Week 10 Assignment: Reflection Paper

 

Briefly reflect on your general education capstone experience and address the following questions:

  • What are the key takeaways from this class that you will carry with you?  
  • What did it take to bring your paper and presentation together, and how has that experience shaped your professional outlook?
  • What recommendations or advice would you provide for students who will take this capstone course in the future?

Your paper should be 1/2–1 page in length. Adhere to APA Style throughout.

This is a description of what the capstone course is about.

* The capstone seminar is a culminating in-depth experience in which students formulate their integrated General Education learning experiences into a final oral and written research-based project, which comprehensively addresses a pressing issue in health care and advances a proposed defensible solution. The application of learned methods, concepts, and theories into the construction of this project serves as the culminating summative evaluation of General Education Program Learning Outcomes achievement following completion of the General Education courses. 

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Cultural Competence and Nutrition in Health Promotion

QUESTION 1. a. What are the methods a nurse can use to gather cultural information from patients? b.How does cultural competence relate to better patient care? c. Discuss the ways in which a nurse demonstrates cultural competency in nursing practice.

 QUESTION 2 a. Discuss why nutrition is a central component in health promotion. b.What are some of the nutritional challenges for emerging populations? c. What roles do nutritional deficiency and nutritional excess play in disease?

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Review Case Study and Create an accurate list of diagnosis related to the pathophysiology signs and symptoms of the patient.

  

Hi,

I would like someone to review the case study from attachment very careful (please review several times). From the case study above, please compare the diagnosis with I have below and assist me with any new diagnosis with the table in section 2. Please create from most to least important diagnosis. 

PLEASE COMPLETE BY 5 PM TODAY.

1. HOMEWORK INSTRUCTIONS

“Differential Diagnosis Table

a. Complete a differential diagnosis table for this patient (see below)

i. A differential diagnosis list is a list of all the possible diagnoses this patient could have based on the symptoms the patient presents with, the available history and the physical exam. Examine what you know about this patient, and consider the pathophysiology as you make your list of possible diagnoses.

ii. You should be able to generate a list of at least 4-5 possibilities, though there is space for more if you would like. 

iii. Put them in a list of most likely being number 1, to less likely. 

1. Your number one diagnosis is the one you think this patient has, given the history and physical exam. This is the most likely diagnosis given that there are more clinical manifestations and findings in the history and exam that support this diagnosis. 

2. Include any differential that you think is appropriate for this patient, given the information you have, but make sure it is in the order of most likely. 

3. Be specific in your possible diagnosis. Do not use generic diseases or diagnoses. If there are more than one type of a disease, list each separately, as likely the pathophysiology is different. 

THIS IS MY OWN DIAGNOSIS

  

Possible Diagnosis (listed in order   of likelihood)

Signs and Symptoms seen in This patient   that make you consider this as a diagnosis

 

1.Spinal tumors

-Fever, weakness in his feet and ankles, and inability to walk. Unable   to walk secondary to weakness, weight loss, history of smoking for 20   years, obesity (32% of BMI), back pain and wake up at night, throbbing, achy   low back pain, buttock and legs, numbness, tingling and burning sensation in   feet, toes, and fingertips, bladder problem with one time incontinence, positive   with neuro exam.

 

2.Type 2 Diabetes

Numbness, tingling, and burning sensation in feet, toes, and fingertips, fatigue,   high fat and calories intake, sedentary lifestyle.

 

3.Peripheral artery disease

Smoking, over 50, leg numbness or weakness, painful with activities

 

4.Pernicious anemia and iron deficiency anemia

Moderated alcohol and low iron diets (not eating redmeat).

 

5. Stomach flu

N&V and fever

 

6.

 

7.

 

8.

2. PLEASE COMPARE WITH THE DIAGNOSIS ABOVE AND NEW DIAGNOSIS THAT YOU HELP ME TO CREATE IN THE TABLE BELOW WITH CLEAR SIGNS/SYMPTOMS OF THE PATIENT AND RELATED TO THE PATHOPHYSIOLOGY (As many as diagnosis on the table below).

  

Possible Diagnosis (listed in   order of likelihood)

Signs and Symptoms seen in This patient   that make you consider this as a diagnosis

 

1

 

2

 

3

 

4

 

5

 

6

 

7

 

8

 

9

 

10

 

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Qualitative Research

 Separate  each section in your paper with a clear heading that allows your  professor to know which bullet you are addressing in that section of  your paper. Support your ideas with at least one (1) source using  citations in your essay. Make sure to cite using the APA writing style  for the essay. The cover page and reference page are required. Review  the rubric criteria for this assignment. 

 

Conduct a literature search to select a qualitative research study on the topic identified in Module 1. Conduct an initial critical appraisal of the study. 

