What are the implications of TB for critical care and advanced practice nurses?

This assignment needs to be 4-5 pages excluding title and references

 Follow APA writing and upload as a Microsoft Word Document

·

The purpose of the case study is to have you expand on the pathophysiological disease process by searching for evidence-based practice treatment and advanced practice nursing role implications related to the disease.

Read the case here.

Review the patient’s TB questionnaire. (Page 1) (Page 2)   

Conduct an evidence-based literature search to identify the most recent standards of care/treatment modalities from peer-reviewed articles and professional association guidelines ( www.guideline.gov

Links to an external site. ). These articles and guidelines can be referenced, but not directly copied into the clinical case presentation. Cite a minimum of three resources.

Answer the following questions:

1. What is the transmission and pathophysiology of TB?

2. What are the clinical manifestations?

3. After considering this scenario, what are the primary identified medical concerns for this patient?

4. What are the primary psychosocial concerns?

5. What are the implications of the treatment regimen, as far as likelihood of compliance and outcomes? Search the Internet to research rates of patient compliance in treatment of TB, as well as drug resistant TB.

6. Identify the role of the community clinic in assisting patients, particularly undocumented patients, in covering the cost of TB treatment. What resources exist for TB treatment in community health centers around the United States? Compare the cost for treatment between, subsidized as it would be for a community health center, and unsubsidized.

7. What are the implications of TB for critical care and advanced practice nurses?

The use of medical terminology and appropriate graduate-level writing is expected. 

Your paper should be 4–5 pages (excluding cover page and reference page).

Your resources must include research articles as well as reference to non-research evidence-based guidelines. 

Use Current APA Style to format your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. You will need to include a reference page listing those sources. Cite a minimum of three resources.

Should there be a minimum federal tax rate that all taxpayers should be required to pay?

Currently, close to half of all taxpayers enjoy an effective federal tax rate of 0%. In contrast, the top one percent of taxpayers contribute more federal income tax revenues than the bottom ninety percent of taxpayers combined. Should there be a minimum federal tax rate that all taxpayers should be required to pay? If so, how do you think that it should be calculated for different income levels?

In 2011, Barack Obama proposed the “Buffett Rule” tax plan (which was never implemented) which would have required that people making over one million dollars to pay no less than 30 percent of their income in taxes. Discuss this proposal in your analysis of minimum federal tax rates. 

Should the U.S. government bail out fiscally stressed corporations?

Should the U.S. government bail out fiscally stressed corporations? Why, or why not? 

explain the communication strategies you will use to involve the internal and external stakeholders of the healthcare organization that will be impacted by the service you are proposing for the hospital.

Overview: For this milestone, due in Module Seven, you will defend the specific marketing and communication strategies you have come up with to support the service you are proposing for Bellevue Hospital. In addition, you will explain the communication strategies you will use to involve the internal and external stakeholders of the healthcare organization that will be impacted by the service you are proposing for the hospital. 

develop a 1- to 2-page paper in which you explain the choices you would make to present the same policy message to your police officers.

part 1, you will create a 2 minute video presentation in which you convey a policy message to the community. Just write the outline for me to read. Save this as PART 1 please

In part 2,  develop a 1- to 2-page paper in which you explain the choices you would make to present the same policy message to your police officers. You will explain the differences between these audiences and how you will help each of them understand your policy. Save this as PART 2 please

Explain how your example reflects the definition.

Find the forces that the walls A and B exert on the beam when the person is standing at a point 1.6 m to the right of B.

A 20.0-m-long uniform beam weighing 550 N rests on walls A and B,Find the forces that the walls A and B exert on the beam when the person is standing at a point 1.6 m to the right of B.

Express your answers using two significant figures separated by a comma.

Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

To Prepare:

· Review the case study assigned by your Instructor for this Assignment

· Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.

· Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.

· Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

Write a 1-page paper that addresses the following:

· Explain your diagnosis for the patient, including your rationale for the diagnosis.

· Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

· Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

Case Study: 

DC is a 46-year-old female who presents with a 24-hour history of RUQ pain.  She states the pain started about 1 hour after a large dinner she had with her family.  She has had nausea and on instance of vomiting before presentation.

PMH:                 Vitals: 

HTN                                                                Temp:              98.8oF

Type II DM                                                     Wt:                  202 lbs

Gout                                                                Ht:                   5’8”

DVT – Caused by oral BCPs                          BP:                  136/82

                                                                        HR:                 82 bpm

Current Medications:     Notable Labs:

Lisinopril 10 mg daily                                   WBC:                          13,000/mm3

HCTZ 25 mg daily                                        Total bilirubin:           0.8 mg/dL

Allopurinol 100 mg daily                               Direct bilirubin:          0.6 mg/dL

Multivitamin daily                                          Alk Phos:                    100 U/L

                                                                     AST:                           45 U/L

                                                                      ALT:                           30 U/L

Allergies:

· Latex

· Codeine

· Amoxicillin

PE:

· Eyes: EOMI

· HENT: Normal

· GI:bNondistended, minimal tenderness

· Skin:bWarm and dry

· Neuro: Alert and Oriented

· Psych:bAppropriate mood

APA Format

min 2-3 resources 

What are the requirements for nurse practitioners in your state?

Responsibilities of a Nurse

Discuss the following with regard to the role and responsibilities of a nurse in a community:

• How are the roles of the BSN and the advanced practice nurse in community health different?
• How are nurse practitioners utilized in your community?
• Do they increase access to health care or work for physicians?
• What are the requirements for nurse practitioners in your state?
• What privileges do they have that general nurses do not have?
• Justify your responses using resources.

Explain the interrelationships between the providers and payers in audits and monitoring fraud across the health care delivery system.

Write a three- to four-page paper in APA format that addresses the following topics in a cohesive manner:

· How you will develop a coding audit plan (frequency and percentage of charts)? 

· How you will use the OIG work plan and other resources available to prepare and update your audit plan? 

· What policies and procedures will be needed to monitor abuse or fraudulent trends and how those relate to your audit plan? 

· Explain the interrelationships between the providers and payers in audits and monitoring fraud across the health care delivery system.