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  • [Solved] Women and Men’s Health

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Will need to get a hint for the questions , See attachment – 2 years ago **files (1)** – ## week9casereview.docx **## week9casereview.docx** Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and hea…

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    Assignment Prompt & Instructions

    Will need to get a hint for the questions , See attachment

    – 2 years ago

    **files (1)**

    – ## week9casereview.docx

    **## week9casereview.docx**

    Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories.

    For this Assignment, you evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.

    Review assignment rubric and case studies. Be sure to thoroughly answer ALL

    Explain the problem and discuss how you would address the problem.

    When recommending medications, write out a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient’s current medications.

    Answer questions using your required learning resources, clinical practice guidelines, Medscape and JNC 8.

    Include at least three references to support each scenario and cite them in APA format. Please include in-text citations. You do not need an introduction or conclusion paragraph.

    WEEK 9 ASSIGNMENT (covers weeks 9-11)

    SCENARIO 1

    RT is a 34-year-old pregnant female at 20 weeks gestation. She presents to the clinic with painful urination, increased urge to urinate, and fatigue. A urine dipstick test is positive for a UTI and she is started on doxycycline 100 mg po BID x 7 days. Current medications include labetalol 100 mg po BID, fluoxetine 20 mg po daily, and valacyclovir 500 mg po daily. She has no drug allergies. Labs include Hgb 12.5, HCT 37%, K 3.9, glucose 78, BUN 9, Cr 0.7 Her blood pressure is 130/75 mmHg. What treatment plan would you implement for RT (include complete medication order)? What patient education would you provide and how would you monitor drug therapy? Do pregnant patients have increased or decreased blood plasma volume?

    SCENARIO 2

    GP is a 21-year-old female presenting with thick white, odorless vaginal discharge and itching for 3 days. She is sexually active and has had unprotected sex with a new male partner for the last month. Current medications include ethinyl estradiol/norgestrel 30 mcg/0.3 mg po daily and alprazolam 2 mg po TID prn. This patient is allergic to sulfa drugs. What medication would you prescribe for this patient (include complete medication order)? How long should GP abstain from sexual activity? What patient education would you provide? What possible drug interactions exist?

    SCENARIO 3

    LW is a 66-year-old male seen in the clinic today. He presents with extreme fatigue, brain fog, minor sore throat and temperature of 100.8. He reports that symptoms began two days ago with a sore throat and have progressively worsened. He also mentions loss of appetite. Oxygen sat 96%, respiratory rate 18, bp 130/80. His rapid COVID-19 antigen test is positive. Chest x-ray is clear, no signs of pneumonia. What treatment plan would you implement for LW (include complete medication order)? What education would you provide? Discuss one potential drug interaction and how you would manage it.

    SCENARIO 4

    FS is a 35-year-old female trying to conceive with a medical history of PCOS. Her labs today show a MCV 77, MCHC 26, Ferritin 9, TIBC 415, BG 90 mg/dL, A1C 5% Current medications include metformin 500 mg po BID and a B vitamin complex. What treatment plan would you implement for FS? Why is this patient on metformin? How would you monitor this patient’s response to the medication? What patient education would you provide?

    This criterion is linked to a Learning OutcomeScenario 1: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    This criterion is linked to a Learning OutcomeScenario 1: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    This criterion is linked to a Learning OutcomeScenario 1: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    Scenario 2: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    Scenario 2: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    Scenario 2: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4 pts

    Excellent

    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    This criterion is linked to a Learning OutcomeScenario 2: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    Scenario 3: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    Scenario 3: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    Scenario 3: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4 pts

    Excellent

    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    This criterion is linked to a Learning OutcomeScenario 3: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    Scenario 4: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    Scenario 4: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    Scenario 4: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4 pts

    Excellent

    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    This criterion is linked to a Learning OutcomeScenario 4: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    **## week9casereview.docx**

    Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories.

    For this Assignment, you evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.

    Review assignment rubric and case studies. Be sure to thoroughly answer ALL

    Explain the problem and discuss how you would address the problem.

    When recommending medications, write out a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient’s current medications.

    Answer questions using your required learning resources, clinical practice guidelines, Medscape and JNC 8.

    Include at least three references to support each scenario and cite them in APA format. Please include in-text citations. You do not need an introduction or conclusion paragraph.

    WEEK 9 ASSIGNMENT (covers weeks 9-11)

    SCENARIO 1

    RT is a 34-year-old pregnant female at 20 weeks gestation. She presents to the clinic with painful urination, increased urge to urinate, and fatigue. A urine dipstick test is positive for a UTI and she is started on doxycycline 100 mg po BID x 7 days. Current medications include labetalol 100 mg po BID, fluoxetine 20 mg po daily, and valacyclovir 500 mg po daily. She has no drug allergies. Labs include Hgb 12.5, HCT 37%, K 3.9, glucose 78, BUN 9, Cr 0.7 Her blood pressure is 130/75 mmHg. What treatment plan would you implement for RT (include complete medication order)? What patient education would you provide and how would you monitor drug therapy? Do pregnant patients have increased or decreased blood plasma volume?

    SCENARIO 2

    GP is a 21-year-old female presenting with thick white, odorless vaginal discharge and itching for 3 days. She is sexually active and has had unprotected sex with a new male partner for the last month. Current medications include ethinyl estradiol/norgestrel 30 mcg/0.3 mg po daily and alprazolam 2 mg po TID prn. This patient is allergic to sulfa drugs. What medication would you prescribe for this patient (include complete medication order)? How long should GP abstain from sexual activity? What patient education would you provide? What possible drug interactions exist?

    SCENARIO 3

    LW is a 66-year-old male seen in the clinic today. He presents with extreme fatigue, brain fog, minor sore throat and temperature of 100.8. He reports that symptoms began two days ago with a sore throat and have progressively worsened. He also mentions loss of appetite. Oxygen sat 96%, respiratory rate 18, bp 130/80. His rapid COVID-19 antigen test is positive. Chest x-ray is clear, no signs of pneumonia. What treatment plan would you implement for LW (include complete medication order)? What education would you provide? Discuss one potential drug interaction and how you would manage it.

