Problem or concern in your community, organization, that has the capacity to be legislated

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As you have discovered through this course, nurses are influential members of the community and the political system. Therefore, for the purposes of this assignment you will identify a problem or concern in your community, organization, etc. that has the capacity to be legislated. You will conduct research and state a proposal. Through the legislative process, your proposal for the problem or concern may influence an idea for change into a law.

First, refer to the “How a Bill Becomes a Law” media.

http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs440v_how-a-bill-becomes-a-law-v2.1.php/.

Then, view the “Bill to Law Process” to watch the scenario.

After viewing the scenario, refer to the “Legislative Assignment.” You will need to save the document first in order to use it.

Submit the assignment to the instructor. You also reserve the right to submit your completed proposal to the respective government official. However, this is optional. If you select to submit your proposal as a part of the legislative process, refer to “Find Your Representative” or research the contact information on your own. 

APA format is not required, but solid academic writing is expected. 

Legislative Worksheet (SBAR Format) –

How a Bill Becomes a Law

SITUATION: IS THIS SOMETHING THAT CAN BE LEGISLATED?· Identify the problem/concern:· State your proposal/idea.BACKGROUND: DO YOUR RESEARCH· Include studies, reports, personal experience, or anecdotal stories related to your proposal.· Has there been similar legislation introduced and/or passed in other states? If so, include it.ASSESSMENT: FINANCES AND STAKEHOLDERS· Identify financial impact if any (e.g., added costs, cost savings, increased revenue):· Identify stakeholder groups that would support this bill:· Identify people/groups that would oppose this bill:RECOMMENDATION· Make an appointment with your legislator to discuss your proposal.© 2013. Grand Canyon University. All Rights Reserved.

Risk Management And The Role Of Managed Care

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Throughout this course, you have identified, examined, and provided individual as well as collaborative analysis on multiple facets of risk management in the health care setting.

Addressing the knowledge you have gained, and building on that knowledge to add your evaluation of the role that the managed care organization (MCO) plays in today’s health care environment, develop a 250-500 word reflection to incorporate the following:

  1. What is a health care organization’s administrative role regarding oversight of risk management policies and ensuring compliance with managed care organization (MCOs) standards?
  2. What is your assessment of the value provided to an organization that stems from the regulatory statutes of a typical MCO? Consider the establishment of conflict resolution and risk management strategies within the health care organization from the employer/employee perspective as well as in regards to patient conflict circumstances.
  3. What MCO responsibilities pertain to the Patient Protection and Affordable Care Act (PPACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

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 LopesWrite. Please refer to the directions in the Student Success Center.

Asthma and Stepwise Management

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Assignment: Asthma and Stepwise Management

Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening symptoms. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors. One method that supports the clinical decision-making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To prepare:

· Consider drugs used to treat asthmatic patients including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients including adults and children.

· Review Chapter 25 of the Arcangelo and Peterson text. Reflect on using the stepwise approach to asthma treatment and management.

· Consider how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

Write a 3- to 4- page paper that addresses the following: APA Style with 4-5 references that are less than 5 years old. While writing the paper, remember, all I look for is pharmacodynamics (therapeutic effects, adverse effects, mechanism of action), & pharmacokinetics (absorption, distribution, metabolism & elimination). So make sure to add medications and describe the pharmacodynamics& pharmacokinetics 

· Describe long-term control and quick relief treatment options for asthma patients, as well as the impact these drugs might have on patients. Think about the impact these drugs might have on patients including adults and children.

· Explain the stepwise approach to asthma treatment and management.

· Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

Intro

Subheadings

Summary

The recommended screening guidelines and treatment for Benign prostatic hypertrophy

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Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

Urinary Obstruction Case Studies

The 57-year-old patient noted urinary hesitancy and a decrease in the force of his urinary stream for several months. Both had progressively become worse. His physical examination was essentially negative except for an enlarged prostate, which was bulky and soft.

Studies

Results

Routine laboratory studies

Within normal limits (WNL)

Intravenous pyelogram (IVP)

Mild indentation of the interior aspect of the bladder, indicating an enlarged prostate

Uroflowmetry with total voided flow of 225 mL

8 mL/sec (normal: >12 mL/sec)

Cystometry

Resting bladder pressure: 35 cm H2O (normal: <40 cm H2O)

Peak bladder pressure: 50 cm H2O (normal: 40-90 cm H2O)

page1image21531456

Electromyography of the pelvic sphincter muscle

Normal resting bladder with a positive tonus limb

Cystoscopy

Benign prostatic hypertrophy (BPH)

Prostatic acid phosphatase (PAP)

0.5 units/L (normal: 0.11-0.60 units/L)

Prostate specific antigen (PSA)

1.0 ng/mL (normal: <4 ng/mL)

