Letters/Emails to or Interview with a Legislator

Task: View this topic

Description
Points: 160 | Due Date: Week 6, Day 7 | CLO: 6 | Grade Category: Assignments

Assignment Prompt

Public policy has a major impact on your practice and your patients. Advocacy is an expectation of the advanced practice nurse. Elected officials care about what their constituents have to say. To make a difference, you need to be informed and engaged. Contacting your legislator and discussing issues is an important attribute of nurse leaders. In your interactions with lawmakers you want to be positive and nonpartisan, personal, persistent, patient, focused on your message, and provide accurate information.

Directions

Determine the issue or message (e.g., telehealth impact on your practice) you wish to discuss with your legislator(s). Resource: The American Nurses Association Federal Legislative Priorities for 2019.
Identify your legislator and contact information from his or her website and/or search here.
Choose one method of Advocacy: Face-to-Face or Letter/ Email.
Advocacy Option #1:

Face-to-Face: Meet in person with a state or federal legislator or the legislator’s assistant/aide. The student may have to meet with the legislator’s assistant (especially if federal legislator) which is acceptable. Making an appointment might be time consuming (especially if federal legislator), so you will need to begin the appointment process early in course. Students in the same legislative district may go together.
Once you have completed the visit, each student will write a summary (one-page) and thank-you note (even when the visit is conducted with other students).
Summary may include: Was legislator/assistant: — knowledgeable about APN role and topic or at least willing to become informed? Was he or she willing to express support or opposition? Was he or she cordial or merely civil, helpful or confrontational, or informative about the political process?
Post the summary and a copy of your thank you note (letter or email) in the D2L assignment link.
Advocacy Option #2:

Letter or Email: The student must write three (3) letters or emails or a combination of letters/emails to their identified legislators (State and/or Federal). The letters/emails may be the same topic to three different legislators or three different topics to three different legislators. Legislators read correspondence, especially when it is personalized and clearly from a constituent. The following guidelines should be used when writing to your representative:
Be brief (one page or less), and use your own words.
Begin with the appropriate heading and address.
Be specific: State the specific bill number and issue and state your opinion in the first sentence.
Relate your experience with the issue. Use personal examples when possible. Your interest and concern about the issue is important.
Ask the legislator to specifically commit to supporting or opposing the legislation you are writing about.
Ask for specific reasons they are supporting or opposing the proposal.
Sign and print your name and include your address and other contact information.
If you have pertinent materials and/or editorials from local papers, include them.
Cite any references at the end of the letter or email usingAPA format.
Avoid form letters/emails if possible. If you are using a sample or form letter, be sure to adapt it, especially in the first sentence and paragraph. Legislators and their aides recognize form letters and are less likely to be influenced by them.
Thank him or her for considering your opinion.
Submit the three letters and/or emails in Word docs in the D2L assignment link along with a separate one-page reflection on your experience.
Resource:

Sample Legislative Letter
Expectations

Due: Monday, 11:59 pm PT
See USU NUR Writing Assignment Rubric for additional details and point weighting.

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Ledbetter assignment

1. Watch A Call to Duty: Ledbetter v. Goodyear (Links to an external site.). Please watch video.

2. What were your impressions of Ms. Ledbetter?

3. Were you surprised that an employer would engage in unequal payment practices?

4. At your current employment or in a past job, were you discouraged to talk with others about your pay rate? Would you feel comfortable discussing your pay rate with a fellow employee?

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Psychopharma (SOAP NOTE)

Assignment 1: Introduction to the PMHNP SOAP Note

Introduction

The PMHNP SOAP note is a tool utilized to guide clinical reasoning to assess, diagnosis, and develop a treatment plan for a patient based on information presented and current evaluation of the patient. These notes serve as an important source of information about the health status of the patient and can be used to communicate this status to other health care professionals.

Instructions

Review the following resources: (See attachments)

  1. Complete the SOAP Note Questionnaire and submit to this assignment.

Background: I am currently enrolled in the Psych Mental Health Nurse Practitioner Program, I am a Registered Nurse, and I work in a Psychiatric Hospital.

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Week two project theories of nursing

Instructions

Week 2 Project

This week you will turn in a draft of your “Personal Philosophy and Theoretical Concepts” paper. Your paper should contain the following sections:

  • Nursing Autobiography: A brief (1 page) discussion of your background in nursing. This does not include future goals.
  • The Four Metaparadigms:Describe what the literature says about the basic four metaparadigms/concepts of patient, nurse, health, and environment. Do not relate the metaparadigms to the theory you have chosen.
  • Briefly describe the theory you have chosen.
  • Two Practice-Specific Concepts:in separate subsections discuss each of your two concepts:What is the definition of the concept (outside of the theory)?How does your theorist define your concept?How does this concept apply to your clinical setting? Give an example of how nurses in your area provide care that correlates with the theorist’s definition of the concept.

