Category: Nursing

I have attached the exercise, the guiding questions and the scoring rubric as reference. This is what is required for this assignment. All sources must be within the last 5 years
In today’s health care environment, the focus on major purchases, as part of the capital budget, has emphasized the need for newer and better technology. Although the need to invest in capital equipment and technology has been ongoing, the nursing workforce must also have a safe and pleasant work environment.
This assessment provides an opportunity for you develop a capital budget for a major facility improvement that will benefit patients, nurses, and the organization.
Most nurse leaders work with operating budgets, but will also have input into capital budgets. A capital budget is typically developed separately from the operating budget and is usually developed to purchase items that are often referred to as big-ticket items that will enhance the capacity or services of an organization. For example, capital budgets may cover land purchase for the future site of a new outpatient surgical center, construction of a new building or build-out for renovation of an already existing building, or replacement of old equipment.
It is important to remember that health care is also a major business. While for health care providers, patient care and safety are priorities, health care institutions must operate from a business model in order to survive financially. As nurse leaders or executives, you often have a role to play in developing a capital budget to improve care at some level. In addition, a rapidly changing health care environment requires nurse leaders who have the financial management and budgeting skills to ensure that large capital expenditures further the mission and goals of the organization.
Preparation
Note: Complete the assessments in this course in the order in which they are presented.
You are the unit manager of a 50-bed, step-down unit, and it is time for you to prepare your annual capital budget. You have seen a significant turnover in your nursing staff in the past three years; a review of exit interviews and patient surveys indicates low nurse satisfaction, poor morale, and complaints of an antiquated and depressing work environment. You have researched the impact of a positive working environment on staff productivity and morale and decided to request a renovation of the nurses’ lounge as the main purchase in your capital budget. You will present your request as a quality improvement investment.
As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
How would you approach the process of designing a capital budget? For example:
What steps would you need to take?
What resources would you access?
Will you collaborate with other executives or staff?
How will you tie the vision for the capital expenditure to the organization’s mission and goals?
What challenges do you anticipate in justifying a capital budget to administrative leaders in an organization?
What criteria might a particular health care organization or service provider apply to evaluate the return on a capital investment?
The following resources are required to complete the assessment.
APA Style Paper Tutorial [DOCX]. Use this tutorial for the written portion of your capital budget.
Requirements
Note: The requirements outlined below correspond to the grading criteria in the assessment scoring guide. Be sure that your budget addresses each point, at a minimum. You may also want to read the f Download fto (Attached
better understand how each criterion will be assessed.
Prepare a capital budget for a facility renovation. Assemble your budget figures in a table, using a format of your choice. You may use either Microsoft Word or Excel to create your budget table.
Note: You may use the budget in the Vila Health: Preparing a Capital Budget multimedia exercise as an example of how you might format your table. You may also use a budget format used in your organization or a format you find in any of the course resources or on the Internet.
Describe the capital acquisition.
Justify the need for the capital acquisition.
Prepare the capital budget.
Describe the process for calculating costs.
Present a plan for budget management.
Explain how the capital acquisition will affect the financial health of the organization.
Present budget data and information clearly and accurately.
Integrate relevant and credible sources of evidence to support your budget data and information, correctly formatting citations and references using current APA style.
Additional Requirements
If you used Microsoft Excel to create your budget table, submit the Excel file along with your budget narrative. You may also add the Excel file to your Word document as an embedded object.
Format your budget using APA style.
Use the APA Style Paper Template, linked above, to help you in writing and formatting your budget. Be sure to include:
An APA-formatted title page and reference page. An abstract is not required.
A minimum of five properly formatted citations and references.
Your budget should be 4–5 pages in length, not including the title page and reference page.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 3: Develop a capital budget.
Describe a capital acquisition.
Prepare a capital budget.
Describe the process for calculating costs.
Competency 4: Determine the equipment and services needed to maintain seamless patient or client care.
