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This assessment task allows students to demonstrate theoretical knowledge around pathophysiological changes in disease, pharmacological management of disease, planning nursing care and evaluating care.

Theoretical knowledge around pathophysiological changes in disease

Description: This assessment task allows students to demonstrate theoretical knowledge around pathophysiological changes in disease, pharmacological management of disease, planning nursing care and evaluating care. Students are require d to answer the case scenario questions provide d.

Students should attempt all questions in the case study:

You are just starting your shift as a graduate nurse and you are about to review your first patient, William Tran is a 33 year old man who has been admitted to the surgical ward – high dependency area post the formation of a temporary ileostomy. During admission, it is document ed that William has a past history of Crohn’s disease – ulcerative colitis and multiple hospitalisations for Crohns related illnesses including malabsorption and weight loss (55kg).

He is prescribed Prednisolone, Metronidazole, Balsalazide. He is also on a narcotic analgesia infusion (Morphine 60mg in 60 ml with Normal Saline 0.9%, equaling concentration of 1mg/ml) with a continuous infusion rate of 3ml/hr and a patient controlled analgesia demand dose of 2mg. Prior to transfer to the ward he was prescribe d and administer ed a loading dose of intravenous morphine (5mg). His social history reveals he has been partner ed for 10 years. Extended family live in Vietnam.

1.1 Describe the pathophysiology of acute pain.

How does this differ from chronic pain? Include in your answer the pathophysiological effects of narcotic analgesia as a treatment option for acute pain. Demonstrate links to Tran’s case. (400words)
When you arrive at Tran’s bedside, you notice that he is difficult to rouse and non-verbal. His eyes are closed. You take an initial set of vital signs: Temp 35.8, Pulse irregular 110 bpm, BP 98/55, RR 6, SaO2 93% 6Lt oxygen via Hudson mask.

1.2 Additionally, Discuss THREE types of nursing assessments in order of priority that would be appropriate for Tran’s deterioration (excluding vital signs) and provide a description of each of these in the context of Tran’s complaint with rationale as to why these would be your priority. (400 words)

1.3 Also, Discuss THREE nursing interventions (may include one pharmacological) you would initiate and provide rationale as to how these would improve physiological outcomes of Tran’s problem. (400 words). Further, Nursing interventions would include nursing activities or actions that the nurse could initiate in response to nursing assessment findings.

Page 3 of 4 CRICOS Provider No. 00103D NURBN3023 Context of Practice 5: Patient Deterioration and Management.

Note: please be aware of the difference between an assessment and an intervention.

1.4 Moreover, Discuss the administration (including administration, benefits, risks and contraindications) of Morphine for Tran’s pain. Include in your explanation what education you should provide to Tran’s on commencement of the patient controlled analgesia (PCA). (400words)
1.5 Lastly, Report the major side effects of intravenous morphine apply your findings to Tran’s case. Finally, Explain why this finding would need to be report ed immediately to the Doctor. (200words)

Nonbiased formal and informal specialized diagnostic assessment results provide meaningful information and data to make team decisions that best support students with disabilities.

Nonbiased formal and informal specialized diagnostic assessment

Firstly, Nonbiased formal and informal specialized diagnostic assessment results provide meaningful information and data to make team decisions that best support students with disabilities. The assessment results should be communicate d to ensure all stakeholders fully understand the implications for the classroom. Additionally, include possible accommodations or modifications in the IEP for assessments or testing conditions. Teachers can learn strategies for advocating and mentoring staff and students for such classroom and assessment accommodations or modifications.

Allocate at least 2 hours in the field to support this field experience.

Observe and collaborate with a school specialist. (E.g… behavior specialist, occupational therapist, physical therapist, or speech pathologist) about diagnostic assessments. Also, his or her role in the process of evaluating individuals with and without disabilities.

During your observations, make note of the following:

The distinguishing criteria/factors between nonbiased formal and informal specialized diagnostic assessments that are administered to individuals with disabilities.

Examples of nonbiased formal and informal specialized diagnostic assessments that are administered to the students being evaluated, including any legal and ethical requirements.

How the school specialist interprets information from a nonbiased formal and informal specialized diagnostic assessment.

How the assessment information is use d in making eligibility, program, and placement decisions for students.

Strategies in communicating specialized assessment results to various stakeholders, including parents and students.

For students that are eligible for special education services, how the assessment results could affect possible accommodations or modifications listed in the IEP related to the classroom environment, instruction, and assessments or testing conditions.

Strategies for advocating and mentoring staff and students for such accommodations or modifications.

Use any remaining field experience hours to assist the teacher in providing instruction and support to the class.

Finally, In 250-500 words, summarize and reflect upon your observations and explain how you will use your findings in your future professional practice.

For this assignment, you will apply critical thinking to what you have learned up to this point in this course regarding the successes and failures of the U.S. health care system as it relates to issues of cost, access, and quality. You are expected to address these topics from the perspective of a medical professional that is both ethical and respectful.

