As a leader in practice, you will use your gap analysis to provide a 12–15 slide recorded PowerPoint presentation on the critical importance of interprofessional collaboration for the provision of safe, high-quality coordinated care.
To gain help and support for your implementation of your project, it is important to guide the stakeholders through all the steps in the process. Providing the team with a detailed cohesive presentation will enhance their understanding and give a voice to any divergent opinions about the proposed changes. This type of engagement creates a platform of transparency about the coming changes needed for the improvement project. Fostering positive interprofessional communications with project stakeholders builds trust and understanding, which in turn leads to better health outcomes.  

Assessment Instructions

Assignment Summary
Now that you defined a gap in practice and started to involve your stakeholders it is time to do a presentation on the critical importance of interprofessional collaboration for the provision of safe, high-quality coordinated care. As a leader in practice, you will use your gap analysis to provide a 10–12 slide recorded PowerPoint presentation.
Grading Criteria
The numbered assignment instructions outlined below correspond to the grading criteria in the Enhancing Performance as Collaborators in Care Presentation Scoring Guide, so be sure to address each point. You may also want to review the performance level descriptions for each criterion to see how your work will be assessed.

1. Analyze steps to improve interprofessional collaboration in an evidence-based practice for population care. 
   • Provide an overview of what needs to happen to enhance evidence-based practice.
   • Provide an explanation of the planning stages.
2. Explain the educational services and resources selected for the population receiving care. 
   • What are the education strategies you plan to use with the population receiving the care?
3. Summarize plans to collaborate and partner with interprofessional team members. 
   • What is the implementation process for the improved care coordination process?
   • What are your plans to collaborate and partner with the interprofessional team members?
4. Propose the outcomes of the new process for improved interprofessional collaboration. 
   • How you will evaluate the outcomes of the new process change?
   • Provide scholarly evidence that validates the needed change.
5. Use the scope and standards of practice for care coordination to describe any ethical considerations that supporting the need for change related to services and resources for the specific population.  
   • Include information about the ethics that support the process change.
6. Create a professional presentation that can be used to run a working session of an interprofessional team meeting. 
   • Include a minimum of 5–7 scholarly sources.
7. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
8. Additional Requirements

• Written communication: Write clearly, accurately, and professionally, incorporating sources appropriately.
• APA guidelines: Resources and citations are formatted according to current APA Style and Format. When appropriate, use APA-formatted headings.

Presbycusis refers to the loss of hearing that steadily happens in many people as they age. Loss of hearing is a typical issue related to aging. “Approximately 30-35% of adults 65 years and older suffer from hearing loss. Studies also show that 40 to 50% of individuals 75 years and older suffer from hearing loss” (Purnami et al., 2020, p. 1). “Some of the signs and symptoms of presbycusis are slurred or mumbled speech, conversations that are difficult to comprehend, high pitched sounds such as “th” and “S” which are tough to hear, overly loud sounds and tinnitus” (Zhang et al., 2020, p. 2).Sensorineural hearing misfortune is brought about by issues of the auditory nerve or inner ear. Presbycusis is, for the most part, a sensorineural hearing issue. Steady changes in the inner ear commonly cause this issue. The combined impacts of repeated subjection to everyday construction work or loud traffic sounds, noisy workplaces, devices that make noise, and loud music can lead to sensorineural hearing issues. The sensorineural hearing usually begins because of lost hair cells which are tactile receptors of the inner ear. This hearing loss can also happen due to genetic and aging factors, different ailments, and adverse effects of specific prescriptions like ibuprofen and individual anti-infection agents (Purnami et al., 2020). Presbycusis might be brought about by changes in the blood supply channels towards the ear due to cardiovascular illnesses, hypertension, vascular conditions brought about by diabetes, or other circulatory issues.The hearing loss can be subtle, moderate, or profound. Sometimes, presbycusis may be a conductive hearing problem, which means loss of sound affectability is brought about by variations from the norm of the outer ear and middle ear. The inconsistencies may incorporate the tympanic membrane’s decreased capability, also called the eardrum or diminished capacity of the three small bones found in the ear that convey ripples of sound from the tympanic membrane to the inner ear. The presbycusis differential diagnosis encompasses noise exposure, trauma, perilymph fistula, autoimmune disease, otosclerosis, Meniere disease, metabolic dysfunction, infection, genetically inherited presbycusis, and exposure to ototoxic agents (Cheslock, 2020).Some of the interventions which are available for patients with presbycusis to remove the wax blockage, surgical procedures whereby a doctor can insert tiny tubes that assist in draining the ear if the patient has repeated infections, use of cochlear implants if the patient has a severe hearing impairment, or use of hearing aids if the inner ear is damaged (Zhang et al., 2020).There are three different kinds of retinal and macular diseases. These are:• Stargardt disease is an inherited retinal issue that usually leads to vision loss in children or adults.• Wet macular degeneration is a severe eye disorder causing blurred vision and is caused by unusual leaking blood vessels that leak blood or fluid into the macular.• Dry macular degeneration is the deterioration of the retina whereby a tiny yellow deposit called drusen forms under the retina.

