Category: Assignment

[SOLVED 2023] Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy

Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy. Describe the legislation and what was accomplished WEEK 4 DQ 1 Choose a legislator on the state or federal level who is also a nurse and discuss the importance of the legislator/nurse‘s role as advocate for improving health care delivery. What specific bills has the legislator/nurse sponsored or supported that have influenced health care. WEEK 4 DQ 2 Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy. Describe the legislation and what was accomplished. What additional steps need to be taken to continue advocacy for this issue? Advocacy Through Legislation Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system. For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment. You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  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.  DQ 1: Expert Answer and Explanation Legislation Based on Advocacy Nurse advocacy focuses on various aspects of care, including the issues related to quality care, affordable medication availability of resources, among many others. In conjunction with legislators, the healthcare system needs to ensure that essential laws are passed that resolve the issues and advocacies presented by the nurses. One of the legislations within the recent five years as a result of nurse advocacy is the H.R. 3-116th Congress (2019-2020), the Elijah Cummings Lower Drug Cost Now Act (Bendix, 2019). The legislation focuses on the need to regulate and possibly lower the prices of prescription drugs to meet the affordability of the patients. Be that has it may, the healthcare sector has an increasing demand for medication with the complexity of illness and comorbidity. This has resulted in a consequent increase in medication pricing, leading to an uproar by both the patients and the nurses who tend to their daily needs as they recover. The Act focuses on the mitigation of prices on essential medication for chronic illness such as insulin (Bendix, 2019). The legislation accomplished to offer subsidies to the essential medication and mitigated the pricing of other medical supplies and drugs. Nurse advocacy is a continual process that requires constant evaluation and acting to facilitate the changes. Several additional steps need to be taken to ensure continued advocacy for this issue of drug pricing (Kang et al., 2019). For instance, there is a need to have oversight to correspond to pricing and market fluctuation. Additionally, the demand for medication also varies with changes in time. While the prices are subsidized, nurses need to ensure that there is a constant supply of the medication to meet the increasing demand. These measures are critical for the sector and improve the overall patient outcome and satisfaction. References Bendix, J. (2019). Healthcare policy in 2019: A look ahead. (2020). Retrieved 6 April 2020, from https://www.medicaleconomics.com/article/healthcare-policy-2019-look-ahead/page/0/2 Kang, S. Y., DiStefano, M. J., Socal, M. P., & Anderson, G. F. (2019). Using external reference pricing in Medicare Part D to reduce drug price differentials with other countries. Health Affairs, 38(5), 804-811. DQ2: Expert Answer and Explanation Nursing Advocacy Efforts in Massachusetts The signing into law, the Massachusetts’ bill, H.4228, in 2014 marked an important event in the advocacy role of the nurses in the state. This bill would put limit to the number of patients a nursing professional has to work with in emergency units. This legislation enforces a 1:1 nurse to patient ratio where nurses work with new mothers and newborn babies, and a 1:4 provider to patient ratio in surgical units. According to this bill, hospitals which violet this legislation would be liable to a fine of $25,000. This signing of this law was a result of persisted efforts partly influenced by the passage of a similar legislation in California in 2004 (Bill H.4228, 2014). While this bill is linked to favorable patient care outcomes, Massachusetts’ voters recently, voted against this bill. California has experienced a decline in the number of the mortality incidences since a similar law came to effect. In Massachusetts, the idea of enactment of the bill has been contentious, and this manifested when Massachusetts’ public rejected it in 2018, just less than four years after the passing of the bill into law (Bill H.4228, 2014). The Massachusetts’ nursing bodies such as the state’s American Nursing Association (ANA) wing can advance the advocacy objectives using key strategies. The nurse advocacy groups should target the public in the state, and select representatives who can act on the behalves of these groups to survey the opportunities as well as risks associated with the bill. The collected information should guide training processes as well as activities focused on helping create and implement public awareness campaign (Wright & Jaffe, 2014). Accordingly, the public will become sensitized on the benefits associated with the improvement of the nurse to patient ratio. References Bill H.4228 (2014). An Act Relative to Patient Limits in All Hospital Intensive Care Units. Retrieved from https://malegislature.gov/Bills/188/H4228. Wright, A. C., & Jaffe, K. J. (2014). Six steps to successful child advocacy: Changing the world for children. Los Angeles : SAGE. Assignment – Expert Answer and Explanation Advocacy through Legislation Advocacy Through Legislation Identify a problem or concern in your state, community, or organization that has the capacity to be advocated through legislation. Research the issue and complete the sections below. For each topic that requires the listing of criteria, a minimum of two criteria should be identified and discussed. Add

[ANSWERED 2023] Before beginning your discussion, read the article Ethics vs. compliance: Do we really need to talk about both? Organizations often use the terms ethics and compliance interchangeably

