Category: Nursing

Benchmark – Population Health Policy Analysis

Optimal health is achieved through high-quality health care services which are cost-effective and accessible to the public and also well-coordinated. Health policies present plans, actions and decisions that facilitate the achiev3ment of healthcare goals in the society (Blank, 2019). The World Health Organization notes that health policies define visions for the future, provides the expected roles and priorities roles of the public population and creates consensus as well as informs the public on healthcare issues (Abel-Smith, 2018). As such, this paper examines the publicly funded healthcare policy in the United States and how it is designed to improve a specific population’s access to quality, cost-effective health care…

Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a paper of 1,000-1,250 words, include the following:

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Explain the policy and how it is designed to improve cost-effectiveness and health care equity for the population. Is the policy financially sound? Why or why not? How does the policy account for any relevant ethical, legal, and political factors and the nursing perceptive one must consider when implementing it? Benchmark – Population Health Policy Analysis

To what state, federal, global health policies or goals is this particular policy related? How well do you think the policy is designed to achieve those goals?

Finally, discuss the advocacy strategies you would employ on behalf of your population to ensure they have access to the benefits of the policy. Explain, from a Christian perspective, the professional and moral obligation of advanced registered nurse to advocate for and promote health and prevent disease among diverse populations.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Benchmark – Population Health Policy Analysis

Prepare this Benchmark – Population Health Policy Analysis 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. Please refer to the directions in the Student Success Center.

 

NUR-550

NUR-550-XO0905XB

Benchmark – Population Health Policy Analysis

160.0

Criteria

Percentage

Unsatisfactory (0.00%)

Less than Satisfactory (80.00%)

Satisfactory (88.00%)

Good (92.00%)

Excellent (100.00%)

Content

70.0%

Financially Sound Health Care Policy That Incorporates the Nursing Perspective and Relevant Ethical, Legal, and Political Factors (2.1)

20.0%

A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is not included. Benchmark – Population Health Policy Analysis

A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is present, but it lacks detail or is incomplete.

A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is present.

A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is clearly provided and well developed.

A comprehensive discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is thoroughly developed with supporting details.

Integration of Appropriate State, Federal, and Global Health Policies and Goals Related to Equitable Health Care for Populations (4.2)

20.0%

A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is not included.

A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is present, but it lacks detail or is incomplete.

A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is present.

A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is clearly provided and well developed.

A comprehensive discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is thoroughly developed with supporting details.

Benchmark – Population Health Policy Analysis

Advocacy Strategies for Improving Access, Quality, and Cost-Effective Health Care for Diverse Populations (2.2)

10.0%

A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is not included.

A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is present, but it lacks detail or is incomplete.

A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is present.

A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is clearly provided and well developed.

A comprehensive discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is thoroughly developed with supporting details.

The Professional and Moral Obligation of Advanced Registered Nurses to Respect Human Dignity and Advance the Common Good Through Working to Promote Health and Prevent Disease Among Diverse Populations from a Christian Perspective (4.3)

15.0%

A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is not included.

A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is present, but it lacks detail or is incomplete.

A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is present.

A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is clearly provided and well developed.

A comprehensive discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is thoroughly developed with supporting details.

Required Sources

5.0%

Sources are not included.

Number of required sources is only partially met. Benchmark – Population Health Policy Analysis

Number of required sources is met, but sources are outdated or inappropriate.

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

Organization and Effectiveness

20.0%

Thesis Development and Purpose

7.0%

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed or vague. Purpose is not clear.

Thesis is apparent and appropriate to purpose.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

Benchmark – Population Health Policy Analysis

8.0%

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5.0%

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

Writer is clearly in command of standard, written, academic English.

Format

10.0%

Paper Format (Use of appropriate style for the major and assignment)

5.0%

Template is not used appropriately or documentation format is rarely followed correctly.

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

Template is used, and formatting is correct, although some minor errors may be present.

Template is fully used; There are virtually no errors in formatting style.

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5.0%

Sources are not documented. Benchmark – Population Health Policy Analysis

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Total Weightage

100%

 

Optimal health is achieved through high-quality health care services which are cost-effective and accessible to the public and also well-coordinated. Health policies present plans, actions and decisions that facilitate the achiev3ment of healthcare goals in the society (Blank, 2019). The World Health Organization notes that health policies define visions for the future, provides the expected roles and priorities roles of the public population and creates consensus as well as informs the public on healthcare issues (Abel-Smith, 2018). As such, this paper examines the publicly funded healthcare policy in the United States and how it is designed to improve a specific population’s access to quality, cost-effective health care. Benchmark – Population Health Policy Analysis.

Publicly funded healthcare policy in the United States is designed to meet all or part of the healthcare needs from public funds. The Medicare and Medicaid programs together with the Veterans Health Administration and Children’s Health Insurance Programs are involved in funding 64% of healthcare costs paid by the government since 2013 (Sommers et al., 2017). Benchmark – Population Health Policy Analysis. The policy is designed to improve cost-effectiveness and health care equity for the population as it meets a larger portion of healthcare bills. Thus, it reduces the economic burden of the population and particularly the marginalized groups who have difficulties in accessing care due to poverty. Even though is not a universal healthcare fund, the policy ensures equitable distribution of healthcare services through equal distribution of healthcare funds. It also gives the population a chance to select their insurances depending on their economic capabilities. Consequently, it protects the consumers from exploitation by insurance companies. Benchmark – Population Health Policy Analysis.

The publicly funded healthcare policy in the United States is somehow not financially sound. Healthcare costs in the US are considerably higher and continues to increase even more than the overall economic growth of the country. For instance, in 2016, the cost was reported to be approximately $3.3 trillion dollars in 2016 (Martin, 2016). These high costs are bound to strain the economy of the country in the future considering that the US has the highest healthcare costs compared to other countries Benchmark – Population Health Policy Analysis. In 2016, the government spent 17.9% of GDP on the costs of healthcare which is substantially higher than Japan, France, Germany and Sweden who spent about 11% and Switzerland which spent only 12% of their gross domestic product (Papanicolas, Woskie & Jha, 2018). Moreover, an individual American citizen spent about $9900 for healthcare in 2016 (Martin, 2016). This increased expenditure could be therefore become unsustainable in the long run because, they tend to increase the national debt. In addition, the quality of life reduces as people spend more on health and insurances, the costs of their products and services increase and people end up being unable to afford healthcare insurance. Benchmark – Population Health Policy Analysis.

The public funded healthcare policy ensures equitable distribution of resources among the public population regardless of their financial or social status. This supports the justice principle of ethics which focuses on fairness. Moreover, it promotes the protection of vulnerable groups such as the minorities and as well as ensures the patient’s choice of treatment is respected as expected by autonomy Benchmark – Population Health Policy Analysis. It also promotes culturally sensitive care thus enhancing solidarity between communities during outbreaks through prevention strategies and collaboration in eradicating illnesses. The policy is basically set up to benefit the public in improving the access and quality of healthcare and reducing the cost (Wilkinson, & Savulescu, 2018).

On the other hand, the legal foundation of public health in the US is embedded in the rights to life, safety and health of the population. The constitution mandates the government’s protection of its citizens against harm and hence the federal and states governments should provide a functioning public health system (Chen, Vargas-Bustamante, Mortensen & Ortega, 2016). The public health policy was set up through a political decision processes which involve the enactment of The Affordable Care Act (ACA) legislations Benchmark – Population Health Policy Analysis. Notably, the repealing, removal or amendment of the policy is dependent on the political authorities.

The implementation of the healthcare public funding policy should be patient centered and seek to reduce the cost as well as increase the quality of care. As such, nurses must consider influencing the processes and standards of their practice settings to achieve quality. Furthermore, they should promote active participation of other nurses and collaborations to ensure successful implementation and sustainability of the policy. Nurses should also consider being information sources to the community for the much-needed information regarding healthcare insurance coverage and access provided by the policy. Benchmark – Population Health Policy Analysis.

The public health funding policy is related to the Affordable Care Act (ACA) Federal health policy. This Act was enacted in 2010 with the aim of offering affordable health insurance coverage to the public. It also sought to protest the citizens for exploitation by insurance companies (Sommers et al., 2017). In this case, it was designed to lower the cost of healthcare particularly for low-income households. The public funding healthcare policy is well designed to achieve the ACA goals in that it offers healthcare funding programs suitable for all citizens through various insurance programs Benchmark – Population Health Policy Analysis. This ensures that costs are maintained at a realistic level that increases access as healthcare services become more affordable.

