Musculoskeletal Function

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Musculoskeletal Function

G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed. Musculoskeletal Function

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Case Study 1 Questions:
Define osteoarthritis and explain the differences with osteoarthrosis.
List and analyze the risk factors that are presented in the case that contribute to the diagnosis of osteoarthritis.
Specify the main differences between osteoarthritis and rheumatoid arthritis, and make sure to include clinical manifestations, major characteristics, joints usually affected, and diagnostic methods.
Describe the different treatment alternatives available, including non-pharmacological and pharmacological that you consider are appropriate for this patient and why.
How would you handle the patient’s concern about osteoporosis? Describe the interventions and education you would provide to her regarding osteoporosis.
500 words, 2 cited sources, APA format

Musculoskeletal Function

 

Neurological Function

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Neurological Function

H.M. is a 67-year-old female who recently retired from being a school teacher for the last 40 years. Her husband died 2 years ago due to complications from a CVA. Past medical history includes hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history is not contributing. Last annual visits with PCP had normal results. She lives by herself, but her children live close to her and usually visit her two or three times a week. Her daughter started noticing that her mother was having problems focusing when talking to her. She is not keeping things at home as she used to, and often she is repeating and asking the same question several times. Yesterday, she had issues remembering her way home from the grocery store.

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Case Study 2 Questions:
Name the most common risk factors for Alzheimer’s disease.
Name and describe the similarities and differences between Alzheimer’s disease, vascular dementia, dementia with Lewy bodies, and frontotemporal dementia.
Define and describe explicit and implicit memory.
Describe the diagnosis criteria developed for Alzheimer’s disease by the National Institute of Aging and the Alzheimer’s Association.
What would be the best pharmacological and non-pharmacological therapeutic approaches for H.M.?
500 words, 2 cited sources, APA format

Neurological Function

Evidence-Based Practice Implementation Plan

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Evidence-Based Practice Implementation Plan

Summative Assessment: Evidence-Based Practice Implementation Plan

Assessment Deliverable

Create a 1,000- to 1,500-word implementation plan on how you plan to implement the evidence-based solution for medication reconciliation.

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Your implementation plan should include the following:

    • Plan for change management and select change theory to frame your project
    • Your goals
    • How will you gain support from your leadership team?
    • How do you plan on engaging your team?
    • Type of education provided to participants and staff on the evidence-based intervention and practice change
    • Timeline for the change
    • The means you will use to measure your outcome toward your goals
    • Description of your plan for sustainability
    • Provide a conclusion that summarizes the content of your paper.

Evidence-Based Practice Implementation Plan

Health Information: Data Standardization

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Health Information: Data Standardization

Directions:

As the Director of Health Information for a large health system, you have been asked to analyze data sets, secondary data sources, and archival methods through the application of health informatics techniques. The CEO and Board of Directors has asked you to propose a plan to implement across the organization and recommend best practices. Please follow the instructions below to complete the following assignment in APA . Minimum 5 pages & 5 references:

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1. Investigate at least five (5) key challenges related to data sources and data dictionary composition, to meet the needs of a health system. Determine the importance of each challenge and its significance.

2. Investigate at least five (5) key challenges with data file structures (i.e., data definitions, data modeling, data warehousing, and database management systems). Determine the importance of each challenge and its significance.

3. Compare and contrast the key challenges. Specifically address the comparisons as advantages and/or disadvantages to data standardization.

4. Based on all the previous assignment components:

5. Construct a plan to manage information as a key strategic approach and part of the information management planning process, as an asset throughout the healthcare organization.

6. Recommend at least three (3) best practices in your plan.

7. Justify each recommendation.

Health Information: Data Standardization

 

Approach To Care

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Approach To Care

The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care. Approach To Care

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Write  (1,750-2,000) on cancer and approach to care based on the utilization of the nursing process. Include the following:

  1. Describe the diagnosis and staging of cancer.
  2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
  3. Discuss what factors contribute to the yearly incidence and mortality rates of various cancers in Americans.
  4. Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend and why?
  5. Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care.
  6. Discuss how undergraduate education in liberal arts and science studies contributes to the foundation of nursing knowledge and prepares nurses to work with patients utilizing the nursing process. Consider mathematics, social and physical sciences, and science studies as an interdisciplinary research area.

You are required to cite to a minimum of four 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 according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Thist 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  to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assesses the following programmatic competencies:

RN-BSN

2.1: Incorporate liberal arts and science studies into nursing knowledge.

3.1 Utilize the nursing process to provide safe and effective care for patients across the life span.

Approach To Care

Current and Future Considerations for Health Care Delivery

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Current and Future Considerations for Health Care Delivery
Imagine that you are an administrator in a health services organization, and the CEO of your organization asks you to assess and report on developments that are likely to affect the organization’s success. What will you discover as you investigate changes in your community and the broader health care landscape? Current and Future Considerations for Health Care Delivery

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In preparation for this Assignment, review your completed Module 3 Assignment, including any feedback you received from your Instructor. Select one organization from that Assignment on which to focus for this Assignment (i.e., imagine that this organization is the one in which you work).