Before beginning your discussion, read the article Ethics vs. compliance: Do we really need to talk about both? Organizations often use the terms ethics and compliance interchangeably Ethics versus Compliance Before beginning your discussion, read the article Ethics vs. compliance: Do we really need to talk about both? Organizations often use the terms ethics and compliance interchangeably. However, there are some nuances that are different between compliance and ethics. After reading the article, compare and contrast the similarities and differences between compliance and ethics. Evaluate whether a compliance officer or an ethics officer would be a better fit in your current organization (or in an organization with which you are familiar).   Ethics, Compliance, and Training Read chapter four in the textbook and Ethics, reputation, and compliance gain as corporate priorities. In the article, Hagel (2015) stated The demand for greater transparency from consumers and stakeholders across the world has pushed the areas of ethics and compliance up the corporate list of priorities in recent years. In addition, the risk to reputation and potential damage that can be done if evidence of unethical practice is discovered have increased significantly with the advent of social media. (para. 2) Based on the importance of transparency, your organization (you can represent any organization, McDonalds, Starbucks, ESPN, etc.) has asked you to create a training presentation on ethics and compliance to be presented next week. Referencing the Hagel article, the Gonzales-Padron textbook, and at least two other journal articles, present an outline for your training as a response to this thread • Create an outline describing the information that you would include in your training presentation. • Must document all sources in APA style as outlined in the Ashford Writing Center  Article  Hagel, J. (2015, March 1). Ethics, reputation, and compliance gain as corporate priorities. Journal of Accountancy. Retrieved from http://www.journalofaccountancy.com/issues/2015/mar/business-ethics-and-compliance.html Expert Answer and Explanation Ethics versus Compliance It is sensible to talk about ethics and compliance considering that people use these two words for the same meaning even though the words differ. The idea of using these words interchangeably presents a problem given that the two diverge across various dimensions. One of these dimensions is the level of compliance. It is mandatory for employees to comply with policies and regulations within their organization. Conversely, these employees may choose to behave or act ethically, and they may face criticism for failing to adhere to abiding by the ethical principles or standards. In some instances, the breach of these standards may result into the litigation (Hagel, 2015). An individual’s behavior is ethical if they act appropriately based on the societal, professional or organizational expectations. On the contrary, one is considered obedient if they comply with existing laws or policies. Thus, a well-behaved person abides by ethical values while an obedient individual complies with regulations or legal policies. However, the two exhibit shared characteristics. Just like compliance, ethics safeguards the organization given that they prevent the breach of organizational rules or policies which may expose the organization to the risk of litigation (Weinstein, 2019). They also cushion the organization against backlash given that employees’ behaviors and conduct conform to the ethical and legal guidelines which dictate behaviors. Still, the two define organizational culture by encouraging employees adopt desirable behaviors. An ethics officer would fit into my organization’s case considering that they role goes beyond ensuring compliance to the organizational standards. This officer would guide employees to learn values which are critical to promoting compliance. They would also encourage employees to behave morally, and this can create a pool of workers who abide by the existing organizational and professional codes. References Weinstein, B. (2019). What’s The Difference between Compliance and Ethics?. Retrived from https://www.forbes.com/sites/bruceweinstein/2019/05/09/whats-the-difference-between-compliance-and-ethics/#29cef8975249. Hagel, J. (2015, March 1). Ethics, reputation, and compliance gain as corporate priorities. Journal of Accountancy. Retrieved from http://www.journalofaccountancy.com/issues/2015/mar/business-ethics-and-compliance.html. The Training Program for Ethics and Compliance A. The Role of the Training Promote integrity and limit cases of misbehavior among employees. Equip workers with skills which they would use in identifying and resolving the problems they face. Reduce the chances of employees of damaging their reputation and that of the organization. B. Meanings of Compliance and Ethics. Compliance requires one’s behaviors, decisions and conduct to be within the existing legal frameworks (Kadivar et al., 2017). Ethics deals with specific values or standards which one need to adhere to so that they would not face backlash or litigation. C. The Protocol and Processes concerning Compliance and Ethics. i. The Codes of Behaviors. The company’s values and principles. The company’s rules and regulations. The vision and mission which the company identify with. The behaviors, beliefs, values of the employees. Societal norms and expectations. Religious and cultural teachings which dictate how people ought to behave. ii. The organizational policies and compliance. Employees’ actions and decisions have to reflect how the organization dictate they should act and behave (Kadivar et al., 2017). Employees have an obligation to follow rules and standards related to the organizational values. Employees should read and understand the requirements related to work tasks. Employees should make efforts to build better relationships with colleagues, customers and clients (Hagel, 2015). iii. Signs of Ethical behaviors. Resolves conflicts and continuously strive to build relationships. Observes the rules and regulations related to those of the organization and the professional body. Constructively correct colleagues who make mistakes. Continuously strives to present a positive image of the organization. Is transparent in their actions and decisions. References Hagel, J. (2015, March 1). Ethics, reputation, and compliance gain as corporate priorities. Journal of Accountancy. Retrieved from http://www.journalofaccountancy.com/issues/2015/mar/business-ethics-and-compliance.html  . Kadivar, M., Manookian, A., Asghari, F., Niknafs, N., Okazi, A., & Zarvani, A. (2017). Ethical and legal aspects of patient’s safety: a clinical case report. Journal of medical ethics and history of medicine, 10, 15.. 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. Other Solved Questions: SOLVED! How would your communication and interview SOLVED! Describe the difference between a nursing practice SOLVED! How do

[ANSWERED 2023] Both psychoanalysis and Gestalt therapy consider that dream exploration can be used as an effective therapeutic technique

