DNP-Patient Outcomes and Sustainable Change 2025

For Catherine Owens I need between 100-120 words for each assignment, and I want individual references with each response. Please, no plagiarized work Module 1 DQ 1 Outcome measures are significant in showing the worth of the Doctor of Nursing Practice’s role in health care. Identify a practice-level outcome study or project and describe the expectation of its effect on health care. Which outcome measure do you think aligns with your DPI project (Quality Improvement Project)? Why? Provide examples and literature support. DQ 2 In this week’s readings, theories of accident causation, human error, foresight, resilience, and system migration were discussed. Identify a safety theory and propose quality measures to improve patient safety. Which theory or framework are you using to guide your DPI Project’s intervention and outcome? Please define what constructs of your chosen DPI Project theory will help you change/improve clinical practice to improve a specific patient outcome? Provide examples and literature support. Resources Read Chapter 1 in Outcome Assessment in Advanced Practice Nursing 4e. URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php Henneman, E. A. (2017). Recognizing the ordinary as extraordinary: Insight into the “way we work” to improve patient safety outcomes. American Journal of Critical Care , 26 (4), 272–277. doi:10.4037/ajcc2017812 URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123660853&site=ehost-live&scope=site Smith, S. A., Yount, N., & Sorra, J. (2017). Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. BMC Health Services Research , 17, 1-9. doi:10.1186/s12913-017-2078-6 URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=121336458&site=ehost-live&scope=site Module 2 DQ 1 Discuss economic methodology, including the concept of cost-based analysis. If you will not be addressing this in your DPI Project, provide an example of a program where it could be used to show outcomes. Provide examples and literature support. DQ 2 Discuss a change theory and how it can be or has been applied in nursing practice to integrate care delivery sustainability. How will you use change theory in the design of your project to support the sustainability of your practice improvement intervention? Provide examples and literature support. Resources Read Chapters 2 and 12 in Outcome Assessment in Advanced Practice Nursing 4e . URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php Uluskan, M., McCreery, J. K., & Rothenberg, L. (2018). Impact of quality management practices on change readiness due to new quality implementations. International Journal of Lean Six Sigma , 9 (3), 351-373. doi:10.1108/IJLSS-05-2017-0049 URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/2084217648?accountid=7374 Steele Gray, C., Wilkinson, A., Alvaro, C., Wilkinson, K., & Harvey, M. (2015). Building resilience and organizational readiness during healthcare facility redevelopment transitions: Is it possible to thrive? HERD: Health Environments Research & Design Journal , 9 (1), 10-33. doi:10.1177/1937586715593552 URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1752366238?accountid=7374 Allen, B. (2016). Effective design, implementation and management of change in healthcare. Nursing Standard , 31 (3), 58. doi:10.7748/ns.2016.e10375 URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1826257730?accountid=7374 Module 3 DQ 1 New health care delivery models are being presented to accommodate the shift in health care objectives. Many of these models are community-based and focused on improving quality outcomes, population health, and reducing readmissions to acute care settings. 1. Describe a new health care delivery model and discuss whether or not it is sustainable. 2. How will you use a health care delivery model in the design of your project to support the sustainability of your practice improvement intervention? Provide examples and literature support. DQ 2 Two major models of care exist: for-profit and not-for-profit. Does one or the other provide more ethical care? Why or why not? Provide examples and literature support. Resources Read Chapter 3 in Outcome Assessment in Advanced Practice Nursing 4e . URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php Largent, E. A. (2016). Health care organizations and the power of procedure. American Journal of Bioethics , 16 (1), 51–53. doi:10.1080/15265161.2015.1115155 URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112131664&site=ehost-live&scope=site Graber, A., Carter, S., Bhandary, A., & Rizzo, M. (2017). The case for enrolling high-cost patients in an ACO. HEC Forum , 29 (4), 359-365. doi:10.1007/s10730-017-9333-4 URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1964458917?accountid=7374 Kirby, J. (2016). Balancing legitimate critical-care interests: Setting defensible care limits through policy development. American Journal of Bioethics , 16 (1), 38-47. doi:10.1080/15265161.2015.1115141 URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112131650&site=ehost-live&scope=site Explore the National Healthcare Quality and Disparities Reports page on the Agency for Healthcare Research and Quality website. URL: http://www.ahrq.gov/research/findings/nhqrdr/index.html Centers for Medicare & Medicaid Services. (n.d.). Accountable care organizations (ACOs). URL: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html?redirect=/aco/ Module 4 DQ 1 Explore a country that provides universal health care. What are its health outcomes? How do these outcomes compare to those in the United States? Should universal health care be a concept that the Doctor of Nursing Practice should support? Why or why not? As a nurse leader, how would you integrate your faith and work into any health care delivery concept? Provide examples and literature support. DQ 2 The Commonwealth Fund provides an international review of health care systems. Read the Commonwealth Fund report, International Profiles of Health Care Systems, 2017. Discuss what knowledge you gained from reading the report and describe any changes you would apply to the U.S. health care system. What is the DNP’s role in the policy needed to enact the changes you identified? Provide examples and literature support. Resources Read Chapters 4 and 11 in Outcome Assessment in Advanced Practice Nursing 4e . URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php Ruggles, B. M., Xiong, A., & Kyle, B. (2019). Healthcare coverage in the US and Japan: A comparison. Nursing , 49 (4), 56-60. doi:10.1097/01.NURSE.0000553277.03472.d8 URL: https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00152193-201904000-00016&D=ovft&PDF=y Cheng, S., Jin, H., Yang, B., & Blank, R. H. (2018). Health expenditure growth under single-payer systems: Comparing South Korea and Taiwan. Value in Health Regional Issues , 15 , 149-154. doi:10.1016/j.vhri.2018.03.002 URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S221210991830030X?via%3Dihub Rajfur, P., & Hys, K. (2018). Management of the healthcare system in Germany and France. Medical Science Pulse , 12 (4), 55-60. doi:10.5604/01.3001.0012.7213 URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=135070172&site=ehost-live&scope=site Explore “Guidance: Delivering Better Integrated Care” located on the GOV.UK website. URL: https://www.gov.uk/enabling-integrated-care-in-the-nhs#tools-resources-and-publications Explore the healthcare search page located on the Government website. URL: http://www.gouvernement.fr/en/search/site/healthcare Explore the Country Comparison: Health Expenditures page of the Central Intelligence Agency website. URL: https://www.cia.gov/library/publications/the-world-factbook/rankorder/2225rank.html Mossialos, E., Djordjevic, A., Osborn, R., & Sarnak, D. (Eds.). (2017). International profiles of health care systems, 2017: Australia, Canada, China, Denmark, England, France, Germany, India, Israel, Italy, Japan, the Netherlands, New Zealand, Norway, Singapore, Sweden, Switzerland, Taiwan, and the United States . New York, NY: Commonwealth Fund. URL: https://www.commonwealthfund.org/publications/fund-reports/2017/may/international-profiles-health-care-systems Module 5 DQ 1 Review one of the tutorials on quality measures from the AHRQ: National Quality Measures Clearinghouse website. Provide an overview of what you reviewed and its application in your practice. Provide examples and literature support. DQ 2 Review “How Can Healthcare Organizations Implement Patient-Centered Care,” and discuss evaluation models that can drive large-scale cultural transformation in health care or in your current practice. What are the strengths and weaknesses of these models? Provide examples and literature support. Resources Re-read Chapter 4 in Outcome Assessment in Advanced Practice Nursing 4e . URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php Bokhour, B. G., Fix, G. M., Mueller, N. M., Barker, A. M., Lavela, S. L., Hill, J. N.,…VanDeusen Lukas, C. (2018). How can healthcare organizations implement patient-centered care? Examining a large-scale cultural transformation. BMC Health Services Research, 18 (168). doi:10.1186/s12913-018-2949-5 URL: https://doi.org/10.1186/s12913-018-2949-5 Nel, H. (2018). A comparison between the asset-oriented and needs-based community development approaches in terms of systems changes. Practice: Social Work in Action , 30 (1), 33-52. doi:10.1080/09503153.2017.1360474 URL: https://www-tandfonline-com.lopes.idm.oclc.org/doi/full/10.1080/09503153.2017.1360474 Lindau, S. T., Vickery, K. D., Choi, H., Makelarski, J., Matthews, A., & Davis, M. (2016). A community-powered, asset-based approach to intersectoral urban health system planning in Chicago. American Journal of Public Health , 106 (10), 1872-1878. doi:10.2105/AJPH.2016.303302 URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118167729&site=ehost-live&scope=site Explore the Guidelines and Measures page on the Agency for Healthcare Research and Quality website. URL: http://www.qualitymeasures.ahrq.gov Aligned To: 0 [competencies] Module 6 DQ 1 The Doctor of Nursing Practice/Advanced Practice Nurse role empowers nurses to create programs for improving quality outcomes. What barriers need to be alleviated to increase the DNP/APN role in health care change? Provide examples and literature support. DQ 2 Patient-centered care has been shown to increase positive patient outcomes. Provide an example of how collaboration within the health care team (interprofessional collaboration) has enhanced patient outcomes in your practice. Provide literature support. Resources Read Chapters 8-10 in Outcome Assessment in Advanced Practice Nursing 4e . URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php Will, K. K., Johnson, M. L., & Lamb, G. (2019). Team-based care and patient satisfaction in the hospital setting: a systematic review. Journal of Patient-Centered Research and Reviews , 6 (2), 158-171. doi:10.17294/2330-0698.1695 URL: http://dx.doi.org/10.17294/2330-0698.1695 Brown, L., & Overly, F. (2016). Simulation-based interprofessional team training. Clinical Pediatric Emergency Medicine , 17 (3), 179-184. doi:10.1016/j.cpem.2016.06.001 URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S1522840116300283?via%3Dihub Van der Biezen, M., Wensing, M., Poghosyan, L., Van der Burgt, R., & Laurant, M. (2017). Collaboration in teams with nurse practitioners and general practitioners during out-of-hours and implications for patient care; a qualitative study. BMC Health Services Research , 17 , 1-9. doi:10.1186/s12913-017-2548-x URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=124800601&site=ehost-live&scope=site Barratt, J., & Thomas, N. (2018). Nurse practitioner consultations in primary health care: A case study-based survey of patients’ pre-consultation expectations, and post-consultation satisfaction and enablement. Primary Health Care Research & Development , 20 , 1-8. doi:10.1017/S1463423618000415 URL: https://doi.org/10.1017/S1463423618000415 Module 7 DQ 1 Utilize the National Committee for Quality Assurance (NCQA) website to examine the criteria that a Patient Centered Medical Home (PCMH) must meet to be credentialed. What is the value of the PCMH to patient outcomes? How does the NCQA website help you define and measure the results of your DPI Project intervention on patient outcomes? Provide examples and literature support. DQ 2 What are some of the current assessment tools to improve patient understanding and adherence to prescribed treatment? What assessment tools are available to determine a level of health literacy and how can these tools help improve patient outcomes? Provide examples and literature support. Resources Read Chapter 6 in Outcome Assessment in Advanced Practice Nursing 4e . URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php Tucker, C., Arthur, T., & Roncoroni, J. (2013). Patient-centered, culturally sensitive health care. American Journal of Lifestyle Medicine , 9 (1), 63-77. doi:10.1177/1559827613498065 URL: https://journals-sagepub-com.lopes.idm.oclc.org/doi/full/10.1177/1559827613498065 Park, Y., & Martin, E. G. (2018). Geographic disparities in access to nursing home services: Assessing fiscal stress and quality of care. Health Services Research , 53 , 2932-2951. doi:10.1111/1475-6773.12801 URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130899122&site=ehost-live&scope=site Barsell, J., Everhart, R. S., Miadich, S. A., & Trujillo, M. A. (2018). Examining health behaviors, health literacy, and self-efficacy in college students with chronic conditions. American Journal of Health Education , 49 (5), 305-311. URL: https://doi-org.lopes.idm.oclc.org/10.1080/19325037.2018.1486758 Nguyen, T. H., Park, H., Han, H-R., Chan, K. S., Paasche-Orlow, M. K., Haun, J., & Kim, M. T. (2015). State of the science of health literacy measures: Validity implications for minority populations. Patient Education & Counseling , 98 (12), 1492-1512. doi:10.1016/j.pec.2015.07.013 URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0738399115300215?via%3Dihub Aligned To: 0 [competencies] Pronovost, P. J., Cleeman, J. I., Wright, D., & Srinivasan, A. (2016). Fifteen