As faculty members, you have been asked to design a 4-hour Leadership Strategies course that would accommodate the learning styles for a selected 10 students. The students have all completed a learning style inventory in which three of the students are determined visual learners, four are kinesthetic learners, and the rest are auditory learners. Note: The intended audience for the course can be either newly graduated nurses or experienced staff nurses as you choose.Compose a 500-750-word paper which describes your plan to accommodate the learning styles of each student. This plan starts with defining course objectives; use the “A-B-C-D Method of Writing Objectives” resource as a guide. The objectives should incorporate Bloom’s taxonomy, be written at the appropriate level for the audience, and include at least two learning domains (cognitive, psychomotor, and affective). Make sure to include the following:

1. An outline of the course content and agenda that will be covered. 
2. Descriptions of the learning activities and the rationale for the learning activities selected
3. Strategies to assess learning, based on the learner objectives
4. Use at least three scholarly, peer-reviewed resources less than 5 years old in addition to the course materials.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.Refer to “Learning Styles 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. 

Choose and explain two current National Patient Safety Goals and reflect on how they are impacting or affecting your current practice.

The Omnibus Budget Reconciliation Act (OBRA), also known as the Nursing Home Reform Act of 1987, has dramatically improved the quality of care in the nursing home over the last twenty years by setting forth federal standards of how care should be provided to residents. 

This Act is interpreted with the U.S. Code of Federal Regulations (42 CFR Part 483). Such improvements include less use of antipsychotic drugs, a reduction in chemical and physical restraint use, and a reduction in inappropriate use of indwelling urinary catheters.

Mandates

The quality of care mandates contained within OBRA, and the regulations, require that a nursing home must provide services and activities to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident in accordance with a written plan of care. 

In order to participate in Medicare and Medicaid programs, nursing homes must be in compliance with the federal requirements for nursing homes.

The mandates of OBRA are regarded in the nursing home setting to represent minimum accepted standards of care. The failure of a nursing home to comply with the OBRA quality of care mandates in caring for a resident represents a failure to exercise the degree of reasonable care and skill that should be expected.

Penalties

The Indiana State Department of Health is responsible for ensuring that nursing homes follow these mandates through the state survey process. The Department of Health and Human Services (DHHS) and the states may apply penalties against nursing homes for failure to meet the minimum standard of care as defined in the OBRA regulations. 

Such penalties may include fines, appointment of administrative consultants to run the nursing home while deficiencies are remedied, and even closure of a nursing home.

• Residents must be assessed to identify their medical problems and their abilities to perform basic self-care activities. The DHHS established a uniform data set, referred to as the minimum data set (MDS), to document this assessment.
• The nursing home is responsible for the safety of each resident. This includes being responsible for orders written by the resident’s primary physician or other medical provider. If the physician writes an order that does not comply with the federal regulations, the nursing home is responsible for making sure the physician changes such order. The mere presence of a physician’s inappropriately written order does not absolve the nursing home of responsibility in providing safe care.
• Provide services that will enhance each resident’s quality of life to its fullest (42 CFR §483.15).
• Maintain the dignity and respect of each resident (42 CFR §483.15).
• Develop a comprehensive care plan for each resident (42 CFR §483.20).
• Conduct a comprehensive and accurate assessment of each resident’s overall health upon admission and at each required interval (42 CFR §483.20).
• Prevent a decline in activity of daily living (ADL) activities, including the ability to eat, toilet, bathe and walk. Staff must provide for ADL care when necessary (42 CFR §483.25).
• Prevent the development of pressure sores, and if a resident has pressure sores, provide the necessary treatment and services to promote healing, prevent infection, and prevent new sores from developing (42 CFR §483.25).
• Provide appropriate care to those who have urinary incontinence and restore bladder function if possible. This also includes only using urinary catheters when appropriate as outlined in the regulations to prevent adverse consequences related to such use (42 CFR §483.25).
• Prevent accidents, including falls, accidental poisonings and other incidents that could cause injuries (42 CFR §483.25).
• Maintain adequate nutrition to prevent unnecessary weight loss (42 CFR §483.25).
• Provide each resident with sufficient fluid intake to prevent dehydration (42 CFR §483.25).
• Ensure that residents are free from significant medication errors (42 CFR §483.25).
• Have sufficient nursing staff (42 CFR §483.30).
• Ensure that each resident’s rights to choose activities, schedules, and health care are maintained (42 CFR §483.40).
• Provide pharmaceutical (medication) services to appropriately meet the physical and psychological needs of each resident (42 CFR §483.60).
• Maintain accurate, complete, and easily accessible clinical records for each resident (42 CFR §483.75).

Please read the OBRA guidelines and do the paper base on this question .APA style .Thank you  

CASE STUDY: Mrs. J is repeatedly asking for a nurse; other patients are complaining, and you simply cannot be available to Mrs. J for long periods.  Considering the setting and the OBRA guidelines, what would you do to manage the situation?

PLEASE USE THE LINK PROVIDED BELOW WHICH IS THE PDF VERSION OF THE TEXTBOOK TO VIEW THE DISCUSSION QUESTIONS AT THE END OF CHAPTER 5 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**

ON Page 1: 

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

ON Page 2: 

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

ON Page 3: 

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

ON Page 4: 

Discussion Question 5—Please write 4 paragraphs with each paragraph containing 50-60 words.

ON Page 5: 

Experiential Exercise 2—Please write 4 paragraphs (one answering each question) with each paragraph containing 50-60 words.

