No single word responses (at least 100+ words in each response)

Give the questions some thought and answer honestly

Give examples if you have them

Cite resources

Number your answers to correspond with the question

Worth 12 points / 5%

Scenario:

Mrs. Thomas is a 54, year old African American widow, mother and grandmother, who lives with her daughter and four grandchildren (ages 12, 10, 7 and 5) in a 4 story walk up apartment. She is an active member of her church community and friends, comments that she had so much energy that she exhausted all of them just being around her. At age 51, she was diagnosed with non-Hodgkin’s lymphoma. Busy with raising her grandchildren, a little more than 3 years went by before she sought attention for her symptoms and was diagnosed. Despite aggressive treatments with chemotherapy and radiation, her diseased progressed and she was considering undergoing a bone marrow transplant. Climbing the stairs to the apartment one afternoon she became very short of breath and collapsed. Her twelve, year old granddaughter called 911. At the hospital she was minimally responsive and in severe respiratory distress. She was intubated and transferred to the ICU. A family meeting with the oncology and ICU team was called to discuss Mrs. Thomas’s advanced condition, the fact that she would probably not survive further treatment of the lymphoma and to decide on goals of care. Fifteen family members arrived, including her daughter, pre-teen granddaughters and grandson, three nieces, four nephews, several friends from her church and the minister. On being asked that only the immediate family participate in the meeting, the family and friends became angry and insisted that all of them be involved in this discussion.

Discussion questions:

What is your impression regarding this scenario? What are some concerns you have with this case and what do you anticipate would happen? Support your answer.

Have you thought about what kind of care you would want if you could no longer speak for yourself at the End of Life? Give examples.

How would you handle all the family members and friends wanting to be included in the discussion?

SCENARIO2

• No single word responses (at least 100+ words in each response)
• Give the questions some thought and answer honestly.
• Give examples if you have them
• Cite resources
• Number your answers to correspond with the question
• Worth 12 points / 5%
• Questions:

1. Describe your response to the pain you have experienced. Explain and describe the pain you were experiencing. What were the effective methods used to deal with the pain? Describe pharmacological and non-pharmacological therapies used to relieve pain.
2. Did those around you understand the pain you were experiencing? Why or why not? How did their understanding or lack of understanding make you feel? 
3. How could this experience with pain impact your response to a patient with pain?

Your presentation must include the following components:

• Your Preferred/desired specialty (nurse PractitionerNurse)
• Description of the specialty
• The education required for the specialty
• Professional organizations that are available in your specialty
• The target population for the specialty, their needs, and comorbidities
• The availability of your specialty in your community and the mission of the organizations (I live in Minnesota)
• Describe and discuss culturally competent care and/or developmental competence within the client population
• Explain how each of the QSEN competencies (patient-centered care, teamwork and collaboration, evidence-based practice, informatics, quality improvement, and safety) are utilized throughout your specialty or with the target population
• Create a scenario within your specialty, include 2-3 questions for the class to answer
• Create a SMART goal related to your specialty’s main  goal

include APA reference citation as indicated

my specialty of interest is Nurse Practitioner, and live in Minnesota 

1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 3 pages

              Part 2: minimum 1 page

              Part 3: minimum 3 pages

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

               Part 1: Minimum 5 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Pathopisyology

Topic:  CVA 

2 pages:

1.A discussion of the pathophysiology of the disease, including signs and symptoms.

2. An explanation of diagnostic testing and rationales for each.

3. A review of different evidence-based treatment modalities for the disorder obtained from guideline.gov or a professional organization.

1 page:

4.How does the information in this case inform the practice of a master’s prepared nurse?

5. How should the master’s prepared nurse use this information to design a patient education session for someone with this condition?

6. What was the most important information presented in this case?

7. What was the most confusing or challenging information presented in this case?

8. Discuss a patient safety issue that can be addressed for a patient with the condition presented in this case.

Part 2: Policy Organization and Financing Healthcare

1. Demonstrate your AGAINST position about the the promise of guaranteed health care coverage for all 

2. Explain why you are AGAINST

Part 3: Policy Organization and Financing Healthcare 2

  Maternal Health and Mortality 

Topic: “The House Ways and Means Committee convened a hearing to discuss the high rate of mothers dying due to causes related to pregnancy or childbirth in the U.S. Olympian and gold medalist track and field athlete Allyson Felix testified about the need to address the racial disparities with maternal health care” (“House Committee Examines Racial Disparities in Maternal Mortality Rates”, n.d.).

