Category: Nursing

Design for Change Proposal Essay Assignment: Capstone Project Milestone 2

Purpose

You are to create a Design for Change proposal inclusive of your Practice Issue and Evidence Summary worksheet from your Capstone Project Milestone 1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program. Design for Change Proposal Essay Assignment: Capstone Project Milestone 2.

Course Outcomes

This assignment enables the student to meet the following course outcomes.

CO1: Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO1)

CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO2)

Rubric

Click to view and download the 
NR451 Milestone 2: Design for Change Proposal Rubric (Links to an external site.)Links to an external site.
.

Points

Milestone 2 is worth 
225 points
.

You are required to use one of the required articles from the Week 3 Milestone 1 assignment or you will earn a “0” for the assignment. In addition, assignments that do not follow the current guidelines or use the required article will be evaluated for evidence of an academic integrity violation.

After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.

Directions

A tutorial with tips for completing this assignment may be viewed at 
https://atge.webex.com/atge/ldr.php?RCID=b0c912eaf53b4aabb1347a026466c60e(Links to an external site.)Links to an external site.

Review the feedback you received from your instructor for Milestone 1, and use it to develop this milestone.

Create a proposal for your Design for Change Capstone Project. Open the recommended assignment specific 
Milestone 2 Design Proposal Template(Links to an external site.)Links to an external site.
5. Use this to write your paper. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice. Design for Change Proposal Essay Assignment: Capstone Project Milestone 2.

The format for this proposal will be a paper following the 
Publication manual of APA
6 
th

The paper is to be four- to six-pages excluding the Title page and Reference page.

As you organize your information and evidence, include the following topics.

Introduction:
Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the 
Publication manual of the American Psychological Association 
(2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.

Change Model Overview: 
Overview of the ACE Star model (the model we have been discussing this session); define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members. Design for Change Proposal Essay Assignment: Capstone Project Milestone 2.

Evidence: 
Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.

Translation: 
develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings. Design for Change Proposal Essay Assignment: Capstone Project Milestone 2.

Conclusion: 
Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan.

Citations and References
must be included
 to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means using peer-reviewed journals and credible websites.

Tables and Figures may be added
as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change. Design for Change Proposal Essay Assignment: Capstone Project Milestone 2

NR451 Milestone2 Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning Outcome Introduction

Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified.)

25.0 pts

Introduction to the plan is nursing focused, and evidence-based. Potential interventions clearly identified.

22.0 pts

Introduction to the plan is missing one of the elements listed in the first column.

20.0 pts

Introduction to the plan is missing two elements listed in the first column.

10.0 pts

Introduction lacks evidence to support need for change and/or potential solution is not evidenced-based.

0.0 pts

Design for Change Proposal Essay Assignment: Capstone Project Milestone 2

Introduction is missing.

25 pts

This criterion is linked to a Learning Outcome Change Model Overview

An overview of the ACE Star model as a guide for change is given. Scope of the problem is identified. Stakeholders are identified. Team members and their roles and practice area are identified and discussed. State how nurses should use this model as a guide to facilitate change.

50.0 pts

Overview of the ACE Star model is given. Scope of problem is identified. Rationale for change is present. Stakeholders are identified. Practice area, team members and role are discussed.

44.0 pts

All elements in the first column are included but discussion of one or more items lacks details.

40.0 pts

Overview is missing one of the elements from the first column.

19.0 pts

Overview of the ACE Star model is given. Scope of problem is not identified. Rationale for change is not present. Stakeholders are not identified. Practice area, team members and role are not discussed.

0.0 pts

Change Model Overview is missing all elements of the first column.

50 pts

This criterion is linked to a Learning Outcome Evidence

Evidence is provided thru basic information that indicates a change is needed. For example, there have been 6 urinary tract infections over the last two months and there were none present the last two years at the same time period. What are some of the evidence-based interventions you discovered in your Evidence Summary that do you plan to use?

