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The Institute of Medicine (IOM) developed six specific aims to ensure the delivery and improvement of health care

The Institute of Medicine (IOM) developed six specific aims to ensure the delivery and improvement of health care 150 150 Peter

The Institute of Medicine (IOM) developed six specific aims to ensure the delivery and improvement of health care. Choose two from the six aims: safe, effective, patient-centered, timely, efficient, and equitable (AHRQ, 2016). Of the two aims you chose, discuss the implications on the delivery of quality care. Give an example of how a hospital or physician practice can meet these aims.

Your initial post should be a minimum of 250 words and utilize at least one scholarly source from the Ashford University Library to justify your choices. The Research, Keywords, Databases: An Overview (Links to an external site.) video tutorial is available to help you become more familiar with the library database search features and how to generate keywords. Sources must be cited in APA format as outlined in the Writing Center’s Introduction to APA (Links to an external site.).
Guided Response: Read your classmates’ posts. Then choose two classmates, and respond to them by answering the following questions:

What would you consider to be the main obstacle in implementing the two aims your classmates chose?
What are your recommendations for resolving the obstacle to ensure the aim’s success?
List at least one scholarly source to support your recommendation. Sources must be cited in APA format as outlined in the Writing Center (Links to an external site.).

Reference:

Agency for Healthcare Research and Quality (AHRQ). (2016). The six domains of healthcare quality (Links to an external site.). Retrieved from https://www.ahrq.gov/professionals/quality-patient-safety/talkingquality/create/sixdomains.htm

Explain how the body metabolizes carbohydrates and protein in the fed state

Explain how the body metabolizes carbohydrates and protein in the fed state 150 150 Peter

Metabolism Discussion

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In this Week’s Discussion Board I want you to choose one of the following topics to explain. This is less of a discussion, and more of a way I can gather that you understand the material. For each of the topics, you need to think about and discuss these questions.

· Where to the Macros come into the metabolic process?

· Tell me each step they take through the pathway.

· How does one molecule become another?

· Use the terms needed correctly (glycolysis, beta-oxidation, lipolysis, glycogenolysis, gluconeogenesis, glycogenesis, lipogenesis, etc)

· And what ultimately becomes of those macros?

Choose a topic (one of the 4 listed below):

#1) Explain how the body metabolizes carbohydrates and protein in the fed state.

#2) Explain how the body metabolizes carbohydrates and fat in the fed state.

#3) Explain how the body metabolizes carbohydrates and amino acids in the short term fasting states (prior to using up all your glycogen).

#4) Explain how the body metabolizes fats in the fasting state once you have used up all your glycogen stores.

Health policy unfolds daily and drives clinical practice in the US. The student will investigate current policies

Health policy unfolds daily and drives clinical practice in the US. The student will investigate current policies 150 150 Peter

Health policy unfolds daily and drives clinical practice in the US. The student will investigate current policies or legislation underway for a specific health-related issue. The Student will develop a scholarly APA formatted supported by evidence. The rubric:

1. Introduction to population or problem (incidence, prevalence, epidemiology, cost burden etc)

2. Description of how the policy is intended for a specific population, program or organization

3. Specific legislators involved in the policy development and dissemination

4. Identify the role of the APRN in assisting with the policy or refuting the policy – this requires the evidence to support opinion, ideas and/or concepts.

5. Discuss how the policy influences clinical practice and is used to promote best outcomes

6. Examine how the policy can be used by the interprofessional team to ensure coordinated and comprehensive care for the specific population

7. Conclusion – summarize findings

8. APA format – use of primary peer-reviewed references as much as possible

A critical component of pediatric nursing is teaching parents how to care for their child, particularly during an illness or after a procedure

A critical component of pediatric nursing is teaching parents how to care for their child, particularly during an illness or after a procedure 150 150 Peter

Parent Teaching Project

A critical component of pediatric nursing is teaching parents how to care for their child, particularly during an illness or after a procedure. To develop this skill, the student will complete a parent teaching project.

Students will be assigned a topic and developmental stage upon which to focus. With that information, the student will need to determine what health education (AKA parent/patient teaching) needs to be conducted prior to this virtual patient being discharged. The students will then role-play the teaching session, using a student chosen by the instructor as the “parent” and with the rest of the clinical group observing.

