Please give this work to Dr Vidhya Bhushan Mishra Details: In 850 words, discuss methods to… 

1 answer below »Please give this work to Dr Vidhya Bhushan Mishra
Details:

In 850 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.

Example: If you are proposing a new staffing matrix that is intended to reduce nurse turnover, improve nursing staff satisfaction, and positively impact overall delivery of care, you may decide the following methods and variables are necessary to evaluate the effectiveness of your proposed solution:

Methods:

1. Survey of staff attitudes and contributors to job satisfaction and dissatisfaction before and after initiating change.
2. Obtain turnover rates before and after initiating change.
3. Compare patient discharge surveys before change and after initiation of change.

Variables:

1. Staff attitudes and perceptions.
2. Patient attitudes and perceptions.
3. Rate of nursing staff turnover.

Develop the tools necessary to educate project participants and to evaluate project outcomes (surveys, questionnaires, teaching materials, PowerPoint slides, etc.).

Prepare this assignment according to the guidelines found in the APA Style with citation

HNN217 – Community Nursing Practice – Deakin University According to the World Health Organisation,. 

HNN217 –  Community Nursing Practice – Deakin University

According to the World Health Organisation, “… the vulnerabilities of key populations result in their being disproportionately affected by HIV in all countries and settings. These disproportionate risks reflect…specific legal and social issues that increase their vulnerability. Yet HIV services for key populations remain largely inadequate” (WHO, 2016,pxv)

Assignment question:

Discuss how community nurses can use the primary health care principles of equity and access to protect and promote health for key populations and communities affected by HIV.

1. Include a summary of the principles of equity and access within primary health care

2. Include a description of the key populations, their disproportionate risks, and their equity and access issues (see reference below: WHO, 2016)

3. Include Case Scenario 3 HIV, available on Cloud Deakin for HNN 217, in your discussion as an example of community nursing interventions and approaches to support preventative healthcare services and promote health for key populations affected by HIV.

Integrated Nursing Practice Assignment – Mr. Michael Brennan 52yrs is attending his General Practice 

Integrated Nursing Practice Assignment –

Mr. Michael Brennan 52yrs is attending his General Practice surgery for his regular six-monthly check-up. He presents today with complaints of fatigue, difficulty losing weight and no motivation. He denies any polyuria, polydipsia, polyphagia or blurred vision. He notes a marked decrease in his energy levels, particularly in the afternoons. He is tearful and states that he is not taking his antidepressants. He states that every time he tries to cut down on his eating he has symptoms of shakiness, diaphoresis, and increased hunger. He does not follow any specific diet and has been fearful of hypoglycemia that he often eats extra snacks.

Caring for a patient with Diabetes, Obesity and Mental Illness.

Setting the scene – Michael's holistic assessment by the General Practitioner (GP) today indicates:

Physical:

Weight 140kg (up from 135kg six months ago)

Height 176 cm

BP 160/70; HR 88

Temp 37.7

BGL: 9.0mmol

Pain in his knees and ankles (rated as 4/10 on pain scale) – patient states this makes it difficult to do any exercise

Laboratory testing indicated that chemistries, Blood Urea Nitrogen, creatinine, liver function tests, thyroid function tests and urine microalbumin are all normal

Glycated Haemoglobin (HBA1c) was 7% for one year but is now 9%

LDL: 2.2 mmol/L

HDL: 1.6mmol/L

Previous history:

9-year history of diabetes

Obesity

Depression

Hypertension

Arthritis

Surgical history:

Trans-urethral prostrate resection

Cholecystectomy

Medications: Nurofen, Metformin, Coversyl, Atorvastatin, Celexa

Social: Michael lives on his own after losing his wife five years ago. He has learned some cooking skills and prepares most of his meals although takeaways are an easy option for him during his work day as a taxi driver. He has good family support from one daughter, one son and two grandchildren who live close. Michael has little social engagement other than his children and often chooses not to leave the house.

Epidemiology / pathophysiology of disease processes

The National Health Priority Areas of Diabetes Mellitus, Obesity and Mental Health were established with the aim of improving health outcomes in these areas. Review your modules, references and extended reading regarding these National Priority areas.

Diabetes is a chronic condition marked by high levels of glucose in the blood caused by either the inability to produce insulin or by the body not being able to use insulin effectively. The main types of diabetes are Type 1, Type 2 or Gestational. In 2014-2015 approximately 1.2 million people (6% of Australian adults) had diabetes, based on self-reported data. This is a growing issue with increasing hospitalisations due to diabetes and one in ten Australian deaths having diabetes as an underlying and/or associated death.

In 2011-2012, almost 2 in 3 (63%) of Australian adults are overweight or obese. Obesity is a major risk factor for cardiovascular disease, Type 2 diabetes, some musculoskeletal conditions and some cancers, while making the management of and controlling of chronic disorders difficult.