    SCENARIO 4

    FS is a 35-year-old female trying to conceive with a medical history of PCOS. Her labs today show a MCV 77, MCHC 26, Ferritin 9, TIBC 415, BG 90 mg/dL, A1C 5% Current medications include metformin 500 mg po BID and a B vitamin complex. What treatment plan would you implement for FS? Why is this patient on metformin? How would you monitor this patient’s response to the medication? What patient education would you provide?

    This criterion is linked to a Learning OutcomeScenario 1: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    This criterion is linked to a Learning OutcomeScenario 1: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    This criterion is linked to a Learning OutcomeScenario 1: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    Scenario 2: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    Scenario 2: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    Scenario 2: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4 pts

    Excellent

    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    This criterion is linked to a Learning OutcomeScenario 2: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    Scenario 3: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    Scenario 3: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    Scenario 3: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4 pts

    Excellent

    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    This criterion is linked to a Learning OutcomeScenario 3: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    Scenario 4: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15 to >11.0 pts

    Excellent

    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    Scenario 4: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3 pts

    Complete

    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    Scenario 4: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4 pts

    Excellent

    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    This criterion is linked to a Learning OutcomeScenario 4: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3 pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

  • [Solved] Evidence-Based Practice II

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Blog: Lessons Learned From Project Implementation and Evaluation – 2 years ago **files (1)** – ## respond.EvidenceBasedPracticeII.odt **## respond.EvidenceBasedPracticeII.odt** **Evidence Based Practice II** **Due Jan 30, 2025** Blog: Lessons Learned From Project Implementation and Evaluation **Read…

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    Assignment Prompt & Instructions

    Blog: Lessons Learned From Project Implementation and Evaluation

    – 2 years ago

    **files (1)**

    – ## respond.EvidenceBasedPracticeII.odt

    **## respond.EvidenceBasedPracticeII.odt**

    **Evidence Based Practice II**

    **Due Jan 30, 2025**

    Blog: Lessons Learned From Project Implementation and Evaluation

    **Read** a selection of your colleagues’ blog posts.
    **Respond** to
    **at least two** of your colleagues by expanding on their responses or sharing additional or alternative perspectives.

    PEER #1

    [Olufunmilayo Elizabeth Adeloye](https://waldenu.instructure.com/courses/142884/users/125106)

    Jan 28 7:41pm

    Manage Discussion by Olufunmilayo Elizabeth Adeloye

    Reply from Olufunmilayo Elizabeth Adeloye

    **Introduction**

    Restraints and seclusions are restrictive interventions commonly used in psychiatric inpatient units, including those for children and adolescents, to address situations involving imminent risk of harm to the patient or others. However, these methods remain controversial due to their association with significant adverse effects, including injuries and fatalities among both patients and staff (Kersting et al., 2019). Effectively addressing challenges in behavioral health requires a proactive approach grounded in innovative strategies that prioritize education, collaboration, and evidence-based practices. My project, which focused on training mental health staff in de-escalation techniques to reduce the use of restraints, highlighted the complexities of behavioral health management. By identifying key barriers such as knowledge gaps, communication breakdowns, and systemic inefficiencies, the project underscored the critical need for customized interventions. These targeted strategies are essential to overcoming challenges and fostering safer, more therapeutic environments for both patients and staff.

    **Lesson Learned from Project Implementation and Evaluation**

    Reflecting on project implementation and evaluation is essential for identifying successes and areas for improvement. A key lesson learned is the importance of stakeholder engagement to ensure alignment and buy-in throughout the project. Self-analysis and evaluation are equally critical for assessing the effectiveness of changes, staff acceptance, and project sustainability. This includes examining how barriers were addressed and considering alternative approaches. Notably, the impact of program changes may not be immediately apparent; for instance, improved reporting practices might initially increase recorded restraint incidents (Clark, 2011). Effective evaluation requires evidence-based methods. This project incorporates several strategies, including pre- and post-tests to measure staff knowledge and perceptions, comparisons of restraint incident rates before and after implementation, and staff surveys to gather feedback on the program. These evaluations aim to identify effective strategies and ensure the program remains aligned with its goals.

    **Factors for Sustaining Change**

    Transforming an organization’s culture as a strategic priority requires comprehensive strategic and operational adjustments across the organization (Doherty et al., 2022). To achieve sustainable change, it is crucial to embed new practices within the organizational culture, emphasizing ongoing learning and seamless integration of restraint prevention initiatives. Regular training sessions play a key role in reinforcing these efforts, ensuring adherence to high standards while enabling the organization to remain responsive to process updates or technological advancements. Strong leadership support is vital in driving commitment, allocating necessary resources, and providing a solid foundation for sustaining long-term change. Establishing a dedicated group, such as a restraint prevention committee, to oversee the program will enhance sustainability by managing restraint episode reporting, tracking monthly restraint rates, and maintaining up-to-date policies and materials. Furthermore, utilizing a Quality Improvement Model, such as the PDSA (Plan-Do-Study-Act) approach, ensures that restraint prevention interventions remain on track. This model facilitates continuous improvement by identifying areas for refinement and optimizing the implementation of changes over time (Bell & Gallacher, 2016).

    **Sustaining the Translation**

    To promote consistency and reliability, it is essential to develop comprehensive, clear, and easily accessible documentation for all processes and updates. Such documentation serves as a central reference point, ensuring that all stakeholders have a shared understanding of procedures and can execute tasks with accuracy and uniformity. Equally important is the establishment of continuous feedback mechanisms, which provide opportunities for regular assessment and improvement. By actively seeking input from team members, stakeholders, or end users, you can identify potential challenges, uncover inefficiencies, and make timely adjustments. These mechanisms not only help maintain the relevance of the implementation but also foster a culture of collaboration and adaptability. By prioritizing these strategies robust documentation and continuous feedback you create a strong foundation for the ongoing evaluation and optimization of your project. This approach ensures its long-term effectiveness, maximizes its impact, and enhances sustainability, enabling the project to adapt to evolving needs and deliver lasting value.

    **Conclusion**

    Every episode of restraint or seclusion is harmful to the individual and humiliating to staff members who understand their job responsibilities. The importance of ongoing evaluation has become evident, emphasizing the necessity of continuous monitoring, feedback, and adaptation to address evolving needs. This dynamic process strengthens best practices while facilitating the early detection of challenges, allowing for timely and effective interventions. Together, these insights highlight the transformative potential within behavioral health when education, collaboration, and evidence-based strategies are prioritized—ultimately enhancing patient outcomes and elevating the quality of care.

