Autoimmune Disease

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Autoimmune Disease

 

Paper details:

To work through the case study posted in the link above, click on the link, select Enable Editing, then Slide Show, then From Beginning. As you work through the case, you will select answers that will take you to the next question. Summarize the case by addressing the following questions, and posting your summary on the discussion board. What are the patient’s signs/symptoms? (1 point) In this case, which of the positive test results indicates an autoimmune disease: low WBC, proteinuria, ANA, or low platelet? (1 point) Which two of the ANA results are most specific for SLE diagnosis? (2 point) Which ANA result would be positive in scleroderma? (1 point) Patients with RA may have positive ANA results. However, the most specific diagnosis of RA would be made by which two positive tests? (2 points) Which test would be most specific to a MS diagnosis? (1 point) Which three CBC conditions are commonly seen in patients with SLE? (1 point) What is the clinical significance of the proteinuria in this case? (How is proteinuria related to SLE?) (1 point) List your reference(s) in APA format. (-1 point) if not present. You do not need to list the actual case study as a reference. For example: Stevens, C. D., & Miller, L. E. (2017). Clinical immunology & serology: a laboratory perspective (4th ed.). Philadelphia: F. A. Davis Company.

An interview with a health care

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An interview with a health care

 

Paper details:

Need an interview with a health care professional identify the issue from the interview that could be improved with an interdisciplinary approach can be approach an review the best practice an evidence to address the issue ( see pages 1 to 3 on attachment assess 2) it has to have 3 citation APA format romans 12

Medication Errors

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Medication Errors

Root Cause Analysis Please follow the Root Cause Analysis example paper for paragraph headings and such. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Analyze the elements of a successful quality improvement initiative. Apply evidence-based and best-practice strategies to address a safety issue or sentinel event. Create a feasible, evidence-based safety improvement plan.

Competency 2: Analyze factors that lead to patient safety risks. Analyze the root cause of a patient safety issue or a specific sentinel event within an organization.

Competency 3: Identify organizational interventions to promote patient safety. Identify existing organizational resources that could be leveraged to improve a plan.

Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care. Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style. Use the Root-Cause Analysis and Improvement Plan Template [DOCX] to help you to stay organized and concise. Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score. Analyze the root cause of a patient safety issue or a specific sentinel event in an organization. Apply evidence-based and best-practice strategies to address the safety issue or sentinel event. Identify organizational resources that could be leveraged to improve your plan. Create a feasible, evidence-based safety improvement plan.

Preterm labour and birth

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Preterm labour and birth

NICE guideline [NG25] Published date: November 2015

 

1.11 Fetal monitoring

Monitoring options: cardiotocography and intermittent auscultation

1.11.1 Discuss with women in suspected, diagnosed or established preterm labour (and their family members or carers as appropriate):

  • the purpose of fetal monitoring and what it involves
  • the clinical decisions it informs at different gestational ages
  • if appropriate, the option not to monitor the fetal heart rate (for example, at the threshold of viability).

1.11.2 Involve a senior obstetrician in discussions about whether and how to monitor the fetal heart rate for women who are between 23+0 and 25+6 weeks pregnant.

1.11.3 Explain the different fetal monitoring options to the woman (and her family members or carers as appropriate), being aware that:

  • there is limited evidence about the usefulness of specific features to suggest hypoxia or acidosis in preterm babies
  • the available evidence is broadly consistent with that for babies born at term (see monitoring during labour in the NICE guideline on intrapartum care)
  • a normal cardiotocography trace is reassuring and indicates that the baby is coping well with labour, but an abnormal trace does not necessarily indicate that fetal hypoxia or acidosis is present.

1.11.4 Explain to the woman (and her family members or carers as appropriate) that there is an absence of evidence that using cardiotocography improves the outcomes of preterm labour for the woman or the baby compared with intermittent auscultation.

1.11.5 Offer women in established preterm labour but with no other risk factors (see monitoring during labour in the NICE guideline on intrapartum care) a choice of fetal heart rate monitoring using either:

  • cardiotocography using external ultrasound or
  • intermittent auscultation.