You MUST use the attached template here to complete your paper.

The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 3-5 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.

i have attached the templeTe to this document. I have 6 years of experience in the nursing field I work in telemetry/ med surg/ Neuro telemetry/ home heaLth and now I am In management. I have chosen pigens theories for this paper and I have want To be a family nurse practitioner.

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NURS 5051 – Week 1 Discussion

Please see attached document with complete instructions

To Prepare:

  • Reflect on the concepts of informatics and knowledge work as presented in the Resources.

1. https://www.youtube.com/watch?reload=9&v=fLUygA8Hpfo

2. See attached articles –

  • Consider a  hypothetical scenario based on your own healthcare practice or  organization that would require or benefit from the access/collection and application of data.

Your scenario may involve a patient, staff, or management problem or gap. – I work in a psychiatric unit.

Instructions:

1. Post a description of the focus of your scenario.

2. Describe the data that could be used and how the data might be collected and accessed.

3. What knowledge might be derived from that data?

4. How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

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Culture on death issues

 Select a culture other than your own and explore their death rituals. Using Ray’s Transcultural Communicative Spiritual-Ethical CARING Tool from Chapter 6 page 179, discuss how you would adapt your nursing care in this culturally dynamic situation.

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Discussion Week 8

**THIS DISCUSSION IS DIVIDE IN TWO PARTS –

 

1. MAIN DISCUSSION POST BY TUESDAY 04/27/2021 BEFORE 8:00 PM EST

 

2. TWO REPLIES BY FRIDAY 04/30/2021 BEFORE 8:00 PM EST

 

Discussion: Developing a Culture of Evidence-Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

 

To Prepare:

· Review the Resources (See below references and attached PDF documents) and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

· This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

· Reflect on which type of dissemination strategy you might use to communicate EBP.

 

Instructions:

1. Post at least two dissemination strategies you would be most inclined to use and explain why.

2. Explain which dissemination strategies you would be least inclined to use and explain why.

3. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use.

4. Be specific and provide examples.

5. Explain how you might overcome the barriers you identified.

 

** At least 3 References**

 

 

Resources from School – References (attached documents)

Gallagher-Ford, Lynn MSN, RN, NE-BC; Fineout-Overholt, Ellen PhD, RN, FNAP, FAAN; Melnyk, Bernadette Mazurek PhD, RN, CPNP/PMHNP, FNAP, FAAN; Stillwell, Susan B. DNP, RN, CNE Evidence-Based Practice, Step by Step: Implementing an Evidence-Based Practice Change, AJN, American Journal of Nursing: March 2011 – Volume 111 – Issue 3 – p 54-60 doi: 10.1097/10.1097/01.NAJ.0000395243.14347.7e

 

Newhouse, R. P. , Dearholt, S. , Poe, S. , Pugh, L. C. & White, K. M. (2007). Organizational Change Strategies for Evidence-Based Practice. JONA: The Journal of Nursing Administration, 37(12), 552-557. doi: 10.1097/01.NNA.0000302384.91366.8f.

 

Melnyk, B. M. (2012). Achieving a High-Reliability Organization Through Implementation of the ARCC Model for Systemwide Sustainability of Evidence-Based Practice. Nursing Administration Quarterly, 36(2), 127–135. doi: 10.1097/NAQ.0b013e318249fb6a.

 

Melnyk, B. M. , Fineout-Overholt, E. , Gallagher-Ford, L. & Stillwell, S. B. (2011). Evidence-Based Practice, Step by Step: Sustaining Evidence-Based Practice Through Organizational Policies and an Innovative Model. AJN, American Journal of Nursing, 111(9), 57-60. doi: 10.1097/01.NAJ.0000405063.97774.0e.

 

Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A Test of the ARCC (c) Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes. WORLDVIEWS ON EVIDENCE-BASED NURSING14(1), 5–9. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12188

 

**THIS DISCUSSION IS DIVIDE IN TWO PARTS

 

 

 

1.

 

MAIN DISCUSSION POST BY TUESDAY

04/27

/2021

BEFORE 8:00 PM

EST

 

 

2.

 

TWO REPLIES BY FRIDAY

04/30

/2021 BEFORE 8:00 PM EST

 

 

Discussion: Developing a Culture of Evidence

Based Practice

 

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP

practice is often conducted with unique outcomes in mind, EBP practitioners who share their results

can both add to the general body of knowledge and serve as an

 

advocate for the application of EBP.