50.0 pts

Evidence summary is thoroughly provided with information of the current problem in the work setting indicating a change is needed. Interventions discovered in Evidence Summary are used in planning for change.

44.0 pts

Evidence summary contains all elements in the first column, however, one or more items lacks detail.

40.0 pts

Evidence is vaguely provided through information of the current problem in the work setting indicating a change is needed. Some of the interventions discovered in Evidence Summary are used in planning for change.

19.0 pts

Evidence is provided through information of the current problem but is not convincing. Interventions discovered in Evidence Summary are not used in planning for change.

0.0 pts

Evidence summary is not provided. Design for Change Proposal Essay Assignment: Capstone Project Milestone 2

50 pts

This criterion is linked to a Learning Outcome Translation

Activities to achieve the final steps of change are fully described. What is needed to achieve? How do you translate what information you have gathered into practice? Include measurable outcomes. How do you inform staff? What is your plan of action to pilot the plan? What is the timeline?

50.0 pts

Activities to achieve final steps of change are fully described. Ways to translate evidence into practice are discussed (outcomes). Methods to inform staff, activities planned for plan of action and timeline are discussed.

44.0 pts

Activities to achieve final steps of change are adequately described.

40.0 pts

Activities to achieve final steps of change are briefly described.

19.0 pts

Minimal description of the activities to achieve final steps of change.

0.0 pts

Activities for final change plan are missing. Translation of evidence into practice is missing.

50 pts

This criterion is linked to a Learning Outcome Conclusion

Clear, solid summary of the key points, ACE Star model and steps of the change plan are included; ways to sustain the change plan are described.

25.0 pts

Detailed summary of main points using ACE Star model. Ways to sustain plan are thoroughly described.

22.0 pts

Summary of main points/model is brief. Ways to sustain plan are briefly described.

20.0 pts

Summary of main points/model is vague. Ways to sustain plan are vaguely described.

10.0 pts

Summary of main points/model OR ways to sustain plan are not described.

0.0 pts

Summary is missing. There is no plan to sustain change.

25 pts

This criterion is linked to a Learning Outcome Mechanics

APA format 6th edition. Grammar, sentence structure, punctuation, and spelling correct. References, citations correct. Paper formatted in APA format. 0-1 errors

25.0 pts

APA format 6th edition. Grammar, sentence structure, punctuation, and spelling correct. References, citations correct. Paper formatted in APA format. 0-1 errors

22.0 pts

Two to three errors in elements from the first column.

20.0 pts

Four to five errors in elements from the first column.

10.0 pts

Six to seven errors in elements from the first column.

0.0 pts

More than seven errors.

25 pts

Design for Change Proposal Essay Assignment: Capstone Project Milestone 2

NR451 – Milestone 2 Design Proposal Template

 

 

 

Title

Your Name

Chamberlain College of Nursing

NR451 RN Capstone Course

Term and Year

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Your title here

This paragraph(s) is to introduce the paper. State the problem and potential solutions backed by evidence. Briefly, introduce the nursing focused plan. Remember this is a scholarly APA assignment so
you cannot use first person
. Remember also that you will keep all the bolded headings and just remove the non-bolded content when you start your paper.

Change Model Overview

In this first paragraph, provide an overview of the ACE Star model Evidence-Based Practice Process. Feel free to state why nurses should use this model as a guide to facilitate change. Under each of the second level headers listed below, you now link your identified topic to the ACE Star model EBP Process. NR451 – Milestone 2 Design Proposal Template.

Define the Scope of the EBP

Restate your practice issue. Why is this a problem? Give statistics and information to back the scope of the problem at your facility/work area. How does this problem impact healthcare on a broader scale? NR451 – Milestone 2 Design Proposal Template.

Stakeholders

You will be the leader of the team since this is your project. Who will you also include in your team? Make sure you choose relevant stakeholders. You should have no more than eight members. Do not list your team members by name but instead by position (pharmacists, charge nurse, etc.).

