Tag: Clinical-Nursing

Psychotherapeutic Approaches to Group Therapy for Addiction

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide on group therapy for addiction.

View the media, Levy Family: Sessions 1-7, and consider the psychotherapeutic approaches being used.

The Assignment

In a 2- to 3-page paper, address the following:

Identify the psychotherapeutic approach that the group facilitator is using, and explain why she might be using this approach.

Determine whether or not you would use the same psychotherapeutic approach if you were the counselor facilitating this group, and justify your decision. Psychotherapeutic Approaches to Group Therapy for Addiction.

Identify an alternative approach to group therapy for addiction, and explain why it is an appropriate option.

Support your position with evidence-based literature.

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Required Media

Allyn & Bacon (Producer). (2000). Motivational interviewing [Video file]. Mill Valley, CA: Psychotherapy.net.

Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 102 minutes.

Laureate Education (Producer). (2013d). Levy family: Sessions 1-7 [Video file]. Baltimore, MD; Author.

Psychotherapy.net (Producer). (2015). Group therapy for addictions: An interpersonal relapse prevention approach [Video file]. Mill Valley, CA: Author.

Psychotherapy.net (Producer). (2015). Group therapy for addictions: An interpersonal relapse prevention approach [Video file]. Mill Valley, CA: Author. Psychotherapeutic Approaches to Group Therapy for Addiction.

Optional Resources

Psychotherapy.net (Producer). (2000a). Cognitive therapy for addictions [Video file]. Mill Valley, CA: Author.

Required Readings

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

Standard 6 “Evaluation” (pages 65-66)

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

Chapter 16, “Psychotherapeutic Approaches for Addictions and Related Disorders” (pp. 565–596)

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

Chapter 13, “Problem Group Members” (pp. 391–427) Psychotherapeutic Approaches to Group Therapy for Addiction

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Note: Retrieved from Walden Library databases.

Gamble, J., & O’ Lawrence, H. (2016). An overview of the efficacy of the 12-step group therapy for substance abuse treatment. Journal of Health & Human Services Administration, 39(1), 142–160. Retrieved from http://jhhsa.spaef.org/

Note: Retrieved from Walden Library databases.

Kim, J. W., Choi, Y. S., Shin, K. C., Kim, O. H., Lee, D. Y., Jung, M. H., … Choi, I. (2012). The effectiveness of continuing group psychotherapy for outpatients with alcohol dependence: 77-month outcomes. Alcoholism: Clinical & Experimental Research, 36(4), 686–692. doi:10.1111/j.1530-0277.2011.01643.x

Note: Retrieved from Walden Library databases. Psychotherapeutic Approaches to Group Therapy for Addiction

Clinical Lab Simulation

Clinical Lab/SIM

Simulation can be an excellent exercise in helping students identifying their strengths and weakness in terms of clinical care. Though simulation can be a source of stress for the students involved, the benefits may bear fruit once they are in clinical. Learners are varied and simulation can provide an environment where different learning style may be accommodated (Gaberson, K. B., Oermann, M. H., & Shellenbarger, T., 2015, p. 182). Simulation before clinical may be used as a measurement of student ability, but a clinical laboratory can help to improve different nursing skills before an actual rotation. Patient care can be replicated, but the physical and mental aspect of caring for a unique individual may not be easily replicated Clinical Lab Simulation. After having experience is a different conversation altogether. A study of various nursing professionals on performing a perioperative simulation scenario revealed that these individuals stated they were able to apply what was learned to their current practice (Whelan et al., 2018). A survey was sent to the individual’s post-simulation and 86% indicated they were satisfied with the intended results of the exercise. For students, simulation can build upon skills learned during clinical and address areas of potential weakness. Simulation can’t replace live patient experience, but it may be an asset for their development Clinical Lab Simulation.

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Expectations

Expectations for clinical learning depend on the level and year of the learner. A clinical cohort for fundamental would have vastly different expectations than a final practicum student. The author’s specific cohort are first-semester nursing students and their level generally reflects basic nursing knowledge. Expectations would be conveyed pre-conference on each clinical site visit. This can assure there is a goal each time students begin their day and progress as the semester continues. If expectations are not met, students can be addressed by individuals or as a group to help voice concerns. Even as an educator, the expectation may need to be adjusted if they are not appropriate for the learner’s level. Simulation can also be an option to help improve areas of concern as well. A study was conducted with nursing students to improve the safe administration of medication pre and post-simulation (Green, 2018) Students were anxious throughout, but the results showed improve skills in the safety of administrating medication (Green, 2018). Setting expectations for students requires a thorough assessment of the students, educators, and even the facilities in use. There are options to address goals not being met to improve both students and educators alike. Clinical Lab Simulation.

Conference/Off Floor

Pre-conference

Pre-conference can be used as a way to voice expectations, early anxiety, and how to improve upon earlier encounters. Students should enter clinical knowing what to expect, what areas of improvement that need to be addressed, and which staff to be assigned too. Educators may also look at the patients on the unit in which they will be practicing and assign students based on skills and experience they need to encounter.

Post-conference

Post-conference serves as a reflection of the experience and dialogue to begin. Development of problem-solving, critical thinking, and clinical, debriefing of clinical experiences, development of cooperative learning, group process skills, assessment of own learning, and development of oral communication skills can all take place during post-conference and be developed during each site visit Gaberson, K. B.,Oermann, M. H., & Shellenbarger, T. ,2015, p. 246). The events of the day must be addressed with students and any goals not met to voiced as well Clinical Lab Simulation. The goal of the post-conference is to confirm the purpose of the site visit was achieved and students can build upon the experience.

Off-unit experiences

Off-Unit experiences serve to expand the clinical site visit for the student. Off-unit experiences can have a relation to their patients if it involves a procedure, imaging, or other clinically relevant events. They serve to help students see the clinical processes involved in patient care and how truly collaborative nursing is with other disciplines. The importance of communication can be echoed through this exercise as well as what the patient may go through when facing uncertainty with imaging or invasive procedures. It also can serve as a break from everyday clinical for students and as a stress relief that comes with it.

 

 

Gaberson, K. B., Oermann, M. H., & Shellenbarger, T. (2015). Clinical teaching strategies in nursing. New York, NY: Springer Publishing Company, LLC. Clinical Lab Simulation

GREEN, D. (2018). Medication Simulation: Enhancing Nursing Students’ Clinical Environmental Awareness through Self-Care and Promotion of Patient Safety. Whitireia Nursing & Health Journal, 25, 37–51. Retrieved from http://search.ebscohost.com.ezproxy.fiu.edu/login.aspx?direct=true&db=rzh&AN=138594530&site=eds-live

Whelan, T., Xinzhe Shi, Andony, K., Yorke, S., & Poonai, S. (2018). Evaluating Learners’ Satisfaction Following Perioperative Nursing Simulation Training. ORNAC Journal, 36(3), 12–16. Retrieved from
http://search.ebscohost.com.ezproxy.fiu.edu/login.aspx?direct=true&db=rzh&AN=131531246&site=eds-live (Links to an
Clinical Lab Simulation

Week 3 | Part 3: Strategies to Promote Academic Integrity and Professional Ethic Essay

 

I have analyzed the relationship between academic integrity and writing, as well as the relationship between professional practices and scholarly ethics. I have also identified strategies I intend to pursue to maintain integrity and ethics of my academic work while a student of the MSN program, as well as my professional work as a nurse throughout my career. The results of these efforts are shared below.

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Directions: In the space below craft your analysis/writing sample, including Part 1 (The Connection Between Academic and Professional Integrity) and Part 2 (Strategies for Maintaining Integrity of Work). Utilize headings formatted in proper APA throughout each Part to clearly identify key topic area requirements. Strategies to Promote Academic Integrity and Professional Ethic Essay.

Remember to include an introduction paragraph which contains a clear and comprehensive purpose statement which delineates all required criteria, and end the assignment Part with a conclusion paragraph. 

 

Part 1: Writing Sample: The Connection Between Academic and Professional Integrity

 

In the space below write a 2- 3-paragraph analysis that includes the following:

 

Clearly and accurately explains in detail the relationship between academic integrity and writing.

Clearly and accurately explains in detail the relationship between professional practices and scholarly ethics.

Accurately cite at least 2 resources that fully support your arguments, being sure to use proper APA formatting.

Use Grammarly and SafeAssign to improve the product.

Clearly and accurately describe in detail how Grammarly, SafeAssign, and paraphrasing contributes to academic integrity. Include sufficient evidence that Grammarly and SafeAssign were utilized to improve responses.

