Category: Assignment

Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare

Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes. In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment. To Prepare: Reflect on the Resources related to digital information tools and technologies. Consider your healthcare organization’s use of healthcare technologies to manage and distribute information. Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery. By Day 3 of Week 6 Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples. Expert Answer and Explanation Trends in Informatics Technology The healthcare technology is revolutionizing the delivery of health services by providing providers with the necessary tools that support the delivery of care. With the emerging trends in use of informatics technology, patients are benefitting from access to optimal care. General Healthcare Technology Trends The evolution of the healthcare technology is seen in various trends including the use of the mobile health apps, and telhealth technology to optimize care access and delivery. The technologies powered by the Internet of Things (IoTs) like wearable devices are easing and enhancing the delivery of preventive care by providing real-time data that inform clinical intervention decisions. Providers are equally leveraging the Electronic Health Records (EHRs) to capture and access patients’ data, and share this data with other members of the interprofessional team (Zhang & Saltman, 2022). Out of the trends I have observed, telhealth and EHRs are the predominant technologies in my healthcare organization. As a tool, the EHR system allows providers to store and retrieve patients’ data, and share it with colleagues. Conversely, the telhealth system, which may involve the use of virtual communication platform, facilitates provider-patient interaction, allowing patients to remotely access health services. The Concerns or Challenges tied to the Technologies Associated with the Trends While the use of the identified technological trends translates to the improvement in decision-making outcomes in clinical settings, they present serious concerns. The adoption and usability of the EHRs and telhealth is particularly a challenge in organizations because some users resist their use based on factors like lack of usage skills, and challenging interfaces. If users experience difficulty when attempting to use the technologies, they may resist its adoption and use in the healthcare setting. Some organizations grapple with cumbersome legislative compliance requirements which require that they adhere to the existing policies related to access control. For instance, the HIPAA policy requires organizations to adopt stringent security measures to safeguard patients’ health data (Wiley et al., 2022). Even with the implementation of the data safety policies, the risk of data breach is still high considering that hackers can take advantage of security vulnerabilities to hack into the organization’s IT infrastructure. Benefit and Risk Associated with Data Safety, Legislation and Patient Care Data safety and legislation in the context of patient care translate to the improvement in patient care outcomes. The use of the telehealth and EHRs in particular, improves coordination of care through real-time access to data, optimizing the clinical intervention outcomes. Telhealth supports the implementation of the post-discharge interventions, allowing providers to monitor patients, and to educate patients during their healing journey. A data breach incident in which data is altered can jeopardize the patient’s safety by causing poor health outcomes (Lim & Adler-Milstein, 2022). The Most Promising Healthcare Technology Trends The use of the telhealth is the most promising trend in terms of the utilization of the healthcare technologies to optimize health outcomes (Apathy et al., 2024). This trend will be instrumental in helping providers to reach an extended number of individuals in underserved communities. It will particularly reduce the burden associated with travelling to the healthcare facility. The Possibility of the Promise Contributing to Improvement in Patient Care Outcomes With the adoption of the telhealth, providers will be able to identify potential health issues and avert these issues before they turn into major complications. As providers turn to providing health services virtually, they will have more time to care for patents, resulting to better utilization of resources. Telhealth combined with EHR system will automate data collection, ensuring that providers have access to records of each patient. Conclusion In conclusion, the EHRs and telhealth are some of the technologies that providers are utilizing to provide patients with high-end care. Despite the privacy and safety concerns, these technologies are contributing to enhancing decision-making. References Apathy, N. C., Zabala, G., Gomes, K., Spaar, P., Krevat, S. A., & Ratwani, R. M. (2024). Telemedicine and In-Person Visit Modality Mix and Electronic Health Record Use in Primary Care. JAMA network open, 7(4), e248060. https://doi.org/10.1001/jamanetworkopen.2024.8060. Lim, J., & Adler-Milstein, J. (2022). 531 Telehealth, associated changes in EHR use patterns, and implications for physician burnout in the ambulatory care setting. Journal

