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Health Policy

Introduction

Robert Wood Johnson Foundation website has highlighted and elaborated diverse issues related to health policies with bid of promoting healthy development for communities nationwide and also globally. The foundation believes that best health policies cause high quality care that can ensure lifelong benefits, especially for the most vulnerable populations, and improve the health of the nation. The organization works to advance professionalism in nursing to improve health for the general population. Therefore, to achieve its goal, it comments influence and supports in various ways the conceived and implemented policies.

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The Patient Protection and Affordable Care Act is a policy that favors nurse staffing and RWJF website have seen the advantage of the policy in improving the healthcare sector with the key item surrounding the policy proposal is based on staffing levels on need and not just numbers. The three patient care Delivery models under Patient Protection and Affordable Care policy have been explored. This paper checks at the Patient Protection and Affordable Care policy and how the policy has changed role of nurse to the care integrators and coordinators from front-line caregiver and aid in giving help to underserved people (Shortell, et.al, 2015).

Home Assessment Care Plan

Home Assessment: Compiled for M.S

Resident & Home Summary
M.M. is a strong and relatively healthy 66-year-old African-American man who retired from banking five years ago. He now lives with his wife, who is 62 years old in a two-story house. He has two pet dogs. The two have been married for 31 years. M.M. has three daughters and who are all married and with children. He has two brothers who both live in Georgia. His parents are deceased. M.M. works out at the local thrice a week and does short morning runs on the other four days. While at home, he enjoys listening to music and plays the guitar and the piano. Periodically, M.S. spends time with his peers playing board games. He sings in the church choir and offers music classes to the youth both at church and in his neighborhood. M.M. has a garden on which he grows vegetables and likes spending time on it with his wife, especially during the weekends. He has known his best friend since high school where they used to sing in the same music band.

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M.M. was diagnosed with diabetes at the age of 15 and has ever since been on strict glucose control through insulin and observance of proper dietary practices. His doctor encourages him to remain adherent to his medication, exercise regularly, and eat healthy foods to help avoid the complications of type 2 diabetes. He is also hypertensive and takes antihypertensive medications. Due to his chronic conditions, M.S. does not smoke or take alcohol. He also uses glasses for his deteriorating vision. Recently, M.M. suffered a mild myocardial infarction that resolved without complication. His wife helps him ensures strict adherence to medication and healthy lifestyle practices. M.M. also receive immense support from his friends around is neighborhood and from church due to his significant contribution to society. Despite having chronic health conditions, M.M. and well surrounded by his family and friends improving the quality of his life.

SOAP NOTE

Soap Note

HPI
Hind Errajai is a 47 year old male who comes to our facility complaining about having lower abdominal pain accompanied for burning urination for several days. The patient reports that the pain has an intensity of 4/10 on the numerical scale of 0/10, relieve with Tylenol 500mg 2 tabs every 6 hours and irradiate *radiates to the low back.

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He says that he has frequent urge to urinate, he also states that when he goes to urinate is painful. The pain killers Tylenol?? have been giving him a temporary solution relief but have not given him a lasting solution. The patient denies presence of hematuria or penile discharge, denies fevers, vomiting or nausea. CVA Tenderness

Evidence-Based Practice For Patient-Centered Patient

Physical and Cognitive Development in Late Adulthood

Concept Map Narrative
Introduction
A concept map refers to a tool which is observable and vital in showing the planned care of a patient. The suitability associated with concept map is that the treatment team of the patient may evaluate the progress of a given patient which help in establishing changes in the plan in a scenario where the need arises (Flanders, 2018). The concept map was created for Dourine who has European as well as Native American descent and is 40 years. Dourine, a mother of a son eleven weeks old, had been diagnosed with gestational diabetes during pregnancy. Due to this situation, the concept map was planned with the aim of tackling the issue facing Dourine and entailed her education issue, cultural barriers towards comprehending the danger factors affecting Dourine and the involvements to enhance her conformity to the care plan that was prescribed.

