All posts by : chebby

1)  Minimum 20 slides with  speaker notes

              Part 1: Minimum 8 slides with  speaker notes (All slides)

              Part 2: minimum 12 slides with  speaker notes (All slides) 

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 6 references per part not older than 5 years

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

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:  Type II Diabetes

In the presentation of your chosen topic, be sure to examine the pathophysiological factors that influence the incidence and manifestations of acute, episodic, and chronic diseases in populations across the lifespan

 1. Pathophysiology

2. Risk factors and causes

3. Possible consequences

4. Prevention Strategies

5. Treatment Modalities

Part 2: 

Mr. X, a 42-year-old male presents to your primary care practice today complaining of low back pain.

History – Mr. X states that he has had chronic low back pain since he had a skiing accident about 10 years ago. Three days ago, he felt a pulling sensation in his lower back after moving some boxes. The pain intensity increased over the subsequent 24 hours and is now steady, aching in nature, at 3-4 out of 10. Mr. X also has Type2 diabetes, which is well controlled on metformin with a HGA1c of 5.6. He has a history of DVT 4 months ago for which he takes Coumadin, INR is WNL. He is followed by a specialist for this problem. He recently started taking two OTC products; kava kava for what he describes as “anxiety” and CoEnzyme Q10 on the advice of a friend.

Social – Mr. X is a smoker, 1 pack per week for 15 years. No alcohol or drug use. He is employed as an accountant and has medical insurance. He is divorced.

PE/ROS – Complains of low back stiffness and pain on movement with occasional spasms related to moving in certain directions. You note he has mild difficulty getting onto the exam table but gait is normal. He denies weakness/numbness/tingling of legs, no radiation, no change in bowel or bladder habits. BMI 27. All range of motion of the back is decreased by 25%. Straight leg lift is negative bilaterally, DTR intact. All other systems WNL.

Medications:
Metformin 1000mg ER one tab daily – Type II Diabetes controlled

Coumadin 5 mg. daily – Hx of DVT – Controlled

Kava Kava 50 mg. tid – Self-medication for anxiety

CoQ10 – 200 mg. daily. – Self-medication for unknown reason

Assignment Directions:

1. Provide a diagnosis for the patient and and and justify your reasons for the diagnosis based on scientific articles

2. Provide a treatment plan specifically for this patient

   (a) Pharmacologic 

   (b) Non-pharmacologic.

3. Comment on the use of OTC products in relation to Mr. X’s current chronic and acute disease diagnoses and medications. 

   (a) Include drug-drug interactions and side effect profiles.

4. Provide an education plan for Mr. X

APA  FORMAT

2. CITE ALL REFERENCES 

3. PLEASE COMPLETE ALL QUESTIONS. Late assignments will not be accepted!!!

Case Study: Urinary Tract Infection

 You are working in an extended care facility when M.Z.’s daughter brings her mother in for a week’s stay while she goes on a planned vacation. M.Z. is an 89-year-old widow with a 4-day history of non- localized abdominal pain, incontinence, new-onset mental confusion, and loose stools. Her most current vital signs are 118/60, 88, 18, 98.4° F (37.4° C). The medical director ordered a post void catheterization, which yielded 100mL of cloudy urine that had a strong odor, and several lab tests on admission. Urine culture and sensitivity results are pending; the other results are shown in the chart.

Chart View Laboratory Test Results:

Complete metabolic panel: Within normal limits except for the following results:

 BUN 25mg/dL Sodium 131mEq/L

 Potassium 3.2mEq/L

White blood cell count 11,000/mm3

Urinalysis Appearance Cloudy Odor Foul

 pH 6.9

 Protein Negative

 Nitrites Positive

 Crystals Negative

WBCs 6 per low-power field

 RBCs 3

1. What condition do the lab reports point toward?

1. Which assessment findings are typical of an older adult with the condition in Question 1?
2. Considering her history and laboratory results, what other condition is a possibility?

4.The medical director makes rounds and writes orders to start an IV of D5 ½NS at 75mL/hr. and insert a Foley catheter to gravity drainage. Because M.Z. is unable to take oral medications, the medical director orders ciprofloxacin (Cipro) 400mg q12h IV piggyback (IVPB). Are the type of fluid and rate appropriate for M.Z.’s age and condition? Explain.

1. While the IVPB ciprofloxacin is being administered, which adverse effects might occur?

1. You enter the room to start the IV infusion and insert the Foley catheter and find that the nursing assistive personnel (NAP) has taken M.Z. to the bathroom for a bowel movement. M.Z. asks you to help her, and, as you open the door, you observe her wiping herself from back to front. What do you need to do at this time?

1. Because M.Z. has been having diarrhea, what special instructions should you give the NAP assigned to give basic care to M.Z.?

Case Study Progress:

 The next day, you are the nurse assigned to M.Z.’s care. You notice that the NAP emptying the gravity drain is not wearing personal protection devices. You also observe that the drainage port of the drainage bag was contaminated during the process because the NAP allowed it to touch the floor.

1. What issues need to be considered in protecting M.Z.’s safety? Describe your actions in working with the nursing assistant.

