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WEEK 5 DCE|2025

February 15, 2025/in Nursing Questions /by Besttutor

Assignment 2: Digital Clinical Experience: Focused Exam: Cough

In this DCE Assignment, you will conduct a focused exam related to cough in your DCE using the simulation tool, Shadow Health. You will determine what history should be collected from the patient, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.

 

Photo Credit: Getty Images

To Prepare
  • Review this week’s Learning Resources and consider the insights they provide related to ears, nose, and throat.
  • Review the Shadow Health Resources provided in this week’s Learning Resources specifically the tutorial to guide you through the documentation and interpretation within the Shadow Health platform. Review the examples also provided.
  • Review the DCE (Shadow Health) Documentation Template for Focused Exam: Cough found in this week’s Learning Resources and use this template to complete your Documentation Notes for this DCE Assignment.
  • Access and login to Shadow Health using the link in the left-hand navigation of the Blackboard classroom.
  • Review the Week 5 Focused Exam: Cough Rubric provided in the Assignment submission area for details on completing the Assignment in Shadow Health.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
Focused Exam: Cough Assignment:

Complete the following in Shadow Health:

  • Respiratory Concept Lab (Required)
  • Episodic/Focused Note for Focused Exam: Cough
  • HEENT (Recommended but not required)

Note: Each Shadow Health Assessment may be attempted and reopened as many times as necessary prior to the due date to achieve a total of 80% or better (this includes your DCE and your Documentation Notes), but you must take all attempts by the Week 5 Day 7 deadline.

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.

Chapter 2, “The Comprehensive History and Physical Exam” (Previously read in Weeks 1, 3, 4, and 5)

Bedell, H. E., & Stevenson, S. B. (2013). Eye movement testing in clinical examination. Vision Research 90, 32–37. doi:10.1016/j.visres.2013.02.001. Retrieved from https://www.sciencedirect.com/science/article/pii/S0042698913000217 

Rubin, G. S. (2013). Measuring reading performance. Vision Research, 90, 43–51. doi:10.1016/j.visres.2013.02.015. Retrieved from http://www.sciencedirect.com/science/article/pii/S0042698913000436  

Harmes, K. M., Blackwood, R. A., Burrows, H. L., Cooke, J. M., Harrison, R. V., & Passamani, P. P. (2013). Otitis media: Diagnosis and treatment. American Family Physicians, 88(7), 435–440.

Otolaryngology Houston. (2014). Imaging of maxillary sinusitis (X-ray, CT, and MRI). Retrieved from http://www.ghorayeb.com/ImagingMaxillarySinusitis.html

This website provides medical images of sinusitis, including X-rays, CT scans, and MRIs (magnetic resonance imaging).

Document: Episodic/Focused SOAP Note Exemplar (Word document)
 

Document: Episodic/Focused SOAP Note Template (Word document)

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NR 632 week 1 LA|2025

February 15, 2025/in Nursing Questions /by Besttutor

Directions

For Week 1, complete the Learning Agreement with self-identified goals to meet COs and initial plans to meet those self-identified goals; review the TIPS document to help you and discuss your goals and plans with your mentor. Your mentor must sign the Learning Agreement for your Week 1 submission.

The agreement should be revised each week to reflect completed goals, additional goals, and changes to the plan dictated by the actual experience or revisions suggested by faculty or the mentor. At the end of the practicum experience, evaluate success with your mentor and obtain the mentor’s signature at the bottom of agreement. Save this form as a Word document and enter required information directly onto it; submit the completed Learning Agreement, signed by your mentor, on the Friday of Week 8. See the Learning Agreement Grading Rubric for grading details.

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Discussion Board prompt 1|2025

February 15, 2025/in Nursing Questions /by Besttutor

What is the difference between a protocol, standard of care delivery, and policy at the practice, state, and federal level? Briefly outline each. What are the perceptions of the health care delivery system from the perspectives of patients, providers, payers, and policy makers? Discuss at least one perception from one of the populations listed: patient, provider, payer, and policy maker.

