The Trident Session Long Project (SLP) is not a term paper due at the end of the course. Rather, the SLP acts as a vehicle to give the topics of each module a personal, concrete expression. These modular SLP assignments are due at the end of each module.
Throughout this term you will be looking at how the United States affects the situation in the region discussed in each module.
So, to begin:
Review the background material. Please answer the following questions in two or three pages and submit by the end of this module.
How was the United States affected by the changes in Eastern Europe that led to the reunification of Germany?
Does a reunified Germany present any particular advantages or challenges to the United States?
Did the United States play any role in the current Korean conflict?
Why would the United States be such an important player in the potential reunification of Korea?
SLP Assignment Expectations
The SLP assignments in POL 201 generally call for a detailed analysis of the involvement of US interests in the nation being studied. In addressing SLP questions, such an analysis requires some historical perspective and a balanced and thorough consideration of that involvement. Be sure to cite all resources and support your answers with references
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How was the United States affected by the changes in Eastern Europe that led to the reunification of Germany?
To improve health care outcomes within a community, leaders must understand the needs of specific populations. In addition, it is important that leaders are able to gather and present persuasive evidence to decision makers to obtain the necessary funding and establish these needs as priorities for budget and resource planning. Thus, proposed changes should support improved outcomes and align with the current or needed health care policy.
This assessment provides an opportunity to propose a community health care change that is based on the community health assessment you completed in Assessment 2.
Preparation
Your community health assessment was well received by the executives at Vila Health. Consequently, they have asked you to recommend a change in the community that will improve health outcomes. They have also asked you to submit your recommendation in a formal change proposal. You are confident that you can present a strong case for change, including a financial plan, that will ensure the success of this initiative.
In thiu can submit all or a portion of your draft change proposal to Smarthinking Tutoring for feedback before you submit the final version for this assessment. If you plan on using this free ses assessment, you will draft a change proposal to executive leaders to solicit support for a change to the current community health care system. To prepare for the assessment, you are encouraged to begin thinking about your justification for establishing the recommended change as a priority, a strategy for leading change, and how the change will be funded.
The following resource is required to complete the assessment.
Vila Health is a virtual environment that simulates a real-world health care system. In the various Vila Health scenarios, you will apply professional strategies, practice skills, and build competencies that you can apply to your coursework and in your career. The information you gather in this scenario will help you to complete the assessment.
If you have not already done so, complete the Vila Health: Planning for Change simulation.
Draft a change proposal to justify your recommendation for improving the health of the community and establish the change as a priority for the next budget cycle. Consider the feasibility of your proposed change, in terms of overall scope, funding, and timeframe.
The change proposal requirements outlined below, correspond to the grading criteria in the scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Planning for Community and Organizational Change document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence.
Identify the benefits of proposed health care system changes and its implications for a community.
Describe potential barriers to change in an organization or community.
Develop strategies for changing barriers into opportunities and resolving conflict.
Develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.
Develop a grant proposal and associated budget for a proposed change to an existing health care system.
Write clearly and concisely in a logically coherent and appropriate form and style.
Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
Document Format and Length
Use the Change Proposal Template. If you would like to use a different template or document format for your change proposal, obtain prior approval from faculty.
Your change proposal should be 3–5 pages in length, not including the title page and references page.
Be sure to apply correct APA formatting to all source citations and references.
Supporting Evidence
Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your change proposal.
Additional Requirements
Proofread your change proposal before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.
Portfolio Prompt: You may choose to save your change proposal to your ePortfolio.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Identify the challenges and opportunities facing health care.
Identify the benefits of proposed health care system changes and its implications for a community.
Competency 2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes.
Describe potential barriers to change in an organization or community.
Develop a grant proposal and associated budget for a proposed change to an existing health care system.
Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices.
Develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.
Develop strategies for changing barriers into opportunities and resolving conflict.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style consistent with applicable organizational, professional, and scholarly standards.
Write clearly and concisely in a logically coherent and appropriate form and style.
Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
JORDAN
Residential Area
Jordan Parent:
There aren’t words strong enough to express how frightened I am about this whole opioid thing. My kids are still young — 11 and 9 — but when do you start to worry? My sister-in-law has been put through the wringer dealing with her oldest. Rehab — court — jail. The kid’s only 25 and he’s got a record a mile long. He was a nice kid, too. That’s the thing. So, how do we keep our kids safe from this poison?”
