NURS6053C_Module04_Week09_A

Assignment: Workplace Environment Assessment

Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

To Prepare:

• Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
• Review the Work Environment Assessment Template.
• Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.
• Select and review one or more of the following articles found in the Resources:
  • Clark, Olender, Cardoni, and Kenski (2011)
  • Clark (2018)
  • Clark (2015)
  • Griffin and Clark (2014)

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The Assignment (3-6 pages total):

Part 1: Work Environment Assessment (1-2 pages)

• Review the Work Environment Assessment Template you completed for this Module’s Discussion.
• Describe the results of the Work Environment Assessment you completed on your workplace.
• Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.
• Explain what the results of the Assessment suggest about the health and civility of your workplace.

Part 2: Reviewing the Literature (1-2 pages)

• Briefly describe the theory or concept presented in the article(s) you selected.
• Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.
• Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)

• Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.
• Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment. NURS6053C_Module04_Week09_A

 

D.Z. is a holistic nurse practitioner in a large multispecialty clinic. She works in the offices of surgeons, internists, and OBGYNs. Because the client population is so culturally diverse, D.Z. was hired to serve as a liaison between the providers of conventional healing and complementary and alternative healing practices.

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One of D.Z. clients is M.L. She is 3 years old and has a seizure disorder. M.L. parents rely on traditional medicine to cure their daughter’s seizures. They believe her seizures are caused by the spirits. Their compliance with M.L daily anti-seizure medicine and follow-up appointments has been poor.

Please define and describe Acupuncture as a therapeutic alternative and its indications.

Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:

1. Define and describe the primary goals of screening.
2. Discuss your thoughts on the relationship between economics and nutrition. How would you advise people of low socioeconomic status to eat healthy on a budget? How would you respond to patients whose financial restraints limit their access to food?
3. Identify potential barriers to patient teaching and how you would address these barriers.

Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Nursing homework help

Caregiver Role Strain: Ms. Sandra A.

Health Promotion: Prevention of Disease Case Study  Instructions:

Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide citations/references for your answers in APA format.

CASE STUDY:

Sandra, a 47-year-old divorced woman, received a diagnosis of stage 3 ovarian cancer 4 years ago, for which she had a total hysterectomy, bilateral salpingo- oophorectomy, omentectomy, lymphadenectomy, and tumor debulking followed by chemotherapy, consisting of cisplatin (Platinol), paclitaxel (Taxol), and doxorubicin (Adriamycin). She did well for 2 years and then moved back to her hometown near her family and underwent three more rounds of secondline chemotherapy. She accepted a less stressful job, bought a house, renewed old friendships, and became more involved with her two sisters and their families. Sandra developed several complications, including metastasis to the lungs. Then she could no longer work, drive, or care for herself. She had been told by her oncologist that there was nothing else that could be done and that she should consider entering a hospice. She met her attorney and prepared an advance directive and completed her will. She decided to have hospice care at home and, with the help of her family, set up her first floor as a living and sleeping area. She was cared for by family members around the clock for approximately 3 days. Sandra observed that she was tiring everyone out so much that they could not really enjoy each other’s company. At this time, she contacted the Visiting Nurse Association (VNA) to seek assistance. Her plan was to try to enjoy her family and friend’s visits. After assessment, the VNA nurse prioritized her problems to include fatigue and caregiver role strain. Other potential problem areas that may need to be incorporated into the care plan include anticipatory grieving and impaired comfort.  Caregiver Role Strain: Ms. Sandra A.

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Reflective Questions

1. What are some of the stresses on Sandra’s middle-aged sisters and their families?

2. What resources are available to manage these stresses and support the sisters while caring for their dying sister Sandra?

3. Describe Sandra’s feelings about dependency and loss of autonomy because she is unable to do her own activities of daily living any longer

Reply to the following discussion by supporting the post.  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources. Be objective, clear, and concise. 

It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. 

