Writing

Week 2 Healthcare Policy & Finance

Weekly Discussion: 2 (USLO 2.2)

Advocacy in healthcare is typically thought of to help underserved populations or those individuals who are considered vulnerable. However, healthcare advocacy should take place throughout various healthcare settings.

· In your discussion, describe policy advocacy.

· What are the opportunities for policy advocacy at various levels?

· What is the role of the nurse in policy advocacy?

· What makes nurses effective health advocates for policies and revisions?

· Select a policy related to nursing practice that is personal to you and describe how you could advocate for that policy implementation or improvement. Explain who the stakeholders are and the vulnerable populations that are affected.

In order to successfully complete each weekly discussion assignment, you will need to address all items included in the discussion topic/question, respond to peers thoughtfully, add value to the discussion, and apply ideas, insights, or concepts from scholarly sources, such as: journal articles, assigned readings, textbook material, lectures, course materials, or authoritative websites. For specific details and criteria, refer to the discussion rubric in the Menu (?) or in the Course Overview Weekly Discussion Guidelines.

Week2 Appl Of Evidence

Appl of Evidence- Based Rerch

Week 2 Discussion: Appraisal of Quantitative Research

Use the Galen library database to find one primary  quantitative research article on any  nursing  topic recently published  this year  in a  nursing journal . Read the article and in  one paragraph (7 to 8 sentences) provide a rapid critical appraisal by answering the following questions.  Support your response by citing and referencing the research article.

https://galen.libguides.com/GettingStarted 

1. What was the research design?

2. Was the sampling method and size appropriate for the research question? Explain.

3. What were the dependent and independent (outcome) variables?

4. Were valid and reliable instruments/surveys used to measure outcomes? Explain.

5. What were the main results of the study?

6. Was there statistical significance? Explain.

7. How would you use the study results in your practice to make a difference in patient outcomes?

Hematopoietic:
J.D. is a 37-year-old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately, there have been 6 days of heavy flow and cramping. She denies abdominal distension, backache, and constipation. She has not had her usual energy levels since before her last pregnancy.

Past Medical History (PMH):
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5 with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she revealed that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.

Case Study 1 Questions:

1. Name the contributing factors on J.D. that might put her at risk of developing iron deficiency anemia.
2. Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
3. Why Vitamin B12 and folic acid are important for erythropoiesis? What abnormalities their deficiency might cause in the red blood cells?
4. The gynecologist suspects that J.D. might be experiencing iron deficiency anemia. In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
5. If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
6. Lab results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe appropriate recommendations and treatments for J.D.

Human Services

In your post, describe the difference between empathy and sympathy. Apply what you’ve learned about empathy to the concept of intersectionality and clients’ vulnerability to oppression, discrimination, and marginalization in society. What is the human service professional’s role in empathizing with clients’ lived experiences? Use supportive material from the reading assignment, citing your source in-text and listing your reference.

Human Services

Visit the National Organization for Human Services’ website and review the ethical standards listed there. In your post, choose TWO of the ethical standards (from the list of Standards 1 through 36) on the NOHS website and discuss the value and importance of these standards in terms of working with clients, families, coworkers and colleagues, or others as a human service professional. For both ethical standards you discuss, give an example of an ethical dilemma that might apply to each and describe how you would resolve them. Use supportive material from the reading assignment, citing your source in-text and listing your reference.