Unit 5 Discussion 551

 

A 41-year-old obese male patient is diagnosed with congestive heart failure (CHF). He is told to begin a moderate exercise routine with a healthy diet and is prescribed several medications — including a diuretic.

  1. Based on your knowledge of the kidney and the disease of CHF, what factors would be important in selecting a specific diuretic? How would you explain to this patient how it works?
  2. If this patient developed a disease that caused the renal blood flow to be diminished, how might this impact the medication he is taking for his congestive heart failure? As his health care provider, how would you change his treatment in this situation?

Instructions: One to 1 pg and a half is enough its a discussion post. APA style. Must have at least 3 references.

ASSESSMENT 3 4050

Assessment 3

Care Coordination Presentation to Colleagues

INSTRUCTIONS-Develop a 20-minute video presentation for nursing colleagues highlighting the fundamental principles of care coordination. Create a detailed narrative script for your presentation, approximately 4-5 pages in length. This is a video presentation.

INTRODUCTION- This assessment provides an opportunity for you to educate your peers on the care coordination process. The assessment also requires you to address change management issues. 

PREPARATION– You are encouraged to complete the Managing Change activity. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.

Scenario

Your nurse manager has been observing your effectiveness as a care coordinator and recognizes the importance of educating other staff nurses in care coordination. Consequently, she has asked you to develop a presentation for your colleagues on care coordination basics. By providing them with basic information about the care coordination process, you will assist them in taking on an expanded role in helping to manage the care coordination process and improve patient outcomes in your community care center.

To prepare for this assessment, identify key factors nurses must consider to effectively participate in the care coordination process.

You may also wish to:

· Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.

· Allow plenty of time to rehearse your presentation.

Recording Equipment Setup and Testing

Check that your recording equipment and software are working properly and that you know how to record and upload your presentation. You may use Kaltura (recommended) or similar software for your audio recording. A reference page is required. However, no PowerPoint presentation is required for this assessment.

· If using Kaltura, refer to the 

Using Kaltura
 tutorial for directions on recording and uploading your video in the courseroom.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact 

[email protected]
 to request accommodations.

INSTRUCTIONS- Complete the following:

· Develop a video presentation for nursing colleagues highlighting the fundamental principles of care coordination. Include community resources, ethical issues, and policy issues that affect the coordination of care. To prepare, develop a detailed narrative script. The script will be submitted along with the video.

Note: You are 
not required to deliver your presentation.

Presentation Format and Length

Create a detailed narrative script for your video presentation, approximately 4–5 pages in length. Include a reference list at the end of the script.

Supporting Evidence

Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your video. Include your source citations on a references page appended to your narrative script. Explore the resources about effective presentations as you prepare your assessment.

Grading Requirements

The requirements outlined below correspond to the grading criteria in the Care Coordination Presentation to Colleagues Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

· Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.

· Provide, for example, drug-specific educational interventions, cultural competence strategies.

· Include evidence that you have to support your selected strategies.

· Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.

· Explain the rationale for coordinated care plans based on ethical decision making.

· Consider the reasonable implications and consequences of an ethical approach to care and any underlying assumptions that may influence decision making.

· Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.

· What are the logical implications and consequences of relevant policy provisions?

· What evidence do you have to support your conclusions?

· Raise awareness of the nurse's vital role in the coordination and continuum of care in a video-recorded presentation.

· Fine tune the presentation to your audience.

· Stay focused on key issues of import with respect to the effects of resources, ethics, and policy on the provision of high-quality, patient-centered care.

· Adhere to presentation best practices.

Additional Requirements-Submit both your presentation video and script. The script should include a reference page. See 
Using Kaltura for more information about uploading multimedia files. You may submit the assessment only once, so be sure that both assessment deliverables are included.

Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.

Course Competencies- By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

· Competency 2: Collaborate with patients and family to achieve desired outcomes.

· Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.

· Competency 3: Create a satisfying patient experience.

· Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.

· Competency 4: Defend decisions based on the code of ethics for nursing.

· Explain the rationale for coordinated care plans based on ethical decision making.

· Competency 5: Explain how health care policies affect patient-centered care.

· Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.

· Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.

· Raise awareness of the nurse's vital role in the coordination and continuum of care in a video-recorded presentation.

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated.

Care Coordination Presentation to Colleagues Scoring Guide

CRITERIA

NON-PERFORMANCE

BASIC

PROFICIENT

DISTINGUISHED

Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.

Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.

Explain the rationale for coordinated care plans based on ethical decision making.

Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.

Raise awareness of the nurse's vital role in the coordination and continuum of care in a video-recorded presentation.

250 word discussion Evidence Base Nursing

Due 9/20  6 pm EST

250 Words APA not including Title and references

 

Critical appraisals are used to broaden understanding and summarize evidence. This helps determine if research evidence is ready for practice. There are certain steps to conducting critical appraisals.

  • Locate a scholarly journal article and apply the steps of critical analysis found in your textbook.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.

  All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format. 

BLOG

  

LEARNING ONLINE

Informative Speech

Carnival

For my informative speech presentation. I would like to talk about carnival

  1. Celebration of rebellion against enslavement
  2. Originated in Trinidad and Tobago
  3. Carnival tradition is based on a number of disciplines.

discussion

PROFESSIONAL NURSING AND STATE-LEVEL REGULATIONS

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.



WEEKLY RESOURCES

To Prepare:

· Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.

· Consider how key regulations may impact nursing practice.

· Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion.

BY DAY 3 OF WEEK 5

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

BY DAY 6 OF WEEK 5

Respond to at least 
two of your colleagues
* on two different days and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples.

·
Required readings

· Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

· I live in California please write about California

· Milstead, J. A., & Short, N. M. (2019). 
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.

· Chapter 4, “Government Response: Regulation” (pp. 57–84)

· American Nurses Association. (n.d.). 


ANA enterprise

Links to an external site.
. Retrieved September 20, 2018, from http://www.nursingworld.org

· Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). 

Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary careLinks to an external site.

Nursing Outlook, 65(6), 761–765.

· Halm, M. A. (2018). 

Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing

 Download Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing
Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291

·

National Council of State Boards of Nursing (NCSBN)Links to an external site.
. (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm

· Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). 

The impact of nurse practitioner regulations on population access to careLinks to an external site.

Nursing Outlook, 66(4), 379–385.

· Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). 

mHealth: Don’t forget all the stakeholders in the business caseLinks to an external site.

Medicine 2.0, 4(2), e4.

THERAPY FOR CLIENTS WITH PERSONALITY DISORDERS

See attachment for resources 

EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) 
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers

please provide at least 3 references! APA format

COUGH

 

  

Subjective

Danny Rivera is an 8 years old boy presenting with a wet cough. He reports that the cough has lasted three days. He describes the cough as wet and gurly.

Objective

The cough is temporarily treated by the children’s cough medicine his mother gave him. He reports that the cough is not aggravated by activity. He reports the cough gets worse at night, which keep him up at night. He reports tenderness of his throat. He reports a history of frequent rhinorrhea and cough. Risk factor includes second-hand smoke from father, history of pneumonia in the past year, and being overwiegt for his age.

Assessment

He has no acute respiratory distress, his lungs are clear to auscultation and is afebrile, He has current rhinorrhea, examination of the nose reveals boggy turbinate. His throat appears red with visible cobblestoning in the back. His respiratory rate is inscreased, and he present mild tachycardia.

Plan

I recomende calling his grandmother to pick him up from school. He should see his primary care provider within the next few days for an evaluation and tests to rule out asthma and allergies. In the meantime, he should be allowed to rest and should be given cough medicine as needed.