Category: Nursing

NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay

Course Project: Part 1- Identifying a Researchable Problem

Prescription drug abuse can affect an individual during any stage of their life.  Some of the populations that are most at-risk for prescription drug abuse are adolescents, the elderly, and women.  One population in particular, patients with chronic pain, are at an exceptionally high risk to abuse or misuse prescription medications (Manchikanti, 2006).  NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay. Many times, chronic pain goes unrecognized and untreated in patients of racial and ethnic minorities, women, the elderly, patients with cognitive impairments, and those with cancer and at the end of life (CDC, 2016).  The purpose of this paper is to develop feasible research questions in order to explore the issue pain management poses to nursing practice.

BUY A PLAGIARISM-FREE PAPER HERE

Area of Interest

Chronic pain is defined as pain that lasts longer than six months.  The American Academy of Pain Medicine (2016) estimates that approximately 100 millions Americans suffer from chronic pain.  There are four common types of chronic pain- back pain, migraine pain, neck pain, and facial pain.  Approximately 26 million Americans between the ages of 20-64 experience back pain (The American Academy of Pain Medicine, 2016) NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay.

The American Academy of Pain Medicine (2016) believes that prescription painkillers are a major contributor to the total number of drug deaths in America.  Approximately 28,000 Americans died from unintentional drug poisoning in 2007 and nearly 12,000 of these deaths involved prescription pain relievers.  From 1998 to 2008, the proportion of all substance abuse treatment admissions that reported any pain reliever abuse increased more than fourfold (The American Academy of Pain Medicine, 2016).   According to the CDC (2016), 20% of patients presenting to physician offices receive an opioid prescription.  In 2012, health care providers wrote 259 million prescriptions for opioid pain medication (CDC, 2016). NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay.

Generated Questions and Their Feasibility

For this assignment, we were asked to formulate five research questions based on our topic of interest and then evaluate them to decide which questions are the most feasible.  The following are the five research questions that I have developed:

In patients with chronic pain, what is the effect of utilizing a combination of pharmacological and non-pharmacological methods to manage their pain?

In patients with chronic pain, does pharmacologic use only influence their dependence on narcotics?

In patients with chronic pain, what are the common complaints of pain that these patients seek treatment for? NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay.

In patients with chronic pain, what are the patient’s expectations regarding pain control and pain management?

In patients with chronic pain, what percentages of physicians are utilizing other methods of pain management besides medications?

Sufficient research questions are utilized to establish a foreground for Evidence-Based Practice, or EBP, inquiry.  Research questions should identify key variables of the study, the relationships among the variables, and the population in which the study is researching.  With these requirements in mind, all of my questions identify key variables of the study I am proposing- pharmacological and non-pharmacological pain management.  The questions also focus on the population the study is examining- patients with chronic pain.  Finally, the questions also aim to explore the relationship between pain management using pharmacological and non-pharmacological methods (Polit & Beck, 2017) NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay.

PICOT Question

The PICOT question I have developed is as follows:  In patients with chronic pain, what is the effect of a multi-modal pain management system compared to pharmacological use only on pain management over a year? (Walden Student Center for Success, 2012)

In my PICOT question, the population (P) is patients with chronic pain.  The intervention (I) is a multi-modal pain management system.  The comparison (C) is the use of only a pharmacological method of treating pain.  The outcome (O) is pain management, and the time frame (T) is over a year. (Walden Student Center for Success, 2012)

Keyword Searches

According to the Walden Student Center for Success (2012), once you develop your PICOT and research questions, it is time to brainstorm key search terms that will help you to find research relevant to your topic.  The Walden Student Center for Success (2012) gives us three distinct tips for developing key search words: brainstorm synonyms, expand acronyms, and look at subjects.  In order to brainstorm synonyms, you will need to think of other words or phrases that have similar meaning to your research topic.  NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay. Next, to expand out acronyms, you will need to search both the acronym and the actual phrase of the topic.  Finally, you will need to look at subjects.  In order to do this, you will need to search the main topics that the database you are researching through uses to categorize your research topic (Walden Student Center for Success, 2012).

By keeping these guidelines in mind, I developed the following research terms for my topic: “non-pharmacological methods for controlling chronic pain,”  “pain management without narcotics,” “non-pharmacologic pain management,” “chronic pain,” “chronic pain management,” “pain management,” “ending chronic pain,” “long-term pain management,” “narcotic pain management,” and “controlling pain.”

Summary

           
Throughout this paper we have discuss various methods of establishing a research topic, developing research questions, and focusing research terms in order to find the most relevant information for your research topic.  By utilizing feasible research questions, establishing a PICOT question, and creating key research terms, I will now be able to focus my evidence-based practice research on information that is significant to my research topic. NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay.

References

Centers for Disease Control and Prevention.  (2016).  CDC Guideline for Prescribing Opioids for Chronic Pain.  Retrieved from dhttp://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm

Manchikanti, Laxmaiah.  (2006).  Prescription Drug Abuse: What is Being Done to Address this New Drug Epidemic?
Pain Physician. 
Retrieved from https://www.asipp.org/documents/PrescriptiondrugabuseWhatisbeing.pdf

Polit, D. F., & Beck, C. T. (2017).
Nursing research: Generating and assessing evidence for nursing practice
(10th ed.). Philadelphia, PA: Wolters Kluwer. NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay.

The American Academy of Pain Medicine.  (2016).  AAPM Facts and Figures on Pain.  Retrieved from http://www.painmed.org/patientcenter/facts_on_pain.aspx

Walden Student Center for Success. (2012).
Clinical Question Anatomy
. Retrieved from http://academicguides.waldenu.edu/content.php?pid=183871&sid=2950360 NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay.

Child Abuse Case Study Essay

Introduction on child abuse

What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.

How might exposure to the media and/or social media affect the patient?

What type of mandatory reporting (if any) is required in this case? Why? Child Abuse Case Study Essay.

Conclusion

Please address each sentence separately

BUY A PLAGIARISM-FREE PAPER HERE

Child Abuse Case Study

NURS 6660: Psychiatric Mental Health Nurse Practitioner Role I: Child

and Adolescent

Morgan, a 19-year-old male comes to your office to discuss his current mood and

symptoms. This is his first visit to a mental health clinic. “I’ve had 26 jobs in the last 2

years; I finally have a job that I like and I want to make it work.” As you begin to get to

know him, he tells you that his mood is down and that he also has times where he has

“more energy and motivation”: “That’s when I am able to get a new job.” He says that he

has difficulty interacting with coworkers. “I feel like I can’t talk to them.” If it wasn’t for

his supportive girlfriend, he wouldn’t be able to function. “She understands me and

accepts me; she knows what I have been through.” Child Abuse Case Study Essay.

As the PMHNP listens to the client and explores what he means by some of his

statements, you try to put together his story. He mentions that he has been having

nightmares and is not sleeping well. He says he startles easily. He becomes withdrawn

when he begins to talk about the reason for the nightmares.

“This all started a few weeks ago when a cousin of mine got out of jail.” He haltingly tells

the story of his parents’ mental illness and how he had to live with various relatives.

“One cousin who I stayed with a lot took advantage of me. He molested me.” They

found out he also molested other children and he went to jail. “It gives me the creeps

that he is out of jail. I have to face what he did to me.”

Morgan asks about his diagnosis. The PMHNP tells him that he has some symptoms

that sound like depression and anxiety, and that when a child has a traumatic

experience, it can reoccur and stay with a person for many years. He acknowledges

that he thought about PTSD but wasn’t sure what the symptoms look like.

As you think about Morgan’s story, consider the following questions: Where did he fall

between the cracks? Are there agencies who advocate for children like him?

There are thousands of children like Morgan. They were in a vulnerable family situation

and the “responsible” adult was not able to care for the child. Sometimes it takes years

for clients to remember and disclose the abuse. Child Abuse Case Study Essay.

Child Abuse Essay

Introduction on child abuse

Child abuse refers to the actual maltreatment of a child or potential for harm through psychological, sexual or physical approaches. It is notable that the agent of the abuse is the child’s parent, caregiver or guardian who is supposed to be responsible for protecting the child but either fails to protect the child or perpetrates the abuse (Gelles & Perlman, 2012). As a result, child abuse refers to a situation where the child is psychologically, sexually or physically harmed Child Abuse Case Study Essay.

What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.

Four strategies are available for assessing a child for abuse. The first strategy collects information from the child at risk of being abused on whether he or she is being abused. The second strategy interviews the parents, guardians and caretakers who are likely to be abusing the child. The third strategy collects information from the child’s environment to include neighbors and friends who may have witnessed the child being abused. The fourth strategy uses clinician-completed assessments. The final strategy entails conducting a physical examination on the child (Gilbert, Parton & Skiveness, 2011).

How might exposure to the media and/or social media affect the patient?

Exposure to the media is likely to have a negative effect on the patient by taking a toll on their development. In fact, it places the child under pressure resulting in an increased risk for emotional behavioral problems that would be exhibited as fear, problems with academics, depression and anxiety. In addition, it could prevent the child from recovery and even forgetting about the abuse by always acting as a reminder of what happened (Pecora et al., 2010). Child Abuse Case Study Essay.

What type of mandatory reporting (if any) is required in this case? Why?

Legal provisions designate a group of persons who are obligated to report all suspected and confirmed cases of child abuse. These groups include law enforcement officers, coroners, medical personnel, child care providers, mental health professionals (such as therapists and counsellors), medical professional (such as nurses and physicians), school personnel, and social workers. These individuals are identified for mandatory reporting because they have regular or frequent contact with children and their professional experiences allow them to identify cases of abuse. As such, they can act as credible sources of information on child abuse (Gilbert, Parton & Skiveness, 2011).