Both psychoanalysis and Gestalt therapy consider that dream exploration can be used as an effective therapeutic technique 5.1. Approaches to Dream Work Both psychoanalysis and Gestalt therapy consider that dream exploration can be used as an effective therapeutic technique.  However, the two schools propose very different approaches to dream work.  Which approach would you favour and why? The last post is due at the end of Sunday of this unit. Expert Answer and Explanation Psychoanalysis is a therapeutic method designed by Sigmund Freud. The primary assumption of psychoanalysis is that all individuals possess unconscious feelings, thoughts, memories, and desires (Safran et al., 2019). On the other hand, Gestalt therapy is a psychotherapy that stresses personal responsibility and gives weight to the client’s experience at the present (Wagner-Moore, 2004). I would select the approach to work with depending on the client I am handling. For instance, if a patient has trauma, I would select free speech therapy by Freud. In this form of therapy, the patient should lie on a couch and the therapist sits behind them capturing notes while the client freely talks about their nightmares, memories, and dreams (Safran et al., 2019). In bream work therapy, the patient will be asked by the counselor to share their dreams. Dreams represent the wish to achieve the unconscious desires and conflicts. I would select the psychoanalysis approach because through dreams I can identify the conflicts between the patient’s unconscious and conscious mind. Safran et al. (2019) note that dreams have both latent and manifest content that can help counselors identify what is wrong with their patients. This therapy is significant in determining the source of trauma and working with the client to solve it. References Safran, J. D., Kriss, A. & Foley, V. K. (2019). Psychoanalytic therapies. In D. Wedding & R. J. Corsini (Eds.), Current psychotherapies (11th ed.) pp. 21-58. Boston, MA: Cengage. Wagner-Moore, L. E. (2004). Gestalt Therapy: Past, Present, Theory, and Research. Psychotherapy: Theory, Research, Practice, Training, 41(2), 180. https://psycnet.apa.org/doi/10.1037/0033-3204.41.2.180 5.2. Interruptions to Contact vs. Ego Defense Mechanisms Gestalt therapy identifies a number of problematic patterns of interpersonal relationships called Interruptions/Resistances to Contact or Boundary Disturbances.  These maladaptive interpersonal patterns are similar, though not identical, to some of the ego defense mechanisms identified in psychoanalysis.  Based on your understanding of the psychoanalytical and the Gestalt concepts, which of the two sets of constructs do you find more useful for conceptualizing and addressing potential clients’ concerns? The last post is due at the end of Sunday of this unit. Expert Answer and Explanation 5.2. Interruptions to Contact vs. Ego Defense Mechanisms Based on my understanding of the two theories, I find psychoanalysis more useful for conceptualizing and addressing potential clients’ concerns. Ego-defenses can be defined as psychological strategies that are used to protect an individual from anxiety from unwanted feelings and thoughts in an unconscious manner (Freud, 1937). Defense mechanisms help remove unpleasant feelings by operating at unconscious level. Defense mechanisms, such as denial and repression can help a counselor identify the unpleasant feelings the patient is suppressing or denying (Freud, 1933). For instance, if a clients is suffering from grief, a counselor can identify this concern by listening to how the patient is denying the problem or suppressing it. Understanding defense mechanisms can help a therapist understand the client in depth. For instance, a counselor can conclude as a client is angry if the patient uses displacement to defend themselves from anxiety (Freud, 1937). Angry clients can displace their anger by taking it out on their family members or throwing things. After finding that the client has anger issues, the counselor can now work with them to help them control their anger and adapt good behaviors when they are angry (Freud, 1933). Ego defense mechanisms can also help a client clarify conflicting behavior. References Freud, A. (1937). The Ego and the mechanisms of defense, London: Hogarth Press and Institute of Psycho-Analysis. Freud, S. (1933). New introductory lectures on psychoanalysis. London: Hogarth Press and Institute of Psycho-Analysis. Pp. xi + 240. Assignment 2: Assignment 2: Humanistic Approaches Instructions Do NOT exceed one double-spaced page (two or three paragraphs) for each of your answers. Please format your assignment in Word (files with extension .doc or .docx), or Rich Text Format (files with extension .rtf). Include a title page and a reference page. An introduction/conclusion is not necessary. Organize the answers using APA style. Answer the following three short-answer questions (250 words for each answer, approximately 750 words per assignment): What are some of the possible cross-cultural limitations of the person-centred approach to counselling? Helping clients create meaning in their lives is arguably the ultimate goal of Viktor Frankl’s logotherapy; however, this process may appear quite abstract and esoteric to many clients and counsellors. Das (1998) articulated four specific steps that help make this process more concrete and relevant for both counsellors and clients. Briefly describe those four steps. Identify a hypothetical counselling scenario (client’s presenting concern) in which you would appropriately use the Gestalt empty-chair technique. In your answer, briefly describe how you would actually implement the empty-chair technique and provide a rationale for its use (i.e., what is the expected outcome of this intervention, given the hypothetical presenting concern you have selected). Information Regarding Citations Any sources used to support your Written Narrative should, of course, be cited using correct APA format. And although it can be a useful starting place to gather very general information, in order to later verify it with more substantial sources, no Wikipedia references will be accepted as scholarly citations. Here’s just one reason why: http://www.nbcnews.com/id/30699302/ns/technology_and_science-tech_and_gadgets/t/student-hoaxes-worlds-media-wikipedia/ IMPORTANT NOTES *The “Submit” button will appear 72 hours before the due date for this assignment. This means that you must upload the final draft of your assignment during this 72-hour period from when the button appears and the due date passes. Please do not email your submissions to your professor, either before or after the due date; all coursework should be submitted through the online course (Moodle). Notes: Please review Submitting Turnitin Assignments found

[ANSWERED 2023] Read Case 2.1: Hacking into Harvard, located on page 71 in your textbook. As applicants began to defend themselves against the penalties handed out by the business schools

Read Case 2.1: Hacking into Harvard, located on page 71 in your textbook. As applicants began to defend Read Case 2.1: Hacking into Harvard, located on page 71 in your textbook. As applicants began to defend themselves against the penalties handed out by the business schools, they appealed to both consequentialist and nonconsequentialist criteria to support their actions. Some responded by pointing out that their intentions were never malicious, while others argued they did not think checking their application statuses would cause any real harm. Review the case study, and analyze the actions of the students from a Kantian perspective. Consider whether the actions taken by the hackers were permissible according the standard of universal acceptability. Expert Answer and Explanation From a Kantian perspective, the students did not do the right thing. Kant expresses the importance to not only do the right thing but to do it willingly so that it can be considered as a moral act. The students acted egoistically according to the Kantian perspective, in that their actions were to benefits themselves only. The actions taken by the hackers were not permissible by any universal standard of acceptance. However, I do feel that the schools and the Apply Yourself programmers should take some blame for the actions of the students. Let’s just say, no one posted the directions on how to find out your acceptance status online; because of the curiosity of humans, I’m sure there would have been some people that would have figured out the way to access their accounts. Although there would have been a lot less students involved, I’m sure it would have happened. Now, I am not saying any part of what they did was ethical or moral on their part, I am saying that the school should have a more secure service, when it involves people’s personal information. The hackers and the student’s actions were not ethical or moral, however the punishment was extreme and I feel that the schools and the programmers have some liability here as well. 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. Other Solved Questions: SOLVED! How would your communication and interview SOLVED! Describe the difference between a nursing practice SOLVED! Discuss how elimination complexities can affect SOLVED! Case C 38-year-old Native American pregnant ANSWERED! In a 1,000–1,250 word essay, summarize two [ANSWERED] Students will develop a 1,250-1,500 word paper that includes [ANSWERED] Post a description of the national healthcare ANSWERED!! Explain how you would inform this nurse ANSWERED!! In a 4- to 5-page project proposal written to the ANSWERED!! A 15-year-old male reports dull pain in both