 

PART 2: Strategies for Maintaining Integrity of Work

Expand on your thoughts from Part 1 by:

Clearly identifying and accurately describing strategies you intend to pursue to maintain integrity and ethics of your 1) academic work while a student of the MSN program, and 2) professional work as a nurse throughout your career.

Include a clearly developed review of resources and approaches you propose to use as a student and a professional.

 

Week 3 | Part 3: Strategies to Promote Academic Integrity and Professional
Ethics

 

I have analyzed the relationship between academic integrity and writing, as well as the relationship between professional practices and scholarly ethics. I have also identified strategies I intend to pursue to maintain integrity and ethics of my academic work while a student of the MSN program, as well as my professional work as a nurse throughout my career. The results of these efforts are shared below. Strategies to Promote Academic Integrity and Professional Ethic Essay.

Directions: In the space below craft your analysis/writing sample, including Part 1 (The Connection Between Academic and Professional Integrity) and Part 2 (Strategies for Maintaining Integrity of Work). Utilize headings formatted in proper APA throughout each Part to clearly identify key topic area requirements.

Remember to include an introduction paragraph which contains a clear and comprehensive purpose statement which delineates all required criteria, and end the assignment Part with a conclusion paragraph. Strategies to Promote Academic Integrity and Professional Ethic Essay

Women’s and Men’s Health, Infections, and Hematologic Systems

Review the Resources for this module and reflect on the different health needs and body systems presented.

Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient r patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples. Women’s and Men’s Health, Infections, and Hematologic Systems.

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HH is a 68 yo M who has been admitted to the medical ward with community-acquired

pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia,

and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday

(day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status

has improved, with decreased oxygen requirements. He is not tolerating a diet at this

time with complaints of nausea and vomiting.

Ht: 5’8” Wt: 89 kg

Allergies: Penicillin (rash) Women’s and Men’s Health, Infections, and Hematologic Systems

Discussion: Issues in Health Care Essay

Professional nursing associations are critical to the formation, continuation, and termination of health care policy. In addition, interprofessional groups within practices examine implementation of policy and take into account the efficacy of policies and practices. Consider your collaboration with either a professional association or an interprofessional group in your practice. How can you be influential in advocating on behalf of a profession and in serving as an activist for policy?

To prepare for this Discussion, review the following:

• Discussion Rubric, provided in the Course Information area

• This week’s Writing Resources and Program Success Tools (link to e-guide) Discussion: Issues in Health Care Essay

• This week’s readings in the Resources pertaining to various and changing health advocacy and health policy initiatives

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Post a response to one of the following options:

Option 1: Consider an interprofessional group trying to solve a common care coordination problem in your practice.

• Who are the main individuals involved?

• Where are the gaps or barriers in collaboration with other health care professionals in your practice?

• What suggestions have been offered to improve the gaps or barriers?

Option 2: Consider the viewpoints of a local nursing association working on drafting health care policy legislation.

• What is the main issue being considered?

• How successful has the group been up to this point? Discussion: Issues in Health Care Essay

• What gaps and barriers exist?

Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually less than or equal to 5 years old).

Discussion Rubric: Required Content: Identifies the main health care professionals involved in care coordination. Analyzes the gaps or barriers in collaboration with other health care professionals in your practice. Analyzes suggestions offered to improve the gap or barrier in interprofessional practice Discussion: Issues in Health Care Essay

NURS 6512 Week 3 discussion Posts and responses

Screening tests are medical tests or procedures performed on members of a defined asymptomatic population to assess the likelihood of their members having a particular disease (Maxim, Niebo & Utell, 2014a).  With a few exceptions, screening tests do not diagnose the illness, but signal a need for further evaluation and treatment (2014a).  Mammograms are utilized in healthcare as a breast cancer screening tool.  Mammograms can be classified as diagnostic or screening. A screening mammogram is defined as bilateral mammograms performed on asymptomatic women that are designed as “routine screening” by the interpreting radiologist (Fenton et al, 2014b).  Diagnostic mammograms are classified as testing for patients with a prior history of breast cancer or who report breast symptoms or sign at the time of examination (2014b).

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The US Prevention Task Force (USPTF) recommends mammograms biennially for women aged 50-74 years of age (2016a).  Mammography in women aged 40-49 years of age is an individual decision (2016a).  Within this age group, the number of deaths averted is smaller than that in older women and the number of false-positive results and unnecessary biopsies is larger (2016a).  Beginning screening at a younger age and screening more frequently may increase the risk for over diagnosis and subsequent overtreatment (2016a).  Also, mammography is of less diagnostic value in women younger than 30 because of the density of the breast tissue (Dains, Baumann & Scheibel, 2016b) NURS 6512 Week 3 discussion Posts and responses.   Although, women with a parent, sibling, or child with breast cancer are at a higher risk for breast cancer and may benefit more than average-risk women from beginning screening in their forties (2016a).

Sensitivity, or true positive, is the measure of the proportion of actual positives that are correctly identified (2014a).  It is also the extent in which actual positives are not overlooked (few false negatives) (2014a).  Specificity, the true negative rate, measures the proportion of actual negatives that are correctly identified (2014a).  Studies have shown that sensitivity and specificity of mammographic screening are influenced by screening interval and length of follow-up (Hofvind et al, 2012).  It is desirable to have a test that is both highly sensitive and highly specific (2014a).  Studies have shown that there is lower sensitivity in the United States screening for breast cancer because most patients return after one year for a rescreen and the shorter screening interval is known to reduce sensitivity (2014a).  One study  found no evidence that female patients, 50 years old or greater,  that undergo biennial mammography screening to have an increased risk of late-stage breast cancer compared with patients who undergo annual screening (2014a).  Overall, the sensitivity of mammography is about 87 percent (Susan G. Koman, 2018).  Sensitivity is higher in women over 50 than in younger women and in women with fatty breasts over those with dense breasts (2018).  Therefore, it may be a better diagnostic screening tool if biennial mammography screening were consistently performed for those patients that are of low risk for breast cancer.

Reliable mammogram results are dependent on high-quality image and a good reading of the image (2018).  In order to achieve a high quality, diagnostic mammogram that enables early detection of breast cancer, properly working equipment is required, in addition to an experienced mammographer and cooperation of the patient (Hill & Robinson, 2015).

In order for mammograms to be valid, they must be able to measure what they set out to measure and not something else (2015).  Classifying a mammographic image as reliable, the images must be able to be reproducible by others viewing them (2015).  With the move from film/screen combinations of breast images to digital imaging, the quality of images has improved, but the assessment guidelines for the quality have not been adapted to reflect the change in how mammograms are produced (2015).  Radiographers utilized the PGMI (Perfect, Good, Moderate, and Inadequate) image appraisal criteria established in 2006, prior to digital imaging (2015).  This criteria is still used for digital imaging. NURS 6512 Week 3 discussion Posts and responses. The PGMI assessment tool is neither reliable or valid due to the fact that many of the descriptors are subjective and prone to inter and intra-operator variability (2015).  Validity of imaging is also questionable because there is a lack of agreement on national standards regarding what features, e.g. nipple line, constitute a good standard image. (2015). In order to increase the reliability and validity of mammogram imaging, a national standard that is evidence-based implemented by all imaging centers (2015) NURS 6512 Week 3 discussion Posts and responses.

References

Dains, J., Baumann, L., & Scheibel, P. (2016b). 
Advanced health assessment and clinical diagnosis in primary care.
(5
th
ed.).  St. Louis, Missouri: Elsevier

Fenton, J., Zhu, W., Balch, S., Smith-Bindman, R., Fishman, P., Hubbard, R. (2014b).  Distinguishing screening from diagnostic mammograms using Medicare claims data. 
Medical Care, 52
(7), e44-e51.  doi:10.1097/MLR.0b013e318269e0f5

Hill, C. & Robinson, L. (2015).  Mammography image assessment: Validity and reliability of current scheme. 
Radiology, 21
(2015), 304-307.  Retrieved from https://dx.doi.org/10.1016/j.radi.2015.07.005

Hofvind, S., Geller, B., Skelly, J., & Vacek, P. (2012).  Sensitivity and specificity of mammographic screening as practiced in Vermont and Norway. 
The British Journal of Radiology, 85
(2012), e1226-e1232.  doi:10.1259/bjr/15168178

Maxim, L., Niebo, R., & Utell, M. (2014a).  Screening tests: A review with examples. 
Inhalation Toxicology, 26
(13), 811-828.  doi:10.3109/08958378.2014.955932 NURS 6512 Week 3 discussion Posts and responses

Susan G. Komen (2018).  Accuracy of mammograms.  Retrieved from
https://ww5.komen.org

 

US Preventive Services Task Force (2016a).  Breast cancer: Screening.  Retrieved from
https://www.uspreventiveservicestaskforce.org

 