Conclusion

One must accept that child abuse is a worrying since it exposes vulnerable children to indefensible harm or failure to protect from a parent, caregiver or guardian who is supposed to protect the child. Still, there is a need to confirm a case of abuse using assessment strategies. Additionally, the information on an abuse case should not be exposed to the media since it increases the risk for the child experiencing emotional behavioral problems. Besides that, professions that have frequent contact with children should proactively fight child abuse by reporting all suspected cases. In this respect, child abuse refers to a situation where the child is psychologically, sexually or physically harmed. Child Abuse Case Study Essay.

 

References

Gelles, R. & Perlman, S. (2012).
Total Estimated Cost of Child Abuse and Neglect in the United States
. Chicago, IL: Prevent Child Abuse America.

Gilbert, N., Parton, N. & Skiveness, M. (2011).
Child protection systems: international trends and orientations
. New York, NY: Oxford University Press.

Pecora, P., Whittaker, J., Maluccio, A., Barth, R., DePanfilis, D. & Plotnick, R. (2010).
The child welfare challenge: policy, practice, and research
(3
rd
ed.). New Brunswick, NJ: Transaction Publishers. Child Abuse Case Study Essay.

Is Child Obesity a Reflection of Parental Negligence Essay

1. Introduction

Explain the issue you are examining and why it is significant.

2. Review of the Literature

A description of what has already known about this area and short discussion of why the background studies are not sufficient.

BUY A PLAGIARISM-FREE PAPER HERE

3. Rationale

A description of the questions you are examining and an exploration of the claims.

4. Method and Design

A description of how you would go about collecting data and test the questions your are examining. Method: How would you collect the data and why? Is Child Obesity a Reflection of Parental Negligence Essay

Analysis

• How will you analyze the results?

• What kind of results would confirm your hypothesis?

• What kind of results would disconfirm your hypothesis

5. Significance and Conclusion

Discuss, in general, how your proposed research would lead to a significant improvement over the original studies, and how it would benefit the field. (In other words, why should someone care? If you were applying for money to do this, why would someone fund you? If you wanted to publish your results, why would they be interesting?) Is Child Obesity a Reflection of Parental Negligence Essay

6. References

Include all references in APA style.

 

Is Child Obesity a Reflection of Parental Negligence?

Introduction

Childhood obesity is a growing trend that has become a source of concern since these children may not live as long as their parents (Patel, 2005). That is because obesity is not only a problem for the child’s health, but is also a risk factor for other problems that include suicidal ideation, psychological distress, poor quality of life, low self-esteem, impaired health, and stigmatization. Although incidence of obesity and weight gain have been linked with a range of factors, a distressing aspect is that although some of these factors are outside immediate control (inborn factors that include genetics and hormones), there are those that are within the realm of control to include physical activity and diet. The implication is that although there are some incidence of obesity that cannot be absolutely controlled, there are those that can be controlled by moderating environmental factors in the form of presenting the child with a healthy diet and ensuring that there is adequate physical activity. Given that children are impressionable dependents who are easily influenced by their guardians and careers in whether or not to adopt healthy lifestyles, then it stands to reason that adequate parental supervision with focus on healthy lifestyle (to include a healthy diet and adequate physical activity) will ensure that the child maintains a healthy weight and reduces the incidence of obesity unless inborn factors come into play (Knutson et al., 2009). In this respect, it is hypothesized that sufficient parental supervision with a focus on a healthy diet and adequate physical activity will reduce the incidence of obesity among children. Is Child Obesity a Reflection of Parental Negligence Essay.

Review of the Literature

It is undeniable that there is a correlation between parents’ involvement in children’s life and the learning outcomes. In fact, Knutson et al. (2009) mentions that incidence of obesity among children are either resultant of environment or inborn factors. While little control can be exerted over the inborn factors, the same cannot be said about the environmental factors. That is because children are impressionable dependents who are overly reliant on their parents and guardians to direct their every activity from waking, sleeping, eating, dressing, schoolings and so on. This means that every decision that a child makes is actually one that the parent makes and the child lives with. The implication is that parents can guide their children to adopt healthy lifestyles, or neglect the children and allow them to develop unhealthy diet and physical activity habits that result in obesity (Knutson et al., 2009). Rhee et al. (2015) expresses similar sentiments by noting that there is a relationship between general parenting and childhood obesity. In this case, parents who are investment in the emotional and behavioral dimensions of parenting tended to have children with healthy weight since the parent intentionally guided the child on how to achieve a healthy weight (Rhee et al., 2015). Allen and Fost (2012) are more concise in noting that it is not enough for parent to offer advice and guidance to ensure that the children achieve health weights. Rather, the parent must be assertive in determining what the child can eat and how to exercise to achieve health weights. This means that every food request that the child makes must be evaluated weight gain and loss before being accepted into the diet (Haroldson, Cordell & Halderman, 2015). Patel (2005) similarly acknowledges that obesity among children is best managed by having the parents make healthy environmental decisions for the children, their involvement is limited by the reality that children must attend other social events (such as school) that keep them away from their parents. This means that the parents’ involvement may not be far reaching, and may be limited by the realities of work and school that keep the children and parents apart. Also, the article goes on to adopt a radical approach by suggesting obese children should be withdrawn from their parents since the obesity is an indication that the parents failed in offering the child advice on how to maintain a healthy lifestyle despite having the responsibility of offering care and advice (Parent, 2005). Is Child Obesity a Reflection of Parental Negligence Essay. Based on the discussed literature, it is plausible that parents can be targeted as tools for reducing obesity incidence among children, although their influence could be limited by the modern realities of social engagements that include work and school. As such, there is a need to explore the position that parents can play in reducing the incidence of obesity among children.

Rationale

As earlier indicated, childhood obesity is a source of concern. That is because it predisposes the child to social and health complications. In fact, Patel (2005) observes that children with obesity are unlikely to live for as long as their parents. As such, there is a need to develop an effective strategy for preventing its incidence. Although there are a range of strategies that could offer some relative success in reducing childhood obesity incidence, parents are explored because of their position in the child’s life. The reality is that children are dependent whose dependency only reduces as they advance in age such that they are only able to become independent upon reaching the age of majority (typically 18 years). This means that a child will depend on the parents to make decisions from birth until the child reaches the age of majority. The implication is that the parents can make decisions on how the child lives his or her life, what food is eaten and whether there is adequate physical activity to achieve health weight. Based on this awareness, the present study postulates that parental negligence will allow the child to develop an unhealthy lifestyle and become obese since there will not be any advice on what constitutes health diet and how to achieve healthy weight. Is Child Obesity a Reflection of Parental Negligence Essay. In this respect, the present study intends to answer the question: is child obesity a reflection of parental negligence?, while approving or disapproving the hypothesis: Parental negligence increases the incidence of obesity among children.

Method and Design

This paper proposes the adoption of quantitative research design to conduct the research with the focus being on numerical data. The quantitative research design proposed for this research will involve the use of pre-structured questionnaires as tools for collecting primary data. The questionnaires will evaluate the children’s weight based on body mass index (BMI) criteria and the parenting style applied with focus on whether it is negligent or attentive. The primary data, once collected, will then be subjected to statistical analysis that highlights emerging themes. The results of the statistical analysis will be compared to the literature review. The decision to use a questionnaire is based on the need maintain control over the research process, have flexibility and accuracy, working within the timetable and budget, and collect accurate and definitive data. Questionnaires save on cost and time, have good control and flexibility, but reduce the accuracy and detail of the collected data (Treiman, 2014). A correlation between parental negligence and increased incidence of childhood obesity will answer the research question while confirming the research hypothesis that parental negligence increases the incidence of obesity among children. On the other hand, the absence of a correlation between parental negligence and increased incidence of childhood obesity will answer the research question while disconfirming the research hypothesis that parental negligence increases the incidence of obesity among children. Is Child Obesity a Reflection of Parental Negligence Essay.

Significance and Conclusion 

The significance of the present study is that it evaluates the position that parental supervision and advice can play in reducing the incidence of obesity among children. This considers the fact that childhood obesity is a source of concern since it is a health risk factor. As such, there is a need to preempt childhood obesity incidence. Additionally, children are impressionable dependents who rely on their parents to guide them. Thus, parents are well positioned to influence their children to adopt healthy lifestyles that preempt them from developing obesity. The implication is that engaging parents to actively implement healthy lifestyle changes for their children could reduce the incidence of childhood obesity. In essence, this project anticipates that parental negligence (failing to introduce healthy lifestyle changes to children) will increase the incidence of childhood obesity with the reverse being equally true. Is Child Obesity a Reflection of Parental Negligence Essay.
 

 

References

Allen, D. & Fost, N. (2012). Obesity and neglect; it’s about the child.
The Journal of Pediatrics
, 160(6), 898-899.

Haroldson, A., Cordell, Z. & Halderman, L. (2015). Analysis of child food requests and maternal compliance in low-income Hispanic and non-Hispanic families.
Family and Consumer Sciences Research Journal
, 44(1), 37-50.

Knutson, J. F., Taber, S. M., Murray, A. J., Valles, N. & Koeppl, G. (2009). The role of care neglect and supervisory neglect in childhood obesity in a disadvantaged sample.
Journal of Pediatric Psychology
, 35(5), 523-532.

Patel, D. (2005). Super-sized kids: using the law to combat morbid obesity in children.
Family Court Review
, 43(1), 164-177.

Rhee, K. E., Dickstein, S., Jelalian, E., Boutelle, K., Seifer, R. & Wing, R. (2015). Development of the general parenting observational scale to assess parenting during family meals.
International Journal of Behavioral Nutrition and Physical Activity
, 12(49), 1-15.

Treiman, D. J. (2014). 
Quantitative data analysis: doing social research to test ideas
. Hoboken NJ: John Wiley & Sons. Is Child Obesity a Reflection of Parental Negligence Essay.

