What modifications from the adult head-to-toe physical assessment would be required when performing a head-to-toe assessment on a geriatric client?

Part III: Data Collection Procedures & Measurement Tools/Instruments

· Describe ALL methods to collect data in detail (i.e. interview, survey, observation……etc.)

· Describe each measurement tool/instrument used to measure/assess outcomes in the study in detail.

Part IV: Results/Findings

Participant Characteristics/Sociodemographic Findings

· Describe participant characteristics or sociodemographic status

· Must be objective, descriptive, and comprehensive

· Must describe the findings of Tables/Figures to provide comprehensive information about participant characteristics as article provided.

Study Results/Findings

· Describe ALL Other Results/Findings besides above participant characteristics in detail.

§ Each result item must include Headings/Subheadings as the article provided.

§ Do NOT simply saying “pain level was decreased,” “adherence was increased”…etc 

§ Do NOT include contents from Discussion and/or Conclusion in the article. 

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 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.

By Day 3 of Week 10

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 10, “The Role of Outcomes on Evidence-based Quality Improvement and enhancing and Evaluating Practice Changes” (pp. 293–312)
Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 328–343)
Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 378–427)

Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54–60. doi:10.1097/10.1097/01.NAJ.0000395243.14347.7e. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2011/03000/Evidence_Based_Practice,_Step_by_Step_.31.aspx  

Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice. Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8f
Note: You will access this article from the Walden Library databases.

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
Note: You will access this article from the Walden Library databases.

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. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e
Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomes. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188
Note: You will access this article from the Walden Library databases.

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. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e
Note: You will access this article from the Walden Library databases.

• Do you think there is one type of research (quantitative or qualitative) that is inherently more rigorous than the other? If so, identify which one and why. If not, discuss your reasoning.
• a brief summary of your research article analysis and the correct APA citation for the article.
• Outline how the study’s qualitative data collection and analysis did, or did not, promote rigor, provide scientific or systematic scaffolding, and/or generate a more thorough analysis of the research topic.

Follow directions in syllabus for details of what to include (who they are, what they do, when founded, where HQ) to earn full points . This report is solo, so pick the website you want from above (not the one you did with your previous partner). Submit the report only. 

Guidelines for website report are as follows:

Minimum of 2 paragraphs per website with 500 words minimum.  In the first paragraph, summarize the 

website and relate it to a book chapter topic, and in the second paragraph write a personal reaction to the 

website, including how can you use this information personally and or profession

  you need write report on this website. and plz follow the instruction.

(samhsa.gov/cmhs/)

1. Prepare examples of various coding and billing issues that you have experienced in the clinical setting (Peds and women’s health).

2. Provide a brief description about the NPI numbers for nurse practitioners.

Answer: 

According to the American Academy of Pediatricians. (2020), current Procedural Terminology (CPT) has specific guidelines for using time as a key factor in determining the level of evaluation and management (E/M) service. First, it is paramount to remember the key factors in determining the level of CPT code which include history, physical examination, and medical decision making for the service. The level of selecting most E/M codes would be determined by these three key factors. In the pediatric practice, pediatricians’ needs to take into consideration the additional time they spent with patients, because it might change the level of coding that is used. On the other hand, time is the key factor when the counseling, coordination of care, or both account for more than fifty percent of the face-to-face time with the patient and/or family. When this situation occurs, it is necessary to enter the total duration of counseling and/or coordination of care into the clinical notes, as well as a description of the counseling and/or coordination of care that took place.

 For example, this future practitioner has performed a detailed history and examination, with the decision making as low complexity, and sixty minutes are spent with the patient; forty minutes of which are spent counseling the patient, the visit is coded 99205 which CPT guidelines indicate has a typical time of 60 minutes rather than 99203, which CPT guidelines indicate has a typical time of 30 minutes, for a new patient. (AAP, 2020). Besides, other issue in the office and other outpatient visits is that face-to-face time is defined as the amount of time the practitioner spends in the room with the patient. It does not include any other nurse time preparing the patient or giving injections. Coding to a general level or under coding could lead to a rejected or denied claim.

