Category: Nursing

For this assessment, you will create a 2-4 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue you identified in the second assessment.

Requirements
Content Criteria:
Read the case study listed below.
Refer to the rubric for grading requirements.
Utilizing the Week 3 Case Study TemplateLinks to an external site., provide your responses to the case study questions listed below.
You must use at least one scholarly reference to provide pathophysiology statements. For this class, use of the textbook for pathophysiology statements is acceptable. You may also use an appropriate evidence-based journal.
You must use the current Clinical Practice Guideline (CPG) for the management and prevention of COPD (GOLD Criteria) to answer the classification of severity and treatment recommendation questions. The most current guideline may be found at the following web address: https://goldcopd.org/Links to an external site.. At the website, locate the current year’s CPG and download a personal copy for use. You may also use a medication administration reference such as Epocrates to provide medication names.
Proper APA format (in-text citations, reference page, spelling, English language, and grammar) must be used.
Case Study Scenario
Chief Complaint
A.C., is a 61-year old male with complaints of shortness of breath.
History of Present Illness
A.C. was seen in the emergency room 1 week ago for an acute onset of mid-sternal chest pain. The event was preceded with complaints of fatigue and increasing dyspnea for 3 months, for which he did not seek care. He was evaluated by cardiology and underwent a successful and uneventful angioplasty prior to discharge. Despite the intervention, the shortness of breath has not improved. Since starting cardiac rehabilitation, he feels that his breathlessness is worse. The cardiologist has requested that you, his primary care provider, evaluate him for further work-up. Prior to today, his last visit with your practice was 3 years ago when he was seen for acute bronchitis and smoking cessation counseling.
Past Medical History 
Hypertension 
Hyperlipidemia 
Atherosclerotic coronary artery disease
Smoker
Family History
Father deceased of acute coronary syndrome at age 65
Mother deceased of breast cancer at age 58. 
One sister, alive, who is a 5 year breast cancer survivor.
One son and one daughter with no significant medical history. 
Social History
35 pack-year smoking history; he has cut down to one cigarette at bedtime following his cardiac intervention. 
Denies alcohol or recreational drug use 
Real estate agent  
Allergies
No Known Drug Allergies 
Medications
Rosuvastatin 20 mg once daily by mouth 
Carvedilol 25 mg twice daily by mouth
Hydrochlorothiazide 12.5 mg once daily by mouth
Aspirin 81mg daily by mouth
Review of Systems
Constitutional: Denies fever, chills or weight loss. + Fatigue.
HEENT: Denies nasal congestion, rhinorrhea or sore throat.  
Chest: + dyspnea with exertion. Denies productive cough or wheezing. + Dry, nonproductive cough in the AM.
Heart: Denies chest pain, chest pressure or palpitations.
Lymph: Denies lymph node swelling.
General Physical Exam  
Constitutional: Alert and oriented male in no apparent distress.  
Vital Signs: BP-120/84, T-97.9 F, P-62, RR-22, SaO2: 93% 
Wt. 180 lbs., Ht. 5’9″
HEENT 
Eyes: Pupils equal, round and reactive to light and accommodation, normal conjunctiva. 
Ears: Tympanic membranes intact. 
Nose: Bilateral nasal turbinates without redness or swelling. Nares patent. 
Mouth: Oropharynx clear. No mouth lesions. Dentures well-fitting. Oral mucous membranes dry. 
Neck/Lymph Nodes 
Neck supple without JVD. 
No lymphadenopathy, masses or carotid bruits. 
Lungs 
Bilateral breath sounds clear throughout lung fields. + Bilaterally wheezes noted with forced exhalation along with a prolonged expiratory phase. No intercostal retractions.
Heart 
S1 and S2 regular rate and rhythm, no rubs or murmurs. 
Integumentary System 
Skin cool, pale and dry. Nail beds pink without clubbing.  
Chest X-Ray 
Lungs are hyper-inflated bilaterally with a flattened diaphragm. No effusions or infiltrates.
Case Study Questions
Pathophysiology & Clinical Findings of the Disease
Are the spirometry results consistent with obstructive or restrictive pulmonary disease? What is the most likely pulmonary diagnosis for this patient?
Explain the pathophysiology associated with the chosen pulmonary disease.
Identify at least three subjective findings from the case which support the chosen diagnosis.
Identify at least three objective findings from the case which support the chosen diagnosis.
Management of the Disease
*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.
Classify the patient’s disease severity. Is this considered stable or unstable?
Identify two (2) “Evidence A” recommended medication classes for the treatment of this condition and provide an example (drug name) for each.
Describe the mechanism of action for each of the medication classes identified above.
Identify two (2) “Evidence A” recommended non-pharmacological treatment options for this patient.