Shopping Plaza
Property Manager:
We have a lot of vacant retail and commercial property in this town. It’s a shame, because I think there’s a lot of potential for many of these sites, but it’s hard for small business owners. You used to see, like a women’s clothing store or a little coffee shop, but those businesses have a hard time competing against the bigger chains. So, they go under and there’s a vacant property on either side of one that’s still hanging in there. That hurts the one’s that are still there. It would be great to get something into these properties, even if it isn’t necessarily a store or a restaurant.”
St. Francis Health Services
Urgent Care Nurse:
This isn’t political, but the situation with health insurance is getting worse, not better. I see so many people in the Urgent Care clinic with complaints that should have been addressed by a primary care giver — but the person doesn’t have a primary care giver. We’re seeing complications from undiagnosed or untreated diabetes. Hypertension. I’ve had two people in the last year who came in for general aches and pains and were in stage IV cancer. There’s no need for a lot of these problems to get so bad, but people can’t afford insurance and so they don’t see a doctor unless they’re sick.”
Veteran’s Park
Parks Department Representative:
Funding cuts have taken a toll on a lot of our after-school programs. That’s bad enough, but because there aren’t organized events, the parks are turning into the place where kids hang out after dark. Most mornings, particularly after a weekend, the parks are littered with beer cans and worse. We’ve gotten complaints from parents of young children that they go to the playground and there’s beer cans and booze bottles everywhere.”
Jordan City Hall
County Social Worker:
Something people don’t really ever address is how to deal with the day to day costs of chronic health conditions. I have people who are really living paycheck to paycheck and they don’t know how to pay for their prescriptions. Or there are people who have hypertension and take their meds, but they don’t have a primary care physician. There are so many things I could mention, but the short version is that there are a lot of people who need help in managing chronic conditions.”
Food Shelf
Food Shelf Manager:
The need for our services has been growing steadily ever since we moved into our current space. When we moved in here, we were serving less than 100 families a month. That was three years ago. Now, we’re seeing almost 200 families a month. Donations help, but we have a limited budget and we have to do our best to make sure our shelves stay stocked. So, yes. There is an over emphasis on carbs and processed foods. I wish there was a way to offer better quality protein and fresh fruits and vegetables. We got a donation of apples in one time from one of the orchards — they were seconds that didn’t look so nice, but were still good. You’d have thought they were gold. It broke my heart to see how excited people were over reject apples, but I figure there were a bunch of pies being baked that week.”
Center
City Council Member:
We’re seeing more poverty in Jordan and need to address that. I think as a community, we sometimes live in the past and for good reasons. Traditionally, we’ve been kind of a “Lake Wobegon” kind of place — everything and everyone was above average. When I first was elected to the city council, the population here was 94% white. Our last census put that at 89%. Now, don’t misunderstand me — I think diversity is good for this community. All I’m saying is that we need to be aware of the ways this community is changing and make sure we support the growth and change.”
Jordan City Sign
Bike Club President:
We have a very active membership, but recruitment has been difficult. The problem is that the bike trails we do have aren’t very long and they don’t connect to anything. A lot of our members who are avid bikers will use the roads to get places, but novice bikers want trails and ours are pretty random and short.”
Jordan Middle School
Middle School Teacher:
I worry about a lot of these kids. There’s a serious drive to get more mental health education and awareness into the schools, but it isn’t happening very quickly here. We’ve looked at ways we can bridge the gaps, but I don’t see much more than figurative band-aids. We had a situation in the high-school last year with a very popular student who committed suicide just before his graduation. Because this is a small community, a lot of the middle school kids knew him, so we brought in grief counsellors. I just think kids need to have a place where mental health issues are discussed. They think they’re the only one in the world struggling with certain issues, and it would help to know that’s not true. There’s also so much attention to bullying, but are we doing enough?”
Senior Living Center
Jordan Family Member of Senior Center Client:
I work at a restaurant and really depend on the adult day care here. The trouble is that Mom isn’t always in the frame of mind where she can do the adult day care. Right now, I can get my brother’s wife, Tessa, to stay with her when she’s having a bad day, but Tessa’s pregnant and won’t be able to do that once the baby comes. I don’t want to put Mom in a nursing home, but she can’t be alone, she can’t always come here, and the cost of a home health aide is more than I make some days.”