Prostate ultrasound

Diffusely enlarged prostate; no localized tumor

Diagnostic Analysis

Because of the patient’s symptoms, bladder outlet obstruction was highly suspected. Physical examination indicated an enlarged prostate. IVP studies corroborated that finding. The reduced urine flow rate indicated an obstruction distal to the urinary bladder. Because the patient was found to have a normal total voided volume, one could not say that the reduced flow rate was the result of an inadequately distended bladder. Rather, the bladder was appropriately distended, yet the flow rate was decreased. This indicated outlet obstruction. The cystogram indicated that the bladder was capable of mounting an effective pressure and was not an atonic bladder compatible with neurologic disease. The tonus limb again indicated the bladder was able to contract. The peak bladder pressure of 50 cm H2O was normal, again indicating appropriate muscular function of the bladder. Based on these studies, the patient was diagnosed with a urinary outlet obstruction. The PAP and PSA indicated benign prostatic hypertrophy (BPH). The ultrasound supported that diagnosis. Cystoscopy documented that finding, and the patient was appropriately treated by transurethral resection of the prostate (TURP). This patient did well postoperatively and had no major problems.

Critical Thinking Questions

  1. Does BPH predispose this patient to cancer?
  2. Why are patients with BPH at increased risk for urinary tract infections?
  3. What would you expect the patient’s PSA level to be after surgery?
  4. What is the recommended screening guidelines and treatment for BPH?
  5. What are some alternative treatments / natural homeopathic options for treatment?

Theoretical or conceptual framework and the exploration of a clinical problem

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The nursing research article attached includes a theoretical or conceptual framework and the exploration of a clinical problem. Identify the nursing research article components using the Week 5 research template(See attached template).

See attached article*

The template will be evaluated on the effectiveness of the discussion of the following components. If a component is not present in the article, its absence should be discussed.

  • Identify the research problem.
  • Identify the research purpose.
  • Summarize the review of literature.
  • Identify the nursing framework or theoretical perspective.
  • Identify the research questions and hypotheses.
  • Identify the variables.
  • Identify and discuss the appropriateness of the design.
  • Discusses the validity and reliability of the instruments, tools, or surveys.
  • Discuss the significance of the study. Did it resolve the question?
  • Discuss the legal and ethical issues of the study. Include the use of human subjects and their protection.
  • Describe any cultural aspects of the study.
  • Describe the final sample.
  • Describe the procedures for data collection.
  • Summarize the results including statistical analysis used or other method of analysis.
  • Describe how the results of the research may impact future nursing practice.
  • Apply the research to the student’s nursing practice.
  • NOTE: If a component is absent, student receives a zero for that component.

Submission Details:

  • Cite any resources in APA style and write a minimum of 2 pages

The Impact Of Nursing Informatics On Patient Outcomes And Patient Care Efficiencies

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In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined? 

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

  • Review the concepts of technology application as presented in the Resources. 
  • Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

  • Describe the project you propose.
  • Identify the stakeholders impacted by this project.
  • Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
  • Identify the technologies required to implement this project and explain why.
  • Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

   Rurbic:           

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient care efficiency. Your project proposal should include the following:



·   Describe the project you propose.

·   Identify the stakeholders impacted by this project.

·   Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving, and explain how this improvement would occur. Be specific and provide examples.

·   Identify the technologies required to implement this project and explain why.

·   Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.–

Levels of Achievement:Excellent 77 (77%) – 85 (85%) The response accurately and thoroughly describes in detail the project proposed.

The response accurately and clearly identifies the stakeholders impacted by the project proposed.

The response accurately and thoroughly explains in detail the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an accurate and detailed explanation, with sufficient supporting evidence of how this improvement would occur.

The response accurately and clearly identifies the technologies required to implement the project proposed with a detailed explanation why.

The response accurately and clearly identifies the project team (by roles) and thoroughly explains in detail how to incorporate the nurse informaticist in the project team.

Includes: 3 or more peer-reviewed sources and 2 or more course resources.Good 68 (68%) – 76 (76%) The response describes the project proposed.

The response identifies the stakeholders impacted by the project proposed.

The response explains the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an explanation, with some supporting evidence of how this improvement would occur.

The response identifies the technologies required to implement the project proposed with an explanation why.

The response identifies the project team (by roles) and explains how to incorporate the nurse informaticist in the project team.

Includes: 2 peer-reviewed sources and 2 course resources.Fair 60 (60%) – 67 (67%) The response describing the project proposed is vague or inaccurate.

The response identifying the stakeholders impacted by the project proposed is vague or inaccurate.

The response explaining the patient outcome(s) or patient-care efficiencies the project proposed is aimed at improving, including an explanation of how this improvement would occur, is vague or inaccurate, or includes little to no supporting evidence.

The response identifying the technologies required to implement the project proposed with an explanation why is vague or inaccurate.

The response identifying the project team (by roles) and an explanation of how to incorporate the nurse informaticist in the project team is vague or inaccurate.

Includes: 1 peer-reviewed sources and 1 course resources.Poor 0 (0%) – 59 (59%) The response describing the project proposed is vague and inaccurate, or is missing.

The response identifying the stakeholders impacted by the project proposed is vague and inaccurate, or is missing.

