Peer replies1-Alberto :Polypharmacy is an area of concern for many patients, especially the elderly. Elderly patients are at a greater risk for adverse drug reactions (ADRs) because of the reduced drug clearance associated with aging and because of metabolic changes (Boris, Cafiero & Smith, 2014). Some risk factors associated with polypharmacy are potential of drug-drug interactions because it is further increased by use of multiple drugs. Another risk factor is hip fractures, associated with adverse drug reactions and losing balance or fainting (Boris, Cafiero & Smith, 2014). Polypharmacy may sometimes lead to “prescribing cascades.”4 Prescribing cascade is said when signs and symptoms (multiple and nonspecific) of an ADR is misinterpreted as a disease and a new treatment/drug therapy is further added to the earlier prescribed treatment to treat the condition (Piere & Farrell, 2012).In my practice working with the elderly population, to reduce the incidence of polypharmacy medication, patients are evaluated on a monthly basis. Additionally, a single drug is be prescribed instead of multiple drugs for the treatment of a single condition, if possible. Another strategy we use is staring medication with the lower drug dosage and slowly increasing as indicated.A strategy that seems to be effective, according to research, is prescribe drugs that can be given once or twice a day instead of prescribing drugs that require to be taken three times a day (Thomas, Liao, & McCliar, 2016). The reasoning behind this is to lower the risk of forgetting to take the medication or taking the medication together with other drugs. Another strategy that can be employed is that if the drug taken has no therapeutic beneficial effect or clinical indication it should be eliminated. Unessential drugs should be identified and eliminated prescribed by different health care providers for the same condition/disease (Thomas, Liao, & McCliar, 2016).2-macedaPolypharmacy refers to the effects of taking multiple medications concurrently to manage coexisting health problems, such as diabetes and hypertension (Piere & Farrell, 2014). Too often, polypharmacy becomes problematic, such as when patients are prescribed too many medications by multiple healthcare providers working independently of each other. Also, drug interactions can occur if no single healthcare provider knows the patient’s complete medication picture. Nurses have a unique opportunity to help identify patients at risk for inappropriate polypharmacy and to educate patients and families about risk reduction. Nurses can use strategies such as patient teaching and consistency in care plan (Piere & Farrell, 2014).Some of the risk factors of polypharmacy are age and chronic conditions. The elderly are more sensitive to the effects of certain drugs, particularly those that affect the central nervous system. As a consequence, drug classes such as benzodiazepines should be used with caution, and if absolutely necessary, then at a reduced dose to minimize the risk of falls and other adverse events (Thomas, Liao & McCliar, 2016). In addition, age is associated with decreased regulatory functions, therefore anti-hypertensives can more easily result in postural hypotension and opiates in respiratory depression. Communication barriers often go undetected in health care settings and can have serious effects on the health and safety of patients. Limited literacy skills are one of the strongest predictors of poor health outcomes for patients (Thomas, Liao, & McCliar, 2016). If the patient is deaf, can’t see or is illiterate there are various strategies the nurse can use for example, advise the patient to bring someone with them to the visit. Nurses who are responsible for checking patients in should be friendly and helpful. The length and number of forms patients are asked to fill out should be limited.
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
When it comes to facilitating spiritual care for patients with worldviews different from your own, what are your strengths and weaknesses? If you were the patient, who would have the final say in terms of ethical decision-making and intervention in the event of a difficult situation?
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!
NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.
Charley is 10 months old. His parents brought him to the pediatrician because he was sleeping more than average, refusing to eat, and is not pulling himself up as other children.He cries while in the ‘jumper’ and screams when they try to have him stand. After some time Charley’s pediatrician informs the parents that the diagnosis is ALL.In your research, what have you learned regarding this cancer and the prognosis?What are the treatment modalities recommended for this disease?300 words
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!
NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.
In a written paper of 1,250-1,500 words, evaluate the current forces driving change in your field or industry (Nursing). As a leader, or considering the role of a leader, assess your organization and evaluate how well it is responding to the forces, and identify where there is a need for change. Develop a vision to inspire this change. Include the following:Describe your organization, include the organization’s mission, and identify the various stakeholders.Identify the external and internal forces that drive organizational change in your field or industry. Explain the origin or reason for these internal or external driving forces. Explain how these forces directly affect the viability of your organization.Choose one of the driving forces. Describe the specific issues this driving force creates, or will potentially create, for your organization or department.Propose the steps needed for your organization or department to respond to this driving force.Predict how employees at various levels in the organization will respond to your proposed change initiative.Develop a vision for change. Describe how this vision correlates with the organization’s mission, and how you will present this vision to internal stakeholders.Predict how you think your vision will assist internal stakeholders in supporting the change initiative. Identify potential considerations posed by stakeholders, and discuss how you will respond.