 

Due date 08/22/2020

2 replies. References and APA

Bottom of Form

Reply 1 Ingrid

Protocols can be defined as an official procedures or system process’ implemented by a facility, institution, or government establishment. Standards of care delivery is defined as a diagnostic and/or treatment process that a health care provider or professional must adhere to base on a certain type of condition, condition, and/or circumstance. Policy is defined as course of action adopted by a business, corporation, hospital, and/or government establishment (Shiel, 2018).

At the practice level, protocols are what healthcare workers must perform as a guide to a management of a clinical situation and is incorporated into systems as a way healthcare professionals to provide the best evidenced-based care to their patients (n.d.). At the state level and federal level, professional expectations are established and provide the consistency to ensure quality of care. Nurses are expected to follow state and federal level regulations to protect the patient. If the standards of care according to state and federal levels are not met, legal implications can occur as the nurse can be found violating the standard of care. The legal implications can lead to malpractice on the health care professional (n.d.).

A perception that patients have regarding health care delivery system is that health care professionals are held to a standard and must be competent to perform their duties. Patients understand their condition with expectations regarding their treatments, if their treatments are not met, Patients know well enough to file complaints or legal action against the health care employee. From a provider perspective, health care professionals must attend proper schooling and complete a license exam. Having that license ensures that you are competent. The license can be revoked if you are unable to perform your duties therefore a health professional must be responsible and accountable for their actions.

 

Reply 2 Kristopher

Protocols are an agreed framework outlining the care that will be provided to patients in a designated area of practice. An example of this is a protocol to evaluate and discontinue unnecessary urinary catheters. This protocol has a set of guidelines that can be followed and carried out without a physicians order.

Standard of care delivery describes the care patients should be offered by health professionals and health services for a specific clinical condition or defined clinical pathway in line with current best evidence. (Clinical Care Standards, n.d.)

Health policy refers to decisions, plans, and actions that are undertaken to achieve specific health care goals within a society. An explicit health policy can achieve several things: it defines a vision for the future which in turn helps to establish targets and points of reference for the short and medium term. It outlines priorities and the expected roles of different groups; and it builds consensus and informs people. (Health policy, 2013)

Patient wants satisfactory health treatment, providers focus on patient safety, payers are responsible for enabling the process of patient access and policy makers have viewpoint to provide services, plan and manage health care policies.

Among all, patients’ perception needs to be discuss in detail here because insights of providers, payers and policy makers are concerned with them and their treatment. In a patient’s viewpoint, he or she is expecting, competent, compassionate and ethical care.

 

2 Board Discussion.

Due date 08/22/250250

APA, references.

 

Discussion Prompt 1

Describe how the educational level achieved by a nurse or the entry point into professional nursing practice affects the quality and competence of a nurse’s participation in policy making.Why it is important for registered nurses to influence the regulatory process? Does the nurses education have influence on their ability to make an impact?

Discussion Prompt 2

Reflect on what you have learned in this course. What were your major takeaways? Surprises? How will you apply what you have learned to your career?

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Nursing homework help|2025

February 15, 2025/in Nursing Questions /by Besttutor

TASK 1

  1. You put this assignment online for sale and I bought it. You did the topic: The plan for healthy Angeleno Communities. It look like this assignment was submitted by somebody in 2020. ((Submission date: 19-Sep-2020 05:44PM (UTC+0200) Submission ID: 1391243777
    File name: PolicyBriefTemplate1.docx (37.87K)
    Word count: 1228

Character count: 7130

TASK 2

Task 2 is how you organized the information to write the brief for task 2. I have enclosed the task 1 so you can understand what you wrote and use it to do task 2. Which is the one I am disputing.

  1. Write an advocacy action plan summary (suggested length of 100 words or less) of the process you used to create your advocacy plan

2. List a SMART goal for moving your policy brief forward

3. Provide a list of local, state, or federal policymakers’ contact information

Note: (you should search and list the names/firms/agencies etc and real contact information of local, state, or federal state who you submitted the policy brief to (you may assume you submitted the brief or will submit the brief but the names/contacts etc should be real and should come from the Angeleno Community in Los Angeles, if this community really exists, not Canada.