Determine Responsibility of Team Members

Why are the members chosen important to your project? What are their roles?

Evidence

Conduct internal/ external search for evidence. What type of evidence did you find in addition to you Evidence Summary? EBP guidelines? Quality improvement data? Position statements? Clinical Practice Guidelines?  Briefly discuss the strength of this research. This is
not
where you describe the results of your studies. This is done in the following steps. NR451 – Milestone 2 Design Proposal Template.

Summarize the Evidence

In this section, you need to synthesize the information from the systematic review article. What are some of the evidence-based interventions you discovered in your Evidence Summary that do you plan to use? Be sure and cite all of your references, in proper APA format, from any and all articles into this one paragraph.

Develop Recommendations for Change Based on Evidence

What is your recommendation based on the research? Ideally, you will have found enough support in your evidence to proceed with implementing your pilot program. NR451 – Milestone 2 Design Proposal Template.

Translation

Action Plan

You have not implemented your project yet, therefore, this section will be hypothetical. Develop your plan for implementation. What are the specific steps you will take to implement your pilot study?  What is the timeline for your plan? Make sure you include a plan for evaluation of outcomes and method to report the results.

Process, Outcomes Evaluation and Reporting

What are the desired outcomes? How will they be measured? How will you report the results to the key stakeholders?

Identify Next Steps

How will you implement the plan on a larger scale? Will this be applicable to other units or the facility as a whole? What will you do to ensure that the implementation becomes permanent?

Disseminate Findings

How will you communicate your findings internally (within your organization) and externally (to others outside of your organization)? NR451 – Milestone 2 Design Proposal Template.

Conclusion

Provide a clear and concise summary. Review the key aspects of the problem as well as the change model. Be sure to include important aspects of the five points of the ACE Star change model EBP process and ways to maintain the change plan.

 

References

 

NR451 – Milestone 2 Design Proposal Template

Evaluating Quality Patient Outcomes Essay Assignment Papers

This week’s graded discussion topic relates to the following Course Outcome (CO).

CO2 Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #)

How can data provide information to evaluate quality patient outcomes? Give an example of data that can reflect poor quality in care. How can quality improvement be a daily task in patient care? Why does continuous quality improvement need to be associated with change? Evaluating Quality Patient Outcomes Essay Assignment Papers

Nurses as Change Agents in the Community Essay Assignment Paper

In the chapter, “How Community-Based Organizations Are Addressing Nursing’s Role in Transforming Health Care,” the authors describe the community as the focus of advocacy action for change. They list a series of questions that help community teams develop organizing principles to guide their interventions, and the aim is to attack social determinants of health to make community change. Nurses as Change Agents in the Community Essay Assignment Paper.

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Suppose a community team identifies lack of access to exercise modalities as a public health issue. If the team were to determine that pedestrian walkways need to be constructed, discuss at least two factors that would facilitate the development of the walkways and two that would hinder the development. For the hindrances, discuss ways that the team might work to overcome those hindrances. Nurses as Change Agents in the Community Essay Assignment Paper.

Continue to read daily from one of the policy briefs that are included in your weekly readings list. POLITICO Pulse is a daily briefing from POLITICO, and the Kaiser Health News Morning Briefing is a daily briefing from the Kaiser Family Foundation. Both focus on health care. Either one will keep you abreast of what is happening in health care policies and politics. Nurses as Change Agents in the Community Essay Assignment Paper.