The project must include:

· A 1-page attached document discussing the assessment of a parents’ readiness to learn and barriers to learning

· The critical components of home care for the assigned topic

· Developmentally appropriate instruction-

· The teaching reflects the developmental level of the parent and patient. (e.g., home care instructions for an infant should include the food appropriate for an infant rather than a school aged child).

· A written handout that summarizes the “take home” points for the parent to keep as a reference after the teaching session.

· A bibliography containing no fewer than three professional journal articles with one being a pediatric specific article. The articles must be less than five years old. Use of APA format for references is expected.

· A clear, creative, logical progression geared to a learner at an 8th grade level

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community?

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? 150 150 Peter

An important role that the nurse has but is often overlooked is self-reflecting/self-awareness. When the nurse is aware of their own bias and stereotypes it allows them to work on the reason behind why they think in a certain manner. This, then reduces the likelihood of them displaying those biases and stereotypes at work. It is also beneficial for the nurse to be culturally competent especially when it comes to different cultures within the community. Angel Falkner (2018) states, “The nurse should be well informed regarding stereotypes and biases in order to be sensitive to these issues and provide the most unbiased care possible.” As the nurse gains cultural competence it will facilitate the recognition of discrimination based on stereotypes and biases in the healthcare setting.

The nurse can address these concepts to ensure health promotion activities are culturally competent by completing a thorough assessment including questions about the patient’s culture such as their beliefs on health, life, and nature as well as their religion and any health promotion strategies they have (Falkner, 2018). The nurse can also incorporate strategies to reduce cultural dissonance such as the LEARN model. The LEARN model focuses on providing empathy to the patient who feels they have experienced cultural dissonance, explaining your own perception of their situation, comparing the different views and their similarities, recommending a treatment plan, and lastly modifying the treatment plan to meet the patient’s needs and preferences. By adding these two strategies into the work environment the nurse will increase her cultural competency thus reducing discrimination based on stereotypes and biases.

Using 200-300 words APA format with references to support the discussion. 

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue. 

Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP

Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP 150 150 Peter

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW: 

1). ZERO (0) PLAGIARISM, 

2). 5 REFERENCES, NO MORE THAN 5 YEARS OR LESS THAN 5 YEARS/APA 7 WRITING STYLE/FORMAT

3). PLEASE FIND THE ATTACHED RUBRIC DETAILS, 

 
 

Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.

In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.

To Prepare

· Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment.

· Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?

· Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.

· Consider which of the conditions is most likely to be the correct diagnosis, and why.

· Search the Walden Library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.

· Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.

· Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.

The Lab Assignment

· Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.

· Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

You first assignment for this week is to be written in a SOAP Note format (NO NARRATIVES). You will need to put in the missing information in the note (some may be made up ie meds, hx, parts of the ROS and PE). I’m looking to make sure you know what information to include. In the Assessment/Plan, you will document your differential diagnoses as per the assignment. 

What is the step-by-step process for implementing an EHR?

What is the step-by-step process for implementing an EHR? 150 150 Peter

1.) What is the step-by-step process for implementing an EHR? What are the most typical challenges faced by health care systems when implementing EHRs?

2.) What is the role of project management techniques in the implementation of EHRs? Why is project management so important for a successful EHR implementation? What is the role and value of acceptance testing during the EHR implementation process?

Describe two common sexuality-related transitions or concerns at each stage

Describe two common sexuality-related transitions or concerns at each stage 150 150 Peter

Although every individual experiences family life-cycle transitions in unique ways, common challenges and experiences often arise at these transition periods. For example, many couples experience changes in their sexual relationship after they become parents. Likewise, adults’ understanding of what it means to have “positive” sexual functioning may differ at different stages in the family life cycle. It is important for helping professionals to pay attention to the unique needs of the individual clients they serve, while also keeping in mind these common challenges and experiences that may arise.

The family life-cycle stages you will consider for this assignment are:

Single adulthood
Committed, long-term relationships
Becoming parents
Divorce/relationship termination and remarriage/re-partnering
Older adulthood
(2 pages)

Use the five family life-cycle stages listed in the Sexuality in Adulthood Across the Family Life Cycle chart to organize your thoughts for this:

Describe two common sexuality-related transitions or concerns at each stage.
Provide two examples of how research and theory characterize positive sexual functioning during each stage.
Briefly describe how you might intervene or use this information to assist clients.
Support your Assignment with specific references to all resources used in its preparation. You are to provide a reference list for all resources, including those in the resources for this course.