Justify the need for a capital acquisition.
Competency 5: Apply financial principles to a strategic plan for achieving organizational goals and fiscal success.
Present a plan for budget management.
Explain how a capital acquisition will affect the financial health of the organization.
Competency 6: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
Present budget data and information clearly and accurately.
Integrate relevant and credible sources of evidence to support your budget data and information, correctly formatting citations and references using APA style.

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.
Give examples of psychosocial factors that affect the health care professional and the effect those factors could have on patient education.
Give examples of psychosocial factors that affect the patient and the effect those factors could have on patient education.
Explain what is meant by personality styles and give examples of approaches that could be used to help the patient. Include self-perception as a factor.
List the steps in adjustment to illness and how the patient copes with each step.
Explain the health professional’s role in teaching the patient at different life stages.
Define the role of the family in patient education.
How might the family influence the compliance of the patient and what measures can the health care professional use in communication with the family?

Assignment Summary
Purpose: Identify a problem or issue in your practice environment. Then identify a nursing theory that can provide a perspective and describe how you would apply the theory in practice to address the problem.
Practice Problem: Obesity related comorbidities are prevalent in primary practice patient populations. Heart disease, type 2 diabetes, high cholesterol, sleep apnea, GERD, amongst other conditions, are health conditions patients present with continually for management. Many of these conditions are deemed untreatable, if obesity is not resolved. Encouraging patients to adopt healthy behaviors required to manage obesity and prevent or manage illness is a fundamental aspect of primary care but can be challenging.
Nursing Theory: Pender’s Health Promotion Model
Application: This model focuses on individual characteristics and experiences, behavior-specific cognitions, and behavioral outcomes. Nurse Practitioners can use this model to develop personalized interventions that motivate patients to engage in health-promoting behaviors, such as regular exercise, healthy eating, and smoking cessation.
Specific proposed change:
Specific focus for the patient population would be recommendation of AOMs (Anti-Obesity medications) like GLP-1 injections such as semaglutide and tirzepatide, to help manage obesity coupled with motivating patients to engage in health promoting behaviors to treat obesity related conditions which are impacting the patient’s quality of life.
Requirements for the Research Paper:
–The 9 pages DO include the Title page and the References page.
Clearly describe the selected problem as it relates to nursing practice. Substantiate the problem with one piece of internal evidence from current studies in the primary practice environment.
Provide a comprehensive and concise summary of current evidence pertinent to the identified problem. Summary should be well organized. Support the content with references to evidence from a minimum of 10 scholarly, peer reviewed sources.
Clearly describe the nursing theory or model that can be used in practice that addressed the problem. Identifies the major concepts in the theory. Provide an original citation for the theory.
Clearly describes a specific proposed change in nursing practice based on the analysis of the selected identified practice issue and theory.
Clearly identify and describe the changes proposed in a minimum of 3 SMART goals.
Some references to use:
Ishigaki, Y., Strizek, A., Aranishi, T., Arai, N., Imaoka, T., Cai, Z., & Maegawa, H. (2021). Glucagon-like peptide-1 receptor agonist atilization in Type 2 Diabetes in Japan: a retrospective database analysis (JDDM 57). Diabetes Therapy, 12(1), 345–361. https://doi-org.sacredheart.idm.oclc.org/10.1007/s13300-020-00977-w
Khalil, H., Ellwood, L., Lord, H., & Fernandez, R. (2020). Pharmacological treatment for obesity in adults: an umbrella review. Annals of Pharmacotherapy, 54(7), 691–705. https://doi-org.sacredheart.idm.oclc.org/10.1177/1060028019898912
Kyrillos, J. (2022). Semaglutide 2.4-mg injection as a novel approach for chronic weight management. American Journal of Managed Care, 28, S297–S306. https://doi-org.sacredheart.idm.oclc.org/10.37765/ajmc.2022.89293
Lumsden, R. H., Pagidipati, N. J., Phelan, M. P., Chiswell, K., & Peterson, E. D. (2020). Prevalence and management of adult obesity in a large U.S. academic health system. American Journal of Preventive Medicine, 58(6), 817–824. https://doi-org.sacredheart.idm.oclc.org/10.1016/j.amepre.2020.01.018
Osterland, A., King, C., Kumar, N., Mocarski, M., Ramasamy, A., Walker, C., Darji, H., & Godley, P. (2022). Retrospective descriptive analysis of a managed care population with obesity. Current Medical Research & Opinion, 38(1), 83–89. https://doi-org.sacredheart.idm.oclc.org/10.1080/03007995.2021.1991900

5 rights of delegation and individual delegation per scope.