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation: Discussion: Alterations in Cellular Processes At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells from functioning normally. Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis and treatment of many diseases. For the Advanced Practice Registered Nurse (APRN), this understanding can also help educate patients and guide them through their treatment plans. For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts. To prepare: By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. Scenario: An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition By Day 3 of Week 1 Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation: The role genetics plays in the disease. Why the patient is presenting with the specific symptoms described. The physiologic response to the stimulus presented in the scenario and why you think this response occurred. The cells that are involved in this process. How another characteristic (e.g., gender, genetics) would change your response. Expert Answer and Explanation Protein Malnutrition Disease and Physiological Response Role of Genetics An individual may develop protein malnutrition because of a wide spectrum of factors including their gene structure. Genetics particularly can cause one to develop the disease considering that it influences people’s preferences for certain types of food. This means that depending on one’s genetic composition, one may not like certain foods, and this may cause a scenario in which they only take food rich in non-protein nutrients (McCance & Huether, 2019). This may ultimately cause the deficiency of these nutrients. Reason for the Symptoms Based on the case study, the patient has a generalized edema, and there is a possible explanation for this. The albumen protein performs the role of holding salts as well as water. This protein can be found in the blood vessels, and when it is available in short supply, the fluid leak into tissues. Accordingly, this causes one’s abdomen to swell (Coulthard, 2015). The swelling of the extremities can also result from the leakage (McCance & Huether, 2019). Considering the problem with the patient’s dentures, this could be a possible reason for his ill health. Physiological response The patient responds physiologically to the stimuli. Due to the decline in the blood’s protein, it becomes difficult for the absorption of the salts and water to occur. In response to this, the patient experiences loss of energy and loss of muscle mass. It is due to the decline in the level of this protein that the patient’s muscle mass reduce (Semba, 2016). Cells for the Physiological Response The endothelial cells are responsible for the physiological response which occur in the patient. These cells are important when it comes to the absorption of salts and water. Their role in the regulation of these substances explains why they are important in this response. Other Factors Age is a key element that can raise one’s risk of developing the illness. References Coulthard M. G. (2015). Oedema in kwashiorkor is caused by hypoalbuminaemia. Paediatrics and international child health, 35(2), 83–89. Doi:https://doi.org/10.1179/2046905514Y.0000000154. McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier. Semba R. D. (2016). The Rise and Fall of Protein Malnutrition in Global Health. Annals of nutrition & metabolism, 69(2), 79–88.Doi: https://doi.org/10.1159/000449175. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level  assignment writers.Use Coupon Code: NEW30 to Get 30% OFF Your First Order Cystic Fibrosis: Understanding the Genetic Disease That Affects Cellular Processes Cystic fibrosis (CF) is a life-threatening genetic disorder that affects approximately 30,000 people in the United States and 70,000 worldwide. This hereditary condition primarily impacts the respiratory and digestive systems, causing thick, sticky mucus to build up in the lungs and obstruct the pancreas. Understanding the pathophysiology of cystic fibrosis, including its genetic basis and cellular mechanisms, is crucial for patients, families, and healthcare professionals involved in CF care. What is Cystic Fibrosis? Cystic fibrosis is an autosomal recessive genetic disorder caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene. The CFTR protein functions as a chloride channel that regulates the movement of salt and water in and out of cells. When this protein is defective or absent, it leads to the production of abnormally thick, sticky secretions that can clog airways and trap bacteria, leading to infections and inflammation. Key Characteristics of Cystic Fibrosis: Genetic basis: Autosomal recessive inheritance Primary affected systems: Respiratory, digestive, and reproductive systems Life expectancy: Currently around 44 years with proper treatment Prevalence: 1 in 2,500 to 3,500 newborns The Role of Genetics in Cystic Fibrosis CFTR Gene Mutations The CFTR gene, located on chromosome 7, contains instructions for making the CFTR protein. More than 2,000 different mutations in the CFTR gene have been identified, though not all cause disease. These mutations are classified into six classes based on their effect on protein function: Mutation Class Effect on CFTR Protein Example Severity Class I No functional protein produced G542X, W1282X Severe Class II Protein misfolded, degraded ΔF508 (most common) Severe Class III Defective regulation G551D Severe Class IV Reduced conductance R117H Mild to moderate Class V Reduced protein levels A455E Mild Class VI Decreased stability c.120del23 Variable Inheritance

In a 4-to 5-page paper synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

In a 4-to 5-page paper synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography In a 4-to 5-page paper synthesize the peer-reviewed research you reviewed. Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies. Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking. In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings. To Prepare: Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery. Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.” Identify and select 4 peer-reviewed research articles from your research. For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies The Assignment: (4-5 pages not including the title and reference page) In a 4- to 5-page paper synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following: Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format. Include an introduction explaining the purpose of the paper. Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples. In your conclusion, synthesize the findings from the 4 peer-reviewed research articles. Use APA format and include a title page. Use the Safe Assign Drafts to check your match percentage before submitting your work. Expert Answer and Explanation Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies Among the most recent but significant changes in healthcare and nursing is the introduction of technology-aided clinical systems. Starting from electronic health records to the use of artificial intelligence systems in delivering healthcare, these technology systems have helped to increase efficiency in healthcare organizations. Clinicians can also deliver healthcare with much ease, and it also becomes easy to reach the desired patient compliance levels. Healthcare technologies are also coupled with different challenges which upon addressing would help to achieve even better outcomes. This essay analyses different scholarly articles that explain the use of clinical systems in the improvement of efficiency in the care continuum and the windows of improvement of the available technologies. Annotated Bibliography Kruse, C. S., & Beane, A. (2018). Health Information Technology Continues To Show Positive Effect On Medical Outcomes: Systematic Review. Journal of medical Internet research, 20(2), e41. http://preprints.jmir.org/preprint/8793 The article explains about the positive effects that health information technology has on the medical outcomes. The authors explain about the origin of health information technology, where it was introduced in the 60s, and its implementation became evident in the 1990s. The article is qualitative and is conducted with a primary aim of analyzing the current literature about the implication of the HIT resources on the medical outcomes. The authors conducted a search in various databases with the main ones being MEDLINE and CINAHL, where the most recent peer-reviewed publications were assessed. According to the findings of the article, over 81% of the sources suggested that there is at least one medical outcome that is as a direct result of adoption of HIT in healthcare. The article is therefore a source that shows some of the positive effects that HIT is associated with in the healthcare outcomes. Hodgson, T., Magrabi, F., & Coiera, E. (2018). Evaluating the Efficiency and Safety of Speech Recognition within a Commercial Electronic Health Record System: A Replication Study. Applied clinical informatics, 9(2), 326. Doi: 10.1055/s-0038-1649509 This article entails the analysis of a critical aspect in an electronic health record system, which is a speech recognition system. The authors conduct a study with the aim of validating different risks and inefficiencies that are encountered when using speech recognition technologies in electronic health record system. The study analyses thirty five ED clinicians using the experimental design, examining the various technical issues that could lead to poor performance of the speech recognition systems. The results of the study show that speech recognition is a technology that leads to increased errors as well as reduced time deficiencies. The study suggests that much as the new technology of speech recognition software may have a smart model of implementation, it poses various challenges to performance, which call for integration of even better technologies in the collection of information using electronic health records. Gidwani, R., Nguyen, C., Kofoed, A., Carragee, C., Rydel, T., Nelligan, I., & Lin, S. (2017). Impact of Scribes on Physician Satisfaction, Patient Satisfaction, and Charting Efficiency: A Randomized Controlled Trial. The Annals of Family Medicine, 15(5), 427-433. https://doi.org/10.1370/afm.2122 The article explains the impacts of having scribes in healthcare, in terms of the charting efficiency, patient satisfaction, and physician satisfaction. Scribes are medical professionals who assist in the transcription of information during patient visits into the electronic health records in the presence of the supervision of physicians. One of the main reasons why clinical systems have become hard to implement is the workload they create for direct care physicians, and hence most healthcare facilities have implemented the position of scribes. The authors of the article conducted the study with the aim of understanding the effect that medical scribes have using a randomized control trial. In the control set up, the study involved tasks where physicians conducted their regular activities such as charting without the assistance of the scribes. The findings show that scribes are among the top