    **References**

    Bell, A., Gallacher, N. (2016). Succeeding in Sustained Reduction in the use of Restraint using the Improvement Model. BMJ Qual Improv Rep. 5(1): u211050.w4430. doi: 10.1136/bmjqualityu211050. w4430. PMID: 27335641; PMCID: PMC4915305.

    Clark J. (2011). Let's reflect: What is the point? British Journal of General Practice, 61(593), 747. https://doi.org/10.3399/bjgp11X613232 Links to an external site.

    Doherty, J.A., Johnson, M., McPheron, H. (2022). Advancing health equity through organizational change: Perspectives from health care leaders. Health Care Manage Rev.  01;47(3):263-270. doi: 10.1097/HMR. 0000000000000326. Epub 2021 Aug 27. PMID: 34456273; PMCID: PMC9162074.

    Kersting, XAK., Hirsch, S., Steinert, T. (2019). Physical harm and death in the context of coercive measures in psychiatric patients: a systematic review. Front Psychol.10:400. doi: 10.3389/fpsyt.2019.00400.

    – Reply to post from Olufunmilayo Elizabeth Adeloye
    **Reply**

    – Mark as Unread
    **Mark as Unread**

    **PEER #2**

    [Oluwakemi Aregbesola](https://waldenu.instructure.com/courses/142884/users/120216)

    Jan 28 6:04pm

    Manage Discussion by Oluwakemi Aregbesola

    Reply from Oluwakemi Aregbesola

    **Week 10 Blog: Main Post**

    The project is a staff educational project on improving discharge planning to reduce patient no-shows among individuals with alcohol use disorder who receive treatment at an outpatient mental health clinic.

    **Lessons on Project Implementation and Evaluation**

                The project implementation process has brought to light several lessons for me. I appreciated the role of having a change agent from the facility. I was able to request the assistance of a nurse practitioner at the project site, and she was impactful as a change agent in influencing the participation of the providers at the site in the staff educational sessions and implementing the project intervention (Ericson Lidman & Strandberg, 2023). Adopting a transformative leadership approach during project implementation assisted me in motivating the providers to implement the intervention. Further, building trust and promoting teaming strategies with the providers was essential in obtaining support for the practice change intervention (Bohnenkamp et al., 2023). I also appreciated the impact of planning for potential barriers to implementation. For example, I foresaw participation challenges due to differences in working shifts. I planned to address the challenge by developing educational sessions to accommodate shift differences. The above intervention worked well, and I educated all the staff working at the project site. The project outcomes were evaluated through quantitative analysis. The knowledge levels of the participants were analyzed through a paired t-test to determine the significance of the difference between pre-and post-interventional outcomes.

    **Sustainability**

                The factors influencing sustainability include stakeholder buy-in for the project, incorporation into routine interventions within the project site, and monitoring the implementation of the intervention to promote long-term implementation (Urquhart et al., 2021). Stakeholders buy-in and leadership support for the intervention will promote facility-wide support for the intervention, leading to the adoption of the intervention and long-term implementation. Incorporation of the practice change into routine practice intervention will advance the facility culture for evidence-based interventions, thereby promoting the long-term sustainability of the intervention. Monitoring the intervention implementation will assist in identifying backsliding, gaps, or inconsistencies in the practice change intervention, thereby informing interventions to promote sustained implementation of the intervention, such as through additional staff education interventions or educating new staff during the induction process to promote awareness of the practice change.

    **References**

    Bohnenkamp, J. H., Patel, C., Connors, E., Orenstein, S., Ereshefsky, S., Lever, N., & Hoover, S. (2023). Evaluating strategies to promote effective, multidisciplinary team collaboration in school mental health.
    _Journal of Applied School Psychology_,
    _39_(2), 130. https://doi.org/10.1080/15377903.2022.2077875

    Ericson Lidman, E., & Strandberg, G. (2023). Meanings of being a change agent in implementing a new organizational culture in home care services: A phenomenological hermeneutic study.
    _Nordic Journal of Nursing Research_. https://doi.org/10.1177/20571585231157505

    Urquhart, R., Kendell, C., Cornelissen, E., Powell, B. J., Madden, L. L., Kissmann, G., Richmond, S. A., & Bender, J. L. (2021). Identifying factors influencing sustainability of innovations in cancer survivorship care: A qualitative study.
    _BMJ Open_,
    _11_(2), Article e042503. https://doi.org/10.1136/bmjopen-2020-042503

    – Reply to post from Oluwakemi Aregbesola
    **Reply**

    – Mark as Unread
    **Mark as Unread**

    **## respond.EvidenceBasedPracticeII.odt**

    **Evidence Based Practice II**

    **Due Jan 30, 2025**

    Blog: Lessons Learned From Project Implementation and Evaluation

    **Read** a selection of your colleagues’ blog posts.
    **Respond** to
    **at least two** of your colleagues by expanding on their responses or sharing additional or alternative perspectives.

    PEER #1

    [Olufunmilayo Elizabeth Adeloye](https://waldenu.instructure.com/courses/142884/users/125106)

    Jan 28 7:41pm

    Manage Discussion by Olufunmilayo Elizabeth Adeloye

    Reply from Olufunmilayo Elizabeth Adeloye

    **Introduction**

    Restraints and seclusions are restrictive interventions commonly used in psychiatric inpatient units, including those for children and adolescents, to address situations involving imminent risk of harm to the patient or others. However, these methods remain controversial due to their association with significant adverse effects, including injuries and fatalities among both patients and staff (Kersting et al., 2019). Effectively addressing challenges in behavioral health requires a proactive approach grounded in innovative strategies that prioritize education, collaboration, and evidence-based practices. My project, which focused on training mental health staff in de-escalation techniques to reduce the use of restraints, highlighted the complexities of behavioral health management. By identifying key barriers such as knowledge gaps, communication breakdowns, and systemic inefficiencies, the project underscored the critical need for customized interventions. These targeted strategies are essential to overcoming challenges and fostering safer, more therapeutic environments for both patients and staff.

