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Diabetes and Drug Treatments

Discussion: Diabetes and Drug Treatments
Photo Credit: [Mark Hatfield]/[iStock / Getty Images Plus]/Getty Images
Each year, 1.5 million Americans are diagnosed with diabetes (American Diabetes Association, 2019). If left untreated, diabetic patients are at risk for several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations.
For this Discussion, you compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.
Reference: American Diabetes Association. (2019). Statistics about diabetes. Retrieved from http://diabetes.org/diabetes-basics/statistics/
To Prepare
Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.
Select one type of diabetes to focus on for this Discussion.
Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.
By Day 3 of Week 5
Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples. Atleast 4 reffereneces needed

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Identify a current political topic of interest to you that has an impact on health care or nursing.

1. Identify a current political topic of interest to you that has an impact on health care or nursing. The topic  an be one identified in your textbook, a current Assembly bill in Wisconsin legislature, or other      political topic affecting health care or nursing.
2. Research the topic, clarify your point of view, and choose a federal or state legislator to whom you will address your opinions and request for political action.
3. Write a letter to the legislator (example in your textbook) to include:
Your name and address
Legislator’s name and address
A single topic of concern to you
Your request or points of view stated in the first sentence
A brief rationale for your point of view or request

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An Asian American Woman. Diagnosis-Bipolar Disorder

The Assignment: 5 pages
Examine Case Study: An Asian American Woman. Diagnosis-Bipolar Disorder (https://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_04/index.html) You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.
Introduction to the case (1 page)
Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #3 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Conclusion (1 page)
Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.
References
Ostacher, M. J., & Hsin, H. (2016). The use of antiepileptic drugs in psychiatry. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 93–98). Elsevier.
Perlis, R. H., & Ostacher, M. J. (2016a). Bipolar disorder. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 48–60). Elsevier.
Traeger, L., Brennan, M. M., & Herman, J. B. (2016). Treatment adherence. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 20–26). Elsevier.

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In Germany, they have adopted a dualistic board structure which is different from the board structures in the U.S

In Germany, they have adopted a dualistic board structure which is different from the board structures in the U.S. Research the German dualistic board structure and complete a 2- to 3-page comparative analysis of Germany’s dualistic board structure and the board structure(s) in the United States. Answer the following questions in your comparative analysis:
If the U.S. were to adopt a concept/attribute from Germany’s dualistic board structure to apply to board structures in our health system, what would it be and why? What would be the benefits?
Is a dualistic structure of governance viable for non-profit organizations? For-profit organizations? Why or why not?
SLP Assignment Expectations
Conduct additional research to gather sufficient information to justify/support your comparative analysis.
Limit your response to a maximum of 3 pages, not including the title or reference pages.
Support your proposal with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.
You may use the following source to assist in formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/.
Georgetown University Library (n.d.) Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content

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The two pillars supporting health care governance are typically categorized into either clinical governance or corporate governance.