The response explaining the patient outcome(s) or patient-care efficiencies the project proposed is aimed at improving, including an explanation of how this improvement would occur, is vague and inaccurate, includes no supporting evidence, or is missing.

The response identifying the technologies required to implement the project proposed with an explanation why is vague and inaccurate, or is missing.

The response identifying the project team (by roles) and an explanation of how to incorporate the nurse informaticist in the project team is vague and inaccurate, or is missing.

Includes: 1 or fewer resources.Feedback:

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity.Good 4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Fair 3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.Poor 0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.Feedback:

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.Good 4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors.Poor 0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Feedback:

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct APA format with no errors.Good 4 (4%) – 4 (4%) Contains a few (1-2) APA format errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors.Poor 0 (0%) – 3 (3%) 

Social or global issue and how it relates to wellness, and uses appropriate research strategies

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IDS 402 Final Project Guidelines and Rubric

Overview In this course, you will explore the relationship between wellness, society, and the individual. It is important to recognize the influence and impact that wellness can have and what that means for individuals in all disciplines. Problems in wellness have influence on many aspects of society, and how that is dealt with requires diverse knowledge and perspectives to investigate and change. Across many disciplines, the ability to investigate and then articulate a plan to inspire change is often necessary to achieve personal and professional goals. The purpose of this project is to examine the role of wellness in society and how that impacts individuals through the development of a plan that addresses a local or global problem relating to wellness.

The project is divided into four milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules Two, Three, Five, and Six. The final product will be submitted in Module Seven. In this assignment, you will demonstrate your mastery of the following course outcomes:

 IDS-402-01: Analyze the various components of wellness for investigating the influence of wellness on one’s discipline of study or chosen profession

 IDS-402-02: Integrate interdisciplinary approaches for determining the impact that contemporary issues in healthcare systems have on modern society

 IDS-402-03: Describe contemporary issues surrounding wellness for their relevance to and impact on the individual and society by employing appropriate research strategies

 IDS-402-04: Recommend potential applications of strategies for monitoring and enhancing personal and public wellness

 IDS-402-05: Articulate informed viewpoints on contemporary issues surrounding wellness issues through effective communication skills

 IDS-402-06: Assess cultural and social attitudes, choices, and behaviors for their implications to lifelong health and wellness through the incorporation of diverse perspectives and viewpoints informed by relevant literature and peer experiences

Prompt For this project, you will choose a local or global issue that pertains to wellness. The chosen issue should also relate to one or more of the topics that has been addressed in this course (art, transforming practices and attitudes, technological advances, social attitudes, environment, etc.). Some examples of broad issues within these topics can be located here. In this presentation, you will explain a chosen issue, describe how it pertains to wellness, and provide a plan of action for addressing this issue. This plan includes recommendations for improvements as well as strategies and a plan for implementing the recommendations. You will develop your plan as a multimedia presentation that will require an oral narration component. This oral component should be a recorded oral narration that accompanies your multimedia presentation. You will be required to provide written speaker notes that correspond with your presentation in a separate Word document. Be sure to support your answers with appropriate evidence from relevant and appropriate research.https://learn.snhu.edu/d2l/lor/viewer/view.d2l?ou=6606&loIdentId=20333

Specifically, you must address the following critical elements:

I. Introduction: For this part of the project, you will examine the importance of wellness in society and how it influences social practices as well as your discipline of study. To help guide your analysis, you will explore a topic that has been discussed in this course (art, transforming practices and attitudes, technological advances, social attitudes, environment, etc.).

A. Analyze the importance (or lack thereof) of wellness and health in society and how it has sparked change in the everyday behavior of individuals or societies? [IDS-402-01]

B. Analyze how social practices and our idea of wellness have shaped each other. [IDS-402-02] C. Analyze how wellness has influenced the everyday behavior of individuals in your discipline of study or the professional field you are interested

in going into.. [IDS-402-01]

II. Issue: For this part of the project, you will introduce the issue and how it relates to wellness and any of the topics that have been discussed in the course.

A. Using appropriate research strategies, describe a social or global issue that is related to wellness. [IDS-402-03] i. What is the origin of the issue?

ii. What is the issue about? B. Using appropriate research strategies, describe the target population of the issue. [IDS-402-03]

i. Who is impacted by the issue? ii. What is important to know about them?

C. Using appropriate research strategies, explain how the chosen issue relates to a topic that has been discussed in this course. [IDS-402-03] i. In other words, how can you connect the social or global issue you have chosen with a topic that has been discussed in this course?

ii. How does it inform your understanding of the issue? D. Using relevant research or diverse perspectives, assess how the chosen issue is impacting the target population. [IDS-402-06]

III. Plan: For this part of the project, you will offer recommendations and a plan to improve the issue, as well as strategies for implementing your plan.

