Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these and discuss why it is important for you to work on these skills if you want to present your findings in a more formal setting.

Through this assignment, the student will demonstrate the ability to:

1. Inspect the relationship between environment and global health (CO7). 
2. Appraise global health problems considering WHO SDG’s as well as related epidemiological data (CO7).

Assignment Requirements 

1. Please go to a lay press newspaper, for example, The Washington Post, The New York Times, or other national publication. 
2.  Locate an article that has global health implications, such as malaria, untreated strep throat or other infectious diseases in developing countries.  Other topic areas may address environmental global health issues, for example, safe water, sanitation, or oral health.   
3. After you locate and read over the article, respond to the following prompt:
   • During NR503, we have discussed the web of causation, epidemiological triangle, inter-professional collaboration and various other concepts related to population health and epidemiology.  In responding to your chosen article in this week’s discussion board be sure to synthesize, integrate, these course concepts as well as other terminology found in weekly modules. For example, integrate into your writing information from the World Health Organization and the SDG’s or include social justice theory into your article analysis.  The specific focus is up to you, but be sure to compare and contrast, integrate and think critically, as you present your discussion board post. 
4. Your post should be a minimum of three (3) paragraphs with 4-5 sentences per paragraph.   
5. Your initial post should include a minimum of two (2) scholarly articles which would not include your course text, which is also permitted to be used.     
6. A link to the article using APA should be included.

Textbook :  

Curley, A.L. & Vitale, P.A. (2016). Population-Based Nursing: Concepts and Competencies for Advanced Practice (2nd ed.). New York, NY: Springer Publishing.

Scholarly  

• The student actively stimulates and sustains inquiry by making reflective insightful comments, asking thoughtful questions and/or engaging in a scholarly discussion.  
• The student expresses a clear idea of the topic under discussion and sustains inquiry in order to explore relevant issues. 
• The student recognizes values or values conflict as things that form the assumption basis of arguments and recognizes when it is important to acknowledge these values.  
• The student recognizes the accuracy, logic, relevance, or clarity of statements. 
• The student asks clarifying questions and knows when clarifying questions need to be asked.  
• The student distinguishes fact from opinion.  

Application  

• All components of discussion prompt addressed (met) in initial posting. 
• The student’s writing conveys an understanding of significant ideas relevant to the issue under discussion. This is indicated by integration of course and weekly objectives, as well as readings from text and articles.   
• All posts should make correct use of terminology, precise selection of the pieces of information required to make a point, correct and appropriate use of examples and counterexamples, demonstrations of which distinctions are important to make, and explanations that are concise and to the point.  
• Information and knowledge are accurate. 
• The student elaborates statements with accurate explanations, reasons, or evidence from the course and/or weekly objectives. 
• All postings integrate scholarly sources to support points consistently.   

Interactive Dialogue 

• Responds to ideas in a way that advances discussion with engagement, depth, rigor, and application.  
• Interacts with a professional tone and is able to express opinions with ownership and without judgement. 
• Chooses to include professional experience to the discussion board mindful of appropriateness and boundaries. Experience is integrated as it supports the discussion board topic and utilizes scholarly references to support overall topic.  

Read the following case study and submit a 1500 – 2000 word paper that addresses the case study and the questions at the end of the case study. 

Mr. B. is an 83 year old male referred to home health services following a hospital admission for congestive heart failure. His payor source is Medicare (traditional). He lives alone and indicates he does not have sufficient financial resources to afford private-pay in home supportive care. His daughter, who lives in the neighboring county about 30 miles away, has offered her father to move in with her – he has refused and she is not “forcing the issue”. Mr. B. is also not open to discussing moving to an assisted living environment.

This is his third hospital admission for the same problem over the last 12 months and his second admission to a home health agency. He was discharged from the previous home health agency 6 weeks ago. Physician orders are for the home health agency to provide skilled nursing for assessment of his cardiac condition and to teach him about his care and medication regime. Physical therapy has been ordered to establish a home exercise program. Home health aide services have been ordered 3 times a week to assist Mr. B. with his personal care needs.

By the end of the third week of service, it is clear to the RN Case Manager that Mr. B. is not making progress to the established goals. She reports during case conference that he is not a good candidate for teaching because of intermittent confusion and forgetfulness. According to the nurse, no matter what she has tried to teach him and regardless of the aids she has used, Mr. B. continues to take is medication incorrectly. She states, “I know he needs services, but I am not sure that he is in the right environment. I am concerned about Mr. B. – I am not sure why his daughter won’t just step up and put her foot down.”

