Transformational leaders influence those around them and therefore have the potential to alter the culture of a unit or organization. Please address the following topics:

• Summarize your general beliefs of what makes a good leader.
• Regarding the transformational leadership skills discussed in our required article reading, how do you think your leadership style is perceived by others?
• What aspect of the TEACH values discussed in the lesson do you think would most benefit your work environment if adopted?

Mrs. Dolan is a 46-year-old female who presented to the emergency department with complaints of episodic abdominal pain, a low-grade fever, and diarrhea for almost two weeks. Mrs. Dolan was on vacation in another country when she developed pain in the left lower quadrant of her abdomen. Mrs. Dolan delayed seeking health care because of fear of the country’s unfamiliar medical system and the assumption that bad water or food she had while on vacation must have given her a stomach “bug.” Mrs. Dolan also reports a recent onset of painful urination. Upon examination in the emergency room, Mrs. Dolan is found to be dehydrated with a fever of 102.58F (39.2 8C). Vital signs are blood pressure (BP) 106/58, pulse 88, and respiratory rate of 22. Her potassium (K1) level is 2.8 mEq/L, erythrocyte sedimentation rate (ESR) is 37 mm/hr, and white blood cell (WBC) count is 16,000 cells/ mm3. A urinalysis showed a positive urinary tract infection (UTI) and an abdominal/pelvic computed tomography (CT) scan revealed diverticulitis with a question of an ileus. Mrs. Dolan is admitted and started on intravenous (IV) fluid of D51/2 normal saline (NS) with 20 mEq of potassium chloride (KCl) at 50 mL per hour. Two IV antibiotics (cefoxitin sodium and metronidazole) are prescribed. Her admitting orders include nothing by mouth (NPO), bed rest, IV morphine sulfate for pain management, stools to be checked for occult blood, strict intake and output (I & O), and repeat blood work in the morning to monitor her K+. Her height and weight on admission are 5 feet 7 inches and 170 lbs (77.3 kg). She is prescribed diphenoxylate hydrochloride with atropine sulfate, propantheline bromide, and acetaminophen as “as needed” pro re nata (prn) medications.

1. Explain how Mrs. Dolan’s symptoms might be related to her urinary tract infection.

2. The emergency department health care provider considered several differential diagnoses for Mrs. Dolan and a diagnosis of diverticulitis was determined. What diagnostic test confirmed Mrs. Dolan’s diagnosis of acute diverticulitis?

 3.  Mrs. Dolan’s abdominal/pelvic CT scan revealed diverticulitis with a question of an ileus. What is an ileus?

Case Study

 The home care nurse is caring for an older female client who
lives with her son and is physically and financially dependent
on him. The nurse notes multiple bruises on the client’s arms
and asks the client how these bruises occurred. The client
confides in the nurse that her son takes out his anger on
her sometimes.

a) What should the nurse do? 

Required Textbooks and Reading Material: Touhy, Theris DNP, and Jett, Kathleen, (2018). Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition. Elsevier. ISBN: 9780323401678  

Identify disparities in health among populations for a Healthy People 2020 health issue. For this assignment:

1. Describe the chosen Healthy People 2020 topic area and specific health issue.
2. Contrast causes of disparities related to this health issue within populations.
3. Propose a public health communication strategy to reduce disparity and promote health.
4. Outline a plan for the communication.
5. Describe an evaluation plan for the communication.
6. Create targeted communication for each population.
7. Reflect on learning through this project.

Submission Instructions:

• The paper is to be formatted per current APA, be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
• The paper is to be 5 – 6 pages in length, excluding the title, abstract and references page.
• Incorporate a minimum of 3 current (published within last five  years) scholarly journal articles or primary legal sources (statutes,  court opinions) within your work.
• Journal articles and books should be referenced according to current APA style

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

1. Provide an overview of the problem and the setting in which the problem or issue occurs.
2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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. Refer to the LopesWrite Technical Support articles for assistance.