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Home>Homework Answsers>Nursing homework help2 years ago17.09.202312Report issuefiles (1)1040assignment4.docx1040assignment4.docxIntroductionAs a current or future nurse leader, you may be called upon to present to stakeholders and leadership about projects that you have been involved in or wish to implement. The ability to communicate a plan—and potential implications of not pursuing such a plan—to stakeholders effectively can be critically important in creating awareness and buy-in, as well as building your personal and professional brand in your organization. It is equally important that you know how to create compelling presentations for others’ delivery and ensure that they convey the same content you would deliver if you were the presenter.You are encouraged to complete the Evidence-Based Practice: Basics and Guidelines activity before you develop the presentation. This activity consists of six questions that will create the opportunity to check your understanding of the fundamentals of evidence-based practice as well as ways to identify EBP in practice. The information gained from completing this formative will help promote success in the Stakeholder Presentation and demonstrate courseroom engagement—it 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 how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.· Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.· Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.· Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.· Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.· Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.· Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.· Slides are easy to read and error free. Detailed speaker notes are provided.· Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years) with an APA formatted reference list with few errors.Professional ContextThis assessment will provide you with an opportunity to sharpen your ability to create a professional presentation to stakeholders. In this presentation, you will explain the Plan-Do-Study-Act cycle and how it can be used to introduce the plan (P), implement the plan (D), study the effectiveness of the plan (S), and act on what is learned (A) to drive continuous improvement. By using this cycle, the stakeholders will have a tool and a proposal to expand on these ideas to drive workplace change and create improved processes to solve an interprofessional collaboration problem.ScenarioIn addition to summarizing the key points of Assessments 2 and 3, you will provide stakeholders and/or leadership with an overview of project specifics as well as how success would be evaluated—you will essentially be presenting a discussion of the Plan, Do, and Study parts of the PDSA cycle. Again, you will not be expected to execute the project, so you will not have any results to study. However, by carefully examining the ways in which your plancouldbe carried out and evaluated, you will get some of the experience of the thinking required for PDSA.When creating your PowerPoint for this assessment, it is important to keep in mind the target audience: your interviewee’s organizational leadership. The overall goal of this assessment is to create a presentation that your interviewee could potentially give in his or her organization.InstructionsPlease follow the CapellaGuidelines for Effective PowerPoint Presentations [PPTX]. If you need technical information on using PowerPoint, refer toCapella University Library: PowerPoint Presentations.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.· Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.· Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.· Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.· Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.· Communicate the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional manner, with writing that is clear, logically organized, and respectful with correct grammar and spelling using current APA style.There are various ways to structure your presentation; following is one example:·Part 1: Organizational or Patient Issue.· What is the issue that you are trying to solve or improve?· Why should the audience care about solving it?·Part 2: Relevance of an Interdisciplinary Team Approach.· Why is using an interdisciplinary team relevant, or the best approach, to addressing the issue?· How will it help to achieve improved outcomes or reach a goal?·Part 3: Interdisciplinary Plan Summary.· What is the objective?· How likely is it to work?· What will the interdisciplinary team do?·Part 4: Implementation and Resource Management.· How could the plan be implemented to ensure effective use of resources?· How could the plan be managed to ensure that resources were not wasted?· How does the plan justify the resource expenditure?·Part 5: Evaluation.· What would a successful outcome of the project look like?· What are the criteria that could be used to measure that success?· How could this be used to show the degree of success?Again, keep in mind that your audience for this presentation is a specific group (or groups) at your interviewee’s organization and tailor your language and messaging accordingly. Remember, also, that another person will ultimately be giving the presentation. Include thorough speaker’s notes that flesh out the bullet points on each slide.Additional Requirements·Number of slides:Plan on using one or two slides for each part of your presentation as needed, so the content of your presentation will be 8–12 slides in length. Remember that slides should contain concise talking points, and you will use presenter’s notes to go into detail. Be sure to include a reference slide as the last slide of your presentation.·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 five years old.·APA formatting:Make sure that in-text citations on your slides and in your notes pages and reference slide reflect current APA Style and Format.Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.1040assignment4.docxIntroductionAs a current or future nurse leader, you may be called upon to present to stakeholders and leadership about projects that you have been involved in or wish to implement. The ability to communicate a plan—and potential implications of not pursuing such a plan—to stakeholders effectively can be critically important in creating awareness and buy-in, as well as building your personal and professional brand in your organization. It is equally important that you know how to create compelling presentations for others’ delivery and ensure that they convey the same content you would deliver if you were the presenter.You are encouraged to complete the Evidence-Based Practice: Basics and Guidelines activity before you develop the presentation. This activity consists of six questions that will create the opportunity to check your understanding of the fundamentals of evidence-based practice as well as ways to identify EBP in practice. The information gained from completing this formative will help promote success in the Stakeholder Presentation and demonstrate courseroom engagement—it 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 how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.· Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.· Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.· Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.· Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.· Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.· Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.· Slides are easy to read and error free. Detailed speaker notes are provided.· Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years) with an APA formatted reference list with few errors.Professional ContextThis assessment will provide you with an opportunity to sharpen your ability to create a professional presentation to stakeholders. In this presentation, you will explain the Plan-Do-Study-Act cycle and how it can be used to introduce the plan (P), implement the plan (D), study the effectiveness of the plan (S), and act on what is learned (A) to drive continuous improvement. By using this cycle, the stakeholders will have a tool and a proposal to expand on these ideas to drive workplace change and create improved processes to solve an interprofessional collaboration problem.ScenarioIn addition to summarizing the key points of Assessments 2 and 3, you will provide stakeholders and/or leadership with an overview of project specifics as well as how success would be evaluated—you will essentially be presenting a discussion of the Plan, Do, and Study parts of the PDSA cycle. Again, you will not be expected to execute the project, so you will not have any results to study. However, by carefully examining the ways in which your plancouldbe carried out and evaluated, you will get some of the experience of the thinking required for PDSA.When creating your PowerPoint for this assessment, it is important to keep in mind the target audience: your interviewee’s organizational leadership. The overall goal of this assessment is to create a presentation that your interviewee could potentially give in his or her organization.InstructionsPlease follow the CapellaGuidelines for Effective PowerPoint Presentations [PPTX]. If you need technical information on using PowerPoint, refer toCapella University Library: PowerPoint Presentations.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.· Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.· Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.· Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.· Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.· Communicate the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional manner, with writing that is clear, logically organized, and respectful with correct grammar and spelling using current APA style.There are various ways to structure your presentation; following is one example:·Part 1: Organizational or Patient Issue.· What is the issue that you are trying to solve or improve?· Why should the audience care about solving it?·Part 2: Relevance of an Interdisciplinary Team Approach.· Why is using an interdisciplinary team relevant, or the best approach, to addressing the issue?· How will it help to achieve improved outcomes or reach a goal?·Part 3: Interdisciplinary Plan Summary.· What is the objective?· How likely is it to work?· What will the interdisciplinary team do?·Part 4: Implementation and Resource Management.· How could the plan be implemented to ensure effective use of resources?· How could the plan be managed to ensure that resources were not wasted?· How does the plan justify the resource expenditure?·Part 5: Evaluation.· What would a successful outcome of the project look like?· What are the criteria that could be used to measure that success?· How could this be used to show the degree of success?Again, keep in mind that your audience for this presentation is a specific group (or groups) at your interviewee’s organization and tailor your language and messaging accordingly. Remember, also, that another person will ultimately be giving the presentation. Include thorough speaker’s notes that flesh out the bullet points on each slide.Additional Requirements·Number of slides:Plan on using one or two slides for each part of your presentation as needed, so the content of your presentation will be 8–12 slides in length. Remember that slides should contain concise talking points, and you will use presenter’s notes to go into detail. Be sure to include a reference slide as the last slide of your presentation.·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 five years old.·APA formatting:Make sure that in-text citations on your slides and in your notes pages and reference slide reflect current APA Style and Format.Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.Bids(79)Miss DeannaDr. Ellen RMnicohwilliamPROF_ALISTEREmily ClareSheryl HoganDr. Freya WalkerProf Double RFiona DavaDemi_Rosesherry proffMUSYOKIONES A+Dr CloverMISS HILLARY A+Discount AssignJudithTutorpacesetters2121Jahky BColeen AndersonProWritingGuruShow All Bidsother Questions(10)Computer scienceRights and Duties during EmergenciesMC-02SQL AssignmentHow is “health care quality” measured when “delivered by a health care provider or physician”?.ECOSYSTEM PAPERIncome of College Students’ ParentsEnglishRISA 2D tutorTarlight Glassware Company following standards and flexible-budget data.