RUBRIC:
Word Document
Five Rights of Delegation
17 pts
Exceeds Expectations
The five rights of delegation are correctly identified and comprehensively described.
13 pts
Meets Expectations
The five rights of delegation are correctly identified with limited description.
8 pts
Approaches Expectations
The five rights of delegation are correctly identified but no description is provided.
0 pts
Does Not Meet Expectations
The rights of delegation are misidentified and/or the description is limited and/or missing.
17 pts
Word Document
Identification of Tasks and Duties
17 pts
Exceeds Expectations
A minimum of 7 duties are identified per role with no duplication of tasks/duties.
12 pts
Meets Expectations
Less than 7 duties are identified for only one role with no duplication of tasks/duties.
8 pts
Approaches Expectations
Less than 7 tasks/duties are identified for more than one role with only 1-2 duplicates present.
0 pts
Does Not Meet Expectations
Less than 7 tasks/duties are identified for more than one role and/or multiple duplicates are present.
17 pts
Written Component & References
16 pts
Exceeds Expectations
Includes at least 2 references. All references from reputable sources (.edu, .gov, .org, or peer reviewed). Is free of errors, and follows all assignment instructions.
11 pts
Meets Expectations
Includes one reference from a reputable source (.edu, .gov, .org, or peer reviewed). Conforms to all assignment instructions.
5 pts
Approaches Expectations
Includes one or less references that are not from a reputable source. Does not conform to assignment instructions.
0 pts
Does Not Meet Expectations
Does not include references. Does not conform to assignment instructions.
16 pts
Total Points: 50

Respond to one (1) peer this week. In your response identify a SMART outcome for the patient pertaining to the peers discussion. Discuss three (3) interventions that can be implemented to assist the client/caregivers in meeting this outcome. Interventions need to be supported with evidence. Peer Discussion Nutrition
Complications
Good morning! My name is Amy and I will be your child’s nurse today. With your child being newly diagnosed with diabetes mellitus, I would like to go over your child’s nutrition and possible complications that could occur.
