• Consider the following scenario:
  You are a charge nurse and one of your direct subordinates is also a personal friend of yours. You have noticed a decline in her/his professional performance as witnessed by tardiness, delayed patient response, failing to complete documentation, and altered peer relationships.

By Day 3 of Week 8 (Post First)

Explain how you would mentor and coach the subordinate nurse in the scenario. Specifically address the following:

• Explain your expectations of the performance the nurse should be demonstrating. 
• Explain the type of feedback you would provide to the nurse. Be specific and provide examples grounded in the Resources on coaching and mentoring.
• Explain how the AONL Competencies on Leadership and Professionalism and the ANA Magnet Standard on peer feedback support would inform your feedback choices.

  

Case Study

Format: Word document in APA format, using a minimum of seven evidence-based nursing resource articles, not older than three years and Ten pages minimum.

Assignment Details

M. W. is a 70-year-old Caucasian with a medical history of hypertension, osteoarthritis, atrial fibrillation, and total hysterectomy who lives by herself in a two-story row home. She visits the primary care clinic with her daughter, who is concerned because M. W. has bounced a few checks and can no longer pay her bills without assistance. M. W. admits that she has been forgetful and appears anxious as she describes an incident in which she went shopping and could not remember where she parked her car. Her daughter states that her mother’s memory has progressively worsened over the past year.

Medications

· Fosinopril 20 mg PO daily

· Metoprolol Succinate ER 50 mg PO daily

· Warfarin 5 mg PO daily

· Vitamin D 1,000 IU PO daily

· Acetaminophen 325 mg 2 tablets (650 mg) PO tid

A careful evaluation and workup was ordered.

Diagnosis: Mild AD with an MMSE score of 22

· List specific goals of treatment for M. W.

· What drug therapy would you prescribe for M. W.? Why?

· What are the parameters for monitoring success of therapy?

· Discuss specific patient education based on the prescribed therapy.

· List one or two adverse reactions for the selected agent that would cause you to change therapy.

· Would there be any over-the-counter and/or alternative agents appropriate for M. W.?

· What lifestyle changes would you recommend to M. W.?

· Describe one or two drug-drug or drug-food interactions for the selected agent.

Directions

· Craft a Therapeutic Plan.

· Using Beers Criteria and rational drug prescribing, review the medications and diagnoses listed for M. W. What three prioritized changes would you make to the medication regimen? Include a detailed and evidence-based rationale for all changes, including, but not limited to, monitoring, drug-drug interactions, drug-disease interactions, pharmacokinetics/pharmacodynamics, age, gender, and culture.

· What would be your pharmacological-related patient education?

· Would you order any laboratory testing? Provide rationale for all decisions.

· Describe a follow-up plan of care with rationale.

Please refer to the Clinical Case Study Rubric for details on how this activity will be graded.

 

Instructions

Many people would say that the 1999 premier of The Sopranos was a turning point in the development of television as an art form. 

Choose a television or streaming show that you feel perpetuates the idea that television is indeed a form of art. Address the following:

• Include the name of the show and the director.
• Explain why you think this program is art.
• What impact does the example have on viewers’ lives?
• What were some influences of this work?
• Include a statement from an actor, director, or critic of the program that supports your points.

Writing Requirements

• Minimum of 1 Page
• Minimum of 2 sources cited (assigned readings/online lessons and an outside source)
• APA format for in-text citations and list of references

The purpose of this assignment is to analyze the role of managed care organizations within health care and risk management programs.

Reflect on and evaluate the role that the managed care organization (MCO) plays in today’s health care environment by developing a 250‐500-word response that addresses the following:

1. What is a health care organization’s administrative role in executing risk management policies and ensuring compliance with managed care organization (MCO) standards?
2. What value do the regulatory statutes of a typical MCO provide to a health care organization? Consider how strategies pertaining to policies such as conflict resolution and risk management affect patients as well as employees and employers.
3. What MCO responsibilities relevant to the Patient Protection and Affordable Care Act (ACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

In addition to your textbook, you are required to support your analysis with a minimum of two peer‐reviewed references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

1. Week 3 Assignment: Database Searching, Synonyms, and Booleans for the Mathematical/Analytical Perspective of Inquiry (Weekly Written Assignment)
2. This assignment on database searching will help you prepare for your first perspectives paper. It is recommended that you complete this assignment first. This assignment will help you refine your database search based on your research questions for the mathematical/analytical perspective of inquiry. (You are not required to complete this document for the scientific perspective of inquiry, but you may choose to do so for your own purposes.)
3. Week 3 Assignment: Scientific and Mathematical/Analytical Perspectives of Inquiry Paper
4. Compose a focused paper that explains and describes your healthcare issue/topic from the scientific and mathematical/analytical perspectives of inquiry. (You will cover two perspectives in one paper.)
5. Address your general topic by forming and answering two levels of research questions for each inquiry.
6. Choose a “Level 1 Research Question/Writing Prompt” from both of the lists below to answer in the paper.
7. Compose a “Level 2 Research Question/Writing Prompt” for each kind of inquiry that provides detail, specificity, and focus to your inquiry, research, and writing.
8. State your research questions in the introduction of your paper.
9. Answer each research question and support your assertions with evidence (research) to form the body of your paper.
10. In the conclusion of the paper, briefly review the issues, research questions, answers, and insights.
11. Level 1 Research Questions/Writing Prompts
    SCIENTIFIC Perspective of Inquiry
    What are the anatomical, physiological, pathological, or epidemiological issues?
    Which body systems are affected?
    What happens at the cellular or genetic level?
    Which chemical or biological issues are most important?
    Level 1 Research Questions/Writing Prompts
    MATHEMATICAL/ANALYTICAL Perspective of Inquiry
    What are the economic issues involved?
    Which economic theories or approaches best explain the issue?
    What are the statistical facts related to the issue?
    Which statistical processes used to study the issue provide for the best explanation or understanding?
12. Your paper must be five pages in length and reference four to six scholarly, peer-reviewed resources. Be sure to follow current APA Style (e.g., spacing, font, headers, titles, abstracts, page numbering).