Analyze the fundamental influences that healthcare law has exerted on the social, political, and economic environment of the country

Analyze the fundamental influences that healthcare law has exerted on the social, political, and economic environment of the country. Expert Answer and Explanation Healthcare law has had significant influence on the social, political, and economic environment of the country. These influences have been evident in various ways, including the provision of access to healthcare, the regulation of healthcare practices and providers, and the establishment of policies and laws that govern the healthcare industry. One example of the social influence of healthcare law is the provision of access to healthcare for marginalized or underserved populations. For instance, the Affordable Care Act (ACA), also known as Obamacare, expanded Medicaid coverage to millions of low-income individuals and families who previously did not have access to healthcare (Gruber, 2012). This expansion has had a positive impact on the social well-being of these populations, as it has provided them with access to necessary medical care and has reduced financial barriers to healthcare. Another example of the social influence of healthcare law is the regulation of healthcare practices and providers to ensure the safety and quality of care for patients. For instance, the ACA established the Center for Medicare and Medicaid Innovation (CMMI) to test and evaluate innovative payment and service delivery models that aim to reduce costs and improve the quality of care (Centers for Medicare & Medicaid Services, 2020). This has had a positive impact on the social environment, as it has ensured that healthcare practices and providers are held accountable for the quality of care they provide to patients. In terms of political influence, healthcare law has played a significant role in shaping the political landscape of the country. One example of this is the ACA, which was a major political issue in the United States and sparked a heated debate among politicians and the public. The ACA ultimately passed into law in 2010 and has had a significant impact on the political landscape, as it has led to a restructuring of the healthcare system and has sparked ongoing debates about the role of the government in healthcare (Gruber, 2012). Another example of the political influence of healthcare law is the regulation of the healthcare industry by government agencies. For instance, the Food and Drug Administration (FDA) is responsible for regulating the safety and effectiveness of drugs, medical devices, and other products used in healthcare (U.S. Food and Drug Administration, n.d.). This regulatory role has significant political implications, as it affects the availability and cost of healthcare products and services, as well as the actions of healthcare providers. In terms of economic influence, healthcare law has had a significant impact on the healthcare industry and the economy as a whole. One example of this is the ACA, which has led to an increase in healthcare spending and has had an impact on the overall cost of healthcare in the United States (Gruber, 2012). The ACA has also had an impact on the healthcare industry, as it has led to changes in the way healthcare is financed and delivered, and has had an impact on the employment of healthcare workers (Gruber, 2012). Another example of the economic influence of healthcare law is the regulation of the healthcare industry by government agencies, such as the FDA. The FDA’s regulatory role affects the availability and cost of healthcare products and services, which can have economic implications for the healthcare industry and the economy as a whole (U.S. Food and Drug Administration, n.d.). In conclusion, healthcare law has had significant influence on the social, political, and economic environment of the country. This has been evident in various ways, including the provision of access to healthcare, the regulation of healthcare practices and providers, and the establishment of policies and laws that govern the healthcare industry. These influences have had both positive and negative impacts on the healthcare system and the overall well-being of the population. References Centers for Medicare & Medicaid Services. (2020). Center for Medicare and Medicaid Innovation. Retrieved from https Place your order now on the similar assignment and get fast, cheap and best quality work written from scratch by our expert level  assignment writers. The Fundamental Influences of Healthcare Law on America’s Social, Political, and Economic Environment: A Comprehensive Analysis Healthcare law has fundamentally reshaped the American landscape across social, political, and economic dimensions since the implementation of major reforms. This comprehensive analysis examines how healthcare legislation, particularly the Affordable Care Act (ACA), has exerted profound influences that continue to transform the nation’s social fabric, political discourse, and economic structure. Executive Summary Healthcare law has created a cascade of transformative effects across American society. The ACA alone has provided coverage to over 40 million Americans, contributed to economic growth through job creation, and fundamentally altered political dynamics around healthcare access. This analysis reveals that healthcare law’s influence extends far beyond medical care, reshaping employment patterns, social equity, and political priorities. The Social Transformation: Healthcare as a Social Justice Issue Coverage Expansion and Social Equity Healthcare law has dramatically expanded access to medical care, creating profound social implications. As of the end of open enrollment, 21.4 million people have selected an ACA marketplace plan for 2024, and 40 states and the District of Columbia have expanded Medicaid. This expansion has particularly benefited marginalized communities, reducing health disparities and improving social mobility. Key Social Impacts: Social Indicator Pre-ACA (2013) Post-ACA (2024) Change Uninsured Rate 16.0% 8.0% -50% Medical Bankruptcies 62.1% of all bankruptcies 36.2% of all bankruptcies -41.8% Preventive Care Access 45% of adults 78% of adults +73% Health Disparities Index 100 (baseline) 67 -33% Impact on Vulnerable Populations The social implications of healthcare law extend particularly to vulnerable populations. Nearly half (49%) of uninsured adults say they have difficulty affording health care costs, more than double the share of those with private insurance (21%). This disparity highlights how healthcare law serves as a social safety net, protecting the most economically vulnerable from devastating medical costs. Table: Social Impact on Vulnerable Groups Population Group Coverage Increase

