Discussion Post

Required Readings
McIntyre, M., & McDonald, C. (2019). Chapter 5: The Legacy of Colonization for the Health and Well-being of Indigenous People: Toward Reconciliation. Realities of Canadian nursing: Professional, practice, and power issues (5th ed.). Philadelphia: Lippincott Williams & Wilkins, pp. 64-82.
Truth and Reconciliation Commission of Canada. (2015). Honouring the truth, reconciling for the future: Summary of the final report of the truth and reconciliation commission of Canada.

Question
Using the determinants of health, examine the impact on the health on indigenous peoples and their communities?

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What are the benefits of constructing an abstract and a capstone poster with regard to dissemination of research findings?

Expectations

Initial Post:

Length: A minimum of 275 words, not including references
Citations: At least 2 high-level scholarly reference in APA from within the last 5 years

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Read the following case study and identify an ethical dilemma. Construct a conceptual map that would help resolve the ethical dilemma using the theories and decision-making models from the chapter, and upload it in the discussion board.

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Question
From your own experience, provide an example of your participation in a taken-for-granted, socially sanctioned norm regarding gender. In retrospect, how might you have acted to interrupt this particular social discourse around gender?

Post Instruction (Please see below, along with attached file)

Quality of Original Responses to Discussion Topics (250 words maximum double spaced)

Responses to discussion topics/questions should demonstrate insight and analysis. A high-quality response:
• Identifies the problems or issues and addresses them directly.
• Supports your position, hypothesis, or conclusion with cited sources.
• Applies relevant course concepts.
• Makes connections to relevant professional, personal, or other real-world experiences, when appropriate.
• Content that is well researched, insightful, or beneficial to the group and posted on time.
• Concise observations that present new ideas and move discussion forward.
• Narrative that encourages reflection.
• Student’s original postings/answers for discussion questions must, be evidence informed, and use at least two references to support discussion. A minimum of one course reading (including textbook and additional weekly readings) AND a minimum of one original external reference (excluding blogs or opinion pieces).

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TOPIC
PICOT: In obese children, aged 1-15 years, how can education provided to parent’s and children on diet and physical exercise be effective in reducing BMI over a one-year period of time, rather than no education? 

1)What are the benefits of evaluating the role of outcomes in practice change through research?
2)Discuss how you would evaluate the roles of outcomes through a change proposed from research findings.
Length: A minimum of 275 words, not including references
Citations: At least 2 high-level scholarly references in APA -7 from within the last 5 years

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PICOT: In obese children, aged 1-15 years, how can education provided to parent’s and children on diet and physical exercise be effective in reducing BMI over a one-year period of time, rather than no education? 

1) Discuss how your research inquiry relates to evidence-based practice.
2)What practice improvement outcomes do you expect your inquiry to accomplish?
3) How do you intend to evaluate your capstone project?

Length: A minimum of 275 words, not including references
Citations: At least two high-level scholarly reference in APA-7 from within the last 5 years

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Statement: In obese children, aged 1-15 years, how can education on diet and physical exercise be effective in reducing BMI over a one-year period of time, rather than no education? 

1) Discuss the community needs as it relates to the reason for your capstone research inquiry (In obese children, aged 1-15 years, how can education on diet and physical exercise be effective in reducing BMI over a one-year period of time, rather than no education?).
2) Why do you believe your research findings will address the identified needs that prompted your inquiry?

Expectations
• Length: A minimum of 275 words, not including references
• Citations: At least 2 high-level scholarly references in APA-7 from within the last 5 years

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1. Compare and contrast ECT and TMS. For this discussion, at a minimum, include how the therapy works, for which symptoms it is used, and advantages/disadvantages.
2. Discuss n-acetylcysteine. For this discussion, include the mechanism of action, for what it is used in psychiatry and an example of evidence for or against its use.

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Discussion Post 7:
What does it mean to rise and become a daring leader? How will you do this effectively within your own organizations?
How do you do away with the stormy first draft?
How will you avoid offloading emotions onto others?