The public health funding policy seeks to improve the quality of healthcare, reduce the cost, increase access and affordability. One of the advocacy strategies I would employ on behalf of my population to ensure they have access to the benefits of the policy is to provide a voice. This means that I provide information to enable them understand the policy and its benefits as well as how to become a beneficiary. I will also allow them to ask questions that will facilitate my successful implementation of the policy. Another strategy will involve the protection of the patients’ rights (Assi, Peterson & Hatmaker, 2018). Benchmark – Population Health Policy Analysis. This will entail knowing their wishes and communicating them to the policy makers as well as educating them on how to optimally benefit from the policy as well as improve the quality of their care.  I will also connect patients to resources both on the inside and outside the healthcare facility to support their wellbeing and understanding of the policy. This will help them gain financial assistance and enable them meet their needs.

From a Christian perspective, the advanced registered nurses have a professional and moral obligation to advocate for and promote health and prevent disease among diverse populations Benchmark – Population Health Policy Analysis. This is achieved through upholding of autonomy, beneficence, non-maleficence and justice during healthcare delivery (Leffers & McDermott-Levy, 2019). This means that nurses are expected to engage patients in treatment and as well in decision making regarding the implementation of healthcare policies. They should also ensure fair and equitable distribution of healthcare resources and services and attend to patients without discrimination. Nurses should also be culturally sensitive while dealing with patients from different backgrounds (Albougami, Pounds & Alotaibi, 2016). This includes conducting a spiritual needs assessment to resolve ethical dilemmas and as well as practicing according to the legal requirements of the advanced nurse license. They should also uphold holistic and evidence-based practice at all times. Benchmark – Population Health Policy Analysis.

References

Abel-Smith, B. (2018). 
An introduction to health: policy, planning and financing
. Routledge.

Albougami, A. S., Pounds, K. G., & Alotaibi, J. S. (2016). Comparison of four cultural competence models in transcultural nursing: A discussion paper. 
International Archives of Nursing and Health Care
, 
2
(3), 1-5.

Assi, M. J., Peterson, C., & Hatmaker, D. D. (2018). Workforce Advocacy for a Professional Nursing Practice Environment. 
Contemporary Nursing E-Book: Issues, Trends, & Management
, 232. Benchmark – Population Health Policy Analysis.

Blank, R. H. (2019). Public Policy Context: Funding and Policy Initiatives. In 
Social & Public Policy of Alzheimer’s Disease in the United States
 (pp. 27-44). Palgrave Pivot, Singapore.

Chen, J., Vargas-Bustamante, A., Mortensen, K., & Ortega, A. N. (2016). Racial and ethnic disparities in health care access and utilization under the Affordable Care Act. 
Medical care
, 
54
(2), 140.

Leffers, J., & McDermott-Levy, R. (2019, November). Ethical principles for global health nursing: Promoting equity in practice. In 
APHA’s 2019 Annual Meeting and Expo (Nov. 2-Nov. 6)
. American Public Health Association.

Martin, A. B. (2016). Healthcare expenditure increasing in USA. 
PharmacoEconomics & Outcomes News
, 
768
, 17-17.

Papanicolas, I., Woskie, L. R., & Jha, A. K. (2018). Health care spending in the United States and other high-income countries. 
Jama
, 
319
(10), 1024-1039 Benchmark – Population Health Policy Analysis.

Sommers, B. D., Maylone, B., Blendon, R. J., Orav, E. J., & Epstein, A. M. (2017). Three-year impacts of the Affordable Care Act: improved medical care and health among low-income adults. 
Health Affairs
, 
36
(6), 1119-1128.

Wilkinson, D., & Savulescu, J. (2018). Cost-equivalence and Pluralism in Publicly-funded Health-care Systems. 
Health Care Analysis
, 
26
(4), 287-309. Benchmark – Population Health Policy Analysis.

Respiratory Shadow health Assignment Transcript

All Lines (285)
Interview Questions (220)
Statements (0)
Exam Actions (65)

Tina Jones.

and your date of birth

February 17th.

what is the year of birth please

I was born in . . . [Ms. Jones reports correct birth year.]

how old are you ms. jones

I’m 28.

what brings you in to the clinic today?

I came in because I’ve been having breathing problems, and my inhaler just isn’t working the way it normally does.

what made you seek medical treatment ms. jones?

Brian Foster Chest Pain Shadow Health Assessment

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Subjective Data Collection: 21 of 21 (100.0%)

Hover To Reveal…

Hover over the 
Patient Data
 items below to reveal important information, including 
Pro Tips
 and 
Example Questions
.

Found:

 Indicates an item that you found.

Available:

 Indicates an item that is available to be found. Respiratory Shadow health Assignment.

Category

Scored Items

Experts selected these topics as essential components of a strong, thorough interview with this patient.

Patient Data

Not Scored

A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.

Chief Complaint

Finding:

Established chief complaint

Finding:

Reports increased breathing problems and shortness of breath

(Found)

Pro Tip: Foundational questions about general well-being are important in assessing how a patient feels at the current moment. This creates a space for Tina to contextualize her current feeling in relation to a chief complaint.

Example Question:

What brings you in today?

Finding:

Reports decreased effectiveness of inhaler

(Found)

Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with.

Example Question:

Why did you decide to seek treatment?

History of Presenting Illness

Finding:

Asked about onset of symptoms

Finding:

Reports symptoms began two days ago

(Found)

Pro Tip: Determining the onset of a health problem is the first step to understanding if the underlying condition is acute or chronic. Respiratory Shadow health Assignment.

Example Question:

How long have you had breathing problems?

Finding:

Asked about frequency and duration of SOB episodes

Finding:

Reports exacerbations lasting several minutes

(Available)

Pro Tip: Knowing the duration of an asthma or shortness of breath episode will give you insight into how effective the patient’s interventions are, and how severe the episode is.

Example Question:

How long do your asthma episodes last?

Finding:

Reports exacerbated breathing about every 4 hours since original episode

(Found)

Pro Tip: The frequency of asthma episodes or shortness of breath might vary over time. Asking Tina about her recent experience will expound upon her current condition. Respiratory Shadow health Assignment

Example Question:

How many times have you had breathing problems in the past two days?

Finding:

Reports waking up twice a night with asthma the past 2 nights

(Available)

Pro Tip: Many patients with asthma report trouble sleeping. Asking Tina if she has trouble sleeping can indicate the severity of her asthma.

Example Question:

How many times in the past two nights did asthma wake you up?

Finding:

Asked about severity of symptoms

Finding:

Describes asthma severity as “not full attack,” but worse than usual

(Found)

Pro Tip: Asthma severity might change over time for a variety of reasons. Asking Tina about the severity of her asthma will allow her to assess her condition. Respiratory Shadow health Assignment

Example Question:

How severe is your asthma?

Finding:

Reports asthma has been interfering with activities of daily life

(Found)

Pro Tip: Severe asthma can interfere with daily life. Asking Tina the degree to which asthma impacts her daily life can be illustrative of the relative severity of her asthma.

Example Question:

Is there anything you can’t do because of your asthma?

Finding:

Asked about character of symptoms

Finding:

Reports recent wheezing

(Found)

Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina if she’s been wheezing illustrates how her asthma is presenting.

Example Question:

Do you wheeze during an asthma exacerbation?

Finding:

Reports chest tightness

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina to describe what happens when her asthma acts up will indicate how her individual symptoms manifest.

Example Question:

What happens when your asthma acts up?

Finding:

Denies chest pain

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina whether she experiences chest pain during an attack will indicate how her individual symptoms manifest.

Example Question:

Are the shortness of breath episodes associated with chest pain?

Finding:

Asked about cough

Finding:

Reports cough

(Found)

Pro Tip: A shallow history of a patient’s condition can provide a comparative baseline for juxtaposing an attack, exacerbation, and more regular breathing. Soliciting this information from Tina allows her to explain any recent developments with her asthma. Respiratory Shadow health Assignment

Example Question:

Have you been coughing?

Finding:

Cough has persisted since original asthma exacerbation 2 days ago

(Found)

Pro Tip: Some people who experience chronic asthma may be accustomed to coughing and thus might not volunteer this information. Asking Tina how long she has been coughing illustrates how her asthma is presenting.

Example Question:

How long have you had a cough?

Finding:

Describes cough as “dry”

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina to describe her cough specifies the way her individual symptoms manifest.

Example Question:

How would you describe your cough?

Finding:

Describes cough as “small” and not severe

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina to describe her cough specifies the way her individual symptoms manifest.

Example Question:

How severe is your cough?

Finding:

Reports cough slightly relieved by drinking water

(Found)

Pro Tip: Coughing can be a symptom of a constricted airway. Assessing what relieves Tina’s cough can open up a conversation about asthma management.

Example Question:

What makes your cough better?