    **Lesson Learned from Project Implementation and Evaluation**

    Reflecting on project implementation and evaluation is essential for identifying successes and areas for improvement. A key lesson learned is the importance of stakeholder engagement to ensure alignment and buy-in throughout the project. Self-analysis and evaluation are equally critical for assessing the effectiveness of changes, staff acceptance, and project sustainability. This includes examining how barriers were addressed and considering alternative approaches. Notably, the impact of program changes may not be immediately apparent; for instance, improved reporting practices might initially increase recorded restraint incidents (Clark, 2011). Effective evaluation requires evidence-based methods. This project incorporates several strategies, including pre- and post-tests to measure staff knowledge and perceptions, comparisons of restraint incident rates before and after implementation, and staff surveys to gather feedback on the program. These evaluations aim to identify effective strategies and ensure the program remains aligned with its goals.

    **Factors for Sustaining Change**

    Transforming an organization’s culture as a strategic priority requires comprehensive strategic and operational adjustments across the organization (Doherty et al., 2022). To achieve sustainable change, it is crucial to embed new practices within the organizational culture, emphasizing ongoing learning and seamless integration of restraint prevention initiatives. Regular training sessions play a key role in reinforcing these efforts, ensuring adherence to high standards while enabling the organization to remain responsive to process updates or technological advancements. Strong leadership support is vital in driving commitment, allocating necessary resources, and providing a solid foundation for sustaining long-term change. Establishing a dedicated group, such as a restraint prevention committee, to oversee the program will enhance sustainability by managing restraint episode reporting, tracking monthly restraint rates, and maintaining up-to-date policies and materials. Furthermore, utilizing a Quality Improvement Model, such as the PDSA (Plan-Do-Study-Act) approach, ensures that restraint prevention interventions remain on track. This model facilitates continuous improvement by identifying areas for refinement and optimizing the implementation of changes over time (Bell & Gallacher, 2016).

    **Sustaining the Translation**

    To promote consistency and reliability, it is essential to develop comprehensive, clear, and easily accessible documentation for all processes and updates. Such documentation serves as a central reference point, ensuring that all stakeholders have a shared understanding of procedures and can execute tasks with accuracy and uniformity. Equally important is the establishment of continuous feedback mechanisms, which provide opportunities for regular assessment and improvement. By actively seeking input from team members, stakeholders, or end users, you can identify potential challenges, uncover inefficiencies, and make timely adjustments. These mechanisms not only help maintain the relevance of the implementation but also foster a culture of collaboration and adaptability. By prioritizing these strategies robust documentation and continuous feedback you create a strong foundation for the ongoing evaluation and optimization of your project. This approach ensures its long-term effectiveness, maximizes its impact, and enhances sustainability, enabling the project to adapt to evolving needs and deliver lasting value.

    **Conclusion**

    Every episode of restraint or seclusion is harmful to the individual and humiliating to staff members who understand their job responsibilities. The importance of ongoing evaluation has become evident, emphasizing the necessity of continuous monitoring, feedback, and adaptation to address evolving needs. This dynamic process strengthens best practices while facilitating the early detection of challenges, allowing for timely and effective interventions. Together, these insights highlight the transformative potential within behavioral health when education, collaboration, and evidence-based strategies are prioritized—ultimately enhancing patient outcomes and elevating the quality of care.

    **References**

    Bell, A., Gallacher, N. (2016). Succeeding in Sustained Reduction in the use of Restraint using the Improvement Model. BMJ Qual Improv Rep. 5(1): u211050.w4430. doi: 10.1136/bmjqualityu211050. w4430. PMID: 27335641; PMCID: PMC4915305.

    Clark J. (2011). Let's reflect: What is the point? British Journal of General Practice, 61(593), 747. https://doi.org/10.3399/bjgp11X613232 Links to an external site.

    Doherty, J.A., Johnson, M., McPheron, H. (2022). Advancing health equity through organizational change: Perspectives from health care leaders. Health Care Manage Rev.  01;47(3):263-270. doi: 10.1097/HMR. 0000000000000326. Epub 2021 Aug 27. PMID: 34456273; PMCID: PMC9162074.

    Kersting, XAK., Hirsch, S., Steinert, T. (2019). Physical harm and death in the context of coercive measures in psychiatric patients: a systematic review. Front Psychol.10:400. doi: 10.3389/fpsyt.2019.00400.

    – Reply to post from Olufunmilayo Elizabeth Adeloye
    **Reply**

    – Mark as Unread
    **Mark as Unread**

    **PEER #2**

    [Oluwakemi Aregbesola](https://waldenu.instructure.com/courses/142884/users/120216)

    Jan 28 6:04pm

    Manage Discussion by Oluwakemi Aregbesola

    Reply from Oluwakemi Aregbesola

    **Week 10 Blog: Main Post**

    The project is a staff educational project on improving discharge planning to reduce patient no-shows among individuals with alcohol use disorder who receive treatment at an outpatient mental health clinic.

    **Lessons on Project Implementation and Evaluation**

                The project implementation process has brought to light several lessons for me. I appreciated the role of having a change agent from the facility. I was able to request the assistance of a nurse practitioner at the project site, and she was impactful as a change agent in influencing the participation of the providers at the site in the staff educational sessions and implementing the project intervention (Ericson Lidman & Strandberg, 2023). Adopting a transformative leadership approach during project implementation assisted me in motivating the providers to implement the intervention. Further, building trust and promoting teaming strategies with the providers was essential in obtaining support for the practice change intervention (Bohnenkamp et al., 2023). I also appreciated the impact of planning for potential barriers to implementation. For example, I foresaw participation challenges due to differences in working shifts. I planned to address the challenge by developing educational sessions to accommodate shift differences. The above intervention worked well, and I educated all the staff working at the project site. The project outcomes were evaluated through quantitative analysis. The knowledge levels of the participants were analyzed through a paired t-test to determine the significance of the difference between pre-and post-interventional outcomes.

    **Sustainability**

                The factors influencing sustainability include stakeholder buy-in for the project, incorporation into routine interventions within the project site, and monitoring the implementation of the intervention to promote long-term implementation (Urquhart et al., 2021). Stakeholders buy-in and leadership support for the intervention will promote facility-wide support for the intervention, leading to the adoption of the intervention and long-term implementation. Incorporation of the practice change into routine practice intervention will advance the facility culture for evidence-based interventions, thereby promoting the long-term sustainability of the intervention. Monitoring the intervention implementation will assist in identifying backsliding, gaps, or inconsistencies in the practice change intervention, thereby informing interventions to promote sustained implementation of the intervention, such as through additional staff education interventions or educating new staff during the induction process to promote awareness of the practice change.