Task 1 seems to be somebody’s work that has been submitted so you should explain before I dispute that also. (Submission date: 19-Sep-2020 05:44PM (UTC+0200) Submission ID: 1391243777
File name: PolicyBriefTemplate1.docx (37.87K)
Word count: 1228

Character count: 7130

  • 3. Write a letter or email and a copy of this email/letter is to be submitted for this assignment to indicate that you sent a letter to the policy makers to make an inquiry about the process for agenda setting
  •  Write an action plan for informing media and stakeholders, including five strategies for informing the media and stakeholders of the importance of your identified policy issue

Note: you need to name the stakeholder/people who have interest in the topic you wrote for TASK 1 and explain the strategies to achieve your advocacy goals.

  • 4. list seven interprofessional team-building techniques (this should be a list)
  • 5. list five interprofessional stakeholders and a description of how each stakeholder will contribute to meeting your SMART goal

(Name them, eg nurse, social workers etc that will help to make the SMART goal listed in #5 works)

•   6. Write the agenda that will be followed when you meet with stakeholders (a team meeting agenda) for your first team meeting

Number the assignment as shown and do it right. English should be right. If you cannot do it, refund the money for both tasks (1 and 2) and delete your account. This is the 3rd time I am getting work done form you and I have to do it all over by myself, causing me to be suspicious because you were using examples from CANADA and I do not know you are writing from Russia. Just do the assignment well and ….

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PICO(T) Evidence Review|2025

February 15, 2025/in Nursing Questions /by Besttutor

PICOT EVIDENCE REVIEW 2

 

Appendix A

 

PRISMA Diagram

 

( Identification ) ( Additional records identified through other sources (n = 4 ) ) ( Records identified through database searching (n = 7 ) )

 

( Records after duplicates removed (n = 3 ) )

 

( Screening )

( Full-text articles assessed for eligibility (n = 3 ) ) ( Records excluded (n = 3 ) ) ( Records screened (n = 8 ) ) ( Full-text articles excluded, with reasons (n = 5 ) )

 

( Eligibility )

 

( Studies included in qualitative synthesis (n =1 ) )

 

( Studies included in quantitative synthesis (meta-analysis ) (n = 2 ) ) ( Included )

 

Appendix B

 

Evidence Appraisal Table Template

 

Study citation: Halms, M. A. (2013). Nursing handoffs: Ensuring safe passage for patients. American Journal of Critical Care, 22(2), 158-161
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
Identification of handoff-related events that were reported in the Pennsylvania healthcare facilities from 2014 to 2015. Systematic review 1,565 handoff-related events In Pennsylvania Acceptance of responsibility for the care of the patient attainable by means of enhancing communication effectiveness

 

 

 

Enhancement of the safety and quality of handoff that requires the implementation of strategies that can support that initiative

Used Pennsylvania Patient Safety Reporting System (PA-PSRS)

Out of 1,565 handoff-related event

reports, 99.1% (n = 1,551) were Incidents while the remaining 0.9%

(n = 14) Serious Events

 

 

1

 

Appendix B

 

Evidence Appraisal Table Template

Study citation: Gordon, M & Findley, R., (2011). Educational interventions to improve handover in healthcare: a systematic review. Med Educ.  45(11):1081–1089.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
Educational interventions to improve handover in health care Systematic review Sample involved undergraduate and postgraduate nurses

 

educational interventions and how they relate to published theoretical models

 

Data extraction and quality appraisal completed independently, and content analysis in the interventions conducted as well as the key themes extracted. 10 studies met inclusion criteria and 9 studies met outcomes with improved attitudes and knowledge skills, and one demonstrated skills transfer to the workplace.

 

 

1

 

 

 

 

Appendix B

 

Evidence Appraisal Table Template

Study citation: Gogan, J. L., Baxter, R. J., Boss, S. R., & Chircu, A. M. (2013). Handoff processes, information quality and patient safety. Business Process Management Journal, 19(1), 70-94.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
To study on clinical processes and clinical handoffs so as to determine how the two disciplines could be combined to attain improved patient safety in handoffs. Systematic review Two studies reviewed for information comparison Recommended that there should be a use of SOPs (standard operating procedures), regularly audited clinical pathways, supporting software, and checklist so as to improve the handoffs.