Use the Learning Resources provided in this module, as well as previous modules, and locate additional sources through the Walden Library and credible websites to conduct your research. Use the following questions to guide your investigation:

  • What are the prevalent health concerns in this community?
  • What are the key issues related to cost, quality, and access that affect the organization and the people this organization serves?
  • Which organizations in this area are business competitors and/or which organizations use highly effective practices or strategies that this organization may learn from or adopt?
  • How will demographics and health reform likely impact the organization, as well as the broader community, in the next 5 years?

Next, review the information on business writing included in the Learning Resources. Consider what the central point of your memo should be. For instance, is there a critical challenge the organization is likely to encounter? Does the information you have gathered suggest the need for a particular course of action or a new business direction? If so, use this memo to inform and influence the CEO. If not, share the findings of your research with the assumption that the CEO will use this information as a launching point for future discussions. Current and Future Considerations for Health Care Delivery

The Assignment

Write a 2- to 3-page business memo in which you address:

  • Prevalent health concerns in the community
  • Issues related to cost, quality, and access that affect the organization and the people it serves
  • Organizations in the community that are business competitors and/or from which you can learn highly effective practices or strategies
  • Ways in which changing demographics and health reform will likely affect your organization and the broader community in the next 5 years
Current and Future Considerations for Health Care Delivery

Addressing Barriers To Effective Communication

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Addressing Barriers To Effective Communication

Discussion Week 7: Addressing Barriers to
Effective Communication

From moment to moment, a nurse leader’s day involves communication—with patients, families, colleagues, supervisors, and so on.

Think of a particular day you spent working in a health care environment, and consider three or four distinct points in time. For each point of time, consider the following: With whom did you interact? Which forms of communication did you use? What issues were communicated about—did they seem to be light-hearted or sensitive? Straightforward or complicated? How would you describe the pace of the interactions and your work? Addressing Barriers To Effective Communication

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As you consider these questions, it becomes clear that communication can be quite complex, with many layers of meaning that shape the experience for everyone involved. How could this awareness help you to understand instances of ineffective communication when they arise?

To prepare:

  • Review the information in Chapter 19 of the course text, as well as the assigned articles.
  • Reflect on an incident involving ineffective communication within your organization or another health care setting. Consider this incident through the lens of the communication process outlined in Figure 19.1 of the course text (p. 439).
  • What barriers contributed to this incident? What other challenges may have influenced this situation?
  • Using the information presented in the other Learning Resources, consider what could have been done to prevent or address the ineffective communication. Why do you think the use of these strategies would have resulted in better outcome(s)?

Post a summary of an incident involving ineffective communication. Describe communication barriers and other challenges that contributed to the incident. Propose one or more strategies that could have been employed to promote a better outcome. Be sure to refer to elements of the communication process.

Addressing Barriers To Effective Communication

Moral Dilemmas And Ethical Decisions

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Moral Dilemmas And Ethical Decisions

Working in an emergency room gives rise to ethical dilemmas. Due to time restraints and the patient’s cognitive impairment and lack of medical history, complications can and do occur. The nurse has very little time to get detailed patient information. He or she must make a quick assessment and take action based on hospital protocol. The organized chaos of the emergency room presents unique ethical challenge, which is why nurses are required to have knowledge of ethical concepts and principles.Create a 15-minute oral presentation (3–4 pages) that examines the moral and ethical issues related to triaging patients in an emergency room. Moral Dilemmas And Ethical Decisions

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By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.
    • Explain the health care policies that can affect emergency care.
    • Recommend evidence-based decision-making strategies nurses can use during triage.
  • Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.
    • Describe the moral and ethical challenges nurses can face when following hospital policies and protocols.
    • Explain how health care disparities impact treatment decisions.
  • Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.
    • Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
    • Correctly format citations and references using APA style.

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Moral Dilemmas And Ethical Decisions

  • How does a triage nurse decide which patient gets seen first?
  • How does health disparity affect the triage nurse’s decision making?
  • What ethical and moral issues does the triage nurse take into account when making a decision?
  • What are triage-level designations?