The physical therapist reports at case conference that the “client lacks motivation”. The home exercise program has been established with Mr. B.; however, he does not complete the exercises between therapy visits.

An improvement in his personal hygiene has been noted with the Home Health Aide (HHA) services. The HHA has also been successful in decluttering his living space. The HHA reports that she is concerned that he is not eating regular meals.

This situation offers an ethical challenge to the professional caregivers and to the agency for which they work. 

Discuss how you would handle this ethical dilemma. Address the following questions as a part of your response:

1. What are your concerns about this case?
2. How does the RN Case Manager meet her ethical responsibilities to the patient and to the organization?
3. What is the best plan of action to ensure the client’s safety and well-being?
4. What are realistic outcomes and goals for this client?
5. Who will provide the ongoing care needs required by this client?

Assignment:

Reflect upon the patient experience, patient safety, and healthcare cost as well as Joint Commission’s role in quality healthcare. Write a paper that addresses the following questions:

• How      would you apply the principles of the Triple Aim initiative to improve      quality, safety and satisfaction in the acute care or long-term care setting?       
• Reflect      on your current or future role in healthcare. How you would you, in the      role of director of nursing or healthcare administrator contribute to      improving cost effective quality care, patient satisfaction, and patient      safety?
• What      practices would you apply to minimize medical errors among front-line      nursing staff?

Assignment Expectations

Length: 1500-2000 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment.  Your essay must include an introduction and a conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

Instructions: Doctorate level work. 2 pages, APA format, at least 2 references (must be within 5 yrs ). Absolutely plagiarism free

Due date/time: 18 Nov, 2020 @8:00am. 

Ethical Decision-Making

Let’s return to the ethical scenario presented within Page 2 of the Explore section of Week 4 to consider it further. Upon learning that a medication error occurred resulting in a child’s death, the Chief Nursing Officer (CNO) of a regional acute care facility held a press conference to announce the mistake. The conference centered on reporter questions about why the nurse was not fired. The CNO explained that the nurse was highly regarded and that the problem was a “system” problem, not simply a problem of an incompetent nurse. The CNO also explained that an examination of the medication administration procedures was ordered and that an electronic medication error avoidance system would be implemented to ensure that such an error would not happen again. Consider this scenario to address the following.

· As the CNO in the scenario, defend your decision to disclose the incident to the media. How does this decision influence value-based healthcare? What risks might you encounter? What impact might this decision have on you personally and professionally?

·  At a regional health consortium, fellow CNOs remark that they would not disclose such an incident to the media. Provide two justifications for withholding disclosure of the error to the public. How does this decision influence value-based healthcare?

·  Imagine you are the patient’s family. How would you want the issue to be handled by the CNO? Explain your rationale

Reading/references:

1.  Chism, L. A. (2019). The Doctor of Nursing Practice: A guidebook for role development and professional issues (4 th ed.). Jones & Bartlett Publishers.

·  Chapter 7: The DNP Graduate as Ethical Consultant, pp. 177-197

·  
https://online.vitalsource.com/#/books/9781284155259/epubcfi/6/164%5B%3Bvnd.vst.idref%3Di17_Chapter07%5D!/4/2%5Bch07%5D/8/6%400:0

2.  Marshall, E. S. & Broome, M.E. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.).  Springer Publishing Company.

·  Chapter 4: Economics and Finance

o”The Present State of Health Care Finance,” p. 88

o”Emerging Models of Care Delivery: A Glimpse into The Future of Financing,” -p. 114

·  https://online.vitalsource.com/#/books/9780826193995/epubcfi/6/32%5B%3Bvnd.vst.idref%3DChapter_4%5D!/4/2/366/2%400:61.2

3.Nelson, E. C., Batalden, P. B., & Godfrey, M. M. (2007). Quality by design: A clinical microsystems approach. Jossey-Bass.

·  Chapter 7: Planning Patient-Centered Care, pp. 148-164

4.Sorbello, B. (2008). The nurse administrator as caring person: A synoptic analysis applying caring philosophy, Ray’s ethical theory of existential authenticity, the ethic of justice, and the ethic of care (Links to an external site.). International Journal for Human Caring, 12(1), 44-49. Permalink

Instructions:

Read the evidence representing the three forms of nursing inquiry (QI, research, and EBP) on provided articles (attached). selected problem/ articles: (Improving the control of blood sugar in diabetic patients). Analyze the aim, methods used, and outcomes sought for each type of inquiry. Determine how teamwork and critical thinking processes were implemented. Create a PowerPoint presentation using Microsoft PowerPoint. 