    **References**

    Bohnenkamp, J. H., Patel, C., Connors, E., Orenstein, S., Ereshefsky, S., Lever, N., & Hoover, S. (2023). Evaluating strategies to promote effective, multidisciplinary team collaboration in school mental health.
    _Journal of Applied School Psychology_,
    _39_(2), 130. https://doi.org/10.1080/15377903.2022.2077875

    Ericson Lidman, E., & Strandberg, G. (2023). Meanings of being a change agent in implementing a new organizational culture in home care services: A phenomenological hermeneutic study.
    _Nordic Journal of Nursing Research_. https://doi.org/10.1177/20571585231157505

    Urquhart, R., Kendell, C., Cornelissen, E., Powell, B. J., Madden, L. L., Kissmann, G., Richmond, S. A., & Bender, J. L. (2021). Identifying factors influencing sustainability of innovations in cancer survivorship care: A qualitative study.
    _BMJ Open_,
    _11_(2), Article e042503. https://doi.org/10.1136/bmjopen-2020-042503

    – Reply to post from Oluwakemi Aregbesola
    **Reply**

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  • [Solved] Healthcare Policy and Analysis

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    Elected Office – 2 years ago **files (1)** – ## respond.HealthcarePolicyandAnalysis.odt **## respond.HealthcarePolicyandAnalysis.odt** **Healthcare Policy and Analysis** Due Jan 30, 2025 Elected Office **Read** a selection of your colleagues’ posts. **Respond** to **at least two** of your colleagues…

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    Elected Office

    – 2 years ago

    **files (1)**

    – ## respond.HealthcarePolicyandAnalysis.odt

    **## respond.HealthcarePolicyandAnalysis.odt**

    **Healthcare Policy and Analysis**

    Due Jan 30, 2025

    Elected Office

    **Read** a selection of your colleagues’ posts.
    **Respond** to
    **at least two** of your colleagues by supporting or expanding on the ideas identified by your colleagues or sharing additional perspectives on the issue described by your colleagues.

    PEER 1#

    [Grace Nwawuihe](https://waldenu.instructure.com/courses/144126/users/49693)

    Grace Nwawuihe

    Grace Nwawuihe

    Week 10 Discussion- The elected office.

    **_What does it take to run for the elected office? What are the resources you may need?_**

    Anyone who wants to run for an elected office must first understand the roles and expectations for the position they desire. The first step is to confirm the eligibility requirement for the position that you desire to pursue. For a nurse, this means being familiar with the responsibilities of the position and how they interact with healthcare policies.  A strong professional background in nursing, leadership experience, and knowledge of public health issues are vital tools for a nurse seeking a leadership position.  Solid leadership qualities are critical because they equip the leader with the expertise and skill needed to lead the team and manage the resources, and challenges in the dynamic healthcare setting. (Mrayyan MT, et al., 2023).  Leaders must develop a platform of clear policy priorities that address healthcare challenges, such as access to care, patient safety, and nursing workforce issues. (www.ncsbn.org). Networking and Support are vital tools for seeking a public office. Nurses in leadership must establish connections with professional organizations, community leaders, and advocacy groups. Nurses possess unique insights into healthcare challenges and can bring valuable expertise to the elected office. (Restivo, V., et al., 2022).  Running for office requires understanding the role, developing a platform, building a network, securing funding, and engaging the community. Resources such as professional organizations, campaign staff, and policy advisors are critical for success. (Chiu, P., et al., 2021).

    **Congresswoman Lauren Underwood (D-IL-14) (**
    **[www.googleLinks to an external site.](http://www.google/)** **images).**
    **![](https://www.sweetstudy.com/questions/healthcare-policy-and-analysis-20879691)**

    Congresswoman Lauren Underwood serves Illinois’ 14th Congressional District and was sworn into the 116th U.S. Congress on January 3, 2019. She is the youngest African American woman to serve in the United States House of Representatives. Before her election to Congress, Congresswoman Underwood worked with a Medicaid plan in Chicago to ensure it provided high-quality, cost-efficient care. She served as a Senior Advisor at the U.S. Department of Health and Human Services (HHS), helping communities across the country prevent, prepare for, and respond to disasters, bioterror threats, and public health emergencies. As a career public servant at HHS, she helped implement the Affordable Care Act — broadening access for those on Medicare, improving healthcare quality, and reforming private insurance. She also taught future nurse practitioners through Georgetown University’s online master’s program. that prioritize patient care and workforce development. (www.ANA.org)

    **Importance of Nurses Running for Office**

    Nurses in elected roles can directly impact healthcare policy, tackle systemic challenges such as staffing shortages and patient safety, and enhance the profession's representation in policymaking. Their leadership can cultivate a more equal and efficient healthcare system. (ANA.org, 2023). Motivating nurses to seek political leadership is crucial for establishing a healthcare system that addresses the needs of both patients and providers.

    References

    American Nurses Association. (2023). Nurses in politics: Advocacy and leadership. Retrieved from
    [https://www.nursingworld.orgLinks to an external site.](https://www.nursingworld.org/)

    Chiu, P., Cummings, G. G., Thorne, S., & Schick-Makaroff, K. (2021). Policy Advocacy and Nursing Organizations: A Scoping Review. Policy, politics & nursing practice, 22(4), 271–291. https://doi.org/10.1177/15271544211050611

    Mrayyan MT, Algunmeeyn A, Abunab HY, et alAttributes, skills and actions of clinical leadership in nursing as reported by hospital nurses: a cross-sectional studyBMJ Leader 2023;7:203-211.