Health Issue Analysis Sample Essay.

In your Collaborative Learning Community, write a paper of 500-1,000 words and include the following:

Assess the past and present impact nurses, including advanced professional/advanced practice nurses, have made in addressing diabetes type II

Describe how nurses can become more broadly involved with influencing health policy related to diabetes type II. Include resources available.

Hypothesize how nurses can positively impact future outcomes related to the provision of care for persons affected by diabetes type II.

BUY A PLAGIARISM-FREE PAPER HERE

Health Issue Analysis: Diabetes Type II

Diabetes type II alias diabetes mellitus is increasingly becoming an alarming issue in the contemporary world.  In fact, the United States’ Pre-diabetes, Diabetes Rates fuels the National Health Crisis article reports that about 12.3% of Americans who are aged between twenty years and above have diabetes either undiagnosed or diagnosed. However, the health stakeholders and the government are trying to address the issue to their capacity. This paper is scientifically correct about the impact which nurses and other health professionals have made to address diabetes type II health issue, how they can influence diabetes type II health policies as well as how they can impact the future outcome of persons affected with this disease positively Health Issue Analysis Sample Essay.

Mainly, nurses and other advanced health professionals interventions have made diabetes care to improve. For instance, the improved care effect has been achieved through well-structured interventions such as care delivery systems, the use of chronic care model among other intervention put forward to address the diabetes type II issue. Equally important, nurses’ tireless commitments through educating the diabetic patients as well as their family results to the development of diabetes clinical nurse specialist which, among other services, boosts the patients’ hope through counseling and nursing hence promoting diabetes care. On the positive side, when proper care for this chronic disease rises, the chances of people living a diabetes-free life increases. Following the above evidence, we can boldly state that nurses create a positive impact when they address the issue. Health Issue Analysis Sample Essay.

Consequently, nurses’ measure to address the problem has led to diabetes type II patients staying safe with minimal complications. According to Kahn, Cooper, and Del (2014), the nurses’ interventions reduced drastically the patients diagnosed with diabetes type II complications, and many of them are living a healthy life. With this in mind, advanced health professionals encourage the people living with diabetes to maintain delicate balance between diet, exercise and insulin injections to keep the blood sugar at a normal level (Blumenthal, & Collins, 2014). Since this maintenance needs a great deal of attention, the nurses often become conscious of their patient’s sugar level hence giving them the necessary support. By so doing, the patient can live a less complicated life even if they are diagnosed with the disease hence a positive impact of nurses’ interventions. Health Issue Analysis Sample Essay.

Considerably, nurses have become more broadly involved themselves with influencing diabetes type II related health policies. Most compelling evidence, nurses actively participate in evaluating the impact of Affordable Care Act (ACA) and particularly expands the Medicaid with the interest of diabetes identification and treatment Health Issue Analysis Sample Essay. Blumenthal and Sarah mention that Diabetes Care issue creates one of the first reports on the impact of expanding Medicaid on diabetes diagnosis hence nurses need to ensure that they influence health policies to achieve this (2014). Expanding Medicaid unravels more opportunities for the diagnosis of diabetes type II.

By the same token, nurses’ influence on diabetes type II related health policies is their ability to influence decisions and affairs which relates to healthcare through using their practical communication skills, collaboration with other health professionals and legislators and through their political knowledge which results in improved and proper diabetes type II related health Acts. Frean, Gruber, and Sommers (2017)argue that nurses can also influence the health policies relating to diabetes through overseeing the implementation of Affordable Care Act and other related Acts. Nurses are obligated to ensure that the Affordable Care Act which was signed into law five years ago is implemented to improve the quality and lower health costs of diagnosing diabetes type II problem Health Issue Analysis Sample Essay.

On the other hand, there are hypotheses of how nurses can positively impact the future outcome relating to the provision care to individuals diagnosed with diabetes type II. According to American Diabetes Association, patients with diabetes type II require psychological make-up (2015). For instance, nurses and other health professionals should formulate future strategies to offer best mental support to individuals affected by this chronic disease. Advanced health professionals play a central role in the behavior management thus they need hypothesize well-formulated therapies to help the affected persons decrease diabetes-related complications Health Issue Analysis Sample Essay Health Issue Analysis Sample Essay. Untreated psychological disorders often lead to cardiovascular complications, physical symptoms and aggravate vicious cycles of healthcare abilities thus I propose that nurses should form proper therapies to help such patients in future.

Additionally, I hypothesize that nurses should form primary care services to assist patients affected with diabetes type II. Primary care has been overlooked in the United States, yet it is a cornerstone of a robust healthcare system. Primary care can address diabetes type II problem at any stage of the patient’s cycle (Association, 2015).  Additionally, primary care will lead to coordinated care which will ensure that the information and health services provided meet the needs of the patient. Given these points, the nurses will create a positive impact on the future outcome if they try out the proposed measures herein. Diabetes type II is a chronic disease in which Medicare services should be advanced so that people can be diagnosed efficiently Health Issue Analysis Sample Essay.

References

American Diabetes Association. (2015). Standards of medical care in diabetes—2015 abridged for primary care providers. 
Clinical diabetes: a publication of the American Diabetes Association
, 
33
(2), 97. Health Issue Analysis Sample Essay.

Blumenthal, D., & Collins, S. R. (2014). Health care coverage under the Affordable Care Act—a progress report.

Frean, M., Gruber, J., & Sommers, B. D. (2017). Premium subsidies, the mandate, and Medicaid expansion: Coverage effects of the Affordable Care Act. 
Journal of Health Economics
, 
53
, 72-86.

Kahn, S. E., Cooper, M. E., & Del Prato, S. (2014). Pathophysiology and treatment of type 2 diabetes: perspectives on the past, present, and future. 
The Lancet
, 
383
(9922), 1068-1083 Health Issue Analysis Sample Essay.

CLC Health Issue Analysis: Part 1

Details:

This is a CLC assignment.

In your Collaborative Learning Community, write a paper of 750-1,000 words that describes the history of the identified health issue. Include the following:

1- Influences such as determinants of health and socioeconomic status

2- Past and present initiatives to address the issue

3- Outcome indicators that have been developed and utilized to measure progress on the issue

4- The current status of the issue based on measured outcomes

Refer to “CLC Health Issue Analysis Overview.”

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract and conclusion are not required Health Issue Analysis Sample Essay.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center Health Issue Analysis Sample Essay.

NUR 508 Grand Canyon Week 4 Assignment

CLC Health Issue Analysis: Part 2

Details:

This is a CLC assignment.

In your Collaborative Learning Community, write a paper of 500-1,000 words that describes the national and international implications of the selected health issue. Include the following:

1- Scope and depth of the problem

2- Countries that are faring better or worse than others

3- How the United States ranks on this issue in relation to other countries

4- Efforts of the World Health Organization and other agencies on this issue

5- Existing disparities (include race, age, and gender, as appropriate) in relation to the issue – describe the populations that have emerged as being disadvantaged and why.

Refer to “CLC Health Issue Analysis Overview.”

This assignment uses a grading rubric that can be viewed at the assignment’s drop box. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment Health Issue Analysis Sample Essay.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract, introduction, and conclusion are not required.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

NUR 508 Grand Canyon Week 5 Assignment 1

Health Issue Analysis Part 3

Details:

This is a CLC assignment.

In your Collaborative Learning Community, write a paper of 500-1,000 words that includes the following in addressing the health issue:

Discuss past and present funding for initiatives that address the health issue. Include both public and private sources.

Analyze past and present quality initiatives that address the health issue. Include both public and private sources.

Differentiate how being insured versus uninsured impacts health outcomes relative to this issue.

Compare health outcomes for the issue between the United States and a country with universal health coverage Health Issue Analysis Sample Essay.

Refer to “CLC Health Issue Analysis Overview.”

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center Health Issue Analysis Sample Essay.

NUR 508 Grand Canyon Week 6 Assignment CLC

Health Issue Analysis: Part 4

Details:

This is a CLC assignment.

In your Collaborative Learning Community, write a formal paper of 500-1,000 words that examines the previously addressed aspects of health policies, finance, global/ national prevention, and/or treatment initiatives related to the health issue by identifying applicable ethics principles.

Differentiate how application of the identified ethics principles to the health issue has resulted in population disparities Health Issue Analysis Sample Essay.

Hypothesize how existing disparities might be eliminated using alternate ethics principles.

Critique whether the applicable ethics principles are consistent with the ANA’s Code of Ethics for Nurses.

Refer to “CLC Health Issue Analysis Overview.”

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract, introduction, and conclusion are not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment Health Issue Analysis Sample Essay.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

NUR 508 Grand Canyon Week 7 Assignment 2

Health Issue Analysis Part 5

Details:

This is a CLC assignment.

In your Collaborative Learning Community, write a paper of 500-1,000 words and include the following:

Discuss cultural beliefs and influences relative to the health issue.

NUR 508 Grand Canyon Week 3 Discussion 1

Debate the various social factors associated with the situation of the “underinsured.” Respond to two other classmates’ answers with solid reasoning and support your opinions with appropriate reference citations.

NUR 508 Grand Canyon Week 3 Discussion 2

Review the Agency for Healthcare Research and Quality (AHRQ) report “Priority Populations”:

http://www.ahrq.gov/health-care-information/priority-populations/index.html

Select one of the “priority populations” and explain the disparities this population faces. What strategies have been implemented to combat these disparities on the local and national levels? Have they been successful? Include reference citations where appropriate.

NUR 508 Grand Canyon Week 4 Discussion 1

Debate the efficacies of public versus private-based quality initiatives. What roles do each play in the quality of U.S. health care? How would the elimination of one aspect affect the other? Respond to two other classmates and counter their answer, citing references as appropriate.