[ANSWERED 2023] In a​ poll, 1,002 adults in a country were asked whether they favor or oppose the use of​ “federal tax dollars to fund medical research using stem cells obtained from human​ embryos.” Among the​ respondents, 47​% said that they were in favor

In a​ poll, 1,002 adults in a country were asked whether they favor or oppose the use of​ “federal tax dollars to fund medical research using stem cells obtained from human​ embryos. Question In a​ poll, 1,002 adults in a country were asked whether they favor or oppose the use of​ “federal tax dollars to fund medical research using stem cells obtained from human​ embryos.” Among the​ respondents, 47​% said that they were in favor. Describe the statistical study Expert Answer and Explanation Question 2 In a test of the effectiveness of garlic for lowering​ cholesterol, were treated with garlic in a processed tablet form. Cholesterol levels were measured before and after the treatment. The changes in their levels of LDL cholesterol​ (in mg/dL) have an average​ (mean) of . Identify the​ sample, the​ population, the sample​ statistic, and the population parameter in this study. Expert Answer Question 3 Fifty adult men in the United States are randomly selected and measured for their body mass index​ (BMI). Based on that​ sample, it is estimated that the average​ (mean) BMI for men is ​, with a margin of error of . Use the given statistic and margin of error to identify the range of values​ (confidence interval) likely to contain the true value of the population parameter. Expert Answer The range of values likely to contain the population parameter is from 22.7 to 29.3. ​(Type an integer or a decimal. Use ascending​ order.) Question 4 Based on a recent survey of adults in ​households, a labor department reported an unemployment rate of ​%. The margin of error was percentage point. Question 5 A researcher wants to determine the percentage given below. Describe how the researcher should apply the five basic steps in a statistical study.​ (Assume that all the people in the poll answered​ truthfully.) the percentage of company executives that use jet fuel Question 6 Determine whether a census is practical in the situation described. Explain your reasoning. You want to determine the mean height of all basketball players in a country Question 7 A company hires independent university scientists to determine whether its​ new, genetically engineered soybean poses any threat to the environment. Are there sources of bias in this​ situation? Question 8 An engineering student measures the strength of fingers used to type on a newly designed keyboard by testing a friend’s family members. Question 9 In a comparison of synthetic oil versus conventional oil​, 26 sport utility vehicles are driven with synthetic oil​, while 30 station wagons are driven with conventional oil. After being driven for 350 ​miles, each vehicle is rated on quality of performance. The researchers doing the performance quality ratings are aware of which vehicles receive synthetic oil and which receive conventional oil. Identify any problems that are likely to cause confounding and explain how the problems could be avoided. Question 10 Select the sample most representative of the population of interest. An employer wants to determine the importance of health insurance as a benefit to employees. Question 11 Identify which of these types of sampling is​ used: random,​ stratified, systematic,​ cluster, convenience. To avoid working​ late, a quality control analyst simply inspects the first 100 items produced in a day. Question 12 Identify the type of study most appropriate to the question. What is the mean number of cars waiting for the green light at Main and Empire at rush hour​ (4:00 PM to​ 7:00 PM)? Question 13 Determine whether the data described below are qualitative or quantitative and explain why. The types of movies (drama, comedy, etc.) Question 14 Determine if the following statement represents a meaningful​ ratio, so the ratio level of measurement applies. A movie with a​ 4-star rating is twice as good as one with a​ 2-star rating. Question 15 Determine whether the data described below are qualitative or quantitative and also identify their level of measurement. If the data are​ quantitative, state whether they are continuous or​ discrete, and give a brief explanation. The ratings of movies (out of 5 stars) Question 16 The sticker on a car states that it gets 24 miles per gallon on the​ highway, but measurements show that its highway mileage is actually 27 miles per gallon. Find the values of the absolute and relative errors. Question 17 Express each of the following numbers in all three​ forms: fraction,​ decimal, and percentage. a. 3/5           b. 3.50           c. 0.25          d. 10​% Question 18 In a certain survey of 1,037 ​adults, 81​% reported having more than one television at home. Find the actual number of respondents corresponding to the given percentage. Question 19 Determine which of the four levels of measurement​ (nominal, ordinal,​ interval, ratio) is most appropriate. Temperatures of the ocean at various depths. Question 20 Two statements are given. Identify the statement for which a ratio of the measurements is meaningful. State​ “Neither” or​ “Both” if appropriate. 1−The tallest girl on the team is​ 6’1″, and the shortest is​ 5’2″. 2−The length of the rectangle is 17.2​ cm, and the width is 8.2 cm. 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: NEW30 to Get 30% OFF Your First Order Other Solved Questions: SOLVED! Describe the difference between a nursing practice ANSWERED!! Assume you are a nurse manager on a unit SOLVED! How would your communication and interview SOLVED! Describe the difference between a nursing practice SOLVED! Patient AO has a history of obesity and has recently ANSWERED!! Re-read Take a Closer Look: Exploring Claude SOLVED! Define what is meant by information  SOLVED! New York Times concerning Carpenter v. United States

