Senario 1

Addie, age 15 was brought to the school nurse after fainting during gym class. She was grossly underweight, wears baggy clothes and has dry skin. She complains of feeling cold despite wearing two sweaters. As the nurse examines her perfunctorily, she noticed that Addie’s skin seems slightly yellow and a gentle scrape of her skin shows signs of dehydration.

1. Based on the findings, what is the likely diagnosis?

2. What are contributing factors?

3. What would be an appropriate treatment plan? ( Include possible medications, interventions, etc)

4. List one short term and one long term goal for this client.

nursing teaching

;

APA format 2 pages 3 references

Discussion Topic 1: Creating Online Quizzes You will be assigned to Discussion Topic Group 1 or 2 to post your initial assignment and will be posting your responses to your colleagues in the other Discussion Group. For example, students assigned to Discussion Topic 1 will be posting their initial assignment in the Discussion Topic Group 1 Forum and post their responses to their colleagues in the Discussion Topic Group 2 Forum.

The testing and assessment process is often a struggle for educators. For many, finding the balance between a seemingly “hard” or “easy” question takes much practice. Furthermore, the development of question formats and stems can be a difficult concept to master. To aid in quiz development, nurse educators can use models such as The 3Cs (illustrated below) to focus more on the content of their questions and less on the actual construction. Nurse educators can also use prompts and templates provided at quiz development websites to assist quiz design. These websites can also help instructors easily administer quizzes in the online environment.

The 3Cs Model of Test Item Writing: Content, concepts, and criterion. Use the content of the lesson as well as overarching concepts and nursing criterion (like NCLEX and other formal assessments) as a blueprint for your questions. In addition, consider the ideas and teachable moments that have occurred in the classroom or during clinical rotations. Clarity and complexity. Be sure that your question stems are clear, straightforward, and use simple language. In addition, write your questions at the application or analysis level of Bloom’s Taxonomy. This will prompt students to move beyond basic comprehension and memorization. Critique. Always go back and examine the questions that you have created. This process should be completed both before and after examinations. As with all teaching strategies, evaluation and revision is imperative to ensure the effectiveness of instruction.

To prepare Review this week’s Learning Resources on developing multiple-choice quiz questions. How might you use the 3Cs and other best practices to craft your own quiz questions? Reflect on a Lesson Plan that you have created in this course. Which lesson might lend itself towards a pre- or post-quiz? Select one Lesson Plan you will use as the focus of your online quiz. Then, craft three quiz questions that are closely linked to the learning objectives and learning need of the lesson. Consider the challenges that you experienced in developing your quiz questions. Browse the available websites that educators can use to create online quizzes. After reviewing the format and capabilities of various sites, select one to upload your three questions. Be sure to copy the web address (URL link) that your colleagues will need to view your quiz. Update your Lesson Plan with your three quiz questions and resave with the word “updated” at the end of the file name. Consider any challenges that you may have experienced in using the platform that you chose and how you dealt with those challenges.

NURS 6231: HEALTHCARE SYSTEMS AND QUALITY OUTCOMES – Course Project Part 1(Grading Rubic and InstructionsAttached)

Project: Promoting Health Care Quality

;

Project Overview

;

Complete instructions are provided in this week’s Learning Resources.

;

In this course, you develop a comprehensive Course Project: Promoting Health Care Quality. To initiate this project, this week you examine the systems and structures of an organization with which you are familiar. This analysis will serve as a foundation for developing a plan to address a quality improvement issue.

;

Section 1: Organizational Systems and Structures Evaluation

;

When a problem related to health care quality and patient safety arises, there can be an inclination to focus on a specific event rather than to examine the larger context surrounding it. Analyzing the systems and structures within an organization provides a foundation for generating a fuller understanding of how and why the event occurred and for developing strategies to address the underlying issues. Perhaps more importantly, such an analysis can be used to proactively identify potential challenges and improve organizational systems and structures in order to promote positive outcomes.

;

In the first section of your Course Project, you analyze the systems and structures of a health care organization with which you are familiar.