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!
NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.
M4.A1 – AssignmentStrategies for EmpowermentRespond to the prompts below in full sentences. Be sure to use standard English grammar and spelling:List strategies for a specified population that would promote empowerment in your own community.Identify your role as the community health nurse in these strategies.
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!
NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.
Go to https://www.healthypeople.gov/ and describe, for example: Evidence Based Initiativesfor Tobacco and Second Hand Smoke Exposure: Reducing Out of Pocket Costs for Evidence based Cessation Treatments. Describe the snapshot, what they found, did they implement. There are many Evidence Base Practices on Healthy People 2020. APA paper 2 pages max. Please include reference page from health people. No plagiarism1) click on healthy people link2) hover over leading health indicators3) click on 2020 LHI topics4) Scroll to the bottom and click on Tobacco
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!
NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.
Janet Moriasi1 postsRe: Topic 9 DQ 2Insufficient Active Change Leadership:My EBP project include creation of space for a new unit thus financially involving. Sponsorship is the single most important factor in implementation success! But remember, project Sponsors must do more than sign a check authorizing funding for an initiative and show up at the project launch meeting. They must authorize, legitimize and demonstrate ownership throughout the lifecycle of the project. This is the only way the project can be sustainable. It is critical for Sponsors to be consistently expressing, modeling, and reinforcing their personal and collective commitment to the change. This includes Executive leaders down through the middle layers of your organization. It is the cascade of commitment that we are seeking as Change Agents.Poor Communications: There is a common belief that just getting a message out to an audience is enough to get buy-in, eliminate resistance and even drive behavior change. As a result, too many organizations singularly invest in top-down, one-way communications that don’t motivate people to move from the status quo to the desired state.A change management communication plan is not at all the same thing as a change implementation plan. Centering efforts on communicating the right message, to the right audience, using the right vehicles, and always includes a feedback loop to gather reactions to both content and process. Sending the same message to everyone will not be sufficient. Keeping communication open throughout the project is also very important.ReferenceImplementing an Evidence-Based Practice Change by Gallagher-Ford, Fineout-Overholt, Melnyk, and Stillwell, from American Journal of Nursing (2011).https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446-201103000-00031&LSLINK=80&D=ovftSubstantive Post Yes | No
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!
NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.
please follow the instruction for both ethics and cap course
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!
NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.
ITS IMPORTANT TO COVER OR MEET THE COMPETENCES PLS !PLS READ THE COMPETENCESConduct a health assessment of a population of your choice. Explain the process and summarize the results.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:Competency 1: Health Assessment – Conduct comprehensive and focused assessments of health and illness parameters in individuals, groups, and vulnerable populations.Describe the key elements that make up a health assessment at the community, group, and individual levels.Explain the process involved in conducting a comprehensive health assessment.Summarize the findings of a health assessment for a specific population.Competency 3: Nursing Research and Informatics – Incorporate evidence-based practice interventions (for example, information systems and patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan.Use valid, scholarly research resources relevant to the field of nursing to support information presented.Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.Write coherently to support a central idea in appropriate APA format with correct grammar, usage, and mechanics as expected of a nursing professional.Assessment InstructionsConduct a health assessment of a population of your choice as you complete the following:Describe the key elements that make up a health assessment at each of the following levels:Community.Group.Individual.Explain the process for completing a comprehensive health assessment.Summarize the findings of the health assessment you conducted. Be sure you include a brief description of the population you selected.Additional RequirementsFormat: Include a title page and reference. Use APA style and formatting.Length: This assessment should be approximately 3–5 pages in length.References: Cite at least three current scholarly or professional resources.Font: Use double-spaced, 12-point, Times New Roman font.
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!
NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.
need the argument to be anchored and speific.Your paper has hit what I thought it would and what is common when paper lacks laser focus. You really are not making relevant arguments and the arguments you make have little evidence to quantify it or qualify it. By failing to anchor to specifics, the paper ultimately wanders without organization, without heirarchy and without an argument. I’ve graded to a point and put a lot of comments. Those are pretty consistent as I read through the rest of your paper. Rather than give you a failing grade on this because I can tell you tried hard on it, I would like to give you an opportunity to resubmit. Simply tell me the date you can resubmit. I would advise you to go back to the individual assignment and read it carefully. Its hard to make an argument that says the key benefit is information retrieval without explaining what makes the smartphone specifically crucial over other means? I’m not even sure I understand what the problem is? That smartphones can’t do it? That more applications are needed however you said there are plenty. That better security is needed? That organizations need to invest in more smartphones for its benefit? I don’t know because its an information about the benefits of using a smartphone unlrelated to what matters in health…quality, cost or access. Go back and watch the videos carefully. Go back and review the announcements and formulate a focused topic so you can anchor your argument as everything has to somehow support it else its irrelevant.You need an anchor point to ensure everything you discuss is tied to this concept. I just gave the class a ONE week extension. Your paper is now due on the 27th of June INSTEAD OF the 20th.To write an argument essay, you’ll need to gather evidence and present a well-reasoned argument on a debatable issue.How can I tell if my topic is debatable? Check your thesis! You cannot argue a statement of fact, you must base your paper on a strong position. Ask yourself…How many people could argue against my position? What would they say?Can it be addressed with a yes or no? (aim for a topic that requires more info.)Can I base my argument on scholarly evidence, or am I relying on religion, cultural standards, or morality? (you MUST be able to do quality research!)Have I made my argument specific enough?Why do I need to address the opposing side’s argument?There is an old kung-fu saying which states, “The hand that strikes also blocks”, meaning that when you argue it is to your advantage to anticipate your opposition and strike down their arguments within the body of your own paper. This sentiment is echoed in the popular saying, “The best defense is a good offense”.By addressing the opposition you achieve the following goals:illustrate a well-rounded understanding of the topicdemonstrate a lack of biasenhance the level of trust that the reader has for both you and your opiniongive yourself the opportunity to refute any arguments the opposition may havestrengthen your argument by diminishing your opposition’s argumentThink about yourself as a child, asking your parents for permission to do something that they would normally say no to. You were far more likely to get them to say yes if you anticipated and addressed all of their concerns before they expressed them. You did not want to belittle those concerns, or make them feel dumb, because this only put them on the defensive, and lead to a conclusion that went against your wishes.The same is true in your writing.https://www.roanestate.edu/owl/argument.htmlDeveloping Your PositionNow that we know what a strong thesis statement is, we can begin to craft one of our own. Most effective position statements often answer these three questions:What is the essay’s subject?What is the main idea that will be discussed about the topic?What is the evidence or support that will be used to support the main idea?Let’s suppose that I want to write an essay about playing sports. I might begin with a sentence like this:Playing sports is really good for people.This is a good start because it does express my position without announcing it; unfortunately, it is vague and general and therefore ineffective. It is not all that exciting for my reader, and it leaves my audience too many unanswered questions. WHY is playing sports good for people? HOW does playing sports benefit people?WHICH people benefit from playing sports? Asking questions about the topic is a great way to find more specific information to include in my thesis.Let’s suppose now that after asking these questions, I’ve decided I want to narrow my topic into children and sports. I might next have a thesis like this:Playing sports is really good for children.Now my thesis is more specific, but I still haven’t really answered the WHY and HOW questions. Maybe I think that playing sports helps children develop better cooperation skills, better coordination, and better overall health. I might have a thesis that ends up like this:Playing sports is beneficial for children because it helps them develop better cooperation skills, better coordination, and better overall health.Notice that I have beefed up my vocabulary a bit by changing “really good” to “beneficial.” For help with specific vocabulary, check out the Using Precise Language page.Notice that I also now have the three major elements of a thesis statement:1) A subject: playing sports2) A main idea: playing sports is beneficial for children3) Support or Evidence: better cooperation, better coordination, and better overall health.Most effective thesis statements contain this type of structure, often called an action plan or plan of development. This is such an effective type of thesis because it clearly tells the reader what is going to be discussed; it also helps the writer stay focused and organized. How can you now use this pattern to create an effective position statement?thesis statementHealthcare information technology productivity can be boosted by cellular phones because they can provide increased access to EHR’s, promote patient and physician communication, and provide quick access to medical literature.feel free to change thesis and necessary.