NUR 508 Grand Canyon Week 4 Discussion 2

After reading the Kaiser Family Foundation summary on the Patient Protection and Affordable Care Act, state why or why not you believe the act should remain in law, or which pieces should be reversed. Then describe two pieces of the act that you were unaware was part of the act and how that may affect you as a citizen.

NUR 508 Grand Canyon Week 5 Discussion 1

What are the eligibility requirements and coverage of Medicaid for the categories of low-income adults, pregnant women, and the aging/blind/disabled in the state where you live? Do you consider the eligibility requirements reasonable or restrictive? Do you consider the coverage reasonable or liberal? What are the benefits and drawbacks to keeping these populations insured through Medicaid? Consider both direct and indirect factors Health Issue Analysis Sample Essay.

NUR 508 Grand Canyon Week 6 Discussion 1

Debate the question: “Is health care a basic right in the United States?” Answer this question through the lens of your role as RN Health Issue Analysis Sample Essay. Support your response utilizing ethical theories and principles. Respond to two other classmates using respectful communication and solid reasoning. Support your response with appropriate references.

NUR 508 Grand Canyon Week 6 Discussion 2

Select an ethical dilemma related to health policy from the categories of moral values, professional regulation, health of individuals in society, or distributive justice. What are the controversies surrounding this issue? What are the opposing ethical principles? How has past or current health policy addressed this dilemma? Support your reasoning with reference citations Health Issue Analysis Sample Essay.

NURS 6600: Capstone Synthesis Practicum – Practicum Project Plan (PPP) Overview

The Practicum Project Plan is a scholarly proposal for your project.

Project Planning Guidelines

As you proceed with your Practicum Project planning, keep in mind that approximately half of your practicum hours may be spent on your Practicum Project. The development of the PPP does not count toward your practicum hours, and you may not begin to earn practicum hours for your project until your proposal is approved.

ORDER A PLAGIARISM-FREE PAPER HERE

Your actual Practicum Project must be completed on or before Day 5 of Week 11. Be sure to develop your plan accordingly. For instance, if you include any sort of data gathering tool as a part of your project, you must receive IRB approval. Projects that require IRB approval, and this type of project therefore will be difficult to complete on time. If you desire to extend your project timeline, you may discuss this option with your Instructor. However, if you desire to complete your project on or before Day 5 of Week 11, your project should not include surveys, focus groups, collection of data, or any activities that require IRB approval. Practicum Project Plan (PPP) Overview.

In addition, remember that your Practicum Project goal and objectives are distinct from the practicum professional development objectives you developed in Week 1.

Practicum Project Plan (PPP)

This is the 4- to 6-page scholarly paper, referred to as your Practicum Project Plan (PPP), in which you will formulate findings, conclusions, and recommendations in relation to the problem or issue you are examining. Your paper will include the following:

Title:

The title should include the name of your project and should follow the Uniform-Guidelines format.

Introduction:

The introduction includes the purpose of the paper, the goal of the project, and the name of the project. It also outlines the structure of the paper.

Goal statement:

A goal statement identifies what you expect to accomplish, the focus area, and the population. It introduces the project and conveys, in broad terms, how you plan to solve a particular problem or issue. Practicum Project Plan (PPP) Overview.

Project objectives:

Project objectives delineate your strategy for reaching the goal and the steps you will follow to complete the project. You must include two or three measurable objectives that use Application-level or higher verbs from Bloom’s Taxonomy.

Evidence-based review of the literature for project justification:

This review provides evidence-based support for your identified problem, project methods, and evaluation (presented in Week 4). The literature should be directed toward justifying the project, not focus on potential solutions. You must include a review of your specialization’s professional-practice standards and guidelines related to your project and a minimum of five (5) scholarly references for this section of the paper. Practicum Project Plan (PPP) Overview.

Methodology:

This section addresses in detail how you will accomplish the project objectives. Include, as relevant, the who, when, where, and how of each objective.

Resources:

Identify and justify the human, physical, and/or technical resources you will need to complete this project. Note that for this assignment, you do not have to address the financial aspects of your plan.

Formative evaluation:

Describe how and when you will conduct formative evaluation of your project. Explain how you will use the evaluation results and how you will determine if the project is proceeding as planned.

Summative evaluation:

Describe how and when you will conduct summative evaluation of your project. Explain how you will use the evaluation results. Practicum Project Plan (PPP) Overview.

Timeline: Create a graphic timeline representing significant stages of your project. Provide a narrative to help your Instructor understand the timeline. Include the timeline in an Appendix to your Practicum Project Plan.

Note: You must use APA-style headings, but you are not required to title the headings as listed above.

Question Description

Consider the models, theories, and concepts you have examined in your program of study as they relate to your project. Which of these can be applied to the development of methodology to help you achieve the project objectives? Practicum Project Plan (PPP) Overview. Which ones can be used to help you establish criteria and methods of evaluation for your project?

In this Discussion, you examine and propose the methodology for your Practicum Project, as well as evaluation methods. The insights you gain through this Discussion should be integrated into your Practicum Project Plan, which is due in Week 5.

To prepare:

Reflect on the Practicum Project goal and objectives you developed in Week 3.

Refer to the Practicum Project Plan (PPP) Overview document as needed for information related to the Practicum Project Plan (PPP) Overview assignment.

Consider the models, theories, and concepts you have examined in your program of study as they relate to your project. How can this information be applied to the development of the methodology and evaluation for your project?

Review the information on methodology in the Learning Resources, and conduct additional research to facilitate your analysis for your project. Evaluate the who, what, how, where, and when associated with each objective: Who will make what change, by how much, where, and by when? Consider the methods you could use to meet each objective. Devise your methodology in as much detail as possible to identify how you could meet each objective. For example, identify which professional organizations or regulatory bodies you would consult (by viewing their websites or contacting them directly) to gather evidence.

Review the information on formative and summative evaluation in this week’s Learning Resources, and conduct additional research to facilitate your analysis for your project. How could you evaluate achievement of your Practicum Project objectives using formative and/or summative evaluation? Begin to develop an evaluation plan for your Practicum Project.

By Day 2

Post a brief summary of your Practicum Project focus, including the goal and objectives of your Practicum Project (to serve as a reminder for your colleagues). Explain your selected methodology, and justify your selection. Include a detailed explanation of how you could meet each objective using this methodology. Also explain your evaluation plan, noting at which points during your Practicum Project formative and/or summative evaluation will occur Practicum Project Plan (PPP) Overview.

Critiquing a Change Effort Sample Essay

To prepare:

Review Chapters 7 and 8 in the course text. Focus on the strategies for planning and implementing change in an organization, as well as the roles of nurses, managers, and other health care professionals throughout this process.

Reflect on a specific change that has recently occurred in your organization or one in which you have worked previously. What was the catalyst or purpose of the change?

How did the change affect your job and responsibilities? Critiquing a Change Effort Sample Essay.

Consider the results of the change and whether or not the intended outcomes have been achieved.

Was the change managed skillfully? Why or why not? How might the process have been improved?

BUY A PLAGIARISM-FREE PAPER HERE

Post a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities. Explain the rationale for the change, and whether or not the intended outcomes have been met. Assess the management of the change, and propose suggestions for how the process could have been improved.

Please references should be within the last five years, all in text citation should have page or paragraph number. please there should be and introduction and summary.

Post (1) a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities. (2) Explain the rationale for the change, and whether or not the intended outcomes have been met. (3) Assess the management of the change, and propose suggestions for how the process could have been improved.

Readings

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application(8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Review Chapter 7, “Strategic and Operational Planning”

Chapter 8, “Planned Change”

This chapter explores methods for facilitating change and the theoretical underpinnings of implementing effective change

McAlearney, A., Terris, D., Hardacre, J., Spurgeon, P. Brown, C., Baumgart, A., Nyström, M. (2014). Organizational coherence in health care organizations: Conceptual guidance to facilitate quality improvement and organizational change. Quality Management in Health Care, 23(4), 254-267 doi: 10.1097/QMH.0b013e31828bc37d Critiquing a Change Effort Sample Essay.

An international group of investigators explored the issues of organizational culture and Quality Improvement (QI) in different health care contexts and settings. The aim of the research was to examine if a core set of organizational cultural attributes are associated with successful QI systems.

Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management – UK, 20(1), 32-37. doi: 10.7748/nm2013.04.20.1.32.e1013

Abstract: Planned change in nursing practice is necessary for a wide range of reasons, but it can be challenging to implement. Understanding and using a change theory framework can help managers or other change agents to increase the likelihood of success. This article considers three change theories and discusses how one in particular can be used in practice. Critiquing a Change Effort Sample Essay.

Shirey, M. R. (2013). Lewin’s Theory of Planned Change as a strategic resource. The Journal of Nursing Administration, 43(2), 69-72. doi:10.1097/NNA.0b013e31827f20a9

Abstract: This department [manuscript] highlights change management strategies that may be successful in strategically planning and executing organizational change initiatives. With the goal of presenting practical approaches helpful to nurse leaders advancing organizational change, content includes evidence-based projects, tools, and resources that mobilize and sustain organizational change initiatives. In this article, the author explores the use of the Lewin’s Theory of Planned Change as a strategic resource to mobilize the people side of change. An overview of the theory is provided along with a discussion of its strengths, limitations, and targeted application.

Media

Laureate Education, Inc. (Executive Producer). (2012g). Organizational dynamics: Planned change and project planning. Baltimore, MD: Author.

Note: The approximate length of this media piece is 9 minutes.

In this week’s media presentation, experts discuss how today’s health care organizations can capitalize on the strengths of nurse leaders to plan for and navigate change effectively.