L D

Main Post-Week 3

Prostate cancer (PCa) is one of the leading causes of cancer-related mortality in men. A screening test to detect PCa in the early stages can help improve cancer treatment outcomes. Prostate-specific antigen (PSA) testing is a blood test which has been used for the last thirty years to measure protein produced by normal and cancerous cells of the prostate (Kollmer, 2018). The over-use of this screening test has become controversial over time due to its unreliability. Other conditions that are non-cancerous that also raise PSA levels are prostatitis, benign prostatic hyperplasia (BPH), and enlarged prostate (Ferrari, 2011). Having a high PSA level can lead to unnecessary further testing such as biopsy, which can cause harmful side effects such as impotence and incontinence (Kollmer, 2018). Some research suggests that greater than seventy percent of men who have a biopsy due to high PSA levels do not have PCa and twenty percent of men with PCa have normal PSA levels (Ferrari, 2011). Physicians need to explain the pros and cons of PSA screening and practice shared decision making to reduce the negative outcomes of unnecessary testing (Han et al., 2013). While PSA testing can detect early stages of PCa, high rates of false-positive tests lead to overdiagnosis, unnecessary testing, and psychological distress for patients (Mayo Clinic, 2018). For these reasons, new guidelines recommend shared decision making for PSA testing in men ages 55-69 based on individual risks and routine PSA testing for men 70-years and older is not recommended (Kollmer, 2018). Using the best evidence-based practices with routine testing can help reduce unnecessary healthcare cost and procedures. NURS 6512 Week 3 discussion Posts and responses.

References

Ferrari, N. (2011). How reliable is the prostate-specific antigen (PSA) test when it comes to

detecting prostate cancer? Retrieved from

Is PSA reliable?

Han, P.K.J., Kobrin, S., Breen, N., Joseph, D.A., Li, J., Frosch, D.K., & Klabunde, C.N. (2013).

National evidence on the use of shared decision making in prostate-specific antigen screening. 
American Family Medicine, 11
(4), 306-314. doi: 10.1370/afm.1539

Kollmer, J. (2018). Screening for prostate cancer: Are PSA blood tests reliable? Retrieved from

https://www.uchicagomedicine.org/forefront/cancer-articles/2018/july/prostate-cancer-are-psa-blood-tests-reliable

Mayo Clinic. (2018). PSA test. Retrieved from

https://www.mayoclinic.org/tests-procedures/psa-test/about/pac-20384731

 

Lillian,

Thank you for the post regarding prostate specific antigen (PSA) screening for early detection of prostate cancer in men.  Men in the United States have a 16% chance of a prostate cancer diagnosis in their lifetime and a 3% chance of dying from prostate cancer (Quass, 2015).  Current screening practice involves transrectal ultrasound biopsies if PSA is elevated and/or digital rectal examination is abnormal (Verbeck & Robol, 2018).  Currently there is not a definitive recommendation regarding timing of repeat biopsy if the initial biopsy is negative (2018).  The pancreatic cancer mortality at 15 years of follow-up was less than 0.5% (2018).  Of note, almost half of the men who died from pancreatic cancer with a previous negative biopsy were not compliant with follow-ups (2018).  Therefore, as the practitioner, it is important to educate male patients about the importance of follow-up testing when previous testing was negative.  Evaluating each patient’s risk factors and providing individualized education is crucial in order to manage follow-up testing.  It is important to note that, according to the Centers for Disease Control (CDC), the majority of men diagnosed with prostate cancer never experience symptoms and, without screening, would never know they had the disease (2018b). NURS 6512 Week 3 discussion Posts and responses

References

Centers for Disease Control (2018b).  Prostate cancer.  Retrieved from
https://www.cdc.gov

Quass, J. (2015).  PSA screening for prostate cancer. 
American Family Physician, 91
(9).  Retrieved from
www.aafp.org/afp

Verbeek, J. & Roobol, M. (2018a).  What is an acceptable false negative rate in the detection of prostate cancer? 
Translational Andrology and Urology, 7
(1), 54-60.  doi:10.21037/tau.2017.12.12

 

T M

Initial Post: Week 3

 

Body Mass Index (BMI) is a person’s weight in kilograms divided by the square of height in meters, (CDC, 2017). It is a measurement that can categorize an individual’s weight status into five categories; underweight, normal, overweight, obesity, and extreme obesity, (Ball et al., 2015). According to Ball et al. (2015), BMI is the most shared method used to measure nutritional status and total body fat percentage (BF %). BMI will be used as the discussion point to compare the validity, reliability, and what sensitivities, and predictive values this tool offers or does not offer. NURS 6512 Week 3 discussion Posts and responses.

Validity & Reliability

According to Romero-Corral et al. (2008), BMI has been used as an assessment tool for BF % and classification of a healthy or unhealthy weight for over the last thirty years. It is the most inexpensive and accessible tool used for practitioners for any aged patient. It assists the practitioner to intervene, provide care, and resources to allow the patient to either gain weight or lose weight.

According to Freedman & Sherry (2009), the validity of the BMI tool can vary regarding the degree of BF %, especially in children. The BMI tool was victorious in the categories of obese and overweight, but differed in results in average to underweight individuals based on the lean mass; which is the bulk of the human weight, (Romero-Corral et al., 2008). It was shown that it was a useful tool and correlating with high BF% when the BMI was high but did not correlate when the individual was thin or underweight. In other studies, using adults as the subject, it generally related to the studies used in children, where the BF % linked with BMI but failed to draw a parallel with lean mass. Overall, as the BMI tool is a valid tool when assessing an overweight or obese patient many studies confirm that it is a tool able to be used solitarily to diagnose obesity; as it might have good specificity, it dismisses more than half of individuals with excess fat, (Romero-Corral, 2008). NURS 6512 Week 3 discussion Posts and responses.

Sensitivities & Predictive Values

BMI has good specificity but low sensitivity to detect obesity, (Romero-Corral, 2008). In one study, a high BMI while identifying one with excess BF% has been reviewed by measuring sensitivity, positive predictive values, and specificity, it concludes that an individual with a high BMI and BF% there is a strong influence estimating the functionality of its screening, (Freedman & Sherry, 2009). The BMI having this high specificity and low sensitivity is still considered to be an excellent indicator to diagnose obesity, but as defined as excess adiposity, (Stettler, Zomorrodi, & Posner, 2012). Additionally, assessing the values of sensitivity, specificity, and predictive values, the functionality of the BMI tool was diminished in increased age, ( Romero- Corral, 2008).

Conclusion

As a practitioner, evaluating patients and their weight is a sensitive subject that most patient’s discard or are embarrassed to discuss. Using useful tools such as the BMI should be valid and accurate while trying to diagnose and provide treatment and resources to those who are in subpar weight categories. Although the BMI tool has been summarized to be effective in using with obese patients, the provider should be specific and double check their diagnosis of any weight category with a second or third measuring tool to be more accurate with his/her diagnosis. This will ensure the best outcome for the patient. NURS 6512 Week 3 discussion Posts and responses

Resources

Ball, J.W., Dains, J.E., Flynn, J., Solomon, B.S., & Stewart, R. W. (2015) Seidel’s guide to

 

physical examination (8th ed.). St. Loius, MO: Elsevier Mosby

 

CDC, (2017). About adult BMI. Retrieved from

 

https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html#Reliable

 

Freedman, D.S., & Sherry, B. (2009). The validity of BMI as an indicator of body fatness and

 

risk among children. Pediatrics, 124 (Supplemental 1). Retrieved from

 

https://pediatrics.aappublications.org/content/124/Supplement_1/S23

 

Romero-Corral, A., Somers, V. K., Sierra-Johnson, J., Thomas, R. J., Collazo-Clavell, M. L.,

 

Korinek, J., Allison, T. G., Batsis, J. A., Sert-Kuniyoshi, F. H., … Lopez-Jimenez, F.