In addition, subscribe to the ”HealthCetera” podcast and listen to the podcast weekly. This is a production of WBAI, free speech radio of Pacifica Foundation Radio in New York City. Diana Mason and Barbara Glickstein are founders and codirectors of the Center for Health Media Policy (CHMP). Both are recognized as experts in media, nursing, health, and health policy. They have a longstanding relationship as producers and moderators of HealthCetera, a live, award-winning radio program on public radio and iTunes. They are bloggers for Disruptive Women in Health Care and for the American Journal of Nursing (AJN). The CHMP is an interdisciplinary initiative for advancing the health of the public and healthy public policies through media, research, education, and public forums. Listen to the podcast throughout the course and think on the topics that are discussed, especially as they relate to how we advocate for issues of importance in this contemporary political environment. Nurses as Change Agents in the Community Essay Assignment Paper

Research Article Critique Paper

Research Article Critique Guidelines

Purpose

The purpose of this assignment completed as an APA Paper is for the student to learn to examine, analyze, critique, and summarize an original research article. 

Course Outcomes

Through this assignment, the student will demonstrate the ability to meet the following course outcomes:

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)

CO4: Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (POs 4 and 8)

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CO5: Recognize the role of research findings in evidence-based practice. (POs 7 and 8)

Requirements

Through this assignment, the student will:

Critique the required article found below and in your own words, describe the research question, sample, design of study, data collection method, findings, and limitations of each. (CO 1, CO2,)

Summarize the research article and evaluate the significance to nursing. Do not just quote the author’s words. Paraphrase the information. (CO 4, CO5). Research Article Critique Paper.

You are required to use the article below or you will earn a “0” for the assignment. In addition, assignments that do not follow the current guidelines and use the required article will be evaluated for evidence of an academic integrity violation. Research Article Critique Paper.

After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.

Guidelines to Writing the Paper

This assignment is completed as an APA paper.

Download the required article for analysis:

Lesiuk, T. (2015). The effect of mindfulness-based music therapy on attention and mood in women receiving adjuvant chemotherapy for breast cancer: A pilot study. 
Oncology Nursing Forum, 42
(3), 276-282. Research Article Critique Paper.

https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswsc&AN=000354233000010&site=eds-live&scope=site (Links to an external site.)Links to an external site.

Introduction (one paragraph): The introduction should be interesting and capture the reader’s attention.

Provide a brief description of the research article to be discussed.

Discuss the purpose of your paper. The purpose statement of the paper should relate to the research article reviewed and the implications that it has to evidence based nursing practice.

You will need to summarize and analyze the information from the article in your own words

Describe the research question for this study in a paragraph.

Describe the research in greater detail.

Include your observations about this question.

Discuss events or trends that could have affected this question.

You will need to summarize and analyze the information from the article in your own words

Describe the research design of this study, and in your own words discuss the design.

Discuss the research design of the study.

Discuss the strengths and weaknesses of the type of design and hypothesize why the author utilized the design as opposed to others.

You will need to summarize the information from the article in your own words

Describe the sample.

Briefly describe the sample size used for this study

Make a judgment as to whether the sample size was adequate and defend your answer.

Describe the number or participants and determine if the number of participants was adequate compared to the research question and the intent of the study.

Are these numbers adequate? Discuss gaps in that you identified.

You will need to summarize and analyze the information from the article in your own words

Describe the data collection method(s)’

Who collected the data?

What tools were used?

What were the ethical considerations addressed and discuss gaps you identified.

You will need to summarize and analyze the information from the article in your own words

Describe the limitations of the study. Research Article Critique Paper.

Identify the limitations within the study

Describe how the limitations could be overcome in subsequent studies

Comment on why limitations are important to list and discuss within a study

You will need to summarize and analyze the information from the article in your own words

Describe the findings reported in the study.

Describe the findings reported in the study

Discuss whether the findings of the study answered the research question posed within the study

Discuss the credibility of the findings. Research Article Critique Paper.

If the findings do not support the research question posed within the study, what do you believe is the reason?

You will need to summarize and analyze the information from the article in your own words. Research Article Critique Paper.

Summary

Summarize important points from the body of your paper including the key components of the paper.

Include a statement about the research question and the findings.

Discuss the probability of implementation into practice. Based on these findings, is the evidence that you found on your topic strong enough to suggest a change in practice, or an idea for practice?