Jordan Community Education and Recreation Center
Recreation Center Manager:
I’ll be honest — the kids I am seeing are out of shape and often not well prepared for school. I don’t like to sound like an old fogey, but they spend so much time on their phones and other electronics. They aren’t riding their bikes, they aren’t playing baseball, they aren’t reading… It’s all Mariobox and Fortcrafter and it’s taking a toll on the overall health of these kids.”
ARMATAGE
Penn Avenue Family Dental
Dentist:
This is a very diverse community and there’s a wide range of issues when it comes to people’s dental health. This practice tries to do as much education as possible, but there are still a lot of people who don’t understand how dental health affects other aspects of health. I don’t know what we could do differently, but it would be nice to see more outreach into the community, particularly into some of the immigrant communities, such as the East African immigrants. They’ve come from a country going through decades of civil war and strife — dental care is often the last thing on their minds. It would be nice to help them understand how taking care of their teeth will have wide-ranging benefits.”
Residential Housing
Neighborhood Council Member:
This is a pretty working-class neighborhood. I mean, people are doing well, but there’s a mix of everyone here and that’s the way we like it. If you look at the business directory, you can see that we’ve got a good range of services and businesses in what is essentially a residential neighborhood. Admittedly, it would be nice to have some kind of clinic for everyday health concerns, but really, how many neighborhoods have something like that. We do have a local dentist, a chiropractor, and a massage studio. Oh, and a mental health clinic.”
Bus Stop
Urgent Care Nurse:
I live in this neighborhood and one of the things I wish we had was a clinic or urgent care facility. So often I hear about people having to take city busses to get to a health care provider. There’s nothing available for people who have a sick kid or have something going on themselves. We’re an urban neighborhood, so not everyone drives. That’s fine most of the time, but there are two situations where that can be a problem — when someone’s sick and when someone is trying to do grocery shopping for a family. That’s not easy to do when you depend on the busses.”
Pennhurst Cleaners
Developer:
Right now, the whole city is in transition. This neighborhood is a good example of the kinds of issues I’m seeing all over the city. The neighborhood is primarily residential and it’s an old, established neighborhood. You have some people who are trying to address housing affordability and others who are concerned that rental units will bring instability to the neighborhood. What people don’t realize is that change is already happening. They can’t stop change, but they can help direct it.”
ndy’s Barber Shop
Police Representative:
There’s no doubt that violence in this neighborhood has increased in the last several years. I wouldn’t say we have gangs per se, but we’re seeing an uptick in aggravated assaults and other violent crimes. Of course, a lot of that is domestic violence, which is a real shame. Some of these women have gone through so much in their lives — fleeing war and violence in their home country — and they’re still putting up with violence when they get here. Doesn’t seem right, does it?”
Red Wagon Pizza
Restaurant Owner:
You know, people say they want healthy choices, but I’ll tell you what — money talks. I tried to put some healthy options on the menu. What a disaster! The stuff didn’t move, when people ordered it, they complained that the portions were too small — the portions were based on meeting with a nutritionist, for gosh sake! Bottom line… it was a total failure. My customers want burgers, bacon, cheese, and fries. And I’ll tell you — you go to the hipster places in this neighborhood — they might be offering microgreens and Portobello mushroom burgers, but those aren’t the things that are keeping the place in the black — not by a long shot.”
Residential Housing
Resident:
Something that I don’t think anyone knows is that several of the homes in this neighborhood have lead paint and lead in the plumbing. I only learned about this when I was doing some research into the situation in Flint. Apparently, in the Minneapolis, service lines to residential properties installed prior to 1930 were usually made out of lead piping. And, if that isn’t unnerving enough, service lines are the responsibility of the property owners. Service lines that are made of lead can’t be repaired; they can only be replaced — which costs a fortune. But the main issue, in my opinion, is that most people have no idea if their home has these service lines and they have no idea whether or not their home drinking water has any lead in it at all. You’d think after the issues in Flint that we’d be talking about this, but apparently not.”
Armatage Elementary School
School Principal:
I know this is something a lot of communities are dealing with, but the vaccination situation is suddenly an issue. We’ve never had a problem before, but I’ve had several parents inquiring about vaccination exemptions. I share the information I have about vaccination requirements, but I think there’s something going on where anti-vaccination information is circulating in the community.”