Finding:

Has not treated cough with medication or home remedies

(Found)

Pro Tip: Some people who experience chronic asthma may be accustomed to coughing and thus might not treat this symptom. Asking Tina how she is treating her cough might reveal her current symptom management and health literacy. Respiratory Shadow health Assignment

Example Question:

Have you tried to treat your cough?

Finding:

Asked about aggravating factors

Finding:

Reports symptoms worse at night

(Found)

Pro Tip: Sometimes a condition will fluctuate during the course of the day. By asking Tina how her asthma differentially impacts her both during the day and at night, you are assessing an important change over time.

Example Question:

Is your asthma worse at night?

Finding:

Reports symptoms increase when lying flat on back

(Found)

Pro Tip: Asthma can be aggravated by movements that constrict the respiratory airways. By asking Tina if lying down causes shortness of breath, you’re assessing which positions might cause exacerbation.

Example Question:

Does lying down make your asthma worse?

Finding:

Reports symptoms aggravated by movement

(Found)

Pro Tip: Asthma can be aggravated by movements that constrict the respiratory airways. Inquiring into what activities make Tina short of breath can indicate possible triggers.

Example Question:

Is there anything you can’t do because of your asthma?

Medical History

Finding:

Confirmed use of medications

Finding:

Confirms medications (no new medications reported)

(Found)

Pro Tip: Determining what, if any, medications a patient is taking is a crucial element of a thorough health history and will help you avoid unwanted drug interactions.

Example Question:

What medications do you take?

Finding:

Followed up about inhaler use

Finding:

Uses an inhaler to treat asthma symptoms

(Found)

Pro Tip: It’s essential to ask specifically what medications a patient is using to treat her current complaint or any ongoing medical conditions.

Example Question:

Do you use an inhaler for your asthma?

Finding:

Inhaler is Proventil

(Found)

Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina what medication she takes for her asthma will indicate her treatment plan and the degree to which she complies with it.

Example Question:

What is the name of the inhaler you are currently using?

Finding:

Reports most recent inhaler use was this morning

(Available)

Pro Tip: Soliciting a shallow history of a patient’s medication history can reveal recent exacerbation. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment.

Example Question:

When did you last use your inhaler?

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Finding:

Reports using inhaler every 4 hours or so since exacerbation

(Found)

Pro Tip: After an asthma exacerbation, patients often will become more reliant on medical tools like inhalers. Asking Tina how many times she’s used her inhaler in the past two days will point to the severity of her recent exacerbation.

Example Question:

How many times have you used your inhaler in the past two days?

Finding:

Prescribed usage is 2 puffs

(Found)

Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina how many puffs of her inhaler she’s prescribed will indicate her treatment plan and the degree to which she complies with it. Respiratory Shadow health Assignment

Example Question:

How many puffs of your inhaler are you prescribed?

Finding:

Reports needing more than 2 puffs to resolve asthma symptoms

(Found)

Pro Tip: Inhaler effectiveness can vary over time for a variety of reasons. Asking Tina about the number on inhaler puffs she needs to resolve symptoms can indicate whether her asthma has worsened or point to potential problems like poor inhaler technique.

Example Question:

How many inhaler puffs do you need?

Finding:

Confirmed allergies

Finding:

Confirms allergies (no new allergies reported)

(Found)

Pro Tip: It’s best practice to ask a patient about her allergies each visit, even with an established patient, to uncover any new allergy triggers or symptoms.

Example Question:

Do you have any new allergies?

Finding:

Followed up on exposure to allergy and asthma triggers

Finding:

Reports cat allergy triggered recent episodes

(Found)

Pro Tip: Questions about what factors might have caused an illness can point to a patient’s environmental stressors, habits, and general wellbeing. Asking Tina what caused her asthma might indicate her health literacy and understanding of what factors impact her breathing.

Example Question:

What started your recent asthma problems?

Finding:

Reports dust as a known trigger

(Found)

Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has a dust allergy can reveal one such trigger.

Example Question:

Does being around dust trigger your asthma?

Finding:

Reports activity such as walking up stairs as a known trigger

(Available)

Pro Tip: Shortness of breath or asthma can be exercise-induced. Asking whether climbing stairs can be a trigger for Tina might reveal a possible provocation. Respiratory Shadow health Assignment

Example Question:

Does climbing stairs trigger your asthma?

Finding:

Denies seasonal pattern

(Found)

Pro Tip: Discerning what’s making Tina’s asthma worse can point to possible triggers like environmental factors, bodily positions, or movement that may have a bearing on Tina’s breathing. Asking Tina whether she has seasonal triggers will indicate, in part, Tina’s health literacy.

Example Question:

Do you have seasonal asthma triggers?

Finding:

Denies changes in weather as a trigger

(Available)

Pro Tip: For some patients, weather changes can be asthma irritants. Asking Tina if the weather impacts her asthma will indicate if weather is an irritant for Tina’s condition.

Example Question:

Do changes in weather make your asthma worse?

Finding:

Reports minimal exposure to asthma triggers at work

(Available)

Pro Tip: Environmental factors at home or work can often be primary allergy triggers. Asking Tina about possible allergens at work might indicate a relevant factor in her recent exacerbation.

Example Question:

Does anything at work make your asthma worse?

Finding:

Asked detailed questions about asthma history

Finding:

No current asthma doctor

(Found)

Pro Tip: Seeing a specialist, like an asthma doctor, can help patients to manage symptoms. Asking whether Tina is seeing an asthma doctor will allow you to assess her current treatment plan and healthcare access.

Example Question:

Do you have an asthma doctor?

Finding:

Diagnosed with asthma in childhood

(Found)

Pro Tip: By determining the onset of asthma you can get a sense for Tina’s asthma history, instance, and frequency of exacerbation.

Example Question:

How long have you had asthma?

Finding:

Age of diagnosis was 2 1/2 years old

(Found)

Pro Tip: By determining the onset of asthma you can get a sense for Tina’s asthma history, instance, and frequency of exacerbation.

Example Question:

How old were you when you were diagnosed with asthma?

Finding:

Asked about hospitalizations for asthma

Finding:

Reports prior hospitalizations for asthma

(Found)

Pro Tip: Hospitalization for a condition, like asthma, can reveal its severity. By asking Tina if she’s been hospitalized, you are soliciting information about the history and severity of her condition.

Example Question:

Have you ever been hospitalized for asthma?

Finding:

Reports last hospitalization was age 16

(Found)

Pro Tip: Hospitalization for a condition, like asthma, can reveal its severity. By asking Tina when she was last hospitalized, you are soliciting information about the history and severity of her condition.

Example Question:

When was your last hospitalization for asthma?

Finding:

Estimates 5 total hospitalizations for asthma

(Available)

Pro Tip: Hospitalization for a condition, like asthma, can reveal its severity. By asking Tina the number of times she’s been hospitalized, you are soliciting information about the history and severity of her condition.

Example Question:

How many times have you been to the hospital?

Finding:

Reports she has never been intubated

(Found)

Pro Tip: Intubation for a condition, like asthma, can reveal its severity. By asking Tina if she’s been intubated, you are soliciting information about the history and severity of her condition. Respiratory Shadow health Assignment

Example Question:

Have you ever been put on a breathing tube?

Finding:

Followed up about non-medication forms of asthma management

Finding:

Denies record keeping of asthma exacerbation or shortness of breath episodes

(Found)

Pro Tip: For some patients, keeping records of asthma exacerbation allows them to monitor their conditions. Soliciting this information from Tina will show health literacy.

Example Question:

Do you use a chart to monitor your asthma?

Finding:

Denies using peak flow meter

(Found)

Pro Tip: A peak flow meter measures how well a patient’s lungs can expel air. By asking whether Tina uses a peak flow meter, you are asking about her health literacy and what kind of medical tools she uses to manage her asthma.

Example Question:

Do you check your peak flow regularly?

Finding:

Denies nebulizer use

(Found)

Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina if she uses a nebulizer for her asthma will indicate her treatment plan and the degree to which she complies with it.

Example Question:

Do you use a nebulizer?

Social History

Finding:

Asked about exercise and activity level

Finding:

Reports general low activity level

(Found)

Pro Tip: Learning about a patient’s typical exercise habits helps

Example Question:

Do you exercise?

Finding:

Reports diminished activity due to asthma

(Found)

Pro Tip: Asking a patient if her current complaint affects her exercise level or (vice version) helps you understand if there is a causal relationship in symptoms.

Example Question:

Have you been able to exercise?

Finding:

Asked about environmental control

Finding:

Reports living situation is tidy and free of dust

(Available)

Pro Tip: Environmental factors at home or work can often be primary allergy triggers. Asking Tina about possible allergens at home might indicate a relevant factor in her recent exacerbation.

Example Question:

Have you noticed anything at home that aggravates your asthma?

