Assessment tool assist in providing appropriate interventions to meet the needs of your patient

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This assignment requires you to interview one person and requires an analysis of your interview experience.

Part I: Interview

Select a patient, a family member, or a friend to interview. Be sure to focus on the interviewee’s experience as a patient, regardless of whom you choose to interview.

Review The Joint Commission resource found in topic materials, which provides some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Using this resource and any other guidelines/examples that you can find, create your own tool for assessing the spiritual needs of patients.

Your spiritual needs assessment survey must include a minimum of five questions that can be answered during the interview. During the interview, document the interviewee’s responses.

The transcript should include the questions asked and the answers provided. Be sure to record the responses during the interview by taking detailed notes. Omit specific names and other personal information through which the interviewee can be determined.

Part II: Analysis

Write a 500-750 word analysis of your interview experience. Be sure to exclude specific names and other personal information from the interview. Instead, provide demographics such as sex, age, ethnicity, and religion. Include the following in your response:

  1. What      went well?
  2. Were      there any barriers or challenges that inhibited your ability to complete      the assessment tool? How would you address these in the future or change      your assessment to better address these challenges?
  3. How      can this tool assist you in providing appropriate interventions to meet      the needs of your patient?
  4. Did      you discover that illness and stress amplified the spiritual concern and      needs of your interviewee? Explain your answer with examples.

Submit both the transcript of the interview and the analysis of your results. This should be submitted as one document. The interview transcript does not figure into the word count.

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

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

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

This benchmark assignment assesses the following competencies:

CONHCP Program Competencies for the RN-BSN:

5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

This assignment requires you do conduct a spiritual assessment interview. I have pasted the JCOH spiritual assessment information for you below. The Joint Commission does not require a specific assessment tool, but provides sample questions.

American Family Physician website recommends the HOPE spiritual assessment tool: http://www.aafp.org/afp/2001/0101/p81.html  (scroll down the page to find it).

Chaplains sometimes use the FACT spiritual assessment tool. I have attached an article describing three assessment tools, including FACT, for you to consider.

You are welcome to use any of these tools, or to use questions from the Joint Commission (see below). Please specify in your paper, which of the tools you used.

Also, please include the transcript of the interview in the paper, although it will NOT count toward the word count requirements.

The strengths and limitations of different health information exchange organizations and methods

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Introduction to Electronic Health Record (EHR) Software

In this unit, you were introduced to functional EHR systems and began practicing using EHR software. For this assignment, you will complete an exercise using the Quippe software in the MyHealthProfessionsLab located in Blackboard, and then you will compose a reflection paper that details your experience.

First, use the instructions for “Exercise 3G: Another Cause of a Headache” on page 118 of your textbook to complete this exercise in the MyHealthProfessionsLab. Note: You do not have to complete Step 4 because you are not actually submitting the exercise itself.

After completing the exercise, write a reflection paper about your experience that applies what you have learned in this unit. In your reflection paper, be sure to include the following:

How was your overall experience using the software to document the patient encounter? Did you experience any issues while using the software?

Differentiate between the features and structure of Medcin software (used in this exercise) and SNOMED-CT. Which nomenclature do you feel would better serve patients?

Who owns the patient data entered into the EHR? What are your thoughts on this?

Discuss the strengths and limitations of different health information exchange organizations and methods.

Explain ICD-10-CM and CPT-4. How are these codes used in billing?

Describe how this exercise will affect or influence your future learning. What will you do differently next time? What worked well?

Your reflection paper must be at least two pages in length You are not required to use any outside resources, but if you choose to incorporate information from outside resources, including your textbook, you must cite and reference them in APA format.