The two pillars supporting health care governance are typically categorized into either clinical governance or corporate governance. Define and discuss the differences between these two sectors of governance. Include in your discussion the limitations and advantages of each.
Required Reading
Arnwine D. L. (2002). Effective governance: The roles and responsibilities of board members. Proceedings (Baylor University. Medical Center), 15(1), 19–22. doi:10.1080/08998280.2002.11927809. Available in the Trident Online Library.
Banff Executive Leadership, Inc. (2005). Models of corporate/Board governance. Retrieved from http://www.banffexeclead.com/Newsletter04/PDF/Leadership%20Acumen%2021%20V2%20Models%20of%20Corporate%20and%20Board%20Governance.pdf
Chambers, N. (2012). Healthcare board governance. Journal of Health Organization and Management, 26(1), 6-14. doi: 2048/10.1108/14777261211211133. Available in the Trident Online Library.
Institute for Healthcare Improvement. (2019). Governance leadership of safety and improvement. Retrieved from http://www.ihi.org/Topics/GovernanceLeadership/Pages/default.aspx
LeSueur, D. (2017). Governance in healthcare: Leadership for successful improvement. Health Catalyst. Retrieved from https://www.healthcatalyst.com/governance-in-healthcare-the-biggest-factor-in-success/
Murphy, S. P., Peisert, K. C., & Murphy, C. J. (2015). Board organization and structure. The Governance Institute. Retrieved from https://nrchealth.com/wp-content/uploads/2017/05/Board-Organization-Structure_An-Intentional-Governance-Guide_Patrick-M….pdf
Walshe, K. & Smith, J. (2011). Chapter 9 Leadership and Governance. In Healthcare management (2nd). McGraw-Hill Education: New York, New York. Available in the Trident Online Library.
Optional Reading
Bader, B. S. (2008). Distinguishing Governance from Management. Retrieved from https://cacnc.org/wp-content/uploads/2016/06/Great-Boards-distinguishing-governance-and-management.pdf
Dowton. S. B. (2019). Governance in Healthcare – Linkages, Boundaries and the Problems between Corporate and Clinical Governance. Retrieved from http://www.dowton.com/journal/2011/06/governance-in-healthcare-%E2%80%93-linkages-boundaries-and-the-problems-between-corporate-and-clinical-governance/

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Nursing homework help

What is the responsibility of health care administrators to work towards, as part of their organizational policy, access to affordable care?

ASSIGNMENT
What is the responsibility of health care administrators to work towards, as part of their organizational policy, access to affordable care? How does this relate to community benefit spending?
Cite reliable sources in your discussion posts.
Required Reading
American College of Healthcare Executives. (2016) Access to affordable healthcare. Retrieved from https://www.ache.org/about-ache/our-story/our-commitments/policy-statements/access-to-affordable-healthcare
Chaiyachati, K. H., Qi, M., & Werner, R. M. (2018) Non-profit hospital community benefit spending based on local sociodemographics. Journal of Healthcare for the Poor and Underserved, 29, 1259-1268. Available in the Trident Online Library.
Clary, A. (2018, May 8) States work to hold hospitals accountable for community benefits spending. National Academy for State Health Policy. Retrieved from https://nashp.org/states-work-to-hold-hospitals-accountable-for-community-benefits-spending/
Cox, K. & Westbrook, D.H. (2017) Hospital leadership recognizes need to create partnerships to treat consequences of poverty. Current Problems in Adolescent Health Care, 47, 229-232. Available in the Trident Online Library.
Cronin, C. (2017) The prevalence of community benefit participation in the hospital region and its relationship to community health outcomes. Journal of Health and Human Services Administration, 40(1), 98-124. Available in the Trident Online Library.
Folkemer, D. C., Spicer, L. A., Mueller, C. H., Somerville, M. H., Brow, A.L.R., Milligan, C.J., & Boddie-Willis, C.L. (2011) Hospital community benefits after the ACA: The emerging federal framework. The Hilltop Institute. Retrieved from https://hilltopinstitute.org/wp-content/uploads/publications/HospitalCommunityBenefitsAfteTheACA-TheEmergingFederalFramework-Summary.pdf
James, J. (2016, February 25). Health policy brief: Nonprofit hospitals’ Community Benefit requirements. Under the Affordable Care Act, many nonprofit hospitals must meet new requirements to retain their tax-exempt status. Health Affairs. Retrieved from https://www.healthaffairs.org/do/10.1377/hpb20160225.954803/full/healthpolicybrief_153.pdf
Matthew, D. B. (2018) Next steps in health reform: Hospitals, Medicaid expansion, and racial equity. Journal of Law, Medicine, & Ethics, 46, 906-912. Available in the Trident Online Library.
Olive, M. (2015, October 12) Surrounded by poverty, urban hospitals reach out. Pew Charitable Trust. Retrieved from https://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2015/10/12/surrounded-by-poverty-urban-hospitals-reach-out
RTI (n.d.) Community benefit insight, Retrieved from http://www.communitybenefitinsight.org/
Singh, S., Young, G., Lee, S. D., Song, P. H. & Alexander, J. A. (2018) Analysis of hospital community benefit expenditures’ alignment with community health needs: Evidence from a national investigation of tax-exempt hospitals. American Journal of Public Health, 105(5) 914-921. Available in the Trident Online Library.