;

To prepare:

;

Identify a health care organization with which you are familiar; one that you will be able to sufficiently analyze to complete the full scope of the Course Project. (Refer to the Course Project Overview as needed.) This may be the same organization that you addressed in this week’s Discussion.

;

Select two or more of the following frameworks:

;

Learning organizations

Complex adaptive systems (CAS)

Clinical microsystems

Good to great

The 5 Ps

;

You may use the same frameworks that you addressed in this week’s Discussion.

Check below link

;

(https://www.homeworkmarket.com/content/nurs-6231-healthcare-systems-and-quality-outcomes-discussion-3-grading-rubic-and-media-attac)

;

With these frameworks in mind, analyze the systems and structures of the organization. Be sure to research and consider:

;

Mission, vision, and values

Strategic plan, goals, and objectives, if possible

Key operational processes and patterns

Information technology use

Organizational priorities and investments, as indicated by financial data

;

As you continue your evaluation of a health care organization, it is essential to pay attention to culture. Organizational culture provides the context in which all interactions and processes occur, and is therefore central to any effort to enact change.

;

In addition, consider the ideas and information exchanged in this week’s Discussion. Continue to analyze essential elements of organizational culture and evaluate the influence of culture on the ability to achieve goals within your selected organization.

;

Use the below link also (https://www.homeworkmarket.com/content/nurs-6231-healthcare-systems-and-quality-outcomes-discussion-4-grading-rubic-and-media-attac)

;

Write a 3- to 5-page paper in which you:

;

Provide a description of the organization you selected

Present your analysis of the organization with attention to:

Its mission, vision, values

Strategic plan, goals, and objectives

Key operational processes and patterns

Information technology use

Organizational priorities and investments, as indicated by financial data

The essential elements of the organization’s culture

The influence of culture on meeting organizational goals

;

You will write a 3- to 5-page paper. Use the ;Week 3: Organizational Systems and Structures, Part 1 in the course Project Overview PDF for instructions.

;

Use the discussion Link for respources

;

Please dont put less than 5 resources each. pelase see the grading Rubic

Topic 3 DQ 1 and DQ 2

; ;

Module 3 DQ 1 and DQ 2

Tutor MUST have a good command of the English language

These are two discussion questions

DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please

Tutor MUST have a good command of the English language

Sources need to be journal/scholarly articles. ;

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes

Please separate the two DQ with their reference page

My project is CLABSI prevention

Topic 6 DQ 1

Describe a survey, instrument, or tool that you plan to use in your project. Describe the tool in terms of name, number of items, how it is answered (Likert scale, yes/no, open answers, etc.), and the total score. Describe the level of measurement for this instrument. Support with references.

DQ 2

Describe the validity and reliability of the instrument you chose in Topic 3 DQ 1. How is this different from external and internal validity?

Nursing Leadership and Management homework

Please check details on attachments. Copy of Reference Textbook included. Thanks!

Lab Assignment: Assessing the Abdomen

; ;

A woman went to the emergency room for severe abdominal cramping. She was diagnosed with diverticulitis; however, as a precaution, the doctor ordered a CT scan. The CT scan revealed a growth on the pancreas, which turned out to be pancreatic cancer—the real cause of the cramping.

Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen.

In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

To Prepare

Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.

· With regard to the Episodic note case study provided:

o Review this week’s Learning Resources, and consider the insights they provide about the case study.

o Consider what history would be necessary to collect from the patient in the case study.

o Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

o Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Assignment

1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.

2. Analyze the objective portion of the note. List additional information that should be included in the documentation.

3. Is the assessment supported by the subjective and objective information? Why or why not?

4. What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?

5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

;

Remember you MUST complete a FULL abdominal exam. ;

Please write this up as a narrative so that you are able to correctly explain your analysis.

REQUIRED READINGS

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Chapter 6, “Vital Signs and Pain Assessment”

This chapter describes the experience of pain and its causes. The authors also describe the process of pain assessment.

Chapter 18, “Abdomen”

In this chapter, the authors summarize the anatomy and physiology of the abdomen. The authors also explain how to conduct an assessment of the abdomen.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.