 

(2008). Accuracy of body mass index in diagnosing obesity in the adult general

 

population. International journal of obesity (2005), 32(6), 959-66. Retrieved from

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2877506/

 

Stettler, N., Zomorrodi, A., & Posner, J.C. (2012). Predictive value of weight-for-age- to

 

identify overweight children. Obesity Journal, 15(12), 3106-3112. Retrieved from

 

https://doi.org/10.1038/oby.2007.370

 

T,

I enjoyed reading your post on Body Mass Index (BMI).  I agree that discussing weight and BMI with patients can be a very sensitive subject.  The BMI tool has been implemented by many schools, including my three daughter’s school district, in an effort to raise awareness of parents about their own child’s health status.  Childhood obesity is a serious problem in the United States putting children and adolescents at risk for poor health (CDC, 2018a).  In the United States, the prevalence of obesity among youth is 18.5% (Hales et al, 2017).  It is important to make parents aware of avoidable health issues that can negatively impact their child’s future.  Parents have a direct influence over their children’s physical, food, and social environments (Townsend et al, 2018b). It is essential that when providing parents with the BMI of their children that they are also made aware that BMI does not measure body fat directly and that the relationship between BMI and body fat varies by sex, age, and race (2017).  As a practitioner, we are obligated to discuss with parents and children the consequences of maintaining a high BMI and that their BMI is a modifiable health factor.  We also need to explain that the BMI calculation is a tool used to assist in preventing long-term consequences of unhealthy weight, whether overweight or underweight. NURS 6512 Week 3 discussion Posts and responses

References

Centers for Disease Control (CDC) (2018a).  Prevalence of childhood obesity in the United States.  Retrieved from
https://www.cdc.gov

Hales, C., Carroll, M., Fryar, C., & Ogden, C. (2017).  Prevalence of obesity among adults and youth: United States, 2015-2017. 
NCHS Data Brief, 288
(2017).  Retrieved from
https://www.cdc.gov

Townsend, M., Shilts, M., Styne, D., Drake, C., Lanoue, L., & Ontai, L. (2018b).  An obesity risk assessment tool for young children: Validity with BMI and nutrient values. 
Journal of Nutrition Education and Behavior, 50
(7), 705-717.  Retrieved from https://doi.org/10.1016/j.jneb.2018.01.022

 

 

 

Dr. S

As a practitioner, it is important to educate patients on the timing and importance of screening mammograms.  When a patient is non-compliant with repeat screenings, I will discuss the reasoning behind this decision or lack of prioritizing a life-saving test.  One study found that patients with a higher number of chronic diseases had decreased screening rates (Guo et al, 2015).  This may be that most health care visits in this population are spent with specialists that aren’t as focused on breast cancer screening (2015).  It is also important to address other causes of non-compliance, such as discomfort and pain caused by compression during the mammogram (Mullai et al, 2016). NURS 6512 Week 3 discussion Posts and responses

References

Guo, F., Hirth, J., & Berenson, A. (2015).  Effects of cardiovascular disease on compliance with cervical and breast cancer screening recommendations among adult women. 
Journal of Women’s Health, 24
(8), 641-647.  doi:10.1089/jwh.2014.5129

Mullai, N., Murugesan, N., Burton, L., Goodin, V., & Stout, A. (2016).  Risk of noncompliance due to patient discomfort during screening mammogram. 
Journal of Clinical Oncology, 27
(15s), 1522.  doi:10.1200/jco.2009.27.15s.1522 NURS 6512 Week 3 discussion Posts and responses

ENT 435 Topic 3 DQ 1 – Explain how the account of biblical creation can be viewed as a model for innovative and creative leaders when managing chaos

Module 3 DQ 1

Explain how the account of biblical creation can be viewed as a model for innovative and creative leaders when managing chaos.

The story of creation is the foundation of the Christian worldview and displays God’s innovation through his thought process by his passion, vision and ability to inspire man. During all my research on this topic one thing is clear about all the great innovator throughout time is their passion. With such great passion, these innovators created a vision to follow and in most cases inspired people that they never thought they would because like Benjamin Franklin most aren’t around to inspire anymore. Their thought process that is dictated through notes and end results are all we have to go on. ENT 435 Topic 3 DQ 1 – Explain how the account of biblical creation can be viewed as a model for innovative and creative leaders when managing chaos.

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So just like in the Bible, God’s thought process is translated into notes and we live in the results of his creation. What we do with it and to it is another story and a different topic. As for God’s innovation of creation, chaos and inspiration for creative leaders Genesis 1:1, it tells of how he made something from nothing and continues on with the waters, land, light, dark and eventually man. This is where most creative leaders start, they see a need for something where there is nothing. He didn’t like the void and the ability to create the Earth out of nothing required a passion. ENT 435 Topic 3 DQ 1 – Explain how the account of biblical creation can be viewed as a model for innovative and creative leaders when managing chaos. This passion required patience, because everything great takes time and doesn’t happen overnight. Another example of this patience, creating/growing a baby. Every mom will tell you it does wear on your patience at times growing another human being but the love/passion for that little human is like no other. This is how God demonstrates His love/passion for creation ENT 435 Topic 3 DQ 1 – Explain how the account of biblical creation can be viewed as a model for innovative and creative leaders when managing chaos.

From this passion stems vision. The power to visualize your passion is different. My great grandmother told me many times growing up, especially when I was learning to believe, that I must believe/have faith in order to see not the other way around like what was taught to me later in Sunday School. You cannot say to your passion, “I will believe it when I see it” because it doesn’t exist without you visualizing it first. God did not limit his passion because he couldn’t see it, His passion became what he saw in his mind. Dream big! See big!

To get to great innovations one must think differently than the rest. God’s mindset was and is different than those of His creation. There are those who like everything as status quo and those who see what could be. God saw (again with visualization) what could be and took a chance. During his thinking and creating was much chaos and yet had order. I am of the belief that the big bang theory is God’s way of giving those of us who think scientifically a better understanding of creation. To understand this is to understand the chaos that ensues when stars, planets and the alike are born. ENT 435 Topic 3 DQ 1 – Explain how the account of biblical creation can be viewed as a model for innovative and creative leaders when managing chaos. God controlled this chaos with an order from thought to design to creation. Everything in between is chaos take for example how we get from the DQ question to our answers, I can’t be the only one to write and rewrite an answer two to three times before I finally say, “Ok, this one I will go with.”  To have an innovation with chaos would mean it’s perfect and doesn’t need anything and that just wouldn’t be innovative or creative.

 

God’s creation has inspired many great leaders and innovators rather they know it or not. If it wasn’t for the time, patience, passion, vision and different thinking would any of this be here? Would you be here if your parents, teachers or leaders challenged you on any level throughout your life to learn or want more?  God wanted more, so here we are. ENT 435 Topic 3 DQ 1 – Explain how the account of biblical creation can be viewed as a model for innovative and creative leaders when managing chaos.

 

Genesis 1:1 New International Version

 

Module 3 DQ 2

Hypothesize why it is important for leaders both to create and enable chaos as well as a clear sense of purpose in organizations.

Chaos is an uncomfortable zone and we as humans tend to avoid it or in some cases ignore it. When outside forces invade, our comfort zone our natural tendency is to push back not embrace. As leaders, it is important to create a zone of uncomfortability where a semblance of ordered chaos can establish purpose for workers to push beyond their comfort. Leaders have a responsibility to cultivate change and adapt a workers thinking/actions when comfort is the norm. To cultivate an environment, a leader must foster idealism and trust that sparks thinking beyond the boundaries of the comfort zone. ENT 435 Topic 3 DQ 1 – Explain how the account of biblical creation can be viewed as a model for innovative and creative leaders when managing chaos. When all seems out of control or appears that way a great leader will look for opportunities to help their workers discover those opportunities. Creating ordered chaos with the right amount of creativity in an organization helps prepare an organization and workers for success and to move forward with confidence.

Within the company, I work for it is one of my jobs to shake up comfort zones. In the last year, I have done a great job of pulling everyone from their comfort zones, even my boss. They are starting to get use to me doing this to them but I am about to rock their world again with the next step of my job. Chaos follows until the next update. ENT 435 Topic 3 DQ 1 – Explain how the account of biblical creation can be viewed as a model for innovative and creative leaders when managing chaos.

NURS 6512 Week 3 Obesity Essay Discussion examples

NURS 6512 Week 3 Main Discussion Post

Obesity is common among children in the United States and between 2011 and 2014 obesity was detected more in preschoolers than school-aged children (Ogden, Carroll, Fryar, & Flegal, 2015). The overweight 5-year-old boy with overweight parents will be at the center of this week’s discussion. According to the Centers for Disease Control and Prevention [CDC] (2015a), a child is said to be overweight when he or she has a body mass index at the 85th percentile and less than 95th percentile for children and teen of similar age and gender. The issue of childhood obesity is a multifaceted health problem, and the causes are parallel to those in adults which includes genetic and behavioral aspects.

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Health Issues and Risks

An overweight child is at risk for some diseases commonly type 2 diabetes and other conditions such as hypertension, liver disease and heart disease (University of California San Francisco [UCSF], 2015).  According to USCF (2015), about 40 percent of overweight children will experience some metabolic syndrome. NURS 6512 Week 3 Obesity Essay Discussion examples.

 

Additional Information Needed

Obtaining the child’s data such as height and weight will help calculate his BMI. The BMI is commonly used to assess total body fat. According to Faguy (2016), when you have both parents who are obese, it certainly increases the chances of their children becoming obese. To determine the cause of the child’s obesity, the following questions are vital.