Finding:

Reports hypoallergenic bedding hygiene

(Available)

Pro Tip: Bedding provides the perfect environment for dust mites and other allergens. By asking Tina if she regularly changes her bedding, you’re soliciting information about environmental factors that might exacerbate her condition. Hypoallergenic bedding can provide relief to those who suffer from sensitivity to dust mites, allergies, or asthma. Discovering that Tina uses hypoallergenic bedding can indicate a reason why she might feel asthma relief at night.

Example Question:

Do you change your bedding regularly?

Finding:

Avoids animals and has no pets at home

(Found)

Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has any pets can reveal one such trigger.

Example Question:

Do you have pets at home?

Finding:

Avoids exposure to secondhand smoke

(Found)

Pro Tip: Secondhand smoke can be particularly triggering for asthmatics. Asking whether anyone in Tina’s household smokes might indicate a proximate environmental trigger.

Example Question:

Does anyone in your house smoke?

Finding:

Asked about possible contributing factors in health history

Finding:

Denies history of eczema

(Available)

Pro Tip: Children with eczema are often at a higher risk of developing asthma. In soliciting a medical history from Tina, you are getting a sense for the history of Tina’s asthma and related conditions.

Example Question:

Have you had eczema?

Finding:

Denies history of sinus problems

(Found)

Pro Tip: People with asthma are likely to also experience sinus problems. It is important to determine whether Tina has sinus problems as they can cause complicating symptoms in patients who also experience asthma.

Example Question:

Do you have a history of sinus problems?

Finding:

Denies history of GERD, heartburn, or indigestion

(Found)

Pro Tip: People with asthma are almost twice as likely to also experience GERD. It is important to determine whether Tina has GERD as GERD can cause shortness of breath in patients who also experience asthma.

Example Question:

Do you have gastroesophageal reflux disease?

Finding:

Denies history of COPD or emphysema

(Found)

Pro Tip: For a patient with a known history of COPD or emphesyma, the symptoms of cough or shortness of breath could be caused by that disease.

Example Question:

Have you ever been diagnosed with COPD?

Finding:

Asked about smoking, inhalants, or tobacco

Finding:

Denies history of tobacco use, including cigarettes

(Found)

Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina is she ever smoked cigarettes can help you to discern whether smoking was an exacerbating factor for Tina’s asthma.

Example Question:

Have you ever smoked cigarettes?

Finding:

Reports past history of marijuana use

(Found)

Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina is she ever smoked marijuana can help you to discern whether smoking was an exacerbating factor for Tina’s asthma.

Example Question:

Have you ever smoked marijuana?

Finding:

Last use of marijuana was age 20 or 21

(Found)

Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina is she ever smoked marijuana can help you to discern whether smoking was an exacerbating factor for Tina’s asthma.

Example Question:

When was the last time you smoked marijuana?

Finding:

Denies inhaling substances

(Found)

Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina when she quit smoking marijuana can help you to discern whether smoking recently exacerbated Tina’s asthma.

Example Question:

Have you ever experimented with inhaling substances?

Review of Systems

Finding:

Asked about general symptoms

Finding:

Denies recent respiratory or other illness

(Found)

Pro Tip: Broad, open questions will allow Tina to describe, in her own words, the specific pain and discomfort that she is experiencing.

Example Question:

Have you been sick recently?

Finding:

Denies fever

(Found)

Pro Tip: The presence or absence of fever can indicate if an infection is approaching sepsis, a life-threatening condition.

Example Question:

Have you had any fever symptoms?

Finding:

Denies nausea or vomiting

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing with her pain, like nausea, details the way her individual symptoms and pain manifest.

Example Question:

Have you had nausea or vomiting?

Finding:

Denies chills

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing with her pain, like getting chills, details the way her individual symptoms and pain manifest.

Example Question:

Have you had chills?

Finding:

Reports low energy level

(Available)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing with her pain, like fatigue, details the way her individual symptoms and pain manifest.

Example Question:

Are you fatigued?

Finding:

Denies night sweats

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing with her injury, like night sweats, details the way her individual symptoms and pain manifest.

Example Question:

Have you had night sweats?

Finding:

Asked review of systems for respiratory

Finding:

Denies phlegm or sputum

(Found)

Pro Tip: A productive asthma cough can expel sputum from the lungs. By asking whether Tina has been coughing up phlegm or sputum you are discovering the nature of Tina’s cough since exacerbation.

Example Question:

Have you been coughing anything up?

Finding:

Denies sore throat, swelling, or difficulty swallowing

(Found)

Pro Tip: Difficulty swallowing could indicate a more severe allergic reaction, or a physical problem with the throat.

Example Question:

Do you have any problems swallowing?

Finding:

Denies nasal drainage

(Found)

Pro Tip: Nasal drainage could suggest that the patient’s symptoms are caused by a viral or bacterial infection, or an allergy attack.

Example Question:

Do you have any nasal drainage?

Family History

Finding:

Asked about relevant family history

Finding:

Reports no recent illnesses with family members at home

(Available)

Pro Tip: For people with asthma, getting sick can increase their risk for exacerbation. If Tina’s had any family members recently sick, that might have caused her recent exacerbation.

Example Question:

Has anyone at home been sick?

Finding:

Reports younger sister as only family with asthma

(Found)

Pro Tip: Soliciting a family history helps you to determine which, if any, conditions are inherited. In asking Tina whether anyone in her family has asthma, you’re ascertaining whether Tina’s condition is inherited.

Example Question:

Does anyone in your family have asthma?

Finding:

Reports younger sister as only family member with allergies

(Available)

Pro Tip: A family history of allergies is an important factor to determine whether a patient is at risk for developing allergies.

Example Question:

Does anyone in your family have allergies?

Finding:

Reports no family history of eczema

(Found)

Pro Tip: People with a family history of eczema are often at a higher risk of developing asthma.

Example Question:

Does anyone in your family have eczema?

Finding:

Reports no family history of chronic nasal or sinus problems

(Available)

Pro Tip: People with a family history of sinus problems are often at a higher risk for asthma. If Tina has a family history of sinus problems, this could suggest inherited sensitivity.

Example Question:

Do you have a family history of sinus problems?

Finding:

Reports no family history of COPD or emphysema

Objective Data Collection: 5.67 of 6 (94.5%)

 Correct

 Partially correct

 Incorrect

 Missed

 Inspected chest

1 of 1 point

Symmetry 
(1/2 point)

 Symmetric

 Asymmetric

Appearance 
(1/2 point)

 No visible abnormal findings

 Rash or lesion

 AP diameter abnormal

 Intercostal retraction while breathing

 Excessive use of accessory muscles while breathing

 Pectus excavatum

 Evidence of trauma (scar, laceration, or bruising)

 Palpated chest expansion

1 of 1 point

Symmetry 
(1/1 point)

 Equal bilaterally

 Unequal bilaterally

 Palpated tactile fremitus

1 of 1 point

Symmetry 
(1/2 point)

 Equal bilaterally

 Unequal bilaterally

Vibration 
(1/2 point)

 Expected fremitus

 Decreased fremitus

 Absent fremitus

 Percussed chest wall

1 of 1 point

Observations 
(1/2 point)

 All areas resonant

 Some areas of dullness

Location 
(1/2 point)

 No areas of dullness

 Dullness, anterior right upper lobe

 Dullness, anterior right middle lobe

 Dullness, anterior right lower lobe

 Dullness, anterior left upper lobe

 Dullness, anterior left lower lobe

 Dullness, posterior right upper lobe

 Dullness, posterior right lower lobe

 Dullness, posterior left upper lobe

 Dullness, posterior left lower lobe

 Auscultated breath sounds

0.67 of 1 point

Breath Sounds 
(1/3 point)

 Present in all areas

 Diminished in some areas

 Absent in some areas

Adventitious Sounds 
(1/3 point)

 No adventitious sounds

 Wheezing

 Fine crackles

 Stridor

 Rhonchi

 Rales

Location 
(No point)

 All areas clear

 Adventitious sounds in anterior right upper lobe

 Adventitious sounds in anterior right middle lobe

 Adventitious sounds in anterior right lower lobe

 Adventitious sounds in anterior left upper lobe

 Adventitious sounds in anterior left lower lobe

 Adventitious sounds in posterior right upper lobe

 Adventitious sounds in posterior right lower lobe

 Adventitious sounds in posterior left upper lobe

 Adventitious sounds in posterior left lower lobe

 Auscultated for bronchophony

1 of 1 point

Bronchophony 
(
1/1 point
)

 Positive

 Negative

Documentation / Electronic Health Record

Document: Provider Notes

Document: Provider Notes

Student Documentation

Model Documentation

Subjective

I have been having been having breathing problems and the inhaler doesnt work

Return to Canvas to complete your SOAP note for this assignment.

