Complete your week 4 required discussion prompt. You must complete:

• Evidence-based practice (EBP) is an important topic in healthcare organizations. How could you apply EBP in your current nursing practice? Please provide examples.

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

Peer 1

Chronic disease is any condition that lasts a year or more and it requires ongoing medical care or it limits the patient’s ADLs or both. Some of the chronic diseases that are the leading cause of death in the United States are cancer, heart disease, and cancer.

I live in Savannah, Ga. In my community, the two most prevalent chronic disease is diabetes and COPD. 23.7% of residents are diagnosed with diabetes. According to the CDC, more than 34 million people have diabetes in the US. There are people who don’t even know that they have. Having diabetes can increase a person’s risk of having a stroke or heart disease or other serious complications. The second chronic disease is COPD. 11 percent of savannah residents have COPD. Almost 15.7% of Americans have been diagnosed with COPD. COPD is the third leading cause of death for women.

References

CDC – Basics About COPD – Chronic Obstructive Pulmonary Disease (COPD). (2019, July 19). Retrieved October 23, 2020, from https://www.cdc.gov/copd/basics-about.html

Diabetes and Prediabetes. (2020, July 23). Retrieved October 23, 2020, from https://www.cdc.gov/chronicdisease/resources/publications/factsheets/diabetes-prediabetes.htm

Savannah. (2019, April 15). Retrieved October 23, 2020, from https://georgiahealthycities.org/savannah/

Peer 2

 Michigan’s communities differ widely. There is a large portion of Michigan that is well-educated, generally healthy, and economically doing well. However, there are areas that live in poverty, In this research i have found areas with high racial segregation within the state where morbidity and mortality are substantially higher than the state average. For example, an analysis of 2010 Census data found that the Flint metropolitan area has a black-white dissimilarity index of 67, making it the 14th most segregated city in the nation. Within the state of Michigan (MI), Genesee County (the county that contains Flint) is ranked 81st of 82 counties for health outcomes in the Robert Wood Johnson Foundation County Rankings, and ranked 76th of 82 for health factors. Chronic lung disease and heart disease are the two biggest issues in my population at tis time. 

Centers for Disease Control and Prevention. (2020). About chronic diseases. Retrieved from https://www.cdc.gov/chronicdisease/about/index.htm

Michigan Department of Health. (2020). Data. Retrieved from https://www.vdh.michigan.gov/

   For this assignment, identify an area of focus in community health within your own community. 

Using Gordon’s Functional Health Patterns framework (p. 130 in your e-text), assess the health risks in your community.

In your community assessment paper, include the following:

• Identify resources in your community that would enable you to complete a community assessment and submit a summary of your findings (1–2 paragraphs).
• Refer to Table 8-3: Examples of Community Strengths and Concerns, and assess the strengths and concerns of your community (2–3 paragraphs).
• Identify potential barriers to implementing community health plans in your community and brainstorm  ways of addressing these barriers (2–3 paragraphs).

Plan ahead: Next week, as Part B of this assignment, you will select one (1) identified risk from this assessment to develop a community-focused strategic plan to address that health risk.  It is recommended that you look ahead to next week’s assignment so that you can begin framing your chosen community health focus. 

Your paper should be 3 pages in length, not including the cover and reference pages. Use APA throughout.

You must include 3 sources that are APA cited and referenced in your paper. (Sources may include community resources such as flyers, brochures, interviews, news stories, and local research data from credible sources.)

Community should be anywhere in florida, therefore news stories or flyers should reflect that

Assignment: Practicum: Decision Tree 

Childhood psychosis is extremely rare; however, children that present with psychosis must be carefully assessed and evaluated with appropriate interviewing of parent, child, and use of assessment tools.

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with early onset schizophrenia.

Learning Objectives

Students will:

• Evaluate clients      for treatment of mental health disorders
• Analyze      decisions made throughout diagnosis and treatment of clients with mental      health disorders

The Assignment:

Examine Case 3: ( Case study in required media below) You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

• Decision #1: Differential      Diagnosis
  • Which Decision       did you select?
  • Why did you       select this Decision? Support your response with evidence and references       to the Learning Resources.
  • What were you       hoping to achieve by making this Decision? Support your response with       evidence and references to the Learning Resources.
  • Explain any       difference between what you expected to achieve with Decision #1 and the       results of the Decision. Why were they different?
• Decision #2: Treatment Plan      for Psychotherapy
  • Why did you       select this Decision? Support your response with evidence and references       to the Learning Resources.
  • What were you       hoping to achieve by making this Decision? Support your response with       evidence and references to the Learning Resources.
  • Explain any       difference between what you expected to achieve with Decision #2 and the       results of the Decision. Why were they different?
• Decision #3: Treatment Plan      for Psychopharmacology
  • Why did you       select this Decision? Support your response with evidence and references       to the Learning Resources.
  • What were you       hoping to achieve by making this Decision? Support your response with       evidence and references to the Learning Resources.
  • Explain any       difference between what you expected to achieve with Decision #3 and the       results of the decision. Why were they different?
• Also include how      ethical considerations might impact your treatment plan and communication      with clients and their families.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