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Home>Homework Answsers>Nursing homework helpNursBSN2 years ago29.11.202315Report issuefiles (1)Assessment34900instructions.docxAssessment34900instructions.docxAssessment 3Assessing the Problem: Technology, Care Coordination, and Community Resources ConsiderationsInstructions-In a 5–7 page written assessment, determine how health care technology, coordination of care, and community resources can be applied to address the patient, family, or population problem you’ve defined. In addition, plan to spend approximately 2 direct practicum hours exploring these aspects of the problem with the patient, family, or group you’ve chosen to work with and, if desired, consulting with subject matter and industry experts. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form. Report on your experiences during the second 2 hours of your practicum.Introduction-As a baccalaureate-prepared nurse, you’ll be positioned to maximize the use of technology to achieve positive patient outcomes and improve organizational effectiveness. Providing holistic coordination of patient care across the entire health care continuum and leveraging community resource services can lead both to positive patient outcomes and to organizational improvements.Preparation-In this assessment, you’ll determine how health care technology, coordination of care, and community resources can be applied to address the health problem you’ve defined. Plan to spend at least 2 direct practicum hours working with the same patient, family, or group. During this time, you may also choose to consult with subject matter and industry experts.To prepare for the assessment:· Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.· Conduct sufficient research of the scholarly and professional literature to inform your assessment and meet scholarly expectations for supporting evidence.· Review thePracticum Focus Sheet: Assessment 3 [PDF],Download Practicum Focus Sheet: Assessment 3 [PDF],which provides guidance for conducting this portion of your practicum.Note: As you revise your writing, check out the resources listed on the Writing Center’sWriting Supportpage.Instructions-Complete this assessment in two parts.Part 1Determine how health care technology, the coordination of care, and the use of community resources can be applied to address the patient, family, or population problem you’ve defined. Plan to spend at least 2 practicum hours exploring these aspects of the problem with the patient, family, or group. During this time, you may also consult with subject matter and industry experts of your choice. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form. Use thePracticum Focus Sheet: Assessment 3 [PDF]Download Practicum Focus Sheet: Assessment 3 [PDF]provided for this assessment to guide your work and interpersonal interactions.Part 2Report on your experiences during the second 2 hours of your practicum.· Whom did you meet with?· What did you learn from them?· Comment on the evidence-based practice (EBP) documents or websites you reviewed.· What did you learn from that review?· Share the process and experience of exploring the effect of the problem on the quality of care, patient safety, and costs to the system and individual.· Did your plan to address the problem change, based upon your experiences?· What surprised you, or was of particular interest to you, and why?Requirements-The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.· Analyze the impact of health care technology on the patient, family, or population problem.· Cite evidence from the literature that addresses the advantages and disadvantages of specific technologies, including research studies that present opposing views.· Determine whether the evidence is consistent with technology use you see in your nursing practice.· Identify potential barriers and costs associated with the use of specific technologies and how those technologies are applied within the context of this problem.· Explain how care coordination and the utilization of community resources can be used to address the patient, family, or population problem.· Cite evidence from the literature that addresses the benefits of care coordination and the utilization of community resources, including research studies that present opposing views.· Determine whether the evidence is consistent with how you see care coordination and community resources used in your nursing practice.· Identify barriers to the use of care coordination and community resources in the context of this problem.· Analyze state board nursing practice standards and/or organizational or governmental policies associated with health care technology, care coordination, and community resources and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.· Explain how these standards or policies will guide your actions in applying technology, care coordination, and community resources to address care quality, patient safety, and costs to the system and individual.· Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of technology, care coordination, and community resources.· Explain how nursing ethics will inform your approach to addressing the problem through the use of applied technology, care coordination, and community resources.· Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.· Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.· Apply APA style and formatting to scholarly writing.·Additional Requirements- Format: Format your paper using APA style.APA Style Paper Tutorial [DOCX]is provided to help you in writing and formatting your paper. Be sure to include:· A title page and reference page. An abstract is not required.· Appropriate section headings.·Length: Your paper should be approximately 5–7 pages in length, not including the reference page.·Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.·Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.Capella Academic Portal-Update the total number of hours on the NURS-FPX4900 Volunteer Experience Form inBSN Practicum Campus pagefor more information and instructions on how to log your hours.Competencies Measured-By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:· Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.· Analyze the impact of health care technology on a patient, family, or population problem.· Competency 5: Analyze the impact of health policy on quality and cost of care.· Analyze state board nursing practice standards and/or organizational or governmental policies associated with health technology, care coordination, and community resources and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.· Competency 6: Collaborate interprofessionally to improve patient and population outcomes.· Explain how care coordination and the utilization of community resources can be used to address a patient, family, or population problem.· Competency 8: Integrate professional standards and values into practice.· Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.· Apply APA style and formatting to scholarly writingScoring GuideUse the scoring guide to understand how your assessment will be evaluated.Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations Scoring GuideCRITERIANON-PERFORMANCEBASICPROFICIENTDISTINGUISHEDAnalyze the impact of health care technology on a patient, family, or population problem.Explain how care coordination and the utilization of community resources can be used to address a patient, family, or population problem.Analyze state board nursing practice standards and/or organizational or governmental policies associated with health technology, care coordination, and community resources and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.Apply APA style and formatting to scholarly writing.Assessment34900instructions.docxAssessment 3Assessing the Problem: Technology, Care Coordination, and Community Resources ConsiderationsInstructions-In a 5–7 page written assessment, determine how health care technology, coordination of care, and community resources can be applied to address the patient, family, or population problem you’ve defined. In addition, plan to spend approximately 2 direct practicum hours exploring these aspects of the problem with the patient, family, or group you’ve chosen to work with and, if desired, consulting with subject matter and industry experts. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form. Report on your experiences during the second 2 hours of your practicum.Introduction-As a baccalaureate-prepared nurse, you’ll be positioned to maximize the use of technology to achieve positive patient outcomes and improve organizational effectiveness. Providing holistic coordination of patient care across the entire health care continuum and leveraging community resource services can lead both to positive patient outcomes and to organizational improvements.Preparation-In this assessment, you’ll determine how health care technology, coordination of care, and community resources can be applied to address the health problem you’ve defined. Plan to spend at least 2 direct practicum hours working with the same patient, family, or group. During this time, you may also choose to consult with subject matter and industry experts.To prepare for the assessment:· Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.· Conduct sufficient research of the scholarly and professional literature to inform your assessment and meet scholarly expectations for supporting evidence.· Review thePracticum Focus Sheet: Assessment 3 [PDF],Download Practicum Focus Sheet: Assessment 3 [PDF],which provides guidance for conducting this portion of your practicum.Note: As you revise your writing, check out the resources listed on the Writing Center’sWriting Supportpage.Instructions-Complete this assessment in two parts.Part 1Determine how health care technology, the coordination of care, and the use of community resources can be applied to address the patient, family, or population problem you’ve defined. Plan to spend at least 2 practicum hours exploring these aspects of the problem with the patient, family, or group. During this time, you may also consult with subject matter and industry experts of your choice. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form. Use thePracticum Focus Sheet: Assessment 3 [PDF]Download Practicum Focus Sheet: Assessment 3 [PDF]provided for this assessment to guide your work and interpersonal interactions.Part 2Report on your experiences during the second 2 hours of your practicum.· Whom did you meet with?· What did you learn from them?· Comment on the evidence-based practice (EBP) documents or websites you reviewed.· What did you learn from that review?· Share the process and experience of exploring the effect of the problem on the quality of care, patient safety, and costs to the system and individual.· Did your plan to address the problem change, based upon your experiences?· What surprised you, or was of particular interest to you, and why?Requirements-The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.· Analyze the impact of health care technology on the patient, family, or population problem.· Cite evidence from the literature that addresses the advantages and disadvantages of specific technologies, including research studies that present opposing views.· Determine whether the evidence is consistent with technology use you see in your nursing practice.· Identify potential barriers and costs associated with the use of specific technologies and how those technologies are applied within the context of this problem.· Explain how care coordination and the utilization of community resources can be used to address the patient, family, or population problem.· Cite evidence from the literature that addresses the benefits of care coordination and the utilization of community resources, including research studies that present opposing views.· Determine whether the evidence is consistent with how you see care coordination and community resources used in your nursing practice.· Identify barriers to the use of care coordination and community resources in the context of this problem.· Analyze state board nursing practice standards and/or organizational or governmental policies associated with health care technology, care coordination, and community resources and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.· Explain how these standards or policies will guide your actions in applying technology, care coordination, and community resources to address care quality, patient safety, and costs to the system and individual.· Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of technology, care coordination, and community resources.· Explain how nursing ethics will inform your approach to addressing the problem through the use of applied technology, care coordination, and community resources.· Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.· Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.· Apply APA style and formatting to scholarly writing.·Additional Requirements- Format: Format your paper using APA style.APA Style Paper Tutorial [DOCX]is provided to help you in writing and formatting your paper. Be sure to include:· A title page and reference page. An abstract is not required.· Appropriate section headings.·Length: Your paper should be approximately 5–7 pages in length, not including the reference page.·Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.·Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.Capella Academic Portal-Update the total number of hours on the NURS-FPX4900 Volunteer Experience Form inBSN Practicum Campus pagefor more information and instructions on how to log your hours.Competencies Measured-By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:· Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.· Analyze the impact of health care technology on a patient, family, or population problem.· Competency 5: Analyze the impact of health policy on quality and cost of care.· Analyze state board nursing practice standards and/or organizational or governmental policies associated with health technology, care coordination, and community resources and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.· Competency 6: Collaborate interprofessionally to improve patient and population outcomes.· Explain how care coordination and the utilization of community resources can be used to address a patient, family, or population problem.· Competency 8: Integrate professional standards and values into practice.· Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.· Apply APA style and formatting to scholarly writingScoring GuideUse the scoring guide to understand how your assessment will be evaluated.Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations Scoring GuideCRITERIANON-PERFORMANCEBASICPROFICIENTDISTINGUISHEDAnalyze the impact of health care technology on a patient, family, or population problem.Explain how care coordination and the utilization of community resources can be used to address a patient, family, or population problem.Analyze state board nursing practice standards and/or organizational or governmental policies associated with health technology, care coordination, and community resources and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.Apply APA style and formatting to scholarly writing.Bids(61)Miss DeannaDr. Ellen RMMathProgrammingPROF_ALISTERSheryl HoganEmily ClareA+GRADE HELPERfirstclass tutorProf Double RFiona DavaMUSYOKIONES A+Dr CloverMISS HILLARY A+JudithTutorDiscount AssignSTELLAR GEEK A+Jahky BProWritingGuruColeen AndersonDr. Everleigh_JKShow All Bidsother Questions(10)postwk1p2Power Base and Leadership”A” WORK DISCUSSION BOARD3 pagesSPD 560 week 1 assignmentFinal Test for CORPORATE FINANCE 571IT+242+Checkpoint+OSI+Model+week+1Psych_u1dbthe last samurairesponse paper