Successes and failures of the U.S. health care system as it relates

For this assignment, you will apply critical thinking to what you have learned up to this point in this course regarding the successes and failures of the U.S. health care system as it relates to issues of cost, access, and quality. You are expected to address these topics from the perspective of a medical professional that is both ethical and respectful.

Select a vulnerable population that is impacted by a form of cultural disparity. Write a 1,000- to 1,200-word paper that addresses the following:

Describe your selected population, and explain what factors and characteristics contribute to them being identified as vulnerable.

Describe elements that contribute to this population’s distrust of the health care system and/or medical treatments. Why is trust important? If a patient does not trust health care providers, can he or she receive effective treatment? Why or why not?
Identify foundations that the U.S. health care system has used to study those with special health needs both historically and today?

Identify steps that health care professionals and institutions can take to overcome the effects of the cultural disparity.
Do not include the title page or the references page when determining whether you have reached the required word count for this assignment.

A minimum of three references, in addition to your textbook, are require d for this assignment.

Prepare this assignment according to the guidelines found in the GCU Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Medicare is a federally regulated program that mandates compliance to its standards through state and federal oversight. One of the primary purposes of Medicare regulations is the protection of its recipients.

Medicare is a federally regulated program that mandates compliance

Medicare is a federally regulate d program that mandates compliance to its standards through state and federal oversight. One of the primary purposes of Medicare regulations is the protection of its recipients. Medicare Advantage is part of the Medicare Modernization Act, which was pass ed in 2003. Search the Internet by using the following keywords:

Medicare regulations
Centers for Medicare
Medicaid services

On the basis of your research, answer the following questions:

What are the purposes of Medicare regulations other than the one mentioned above?

How will the federal government enforce compliance in the Medicare Advantage program? Which two other Medicare regulations do you think are the most important for managed care organizations and why?

Do you think Medicare and Medicaid programs face challenges from the perspectives of providers, the government, and consumers (recipients of Medicare or Medicaid)? Why or why not?

What are the different services provided by the Medicare and Medicaid programs? Do you feel there is a need to have two different programs? Why or why not?

Discuss the advantages and disadvantages of Medicare programs such as Medicare Advantage and Medicare Part D. Do you think Medicare Advantage programs ensure the survivability of Medicare? Why or why not?

Additionally, respond to the questions given below after reading the following information in regard to control of managed care organizations at the state level.

States have a broad range of control of managed health care organizations. The main interests of the states are to protect the interest of the consumer and regulate the structure of MCOs.

Discuss the regulatory structure used to regulate MCOs and health insurers at the state level.

Further, Discuss how states came to be the primary regulators of insurance.

Moreover, Evaluate the most critical components of state oversight of HMO operations.

Also, Review the licensing requirements for MCOs in your state and describe the specific requirements to obtain a Certificate of Authority (COA). Compare to the requirements discussed in the course textbook.

Furthermore, What are the protections available to consumers under the law in your state? Also, Compare these protections to what is discuss ed in the textbook.

Finally, In your opinion, are the state regulations designed for the consumers, or are they designed for the MCOs? Use your course and text readings to support your answer.

Give examples of psychosocial factors that affect the health care professional and the effect those factors could have on patient education. Secondly, give examples of psychosocial factors that affect the patient and the effect those factors could have on patient education.

Give examples of psychosocial factors that affect the health care professional

1) Firstly, give examples of psychosocial factors that affect the health care professional and the effect those factors could have on patient education.
2) Secondly, give examples of psychosocial factors that affect the patient and the effect those factors could have on patient education.
3) Thirdly, explain what is meant by personality styles and give examples of approaches that uses to help the patient. Include self-perception as a factor.
4) Fourthly, list the steps in adjustment to illness and how the patient copes with each step.
5) Further, explain the health professional’s role in teaching the patient at different life stages.
6) Additionally, define the role of the family in patient education.
7) How might the family influence the compliance of the patient and what measures can the health care professional use in communication with the family?

More details;

Sense of well-being at work is an important aspect of a workforce strategy. In recent years, close attention has been paid to this especially for health care professionals. In western nations, unattractive working conditions in combination with work-related stress, an aging population and workforce shortages all highlight the need for up-to-date research in this field. Well-being can be described as a summative concept and includes “physical, emotional and social factors, both inside and outside the workplace”  and is a major determinant of productivity. An important impact on well-being at work can be attribute d to psychosocial work environment including work climate, work recognition, and social support . Psychosocial factors comprise aspects such as workplace social support, job satisfaction or physical load at work.

In recent years, different work-related factors impacting on well-being at work for have been evaluated. For example, there was a reported positive association between medication error, working overtime and poor job security for nurses. It has also been shown that higher qualified health care professionals resulted in a lower mortality rate for patients.