2025 Instructions After having read Chapters 1 3 and reviewed the learning materials for this week please complete the following case

Case Study Putting it all Together 2025

Instructions After having read Chapters 1-3 and reviewed the learning materials for this week, please complete the following case study. Remember that your answers may be combined with medical terminology, but they must be defined and explained in physiological terminology. Mrs. K.B. is age 64 and has been a patient of yours for many years. You are calling her today to tell her the results of her Pap test which was done last week during her routine annual checkup in your office. The test showed marked dysplasia of cervical cells but no sign of infection. Unfortunately, when you call, there is no answer. Since you saw Mrs. K.B. last week she has had gastritis with severe vomiting for 3 days. She has a history of heart problems and is presently feeling dizzy and lethargic. Her eyes appear sunken, her mouth is dry, she walks unsteadily, and she complains of muscle aching, particularly in the abdomen, and she is concerned about her chronic back pain as well and how she is going to handle her pain if she can’t keep her medication down. She is thirsty but is unable to retain food or fluid. A neighbor has brought Mrs. K.B. to the hospital, where examination shows that her blood pressure is low, and her pulse and respirations are rapid. Laboratory tests demonstrate elevated hematocrit, hypernatremia, decreased serum bicarbonate, serum pH 7.35, and urine of high specific gravity. This case study illustrates a combination of fluid, electrolyte, and acid-base imbalances. Specific laboratory values are not given to focus on the basic concepts. For clarity, this case study is discussed in multiple parts. Further information about the specific problems involved is given in each part and is followed by a series of questions. Part 1 Later in the afternoon, you receive a phone call from Mrs. K.B.’s daughter Sara who tells you that she has been admitted to the hospital with vomiting. Sara is asking about her mother’s test results. Please answer the following questions regarding your conversation with Sara. Sara is requesting her Mother’s test results and she seems to know that her Mom had a Pap test last week. Sara is really concerned because her Mom had an abnormal Pap test a few years ago and her sister also has a history of Ovarian Cancer. How do you handle this conversation with Sara? In thinking about how you might discuss these results with Mrs. K.B. or Sara, explain how each of these terms might apply to this scenario: prognosis, latent stage, remission, exacerbations, and predisposing factors. Explain cellular adaptations and in particular, dysplasia and how testing and or additional testing is done regarding this condition. Part 2: Day 1 Initially, Mrs. K.B. lost water, sodium in the mucus content, and hydrogen and chloride ions in the hydrochloric acid portion of the gastric secretions. Alkalosis develops for two reasons, the first being the direct loss of _______________ ions, and the second being the effects of chloride ion loss. When chloride ions are lost in the gastric secretions, it is replaced by chloride from the serum (See Fig. 2.9 in Chapter 2 of your Gould text). To maintain equal numbers of cations and ____________ in the serum, chloride ions, and bicarbonate ions can exchange places when needed. Therefore, more bicarbonate ions shift into the serum from storages sites in the _______________ to replace the lost chloride ions. More bicarbonate ions in the serum raise serum pH, and the result is hypochloremic alkalosis. Which compartments are likely to be affected in this case by early fluid-loss? Explain how a loss of sodium ions contributes to dehydration. Describe the early signs of dehydration in Mrs. K.B. Describe the compensations for the losses of fluid and electrolytes that should be occurring in Mrs. K.B. Explain why Mrs. K.B. may not be able to compensate for losses as well as a younger adult. Part 3: Days 2-3 As Mrs. K.B. continues to vomit and is still unable to eat or drink any significant amounts, loss of the duodenal contents, which include intestinal, pancreatic, and biliary secretions, occurs. No digestion and absorption of any nutrients occurs. Losses at this stage include water, sodium ions, potassium ions, and bicarbonate ions. Also, intake of glucose and other nutrients is minimal. Mrs. K.B. shows elevated serum sodium levels. Sara has been at the hospital all morning waiting for the provider to come by with an update. Sara is rubbing her Mom’s back and she continues to complain back pain. Explain why serum sodium levels appear to be in high in this case Explain how high serum sodium levels might affect the intracellular fluid Using your knowledge of normal physiology, explain how continued fluid loss is likely to affect the following: Blood volume Cell function Kidney function Given Mrs. K.B.’s history, why might a potassium imbalance have more serious effects on her? As the provider, when you enter the room, you find Sara rubbing her Mom’s back – you introduce yourself and what is the first thing that you would then need to do? In regard to Mrs. K.B.’s back pain, what type of questions or history would you like to obtain? Mrs. K.B. reports using herbal compresses at home to help her back pain and that she usually takes two “extra-strong” Acetaminophen tablets every 4 hours and a Tylenol #3 whenever the pain is severe. Sara states that she has tried to get her Mom to use “more natural” treatments for her back but she “loves her Tylenol.” When considering sources for Herbal and Natural Remedies there are many to choose from but not all are FDA approved, and who has time to vet every website. Take a look at Natural Medicines , which is in the Research Guides at the Regis Library. What type of Natural Medicine treatment would you recommend for Mrs. K.B. knowing that her back pain is due to arthritis that was diagnosed 10 years prior, that could offer her relief from her back pain? What should Mrs. K.B. and Sara understand about the dosage of acetaminophen that she is taking? Finally, Sara commented that her Mom seems to be suffering more frequently from insomnia but claims that her medication controls her back pain. Could the Tylenol #3 tablets be interring with her sleep and if so how is this occurring? Part 4: Day 3 Mrs. K.B. has spent the night in the ED due to a bed shortage and she is finally admitted to Med-Surg. After a prolonged period of vomiting, metabolic acidosis develops. This change results from several factors. Loss of bicarbonate ions in duodenal secretions Lack of nutrients leading to ______________ of stored fats and protein with production of excessive amounts of ketoacids Dehydration and decreased blood volume leading to decreased excretion of acids by the __________________ Decreased blood volume leading to decreased tissue perfusion, less oxygen to cells, and increased _________________ metabolism with increased lactic acid. Increased muscle activity and stress leading to increased metabolic acid production. These factors lead to an increased amount of acids in the blood, which bind with bicarbonate buffer and result in decreased