What does your child eat in a day?

Does your child stay indoors?

iii.    Do you have a family history of obesity?

What do you think is responsible for your child’s obesity?

 

Encouraging caregivers

The best way to encourage caregivers would be to reinforce healthy eating such as including more fruits and vegetables and less fatty or sugary foods in the child’s diet. The parents also have to start eating right to be able to effect any change in their child. Encourage the parents to be more active than sedentary; educating them on the benefits of allowing the child to be physically active by going to the park or going on a walk with the child will aid in weight control. NURS 6512 Week 3 Obesity Essay Discussion examples.

 

References

Centers for Disease Control and Prevention. (2015a). Defining childhood obesity. Retrieved from Walden Library Database

Faguy, K. (2016, January). Obesity in children and adolescents: Health effects and imaging implications.
Radiologic Technology
,
87
(3), 279-298. Retrieved from https://www.ncbi.nlm.nih.gov

Ogden, C. L., Carroll, M., Fryar, C., & Flegal, K. M. (2015). Prevalence of obesity among adults and youth: United States, 2011-2014.  Retrieved from Walden University Database NURS 6512 Week 3 Obesity Essay Discussion examples

University of California San Francisco. (2015). Health risks of overweight children. Retrieved from https://www.ucsfbenioffchildrens.org/education/health_risks_for_overweight_childr

 

Week 3 discussion NURS-6512

 

The scenario: an overweight 5-year-old boy who has parents that are also overweight.   In the United States, the obesity rates in children have tripled in the last three decades (Obesity Society, 2014).  An estimated one of every six children are overweight, with children of Mexican and Native American decent being at highest risk for weights greater than the 85 percentiles, with estimates between 35-40 % (Centers for Disease Control and Prevention[CDC], 2017). These numbers make obesity the most common nutritional disorder in the United States.  The purpose of this week’s discussion explores how to gather information and encourage parental involvement in assuring and maintaining a healthy weight for their child.

In the scenario, both parents are overweight.  Studies have shown that children with two obese parents are 10-12 times more likely to be obese than children with parents that are not overweight (Fuemmeler, Lovelady, Zucker, & Ostbye,2013). The weight gain often occurs in early childhood between the ages of 3-5 years, these children tend to be less active physically and prefer foods high in fat to healthier options (Fuemmeler, Lovelady, Zucker, & Ostbye,2013).  Parenting style, a mother with diabetes during pregnancy (gestational) and lower income levels are also risk factors for childhood obesity (CDC, 2017) NURS 6512 Week 3 Obesity Essay Discussion examples.

Talking About It

The first step to addressing a child weight is to do a complete physical assessment to identify the presence of any abnormal findings.  The results of the physical assessment may provide a segue way for addressing a specific issue or lifestyle concern and offering options for change.  Observing the parents weight, asking questions related to activity level, food choices and eating habits along with physical assessment and height to weight ratios provide insight into the risk of obesity (Obesity Society,2014).  Socioeconomic status should also be considered and if warranted the practitioner should be able to suggest possible resources for assistance.  While addressing a child’s weight with a parent may be uncomfortable for both the parents and the provider, it is important that parents understand the health risks associated with childhood obesity. NURS 6512 Week 3 Obesity Essay Discussion examples.

Strategies for Prevention

There are many ways to approach the topic of obesity.  A few of the possible strategies include:  education regarding the likelihood of future health issues like heart disease and diabetes, encouraging diets low in saturated fats and carbohydrates, focus on the importance of an active lifestyle, tracking of health history, birth weights, ethnic, socioeconomic and environmental factors as well as monitoring the height and weight of all children yearly and calculating body mass index (BMI) in older children or adolescence (Obesity Society, 2014).

Conclusion

Obesity is not just about physical appearance.  It is about health and maintaining it.  Addressing the parents of an overweight child may be uncomfortable and the importance of a tactful approach cannot be understated. I believe that most parents want what is best for their children and will do what they can to assure the health of their child NURS 6512 Week 3 Obesity Essay Discussion examples.

 

Reference:

Centers for Disease Control and Prevention [CDC], (2017).  Childhood Overweight and

Obesity.  Retrieved from:
https://www.cdc.gov/obesity/childhood/

 

Fuemmeler, B. F., Lovelady, C. A., Zucker, N. L., & Østbye, T. (2013). Parental obesity

moderates the relationship between childhood appetitive traits and

weight. 
Obesity (Silver Spring, Md.)
, 
21
(4),

815–823.
http://doi.org/10.1002/oby.20144

 

Obesity Society. (2014).  Childhood Overweight.  Retrieved from:

http://www.obesity.org/obesity/resources/facts-about-obesity/childhood-

overweight NURS 6512 Week 3 Obesity Essay Discussion examples

CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation

During Phase 1, each individual will submit their own idea for an innovation along with a model they find useful for evaluating its merits. Each team member is responsible for completing research on various models. While there are several models in circulation for evaluating innovations, such as The Lean StartUp Plan, NOMMAR, SNIFF, and the linear and mental models of innovation, innovators should not feel constrained by any particular model. Feel free to borrow elements from multiple models to develop one that would work best to most effectively evaluate your own innovation.

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Teams will then review all of the submissions and choose the most promising idea to pursue. The idea should be selected by application of one of the evaluation models submitted by team members. You will then write a report of 1,500-2,500 words that describes the team’s selection process and identifies the final choice. The report must contain the following components:

1. A one- or two-paragraph summary of each team member’s idea, a description of the model used to evaluate the idea, and the results of the evaluation. Specifically, the evaluation should identify the merits, drawbacks, and challenges associated with the idea.

2. Identification of the selected idea for the project accompanied by a description of the model used to evaluate the idea. Include the results of the evaluation, which will serve as the justification for the team’s selection. Preliminarily forecast the most significant challenges that could impede the development of the selected idea. CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation.

3. A project plan that summarizes the roles or tasks assigned to each team member that must be accomplished to complete Phase 2 of the project due in Module 6.

4. In-text citations from at least five reputable secondary sources. Each person on the team must contribute an article from the research that was completed on innovation implementation/evaluation models.

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

 

Many people however, do not realize that you need to have a process or model to base their direction on. Each person shared an innovation that they want to have come alive and how they purpose to have the innovation model, the assignments for each team member to help complete phase two that is due Module 6, as well as information from research on how to implement the models for each innovation purposed by the team members.

Innovation Idea 1

Team Member 1’s innovative idea is to create a subscription based, home based business forum and membership site for those that choose a home-based business from the site. Members will pay a monthly subscription to be able to utilize the site and all of its resources to move forward in their business endeavor.

There does not seem to be one internet site that anyone could join for a monthly fee and choose from hundreds of already successful home-based business models, have the tools and resources readily available to use, and to have a community of similar business owners to communicate with, all in one place. The marketing and advertising infrastructure would already be established for the different types of home-based businesses and as part of the monthly fee. The site would include legal advice, access to business mentors, and a group of professionals available to help members grow their business without emergent chaos because of the structure and processes already in place. There would be preexisting web templates to help set up a website, as well as other legal documents and accounting templates all with instructions on how to use them.

In researching home based business opportunities, there are many websites and articles available that make suggestions on where to look for more resources or information. One such example is 67 Home Based Business ideas, Start Making Money Now, (Rose, J. 2019). The number one suggestion is to become an Uber driver. There are no websites that exist that truly enable the business to be created with the sites resources as the infrastructure.

In order to evaluate this innovative idea, a model for evaluating innovations must be used. The model chosen for this evaluation is NOMMAR (©2009 Jay Paap, Paap Associates) NOMMAR stands for need, options, market model, approach and relevant. In evaluating the idea of an all-inclusive subscription-based web portal for home-based businesses, NOMMAR will allow for early stage decisions as to the viability of the service by asking questions. CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation.

The service is needed and appears to be a service that consumers would pay for. The drawbacks of this ideas are; the market potential is unknown, the cost is unknown to create the site, the return on investment is unknown and building a portal like this can be time consuming and costly. The challenges are; much more research needs to be completed before proceeding.  While the challenges are significant and the risk is large, the payoff could be incredible and larger than other innovators like Uber.

Innovation Idea 2

Team Member 2’s idea is a customizable home décor site where you are able to design your own décor to fit your style and customize the size/color to best fit the space.  There would also be different styles and brands that the customer is able to use as inspirations and a model to build your own styles from.  Consumers would be able to design and customize any home decor that they would want and custom fit it for their space.  They would then place their order and the custom workman’s would put your idea into life and mail it out to you as soon as it is done.  This is great for people that have tons of ideas but don’t have the time or ability to make the things themselves.