Chapter 3, “Abdominal Pain”

This chapter outlines how to collect a focused history on abdominal pain. This is followed by what to look for in a physical examination in order to make an accurate diagnosis.

Chapter 10, “Constipation”

The focus of this chapter is on identifying the causes of constipation through taking a focused history, conducting physical examinations, and performing laboratory tests.

Chapter 12, “Diarrhea”

In this chapter, the authors focus on diagnosing the cause of diarrhea. The chapter includes questions to ask patients about the condition, things to look for in a physical exam, and suggested laboratory or diagnostic studies to perform.

Chapter 29, “Rectal Pain, Itching, and Bleeding”

This chapter focuses on how to diagnose rectal bleeding and pain. It includes a table containing possible diagnoses, the accompanying physical signs, and suggested diagnostic studies.

Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F. A. Davis.

Credit Line: Advanced practice nursing procedures, 1st Edition by Colyar, M. R. Copyright 2015 by F. A. Davis Company. Reprinted by permission of F. A. Davis Company via the Copyright Clearance Center.

These sections below explain the procedural knowledge needed to perform gastrointestinal procedures.

Chapter 107, “X-Ray Interpretation: Chest (pp. 480–487)

Chapter 115, “X-Ray Interpretation of Abdomen” (pp. 514–520)

Note: Download this Student Checklist and Abdomen Key Points to use during your practice abdominal examination.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Abdomen: Student checklist. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Abdomen: Key points. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.

Case Study Healing and Autonomy

;Details:

Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions: Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study? Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James? According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case? According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?

Prepare this assignment according to the guidelines found in the APA Style Guide

please answer this question ,please fallow instruction below

Details:

This is a Collaborative Learning Community assignment.

The instructor will assign you to a CLC group.

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.

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest. It is important that the community selected be one in which a CLC group member currently resides. Students residing in the chosen community should be assigned to perform the physical assessment of the community. Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.” Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype. Complete the “Provider Interview Acknowledgement Form” and submit with the group presentation.

Develop one set of interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Compile key findings from the interview, including the interview questions used, and submit with the group presentation.

PowerPoint Presentation

Within your group, create a PowerPoint presentation of 15-20 slides (slide count does not include title and reference slide) describing the chosen community interest.

Include the following in your presentation: Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level, ethnic, and phenomenological features of the community as well as types of social interactions, common goals and interests, barriers, and challenges, including any identified social determinates of health. Summary of community assessment: (a) funding sources and (b) partnerships. Summary of interview with community health/public health provider. Identification of an issue that is lacking or an opportunity for health promotion. The issue identified can be used for the Community Teaching Plan: Community Teaching Work Plan Proposal assignment. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

In addition to submitting this assignment in the LoudCloud dropbox, email a copy of your submission to [email protected]

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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.

You are not required to submit this assignment to Turnitin.

When submitting this assignment, include the interview questions, the interview findings, completed “Provider Interview Acknowledgement Form,” and the community assessment PPT presentation.

NRS-427V.R.ProviderInterviewAcknowledgementForm_10-14-13.doc NRS427V.R.FunctionalHealthPatternsCommAssessment_Student_10-14-13.doc

Paper 1 Benchmark – Professional Capstone and Practicum Reflective Journal (2) PAPER 2 Capstone Project Change Proposal Presentation & PAPER 3 Scholarly Activities

; ;

Paper 1

; ;

Benchmark – ; ;Professional Capstone and Practicum Reflective Journal ;

Students maintained and submitted weekly reflective narratives throughout the course to explore the personal knowledge and skills gained throughout this course. This assignment combines those entries into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

This final submission should also outline what students have discovered about their professional practice, personal strengths and weaknesses that surfaced during the process, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and, finally, how the student met the competencies aligned to this course.