serum bicarbonate and decreased serum pH or metabolic _________________. List several reasons why Mrs. K.B. is lethargic and weak. Predict the serum level of carbon dioxide, lactic acid, pH, pO2, K+, Na+, LFTs—note you should indicate low, normal or high and explain why in a brief sentence to indicate you understand the pathophysiology of the process. If Mrs. K.B. continues to lose body fluid, why might serum pH decrease below 7.35? If serum pH drops below 7.35 what signs would be observed in Mrs. K.B. Describe the effect of acidosis on serum potassium levels. Mrs. K.B. will be given replacement fluid therapy. Why is it important that sodium and potassium be given as well as water? Case Study Rubric Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric. Case Study Rubric – 100 PointsCriteriaExemplary Exceeds ExpectationsAdvanced Meets ExpectationsIntermediate Needs ImprovementNovice InadequateTotal PointsContent of Case StudyThe writer demonstrates a well-articulated understanding of the case study subject matter in a clear, complex, and informative manner. The case study content and theories are well developed and linked to the course content, assignment requirements, and practical experience. The case study includes relevant material that fulfills all objectives of the assignment. Cites three or more references, using at least one new scholarly resource that was not provided in the course materials. 30 points The writer demonstrates an understanding of the subject matter, and the components of the case study are accurately represented with evidence-based practice, ethics, theory, and/or role content. Course materials and scholarly resources are present to support required concepts. The paper includes relevant material that fulfills all objectives of the case study. Cites two references. 26 points The writer demonstrates a moderate understanding of the subject matter, as evidenced by components of the case study and use of evidence-based practice, theory, or role-development. Course content is present but missing depth and/or development. Cites only one reference. 23 points Absent application to evidence-based practice, theory, or role development. Demonstrates incomplete understanding of content and/or inadequate preparation. Significant content of case study is vague, inaccurately portrayed, or missing. No references cited. Submits assignment late. 20 points30 Analysis and Synthesis of Case Study Content and MeaningThrough critical analysis, the submitted case study provides an accurate, clear, concise, and complete summary of the scenario. Information from scholarly resources is synthesized, providing new information or insight related to the context of the assignment by providing both supportive and alternative information or viewpoints. All instruction requirements noted. 30 points Case study is complete, providing evidence of further synthesis of course content via scholarly resources. Information is synthesized to help fulfill the case study requirements. The content supports at least one viewpoint. Submission provides clarification of the assignment by correctly answering all posed questions within the instructions. All instruction requirements noted. 26 points Lacks clarification or new information. Scholarly reference supports the content without adding any new information or insight. Case study content may be confusing or unclear, and the summary may be incomplete. Most instruction requirements are noted. 23 points Submission is primarily a summation of the assignment without further synthesis of course content or analysis of the scenario. Demonstrates incomplete understanding of content and/or inadequate preparation. Missing some instruction requirements. Submits assignment late. 20 points30 Application of KnowledgeThe summary of the case study provides information validated via scholarly resources that offer a multidisciplinary approach to the scenario provided. The student’s application in practice is accurate and plausible, and additional scholarly resource(s) supporting the application are provided. All questions posed within the assignment are answered correctly in a well-developed manner, applying knowledge with citations for validation. All instruction requirements noted. 30 points A summary of the study, findings, and knowledge gained from the assignment is presented. Student indicates how the information will be used within their professional practice. All questions posed within the assignment are answered within the case study. The answer to one question may be vague and/or limited in development, but as a whole all answers are correct. All instruction requirements noted. 26 points Objective criteria are not clearly used, allowing for a more superficial application of knowledge between the assignment and the broader course content. One question is answered incorrectly and/or two case study answers are vague or limited in development but remain correct. Student’s indication of how they will apply this new knowledge to their clinical practice is vague. Most instruction requirements are noted. 23 points The application of knowledge is significantly lacking. Demonstrates incomplete understanding of content and/or inadequate preparation. Student’s indication of how they will apply this new knowledge to their clinical practice is not practical or feasible. Application of knowledge is incorrect and/or student fails to explain how the information will be used within their personal practice. Multiple questions are not answered or are answered incorrectly (e.g., two questions answered incorrectly, or three case study answers are vague or limited in development but remain correct). Missing some instruction requirements. Submits assignment late. 20 points30Organization Well-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas. 5 points Organized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow. 4 points Poor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work. Purpose statement is noted. 3 points Illogical flow of ideas. Prose rambles. Purpose statement is unclear or missing. Demonstrates incomplete understanding of content and/or inadequate preparation. No purpose statement. Submits assignment late. 2 points5APA, Grammar, and Spelling Correct APA formatting with no errors. The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately). Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions. There are no spelling, punctuation, or word-usage errors. 5 points Correct and consistent APA formatting of references, and cites all references used. No more than two unique APA errors. The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability. There are minimal to no grammar, punctuation, or word-usage errors. 4 points Three to four unique APA formatting errors. The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused. Multiple grammar, punctuation, or word usage errors. 3 points Five or more unique formatting errors, or no attempt to format in APA. The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language). The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented. Grammar and punctuation are consistently incorrect. Spelling errors are numerous. Submits assignment late. 2 points5 Total Points 100