Mental health and behavioural disorders describe a wide spectrum of disorders which can vary in both severity and duration. The most common disorders are depression, anxiety and substance use disorders and are important drivers of disability and morbidity. There is also an association between diagnosis of mental health disorders and a physical disorder with 1 in 8 (12%) of people with a 12-month mental disorder also reporting a physical condition and 1 in 20 (5%) reporting two or more physical conditions.

There is a clear bidirectional association between diabetes and mental illness. Statistics show that Australians with diabetes have a higher prevalence of poor mental health than those without diabetes. People with diabetes are more than twice as likely to have mental or behavioural problems as those without diabetes.

Task – Use the Clinical Reasoning Cycle review the nursing priorities in relation to the care of Michael.

QUESTIONS –

1. From Michael's physical assessment, there were abnormal findings including his blood glucose level (BGL), blood pressure (BP), temperature and pain. Choose three (3) of these abnormal findings in relation to Michael's presentation. Discuss and justify with relevant pathophysiology.

2. List and justify the three (3) highest priority nursing problems for Michael.

3. For each priority nursing problem, write one (1) goal of care in SMART format.

4. Based on one goal, state and describe (2) interventions (nursing, collaborative or pharmacological) which would assist to achieve Mr. Dwight's short-term goal.

5. Provide and justify two (2) methods of how you would evaluate the outcomes.

6. Identify and discuss two (2) mental health illness risks for Michael with links to relevant literature.

7. Review Standard 3 of the NSQHS. Michael is at higher risk of healthcare associated infections (HAI's) and diabetic foot ulcers. Explain why he is a greater risk of and one (1) nursing intervention that could be implemented to reduce this risk? Justify your answer.

Case Study Ethical Legal Dilemma Advanced Practice Nursing Course outcomes addressed in this… 

Case Study Ethical Legal Dilemma Advanced Practice Nursing

Course outcomes addressed in this Assignment:

MN506-1: Apply theoretical frameworks and concepts to ethical dilemmas in the advanced practice role.

PC 2.3: Demonstrate integrity through the application of relevant codes of conduct and social responsibility within one’s profession.

Instructions:

1.Create an ethical legal decision-making dilemma involving an advanced practice nurse in the field of education. Apply relevant codes of conduct that apply to the practice of nursing and your chosen field.

2.Include one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts.

3.Construct a decision that demonstrates integrity and that would prevent violation of the ethical principle and prevent the law from being violated.

4.Describe the legal principles and laws that apply to the ethical dilemma.

5.Support the legal issues with prior legal cases or state or federal statutes.

6.Analyze the differences between ethical and legal reasoning and apply an ethical-legal reasoning model in the case study to create a basis for a solution to the ethical-legal dilemma.

7.List three recommendations that will resolve advanced practice nurses’ moral distress in the dilemma you have presented.

8.Based on the issue you presented and the rules of the law, apply the laws to your case and come up with a conclusion.

Note:

•This is a fact-based Assignment that will not include your opinion.

•This will require research and support for what is written.

•The Assignment should be in your words after reading the scholarly and fact-based publications and have proper citations. There should be no quotations. The professor wants to hear your voice as a masters trained nurse.

Description

In the Unit 2 topic 1 Discussion, you will choose an ethical-legal dilemma that would cause the advanced practice nurse moral distress. You will write the introductory paragraphs for the Unit 4 Assignment in the Unit 2 topic 1 Discussion Board and post it for your peers to comment on.

You will continue working on the topic you have chosen and submit the paper using the most recent version of APA format. The paper should have a minimum of seven citations and some of these should be case law or applicable statutes. The Kaplan Library has Westlaw Campus Research database where you can find case laws that relate to your topic.

Unit 4 Individual Paper

Advanced Practice Nursing Decisions that Cause Moral Distress (End of Life)

As an advanced practice nurse, we will sooner or later come across an issue or more than one issue that will cause us moral distress.According to Westrick, moral distress occurs when there is a mismatch or disequilibrium between moral obligations and principles, and the ability to implement them, (2014 p. 310).As a nurse practitioner working in a hospital setting we will come across issues of how to advocate for our patients when it comes to quality of life rather than quantity of life.“Every day nurses make great moral decisions in their workplace, but in practice they cannot always act according to their moral obligations,” (Williams, Wang, & Kitchen, 2014,p.7).One thing that we must assist the patient and family member is to understand and choose the proper treatment.The physicians should speak to the patient and family member about the disease and the prognosis, also be able to answer questions about death, and pain relief.