Maintaining your child’s blood sugar within the desired range is crucial if they have diabetes. You should monitor what your child eats on a daily basis. Your child will still be able to eat some of their favorite foods and sweets, but they will need to be in moderation. You will need to spread out their carb intake throughout the day and offer different foods that they can try. Carbs elevate blood sugar levels, so you will need to be mindful of how many carbs your child is getting (Mayo Clinic, 2022). Your body converts carbohydrates into sugar (glucose) after you eat. The blood sugar level rises as the glucose enters the bloodstream. A hormone called insulin facilitates the uptake of glucose by cells that they use as fuel for your body (Mayo Clinic, 2022). Some carbs are better than others. You should try to replace white flour and refined grains with whole wheat pasta, brown rice and oats and whole grain breads, cereals and crackers. Fruits, vegetables and whole-grain foods are excellent options since they contain fiber, vitamins, and other nutrients. Fiber can assist in maintaining blood sugar levels within a healthy range by slowing down the digestion and absorption of sugar (Mayo Clinic, 2022). When possible, you should choose a meal that contains whole grains, fresh fruit, lean protein, vegetables and healthy fats. Types of lean protein include chicken, fish, eggs, Greek yogurt, beans and lentils and lean beef. Vegetables that would be good to incorporate into your child’s diet would be broccoli, leafy greens, cabbage, asparagus and carrots. Starchy vegetables such as potatoes and corn should be given in moderation (Eating Smart When Your Child Has Diabetes (for Parents) – Nemours KidsHealth, n.d.). Your child should avoid sugary drinks. Water is of course the best option, but you could try infusing their water with fresh fruits and herbs to help give it flavor. You can also add a sugar free crystal light or tea (Eating Smart When Your Child Has Diabetes (for Parents) – Nemours KidsHealth, n.d.). You will want to make sure that your child does not skip a meal as this could cause an alarming increase or decrease in your child’s blood sugar. You will also be taught how to carb count as this will help you know how much insulin your child will need at meals. Compared to carbs, protein and fat have less of an impact on the body’s blood sugar levels (Mayo Clinic, 2022). Since it’s crucial that your child consume the right amounts of both fat and protein, you might need to count the amount of each in their diet. Excessive fat might make it harder for your child to maintain a healthy weight and raise their risk of heart disease (Mayo Clinic, 2022). We will put in a consult for a nutritionist to come speak with you so they can discuss how much fats and protein your child will need.
Complications that could occur as a result of diabetes mellitus are nerve damage, kidney damage, heart and blood vessel disease, eye damage and osteoporosis (Mayo Clinic, 2022). If their blood sugar is not under control, nerve damage typically develops gradually over a long period of time. The walls of the tiny blood vessels that supply your child’s nerves may be damaged by too much sugar. This may result in discomfort, burning, tingling, or numbness (Mayo Clinic, 2022). The many microscopic blood artery clusters in the kidneys that remove waste from your child’s blood can be harmed by diabetes. Diabetes raises your child’s chance of later-life illnesses like high blood pressure, heart disease, stroke, and restricted blood vessels (Mayo Clinic, 2022). Diabetes may cause issues with eyesight by damaging the retina’s blood vessels. Diabetes can lower bone mineral density, which raises the possibility that your kid will develop osteoporosis as an adult (Mayo Clinic, 2022). I know this can be a lot of information, so I have some handouts here for you on what we went over. I will give you time to look over them and then can answer any questions you may have and we can discuss a meal plan for your child.
References:
Eating Smart When Your Child Has Diabetes (for Parents) – Nemours KidsHealth. (n.d.). Kidshealth.org. https://kidshealth.org/en/parents/meal-plans-diabetes.html#:~:text=Whole%2Dgrain%20foods%2C%20fruits%2CLinks to an external site.
Mayo Clinic. (2022, March 31). Type 2 diabetes in children – Symptoms and causes. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/type-2-diabetes-in-children/symptoms-causes/syc-20355318Links to an external site.

In your discussion, identify additional ways nurses can advocate for change. Consider how advocacy can take place within local and state settings.
How can nurses promote advocacy for your healthcare legislation, or other types of healthcare legislation, during elections? Does understanding a candidate’s stance on health and healthcare matter?
What is an activist and what is the role of a nurse as an activist?

Intergumentary Function
Discussion 6
Integumentary Function:
K.B. is a 40-year-old white female with a 5-year history of psoriasis. She has scheduled an appointment with her dermatologist due to another relapse of psoriasis. This is her third     flare-up since a definitive diagnosis was made. This outbreak of plaque psoriasis is           generalized and involves large regions on the arms, legs, elbows, knees, abdomen, scalp, and groin. K.B. was diagnosed with limited plaque-type psoriasis at age 35 and initially       responded well to topical treatment with high-potency corticosteroids. She has been in     remission for 18 months. Until now, lesions have been confined to small regions on the       elbows and lower legs.
Case Study Questions
Name the most common triggers for psoriasis and explain the different clinical      types.