Material provided (attached): three articles related to Diabetes using QI, research, and EBP approach: 

– American Diabetes Association. (2018). Diabetes Care in the Hospital: Standards of Medical Care in Diabetes-2019. doi: 10.2337/dc19-S015 Link (Links to an external site.)

– Russell, N.M., Vess, J., Durham, C., & Johnson, E. (2017). Text-messaging to support diabetes self-management in a rural health clinic: A Quality Improvement project. Online Journal of Nursing Informatics, 21(2). Link (Links to an external site.)

– Whitehead, L.C., Crowe, M.T., Carter, J.D., Maskill, V.R., Caryle, D., Bugge, C., & Frampton, C.M.A. (2017). A nurse-led education and cognitive behavior therapy-based intervention among adults with uncontrolled type 2 diabetes: A randomized controlled trial. Journal of Evaluation in Clinical Practice, 23(4). 821-829. doi: 10.1111/jep.12725 Link (Links to an external site.)

Purpose: The purpose of this assignment is to analyze the differences and similarities between the three forms of nursing inquiry: quality improvement (QI), research, and evidence-based practice (EBP). This assignment will allow for a discovery into the aim, methods and outcomes associated with each type of inquiry, including how these forms of inquiry are distinct yet similar in addressing a nursing practice problem. Formulation of a PowerPoint presentation which is inclusive of comprehensive speaker notes that supports professional formation, communication, and dissemination skills relevant to the DNP practice scholar. 

Include the following sections addressing the three forms of nursing inquiry (detailed criteria listed below and in the Grading Rubric).

– Introduction (1-2 slides)

– Describes purpose of the presentation

– Identifies selected nursing problem

– Includes significance and scope of the practice problem (including citation)

– Differentiation of the three forms of nursing inquiry (2-4 slides)

– Compares and contrasts QI, research, and EBP as forms of nursing inquiry

– Discusses the impact of each form of inquiry on nursing practice

– Describes how the DNP practice scholar applies each form of inquiry

– Analyses of the evidence representing the three forms of nursing inquiry (5-7 slides)

–  Identifies selected evidence representing the three forms of nursing inquiry (including citations)

– Compares and contrasts the aims of the selected evidence in addressing the practice problem

– Compares and contrasts the methods used in the selected evidence

– Examines the impact of teamwork, when used, in the selected evidence

– Compares outcomes in the selected evidence

– Conclusion (2-3 slides)

– Includes an evaluation of the impact of the three forms of evidence on the selected nursing practice problem /

– Includes a summative statement of the impact of the forms of inquiry on nursing

– Includes a summative statement of the impact of the forms of inquiry on the role of the DNP practice scholar

– References (1-2 slides). Includes all references cited in the presentation. Can be the three provided for analysis (attached material) and at least another to address the differences between quality improvement (QI), research, and evidence-based practice (EBP). 

PowerPoint Requirements:

– Includes 10-18 PowerPoint slides

– Maintains the 6 x 6 rule for a professional PowerPoint presentation: (no more than 6 lines per slide, 6 words per line).

–  Include speaker notes that support professional formation, communication, and dissemination skills.

– Grammar and mechanics are free of errors 

– Uses appropriate APA format (6th ed.) and is free of errors

This week’s second discussion forum focuses on the populations of the chronically ill and the disabled.

You may be familiar with the common quote “An ounce of prevention is worth a pound of cure.” In reality, however, you may know of a person, family, or group who is not receiving adequate preventive or medical care due to a lack of resources and funds.

• Choose one specific chronic illness or disability of your choice.
• Select two resources in your community that address issues related to the chronic illness/disability and describe the services offered. (I live in Groves, TX for the resources)
• Select two national resources that address issues related to the chronic illness/disability and describe the services offered.
• Analyze whether or not the continuum of care services are adequate for the population with the chosen chronic illness/disability.  Explain why or why not.

Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by your course text and at least one other scholarly source.  Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1.  Temperature: 37.1 degrees C

2.  BP 123/78 HR 93 RR 22 Pox 99%

3.  Denies pain

4.  Height: 69.5 inches; Weight 87 kg

Laboratory Results

1.  WBC: 19.2 (1,000/uL)

2.  Lymphocytes 6700 (cells/uL)

3.  CT Head shows no changes since previous scan

4.  Urinalysis positive for moderate amount of leukocytes and cloudy

5.  Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

1.  Describe the clinical manifestations present in Mr. M.

1.  Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.

2.  When performing your nursing assessment, discuss what abnormalities would you expect to find and why.

3.  Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.

4.  Discuss what interventions can be put into place to support Mr. M. and his family.

5.  Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Friday 4 

Advocating for vulnerable populations as poverty seems top be increasing and the only meals children gets are in the school