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 Researchers routinely choose an alpha level of 0.05 for testing their hypotheses. What are some experiments for which you might want a lower alpha level (e.g., 0.01)? What are some situations in which you might accept a higher level (e.g., 0.1)?

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For this assignment, you will research risk management programs for health care facilities or organizations. Review the criteria below in order to select an exemplar that applies to your current or anticipated professional arena. (Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)

In a 1,000-1,250 word paper, provide an analysis that includes the following:

Brief summary description of the type of risk management plan you selected (new employee, specific audience, community-focused, etc.) and your rationale for selecting that example.

Description of the recommended administrative steps and processes in a typical health care organization risk management program contrasted with the administrative steps and processes you can identify in your selected example plan. (Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)

Analyze the key agencies and organizations that regulate the administration of safe health care and the roles each play in the risk management oversight process.

Evaluation of the selected exemplar risk management plan regarding compliance with the American Society of Healthcare Risk Management (ASHRM) standards relevant to privacy, health care worker safety, and patient safety.

Proposed recommendations or changes you would make to your selected risk management program example to enhance, improve, or to secure compliance standards.

In addition to your textbook, you are required to support your analysis with a minimum of three peer-reviewed references.

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Questions

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– This assignment about Saudi Arabia

– Follow instructions in the attached file carefully  and make sure to answer all the questions
– Avoid Plagiarism
– 1 page not include the cover page and the references.
– follow APA style.
– provide in-text citation

– Use 3 articles not later than 2013
Kindly stick to your price if you change I will dispute

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DQ 1 WEEK 4 Advance Practice NUrse 1

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This week, complete the Aquifer case titled “Case #3: 65-year-old female with insomnia – Mrs. Gomez”

Apply information from the Aquifer Case Study to answer the following discussion questions:

·  Discuss the Mrs. Gomez’s history that would be pertinent to her difficulty sleeping. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.