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2025 Discussion Download the Week 2 Self Assessment of the AACN Essentials Links to an external site Follow

AACN BSN Essentials and Your Future Practice 2025

Discussion Download the Week 2 Self-Assessment of the AACN Essentials (Links to an external site.) Follow the directions on the form. Note your total score. Next, review this article: Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., … Meeks-Sjostrom, D. (2009). Walk the talk: Promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29 (3), 77–93. https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswsc&AN=000266533800011&site=eds-live&scope=site  (Links to an external site.) After you have completed your self-assessment, answer the following questions: Describe the relationship between the AACN Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for you to improve? Essential VIII: Professionalism and Professional Values discusses professional standards of moral, ethical, and legal conduct. Review the Professional Integrity Module-Academics and Practice at the beginning of the course (the first module). Then reflect on your own beliefs and values as they relate to professional nursing practice. Discuss implications of professional nursing integrity and academic integrity.

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2025 Assignment Levels of Prevention and Preventive Services Guidelines For this assignment utilize the

Health Promotion (Levels of prevention) 2025

Assignment: Levels of Prevention and Preventive Services Guidelines For this assignment, utilize the NU629 Week 3 Prevention and Guidelines Excel Template (Excel) . To complete the table, list an example of each type of prevention as it relates to the health concern listed. This course focuses on healthy living and preventive screenings to help promote health and prevent disease and illness. The following is a list of screenings that will be explored throughout the course: cervical cancer (CA), breast CA, colorectal CA, testicular CA, prostate CA, suicide, hypertension, sexually transmitted illnesses, human papillomavirus, intimate partner violence, smoking/vaping, depression, hepatitis C, hepatitis B, fall prevention, lung CA, cardiovascular disorders, childhood and adult immunizations. Many organizations promote their own guidelines. One particular agency that promotes such guidelines is the United States Preventive Services Task Force (USPSTF), along with the NIH, CDC, ACOG, AFP, ACC, JNCC, and others.