1. As you assess M.Z., you notice that her catheter tubing is not secured. Why does the tubing need to be secured, and where is the correct place for the catheter tubing?

1. What changes, if any, will be made to the antibiotic therapy?

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

• Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
• Consider how key regulations may impact nursing practice.
• Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..

By Day 3 of Week 5

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

By Day 6 of Week 5

Respond to at least two of your colleagues* on two different days and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples.

When you post responses to your peers the response needs to be “substantive” to receive credit. Substantive posting criteria includes: Acknowledge what your peer stated (agree or disagree). Include additional information. End the post with an open-ended follow up question. This is important to encourage further discussion

 Pharmacotherapy for Cardiovascular 

Leadership Theories in Practice

      There are many different theories and styles of leadership; however, every leader has their own unique style of leading (Marshall & Broome, 2017). With the continually changing nature of the healthcare industry, organizations must acquire and train good, strong leaders. Good leaders can make an enormous impact on an organization and will help to produce employees who give excellent patient care. The inverse is true, as well, in that bad leaders will produce those who provide poor patient care (Scully, 2015). This explains why it is imperative to choose positive leaders who will offer encouragement and produce an uplifting work environment (Scully, 2015). Another attribute of an excellent leader is one who is intellectually stimulating and encourages learning and growth (Collins et al., 2019). As medicine is continually evolving and new evidence-based practice is regularly published, nurses must continue their education and advance their skills. A good leader will encourage this. A great leader will also encourage the heart, which is especially important during difficult times (Marshall & Broome, 2017).

     I have worked with many leaders over the years, some exceptional, and others who often fell short. Among those leaders, one specifically stands out who embodied many essential qualities that a leader must possess. He was a very positive leader and was always there to offer encouragement when needed and was always sure to voice his appreciation and recognition. One of his most remarkable qualities was his vast knowledge and ability to teach in such a way that inspired you to want to learn more and work even harder to improve your skills and patient care. He practiced what he preached and led by example. He was always willing to offer help where it was needed. He was the embodiment of a transformational leader. His leadership skills were very effective and made a significant impact on our unit. If he made a mistake or fell short in a situation, he would always own up to it and encouraged his employees to offer feedback. When he left the organization, he left a hole in our unit that has yet to be filled, which is a sign of a great leader.

     For anyone who hopes to be in a leadership position in the future, immediate work must begin on leadership skills and styles. It is wise to look at the leaders around you and learn from their strengths and weaknesses. As a leader, it is important to recognize your weaknesses and work to improve those areas to be the best leader possible. There are many key attributes and characteristics that make a great leader. Many great leaders are positive and possess the ability to inspire and stimulate their employees to want to learn and grow (Collins et al., 2019), and should encourage the heart of their employees (Marshall & Broome, 2017).

References

Collins, E., Owen, P., Digan, J., & Dunn, F. (2019). Applying transformational leadership in nursing practice. Nursing Standard, 35(5), 59–66. https://doi.org/10.7748/ns.2019.e11408

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

Scully, N. (2015). Leadership in nursing: The importance of recognising inherent values and attributes to secure a positive future for the profession. Collegian, 22(4), 439–444. https://doi.org/10.1016/j.colegn.2014.09.004