Interoperability in healthcare is an important but very complex issue. There are many issues to address in order to create an easy transition from one system to the next. Presented in your learning resources were 4 levels of interoperability. For this assignment you will select and utilize one of the levels.
In this discussion board respond to the following prompts:
Identify the interoperability level you are utilizing for the assignment and a rationale to support your selection of that level.
Describe the benefits interoperability provides between healthcare systems.
Discuss some of the actual or potential concerns that may be associated with interoperability between healthcare systems.
Requirements: 250 https://www.himss.org/resources/interoperability-healthcare
https://www.healthit.gov/topic/interoperability
https://www.cdc.gov/datainteroperability/index.html
https://journal.ahima.org/page/preparing-for-the-rising-tide-of-interoperability-in-healthcare

Goal:
To analyze an organizational chart.
Content Requirements:
Identify the type of organizational structure.
From the organizational chart, discusses the various lines of communication and reporting. Identify what you have observed to be the formal and informal reporting lines; who the real leaders in this organization are; and issues of power and control. Describe how social and cultural influences of your community are integrated into the delivery of care in your organization
Describe how generational differences influence organizational culture.
Incorporate the organization’s mission, vision and strategic plan; including what the future looks like for the organization.
Discuss how nursing fits into the organization, both now and into the future.

Consider a story that you have about a nurse, or a healthcare issue. Create an anecdote or argument you could present to a policy maker. Be as specific as possible considering that your audience does not know what nurses do in healthcare. Tell a good story that paints a picture without the use of jargon. Use as many facts and statistics from the literature as you can.
COMPETENCY
20 POINTS
17 POINTS
15 POINTS
0 POINTS
POINTS EARNED
Story
Comprehensively describes a story about a nurse or a healthcare issue
Briefly describes a story about a nurse or a healthcare issue
Describes a story about a nurse or a healthcare issue, but is missing key points
Does not describe a story about a nurse or a healthcare issue
/20
Argument
Creates an anecdote or argument to present to a policy maker.
Creates an anecdote or argument to present to a policy maker but is missing key points.
Creates an anecdote or argument to present to a policy maker that is brief and incomplete.
Does not create an anecdote or argument to present to a policy maker.
/20
presentation
The argument illustrates the issue without the use of jargon.
The argument illustrates the issue with minimal the use of jargon.
The argument illustrates the issue with the use of jargon.
The argument illustrates the issue with the use of jargon and is unclear.
/20
Facts and statistics
Uses facts and statistics from the literature with 4 sources.
Uses facts and statistics from the literature with 3 sources.
Uses facts and statistics from the literature with 2 sources.
Uses few facts and statistics from the literature without sources.
/20
COMPETENCY
10 POINTS
9 POINTS
8 POINTS
0 POINTS
POINTS EARNED
Grammar, spelling, and punctuation
There are no errors in grammar, spelling, and punctuation
There are a few minor errors in grammar, spelling, and punctuation that do not detract from the meaning
There are major errors in grammar, spelling, and punctuation that do not reflect scholarly writing
N/A
/10
APA Compliance
The paper meets APA format guidelines
There are minor APA format errors
There are significant errors in format
N/A
/10

Family Nurse Practitioner Information 
Write a statement or essay (1-2 pages) to your future employer with a rationale why hiring the APRN brings added value to their practice
Include supporting data from a research study in promoting the APRN profession to the employer
Review documents from professional organizations, such as the American Nurses Association or the American Academy of Nurse Practitioners.  
Suggested resources:
AANP Advocacy
American Nurses Association
Buppert (course text)
Reference articles (include at least 5 articles illustrating the roles and quality of care provided by nurse practitioners) (include links to articles if possible)

Some consider the integration of evidence-based practice a “cookbook” approach. Do you agree or disagree? Explain. Support your position with one or two examples and one or two references.

