CASE STUDY: Preschool Child: Ricky

Ricky, age 4 years, arrives in the clinic with his mother. Ricky lives with his mother and father, who both work full-time, and his infant sister. Their extended family lives in a different state more than 100 miles away. Both parents are of average height and in good health. Ricky’s mother mentions that Ricky often expresses frustration, particularly in regard to food. Conflict over food occurs every day. Mealtime is a battle to get him to eat, unless his mother feeds him. Ricky’s baby sister seems to tolerate all baby foods but requires her mother to spoon-feed.

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Ricky’s mother is quite frustrated and concerned that he will become malnourished. Reflective Questions 1. What additional assessment information would you collect? 2. What questions would you ask, and how would you further explore this issue with the mother? 3. In what ways does the distance of the extended family influence this family’s approach to health promotion? 4. What factors would you consider to determine whether malnourishment is a factor in this family? CASE STUDY: Preschool Child: Ricky

Quality Improvement Proposal Essay

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply the “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal. Quality Improvement Proposal Essay

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Include the following:

1. Provide an overview of the problem and the setting in which the problem or issue occurs.
2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer. Quality Improvement Proposal Essay
5. Explain how the quality improvement initiative will be evaluated to determine whether there was an improvement.
6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1/#/chapter/4 Quality Improvement Proposal Essay

Assessing and Treating Patients With Anxiety Disorders

Common symptoms of anxiety disorders include chest pains, shortness of breath, and other physical symptoms that may be mistaken for a heart attack or other physical ailment. These manifestations often prompt patients to seek care from their primary care providers or emergency departments. Once it is determined that there is no organic basis for these symptoms, patients are typically referred to a psychiatric mental health practitioner for anxiolytic therapy. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with anxiety disorders. Assessing and Treating Patients With Anxiety Disorders

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To prepare for this Assignment:

• Review this week’s Learning Resources, including the Medication Resources indicated for this week.
• Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring anxiolytic therapy.

The Assignment: 5 pages

Examine Case Study: A Middle-Aged Caucasian Man With Anxiety. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

• Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient. Assessing and Treating Patients With Anxiety Disorders

Decision #1 (1 page)

• Which decision did you select?
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Assessing and Treating Patients With Anxiety Disorders

Decision #3 (1 page)

• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

• Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Assessing and Treating Patients With Anxiety Disorders

Health Assessment And Communication

Conduct a health assessment of a population of your choice. Explain the process and summarize the results.

Effective communication is one of the most critical skills a health care  provider can master. Nurses communicate to a variety of individuals  with a range of educational levels who come from diverse settings. Health Assessment And Communication

Suggested Resources

To help you prepare for this assessment, review the resources you  used and the assessments you completed in BSN-FP4002, BSN-FP4010, and  BSN-FP4014.

Preparation

To prepare for this assessment, you will need to think about  changes you feel are needed to address a problem either within nursing  as a professional field or within the organization where you work.  Narrow down your options by considering which change would best be  undertaken by an interprofessional team. Some examples for you to  consider might include:

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• The use of mobile and portable technology to support patients.
• Using evidence-based practice (EBP) to improve patient care.
• Increasing patient safety and quality of care.
• The use of medical technology such as genes and stem cells, or robots in the OR.
• Addressing the nursing shortage now and into the future.
• Improving the work environment (providing calm, supportive spaces  for nurses; improved dialog between health care professionals).
• Better safety for nurses at work (violence, spreading diseases, physical injury). Health Assessment And Communication
• Substance abuse by health care professionals.

Or you can narrow the scope to an issue within your own organization:

• Developing a mobility program for an inpatient unit.
• Implementing “smart” technology to assist in patient monitoring.
• Creating a mentoring program to attract and retain nurses.
• Implementing protocols for infection control and/or treatment of an epidemic.
• Developing a plan to eliminate physical violence and verbal abuse in the workplace.
• Other.

Once you have selected an issue to address, look for scholarly and  professional articles that focus on the problem, the needed change, and  how interprofessional teams can work together to drive change.

Requirements

Lately you have noticed the need for changes within your  organization that would advance the field of nursing. You have decided  to develop a proposal and submit it to executive leadership. Format this  assessment as a professional proposal. You may want to look at how  proposals are drafted within your organization and follow that format.  You will still need a references page; follow APA guidelines for in-text  citations and references.

Address the following in your proposal:

• Briefly describe the problem and how it impacts the organization, patients, and/or the nursing profession.
• Describe possible evidence-based interventions for the problem.
• Analyze potential barriers and resistance to change that might come from the organization, patients, and/or colleagues.
• Describe strategies to overcome barriers and resistance to change.
• Develop a plan to implement evidence-based interventions. What steps would you take? What resources might you need?
• Identify other health care professionals to enlist as team members to help drive change in the organization. Health Assessment And Communication

Your completed assessment should be 4–6 pages in length, not  including title page and references page. Support your statements and  intervention plan with references to and citations for at least four  scholarly or professional resources.

Additional Requirements

• Include a title page and references page.
• Reference at least four current scholarly or professional resources.
• Use APA format for citations and references.
• Use Times New Roman font, 12 point.
• Double space.

Health Assessment And Communication