• Record a slide presentation with Script for the presentation, supported by 8–12-slides, for one of the stakeholder groups identified in your Assessment 2 Policy Proposal, which addresses current performance shortfalls, the reasons why new policy and practice guidelines are needed to eliminate those shortfalls, and how the group’s work will benefit from the changes.
  It is important that health care leaders be able to clearly articulate policy positions and recommendations and garner buy-in and support from stakeholder groups for policy and practice changes in their organizations. Unfortunately, effective communication is often lacking. Consequently, it is important for health care leaders, when leading change, to ensure that clear and open communication is ongoing and informative.
• An important aspect of change leadership is the ability to address diverse groups of stakeholders and create buy-in and support for your ideas and proposals for change. This assessment provides you with an opportunity to demonstrate and hone these skills.
• Assessment Instructions
• Record a slide presentation, with audio voiceover, for one of the stakeholder groups you identified in your Assessment 2 Policy Proposal. Inform the group of current performance shortfalls, introduce the proposed policy, explain why the policy is needed, and present policy-driven practice guidelines to resolve the performance issue. You must also obtain buy-in from the group by explaining the positive effects of the policy and practice guidelines on their work.
  Note: Remember that you can submit all, or a portion of, your draft presentation to Smarthinking 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.
  Requirements
  The presentation requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for presentation format and length and for supporting evidence.
  • Summarize your proposed organizational policy and practice guidelines.
    • Identify applicable local, state, or federal health care policy or law that prescribes relevant performance benchmarks that your policy proposal addresses.
    • Keep your audience in mind when creating this summary.
  • Interpret, for stakeholders, the relevant benchmark metrics that illustrate the need for the proposed policy and practice guidelines.
    • Make sure this is a brief review of the evaluation you completed in your Assessment 1 Dashboard Metrics Evaluation.
    • Make sure you are interpreting the dashboard metrics in a way that is understandable and meaningful to the stakeholders to whom you are presenting.
  • Explain how your proposed policy and practice guidelines will affect how the stakeholder group does its work.
    • How might your proposal alter certain tasks or how the stakeholder group performs them?
    • How might your proposal affect the stakeholder group’s workload?
    • How might your proposal alter the responsibilities of the stakeholder group?
    • How might your proposal improve working conditions for the stakeholder group?
  • Explain how your proposed policy and practice guidelines will improve quality and outcomes for the stakeholder group.
    • How are your proposed changes going to improve the quality of the stakeholder group’s work?
    • How will these improvements enable the stakeholder group to be more successful?
    • What evidence supports your conclusions or presents alternative perspectives?
  • Present strategies for collaborating with the stakeholder group to implement your proposed policy and practice guidelines.
    • What role will the stakeholder group play in implementing your proposal?
    • Why is the stakeholder group and their collaboration important for successful implementation?
  • Deliver a persuasive, coherent, and effective audiovisual presentation.
    • Address the anticipated needs and concerns of your audience.
    • Stay focused on key policy provisions and the impact of practice guidelines on the group.
    • Adhere to presentation best practices.
    • Proofread your presentation slides to minimize errors that could distract the audience and make it more difficult for them to focus on the substance of your proposed policy and practice guidelines.
  • Example Assessment: You may use the Assessment 3 Example [PDF] to give you an idea of what a Proficient or higher rating on the scoring guide would look like.
    Presentation Format and Length
    You may use Microsoft PowerPoint or other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
    If using PowerPoint to create your presentation slides, you may use the SoNHS Professional Presentation Guidelines [PPTX] as a template.
    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). Apply current APA formatting to all citations and references.
  • Your slide deck should consist of 8–12 slides, not including a title and references slide.
    Note: If you have technical difficulties in recording your audio, you may, in place of the audio, provide a complete script of what you intended to say in the notes section of each slide. If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact [email protected] to request accommodations.
    Supporting Evidence
    Cite 3–5 sources of scholarly, professional, or policy evidence to support your analysis and recommendations.
    Portfolio Prompt: You may choose to save your presentation to your ePortfolio.
    Competencies Measured
    By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
  • Competency 1: Analyze relevant health care laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.
    • Explain how a proposed policy and practice guidelines will affect how a stakeholder group does its work.
  • Competency 2: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
    • Summarize a proposed organizational policy and practice guidelines.
    • Explain how a proposed policy and practice guidelines will improve quality and outcomes for a stakeholder group.
  • Competency 3: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, to inform health care laws and policies for patients, organizations, and populations.
    • Interpret, for stakeholders, the relevant benchmark metrics that illustrate the need for a proposed policy and practice guidelines.
  • Competency 4: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
    • Present strategies for collaborating with a stakeholder group to implement a proposed policy and practice guidelines.
    • Deliver a persuasive, coherent, and effective audiovisual presentation.

Using the references you identified in the module 1, write a first draft of your paper in 2,500-3,000 words.

Include Abstract, Introduction, Methods, Results, Discussion, Conclusions, and References sections and headings.

Refer to one of the journal references you are using and copy its writing style/format rather than APA (You can also typically go to the journal’s home page and find links to their exact rules). Identify which journal format you are using on the title page.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

PLEASE USE THE LINK PROVIDED BELOW WHICH IS THE PDF VERSION OF THE TEXTBOOK TO VIEW THE DISCUSSION QUESTIONS AT THE END OF CHAPTER 10 TO ASSIST IN ANSWERING THE QUESTIONS: 

https://drive.google.com/file/d/1Lho7gBgscbBQ1CFC16v6zMPSPHm2iDDV/view

NO HEADER OR FOOTER

FONT: ARIEL 12 POINT FONT, DOUBLE SPACED

** HIGHLIGHT THE NUMBER OF WORDS AFTER EACH PARAGRAPH**

** 20 PARAGRAPHS TOTAL**

Please prepare the following course work for chapter 10:

On Page 1: 

Discussion Question 1—Please write 4 paragraphs with each paragraph containing 50-60 words.

On Page 2: 

Discussion Question 2—Please write 4 paragraphs with each paragraph containing 50-60 words.

On Page 3: 

Discussion Question 3—Please write 4 paragraphs with each paragraph containing 50-60 words.

On Page 4: 

Using Exhibit 10.3, pick the 4 most important mandatory bargaining issues.  Write one paragraph for each issue, for a total of 4 paragraphs on this page.  Each paragraph should contain 50-60 words.  In each paragraph , (very briefly) describe the issue and then explain why the issue should be considered important to employees.  Please use a different rationale in each paragraph. 

On Page 5: 

Experiential Exercise 1—Please write 4 paragraphs with each paragraph containing 50-60 words.

1st paragraph:  Explain why you believe nurses are treated as professionals.

2nd paragraph:  Describe how nurses are not treated as professionals.  Use different reasons than those presented in the 1st paragraph.

3rd paragraph:  Explain why nurses are likely to join a union.  Use different arguments than those presented in the 1st and 2nd paragraphs.

4th paragraph:  Describe why nurses are unlikely to join a union.  Use different arguments than those presented in the 1st, 2nd, or 3rd paragraphs.

Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction?