Title: “The Benefits and Challenges of Breastfeeding: Exploring Breastfeeding Resources for Empowered Mothers and Healthy Infants” 

Guidelines: 

APA Format 

MUST utilize credible data sources such as CINAHL, MEDLINE, Embase, ClinicalKey, The Cochrane Library. Library resources can be accessed from the Library page at the FNU.edu website. FNU Librarians are available to assist each student with retrieving the required scholarly content.

Research paper must be 650-1000 words. 

3 or more scholarly sources must be utilized

Sources must be within the last 5 years 

Must have a minimum of 3 Sources 

All article sources must be cited by including them in reference sheet (separate).

2

 Answer with at least 6 sentences, one scholarly reference ( discussion doesn’t have to be long just enough to get the question answered )  

  

Scenario 1: Myocardial Infarction

CC: “I woke up this morning at 6 a.m. with numbness in my left arm and pain in my chest. It feels tight right here (mid-sternal).” “My dad had a heart attack when he was 56-years-old and I am scared because I am 56-years-old.” 

HPI: Patient is a 56-year-old Caucasian male who presents to Express Hospital  Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states this started this morning and has been getting worse, pointing to the mid-sternal area, “it feels like an elephant is sitting on my chest and having a hard time breathing”. He rates the pain as 9/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, or lightheadedness. Nitroglycerin 0.4 mg tablet sublingual x 1 which decreased pain to 7/10.

Lipid panel reveals Total Cholesterol 424 mg/dl, high density lipoprotein (HDL) 26 mg/dl, Low Density Lipoprotein (LDL) 166 mg/dl, Triglycerides 702 mg/dl, Very Low-Density Lipoprotein (VLDL) 64 mg/dl

His diagnosis is an acute inferior wall myocardial infarction.

Question:

1. How does inflammation contribute to the development of atherosclerosis?

Week 5 – Assignment: Support Quality Performance Improvement through Enhanced Interprofessional Communication

For your assignment this week, you will use the case study found in the week's resources titled, Case Study: A Private Practice in the Pennsylvania Chronic Care Initiative. 

After reading the case study, you will take on the role of a health administration intern hired by Dr. Johnson to run his office practice, and you will prepare a draft written communication in the form of a business letter or memorandum addressed to the local Chief Executive Officer Jamie Harper (fictitious) at Hospital Anywhere (fictitious). 

According to the Agency for Health Research and Quality, a challenge to improving quality in private physician practices is the lack of communication with hospital organizations to increase the exchange of information related to the emergency room visits, hospital admissions, and discharges of their patients especially when the physician does not have privileges to practice at the hospital and is not notified of the patient's medical or surgical treatments.

Your communication in the form of a business letter or memorandum as the health administration intern wrote on Dr. Johnson's behalf to CEO Jamie Harper will include the following information:

 A salutation and introduction of who you are and on whose behalf you are writing. Give Dr. Johnson a fictitious first name and give the medical practice a fictitious name.

 Background information in synopsis form on the operation of your physician's office practice and how and why your practice has joined the
Pennsylvania Chronic Care Initiative (PCCI). Be sure to mention the quality outcome performance of the office before and since joining the
PCCI (this information is in the case study; so, be sure to summarize the important points regarding these quality measures as it relates to the diabetic patients).

 State the reason for your written communication that includes the desire to improve the interdisciplinary communication between Hospital Anywhere and your office practice especially for your diabetic patients and the potential hospital services that would be beneficial to your diabetic patients (see the Miller-Rosales and Rodriguez (2021) resource in your Weekly Resources).  

 Propose how using the identified hospital services will benefit the hospital and your office practice from both a healthcare quality and financial perspective.

 Provide a closing paragraph in your business letter/memorandum and the appropriate complimentary signoff. Be sure to mention the attachments you are providing.

 Create a tool that you propose to collect the data from the identified hospital staff following their consultations with your diabetic patients and include it in your business letter or memorandum as an Attachment 1 (see the Miller-Rosales and Rodriguez (2021) resource in your Weekly Resources).

 Lastly, create a draft checklist that you will provide to your office staff to assure your diabetic patients are completing their annual tests and screenings and include it in your business letter/memorandum as Attachment 2 (see the Florida Blue Medicare Caregiver Guide (2019) in your resources). 

Be creative with this assignment and enjoy its real-world applicability. While it is not a requirement for this assignment, you may wish to embellish your business letter or memorandum. You can find a business or memo templates from the MS Word templates. Click
File at the top of your Word document, then click
More Templates. Remember, if you use a template, after the first page of a memorandum, the remaining pages usually are plain. Be sure to consult APA guidelines for the use of attachments which may be called appendices. 

Length: A minimum of 3-4 pages, not including the title page, reference page, or the 2 attachments

https://www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/gabbay.html

https://www.tandfonline.com/doi/full/10.1080/20009666.2019.1593782



Florida Blue Medicare Family Caregiver Guide

Florida Blue Medicare Caregiver Guide (2019).
Florida Blue Medicare Resources.

Consult page 31 in this resource for your assignment this week to see a list of the annual tests required for diabetics.

https://www.jabfm.org/content/34/1/151



Interdisciplinary Primary Care Team Expertise and Diabetes Care Management

Miller-Rosales, C., & Rodriguez, H. P. (2021). Interdisciplinary primary care team expertise and diabetes care management.
Journal of the American Board of Family Medicine, 34(1), 151-161. doi: 10.3122/jabfm.2021.01.200187.

Use this resource to complete your assignment as the researchers discuss the use of interdisciplinary care to manage patients with diabetes.

Module 06 Classroom Assignment – Assess and Document

Top of Form

Bottom of Form

Module 06 Content

1.

Top of Form

Conduct an assessment of the following body system: 

· Skin-comprehensive assessment

You may conduct the assessment on a fellow student, friend, or family member. Remember to secure their permission.

Use the worksheet provided in class & Collect both subjective and objective data using the process described in the textbook. Review the Evolve resources & video on Skin located in the Overview tab under Module 6

Write a summary of the assessment and the skills utilized. See the questions below to guide you. Do not disclose any patient identifiers. 

1. What skills (assessment techniques) were utilized during the assessment?

1. What subjective data did you collect? (list your findings)

1. What objective data did you collect? (list your findings

 
APA format isn't required. 

 Nursing knowledge is classified in a variety of ways, one of which is Carper’s Patterns of Knowing (Carper, 1978). Carper’s framework offers a lens through which the nurse can reflect upon insights acquired through empirical, ethical, personal, and aesthetic knowledge (Carper, 1978). Through intentional reflection using Carper’s Patterns of Knowing, nurses can process experiential learning and knowledge acquired through practice. The purpose of this assignment is to reflect upon a specific practice situation and better understand the professional knowledge and insights obtained through that experience.

Criteria for Content

1. Think of a surprising or challenging practice situation in which you felt underprepared, unprepared, or uncomfortable.
2. Select an important nursing issue/topic that was inherent to the identified situation.
3. Briefly explain the situation.
4. Identify the nursing issue inherent in the identified situation
   1. As a method of refection, use Carper’s Patterns of Knowing to analyze the situation. In your discussion, address ONE of the following Patterns of Knowing:
      1. What do you think was the underlying reason for the situation? (Esthetics)
      2. What were your thoughts and feeling in the situation? (Personal)
      3. What was one personal belief that impacted your actions? (Ethics)
      4. What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)
5. What new insights did you gain through this reflective practice opportunity? How will this apply to your practice as a nurse practitioner? Be sure to use scholarly literature to support your position.