint of itching in feet and scaly curst in sole of feet and moist white crusts between toes. She developed a red, itchy rash consistent with hypersensitivity reaction. She also indicates that she has noticed that her symptoms are worsening for past 2 weeks and it started after she started to use boots in warm weather. She has symptoms of red, itching rash consistent with a hypersensitivity reaction and tinea pedis. She wore about 2 weeks ago her mother’s shoes without socks and her mother has history of Tinea Pedis.

She has tried lotrimin AF cream for itching and it did not help relief her symptoms. She has not tried other remedies. 

Denies associated symptoms of fever, chills, pain or any other symptoms. 

PMH:

Diabetes Mellitus, type 2. Peripheral Vascular disease. Varicose Veins. 

Surgeries: None

Allergies: Penicillin

Vaccination History:

She receives an annual flu shot. Last flu shot was this year

Social history:

High school graduate, married and no children. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago.

Family history:

Both parents are alive. Father has history of DM type 2, Tinea Pedis. 

mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis. 

ROS:

Constitutional: Negative for fever. Negative for chills. 

Respiratory: No Shortness of breath. No Orthopnea

Cardiovascular: + 1 pitting leg edema. + Varicose veins. 

Skin: + rash crusted white in feet and inter-digit in feet. 

Psychiatric: No anxiety. No depression. 

Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 130/70 T 98.0 po P 88 R 22, non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness. 

NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.

LUNGS: No Crackles. Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress. 

HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. 1+ pitting edema ankle bilaterally. 

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. 

MUSCULOSKELETAL: Slow gait but steady. No Kyphosis.

SKIN: +Dryness, No open lesions. +Dry crusts in sole of feet. + moist crust in between toes. 

PSYCH: Normal affect. Cooperative. 

Labs:: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98

A:

Primary Diagnosis: Tinea Pedis

Secondary Diagnoses:

Atopic Dermatitis

Xerosis

Pruritus

Differential Diagnosis:

Peripheral Vascular Disease (PVD) (173.9)

P:

Medications:

Tylenol 650 mg PO Q4 hours as needed for arthritis pain

Labs: CBC with diff to evaluate for infection and baseline lab. CMP, PT/INR to evaluate status of liver and kidneys. 

Referrals: may refer based on effect of medication therapy given for 2 weeks.

Follow up: return to office in 2 weeks to evaluate her symptoms.

Additional lab results:

Fungal culture confirm that she has fungal infection. 

Question: As an NP student, needs to determine the medications for Tinea Pedis.

According to the ACC/AHA Guidelines, what antifungal medication should this patient be prescribed? Write her complete prescriptions using the prescription writing format.

Medicaid Expansion

Compare and Contrast Medicaid Expansion in 3 States – 20% This Assignment includes 3 tasks:  • A Compare & Contrast of 3 Medicaid expanded states,  

• Noting changes and updates to the Medicaid Program in those 3 states, and  

• Drafting a Policy Memo to the Governor regarding Medicaid expansion in TX.   Under the Affordable Care Act and with clarification from a June 2012 Supreme Court Decision, states may opt to Expand Medicaid to include individuals at 138% of the Federal Poverty Level (FPL) and under age 65. 

Philosophical, political, and budgetary considerations weigh heavily on a state’s decision to or not to Expand. 

Managed Care Answer Guide

• Using the Managed Care Answer Guide, http://www.patientadvocate.org/requests/publicatio…pgs. 17-23, Analyze and Evaluate your managed care plan* either through your private/government insurance or from the health care exchange (Obamacare) using the nine criteria (pg.17). Based upon your evaluation, does your health plan meets your needs? Why or why not?*You do not have to give the actual name of your health plan.Requirements:Submit your essay in a Word document. This assignment must be at least 500 words, with at least four references cited properly in APA format, and a title page (APA format). This assignment must be well- written with proper grammar, spelling, and punctuation. Follow the rubric.
• By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution's policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.