 

Proper patient handoffs necessitated improved patient safety and quality information sharing and transfer between practitioners. There is a need for the health sector to initiate a trans-disciplinary methodology in research so as to respond to information quality issues that are related to clinical handoff processes, and in turn apply the research evidence to improve patient safety.  

3

 

 

 

 

Appendix B

 

Evidence Appraisal Table Template

 

Study citation: Butcher, L. (2015). The high-stakes handoff. Trustee, 68(3), 8-10,12.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
To use nursing homes patient care platforms to set baseline for improved patient handoffs Integrative review Two studies reviewed for information comparison Improved patient handoffs would be attained if; – developing the right setting for patients being discharged from hospitals

-standardization across the care continuum

-emphasize on longitudinal care planning

-use nurse care navigators to initiate successful of patients from one care setting to another.

Rethinking nurse staffing roles

Assigning skilled nursing experts to work directly with post-acute care health providers

Redesigning care to gain collaboration in post-acute providers

Nursing homes have largely helped in meeting patient care needs and sustaining improved patient handoffs

 

 

2

 

 

 

 

 

Study citation: Benham-Hutchins, M. M., & Effken, J. A. (2010). Multi-professional patterns and methods of communication during patient handoffs. International journal of medical informatics, 79(4), 252-267.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
Identification of current methods of passing and sharing patient information between practitioners, determine the dominant methods, and recommend the improvement strategies that could be deployed to enhance the efficiency in handoffs Integrative review Five patient handoffs used The study recommended the improvement methods that would encompass the conversion of all units to the electronic health record, electronic handoff communication modules and asynchronous multi-professional communication logs In patient handoffs, the common methods used were inclusive of verbal communication either via phone or in person, via written paper charts, and use of electronic records.

Verbal communication seemed to be highly preferred than the rest of the methods and it had reduced discrepancies.

84% of the participants preferred verbal communication during handoffs

82% of emergency department providers and 54% of those in admitting units were satisfied with verbal communication methodology in patient handoffs

 

 

 

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Soap note for patient with Psoriasis|2025

February 15, 2025/in Nursing Questions /by Besttutor

1) ************Complete the template attached (See File 1) according to the example (See File 2 )   

                     It is mandatory that you respect the information requested in the template

              You should not modify the template. The titles and subtitles will be verified

             

2)¨******APA norms

            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 5 references not older than 5 years

_______________________________________________________________

Purpose:  create soap note for patient with Psoriasis

Create a clinical case of a patient diagnosed with Psoriasis. Based on the case you created, complete the Template.

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Katharine Kolcaba’s Comfort Theory|2025

February 15, 2025/in Nursing Questions /by Besttutor

Abstract

The paper gives a systematic assessment of the Katharine Kolcaba’s Comfort theory. The basis of the paper is to understand the theorist, and discuss the main concepts related to it. Above all the aim is to identify the theory’s application to clinical situations in institutional settings and its contribution to nursing research and practice. An overview, and the Comfort theory’s propositions, along with its conceptual definitions will be analyzed and studied. Along with certain research articles, Kolcaba’s Comfort theory’s applications, particularly, technical, coaching and comfort food for the soul will be explored. In addition, this paper provides examples where Nurse Practitioners can use Comfort Theory as a framework to provide holistic care to their patients. It is also noticeable that Katharine Kolcaba’s Comfort theory has been used in several institutions by the administration to develop policies and practices, with the interest of improving patient satisfaction and experience during their encounter within the organization.

 

 

Introduction

Born and educated in Cleveland, Ohio, Katharine Kolcaba, practiced as a nurse on several nursing units for many years. After completing her masters in nursing, and while working on the dementia unit as head nurse, Kolcaba started theorizing about comfort. During her doctoral studies, Kolcaba further developed her comfort theory study and later published a framework for dementia care. Later she added the operationalized comfort as an outcome of care and contextualized comfort in a middle range theory. Subsequently, Kolcaba tested her theory in varied intervention studies, and based on that she polished her theory to include hospital-based outcomes. Katharine Kolcaba has several and extensive publications where she has documented the process of her theory. She also has published a book Comfort Theory and Practice, where she has assembled her series of publications. Kolcaba currently works as a consultant of her own company, The Comfort Line, which advices health-care agencies in application of her Comfort Theory framework if they choose to apply it within their institutions (Smith & Parker, 2015).