The final journal should address a variable combination of the following, while incorporating your specific clinical practice experiences: New ; ; ; ; ;practice approaches Interprofessional ; ; ; ; ;collaboration Health ; ; ; ; ;care delivery and clinical systems Ethical ; ; ; ; ;considerations in health care Practices ; ; ; ; ;of culturally sensitive care Ensuring ; ; ; ; ;the integrity of human dignity in the care of all patients Population ; ; ; ; ;health concerns The ; ; ; ; ;role of technology in improving health care outcomes Health ; ; ; ; ;policy Leadership ; ; ; ; ;and economic models Health ; ; ; ; ;disparities

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.

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

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

2.3: ; ; ; ;Understand and value the processes of critical thinking, ethical reasoning, and decision making.

4.1: ; ; ; ;Utilize patient care technology and information management systems.

4.3: ; ; ; ;Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

5.3: ; ; ; ;Provide culturally sensitive care.

5.4: ; ; ; ;Preserve the integrity and human dignity in the care of all patients.

PAPER 2

; ;

Capstone Project ; ;Change Proposal Presentation ;

Review the feedback on the change proposal professional presentation and make required adjustments to the presentation. Present your evidence-based intervention and change proposal to an interprofessional audience of leaders and stakeholders. Be prepared to answer questions and accept feedback.

After presenting your capstone project change proposal, write a 250-350 word summary of the presentation. Include a description of the changes that were suggested by your preceptor before your presentation and how you incorporated that feedback. Describe how this interprofessional collaboration improved the effectiveness of your presentation. Include a description of the feedback and questions from your audience after your presentation, and how this experience will affect your professional practice in the future.

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

You are not required to submit this assignment to LopesWrite.

PAPER 3

; ;

Scholarly ; ;Activities ;

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post at least one documented scholarly activity by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, by way of this assignment, a summary report of the scholarly activity, including who, what, where, when, and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

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.

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

Attachments NRS-493-RS-ScholarlyActivities.docx

Scholarly Activities

This document describes the scholarly activity elements that should be included in a five paragraph summary. You may use this resource to help guide the preparation of the Scholarly Activities assignment, due in Topic 10. ;

Overview ;

This section consists of a single paragraph that succinctly describes the scholarly activity that you attended/participated in, the target market for the activity, and the benefit of the activity to you. ;

Problem ;

This section consists of either a short narrative or a list of bullet points that concisely identifies the problems the scholarly activity is designed to solve. Educate: What is the current state of the activity topic? Explain why this is a problem, and for whom is it a problem? Inspire: What could a nurse achieve by participating in the scholarly activity? Use declarative sentences with simple words to communicate each point. Less is more. ;

Solution ;

This section consists of either a short paragraph or a list of bullet points that concisely describes the solution to a proposed practice problem that the scholarly activity addressed and how it addresses the problem outlined in the previous section. ;

Opportunity ;

This section consists of short paragraphs that define the opportunity that the scholarly activity is designed to capture. It is important to cover the objectives and goals that were met. How will attending/participating in this scholarly activity help you grow as a nurse? ;

Program Competencies Addressed

This section consists of a list of program competencies that were addressed in this scholarly activity. Please use the list from the ISP.

one page essay due by tomorrow 8 pm eastern time

;

You are a population health nurse visiting a 75 year old woman who lives alone in her home and was recently hospitalized for atrial fibrillation. She lost her husband less than a year ago. She is weak, is on continuous oxygen, and uses a walker since her hospitalization. She spent two weeks at a rehabilitation center prior to being discharged home. She used to be very active in her community volunteering and playing cards at the local YMCA. She can no longer drive and has an organization called “Meals on Wheels” bring her meals. She has two adult children that do not live nearby, 6 grandchildren (3 are fairly close), and 4 great-grandchildren. She states to you “I don’t know why you are bothering to see me, I’ve got nothing left and my life is miserable now”. Answer ALL the following questions:

-What risk factors for depression would the nurse assess for in this patient?

-What signs/symptoms might be expected to be experienced by the patient?

-What questions might you ask the patient to elicit pertinent information related to depression?

-Based on your assessment, would a referral to a psychiatrist be in order? Explain.

-What resources would be beneficial for this patient?

-How might you involve the patient’s family in the plan of care? ;

Must be in APA ;and Must include at least 2 nursing journal articles from 2015-2020 ;