Use at least three of these prompts:
How is your peer’s choice of nursing theory different from yours (operationg room nurse) , discuss the differences.
Share your thoughts on how they could apply their chosen nursing theory in the practice setting.
Present new references that support your opinions.
DOI reference link
Please be sure to validate your opinions and ideas with citations and references in APA format. 
PLEASE RESPOND TO THE FOLLOWING POST: 
Identify one specific nursing theory that relates to your area of practice. 
Multiple theories can impact the practice of nurses in every specialty and role. Though many theorists have impacted my practice as a clinic nurse, I have chosen to discuss Maslow’s Hierarchy of Needs.
Discuss the type of the selected nursing theory according to scope (meta-theory, grand, middle-range, or practice theory) and purpose (descriptive, explanatory, predictive, or prescriptive).
Maslow’s needs theory is likely most often considered a middle-range theory. The model is specified in this way because it encompasses a broad theoretical view of the concepts but can also be applied to more narrow topics, even as narrow as specific patients and their needs. Though Maslow’s hierarchical theory was created with a psychological perspective in mind, it applies equally to nursing practice. 
Provide an example of how the selected nursing theory can be applied to your area of practice.  The example should include core concepts of the theory and demonstrate its practical application.
Maslow’s Hierarchy of Needs theory defines the order in which a patient’s needs must be addressed. The pyramid-shaped image often shown to explain the theory shows the building blocks of human needs, starting at the most concrete need for survival and progressing upward toward the more abstract concepts of self-esteem and self-actualization. This pyramid model provides a visual aid to understand the theory’s concept of the need to meet human needs in a specific order.
In my clinic setting, I use Maslow’s theory daily. Patients who come to be seen by our physician typically present with a physiological need. In our case as an orthopedic service, most of these needs are bone fractures or other musculoskeletal issues. We must first treat this physical ailment by attending to the physiological needs. However, after we have addressed this issue, we must remember to take into account the higher pyramid categories. Patients often face abstract psychological burdens along with their physical injuries. We must take the time to address these needs once the initial safety needs have been met. 
Though the above example shows how Maslow’s theory affects patient care, the model can be applied in my practice in other ways. Catalina et al. (2020) published an article about the needs theory’s impact on healthcare workers’ satisfaction and performance, stating that meeting employees’ needs by following Maslow’s model can lead to improved performance and a higher quality of provided health services. As a nurse leader or manager, my role would be to not only address my patients’ needs but also to meet my team members’ needs accordingly so that the highest quality of care is delivered. 
Reference
Stefan, S., Popa, S., & Albu, C. (2020). Implications of Maslow’s hierarchy of needs theory on healthcare employees’ performance. Transylvanian Review of Administrative Sciences, (59), 124. http://dx.doi.org/10.24193/tras.59E.7Links to an external site. 

clear assignment. quite easy but on vacation on the beach so no time to complete. could be quick money for someone. there are 5 assignments like this for someone who wants to make quick cash.
template and example of completed assignment attached