A. Explain the goals of your plan. What are the specific goals you are trying to accomplish with your plan? [IDS-402-04] B. Make recommendations for how the current issue could be addressed in order to minimize its impact on the target population. Think of specific

strategies or tactics that you could implement to address the issue. [IDS-402-04] C. Consider the implications of social attitudes and individual choices on lifelong health and wellness. If you were in charge of addressing your

chosen issue, what challenges would you face when implementing your plan? How would you address those challenges? Support your answer with relevant research or diverse perspectives. [IDS-402-06]

D. Explain the strengths of your plan and why it is likely it would be successful. [IDS-402-04]

IV. Conclusion: For this part of the project, you will conclude your presentation by examining the role of wellness in society and how it influences aspects of culture and the individual.

A. Using the four lenses, explain how issues in wellness impact modern society. [IDS-402-02] B. Using the four lenses, explain how your selected topic has or has not shaped your idea of wellness. [IDS-402-02] C. Explain how the various components of wellness influence both your personal and professional contexts. Consider how the components of

wellness impact the day-to-day responsibilities or questions faced by practitioners in your field or discipline. [IDS-402-01] D. Reflecting on the research you did for this project and the diverse perspectives presented in this course, assess how changing attitudes, choices,

and behaviors have the potential to improve personal and societal wellness. [IDS-402-06]

V. Presentation: Throughout your presentation, you will be assessed on your ability to use effective multimedia communication skills to deliver your message to your audience.

A. Construct your presentation in a way that ensures the oral narration and visual elements are logically organized in order to convey your message to your audience. [IDS-402-05]

B. Provide supporting evidence in your presentation to articulate the importance of the chosen issue and the goals of the plan. Make sure you include citations in appropriate APA or MLA format. [IDS-402-05]

C. Select multimedia elements to logically flow with your presentation to articulate the importance of the chosen issue and the goals of your plan. [IDS-402-05]

i. Did you emphasize key ideas in your oral component? ii. Do your multimedia elements logically flow with the accompanying presentation?

Milestones Milestone One: Introduction In Module Two, you will complete a draft of the Introduction section of your presentation. In this section, you will examine the importance of wellness in society and how it influences social practices as well as your discipline of study. The final project represents a significant portion of your final grade, so it is imperative that you develop your ideas well. This milestone will be graded with the Milestone One Rubric. Milestone Two: Issue In Module Three, you will submit a draft of the Issue section of your presentation. In this section, you will introduce the issue and how it relates to wellness and any of the topics that have been discussed in the course. This milestone will be submitted as a Word document. Note that this document, with revisions, can serve as your speaker notes for the final project submission. This milestone will be graded with the Milestone Two Rubric. Milestone Three: Plan In Module Five, you will submit a draft of the Plan section of your presentation. In this section, you will offer recommendations and a plan to improve the issue as well as strategies for implementing your plan. You will also create the visual facet of your final project presentation. Keep in mind that your voice will be the primary carrier of your message and that visuals play a supporting role. You want your voice and visuals to work together and not compete for attention, so you should minimize the number of words on each slide and maximize the use of visual elements, including photographs, illustrations, and graphs. You will submit

this milestone as a presentation draft in PowerPoint that will include visuals and a speaker notes. This milestone will be graded with the Milestone Three Rubric. Milestone Four: Presentation Practice and Tech Check In Module Six, you will practice putting it all together. For this assignment, you will narrate the Plan section of your presentation. This milestone will be assessed on a pass/fail basis. Final Submission: Presentation In Module Seven, you will submit your final project. It should be a complete, polished artifact containing all of the critical elements of the final product. It should reflect the incorporation of feedback gained throughout the course. This submission will be graded with the Final Project Rubric.

Deliverables Milestone Deliverable Module Due Grading

One Introduction Two Graded separately; Milestone One Rubric

Two Issue Three Graded separately; Milestone Two Rubric

Three Plan Five Graded separately; Milestone Three Rubric

Four Presentation Practice and Tech Check Six Graded separately; Pass/Fail

Final Project Submission: Presentation Eight Graded separately; Final Project Rubric

Final Project Rubric Guidelines for Submission: Your multimedia presentation (10 slides minimum) with audio elements must be accompanied by 6 to 8 pages of speaker notes. The notes should be submitted in a Word document with 12-point Times New Roman font, double spacing, and one-inch margins. The length of this presentation (including all audio elements) should be 8 to 12 minutes. Include a minimum of three relevant resources and cite them according to APA or MLA style.

Critical Elements Exemplary (100%) Proficient (85%) Needs Improvement (55%) Not Evident (0%) Value

Introduction: Importance [IDS-402-01]

Meets “Proficient” criteria, and analysis demonstrates keen insight into the importance or lack of importance of wellness in society

Analyzes the importance or lack of importance of wellness and health in society

Analyzes the importance or lack of importance of wellness and health in society, but analysis is cursory

Does not analyze the importance or lack of importance of wellness and health in society

5.5

Critical Elements Exemplary (100%) Proficient (85%) Needs Improvement (55%) Not Evident (0%) Value

Introduction: Social Practices

[IDS-402-01]

Meets “Proficient” criteria, and analysis demonstrates keen insight into how the idea of wellness and social practices have influenced each other

Analyzes how social practices have shaped the idea of wellness and how that idea of wellness has shaped social practices