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Hematopoietic and Cardiovascular Case Studies

Post Reply:
Instructions: Respond to this post by extending, refuting/correcting, or adding additional nuance to their posts. The reply must be constructive and use literature. Reply must be in current APA style with at least two academic references.
Hematopoietic and Cardiovascular Case Studies
Based on the presenting complaints and past medical history, factors that may be contributing to J.D.’s increased risk of developing iron-deficiency anemia include intermenstrual vaginal bleeding, along with the consumption and chronic use of ibuprofen.   (Dlugasch et al., 2021) Given the fact that she reports increased urinary frequency and mild incontinence may be contributing factors to the possibility of presenting constipation and dehydration. She is also taking a diuretic which would further put her at risk for both conditions. J.D. might possibly be restricting her water intake to counter and avoid the symptoms of increased urinary frequency and mild incontinence since both can cause social awkwardness.
In addition to the diuretic, she is taking a centrally acting antihypertensive agent which may also contribute to constipation. Vitamin B12 and folic acid are important in the production of red blood cells because when a person is deficient in either one of these areas, this might cause abnormalities to the red blood cells. When the blood cells are produced abnormally it interferes with their function as well. (Ndem et al., 2021)  For this reason, it is imperative that individuals have adequate amounts of both vitamin B12 and vitamin B9 in their diets.
J.D.’s gynecologists likely suspect that she is experiencing iron deficiency anemia due to the presenting complaints of intermenstrual vaginal bleeding which has been persistent over the past couple of months. In addition to the intermenstrual bleeding, she reports extreme fatigue and weakness, both clinical symptoms of iron deficiency anemia. (Rabbani et al., 2021)
If J.D. is diagnosed with iron deficiency anemia, I would expect to find signs within her lab work that would further support the diagnosis. Such signs would include low hemoglobin and a low hematocrit as well as low ferritin and low uniformity in the size of the red blood cells. These are all signs that are consistent with this diagnosis. J.D.’s lab results are as follows: Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Are consistent with the diagnosis of iron deficiency anemia. The normal reference ranges for women aged 37 are as follows for these labs: Hemoglobin. 14-18.0g/dL, Hematocrit 42-52%, ferritin 10-120ng/mL. (Dlugasch et al., 2021)
I would recommend further diagnostic testing such as an ultrasound to determine the underlying cause of the intermenstrual bleeding. This patient may have another condition such as uterine fibroids which is consistent as well with the menorrhagia she reports. In addition, an assessment of alternate pain control measures may be needed since her pain isn’t well controlled despite the chronic use of ibuprofen. Ibuprofen puts her at an increased risk for developing an ulcer which can then lead to an additional bleeding source. Furthermore, an assessment of the type of diuretic she is on to control her hypertension should be considered since frequent urination and fatigue may stem from it. Lastly, I would recommend treatment with an iron supplement in addition to dietary changes to include foods that are high in iron, vitamin C to aid in the absorption of iron and exclusion or limitation of milk as it slows the absorption of iron. (Dlugasch et al., 2021)
References
Dlugasch, L., Story, L., & Story, L. (2021). Applied pathophysiology for the advanced practice
nurse. Jones & Bartlett Learning.
Rabbani, S., Farooq, M., Naeem, S., Naeem, M. A., Uddin, N., & Zubair, M. (2021). Relationship between
Red Blood Cell and Platelet Indices in Iron Deficiency Anemia. Pakistan Armed Forces Medical
Journal, 71(2), 575–578.
Ndem, B. N., Akwiwu, E. C., Akpan, P. A., Akpotuzor, J. O., Bassey, I. E., Isong, I. K., &
Onukak, E. E. (2021). Timely accessing of antenatal care and prevalence of vitamin B12
and folate deficiencies among pregnant women in a Nigerian population. New
Journal of Medical Laboratory Science, 75(1), 12–15.
Instructions: Respond to this post by extending, refuting/correcting, or adding additional nuance to their posts. The reply must be constructive and use literature. Reply must be in current APA style with at least two academic references.

