Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

2. Ensuring the integrity of human dignity in the care of all patients (This topic for this week)
4. While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation 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.

the discussions are below. I just want a response between 150 and 170 words excluding references for each one.

two references needed for each one

    All papers submitted must be in APA format according to the Publication Manual American Psychological Association (APA) (7th ed.). 2020 ISBN: 9781433832154, 1433832151 

discussion 1

Opioids are used widely in the United States (US) to treat millions of patients who have high levels of pain. A majority of these patients are older adults. With complications that come with aging, it is important that care givers be keen on how they medicate geriatric patients using opioids. I’m instreated on knowing how the used of opioids effect the againg population. In my opinion i think alternative medications should be used. Because Slight mistakes of excessive used of opioids can result in complications such as physiologic difficulties and addiction to the drug

Old age comes with physiologic complications that may be increased by the wrong use of opioid medication. It is difficult to forecast how the elderly will react to opioid treatment. Health providers ought to make thorough evaluation on their patients like asking them to describe their levels of pain before beginning any form of treatment (Tracy, 2013). For instance, how one’s liver functions should be observed to ensure proper dosage. If not checked, opioid medication can result in difficulties such as a stressed respiratory system. It is also vital to monitor the period of time that the medication will be administered.

New research suggests that geriatric patients are just as likely to get addicted to opioid medications similar to young adults. This fact was unknown for a long time because such cases were rarely ever reported or noticed. The emerging research gives evidence that as much as the numbers of elderly patients addicted to opioid drugs are lower than that of young adults, the cases of addiction are on the rise (Gazelka, Leal, & Lapid, 2020). Stereotyping and stigmatization contributes to low discovery of addicted geriatric patients by health care providers. 

discussion 2

The topic that I will conduct the research on is about ischemic stroke. Reports show that, stroke is among the leading causes of deaths globally; around 795, 000 individuals, die of stroke in the United States alone, every year (Boehme et al., 2018). The individuals who are more predisposed to the condition are the elderly. The past few years have seen a record decrease in the number of mortalities from the disease. However, recent studies have shown that the numbers are rising again, due to unknown reasons. It has therefore been the motivation behind selecting this topic, to find out the reason behind the rising cases, including how to prevent, diagnose, and manage the condition, to reduce the mortality rates.

The most common type of stroke is ischemic stroke, which occurs due to the formation of a blood clot in the artery that supplies blood to the brain, causing a blockage. This blockage prevents the flow of blood and oxygen into brain, damaging the brain cells (Musuka et al., 2015). The common cause of the condition is the narrowing of the arteries, which is commonly caused by the gradual deposition of cholesterol on the artery walls (atherosclerosis). The effects that ischemic stroke has on a patient are life changing. It affects the vision, speech, the coordination and movement, and the general mental health of a patient.

Another critical issue to worry about stroke is the cost and the burden that the disease leaves on the healthcare services, on the economy; missed workdays, and on the medications. In my family, we had an individual who suffered from acute ischemic stroke, and the condition was worse. therefore, doing this research will help me found out the common and recent predisposing factors to the condition, and find out the advanced forms of treatment, that can help stroke patients live a smooth live a smooth life. 

or this assessment you will create a 2-4 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue you identified in the second assessment.

The health care industry is always striving to improve patient outcomes and attain organizational goals. Nurses can play a critical role in achieving these goals; one way to encourage nurse participation in larger organizational efforts is to create a culture of ownership and shared responsibility (Berkow et al., 2012). Participation in interdisciplinary teams can also offer nurses opportunities to share their expertise and leadership skills, fostering a sense of ownership and collegiality.

You are encouraged to complete the Budgeting for Nurses activity before you develop the plan proposal. The activity consists of seven questions that will allow you the opportunity to check your knowledge of budgeting basics and as well as the value of financial resource management. The information gained from completing this formative will promote success with the Interdisciplinary Plan Proposal. Completing this activity also demonstrates your engagement in the course, requires just a few minutes of your time, and is not graded.