·  Describe the physical exam and diagnostic tools to be used for Mrs. Gomez. Are there any additional you would have liked to be included that were not?

·  Please list 3 differential diagnoses for Mrs. Gomez and explain why you chose them.  What was your final diagnosis and how did you make the determination?

·  What plan of care will Mrs. Gomez be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?

You are doing an eight-week clerkship in a family medicine practice. Christina, the medical assistant, hands you the progress note for the next patient, which identifies the patient as Mrs. Gomez, “a 65-year-old woman who is here today reporting that she can’t sleep.”

Dr. Lee, your preceptor, fills you in: “Mrs. Gomez has been a patient here for several years. Difficulty sleeping is a new issue for her. Her past medical history is significant for hypertension and diabetes. Generally, she has been doing well, although I notice that her last hemoglobin A1c has climbed to 8.7%.”

Question

What are common causes of insomnia in the elderly?

SUBMIT

References

Yaremchuk K. Sleep disorders in the elderly. Clin Geriatr Med. 2018 34(2):205-216. doi: 10.1016/j.cger.2018.01.008.

CONTINUE

DIAGNOSES

FINDINGS

NOTES

BOOKMARKS

Common causes of insomnia in the elderly:

1.  Environmental problems

2.  Drugs/alcohol/caffeine

3.  Sleep apnea

4.  Parasomnias: restless leg syndrome/periodic leg movements/REM sleep behavior disorder

5.  Disturbances in the sleep-wake cycle

6.  Psychiatric disorders, primarily depression and anxiety

7.  Symptomatic cardiorespiratory disease (asthma/chronic obstructive pulmonary disease/congestive heart failure)

8.  Pain or pruritus

9.  Gastroesophageal reflux disease (GERD)

10. Hyperthyroidism

11. Advanced sleep phase syndrome (ASPS)

TEACHING POINT

Common Causes of Insomnia in the Elderly

Issues that may lead to an environment that is not conducive to sleep.

·  Specific examples include: noise or uncomfortable bedding.

·  You can teach the patient sleep hygiene techniques that will increase the likelihood of a restful night’s sleep.

Question the use of prescription, over-the-counter, alternative, and recreational drugs that might be affecting sleep.

  • Patients should be counseled to avoid caffeine and alcohol for four to six hours before bedtime.

Sleep apnea is common in the elderly, occurring in 20% to 70% of elderly patients.

  • Obstruction of breathing results in frequent arousal that the patient is typically not aware of; however, a bed partner or family member may report loud snoring or cessation of breathing during sleep.

In restless leg syndrome, the patient experiences an irresistible urge to move the legs, often accompanied by uncomfortable sensations.

In periodic leg movement and REM sleep behavior disorder, the patient experiences involuntary leg movements while falling asleep and during sleep respectively.

  • As in sleep apnea, the sleeper is often unaware of these behaviors and a bed partner or family member may need to be asked about these movements.

Disturbances in the sleep-wake cycle include jet lag and shift work.

Patients with depression and anxiety commonly present with insomnia.

  • Any patient presenting with insomnia should be screened for these disorders.

Patients with shortness of breath due to cardiorespiratory disorders often report that these symptoms keep them awake.

Pain or pruritus may keep patients awake at night.

Those with GERD may report heartburn, throat pain, or breathing problems.

  • These patients may also have trouble identifying what awakens them.
  • Detailed questioning may be needed to elicit the symptoms of this disorder.

Elderly patients with hyperthyroidism frequently do not present with typical symptoms such as tachycardia or weight loss, and laboratory studies may be required to detect this problem.

Circadian rhythms change, with older adults tending to get sleepy earlier in the night. In advanced sleep phase syndrome (ASPS), this has progressed to the point where the patient becomes drowsy at 6 to 7 p.m. If they go to sleep at this hour, they sleep a normal seven to eight hours, waking at 3 or 4 a.m. However, if they try to stay up later, their advanced sleep/wake rhythm still causes them to awaken at 3 or 4 a.m. This can be difficult to distiguish from insomnia.

SLEEP HYGIENE

TEACHING

Dr. Lee tells you, “Poor sleeping habits can also cause insomnia. Here is a handout on sleep hygiene. For some patients, simply correcting their sleep habits by following these tips will correct their quality of sleep.”

You review the handout.

TEACHING POINT

Good Sleep Hygiene

Your Personal Habits

·  Fix a bedtime and an awakening time. The body “gets used to” falling asleep at a certain time, but only if this is relatively fixed. Even if you are retired or not working, this is an essential component of good sleeping habits.

·  Avoid napping during the day. If you nap throughout the day, it is no wonder that you will not be able to sleep at night. The late afternoon for most people is a “sleepy time.” Many people will take a nap at that time. This is generally not a bad thing to do, provided you limit the nap to 30 to 45 minutes and can sleep well at night.

·  Avoid alcohol four to six hours before bedtime. Many people believe that alcohol helps them sleep. While alcohol has an immediate sleep-inducing effect, a few hours later as the alcohol levels in the blood start to fall, there is a stimulant or wake-up effect.

·  Avoid caffeine four to six hours before bedtime. This includes caffeinated beverages such as coffee, tea and many sodas, as well as chocolate, so be careful.

·  Avoid heavy, spicy, or sugary foods four to six hours before bedtime. These can affect your ability to stay asleep.

·  Exercise regularly, but not right before bed. Regular exercise, particularly in the afternoon, can help deepen sleep. Strenuous exercise within the two hours before bedtime, however, can decrease your ability to fall asleep.