There are several types of treatments for psoriasis, explain the different types and indicate which would be the most appropriate approach to treat this relapse episode for K.B. Also include non-pharmacological options and recommendations.
Included in question 2
A medication review and reconciliation are always important in all patient,             describe and specify why in this particular case is important to know what           medications the patient is taking?
What others manifestation could present a patient with Psoriasis?
Grading Rubric 
Your assignment will be graded according to the grading rubric.
Discussion Rubric
Criteria Ratings Points
Identification of Main Issues, Problems, and Concepts
Distinguished – 5 points
Identifies and demonstrates a sophisticated understanding of the issues, problems, and concepts.
Excellent – 4 points
Identifies and demonstrates an accomplished understanding of most issues, problems, and concepts.
Fair – 1-3 points
Identifies and demonstrates an acceptable understanding of most issues, problems, and concepts.
Poor – 0 points
Identifies and demonstrates an unacceptable understanding of most issues, problems, and concepts. Or nothing was posted.
5 points
Use of Citations, Writing Mechanics, and APA Formatting Guidelines
Distinguished – 3 points
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.
Excellent – 2 points
Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.
Fair – 1 point
Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.
Poor – 0 points
Ineffectively uses the literature and other resources to inform their work. Unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention. Or nothing was posted.
3 points
Response to Posts of Peers
Distinguished – 2 points
Student constructively responded to two other posts and either extended, expanded, or provided a rebuttal to each.
Fair – 1 point
Student constructively responded to one other post and either extended, expanded, or provided a rebuttal.
Poor – 0 points
Student provided no response to a peer’s post.

For this assignment, students will discuss current recommendations for screening exams for an at-risk patient population and propose evidence-based intervention(s) for the identified population. The paper should be a minimum of four to five paragraphs, 500- 800 words in length, and no more than four pages, not including the title and reference pages.
Assignment Details:
Perform the following tasks:
Conduct a literature review and identify current recommendations for screening exams for an at-risk patient population.
Write an engaging and informative paper that would be helpful for someone in the discipline wanting to learn about current recommendations for screening exams for the identified at-risk patient population.
Use the following as a checklist for the scholarly paper:
Include the following elements:
Title page (APA formatted title page).
Introduction
Background knowledge-brief summary of current knowledge on the at-risk population and the current recommendation for screening exams
Challenges imposed in practice
Intext citation present and appropriate
Literature Review
Expound on the current recommendations for screening exams for selected at-risk population.
Literature searches for the topic on the web and in databases are limited to peer-reviewed professional nursing and medical journals, texts, and writings (no older than 5 years).
Uses literature to support claims, facts, and statistics.
Intext Citation present and appropriate.
Proposed Intervention
Clearly state proposed intervention(s)
Define the ethical considerations or issues relevant to proposed intervention(s)
State why the intervention(s) were chosen
Describe the implications of the proposed intervention to nursing education and practice.
Discussion/Implications/Conclusion
All work should have appropriate citations and reference lists.
Use Times New Roman, 12 pt. font; 1-inch margins; double-spaced.
Consists of 500 to 800 words in length (four to five paragraphs)
Citation and references are to follow the APA manual format
References should be no more than 5 years old
Sources:
Wikipedia (or similar sites) is not to be used as a reference
Taber’s and/or other medical dictionaries or encyclopedias are not to be used as references.
Proofread and edit the paper carefully, following the assignment rubric.
Use the plagiarism tool to check the summary against unintended plagiarism.
Spell check the paper and submit via Canvas.

Replaying Caleb’s Discussion Post.
Discussion Post Week 8
Caleb Pineda
Miami Regional University
DNP 7300: Translation Science
Dr. Alexander de Varona DNP
June 22, 2024
I explored the clinical practice guideline titled “Management of Chronic Pain in Adults” (Guideline No. NG193) from the Agency for Health Care Policy and Research website. This guideline addresses the challenge of providing effective pain management for individuals suffering from chronic pain, a widespread issue impacting millions globally. Chronic pain is defined as persistent pain lasting more than three months, significantly affecting patients’ quality of life and daily functioning.