The National Organization of Nurse Practitioner Faculties (NONPF) has determined core competencies that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF has represented them within nine broad areas of core competence.

The National Organization of Nurse Practitioner Faculties (NONPF) has determined core The National Organization of Nurse Practitioner Faculties (NONPF) has determined core competencies that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF has represented them within nine broad areas of core competence. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This synthesis course has had the overarching objective of preparing you to be able to synthesize knowledge gained throughout the program and be prepared to apply each of the nine core competencies within your selected areas of practice and your representative communities. The nine broad areas of competency are: Scientific Foundations Leadership Quality Practice Inquiry Technology and Information Literacy Policy Health Delivery System Ethics Independent Practice To Prepare: Review this week’s Learning Resources, focusing on the NONPF Core Competencies Content. The Assignment For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet it (for a total of at least nine paragraphs). Then, propose and explain how you plan to engage in social change in your community as a nurse practitioner. Be specific and provide examples. Expert Answer and Explanation National Organization of Nurse Practitioner Faculties (NONPF) Competencies The nursing practice is constantly changing to include new modes of practice and a wider scope of practice (Moore, & Hawkins-Walsh, 2020). Nurses make up the vast majority of staff in the healthcare sector and need to demonstrate certain competencies to better impact the positive outcomes in health. This paper analyzes how the program has prepared me to meet the nine NONPF core competencies. NONPF Competencies Scientific Foundations The scientific foundation competency addresses the need for the crucial analysis of data in the improvement of advanced nursing practice and proceeds to integrate the new knowledge into the overall practice of nursing (NONPF, 2020). The components also focus on the translation of research and the development of new practices. The program has been effective in training on best research techniques and how to obtain reliable information from data and derive new knowledge. The process is an important scientific process as it enables the formation of reliable and credible knowledge to be applied in practice. Leadership Competencies The competencies focus on the ability of nurses to be able to assume advanced and complex leadership positions (‌OSU, 2022). In this regard, nurses should be able to lead in a critical and reflective manner, advocate for better access, advance the practice setting and improve collaboration (NONPF, 2020). The program has been useful in creating awareness of the different leadership styles and character traits of an effective leader. During the course, I have been able to learn how to become a reliable and effective leader. The program also provided insights on issues related to teams and teamwork management, crisis management, and stress management within a team and the entire organization. The information is relevant in the development of an effective leader. Quality Competencies The healthcare sector is constantly changing, and with it, the modes ofc are delivery. One of the key components that need to change as well is the quality of care for the patients (NONPF, 2020). The quality competencies focus on how nurses can make use of available evidence to constantly provide better improvements in clinical practice (‌OSU, 2022). The program provided insights on the culture of safety and the use of different tools such as the Plan-Do-Study-Act, which offer guidelines on better change implementation. Nurses can make use of data from evidence-based practice to the teaching of implementing change to ensure the attainment of quality competencies. Practice Inquiry Competencies While the identification of new knowledge is important, it needs to be translated to meet the needs of the patient or specific practice (NONPF, 2020). The practice inquiry competencies ensure that a nurse in the leadership position has the capacity to translate new knowledge into practice. In this regard, the nurse would then be able to come up with knowledge based on the clinical research to better provide a better-quality model of care (‌OSU, 2022). However, in order to implement the practice inquiry competencies, a nurse needs to be able to know where the challenge or gap is before creating the desired changes. The program teaches how to identify practice problems and appraisal of evidence to determine the best available mode of intervention. Technology and Information Literacy Competencies The program advocated for nurses to be aware of new technologies, such as the use of nurse informatics to identify patterns and trends from evidence. The technology can be useful in the translation of beneficial information towards the delivery of better care. As a nurse, ensuring that proper strategies are used to integrate technology in healthcare can improve the effectiveness of care (‌OSU, 2022). Policy Competencies The program is essential in informing about the correlation between internal or external policies with the overall nursing practice. The program advocates for the nurses to understand the relevance of advocacy and be part of the leadership categories responsible for the creation of policies. The intervention is essential in providing better patient care and an effective working environment for the nurses (Kottwitz & Owens, 2021). Health Delivery System Competencies The program provided information on how nurses can apply the knowledge obtained from research and in school into practice. Information such as the organizational structure and decision-making strategies can be used as the basis of health delivery. The competency addresses the need to interpret, use and correlate data within the facility. Ethics Competencies As a nurse, it is important that the decisions made are ethical and lead to the best patient outcomes. The program provides a nurse with different ethical requirements for a nurse and how they can be applied in practice. Can then make use of the information related to ethics and apply the knowledge in determining best patient practice (Chan et al., 2020). Independent Practice Compliances With the increasing nursing roles, nurses need to be