Your Sleeping Environment

·  Use comfortable bedding. Uncomfortable bedding can prevent good sleep. Evaluate whether or not this is a source of your problem, and make appropriate changes.

·  Find a comfortable temperature setting for sleeping and keep the room well ventilated. If your bedroom is too cold or too hot, it can keep you awake. A cool (not cold) bedroom is often the most conducive to sleep.

·  Block out all distracting noise, and eliminate as much light as possible.

·  Reserve the bed for sleep and sex. Don’t use the bed as an office, workroom or recreation room. Let your body “know” that the bed is associated with sleeping.

Getting Ready For Bed

·  Try a light snack before bed. Warm milk and foods high in the amino acid tryptophan, such as bananas, may help you to sleep.

·  Practice relaxation techniques before bed. Relaxation techniques such as yoga, deep breathing and others may help relieve anxiety and reduce muscle tension.

·  Don’t take your worries to bed. Leave your worries about job, school, daily life, etc., behind when you go to bed. Some people find it useful to assign a “worry period” during the evening or late afternoon to deal with these issues.

·  Establish a pre-sleep ritual. Pre-sleep rituals, such as a warm bath or a few minutes of reading, can help you sleep.

·  Get into your favorite sleeping position. If you don’t fall asleep within 15 to 30 minutes, get up, go into another room, and read until sleepy.

Getting Up in the Middle of the Night

Most people wake up one or two times per night for various reasons. If you find that you get up in the middle of night and cannot get back to sleep within 15 to 20 minutes, then do not remain in the bed “trying hard” to sleep. Get out of bed. Leave the bedroom. Read, have a light snack, do some quiet activity, or take a bath. You will generally find that you can get back to sleep 20 minutes or so later. Do not perform challenging or engaging activity such as office work, housework, etc. Do not watch television.

A Word About Television

Many people fall asleep with the television on in their room. This is often a bad idea. Television is a very engaging medium that tends to keep people up. We generally recommend that the television not be in the bedroom. At the appropriate bedtime, the TV should be turned off and the patient should go to bed. This also applies to computers, tablets and smart phones. Some people find that the radio helps them go to sleep. Since radio is a less engaging medium than TV, this is probably a good

EACHING POINT

Treatments for Primary Insomnia in the Elderly

Of the behavioral treatments, many of which may be of some assistance in the elderly, only sleep restriction/sleep compression therapy and multi-component cognitive-behavioral therapy have met evidence-based criteria for efficacy.

Cognitive Behavioral Therapy for Insomnia (CBT-I)

CBT-I is recommended as the first choice for most patients with insomnia. CBT-I combines different behavioral treatments, resulting in improvements lasting up to two years. Recent guidelines recommend CBT-I as the first-line therapy for insomnia in adults. Examples include:

·  Sleep restriction therapy: The patient is told to reduce his or her sleep/in-bed time to the average number of hours the patient has actually been able to sleep over the last two weeks (as opposed to the number of hours spent in bed (awake plus asleep)). As sleep efficiency increases, time allowed in bed is increased gradually by 15- to 20-minute increments approximately once every five days (if improvement is sustained) until the individual’s optimal sleep time is obtained.

·  Sleep compression therapy: The patient is counseled to decrease the amount of time spent in bed gradually to match total sleep time rather than making an immediate substantial change.

Pharmacological Therapy

All drugs for the treatment of insomnia can be associated with side effects – particularly prolonged sedation and dizziness – that can result in the risk of injuries and confusion.

Preferred agents:

Class

Agents

Comments

Benzodiazepine Receptor Agonists

zolpidem (Ambien)

eszopiclone (Lunesta)

Improved sleep onset latency, total sleep time, and wake after sleep onset

Tricyclic Antidepressants

doxepin 3-6 mg

Doxepin only suggested agent in this class

Orexin Receptor Antagonist

suvorexant (Belsomra)

Improved sleep-onset and/or sleep-maintenance insomnia.

Benzodiazepines can be effective but have more complications and the additional risk of addiction.

Antihistamines, antidepressants (in the absence of depression), anticonvulsants, and antipsychotics are associated with more risks than benefits in older adults.

Combining CBT-I and pharmacological therapy can be helpful in some patients.

The evidence base for exercise as a treatment for insomnia is less extensive. Despite this, there are many other reasons to encourage regular physical activity in the elderly, assuming there are no other contraindications to such activity.

References

Qaseem A, Kansagara D, Forciea MA, Cooke M, Denberg TD. Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2016;165(2):125-33. DOI: 10.7326/M15-2175

CONTINUE

DIAGNOSES

FINDINGS

NOTES

BOOKMARKS

After discussing these potential causes of insomnia with Dr. Lee, you feel prepared to talk with Mrs. Gomez. You knock on the exam room door and enter to find a pleasant-appearing Latina who is accompanied by her daughter, Silvia. You introduce yourself and ask if you may ask her a few questions, to which she agrees.

“What brings you to the clinic today?”

“I’m just so tired lately. I just can’t seem to sleep.”

“Tell me more about this.”

“Well, for the last six months I can’t sleep for more than a couple of hours before I wake up,” Mrs. Gomez tells you.

On further questioning, Mrs. Gomez denies any discomfort such as pain or breathing problems disturbing her sleep. She denies any snoring, apneic spells (a period of time during which breathing stops or is markedly reduced), or physical restlessness during sleep. Her daughter agrees that she has not seen these problems. She rarely consumes alcohol or caffeine.