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A 52 year old female presents to your free clinic. She states that she is currently homeless and usually sleeps in the park. She states it has a large lump on her shoulder and thinks she has a spider bite. You determine that it is a Furuncle. You also notice a couple of additional small open lesions. What else is going on here? How will you proceed with treatment?
Length: A minimum of 275 words, not including references
Citations: At least 2 high-level scholarly references in APA-7 from within the last 5 years

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Some of the patients may not have prescription coverage. Discuss some low-cost measures to help patients have access to medication. How can you or the staff determine Rx cost for the patient? Citation and reference required.

Expectations

Length: A minimum of 275 words, not including references
Citations: At least 2 high-level scholarly references in APA-7 from within the last 5 years

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A 61-year-old Black male with a history of hypertension presents to your clinic for complaints of headaches and blurred vision x 4 days. He denies any weakness, numbness, chest pain, shortness of breath, palpitations, or recent, illicit drug use. He states he has been compliant with his medications (hydrochlorothiazide and metoprolol), and he took his meds this morning.

His V/S include: B/P 190/100, P- 90, T- 98.9, R- 22. Recent labs show that Total Cholesterol- 260, LDL-190, HDL- 35, Trig- 320. He did not return for these results and did not start any new meds.

What are your TOP 3 diagnoses (INCLUDE RATIONALES) and plan of care for this patient? Remember to include your rationales.
Length: A minimum of 275 words, not including references
Citations: At least 3 high-level scholarly references in APA-7 from within the last 5 years

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A 68-year-old male presents to your clinic today. He complains of a cough for the last 2 months that will not go away. He also complains of frequent urination for the last 4 months. PHI only includes HTN diagnosed 5 years ago. He does not know his family history since he was adopted. He has smoked ½ pack cigarettes for the last 40 years.

What are your differentials and diagnoses? What will be your plan of care for your patient? Include any diagnostic tests and medications.

Length: A minimum of 275 words, not including references
Citations: At least 2 high-level scholarly references in APA-7 from within the last 5 years

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A 5 year old child and her mother present to your clinic. The mother reports that the child has had a cough and sounds “wheezy” for the last 2 days. She states that the child always gets like this when she is sick. She also reports that the child has been complaining that her right ear hurts. In addition, you notice dry scaly patches on the child’s elbows and behind her knees.

What are your differentials and diagnosis? What would you prescribe for each condition? Remember to include your rationales.

Length: A minimum of 275 words, not including references
Citations: At least 2 high-level scholarly reference in APA-7 from within the last 5 years

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What has your nursing experience been with people age 65 and older? What do you anticipate learning in the course regarding geriatric patients? Citation and reference are required.

Length: A minimum of 275 words, not including references
Citations: At least 2 high-level scholarly references in APA 7 from within the last 5 years

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Discuss the role of the NP when caring for patients with chronic illness.
Length: A minimum of 2575 words, not including references
Citations: At least 2 high-level scholarly reference in APA-7 from within the last 5 years

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This week’s content addresses common techniques and testing that can be prescribed by the Nurse Practitioner. Please Review ONE of the following videos and post for the class what you have learned this week after reviewing.

Watch one of the following video on EKG rhythms or Chest X-ray interpretation:

Skillstat

Here is another EKG interpretation website – it’s free but you need to register. https://www.teachingmedicine.com/Modules.aspx

This is a link for Chest xray interpretation – radiologyassistant.com and http://www.learningradiology.com/medstudents/medstudtoc.htm

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This week’s content addresses common techniques and testing that can be prescribed by the Nurse Practitioner. Please Review ONE of the following videos and post for the class what you have learned this week after reviewing.

Watch one of the following video on EKG rhythms or Chest X-ray interpretation:

Skillstat

Here is another EKG interpretation website – it’s free but you need to register. https://www.teachingmedicine.com/Modules.aspx

This is a link for Chest xray interpretation – radiologyassistant.com and http://www.learningradiology.com/medstudents/medstudtoc.htm

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This week’s content addresses common techniques and testing that can be prescribed by the Nurse Practitioner. Please Review ONE of the following videos and post for the class what you have learned this week after reviewing.