Team Member 2 put this idea to the SNIFF test, the competitive advantage of this idea is that consumers would have the flexibility of being able to order any home décor that they create or want to have made by a workman for their home.  This would be a lot more convenient and creative than any home store that is in existence right now.  I believe that a competitor would be able to make an argument for a winning by taking the opposite approach.  This idea would still win though because a lot of the consumer’s fun and creativity comes out of them being able to design the product themselves. CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation.

Innovation Idea 3

Team Member 3’s innovation idea is a home shipping company that you can have a better selection at picking the day and time of the delivery at no extra cost. In this day and age, a lot of people get packages stolen, and it is worrisome to the working class or just those who are away from home a lot. With this company it would give you the week of it would be ready, and you could pick which day of the week you would want it on. Also, you could pick in 2 hour increments the best time of delivery instead of something like by end of day.  The main idea is to give customers better open availability and be able to have a more exact timeframe to be able to expect whatever it is that they are ordering.

Team Member 3 put this idea to the SNIFF test being that home shipping is a huge business as of right now. This would be very convenient and easy for consumers because online shopping has become more popular than shopping in store due to people being so busy all the time. This fits one of the main questions of SNIFF which is is there a sizable market for this endeavor. (2011) There are already popular shipping companies such as DHL, UPS or FEDEX, although these companies are only able to give time frames such as end of day or by 8 P.M, and most of the time these are just vague estimates. This company would also have the big idea of more accuracy to keep the shopper updated and in tune with their purchases. CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation.

Innovation Idea 4

Team Member 4’s innovation idea is to re-design an item that every one of us uses, the toilet. With how many germophobes in the world today we should have a toilet for the home use that you do not have to use your hands to flush. I know they already have the self-flushing toilets; however, they are too expensive that people will not put them in their house or even in smaller businesses. My idea is to make a toilet that has a foot flush on it so that way no one has to use their hands for the flushing. I think making a model for this type of innovation and the results of an evaluation. We could easily identify the merits, drawbacks, and the challenges associate with this idea.

Team Member 4 put this idea to the NOMMAR, which the first questions that needs to be asked is there a need for the product or is it more of a want. The foot flush toilet is more of a need as more and more people are becoming more aware of germs. Touching anything in the bathroom causes a huge spread of germs and some people use their hand to flush the toilet with their hands while others use their foot to flush a public toilet. This innovation has lots of potential on the on the target market. I think anyone who has a toilet in their house or business, this innovation would be an easy and cheaper way than having an auto flush toilet that does not always work properly. Now after answering all of these specific items about the innovation of a Foot Flush Toilet then you should have the ability to come up with the answer to, “should we do it?” (Terwilliger, 2011).

Innovation Idea 5

Team Member 5’s innovation is a Smart Car Seat, as a parent one thing you cannot afford to forget is leaving your sleeping child in the back of the car. Smart Car Seat can help ease the minds of parents by reminding them to double check if their child is still in the car. This device is small enough to fit on a key ring with the vehicles keys and can be connected to a phone app. If the car seat detects weight and/or the car seat buckle is locked while the device is a certain distance from the car, the device will buzz, beep, and blink to alert the parent. The smart car seat can also be linked to the phone app to send alerts to phone, so no child is left behind. The target group would be new parents, nannies, babysitters, grandparents, or anyone who is driving with a young child or infant. CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation.

The evaluation model used was SNIFF (Terwilliger, 2011). The smart car seat is a device that will help many parents ease their anxiety and unfortunately society need as an option because of the amount of children that are left in the car.  This device can have a positive impact on families and even save the life of a child. It is feasible because of technology today, and can be easily linked to a smart phone. This will give parents the peace of mind they are looking for. A few drawbacks would be the target audience and the growth of technology. This device would be for those who have young children, and once those children grow out of a car seat, then there is not a need for the device. Also with technology continuously growing, the product would most likely need to “update” and improve constantly.

Chosen Innovation and Model Used to Evaluate It

Choosing a model was not easy as every single person did an outstanding job coming up with innovations. However, when it came down to it the chosen innovation was the home décor design site for those that want to be able to enter in information and dimensions of rooms or spaces within the home and then be able to enter in other data such as wall or floor colors, insert furniture photos from the owners exiting furniture and then also enter in new furniture or accessory options. The site would use partner products and purchases of those partner products would fund the site.

The issue with home décor and design, is that first one has to easily be able to enter in the customers current living spaces information and have it visually populate the data correctly and give an accurate visual representation of the existing space and then the ability to add new or change design elements and have them accurately represented with the ability to purchase them at competitive prices. The site would have to have its own complete infrastructure and the ability to be flexible, adaptive and ever changing.

In order to evaluate this innovative idea, a model for evaluating innovations must be used. The model chosen for this evaluation is NOMMAR (©2009 Jay Paap, Paap Associates) NOMMAR stands for need, options, market model, approach and relevant. In evaluating the idea of an all-inclusive subscription-based web portal for home-based businesses, NOMMAR will allow for early stage decisions as to the viability of the service by asking questions. CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation.

N(Need).          Q.  Is there a customer need? Will someone want it?

There appears to be a need for this service. The service already esists. There are many home décor and design websites available that allow for import and design using 3d modeling. An example is https://freshome.com/10-best-free-online-virtual-room-programs-and-tools/

In order for the idea to be innovative, the group would need to meet and determine what different features, functionality, ease of use and what different end desired result would we want to create in order to be innovative.

O(Options)       Q. Are there technology options or partner companies available that could meet the need?

The technology exists to create such a web site. There are companies that exist to create the portal, populate the portal and maintain the portal.

M(Market)       Q. Is there market potential? Will someone pay for the service? CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation

There is market potential for this service. In starting a web-based décor and design site, the demand is clear as there are many participants in the market already. Th real question is how do we create something new and differentiating from the existing choices that are already out there?

M(Model)        Q. Could someone create the home décor and design portal? Can this be done and is there an existing model of success that could be referenced?

Yes- there are many existing choices out there.us

A(Approach)   Q. Could we do it? Could we create this company? Do we have the resources? Is it worth the risk? Will the endeavor be met with resistance?

We are a group of venture capitalists that are evaluating this innovation. We have the financial resources. We have partnerships and knowledge transfer capital that gives us the potential of the approach. It is unknown if the endeavor will be met with resistance. The big question is risk? With the significant capital required for this endeavor, an unsure adoption rate, a high new customer acquisition cost and the potential for us to be considered copycats in the market, the risk seems very high.

R(Relevant)     Q. Should we do it? Should we move forward with the project? How does this fit with our overall strategy and image? What additional benefits could we see by moving forward?

The strategy of this endeavor aligns with our combined venture capitalist participant’s goals. There is an opportunity to cross market additional products and services offered by the members of the group that could bolster the group overall by moving forward.

The Process of Decision

The biggest part of the process with this assignment is figuring out the who will do what and setting up deadlines that each and every one will be able to meet. Team Member 4 has assigned Team Member 1 to come up with an actual name for the service as well as describe the value the new product will provide for the people of the world as well as the need it will meet. Team Member 4 will also help Team Member 1with both tasks to help reach the requirements of both the assigned tasks. CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation. Team Member 5 and Team Member 2 will work together to utilize the model NOMMAR to create a detailed plan for the home decor innovation. Team Member 3 and Team Member 4 will create the visuals of charts and graphs to show the professional appeal of the plan and innovation. Research will be done by each person of the group, however Team Member 4 and Team Member 5 will do research on product development, Team Member 2 and Team Member 3 will do their research on management processes and Team Member 1 and Team Member 4 will research methodologies, Team Member 5 and Team Member 3  will research models. Each research done by each person should come with an in-text citation so that we will meet the six secondary sources needed to complete phase two of this group assignment. CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation.

References:

10 Best Free Online Virtual Home Room Programs. (Gibson, R. 2015.) Retrieved from:

10 Best Free Online Virtual Room Programs and Tools

67 Home Based Business ideas, Start Making Money Now, (Rose, J. 2019). Retrieved from:

http://www.creativerealities.com/innovationist-blog/bid/54707/Two-models-for-evaluating-early-

innovation

May, M. E. (n.d.). A Sniff Test for Strategy. Retrieved from: https://www.innovationexcellence.com

/blog/2018/02/11/a-sniff-test-for-strategy/

NOMMAR: Creative Realities Inc. Two Models for Evaluating Early Innovation (©2009 Jay Paap, Paap

Associates) Retrieved from: http://www.creativerealities.com/innovationist-blog/bid/54707/Two-

models-for-evaluating-early-innovation CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation

SNIFF Test Criteria. March 2011. Retrieved from http://www.creativerealities.com/innovationist-

blog/bid/54706/The-SNIFF-test-criteria-for-early-innovation-decision-making

Terwilliger, J. (2011). Creative Realities inc. Two models for evaluating early innovation.

