Research the delivery, finance, management, and sustainability methods of the U.S. health care system. Evaluate the effectiveness of one or more of these areas on quality patient care and health outcomes. Propose a potential health care reform solution to improve effectiveness in the area you evaluated and predict the expected effect.

Clinical-Research Summary and Ethical Analysis Research Topic: i) ‘‘Evaluating meta-ethnography: a synthesis of qualitative research on lay experiences of diabetes and diabetes care,’’ and ii) ‘‘Diabetes and end-stage renal disease; a review article on new concepts.

A community health nurse’s job is to offer health and social care to people in the community. As a result, they must identify and address any biases, preconceptions, or unconscious biases in their community.

1.Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc. 2.Describe the social determinants of health and explain how those factors contribute to the development of this disease

Health Promotion among Diverse Populations According to the 2010 U.S. census report, approximately 36 percent of the population belong to a racial or ethnic minority, of which 17 percent is represented by the Hispanic community. (“Minority Health," 2014, p. 1). The author of this paper has chosen to compare and contrast the health status of the Hispanic community to the national average in the United States. In order to promote health and wellness, it is first of all necessary to assess the overall health, morbidity and mortality rates of the Hispanic population

Throughout history healthcare providers have always been advocates for providing communities with education and health screenings to promote healthier populations, even amongst diverse minority groups. With the diversity in populations especially among minority groups, health promotion has never been more important than it is now

The purpose of this discussion is to discuss the various challenges which are encountered when performing a HEENT examination. Parts of the examination this week include but are not limited to the shape, symmetry, lesions, trauma for the head and face. The visualization and palpation of the external and internal ear as well as performing tests like Rinne and Weber for detecting hearing loss in the ears. The examination of the external eyes for symmetry, discharge, eyelids, eyelashes, as well as internal eyes with the help of an ophthalmoscope

WEEK 3 :Pharmacotherapy with Cardiovascular Drugs Cardiovascular disease is commonly encountered when caring for patients both within the inpatient and outpatient settings. Advanced practice nurses will often encounter patients with multi-pharmacy and multi-physician requiring medication review as well as medical history review and exam. NURS 6521 Advanced Pharmacology Discussion

WEEK 2 :Ethical Challenges in Treating Friends and Family Scenario #3 describes a nurse practitioner writing a prescription for her husband who is not a patient, for a narcotic. This scenario is troubling on multiple levels. To be a judicious provider, it is the advanced practice nurse’s responsibility to perform an extensive physical and review the patient’s history before a diagnosis is obtained and a treatment plan devised. Writing prescriptions involves the responsibility of being confident in assessing the patient and ordering or administering the correct diagnostic tests and measurements, then creating a plan of care based on these factors (Arcangelo, Peterson, Wilbur, & Reinhold, 2017).

NURS 6521 Advanced Pharmacology Discussion WEEK 1 :Diabetes Care in the Elderly Ms. X is an 86-year-old white obese female who presented to the ED with altered mental status and weakness last week.

The factor selected is behavior factors. Behavioral factors focus mainly on diet and exercise. Behavioral factors are a major risk for obesity, which increases the risk for hypertension and hyperlipidemia. Two factors related to behavior affecting pharmacokinetics include nutrition and reduced circulation. Obesity has an impact on all four aspects of pharmacokinetics, including absorption, metabolism, distribution, and excretion. The patient may require a higher dose for effectiveness, have a higher risk of critical illness from a drug interaction, increased GFRs and decreased absorption of SC. This is due to changes in normal physiology, including alterations in metabolizing enzymes, plasma protein, lipid content, and blood flow (Moore, 2020)

Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples. NURS 6521 Discussion: Decision Making When Treating Psychological Disorders

NURS 6521 week 4 Assignment: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Case Study

The case study is on a 76-year-old Iranian male patient that is suspected to have Alzheimer’s disease. The conclusion is based on the reports provided by his eldest son and there were no organic disease processes that were identified during the examination. The behavioral changes started two years ago, and included personality changes, apathy, which was followed by memory loss and challenges in finding the appropriate words during conversation. Confabulation is also noticed during the clinical interview, speech, and self-reported euthymic mood. The patient also has an impairment in his judgment and insight as well as absence of impulse control. There is no suicide ideation reported and the patient is diagnosed with neurocognitive disorder as a result of Alzheimer’s disease.

According to Arcangelo & Peterson, 2013 drugs can have different effects on the body. The reaction of drugs in the body is described in two teams known as pharmacokinetics and pharmacodynamics. Pharmacokinetics is defined as the movement of the drug through the body, or how the body affects the drug. And pharmacodynamics is how the drug affects the body, or how the drug initiates a therapeutic or toxic effect in the body.

NURS 6521 week 1 Discussion: Pharmacokinetics and Pharmacodynamics Example As an Intensive Care Unit (ICU) nurse of 10 years, I have taken care of a variety of different people with a broad spectrum of illnesses and problems. Pharmacokinetics, or how the body processes a drug, must be carefully considered for the best treatment options (Rosenthal & Burchum, 2018). A typical patient diagnosis that can be particularly difficult to manage medically is drug and alcohol abusers. Their drug tolerances and organ impairment related to damage from abuse can make it especially challenging to treat their conditions.

Ethical and Legal Implications of Prescribing Drugs

Drug administration error causes some of the fatal medical accidents that could result in a patient’s death. Policies and legal frameworks exist to reduce the occurrence of such incidences, and other medical errors, through a reporting system. The case scenario involves prescribing medication to a child using the elderly patients’ standards. NURS 6521 week 1 Assignment: Ethical and Legal Implications of Prescribing Drugs Several people are often affected and implicated in the chain of the wrong subscription, and it is the patient that is profoundly affected. Ethical and legal implications for all involved stakeholders

How Exposure to Hazardous Chemicals Risks Infant’s Health As many countries in the world pursue economic development, there is an increased risk regarding chemicals. An infant’s health is at risk when exposed to these hazardous chemicals. For example, continued use of pesticides and other chemicals related to agriculture may affect a child’s brain and physical body. Additionally, potential toxins such as battery-recycling tasks, mercury used in seafood, or floricide used in drinking water may contribute to safety issues when it comes to infants (Hirtz et al., 2017). Lead exposure is a major challenge for infants since the brain is highly affected, making a child have redundancy in intellectual capacity.

The Role of Negotiation in Patients’ Education Topic: Negotiation Words: 630 Pages: 2 Introduction Negotiation is viewed as the process by which several parties with different interests attempt to find agreement. Regarding the patients’ education, negotiation helps doctors and clients to reach an understanding. It assists in changing the misconceptions of a client and improves treatment compliance with healthcare standards (Goldman et al., 2015). Change in the Patient’s Status and Its Influence on Client’s Education