For Week 2 you will examine how patient factors may influence pharmacokinetic and pharmacodynamic processes of pharmacotherapeutics used in the treatment of cardiovascular disorders

For Week 2 you will examine how patient factors may influence pharmacokinetic and pharmacodynamic processes of pharmacotherapeutics used in the treatment of cardiovascular disorders For Week 2 you will examine how patient factors may influence pharmacokinetic and pharmacodynamic processes of pharmacotherapeutics used in the treatment of cardiovascular disorders.  You also explore ways to improve drug therapy plans for cardiovascular disorders based on patient factors and overall health needs. When writing your Week 2 Assignment, consider the following scenario: Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following: Atenolol 12.5 mg daily Doxazosin 8 mg daily Hydralazine 10 mg qid Sertraline 25 mg daily Simvastatin 80 mg daily Week 2: Cardiovascular System Alterations of the cardiovascular system can cause serious adverse events and may lead to death when not treated in a timely and safe manner. Unfortunately, many patients with cardiovascular disorders are unaware until complications appear. In clinical settings, patients often present with symptoms of several cardiovascular disorders, making it essential for you, as the advanced practice nurse, to be able to recognize these symptoms and recommend appropriate drug treatment options. This week, you examine the impact of patient factors that may lead to changes in pharmacokinetic and pharmacodynamic processes on patient drug therapy for cardiovascular disorders. You also explore ways to improve drug therapy plans for cardiovascular disorders based on patient factors and overall health needs. Learning Objectives Students will: Analyze the influence of patient factors on pharmacokinetic and pharmacodynamic processes Analyze the impact of changes in pharmacokinetic and pharmacodynamic processes on patient drug therapies Evaluate drug therapy plans for cardiovascular disorders Assignment: Pharmacotherapy for Cardiovascular Disorders …heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease… —Murphy et al., 2018 Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today. As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors. Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm To Prepare Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece. Review the case study assigned by your Instructor for this Assignment. Select one the following factors: genetics, gender, ethnicity, age, or behavior factors. Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes. Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy. Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient. By Day 7 of Week 2 Write a 2- to 3-page paper that addresses the following: Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned. Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples. Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements. Pharmacotherapy for Cardiovascular Disorders – Sample Answer Cardiovascular disorders are among the chronic conditions that profoundly threaten human life. One of the most common cardiovascular conditions is hypertension. According to Arcangelo et al. (2017), about 70 million US citizens have hypertension. Other cardiovascular diseases affect more than 20% of the American population. The report shows that heart-related diseases are a threat to human life. The pharmacotherapy knowledge of cardiovascular conditions profoundly affects treatment therapies. Thus, nurses should have proper knowledge about factors affecting the pharmacokinetic and pharmacodynamic processes in their respective patients before prescribing the medication (Fongemie & Felix-Getzik, 2015). Therefore, this paper discusses the pharmacotherapy of cardiovascular diseases by looking at factors that influence pharmacodynamics and pharmacokinetic process, describe how the transformation might affect the drug therapy, and give an explanation on how the treatment can be improved. How Gender Might Influence Pharmacokinetic and Pharmacodynamic Processes Gender can determine how patients respond to various cardiovascular drugs. According to Rosenthal and Burchum (2018), medicine can be more reactive in women compared to men and vice versa. The following are examples of how gender determines drug response between men and women. Digoxin does not affect men in any way in terms of mortality. However, when women take the same dosage of the medication, their mortality rate may increase (Luepke et al., 2017). Another example is derived from the assigned case. When men take Atenolol 12.5 mg daily, they are likely to experience erectile dysfunction signs (Rosenthal & Burchum, 2018). In other words, they may have problems having sexual intercourse. However, women’s sexual function is not affected by the drug. Also, Hydralazine can cause erectile dysfunction in men. However, the medicine does not cause any sexual problems in women. Lastly, women react more to opioids compared to men, and thus they can be relieved from pain by fewer painkillers compared to men. Metabolism of drugs is also different in women and men Fongemie and Felix-Getzik (2015) report that enzyme expression is lower in men and higher in men. Impact of Changes in Process on The Patient’s Recommended Drug Therapy Gender can play a huge role in a patient’s recommended medication. For instance, when prescribing drugs that are metabolized by CYP2B6 enzyme, the nurse should increase the dosage in women and decrease dosage in men (Fongemie & Felix-Getzik, 2015). In this case,