Demonstration of Proficiency

• Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
  • Explain organizational resources, including a financial budget, needed for the plan to be a success and the impacts on those resources if nothing is done, related to the improvements sought by the plan.
• Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
  • Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific objective related to improving patient or organizational outcomes.
  • Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
• Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
  • Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
• Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
  • Communicate the interdisciplinary plan with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.

Reference

Berkow, S., Workman, J., Aronson, S., Stewart, J., Virkstis, K., & Kahn, M. (2012). Strengthening frontline nurse investment in organizational goals. JONA: The Journal of Nursing Administration, 42(3), 165–169.

Professional Context

This assessment will allow you to describe a plan proposal that includes an analysis of best practices of interprofessional collaboration, change theory, leadership strategies, and organizational resources with a financial budget that can be used to solve the problem identified through the interview you conducted in the prior assessment.

Scenario

Having reviewed the information gleaned from your professional interview and identified the issue, you will determine and present an objective for an interdisciplinary intervention to address the issue.

Note: You will not be expected to implement the plan during this course. However, the plan should be evidence-based and realistic within the context of the issue and your interviewee’s organization.

Instructions

For this assessment, use the context of the organization where you conducted your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific patient or organizational outcome or objective based on the information gathered in your interview.

The goal of this assessment is to clearly lay out the improvement objective for your planned interdisciplinary intervention of the issue you identified. Additionally, be sure to further build on the leadership, change, and collaboration research you completed in the previous assessment. Look for specific, real-world ways in which those strategies and best practices could be applied to encourage buy-in for the plan or facilitate the implementation of the plan for the best possible outcome.

Using the Interdisciplinary Plan Proposal Template [DOCX] will help you stay organized and concise. As you complete each section of the template, make sure you apply APA format to in-text citations for the evidence and best practices that inform your plan, as well as the reference list at the end.

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

• Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.
• Explain a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
• Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
• Explain organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if the improvements described in the plan are not made.
• Communicate the interdisciplinary plan, with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.

Additional Requirements

• Length of submission: Use the provided template. Remember that part of this assessment is to make the plan easy to understand and use, so it is critical that you are clear and concise. Most submissions will be 2 to 4 pages in length. Be sure to include a reference page at the end of the plan.
• Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.  
• APA formatting: Make sure that in-text citations and reference list follow current APA style.

 reference  Makinson, A., Tron, L., Grabar, S., Milleron, B., Reynes, J., Le Moing, V., Morquin, D., Lert, F., Costagliola, D., & Guiguet, M. (2020). Potential lung cancer screening outcomes using different age and smoking thresholds in the ANRS‐CO4 French Hospital Database on HIV cohort. HIV Medicine, 21(3), 180–188, Retrieved from https://web.a.ebscohost.com/ehost/detail/detail? Draucker, C. B., Rawl, S. M., Vode, E., & Carter, H. L. (2019). Understanding the decision to screen for lung cancer or not: A qualitative analysis. Health Expectations, 22(6), 1314–1321. , Retrieved from https://web.a.ebscohost.com/ehost/detail/detail Black, L. (2018). Lung Cancer Screening: Implementation of and barriers to a nurse practitionerled program. Clinical Journal of Oncology Nursing, Retrieved from https://web.a.ebscohost.com/ehost/detail/detail? Stephens, S. E., Foley, K. L., Miller, D., & Bellinger, C. R. (2019). The Effects of Health Disparities on Perceptions About Lung Cancer Screening (LCS): Survey Results of a Patient Sample. Lung, 197(6), 735–740. Retrieved from https://web.a.ebscohost.com/ehost/detail/detail? Louise M. Henderson, P., M. Patricia Rivera, M., & Ethan Basch, M. (2021). Broadened Eligibility for Lung Cancer Sc 

Your paper for the course project should be a 2-3 page APA paper (not including title page and the reference page) that describes the clinical problem and the following:

• Reason for choosing this topic
• The PICOT question
• Possible integration of the evidenced that you found in clinical practice
• Methods to evaluate the effectiveness of implementation

Hello.. I need a discussion post for Wk 7