The Therapeutic goal for Lyme Disease and recommended treatment

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Lyme Disease

Case Study

A 38-year-old male had a 3-week history of fatigue and lethargy with intermittent complaints of headache, fever, chills, myalgia, and arthralgia. According to the history, the patient’s symptoms began shortly after a camping vacation. He recalled a bug bite and rash on his thigh immediately after the trip. The following studies were ordered:

StudiesResults
Lyme disease test,Elevated IgM antibody titers against Borrelia burgdorferi (normal: low)
Erythrocyte sedimentation rate (ESR),30 mm/hour (normal: ≤15 mm/hour)
Aspartate aminotransferase (AST),32 units/L (normal: 8-20 units/L)
Hemoglobin (Hgb),12 g/dL (normal: 14-18 g/dL)
Hematocrit (Hct),36% (normal: 42%-52%)
Rheumatoid factor (RF),Negative (normal: negative)
Antinuclear antibodies (ANA),Negative (normal: negative)

Diagnostic Analysis

Based on the patient’s history of camping in the woods and an insect bite and rash on the thigh, Lyme disease was suspected. Early in the course of this disease, testing for specific immunoglobulin (Ig) M antibodies against B. burgdorferi is the most helpful in diagnosing Lyme disease. An elevated ESR, increased AST levels, and mild anemia are frequently seen early in this disease. RF and ANA abnormalities are usually absent.

Critical Thinking Questions

1. What is the cardinal sign of Lyme disease? (always on the boards) 2. At what stages of Lyme disease are the IgG and IgM antibodies elevated?

3. Why was the ESR elevated?

4. What is the Therapeutic goal for Lyme Disease and what is the recommended treatment.

Organizational Change And Ethical-Legal Influences In Advanced Practice Nursing Case Study

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You are a family nurse practitioner employed in a busy primary care  office. The providers in the group include one physician and three nurse  practitioners. The back office staff includes eight medical assistants  who assist with patient care as well as filing, answering calls from  patients, processing laboratory results and taking prescription renewal  requests from patients and pharmacies. Stephanie, a medical assistant,  has worked in the practice for 10 years and is very proficient at her  job. She knows almost every patient in the practice, and has an  excellent rapport with all of the providers.

Mrs. Smith was seen today in the office for an annual physical. Her  last appointment was a year ago for the same reason. During this visit,  Mrs. Smith brought an empty bottle of amoxicillin with her and asked if  she could have a refill. You noted the patient’s name on the label, and  the date on the bottle was 1 week ago. You also noted your name printed  on the label as the prescriber. The patient admitted that she called  last week concerned about her cough and spoke to Stephanie. You do not  recall having discussed this patient with Stephanie nor do the other  providers in the practice.

Discussion Question:

What are the potential ethical and legal implications for each of the following practice members?:

  • Medical assistant
  • Nurse Practitioner
  • Medical Director
  • Practice

What strategies would you implement to prevent further episodes of potentially illegal behavior?

What leadership qualities would you apply to effect a positive change  in the practice?  Be thinking about the culture of the practice.

Discussion Guiding Principles

The ideas and beliefs underpinning the discussions guide students  through engaging dialogues as they achieve the desired learning  outcomes/competencies associated with their course in a manner that  empowers them to organize, integrate, apply and critically appraise  their knowledge to their selected field of practice. The use of  discussions provides students with opportunities to contribute  level-appropriate knowledge and experience to the topic in a safe,  caring, and fluid environment that models professional and social  interaction. The ebb and flow of a discussion is based upon the  composition of student and faculty interaction in the quest for relevant  scholarship. Participation in the discussion generates opportunities  for students to actively engage in the written ideas of others by  carefully reading, researching, reflecting, and responding to the  contributions of their peers and course faculty. Discussions foster the  development of members into a community of learners as they share ideas  and inquiries, consider perspectives that may be different from their  own, and integrate knowledge from other disciplines.

The Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures

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One example of a measurement tool is the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures. Review the eight components of HEDIS comprehensive diabetes care; then consider the following scenario.

You are a staff nurse working in a private primary care practice. It is a small practice with 2 MDs (internists), 2 nurses, 1 medical assistant, and an office staff for billing. There are approximately 1,000 patients in the practice. You have had no EHR until the last year, but all charts are manual, historically. Your physicians are starting to inquire about quality incentives, particularly regarding patients with diabetes.

By Day 3

Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all 8 components of HEDIS comprehensive diabetes care.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist).

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations.  

Application Of Public Health Concepts For The Uninsure

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Tutor MUST have a good command of the English language

Sources need to be journal/scholarly articles. 

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes

Please see attached Rubric

Details:

 

In this assignment, learners are required to write a case report addressing the personal knowledge and skills gained in this course and potentially solving an identified practice problem.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This      assignment uses a rubric. Please review the rubric prior to beginning the assignment      to become familiar with the expectations for successful completion.
  • Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is located in the      Student Success Center.
  • This      assignment requires that at least two additional scholarly research      sources related to this topic, and at least one in-text citation from each      source be included.
  • You      are required to submit this assignment to LopesWrite. Please refer to the      directions in the Student Success Center.

Directions:

Construct a 2,500-3,000 word (approximately 10-12 pages) case report that includes a problem or situation consistent with a DNP area of practice.

  1. Review      the IOM and Kaiser Commission Report on the uninsured to develop the case      report.
  2. Apply      public health concepts to describe understanding      of the problem or situation of focus.
  3. Apply      one or more public health concepts to the recommended intervention or      solution being proposed.
  4. Develop      the case report across the entire scenario from the identification of the      clinical or health care problem through the proposal for an intervention,      implementation, and evaluation using an appropriate research instrument.
  5. Describe      the evaluation of the selected research instrument in the case report.
  6. Lastly,      explain in full the tenets, rationale      for selection (empirical evidence), and clear      application using the language of public health concepts within the case      report.

Case Report Requirements:

In addition, your case report must include the following:

  1. Introduction with a problem statement.
  2. Brief      literature review.
  3. Description      of the case/situation/conditions explained from a theoretical perspective.
  4. Discussion that includes a detailed explanation      of the synthesized literature findings.
  5. Summary of the case.
  6. Proposed solutions to remedy gaps,      inefficiencies, or other issues from a theoretical approach.
  7. Identification      of a research instrument to evaluate the proposed solution along with a      description of how the instrument      could be evaluated.
  8. Conclusion.

The ages of patients play a critical role in the method used to treat the patients

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InstructionsYou are  currently working at NCLEX Memorial Hospital in the  Infectious Diseases Unit. Over the past few days, you have noticed an  increase in patients admitted with a particular infectious disease. You  believe that the ages of these patients play a critical role in the  method used to treat the patients. You decide to speak to your manager,  and together you work to use statistical analysis to look more closely  at the ages of these patients. You do some research and put together a spreadsheet of the data that contains the following information: Client number Infection disease status Age of the patient You are to put together a PowerPoint presentation that explains the  analysis of your findings which you will submit to your manager. The  presentation should contain all components of your  findings. For  review, the components of the report should include: Brief overview of the scenario and variables in the data set Discussion, calculation, and interpretation of the mean, median, mode, range, standard deviation, and variance Discussion, construction, and interpretation of the 95% confidence interval Explanation of the full hypothesis test Conclusion The  calculations should be performed in your spreadsheet that you  will also submit  to your manager. You can find additional information  on what to add to your PowerPoint  presentation in this Word document. Use the  questions in the worksheet as your guide for the contents of your presentation. For your final deliverable, submit your PowerPoint presentation and  the Excel  workbook showing your work. Do NOT submit your Word document

Medical management needs for clients with depression disorders

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As nurse practitioners strive to achieve full-autonomous practice across the country, it should be noted that many states grant this ability to practice independently to psychiatric mental health nurse practitioners. To that end, you will be engaging in projects this semester that assume that you are practicing in a state that allows full-practice authority for NPs, meaning that the PMHNP may be the “captain of the ship” concerning caring for a patient population. The “captain of the ship” is the one who makes referrals to specialists, coordinates care for their patients/clients, and is responsible and accountable for patient/client outcomes overall. This is a decided change from a few decades ago when physicians were the “captain of the ship” and NPs played a peripheral role.