 RESEARCH STUDY IS ATTACHED

Respond to the overview questions for the critical appraisal of qualitative studies, including:

  • What type of qualitative research design was utilized to conduct the study?
  • Are the results valid/trustworthy and credible?
  • How were the participants chosen? 
  • How were accuracy and completeness of data assured? 
  • How plausible/believable are the results? 
  • Are implications of the research stated?
  • May new insights increase sensitivity to others’ needs? 
  • May understandings enhance situational competence?
  • What is the effect on the reader?
  • Are the results plausible and believable? 
  • Is the reader imaginatively drawn to the experience? 
  • What are the results of the study?
  • Does the research approach fit the purpose of the study? 
  • How does the researcher identify the study approach?
  • Are the data collection and analysis techniques appropriate? 
  • Is the significance/importance of the study explicit?
  • Does the literature support a need for the study? 
  • What is the study’s potential contribution? 
  • Is the sampling clear and guided by study needs?
  • Does the researcher control selection of the sample? 
  • Do sample size and composition reflect the study needs? 
  • Is the phenomenon (human experience) clearly identified? 
  • Are data collection procedures clear?
  • Are sources and means of verifying data explicit? 
  • Are researcher roles and activities explained? 
  • Are data analysis procedures described?
  • Does analysis guide directions of sampling when it ends? 
  • Are data management processes described? 
  • What are the reported results (descriptive or interpretation)? 
  • How are specific findings presented?
  • Are the data meanings derived from data described in context? 
  • Does the writing effectively promote understanding? 
  • Will the results help me care for my patients?
  • Are the results relevant to persons in similar situations? 
  • Are the results relevant to patient values and/or circumstances? 
  • How may the results be applied to clinical practice?

 

Assignment Expectations:

Length: Clearly and fully answer all questions; attach a copy of the article
Structure: Include a title page and reference page in APA format. Your essay must include an introduction and a conclusion.
References:  Use appropriate APA style in-text citations and references for all  resources utilized to answer the questions. A minimum of one (1)  scholarly source for the article is required for this assignment.
Rubric:  This assignment uses a rubric for scoring. Please review it as part of  your assignment preparation and again prior to submission to ensure you  have addressed its criteria at the highest level.
Format: Save your assignment as a Microsoft Word document 

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The Role of the RN/APRN in Policy Evaluation

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

Thank you.  

  

In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters?

Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and policies than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?

In this Discussion, you will reflect on the role of professional nurses in policy evaluation.

To Prepare:

  • In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
  • Review the Resources and reflect on the role of professional nurses in policy evaluation.

Write an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in the policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.

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Assignment

Patient Preferences and Decision Making

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

  • Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
  • Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.       
    • Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.

NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

By Day 3 of Week 8

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

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Assessing a Healthcare Program/Policy Evaluation

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

Thank you.  

Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

To Prepare:

  • Review the Healthcare Program/Policy Evaluation      Analysis Template provided in the Resources.
  • Select an existing healthcare program or policy evaluation or choose one of interest to you.
  • Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

  • Describe the healthcare program or policy outcomes.
  • How was the success of the program or policy measured?
  • How many people were reached by the program or policy selected?
  • How much of an impact was realized with the program or policy selected?
  • At what point in program implementation was the program or policy evaluation conducted?
  • What data was used to conduct the program or policy evaluation?
  • What specific information on unintended consequences was identified?
  • What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
  • Did the program or policy meet the original intent and objectives? Why or why not?
  • Would you recommend implementing this program or policy in your place of work? Why or why not?
  • Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

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Dq

Reply to this discussion post ( site sources if applicable)

Healthcare-associated infections are common, costly, and potentially deadly. However, effective prevention strategies are underutilized, particularly for catheter-associated urinary tract infection (CAUTI), one of the most common healthcare-associated infections. Conferring to Kennedy, Greene, & Saint (2016), “healthcare-associated infections affect 5% to 10% of all hospitalized patients each year in the United States, account for nearly *45 billion in direct hospital costs, and cause nearly 100,000 deaths annually.” Because catheter-associated urinary tract infection (CAUTI) is one of the most common healthcare-associated infections in the United States and is reasonably preventable, the Centers for Medicare and Medicaid Services stopped reimbursing hospitals in 2008 for the additional costs of caring for patients who develop CAUTI during hospitalization.

Financial aspect.

CAUTI has significant clinical and economic consequences. Catheter-associated bacteriuria may be associated with excess mortality, even after controlling for under-lying factors such as severity of illness and comorbidities; hospital-onset bloodstream infection resulting from a urinary source has a case fatality of 32.8%. In addition, each episode of CAUTI is estimated to cost at least $600 while urinary-tract-related bloodstream infection costs at least $2,800. Consequently, CAUTIs result in as much as $131 million excess direct medical costs nationwide annually (Chenoweth, & Saint, 2016).

Quality aspect

Under quality aspect, consulting between nurses and physician and inserting catheters when absolutely necessary is a requisite to prevent associated infection. Also, removing the catheter as soon as it is no longer needed, a maneuver which may be prompted by automated computer stop orders is a quality aspect that has helped stop urinary tract infection.

Clinical aspect

Reducing CAUTI requires both nurse and physician support. Although a physician order has been historically viewed as essential to place or discontinue the catheter, nurses may be empowered to make decisions about removal without a physician order in some settings, and they are most affected with respect to workload if the catheter is discontinued. In a recent survey, “the vast majority of nurses viewed themselves as responsible for the evaluation and discontinuation of the catheter, but only two-thirds thought it does not affect their workload” (Chenoweth, & Saint, 2016). Most of the work to reduce unnecessary urinary catheter use involves a nurse-driven assessment for appropriateness, with many requiring physician approvals for discontinuation.

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What are clinical problems or issues facing the home health agency

 During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing. 

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Main issue for my Organisation in addressing a solution to Evidence based practice nursing practice

 

What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.

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