[ANSWERED 2023] Shadow health Week 9 – Comprehensive Assessment Tina Jones

Shadow health Week 9 – Comprehensive Assessment Tina Jones Lab Pass – Certificate of Completion Student:                                                            Assignment:                                                    Week 9 – Comprehensive Assessment Tina Jones Course: Advanced Health Assessment and Diagnostic Reasoning – NP – February 2020 Institution:                                                       Walden University Completed On:                                                 24 Apr 2020, 07:11 PM MDT Performance Summary  Time (Exam) 266 min   Time (Total)   266 min   Subjective Data Collection   92.0% (46 of 50)   Objective Data Collection   97.3% (71.0 of 73)   Student Performance Index   95.1% (117.0 of 123.0)   Digital Clinical Experience Score   95.1%   Type your narrative-style documentation for each section of the assignment into the corresponding dialogue boxes below. When you are ready to submit your documentation, ‘Save As’ with this title format: “[LastName_FirstName] Shadow Health Documentation Template – Comprehensive – NURS 6512” Comprehensive Assessment BMI 29.0 Blood glucose 91 BP 128/82 HR 78 BPM RR 15 Temp 99.0 F PulseOx 99% Vitals Health History The patient is a 28-year-old African American who reports for a pre-employment medical exam. Throughout the interview, the patient is able to give the required data promptly, clearly and without any contradiction Identifying Data The patient appears to be well oriented throughout the assessment and does not show any sign of distress. General Survey The patient has visited Shadow Health clinic for a preemployment physical Reason for Visit The patient has diabetes and asthma but denies having any other illness. she was also diagnosed four months ago with PCOS which necessitated her to start using birth control pills. History of Present Illness Metformin 850mg – started taking it 5 months ago. Dosage is twice a day, last taken this morning Albuterol inhaler for asthma: takes two puffs Yaz- birth control pills -takes the pills for PCOS and takes one pill daily Advil for cramps, took it six weeks ago Medications Allergic to animals specifically cats and dust – causes asthma flare ups Allergic to penicillin – causes rashes The patient used to have seasonal allergies but she has not experienced them for some time Allergies The patient reports to have PCOS, diabetes, and asthma. All of these ailments are being managed with medication alongside other lifestyle interventions such as proper diet and exercises. The patient is also allergic to animals, dust and penicillin. she is also short sighted which she has corrected using prescription eye glasses. she currently monitors her blood sugar every morning using a glucometer. Medical History Health Maintenance The patient likes to hang out with friends and occasional drinks alcohol sparingly. She however denies taking any other illicit drugs. the patient is of Christian faith and she attends bible studies she currently has a boyfriend but has yet to engage sexually. Family History Exercise and healthy diet to manage diabetes, the patient also wears glasses to improve her vision.  She also takes medication for her diabetes and asthma. She got tetanus boosters a year ago but all other vaccinations were taken earlier when she was a kid and in college Social History The patient denies any psychological issues like depression. she explains that recently she has been feeling pretty good, sleeping well and she has never felt dizzy. he also looks oriented throughout the assessment. Mental Health History The patient has no recent illnesses and denies having fever, fatigue or any headaches. Review of Systems – General Objective HEENT Head: Normocephalic atraumatic, normal scalp hair distribution, palpable scalp with no masses Eyes: equal hair distribution on lashes, and eyebrows. lids without lesions. Pink conjunctiva and white sclera. Snellen test 20/20 in both eyes with corrective lenses Ears: tympanic membrane appears intact pearly gray with positive light reflex. Whispered words heard correctly Nose: nasal cavity appears moist and pink Oral mucosa without evidence of ulceration. Gag reflex is intact Throat and neck thyroid smooth with no nodules No observable masses on axillary and cervical lymph nodes on palpation Respiratory chest is symmetric, clear to auscultation bilaterally, with no abnormal sounds observed. Resonant to percussion throughout. Spirometry FVC 3.91L, FEV1/FVC ratio 80.56% Cardiovascular Heart rate is regular, S1, S2, with no murmurs, gallops or rubs observed. Bilateral carotid pulses equal bilaterally. Capillary refill in fingers and toes less than 3 seconds. No peripheral edema Abdominal Abdomen is symmetric and protuberant, with no scars, lesions or masses. Bowel sounds normoactive in all quadrants. all areas tympanic to percussion. No CVA tenderness. No guarding or tenderness was observed to palpation. Musculoskeletal all joints have full ROM. Normal strength recorded in movement. No masses or deformities observed. Neurological Rapid alternating movements. DTRs 2+ and equal bilaterally in both upper and lower extremities. The patient also had decreased sensation to the left plantar surface. The graphesthesia and stereognosis tests returned normal. Skin, Hair & Nails Nigricans appear on the patient neck. Nails on both the fingers and toes appear normal with no ridges 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: NEW30 to Get 30% OFF Your First Order FAQs