 

In this Discussion, you will explore strategies for disseminating EBP within your organization,

community, or industry.

 

 

 

To Prepare:

 

·

 

Review the Resources

 

(See below

references

 

and

 

attached

 

PDF

 

documents)

 

and reflect on

the various s

trategies presented throughout the course that may be helpful in disseminating

effective and widely cited EBP.

 

o

 

This may

include

:

unit

level or organizational

level presentations, poster presentations,

and podium presentations at organizational, local, regi

onal, state, and national levels, as

well as publication in peer

reviewed journals.

 

·

 

Reflect on which type of dissemination strategy you might use to communicate EBP.

 

 

Instructions:

 

1.

 

Post a

t least two dissemination strategies you would be most inclined t

o use and explain why.

 

2.

 

Explain which dissemination strategies you would be least inclined to use and explain why.

 

3.

 

Identify at least two barriers you might encounter when using the dissemination

strategies

 

you

are most inclined to use.

 

4.

 

Be specific and provi

de examples.

 

5.

 

Explain how you might overcome the barriers you identified.

 

 

** At least 3 References**

 

 

 

Resources

 

from School

 

References

(attached do

cuments)

 

Gallagher

Ford, Lynn MSN, RN, NE

BC; Fineout

Overholt, Ellen PhD, RN, FNAP, FAAN; Melnyk, Bernadette Mazurek PhD,

RN, CPNP/PMHNP, FNAP, FAAN; Stillwell, Susan B. DNP, RN, CNE Evidence

Based Practice, Step by Step: Implementing

an Evidence

Based Practice Change, AJN, American Journal of Nursing: March 2011

 

Volume 111

 

Issue 3

 

p 54

60

 

 

doi:

10.1097/10.1097/01.NAJ

.0000395243.14347.7e

 

 

Newhouse, R. P. , Dearholt, S. , Poe, S. , Pugh, L.

 

C. & White, K. M. (2007). Organizational Change Strategies for Evidence

Based Practice. JONA: The Journal of Nursing Administration, 37(12), 552

557. doi:

10.1097/01.NNA.0000302384.91366.8f.

 

 

**THIS DISCUSSION IS DIVIDE IN TWO PARTS –

 

1. MAIN DISCUSSION POST BY TUESDAY 04/27/2021 BEFORE 8:00 PM

EST

 

2. TWO REPLIES BY FRIDAY 04/30/2021 BEFORE 8:00 PM EST

 

Discussion: Developing a Culture of Evidence-Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP

practice is often conducted with unique outcomes in mind, EBP practitioners who share their results

can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization,

community, or industry.

 

To Prepare:

 Review the Resources (See below references and attached PDF documents) and reflect on

the various strategies presented throughout the course that may be helpful in disseminating

effective and widely cited EBP.

o This may include: unit-level or organizational-level presentations, poster presentations,

and podium presentations at organizational, local, regional, state, and national levels, as

well as publication in peer-reviewed journals.

 Reflect on which type of dissemination strategy you might use to communicate EBP.

 

Instructions:

1. Post at least two dissemination strategies you would be most inclined to use and explain why.

2. Explain which dissemination strategies you would be least inclined to use and explain why.

3. Identify at least two barriers you might encounter when using the dissemination strategies you

are most inclined to use.

4. Be specific and provide examples.

5. Explain how you might overcome the barriers you identified.

 

** At least 3 References**

 

 

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Direct Care Project Part 2

Directions for Part 2

  1. For this part of the direct care project, you will be creating a  PowerPoint presentation based on the topic and problem identified in  Part 1. If you chose air quality as your topic, you will present on the Air Quality Flag Program. If you chose substance use, you will present the SBIRT intervention model.

If you have chosen substance use, you will present to at least 3 practicing RN’s. You can present all at one time or individually. If you chose air quality, you will present to at least one organization leader. See the Direct Care Project module for FAQs.

  1. Each topic has separate directions.

Download the Planning Your Presentation Directions for your corresponding topic.

Air Quality

Substance Use

  1. View the Direct Care Project Part 2 Tutorial (Links to an external site.).
  2. Download the template below and create a PowerPoint presentation for your selected group.
  3. Create speaker notes for the PowerPoint presentation. These will assist you as you present and will be part of your assignment submission.
  4. Utilize your own words and paraphrasing for all presentation content.
  5. The presentation should be no fewer than 8 and no more than 15 slides. This does not include the introduction and reference slides.
  6. Submit presentation in PDF for instructor approval. See Submitting PowerPoint Notes Pages in PDF format (Links to an external site.).
  • You will present the PowerPoint to your audience, not the PDF, as  you do not want the speaker notes to show to your audience members.
  1. Note: You may not present until your presentation has been approved by your instructor.
    • Review comments about your presentation from your instructor in Grades. Please see the Viewing Feedback on Assignments job aid in Resources. Your  instructor will indicate what (if any) revisions are needed in your  presentation and if it is approved to present as-is or once revisions  are made.