Patients and families are still under the impression that if they sign up with hospice that the patient will only be alive for a few hours or days.“Accepting and preparing for death is sometimes unbearably frightening for families,” (Bülbül et. al., 2015 p. 1242).Hospice even today is underutilized and family members will only agree to it when death is imminent.As an advance practice nurse caring for a terminally ill patient, who is suffering it will increase your moral distress.Families and patients should also be explained that there is the choice of Palliative care which it’s goal is to prevent or treat the symptoms and side effects of the diseasebesides the social and spiritual problems.According to Williams, Wang, and Kitchen, the terms ‘palliative’ and ‘end-of-life’ care are often used interchangeably by researchers and health practitioners, (2014, p.188).Palliative care will not cure the disease but it provides comfort and supportive care, and management of the symptom.

Ethical Dilemma

Ethical Principle and Law

Preventing Violation of Principle/Law

Legal Principles and Law

Legal Cases

Ethical and Legal Reasoning

Recommendations

Conclusion

References:

Ameri, M.; Safavibayatneed, Z.; Kavousi, A.; (2016),Moral distress of oncology nurses and morally distressing situations in oncology units, Australian Journal of Advanced Nursing

Bülbül, S.; Sürücü, M.; Karavaizoglu, C.; & Eke, M.; Limitations in the approach health caregivers can take in end-of-life care decisions, Child: Care, Health & Development, Nov2015; 41(6): 1242-1245. 4p.

Westrick, S.J.; (2014), Nursing Law and Ethics,Edition 2ndJones & Bartlett

Williams, A.M.; Wang, L.; and Kitchen, P.; (2014) Differential impacts of care-giving across three caregiver groups in Canada: end-of-life care, long-term care and short-term care, Health and Social Care in the Community 22(2), 187–196 doi: 10.1111/hsc.12075

The purpose of this paper is to systematically review the literature regarding a specific nursing… 

The purpose of this paper is to systematically review the literature regarding a specific nursing problem and discuss recommendations for clinical practice. The paper must adhere to APA standards (use your APA manual and the APA stylesheet handout for guidance. Be sure to have the following headings in the paper: Introduction, Problem Statement, Review and Evaluation of the Research, Summary and Clinical Evaluation, and References. The title page, abstract, and references should be on separate pages. The paper should be no longer than 5 pages in length, excluding the title page, abstract, and references. Every page must include a header and page number.

When saving your file to your computer or flash drive, use the following format:

312yourlastname_ebp paper

For example, if I were the student, my document would be labeled: 312oldenburg_ebp paper

Title Page (up to 5 points)

The title page should have a running head, title of the project, your name and affiliation. See APA manual for specific guidelines. The title should be a reflection of your project (i.e., do not use the title ‘Evidenced-Based Paper’).

Abstract (up to 10 points)

The abstract is a concise summary of the key points of your paper on the page following the title page. At a minimum, your abstract should contain your research topic, research questions, and conclusions. You may also include possible implications and future work you see connected with your findings. Your abstract should be a single paragraph double-spaced.Your abstract should be between 150 and 250 words.

Introduction (up to 5 points)

This section should contain a discussion of why this topic merits investigation. It is based on the Significance Paper that you submitted in Unit 7. You want to sell the reader regarding why this is such an important issue, to you personally and to nursing. Why would nurses be interested in reading your paper? What can be learned from your project that will improve nursing care? You will need to include references in this section, but NOT research articles from your literature review. For example, if you are talking about pain relief for cancer patients and want to discuss the incidence of cancer, you might want to refer to the American Cancer Society for statistics on the incidence of cancer. You MUST include at least two relevant websites and/or literature references.

Problem Statement (up to 5 points)

Clearly state the research problem. Be sure to include the independent variable(s) and dependent variable(s) and your target population. This is your refined problem statement. This section should only be one sentence.

Review of the Literature (up to 30 points)

This will be the major section of the paper. Summarize 5 articles including details of the study. You must include the following information for each of the studies: purpose of the study, study design, methods, and major findings. State whether the findings are significant (for quantitative research only). There must be enough detail so the reader understands the study.Try to limit the discussion of each study to approximately two paragraphs. You need a minimum of 5 research studies in this section. Three of the research studies MUST be nursing research. Be sure you cite PRIMARY sources that are empiric (research) studies. You can use review papers in your introduction (i.e., significance paper), but you can only use primary sources for this section of your paper. Studies should be current (published within the past 5 years). If you want to include an older study, send me a message explaining your rationale.

Summary and Clinical Evaluation (up to 20 points)

Evaluate the studies discussed using the Evidence Hierarchy (covered in Unit 2) using seven levels of graded evidence. Discuss the body of literature as a whole, not each individual research article. Critique this body of literature as a whole. Evaluate the clinical usefulness of the research findings. Are the findings clinically relevant? Are the recommendations cost-effective? Can the recommendations be integrated into clinical practice? Offer some recommendations for future research.