 

Overview of the Comfort Theory

Comfort, according to Kolcaba, is an outcome of an intentional, patient/family based and focused quality care (Smith & Parker, 2015). Based on holistic care, Kolcaba developed four contexts in which patients can experience comfort, i.e. physical, psychospiritual, sociocultural and environmental. The three distinct types of comfort that Kolcaba focused were-Relief, Ease, and Transcendence. Relief is a feeling where a specific need that provides comfort is given. Ease is the state of being calm and content. Whereas transcendence relates to a state where patients can rise above their difficulties irrespective of life’s circumstances with the help of caregiver intervention. All the four contexts and the three types of comfort are interrelated and have to be viewed holistically to get favorable outcomes. Health needs are those that the patients cannot meet on their own which sprout from varied stressful conditions. Comfort interventions are all the steps considered to tackle the specific health needs.

 

page2image1575802880 (“Comfort Theory,” n.d.)

 

The practical application of Kolcaba’s Comfort Theory was studied in cardiac patients in two case studies (Krinsky, Murillo, & Johnson, 2014). The comfort needs of cardiac patients were defined based on the four domains of Kolcaba’s Comfort theory and the interventions were outlined accordingly centered on the three comfort types. Quiet time intervention which was introduced to these cardiac patients aligned with the Comfort Theory taxonomy framework. Interventions based on physical, psychospiritual, environmental and socio-cultural domains were implemented in the case studies. Improved outcomes were noted in cardiac patients in terms of ease of pain, enhanced sleep, reduced agitation and anxiety, and enriched emotional support through family involvement.

Another study that was conducted at two dialysis centers to determine the relationships between comfort and fluid retention was based on Kolcaba’s Comfort Theory framework (Estridge, Morris, Kolcaba, & Winkleman, 2018). The study found out some interesting facts based on the theory of comfort. The study turned out to be clinically important as patients who pursued comfort interventions showed a greater trend of engaging in healthy behavior. Another fact pointed out was the different comfort needs based on race, religion, gender and lifestyle varied accordingly. In the study the nurses had to investigate distinctive characteristics and comfort needs to plan nursing care based on the comfort theory framework.

Relevance

Personal Relevance

While working in the dementia unit, Kolcaba started developing her comfort theory in context of patient experience on that unit. It was during her doctoral degree program that she further expanded on her comfort theory framework and its outcomes. She later tested her theory in several interventions as a topic for her dissertation. Kolcaba confesses that it was Emily Dickenson’s poem that made her define her vision for nursing and comfort care theory (“Comfort Theory,” n.d.). The author, even today, utilizes her theory in her regular visits to homeless shelters, different healthcare organizations, and several research studies incorporating her comfort theory.

Relevance to healthcare

Comfort theory has great implications within todays healthcare scenarios. Most patients and family members are in stressful health related situations, comfort theory can be beneficial to such cases when nursing activities are planned in that direction. Nurses in todays world can take guidance from comfort theory to identify their patients and family needs and address them with interventions based within the comfort theory structure. Institutional administrators should value comfort care and implement policies and make strategies that will encourage nurses and other staff to deliver comfort measures to their clients. Kolcaba has developed several scales for documentation that include, verbal rating scale, a numeric diagram, comfort daises for children, a comfort behaviors checklist and many other questioners (Smith & Parker, 2015).

Relevance to research and practice

Kolcaba’s Comfort Theory has been used as a framework in many research studies. Kolcaba herself has participated and guided researchers through many studies that have applied her theory in different setups. Apostolo and Kolcaba’s guided imagery study for decreasing depression, anxiety and stress in psychiatric patients with depression using comfort theory framework, revealed significant improvement in clinical outcomes (Apostolo & Kolcaba, 2009). Taxonomic structure of Comfort developed by Kolcaba was used to design the interventions for the study. This example and many other studies have proved that utilizing Kolcaba’s Comfort theory can help patients have positive impact in their health behaviors and outcomes.