    Google Images retrieved fromhttps://www.google.com/search?q=find+image+of+lauren+underwood&oq=find+image+of+Lauren+under&gs_lcrp=EgZjaHJvbWUqBwgBECEYoAEyBggAEEUYOTIHCAEQIRigATIHCAIQIRigATIHCAMQIRigATIHCAQQIRigATIHCAUQIRigATIHCAYQIRiPAjIHCAcQIRiPAtIBCjE3MTU2ajBqMTWoAgiwAgE&sourceid=chrome&ie=UTF-8

    National Council of State Boards of Nursing. (2023). Nursing and public policy. Retrieved from
    [https://www.ncsbn.orgLinks to an external site.](https://www.ncsbn.org/)

    Restivo, V., Minutolo, G., Battaglini, A., Carli, A., Capraro, M., Gaeta, M., Odone, A., Trucchi, C., Favaretti, C., Vitale, F., & Casuccio, A. (2022). Leadership Effectiveness in Healthcare Settings: A Systematic Review and Meta-Analysis of Cross-Sectional and Before-After Studies. International journal of environmental research and public health, 19(17), 10995. https://doi.org/10.3390/ijerph191710995

    **PEER #2**

    [Marie Hageman](https://waldenu.instructure.com/courses/144126/users/145234)

    Marie Hageman

    Marie Hageman

    Running for elected office is a complex and multifaceted process that requires a blend of resources, skills, and commitment. One of the most significant requirements is time commitment. Campaigning takes a great deal of time, as it involves public speaking, attending events, and engaging with voters. Candidates often must balance their professional lives with the demanding schedule of a campaign. Financial resources are also crucial, as running a campaign can be quite expensive. Funds are necessary for advertising, travel, staff, and other campaign-related expenses, and candidates often rely on donations, fundraising events, or their own savings to cover these costs (Pitsker, 2019). In addition to finances, a strong team is vital for a successful campaign. This team typically includes campaign managers, communication strategists, fundraisers, social media experts, and volunteers who assist with canvassing and spreading the message. A deep understanding of the political landscape, public policy, and the issues that matter to voters is also essential, which means candidates must be well-versed in these areas and have effective public speaking skills. The ability to connect with diverse groups of people is equally important. Finally, endorsements and networking can play a pivotal role in a campaign’s success. Support from influential individuals or organizations can build credibility, while networking allows candidates to reach a wider audience and gain the necessary momentum for their campaign. Together, these components outline the extensive resources and efforts required to run for elected office.

    Nurses should consider running for office for several compelling reasons. First, their in-depth understanding of healthcare systems, the challenges faced by patients, and the realities of working in healthcare uniquely positions them to advocate for policies that improve public health, expand healthcare access, and address the working conditions of nurses. Additionally, nurses are trained to be effective leaders in high-pressure environments, often managing teams and making critical decisions. These leadership skills can easily translate into government roles, where decisive and compassionate leadership is key. Nurses are also driven by a passion for improving the lives of others, and running for office offers them an opportunity to influence political decision-making on important issues like healthcare, education, and social justice. By running for office, they can ensure that the needs and concerns of the healthcare community are addressed, providing a vital and informed perspective in the political arena. Ultimately, nurses can make a significant difference by using their expertise and values to advocate for policies that benefit both their profession and society at large.

    **Nurses Who Have Become Elected Officials:**

    Nurses often bring a unique perspective to politics due to their hands-on experience with healthcare, community well-being, and the challenges faced by both patients and healthcare professionals. Congresswoman Jen Kiggans is an example of a nurse who has successfully entered the political arena (Kiggans, n.d.). She is a Veteran Navy Helicopter pilot, who served 2 tours in the Persian Gulf. After retirement, Congresswoman Kiggans returned to school to become a Geriatric Nurse Practitioner (Kiggans, n.d.).

    In conclusion, running for office requires significant resources, dedication, and expertise. Nurses who run for office can offer invaluable insights, advocate for improved healthcare policies, and represent their communities in ways that directly align with their values and expertise. This makes political involvement a meaningful and impactful way for nurses to extend their service to society beyond the clinic or hospital.

    ![](https://www.sweetstudy.com/questions/healthcare-policy-and-analysis-20879691)

    References:

    Kiggans, J. (n.d.).
    _Rep. Jennifer Kiggans – Representing Virginia’s 2nd District_. U.S. House of Representatives.
    [https://kiggans.house.gov/Links to an external site.](https://kiggans.house.gov/)

    Pitsker, K. (2019, November 26). How to run for local office.
    [_Kiplinger_](https://waldenu.instructure.com/courses/144126/discussion_topics/Kiplinger). https://www.kiplinger.com/article/business/t043-c000-s002-how-to-run-for-local-office.html

    **## respond.HealthcarePolicyandAnalysis.odt**

    **Healthcare Policy and Analysis**

    Due Jan 30, 2025

    Elected Office

    **Read** a selection of your colleagues’ posts.
    **Respond** to
    **at least two** of your colleagues by supporting or expanding on the ideas identified by your colleagues or sharing additional perspectives on the issue described by your colleagues.

    PEER 1#

    [Grace Nwawuihe](https://waldenu.instructure.com/courses/144126/users/49693)

    Grace Nwawuihe

    Grace Nwawuihe

    Week 10 Discussion- The elected office.

    **_What does it take to run for the elected office? What are the resources you may need?_**

    Anyone who wants to run for an elected office must first understand the roles and expectations for the position they desire. The first step is to confirm the eligibility requirement for the position that you desire to pursue. For a nurse, this means being familiar with the responsibilities of the position and how they interact with healthcare policies.  A strong professional background in nursing, leadership experience, and knowledge of public health issues are vital tools for a nurse seeking a leadership position.  Solid leadership qualities are critical because they equip the leader with the expertise and skill needed to lead the team and manage the resources, and challenges in the dynamic healthcare setting. (Mrayyan MT, et al., 2023).  Leaders must develop a platform of clear policy priorities that address healthcare challenges, such as access to care, patient safety, and nursing workforce issues. (www.ncsbn.org). Networking and Support are vital tools for seeking a public office. Nurses in leadership must establish connections with professional organizations, community leaders, and advocacy groups. Nurses possess unique insights into healthcare challenges and can bring valuable expertise to the elected office. (Restivo, V., et al., 2022).  Running for office requires understanding the role, developing a platform, building a network, securing funding, and engaging the community. Resources such as professional organizations, campaign staff, and policy advisors are critical for success. (Chiu, P., et al., 2021).