Healthcare Agencies And GHDx

Imagine you are a Program Manager or Technical Analyst, working for the World Health Organization (WHO) or Non-governmental Organization (NGO). You have been asked to put together a PowerPoint presentation  of 8-10 slides, not including title or reference slides, about what you learned at the recent World Health Summit. Each slide with content should also include 150-200 word Speaker Notes.  Be sure to include the following information in your presentation:

•  
• Explain your job duties.  
•  
• Describe the history and development of the Global Health Data Exchange (GHDx), and explain why it was formed. 
•  
• Include the types of services it provides around the world.  
•  
• Explain how the WHO, GHDx, and the World Health Summit are involved in world health, including information about how new technology is provided for foreign countries.  
•  
• Provide and describe the types of health care technology available in foreign countries. This can include low-income, middle-income, and high-income economies.  
•  
• Select 5 of the best health care organizations in the world, and summarize the services they provide. Explain why these are considered the best health care organizations in the world.  
•  
• In a table, outline significant differences among 4 nations offering the best health care as compared to those that provide low-quality health care. 

Be sure to support your information by citing at least 2 scholarly references using APA format.

Breastfeeding 2

 Class as nurses we understand the benefits of breast feeding and it is our duty to educate new parents on those benefits. At what point does our education become paternalism or bullying?  We are taught to set aside our personal feelings and respect patients wishes that being said, What can we do to support the Mom who chooses bottle feeding?  Please review this article Are “baby-friendly” hospitals unfriendly to new mothers? and share your thoughts.  Doing so will net you one substantial reply for the week. 

  "Team Dynamics and Effective Organizational Communication in Health Care, and Cultural Competence in Health Care" 

Need 5-8 sentences to address the discussion question below. Include 2 examples as mentioned below.

• Suggest the major reasons why a well-integrated communication process is important for the performance of any organization and the major reasons why such a process is particularly important in health care organizations. Support your response with at least (2) examples of communication methods used within the researched health care facility in your community.

Leadership Implications

Leadership Implications

“The greatest leader is not necessarily the one who does the greatest things. He is the one that gets the people to do the greatest things.”

— Ronald Reagan
U.S. President (1981-1989)

Leadership is a critical role for advanced practice nurses. In order to be an effective leader, one must examine his or her role as an advanced practice nurse, and use his or her knowledge, and leadership skills to address issues related to his or her specialty area. There is a saying that one must know when to follow and when to lead. In order to be a good leader, you must also learn how to follow. As you transition from student to practicing NP, seek opportunities for mentorship to develop your leadership skills. Recognizing when to lead and when to follow is an interchangeable process that requires experience and preparation. The future for Americans in health care is unpredictable. This week it is important to focus on the complex and advanced leadership role that is needed to make effective change in a dynamic and demanding health care system.

This week you will focus on the importance of leadership in advanced practice nursing. You will have an opportunity to examine how you can execute positive social change in your state for salient advanced practice nursing issues.

State Practice Agreements

Write 1 page

This week you will have an opportunity to evaluate state practice agreements in your state ( of TEXAS ) and examine issues related to NP practice.

To prepare:

1. Review and Post a brief description of the REVIEW of practice agreements for NPs in your state of TEXAS.

2. dentify /name at least two physician collaboration issues in your state of Texas.

3. Explain what you think are the barriers to NPs practicing independently in your state mof TEXAS.

4. Finally, outline a plan for how you might address NP practice issues in your state.

5. Suggest additional actions you will  take.

6. Validate an idea with your own clinical experiences with the support of an additional literature search from a reputable source.

Case Study: A System Approach Review The Case Study In The Article, Texas Health Harris Methodist-Cleburne: A System Approach To Surgical Improvement

Case Study: A System Approach Review the case study in the article, Texas Health Harris Methodist-Cleburne: A System Approach to Surgical Improvement (Links to an external site.)Links to an external site.. After reviewing the case study, construct a written paper that addresses the following: •Explain organizational theories evidenced in this case study. •Analyze how Texas Health Harris Methodist-Cleburne is a learning organization. •Explain the organizational structure displayed in this case study. •Describe the leaders involved in this case study. •Discusses the role of the leaders in this case study. Including an introduction and conclusion paragraph, your paper must be three to five double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site.. Including the textbook, utilize a minimum of three (one of which is the case study article used for review) scholarly and/or peer-reviewed sources from the Ashford University Library that were published within the last five years. Document all references in APA style as outlined in the Ashford Writing Center APA Checklist (Links to an external site.)Links to an external site.. it is do tomorrow at midnight. Can you please let me know. I will appreciate your help.