Armatage Community Center
Community Garden Organizer:
This garden is doing so well. We had three applicants for every open space. It would be great, though, if we could expand what we’re doing. It isn’t just about the food, though that’s so important. We’re building community here, too. One of the things I love most about the garden is watching kids come to understand food in a more fundamental way. They start with the garden thinking it’s kind of fun, but the first time they have a meal that is made with food they saw growing is like a revelation for them. They suddenly get it. I don’t think we’re going to get more space, so it would be good to come up with some other ideas for how we can expand.”
Conclusion
You have completed the stakeholder interviews. You should now have a better sense of the health and social issues being faced by members of these communities.
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The Tax Cut and Jobs Act, 2017 The changes made by the Tax Cut and Jobs Act, 2017 to the tax provisions have changed tax rate for 2018 and people are getting a first-hand experience of what it means to them. Go over the Act and address the questions below:
What are the major changes made to the tax provisions by the Act?
What impact is it likely to have on our GDP and government’s budget?
How have the changes in taxes affected you personally?
Does everyone benefit from the changes in tax provisions or does it favor one group over others?
What changes do you agree and disagree with?
If you had the power to revise the Act, what changes would you make?
Many articles have been written analyzing the Tax Cut and Jobs Act, 2017. Infuse these expert opinions with your own.The final report should be submitted in APA format and should be close to 7 pages.
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Respond to the following in a minimum of 175 words:
Discuss how changes in the Federal Reserve’s monetary policy affect at least 1 of the 4 components of GDP (consumption, investment, government spending, net exports).
Have the Federal Reserve’s countercyclical monetary policies been effective in moderating business cycle swings? Justify your response.
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ASSIGNMENT 3: Written assessment Weighting: 35% Length and/or format: 1200-word written essay Purpose: The essay allows you to demonstrate your integrated knowledge of the anatomical and physiological workings of the healthy human body. Instructions: Choose ONE of the three scenarios provided. Carefully read all materials provided for your chosen scenario. Use the Word template provided to complete your essay on your chosen scenario. You will need to research the topic beyond your lecture and workshop material. It is highly recommended that you start with the textbook. Include in text citations in your essay and a reference list at the end. How to submit: Submit online through the Turnitin link provided on LEO. For submission please name the file with your student number and scenario topic e.g. S00123456_JANE Important to note: You MUST write an essay and your answers MUST relate to the person in your chosen scenario. • This assessment involves addressing a series of topics in the form of an essay. The topics relate directly to the scenarios presented. • Your discussion must be specific for the person in your chosen scenario, marks will not be given where your essay does not relate to the person in the scenario. • The topics addressed in your chosen scenario must be integrated into an essay, which should include an appropriate introduction and conclusion. • You can present the information in the order that you feel flows best; you don’t have to present it in the order the topics are listed. • Your discussion of key points must be incorporated into sentences and paragraphs that include facts from your chosen scenario. If presented in question-answer style no marks will be given for quality of essay. The purpose of this assessment is for you to demonstrate your knowledge and understanding of NORMAL anatomy and physiology. • Do not become distracted describing pathophysiological changes • Do not simply list clinical signs and symptoms. • Ensure you adequately explain relevant underlying anatomy and physiology. Scenario: Pierre Pierre is a 50yo male who has made an appointment to see his GP for his biannual health check. He tells the doctor that he has been feeling “a bit puffed” walking around the course during his weekly game of golf. Pierre reports he has gained nine kilos since his 40th birthday, and his waist measurement has expanded. He laughs this off as “middle aged spread”, and says his wife tells him he needs to watch what he eats and drink less alcohol. He works as a journalist for a local paper, which he has been finding very stressful of late, and spends a lot of his time in the office sitting in front of a computer, snacking. Pierre has recently decided to give up smoking, and wonders if this has contributed to his weight gain. He regularly chews nicotine gum when he craves a cigarette. Physical examination: Urinalysis: All topics and their key points listed below need to be discussed in your essay Topic 1: Respiration (8 marks total) Pierre is late for work and the lift is broken; he