    **Congresswoman Lauren Underwood (D-IL-14) (**
    **[www.googleLinks to an external site.](http://www.google/)** **images).**
    **![](https://www.sweetstudy.com/questions/healthcare-policy-and-analysis-20879691)**

    Congresswoman Lauren Underwood serves Illinois’ 14th Congressional District and was sworn into the 116th U.S. Congress on January 3, 2019. She is the youngest African American woman to serve in the United States House of Representatives. Before her election to Congress, Congresswoman Underwood worked with a Medicaid plan in Chicago to ensure it provided high-quality, cost-efficient care. She served as a Senior Advisor at the U.S. Department of Health and Human Services (HHS), helping communities across the country prevent, prepare for, and respond to disasters, bioterror threats, and public health emergencies. As a career public servant at HHS, she helped implement the Affordable Care Act — broadening access for those on Medicare, improving healthcare quality, and reforming private insurance. She also taught future nurse practitioners through Georgetown University’s online master’s program. that prioritize patient care and workforce development. (www.ANA.org)

    **Importance of Nurses Running for Office**

    Nurses in elected roles can directly impact healthcare policy, tackle systemic challenges such as staffing shortages and patient safety, and enhance the profession's representation in policymaking. Their leadership can cultivate a more equal and efficient healthcare system. (ANA.org, 2023). Motivating nurses to seek political leadership is crucial for establishing a healthcare system that addresses the needs of both patients and providers.

    References

    American Nurses Association. (2023). Nurses in politics: Advocacy and leadership. Retrieved from
    [https://www.nursingworld.orgLinks to an external site.](https://www.nursingworld.org/)

    Chiu, P., Cummings, G. G., Thorne, S., & Schick-Makaroff, K. (2021). Policy Advocacy and Nursing Organizations: A Scoping Review. Policy, politics & nursing practice, 22(4), 271–291. https://doi.org/10.1177/15271544211050611

    Mrayyan MT, Algunmeeyn A, Abunab HY, et alAttributes, skills and actions of clinical leadership in nursing as reported by hospital nurses: a cross-sectional studyBMJ Leader 2023;7:203-211.

    Google Images retrieved fromhttps://www.google.com/search?q=find+image+of+lauren+underwood&oq=find+image+of+Lauren+under&gs_lcrp=EgZjaHJvbWUqBwgBECEYoAEyBggAEEUYOTIHCAEQIRigATIHCAIQIRigATIHCAMQIRigATIHCAQQIRigATIHCAUQIRigATIHCAYQIRiPAjIHCAcQIRiPAtIBCjE3MTU2ajBqMTWoAgiwAgE&sourceid=chrome&ie=UTF-8

    National Council of State Boards of Nursing. (2023). Nursing and public policy. Retrieved from
    [https://www.ncsbn.orgLinks to an external site.](https://www.ncsbn.org/)

    Restivo, V., Minutolo, G., Battaglini, A., Carli, A., Capraro, M., Gaeta, M., Odone, A., Trucchi, C., Favaretti, C., Vitale, F., & Casuccio, A. (2022). Leadership Effectiveness in Healthcare Settings: A Systematic Review and Meta-Analysis of Cross-Sectional and Before-After Studies. International journal of environmental research and public health, 19(17), 10995. https://doi.org/10.3390/ijerph191710995

    **PEER #2**

    [Marie Hageman](https://waldenu.instructure.com/courses/144126/users/145234)

    Marie Hageman

    Marie Hageman

    Running for elected office is a complex and multifaceted process that requires a blend of resources, skills, and commitment. One of the most significant requirements is time commitment. Campaigning takes a great deal of time, as it involves public speaking, attending events, and engaging with voters. Candidates often must balance their professional lives with the demanding schedule of a campaign. Financial resources are also crucial, as running a campaign can be quite expensive. Funds are necessary for advertising, travel, staff, and other campaign-related expenses, and candidates often rely on donations, fundraising events, or their own savings to cover these costs (Pitsker, 2019). In addition to finances, a strong team is vital for a successful campaign. This team typically includes campaign managers, communication strategists, fundraisers, social media experts, and volunteers who assist with canvassing and spreading the message. A deep understanding of the political landscape, public policy, and the issues that matter to voters is also essential, which means candidates must be well-versed in these areas and have effective public speaking skills. The ability to connect with diverse groups of people is equally important. Finally, endorsements and networking can play a pivotal role in a campaign’s success. Support from influential individuals or organizations can build credibility, while networking allows candidates to reach a wider audience and gain the necessary momentum for their campaign. Together, these components outline the extensive resources and efforts required to run for elected office.

    Nurses should consider running for office for several compelling reasons. First, their in-depth understanding of healthcare systems, the challenges faced by patients, and the realities of working in healthcare uniquely positions them to advocate for policies that improve public health, expand healthcare access, and address the working conditions of nurses. Additionally, nurses are trained to be effective leaders in high-pressure environments, often managing teams and making critical decisions. These leadership skills can easily translate into government roles, where decisive and compassionate leadership is key. Nurses are also driven by a passion for improving the lives of others, and running for office offers them an opportunity to influence political decision-making on important issues like healthcare, education, and social justice. By running for office, they can ensure that the needs and concerns of the healthcare community are addressed, providing a vital and informed perspective in the political arena. Ultimately, nurses can make a significant difference by using their expertise and values to advocate for policies that benefit both their profession and society at large.

    **Nurses Who Have Become Elected Officials:**

    Nurses often bring a unique perspective to politics due to their hands-on experience with healthcare, community well-being, and the challenges faced by both patients and healthcare professionals. Congresswoman Jen Kiggans is an example of a nurse who has successfully entered the political arena (Kiggans, n.d.). She is a Veteran Navy Helicopter pilot, who served 2 tours in the Persian Gulf. After retirement, Congresswoman Kiggans returned to school to become a Geriatric Nurse Practitioner (Kiggans, n.d.).

    In conclusion, running for office requires significant resources, dedication, and expertise. Nurses who run for office can offer invaluable insights, advocate for improved healthcare policies, and represent their communities in ways that directly align with their values and expertise. This makes political involvement a meaningful and impactful way for nurses to extend their service to society beyond the clinic or hospital.

    ![](https://www.sweetstudy.com/questions/healthcare-policy-and-analysis-20879691)

    References:

    Kiggans, J. (n.d.).
    _Rep. Jennifer Kiggans – Representing Virginia’s 2nd District_. U.S. House of Representatives.
    [https://kiggans.house.gov/Links to an external site.](https://kiggans.house.gov/)

    Pitsker, K. (2019, November 26). How to run for local office.
    [_Kiplinger_](https://waldenu.instructure.com/courses/144126/discussion_topics/Kiplinger). https://www.kiplinger.com/article/business/t043-c000-s002-how-to-run-for-local-office.html

  • [Solved] clinical experience

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Describe your clinical experience for this week. – Did you face any challenges, any success? If so, what were they? – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales. – Mention the …

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    Assignment Prompt & Instructions

    Describe your clinical experience for this week.