End with a concluding statement. Research Article Critique Paper

Quality of life self-care wheel scores

Part 2: How Am I Doing?

Balancing School and Life – My Quality of Life Self-Care Plan. The purpose of developing this Plan is to set a framework and a plan to maintain wellness and to stay motivated and engaged throughout your Program. Doing this will help you achieve success during your coursework and as a professional nurse.

The goal of the Project is to help you become self-aware and reflective as a means of identifying personal self-care strategies that will increase your energy and help you manage your stress. The Project will give you a chance to learn how this is accomplished as you will be doing similar work with clients during the Program and as a professional nurse to assist them in the same way. Quality of life self-care wheel scores.

Share in a 2 page paper, the following:

Re-look at your Quality of Life Self-Care Wheel scores. Have they changed? If so, in what ways.

Think about your current levels of tension and stress. On a scale of 1-10 with 10 being the highest level, what is your score? Now think about the strategies you identified. Describe how well you have put them into action. If you have not been able to implement them, identify why and what you can do to overcome this.

Identify any new strategies that you think will ”fit” better and describe why.

Minimum length 2 pages not including cover or referencing. APA formatting

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates. Quality of life self-care wheel scores.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the ’.docx’ extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below: Quality of life self-care wheel scores

Disorders of the Veins and Arteries – Pathophysiology of chronic venous insufficiency and deep venous thrombosis

Review the section “Diseases of the Veins” (pp. 598-599) in Chapter 23 of the Huether and McCance text. Identify the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Consider the similarities and differences between these disorders.

Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of CVI and DVT. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic venous insufficiency and one for venous thrombosis. Consider the epidemiology and clinical presentation of both chronic venous insufficiency and deep venous thrombosis.

To Complete

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Write a 3 page Disorders of the Veins and Arteries – Pathophysiology of chronic venous insufficiency and deep venous thrombosis paper that addresses the following:

Compare the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Describe how venous thrombosis is different from arterial thrombosis.

Explain how the patient factor you selected might impact the pathophysiology of CVI and DVT. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

Construct two mind maps—one for chronic venous insufficiency and one for deep venous thrombosis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your Disorders of the Veins and Arteries – Pathophysiology of chronic venous insufficiency and deep venous thrombosis paper.

Please references should be within the last five years. All in text quotation should have paragraph number or page number. paper should have introduction and summary. Disorders of the Veins and Arteries – Pathophysiology of chronic venous insufficiency and deep venous thrombosis

NR 511 Week 7 Part 1 Discussion – OLDCARTS

Setting
: large urban city family practice clinic which employs physicians and nurse practitioners.

It is the end of a long day and you are ready to go home. Your last patient of the day is here with chief complaint of fatigue. You review the chart, you know this patient. You saw her last month. You wonder could fatigue be related her previous illness?

You enter the room and see Katie sitting in the chair. She looks up at you as you enter the room and responds quietly to your greeting. You ask Katie what brings her in today.

Katie states” I had pneumonia last month and I have not gotten my energy back. I feel like I got somewhat better, my cough is gone but I didn’t get my energy back. I just don’t feel like doing anything now. It’s hard to get up and get moving in the morning and I don’t sleep very well now. I keep waking up about 4 AM every day and I can’t get back to sleep. I try to go back to sleep but then I start thinking about all the things I need to do and being so tired and wanting to go back to sleep and then I can’t get back to sleep. I have not been to Curves since I had pneumonia”

PMH

Had chicken pox, measles and rubella as a child. Katie has a history of osteopenia, HTN and hyperlipidemia. Takes a multivitamin, Evista 60 mg daily and HCTZ 25 mg daily. No reports of past injuries. Previous surgeries include a tonsillectomy and cholecystectomy. Hospitalized for surgeries and childbirth. Has seasonal allergies to pollen and reports hayfever in the fall. Takes Allegra when needed. NKDA. No alcohol or tobacco use. Up to date on vaccines. Received the pneumonia vaccine last week.

