The AssignmentAnalyze the subjective portion of the note. List additional information that should be included in the documentation.Analyze the objective portion of the note. List additional information that should be included in the documentation.Is the assessment supported by the subjective and objective information? Why or why not?What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?Would you reject/accept the current diagnosis? Why or why not? Identify five possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.In this Assessment 1 Assignment:You will analyze an Episodic Note case study that describes abnormal findings in patients seen in a clinical setting.You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted.You will also formulate a differential diagnosis with several possible conditions.Review the following Episodic note case study for this Assignment: See BelowAssessment of the Abdomen andGastrointestinal SystemABDOMINAL ASSESSMENT:Subjective:• CC: “My stomach hurts, I have diarrhea and nothing seems to help.”• HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started3 days ago. He has not taken any medications because he did not know what totake. He states the pain is a 5/10 today but has been as much as 9/10 when itfirst started. He has been able to eat, with some nausea afterwards.• PMH: HTN, Diabetes, hx of GI bleed 4 years ago• Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10units qhs• Allergies: NKDA• FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN,Hyperlipidemia, GERD• Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)Objective:• VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs• Heart: RRR, no murmurs• Lungs: CTA, chest wall symmetrical• Skin: Intact without lesions, no urticaria• Abd: soft, hyperactive bowel sounds, pos pain in the LLQ• Diagnostics: NoneAssessment:• Left lower quadrant pain• GastroenteritisPLAN:
Hello, I m a student nurse in my Bachelor in Nursing, this assignment it‘s more of a discussion paper, has to have a nursing point of view, please refrain to use any nursing protocols from overseas, for eaxample, Australia or Asia, if using any references please use american nursing protocols, the last time my someone sent me a paper used references from New Zeland.This is a simple, straight forward paper, suggesting basic nursing principles and simple languaje is a must. Be familiar with Kosher jewish practice, no pork is allowed, seems to be adressed on this paper.COMPETENCIES734.3.1 : Principles of LeadershipThe graduate applies principles of leadership to promote high-quality healthcare in a variety of settings through the application of sound leadership principles.734.3.2 : Interdisciplinary CollaborationThe graduate applies theoretical principles necessary for effective participation in an interdisciplinary team.734.3.3 : Quality and Patient SafetyThe graduate applies quality improvement processes intended to achieve optimal healthcare outcomes, contributing to and supporting a culture of safety.INTRODUCTIONNational initiatives driven by the American Nurses Association have determined nursing-quality outcome indicators that are intended to focus plans and programs to increase quality and safety in patient care. The following outcomes are commonly used nursing-quality indicators:• complications such as urinary tract infections, pressure ulcers, hospital-acquired pneumonia, and DVT• patient falls• surgical patient complications, including infection, pulmonary failure, and metabolic derangement• length of patient hospital stay• restraint prevalence• incidence of failure to rescue, which could potentially result in increased morbidity or mortality• patient satisfaction• nurse satisfaction and staffingSCENARIOMr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately.A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognized his daughter and was able to ask her to remove the restraints so he could be helped to the bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in bed, his daughter noticed a red, depressed area over Mr. J’s lower spine, similar to a severe sunburn. She reported the incident to the CNA who replied, “Oh, that is not anything to worry about. It will go away as soon as he gets up.” The CNA helped Mr. J to the bathroom and then returned him to bed where she had him lie on his back so she could reapply the restraints.The diet order for Mr. J was “regular, kosher, chopped meat.” The day after his daughter arrived, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal. The meal served was labeled, “regular, chopped meat.” The tray contained the remains of a chopped pork cutlet.The nurse notified the supervisor, who said, “Just keep it quiet. It will be okay.” The nursing supervisor then notified the kitchen supervisor of the error. The kitchen supervisor told the staff on duty what had happened.When the patient’s daughter visited later that night, she was not told of the incident.The next night, the daughter was present at suppertime when the tray was delivered by a dietary worker. The worker said to the patient’s daughter, “I’m so sorry about the pork cutlet last night.” The daughter asked what had happened and was told that there had been “a mix up in the order.” The daughter then asked the nurse about the incident. The nurse, while confirming the incident, told the daughter, “Half a pork cutlet never killed anyone.”The daughter then called the physician, who called the hospital administrator. The physician, who is also Jewish, told the administrator that he has had several complaints over the past six months from his hospitalized Jewish patients who felt that their dietary requests were not taken seriously by the hospital employees.The hospital is a 65-bed rural hospital in a town of few Jewish residents. The town’s few Jewish members usually receive care from a Jewish hospital 20 miles away in a larger city.REQUIREMENTSYour submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.Analyze the scenario (suggested length of 2–3 pages) by doing the following:A. Discuss how the application of nursing-quality indicators could assist the nurses in this case in identifying issues that may interfere with patient care.B. Analyze how hospital data of specific nursing-quality indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital.C. Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve an ethical issue in this scenario.D. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.E. Demonstrate professional communication in the content and presentation of your submission.File RestrictionsFile name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( )File size limit: 200 MBFile types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7zRUBRICA:UNDERSTANDING OF NURSING QUALITY INDICATORSNOT EVIDENTA discussion of applying nursing-quality indicators is not provided.APPROACHING COMPETENCEThe discussion does not logically address how the application of nursing-quality indicators could assist the nurses in the scenario with identification of issues that may interfere with patient care.COMPETENTThe discussion logically addresses how the application of nursing-quality indicators could assist the nurses in the scenario with identification of issues that may interfere with patient care.B:ADVANCING QUALITY PATIENT CARENOT EVIDENTAn analysis of potential advancement(s) to patient care is not provided.APPROACHING COMPETENCEThe analysis does not identify specific nursing-quality indicators from the scenario or does not logically discuss how hospital data on the identified indicators could advance quality patient care throughout the hospital.COMPETENTThe analysis identifies specific nursing-quality indicators from the scenario and logically discusses how hospital data on the identified indicators could advance quality patient care throughout the hospital.C:RESOLUTION OF ETHICAL ISSUESNOT EVIDENTAn analysis of the use of system resources, referrals, or colleague for resolving ethical issues is not provided.APPROACHING COMPETENCEThe analysis describes one or more system resources, referrals, and/or colleagues that are inappropriate for the candidate to use in the role of nursing shift supervisor to resolve the ethical issue from the scenario.COMPETENTThe analysis describes specific system resources, referrals, or colleagues that are appropriate for the candidate to use in the role of the nursing shift supervisor to resolve the ethical issue from the scenario.D:SOURCESNOT EVIDENTThe submission does not include both in-text citations and a reference list for sources that are quoted, paraphrased, or summarized.APPROACHING COMPETENCEThe submission includes in-text citations for sources that are quoted, paraphrased, or summarized and a reference list; however, the citations or reference list is incomplete or inaccurate.COMPETENTThe submission includes in-text citations for sources that are properly quoted, paraphrased, or summarized and a reference list that accurately identifies the author, date, title, and source location as available.E:PROFESSIONAL COMMUNICATIONNOT EVIDENTContent is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.APPROACHING COMPETENCEContent is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.COMPETENTContent reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.
Exploring the concepts of health: Why is the way an individual defines health and health problems important? What are the implications for advanced practice nurses? Which theoretical model of health is of particular interest to you? Why?Length: A minimum of 280 words, not including referencesCitations: At least one high-level scholarly reference in APA from within the last 5 years
Please open attached documents for the instructions and guidelines of the Course reflection assignment.
Roy and NeumanCreate a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least one (1) source and the textbook using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.Create a PowerPoint Presentation to discuss the following…Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns.Assignment Expectations:Length: 10-15 slidesStructure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) outside scholarly sources and the textbook are required for this assignment.Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.Format: Save your assignment as a Microsoft PPT document (.pptx) or a PDF document (.pdf)
For this assessment you will create an 8-12 slide PowerPoint presentation for one or more stakeholder or leadership groups to generate interest and buy-in for the plan proposal you developed for the third assessment.As a current or future nurse leader, you may be called upon to present to stakeholders and leadership about projects that you have been involved in or wish to implement. The ability to communicate a plan—and potential implications of not pursuing such a plan—to stakeholders effectively can be critically important in creating awareness and buy-in, as well as building your personal and professional brand in your organization. It is equally important that you know how to create compelling presentations for others’ delivery and ensure that they convey the same content you would deliver if you were the presenter.You are encouraged to complete the Evidence-Based Practice: Basics and Guidelines activity before you develop the presentation. This activity consists of six questions that will create the opportunity to check your understanding of the fundamentals of evidence-based practice as well as ways to identify EBP in practice. The information gained from completing this formative will help promote success in the Stakeholder Presentation and demonstrate courseroom engagement—it requires just a few minutes of your time and is not graded.Demonstration of ProficiencyCompetency 1: Explain strategies for managing human and financial resources to promote organizational health.Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.Communicate the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional, respectful manner, with writing that is clear, logically organized, with correct grammar and spelling, using current APA style.Professional ContextThis assessment will provide you with an opportunity to sharpen your ability to create a professional presentation to stakeholders. In this presentation, you will explain the Plan-Do-Study-Act cycle and how it can be used to introduce the plan (P), implement the plan (D), study the effectiveness of the plan (S), and act on what is learned (A) to drive continuous improvement. By using this cycle, the stakeholders will have a tool and a proposal to expand on these ideas to drive workplace change and create improved processes to solve an interprofessional collaboration problem.ScenarioIn addition to summarizing the key points of Assessments 2 and 3, you will provide stakeholders and/or leadership with an overview of project specifics as well as how success would be evaluated—you will essentially be presenting a discussion of the Plan, Do, and Study parts of the PDSA cycle. Again, you will not be expected to execute the project, so you will not have any results to study. However, by carefully examining the ways in which your plan could be carried out and evaluated, you will get some of the experience of the thinking required for PDSA.When creating your PowerPoint for this assessment, it is important to keep in mind the target audience: your interviewee’s organizational leadership. The overall goal of this assessment is to create a presentation that your interviewee could potentially give in his or her organization.InstructionsPlease follow the CapellaGuidelines for Effective PowerPoint Presentations [PPTX]. If you need technical information on using PowerPoint, refer toCapella University Library: PowerPoint Presentations.Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.Communicate the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional manner, with writing that is clear, logically organized, and respectful with correct grammar and spelling using current APA style.There are various ways to structure your presentation; following is one example:Part 1: Organizational or Patient Issue.What is the issue that you are trying to solve or improve?Why should the audience care about solving it?Part 2: Relevance of an Interdisciplinary Team Approach.Why is using an interdisciplinary team relevant, or the best approach, to addressing the issue?How will it help to achieve improved outcomes or reach a goal?Part 3: Interdisciplinary Plan Summary.What is the objective?How likely is it to work?What will the interdisciplinary team do?Part 4: Implementation and Resource Management.How could the plan be implemented to ensure effective use of resources?How could the plan be managed to ensure that resources were not wasted?How does the plan justify the resource expenditure?Part 5: Evaluation.What would a successful outcome of the project look like?What are the criteria that could be used to measure that success?How could this be used to show the degree of success?Again, keep in mind that your audience for this presentation is a specific group (or groups) at your interviewee’s organization and tailor your language and messaging accordingly. Remember, also, that another person will ultimately be giving the presentation. Include thorough speaker’s notes that flesh out the bullet points on each slide.Additional RequirementsNumber of slides: Plan on using one or two slides for each part of your presentation as needed, so the content of your presentation will be 8–12 slides in length. Remember that slides should contain concise talking points, and you will use presenter’s notes to go into detail. Be sure to include a reference slide as the last slide of your presentation.Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old.APA formatting: Make sure that in-text citations on your slides and in your notes pages and reference slide reflect current APA Style and Format.Note: Faculty may use the Writing Feedback Tool when grading this assessment. TheWriting Feedback Toolis designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.Grading Requirements:1. Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.Passing Grade: Explains an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal, noting potential consequences of not addressing the issue.2. Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.Passing Grade: Summarizes an evidence-based interdisciplinary plan to address an organizational or patient issue, noting specific sources of evidence used to develop the plan.3. Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.Passing Grade: Explains how the interdisciplinary plan could be implemented and how the human and financial resources would be managed, providing real-world examples relevant to the context of the health care organization.4. Propose evidence-based criteria to evaluate the degree to which the project was successful in achieving the improvement goal.Passing Grade: Proposes evidence-based criteria to evaluate the degree to which the project was successful in achieving the improvement goal, noting specific sources of evidence used to develop the criteria.5. Communicate the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional, respectful manner, with writing that is clear, logically organized, with correct grammar and spelling, using current APA style.Passing Grade: Communicates the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional, respectful manner, with writing that is clear, logically organized, with correct grammar and spelling, using current APA style with no errors.
Please upload your picture to this site. Please describe picture and tell the class why you think this is a good example of public health.Purpose:Many times we overlook the evidence and importance of public health efforts in our communities, however, the evidence is all around us. Public health has been responsible for many improvements in health outcomes over the past century and, as we can see from our experience with Covid-19, it is a vital component of health care systems. This learning activity is to function as an introduction to the many faces of public health in our communities.Instructions:After viewing the video “What is Public Health” below, go on a scavenger hunt to find your own examples of public health in your community (billboards, signs, newspaper articles etc). Post PICTURES to the Discussion Board. Add pictures as an attachment, or copy and paste directly into the post. Add a description of the picture and why you think this is a good example of public health.OPEN YOUR EYES!! It’s ALL around us!!
Briefly introduce a person you have recently cared for in your nursing practice. (Be sure not to include any identifying information that would be protected by HIPAA!) Discuss the person’s view of the cause of their health condition, the person’s health literacy, and the person’s identity on the continuum of privilege-disadvantage (Table 4 in the Lor article on p. 361). What was (or would be) your approach to care for him/her in a culturally competent way?Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
Imagine you are working at a doctor’s office. You are approached by the office manager, who asks you to develop an effective way of storing patient information.Write a 350- to 700-word summary to your office manager informing her of the advantages of using electronic health records (EHRs) to store patient information. Be clear and concise, use complete sentences, and use examples to support your responses.Include the following in your response:Discuss the functions and advantages of using EHRs.Discuss three to four forms used to keep patient information in EHRs.What is the purpose of each form?
The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.To Prepare:Review the concepts of informatics as presented in the Resources.Reflect on the role of a nurse leader as a knowledge worker.Consider how knowledge may be informed by data that is collected/accessed.The Assignment:Explain the concept of a knowledge worker.Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.Develop a simple infographic to help explain these concepts.NOTE: For guidance on infographics, including how to create one in PowerPoint, see “How to Make an Infographic in PowerPoint” presented in the Resources.Surce that is youtube clip:Public Health Informatics Institute. (2017). Public Health Informatics: “translating” knowledge for health [Video file]. Retrieved from https://www.youtube.com/watch?v=fLUygA8Hpfo.Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.