The RN to BSN program at Grand Canyon University meets the   requirements for clinical competencies as defined by the Commission on   Collegiate Nursing Education (CCNE) and the American Association of   Colleges of Nursing (AACN), using nontraditional experiences for   practicing nurses. These experiences come in the form of direct and   indirect care experiences in which licensed nursing students engage in   learning within the context of their hospital organization, specific   care discipline, and local communities.

Based on the feedback offered by the provider, identify the best   approach for teaching. Prepare a presentation based on the Teaching   Work Plan and present the information to your community.

Options for Delivery 

Select one of the following options for delivery and prepare the   applicable presentation:

1. PowerPoint presentation – no more than 30 minutes
2. Pamphlet presentation – 1 to 2 pages
3. Poster   presentation

Selection of Community Setting

These are considered appropriate community settings. Choose one of   the following:

1. Public health clinic
2. Community health center
3. Long-term care facility
4. Transitional care facility
5. Home health center
6. University/School health center
7. Church community
8. Adult/Child care center

Community Teaching Experience Approval Form 

Before presenting information to the community, seek approval from   an agency administrator or representative using the “Community   Teaching Experience Approval Form.” Submit this form as directed   in the Community Teaching Experience Approval assignment drop box.

General Requirements

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

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

You are not required to submit this assignment to LopesWrite.

Objective: 

 Present a culture that will assist students in applying holistic nursing care to patients.

Instructions:

Create a culture diversity poster/power point presentation

1. What health care practice dose this culture(Isrealie) embrace that may be different than Western medicine?

a. What pratices may interfere with health care/

b. What are the major illness and diseases in this country?

c. Include environmental and social issues that impact health care?

d. Include an explanation regarding hoe the content provides a focus for nursing assessment and or nursing interventions. 

2. How does this culture perceive current health practices in this country (united States)

a. Hospital based care

b. Family/home based care

c. Medication vs. Home remedies

d. Include an explanation regarding how the content provides a focus for nursing assessment and or nursing intervention.

References:APA Format

a.References: Utilize in text citations,within the power point slides and  provide reference at the bottom of the slide. 

Include a reference page slide

* Please include pictures and description that will enhance the learning of all students.   

 

Peter R Kongstvedt states, “The case manager is consistently challenged with managing fiscal constraints with patient expectations in light of orders and expectations articulated by the care team. This requires a highly skilled individual, certainly not a job for the faint of heart.” The case manager can also play a role in identifying disease prevention strategies.

In 2 pages, develop a “job description” or job outline for a case manager. Consider disease prevention as part of the responsibilities of the role. Also consider education and skills. Feel free to set up your information in a table. Give your work a professional look, and be sure to include each of the following headings or sections:

• Facility name
• Department
• Position title
• Classification
• Position grade or level
• Shift and/or days of the week
• Reporting relationships
• Summary statement
• Responsibilities
• Required competencies or position requirements
• Physical requirements or working conditions
• Date written
• Date revised

For information on case managers, see your reading. You may also want to conduct research in the following websites:

• Case Management Society of America (CMSA)
• American Case Management Association (ACMA)

Do not simply reproduce a position description that already exists! This is plagiarism. Be creative. You will be evaluated on the information contained in the position description, as well as how professional your document looks.

 The purpose of this paper is to define, describe, and explain your own beliefs about the four concepts of the nursing metaparadigm and their inter-relationship to one another as they guide your current nursing practice. There are no right or wrong thoughts, feelings, or beliefs; these represent your own philosophical beliefs. Then you must correlate or link your current philosophy to one particular nursing theory, identify these. The reflection paper is to write in MS Word, be typed according to APA format and must be three pages in length. The article should include a title page and reference page; however, these pages are not to be included in the final count. Evaluation criteria are as follows:  Criteria for Personal Philosophy of Nursing Reflection Paper:  1. Introduction & brief description identifies the purpose of the paper and the factors influencing the development of the personal nursing philosophy. 4 points  2. Define, describe and explain your personal thoughts, feelings, and beliefs about the concepts of the 4 nursing metaparadigms: 8 points  a. Person/client  b. Environment  c. Health  d. Nursing  3. Identification and a brief description of the nursing theory found to be the most compatible with the student’s personal nursing philosophy. Discuss the core components of the theory and how it reflects the student’s personal philosophies. 3 points  4. Organization, documentation, references followed APA format. 5 points 

  