    – Did you face any challenges, any success? If so, what were they?
    – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
    – Mention the health promotion intervention for this patient.
    – What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?
    – Support your plan of care with the current peer-reviewed research guideline.

    – [\
    \
    ScreenShot2025-01-29at5.03.47AM.png](https://www.sweetstudy.com/files/screenshot2025-01-29at5-03-47am-png "ScreenShot2025-01-29at5.03.47AM.png")
    – [\
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    – [\
    \
    ScreenShot2025-01-29at5.04.28AM.png](https://www.sweetstudy.com/files/screenshot2025-01-29at5-04-28am-png "ScreenShot2025-01-29at5.04.28AM.png")

    – 2 years ago

  • [Solved] womens health

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – Focusing on women's health: – Name and describe the components and rationale of the gynecological health history. – Define and describe each component of the GTPAL system used to document pregnancy history. – Following the guidelines of the United States Preventive Service Taskforce (USPSTF) what …

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    Assignment Prompt & Instructions

    – Focusing on women's health:
    – Name and describe the components and rationale of the gynecological health history.
    – Define and describe each component of the GTPAL system used to document pregnancy history.
    – Following the guidelines of the United States Preventive Service Taskforce (USPSTF) what screening recommendations would you do to G.R. a 66-year-old female patient who visits you at the office for the first time (last visit to her PCP 5 years ago) with only positive health history of hysterectomy 10 years ago due to fibroids.
    – A 35-year-old women with a BMI of 40 comes in asking about combined hormonal contraception’s. You explain the contraindications for hormonal contraception include (name more than 4 contraindications).

    – [\
    \
    ScreenShot2025-01-29at3.45.24AM.png](https://www.sweetstudy.com/files/screenshot2025-01-29at3-45-24am-png "ScreenShot2025-01-29at3.45.24AM.png")
    – [\
    \
    ScreenShot2025-01-29at3.47.08AM.png](https://www.sweetstudy.com/files/screenshot2025-01-29at3-47-08am-png "ScreenShot2025-01-29at3.47.08AM.png")
    – [\
    \
    ScreenShot2025-01-29at3.47.19AM.png](https://www.sweetstudy.com/files/screenshot2025-01-29at3-47-19am-png "ScreenShot2025-01-29at3.47.19AM.png")

    – 2 years ago

  • [Solved] SOAP note

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    The episodic SOAP note is to be written using the attached template below. For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym: **S** =Subjective data: Patient’s Chief Complaint (CC). **O** =Objective data: Including client behavior,…

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    Assignment Prompt & Instructions

    The episodic SOAP note is to be written using the attached template below.

    For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:

    **S** =Subjective data: Patient’s Chief Complaint (CC). **O** =Objective data: Including client behavior, physical assessment, vital signs, and meds. **A** =Assessment: Diagnosis of the patient's condition. Include differential diagnosis. **P** =Plan: Treatment, diagnostic testing, and follow up

    – [\
    \
    ScreenShot2025-01-29at3.37.01AM.png](https://www.sweetstudy.com/files/screenshot2025-01-29at3-37-01am-png "ScreenShot2025-01-29at3.37.01AM.png")
    – [\
    \
    SOAPNoteTemplate1.docx](https://www.sweetstudy.com/files/soapnotetemplate1-docx-10171715 "SOAPNoteTemplate1.docx")
    – [\
    \
    ScreenShot2025-01-29at3.37.57AM.png](https://www.sweetstudy.com/files/screenshot2025-01-29at3-37-57am-png "ScreenShot2025-01-29at3.37.57AM.png")
    – [\
    \
    THESOAPNoteRubric.docx](https://www.sweetstudy.com/files/thesoapnoterubric-docx-10171719 "THESOAPNoteRubric.docx")

    – 2 years ago

  • [Solved] clinical experience

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Describe your clinical experience for this week within the OB/GYN office. – Did you face any challenges, any success? If so, what were they? – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with r…

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    Assignment Prompt & Instructions

    Describe your clinical experience for this week within the OB/GYN office.

    – Did you face any challenges, any success? If so, what were they?
    – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
    – Mention the health promotion intervention for this patient.
    – What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?
    – Support your plan of care with the current peer-reviewed research guideline.

    **Submission Instructions:**

    – Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
    – in paragraph form, no bullet points.

    – 2 years ago

  • [Solved] Nursing Assignment

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    In-depth study guidance and analytical solution covering Nursing Assignment.

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Care Coordination

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    Effective care coordination in the healthcare continuum requires a constellation of roles, processes, and tools to address the needs of patients and caregivers presenting with a wide variety of needs. Please identify a specific role nurses may play in the efforts of care coordination and discuss a s…

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    Assignment Prompt & Instructions

    Effective care coordination in the healthcare continuum requires a constellation of roles, processes, and tools to address the needs of patients and caregivers presenting with a wide variety of needs. Please identify a specific role nurses may play in the efforts of care coordination and discuss a specific process that the nurse may develop or participate in to improve care coordination efforts.

    **EVERY** post/response MUST be supported with **TWO** references from recent Professional Journals (less than 5 years – 2010-2025) and a minimum of **250 words**

    – 2 years ago

  • [Solved] Health Policy

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    Executive Solution Overview

    – Critically evaluate the effects of health policy including financial implications upon global, national, state, and local health care delivery in the community (CO 3) – Provide one example from your current or past nursing practice and demonstrate how policy/finances impact the health of the commu…

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    Assignment Prompt & Instructions

    – Critically evaluate the effects of health policy including financial implications upon global, national, state, and local health care delivery in the community (CO 3)
    – Provide one example from your current or past nursing practice and demonstrate how policy/finances impact the health of the community served (CO 3)

    **Instructions:**

    – You must cite and reference the course materials in your initial discussion post.

    Required Textbook Readings

    – Stanhope & Lancaster Chapters 4. Marcia Stanhope authors this chapter. (MO 2.1, 2.2)
    – Stanhope & Lancaster Chapters 5. Whitney Rogers Bischoff authors this chapter. (MO 2.1, 2.2)

    – [\
    \
    publichealthbook.pdf](https://www.sweetstudy.com/files/publichealthbook-pdf-10171643 "publichealthbook.pdf")

    – 2 years ago