years after To Err is Human : A success story to learn from. BMJ Quality & Safety , 25 (6), 396. doi:10.1136/bmjqs-2015-004720 URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1793871405?accountid=7374 Mitchell, I., Schuster, A., Smith, K., Pronovost, P., & Wu, A. (2016). Patient safety incident reporting: A qualitative study of thoughts and perceptions of experts 15 years after “To Err is Human.” BMJ Quality & Safety , 25 (2), 92. doi:10.1136/bmjqs-2015-004405 URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1778837381?accountid=7374 Califf, R. M., Robb, M. A., Bindman, A. B., Briggs, J. P., Collins, F. S., Conway, P. H., & Sherman, R. E. (2016). Transforming evidence generation to support health and health care decisions. The New England Journal of Medicine , 375 (24), 2395-2400. doi:10.1056/NEJMsb1610128 URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1849409554?accountid=7374 Aligned To: 0 [competencies] AHRQ: Agency for Healthcare Research and Quality. (n.d.). Health literacy measurement tools (revised). URL: http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy/index.html Explore the National Committee for Quality Assurance website. URL: http://www.ncqa.org/ Institute of Medicine. (1999). To err is human: Building a safer health system . Washington, DC: National Academy Press. URL: http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century . Washington, DC: National Academy Press. URL: http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2001/Crossing-the-Quality-Chasm/Quality%20Chasm%202001%20%20report%20brief.pdf Explore the Patient Centered Medical Home: Resource Center page on the Agency for Healthcare Research and Quality website. URL: http://www.pcmh.ahrq.gov/ Aligned To: 0 [competencies] Explore the Primary Care Collaborative website. URL: http://www.pcpcc.org/ Explore the Health Literacy page on the National Network of Libraries of Medicine website. URL: http://nnlm.gov/outreach/consumer/hlthlit.html Explore the Health Literacy Online page on the Office of Disease Prevention and Health Promotion website. URL: http://www.health.gov/healthliteracyonline/ Module 8 DQ 1 Discuss effective means for translating and disseminating research by discussing the role of the DPI Project (Quality Improvement) and the opportunities for its dissemination. Include a discussion of the role of inter-professional collaboration. Provide examples and literature support. DQ 2 Discuss recent health care innovations in your practice and your role in implementation. Provide examples and literature support. Resources Re-read Chapter 12 in Outcome Assessment in Advanced Practice Nursing 4e . URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php Hassan, A., Scherer, E. A., Pikcilingis, A., Krull, E., McNickles, L., Marmon, G.,…Fleegler, E. (2015). Improving social determinants of health: Effectiveness of a web-based intervention. American Journal of Preventive Medicine , 49 (6), 822-831. doi:10.1016/j.amepre.2015.04.023 URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S074937971500207X?via%3Dihub Curtis, K., Fry, M., Shaban, R., & Considine, J. (2016). Translating research findings to clinical nursing practice. Journal of Clinical Nursing , 26 (5-6), 862-872. doi:10.1111/jocn.13586 URL: https://doi.org/10.1111/jocn.13586 Tabak, R. G., Padek, M. M., Kerner, J. F., Stange, K. C., Proctor, E. K.,…Brownson, R. C. (2016). Dissemination and implementation science training needs: Insights from practitioners and researchers. American Journal of Preventative Medicine , 52 (3), S322-S329. doi:10.1016/j.amepre.2016.10.005 URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0749379716305116?via%3Dihub Aligned To: 0 [competencies]Aligned To: 0 [competencies] Bender, M., Williams, M., Su, W. & Hites, L. (2016). Clinical nurse leader integrated care delivery to improve care quality: Factors influencing perceived success. Journal of Nursing Scholarship , 48 (4), 414-422. doi:10.1111/jnu.12217 URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1807680167?accountid=7374 Neta, G., Glasgow, R. E., Carpenter, C. R., Grimshaw, J. M., Rabin, B. A., Fernandez, M. E., & Brownson, R. C. (2015). A framework for enhancing the value of research for dissemination and implementation. American Journal of Public Health , 105 (1), 49-57. URL: https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=s3h&AN=99983414&site=ehost-live&scope=site Aligned To: 0 [competencies] Explore “AHRQ Health Care Innovations Exchange” located on the Agency for Healthcare Research and Quality website. URL: https://innovations.ahrq.gov/ Brownson, R. C., Proctor, E. K., Luke, D. A., Baumann, A. A., Staub, M., Brown, M. T., & Johnson, M. (2017). Building capacity for dissemination and implementation research: One university’s experience. Implementation Science , 12 (1), 1-12. doi:10.1186/s13012-017-0634-4 URL: https://link.springer.com/article/10.1186/s13012-017-0634-4