Objective

Ms. Jones is a 28 year pleasant female presents with chief complaint of shortness of breath (SOB) RR20, Bpm bilateral breathsounds are diminished in the lower lobes with wheezing, HR is 87 bpm with brisk capillary refil , skin is warm and dry BP 140/81. She started having shortness of breath and cough and ineffectiveness of her inhaler after the allergies were triggered by the cat at the cousins house a couple of days ago , she states her symptoms are worse at night when she lays down other known allergies includes , dust and penicillin. Patient takes proventil inhaler 90 mcg HFA 2 puffs -3 puffs every 4 hours as needed for asthma attacks, she describe the symptoms as chest tightness and poor taking in air. RIGHT HAND SPO2 P87, HR 89 LEFT HAND SPO2, P 87, HR 89 SPIROMETER FVC 3.91 L, FEV1 3.15L PROVENTIL(Albuterol Sulfate Inhalation Aerosol ) FOR ORAL INHALATION WITH PROVENTIL HFA ACTUATOR ONLY 200 METERED INHALATIONS NET CONTENT 6.7g EXP 06/14*2020

Return to Canvas to complete your SOAP note for this assignment. Respiratory Shadow health Assignment

Assessment

Lifespan
Activity Time: 21 min

Tina’s second cousin was diagnosed with asthma at age 5. What would be included in your treatment plan? What factors might concern you related to compliance?

Student Response:
I would instruct Tina to have her cousin see a medical professional if she has trouble breathing for further evaluation. Since asthma is related to lower social economical status as well as exposure to specific irritants a you children and infants.factors that concern me related to compliance are are educational as welll as transportation to appointments and insurance. Younger patients diagnosed with bronchial asthma are treated with the same medications as adults, dosages are based on the weight of the child usually lower than the adult dose. Pediatric patients usually use a spacer between the inhaler and after a puff, he or she must be instructed to breathe in and out for 10 times. There is an option to use nebulizer to give the medication but for pediatric patients they are usually afraid of the nebulizer, this is less effective The provider should advise the parents to always have her carry a rescue inhale in school for sudden asthma attacks and give them a note allowing her to have an inhaler in school. The parents should be educated on the importance of having an inhaler close to her at all times to use it as needed. Respiratory Shadow health Assignment

Model Note:
 Younger patients with asthma are treated with the same medication as adults. Some medication dosages are based on weight. She should use an inhaler with a spacer attached for proper medication administration and her caregiver should always assist her. Studies have shown that nebulizer treatments are a less efficient way to administer medication. The provider should acknowledge that she may have an asthma attack while in school, and therefore needs a note to allow her to use it as needed. The patient and her caregiver should be educated about the importance of having her inhaler close-by and how to use it.

Consider that Tina’s uncle is now 68 years old and has smoked heavily every day since he was fifteen. What would you expect to find in his respiratory assessment? How would this affect your oxygenation goals for this patient?

Student Response:

Review Questions
Activity Time: 11 min

If Tina had mentioned that she was just diagnosed with pneumonia, what would you have expected to find during percussion?

 
Correct:
 Dull percussion sounds are expected over the areas of diffuse infiltrate (accumulation of fluid and by products of inflammation) in a patient with pneumonia.

Hyperresonance

Tympany

Resonant

Dullness (Correct Response)

If the results of Tina’s pulse oximetry had been 97%, which of the following would have been true?

 
Correct:
Pulse oximetry measures the percent of hemoglobin molecules that are filled with oxygen. Oxygen-saturated hemoglobin absorbs light wavelengths differently than unsaturated hemoglobin. The oximeter emits a light and reads the extent of wavelength absorption. Respiratory Shadow health Assignment

Partial pressure O2 = 97%

Unbound oxygen level = 97%

PaO2 = 97%

Arterial hemoglobin saturation = 97% (Correct Response)

Suppose that, during your lung exam on Tina, you had heard bronchial breath sounds in the left lower lung posteriorly. What would you have suspected based on this finding?

Self-Reflection
Activity Time: 12 min

After completing this Respiratory Shadow health Assignment assessment, what goals can you set for yourself for the next time you complete a similar assessment? Think about efficiency, organization, time management, and holistic care of the patient.

Student Response:

The comprehensive integrated psychiatric assessment of a child or adolescent consists of gathering information from not only the child but from several sources, most notably the family members, caregivers, and the child’s teacher or school counselor. Because of this, the diagnostic assessment becomes more complicated. Issues of confidentiality, privacy, and consent must be addressed. Also, the PMHNP must take into consideration the impact of culture on the child.

ORDER A PLAGIARISM-FREE PAPER HERE

In this Discussion, you review and critique the techniques and methods of a mental health professional as he or she completes a comprehensive integrated psychiatric assessment of an adolescent. Comprehensive Integrated Psychiatric Assessment

Learning Objectives

Students will:

Evaluate comprehensive integrated psychiatric assessment techniques

Recommend assessment questions

To Prepare for the Discussion:

Review the Learning Resources concerning the comprehensive integrated psychiatric assessment.

Watch the Mental Status Examination video.

Watch the two YMH Bostonvideos.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit! Comprehensive Integrated Psychiatric Assessment

By Day 3

Based on the YMH Boston Vignette 4 video, post answers to the following questions:

What did the practitioner do well?

In what areas can the practitioner improve?

At this point in the clinical interview, do you have any compelling concerns? If so, what are they?

What would be your next question, and why? Comprehensive Integrated Psychiatric Assessment

Strep Throat Pathophysiology

A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections or pneumonias. NKDA or food allergies. Physical exam reveals temp of 99.6 F, pulse 78 and regular with respirations of 18. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior and posterior cervical adenopathy. Rapid strep test performed in office was positive. His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction. strep throat pathophysiology.

ORDER A PLAGIARISM-FREE PAPER HERE

By Day 3 of Week 1

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

•The role genetics plays in the disease.

•Why the patient is presenting with the specific symptoms described.

•The physiologic response to the stimulus presented in the scenario and why you think this response occurred.

•The cells that are involved in this process.

•How another characteristic (e.g., gender, genetics) would change your response.

Use three scholarly peer review article not later than FIVE YEARS eg 2015 to 2020 in writing this paper. strep throat pathophysiology

Hospital Acquired Pneumonia Essay

Description of the National Healthcare Issue/Stressor

Hospital-acquired pneumonia (HAP) refers to pneumonia that a patient develops within a hospital setting after at least 48–72 hours after being admitted (Pássaro et al; 2016). HAP is the second leading hospital-acquired infection and cause of death among critically sick patients. HAP is allied to an elevated rate of mortality and morbidity, as well as increased healthcare costs (Torres-García et al; 2019). According to Min et al (2018), the incidence of HAP worldwide is…

Assignment: Analysis of a Pertinent Healthcare Issue: Hospital Acquired Pneumonia

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Hospital Acquired Pneumonia Essay . Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

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Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected. Hospital Acquired Pneumonia Essay.

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.

• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.

• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor. Hospital Acquired Pneumonia Essay.

The Assignment (3-Pages):

Analysis of a Pertinent Healthcare Issue: Hospital Acquired Pneumonia

Develop a 3- page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).

Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.

Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples. Hospital Acquired Pneumonia Essay

RESOURCES/READINGS

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

• Chapter 2, “Understanding Contexts for Transformational Leadership: Complexity, Change, and Strategic Planning” (pp. 37–62)

• Chapter 3, “Current Challenges in Complex Health Care Organizations: The Triple Aim” (pp. 63–86)

Read any TWO of the following (plus TWO additional readings on your selected issue):

Auerbach, D. I., Staiger, D. O., & Buerhaus, P. I. (2018). Growing ranks of advanced practice clinicians—Implications for the physician workforce. New England Journal of Medicine, 378(25), 2358–2360. doi:10.1056/NEJMp1801869

Note: You will access this article from the Walden Library databases. Hospital Acquired Pneumonia Essay

Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared workforce goal. American Journal of Nursing, 118(2), 43–45. doi:10.1097/01.NAJ.0000530244.15217.aa

Note: You will access this article from the Walden Library databases.

Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: Moving from the Triple Aim to the Quadruple Aim. Nursing Administration Quarterly, 42(3), 231–245. doi:10.1097/NAQ.0000000000000303

Note: You will access this article from the Walden Library databases.

Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250–256. doi:10.1370/afm.2230

Note: You will access this article from the Walden Library databases.

Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses’ work settings, roles, and education preparation? Journal of Professional Nursing, 33(6), 400–404. doi:10.1016/j.profnurs.2016.11.005

Note: You will access this article from the Walden Library databases.