[ANSWERED 2023] The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school–aged child between the ages of 5 and 12 years old and discuss the following: Compare the physical assessments among school–aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 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. Expert Answer and Explanation Physical Assessments in School-Aged Children Physical assessment varies with different ages. Among school-going children, the physical assessment done is different from what could be done for younger children. At this age, the children have already developed some sense of body consciousness, which makes them more preserved about their bodies (De Onis, 2017). It is therefore essential for the nurse to consider whether the child wants the assessment to be done in the presence of their parents or not. Just like in the previous assessment age groups, school-going children are still assessed using the head-to-toe method. The nurse should start the examination by carrying out a physical inspection of the child. Depending on the assessment, other techniques like palpation, percussion, and auscultation, can be done subsequently to get a clear picture of the child’s status. Typical developmental stages of children at age 7 Using the three developmental charts based on Erickson, Piaget, and Kohlberg, a seven-year-old child is intellectually curious and develops an industrious attitude knowing they will get recognition for being productive. The child also develops a feeling of either superiority or inferiority, depending on how people react to their actions. The child also develops a sense of obedience to those in authority with the belief that there is an ultimate reward for being obedient. The child also becomes aware of the overt societal rules and conventions and conform to them. The child, at this age, is also able to isolate fantasies from reality and develops critical thinking skills (Varghese & Susmitha, 2015). The social interaction of the child also changes, with them being able to understand that people have different feelings and thoughts on how they view things. They make friends and start developing rules to govern their interactions, which gives them a sense of belonging/peer acceptance within their friendship circle. The child will also begin to develop a sense of independence from their parents and interacting with friends who are mainly from their gender orientation. The child at this stage will have started knowing their body better and will be more vocal in explaining any pains in specific parts of their body. Application of developmental theory in the child’s assessment Using Erikson’s 8 stages of emotional development, examining the child’s interaction with his peers and those who are close to them can help get the needed information. As indicated earlier, the social and emotional aspects of the child at seven years have become more developed. An interaction with them on their social behaviors can therefore help to assess the development of the child (Cherry, 2018). Getting input from the parents can also help to augment the information obtained from the child. When offering an explanation to the child during the assessment, the nurse should be simple in their description so that the patient can understand. The pacing of the nurse explanation should also be factored when helping the patient to comprehend what the assessment is all about. Taking time to engage the patient’s queries, if any, can help them feel more at ease and dispel their worries during the assessment. The nurse should always encourage the child to participate during the assessment. Minding the child’s modesty when carrying out the assessment will go a long way in improving their cooperation. Having them cover their undergarments will make them feel comfortable and at ease while carrying out the assessment. Showing a calm and friendly demeanor can also help to enhance cooperation from the child (Hockenberry & Wilson, 2018). Depending on the child’s assessment, the nurse should be able to identify any emotional distress from the child. The assessment will also be able to link whether the psychological issues affecting the child has an impact on the overall development and performance of that child. References Cherry, K. (2018). Erik Erikson’s Stages of Psychosocial Development. Retrieved June, 5, 2018. De Onis, M. (2017). Child growth and development. In Nutrition and Health in a Developing World (pp. 119-141). Humana Press, Cham. Hockenberry, M. J., & Wilson, D. (2018). Wong’s nursing care of infants and children-E-book. Elsevier Health Sciences. Varghese, S., & Susmitha, A. (2015). Textbook of Pediatric Nursing. 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: NEW30 to Get 30% OFF Your First Order Other Solved Questions: SOLVED! How would your communication and interview SOLVED! Describe the difference between a nursing practice SOLVED! Discuss how elimination complexities can affect SOLVED! Case C 38-year-old Native American pregnant ANSWERED! In a 1,000–1,250 word essay, summarize two [ANSWERED] Students will develop a 1,250-1,500 word paper that includes [ANSWERED] Post a description of the national healthcare FAQs Describe the different physical characteristics findings within the school

[ANSWERED 2023] In recent years, women have broken through the ”glass ceiling” by achieving senior executive

In recent years, women have broken through the “glass ceiling” by achieving senior Woman Executives and the C-Suite In recent years, women have broken through the “glass ceiling” by achieving senior executive (i.e., CEO, CFO, and COO) status in Fortune 500 companies—including General Motors, IBM, Oracle, Yahoo, and Facebook—to name a few. Yet, in 2012, only 17% of Fortune 500 companies’ board directors were women. In addition, a number of high-profile lawsuits were settled in 2013, including Calibuso v. Bank of America Corp. (BAC), in which the bank agreed to pay $39 million to settle claims that it discriminated against women in its investment advice division. The suit alleged that the most lucrative clients were pushed to men, undermining women‘s compensation and professional opportunities. Instructions: For this assignment, read the following article about women in executive leadership positions and incorporate the piece as an in-text citation in your paper: Kranc, J. (2014). Diversity’s bottom line (Links to an external site.). Financial Executive, 30(1), 34-39. Select two organizations based in the same country that have made the news for their policies regarding women in executive positions, one for the better and one for the worse. Compare and contrast the organizations based on the following: For each organization, describe the situation that led to the news coverage. What led to the situation? Was there a satisfactory conclusion, or is the case ongoing? Describe the outcome or the current situation, and the players involved. Describe any laws that were violated or may have been violated. Assess the impact of the gender diversity, or lack thereof, in each organization. Consider profitability, reputation, growth, and competitiveness, for example, but don’t be limited by this list. Provide two scholarly references in addition to the Kranc piece in support of your assessment. The CSU Global Library is a good place to find these resources. Formulate three actions that a company with an already established gender diversity program can take to sustain or increase the number of qualified women at the executive and board levels. Formulate three actions that the company performing poorly in gender diversity can take to increase the number of qualified women at the executive and board levels. Paper Requirements: Your well-written paper should include an introduction and conclusion, and be 3-4 pages in length, not counting the required title and references pages. Note that you must include at least two scholarly references for this paper. Use in-text citations and include a references page. Incorporate, cite, and reference the Kranc piece above. Expert Answer and Explanation Woman Executives and the C-Suite According to the Business Journals, the article by Bizwoman iterates the percentage of women that are currently in the C-suite roles as of 2019. The women representation in the C-suite positions among the top 1000 US companies based on revenue, and those in the fortune 500, increased in 2018 (Stych, 2019). According to the study, an average of 25% of the C-suite representation comprises of women, which is a slight improvement from the 23 of the previous year. Organizations and Women in Executive Positions One of the companies with the best policies for women in executive positions is Chico’s FAS, Inc. leading to the company receiving the Corporate Salute Elevate Award under the Women Executive Leadership Florida in 2017. The award was aimed at recognizing the measures of the company in the advancement of gender diversity in its C-suite and boardrooms. The company reaffirms the social and financial benefits attributed to gender diversity within corporate leadership (Valet, 2018). The company operates a total of 1482 stores within the US and Canada. These situations and having 96% of employees who are re women made the company warrant the news coverage. The statistics which were present on Forbes show that the company has 91% of women holding the corporate positions while the percentage of women among the board members stands at 56%. On the other hand, a company that made the news for their worse policies against women in executive positions is Walmart. According to the Guardian, Walmart faces a lawsuit concerning the discrimination of female employees (Sainato, 2019). Based on the lawsuit, more than 100 former and current female workers filed a court case against the company suing them for lack of opportunity as their male counterparts and unequal pay. The lawsuit against Walmart came following the US Supreme court ruling in 2011 in the case between Walmart v Dukes. The suit was against the Walmart culture that women were selected specifically for selected positions with no opportunity for promotion or growth. While the case was too large to merit a class action, the supreme court ruled that the plaintiffs ought to file an individual case against the company. Due to the pressures, Walmart has to alter with its absence policy as a response to the building pressure from the numerous lawsuits. Violated Laws One reason that led to the lawsuit was the move by the company to fire women due to pregnancy absence. This move is against Title VII of the Civil Rights Act of 1964, which is mandated by the government and enforced by the Employment Opportunity Commission (EEOC) (Siegel, 2017). Additionally, the company also violated the Pregnant Workers Fairness Act that was introduced to Congress in 2017. According to these acts, an employer is prohibited from engaging in employment activities that make unreasonable demands to discourage the accommodation of employees that are affected by childbirth, pregnancy, or other medical condition. Impact of Gender Diversity In the case of Chico’s FAS, Inc., gender diversity as had a positive impact mainly in terms of growth, reputation, and competitive advantage. The company deals with the production of women’s clothes, and their high number of women employees and managerial staff is a major impact on their growth (Fine, Sojo, & Lawford‐Smith, 2020). The organization also ensure that they produce products that are with recent designs, trends, and quality product. The reputation and the quality products of the company helps in the marketing and creation of awareness to their potential customers. This drives profitability and eventual growth. On the other hand, Walmart faces a negative

