While treating the chronically ill, a major challenge is developing a plan of care that addresses the specific needs of a patient and a caregiver. You need to be in close touch with patients and their support group, family and peers, to come up with an ideal plan.

In this course project, you are going to develop a plan of care for a chronic illness group of your choice using the Healthy People 2020 topics. While executing the tasks of this project, remember that while you need to give a general overview of the biomedical considerations of the case, the focus should always be on the psychosocial elements. Your perspective in this care plan should be the patient’s goals rather than those of the medical team.

Each week, you will complete a part of this project, submitting the final project in Week 5.

Identifying a Group

Identify a chronic illness of specific interest to you that is also identified as a Healthy People 2020 topic (healthypeople.gov). In a Microsoft Word document of 4-5 pages formatted in APA style, address the following criteria:

• Identify a chronic illness and rationale for choice.
• Develop a questionnaire by utilizing your knowledge of health and illness, with the aim of acquiring all information you need from patients to prepare a plan of care for the specific illness group.
• Discuss morbidity and comorbidity of the disease.
• Discuss the impact of the chronic illness and patient morbidity on overall health of the nation.
• Incorporate Healthy People 2020 goals and objectives for the specific illness group.

Support your responses with examples and information from library resources, textbook and lectures.

On a separate reference page, cite all sources using APA format.

• Use this APA Citation Helper as a convenient reference for properly citing resources.
• This handout will provide you the details of formatting your essay using APA style.
• You may create your essay in this APA-formatted template.

Submission Details

• Name your document SU_NSG4055_W1_Project_LastName_FirstInitial.doc.
• Submit your document to the Submissions Area by the due date assigned.

The Assignment (2–3 pages)

• Explain the controversy that surrounds dissociative disorders.
• Explain your professional beliefs about dissociative disorders,  supporting your rationale with at least three scholarly references from  the literature.
• Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.
• Finally, explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important.

Use at least 3 scholarly resources.

Isaac has worked as a staff nurse on the telemetry floor for over 15 years. He holds seniority in the unit. His patient care is satisfactory; however, his interpersonal behaviors are becoming an increasing issue for his coworkers. He throws papers around the unit, gives short answers to questions, and seems generally miserable. He tells the staff that they are lazy and stupid. He is constantly questioning their decisions. You have come from another local hospital in the role of the assistant nurse manager. Based on your observations, you have met with Isaac informally and discussed his behaviors, but they have not changed. Now three new nurses have already come to you saying that this unit is a great match for them, except for one problem. Although they have not identified Isaac by name, they have told you that one of the nurses is extremely abusive verbally, and they have been calling in sick on the days they are scheduled to work with this person. 

1. What are your responsibilities as an assistant nurse manager in regard to Isaac’s behavior problem?

2. What is the next step in dealing with Isaac’s behaviors? 

3. How will you, as the manager, have Isaac develop more effective people skills?

This is your first position as a nurse manager. The holidays are rapidly approaching, and the hospital policy states that each unit will negotiate holiday coverage individually. You are already getting requests via e-mail and on Post-it notes for holiday time. Several staff members have come to you stating that they “never” seem to get their requests for holidays. Discussion among the staff members is creating dissension and conflict.

1. Discuss the potential impact of this problem on you and the unit staff. 

2. Describe a minimum of one positive consequence and one negative consequence of this conflict.

3. Select a model of conflict resolution and explain how you, as a nurse manager, might resolve this conflict.

–APA Format.

-Introduction or abstract page

-Summary or Conclusion page

–Four Pages Minimum, not included Introduction or abstract, Conclusion or Summary , and Bibliographic pages.

–Completely unacceptable Copy and Paste from Internet, or other resources.

– Bibliographic have to be in APA Format, minimum 3 references citations with 3 years old  or less.

APA format 3 peer references 1 from walden university library MSN 1 page long and due Sept 15,2018 at 4pm.  There are references attached to use

The prostate-specific antigen (PSA) test is a blood test used to screen males for prostate cancer. Prostate cancer is the second leading cause of death related to cancer among men in the United States. It is important that men approaching increasing age have their PSA levels checked. Obana and O’Lawrence (2015) stated that males over the age of 40 who have a family history of prostate cancer can benefit from electing to have their PSA levels checked. Those that do not have a family history of prostate cancer can also benefit from PSA testing, but it is not recommended as strictly until the population nears 50 years of age. The test is a simple blood test that involves a blood sample being drawn and sent to a laboratory for analysis. Once the results are determined, a healthcare provider can inform the patient of the results and discuss the indications. The test detects high levels of PSA in the blood, which should not be present in large amounts. High levels of PSA in the blood may indicate prostate cancer. Nordström, Adolfsson, Grönberg, and Eklund (2017) stated that PSA tests are an extremely useful first-line risk assessment for prostate cancer, but the test needs to be followed up with more conclusive testing for diagnosis if a man’s PSA levels are elevated. PSA testing is quick and inexpensive, making it an attractive option for initial prostate cancer screening. However, for diagnosis, more definitive diagnostic tests such as ultrasound, biopsy, or MRI fusion need to be performed (Nordström, Adolfsson, Grönberg, & Eklund, 2017).

            Other conditions, such as enlarged or inflamed prostate, can also increase the PSA levels. For this reason, PSA tests are not completely full-proof in terms of diagnosing prostate cancer, but they do provide a very good indicator. PSA tests serve as a very valid and reliable detector of potential prostate cancer and provide men with data proving that they need to seek additional screening for potential prostate cancer. However, PSA testing is not a very reliable indicator of definitive prostate cancer. Lawrentschuk (2016) stated that roughly 75 percent of men with elevated PSA levels are proven to not have prostate cancer after tissue biopsy. This proves the lack of reliability in predicting prostate cancer. PSA tests should be used to promote awareness concerning a man’s risk of developing prostate cancer. Upon increased serum PSA levels, it is recommended that men undergo more definitive screening for prostate cancer to determine diagnosis. Most often, the biggest indicator for whether or not prostate cancer is beatable is the time of the diagnosis. Prostate cancer that has progressed in stage is a lot more fatal than prostate cancers that are still in the initial stage. Obana and O’Lawrence (2015) noted that at times, men are not diagnosed with prostate cancer until the cancer has reached stage three or four and metastasized to other tissues and structures throughout the body. At this point, treatment becomes significantly more difficult. PSA tests provide men with an initial means of prostate cancer detection that can save their lives.

References

Lawrentschuk, N. (2016). PSA testing and early management of test-detected prostate cancer–consensus at last. BJU International, 117 Suppl 45-6. doi:10.1111/bju.13481

Nordström, T., Adolfsson, J., Grönberg, H., & Eklund, M. (2017). Effects of increasing the PSA cutoff to perform additional biomarker tests before prostate biopsy. BMC Urology, 17(1), 92. doi:10.1186/s12894-017-0281-8

Obana, M., & O’Lawrence, H. (2015). Prostate cancer screening: PSA test awareness among adult males. Journal of Health and Human Services Administration, 38(1), 17-43. Retrieved from the Walden Library databases.

1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system?

2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome?

3. How does technology improve patient outcomes and the health-care system?

4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside?

2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •

What does the organization/agency do that supports the hallmarks of quality? •

What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •

How has the organization/agency affected facilities where you are practicing and your own professional practice?