1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 3 pages

              Part 2: minimum 1 page

              Part 3: minimum 3 pages

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 3 references per part not older than 5 years

               Part 1: Minimum 5 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

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: Pathopisyology

Topic:  CVA 

2 pages:

1.A discussion of the pathophysiology of the disease, including signs and symptoms.

2. An explanation of diagnostic testing and rationales for each.

3. A review of different evidence-based treatment modalities for the disorder obtained from guideline.gov or a professional organization.

1 page:

4.How does the information in this case inform the practice of a master’s prepared nurse?

5. How should the master’s prepared nurse use this information to design a patient education session for someone with this condition?

6. What was the most important information presented in this case?

7. What was the most confusing or challenging information presented in this case?

8. Discuss a patient safety issue that can be addressed for a patient with the condition presented in this case.

Part 2: Policy Organization and Financing Healthcare

1. Demonstrate your AGAINST position about the the promise of guaranteed health care coverage for all 

2. Explain why you are AGAINST

Part 3: Policy Organization and Financing Healthcare 2

  Maternal Health and Mortality 

Topic: “The House Ways and Means Committee convened a hearing to discuss the high rate of mothers dying due to causes related to pregnancy or childbirth in the U.S. Olympian and gold medalist track and field athlete Allyson Felix testified about the need to address the racial disparities with maternal health care” (“House Committee Examines Racial Disparities in Maternal Mortality Rates”, n.d.).

Location: May 16th, 2019 @ C-Span.org

Link: https://www.c-span.org/video/?460809-1/house-committee-examines-racial-disparities-maternal-mortality-rates&start=1692&transcriptQuery=nicu

1. The purpose of the meeting, key participants, key agenda items, and meeting logistics

2. Background information and a description about the committee

3. One specific topic that was discussed at the meeting and an explanation of the committee process

4. An analysis of the key stakeholder positions related to the topic discussed

5. Key interactions that occurred at the meeting

6. Outcomes of the meeting including the specific topic focus

Professional Capstone and Practicum Reflective Journal 

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission. 

(On week 1 paper we will use topic #1 and 2, this is based in a long term/rehabilitation center-Jackson Memorial Perdue Medical Center, located in Miami) I will need 10 different papers, I will be posting weekly questions)

1. New practice approaches
2. Interprofessional collaboration

1. While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

Research Question: Is there a difference in the overall satisfaction of women based on the number of housing problems (no problems, 1 problem, 2 or more problems)? 

Using Polit2SetA dataset, run an ANOVA using Overall Satisfaction, Material Well-Being (satovrl) as the dependent variable and Housing Problems (hprobgrp) (this is the last variable in the dataset) as the Independent Variable. 

For this assignment, you will locate two research studies related to the topic and PICOT questions that you developed in Week 2. The articles must be current (within the last five years), and one article must be quantitative, and one article must be qualitative.

Article choice is very important, therefore:

• Articles used for this assignment cannot be used for the other assignments. The selected articles should be original research studies. Review articles, concept analysis, meta-analysis, meta-synthesis, integrative review, and systemic review articles should not be used.
• Mixed-methods studies should not be used.

There are two parts to this assignment.

Part 1: Complete a Rapid Critical Appraisal Checklist

• Select one each: qualitative and quantitative research articles.
• Create a Rapid Critical Appraisal Checklist for the two research articles (one column per article).
• Complete with brief, concise, summarized information.

Part II: Write a summary (one- to two- pages)

• Identify differences between quantitative and qualitative designs and research methods.
• Use current APA Style for your summary paper and to cite your sources.
• Submit the checklist and summary.

 This paper will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.

Part I

The Advance Health Care Directive 

Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state’s Advance Directives here http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.

Complete the advance directive for yourself.  Do not turn in your AD with your paper. The AD is for your personal use.

In your paper, Part I:

1. Identify where you obtained the AD and explain its compliance with state law.
2. Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.   
3. Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.

(Cite/ reference any sources you use to explore these questions, including your texts.)

Part II

Physician Orders for Life-Sustaining Treatment (POLST) Form

1. What is a Physician Orders for Life-Sustaining Treatment (POLST) form?
2. When should this form be completed?
3. Who can complete the form?
4. Who needs to sign the form to make it a legal document?

(Cite/reference any sources you use to explore these questions, including your texts.)

Part III

Tie the two first sections together by writing a summary and conclusion.

This section should address:

1. the differences between an Advance Health Care Directive and the POLST,

2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcare interventions the patient does or does not want.

____________________________________________

Use current APA format.

The paper should be between 3-5 pages in length excluding the title and reference page(s). 

Cite and reference the course text and at least two (2) additional appropriate professional sources.   

Review the rubric for further information on how your assignment will be graded.

1. Initial posting – Health history and physical assessment varies per system and per age of the patient. There are three scenarios listed below. Choose ONE of the scenarios and discuss all of the pertinent history you would ask as a  nurse taking care of this patient. Then discussion physical exam and assessment techniques you would complete for the patient. Finally, what are some nursing interventions and educational topics you would want to address with the family.

a)  A 3 mos old infant presenting to the hospital with mom saying “He just isn’t acting like himself after he fell off the bed during his nap.” The skeletal survey revealed  multiple rib fractures in various stages of healing  and Head CT is positive for a contusion.

b) A 12 year old child presenting to the ED with his third visit for asthma exacerbation in the last three months.

c) An 85 year old gentleman with severe confusion, disorientation, and loss of memory is admitted with chest pain.