Retrieved from: http://www.creativerealities.com/innovationist-blog/bid/54707/Two-

models-for-evaluating-early-innovation

 

The white team has evaluated our individual member’s innovative ideas. We used a variety of different evaluation methods including NOMMAR, SWOT, and SNIFF.

These ideas are presented as follows: Innovator’s name and idea.

Innovation #1

For many of us with vehicle, we may find ourselves without the proper knowledge to properly assess a problem with our vehicles. Most of the time when it comes to vehicle problems, it usually is a servicing issue and/or people just simply do not know how to diagnose a faulty system. A great innovation ideas that there could be the creation of an in-vehicle automatic serving and diagnostic system in every vehicle for everybody who doesn’t seem to have the capability to perform everyday preventative/periodical maintenance on a vehicle. The ideas of the system is that it is a vehicle mounted box with different compartments with all of the necessary fluids to service any system on a vehicle. CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation. The unit will not only be connected to every system via hoses but, the unit will also house a diagnostic unit that will visually display what the current problems is/are on the vehicle instead of a code from a diagnostic tool you find at a local garage. At the push of a button, the system will service the necessary systems with replenishment fluids in order to meet the vehicle standards. This will ultimately lower the costs of going to a local garage to have a particular system serviced and as well as lower the costs of troubleshooting systems. We have all had it done to us, we go to the dealership and they tell you that one component is bad, then they tell us that another component is bad. We end up spending too much money for maintenance. This innovation can help all of the people that who are not vehicle savvy save time and money. CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation.

CLC:  Phase 1-Proposing, Evaluating, and Selecting an Innovation                                     3

 

To evaluate this innovation, there are two methods that the innovation can be evaluated by using NOMMAR and SNIFF. Certain aspects of both would be great to use for example, SNIFF uses Feasibility as a key criteria.  NOMMAR uses both “A realistic Approach (we could do it), and “O: Technology options” — two ways of considering feasibility (Creative Realities Inc., 2011). The NOMMAR tactic will be used to assess the idea. NOMMAR – a rational and risk-sensitive approach to choosing opportunities. The process consists of six steps that include: (N): is there a customer need? (Someone will want it), (O): are their technology options? (Someone can meet the need), (M): is there a potential market? (Someone will pay), (M) is there a business model? (Someone could do it), (A): do we have a realistic approach? (We could do it), and (R): is it relevant? (We should do it) (Paap, 2008). The NOMMAR tool is useful for ideas in their early stages of life. To break down the idea, there would be customers that would want to have the product in their vehicles. There is a great customer need for simplicity and low difficulty to operate. Yes, there are technology options. There are several vehicle engineering companies that could quickly create a prototype for the testing of the product. Yes, there is a potential market for the servicing/diagnostic unit, those people include those who do not have the necessary knowledge to perform simple servicing and troubleshooting on their vehicles. Yes, there could be a potential business model but, it would take more planning in order to further evaluate the product. Yes, this product could be the real deal. With the amount of technology in the world today, there is not limit on what we can do to a vehicle in terms of safety and making things simple for people. Finally yes, it is relevant, there is a need for maintenance on a vehicle. The automobile industry will continue to grow and so will the amount of maintenance performed. CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation.

CLC:  Phase 1-Proposing, Evaluating, and Selecting an Innovation                                     4

Innovation #2

This idea for a fitness monitoring shoe that will allow the wearer to monitor many aspects of their daily walking running or exercising routine. The shoe will be available in either walking or running shoes or cross-trainers. The shoes will have built in micro monitor units that send signals to a smart-phone app. The shoes will have a built in micro battery (much like a watch). Upon the initial purchase, the owner/user will set-up their profile within the application software.  We can even set-up an auto e-mail function. This profile set-up will contain the common biological outlines such as height, weight, and age. There will be a variety of settings the wearer can use including heartrate, calories burned, miles walked (or ran). The shoes will also be able to monitor weight, pressure and balance, which can help posture. These shoes will have GPS on them, and can be used to monitor military troop movements as well as manage stress. Some names I have coined for possible trademark/copyright are: “Fitness Shoes,’ “Shoe-fit,” “Exer-shoe,” “Fit-feet,” “Fit-Shoe,” “MDwalkers,’ and “Footness Shoe,’

What the shoe will monitor.

Heartrate   Distance walked    3.  Distance ran           4.  Weight

Calories burned   Pressure      7.  Rest            8.  Center of Gravity

GPS   Temperature

I am using the SWOT analysis. “External and internal analysis combined constitute a SWOT analysis.” (Ch. 2 pg. 83)

Strengths:      
While there are fitness tracking devices available in the market, there are none that incorporate the shoe. The fitness shoe will be the first of its kind to connect the two. Using a CLC:  Phase 1-Proposing, Evaluating, and Selecting an Innovation                                     5

 

fitness tracking device in the shoe allows for more tracking capabilities. Fitness shoe can track up to 8, while most other non-foot/shoe oriented tracking devices only track 2 to 3 items.

Weaknesses:
               People are very market oriented to new gadgets, would need to test market for success determinations.  The shoe itself may not be appealing to the consumer. Would need an appealing design/look.

Opportunities:          
Fitness shoe could expand its product base by offering “companion” products with the shoe. Lighted shoelaces that light up at designated times/occurrences. Or special socks could be a few. Also, a new product spin-off could create “shoe-liners” that incorporate the same technology only in a shoe liner that can be fitted a person’s preferred shoe.

Partnering with a leading footwear manufacturer could reduce costs.

Threats:         
With a market of fitness tracking devices already out there, Footness shoe could be copied fairly easily and have direct competitors quickly.

Innovation #3

There are a lot of different fitness trackers out on the market. Very few have a sleep a tracker built into them. Most of these fitness trackers are large and bulky including the fitbit that you can wear on your wrist. There are people who may not want to wear something that resembles a watch when they sleep or may not be able to due to medical conditions. My husband has carpal tunnel and needs to wear braces to sleep. He has the fitbit but is unable to wear it comfortably under his braces.  The new Slim Fit Z will allow the freedom to wear it on your finger. The Slim Fit Z will be a thin ring one can wear with a small built in chip that will keep track of one’s pulse and monitor ones sleeping habits. The data can easily be synced to one’s phone or to the computer. It will come with a small box like charger that you can drop the ring in

CLC:  Phase 1-Proposing, Evaluating, and Selecting an Innovation                                     6

 

for easy charging and safekeeping. The consumer will set up an initial profile with their age, weight, height, and their personal preferences.

While there are products out on the market that track sleep consumers want smaller, more convenient ways to rack their health. By creating the Slim Fit Z the consumers need for something better and smaller would be filled. The SNIFF innovation model could be used to determine how much of a need there is for this product. The product would help meet our vision for improving one’s lifestyle. It would meet the need for consumers to have smaller, more convenient ways to track their health. Given the consumers need to want to spend money it would certainly have more than enough opportunity to meet demand. We would have to create a timeline to base production off of but can be completed in a reasonable amount of time. Consumers are always looking for the latest in technology to purchase so this would be a good investment. CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation.

Innovation #4

           
With many different sources of transportation available on any given day there are too many that are not eco-friendly.  In most places the means of transportation that is able to carry mass amounts of people in local towns and cities are buses.  These buses use excessive amounts of fuel to operate.  There are many people who do not want to pollute the Earth by using this source or those even stuck behind in their vehicle that have to smell the exhaust from the exhaust pipes.  Gas is very expensive, the Earth is dying from pollution, and it is harmful to mine for gas. The Eco-Earth buses will solve this problem by enabling people to choice a means of transportation that is not as damaging to the Earth.  It will receive its power from natural sources

CLC:  Phase 1-Proposing, Evaluating, and Selecting an Innovation                                     7

that are recycled.  The recycled items will include grass and yard clippings mixed with human waste from the sewage plant.  The mulch substance would be shipped to a plant that is also Earth friendly using solar paneled equipment to mix the items together continuously to ferment them into a liquid fuel source.  Buses would fuel up with the liquid fuel mixture that would in turn allow them to operate.  The product would help meet our vision for improving a person’s impact on the environment. The Eco-Earth buses would meet the need for consumers to have a greener way to travel from one place to another.  Consumers using this means of transportation would need to travel and therefore it would meet the demand while solving the problem of pollution.  Consumers are looking for ways to do their part with saving the Earth, re-inventing things to ensure they are cleaner and safe for the Earth, and contributing to their carbon footprint.  Eco-Earth buses are a step in the right direction.