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2025 Assignment Details Interdisciplinary Collaboration in Pediatric Primary Care This assignment is a formal paper This includes APA format title page

Interdisciplinary Collaboration in Pediatric Primary Care 2025

Assignment Details Interdisciplinary Collaboration in Pediatric Primary Care This assignment is a formal paper. This includes APA format, title page, headings, literature review, proper citation and reference list per APA, logical sequence, conclusions, and clarity. The paper should be 3–5 pages in length excluding the title page and reference page. The paper must demonstrate your understanding of the topics. Content must include independent ideas and conclusions. At a minimum, the following topics must be well articulated in the paper. Remember that discussion of each topic requires citations that are current (less than 5 years old) and relevant. Please refer to the grading rubric for how your paper will be graded. Assignment Requirements Explain how multidisciplinary collaboration can affect clinical decision-making. Discuss how collaboration can lead to improved patient outcomes. Discuss how a lack of collaboration can lead to poor patient outcomes. Identify three barriers to professional collaboration among healthcare professionals and patients? What are the five best ways to promote professional collaboration in pediatric primary care? How can the nurse practitioner encourage and support collaboration among the patient, family, caregivers, and healthcare professionals? Before finalizing your work, you should: be sure to read the assignment description carefully (as displayed above); consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and utilize spelling and grammar check to minimize errors. Your writing assignment should: follow the conventions of Standard English (correct grammar, punctuation, etc.); be well ordered, logical, and unified, as well as original and insightful; display superior content, organization, style, and mechanics; and use APA 7th Edition

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2025 Review your problem or issue and the study materials to formulate a PICOT question

PICOT Question Paper 2025

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process. Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem. The PICOT question will provide a framework for your capstone project change proposal. In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome. Describe the problem in the PICOT question as it relates to the following: 1. Evidence-based solution 2. Nursing intervention 3. Patient care 4. Health care agency 5. Nursing practice RUBRIC A PICOT question is presented and provides a clear framework for the capstone project change proposal. A nursing intervention used to address the problem is clearly presented. A comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and timeframe needed to implement the change process, are thoroughly discussed The clinical problem and how it can result in a positive patient outcome are thoroughly discussed. Strong rationale is offered for support. The PICOT problem as it relates to evidence-based solution, nursing intervention, patent care, health care agency, and nursing practice is described. Some minor detail is needed for clarity. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

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2025 Scenario 1 Your patient C S is 78 years old Admitted to the nursing home you work at with a

Clinical Assignment 2025

Scenario 1: Your patient C.S is 78 years old. Admitted to the nursing home you work at, with a diagnosis of dehydration. C.S., has been ordered to increase her oral fluid intake to 2500cc per day. When offering her a glass of water, she pushes away your hand and says “I hate water and I don’t drink it much”. You note that after one and a half days she has dry mucous membranes and poor skin turgor. Questions : What should your assessment be on this patient? Explain in detail. After completing your assessment, what should your next step be? Be specific. Write 3 complete nursing diagnosis from above information. Include all 3 sections (NANDA, Related to (R/T) & Evidence based practice (EBP) & include 2 nursing interventions for each nursing diagnosis. Scenario 2 : Ms. Cohen is hospitalized for repair of a fractured hip after a fall at home. She requires intravenous (IV) antibiotics after surgery. Shortly after the first dose she became restless and started picking at her IV line and frequently tried to get out of bed. Several restraint alternatives were attempted; but, because of her restlessness, she was successful at pulling out her IV line and getting out of bed. It becomes necessary to restrain Ms. Cohen. Questions : 1. You know that a health care provider’s order is required for the restraint. What are essential components of the restraint order? 2. Which assessments do you need to perform on Ms. Cohen while she is restrained? 3. The physician orders a belt restraint. Your assessment of Ms. Cohen the next day reveals that during the day she is alert and pleasantly confused but not attempting to get out of bed. Do you continue use of the restraint? Explain.