Chapter 7: Dorothy Johnson’s Behavioral System Model

and its Application 

Chapter 8: Dorothea Orem’s 

Self-Care Deficit Nursing 

Theory 

Chapter 9: Imogene King’s Theory of Goal 

Attainment 

  

4-CMS no longer reimburses health care providers for services that are required to treat certain complications of care. The complications of care have been nick-named “never events” because according to CMS, these events should never happen and are “reasonably preventable by following evidence-based guidelines.” Examples of these never-events include, stage III and IV pressure ulcers, PE or DVTs after certain surgeries, injuries resulting from falls while in-patient, retention of foreign object after surgery, surgery on the wrong body part, surgical site infections after certain surgeries, transfusion of the wrong blood type, and UTI resulting from a catheter.

Some of these events are reasonable. There is simply no excuse to operate on the wrong body part and if a physician makes the mistake of leaving a foreign object in someone after surgery, it is reasonable to not pay them for another surgery to remove it. However, some of these events are going to happen even if every precaution has been taken to prevent these events. DVTs and PEs are still possible even when someone is on heparin or lovenox. Regardless of exactly “how” preventable these conditions are, this change by CMS will certainly cause providers in in patient facilities to be more attentive in their care and prevention of these conditions. Because CMS specifically mentions that these events are preventable by evidence-based guidelines, in patient care models are focusing even more on these guidelines and basing their care off of them. For example, most hospitals now have protocols to prevents CAUTIs, such as requirements to perform and document catheter care, and algorithms for early removal of catheters, and prevention of unnecessary insertion of catheters in the first place.

Reference:

O’Rourke, P. T., & Hershey, K. M. (2018, September 14). Never-Event Implications. Retrieved from https://www.the-hospitalist.org/hospitalist/article/124081/never-event-implications

 

 

 
 

5-The Centers for Medicare & Medicaid Services or CMS is investigating ways that they can help to reduce or eliminate the occurrence of “never events” (ELIMINATING SERIOUS, PREVENTABLE, AND COSTLY MEDICAL ERRORS – NEVER EVENTS, 2006). These events are defined as errors in medical care that are clearly identifiable, preventable, and serious in their consequences for patients. “Never events,” like surgery on the wrong body parts or mismatched blood transfusions can cause serious injury or death to patients. There is not an exact number of “never events” but they are the cause in many deaths and additional health care costs that the CMs is trying to minimize. The rules for reimbursement are changing. The Deficit Reduction Act allows CMS to begin adjusting payments for hospital-acquired infections and reduce the payments when they occur. This has caused for a shift in how hospitals require nurses to care for their patients. At my hospital, they implemented 4eyes on upon admission. This means that two registered nurses must assess every square inch of a patient’s body upon admission to insure that the hospital is not responsible for previously acquired injuries. This helps to prevent unnecessary cost on our part treating wounds that were acquired at home. We still treat them but we are not shown as responsible for their development.

ELIMINATING SERIOUS, PREVENTABLE, AND COSTLY MEDICAL ERRORS – NEVER EVENTS. (2006, May 18). Retrieved April 2, 2019, from CMS.gov: https://www.cms.gov/newsroom/fact-sheets/eliminating-serious-preventable-and-costly-medical-errors-never-events

 

 

 
 

6-The CMS reimbursement rules for never events required a shift in the patient care delivery model in inpatient facilities as this caused facilities to provide more quality based care to prevent the possibility of not getting paid for services that would be considered acquired through the facility. Many of the patients that come into the hospitals should be coming for their reasons for treatment not acquiring any other conditions due to their stay. Hospitals would be denied any additional payment for case in which one of the selected conditions was not present on admission. This caused many hospitals to panic and they attained means in order for this to be avoided. Due to this, facilities have developed distinct protocols and measures to make sure that this doesn’t occur. These conditions are known as never events, which include:

1. Air embolism
2. Blood incompatibility
3. Catheter-associated urinary tract infection
4. Certain manifestations of poor control of blood sugar levels
5. Deep-vein thrombosis or pulmonary embolism after total knee and hip replacements

2. Falls/trauma
7. Objects left in during surgery
8. Pressure ulcers
9. Surgical-site infections after certain orthopedic and bariatric surgeries
10. Surgical-site infections after coronary artery bypass graft
11. Vascular catheter-associated infection

Reference:

ESBCO Host. (n.d.). Preventing Never Events. Retrieved April 2, 2019, from https://www.ebscohost.com/shared/never-events.pdf.