Analyzes how social practices have shaped the idea of wellness and how that idea of wellness has shaped social practices, but analysis is cursory

Does not analyze how social practices have shaped the idea of wellness and how that idea of wellness has shaped social practices

5.5

Introduction: Discipline of Study

[IDS-402-01]

Meets “Proficient” criteria, and analysis demonstrates keen insight into how wellness has influenced the behaviors and operations of individuals in the discipline of study

Analyzes how wellness has influenced the behaviors and operations of individuals in the discipline of study or area of interest

Analyzes how wellness has influenced the behaviors and operations of individuals in the discipline of study or area of interest, but analysis is cursory

Does not analyze how wellness has influenced the behaviors and operations of individuals in the discipline of study or area of interest

5.5

Issue: Social or Global Issue

[IDS-402-03]

Meets “Proficient” criteria, and description demonstrates a nuanced understanding of the relationship between the chosen issue and wellness

Describes a social or global issue and how it relates to wellness, and uses appropriate research strategies

Describes a social or global issue and how it relates to wellness, and uses research strategies, but description is cursory or research strategies are inappropriate

Does not describe a social or global issue and how it relates to wellness

5.5

Issue: Target Population

[IDS-402-03]

Meets “Proficient” criteria, and description demonstrates a nuanced understanding of the target population

Describes the target population of the issue, and uses appropriate research strategies

Describes the target population of the issue, and uses research strategies, but description is cursory or research strategies are inappropriate

Does not describe the target population of the issue

5.5

Issue: Topic [IDS-402-03]

Meets “Proficient” criteria, and makes cogent connections between the chosen issue and a topic discussed in this course

Explains how the chosen issue relates to a topic discussed in this course, and uses appropriate research strategies

Explains how the chosen issue relates to a topic discussed in this course, and uses research strategies, but explanation is cursory or research strategies are inappropriate

Does not explain how the chosen issue relates to a topic discussed in this course

5.5

Issue: Impacting [IDS-402-06]

Meets “Proficient” criteria, and relevant research or diverse perspectives used demonstrate a nuanced understanding of how the chosen issue is impacting the target population

Assesses how the chosen issue is impacting the target population, and uses relevant research or diverse perspectives

Assesses how the chosen issue is impacting the target population, and uses relevant research or diverse perspectives, but project is cursory or use of relevant research or diverse perspectives is inappropriate

Does not assess how the chosen issue is impacting the target population

5.5

Plan: Goals

[IDS-401-04] Meets “Proficient” criteria, and goals are plausible and detailed

Explains the goals of the plan Explains the goals of the plan, but explanation is cursory

Does not explain the goals of the plan

5.5

Critical Elements Exemplary (100%) Proficient (85%) Needs Improvement (55%) Not Evident (0%) Value

Plan: Recommendations

[IDS-402-04]

Meets “Proficient” criteria, and recommendations demonstrate keen insight into how to address the chosen issue

Makes recommendations for how the current issue could be addressed in order to minimize its impact on the target population

Makes recommendations for how the current issue could be addressed in order to minimize its impact on the target population, but recommendations made are cursory

Does not make recommendations for how the current issue could be addressed in order to minimize its impact on the target population

5.5

Plan: Challenges [IDS-402-06]

Meets “Proficient” criteria, and explanation reveals in-depth awareness of challenges of overcoming issues in wellness

Explains what challenges will be faced when implementing the plan, and uses relevant research or diverse perspectives

Explains what challenges will be faced when implementing the plan, and uses research or diverse perspectives, but explanation is cursory or use of research or diverse perspectives is inappropriate

Does not explain what challenges will be faced when implementing the plan

5.5

Plan: Strengths [IDS-402-04]

Meets “Proficient” criteria, and relevant research or diverse perspectives used demonstrate keen insight into why the plan would be successful

Explains the strengths of the plan and why it is likely to be successful

Explains the strengths of the plan and why it is likely to be successful, but explanation is cursory

Does not explain the strengths of the plan and why it is likely to be successful

5.5

Conclusion: Impact [IDS-402-02]

Meets “Proficient” criteria, and use of the four lenses demonstrates a nuanced understanding of the impact of wellness on modern society

Explains how issues in wellness impact modern society through the four lenses

Explains how issues in wellness impact modern society through the four lenses, but explanation or use of the four lenses is cursory

Does not explain how issues in wellness impact modern society through the four lenses

5.5

Conclusion: Idea of Wellness

[IDS-402-02]

Meets “Proficient” criteria, and use of the four lenses demonstrates a nuanced understanding of how the idea of wellness has or has not changed

Explains how selected topic has or has not shaped the idea of wellness through the four lenses

Explains how selected topic has or has not shaped the idea of wellness through the four lenses, but explanation or use of the four lenses is cursory

Does not explain how selected topic has or has not shaped the idea of wellness through the four lenses

5.5

Conclusion: Influence [IDS-402-01]

Meets “Proficient” criteria, and demonstrates a nuanced understanding of the influence of the various components of wellness on personal and professional contexts