ReferencesCheslock, M. (2020). Presbycusis. PubMed. https://pubmed.ncbi.nlm.nih.gov/32644646/. (Links to an external site.)Purnami, N., Mulyaningsih, E. F., Ahadiah, T. H., Utomo, B., & Smith, A. (2020). Score of Hearing Handicap Inventory for the Elderly (HHIE) Compared to Whisper Test on Presbycusis. Indian Journal of Otolaryngology and Head & Neck Surgery, 1–5. https://doi.org/10.1007/s12070-020-01997-5  (Links to an external site.)Zhang, W., Yu, Z., & Ruan, Q. (2020). Presbycusis-Related Tinnitus and Cognitive Impairment: Gender Differences and Common Mechanisms. Multiple Chronic Conditions – Overview and Management of Chronic Disease Clusters. https://doi.org/10.5772/intechopen.90956 (Links to an external site.).Hearing Eye Age-Related Diseases, discussion board week 5.docx

REPLY 2

Hearing and Eye Age-Related Diseases

Over the past years, hearing and age-related diseases have been a threat to human lives and are a rising difficulty for most health professionals. In society, the widespread of low vision and hearing problems have increased continuously with age among all the racial and ethnic categories. Similarly, age-related and hearing diseases are expensive and, therefore, a menace to the aged’s potentiality to live singly. In the 2013 Eye and Hearing Prevalence Research Group report, it was revealed that the hearing and age-related diseases double each year; also, one among the 28 American adults above 40 years are associated with eye and hearing diseases (Teutsch & Rechel, 2012). As such, the focus of this essay is threefold: To define presbycusis and identify its signs and symptoms, etiology, and differential diagnosis. To create three interventions-education measures with a patient with presbycusis and lastly, to list, define, and elaborate on three different retinal and macular diseases age-related.

Presbycusis, its Signs and Symptoms, Etiology, and Diagnosis

Presbycusis refers to the loss of hearing, which frequently takes place in aged individuals. The disorder mostly limits the hearing of high pitched sounds. For instance, the aged find it challenging to hear closer sounds of birds’ chirping or ringing of a phone.  The symptoms include the address of other individuals seeming slurred, the challenge in hearing and telling high pitch sounds, difficulty in understanding conversations, the occurrence of tinnitus, and particular sounds seeming or overloud or irritating (Teutsch & Rechel, (2012). Presbycusis’ diagnosis and etiology reveal that the disorders cause it regarding the inner or auditory nerve. The changes in the significant year as an individual gets older cause the disorder. The disorder can also be caused by overloud sounds such as traffic, equipment, or music. Additionally, it can be caused by the changes in the blood supply in the body due to the conditions of heart diseases or high blood pressure. 

Interventions-Education Measures of a Patient with Presbycusis

There are various interventions prescribed for hearing disorders. In surgical intervention, there is the implant of the cochlear. The implant process involves a multiplex electronic device that acts as a replacement of the internal ear cochlea. The process is essentials in enabling the patients to understand the sound and speech wave. Secondly is the management intervention. The intervention involves the devices of the hearing aids and aural rehabilitation. The hearing aid is essential in helping advance the hearing of the aged. In pharmaceuticals intervention, includes the transcription of pharmaceutical drugs such as Tankan, eblesen, and antioxidant therapy. The drugs are essential in the treatment of the hearing disorder. 

Retinal and Macular Diseases Age-Related

There are different retinal and macular diseases related to age. Firstly is the dry Age-Related Macular Degeneration (AMD). It is a condition that involves the macula layers getting continually thinner and defunctioning of their functionality. In its initial stages, the color of the macula changes, and tiny drusen are seen, which leads to the deterioration of the retina.  In wet AMD, newly advanced blood vessels implant in the choroid layer just next to the retina. It is also called choroidal neovascularization. The newly created vessels are usually weak leading to the leaking of fluids, lipids, and blood, which gets into the retina, causing scar tissue formation, which stops the functionality of the retina cells (O’Keefe-McCarthy, 2009). Lastly, the Stargardt is also another type of macular degeneration, majorly caused by a recessive gene in individuals. 

In conclusion, hearing and age-related eye disorder is a significant issue that needs various recommendations. Presbycusis is a hearing disorder that occurs in older adults. Its symptoms are associated with the difficulty of understanding the sound waves. The intervention measures for a patient with Presbycusis include management intervention, surgical intervention, and pharmaceutical intervention. The retinal and macular diseases age-related include the wet AMD, Stargardt, and the dry AMD.