Park, B., Gold, S. B., Bazemore, A., & Liaw, W. (2018). How evolving United States payment models influence primary care and its impact on the Quadruple Aim. Journal of the American Board of Family Medicine, 31(4), 588–604. doi:10.3122/jabfm.2018.04.170388

Note: You will access this article from the Walden Library databases. Hospital Acquired Pneumonia Essay

Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health, 14(56), 1–15. doi:10.1186/s12960-016-0154-3. Retrieved from https://human-resources-health.biomedcentral.com/track/pdf/10.1186/s12960-016-0154-3

Poghosyan, L., Norful, A., & Laugesen, M. (2018). Removing restrictions on nurse practitioners’ scope of practice in New York state: Physicians’ and nurse practitioners’ perspectives. Journal of the American Association of Nurse Practitioners, 30(6), 354–360. doi:10.1097/JXX.0000000000000040

Note: You will access this article from the Walden Library databases. Hospital Acquired Pneumonia Essay

Ricketts, T., & Fraher, E. (2013). Reconfiguring health workforce policy so that education, training, and actual delivery of care are closely connected. Health Affairs, 32(11), 1874–1880. doi:10.1377/hlthaff.2013.0531

Note: You will access this article from the Walden Library databases.

 

Description of the National Healthcare Issue/Stressor

Hospital-acquired pneumonia (HAP) refers to pneumonia that a patient develops within a hospital setting after at least 48–72 hours after being admitted (Pássaro et al; 2016). HAP is the second leading hospital-acquired infection and cause of death among critically sick patients Hospital Acquired Pneumonia Essay. HAP is allied to an elevated rate of mortality and morbidity, as well as increased healthcare costs (Torres-García et al; 2019). According to Min et al (2018), the incidence of HAP worldwide is 5–20 cases per 1000 admissions. The high incidence of HAP indicates the need to address the issue.

In my healthcare organization, HAP is very common among patients in the ICU, and particularly patients who are mechanically ventilated. Similarly, the rate of HAP is also relatively high in patients within the medical-surgical ward and the general ward as well. In the organization, HAP in all units leads to an increased rate of morbidity and mortality, longer period of hospital stay, as well as, increased costs for both the patient and the organization. This is consistent in other organizations where hospital-acquired infections like HAP are associated with higher mortality rate, prolonged period of hospitalization, as well as higher healthcare costs (Pássaro et al; 2016) Hospital Acquired Pneumonia Essay.

In the organization, the rate of HAP is particularly high among older adults, patients in the ICU, as well as patients with prolonged use antibiotics and glucocorticoids. The high incidence of HAP among patients with lengthy use of glucocorticoids is allied to the reduced immunity that makes individuals susceptible to infections. Similarly, long-term use of antibiotics is a major risk factor for hospital-acquired pneumonia due to resistant to antibiotics. In my healthcare organization, HAP is associated with an increased rate of mortality, admission to the ICU, and an increased period of hospital stay. In addition, the organization spends a lot of finances in the treatment and care of HAP.

Summary of the Two Articles

According to Brett et al (2019), HAP is allied to elevated morbidity and mortality rate and also increased medical costs. HAP is also a leading factor for transfer to the ICU and results in a prolonged hospital stay. Risk factors associated with HAP include advanced age, a longer period of hospital stay, being a male, dysphagia, numerous comorbidities, as well as chronic obstructive pulmonary disease (Brett et al; 2019). Brett et al (2019) further indicate that poor oral hygiene causes buildup of dental disease which is a major risk factor in HAP. Accordingly, Brett et al (2019) explain that improved oral hygiene can be effective in decreasing the rate of HAP Hospital Acquired Pneumonia Essay. Other strategies that can reduce the rate of HAP include early mobilization, effective hand hygiene, proper management of dysphagia, and prevention of viral infections (Brett et al; 2019).

Deng et al (2019) explain that HAP is a very common hospital-acquired infection and a leading cause of death among hospitalized patients. Multi-drug-resistant organisms (MDROs) are attributed to the numerous cases of HAPs, and particularly within the ICU and emergency departments (Deng et al; 2019). Wide usage of broad-spectrum antibiotics is attributable to bacterial resistance, one of the risk factors for HAP. Hospital Acquired Pneumonia Essay.

Strategies used to Address HAP

The study by Brett et al (2019) demonstrates that interventions such as improved oral care, increased movement, and mobility, as well as dysphagia management, are effective in preventing HAP. The study indicates that improved oral care is an important modifiable risk factor for HAP. Comprehensive oral care facilitated by nurses is effective in preventing HAP as it prevents the buildup of dental plague which is a major risk factor in HAP.

Increased mobilization is also an intervention that can be used in preventing HAP especially among patients with acute ischemic stroke. The intervention involves turning the patient from “supine position to right and left lateral resting position” after every two hours and passively mobilizing the four limbs. This intervention has been shown to be effective in reducing the rate of HAP. The mobilization intervention also integrates pre-operative patient education, breathing exercises, as well as pre-operative physiotherapy (Brett et al; 2019). Brett et al (2019) further explain that suitable management of dysphagia and particularly among post-stroke patients is important in reducing the rate of HAP. This intervention includes nurses screening patients for dysphagia and implementing the appropriate interventions. This is because dysphagia has been shown to cause aspiration pneumonia because food or liquids can enter the airway when patients have difficulties in swallowing and hence introduce bacteria to the lungs. Therefore, effective management of dysphagia can prevent aspiration pneumonia.

Preventing and treating infections caused by multi-drug-resistant organisms can go a long way in preventing HAP (Deng et al; 2019). Long-term use of antibiotics has been shown to be a major risk factor for HAP due to antibiotic resistance. Interventions that can be used to address the issue of multi-drug resistance include relieving the inflammatory reactions among patients, improving organisms’ clearance, reducing the period of mechanical ventilation, addressing patients’ immunity, and increased the success rate of ventilator weaning (Deng et al; 2019).

 

 

References

Brett M, Russo P, Cheng A, Andrew S, Rosebrock H, Curtis S, Robinsion S & Kiernan M. (2019). Strategies to reduce non-ventilator-associated hospital-acquired pneumonia: A systematic review.
Infection, Disease & Health
, 24(4), 229 – 239. Hospital Acquired Pneumonia Essay

Deng, D., Chen, Z., Jia, L, Bu J, Ye M, Sun L, Gen Y, Wen Z, Chen G & Fang B. (2019)
.
Treatment of hospital-acquired pneumonia with multi-drug resistant organism by
Buzhong Yiqi
decoction based on
Fuzheng Quxie
classical prescription: study protocol for a randomized controlled trial.
Trials,
20(817).

Min, J. Y., Kim, H. J., Yoon, C., Lee, K., Yeo, M., & Min, K. B. (2018). Hospital-Acquired Pneumonia among Inpatients via the Emergency Department: A Propensity-Score Matched Analysis.
International journal of environmental research and public health
,
15
(6), 1178.
https://doi.org/10.3390/ijerph15061178
.

Pássaro, L., Harbarth, S. & Landelle, C. (2016). Prevention of hospital-acquired pneumonia in non-ventilated adult patients: a narrative review.
Antimicrob Resist Infect Control
, 5(43 (20).

Torres-García, M., Pérez Méndez, B. B., Sánchez Huerta, J. L., Villa Guillén, M., Rementería Vazquez, V., Castro Diaz, A. D., López Martinez, B., Laris González, A., Jiménez-Juárez, R. N., & de la Rosa-Zamboni, D. (2019). Healthcare-Associated Pneumonia: Don’t Forget About Respiratory Viruses.
Frontiers in pediatrics
, 7(168). Hospital Acquired Pneumonia Essay.

Worldview and Nursing Process Personal Statement

Description of my personal worldview

My personal worldview are the principles that guide my decisions and life. They allow me to make sense of my life and world, as well as determine how I perceive my reality. In addition, they guide my ethical and moral beliefs and actions while allowing me to integrate cultural, religious and spiritual elements to respond meaningfully to the challenges and opportunities I face in life (Grinspun & Bajnok, 2018). My worldview as a Christian is that I was created by God and…

Being able to articulate your personal worldview can help you formulate a personal philosophy of practice and enhance your influence on patients and the industry. In this assignment, you will have an opportunity to reflect on your current and future practice, and the ways worldview and nursing theory influence that practice. Worldview and Nursing Process Personal Statement

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Draft a 1,000-1,250 word paper in which you:

Describe your personal worldview, including the religious, spiritual, and cultural elements that you think most influence your personal philosophy of practice and attitude towards patient care.

Choose a specific nursing theory that is most in line with your personal philosophy of practice and approach to patient care and discuss the similarities. Explain how the nursing theory reinforces your approach to care.

