Pick one hematological disorder covered in this module. For this disorder, identify and describe three treatment strategies for the disorder.
What challenges could arise in carrying out these strategies and providing care to the patient?
Please discuss the importance of USPSTF Screening Recommendations in Primary Care.
Please include 400 words.
Turn it in Score must be less than 25,% or it will not be accepted for credit.
Please provide citations and references (in APA, 7th ed. format) for your work.
Answer the following prompts in your initial post:
No plan can succeed without leadership. Having a strong leader can make the difference between failure and success for any endeavor. Post a brief description of your population and the plan idea you have for addressing their health needs. This time identify who should lead the implementation of your plan. Describe what characteristics make them qualified to put into action your “baby” (after all, you didn’t spend weeks developing this plan just to hand it off to just anyone).
Low cost clinic is the population
Rather than focus on the treatment of chronic disease, policies that influence population health tend to emphasize prevention and wellness; the reduction or elimination of waste and the eradication of health disparities based on race, ethnicity, language, income, gender, sexual orientation, disability and other factors. The reasoning is that good health belongs to the whole, not just an individual.
Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items.
Consider a topic (mental health, HIV, opioid epidemic, pandemics, obesity, prescription drug prices, or many others) that rises to the presidential level. How did the current and previous presidents handle the problem? What would you do differently?
Consider a population health topic that rises to the presidential agenda level. Which social determinant most affects this health issue? How did two recent presidents handle the problem? What would you do differently?
In this DB, you will continue with the example in Module One Discussion Board.
For example (this is just an example), the researcher decides to include temperature as a dependent variable (to support CAUTI) and needs to identify a measurement method for temperature. The researcher decides to use Bard Foley Catheters (Series 400 Temperature Sensing). The author would Include a description of Bard Temperature Sensing Foley Catheters (400 Series) from literature.
The researcher is also interested in anxiety and will include anxiety in their study as a secondary research question. What is the strength of the relationship between the length of foley catheter insertion and anxiety in patients cared for in the critical care environment? The researcher will measure anxiety using the Beck Anxiety Inventory. The tool is a 21-question multiple-choice self-report inventoryLinks to an external site. that is used for measuring the severity of anxietyLinks to an external site. in children and adults. The tool has shown high internal consistency (α = .92) and test-retest reliability over 1 week, r(81) = .75. The BAI discriminated anxious diagnostic groups (panic disorder, generalized anxiety disorder, etc.) from non-anxious diagnostic groups (major depression, dysthymic disorder, etc.). In addition, the BAI was moderately correlated with the revised Hamilton Anxiety Rating Scale, r(150) = .51, and was only mildly correlated with the revised Hamilton Depression Rating Scale, r(153) = .25. (PsycINFO Database Record (c) 2016). The author would also note the reliability and validity of the instruments used in the study.
Physiological tool: Bard Temperature Sensing Foley Catheter (400 Series)
Psychosocial tool: Beck Anxiety Inventory
For this DB, you will identify both a psychosocial AND a physiological measurement tool that could be used to measure a concept in your area of interest. Post a brief description of the two types of measurement tools in your group discussion forum (one paragraph each). Identify support in the literature (can be from your articles you are using for this DB post) for the reliability and validity of the two types of tools and post a summary of the support (one paragraph) in your group discussion forum. Criteria for the physiological critique can be found in Gray, Grove, and Sutherland (2018) Chapter 16. Provide citations. Reply to two peers. The initial post is due on Wednesday and peer replies on Saturday.
GUIDELINESTo receive full credit, your original post should include all elements requested in the prompt (prompt may have multiple parts and/or require an article to be attached). Responses to the prompt should be made directly in the discussion forum (not as an attachment). All posts (original and replies) should be substantive and contribute to the understanding of the topic. Your response can support the view of the other person, lend a different viewpoint, or provide additional information. In addition, peer response can be a question which, if answered, would improve upon the other student’s original idea. Provide a rationale for your views and provide a citation. No credit will be given for peer responses such as “good job” or “I agree.”
Your online participation grade for each week has three parts: 60% for the original post, 20% for your first peer reply, and 20% for your second peer response. Responses should be made to peers who have not already received two peer responses so that everyone receives two responses.
Case Study: Roslyn, a six-year-old, is attending public school for the first time. Her parents brought her to the clinic and stated, “she appears to have pain in her legs and won’t participate in playtime.” The parents noticed recently Roslyn appears pale and acts weak. Roslyn is diagnosed with sickle cell anemia. After her parents and siblings undergo genetic testing, it is found that Roslyn is the only family member with the disease.
Quality measurement in research is essential. Measurement involves assigning numbers to concepts, objects, events or situations following a set of rules derived by the researcher through instrumentation or the use of tools for measurement. These measurements should be accurate and consistent. Chapter 16 in Gray & Groves (2021) explains the way that validity and reliability can be achieved.
APA format
1) Minimum 6 pages (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page ( minimum 300 words per page)
You must strictly comply with the number of paragraphs requested per page.
The number of words in each paragraph should be similar
Part 1: minimum 2
Part 2: minimum 2
Part 3: minimum 2
Submit 1 document per part
2)¨******APA norms
The number of words in each paragraph should be similar
Must be written in the third person
All paragraphs must be narrative and cited in the text- each paragraph
The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information.
Bulleted responses are not accepted
Don’t write in the first person
Do not use subtitles or titles
Don’t copy and paste the questions.
Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
Submit 1 document per part
3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)
4) Minimum 3 references (APA format) per part not older than 5 years (Journals, books) (No websites)
All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed
5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
Q3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to
6) You must name the files according to the part you are answering:
Example:
Part 1.doc
Part 2.doc
__________________________________________________________________________________
Part 1: Writing and rhetorical (Write in the first person)
Audience: Class instructor
Research Question
Could legally recognizing female sex work in Florida increase the health indicator of this population due to free access to the health system?
Main ideas: legally recognizing female sex work and increase the health indicator of this population due to free access to the health system
1. Introduction that helps guide the reader to understand the most essential ideas of your reflection (One paragraph).
a. Explain a revised statement of your research
2. Discuss your understanding of your topic now that you’ve spent some time researching the topic. (One paragraph)
a. How can you make your research topic more specific and/or more focused?
3. What background information do readers need in order to follow the conversation you are writing about?(One paragraph)
a. Now that you have explored more about this topic, how will you make use of your sources?
4. Which of the sources from your post will you most definitely use in your research and why? (One paragraph)
a. Which of the sources in your post are you less likely to use and why?
5. Explain how your thinking changed throughout this project(One paragraph)
a. How did your ideas on your topic shift and change?
6. What are some of the misconceptions you had about your topic before beginning?(One paragraph)
a. How have your opinions, thoughts, feelings, understandings, of the topic shifted throughout this process?
Part 2: Writing and rhetorical (Write in the first person)
Audience: Class instructor
Research Question
Could implementing a mental health program for students ages 11-17 in Florida high schools reduce the incidence of shootings in schools?
Main ideas: Implementing a mental health program for students in high schools and Reduction of the incidence of shootings
1. Introduction that helps guide the reader to understand the most essential ideas of your reflection (One paragraph).
a. Explain a revised statement of your research
2. Discuss your understanding of your topic now that you’ve spent some time researching the topic. (One paragraph)
a. How can you make your research topic more specific and/or more focused?
3. What background information do readers need in order to follow the conversation you are writing about?(One paragraph)
a. Now that you have explored more about this topic, how will you make use of your sources?
4. Which of the sources from your post will you most definitely use in your research and why? (One paragraph)
a. Which of the sources in your post are you less likely to use and why?
5. Explain how your thinking changed throughout this project(One paragraph)
a. How did your ideas on your topic shift and change?
6. What are some of the misconceptions you had about your topic before beginning?(One paragraph)
a. How have your opinions, thoughts, feelings, understandings, of the topic shifted throughout this process?
Part 3: Psychopathology
Check Files “Part 3” and “Part 3-2”
Case 1
A 54-year-old woman with chronic pain due to inflammatory arthritis presents to your clinic stating that she is having a “flare” of her arthritis but is out of her Oxycontin® and immediate-release oxycodone. She is aware that it is too early to fill her prescriptions, but she insists that she will be traveling out of state and “really needs” her medications.
1. How do you Approach This Patient in the community setting? (One paragraph)
2. What is the implications of prescribing this medication? (One paragraph)
a. Please provide evidence.
Case 2
A 27-year-old woman on buprenorphine-naloxone (Suboxone®) for treatment of opioid dependence is admitted to the hospital with severe abdominal pain due to a perforated gastric ulcer. She received hydromorphone in the ED, and is urgently taken to the operating room. Postoperatively, she is on a patient-controlled analgesic (PCA) pump containing fentanyl. Her last dose of buprenorphine-naloxone was 20 h prior to the surgery; her daily dose is 16 mg.
3. How can Pain be Managed in Patients who are Taking Buprenorphine-Naloxone? (One paragraph)
4. What Adjustments to her Medication Regimen can be Recommended?(One paragraph)
Case 3
A 20-year-old man is brought to the emergency department (ED) by his family for evaluation. His family reports that he failed out of school in his second year at a local community college. He admits to escalating struggles with prescription pain pills (prescription opioids), and then heroin use. He appears to be in opioid withdrawal; he describes anorexia and diarrhea, and is yawning and sweating on 3xam. He has a Clinical Opioid Withdrawal Scale (COWS) score of 15, indicating moderate withdrawal. His provider orders clonidine, ondansetron, and 2/0.5 mg sublingual buprenorphine/naloxone, with a plan to observe him in the ED. The provider subsequently receives a concerned call from the hospital pharmacist.
5. The Pharmacist States That the Provider is Unable to Administer Buprenorphine in the ED Without an X-Waivered DEA Number. (One paragraph)
a. Is This Accurate? Explain
Case 4
A 23-year-old woman attends an outpatient treatment program and office-based buprenorphine clinic. She has been doing well while maintained on 16 mg/day of buprenorphine. Recently though, she has missed group sessions and provided a urine for drug screening that tested positive for clonazepam and amphetamine. One of the other members in her group reported that they saw a “urine bottle fall out of her purse” as it spilled next to her chair in a group session; her counselor was unaware of this event.
6. What are the Policies Regarding the use of Illicit Substances or Urine Adulteration or Substitution During Substance Abuse Treatment?(One paragraph)
A mother brings her 6-month-old daughter to the HCP for evaluation of possible colic. The mother says the baby has had many episodes of crying after eating and, despite having a good appetite, is not gaining weight. The mother says the baby’s belly “gets all swollen sometimes.” The mother says the baby tastes “salty” when the mother kisses the baby. Further work up reveals a diagnosis of cystic fibrosis. The mother relates that her 23-month-old son has had multiple episodes of “chest congestion” and was hospitalized once for pneumonia. The mother wants to know what cystic fibrosis is and she also wants to know if she should have any more children.
Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:
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