Critiquing a Change Effort

One of the largest changes that I have seen over the years of working in the emergency department (ED) is that of triage. First it was triage up front then bring to a room, then it was to bring a patient to any available bed and triage at the bedside, and now it is pull until full rules and triage has been left up to the primary nurse. They even went as far as to drop the triage nurse from the schedule as an “unnecessary expense.” Critiquing a Change Effort Sample Essay. Now that worked all well and good until someone finally died in the front lobby and there was no nurse to find or a room to put the patient in, because the nurses were all in the full rooms that seemed like such a good idea at the time, according to management. Yes, this was an actual scenario from the hospital I was previously working at about ten years ago. The reason it failed? There was zero input from the nursing staff who actually worked in the environment, and management refused to listen.

Impact of Change on Roles and Responsibilities

According to Marquis and Huston (2015), the change agent can make the difference between a successful implementation and a failure when it comes to a change effort. This is where the process failed in my opinion, because there was no input, just a bunch of brash decisions being made by a governing party that had no idea of the process and the way they worked. The process of triage is to manage patient flow, and that responsibility fell to the triage nurse and then the charge nurse to decide what level a patient was designated based off subjective and objective data, and which was the most appropriate plan of action for the patient at that time (Ovens, 2016). Critiquing a Change Effort Sample Essay.

Due to the changes made and removing the triage nurse the duty of triage fell to the charge nurse, which was fine until the department became busy. This new method of pulling patients to an open room and triaging them at the bedside became an overwhelming nightmare, because it left everything full, no crash bed available, and the main ED congested with level four and five patients while level two and three patients were waiting in the now overcrowded ED waiting area. This made it difficult for the charge nurse to manage flow, maintain order, and balance the work load of the nurses, which were all responsibilities that went by the way side because the charge nurse was also the triage nurse now, too.

Change as a Necessity

Change, especially in the ever advancing world of medicine, is expected and needed in order for facilities to survive. As outlined in The Institute of Medicine and the Robert Wood Johnson Foundation iconic 2011 report (Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, 2011), changes in healthcare are needed and most of them immediately. So the idea of change is not a new one and has recognized importance that anyone can see.

The idea of changing the triage process was to cut out the time lag from door to doctor. As Dr. Oven presented in his posting, triage has become viewed as a waste of time (Ovens, 2016). To patients, it may feel this way, but with due respect to medical necessity and limited space, the nursing staff may feel differently. With this change, due to poor implementation and planning overall, the outcomes were not met. In fact, the triage numbers became much worse and the process actually slowed through times and increased the number of patients who left without treatment. Since that time the process has been changed back and the triage nurse added back to the scheduled nurses for each shift. Critiquing a Change Effort Sample Essay.

Assessment and Propositions

Management did a very poor job of implementing this change when it comes down to it. They rushed in, without proper planning, input, preparation, or implementation strategies in place. Because of this gung-ho approach the idea, which could have worked and has in other facilities now, the plan failed and patient care ultimately suffered because of it. Now it was noted earlier that a change agent can make or break these types of efforts. This is where a strong nurse manager would come in to play. With good leadership and commanding presence, the ideas set forth by administration could have still been implemented but in a manner that would not have strangled the process to dysfunction and death.

At the time the nurse manager blindly went along with these changes with immediate implementation and zero thought process. When it failed, who do you think administration blamed? You guessed it, the nurse manager, when in reality it was their own faults as well. Now ideally, the way this should have been handled is through using a model for change like what was outlined in Marquis and Huston (2015, p167), and used the adapted Lewin’s Model of Change. This is a five step outline starting with precontemplation, then contemplation, preparation, action, and finally maintenance Critiquing a Change Effort Sample Essay.

The idea to change could have been considered in precontemplation, then heavily discussed in the contemplation stage to avoid any possible scenario in which a problem might arise. The plan could then be prepared for and change could come on a time table versus immediate change, allowing for adjustments or any concerns to be voiced and considered prior to implementation. Action is of course the start day and can be used to evaluate the process and changed as needed to allow for a better function. Critiquing a Change Effort Sample Essay. Once all has been ironed out and a working process is in place, all one would have to do is maintain it, and avoid any return to old methods.

 

References

Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). Chapter 7: Recommendations and Research Priorities. In
The Future of Nursing: Leading Change, Advancing Health
(pp. 269-284). http://dx.doi.org/10.17226/12956

Marquis, B. L., & Huston, C. J. (2015). Chapter 8: Planned Change. In
Leadership roles and management functions in nursing theory and application
(8th ed., pp. 162-180). Philadelphia, PA: Wolters Kluwer Health. Critiquing a Change Effort Sample Essay.

Ovens, H. (2016, April 12). Is triage obsolete [Blog post]. Retrieved from https://emergencymedicinecases.com/is-triage-obsolete/

 

Week 4 Main Discussion Post

Critiquing a Change Effort

“Planned change is the deliberate application of knowledge and skills by a leader to bring about a change” (Marquis & Huston, 2015). Management must be knowledgeable in change theories to be able to apply such methods appropriately. Leaders must be able to identify where change is needed within the facility and be flexible in adjusting to the change they initiated.  Kurt Lewin developed the change theory that includes three phases for planned change: unfreezing, movement, and refreezing (Marquis & Huston, 2015). Unfreezing occurs when change is needed, movement takes place when change is initiated, and refreezing happens when equilibrium is established (Mitchell, 2013). Critiquing a Change Effort Sample Essay.

Recent Change

A recent change that was implemented throughout the facility where I work is bedside shift report on all patients. The purpose of bedside shift report is to create accountability between both nurses, to keep the patient informed and educated on their care, increase patient safety, and improve patient and family satisfaction scores. “The benefits of bedside reporting are numerous and include increased patient involvement and understanding of care, decreased patient and family anxiety, decreased feelings of “abandonment” at shift changes, increased accountability of nurses, increased teamwork and relationships among nurses, and decreased potential for mistakes” (Rush, 2012).

Effect on Job

In the intensive care unit, the charge nurse gives a brief report to oncoming nurses about all the patients in the unit. The oncoming charge nurse will then divide up the patients based on acuity, drips, ventilator, etc. Once the charge nurse has assigned the patients, the oncoming nurse and the departing nurse will go to the bedside and give a detailed report on their visit. This has affected my job positively and negatively in some instances. It is great to keep patients involved in their care, but it’s a lengthy process, and sometimes you don’t want to disclose certain information in front of a patient or their family. For instance, I was caring for a suicide attempt patient the other day, and he was very depressed and tearful when his situation was brought up, so giving bedside report made him very agitated and eventually combative because he did not want us talking about what happened. He said it was a violation of his privacy because everyone could hear what we were talking about, even though we were behind closed doors. The patient’s family was asked to leave the room while we gave report, but the patient was still upset because he said it “seemed suspicious.” Although it keeps patients involved in their care, report often gets interrupted with questions, causing report to take a lot longer than before.

Intended Outcome

This change was implemented within the past three weeks, so it’s hard to say whether we’ve reached the intended outcome or not. So far, the feedback has been positive, for the most part, from patients and nursing staff. Critiquing a Change Effort Sample Essay. I have seen a change in how nurses, patients, and family members interact throughout the day. Multiple patients have verbalized their appreciation for being kept up-to-date on procedure results and feeling like they’re involved in their care.

Management of the Change

This change was initiated through a democratic leadership style. “Democratic leadership is useful when co-operation and co-ordination between groups are necessary, so it is therefore a more appropriate style for implementing change” (Mitchell, 2013). I believe the staff was provided with the proper education to apply this change efficiently and the managers are frequently giving us feedback from patient and family members. The staff was given plenty of notice before the change was implemented, and although some nurses were resistant at first, it seems like everyone is participating in the process.

References

Marquis, B. L., & Huston, C. J. (2015).
Leadership Roles and Management Functions in Nursing
(Eighth ed.). Philadelphia, PA: Wolters Kluwer Health.

Mitchell, G. (2013). Selecting the best theory to implement planned change.
Nursing Management- UK, 20
(1), 32-37. Critiquing a Change Effort Sample Essay.

Rush, S. K. (2012). Bedside reporting: Dynamic dialouge.
Nursing Management, 43
(1), 40-44. Retrieved from http://journals.lww.com/nursingmanagement/fulltext/2012/01000/Bedside_reporting__Dynamic_dialogue.11.aspx Critiquing a Change Effort Sample Essay

Practicum Project Methodology and Evaluation Discussion Essay

Consider the following scenario:

With a clear conception of her Practicum Project goal and objectives, Sandra was optimistic that she was on the right track. Then she started to consider the methodology for her project and realized how much she still needed to figure out. She began to think about the theories and concepts she had examined in her program of study and how they might inform her methodology. The biggest challenge, she discovered, was in mapping the strategies that would help her achieve each objective. Practicum Project Methodology and Evaluation Discussion Essay. How would she decide what would be most effective? What barriers were likely to arise? She also realized that she needed to think about evaluation early in order to establish appropriate criteria and make sure she could assess the evidence related to the process, impact, and outcomes of her project. She wondered how she might use formative evaluation to develop and improve the project, as well as how she could use summative evaluation following the implementation of the project to determine if it had been successful.

ORDER A PLAGIARISM-FREE PAPER HERE

Consider the models, theories, and concepts you have examined in your program of study as they relate to your project. Which of these can be applied to the development of methodology to help you achieve the project objectives? Which ones can be used to help you establish criteria and methods of evaluation for your project?

In this Discussion, you examine and propose the methodology for your Practicum Project, as well as evaluation methods. The insights you gain through this Discussion should be integrated into your Practicum Project Plan, which is due in Week 5. Practicum Project Methodology and Evaluation Discussion Essay.

To prepare:

Reflect on the Practicum Project goal and objectives you developed in Week 3.

Refer to the Practicum Project Plan (PPP) Overview document as needed for information related to the assignment.