Include in your explanation a specific example of a past or current practice and how your worldview and the nursing theory could assist you in resolving this issue. Worldview and Nursing Process Personal Statement

Finally, explain how your worldview and the nursing theory will assist you in further developing your future practice.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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. Worldview and Nursing Process Personal Statement

You are required to submit this assignment to Lopes Write. Please refer to the directions in the Student Success Center.

 

Worldview and Nursing Process Personal Statement 

 

1

Unsatisfactory

0.00%

2

Less than Satisfactory

80.00%

3

Satisfactory

88.00%

4

Good

92.00%

5

Excellent

100.00%

70.0 %Content

 

20.0 %Personal Worldview, Including the Religious, Spiritual, and Cultural Elements That Most Influence Personal Philosophy of Practice and Attitude Towards Patient Care

A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is not included.

A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is present, but it lacks detail or is incomplete.

A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is present.

Worldview and Nursing Process Personal Statement

A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is clearly provided and well developed.

A comprehensive discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is thoroughly developed with supporting details.

15.0 %Specific Nursing Theory in Line With the Personal Philosophy of Practice and Approach to Patient Care, Including Similarities and How the Nursing Theory Reinforces the Approach to Care

A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is not included.

Worldview and Nursing Process Personal Statement

A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is present, but it lacks detail or is incomplete.

A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is present.

A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is clearly provided and well developed.

A comprehensive discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is thoroughly developed with supporting details.

15.0 %Specific Example of a Past or Current Practice Problem and How Worldview and the Nursing Theory Could Assist in Resolving This Issue

A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is not included.

A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is present, but it lacks detail or is incomplete.

A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is present.

A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is clearly provided and well developed.

A comprehensive discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is thoroughly developed with supporting details.

15.0 %How Worldview and the Nursing Theory Will Assist in Further Developing Future Practice

A discussion of how worldview and the nursing theory will assist in further developing future practice is not included.

A discussion of how worldview and the nursing theory will assist in further developing future practice is present, but it lacks detail or is incomplete.

A discussion of how worldview and the nursing theory will assist in further developing future practice is present.

Worldview and Nursing Process Personal Statement

A discussion of how worldview and the nursing theory will assist in further developing future practice is clearly provided and well developed.

A comprehensive discussion of how worldview and the nursing theory will assist in further developing future practice is thoroughly developed with supporting details.

5.0 %Required Sources

Sources are not included.

Number of required sources is only partially met.

Number of required sources is met, but sources are outdated or inappropriate.

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

20.0 %Organization and Effectiveness

 

7.0 %Thesis Development and Purpose

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed or vague. Purpose is not clear.

Thesis is apparent and appropriate to purpose.

Worldview and Nursing Process Personal Statement

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

8.0 %Argument Logic and Construction

Worldview and Nursing Process Personal Statement

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

Writer is clearly in command of standard, written, academic English.

10.0 %Format

 

5.0 %Paper Format (Use of appropriate style for the major and assignment)

Template is not used appropriately or documentation format is rarely followed correctly.

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

Template is used, and formatting is correct, although some minor errors may be present.

Template is fully used; There are virtually no errors in formatting style.

All format elements are correct.

Worldview and Nursing Process Personal Statement

5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

100 %Total Weightage

Worldview and Nursing Process Personal Statement

 

Worldview and nursing process personal statement

Description of my personal worldview

My personal worldview are the principles that guide my decisions and life. They allow me to make sense of my life and world, as well as determine how I perceive my reality. In addition, they guide my ethical and moral beliefs and actions while allowing me to integrate cultural, religious and spiritual elements to respond meaningfully to the challenges and opportunities I face in life (Grinspun & Bajnok, 2018) Worldview and Nursing Process Personal Statement. My worldview as a Christian is that I was created by God and exist to do his service. I believe in the absolute truth that God is the Almighty Creator who has dominion over everything and is all knowing. God defines the world through purity and creativity, and allows humans to exercise freewheel that includes making mistakes for which each personnel will be punished on the Day of Judgment. God created everything that includes humans who are on earth to serve a specific function: serving God. For as long as humans are alive, they must serve God since they will be judged for their actions upon death. The judgment follows a fair reward and punishment system that is based on God’s Ten Commandments as presented in Exodus 20. These commandments have clear prohibitions on the absolute actions that humans can or cannot be participants. For instance, there is a prohibition against killing with the implication that all killers will be judged and punished. Since I believe in God as presented in the Christian religion, I understand that I should spend my life in service to God and observing the Ten Commandments. In this respect, I ascribe to the Christian worldview that the bible offers all the instructions as to how humans should ideally live their lives. Worldview and Nursing Process Personal Statement.

I understand that I am not a divine being, and as such I am subject to making mistakes. Even with the clear instructions in the bible, I still occasionally make mistakes and would be considered a sinner. However, I try as much as possible to follow God’s instructions and seek forgiveness for mu mistakes. In addition, I try not to intentionally make any mistakes. As a Christian, I look at the bible as the foundation of my life and guide for my actions. Still, I must concede that I am influenced by my environment, particularly the established societal norms. For instance, the Ten Commandments prohibits killing. Nonetheless, as a nurse, I concede that euthanasia makes sense and there are people who experience so much suffering that death acts as a relief for them and the people around them. This implies that although the bible is my foundation, I am influenced by the elements around me and try to make informed decisions that reduce the possibility of conflict. Interactions with my environment have secularized my perception of history, politics, law, science, man and God Worldview and Nursing Process Personal Statement. I must concede that it is not uncommon for me to experience conflicts between what the bible instructs me to do and what the society expects of me. Still, I typically try to pick decisions that produce the least disruptions to my life. These conflicts (between biblical and environmental influences) act as the basis for all the ethical conflicts I experience such as when facing same-gender marriage, cloning, abortion and stem-cell research subjects. In this respect, my worldview is influenced by the bible and my environment with a focus on trying to lead a Christian life. This worldview has influenced how I perceive my workplace and when providing nursing services, helping in developing standards that help me make decisions that I can live with. Worldview and Nursing Process Personal Statement.

Nursing theory in line with personal worldview

I believe that the Theory of Human Caring as presented by Jean Watson best aligns with my personal worldview. As a Christian, I believe that my life should be in service to God. Although I have not been blessed to directly serve God as part of the clergy, I can fulfil the expectation of service through engaging patients in offering nursing services. The theory advances that caring is a core requirement for successful nurses since it guides them in displaying kindness and concern for patients while always trying to achieve the best care results Worldview and Nursing Process Personal Statement. Patients represent a vulnerable group who expect that the nurses will always act in their best interest. Through having a caring mentality and personality, I am motivated to provide the best possible services to my patients (Butts & Karen, 2018; Huff, Kline & Peterson, 2015) Worldview and Nursing Process Personal Statement.

I am particularly guided by the ten curative factors offered in the theory. The first curative factor is the capacity to embrace my patients so that they feel I have altruistic motives for engaging them and providing care. This helps with the patients’ attitudes and response to treatment. The second factor is being inspired to offer the care that patients truly require. The third factor is nurturing trusting, caring and helping relationships. The fourth factor is engendering trust through cultural sensitive and acknowledging individual beliefs. The fifth factor is practicing forgiveness with a focus on always improving even as mistakes are corrected Worldview and Nursing Process Personal Statement. The sixth factor is integrating current evidence to improve professional practice. The seventh factor is pursuing a balance between addressing personal needs and the needs of others. The eighth factor is co-creating a healing environment that respects human dignity. The ninth factor is ministering to the basic physical, spiritual and emotional needs of patients. The final factor is being open to possibilities beyond the realms of science since science does not have answers to everything (Butts & Karen, 2018). Worldview and Nursing Process Personal Statement.

How worldview and nursing theory will help in developing future practice

Watson’s Theory of Human Caring is well aligned with my worldview as a Christian and will help me in developing future practice as a nurse. They have made me more tolerant and open to the idea that I do not have all the answers. Even as I provide professional nursing services, I understand that my capacity to provide services is limited by circumstances, expectations, knowledge and other environmental influences. As a human, I believe that every person should be respected and treated with dignity. We should treat others with the same level of respect and dignity as we would like to be treated under the same circumstance. I understand that interpersonal interactions are important within the nursing care environment such that healing becomes incidental as caring takes on a central position. Through caring for my patients, I will always strive to provide the best possible care thereby guarantees the best possible care outcomes thus advancing the Christian expectation of living as God instructed (Stanhope & Lancaster, 2014). Worldview and Nursing Process Personal Statement.