Assessment Instructions

Your supervisor has asked you to do a 15-minute oral presentation at a staff meeting about a recent issue that occurred at another hospital in town. Following an industrial accident, two patients arrived at the emergency room of that hospital at the same time, presenting with very similar inhalation injuries. The hospital received a great deal of negative press due to how the patients were triaged in the ER. Your supervisor would like you to use the specifics of this case to review triage procedures and best practices at your facility. Here are the details:

  • One is a 32-year-old firefighter, Frank Jeffers, who is presenting with respiratory difficulties that he obtained while evacuating victims of an industrial accident. He is a married homeowner and father of two young boys. He has lived in the community all his life. He has full and comprehensive health insurance through his employer.
  • The other is Brent Damascus, a 58-year-old man. Brent is presenting with respiratory difficulties with the same intensity as Mr. Jeffers above. He is well known at the hospital emergency room, as he is a frequent visitor with various complaints, including asthma, headaches, and tremors. He is homeless, unemployed, and uninsured. He stays many nights at the YMCA and eats lunch at the soup kitchen. He has lived in the community for over 10 years and has been arrested several times for petty theft.

Directions

Create a 15-minute presentation (3–4 pages) that examines the moral and ethical issues that occurred when triaging these two patients and the best practices for managing this in the future.

Divide your draft into a number of talking points that you can summarize neatly. Keep in mind that an oral presentation requires slightly different language than an essay. The aim is to communicate your message so keep sentences simple and focus on the key points you want to deliver. Address the following in your presentation:

  • Explain the health care policies and protocols that are in place that direct triage care in an emergency situation.
  • Explain how health care disparities impact treatment decisions.
  • Identify the health care policies that are in place that direct care for uninsured individuals. Is there a difference in how these individuals are triaged?
  • Describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Is there a conflict when a severely injured person is also uninsured?
  • Recommend evidence-based strategies that should be applied for managing the care of uninsured and indigent population. Moral Dilemmas And Ethical Decisions

Additional Requirements

Your presentation should meet the following requirements:

  • Written communication: Written communication should be free of errors that detract from the overall message.
  • References: Include a reference section with a minimum of three references; a majority of these should be peer-reviewed sources. All resources should have been published within the last 5 years.
  • APA format: Resources and citations should be formatted according to current APA style and formatting.
  • Length: 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
  • Font and font size: Times New Roman, 12-point.

Moral Dilemmas And Ethical Decisions

 

 

 

Patient Communication

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Patient Communication

Nursing professionals do not only communicate with others within their organizations—often, they are also the first point of contact with patients. Thus, nursing professionals need superior communication skills to explain procedures and medication instructions, as well as to listen to what patients need to say.Patient Communication

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By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 2: Describe the concepts, processes, and tools required to conduct comprehensive health assessments for individuals, families, communities, and populations.
    • Recommend evidence-based strategies to improve nurse-client/patient communication.
    • Explain how nurse-client/patient communication strategies consider individual demographics.
  • Competency 3: Explain the internal and external factors that can affect the health of individuals, families, communities, and populations.
    • Describe the types of communication that occur between nurses and clients/patients.
    • Explain the factors that influence the communication experience between nurses and clients/patients.
    • Explain how the client/patient communication experience can impact health care outcomes.

Prepare a 3–4-page report on nurse-patient communication in which you address types of communication, factors that influence the communication experience, and how the patient experience affects health outcomes. Recommend evidence-based strategies to improve nurse-patient communication and explain how the strategies consider patient demographics.

Assessment Instructions

Imagine that, in an effort to reduce the number of patient complaints about nursing staff, organizational leadership has asked your department to prepare some preliminary research on a number of different topics. Your topic is patient communication, such as the following:

  • The types of communication that take place between nurses and patients.
  • The factors that can influence both positive and negative experiences.
  • How the experience can impact health care outcomes.
  • Strategies that can improve the communication between nurses and patients.

Preparation

Search the Capella library  or the Internet for peer-reviewed journal articles or other professional resources on the topic of effective communication with patients. You will need at least 3 resources to support your work in this assessment. Patient Communication

Directions

Prepare a report on patient-nurse communication in which you include the following:

  • Describe the types of communication that take place between nurses and clients/patients. Do not forget to consider types of communication beyond verbal and written on paper.
  • Explain the factors that influence positive and negative experiences during the communication process. (Hint: Consider the experiences of both the client/patient and the nurse. Also, consider things such as age, gender, culture, and so on, of both the client/patient and the nurse.)
  • Explain how the client/patient experience can impact health care outcomes.
  • Recommend evidence-based strategies for improving communication between client/patients and nurses.
  • Explain how the strategies consider different client/patient demographics.

Format this assessment as a report that you would give to your supervisor. It may be helpful for you to review how your organization formats internal reports and incorporate your findings. You are still required to adhere to APA guidelines for in-text citations and references, as well as for formatting your reference page.

Patient Communication

Contemporary Nursing Practice

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Contemporary Nursing Practice

The field of nursing has changed over time. In a 750-1,000 word paper, discuss nursing practice today by addressing the following:

Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.
Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.

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Identify a patient care situation and describe how nursing care, or approaches to decision-making, differ between the BSN-prepared nurse and the ADN nurse.
Discuss the significance of applying evidence-based practice to nursing care and explain how the academic preparation of the RN-BSN nurse supports its application.
Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes.
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.

Contemporary Nursing Practice