References

O’Keefe-McCarthy, S. (2009). Technologically-mediated nursing care: The impact on moral agency. Nursing Ethics, 16(6), 76-796.

Teutsch, S., & Rechel, B. (2012). Ethics of resource allocation and rationing medical care in a time of fiscal restraint: US and Europe. Public Health Reviews, 34(1), 1-10.

All replies must be constructive and use literature where possible

Your assignment will be graded according to the grading rubric.

200 words each reply

Freshmen/Juniors: Health is a privilege

Sophomore/Senior: Health is a right

Research what your assigned stance means.  Now post an 100 word post based on your assigned stance and back it up with a reputable reference (so no wikipedia or blogs). You must also rebutt (this means respectfully argue, not agree) someone else who has the opposite stance as you.  The rebuttal must also be a minimum of 100 words.  

Your assigned stance may not be what you truly believe, but that is what makes us acknowledge other people’s viewpoints.

Research Paper

APA format!!!!

Research Topic: Comparing two different motor programming approaches: Nuffield Dyspraxia Program (NDP3) and Rapid Syllable Transitions (ReST) to improve speech production in children with childhood apraxia of speech.
It would be using a pre-test and post-test design with 2 different groups of participants.
Must be original, not plagiarized, and different from anything else published like it.
Attached is a sample paper on a different topic for the same class. 

Chapter I Review of the Literature
Introduction: This is your first subheading. Introduce the topic overall in your first paragraph; then, follow with a “roadmap” paragraph which starts off with one sentence about the purpose of your particular study and then tells the reader what will be presented in the review of the literature.
This entire section should be no more than 2-3 paragraphs

Subheadings Particular to your Topic Area; HEART OF LITERATURE REVIEW; remember, as you review the literature, you start out broad and then narrow your topics to be closer to the specific area related to your study. THINK OF A FUNNEL! References must be presented to support the information you are citing throughout this section of the paper. This section should be about 8 -20 pages, depending upon the availability of research in the topic area you are investigating. AND THERE SHOULD BE SEVERAL SUBHEADINGS RELATED TO THE AREAS YOU ARE DISCUSSING.
Subheadings for my paper should include the Nuffield Dyspraxia Program (NDP3), Rapid Syllable Transitions (ReST), typical speech production, motor programming, and childhood apraxia of speech.
Summary and Rationale: This needs to be a SUMMARY of the literature you have presented in the body of paper (literature review). Needs to be in YOUR OWN WORDS, NO CITING OF REFERENCES. NO NEW INFORMATION SHOULD BE INTRODUCED IN THIS SECTION. At this point, you are building a case for conducting your proposed study. This is a SUMMARY of the important points you have discussed in your literature review. Then you use the summary to provide a clear rationale or reason for why you are conducting your particular study.
This section should be no more than 2-3 pages.

Plan of Study and Experimental Questions/Hypotheses: This is the conclusion of your literature review (Chapter I). You present a paragraph briefly describing your particular study followed by the specific and definitive experimental questions or hypotheses you are going to answer with your 
study.
No longer than a half-page to a page.

Chapter II Proposed Method
Participants: clear description of participants, how selected, all criteria Pre-experimental testing: description of any tests or testing you are conducting to select participants

General Information: where participants were recruited from, where they will be tested, Institutional Review Board (IRB) approval information of the study, length of protocol or Testing (your study), how many sessions or time you will need to complete study for each participant.

Experimental Testing: presentation of the exact materials, procedures, equipment (if appropriate) for your study. HERE YOU ARE ONLY DISCUSSING THE MATERIALS AND PROCEDURES FOR THE ACTUAL STUDY; do NOT include description of PRE- EXPERIMENTAL TESTS OR PROCEDURES.

Materials: the actual stimuli of your study…can be toys, pictures, tests, new protocols, etc. if it is a test or materials already published, you need to include the appropriate citation.

Procedures: exactly how the study will be carried out for each participant. THE EXPERIMENTAL STUDY. Be very specific.

Equipment: Description of any equipment used and how used in study as appropriate; include citation as appropriate. You may not have any equipment. Entire Chapter should be about 2-5 pages depending upon complexity of your study.

Chapter III Design and Analysis of Study
Reliability: depending on study and use of operational definitions as needed, you may need to report reliability information…here report HOW it will be conducted (discussed in class)

Design: Describe the design of the study (e.g., randomized; single subject, two group; etc).; tell how many variables, both between and within subject variables, and how many levels within each variable.

Analysis: WHAT IS GOING TO BE SPECIFICALLY ANALYZED? (what are you Measuring: that is, the DEPENDENT VARIABLE(S)); how is the data to be analyzed (e.g., parametric, nonparametric, effect size (if needed); which specific statistic; post hoc test, if appropriate). Should follow along with your experimental questions. Remember you will probably have more than one analysis, statistical test, because you will have more than one experimental question.
This Chapter should be no more than 2 pages.