1.11.6 For guidance on using intermittent auscultation for fetal heart rate monitoring, see monitoring during labour in the NICE guideline on intrapartum care.

Fetal scalp electrode

1.11.7 Do not use a fetal scalp electrode for fetal heart rate monitoring if the woman is less than 34+0 weeks pregnant unless all of the following apply:

  • it is not possible to monitor the fetal heart rate using either external cardiotocography or intermittent auscultation
  • it has been discussed with a senior obstetrician
  • the benefits are likely to outweigh the potential risks
  • the alternatives (immediate birth, intermittent ultrasound and no monitoring) have been discussed with the woman and are unacceptable to her.

1.11.8 Discuss with the woman (and her family members or carers as appropriate) the possible use of a fetal scalp electrode between 34+0 and 36+6 weeks of pregnancy if it is not possible to monitor the fetal heart rate using either external cardiotocography or intermittent auscultation.

 

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Health Disparities and Minority Health

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Description Supporting Lectures: Refer the following lecture: Delivering Culturally Appropriate Services Reducing Health Disparities In 2011, the Centers for Disease Control and Prevention (CDC) published the first CDC Health Disparities and Inequalities Report (CHDIR). This report examined health disparities in the United States associated with various characteristics, including race/ethnicity, sex, income, education, disability status, and geography. Among other recommendations, the 2011 CHDIR emphasized the need to address health disparities with a dual intervention strategy that focuses on populations at greatest need and improves the health of the general population by making interventions available to everyone. Review the following PDF to learn more: MMWR: Strategies for Reducing Health Disparities—Selected CDC-Sponsored Interventions, United States, 2014 Create a 4- to 5-page Microsoft Word document that addresses the following: Compare the patterns of the major diseases of Hispanic/Latino groups and their rates and health effects between the other racial or ethnic groups living in the United States. Identify at least one consequence that a lack of access to healthcare has on Hispanics/Latinos. Explain why access to care issues will need to be monitored even more closely within the U.S. healthcare system beginning 2014. Find at least two scholarly journal articles that discuss all or at least one of the topic areas related to Hispanic/Latino health disparities in the United States. Provide a synopsis of each article. Explain what type of barrier(s) (structural, financial, or socio-cultural) each article examines? Describe at least two policies or strategies that can be implemented to improve access to healthcare services as they relate to the articles you reviewed. Lecture.. Delivering Culturally Appropriate Services Healthy People 2020 has four overarching goals, one of which is to eliminate health disparities among segments of the population, including differences that occur by gender, race or ethnicity, education or income, disability, geographic location, or sexual orientation (USDHHS-HealthyPeople, 2020). The goal is to recognize that medical care alone will not eliminate the devastating impact of chronic disease, the rate of infant mortality, and the burden of homicide and violence. The need to adequately assess culture-specific variables when planning Health Promotion and Disease Prevention (HPDP) programming cannot be stressed enough. Shared common elements, including the need to accurately determine who the target population is, what group member’s specific health needs and concerns are, what makes group members unique as a cultural or ethnic group, and what special planning efforts will be needed to deliver culturally competent and sensitive services to them. The health care practitioner should avail himself or herself of the information available from the literature and directly from patients and community members with whom the practitioner works in planning appropriate programs of health care and health promotion. Practitioners should also respond positively to the challenge to add to the body of knowledge about differences among subgroups by reporting, through case studies and other qualitative methods, the results of his or her observations and interactions with members of American society.

Global Healthcare Comparison Matrix and Narrative Statement

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If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided? You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures. Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve. In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country. To Prepare: Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment. Select at least one additional country to compare to the U.S. for this Assignment. Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected. Review and download the Global Health Comparison Matrix provided in the Resources. The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change) Part 1: Global Health Comparison Matrix Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following: Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study. Explain the strengths and weaknesses of each policy. Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples. Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected. Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples. Explain how the health policy you selected might impact the role of the nurse in each country. Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples. Part 2: A Plan for Social Change Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader. In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader. Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader. Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader. Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.