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Patient’s Needs and Their Family, and the Manner Those Needs Affect Patient-Centered Concept Map
During the interview, Dourine stated that she was provided with insulin by her gynecologist to regulate blood glucose during pregnancy.

The Role of Health Policy and Organizational Structure

Current nursing issues related to globalization of healthcare

We live in the new world where technology has taken over everything including wellness and health. The advancement in technology has not left behind its influence on healthcare. The society has adopted the saying of “fast-forward” and hence a need for a strong background of access, care and equipment to solve the upcoming problems of the people. Health care needs always demand urgency and efficiency aiming at the wellbeing of the victim (Mettler, 2016).

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Most of the techniques in solving medical issues have not been efficient enough and therefore here comes a convenient form of technology to aid in handling health care issues. It is called the Medscape app. The first Medscape app was established in the year 2009 and since then a newer version which is more updated has been established which is the Medscape 2.1 version (Shah, 2014). The application has various features that are very useful in the medical field. They include function for search, medical news, drugs sections, clinical procedures, a checker for drug interaction, conditions and diseases and more options in the bottom bar (Shah, 2014). These features will greatly help the nurses in the quality improvement of the healthcare.

Substance Use Disorder

Dual Diagnosis: Dual Brain Disease
Brain disease results from chemical imbalances. Two conditions are commonly experienced, namely; drug addiction and mental illness (Rehab Media Network, 2017). The relationship between these two results from their mechanism action, whereby both of them affect the same chemical pathways and regions of the brain. Apparently, it is not clear if substance abuse can cause mental illness, though conditions such as hallucinogen persisting perception disorder, which result from long-term dependence on hallucinogen drugs exhibit similar symptoms to schizophrenia. Individuals engage in drug use for relaxation and entertainment. However, individuals who are healthy may turn to substance use to drive away boredom or suit in a social group, contrary to those who are mentally ill, who sometimes use drugs to get rid of their self-medicating distressing symptoms.

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Screening and assessment/diagnostic tools for substance use disorders
Screening of drug use disorders is categorized into two, namely; brief screens performed verbally using interviews, and written screens which uses questionnaires that a respondent has to respond to. Oral screens are preferred for fieldwork and home visits, whereas written screens suit office settings due to the limited time respondents tend to have to attend interviews. One limitation associated with both screens is the inability to address the immediacy issues in regard to responding to urgency, especially if there is need to examine intoxication, withdrawal or to determine impaired functioning of the brain. However, this problem can be handled through combining observational outcomes and systematic screening result.

Transformational Leadership

Introduction
Transformational Leadership in Nursing Education: Making the Case by Shelly Ann Fischer is an article published in the Nursing Science Quarterly and highlights how most organizations have opted to shift from traditional way of leadership such as authoritative style to more transitional one that allow career development such as transformational leadership (Fischer, 2017). This style is important in business as it promotes a high-performance and motivated workforce, and creates an environment where leaders and employees get to help each other grow in a moral and motivated way. In this regard, it is worth understanding how it can be embedded in the nursing profession.

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Summary
The author confirms the fact that most organizations are trying to do away with authoritative way of leading, and adopting the transformational way. The nursing sector has not been left behind as established by the author. Based on the existing literature, this kind of leadership is likely to impact employees positively, promote teamwork among them and make them experience solidarity. As such, it is feasible for the administration and faculty to adopt and utilize it as a guiding model for those pursing nursing as their area of specialty. The researcher performed a quantitative analysis to come up with the findings that embedding the culture of teamwork among nursing students could impact them significantly while preparing them on how to coexist positively with their colleagues in the work environment. However, the research did not manage to develop and test the viability of applying transformational mode of leadership in the nursing education, thus, the need for more studies to curb this gap.

Health Policy

Introduction

Home Assessment Care Plan

Home Assessment: Compiled for M.S

SOAP NOTE

Soap Note

Evidence-Based Practice For Patient-Centered Patient

Physical and Cognitive Development in Late Adulthood

The Role of Health Policy and Organizational Structure

Current nursing issues related to globalization of healthcare

Substance Use Disorder

Transformational Leadership

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