Social

Married to John for 45 years, they live with married daughter and her family. Takes care of the kids and home as Mary and her husband work. Her husband and son both smoke but not in the house.

Family

Her parents died of old age. Siblings are well with same HTN problems she has.

Discussion part one:

What further questions do you have for Katie at this visit??

Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.

What is your differential diagnosis list with ICD 10 for this visit thus far? Each differential diagnosis should include a one sentence pathophysiology statement supported by the literature. List the patient’s signs and symptoms and include a rationale statement that explains how the diagnosis is appropriate for your patient.

Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests would you order?

NR 511 Week 7 Part 1 Discussion – OLDCARTS

Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders

NURS 6540: ADVANCED PRACTICE CARE OF FRAIL ELDERS

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NURS 6540: Advanced Practice Care of Frail Elders

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Syllabus

Course Calendar

Course Overview

Course Information

Resource List

Week 1

Week 2

Week 3

Week 4

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Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Student Support

Walden Links

Guidelines and Policies

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A female caretaker assisting senior women in knitting while man reading book in background at nursing home.

Week 3: Geriatric Care Teams

Interdisciplinary geriatric care teams are a critical component of geriatrics, and I truly believe that geriatrics really does interdisciplinary care probably better than most other areas of health care because we have to—because we need to. Older adults have care needs that require the expertise of a community. No single provider can do it all well. The needs are just so vast. Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders

—Dr. Barbara Resnick, CRNP, FAAN, FAANP, AGSF, President of the American Geriatrics Society

Dr. Resnick emphasizes the importance of interdisciplinary geriatric care teams, as geriatric patients often have complex health needs. This was the case for 90-year-old Gus Snare. A diagnosis of bile duct cancer resulted in the need for surgery to remove parts of his stomach, duodenum, pancreas, bile duct, and gallbladder. Snare’s care team included a geriatrician, surgical oncologist, and a team of nurses, including an advanced practice nurse. Together, they determined his eligibility for surgery, performed the surgery, and developed a treatment and management plan post-surgery (The University of Chicago Medicine, 2011). As an advanced practice nurse, you must identify your role within care teams for patients like Snare to ensure patients receive comprehensive care. Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders

This week you explore models of interdisciplinary geriatric care teams and compare the roles of advanced practice nurses at various sites of care. Then, as you complete your first SOAP Note, you examine the assessment, diagnosis, and treatment of a geriatric patient from your practicum site. Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders

Learning Objectives

By the end of this week, students will:

Compare models of interdisciplinary geriatric care teams

Analyze models of interdisciplinary geriatric care teams used in various sites

Analyze the roles of advanced practice nurses in different clinical sites

Evaluate diagnoses for patients*

Evaluate treatment and management plans*

*These Learning Objectives support assignments that are assigned this week, but due in Week 4.

Photo Credit: Maskot/ Maskot/Getty Images

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Resnick, B. (Ed.). (2016). Geriatric nursing review syllabus: A core curriculum in advanced practice geriatric nursing (5th ed.). New York, NY: American Geriatrics Society. Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders

Chapter 18, “Hospital Care” (pp. 134-145)

This chapter explores systems of care for assessing and managing hospitalized older patients. It also examines alternatives to hospital care and transitions from hospital care.

Chapter 20, “Rehabilitation” (pp. 152-166)

This chapter describes essential components of geriatric rehabilitation, including sites of rehabilitation, roles of core health care providers on rehabilitation teams, and disease-specific care plans for older adults. It also explores mobility aids, orthotics, adaptive methods, and environmental modifications for older adults with disabilities.

Chapter 21, “Nursing-Home Care” (pp. 167-174)

This chapter identifies the demographic and functional characteristics of older adults living in nursing homes as well as the availability of nursing homes in the United States. It also describes staffing patterns, quality issues, and legislation related to nursing home care. Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders.