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Assessment 3: Self-Assessment of Leadership, Collaboration, and Ethics 2025

Write a 3–4 page response to an employment questionnaire requiring a self-evaluation of your leadership and ethical experiences. An understanding of one’s own approaches to leadership, motivation, collaboration and ethical situations is important to the evolution of an effective leader. An introspective lens can help emerging leaders better understand and hone these important skills. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Apply qualities, skills and practices used by effective healthcare leaders. Analyze one’s own leadership qualities and actions relative to a specific experience. Competency 2: Apply practices that facilitate effective interprofessional collaboration. Analyzes one’s own leadership and motivational techniques used to foster collaboration among stakeholders. Competency 3: Apply ethical codes and diversity best practices in health care organizations. Analyze actions taken in response to an ethical dilemma, using an ethical code. Competency 4: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards. Conveys clear meaning in active voice, with minimal issues in grammar, usage, word choice, spelling, or mechanical errors. Competency Map CHECK YOUR PROGRESS Use this online tool to track your performance and progress through your course. Toggle Drawer ResourcesRequired Resources The following resource is required to complete the assessment. Western Medical Application Questionnaire [DOCX] . Suggested Resources The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The NHS-FP5004 – Collaboration, Communication, and Case Analysis for Health Care Master’s Learners Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you. Assessment Example Assessment 3 Example [PDF] . Ethical Frameworks The following ethical frameworks should be considered for this week’s assignment. American College of Healthcare Executives. (2017). ACHE code of ethics . Retrieved from https://www.ache.org/about-ache/our-story/our-commitments/ethics/ache-code-of-ethics Levitt, D. (2014). Ethical decision-making in a caring environment: The four principles and LEADS . Healthcare Management Forum, 27, 105–107. Levitt-Rosenthal, N. (2013). Ethics, values, and decision making . Frontiers of Health Services Management, 30 (1), 27–32. Wiencek, C., Lavandero, R., & Berlinger, N. (2016). From the team to the table: Nursing societies and health care organizational ethics . Hastings Center Report , 46 , 532–534. Multimedia Ethical Leadership . A review of ethics terminology. Ethical Decision Making Model . Provides an overview of an ethical decision-making model. Assessment InstructionsPreparation Download and review the Western Medical Enterprises Questionnaire found in the Resources. Use it to complete this assessment. Optional Read Ethical decision-making in a caring environment: The four principles and LEADS if you chose this reference to complete your assignment. See the Western Medical Enterprises Questionnaire for details. Scenario Imagine that over the past few months you have participated in several organizational projects and met many new people. The opportunities to collaborate and demonstrate your emerging skills as a leader prompted you to think about applying for a new position. After exploring online job postings, you prepared a resume and submitted the application to Western Medical Enterprises. A few days later you received the following email: Dear Applicant, Thank you for your interest in employment at Western Medical Enterprises. We have received your application packet. The next step for all potential employees is to provide a narrative response to the questions in the attached document. Please return your completed document to me by replying to this e-mail. Once we receive your responses, we will review them and notify you of the next steps. Good luck! Sincerely, Thomas Hardy Human Resources Recruiter Western Medical Enterprises Instructions Respond to the scenario by completing the Western Medical Enterprises Questionnaire found in the Resources. Please refer to the scoring guide for details on how your assessment will be evaluated. Note : Your instructor may use the Writing Feedback Tool when grading this assignment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated. Self-Assessment of Leadership, Collaboration, and Ethics Scoring Guide VIEW SCORING GUIDE Use the scoring guide to enhance your learning.