ANSWERED!! Should government continue to take an aggressive role in reshaping the health care system or should the economy be allowed to continue exerting market-driven reforms?

 Should government continue to take an aggressive role in reshaping the health care system or should the economy be allowed to continue exerting market-driven reforms? You are responsible for minimally at least 3 posts for each question in your discussion boards; your initial post and reply to two of your classmates. Your initial post(s) should be your response to the questions posed in the Discussion Question. You should research your answer and cite at least one scholarly source when appropriate, and always use quality writing. The discussion board is never a place to use text language or emoticons. You will also be asked to respond to your classmates. This is designed to enhance the academic discussion around the topic. It is all right to disagree with something posted by another, however your responses should always be thoughtful and respectful and reflect your opinions professionally. Discussion Question: OPTION 1 With so many different stakeholders in the health care system, many with powerful political lobbies, it is understandable that the government has been unable, until the Patient Protection and Affordable Care Act of 2010, to effectively address the problems of cost, access, and quality. Despite this recent legislature, employers and the public have deep concerns about the ever-increasing costs of health care. Physicians, hospitals and other providers continue to voice displeasure with managed health plans’ requirements and restrictions, while employers and the insured are railing against potential huge premium increases. Should government continue to take an aggressive role in reshaping the health care system or should the economy be allowed to continue exerting market-driven reforms? Please take a stance of either pro-government or pro-free enterprise factions and explain how the public will fare in each situation. How are the problems of cost, access, and quality likely to be addressed in each circumstance? OR: OPTION 2 The practice of medicine, long valued for individual entrepreneurship and physician control, has undergone dramatic change. Physicians now face vexing oversight of case and utilization management and loss of control over the allocation of health care dollars. Managed care organizations control health costs by arbitrarily refusing reimbursement for certain medical procedures and reducing payments for others. Since medicine is now a less attractive career option, will fewer high performing individuals choose to become physicians? What are the implications for the quality of care? OPTION 1 Expert Answer and Explanation Healthcare Regulation The government should still implement aggressive policies that can be used in reshaping the healthcare system due to the following reasons. First, the role of government in reshaping healthcare has, on many occasions, made health services accessible to more people. For instance, Tomaszewski (2017) report that the Affordable Care Act has provided health insurance for more than 20 million Americans. Second, the act made it possible for American citizens to get more insurance packages for their dollar. Thus, currently, even people in low-income communities can get a certain level of coverage through the act. Through cost-sharing reduction, the ACA has provided millions of American families to buy affordable health cover. Third, Shaw andTewdwr-Jones (2017) argue that if healthcare is left for the private sector, many people will not have equal access to care. Private stakeholders in the healthcare sector came into the industry for business, and thus all their actions are based on profits. Therefore, when left drive the sector, people from low-income communities will not get quality care. The regulations implemented by the government ensure that the drugs and other healthcare services are available to the public at a regulated price. Shaw andTewdwr-Jones (2017) mention that government regulations prevent hospitals and other healthcare stakeholders from overcharging the public. Lastly, the government should be allowed to reform the sector because it can ensure that people delivering the services are qualified and have the required knowledge and certification. However, Porter and Kaplan (2016) mention that the government should always consult the private sector when it wants to develop and implement healthcare reforms. The authors mention that the ACA has failed to achieve its goals because the other stakeholders were not involved. References Porter, M. E., & Kaplan, R. S. (2016). How to pay for health care. Harv Bus Rev, 94(7-8), 88-98. Retrieved from https://www.semanticscholar.org/paper/How-to-Pay-for-Health-Care-Bundled-payments-will-Kaplan-Porter/e9f5dceed5def3c8bd81bceb06495500fd4a6fef Shaw, K., & Tewdwr-Jones, M. (2017). “Disorganised Devolution”: Reshaping Metropolitan Governance in England in a Period of Austerity. Raumforschung und Raumordnung-Spatial Research and Planning, 75(3), 211-224. https://link.springer.com/article/10.1007/s13147-016-0435-2 Tomaszewski, K. A. (2017). Personal Health Budgets–Should Patients Be Able to Manage their Care in a Way that Suits Them? A Concise Narrative Review. Horyzonty Wychowania, 16(40), 147-157. https://www.ceeol.com/search/article-detail?id=719275 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. Other Solved Questions: SOLVED! How would your communication and interview SOLVED! Describe the difference between a nursing practice SOLVED! How do you think evidence from nursing journals SOLVED! Discuss how elimination complexities can affect SOLVED! Case C 38-year-old Native American pregnant ANSWERED! In a 1,000–1,250 word essay, summarize two [ANSWERED] Students will develop a 1,250-1,500 word paper that includes [ANSWERED] Post a description of the national healthcare ANSWERED!! Explain how you would inform this nurse ANSWERED!! In a 4- to 5-page project proposal written to the ANSWERED!! A 15-year-old male reports dull pain in both ANSWERED!! Should government continue to take an [ANSWERED] Mrs. Adams a 68-year-old widow who was [ANSWERED] Compare and contrast the various ways you can ANSWERED! Provide a summary of your learning style FAQs Impact of affordable care act on health care organizations The Affordable Care Act (ACA), also known as Obamacare, had a significant impact on healthcare organizations in the United States. Some of the key impacts include: Increased patient volume: The ACA increased the number of insured individuals in the United States, leading to a significant increase in patient volume for healthcare organizations. This put pressure on healthcare organizations to increase capacity and efficiency to handle the additional patient load. Changes to reimbursement models: The ACA introduced new reimbursement models that incentivized healthcare organizations to focus on quality of care and outcomes rather than