Chapter 22, “Community-Based Care” (pp. 175-180)

This chapter explores characteristics of care in communities, including home care, community-based services not requiring a change in residence, and community-based services requiring a change in residence. It examines older adult populations, health care issues, and the primary provider’s role in these sites of care.

Chapter 23, “Outpatient Care Systems” (pp. 181-185)

This chapter describes current approaches that maximize patient outcomes in geriatric outpatient care systems. It also examines new approaches that may benefit older adults in outpatient care systems.

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Mosby. Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders. Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders

Chapter 26, “Recording Information” (pp. 792–813)

This chapter outlines the components of SOAP notes and provides guidelines for writing SOAP notes after patient examinations.

Note: You should have this textbook in your personal library, as it was the required text in NURS 6512: Advanced Health Assessment and Diagnostic Reasoning.

Arbaje, A., Maron, D., Yu, Q., Wendel, V., Tanner, E., Boult, C., & … Durso, S. (2010). The geriatric floating interdisciplinary transition team. Journal of the American Geriatrics Society, 58(2), 364–370. Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders

This article examines the Geriatric Floating Interdisciplinary Transition Team, a geriatric transitional care model. It describes the roles of health care providers on this care team and identifies potential benefits of this model.

The geriatric floating interdisciplinary transition team. Journal of the American Geriatrics Society, 58(2), by Arbaje, A., Maron, D., Yu, Q., Wendel, V., Tanner, E., Boult, C., & … Durso, S. Copyright 2010 by John Wiley& Sons, Inc. Journals. Reprinted by permission John Wiley & Sons, Inc. Journals via the Copyright Clearance Center. Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders

Gagan, M. (2009). The SOAP format enhances communication. Nursing New Zealand, 15(5), 15.

Note: Retrieved from the Walden Library databases.

This article outlines the four parts of SOAP notes and examines the importance and effectiveness of SOAP notes in clinical settings.

American Geriatrics Society. (2011). The principles of geriatric care. Retrieved from http://www.americangeriatrics.org/files/documents/Adv_Resources/PayReform_fact3.pdf

This article identifies the principles of geriatric care, focusing on the geriatric care team, geriatric assessment, and care coordination. It also presents three models of care that encompass geriatric assessment and care coordination: the GRACE (Geriatric Resources for Assessment and Care of Elders) model, PACE (Program of All-inclusive Care for the Elderly) model, and the Guided Care model. Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders.

American Geriatrics Society. (2012). American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults. Retrieved from http://www.guideline.gov/content.aspx?id=49933

This article examines three categories of medications that impact older adults: those that are potentially inappropriate and must be avoided, those that are potentially inappropriate and must be avoided in older adults with certain diseases, and those that must be used with caution. Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders.

Document: Comprehensive SOAP Note Template (Word document)

Required Media

Laureate Education (Producer). (2013b). Care team models [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 16:29 minutes.

In this video program, Dr. Kristen Mauk and Dr. Barbara Resnick discuss the importance of interdisciplinary geriatric care teams, as well as the role of the advanced practice nurse within these teams.

Accessible player

Discussion: Models of Interdisciplinary Geriatric Care Teams

With the growing population of frail elders, there is an increase of geriatric patients requiring ongoing care for multiple medical conditions. This creates the need for interdisciplinary geriatric care teams. Often, the dynamics and culture of these teams differ across various sites of care, such as assisted living, home care, hospitals, long-term care, and rehabilitation facilities. As an advanced practice nurse, it is important to understand your role in the care team as well as your potential impact on patient care. In this Discussion, you explore models of interdisciplinary geriatric care teams for different sites of care and the varying roles of the advanced practice nurse. Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders.