Explains how the various components of wellness influence both personal and professional contexts

Explains how the various components of wellness influence both personal and professional contexts, but explanation is cursory

Does not explain how the various components of wellness influence both personal and professional contexts

5.5

Critical Elements Exemplary (100%) Proficient (85%) Needs Improvement (55%) Not Evident (0%) Value

Conclusion: Attitudes, Choices, and

Behaviors [IDS-402-06]

Meets “Proficient” criteria, and relevant research or diverse perspectives used demonstrate a nuanced understanding of the potential of changing attitudes, choices, and behaviors to improve personal and societal wellness

Assesses how changing attitudes, choices, and behaviors have the potential to improve personal and societal wellness, and uses relevant research or diverse perspectives

Assesses how changing attitudes, choices, and behaviors have the potential to improve personal and societal wellness, and uses relevant research or diverse perspectives, but project is cursory or use of relevant research or diverse perspectives is inappropriate

Does not assess how changing attitudes, choices, and behaviors have the potential to improve personal and societal wellness

5.5

Presentation: Organized

[IDS-402-05]

Meets “Proficient” criteria, and organization cogently conveys the message to the target audience

Constructs the presentation in such a way that ensures the audio and visual elements are logically organized in order to convey message to the target audience

Constructs the presentation in such a way that ensures the audio and visual elements are organized to convey message to the target audience, but organization is illogical or does not meet all criteria

Does not construct the presentation in such a way that ensures the audio and visual elements are logically organized in order to convey message to the target audience

5.5

Presentation: Evidence

[IDS-402-05]

Meets “Proficient” criteria, and supporting evidence in the presentation cogently conveys the importance of the chosen issue and the goals of the plan

Provides evidence that supports the importance of the chosen issue and the goals of the plan

Provides evidence that supports the importance of the chosen issue and the goals of the plan, but supporting evidence does not meet all criteria

Does not provide evidence that supports the importance of the chosen issue and the goals of the plan

5.5

Presentation: Flow [IDS-402-05]

Meets “Proficient” criteria, and the flow of the presentation cogently articulates the importance of the chosen issue and the goals of the plan

Selects multimedia elements to

logically flow with the presentation to articulate the importance of the chosen issue and the goals of the plan

Selects multimedia elements to flow with the presentation to articulate the importance of the chosen issue and the goals of the plan, but audio elements do not meet all criteria

Does not select multimedia elements to logically flow with the presentation to articulate the importance of the chosen issue and the goals of the plan

5.5

Articulation of Response

Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to-read format

Submission has no major errors related to citations, grammar, spelling, syntax, or organization

Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas

Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas

1

Total 100%

Rubric Annotations

Term Definition

Organized Presentation is clear and cohesive, particularly for the audience. It begins with a broader view of the topic and then narrows the focus.

Evidence Supporting research or perspectives are incorporated into the presentation and support the message of the presentation. Includes at least three resources cited in appropriate APA or MLA format.

Flow Audio elements emphasize the key ideas of the speech and flow cohesively with the accompanying presentation.

What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice

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This week students will complete an APA paper to address the following case study.

Mr. Corley Case Study:

Walter and Sheila Corley were married on January 20, 1984.   At the time, they lived in Texarkana, Arkansas.   Their son Jerry was born in July 1985.   Later that year, the Corleys separated and were divorced.   Sometime thereafter, the Corleys reconciled and resumed living together, holding themselves out to others as a married couple.   In February 1988, the Corleys moved to Mr. Corley’s hometown of Ferriday, Louisiana.   The Corleys were remarried in December 1988.

Neurofibromatosis, a disease of the peripheral nerves of the body, is a condition marked by the presence of numerous neurofibromas, which are tumors or growths arising from the Schwann cells which form the covering membrane or sheath of a nerve fiber.   Persons with neurofibromatosis frequently have café au lait spots of varying sizes on their bodies as well.   In addition, people afflicted with neurofibromatosis experience a significantly increased risk of developing cancer.

In 1978, Mr. Corley was diagnosed with neurofibromatosis and had four neurofibromas removed from his head, arm, hip and leg by a physician in Texarkana.   Thereafter, a few months prior to his return to Louisiana in 1988, Mr.  Corley, who had no other known health problems, began experiencing low back pain.

On February 11, 1988, Mr. Corley sought medical treatment from Dr. Maurice Gremillion, a family practitioner in Ferriday.   On that date, Mr. Corley complained that he had been experiencing low back pain and abdominal discomfort for approximately four months.   He also noted that he had intermittent right shoulder pain and trouble sleeping.   At Mr. Corley’s request, Dr. Gremillion ordered a total work-up which included x-rays of the lower spine, chest, kidneys and gall bladder, as well as an upper GI series.   Dr. Gremillion also prescribed Flexeril, a muscle relaxer, and Anaprox, an anti-inflammatory pain medication.   Dr. Gremillion, feeling that Mr. Corley should be seen by a specialist, then gave him a written referral to E.A. Conway Medical Center in Monroe for an orthopedic evaluation.