Summary

Strengths

The biggest strength of Kolcaba’s Comfort theory is its ease of use in any nursing setting. The taxonomic structure provided by Kolcaba is clear and easy to understand and thus helpful for nurses to develop their nursing plan of care accordingly. When nurses implement comfort care plans, patient and family satisfaction improves, thereby engaging them in health seeking behaviors. The comfort theory framework developed by Kolcaba is holistic in nature, thus helping improvise overall patient care. Several health institutions and hospitals are actively implementing comfort theory-based care in hope of improving their HCAHPS scores.

 

 

Limitations

Although widely used in hospitals and for research purposes, Kolcaba’s theory has few limitations. Most of the times outcomes are subjective, hence limiting generalizability. Another limitation is the requirement of modification of framework when using in different nursing areas. Comfort theory framework is mostly used in nursing related areas; hence its use is limited to the staff who are educated about it and based on their scope of practice. Kolcaba’s comfort theory is good to be used to define comfort care of patients and families, but it’s difficult to agree whether it can be applicable in all healthcare settings. The topic of comfort is subjective, hence depending on varied patient-nurse ratios it may be difficult and stressful for nurses to implement total comfort-based care.

 

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Week 3 Discussion Advance Practice|2025

February 15, 2025/in Nursing Questions /by Besttutor

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

  • Discuss the Mr. Rodriquez’s history that would be pertinent to his gastrointestinal problem. 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 Mr. Rodriguez. Are there any additional you would have liked to be included that were not?
  • Please list 3 differential diagnoses for Mr. Rodriguez and explain why you chose them.  What was your final diagnosis and how did you make the determination?
  • What plan of care will Mr. Rodriquez be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?

Do 2 pages

Provide references.

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Case study on Peripheral Vascular Disease|2025

February 15, 2025/in Nursing Questions /by Besttutor

Peripheral Vascular Disease

Case Studies

A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except for decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial pulses were markedly decreased compared with those of his left leg.

Studies Results
Routine laboratory work Within normal limits (WNL)
Doppler ultrasound systolic pressures Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure)
Arterial plethysmography Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves
Femoral arteriography of right leg Obstruction of the femoral artery at the midthigh level
Arterial duplex scan Apparent arterial obstruction in the superficial femoral artery

Diagnostic Analysis

With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic.

Critical Thinking Questions

1. What was the cause of this patient’s pain and cramping?

2. Why was there decreased hair on the patient’s right leg?

3. What would be the strategic physical assessments after surgery to determine the adequacy of the patient’s circulation?

4. What would be the treatment of intermittent Claudication for non-occlusion?

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Ethical and Policy Factors in Care Coordination|2025

February 15, 2025/in Nursing Questions /by Besttutor

Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10-12-slide, 20-minute presentation, with audio, intended for that audience. Create a detailed narrative script for your presentation, 4-5 pages in length.

As coordinators of care, nurses must be aware of the code of ethics for nurses and health policy issues that affect the coordination of care within the context of the community. To help patients navigate the continuum of care, nurses must be proficient at interpreting and applying the code of ethics for nurses and health policy, specifically, the Affordable Care Act (ACA). Being knowledgeable about ethical and policy issues helps ensure that care coordinators are upholding ethical standards and navigating policy issues that affect patient care.

This assessment provides an opportunity for you to develop a presentation for a local community organization of your choice, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional.

It would be an excellent choice to complete the Vila Health: Ethical Decision Making activity prior to developing the presentation. The activity provides a helpful update on the ethical principles that will help with success in this assessment.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 4: Defend decisions based on the code of ethics for nursing.
    • Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
  • Competency 5: Explain how health care policies affect patient-centered care.
    • Explain how governmental policies related to the health and/or safety of a community affect the coordination of care.
    • Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
  • Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
    • Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included.

Preparation

Your nurse manager at the community care center is well connected and frequently speaks to a variety of community organizations and groups. She has noticed the good work you are doing in your new care coordination role and respects your speaking and presentation skills. Consequently, she thought that an opportunity to speak publicly about contemporary issues in care coordination would be beneficial for your career and has suggested reaching out to a community organization or support group to gauge their interest in hearing from you, as a care center representative, on a topic of interest to both you and your prospective audience.