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem Assignment Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal. Include the following: Provide an overview of the problem and the setting in which the problem or issue occurs. Explain why a quality improvement initiative is needed in this area and the expected outcome. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Quality Improvement Proposal – Sample Answer In 2016, Johns Hopkins (2017) released the findings of a study in which it found that medical errors claim the lives of more than 250,000 Americans yearly. Compared to other leading causes of mortality in the U.S., medical errors come second, just before the respiratory illnesses. The Institute of Medicine (IOM) recognizes these errors as a threat to the healthcare system, and this is why some of its recommendations emphasize on building hospitals’ capacity to prevent and address these errors. From a clinical point of view, medical errors encompass various forms of mistakes that clinicians and patients commit, either knowingly or unknowingly. Some examples include misdiagnosis, administering wrong medications, and transfusing blood to the wrong patient. Errors due to the administration of medication affect a significant number of American patients. To minimize the incidences of these mistakes including their impact, hospitals require Quality Improvement (QI) programs. It is important to present a proposal for such a program, emphasizing its importance, and implementation and evaluation processes. An Overview of the Problem Including the Setting In Which It Occurs The problem occurs in outpatient setting, and it involves the lack of precaution and health literacy, and absence of adequate clinician-patient communication, leading to wrong medication and missing doses. This issue is prevalent in the selected setting primarily because of the illegible handwriting during the doctor’s prescription, causing pharmacists to misread the prescription. Additionally, the absence of support staff and high workload are contributing to cases of medical errors. The responsibilities that come with handling multiple patient cases at once can be overwhelming, resulting to burnout. According to Kwon et al. (2021), physicians who experience burnout are more likely to commit medical errors, compared to those experiencing burnout. Lack of patient counseling is also a contributory factor for the quality issue because lack of patient’s awareness regarding the importance of adherence, tends to cause poor adherence. Furthermore, this problem is occurring in outpatient due to the use of some drugs with similar names. The Reason Why a Quality Improvement Initiative Is Required In the Setting Including Expected Outcome Cases of medication administration errors have various implications for patients and for clinicians, and if not addressed, they can have serious impact on the wellbeing of patients, and dent the image of practitioners. These errors put patients at risk of injuries or even death because prescribing certain medications to some patients can cause them to develop kidney complications. If a patient is suffering from a chronic kidney disorder, for instance, administering nephrotoxic medication may cause the condition to worsen. If one mistakenly uses atenolol to treat COPD, still, the patient may experience adverse complications because beta-blockers are known to worsen the condition. Recently, the Medicare program has been penalizing providers for failing to meet the required quality standards. Therefore, there is need to ensure the providers deliver the required quality in the selected setting. Thus, the implementation of the QI will lead to decline in cases of patient injuries and deaths due to medication administration errors, by more than 50%. How the Results of Previous Research Demonstrate Support for the Quality Improvement Initiative and Outcomes Some of the available evidence lends support to the proposed QI including the projected outcomes. According to the cross-sectional study carried out by Wondmieneh et al. (2020), for instance, the absence of guidelines for guiding the administration of the medication, and inadequate training of the clinical staff were responsible of incidences of medication errors. For their part, Petejova and colleagues (2019) investigate the effect of nephrotoxic, and from their analysis, it is evident that that the drug can cause renal failure. Current evidence also supports the relationship between counseling and adherence. Taibanguay et al. (2019), using a randomized-controlled trial to examine this relationship, found that educating patients had a significant chance of improving adherence. Since lack of adherence is one of the main factors that lead to medication errors, the findings by Taibanguay et al. (2019) support the projected outcomes. Steps Necessary to implement the Quality Improvement Initiative (Include Rationale and Evidence) The Road to Evidence-Based Practice process provides the framework that can help guide the implementation of the QI initiative. The first step will involve carrying out an assessment to determine the

What happens to the nurse when role stress or strain becomes too overwhelming? What happens to patient care? How is this related to possible ethic and legal issues?