While each idea we feel is worthy of pursuit, our team has chosen innovation #3 “Slim Fit Z” as our innovation choice. The model that was used to evaluate our chosen innovation idea was SNIFF. The results of our evaluation are as follows:

S
trategy:  How well does this fit with our strategy and further our Vision?

White team feels that the Slim Fit Z idea has solid attributes that fit perfectly into our strategy of bringing a new and innovative fitness tracker to market.

N
eed: How well does this address an important consumer/customer need?

Our innovation fits perfectly into an important consumer need. Which is the ability to monitor a person’s health vitals. We will supply the platform for doing that with “Slim fit Z.”

 

CLC:  Phase 1-Proposing, Evaluating, and Selecting an Innovation                                     8

I
mpact: Opportunity Size. Have we envisioned a sizable enough market with money to spend?

The fitness tracker market is well established and will support new and innovative products.

F
easibility:  Can it be done technically within our timeframe? CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation

While our timeframe can be flexible, one year from conception is adequate. The technology is already available. Slim fit Z takes that technology and applies it in the same application and purpose, but in a new way.

F
eel:  Most important — What does your “Educated Gut” say?

From the prospective of intuition and examination of the current fitness trackers on the market, white team feels positive that this innovation can and will be successful.

The Project Plan and schedule will have many challenges, some of which are development of a secure website for registration, manufacture costs, and marketing.

The roles and tasks associated with this project plan are essential to its completion. White team will take our evaluated idea and implement the project plan process. It is through project planning that white team will summarize and assign the roles and tasks as follows.

(Project Manager), will compile team member’s contributions, organize, and schedule completion date.  This role will also monitor and control our team’s progress.

(Project Team), All members will research and describe a product development or management process, methodology, or model that could be utilized to implement the innovation.

(Project Team Member), will describe the value the new product or service will provide to customers and describe the need it will meet.

CLC:  Phase 1-Proposing, Evaluating, and Selecting an Innovation                                     9

(Project Team Member), will utilizing the model selected by the team, create the detailed implementation plan for the innovation. This person will also finalize the name of the product and include a description.

(Project Team Member), will make sure the plan accounts for contingencies/risks in the implementation process and includes realistic timeframe and budgeting considerations.

(Project Team Member), will use graphics such as organizational charts, process maps, and/or budget tables as appropriate to increase the readability and professional appeal of the plan.

(Project Team), All members will include in-text citations from at least six secondary sources.  Each person on the team must contribute an article from the research that was completed on product development or management processes, methodologies, and/or models.

Finally, we as a team are confident that our innovation “Slim fit Z,” will create a positive impact in a market that is evolving. CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation.

 

References

Creative Realities Inc. (2011, April 5).
The Innovationist: Two models for evaluating early innovation
. Retrieved from Creative Realities Inc.: Catalysts for Collaborative Innovation: http://www.creativerealities.com/innovationist-blog/bid/54707/Two-models-for-evaluating-early-innovation

Noe, R. A., Hollenbeck, J. R., Gerhart, B., & Wright, P. M. (2014).
Human resource management: Gaining a competitive advantage
(9th ed.). New York, NY: McGraw-Hill/Irwin. ISBN-13: 9780078112768

http://managementstudyguide.com/swot-analysis.htm

 

Paap, J. (2008).
Evaluating & Choosing Opportunities When ROI is Unpredictable
.

Retrieved from The Management Roundtable:

http://www.roundtable.com/membership/quick-insights/paap

 

The “SNIFF” test – criteria for early innovation decision making. (n.d.). Retrieved July 17, 2015, from http://www.creativerealities.com/innovationist-blog/bid/54706/The-SNIFF-test-criteria-for-early-innovation-decision-making

Weiss, T. (2013).
Innovation Starts Within: Implementing Innovation in Organizations
. Retrieved from http://www.trendsspotting.com/blog/?p=2298 CLC: Phase 1-Proposing, Evaluating, and Selecting an Innovation

Assessment Tools and Diagnostic Tests Essay Discussion

Discussion 1: Assessment Tools and Diagnostic Tests

When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.

In this Discussion, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values Assessment Tools and Diagnostic Tests Essay Discussion.

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To prepare:

·        Review this week’s Learning Resources, and consider the factors that impact the validity and reliability of various assessment tools and diagnostic tests.

·        Select 
one 
of the following assessment tools or diagnostic tests to explore for the purposes of this Discussion:

o   Mammogram

o   Physical tests for sore throat (inspecting the throat, palpating the head and neck lymph nodes, listening to breath sounds)

o   Prostate-specific antigen (PSA) test

Assessment Tools and Diagnostic Tests Essay Discussion

o   Dix-Hallpike test

o   Body-mass index (BMI) using waist circumference for adults

·        Search the Walden Library and credible sources for resources explaining the tool or test you selected. What is its purpose, how is it conducted, and what information does it gather?

·        Examine the literature and resources you located for information about the validity and reliability of the test or tool you selected. What issues with sensitivity, specificity, and predictive values are related to the test or tool?

·        Are there any controversies or issues related to any of these tests or tools?

·        Consider any ethical dilemmas that could arise by using these tests or tools.

Post 1 page paper APA format 
a description of how the assessment tool or diagnostic test you selected is used in health care. Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.

 

Readings

·        Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). 
Seidel’s guide to physical examination
 (8th ed.). St. Louis, MO: Elsevier Mosby.

o   Chapter 2, “Cultural Competency” (pp. 21–29) Assessment Tools and Diagnostic Tests Essay Discussion

This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices.

o   Chapter 3, “Examination Techniques and Equipment” (pp. 30-49)

This chapter explains the physical examination techniques of inspection, palpation, percussion, and auscultation. This chapter also explores special issues and equipment relevant to the physical exam process.

·        Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). 
Advanced health assessment and clinical diagnosis in primary care 
(5th ed.). St. Louis, MO: Elsevier Mosby. Assessment Tools and Diagnostic Tests Essay Discussion

o   Chapter 1, “Clinical Reasoning, Differential Diagnosis, Evidence-Based Practice, and Symptom Analysis”

This chapter introduces the diagnostic process, which includes performing an analysis of the symptoms and then formulating and testing a hypothesis. The authors discuss how becoming an expert clinician takes time and practice in developing clinical judgment.

·        Sullivan , D. D. (2012). 
Guide to clinical documentation
 (2nd ed.). Philadelphia, PA: F. A. Davis.

o   Chapter 2, “The Comprehensive History and Physical Exam” (pp. 19–36)

o   Appendices A–E (pp. 225–236)

·        Laine, C. (2012). High-value testing begins with a few simple questions. 
Annals of Internal Medicine
,
156
(2), 162–163.

Retrieved from the Walden Library databases.

This article supplies a list of questions physicians should ask themselves before ordering tests. The authors provide general guidelines for maximizing the value received from testing.

·        Qaseem, A., Alguire, P., Dallas, P., Feinberg, L. E., Fitzgerald, F. T., Horwitch, C., & … Weinberger, S. (2012). Appropriate use of screening and diagnostic tests to foster high-value, cost-conscious care.
Annals of Internal Medicine
, 
156
(2), 147–150.

Retrieved from the Walden Library databases.

This article highlights the increasing cost of health care and stresses the need for high-value and cost-conscious testing. The authors provide a list of 37 situations in which more testing provides no benefit or may be harmful.

·        Shaw, S. J., Huebner, C., Armin, J., Orzech, K., & Vivian, J. (2009). The role of culture in health literacy and chronic disease screening and management. 
Journal of Immigrant & Minority Health
,
 
11
(6), 460–467.

Retrieved from the Walden Library databases. Assessment Tools and Diagnostic Tests Essay Discussion

This article examines cultural influences on health literacy, cancer screening, and chronic disease outcomes. The authors postulate that cultural beliefs about health and illness affect a patient’s ability to comprehend and follow a health care provider’s instructions.

·        Wians, F. H. (2009). Clinical laboratory tests: Which, why, and what do the results mean? 
LabMedicine, 40
, 105–113.

Retrieved from 
http://labmed.ascpjournals.org/content/40/2/105.full

This article analyzes the laboratory testing cycle and its impact on diagnostic decision making. This article also examines important diagnostic performance characteristics of laboratory tests, methods of calculating performance, and tools used to assess the diagnostic accuracy of a laboratory test.

Optional Resources

·        LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2009). DeGowin’s diagnostic examination (9th ed.). New York, NY: McGraw- Hill Medical.

o   Chapter 3, “The Physical Screening Examination”

o   Chapter 17, “Principles of Diagnostic Testing”

 

o   Chapter 18, “Common Laboratory Tests” Assessment Tools and Diagnostic Tests Essay Discussion