Consider the following three case studies:

Case Study 1

Mrs. Martinez is an 83-year-old Mexican American widow who lives in her own home and is cared for by her adult daughter. Mrs. Martinez owns the home, and her daughter lives with her and provides the care. Her daughter brought her mother to the clinic today to ask to speak to the social worker. She requests that her mother be placed in a nursing home. The daughter states that her mother has nothing to do during the day. The television is on The Weather Channel most of the day because Mrs. Martinez has limited English capability and is unable to read closed-captioning. Mrs. Martinez also has two sons who do not live in the local area, but they do call regularly and check in with their mother and sister. The two sons are opposed to moving their mother to a nursing home because they had promised her that they would “never put her away.” Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders.

Case Study 2

Mr. Williams, a 79-year-old African American widower, resides in a foster care home. He has lived there for 4 years since his wife died. He is a former minister. His medical history includes long-term diabetes, high blood pressure, and benign prostatic hypertrophy. The home care provider has requested a home visit to evaluate Mr. Williams’s ability to remain in the home. The provider states that because Mr. Williams’s vision is seriously compromised (he is nearly blind), and because he has been unable to get to the toilet as quickly as necessary (he is very unsteady on his feet), his care is becoming burdensome. According to the home care provider, for safety reasons, Mr. Williams may not fit the criteria for remaining in the foster care home. Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders.

Case Study 3

Mrs. Randall is a 77-year-old female who resides in a long-term care facility. She has a history of frequent falls and is severely cognitively impaired. The nursing staff at the long-term care facility called the nurse practitioner at the medical home office to report the recent development of productive cough and high fever. There have been cases of flu in the facility; however, Mrs. Randall has had a flu shot. The nurse practitioner in the office requests a chest x-ray in the long-term care facility. The nurse on duty in the facility states that there is no portable chest x-ray equipment available. She further requests that Mrs. Randall be transferred to the emergency room of the local hospital. Mrs. Randall’s daughter has durable power of attorney for health care decisions for her mother. The long-term care facility has notified the daughter of the change in her mother’s condition. The daughter says whatever the nursing home wants is fine with her.

To prepare:

Review this week’s media presentation, as well as the American Geriatrics Society and Arbaje et al. articles in the Learning Resources.

Research models of interdisciplinary geriatric care teams that are used at various sites, such as assisted living, home care, hospitals, long-term care, and rehabilitation facilities. Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders.

Consider the model used for the interdisciplinary geriatric care teams at your current practicum site. Compare this model to models used at other sites.

Reflect on how the role of the advanced practice nurse differs according to the site of care.

Select one of the three case studies. Consider how care should be facilitated for the patient in the case you selected based on the model used for the interdisciplinary geriatric care teams at your practicum site.

By Day 3

Post a comparison of the model used for the interdisciplinary geriatric teams at your current practicum site to models used at other sites. Then, explain how the role of the advanced practice nurse differs according to the site of care. Finally, explain how care should be facilitated for the patient in the case you selected based on the model used for the interdisciplinary geriatric teams at your practicum site. Geriatric Care Teams Essay Assignment Papers – NURS 6540: Advanced Practice Care Of Frail Elders

NR 511 Week 8 Reflection on Achievement of Outcomes

Reflect back over the past eight weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome # 7 and the MSN Essential III and the NP Core Competency #4.

Program Outcome # 7:

Design Patient Centered care models and delivery systems using the best available scientific evidence.

MSN Essential III: Quality Improvement and Safety

Recognizes that a master’s-prepared nurse must be articulate in the methods, tools, performance measures, and standards related to quality, as well as prepared to apply quality principles within an organization.

Nurse Practitioner Core Competencies

#4
Practice Inquiry Competencies

1. Provides leadership in the translation of new knowledge into practice.

2. Generates knowledge from clinical practice to improve practice and patient outcomes.

3. Applies clinical investigative skills to improve health outcomes.

4. Leads practice inquiry, individually or in partnership with others.

5. Disseminates evidence from inquiry to diverse audiences using multiple modalities.

6. Analyzes clinical guidelines for individualized application into practice

NR 511 Week 8 Reflection on Achievement of Outcomes