Describe the stage of cognitive development of the child in each scenario

Describe the stage of cognitive development of the child in each scenario 150 150 Peter

Most would agree that parenting is a lifelong job. The parent’s obligations begin once the baby is conceived and seemingly never end, even after his or her child becomes an adult. Suppose that you are the parent in each of the following scenarios. Based on what you have learned from this unit’s materials, answer the following questions for each scenario by explaining how you would effectively handle each situation. Note: While it is understood different people and even entire cultures have different parenting styles, your answers should be based on the research and theories presented in this unit.

Describe the stage of cognitive development of the child in each scenario.

Explain how you would address the child and the situation. Will you use punishment in any of the situations? What tactics would be the most useful considering your child’s level of cognitive development?

Scenario 1: Jimmy screams when the batteries die on his Avengers motorcycle. Previously, his mother had been able to put the motorcycle away and have Jimmy immediately engage in playing with something else. However, she has noticed that he is not doing that this time. He continues to scream even though the motorcycle has been put in a drawer. As his parent, how would you respond?Scenario 2: An 8-year-old boy and his 10-year-old brother are told to share three cans of soda pop. The 8-year-old becomes angry when his 10-year-old brother takes two of the cans and gives the 8-year-old only one can. The 10-year-old grabs two glasses and pours one soda into the two glasses and gives it to the 8-year-old. Everything is fine now as they both have two soda pop drinks. How do you address each child?Scenario 3: Your 21-year-old daughter comes home from college and excitedly shares that she is quitting school to invest more time in her social media career. In fact, she reveals that she will be quitting school, despite only having 1 year left to complete her bachelor’s degree. (She does not see the need for her degree any longer, as her Instagram followers have increased exponentially since she has begun doing some of the popular Tik Tok challenges.) She has decided to throw away her former career plans and become a full-time social media influencer. Now, her life is all set! (What is your reaction?)Your combined answers for each scenario must be at least 150 words, for a minimum of 450 words for the entire assignment (not including the title and reference pages).Your answers should include an insightful and thorough analysis and present a strong argument with evidence. You must use at least one source to support your analysis. This may be your textbook or another scholarly source. All sources used will be properly cited. Your case study, including all references, will be formatted in APA style. 

Which enzyme-catalyzed reactions are shared between the gluconeogenesis and glycolysis pathways?

Which enzyme-catalyzed reactions are shared between the gluconeogenesis and glycolysis pathways? 150 150 Peter

SCI260 – Introduction to Biochemistry Lesson 5 In this week’s class, we discussed gluconeogenesis, glycogen metabolism, and the pentose phosphate pathway and their roles in glucose metabolism. Based on the topics discussed in Lecture #5, please answer each of the following questions.

1. Which enzyme-catalyzed reactions are shared between the gluconeogenesis and glycolysis pathways? (Note: just provide the name of the enzyme that catalyzes each of the shared reactions).

2. Why are some enzymes needed only in the gluconeogenesis pathway and not in the glycolysis pathway?

3. Which one of the following reactions only occurs during gluconeogenesis (i.e., not during glycolysis)?

a. 1,3-bisphosphglycerate into 3-phosphoglycerate b. Glucose 6-phosphate into fructose 6-phosphate c. Oxaloacetate into Phosphoenolpyruvate d. Phosphoenolpyruvate into Pyruvate

4. An increase in glucagon levels can __________. a. Promote the degradation of glycogen (i.e., glycogenolysis) b. Occurs during the fasting state (starvation) c. Promotes the synthesis of glycogen d. A and B

5. A high school girl who is self-conscious about her appearance has been fasting for several days to fit into a dress she intentionally bought a size too small for a school dance. Which of her organs/tissues is producing the glucose that is being synthesized through gluconeogenesis?

a. Red blood cells b. Muscles c. Liver d. Brain

6. Why do only some tissues (e.g., liver) contain the enzyme glucose-6- phosphatase?

7. What are the main products of the pentose phosphate pathway, and how does the cell use them?

8. How many molecules of ATP are produced during the metabolism of one (1) molecule of glucose through the pentose phosphate pathway?

9. Which two (2) molecules are produced during the pentose phosphate pathway that are also produced during glycolysis?

10. Describe two (2) specific things that make NADH and NADPH different from each other (Note: consider the structural and biological properties of the two molecules).

You may use your textbook and/or the internet to assist you. You will earn 10 points for correctly answering each question (maximum points earned = 100 points).