You have agreed that this is a good idea and have decided to research a community organization or support group that might be interested in learning about ethical and policy issues related to the coordination of care. Your manager has suggested the following community organizations and support groups, but acknowledges that the choice is yours.

  • Homeless shelters.
  • Local religious groups.
  • Nursing homes.
  • Local community organizations (Rotary Club or Kiwanis Club).

To prepare for this assessment, you may wish to:

  • Research your selected community organization or support group.
  • Review the Code of Ethics for Nurses With Interpretive Statements and associated health policy issues, specifically, the ACA.
  • Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.
  • Allocate sufficient time to rehearse your presentation before recording the final version for submission.

Note: Remember that you can submit all, or a portion of, your draft presentation to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Recording Equipment Setup and Testing

Check that your audio speaker and PowerPoint software are working properly. You can record audio directly to your slides, using PowerPoint or other presentation software.

Note: Technical support about the use of PowerPoint, including voice recording and speaker notes, can be found on Campus’s Microsoft Office Software page.

  • If using Kaltura, refer to the Using Kaltura tutorial for directions on recording and uploading your presentation in the courseroom.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@capella.edu to request accommodations.

Instructions

For this assessment:

  • Choose the community organization or support group that you plan to address.
  • Develop and record a presentation, with typed speaker notes (the script for your voice recording) and audio voice-over recording, intended for that audience. Video is not required.

Note: PowerPoint has a feature to type the speaker notes directly into the presentation. You are encouraged to use that feature or you may choose to submit a separate document. See Microsoft Office Software for technical support about the use of PowerPoint, including voice recording and speaker notes.

Note: For this assessment, develop your presentation slides and speaker notes, then record your presentation. You are not required to deliver your presentation to an actual audience but you certainly could if you chose to.

Presentation Format and Length

You may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voiceover. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues. You can also record your presentation using Kaltura or similar software.

Be sure that your slide deck includes the following slides:

  • Title slide.
    • Presentation title.
    • Your name.
    • Date.
    • Course number and title.
  • References (at the end of your presentation).

Your slide deck should consist of 10–12 slides, not including a title and references slide with typed speaker notes and audio voice over. Your presentation should not exceed 20 minutes.

Create a detailed narrative script for your presentation, approximately 4–5 pages in length.

Supporting Evidence

Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script.

Grading Requirements

The requirements outlined below correspond to the grading criteria in the Ethical and Policy Factors in Care Coordination Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

  • Explain how governmental policies related to the health and/or safety of the community affect the coordination of care.
    • Provide examples of a specific policy affecting the organization or group.
    • Refer to the assessment resources for help in locating relevant policies.
    • Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA).
  • Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
    • What are the implications and consequences of specific policy provisions?
    • What evidence do you have to support your conclusions?
  • Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
    • Consider the factors that contribute to health, health disparities, and access to services.
    • Consider the social determinants of health identified in Healthy People 2020 as a framework for your assessment.
    • Provide evidence to support your conclusions.
  • Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included.
    • Present a concise overview.
    • Support your main points and conclusions with relevant and credible evidence.
Additional Requirements

Before submitting your assessment, proofread your presentation slides and speaker notes to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your presentation.

Scoring Rubric.

1.  Explain how governmental policies related to the health and/or safety of a community affect the coordination of care.

Passing Grade:  Provides an articulate, insightful explanation of how governmental policies related to the health and/or safety of a community affect the coordination of care. Provides clear examples of specific policies affecting care coordination.

2.  Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.

Passing Grade:  Identifies significant and relevant national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination. Makes a clear and persuasive argument for the ethical implications and consequences of specific policy provisions

3.  Assess the impact of the code of ethics for nurses on the coordination and continuum of care.

Passing Grade:  Assesses the impact of the code of ethics for nurses on the coordination and continuum of care. Draws insightful evidence-based conclusions informed by careful consideration of the social determinants of health and a precise and accurate interpretation of the factors contributing to health, health disparities, and access to services.

4.  Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included.

Passing Grade:  Communicates key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Delivers a professional, logically coherent presentation of main points, facts, and conclusions, well-supported by relevant and credible evidence. Both speaker notes and audio voice-over are included.

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