The NPI is a unique identification number for covered health care providers. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). The numbers do not carry other information about healthcare providers. As outlined in the Federal Regulation, The Health Insurance Portability and Accountability Act of 1996 (HIPAA), covered providers must also share their NPI with other providers, health plans, clearinghouses, and any entity that might need it for billing purposes

References

American Academy of Pediatricians. (2020). Coding Tips for Pediatricians: Evaluation and

Management Coding Strategies. Retrieved from https://www.aap.org/en-us/professional-resources/practice-transformation/getting-paid/Coding-at-the-AAP/Pages/Coding-Tips-for-Pediatricians-Evaluation-and-Management-Coding-Strategies.aspx

American Academy of Pediatricians. (2020). 2020 Coding and Reimbursement Tip Sheet for

Transition from Pediatric to Adult Health Care. Retrieved from https://www.gottransition.org/resource/? 2020-coding-tip-sheet

CMS. 2019. National Provider Identifier Standard (NPI). Retrieved from

https://www.cms.gov/Regulations-and-Guidance/Administrative-  Simplification/NationalProvIdentStand

Community Health Promotion Project

In a Microsoft Word document of 5-6 pages formatted in APA style, you will focus on health promotion for a population of your choosing. Please note that the title and reference pages should not be included in the total page count of your paper.

Include the following in your paper:

• Identify the population you chose and analyze relevant information pertaining to the chosen population.
  • demographics
  • socioeconomics
  • environmental hazards
  • access to healthcare
• Analyze and discuss four mortality and morbidity risk factors for your selected population.
• Suggest a health promotion activity for each health issue identified from your analysis.
• Utilize the textbook and library resources to support your findings and recommendations in relation to your chosen population.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Instructions from my professor:

“List a local or national labor and health care policy that nurses can develop to improve the health of farmworkers rural communities?”(Chap. 24).

NOTE: 1-Use APA 7edition format.

            2-class’ textbook: Mason, D.J., Dickson, E; McLemore, M. R & Perez, G. A. (2021). 

                                        Policy & Politics in Nursing and Health Care (8th Edition).

          3-chapter 24 is attached.

         4- becareful with plagiarism, they use turn it in.

        5- use class’ textbook and some other biographies as references

By the due date Assigned, write a 1-2 page paper addressing the sections below of the research proposal.

Methodology

•     Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected.
•     Sampling Strategy
•     Research Design: Type (e.g., Quasi-Experimental), description, and rationale for selection.

Reflection

Introduction and Alignment

Addiction is likely a multifactorial public health concern, with the interaction of multiple biological, developmental, and environmental factors.  Incorporating other viewpoints including clients’ perspective regarding their personal struggles with addiction can facilitate sensitive and respectful communication and keep the focus on the client’s unique treatment needs.

Upon completion of this assignment, you should be able to:

• Discuss different theories of addiction.
• Identify ways that the PMHNP can provide nonjudgmental care and compassion for individuals who suffer from an addiction. 

Resources

• Video:   Everything you think you know about addiction is wrong Jahann Hari
• Video:   Lets quit abusing drug users
• Video:   Seeing drug and alcohol addiction in a new light.  Ed Stevenson

Instructions

1. Watch the above videos.
2. Navigate to the threaded discussion and respond to the following:
   1. Give an overview of the three videos.
   2. Discuss 2-3 specific ideas/new thoughts that you gleaned looking at how it may have changed your perspective on addiction.
3. Your initial post is due by the end of the fourth day of the workshop.
4. Read and respond to at least two of your classmates’ postings by the end of the workshop.

Select here to access the discussion topic.

Assessment Criteria

Criteria

Points

Question answered comprehensively

• Brief overview (10)
• Discusses specific thoughts gleaned from videos and perspective of addiction (30)

40

References and citations in correct APA format

5

Writing style/punctuation/grammar

5

Total Points

50