must run up 6 flights of stairs to make it on time. Describe the changes in volume and pressure that will be occurring in Pierre’s chest cavity to achieve exhalation while running up the stairs. Explain why these changes are occurring, and the effect upon airflow. (5 marks) Describe the gas exchange occurring between air in Pierre’s blood and the skeletal muscles in his legs. Discuss how the rate of gas exchange was affected during the run up the stairs (i.e., during exercise). (3 marks) Topic 2: Renal (5 marks total) Evaluate Pierre’s urinalysis. Using your knowledge of normal kidney function and urine formation, explain any abnormal values, and the possible underlying mechanisms. (5 marks) Topic 3: Digestion/metabolism (10 marks total) After speaking to his doctor, Pierre has decided to try to lose weight. He has decided to cut out fat from his diet but has not changed his carbohydrate intake. Discuss the importance of maintaining adequate fat intake. (2 marks) Discuss the mechanical and chemical events required for Pierre to absorb the ingested carbohydrates. (4.5 marks) Pierre is having a TV dinner and enjoying his high carbohydrate/low fat meal. State the hormone that is most active in maintaining Pierre’s blood glucose levels at this time. Explain your answer. (3.5 marks) Topic 4: Pharmacology (7 marks total) Pierre indicated he has used nicotine gum to overcome his cigarette cravings. Discuss the route of administration, how the drug is likely to be absorbed after administration, and its likely bioavailability. Justify your response by discussing whether the drug would be subjected to hepatic first pass. (4 marks) Discuss the importance of the half-life of a drug. Assuming there is 100% absorption, and the half-life of nicotine is 2 hours, calculate the % amount of drug that is likely to be present in Pierre’s blood after 12 hours. (3 marks)
To prepare for this course’s Practicum Experience, reflect on implications of age-related changes in geriatric patients. Explain how you might differentiate between normal behaviors/disorders due to aging and abnormal behavior/disorders that are not age related. Include how functional assessments might help distinguish “normal” from “abnormal.” NB: I have attached some references that you can use. You are not obliged to use them but I would very much like for you to use them. Thank you. No of Pages 3 Language Style English (US) Reference Style APA
The older people have higher chances of becoming ill when they are compared to the younger people. In addition, most of the older people who are ill often suffer from more than one illness. Rosen & Reuben (2011) points other than the medical diseases, the older people suffer from a range of issues which influence their overall health. The authors identify the range of issues as including the psychological, cognitive, social, and functional issues. The development of an understanding of the age-related changes among the geriatric patients is critical in the assessment and treatment of the multiple comorbidities that are associated with the older patients.
How to Distinguish Between Normal Behaviors/Disorders Due To Aging and Abnormal Behavior/Disorders That Are Not Age Related As people grow older, they under changes in their bodies and their functional abilities. The understanding of the changes that occur in the body and the abilities of the people as they grow older, are critical in developing a distinction between the normal and the abnormal disorders/behaviors among the geriatrics patients. According to (Mattu, Grossman & Rosen, 2016) the clinical practice of geriatrics depends on distinguishing between the changes associated with normal ageing from those that are associated from d……………………………………………………………………………………………………
Please critically evaluate the current relevance of this quote from Michael E. Porter that was first published 2001 and widely regarded at the time as counter intuitive to widespread media reports of the dot.com boom of the time.
“Caught up in the general fervor, many have assumed that the Internet changes everything, rendering all the old rules about companies and competition obsolete. That may be a natural reaction, but it is a dangerous one.”
(Porter, 2001)
Prepare a spoken Powerpoint presentation that that is 15 minutes of duration.
The expected content of the presentation must include a spoken presentation with
Your clear argument about the current relevance of Porter’s views
Approximately 8 slides of content
The final slide must contain between 10 – 20 references to your sources of evidence and opinion that justify your argument
To record your spoken presentation in Powerpoint please complete the following steps
Type up your own slides (approximately 8)
Click on ‘Insert’
Click on ‘Audio’
Click on ‘Record Audio’
Click on RED circle to start recording
Click on ‘Insert’ to add your recording to the Powerpoint file
As an advanced practice nurse assisting physicians in the diagnosis and treatment of disorders, it is important to not only understand the impact of disorders on the body, but also the impact of drug treatments on the body. The relationships between drugs and the body can be described by pharmacokinetics and pharmacodynamics.
Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body.