My theory and worldview allow me to make a difference in my community, enabling me to make rational and ethical decisions. They help me in affirming and safeguarding humanity as God’s creation. In addition, they allow me to live an authentic life through unveiling my thoughts, attitudes and feelings. I have a caring personality, and along with my Christian worldview, I feel that the theory has helped in affirming my decision to pursue a nursing career. The combination of these elements have helped me feel that my career is fulfilling (Cherry & Jacob, 2013). Also, they have made me determined to gain greater influence to pursue policy changes. I will gain influence through experience and education. Experience will allow me to gain familiarity with nursing concepts, especially how to make the best decisions that reduce the possibility of conflict between my beliefs and what the society expects of me. Education will introduce me to new nursing concepts that allow me to better meet the needs of my patients and the community (Iwasiw, Andrusyszyn & Goldenberg, 2019). Overall, my worldview and the nursing theory have affirmed my belief that nursing is the best career choice for me, and they make me determined to advance my career within the profession. Worldview and Nursing Process Personal Statement

References

Butts, J. & Karen (2018).
Philosophies and theories for advance nursing practice
(3
rd
ed.). Burlington, MA: Jones & Bartlett Learning.

Cherry, B. & Jacob, S. (2013).
Contemporary nursing, issues, trends, & management
(6
th
ed.). Amsterdam: Elsevier Health Sciences.

Grinspun, D. & Bajnok, I. (2018).
Transforming nursing through knowledge: best practices for guideline development, implementation science, and evaluation
. Indianapolis, IN: Sigma Theta Tau International.

Huff, R., Kline, M. & Peterson, D. (2015).
Health promotion in multicultural populations: a handbook for practitioners and students
(3
rd
ed.). Thousand Oaks, CA: SAGE Publications, Inc. Worldview and Nursing Process Personal Statement

Iwasiw, C., Andrusyszyn, M. & Goldenberg, D. (2019).
Curriculum development in nursing education
(4
th
ed.). Burlington, MA: Jones & Bartlett.

Stanhope, M. & Lancaster, J. (2014).
Public health nursing: population-centered health care in the community
(8
th
ed.). Maryland Heights, MO: Elsevier/Mosby. Worldview and Nursing Process Personal Statement

Grading Criteria for Spirituality Reflective Journal Paper

Course Number:

Student Name:

Date:

You have been assigned required readings on spirituality in your course. You may choose one or more chapters from each assigned book to read. You will then write a reflection paper regarding your thoughts, meaningful ideas, feelings, and/or reactions, and the application of these to nursing practice or your own spiritual growth and self-care.

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1. Paper is typed in at least 3 pages, double spaced and turned in on time via D2L or email to your professor, with coversheet title page in APA format; thoughtful, suitable title 10 Points Spirituality Reflective Journal Paper

2. Introductory paragraph is attention-getting

10 Points

3. Spelling, grammar, mechanics, and usage are correct throughout paper 10 Points

4. Thoughts are expressed in a coherent and logical manner. 20 Points

5. Viewpoints and interpretations are insightful, demonstrating an in-depth reflection. 20 Points

6. Concluding paragraph sums up information, reiterates ideas and opinions, and leaves reader with a call to action or something meaningful to remember 10 Points Spirituality Reflective Journal Paper

7. Pertinent reference sources are skillfully woven throughout paper without over use of quotations but, rather, attempt to paraphrase 10 Points Spirituality Reflective Journal Paper

8. References are properly cited in APA format with no plagiarism. 5 Points

9. At least 3 references are cited in paper, including a reference from current class assigned chapter readings in Mauk, a reading in an assigned chapter in White, and one journal article of your own choice. 5 Points

Total 100 Possible Points Actual Points =

References:

Mauk, K. L., & Schmidt, N. K. (2004). Spiritual care in nursing practice. Philadelphia, PA: Lippincott.

White, E. G. (2011). The Ministry of healing. Guildford, UK: White Crow Books.

Journal article:

APA format reference that you may use for free:

https://owl.english.purdue.edu/owl/resource/560/01/

It is recommended that you upload your paper into Turnitin on D2L to check for plagiarism prior to submission to your professor. Also, to check for correct grammar, use the Grammar Tutor on D2L. Spirituality Reflective Journal Paper

Please use the following text for references:

1. Readings in E.G. White,

The Ministry of Healing: Chapter 6 Saved to Serve

Chapter 11Working for the Intemperate

Chapter 17 The Use of Remedies

2. Readings in Mauk and Schmidt, Spiritual Care in Nursing Practice: Chapt 13 The Role of the Nurse in the Spiritual Journey

3. Any other book

Spirituality Reflective Journal Paper

The End of Life Essay paper must be written using the current APA Format and should include headings. References other than your textbook are required. Please be aware of the validity and reliability of the sources you utilize, especially sources from the internet – bias is not uncommon!

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Please include the following information:

1. Introduction of issue, relevant history/ landmark events/ rulings to provide a clear picture of how the issue is viewed in society.

2. Discuss why this issue is an ethical dilemma for you, including:

a. Ethical principles involved or conflicting

b. Relevant values you hold End of Life Essay

c. Ethical theory to which you ascribe

d. Any fallacies of reasoning that might interfere in your ethical decision making process related to this issue

3. Describe how this ethical issue affects patients, families, society, law, and economics.

4. Describe the role of the nurse in the decision making process regarding the ethical issue. Describe any conflicts/ concerns, legal and ethical responsibilities (what standards apply).

5. Discuss actual or potential resolution of the issue with attention to how it involves/ affects the nurse, patient, family, society, the law and economics. End of Life Essay

6. Provide a strong conclusion.

PLEASE NOTE THE 2ND PAGE IS FOR A VOICE ENHANCED POWERPOINT PRESENTATION THAT I HAVE TO DO, THE ACTUAL PAPER IS THE FIRST PORTION I’VE INCLUDED IT FOR RESEARCH AND INFORMATIONAL PURPOSES.

Your presentation should focus on the following:

– A brief description of the issue

– Key information regarding application of an ethical theory

– Relevant ethical and legal standards

– Ethical principles End of Life Essay

– Fallacies of reasoning

– The role of the nurse in the decision-making process.

– Discuss Actual or potential resolution of the ethical dilemma

Include a slide of references utilized in your presentation.

The presentation should be ~ 10 – 15 slides in length.

The assignment is worth 20% of your grade for this course.

The End of Life Essay assignment will be graded using the Presentation Grading Rubric.

Cardiovascular and respiratory systems Case Study Analysis

Assignment: Case Study Analysis

An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other.

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Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact. Cardiovascular and respiratory systems Case Study Analysis

An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in diagnosis and treatment of many diseases. For APRNs this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

Assignment (2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following

• The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms. Cardiovascular and respiratory systems Case Study Analysis

• Any racial/ethnic variables that may impact physiological functioning.

• How these processes interact to affect the patient

Scenario: 76-year-old female patient complains of weight gain, shortness of breath, peripheral edema, and abdominal swelling. She has a history of congestive heart failure and admits to not taking her diuretic, as it makes her “have to get up every couple hours to go to the bathroom.” She now has to sleep on two pillows in order to get enough air.

READING/RESOURCES

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

• Chapter 32: Structure and Function of the Cardiovascular and Lymphatic Systems; Summary Review

• Chapter 33: Alterations of Cardiovascular Function (stop at Dysrhythmias); Summary Review

• Chapter 35: Structure and Function of the Pulmonary System; Summary Review

• Chapter 36: Alterations of Pulmonary Function (stop at Disorders of the chest wall and pleura); (obstructive pulmonary diseases) (stop at Pulmonary artery hypertension); Summary Review

Inamdar, A. A. & Inamdar, A. C. (2016). Heart failure: Diagnosis, management, and utilization, 5(7). doi:10.3390/jcm5070062 Cardiovascular and respiratory systems Case Study Analysis

Leadership Theories in Practice

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations. Leadership Theories in Practice

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

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To Prepare:

• Review the Resources and examine the leadership theories and behaviors introduced.

• Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.

• Reflect on the leadership behaviors presented in the three resources that you selected for review.

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace. Leadership Theories in Practice

READING/RESOURCES

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

• Chapter 1, “Expert Clinician to Transformational Leader in a Complex Health Care Organization: Foundations” (pp. 7–20 ONLY)

• Chapter 6, “Frameworks for Becoming a Transformational Leader” (pp. 145–170)

• Chapter 7, “Becoming a Leader: It’s All About You” (pp. 171–194)

Duggan, K., Aisaka, K., Tabak, R. G., Smith, C., Erwin, P., & Brownson, R. C. (2015). Implementing administrative evidence-based practices: Lessons from the field in six local health departments across the United States. BMC Health Services Research, 15(1). doi:10.1186/s12913-015-0891-3. Retrieved from https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0891-3 Leadership Theories in Practice