The guideline emphasizes the adoption of a multimodal approach to chronic pain management. This approach integrates various strategies including pharmaceuticals, physiotherapy, psychological interventions, and lifestyle modifications (Agency for Health Care Policy and Research, 2019). The rationale behind this recommendation underscores the multifaceted nature of chronic pain, encompassing physical, psychological, and social dimensions.
The recommendation is supported by Level 1 evidence, indicating systematic reviews of trial data or trials with low risk of bias. This robust evidence highlights the efficacy of adopting a multidisciplinary model in managing chronic pain effectively in clinical settings.
While reviewing the guideline, it becomes evident that not all recommendations are supported by the highest level of evidence. However, a majority are backed by Level 1 evidence derived from systematic approaches like the multidisciplinary model. In contrast, treatments such as acupuncture and herbal supplements rely more on expert opinions and small-scale studies, indicating varying levels of evidence across different interventions.
The inclusion of recommendations with diverse levels of evidence aims to provide a comprehensive framework that can be tailored to individual patient needs. Chronic pain management is complex and varies among patients; hence, guidelines incorporate a range of evidence to support personalized care approaches (Smith et al., 2022). It is essential for clinicians to critically evaluate the evidence and apply the most validated recommendations to ensure optimal patient care outcomes.
In summary, the Agency for Health Care Policy and Research’s guideline on “Management of Chronic Pain in Adults” advocates for a multidisciplinary approach supported by high-level evidence. Despite variations in evidential support across recommendations, the guideline offers a holistic framework to address the heterogeneous nature of patient needs in chronic pain management.
References
Agency for Health Care Policy and Research. (2019). Management of Chronic Pain in Adults. Retrieved from http://www.guideline.gov/browse/by-topic.aspx
Smith, J., Brown, R., & Lee, M. (2022). Advances in chronic pain management: Integrating evidence-based practices. Journal of Pain Management, 10(2), 45-58. https://doi.org/10.1016/j.jpm.2022.02.005

The purpose of the signature assignment is for students to apply the research and EBP concepts they have learned in this course and develop a framework for the initial steps of the student’s capstone project. The assignment allows the student to initiate the steps for planning, researching and developing an evidence-based practice intervention project proposal. 
On or before Day 7, of week eight each student will submit his or her final proposal paper to the week eight assignment link in D2L. This formal paper will include and expand upon work completed thus far in prior assignments.
Essential Components of the Final Project Proposal will include:   
Introduction– Provide an introduction to your topic or project. The introduction gives the reader an accurate, concrete understanding what the project will cover and what can be gained from implementation of this project.
Overview of the Problem – Discuss the problem,  why the problem is worth exploring and the potential contribution of the proposed project to the discipline of nursing.
Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project.
Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.
PICOt formatted Clinical Project Question(s)– Provide the Population, Intervention, Comparison, Expected Outcomes and Timeframe for the proposed project.
Literature Review – Provide the key terms used to guide a search for evidence and discuss at least five (5) summaries of relevant, credible, recent, evidence-based research studies to support the project proposal.
Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and what gaps in evidence were found from the appraisal of evidence-based research studies.
Develop an EBP Standard – Describe two to three interventions (or a bundle of care) from the evidence and discuss how individual patient preferences or the preferences of others will be considered.
Implications – Summarize the potential contributions of the proposed project for nursing research, education and practice.
Expectations
Due: Monday, 11:59 pm PT
Length: A minimum of 8 pages and a maximum of 10 pages (excluding the title and reference pages)
Format: Formal scholarly paper in APA 7th ed format
Reference Citations: A minimum of five, recent (past five years), peer-reviewed scholarly references cited in APA 7th ed format.