[ANSWERED] Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills

Mrs. Allen is a 68–year–old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago [ANSWERED] Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. Case Study: Chief complaint: “I’m here for a medication refill because I ran out of my medicines”. Noticed shortness social history Social history: High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago. Family history: Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52. >ros ROS: Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks. Psychiatric: Non-contributory. Physical examination: 5 feet 1 inches weight Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111,  R 22 and non-labored HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH: Normal affect. Cooperative. SKIN: No rashes. Positive for dry skin. >labs Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98. A: Primary Diagnosis: Congestive Heart Failure (CHF) Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA) Peripheral vascular disease Differential Diagnosis: Peripheral Vascular Disease (PVD) Plan: Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index. Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 % >bnp – BNP – not available. As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease). Questions: 1.     According to the ACC/AHA guidelines, what medications should this patient be prescribed? 2.     Does he need medication(s) given his history of MI? NOTE: All posts must be supported by at least 2 peer reviewed references and all paragraphs must be cited. EXPERT ANSWER AND EXPLANATION Case Study on Myocardial Infarction Medications that should be given to the Patient According to ACC/AHA Guidelines The American College of Cardiology (ACC) and American Heart Association (AHA) is focused on improving cardiovascular health through the proper management of health conditions.  Mrs. Allen presents to the facility with the chief complaint of ‘medication refill,’ but she has fears that taking her medication would not help in her condition. She has hypertension which is presented by numerous symptoms such as shortness of breath (SOB), and she also has a 1 year history of MI (Anderson & Morrow, 2017). The first step that should be made in improving her condition is the education therapy with the aim of helping her understand the way the drugs work with alleviating her conditions. Other medications I would give to the patient include thrombolytic and antiplatelet drugs which would prevent the formation of blood clots and hence prevent the occurrence of instances of SOB. Need for Medication Given the History of MI Evidence-based practice recommends Mrs. Allen’s family is seen to have a history of MI, and this shows that she is more likely to suffer just like them. Her father has history for valvular heart disease as well as MI, while her brother, who is 57 years, has a 5 years history of MI. Evidence-based practice recommends that patients with a history of MI can be placed on medications such as beta blockers and antiplatelet agents (Muntner et al. , 2017). These would reduce the negative health outcomes as well as the number of deaths associated with the condition. Superstitions such as the idea that patients with MI history should not spend too much on their medication should be completely dismissed as they could become great barriers to access of healthcare. References Anderson, J. L., & Morrow, D. A. (2017). Acute myocardial infarction. New England Journal of Medicine, 376(21), 2053-2064. Muntner, P., Carey, R. M., Gidding, S., Jones, D. W., Taler, S. J., Wright, J. T., & Whelton, P. K. (2018). Potential US population impact of the 2017 ACC/AHA high blood pressure guideline. Journal of the American College of Cardiology, 71(2), 109-118. Place your order now on the similar assignment and get fast, cheap and best quality work written by our expert level  assignment writers. Other Solved Questions: SOLVED! How do you think evidence from nursing journals SOLVED!! Nursing C228: Task 1 SOLVED! Describe the difference between a nursing practice SOLVED! Case C 38-year-old Native American pregnant ANSWERED!! Assume you are a nurse manager on a unit FAQs The nurse is caring for a client with spastic bladder what is the nurses priority? The nurse’s priority when caring for a client with spastic bladder would be to manage the client’s symptoms and prevent complications associated with the condition. Some of the nursing interventions that the nurse might implement include: Monitoring the client’s urinary output and assessing for signs of urinary retention, such as bladder distention, discomfort, and overflow incontinence. Administering medications as prescribed, such as anticholinergics, to reduce bladder spasticity and improve bladder control. Implementing bladder retraining techniques, such as timed voiding and pelvic floor exercises, to improve bladder function and reduce incontinence. Assessing the client’s fluid intake and output to ensure adequate hydration and to prevent bladder irritation and infection. Educating the client on proper hygiene techniques to prevent urinary tract infections and other complications associated with spastic bladder. Ultimately, the nurse’s priority would be to help the client achieve optimal bladder function and prevent complications