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nursing assignment. 2025

Assignment: Focused SOAP Note for Schizophrenia Spectrum, Other Psychotic, and Medication-Induced Movement Disorders Psychotic disorders change one’s sense of reality and cause abnormal thinking and perception. Patients presenting with psychotic disorders may suffer from delusions or hallucinations or may display negative symptoms such as lack of emotion or withdraw from social situations or relationships. Symptoms of medication-induced movement disorders can be mild or lethal and can include, for example, tremors, dystonic reactions, or serotonin syndrome. For this Assignment, you will complete a focused SOAP note for a patient in a case study who has either a schizophrenia spectrum, other psychotic, or medication-induced movement disorder. To Prepare Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating schizophrenia spectrum, other psychotic, and medication-induced movement disorders. Photo Credit: Getty Images/Wavebreak Media Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. Review the video, Case Study: Sherman Tremaine . You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar. Consider what history would be necessary to collect from this patient. Consider what interview questions you would need to ask this patient. The Assignment Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template: Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment? Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, and list them in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy. Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

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Pharmacokinetics and Pharmacodynamics 2025

As an advanced practice nurse assisting physicians in the diagnosis and treatment of disorders, it is important to not only understand the impact of disorders on the body, but also the impact of drug treatments on the body. The relationships between drugs and the body can be described by pharmacokinetics and pharmacodynamics. Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body. When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharamcodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease. In this Discussion, you reflect on a case from your past clinical experiences and consider how a particular patient’s pharmacokinetic and pharmacodynamic processes altered his or her response to a drug. To prepare: · Review this week’s media presentation with Dr. Terry Buttaro, as well as Chapter 2 of the Arcangelo and Peterson text, and the Scott article in the Learning Resources. Consider the principles of pharmacokinetics and pharmacodynamics. · Reflect on your experiences, observations, and/or clinical practices from the last five years. Select a case from the last five years that involves a patient whose individual differences in pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug. When referring to your patient, make sure to use a pseudonym or other false form of identification. This is to ensure the privacy and protection of the patient. · Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease. · Think about a personalized plan of care based on these influencing factors and patient history in your case study. With these thoughts in mind: Post a description of the case you selected. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient from the case you selected. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. – This work should have Introduction and conclusion – This work should have at 3 to 5current references (Year 2012 and up) – Use at least 2 references from class Learning Resources The following Resources are not acceptable : 1. Wikipedia 2. Cdc.gov- nonhealthcare professionals section 3. Webmd.com 4. Mayoclinic.com LEARNING RESOURCES **Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins. Chapter 2, “Pharmacokinetic Basis of Therapeutics and Pharmacodynamic Principles” (pp. 17-31) This chapter examines concepts related to pharmacokinetics and pharmacodynamics. It also explores patient factors that health care providers consider when prescribing drug therapy to patients. Chapter 3, “Impact of Drug Interactions and Adverse Events on Therapeutics” (pp. 33-51) This chapter explains drug-drug, drug-food, drug-herb, and drug-disease interactions. It also reviews patient factors that influence drug interactions and then covers adverse drug reactions. Chapter 4, “Principles of Pharmacotherapy in Pediatrics” (pp. 53-63) This chapter explores concepts relating to drug selection, administration, and interaction for pediatric patients. It also compares age-related pharmacokinetic differences in children and adults. Chapter 6, “Principles of Pharmacotherapy in Elderly Patients” (pp. 73-89) This chapter describes issues and factors that affect drug therapy for elderly patients. It then explores concepts relating to drug selection, administration, and management for elderly patients. **Scott, S. A. (2011). Personalizing medicine with clinical pharmacogenetics. Genetics in Medicine, 13(12), 987–995. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3290900/ This article examines pharmacogenetic testing in relation to personalized drug therapy plans and explores evidence-based guidelines and recommendations on pharmacogenetic testing. **Drugs.com. (2012). Retrieved August 22, 2012, from http://www.drugs.com/ This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker. **Haymarket Media, Inc. (2012). Retrieved from http://www.empr.com/ **Institute for Safe Medication Practices. (2012). Retrieved from http://www.ismp.org/ **WebMD. (2012). Medscape. Retrieved from http://www.medscape.com/

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