What are the Public Health Service Panel on Antiretroviral Guidelines for Adults and Adolescents guidelines for HIV-positive pregnant females regarding starting ART?

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Case Study: HIV Patient
Linda is a 28-year-old female in a discordant relationship with her boyfriend of 1 year. Linda is 12 weeks pregnant based on her last menstrual period. She is engaged in HIV-care and is naïve to antiretroviral therapy (ART) because her CD4 cell count is 538 per mm3 and viral load is 8,300. No tobacco, alcohol, or illegal or illicit drug use.
Physical examination: Normal, healthy 28-year-old gravid female. She is overweight with a body mass index of 28.2.
Laboratory and other tests: Genotype is pan-sensitive without HIV mutations. Ultrasound at her 2-day follow-up estimates she is 15 weeks pregnant.

Assignment Questions

  1. What are the Public Health Service Panel on Antiretroviral Guidelines for Adults and Adolescents guidelines for HIV-positive pregnant females regarding starting ART? What antiretroviral medications are recommended as first line?  Which drugs should be avoided?  Provide a rationale for all answers.
  2. What education does Linda need regarding her medication?
  3. Are there any risks to the baby during labor?
  4. What should be done for the baby at birth if he/she tests positive for HIV? What will the providers need to do in terms of monitoring the baby?

Instructions 

  • Prepare and submit a 3-4 page paper [total] in length (not including APA format).
  • Answer all the questions above.
  • Support your position with examples.
  • Please review the rubric to ensure that your assignment meets criteria.
  • Submit the following documents to the Submit Assignments/Assessments area:
    • Case Study: HIV Patient

CDC Antibiotic Stewardship Initiative Discussion Paper

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CDC Antibiotic Stewardship Initiative Discussion Paper
Construct a professional paper that outlines the advanced practice role – a nurse practitioner – to advance the CDC’s antibiotic resistance initiative.

Assignment Requirements

  1. Introduction that identifies your advanced practice role and your view of how that role will be able to impact the antibiotic resistance dilemma.  Support your discussion with at least two references from the literature.
  2. Review the CDC’s goals and identify one of the CDC’s key strategies that you will be able to promote/support in your advanced practice role. Support your discussion with at least two references from the literature.
  3. Discuss three activities/actions that you will develop to support the promotion of the key strategy that you identified in item 2 above.  Each action/activity needs to be well designed and supported with at least one reference from the literature. For example, if you are a:
    • nurse practitioner student – what prescribing practices, patient education practices, monitoring programs, etc., will you engage with, and provide justification for your strategies, etc.

Instructions 

  • Prepare and submit a minimum of a 6 page paper pages [excluding title and reference pages].
  • Format consistent with APA style without an abstract page.
  • Answer all the questions above.
  • Support your position with examples.
  • Please review the rubric to ensure that your assignment meets criteria.
  • Submit the following documents to the Submit Assignments/Assessments area:
    • Assignment: Antibiotic Stewardship

Disaster in the Community

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Disaster in the Community
Only the assignment must be attached in a word document
Chronic Illness
1.  Define natural and man-made disaster and mention at least one type of each one in your community. (miami)
2.  Based on the information provided in the response to the question above describe two major disasters in your community and how the concepts of community/public health were applied.
3.  Define chronic illness and mention three major chronic illnesses in your community.
4.  Discuss the financial impact of chronic illness in the community and how the cost of managing chronic illnesses can be decreased.
As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board.  A minimum of 3 evidenced-based references must be used and 2 replies to any of your peers sustained with the appropriate references must be posted.  Only the assignment must be attached in a word document in the forum, replies do not.  References must be no older than 5 years.  A minimum of 700 words is required.  Please follow the instructions on how present a first page and the name of the assignment when you post should be Week 7 discussion questions, not my name or blackboard posting.

Nursing Journal Critique

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Nursing Journal Critique
What will happen to the readmission rate of patients with congestive heart failure if they receive strict follow up from nurses versus no follow up care within 30 days?
Please locate an academic nursing journal article related to congestive heart failure readmissions and follow up after discharge. Using the article selected, construct a critique of the article, 7-8 pages (including cover page and references).
· identify the problem statement or statement of purpose of the article
· describe the participants being studied, stating inclusion and exclusion criteria
· discuss the sampling issues, such as probability or nonprobability and number of subjects used
· identify the study setting—where data collection occurred
· discuss informed consent—whether the participants were fully informed, how their consent was obtained, and any other ethical considerations
· identify the hypothesis or research question
· identify the research design—for example, experimental or nonexperimental; descriptive, exploratory, explanatory, or predictive?
· identify research variables, both independent and dependent
· comment the on article’s literature review—how the study data were analyzed (what statistical measures were used)
· describe the results of the study and appropriateness of the methods used; include study limitations
· accurately critique comments on level of evidence used, nursing theory, and implications for nursing practice or research
· discuss how the research findings can be applied to the clinical area