How has nursing practice evolved over time? Discuss the key leaders and historical events that have influenced the advancement of nursing, nursing education, and nursing roles that are now part of the contemporary nursing profession. 

Review “What Is Nursing,” located on the American Nurses Association (ANA) website.

URL:https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/ 

Read Chapter 2 in Dynamics in Nursing: Art and Science of Professional Practice.

URL:https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/dynamics-in-nursing_art-and-science-of-professional-practice_1e.php 

• Determine your states practice environment color – green, yellow, or red.
• Discuss how your states is an independent practice or practice restricted state.
• Describe the prescriptive authority for your state.
• (For California Students) Review the CA Standardize Procedures requirement of NPs and discussion the meaning of Standardize Procedures (California BRN – Standardized Procedures Guideline) .
• (For States other than California Students) Identify one (1) barrier to practice and a strategy to address the removal of the identified barrier.

Review the American Association for Nurse Practitioners ‘State Practice Environment’ Map and determine your states color – green, yellow, or red.

Review a second time the Nurse Practice Act in your State for Advanced Practice to assist you in answering the questions in the discussion.

Expectations

Initial Post:

• Length: A minimum of 250 words, not including references
• Citations: At least one high-level scholarly reference in APA from within the last 5 years

Case Study, Chapter 8, Unlicensed Assistive Personnel and the Registered Nurse 

The increased use of unlicensed assistive personnel presents both opportunities and challenges for the American health care system. The nurse manager has to deal with the challenge that unlicensed assistive personnel only be used to provide personal care needs or nursing tasks that do not require the skill and judgment of the RN.

1. The nurse manager reviews the national effort to define the scope of practice for unlicensed assistive personnel. In 2007, the American Nurses Association made recommendations for a national and/or state policy for nursing assistive personnel. What are the six actions that should be taken to create a national and/or state policy agenda about the educational preparation of unlicensed assistive personnel and the competencies they should have for safe practice?

2. The need in health care today is for today’s nurses to have highly developed delegation skills in working effectively and efficiently with unlicensed assistive personnel. This is critical to ensure the clients’ needs are met and their safety is not jeopardized. What are the key general principles that the nurse manager needs to review with professional registered nurses in delegating to unlicensed assistive personnel?

(Wk # 4: May 25 to May 31 – Main post under Assignment by Wed, May 27 at 11:59 PM EST). 

Students are required to post a minimum of three times per week (1 main post answering the question 100% before Wednesday at 11:59 PM EST and 2 peer responses by Sunday at 11:59 PM EST). The three posts in each individual discussion must be on separate days (same day postings / replies will not be accepted).

Chapter 7 – Economic and Legal Issues.Chapter

Chapter 8 – Assessment and Documentation for Optimal Care.

Questions: 

The gerontological nurse is responsible to conduct a complete “head-to-toe” physical assessment. There are several considerations of common changes in late life during physical assessment discussed in your textbook. 

1. Mention at least 3 common changes in late life that the gerontological nurse needs to have in consideration during a physical assessment.

2. Explain each one of them.

Guidelines: The answer should be based on the knowledge obtained from reading the book, no just your opinion. 

Grading Criteria: Student mentioned 3 common changes in late life that the gerontological nurse needs to have in consideration during a physical assessment (30%). Student explained each one of them (70%).

1) Minimum 2 full pages  

             Cover or reference page not included 

              You must submit 2 documents.

             You must answer the (3) questions 2 times. 

              Copy and paste will not be admitted. 

              You should address the questions with different wording, different references, but always, objectively answering the questions.

2)¨******APA norms, please use headers 

            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

3) It will be verified by Turnitin and SafeAssign 

4) Minimum 4 references not older than 5 years

            2 references per document

5) ******************* Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

_______________________________________________________________

You must submit 2 documents (each one 1 page)

Copy and paste will not be admitted. 

You should address the questions with different wording, different references, but always, objectively answering the questions.

____________________________________________________________

Polypharmacy is defined as being on 5 or more medicines, and is a major concern for providers as the use of multiple medicines is common in the older population with multimorbidity, and as one or more medicines may be used to treat each condition.

• 1) Discuss two (2) common risk factors for polypharmacy. 
• 2) Give rationale for each identified risk factor.
• 3) Discuss two interventions you can take as a Nurse Practitioner in your clinical practice to prevent polypharmacy and its complications.