Consider the models, theories, and concepts you have examined in your program of study as they relate to your project. How can this information be applied to the development of the methodology and evaluation for your project?

Review the information on methodology in the Learning Resources, and conduct additional research to facilitate your analysis for your project. Evaluate the who, what, how, where, and when associated with each objective: Who will make what change, by how much, where, and by when? Consider the methods you could use to meet each objective. Practicum Project Methodology and Evaluation Discussion Essay. Devise your methodology in as much detail as possible to identify how you could meet each objective. For example, identify which professional organizations or regulatory bodies you would consult (by viewing their websites or contacting them directly) to gather evidence.

Review the information on formative and summative evaluation in this week’s Learning Resources, and conduct additional research to facilitate your analysis for your project. How could you evaluate achievement of your Practicum Project objectives using formative and/or summative evaluation? Begin to develop an evaluation plan for your Practicum Project.

Post a brief summary of your Practicum Project focus, including the goal and objectives of your Practicum Project (to serve as a reminder for your colleagues). Explain your selected methodology, and justify your selection. Include a detailed explanation of how you could meet each objective using this methodology. Practicum Project Methodology and Evaluation Discussion Essay. Also explain your evaluation plan, noting at which points during your Practicum Project formative and/or summative evaluation will occur.

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

Comment on your colleague’s methodology, offering suggestions for improvement as appropriate.

Suggest an alternative evaluation method for your colleague’s project.

Required Readings

Reminder: Review resources from previous courses as necessary.

Black, P. (2010). Formative assessment. In P. Peterson, E. Baker, & B. McGaw (Eds.), International encyclopedia of education (3rd ed., pp. 359–364). St. Louis, MO: Elsevier.

Note: Retrieved from the Walden Library databases.

 

This article outlines the history of formative assessment and its application and use as an evaluation tool. Practicum Project Methodology and Evaluation Discussion Essay.

Duers, L. E., & Brown, N. (2009). An exploration of student nurses’ experiences of formative assessment. Nurse Education Today, 29(6), 654–659.

Note: Retrieved from the Walden Library databases Practicum Project Methodology and Evaluation Discussion Essay.

This article compares formative and summative assessment and presents examples of the application of formative assessment in nursing education.

Gantt, L. T. (2013). The effect of preparation on anxiety and performance in summative simulations. Clinical Simulation in Nursing, 9(1), e25–e33.

Note: Retrieved from the Walden Library databases.

This article provides an example of how formative and summative evaluation is used in a nursing simulation lab. The article discusses strategies for improving nurses’ performance on summative evaluations and explores the use of formative evaluation as a strategy for improving performance on summative evaluations.

Pellegrino, J. W. (2010). Technology and formative assessment. In P. Peterson, E. Baker, & B. McGaw (Eds.), International encyclopedia of education (3rd ed., pp. 42–47). St. Louis, MO: Elsevier.

Note: Retrieved from the Walden Library databases.

 

The author discusses the importance of formative assessment and examines how technology can be used to support the assessment process.

oject Methodology and Evaluation

Consider the following scenario:

With a clear conception of her Practicum Project goal and objectives, Sandra was optimistic that she was on the right track. Then she started to consider the methodology for her project and realized how much she still needed to figure out. Practicum Project Methodology and Evaluation Discussion Essay. She began to think about the theories and concepts she had examined in her program of study and how they might inform her methodology. The biggest challenge, she discovered, was in mapping the strategies that would help her achieve each objective. How would she decide what would be most effective? What barriers were likely to arise? She also realized that she needed to think about evaluation early in order to establish appropriate criteria and make sure she could assess the evidence related to the process, impact, and outcomes of her project. She wondered how she might use formative evaluation to develop and improve the project, as well as how she could use summative evaluation following the implementation of the project to determine if it had been successful.

Consider the models, theories, and concepts you have examined in your program of study as they relate to your project. Which of these can be applied to the development of methodology to help you achieve the project objectives? Which ones can be used to help you establish criteria and methods of evaluation for your project?

In this Discussion, you examine and propose the methodology for your Practicum Project, as well as evaluation methods. The insights you gain through this Discussion should be integrated into your Practicum Project Plan, which is due in Week 5. Practicum Project Methodology and Evaluation Discussion Essay.

To prepare:

Reflect on the Practicum Project goal and objectives you developed in Week 3.

Refer to the Practicum Project Plan (PPP) Overview document as needed for information related to the assignment.

Consider the models, theories, and concepts you have examined in your program of study as they relate to your project. How can this information be applied to the development of the methodology and evaluation for your project?

Review the information on methodology in the Learning Resources, and conduct additional research to facilitate your analysis for your project. Evaluate the who, what, how, where, and when associated with each objective: Who will make what change, by how much, where, and by when? Consider the methods you could use to meet each objective. Devise your methodology in as much detail as possible to identify how you could meet each objective. For example, identify which professional organizations or regulatory bodies you would consult (by viewing their websites or contacting them directly) to gather evidence. Practicum Project Methodology and Evaluation Discussion Essay.

Review the information on formative and summative evaluation in this week’s Learning Resources, and conduct additional research to facilitate your analysis for your project. How could you evaluate achievement of your Practicum Project objectives using formative and/or summative evaluation? Begin to develop an evaluation plan for your Practicum Project.

Post a brief summary of your Practicum Project focus, including the goal and objectives of your Practicum Project (to serve as a reminder for your colleagues). Explain your selected methodology, and justify your selection. Include a detailed explanation of how you could meet each objective using this methodology. Also explain your evaluation plan, noting at which points during your Practicum Project formative and/or summative evaluation will occur.

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

Comment on your colleague’s methodology, offering suggestions for improvement as appropriate.

Suggest an alternative evaluation method for your colleague’s project.

Required Readings

Reminder: Review resources from previous courses as necessary.

Black, P. (2010). Formative assessment. In P. Peterson, E. Baker, & B. McGaw (Eds.), International encyclopedia of education (3rd ed., pp. 359–364). St. Louis, MO: Elsevier.

Note: Retrieved from the Walden Library databases.

 

This article outlines the history of formative assessment and its application and use as an evaluation tool.

Duers, L. E., & Brown, N. (2009). An exploration of student nurses’ experiences of formative assessment. Nurse Education Today, 29(6), 654–659.

Note: Retrieved from the Walden Library databases.

 

This article compares formative and summative assessment and presents examples of the application of formative assessment in nursing education.

Gantt, L. T. (2013). The effect of preparation on anxiety and performance in summative simulations. Clinical Simulation in Nursing, 9(1), e25–e33.

Note: Retrieved from the Walden Library databases Practicum Project Methodology and Evaluation discussion Essay.

This article provides an example of how formative and summative evaluation is used in a nursing simulation lab. The article discusses strategies for improving nurses’ performance on summative evaluations and explores the use of formative evaluation as a strategy for improving performance on summative evaluations.

Pellegrino, J. W. (2010). Technology and formative assessment. In P. Peterson, E. Baker, & B. McGaw (Eds.), International encyclopedia of education (3rd ed., pp. 42–47). St. Louis, MO: Elsevier.

Note: Retrieved from the Walden Library databases.

 

The author discusses the importance of formative assessment and examines how technology can be used to support the assessment process. Practicum Project Methodology and Evaluation Discussion Essay.

Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report

The IOM Future of Nursing report calls for an increase in leadership from nurses at all levels. One way nurses demonstrate their role as a leader, is through public policy change.  A leader does not always carry an official title or position, but demonstrates leadership through the work and the stance the leader takes to make a change for the good of others. Nurses have been noted by the Gallop poll year after year as the most trusted professionals.

BUY A PLAGIARISM-FREE PAPER HERE

This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, health care, or the public.  Policy changes can occur by working with members of your legislature, and state or national nurses associations, to introduce a new bill and/or change to a current law in your state or federal government.

Examples of public policy includes any component of the current legislation governing health care, Medicare Part D, Medicaid, nursing regulation, medication technicians, etc
. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

In 750-1,000 words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that you believe needs to change and why.

The policy must 
not
 be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan.

Include a specific section for the exact wording for the bill or change in wording of the law.

Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage.

Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur? Did you vote for the individual in office that you want to help you make this change?

Resources:

Review different pieces of legislation for ideas on wording.

Visit your state’s legislative governmental affairs website site to understand the process your policy change could take if you wanted to introduce to into legislation.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

 

 

 

Benchmark Assignment – Nursing Leadership Health Policy Paper 

 

1

Unsatisfactory

0.00%

2

Less than Satisfactory

80.00%

3

Satisfactory

88.00%

4

Good

92.00%

5

Excellent

100.00%

75.0 %Content

 

10.0 %Rationale/purpose/overall presentation addresses an analysis of a public policy. Description of a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that student believes needs to be changed and why.

Rationale/purpose lacks any discernible overall purpose or organizing claim, and does not adequately address the policy process that is actually conducted for a public health policy. Rationale for topic selection, purpose, and objectives of presentation is not described. Ideas are not focused.

Rationale/purpose is insufficiently developed and/or vague; purpose is not clear. Rationale for topic selection, purpose, and objectives of presentation is minimally delineated.

Rationale/purpose is appropriate. Rationale for topic selection, purpose, and objectives of presentation is partially delineated. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report

Rationale/purpose is clear, descriptive, and reflective of the arguments and appropriate to the purpose. There are few inconsistencies

Rationale/purpose is comprehensive, supports the purpose of policy process that is actually conducted for a public health policy, and clearly shows logical progression of how development took place. Purpose and objectives of presentation are clearly delineated. At least three learner objectives are stated in behavioral terms.

20.0 %Paper includes a specific section for the exact wording for the bill or change in wording of the law.

Paper lacks the ability to communicate wording for the proposed health policy change.