JA Discussion: 

Evaluation Plan: Evaluating the Changes to Clinical Practice

1. Goal: The main goal of this research project is to find out which intervention works better, for both, acute weight loss and long term weight loss maintenance in a primary care clinic setting. The two interventions being researched are pharmacological or nonpharmacological approach, along with a controlled diet and exercise plan. This research is evidence based with an aim to help develop an appropriate intervention for overweight and obese people. This evidence based research will demonstrate which intervention is more productive. Implementing an evidence based practice in a clinical setting will encourage patients to achieve acute weight loss and long term weight loss maintenance. Nursing homework help
   

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2. Objectives

• Objective: to implement and assess if acute weight loss and long term weight loss maintenance can be achieved through using a pharmacological intervention such as, Phentermine, along with a controlled diet and exercise plan.
• Objective: to implement and assess if acute weight loss and long term weight loss maintenance can be achieved through nonpharmacological interventions such as, a controlled diet and exercise plan only.
• Objective: to create a viable acute weight loss and long term weight loss maintenance program to help patient reduce their weight and risk factors for other health disease (OMERAD, 2021).

1. Description: This weight loss improvement project will take place in a primary care setting. Participants will be separated in to two groups, one that will take Phentermine, eat a controlled diet and exercise, and a second that will only eat a controlled diet and exercise. The participants will require a weekly weigh-in and status update, and blood work every three months. The research will take place over a 12 months period. Participants will be encouraged to keep track of their food intake, minutes of daily exercise, and blood pressure.  Nursing homework help
2. Questions
   1. Who are my stakeholders?
   2. What are the barriers to successful implementation?
   3. When will the data be collected? (The start and the end date)
   4. How will data be collected?
   5. What conclusions can be drawn from the data?
   6. How will I communicate and share the results? (CDC, 2017)
3. Source of Data: Initial and weekly weigh-ins, consistency of diet and exercise done by participant, medication taken and side effects record, providers’ notes, cost of research for the patient and the provider, participant outcome in each groups, and participant satisfaction with their weight loss and maintenance.
4. Methods of data collection
   1. Review data using descriptive statistics
   2. Interview providers to determine their level of involvement
   3. Review participant feedback to analyze their understanding of how achieve acute weight loss and long term weight loss maintenance according to their perspective groups
   4. Gather participant laboratory values, weights, and demographics
   5. Survey questions before and after starting the weight loss programs
   6. Review and categorize comments as: “very likely,” “likely,” “somehow likely,” and “unlikely” as to whether participants recommend one program versus the other for future patients (OMERAD, 2021)

References

Center for Disease Control and Prevention (CDC). (2017). A framework for program evaluation. https://www.cdc.gov/eval/framework/index.htm

Office of Medical Education Research and Development (OMERAD). (2021). The evaluation planning tool. https://omerad.msu.edu/meded/progeval/download.html. Nursing homework help

Health History and Medical Information for Mrs. J Assignment

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below. Health History and Medical Information for Mrs. J Assignment

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Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

1.  Is very anxious and asks whether she is going to die.

2.  Denies pain but says she feels like she cannot get enough air.

3.  Says her heart feels like it is “running away.”

4.  Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

1.  Height 175 cm; Weight 95.5kg.

2.  Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.

3.  Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.

4.  Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%. Health History and Medical Information for Mrs. J Assignment

5.  Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

1.  IV furosemide (Lasix)

2.  Enalapril (Vasotec)

3.  Metoprolol (Lopressor)

4.  IV morphine sulphate (Morphine)

5.  Inhaled short-acting bronchodilator (ProAir HFA)

6.  Inhaled corticosteroid (Flovent HFA)

7.  Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

1.  Describe the clinical manifestations present in Mrs. J.

2.  Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.

3.  Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

4.  Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.

5.  Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence. Health History and Medical Information for Mrs. J Assignment

6.  Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.

7.  Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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. Refer to the LopesWrite Technical Support articles for assistance.

Book: Grand Canyon University. (Ed.). (2018). Pathophysiology: Clinical applications for client health. Health History and Medical Information for Mrs. J Assignment

URL:

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/pathophysiology_clinical-applications-for-client-health_1e.php