A 35-year-old comes to the clinic. He states, “It’s getting close to allergy season and I need something to keep me from getting sick. Last year the doc gave me a shot, a spray, some pills, and an inhaler.

A 35-year-old comes to the clinic. He states, “It’s getting close to allergy season and I need something to keep me from getting sick. Last year the doc gave me a shot, a spray, some pills, and an inhaler. They worked really  well but I don’t remember what they were. Can I have those things again? I just can’t afford to miss work.”

Please answer the following questions in a narrative format:

  1. Discuss the epidemiology of allergies.
  2. What are your treatment options (consider pharmacoeconomic)? Compare first and second-generation antihistamines.
  3. What education will you provide to the patient?

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Reflect on the role that the electoral process and government plays in one’s daily work and family life.

Reflect on the role that the electoral process and government plays in one’s daily work and family life. As nurses, health policy can influence both arenas of our lives. What policy issues might drive nurses to lobby Congress and/or get involved in campaign politics? What strategies might nurses use to have their voices heard?

Image result for electoral process

The American Nurse: http://www.theamericannurse.org/2014/10/22/time-for-nurses-to-get-out-the-vote/ 

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Respond to at least two of your colleagues* on two different days, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

Respond to at least two of your colleagues* on two different days, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

Miss KY

Nurses are an essential part of providing patient safety (Glassman, 2017). The informatics specialist that I have collaborated with are focused on improving patient care and patient safety. I have observed many interactions between informatics specialist and health care workers. One of the main interactions I see is the risk management director interviewing nurses on incidents that have occurred such as patient falls. The informatics specialists often do not interact directly with the staff at my health care facility. The informatics specialists are more behind the scenes working to improve our systems. The nursing informatics specialists are constantly monitoring our EMARs and electronic patient charts. Specialists are always updating staff on new features in the EMAR and patient charts that make inputting information easier and faster. One suggestion I have to improve the interaction between healthcare staff and informatics specialist is to have in-services to go over new information instead of emailing a list of updates. An in-service will allow time for staff to ask questions about new features of the systems and for the informatics specialist to explain the features more in depth.

Nursing is changing day to day and so is the new technologies that come with continued research. Nurse informatics specialists must go through new data and process it in to something useful for nursing practice (Thew, 2016). New technologies will allow improvements on patient safety and nursing efficiency (McGonigle & Mastrian, 2018).  The evolution of nursing informatics will cause healthcare facilitates to become more data driven. The emergence of new technologies will have every discipline interacting with one another through interfaces such as the patient charts. Disciplines will continue to improve communication using the data that informatics provides. New data will force health care facilities to move towards improving patient experience and following up on patient education that was provided previously.

References

Glassman, K.S (2017). Using data in nursing practice. American Nurse Today, 12(11), 45-47. https://www.myamericannurse.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington: Jones & Bartlett Learning.

Thew, J (2016). Big data means big potential, challenges for nurse execs. https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

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:   Explain why obesity is undesirable in the elderly and what physiological effects this could have.  Provide an example of a patient in which you might check these labs, perform a test, given an injection etc. and how the results or your new knowledge would or could affect your plan of care? 

Topic :   Explain why obesity is undesirable in the elderly and what physiological effects this could have.  Provide an example of a patient in which you might check these labs, perform a test, given an injection etc. and how the results or your new knowledge would or could affect your plan of care?

The topic come from Chapter 24 of your text. You may use the textbook as one reference as well as the learning materials posted within the course. However, you must also locate a scholarly article related to your aging discussion question. Your question should be stated in your initial discussion post and answered based on pathophysiological principles and specifically those related to aging. Remember, you should focus on the pathophysiology of the content for your initial and peer replies as well as applying your knowledge to Advanced Practice Nursing.

 

Your subheadings should look like this:

Paraphrase the question

Patient example for labs and diagnostic tests

Results of new knowledge that impact plan of care

RUBRIC:

Discussion Question Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Discussion Question Rubric – 100 PointsCriteriaExemplary
Exceeds ExpectationsAdvanced
Meets ExpectationsIntermediate
Needs ImprovementNovice
InadequateTotal PointsQuality of Initial PostProvides clear examples supported by course content and references.

Cites three or more references, using at least one new scholarly resource that was not provided in the course materials.

All instruction requirements noted.

40 pointsComponents are accurate and thoroughly represented, with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Synthesizes course content using course materials and scholarly resources to support importantpoints.

Meets all requirements within the discussion instructions.

Cites two references.

35 pointsComponents are accurate and mostly represented primarily with definitions and summarization. Ideas may be overstated, with minimal contribution to the subject matter. Minimal application to evidence-based practice, theory, or role development. Synthesis of course content is present but missing depth and/or development.

Is missing one component/requirement of the discussion instructions.

Cites one reference, or references do not clearly support content.

Most instruction requirements are noted.

31 pointsAbsent application to evidence-based practice, theory, or role development. Synthesis of course content is superficial.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No references cited.

Missing several instruction requirements.

Submits post late.

27 points40Peer Response PostOffers both supportive and alternative viewpoints to the discussion, using two or more scholarly references per peer post. Post provides additional value to the conversation.

All instruction requirements noted.

40 pointsEvidence of further synthesis of course content. Provides clarification and new information or insight related to the content of the peer’s post.

Response is supported by course content and a minimum of one scholarly reference per each peer post.

All instruction requirements noted.

35 pointsLacks clarification or new information. Scholarly reference supports the content in the peer post without adding new information or insight.

Missing reference from one peer post.

Partially followed instructions regarding number of reply posts.

Most instruction requirements are noted.

31 pointsPost is primarily a summation of peer’s post without further synthesis of course content.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Did not follow instructions regarding number of reply posts.

Missing reference from peer posts.

Missing several instruction requirements.

Submits post late.

27 points40Frequency of DistributionInitial post and peer post(s) made on multiple separate days.

All instruction requirements noted.

10 pointsInitial post and peer post(s) made on multiple separate days.

8 pointsMinimum of two post options (initial and/or peer) made on separate days.

7 pointsAll posts made on same day.

Submission demonstrates inadequate preparation.

No post submitted.

6 points10OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas

5 pointsOrganized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow.

4 pointsPoor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.

There are no spelling, punctuation, or word-usage errors.

5 pointsCorrect and consistent APA formatting of references and cites all references used. No more than two unique APA errors.

The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThree to four unique APA formatting errors.

The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.

Multiple grammar, punctuation, or word usage errors.

3 pointsFive or more unique formatting errors or no attempt to format in APA.

The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).

The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

Submits assignment late.

2 points5Total Points100

Readings

Required
  • VanMeter, K. C., & Hubert, R. J. (2014). Gould’s pathophysiology for the health professions. St. Louis, MO: Elsevier Saunders. ISBN 13-978-1455754113
    • Chapter 24; Complications of Aging
Required Resources
  • Martikainen, P., Bartley, M., & Lahelma, E. (2002). Psychosocial determinants of health in social epidemiology (PDF)International Journal Of Epidemiology31(6), 1091–1093.
  • Sacher, A. G., & Detsky, A. S. (2009). Taking the stress out of morning report: an analytic approach to the differential diagnosis (PDF)Journal Of General Internal Medicine24(6)
Required Resources
  • Eldercare Workforce Alliance

American Geriatrics 

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