Photo Credit: Getty Images/Ingram Publishing
When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.
For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.
To Prepare
Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
Think about a personalized plan of care based on these influencing factors and patient history in your case study.
By Day 3 of Week 1
Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples Pharmacology is the study of the interactions between drugs and the body. The two broad divisions of pharmacokinetics refers to the movement of drugs through the body, whereas pharmacodynamics refers to the body’s biological response to drugs. Pharmacokinetics describes the drug’s exposure by characterizing absorption, distribution, bioavailability, metabolism, and excretion as a function of time, while pharmacodynamics describes drug response in terms of biochemical or molecular interactions (Arcangelo et al., 2017). The focus of this discussion will be in the process of warfarin in term of pharmacokinetics and pharmacodynamics of it in the body. Ms. J.J. ‘s Health issue: I was in charge of Ms. J. care couple years ago, a 85 year old African American women who was diagnosed with dementia cerebral infarction due to unspecified occlusion of cerebral artery, arthropathy, major depressive disorder, atrial fibrillation with a history of long-term use of anticoagulants, contracture of muscle, constipation, hypertension and GERD. She is currently on coumadin for the atrial fibrillation and the blood levels are monitoring every week in order to control the drugs therapeutic levels and avoid any adverse reactions. Pharmacodynamics versus pharmacokinetics of this anticoagulant: Many statistics from the stroke prevention in atrial fibrillation (SPAF) trial suggest that safety of anticoagulant in the elderly can be maximized through a careful monitoring and maintenance of the INR which is between 2 and 3. Ms. J’s therapeutic window for warfarin 2 to 3 which is the normal range for coumadin therapeutic level. Her weekly dosage is adjusted to her current blood levels. Bleeding is the most related complication of anticoagulant. Amy INR that increasing to 3.4 or 4.0 from Ms. J will result in nose bleeding, decreasing the coumadin or stop it for one or two days will be the only option (Horton & Bushwick, 1999). Factors influencing Ms. J’s drugs therapy: Multiple factors may affect the absorption of her medication. For example, the presence or the absence of flood in the stomach, blood flow to the area for absorption, and the dosage form of the drug. In Ms. J’s case, the most critical factor. Influencing her absorption of coumadin is gastric motility due to the history of constipation that she has, while a routine laxative dose and stools softens are administered daily for bowel movement. Patient-centered care plan for management of constipation: A non-pharmacologic care plan management can be introduced for the constipation in order to reduce the frequency and the quantity of laxative and stool. Softens doses that Ms. J is getting and ultimately gain a net decrease in gastrointestinal absorption of coumadin. Increasing a dietary fiber in her menu, encourage fluid and prune juice can have a significant impact on her bowel movement (Portalatin & Winstead, 2012). Portalatin, M., Winstead, N. (2012). Medical Management of Constipation. Clinic in Colon and Rectal Surgery. Doi: 10.1055/s-0032-1301754. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3348737/ Horton, J. D., Bushwick, B. M. (1999). Warfarin Therapy: Evolving Strategies in Anticoagulation American Family Physician. 59(3):635-646. Retrieved from https://www.aafp.org/afp/1999/0201/p635.html Arcangelo, V. P., Peterson, A. M., Wilburg, V., Reinhold, J. A. (2017). Pharmacotherapeutics for Advanced Practice: A Practical Approach. (4th Ed.). Wolters Kluwer Lippincott Williams
In 2017, the City of Chicago made sweeping changes to its use of force policies following a scathing Justice Department report after the 2014 killing of Laquan McDonald. The report stated that the city routinely violated the constitutional rights of residents. After reading the article below, which is a required unit resource for this unit, and after taking into consideration the current issues being faced by Chicago law enforcement, do you think the policy changes are effective and are helping to protect the community and the Chicago law enforcement officers? Why, or why not?
create a PowerPoint 8 slides presentation for expectant fathers on what to expect during pregnancy and childbirth. For example, what changes can the father expect in his partner? What changes does the baby undergo during each trimester? Why are health and nutrition so important during pregnancy? What will the newborn look like? How can the father support the mother during pregnancy and childbirth, and why is social support important for both mother and baby?Assignment status: Solved by our Writing Team at EssayCabinet.comCLICK HERE TO ORDER THIS PAPER AT EssayCabinet.com
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