E.A. Conway, which is part of the L.S.U. system, is a teaching facility staffed by permanent, full-time physicians as well as by doctors who are employed on a temporary, rotating basis as interns and residents following their graduation from medical school.   The general operating procedure of E.A. Conway at the time of Mr. Corley’s presentment was that all new patients, even those who have referrals to a specific service or department, first go through the emergency room.   At that time, a patient is charted and evaluated by an emergency room physician.   From there, the patient is either treated or referred to a specific clinic for further follow-up.   In most cases, patients see different doctors each time they report to the hospital or one of its clinics.

On March 2, 1988, Mr. Corley, accompanied by Sheila Corley, reported to the E.A. Conway Emergency Room. The Corleys presented admitting personnel with all of Mr. Corley’s records from Dr. Gremillion, including the x-rays and other test reports.   Dr. Bruce Fuller, an emergency room physician, took a history from Mr. Corley and reviewed Dr. Gremillion’s notes and the x-ray reports.   He also conducted a routine physical examination and had x-rays made of Mr. Corley’s low back.   Notwithstanding the presence of several growths and café au lait spots on Mr. Corley’s back and torso, Dr. Fuller was unaware that his patient had neurofibromatosis.

Dr. Fuller found everything to be within normal limits and it was his impression that Mr. Corley was suffering from low back pain based on minimal subjective complaints of pain.   Dr. Fuller continued Mr. Corley on the medication prescribed by Dr. Gremillion and made an appointment for him with the Orthopedic Clinic on March 16, 1988.

On that date, Mr. Corley was seen in the Orthopedic Clinic by fourth year resident McIntyre Bridges.   Dr. Bridges does not recall looking at or reading the x-rays or reports from Mr. Corley’s previous examinations.   Dr. Bridges conducted a physical exam, which was normal, and started Mr. Corley on a conservative course of treatment for low back pain.   Dr. Bridges’ notes from this date indicate his awareness of Mr. Corley’s neurofibromatosis.

Mr. Corley was next seen on April 20, 1988 by Dr. David Mehta.   At the time, Dr. Mehta was doing a surgical internship and was rotating through the Orthopedic Department.   Dr. Mehta’s notes reflect that his physical exam of Mr. Corley was normal, but that he felt that Mr. Corley had a posture problem and referred him to physical therapy for correction of his posture.   Again, the notes do not reflect whether Dr. Mehta reviewed any of Mr. Corley’s previous medical records, x-rays or reports.

On September 14, 1988, Mr. Corley was seen by fourth year surgical resident Keith White.   On that date, Mr. Corley noted that his pain had worsened and was occasionally affecting his walking.   Dr. White’s examination yielded no objective findings of low back pain, but he did notice several café au lait spots indicative of neurofibromatosis so he ordered a CT scan of Mr. Corley’s low back to rule out any neurofibroma changes in the nerve roots.   Dr. Ellis, a radiologist at E.A. Conway, interpreted the CT scan as showing arthritis consistent with fibrosis or spinal stenosis and possible edema of the right L-5 nerve root, which, according to Dr. White, may or may not have been the cause of Mr. Corley’s back pain.   As with Drs. Bridges and Mehta, Dr. White did not review any of the previous medical records, x-rays or reports.   Mr. Corley’s last visit to E.A. Conway was September 21, 1988.   On that date, Dr. White reviewed the results of the CT scan with Mr. Corley, continued him on an anti-inflammatory drug and encouraged him to continue his back exercises.   Dr. White instructed Mr. Corley to return to the clinic in three months.

Thereafter, on October 26, 1988, Mr. Corley, plagued by constant back pain and beginning to experience difficulty breathing, consulted Dr. Rick Maxwell, a chiropractor, who did a full spinal x-ray which revealed a markedly diminished right lung area.   Dr. Maxwell sent Mr. Corley to his father, also a chiropractor, who confirmed that there was a potential problem with Mr. Corley’s right lung and recommended that he see a pulmonary specialist.

On October 31, 1988, Mr. Corley presented to Dr. Gremillion complaining of chest congestion and shortness of breath.   Dr. Gremillion diagnosed him with bronchitis and implemented treatment accordingly.   Mr. Corley returned to Dr. Gremillion on November 14, 1988 with complaints of shortness of breath and marked weight loss.   Subsequent diagnostic testing confirmed the presence of a very large mass in Mr. Corley’s right chest.

Prior to his death on January 23, 1990, Mr. Corley received radiation and chemotherapy treatment at LSU Medical Center in Shreveport.

Corley v. State Department of Health Hospitals. http://caselaw.findlaw.com/la-court-of-appeal/1071352.html

Student should address the following questions regarding this case in an APA paper

  1. What are the facts of the case? This should include: what do we need to know, who is involved in the situation, where does the ethical situation take place, and when does it occur?
  2. What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice?
  3. Identify the major principles, rules, and values of the case.  Values are sets of beliefs about good and bad, right and wrong, and about many other aspects of living and interacting in the society with others. A principle is a personal rule that governs personal behavior. A rule is generally imposed by a figure of authority, and used to guide and govern people.
  4. Is there legal ground for this case, if so what? Who is at fault? What legal action should be taken?
  5. Are there alternative to the actions completed in this case by both the patient and healthcare facility? Do you feel the physician were following hospital protocol?
  6. If you were a member of the ethics committee at this facility, what actions or changes would you recommend changing? Why?