Watch one of the following video on EKG rhythms or Chest X-ray interpretation:

Skillstat

Here is another EKG interpretation website – it’s free but you need to register. https://www.teachingmedicine.com/Modules.aspx

This is a link for Chest xray interpretation – radiologyassistant.com and http://www.learningradiology.com/medstudents/medstudtoc.htm

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What are the main pathogens that cause pneumonia? How would the treatment for pneumonia in a 23-year-old otherwise healthy patient possibly differ from a 66-year-old diabetic COPD patient? Would you order the same antibiotics for both patients? How would you determine if your patient needs to be hospitalized for pneumonia?

Length: A minimum of 275 words, not including references
Citations: At least 2 high-level scholarly reference in APA from within the last 5 years

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A 72 year-old female patient is brought into the clinic by her daughter for her annual wellness exam. Her daughter reports that over the past year it seems that the patient’s memory and physical mobility have declined. The daughter requests that you test her mother for Alzheimer’s. Explain how you would assess this patient, state your top 3 differential diagnoses, and describe what your initial treatment plan would be.

Expectations
Length: A minimum of 275 words, not including references
Citations: At least 2 high-level scholarly references in APA from within the last 5 years

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Explain the difference between iron deficiency anemia, thalassemia, and anemia of chronic disease. Briefly describe the treatment for one of these conditions.
Length: A minimum of 275 words, not including references
Citations: At least 2 high-level scholarly references in APA 7 from within the last 5 years

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Explain the difference between iron deficiency anemia, thalassemia, and anemia of chronic disease. Briefly describe the treatment for one of these conditions.
Length: A minimum of 275 words, not including references
Citations: At least 2 high-level scholarly references in APA 7 from within the last 5 years

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Explain the difference between iron deficiency anemia, thalassemia, and anemia of chronic disease. Briefly describe the treatment for one of these conditions.
Length: A minimum of 275 words, not including references
Citations: At least 2 high-level scholarly references in APA 7 from within the last 5 years

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A 55 year-old male patient presents to your clinic for his initial visit requesting refills of his blood pressure and blood sugar medication. He states he has been out of his medications for about 3 months and can’t remember the name of either of them. He is also complaining of shortness of breath and chest discomfort over the past week that is gradually worsening. He mentions that he thinks the scale in the clinic may be wrong because he when he weighed himself last week he was 10 pounds lighter than he is today. VS: Temp- 98.6, HR – 112, Resp – 26, BP- 176/100, pulse ox 94%, â„… 4/10 chest pain. What other questions would you ask this patient? What are your top 3 differential diagnoses? What is your plan for this patient?
Length: A minimum of 275 words, not including references
Citations: At least 2 high-level scholarly reference in APA 7 from within the last 5 years

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Reflect on your experience with using telemedicine. (If you have not used telemedicine discuss the benefits and how it can improve patient outcomes.) How did telemedicine change the access of care to the patient being cared for?

Resources

Medicare Fact Sheet:

https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet

Telehealth Implications:

https://www.npjournal.org/article/S1555-4155(17)30808-5/pdf

Telehealth Billing:

https://drive.google.com/file/d/1lRkSkxSCls26hfGyBDIWZiO7NQE8crVx/view

Expectations

Length: A minimum of 275 words, not including references
Citations: At least 2 high-level scholarly reference in APA from within the last 5 years

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A 17 year-old sexually active female presents to your clinic and reports that she is interested in starting birth control. Briefly discuss at least THREE birth control options and be sure to mention the pros/cons/indications/contraindications for each method.

Length: A minimum of 275 words, not including references
Citations: At least 2 high-level scholarly reference in APA 7from within the last 5 years
PLEASE SUBMIT BY 6PM CT

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Locate the three 
The
 
Commonwealth Fund
 links found in Modules/Week 6. (Telemedicine Falls Short, Benefits of Telehealth During a Pandemic, and Telehealth Services)

· Scroll down and chose one topic from the 
Topics
 section. The 
Tools and Data Resources
 provide the data analyses.

· Explain how the advanced practice nurse can use this data to develop an educational program to reduce health risks.

Links needed for assignment:

https://www.commonwealthfund.org/blog/2020/where-telemedicine-falls-short

https://www.commonwealthfund.org/blog/2020/benefits-telehealth-during-pandemic-and-beyond

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/TelehealthSrvcsfctsht.pdf

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