Build a slide presentation (PowerPoint preferred) of the
hypothetical health promotion plan you developed in the first assessment
(please see the attached paper). Then, implement your health promotion plan by
conducting a hypothetical face-to-face educational session addressing the
health concerns and health goals of your selected group. How would you set
goals for the session(Use the SMART method), evaluate session outcomes, and
suggest possible revisions to improve future sessions?
Introduction:
This assessment provides an opportunity for you to apply
teaching and learning concepts to the presentation of a health promotion plan.
Note: This is the second part of a two-part assessment. You
must complete Assessment 1 before completing this assessment.
For
this assessment, you will conclude the clinical learning activity you began in
Assessment 1 (see the attached paper).
You
will resume the role of a community nurse tasked with addressing the specific
health concern in your community. This time, you will present, via educational
outreach, the hypothetical health promotion plan you developed in Assessment 1
to your fictitious audience. In this hypothetical scenario, you will simulate
the presentation as though it would be live and face-to-face. You must
determine an effective teaching strategy, communicate the plan with
professionalism and cultural sensitivity, evaluate the objectives of the plan,
revise the plan as applicable, and propose improvement for future educational
sessions. To engage your audience, you decide to develop a PowerPoint
presentation with voice-over and speaker notes to communicate your plan.
Instruction:
Complete the following:
·       
Prepare a 10–12 slide
PowerPoint presentation with detailed speaker notes that reflects your
hypothetical presentation. This presentation is the implementation of the plan
you created in Assessment 1. The speaker notes should be well organized. Be
sure to include a transcript. The transcript can be submitted on a separate
Word document.
·       
Simulate the
hypothetical face-to-face educational session addressing the health concern (Obesity)
and health goals of your selected community individual or group.
·       
Imagine collaborating
with the hypothetical participant(s) in setting goals for the session,
evaluating session outcomes, and suggesting possible revisions to improve
future sessions.
Presentation Format and Length
You may use Microsoft PowerPoint (preferred) or other
suitable presentation software to create your presentation. If you elect to use
an application other than PowerPoint, check with your faculty to avoid
potential file compatibility issues.
The number of content slides in your presentation is
dictated by the nature and scope of your health promotion plan. Be sure to
include title and references slides per the following:
·       
Title slide:
o  
Health promotion plan
title.
o  
Your name.
o  
Date.
o  
Course number and title.
·       
References (at the end
of your presentation).
o  
Be sure to apply correct
APA formatting to your references.
Supporting Evidence
Support your plan with at least three professional or
scholarly references, published within the last 5 years, which may
include peer-reviewed articles, course study resources, and Healthy People 2030
resources.
Graded Requirements
The requirements outlined below correspond to the grading
criteria in the assessment scoring guide, so be sure to address each point.
Read the performance-level descriptions for each criterion to see how your work
will be assessed.
·       
Present your health
promotion plan to your hypothetical audience.
o  
Tailor the presentation
to the needs of your hypothetical audience.
o  
Adhere to scholarly and
disciplinary writing standards and APA formatting requirements.
·       
Evaluate educational
session outcomes and the attainment of agreed-upon health goals in
collaboration with participants.
o  
Which aspects of the
session would you change?
o  
How might those changes
improve future outcomes?
·       
Evaluate educational
session outcomes in terms of progress made toward Healthy People 2030
objectives and leading health indicators.
o  
What changes would you
recommend to better align the session with Healthy People 2030 objectives and
leading health indicators?
·       
Organize content with
clear purpose/goals and with relevant and evidence-based sources (published
within 5 years).
·       
Slides are easy to read
and error free. Detailed audio and speaker notes are provided. Audio is clear,
organized, and professionally presented.
Context:
Health education is any combination of learning experiences designed
to help community individuals, families, and aggregates improve their health by
increasing knowledge or influencing attitudes (WHO, n.d.). Education is key to
health promotion, disease prevention, and disaster preparedness. The health
indicator framework identified in Healthy People 2030 prompts action in health
services accessibility, clinical preventive services, environmental quality,
injury or violence prevention, maternal, infant, and child health, mental
health, nutrition, substance abuse prevention, and tobacco use cessation or
prevention.
Nurses provide accurate evidence-based information and
education in formal and informal settings. They draw upon evidence-based
practice to provide health promotion and disease prevention activities to
create social and physical environments conducive to improving and maintaining
community health. When provided with the tools to be successful, people
demonstrate lifestyle changes (self-care) that promote health and help reduce
readmissions. They are better able to tolerate stressors, including environmental
changes, and enjoy a better quality of life. In times of crisis, a resilient
community is a safer community (Flanders, 2018; Healthy People 2030, n.d.).
Competency Measure:
By successfully completing this assessment, you will
demonstrate your proficiency in the following course competencies and scoring
guide criteria:
·       
Competency 3: Evaluate
health policies, based on their ability to achieve desired outcomes.
o  
Evaluate educational
session outcomes in terms of progress made toward Healthy People 2030
objectives and leading health indicators.
·       
Competency 4: Integrate
principles of social justice in community health interventions.
o  
Evaluate educational
session outcomes and the attainment of agreed-upon health goals in
collaboration with hypothetical participants.
·       
Competency 5: Apply
professional, scholarly communication strategies to lead health promotion and
improve population health.
o  
Present a health
promotion plan to a hypothetical individual or a group within a community.
o  
Organize content with
clear purpose/goals and with relevant and evidence-based sources (published
within 5 years).
o  
Slides are easy to read
and error free. Detailed audio, transcript, and speaker notes are provided.
Audio is clear, organized, and professionally presented.
·       
Competency 5: Apply
professional, scholarly communication to facilitate use of health information
and patient care technologies.
o  
Deliver a professional,
effective audio tutorial on a selected quality indicator that engages new
nurses and motivates them to accurately report quality data in a timely
fashion.
o  
Follow APA style and
formatting guidelines for citations and references.
Very Important!!
·       
Presents a professional, evidence-based, and
engaging PowerPoint presentation. The plan is based on specific, identified
health needs and goals, and is well supported by error-free slides that enhance
key points and adhere to visual design best practices. The audio and speaker
notes of the details of the educational session were clear and appropriate for
the hypothetical audience.
·       
Evaluates educational session outcomes and the
attainment of agreed-upon health goals in collaboration with hypothetical
participants. Clearly explains the need for revisions to future educational
sessions.
·       
Evaluates educational session outcomes in terms
of progress made toward Healthy People 2030 objectives and leading health
indicators. Clearly explains the need for revisions to better align future
sessions with Healthy People 2030 objectives.
·       
Organizes content with clear purpose/goals.
Power point slides support main points, assertions, arguments, conclusions, or
recommendations with relevant and evidence-based sources (published within 5
years).
·       
Slides are easy to read and clutter free. Slide
background is “visually” pleasing with a contrasting color for the text and may
utilize graphics. Detailed audio, transcript, and speaker notes are provided.
Audio is clear, organized, and professionally presented.
All sources will be checked so they need to be free and must
have the link in the reference page.  NO
AI generated work! NO Plagiarism!