Paper insufficiently addresses the wording for the proposed health policy change.

Paper appropriately addresses the wording for the proposed health policy change.

Paper is clear and successfully addresses the wording for the proposed health policy change.

Paper completely addresses the beginning wording for the proposed health policy change.

15.0 %Presentation of the legislative process for state to propose new legislation.

Paper lacks the ability to communicate the process.

Paper insufficiently addresses the legislative process.

Paper is appropriate. Minimal information is presented on the legislative process.

Paper is clear and presents substantial information on the legislative process.

Paper completely addresses the key legislative process.

15.0 %Paper implementation plan including who would be the champion for the bill/law change from state legislators/federal legislators/local or national state nursing organizations. Are these individuals also influential in making changes occur?

Paper lacks the ability to communicate the implementation plan.

Paper insufficiently addresses the implementation plan. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report

Paper is appropriate. Minimal information is presented in the implementation plan.

Paper is clear and presents substantial information addressing the implementation plan.

Paper completely addresses the implementation plan Presentation is specific and easily understood.

15.0 %Style

Paper lacks unity and coherence. No connections are apparent between slides. Transitions are inappropriate to purpose and scope. Organization is disjointed.

Some paragraphs may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.

The paper is generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

A logical progression of ideas between the paragraphs is apparent. The paper exhibits a unity, coherence, and cohesiveness.

There is a sophisticated construction of the presentation paper. Ideas universally progress and relate to each other.

10.0 %Organization and Effectiveness

 

5.0 %Mechanics of Writing (includes spelling, punctuation, and grammar)

Paper errors are pervasive enough that they impede communication of meaning.

Frequent and repetitive mechanical errors that distract the reader.

Some mechanical errors or typos are present, but are not overly distracting to the reader.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

Writer is clearly in control of standard, written American English.

10.0 %Organization and Effectiveness

 

5.0 %Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

Inappropriate word choice, lack of variety in language use. Writer appears to be unaware of audience. Use of ?primer prose? indicates writer either does not apply figures of speech or uses them inappropriately.

Some distracting inconsistencies in language choice (register) and/or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.

Language is appropriate to the targeted audience for the most part.

The writer is clearly aware of audience; uses a variety of appropriate vocabulary for the target audience, and uses figures of speech to communicate clearly.

The writer uses a variety of sentence constructions, figures of speech, and word choice in unique and creative ways that are appropriate to purpose, discipline, and scope.

15.0 %APA and Documentation

 

15.0 %valuating and Documenting Sources (includes use of appropriate style, correct citation format in-text and in Reference section related to APA format)

Paper has no title page, no References section, and no correctly cited references within the body of the paper and no reference page. APA format not used.

Title page is incomplete or inaccurate. References section includes sources, but many citation errors. Citations within the body of the paper are included, but with many citation errors including major issues on References section.

Title page has major errors. References section includes sources, but they are not consistently cited correctly. Citations are included within the body of the paper, but References section includes with major errors.

Title page has minor errors. References section includes sources, but they are not consistently cited correctly. Citations are included within the body of the paper, but with some citation errors. References section is mostly free of errors.

Title page is complete. References section includes correctly cited sources. Citations within the body of the paper and in the Reference section are included and correctly cited.

100 %Total Weightage

 

REFERENCES

H.R.2392 – Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2017

 

https://www.congress.gov/bill/115th-congress/house-bill/2392?r=9

Improving Nurse Staffing to Improve Care QualityCongress has enacted many amends in the medical care section to boost the admission to healthcare facilities for the citizens in the United States. The Affordable Care Act introduced these changes and has made the number of patients currently seeking health care to increase drastically. For instance, the increase in the number of patients demands for many nurses and physicians who will handle the influx of patients in the system. Such changes aggravate the problem that already exists and that is the insufficient number of direct health care registered nurses present in the hospital staff. According to Dellefield, research has proven that more direct care registered nurses in the hospital staff makes medical and medication errors to reduce (2015).  Dellefield adds that an increased number of direct care nurses on staff causes the mortality rate to decrease, improves the working environment which in turn enhances the patients’ outcome. However, with the reason best known to them, a number of hospitals ignore scholarly consent, and they do not have sufficient nurse patient ration. As a matter of fact, if a bill can be enacted and passed into a law which demands that all hospitals to employ satisfactory staffing to efficiently care for patients and minimize the impacts of having lower nurse patient ratios then their states will have many health facilities which will comply to such evidence. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

Current Legislation

The current legislation is the Patient Protection and Affordable Care Act (P.L. 111-148) which mandates the hospitals to have sufficient staffing levels and constitute a language that is indistinct. The provision allows for loopholes which the hospitals exploit. According to the American Nurses Association (2016), such gaps formulate mechanisms so that the hospitals can avoid having hospital staff levels that are unsafe. Just to mention, at the state level are only fourteen states which have enacted staffing nurse laws. ANA (2016) indicates the states with the nurse staffing laws which are WA, VT, OH, OR, RI, TX, NY, MN, NV, NJ, CT, MA, CA, and IL. While the step as mentioned earlier may be appealing and a step to the right direction, contrarily, only two states out of the stated fourteen states mentioned herein which have specifically addressed the levels of nurse staffing and have put all the hospital requirements in place. Conversely, California has formulated strict policies over having sufficient RNs on its staff in varied settings and Massachusetts which has constituted several ICU RNs who are on duty. Sadly, there are forty-eight states which require much legislation that can oversee more RNs on hospital staff to deliver best quality care services to patients. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

Change to the Current Legislation

One of the congresswomen Schakowsky Jan supported and sponsored a motion which requires the instigation of a nationwide task for increasing the figures for direct health care nurses registered on duty in any United States’ healthcare institutions which obtain funding from central government and recommends the least number of nurses who should be on duty (ANA, 2016). The enacted bill has a selection of initiatives which serves as an incentive for any healthcare care facility to conform to the new law. The bill also outlines rules which help in subsidizing the hiring of new nursing staff, ensuring long-term return on investments through creating retention programs as well as sponsoring learning progression for nurses who are on staff. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

 

The New Law

The new law which has been passed by the United States of America’s Congress is the H.R 1602 bill: “Improving Nurse Staffing to Improve Quality of Care for Patients Act.” For instance, title XXIV of the Act concerns with direct care nurse staffing ration who are registered. The enacted bill involves The Sovereign Authority; Bill H, R 1602 Improving Nurse Staffing to Improve the Quality of Care for Patients Act. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report. Despite the federal and political subdivisions of the country, the United States of America has successfully constituted a law which requires all healthcare institutions and facilities to have a bare minimum figure of registered nurses to patient ration for the for direct care. The minimum number of nurses on staff will raise the value of health care for the patients, enhance the patient’s contentment as well as improve the working environment for the nurses. The new bill includes:

None of the hospital unit shall function if they do not meet the minimum threshold of direct care registered nurses on their staff.

Hospitals ought to execute their plans of staffing which lessens the burnout and decrease errors. In increased quantity units like intensive healthcare, the direct care registered nurse patient ratio must be 1:2 or 1:1. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

Ensure the patients are assured of receiving high-quality conscription practice who is well outfitted with a way to give feedback about insufficient enrollment strategies.

Whistleblower safeties for healthcare professionals who notice contravention yet operate in the traditions of contentment. The bill safeguards the position of nurses which calls for interest in the violations of guiding principle from reprisal.

 
Implementation Plan

Many resources are required to undertake the massive program of the implementation magnitude successfully. Mainly, it indicates that there will be a time frame for the healthcare institutions to comply with the fresh legislation (Knight, 2016). The time frame is meant to be used for the preparation of enacting and putting into practice measures to attain conformity with the health institutions. However, the American Nurses Association will help the stakeholders understand what the new law means with the lobbying endeavors for the change in the nursing practice. There ought to be proper utilization of dailies, local and state news, social media and blogs to spread the news about the new law. The pre and post measures of implementation will assist in gauging the attitude of the change in the Health Act. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

The champion from my State

The United States of America requires this law urgently. The congresswoman Schakowsky Jan is the key pillar in championing this new legislation in the Congress. Delegate Jan trusts that every patient deserve nothing but the high quality health care. Increasing direct health care nurses on duty raise the health status of the population which Jan believes that it will be the outcome of the new law. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

References

American Nurses Association. (2016). State Legislative Agenda. Online. August 2016. From http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/State/Legislative-Agenda-Reports/State-StaffingPlansRatios

Dellefield, M. E., Castle, N. G., McGilton, K. S., &Spilsbury, K. (2015). The relationship between registered nurses and nursing home quality: An integrative review (2008-2014).
Nursing Economics
,
33
(2), 95.

Knight, L. D. (2016). Staffing Ratios and Patient Outcomes: Looking Beyond Nurses, Doctors, and Survival at ICU Discharge.
Critical care medicine
,
44
(2), e107-e108. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template

You will complete a Comprehensive SOAP note on the approved Pediatric SOAP Note template based on the findings of the iHuman case – then major research and discussion of the disease process are presented.

This case study should be a summative evaluation supported by a minimum of 5 evidence-based articles.

Evaluation of the case study should be no more than 3-4 substantive paragraphs. A minimum of five evidence-based sources (in addition to your text) should be used for your case study.

Course texts will not count as a scholarly source; if using data from websites you must go back to the literature source for the information-no secondary sources are allowed, ie, Medscape, UptoDate, etc. Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

This week, complete the iHuman case titled ”Tommy Acker V3”.