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2025 1 Minimum 5 full pages No words 2 APA norms Mandatory All paragraphs must be narrative and cited in the text each

SCHOLARLY PAPER: Dorothy Johnson’s Behavioral System Model (24 Hours) 2025

1) Minimum 5 full pages (No words) 2)¨******APA norms (Mandatory) All paragraphs must be narrative and cited in the text- each paragraphs Bulleted responses are not accepted Dont write in the first person Dont copy and pase the questions. Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph 3) It will be verified by Turnitin and SafeAssign 4) Minimum 6 references not older than 5 years 5) *************** Identify your answer with the numbers, according to the question. Example: Q 1. Nursing is XXXXX a) Accordinto XXXX Q 2. Health is XXXX a) These are the issues that arise _____________________________________________________________ Dorothy Johnson’s Behavioral System Model 1) Introduction (1/2 page) a) Identification of theorist including a brief background of the theorist (accomplishments, career, accolades, research efforts) 2) Analysis of basic components/concepts and major relationships in the theory (Minimum 2 pages) a) Briefly discuss the theory’s core concepts b) Use a secondary source that covers the selected nursing theory, you must have a minimum of 3 references from nursing literature (only one from a non-article source like a secondary source/text) to support your discussion in this section. 3) Relevance (Minimum 2 pages) a) Personal relevance if any of the authors described (connect the theorist to the theory) b) Relevance to healthcare and the client discussed (connect the theory to healthcare today) c) Application to research and/or practice provided (connect the theory to current research/practice) d) Use at least two peer-reviewed/research articles that detail the nursing theory being applied in clinical e) Practice/research, and summarize key findings of both articles including results and implications for future practice 4) Summary (1/ 2 page) Include theory strengths and limitation in the summar

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2025 Assignment Prompt Explore the influence of Jean Watson s Theory of Human Caring on your

Week 7: Signature Assignment – Theory of Human Caring on APN Role Student Presentation 2025

Assignment Prompt Explore the influence of Jean Watson’s Theory of Human Caring on your future role as an APN. The student will explore the concepts and caritas processes from the Theory of Human Caring and present how these concepts may impact their future APN role. Directions: The student will create a PowerPoint and include speaker notes that may be added to the speaker note section on each slide. The presentation should be limited to no more than 10 slides. See suggested slides below. If you are unfamiliar with Dr. Watson’s theory see this overview . A suggested outline for the presentation may include the following slides: Slide 1 – Introduction to yourself and future planned APN role and practice Slide 2 – Previous experience with Watson’s Theory of Human Caring Slide 3 – Core Concepts of the Theory Applicable to the APN role Slide 4 – Core Concepts of the Theory Applicable to the APN role (as needed) Slide 5 – Five Carative Factors or Caritas Processes You Plan to Use in the APN Role Slide 6 – Five Carative Factors or Caritas Processes You Plan to Use in the APN Role (as needed) Slide 7 – What Does the Theory of Human Caring Mean to You Slide 8 – APN Implications of Theory of Human Caring Slide 9 – Summary/Main Points Slide 10 – Reference Expectations Due: Monday, 11:59 pm PT Format: PPT Presentation with Speaker Notes Length: 10 Slides, maximum Save the file with Student First Name_Last Name_Watson_Presentation See USU NUR Presentation Rubric for additional details and point weighting.

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2025 Use a provided template to develop a 2 4 page submission in which