When you ask if anything like noise or an uncomfortable sleeping environment might be bothering her, she replies that this is not a problem – but her daughter interjects: “Yes, in fact Mom’s waking up the rest of us, walking around and turning on the TV. My husband and I both work. So we all need our rest. Mom came to live with us last year after Dad passed away. We’re her only family around here and we thought we should help her.”

CONTINUE

DIAGNOSES

FINDINGS

NOTES

BOOKMARKS

You tell Mrs. Gomez,

“I’m sorry to hear about your husband.”

“Yes, we were married for 30 years. This has been a difficult time for me.”

“Do you find that you feel sad most of the time?”

“Of course I am sad when I think about my husband and how much I miss him. But I wouldn’t say that I’m sad most of the time.”

Silvia states, “But Mom, you spend most of your time just moping around the house.” Turning to you she elaborates, “She seems to be in slow motion most of the time. She doesn’t even go to church anymore. She used to go three to four times a week. She used to read all the time, and she doesn’t do that anymore either.”

Mrs. Gomez explains, “I haven’t been reading as much as I used to because I can’t seem to focus and I end up reading the same page over and over.” She goes on to say, “And I don’t seem to have any energy to do anything. I’m not even able to help out around the house. I feel bad about that; I should be helping out more. I seem to spend a lot of time just watching TV and eating junk food.”

CONTINUE

DIAGNOSES

FINDINGS

NOTES

BOOKMARKS

I’m not familiar with that product, but I’ll mention it to Dr. Lee. I’m glad you brought it up. It’s important that your doctors know about everything you are taking, whether it’s prescription medication or not. I’m sorry nothing seems to be helping you sleep. We’ll get to the bottom of this together.”

You turn your attention to taking Mrs. Gomez’s past medical history. You learn:

Problem list:

·  Hypercholesterolemia

·  Type 2 diabetes

·  Hypertension

Surgical history:

·  Cholecystectomy

·  Hysterectomy (due to fibroids)

Medications:

For diabetes:

·  Glyburide (10 mg daily)

·  Metformin (1,000 mg bid)

For blood pressure:

·  Methyldopa (250 mg bid)

·  Lisinopril (10 mg daily)

For cholesterol:

·  Atorvastatin (80 mg daily)

For CHD prophylaxis:

·  Aspirin 81 mg daily

For osteoporosis prevention:

·  Calcium citrate with vitamin D (600mg/400 IU bid)

Diphenhydramine is her only over-the-counter medication, and she is taking no traditional or herbal medications beyond the zapote tea.

Social History

She does not smoke, and drinks only small amounts of alcohol on holidays.

References

Kemp C, Rasbridge LA. Refugee and Immigrant Health: A Handbook for Health Professionals. Cambridge, UK. Cambridge University Press; 2004.

CONTINUE

DIAGNOSES

FINDINGS

NOTES

BOOKMARKS

Given what you have heard from Mrs. Gomez and her daughter, especially

·  her inability to focus,

·  her lack of energy,

·  the sense that she is in slow motion,

·  she has stopped doing activities she previously enjoyed,

You are concerned that her insomnia may be due to depression. Depression may stem from environmental stressors such as her husband’s death and her loss of independence along with a primary neurochemical imbalance. Her depression also could be caused by another medical condition.

Medical Conditions Associated with Depression

A number of diseases either cause depressive symptoms or have depression as a comorbidity at higher rates than would be normally expected.

In looking for the causes and associations of depression, first consider the common conditions. Then think about the very serious diseases that you don’t want to miss. Beyond that, there’s a very wide range of diagnoses that can look like depression:

Hypothyroidism:

About 5% of the U.S. population has hypothyroidism. Checking the level of thyroid stimulating hormone (TSH) would help make the diagnosis. Hypothyroidism can be treated with thyroid-replacement medications such as triiodothyronine (T3) and/or levothyroxine (T4). Once TSH levels are returned to the normal range, the symptoms of depression often subside.

Parkinson disease:

Up to 60% of people with this disorder experience mild or moderate depressive symptoms. Although several reports have shown a link between depressive symptoms and Parkinson disease, it is unclear whether one causes the other or if both may arise from some common mechanism. A recent study has indicated that depressive symptoms are an early feature of Parkinson disease, preceding the characteristic movement problems seen in Parkinson such as tremor and rigid muscles. Therefore, people with signs of depression who start to develop movement problems should be promptly evaluated to rule out a diagnosis of Parkinson disease.

Dementia:

Dementia and depression may be difficult to differentiate, as people with either disorder are frequently passive or unresponsive, and they may appear slow, confused, or forgetful. The Mini-Mental State Examination (MMSE) is useful to assess cognitive skills in people with suspected dementia. (The MMSE examines orientation, memory, and attention, as well as the ability to name objects, follow verbal and written commands, write a sentence spontaneously, and copy a complex shape.) Early and accurate diagnosis of dementia is important for patients and their families because it allows early treatment of symptoms. For people with other progressive dementia, early diagnosis may allow them to plan for the future while they can still help to make decisions. These people also may benefit from drug treatment.

Hypertension (C) and asthma (E) have not been specifically linked to higher rates of depression.