For the case study, an APA formatted paper should be used, and needs to include a title page, level headings, references and citations. This assignment should include at least 2 references and should be at least five pages in length. Students should address the proposed questions providing ample detail, examples, and additional support.

Assignment Expectations:  

  • Length:
    • answers must thoroughly address each question in a clear, concise manner; complete answers will likely take 5-6 pages
  • Structure:
    • reference page required
    • address each question in a numbered list
  • References:
    • Two references required
  • Format:
    • save your assignment as a Microsoft Word (.doc or .docx), Open Office (.odt) or rich text format (.rtf) file type
  • File name:

The social determinates of health (SDOH) contributing to the family's health status

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Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

  1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
  2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions. 
  3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
  4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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 LopesWrite. Please refer to the directions in the Student Success Center.

Critical Appraisal of research

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Evaluation TableUse this document to complete the evaluation table requirement of the Module 4 Assessment,Evidence-Based Project, Part 4A: Critical Appraisal of ResearchFull citation of selected articleArticle #1Article #2Article #3Article #4Dubin, J (2018)Pediatric obesity in primary practice. Pediatric Nursing .44(4), 202-206.Hargreaves, m., Orfield, C., Honeycutt,T.,Vine, M., Cabili,C.,Coffee- Boden,B.,Fisher, S. (2017).Addressing childhood obesity through multisector collaboration: Journal of community health, 42 (4) 656-663Kitson,S (2018). Intervention for weight in obesity to improve survival in women with endometrial cancer. Retrieved from https//www.waldenulibrary.orgRuopeng An, Mengmeng Ji, & Zhang. (2017). Effectiveness of social media intervention on weight related behavior and body weight status. American Journal of health behavior 41(6), 670-682Conceptual FrameworkDescribe the theoretical basis for the studyThe main reason for this study is to find ways to prevent child obesity.The basis for this research is to find a collaborative way to reducing child obesity for example public health and communities working together, Hargreaves et al. 2017)Seeks to find ways of preventing post diagnosis patient from having cardiovascular diseases.Aim here is to find out if social media has influence on weight related behavior.Design/Method Describe the designand how the studywas carried outA mixed research design is used both quantitative and qualitative methods where to prove if research supports the population care in question.A quantitative approach method is used to describe the results using interviews and data with different groups.Cohort randomized control groups used to fine out the if interventions proposed help reduce weight lost in these patients.A quantitative design method of suing data such as mean, average, kg, cm seeks to prove if interventions are effective in reducing weight.Sample/SettingThe number andcharacteristics ofpatients,attrition rate, etc.Major Variables StudiedList and define dependent and independent variablesMeasurementIdentify primary statistics used to answer clinical questionsData AnalysisStatistical orqualitativefindingsFindings and RecommendationsGeneral findings and recommendations of the researchAppraisalDescribe the general worth of this research to practice. What are the strengths and limitations of study? What are the risks associated with implementation of the suggested practices or processes detailed in the research? What is the feasibility ofuse in your practice?General Notes/CommentsLevels of Evidence TableUse this document to complete the levels of evidence table requirement of the Module 4 Assessment,Evidence-Based Project, Part 4A: Critical Appraisal of ResearchAuthor and yearof selected articleArticle #1Article #2Article #3Article #4Study DesignTheoretical basis for the studySample/SettingThe number andcharacteristics ofpatientsEvidence Level *(I, II, or III)OutcomesGeneral Notes/Comments* Evidence Levels:· Level IExperimental, randomized controlled trial (RCT), systematic review RTCs with or without meta-analysis· Level IIQuasi-experimental studies, systematic review of a combination of RCTs and quasi-experimental studies, or quasi-experimental studies only, with or without meta-analysis· Level IIINonexperimental, systematic review of RCTs, quasi-experimental with/without meta-analysis, qualitative, qualitative systematic review with/without meta-synthesis· Level IVRespected authorities’ opinions, nationally recognized expert committee/consensus panel reports based on scientific evidence· Level VLiterature reviews, quality improvement, program evaluation, financial evaluation, case reports, nationally recognized expert(s) opinion based on experiential evidenceOutcomes Synthesis TableUse this document to complete the outcomes synthesis table requirement of the Module 4 Assessment,Evidence-Based Project, Part 4A: Critical Appraisal of ResearchAuthor and yearof selected articleArticle #1Article #2Article #3Article #4Sample/SettingThe number andcharacteristics ofpatientsOutcomesKey FindingsAppraisal and Study QualityGeneral Notes/CommentsCritical Appraisal Tools Worksheet Template© 2018 Laureate Education Inc. 2