Executive Summary – Medication Errors

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Description Your summary of relevant outcome measures is based on your findings from the quality and safety gap analysis you completed in the previous assessment. Preparation Your analysis of the gap between current and desired performance was the first step toward improving outcomes.

You now have the information you need to move forward with proposed changes. Your next step is to focus on existing outcome measures and their relationship to the systemic problem you are addressing. For this assessment, you have been asked to draft a summary of existing outcome measures for your organization’s executive team to raise awareness of the problem and the strategic value of existing measures. Requirements

Note: The requirements outlined below correspond to the grading criteria in the Executive Summary Scoring Guide. Be sure that your written analysis addresses each point, at a minimum. You may also want to read the Executive Summary Scoring Guide and Guiding Questions: Executive Summary (linked in the Resources) to better understand how each criterion will be assessed. Composing the Executive Summary Explain key quality and safety outcomes. Determine the strategic value to an organization of specific outcome measures.

Analyze the relationships between a systemic problem in your organization or practice setting and specific quality and safety outcomes. Determine how specific outcome measures support strategic initiatives related to a quality and safety culture. Determine how the leadership team would support the implementation and adoption of proposed practice changes affecting specific outcomes.

Short-term and long-term implications of cancer and drug treatments associated with women’s and men’s health

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Description

In this Assignment, you consider the short-term and long-term implications of cancer and drug treatments associated with women’s and men’s health, as well as appropriate preventive services. To prepare: • Select a type of cancer associated with women’s or men’s health such as breast, cervical, or ovarian cancer in women and prostate cancer in men. • Locate and review articles examining the type of cancer you selected. • Review the U.S. Preventive Services Task Force from https://www.ahrq.gov/professionals/cliniciansproviders/guidelines-recommendations/guide/section2.html • Think about available preventive services that providers might recommend for patients at risk of this type of cancer. • Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how these factors might impact decisions related to preventive services. • Consider drug treatment options for patients diagnosed with the type of cancer you selected including shortterm and long-term implications of the treatments. By Day 7 Write a 2- to 3- page paper that addresses the following: • Describe available preventive services that providers might recommend for patients at risk of the type of cancer you selected. • Explain how the factors you selected might impact decisions related to preventive services. • Describe drug treatment options for patients diagnosed with the type of cancer you selected. Explain the shortterm and long-term implications of these treatments.

A Comprehensive Health Education Program Presentation on a Specific Vulnerable Population

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Your presentation should be at least 15–20 slides, not including your cover slide or reference slides. Your reference slides should cite at least seven references. Your presentation should, at the minimum, include the following topics regarding your chosen vulnerable population and related health education program/plan: Clearly states population chosen Describes the vulnerable population States the current population demographics Discusses background of the problem, and its effect on public health

Discusses the cultural background of the selected population and any relevant history pertaining to the population Discusses the psychosocial concerns and/or norms of the population Discusses the economic concerns of the population including, but not limited to, income levels, educational levels and occupation

Discusses specific health concerns of the population Information on specific risk factors for target population is presented concisely and accurately

Discusses prevention and control of health concerns and risk factors (primary, secondary and tertiary) Discusses the role of the public health nurse in caring for vulnerable populations States the core functions of public health and applies it to the care of the specific population

Three local agencies/facilities delivering services to the target population are identified and accessibility and service rendered are fully described Additional resources needed in the community are identified. Information discussed is current, within the last 5 years.

Healthy People 2020’s commitment to promote health and prevent disease encourages individuals

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Healthy People 2020’s commitment to promote health and prevent disease encourages individuals to make healthy lifestyle choices for themselves and their families. Conceptual models and theories play a major role in health promotion and disease prevention. In addition, epidemiological data, such as morbidity and mortality statistics, helps identify health problems common to a particular population. Select one of the Healthy People 2020 initiatives and discuss available preventative health services (immunizations, health screenings, etc.) relevant to the initiative, as well as health promotion strategies to be implemented by the advanced practice nurse for a selected population/age/ethnic group (neonates, children, adults, pregnant female, older adult). Please consider theoretical concepts and epidemiological data while discussing health promotion strategies.