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The ACA was meant to provide quality health care coverage for all yet a coverage gap for some populations especially in states that oppose Medicaid expansion.

The ACA was meant to provide quality health care coverage for all yet a coverage gap for some populations especially in states that oppose Medicaid expansion. Based on what you have learned so far in this course, create a PowerPoint presentation that addresses the coverage gap problem, who is impacted by the coverage gap, the role the ACA plays in the coverage gap, why the coverage gap should be closed, and solutions/ recommendations for closing the gap. Address the following in your PowerPoint:
Select one state opposed to Medicaid expansion and describe why. Then, consider your own state. What are the benefits and drawbacks to Medicaid expansion in your state?
Define what the coverage gap is (problem/issue)
Discuss how the coverage gap impact low income healthcare consumers population.
What role does the ACA have in widening or closing the coverage gap?
Why is it important to close the gap (implications for positive social change)?
What are some solutions to closing the coverage gap and how can healthcare equity help close the gap? Include recommendations and/or solutions.
Your PowerPoint presentation should include/address:
Title Slide (1 slide)
Objectives Slide (1 slide)
Medicaid expansion (1-2 slides)
Coverage gap – define/problem/issue (1-2 slides)
Coverage gap impact on low income healthcare consumers (2-3 slides)
Role ACA has in widening or closing the coverage gap (1-2 slides)
Close the gap (1-2 slides)
Solutions to closing the coverage gap and how can healthcare equity help close the gap? (2-3 slides)
Reference slide (1-2 slides).
Assignment Expectations
Length: 9-14 slides (in addition to the title slide and reference slides)
Structure: Include a title slide and reference slide in APA format.   Be sure to fully explain all slides in the Speaker Notes.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required for this assignment.

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The coverage gap: Uninsured poor adults in states that do not expand Medicaid. Kaiser Family

Use the learning materials and additional resource readings from this week and reflect on whether you oppose or support the Affordable Care Act (ACA). Consider the nursing professional’s position as a caregiver and/or the healthcare leader as an administrator. Explore two significant components of the ACA that could potentially impact specific populations unjustly. Appraise the current political climate as it relates to repealing and replacing the ACA. For this weeks’ discussion, identify at least two reasons for keeping the ACA and at least two reasons that it should be repealed, replaced, or revised. Provide rationale for each.
Garfield, R. (2016, October 19). The coverage gap: Uninsured poor adults in states that do not expand Medicaid. Kaiser Family Foundation.
Why Do We Need the Affordable Care Act? American Public Health Association.
Seo, V., Baggett, T. P., Thorndike, A. N., Hull, P., Hsu, J., Newhouse, J. P., & Fung, V. (2019). Access to care among Medicaid and uninsured patients in community health centers after the Affordable Care Act. BMC Health Services Research, 19(1), N.PAG.
Vaughan Prengaman, M., Welle, D. L., Ridenour, N., & Mueller, K. J. (2018). Diverse stakeholder perspectives on rural health care reform in a U.S. state that rejected the Affordable Care Act: A case study. Online Journal of Rural Nursing & Health Care, 18(2), 65–87.
Wasserman, J., Palmer, R. C., Gomez, M. M., Berzon, R., Ibrahim, S. A., & Ayanian, J. Z. (2019). Advancing health services research to eliminate health care disparities. American Journal of Public Health, 109, S64–S69.

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What does it mean to be a good writer?

https://www.youtube.com/watch?v=KlJqlR6Nt9Ehttps://www.youtube.com/watch?v=pHdzv1NfZRMWhat does it mean to be a good writer? Are you a good writer? List a few characteristics to inform the audience of your writing skills. How does APA help the structure of writing?Response must be 350-500 words in length using APA template APA-6th-Edition-Template-without-Abstract.dot