Problem Identification 2025

Use a provided template to develop a 2-4 page submission in which you research and define a patient, family, or population health problem relevant to personal practice. Important: Complete this assessment first and complete all other assessments in the order they are presented. In this assessment, you will lay the foundation for the work that will carry through your capstone experience and guide the practice hours to complete the work in this course. The purpose of this assessment is to allow you to define a patient, family, or population health problem that is relevant to your personal practice and to begin building a body of evidence that will inform your approach to your practice hours, the intervention you design, and the professional product you will deliver. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 1: Lead people and processes to improve patient, systems, and population outcomes. Define a patient, family, or population health problem that is relevant to personal practice. Competency 2: Make clinical and operational decisions based upon the best available evidence. Analyze evidence from the literature and professional sources to define and guide nursing actions related to a health problem. Competency 7: Implement patient-centered care to improve quality of care and the patient experience. Propose strategies to improve patient or population outcomes related to a health problem. Competency 8: Integrate professional standards and values into practice. Reflect on state board nursing practice standards relevant to a selected health problem. Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style. Important : Complete this assessment first and complete all other assessments in the order they are presented. Professional Context Nurses are leaders in problem identification and solution, planning and implementing patient care strategies to address problems in the home, hospital, and community. This assessment will help you develop a problem statement for a patient, family, or population health concern. Instructions Throughout this capstone course, you will be investigating a patient, family, or population health problem relevant to your practice. For this assessment, you will identify the problem that you will address throughout your clinical practicum in this course, as well as begin to establish your evidence and research base to plan, implement, and share findings related to your project. The Problem Identification Template [DOC] will guide you through development of a problem statement, evidence collection and analysis, and best practices to help you create your implementation plan for the second assessment in this course. Your submission for this assessment will be the completed template. When working through the template, you may use the resources provided in this course; however, most of your research and search for evidence will be conducted by you. Use the Capella University Library, professional organization and government resources, and relevant organizational best practices as sources of evidence. This is the capstone course for your BSN degree; your goal is to demonstrate your achievement of the program outcomes through your work on this project. The following are some health issues that would be appropriate for your project: Diabetes self-management. Hypertension management and prevention. Medication reconciliation within a family or group. Parkinson’s disease support group. Patient family education communication improvements. Postoperative home care. This list is by no means exhaustive. You should choose a patient, family, or population health issue that is relevant to your practice and organization; you must be able to study the problem in your practicum effectively. You must complete this assessment first. This assessment is your opportunity to plan your practicum and to establish a collaborative oversight process with your course faculty. You must not begin any direct clinical activities or submit any other assessment until Assessment 1 is completed and assessed by faculty. Any other course assessments will be returned with no feedback until Assessment 1 is complete. So please remember: Assessment 1 needs to be reviewed and approved by your faculty. Assessments 2, 3, 4, and 5 should not be submitted until you have received feedback on Assessment 1. Scoring Guide Criteria Your submission will be assessed based on the following criteria: Define a patient, family, or population health problem that is relevant to personal practice. Analyze evidence from the literature and professional sources to define and guide nursing actions related to a health problem. Propose strategies to improve patient or population outcomes related to a health problem. Reflect on state board nursing practice standards relevant to a selected health problem. Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style. Please identify your relationship to the patient (friend and family) and how you made contact with the individual. Remember to only use the individual’s initials in your assessment to protect privacy. CORE ELMS Completion of this course requires a remote rather than a face-to-face clinical practicum. You are required to log your time in the CORE ELMS system just as you have for past courses with clinical interaction. The CORE ELMS link is located in the left-hand navigation pane. Additional Requirements Length of submission: Use the provided template. Most submissions will be 2 to 4 pages. You do not need to include a title page. Be sure to complete the reference page at the end of the template. Number of references: Cite a minimum of 5 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. APA formatting: Make sure that in-text citations and reference list follow current APA style. GRADING RUBRIC · Provide a brief context for the patient, family, or population struggling with this health problem. · Propose one or more goals that you deem appropriate and relevant to the health problem. · Briefly state why this health problem is relevant to your personal practice. Analyze evidence from the literature and professional sources to support decisions related to defining and guiding nursing actions related to a health problem. · Compare and contrast the authors you will be citing, discussing pros and cons of the evidence you are reading about. · Note whether the authors provide supporting evidence from the literature that is consistent with what you see in your nursing practice. · Assess the quality of the data presented in the articles you are reading. · Discuss how you would know if the data were unreliable. · Include what the literature says about barriers to evidence-based practice. · Describe research studies that present opposing views regarding this health problem. · Describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions during your clinical practicum. Propose potential strategies to improve patient or population outcomes related to a health problem. · Cite any known authors who have recommended leadership strategies for nurses to use when providing care to this patient population. · Discuss research