Some other diseases that have been linked to depression include:

·  Endocrine disease (Addison disease, diabetes, Cushing syndrome, hypoglycemia, hyperparathyroidism)

·  Acquired immunodeficiency syndrome

·  Cardiovascular disease (myocardial infarction, angina)

·  Cancer (particularly of the pancreas)

·  Cerebral arteriosclerosis, cerebral infarction

·  Electrolyte and renal abnormalities

·  Folate, cobalamin and thiamine deficiencies

·  Hepatitis

·  Intracranial tumors

·  Multiple sclerosis

·  Porphyria

·  Rheumatologic disease (rheumatoid arthritis, systemic lupus erythematosus, temporal arteritis)

·  Syphilis

·  Temporal lobe epilepsy

·  Huntington’s Disease

·  Chronic pain

·  EVIEW OF SYSTEMS

·  HISTORY

·  Keeping in mind the disorders associated with depression, you elicit a review of systems from Mrs. Gomez to help discover what these indicate regarding her underlying illness.

·  Constitutional: Mrs. Gomez has gained about 10 lbs in the last six months. She denies fevers or dizziness. This makes you less concerned about cancer or other systemic illness.

·  Respiratory: No shortness of breath, making cardio-respiratory disease less likely.

·  Cardiac: No chest pains, palpitations or edema, decreasing the likelihood of cardiovascular disease.

·  Gastrointestinal: No nausea, changes in bowel habits, hematochezia or melena. This makes you less concerned about gastrointestinal cancer or occult blood loss leading to anemia.

·  Endocrinologic: No polydipsia or polyuria, decreasing the likelihood of poorly controlled diabetes.

·  Neurologic: No acute neurologic changes or tremors. Her daughter confirms that patient has been alert, oriented and has had no episodes of confusion. So you are now less concerned about cerebral infarction, intracranial tumors, multiple sclerosis, and Parkinson disease.

·  Urologic: Normally urinates one to two times at night.

·  Once you have completed your review of systems, you excuse yourself from the room for a moment while Mrs. Gomez changes into a gown.

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dq 1

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Choose one legislator on the state or federal level who is also a nurse, and discuss the importance of their role as advocate for improving health care delivery. What specific bill(s) have they sponsored or supported that has/have influenced health care?

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Medical Assistant

/in /by
  • Must be a minimum of 250 words (not characters).
  • Proper spelling, punctuation, grammar, sentence structure, and citations are required.
  • Your work needs to be in sentence and paragraph format. Do not write out the questions or the number the questions.

1). List & describe the responsibilities of a Medical Assistant and why a person would chose this career path rather than an LPN, PA or RN.

2). Explain the certifications that a Medical Assistant is eligible for through national and/or state exams. Are you planning on sitting for an exam, if so which one & why?

3). Research the Scope of Practice of a Medical Assistant according to your STATE (Florida). List any education, practice,  and/or certifications that your state (Florida) requires.

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nursing teaching/wk5/discussion

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P/wk5/discussion

My mother was hospitalized for pneumonia. After ten days of hospitalization and complications of the pneumonia my mom came home on a prescription inhaler and home oxygen because her saturation while ambulating would not go above 80% on room air. Also, an incentive spirometer was sent home with written instructions. The incentive spirometer was the most challenging for her to understand. She is 75 years old and has a high school diploma, but she is ready to learn because of her willingness to get better. I will be using nontraditional methods to teach my mother.

The learning objective is to understand the parts of the incentive spirometer and what the mean. There are printed materials to follow along. The formative assessment is an oral type of quiz I asked my mom to point to the parts of the incentive spirometer and tell me what they are and what do they mean. My mom then pointed and named the different parts of the spirometer and explained what it does. We did that several times, so I knew she had mastered the formative assessment.

The next learning objective is watching a video online demonstrating the use of the incentive spirometer. The summative assessment is how she demonstrated the proper use of the incentive spirometer after watching a video demonstration. The demonstration included proper position and holding the incentive spirometer correctly, sealing your lips around the mouth piece, and breathing in slowly to the correct goal number on the cylinder. My mom then held the incentive spirometer and demonstrated the proper use of the spirometer. The next time she had to use it, I was there and asked her to demonstrate again verbalizing the steps in order.

After my mom was finished, I then talked to her about the results of her demonstration. I told her that she knows and understands the proper use of her incentive spirometer by reading the printed materials, naming the parts of the spirometer and their functions. She did a successful demonstration in the correct order. Based on my evaluation my mom has successfully accomplished this demonstration.

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Nursing

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REQUIREMENTS

1. Select a Speak Up brochure developed by The Joint Commission. Follow this link to the proper website: https://www.jointcommission.org/topics/speak_up_campaigns.aspx

The Topic I selected is REDUCING FALL RISK, pLEASE WRITE MY PAPER using the review on the topic i selected from the above link.

2. Write a short paper reviewing the brochure. Use the Grading Criteria (below) to structure your critique, and include current nursing or healthcare research to support your critique.  a. The length of the paper is to be no greater than three pages, double spaced, excluding title page and reference page. Extra pages will not be read and will not count toward your grade.

3. This assignment will be graded on quality of information presented, use of citations, and use of Standard English grammar, sentence structure, and organization based on the required components.

4. Create the review using Microsoft Word 2007 (a part of Microsoft Office 2007), the required format for all Chamberlain documents. You can tell that the document is saved as a MS Word 2007 document because it will end in “.docx.”

5. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper- and lowercase, bold, centered).

a. Introduction

b. Summary of Brochure

c. Evaluation of Brochure

d. Conclusion

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