ORDER A CUSTOM-WRITTEN PAPER NOW

STUDENT NAME:

DATE OF ASSIGNMENT:

Patient Initials: Tommy Acker

Date of Encounter:

 

Sex: Male

Age/DOB/Place of Birth: 26 months old

2/5/2017

SUBJECTIVE

Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template

Historian: Mother

Present Concerns/CC: “Stomach ache” (abdominal pain)

Child Profile: Listless and ill appearing 26-month-old, male with a history of Downs’s syndrome and …. The mother states … as other children. She states that he is clumsy. He is always tripping, falling, or bumping into things as if he does not see that it is there. None of his … in him requiring medical attention. She states that he is normally … and does not require much else. He does not go to day care and lives at home with his two siblings and mother. His mother works and their neighbors or mother’s boyfriend babysit the children. Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

HPI:

Onset: xx days ago

Location/Radiation: xxx pain

Duration: xxx over 2 days

Character: xxx

Aggravating factors: xxx

Relieving Factors: none

Timing: constant

Severity: severe

Tommy, a 26-month-old male with Down syndrome, was brought into the ED by his mother who reports he has been “complaining” of… days, had emesis x 1, is lethargic, sweati…is grossly distended with significant epigastric bruising, in a distribution that is atypical for a fall. It is firm to Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template… tenderness. A reducible 2.0-cm umbilical hernia is present.

 

Medications: None currently.

PMH: Normal pregnancy and no complications noted at birth.

 

Allergies: None

Medication Intolerances:  None

Chronic Illnesses/Major traumas: Atrioventricular septal defect, tra….

BUY A PLAGIARISM-FREE PAPER HERE

… thus, meeting more than two criteria for SIRS.

3.       Child Abuse: Act of Commission (T74.12XA): According to the Centers for Disease Control (CDC), physical, … and neglect (CDC, 2019). Neglect is defined as the failure to meet a child’s basic physical and emotional needs, including food, shelter, clothing, education, and access to medical care (CDC, 2019). Physical abuse is intentionally using physical force that may result in injury, such as, hitting, kicking, burning, or shaking of a child (CDC, 2019). Emotional abuse refers to the behaviors that harm a child’s self-worth or emotional well-being, such as shaming, rejection, or withholding love or affection (CDC, 2019). Abuse can come from …factors. In the situation with T.A., the mother was neglecting her children to be able to provide basic needs for them, while depriving them of education and exposing them to physical abuse from her boyfriend. Tommy’s injuries also do not match up to the stories his mother is reporting, and she seemed to take some time to bring him in to be evaluated and became defensive when possible questions that may point toward abuse were asked. Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

4.       Volvulus (K56.2): Volvulus can vary in presentation from vague, recurrent gastrointestinal discomfort to sudden onset of an acute abdomen with associated shock symptoms (Saxena, 2017). It may present in any age group and is not associated with traumatic injury. More often it occurs as a result of a congenital malrotation of the midgut (Saxena, 2017).

PLAN including education

Initial resuscitation and stabilization protocol:

1.       Assess airway, circulation and breathing. Provide oxygen for hypoxia.

2.       Place on …, continuous pulse oximetry, and monitor vital signs.

3.       Place two …. as they are needed.

4.       Complete Primary (airway, breathing, circulation, disability, and exposure) and secondary (head-toe exam) surveys (Kaplan, 2018). Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

T.A. is a child that is critically-ill. He will require further testing such as a … with contrast and an emergent surgical consult. He will also be admitted to the intensive care unit for further management. It is important to contact child protective services, police, and social-work personnel as needed.

 

 

NSG 6435 Week 7 W7 Assignment 1

Assignment 1: Comprehensive Case Study

General Guidelines for Comprehensive Case Study – Week 7 Assignment 1

Your case study should not be just a SOAP note of a patient encounter—it should be a comprehensive evaluation of an iHuman patient case.

You will complete a Comprehensive SOAP note on the approved Pediatric SOAP Note template based on the findings of the iHuman case – then major research and discussion of the disease process are presented.

This case study should be a summative evaluation supported by a minimum of 5 evidence-based articles.

Evaluation of the case study should be no more than 3-4 substantive paragraphs.A minimum of five evidence-based sources (in addition to your text) should be used for your case study.

Course texts will not count as a scholarly source; if using data from websites you must go back to the literature source for the information-no secondary sources are allowed, ie, Medscape, UptoDate, etc.

This week, complete the iHuman case titled “Tommy Acker, Child Abuse”.Click here for information on how to access and navigate Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

Name your SOAP note document SU_NSG6435_W7_A1_lastname_firstinitial.doc

i-Human

i-Human is an interactive cloud based system that provides comprehensive learning that

integrates clinical experience.The i-Human system helps students develop patient assessment

and diagnostic reasoning skills at various levels of education.Students will receive online

guidance, feedback, and coaching during the learning process.

Student Login Instructions for Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template

Logging in to i-Human:

Log on at:

http://toolmanagement.next.ecollege.com/tools/thirdparty/blti.ed?launch=LS:iHuman:Patients

Next Steps:

1) If you were unable to attend a Student Orientation Webinar, please watch this introduction

video: https://vimeo.com/185046053/228aea3fc9

2) Additional tutorial videos can be found on the i-Human home screen under the title “Player

Screencast Tutorials”

3) After attending the webinar or viewing the tutorial you are ready for your first practice

case.

4) The i-Human Student Support Center (link on the home screen under the videos) is a

resource for our most frequently asked questions.The Student Manual is also located here.

5) If you are having any issues that are not answered through the webinars, videos or support

center, you can email: support@i-human.com Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

 

PEDIATRIC FILLABLE SOAP NOTE TEMPLATE

STUDENT NAME:

Patient Initials:

 

Sex:

 

SUBJECTIVE

Historian:

Present Concerns/CC
:

DATE OF ASSIGNMENT:

Date of Encounter:

 

Age/DOB/Place of Birth:

 

Reason given by the patient for seeking medical care “in quotes”

Child Profile
:  (
Sexual History (If appropriate); ADLs (age appropriate); Safety Practices; Changes in daycare/school/after-school care; Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

Sports/physical activity; Developmental Hx)

 

HPI:
(must include all components – OLD CARTS)

 

Medications
:
(List with reason for meds)

 

PMH:

Allergies:

 

Medication Intolerances:

 

Chronic Il nesses/Major traumas:

 

Hospitalizations/Surgeries:

 

Immunizations: Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

 

1 |
P E D I A T R I C   S O A P   N O T E

 

PEDIATRIC FILLABLE SOAP NOTE TEMPLATE

 

Family History
 
(please identify al  immediate family)

 

 

Social History
(Education level, occupational history, current living situation/partner/marital status, substance use/abuse, ETOH, tobacco, Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

and marijuana.  Safety status)

 

Review of Systems (ROS)

 

General

 

Skin

 

Eyes

 

Ears

 

Nose/Mouth/Throat

 

Breast

 

Heme/Lymph/Endo

 

2 |
P E D I A T R I C   S O A P   N O T E

Cardiovascular

 

Respiratory

 

Gastrointestinal

 

Genitourinary/Gynecological

 

Musculoskeletal

 

Neurological

 

Psychiatric

PEDIATRIC FILLABLE SOAP NOTE TEMPLATE

OBJECTIVE  (plot height/weight/head circumference along with noting percentiles)

Attach growth chart

 

Weight

 

Height

Temp

 

Pulse

BP

 

Resp

 

 

OBJECTIVE (Physical Examination)

 

General Appearance and parent
–
child interaction

 

Skin

 

HEENT

 

Cardiovascular

 

Respiratory

 

Gastrointestinal

 

Breast

 

Genitourinary

 

Musculoskeletal

 

3 |
P E D I A T R I C   S O A P   N O T E

 

PEDIATRIC FILLABLE SOAP NOTE TEMPLATE

 

Neurological

 

Psychiatric

 

In-house Lab Tests – document tests (results or pending)

 

Pediatric/Adolescent Assessment Tools (Ages & Stages, etc) with
results and rationale

For adolescents (HEADSSSVG Assessment)

 

ASSESSMENT (Diagnosis – 3 Differentials and Primary)

     Include at least three differential diagnoses with ICD-10 codes.  (Includes Primary dx and 2

differentials) Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

    
Document Evidence based Rationale for ROS and each differential with pertinent

positives and negatives

     Primary diagnosis

     Is #1 on list of differentials

     Evidence for primary diagnosis should be supported in the Subjective and Objective

exams.

1)

 

2)

 

3)

 

4 |
P E D I A T R I C   S O A P   N O T E

 

PEDIATRIC FILLABLE SOAP NOTE TEMPLATE

PLAN including education

PLAN including education

     Plan:  Treatment plan should be for the Primary Diagnosis and based on EB literature.

     Include
EB rationale
for all aspects of your treatment plan:

     Vaccines administered this visit

     Vaccine administration forms given

     Medication-amounts and mg/kg for medications

     Laboratory tests ordered

     Diagnostic tests ordered

     Patient education including preventive care and anticipatory guidance

     Non-medication treatments

Fol ow-up appointment with detailed plan of  f/u

 

*ALL references must be
Evidence Based (EB)

 

5 |
P E D I A T R I C   S O A P   N O T E

Pediatric_Fillable_SOAP_Note_Template–

growth_chart

Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template

Your written Fluid Imbalances Essay assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:

Describe what a fluid and electrolyte imbalance is and how this is important to the function of the body?

Pick a fluid or electrolyte imbalance and describe how the patient would present, in addition to the treatment (nursing and expected medical)?

You should include a minimum of 3 scholarly references. Include a title page, in-text citations, and a reference page in APA format.

BUY A PLAGIARISM-FREE PAPER HERE

Module 08 – Fluid Imbalances

Scoring Rubric:

Criteria

Points

Describe what a fluid and electrolyte imbalance and how this is important to the function of the body? Fluid Imbalances Essay.

3

Pick a fluid or electrolyte imbalance and describe how the patient would present, in addition to the treatment (nursing and expected medical)? Fluid Imbalances Essay.

5

Grammar, APA and Organization

2

Total

10