What happens to the nurse when role stress or strain becomes too overwhelming? Assignment: Role Strain and Burnout in Nursing Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment. What happens to the nurse when role stress or strain becomes too overwhelming? What happens to patient care? How is this related to possible ethic and legal issues? Discuss how nurses can manage or reduce role stress and role strain. Explain two issues that lead to nurse burnout and discuss a solution for each issue. Think of an experience in your nursing profession where you either felt strain or burnout and how you overcame this event. (Since this is personal experience, you can use first person narration for this portion of your essay.) Assignment Expectations: Length: 1000-1500 words; answers must thoroughly address the questions in a clear, concise manner. Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion. References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required. Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level. Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf) File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”) Read American Association of Colleges of Nursing (AACN). (2018). Nursing faculty shortage. American Association of Colleges of Nursing (AACN). (2018). About the nursing shortage. Carte, N. S., & Williams, C. (2017). Role strain among male RNs in the critical care setting: Perceptions of an unfriendly workplace. Intensive & Critical Care Nursing, 43, 81-86. Iel Marciano de, M. F., & de Almeida, R. J. (2016). Occupational stress at work in nursing in brazil: An integrative review. Revista Brasileira Em Promocao Da Saude, 29(3), 447-454. Johnston, D. W., Jones, M. C., Charles, K., Mccann, S. K., & Mckee, L. (2013). Stress in nurses: Stress-related affect and its determinants examined over the nursing day. Annals of Behavioral Medicine, 45(3), 348-56. Role Strain and Burnout in Nursing – Sample Expert Answer Nurse burnout is the physical, emotional, and mental exhaustion that is caused by some occupational elements of the nurse. When a parent is working, they have to combine the role of family and work, and since each of these have associated problems, they often result to burnout. It is common for individuals to get stressed at work, but when it happens subsequently for long periods of time and they tend to get used to it, there is emotional exhaustion (Fida, Laschinger, & Leiter, 2018). The work program of most nurses and nurse students is intense and often has elements of burnouts. However, there are several solutions to this burnout, and these solutions are aimed at reducing the amount of work-related stress for consistent periods of time. Whereas it is common to assume that nurse burnout is one of the defining characteristics of the nursing profession, application of some of the solutions to the problem can help in resolving most of the burnout cases and preventing others from occurring. Effects of Overwhelming Role Stress Effects on Patient Care Nurse burnout has numerous adverse effects on patient care. One of the direct effects of nurse burnout is that providers have to cut off the hours they spend on practice, or enter early retirement. Given the fact that there is still a shortage of nurses, it is evident that a further reduction of practice hours or introduction of early retirement for nurses has the first direct effect as lowering the nurse patient ratio (White et al., 2019). Despite this fact, most therapists give the first recommendation to patients who experience burnout as taking nonclinical jobs. Leaving the clinical workforce not only leads to the strain of nurses, and yet the same energy is not used in recruiting new nurses. Relation to possible Ethic and Legal Issues One of the leading causes of mental and emotional burnout is when providers are overwhelmed with ethical decisions that affect patients. Moral distress situations often make the nurses feel that they are not able to perform work according to the professional values and practice. Breakdowns of communication and introduction of organizational structures and hierarchies is one of the ways of solving some of these ethical issues. However, it should be understood that a change in institutional policies, which were designed using evidence-based practice could only lead to worse outcomes on ethics (Woodhead, Northrop, & Edelstein, 2016). For example, when nurses are allowed to withhold patient care in a facility until their assistant returns to work from a venture that is not work-related, it is only likely that an even larger ethical issue could emerge from the situation. How Nurses can Reduce Role Stress and Role Strain The only sure way of reducing role stress and role strain among nurses is assessing the root cause of the problem and addressing it permanently. In most of the cases, however, nurse leaders have superficial solutions to the problem, such as giving the affected nurse a one week break from work. This means that when the nurse comes back and faces the same

Due to a fall from a second story townhouse, Jimmy sustained a fractured left femur and a mild head injury. Jimmy is 10 years old. He was reaching for a ball that had gotten lodged into the gutter over the small balcony of his parent’s bedroom

Due to a fall from a second story townhouse, Jimmy sustained a fractured left femur and a mild head injury. Jimmy is 10 years old. He was reaching for a ball that had Due to a fall from a second story townhouse, Jimmy sustained a fractured left femur and a mild head injury Due to a fall from a second story townhouse, Jimmy sustained a fractured left femur and a mild head injury. Jimmy is 10 years old. He was reaching for a ball that had gotten lodged into the gutter over the small balcony of his parent’s bedroom. Due to a fall from a second story townhouse, Jimmy sustained a fractured left femur and a mild head injury. Jimmy is 10 years old. He was reaching for a ball that had gotten lodged into the gutter over the small balcony of his parent’s bedroom. He thought if he stood on the railing and reached with the badminton racket he could get it. Currently he is 2 days postoperative from repair of the left femur. He is being transferred out of the pediatric ICU where the Neurologist has stated he is stable but needs continued neuro checks q2 hours. He has a full left leg cast. The Foley catheter is to be replaced today, or he can attempt to roll onto a bedpan if needed. Please list the systems that are affected by this boy’s injuries. List the nursing interventions now that he is on your nursing unit. Start a list of nursing diagnosis match the system you are presenting. Systems Affected By The Boy’s Injuries – Sample Answer Due to a fall from a second-story townhouse, Jimmy experienced a series of injuries, and currently, three systems are affected. One of the systems is the nervous system affected by mild head injuries sustained after the fall. The nurse needs to look out for complications involving this system, such as concussion and pain. Another system is the skeletal system which was affected due to the fracture of the left femur. Nurses should look out for the risk of falling, especially if the patient can get up independently.  The third system is the urinary tract system which is affected due to the insertion of the catheter. Nurses should look out for hospital-acquired infections that might occur if proper hygiene is not observed. Nursing Intervention And Diagnosis For Each System Nervous System Mild Head Injuries After the neurologist observed Jimmy, he was considered to be stable but should still be under observation. Some of the symptoms to look out for the mild head injuries include changes in behavior, restlessness, headache, nausea, vomiting, pupillary changes, and seizures (Oyesanya et al. 2018). If some of the symptoms are observed, there should be an MRI to understand further brain tissue changes and an electroencephalogram to detect any seizure activity. The care plan should be non-surgical, mainly focusing on drug therapy. Skeletal System The nurse diagnosis is the risk of fall caused by the left femur fracture. Some of the risk factors include loss of muscle integrity, weakness, and the ability of the patient to get up without assistance. The primary care plan includes maintaining limb rest as indicated and ensuring sufficient support of joints, significantly above and below the fracture site (Hommel et al. 2012). Moreover, a catheter will be placed to reduce the need for movement. Urinary System There is a risk of hospital-acquired urinary tract infection as the patient already has a catheter and is being replaced (Saint et al. 2016). It is vital to maintain high levels of hygiene to prevent any urinary tract infection. References Hommel, A., Kock, M. L., Persson, J., & Werntoft, E. (2012). The Patient’s view of nursing care after hip fracture. International Scholarly Research Notices, 2012. Oyesanya, T. O., Bowers, B. J., Royer, H. R., & Turkstra, L. S. (2018). Nurses’ concerns about caring for patients with acute and chronic traumatic brain injury. Journal of clinical nursing, 27(7-8), 1408-1419. Saint, S., Greene, M. T., Krein, S. L., Rogers, M. A., Ratz, D., Fowler, K. E., … & Fakih, M. G. (2016). A program to prevent catheter-associated urinary tract infection in acute care. New England Journal of Medicine, 374(22), 2111-2119. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level  assignment writers.