**You may be instructed to resubmit depending on the revisions needed.

  1. After your presentation is approved, see Week 5: Direct Care Project Part 3: Implementing Your Presentation. This is where you will find:
  • Attendance form
  • Pre-survey
  • Post-survey

***The surveys you will give your audience pre and post presentation  are already developed. You will submit the attendance form with the Part  4 submission and utilize the survey data in the Part 4 assignment. ***

Templates and Links

Click on the links below to download and view the resources for your project.

PowerPoint Presentation Template (Links to an external site.)

Air Quality Flag Program (Links to an external site.) (website)

SBIRT (Links to an external site.) (website)

Best Practices

  • Please use your browser’s File setting to save or print this page.
  • Include your name and date on the title slide.
  • Check for spelling and grammar errors prior to final submission.
  • Use bullet points instead of long sentences or paragraphs
  • Include graphics, photographs, colors, and themes.
  • Use the rubric as a final check prior to submission to ensure all content is clearly addressed.

Scholarly Sources and Citations

  • Minimum of 3 references. See Presentation Instructions for references needed.
  • Cite all resources in APA format on the slide where content occurs. Cite in lower corner/footer as prompted on template.
  • Reference slide is in template. Hanging indent is not required.

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Capstone Change Project Outcomes

After working with your preceptor to assess organizational policies, create a list of measurable outcomes for your capstone project intervention. Write a list of three to five outcomes for your proposed intervention. Below each outcome, provide a one or two sentence rationale.

The assignment will be used to develop a written implementation plan.

APA style is not required, but solid academic writing is expected.

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FOCUS

Comprehensive SOAP Exemplar

 

Purpose: To demonstrate what each section of the SOAP note should include. Remember that Nurse Practitioners treat patients in a holistic manner and your SOAP note should reflect that premise.

 

Patient Initials: _______ Age: _______ Gender: _______

 

SUBJECTIVE DATA:

 

Chief Complaint (CC): Coughing up phlegm and fever

 

History of Present Illness (HPI): Eddie Myers is a 58 year old African American male who presents today with a productive cough x 3 days, fever, muscle aches, loss of taste and smell for the last three days. He reported that the “cold feels like it is descending into his chest and he can’t eat much”. The cough is nagging and productive. He brought in a few paper towels with expectorated phlegm – yellow/green in color. He has associated symptoms of dyspnea of exertion and fatigue. His Tmax was reported to be 100.3, last night. He has been taking Tylenol 325mg about every 6 hours and the fever breaks, but returns after the medication wears off. He rated the severity of her symptom discomfort at 8/10.

 

Medications:

1.) Norvasc 10mg daily

2.) Combivent 2 puffs every 6 hours as needed

3.) Advair 500/50 daily

4.) Singulair 10mg daily

5.) Over the counter Tylenol 325mg as needed

6.) Over the counter Benefiber

7.) Flonase 1 spray each night as needed for allergic rhinitis symptoms

 

Allergies:

Sulfa drugs – rash

Cipro-headache

 

Past Medical History (PMH):

1.) Asthma

2.) Hypertension

3.) Osteopenia

4.) Allergic rhinitis

5.) Prostate Cancer

 

Past Surgical History (PSH):

1.) Cholecystectomy 1994

2.) Prostatectomy 1986

 

Sexual/Reproductive History:

Heterosexual

 

Personal/Social History:

He has never smoked

Dipped tobacco for 25 years, no longer dipping

Denied ETOH or illicit drug use.

 

Immunization History:

Covid Vaccine #1 3/2/2021 #2 4/2/2021 Moderna

Influenza Vaccination 10/3/2020

PNV 9/18/2018

Tdap 8/22/2017

Shingles 3/22/2016

 

Significant Family History:

One sister – with diabetes, dx at age 65

One brother–with prostate CA, dx at age 62. He has 2 daughters, both in 30’s, healthy, living in nearby neighborhood.

 

Lifestyle:

He works FT as Xray Tech; widowed x 8 years; lives in the city, moderate crime area, with good public transportation. He is a college grad, owns his home and financially stable.

 

He has a primary care nurse practitioner provider and goes for annual and routine care twice annually and as needed for episodic care. He has medical insurance but often asks for drug samples for cost savings. He has a healthy diet and eating pattern. There are resources and community groups in his area at the senior center but he does not attend. He enjoys golf and walking. He has a good support system composed of family and friends.