Location: May 16th, 2019 @ C-Span.org

Link: https://www.c-span.org/video/?460809-1/house-committee-examines-racial-disparities-maternal-mortality-rates&start=1692&transcriptQuery=nicu

1. The purpose of the meeting, key participants, key agenda items, and meeting logistics

2. Background information and a description about the committee

3. One specific topic that was discussed at the meeting and an explanation of the committee process

4. An analysis of the key stakeholder positions related to the topic discussed

5. Key interactions that occurred at the meeting

6. Outcomes of the meeting including the specific topic focus

Read Chapter 13: Teamwork, Collaboration, and Communication in Professional Nursing Practice

Answer: Thinking about your experiences as a student nurse, have you observed effective communication improve patient care outcomes? Have you observed the impact of poor communication on patient outcomes?

APA style (intext citations and references)

Plagiarism FREE

Minimum of two references, not older than 2015.

  Required Resources
Read/review the following resources for this activity: 

Introduction: Communication Change Challenge (CCC) Part 4
In Part 4, you are setting a goal for this project based on the outcome that you want to achieve. Knowing what you want the end result of this project to look like will help you to identify and implement the behaviors necessary to achieve that goal. Second, you are identifying a set of communication behaviors (in 4E) that will lead you to your goal. Be specific and very detailed. What will you do or say that is different?

Reminder: It is not time to implement new behaviors yet. This week you are setting a goal and identifying the new communication behaviors that will help you to achieve that goal

Instructions
The interpersonal communication skill you selected earlier in this project is not yet stated in specific behavioral terms. For example, “I want to overcome shyness and meet new people,” gives you little direction. Some questions you might ask yourself for that behavior goal include the following:

• What new people?
• Where will I meet them?
• When will I meet them?
• How many do I want to meet?
• How often?
• What will I say when I meet them?
• What do I typically do in these situations that I want to avoid?

Provide a detailed outline of your movement through these 4 steps: 4A through 4D.

4A. Goal Reflection and Revision
Think about your original goal from CCC Part 1E. Review your Week 1 statements: “I can’t” and “I won’t.” Read over your journal analysis of the CCC Part 2, and the positive models you want to emulate from CCC Part 3. Do you think your goal as written in Part 1E needs to be modified or changed? Address and submit the following:

• Your original goal from CCC Part 1E.
• What do you think your updated goal for this project should be now? It may be the same, slightly modified, or totally different from Part 1E.
• Why is your goal the same as CCC Part 1E, or why did it need to be changed?

Link: Example

4B. Behaviors Brainstorm
Jot down some communication behaviors that you associate with your goal. To arrive at this list, address and submit the following:

• What must a person be saying and/or doing for me to say that he/she has achieved the goal?
• Given a room full of people, what is the basis on which I will separate them into two classes: those who have achieved the goal and those who have not?
• How will I recognize and measure goal achievement when I see it?

4C. Behavior Description
Describe each behavior. Do this in a statement that identifies the manner (or extent) of the behavior that is required to achieve the goal.

Repeat this statement for each behavior on your list. This step helps you to establish the criteria by which you will measure your success in reaching the goal.

State your goal in specific behavioral terms, considering these example questions again.

• What new people?
• Where will I meet them?
• When will I meet them?
• How many do I want to meet?
• How often?
• What will I say when I meet them?
• What do I typically do in these situations that I want to avoid?

Use the following format:

• 4C1. Behavior 1: In order for me to achieve my goal of …, I will . . .
• 4C2. Behavior 1: In order for me to achieve my goal of …, I will . . .
• 4C3. Behavior 1: In order for me to achieve my goal of …, I will . . .

Do this at least 3 times for each behavior.

4D. Description Revision
Now, look at your behaviors again. Consider this: If someone else performed the behaviors you have outlined, would you be willing to say that person has achieved your goal? Can you answer “yes” to this question for each of the behaviors you listed above in Part 4C? If not, modify the descriptions of the behaviors until you can say, “YES.” The answer to Part 4D is YES or NO.

Do this over until you can state YES as the answer for each of the behaviors you have listed in 4C above.

In your description, explain why these behaviors would exemplify the attainment of your goal.

4E. Final Behavior List
Conclude with a clearly identified statement of the communication behaviors you intend to implement to achieve your interpersonal communication goal. Be specific.

Revisit these questions to help finalize the list:

• What new people?
• Where will I meet them?
• When will I meet them?
• How many do I want to meet?
• How often?
• What will I say when I meet them?
• What do I typically do in these situations that I want to avoid?

Copy your goal from 4A and then add all your specific behaviors from 4C. Conclude with a clearly identified statement of the communication behaviors you intend to implement to achieve your interpersonal communication goal. Be specific and detailed.

Writing Requirements (APA format)

• Length: 1.5-2 pages (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page

Grading

This activity will be graded based on the W4 CCC Grading Rubric.