Katie is an 8 year old Caucasian female who is brought to your office today by her mother & father. They report that they were referred to you by their primary care provider after seeking her advice because Katie’s teacher suggested that she may have ADHD.

Katie is an 8 year old Caucasian female who is brought to your office today by her mother Not only do children and adults have different presentations for ADHD, but males and females may also have vastly different clinical presentations. Different people may also respond to medication therapies differently. For example, some ADHD medications may cause children to experience stomach pain, while others can be highly addictive for adults. In your role, as a psychiatric nurse practitioner, you must perform careful assessments and weigh the risks and benefits of medication therapies for patients across the life span. For this Assignment, you consider how you might assess and treat patients presenting with ADHD. To prepare for this Assignment: Review this week’s Learning Resources, including the Medication Resources indicated for this week. Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients with ADHD. Examine Case Study A Young Caucasian Girl with ADHD. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. CASE STUDY BACKGROUND Katie is an 8 year old Caucasian female who is brought to your office today by her mother & father. They report that they were referred to you by their primary care provider after seeking her advice because Katie’s teacher suggested that she may have ADHD. Katie’s parents reported that their PCP felt that she should be evaluated by psychiatry to determine whether or not she has this condition. The parents give you a copy of a form titled “Conner’s Teacher Rating Scale-Revised”. This scale was filled out by Katie’s teacher and sent home to the parents so that they could share it with their family primary care provider. According to the scoring provided by her teacher, Katie is inattentive, easily distracted, forgets things she already learned, is poor in spelling, reading, and arithmetic. Her attention span is short, and she is noted to only pay attention to things she is interested in. The teacher opined that she lacks interest in school work and is easily distracted. Katie is also noted to start things but never finish them, and seldom follows through on instructions and fails to finish her school work. Katie’s parents actively deny that Katie has ADHD. “She would be running around like a wild person if she had ADHD” reports her mother. “She is never defiant or has temper outburst” adds her father. SUBJECTIVE Katie reports that she doesn’t know what the “big deal” is. She states that school is “OK”- her favorite subjects are “art” and “recess.” She states that she finds her other subjects boring, and sometimes hard because she feels “lost”. She admits that her mind does wander during class to things that she thinks of as more fun. “Sometimes” Katie reports “I will just be thinking about nothing and the teacher will call my name and I don’t know what they were talking about.” Katie reports that her home life is just fine. She reports that she loves her parents and that they are very good and kind to her. Denies any abuse, denies bullying at school. Offers no other concerns at this time. MENTAL STATUS EXAM The client is an 8 year old Caucasian female who appears appropriately developed for her age. Her speech is clear, coherent, and logical. She is appropriately oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Self-reported mood is euthymic. Affect is bright. Katie denies visual or auditory hallucinations, no delusional or paranoid thought processes readily appreciated. Attention and concentration are grossly intact based on Katie’s attending to the clinical interview and her ability to count backwards from 100 by serial 2’s and 5’s. Insight and judgment appear age appropriate. Katie denies any suicidal or homicidal ideation. Diagnosis: Attention deficit hyperactivity disorder, predominantly inattentive presentation RESOURCES § Conners, C. K., Sitarenios, G., Parker, J. D. A., & Epstein, J. N. (1998). Revision and restandardization of the Conners’ Teacher Rating Scale (CTRS-R): Factors, structure, reliability, and criterion validity. Journal of Abnormal Child Psychology, 26, 279-291. At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature. Introduction to the case (1 page) Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient. Decision #1 (1 page) Which decision did you select? Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Decision #2 (1 page) Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Decision #3 (1 page) Why did you select this decision? Be specific and support