 

Review of Systems:

 

General: + fatigue since the illness started; + fever, no chills or night sweats; no recent weight gains of losses of significance.

 

HEENT: no changes in vision or hearing; he does wear glasses and his last eye exam was 6 months ago. He reported no history of glaucoma, diplopia, floaters, excessive tearing or photophobia. He does have bilateral small cataracts that are being followed by his ophthalmologist. He has had no recent ear infections, tinnitus, or discharge from the ears. He reported no sense of smell. He has not had any episodes of epistaxis. He does not have a history of nasal polyps or recent sinus infection. He has history of allergic rhinitis that is seasonal. His last dental exam was 1/2020. He denied ulceration, lesions, gingivitis, gum bleeding, and has no dental appliances. He has had no difficulty chewing or swallowing.

 

Neck: Denies pain, injury, or history of disc disease or compression..

 

Breasts:. Denies history of lesions, masses or rashes.

 

Respiratory: + cough and sputum production; denied hemoptysis, no difficulty breathing at rest; + dyspnea on exertion; he has history of asthma and community acquired pneumonia 2015. Last PPD was 2015. Last CXR – 1 month ago.

 

CV: denies chest discomfort, palpitations, history of murmur; no history of arrhythmias, orthopnea, paroxysmal nocturnal dyspnea, edema, or claudication. Date of last ECG/cardiac work up is unknown by patient.

 

GI: denies nausea or vomiting, reflux controlled, Denies abd pain, no changes in bowel/bladder pattern. He uses fiber as a daily laxative to prevent constipation.

 

GU: denies change in her urinary pattern, dysuria, or incontinence. He is heterosexual. No denies history of STD’s or HPV. He is sexually active with his long time girlfriend of 4 years.

 

MS: he denies arthralgia/myalgia, no arthritis, gout or limitation in her range of motion by report. denies history of trauma or fractures.

 

Psych: denies history of anxiety or depression. No sleep disturbance, delusions or mental health history. He denied suicidal/homicidal history.

 

Neuro: denies syncopal episodes or dizziness, no paresthesia, head aches. denies change in memory or thinking patterns; no twitches or abnormal movements; denies history of gait disturbance or problems with coordination. denies falls or seizure history.

 

Integument/Heme/Lymph: denies rashes, itching, or bruising. She uses lotion to prevent dry skin. He denies history of skin cancer or lesion removal. She has no bleeding disorders, clotting difficulties or history of transfusions.

 

Endocrine: He denies polyuria/polyphagia/polydipsia. Denies fatigue, heat or cold intolerances, shedding of hair, unintentional weight gain or weight loss.

 

Allergic/Immunologic: He has hx of allergic rhinitis, but no known immune deficiencies. His last HIV test was 2 years ago.

 

 

OBJECTIVE DATA

 

Physical Exam:

Vital signs: B/P 144/98, left arm, sitting, regular cuff; P 90 and regular; T 99.9 Orally; RR 16; non-labored; Wt: 221 lbs; Ht: 5’5; BMI 36.78

General: A&O x3, NAD, appears mildly uncomfortable

HEENT: PERRLA, EOMI, oronasopharynx is clear

Neck: Carotids no bruit, jvd or thyromegally

Chest/Lungs: Lungs pos wheezing, pos for scattered rhonchi

Heart/Peripheral Vascular: RRR without murmur, rub or gallop; pulses+2 bilat pedal and +2 radial

ABD: nabs x 4, no organomegaly; mild suprapubic tenderness – diffuse – no rebound

Genital/Rectal: pt declined for this exam

Musculoskeletal: symmetric muscle development – some age related atrophy; muscle strengths 5/5 all groups.

Neuro: CN II – XII grossly intact, DTR’s intact

Skin/Lymph Nodes: No edema, clubbing, or cyanosis; no palpable nodes

 

 

Diagnostics/Lab Tests and Results:

CBC – WBC 15,000 with + left shift

SAO2 – 98%

Covid PCR-neg

Influenza- neg

Radiology:

CXR – cardiomegaly with air trapping and increased AP diameter

ECG

Normal sinus rhythm

Spirometry- FEV1 65%

 

Assessment:

 

Differential Diagnosis (DDx):

1.) Asthmatic exacerbation, moderate

2.) Pulmonary Embolism

3.) Lung Cancer

 

Primary Diagnoses:

 

1.) Asthmatic Exacerbation, moderate

 

PLAN: [This section is not required for the assignments in this course, but will be required for future courses.]

 

 

 

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