In this Assignment, you will become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a depression disorder.

Learning Objectives

Students will:

· Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with depression disorders

· Recommend psychotherapy based on therapeutic endpoints for clients with depression disorders

· Identify medical management needs for clients with depression disorders

· Identify community support resources for clients with depression disorders

· Recommend follow-up plans for clients with depression disorders

To prepare for this Assignment:

· Select an adult or older adult client with a depressive disorder you have seen in your practicum.

In 4 pages, write a treatment plan for your client in which you do the following:

Thesis statement

Describe the HPI and clinical impression for the client.

Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)

Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.

Identify medical management needs, including primary care needs, specific to this client.

Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.

Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

Theoretical Implications for Both Online and Offline Therapeutic Technique

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Assignment 1: Applying Current Literature to Clinical Practice

Literature in psychotherapy differs from other areas of clinical practice. Generally, there are no clinical trials in psychotherapy because it is often neither appropriate nor ethical to have controls in psychotherapy research. This sometimes makes it more difficult to translate research findings into practice. In your role, however, you must be able to synthesize current literature and apply it to your own clients. For this Assignment, you begin practicing this skill by examining current literature on psychodynamic therapy and considering how it might translate into your own clinical practice.

To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide.

· Select one of the psychodynamic therapy articles from the Learning Resources to evaluate for this Assignment. 

Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues.

The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

· Provide an overview of the article you selected.

o What population is under consideration?

o What was the specific intervention that was used? Is this a new intervention or one that was already used?

o What were the author’s claims?

· Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?

· Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature.

How could you contribute to an interprofessional team and patient outcomes through nursing actions

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Purpose

The purpose of the iCARE Paper assignment is to explore the concept of interprofessional teams and patient outcomes. Nursing supportive actions of compassion, advocacy, resilience, and evidence-based practice will serve as a way to apply care concepts.

Directions

Getting Started: Interprofessional teams are part of practice trends we see developing in all aspects of care delivery. Consider you own work environment (or recent clinical setting).

· For this assignment, consider the concept of interprofessional teamwork and patient outcomes.

· Look to your current workplace as an example. (If you are not currently employed, look to a past workplace or clinical practice area.)

· Apply the components of the iCARE concept to interprofessional teams in a short paper. (Body of the paper to be 3 pages, excluding the title page and references page)

· iCARE components are:

C ompassion

A dvocacy

R esilience

E vidence-Based Practice (EBP)

· How could you contribute to an interprofessional team and patient outcomes through nursing actions of: compassion, advocacy, resilience, and evidence-based practice?

· Select one scholarly nursing article from CINAHL as a resource for your paper. Additional scholarly sources can be used but are optional.

· Use APA format throughout, particularly in citations and on the References page.

· Please paraphrase throughout. One short quote is permitted.

· The prepared paper template is RECOMMENDED for this assignment.

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Elements of iCARE paper

· Title page

· Below are the headings to be used for this assignment.

· Introduction: (No heading needed here in APA) Explain the type of work setting you are discussing and whether interprofessional teams are currently present. If interprofessional teams are present, indicate a team function that could be improved. If interprofessional teams are NOT present, indicate what type of team you think might be possible in the setting.

Describe a nursing action item for each component below that could contribute to: interprofessional team support; how this might impact the culture of your unit or organization; and possible impact on patient outcomes.

· Compassion

· Advocacy

· Resilience

· Evidence-Based Practice

· Summary: Include a summary statement of how iCARE components can support interprofessional teams and patient outcomes. Address how you may be able to influence this process of support for interprofessional teams overall in your unit or organization.

· References page: List any references used in APA format.

Textbook:

· American Nurses Association. (2015). Nursing: Scope and standards of practice. (3rd ed.). Silver Spring, MD: Author.