on the effectiveness of these strategies in improving patient or population outcomes regarding this health problem. · Describe what the literature says about patient-centered care, empowering patients to make health care decisions, involving families in patient care, incorporating patient preferences to improve outcomes, prevent illness, and lower readmissions to hospitals. · Discuss ways your role as a nurse leader will help improve patient outcomes as described in the literature. Reflect on state board nursing practice standards relevant to a project related to a health problem. · Discuss how your state’s nurse practice act will guide your actions in terms of this health problem for this patient or population. · Identify the most surprising thing that you found while reading your state’s nurse practice act. · Describe the effects of local, state, and federal laws on your nursing scope of practice and care for this patient or population. · Explain how nursing ethics will inform your intervention in this clinical practicum. References Remember to compile your APA-formatted reference list. TEACHERS GRADING RUBRIC: 1. Define a patient, family, or population health problem and realistic goals relevant to personal practice. Identify one’s relationship to the patient (friend and family) and how one made contact with the individual. Refer to the individual by initials only. Passing Grade:  Defines a patient, family, or population health problem and realistic goals relevant to personal practice. Identifies one’s relationship to the patient (friend and family) and how one made contact with the individual. Refers to the individual by initials only. Notes the personal or professional significance of the problem within the scope of nursing practice. 2. Analyze evidence from the literature and professional sources to define and guide proposed nursing actions to address a health problem. Passing Grade:  Analyzes evidence from the literature and professional sources to define and guide proposed nursing actions to address a health problem. Notes criteria used to analyze the relevance of these sources. 3. Propose strategies to improve patient or population outcomes related to a selected health problem. Passing Grade: Proposes strategies to improve patient or population outcomes related to a selected health problem. Acknowledges alternate strategies and provides a rationale for pursuing the proposed strategies. 4. Reflect on state board nursing practice standards relevant to a selected health problem. Passing Grade:  Reflects on state board nursing practice standards relevant to a health problem. Notes the benefits of integrating standards into a project. 5. Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style. Passing Grade:  Communicates professionally in writing that is exceptionally clear and well organized, with correct grammar, spelling, and flawless use of APA style. ************************************************************TEMPLATE************************************************************** Problem Identification Template The following is a guide to organize your assignment. Please be sure to remove the guiding questions and comments for each section. You are expected to write in a professional and academically appropriate manner throughout. Make sure you are using proper APA style and citations throughout. Define a patient, family, or population health problem, and realistic goals, that are relevant to personal practice. · Introduce a general summary of the health problem that you will be exploring. · Provide a brief context for the patient, family, or population struggling with this health problem. · Propose one or more goals that you deem appropriate and relevant to the health problem. · Briefly state why this health problem is relevant to your personal practice. Analyze evidence from the literature and professional sources to support decisions related to defining and guiding nursing actions related to a health problem. · Compare and contrast the authors you will be citing, discussing pros and cons of the evidence you are reading about. · Note whether the authors provide supporting evidence from the literature that is consistent with what you see in your nursing practice. · Assess the quality of the data presented in the articles you are reading. · Discuss how you would know if the data were unreliable. · Include what the literature says about barriers to evidence-based practice. · Describe research studies that present opposing views regarding this health problem. · Describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions during your clinical practicum. Propose potential strategies to improve patient or population outcomes related to a health problem. · Cite any known authors who have recommended leadership strategies for nurses to use when providing care to this patient population. · Discuss research on the effectiveness of these strategies in improving patient or population outcomes regarding this health problem. · Describe what the literature says about patient-centered care, empowering patients to make health care decisions, involving families in patient care, incorporating patient preferences to improve outcomes, prevent illness, and lower readmissions to hospitals. · Discuss ways your role as a nurse leader will help improve patient outcomes as described in the literature. Reflect on state board nursing practice standards relevant to a project related to a health problem. · Discuss how your state’s nurse practice act will guide your actions in terms of this health problem for this patient or population. · Identify the most surprising thing that you found while reading your state’s nurse practice act. · Describe the effects of local, state, and federal laws on your nursing scope of practice and care for this patient or population. · Explain how nursing ethics will inform your intervention in this clinical practicum. References Remember to compile your APA-formatted reference list.

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2025 As a nurse how often have you thought to yourself If I had anything to

Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement 2025

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice. Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy. To Prepare: Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources. The Assignment: (1- to 2-page Comparison Grid; 1-page Legislation Testimony/Advocacy Statement) Part 1: Legislation Comparison Grid Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following: Determine the legislative intent of the bill you have reviewed. Identify the proponents/opponents of the bill. Identify the target populations addressed by the bill. Where in the process is the bill currently? Is it in hearings or committees? Part 2: Legislation Testimony/Advocacy Statement Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following: Advocate a position for the bill you selected and write testimony in support of your position. Describe how you would address the opponent to your position. Be specific and provide examples.

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