Best Writer

A 25-year-old presented to the labor and delivery unit with complaints of uterine cramping and lower back pain. The client denied any vaginal bleeding and had a history of preterm birth at 32 weeks (about 7 and a half months) gestation with her last pregnancy. The baby from that pregnancy is three years old has no developmental issues. The client’s gestational age is 30 weeks (about 7 months). She is O+, and all other lab values are normal. No evidence of sexually transmitted infections (STI’s).
(Group Beta Strep is missing from the labs and most often is obtained at 35 – 37 weeks (about 8 and a half months) gestation. Without this information, it is often determined to treat the patient anyway, to protect a premature baby from the risk.)
What additional information should the nurse obtain from the client?
What nursing intervention is most appropriate in this situation?
What screening tests should be obtained to determine the risk for preterm labor?
If the client is in preterm labor, what medications would the nurse expect to be ordered, and what are the priorities for the nurse to assess post-administration? (Include dose, side effects and expected outcomes of the medication).

Total Points Possible: 200
Requirements:
The National Committee for Quality Assurance (NCQA) was formed to ensure quality of patient care and measurement of patient outcomes with set standards.
Healthcare Effectiveness Data and Information Set (HEDIS) is a performance measurement tool used by millions of health insurance plans. There are 6 domains of care:
Effectiveness of Care.
Access/Availability of Care.
Experience of Care.
Utilization and Risk Adjusted Utilization.
Health Plan Descriptive Information.
Measures Collected Using Electronic Clinical Data Systems
You may access the 6 domains of care by clicking this link:
(NCQA, n.d. https://www.ncqa.org/hedis/
(Links to an external site.)
)
As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients and has a method of measuring quality of care.
Write a formal paper in APA format with title page, introduction, the three required elements below, conclusion and reference page.
You are now employed as an NP in primary care. Choose one performance measure from one of the six domains of care, i.e. Adult BMI Assessment, Prenatal and Postpartum care, etc.
Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.
How would these primary care interventions result in improved patient outcomes and health care cost savings?
How can these interventions result in improved NP patient ratings?

Paragraph 1: (Evaluate) Would you consider the bleeding to be severe? Why?
Paragraph 2: (Analyze) How would you manage the bleeding? What possible steps / actions could you take?
Paragraph 3: (Apply) If you fail to control the bleeding, what steps would you take next?
Paragraph 4: (Create) What signs or symptoms would heigten your suspicion that the victim was going into shock? What would you do then?

Sarah Grimke, along with her younger sister, Angelina Grimke Weld, became important advocates for women’s rights and anti-slavery. They had earlier “shocked their prominent South Carolina slaveholding family by publicly aligning themselves with Garrisonian abolitionism.” Both women moved to Philadelphia and joined the Society of Friends (Quakers) because of their long-held anti-slavery ideals. As one scholar noted, “Because they lectured in public to ‘promiscous’ audiences of men and women, they…placed themselves beyond the boundaries defining women’s decent behavior in nineteenth-century America.”
Sarah Grimke’s “Letters on the Equality of the Sexes” includes her feminist arguments, which grew out of her lifelong study of theology.
Please read the attached document.
Answer the following prompt in at least a 100-word response and respond to 2 other posts with at least a 25-word response. Each post should be substantive in nature, interacting with the reading when applicable, and paying attention to grammar and spelling. Do NOT “Google.”
Questions to consider: (You don’t have to answer them all.)
Reflect on the attitudes expresed by Sarah Grimke in her “Letters on the Equality of teh Sexes, and the Condition of Women.” What social values and class distinctions does she suggest are affecting women’s subordinate status in 19th-century America? Stated differently, what groups of women does Grimke address and what is her message to each?
Based on your understanding of her ideas, if Grimke created her own utopian society, what would it be like?
How does Grimke connect her support of anti-slavery to her feminist ideals?
Does Grimke challenge Catherine Beecher’s position on women and their roles in society? Does she support Beecher’s position? Discuss…

Competency 1: Analyze health care laws and regulations from a local, state, and federal level.
Classify laws that relate to health care fraud and abuse.
Competency 4: Explain how governing body and regulatory agency standards exercise oversight authority within a health care organizational setting.
Summarize an actual case within the health care industry in which one of the laws was violated.
Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with the expectations for health care professionals.
Generate an APA formatted paper using the “Reflective Journal” template to write your response.

Write a review Curtis boles (2017)’s article and share three key takeaways that you found most helpful in working with clients of African descent.

Assignment: The Proper Use of Discretion in the Criminal Justice System

Define and discuss discretion in our criminal justice system
Address the use of discretion by police officers, prosecutors, and judges
Provide examples of when discretion is available to members of all three of these groups

(1) Define the sanction function, and identify the ways an organization establishes
and maintains the terms of the employment relationship between employee and employer. (2) Explain some rights public employees have that employees in the private sector may not have. (3) Do you think either public or private sector employees should have more or fewer rights? Be specific.

Lesson 8
Activities may be modified by instructor depending on needs of students. However, projects are consistent across all classes. Online students will find details for activities in Important documents.
Activity 1: Case: Mr. Khan
Work through the case with your team. (Cases are found in the Important Documents site)
Discuss:
What is Mr. Khan’s situation?
What effect could his age and condition have on your recommendations about care options?
What role does the patient’s wishes play in recommendations?
What is the importance of alternatives such as telehealth for allowing Mr. Khan to maintain a health lifestyle outside? To remain out of the hospital?
Where does Mr. Khan fall in the care continuum model?
What are all the options for helping Mr. Khan?
Activity 2: Complete your model.
Activity 3: Teamwork on project
Project Assignment:
Using the Red Tool Kit (from the Important Documents) analyze more thoroughly Mr. Khan’s case. Begin with Step 2. Work through the parts in this step to determine how to work through the concerns and support making the decision of best placement and support needs. Use the Red Tool Kit pages 23 – 46 as your guide. However, you will need to do further research to understand his issues surrounding his chronic condition. Determine a plan for Mr. Khan that will allow him to keep active and yet receive the assistance he needs to remain out of the hospital. Consider and discuss the Medicare Readmission Reduction Program and the affect on Mr. Khan. How can telehealth and wearable technology help?
Compete a Cover sheet, Diagnosis sheet, Contact Sheet, Discharge Prep Sheet, Medication Schedule, Appointment Sheet, Patient Activation Page, Calendar.

Discuss about a virtual tour of 3 museums, the louver, the British, and the Smithsonian.