 Required Readings

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

· “Schizophrenia Spectrum and Other Psychotic Disorders”

McClellan, J., & Stock, S. (2013). Practice parameter for the assessment and treatment of children and adolescents with schizophrenia. Journal of the American Academy of Child & Adolescent Psychiatry, 52(9), 976–990. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00112-3/pdf

Required Media

Laureate Education (Producer). (2017b). A young girl with strange behaviors [Multimedia file]. Baltimore, MD: Author.

Develop a creative teaching strategy. This is a creative approach to teaching a topic chosen by the student. One example would be to choose a prop to use during a traditional lecture to demonstrate a concept. Examples of props: balloon, straw, string, goggles, cotton ball, rubber band, empty 2-liter plastic soft drink container. Another example is to create a wordart to drive home a concept https://wordart.com/create or write a catchy poem to aid student memory of key concepts associated with a nursing topic. Be creative – think outside the box.

Explain your original, creative teaching strategy in a word document or PowerPoint. Explain which learning style would benefit most from this teaching strategy. 

4.2 Communicate therapeutically with patients.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note:  The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

1. Primary Prevention/Health Promotion
2. Secondary Prevention/Screenings for a Vulnerable Population
3. Bioterrorism/Disaster
4. Environmental Issue

M2: Lesson 7 – Discussion

1. Create an original posting with a minimum of 250-300 words..
2. Back up your arguments with reliable evidence.

Systematic Review, Meta-analysis, Clinical Practice Guidelines and Protocols

Instructions:

1. Search and locate one systematic review or practice guideline in your topic of interest (Include the citation).
2. Evaluate the following:
   1. The systematic review or practice guideline relies primarily on studies conducted in the last five years.
   2. The review provides support for the importance of the study
   3. The authors have use primary, rather than secondary sources.
   4. Studies are critically examined and reported objectively
   5. The systematic review or practice guideline is organized so that a logical unfolding of Ideas is apparent that supports the need for the review
   6. The systematic review or practice guideline ends with a summary of the most important knowledge.

Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization’s culture and values. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning, and an additional slide for References at the end.

1. Outline the purpose of an organization’s mission, vision, and values.
2. Explain why an organization’s mission, vision, and values are significant to nurse engagement and patient outcomes.
3. Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed.
4. Discuss effective strategies for resolving workplace conflict and encouraging interprofessional collaboration.
5. Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective.

While APA style format 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

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.

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.

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

Parts 5, 6, and 7 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

Submit 1 document per part

2)¨******APA norms, please use headers

          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

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:

Think for a while about cultural practices and how they affect health or illness in your own family. They may be difficult to identify as such at first, but they do exist.

1. What ideas about illness prevention does your family adhere to? 

2. What do you do when someone gets sick? 

3. What rituals does your family practice when someone dies?

Part 2:

1. Mention one of the therapeutic options use as intervention for child sexual abuse (Cognitive-behavioral treatment).

2.  How does it work? (explain it)

Part 3:

Case Study, Chapter 10, Mandatory Minimum Staffing Ratios 

A nurse manager is attending a national convention and is attending a concurrent session on staffing ratios. Minimum staffing ratios are being discussed in the nurse manager’s own state. The nurse manager has a number of questions about staffing ratios that the session is covering. The nurse manager knows that evidence exists that increasing the number of RNs in the staffing mix leads to safer workplaces for nurses and higher quality of care for patients.

1. What are the three general approaches recommended by the American Nurses Association (2017) to maintain sufficient staffing?

2. Summarize the findings that are often cited as the seminal work in support of establishing minimum staffing ratio legislation at the federal or state level.

3. Analyze what proponents and critics say about whether mandatory minimum staffing ratios are needed.

Part 4:

1.List and discuss at least two of the special nutritional needs of aging women.

2. Describe factors that may disturb sleep in older adults.

Part 5:

1. Name the first Registered Nurse elected to Congress 

      a. List at least one contribution (Policy) enacted since holding the RN selected.

2. Name at least one nurse legislator 

     b. name the state affiliated.

Part 6:

1. Name the first Registered Nurse elected to Congress 

      a. List at least one contribution (Policy) enacted since holding the RN selected.

2. Name at least one nurse legislator 

     b. name the state affiliated.

Part 7:

1. Name the first Registered Nurse elected to Congress 

      a. List at least one contribution (Policy) enacted since holding the RN selected.

2. Name at least one nurse legislator 

     b. name the state affiliated.