Benchmark – Patient’s Spiritual Needs: Case Analysis 2025

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment. Answer the following questions about a patient’s spiritual needs in light of the Christian worldview. In 200 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale. In 400 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care? In 200 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care? Remember to support your responses with the topic study materials. 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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Benchmark Information This benchmark assignment assesses the following programmatic competencies: BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2 Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

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Last 2025

This a case study discussed during the week. There are the questions and the answers. I NEED THE ANSWER TO THE LAST QUESTION. ALL THE QUESTIONS ARE RELATED TO THE SAME PATIENT What are the provisional and differential diagnoses? The most likely diagnosis is acute viral tonsillitis or group A beta-haemolytic streptococcal tonsillitis. The differential diagnoses are viral pharyngitis, laryngitis, parainfluenza, influenza, Epstein–Barr virus, or peritonsillar abscess. What factors increase the possibility that the infection is bacterial in origin? The majority of sore throats are viral in origin and will resolve spontaneously. Group A beta-haemolytic streptococcus is cultured in only 5–17% of adults with sore throat (Linder & Stafford 2001). Centor’s algorithm of clinical features (Centor et al. 1981) helps identify the significant features of streptococcal infection: 1. presence of tonsillar exudates, 2. tender anterior cervical lymphadenopathy, 3. the absence of cough 4. a history of fever. In this case, Ricardo had all four of these clinical signs. CBC that support the presence of an infectious process are the white blood cell count (WBC) and differential In non-localized infections of bacterial and viral origin, the total WBC count is elevated in non-immunosuppressed patients The next thing to look at is the differential which is the percentage of the various types of white blood cells present. u An increase in polymorphonuclear neutrophils, referred to as POLYS OR SEGS u Is seen in bacterial infections including endocarditis, septicemia and pneumonia u An immature form of this type of cell, referred to as a BAND, is often also seen, especially in acute infection u The appearance of these younger cells in the circulation is referred to as “SHIFT TO THE LEFT” How would you expect to find on this client Sedimentation rate Test and why? A high sed rate is a sign of a disease that causes acute inflammation in Ricardo’s body. Some conditions and medicines can affect the speed at which red blood cells fall, and they may affect this test results Because of poor response of this client to Antibiotics 3 days later pt still present 103 constant fever, headaches and vomiting without nausea. Pt was sent to ER and Lumbar Punction is needed. Mr. Ortego is alert and oriented x 3. BELOW IS THE QUESTION TO BE ANSWER What is your understanding as NP about Risk Communicating Challenges on this case? Mr. Ortego is alert and oriented x 3.

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Discussion W4-2 2025

Determine your states practice environment color – green, yellow, or red. Discuss how your states is an independent practice or practice restricted state. Describe the prescriptive authority for your state. (For California Students) Review the CA Standardize Procedures requirement of NPs and discussion the meaning of Standardize Procedures (California BRN – Standardized Procedures Guideline ) . (For States other than California Students) Identify one (1) barrier to practice and a strategy to address the removal of the identified barrier. Review the American Association for Nurse Practitioners ‘State Practice Environment’ Map and determine your states color – green, yellow, or red. Review a second time the Nurse Practice Act in your State for Advanced Practice to assist you in answering the questions in the discussion. Expectations Initial Post: Length: A minimum of 250 words, not including references Citations: At least one high-level scholarly reference in APA from within the last 5 years

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9 2025

You will collaborate with two of your classmates to share ideas and offer feedback and suggestions to one another in an informal setting. This collaboration within your group will assist you in further developing your Change Proposal to be submitted for feedback from your instructor next week. Peers submission attached below.. please provide feedback and suggestions individually!! Peer 1: Victoria Lyons posted IV. Implementation Plan Assess the factors that are likely to affect the implementation of your recommended activities Many stroke patients require rehabilitation after their hospitalization and many patients get readmitted from post-acute care facilities, educating these facilities could decrease the readmission rate however rehabilitation facilities are often short-staffed and may not have money for education amongst the staff Identify evidence-based rationales to propose how you will address them, incorporating your identified change theory. Your plan should encompass the following with evidence to support your rationale: Technological challenges Stroke patients require adequate follow-up care with their health provider team, tele-health is a great way to provide these follow-up appointments however stroke patients may not be able to navigate computers to be able to do these appointments as they frequently have deficits. Stroke health care providers would have to learn how to use tele-health and there may be push back to using it due to health care providers typically using hands on assessment skills, they may not find assessing patients this way adequate. Finding a group of health care providers that are willing to start treating patients this way is the first step. Institutional structures Changes in hospitals do not happen overnight. At my state run hospital it seems to take forever to get any changes made. Implementing education regarding how to reduce stroke readmissions would require research and then approval from many different committees to even be approved for implementation. Once approved then it has to be sent all to all hospital staff involved. Examples of committees that a hospital will have and that any changes would have to go through are finance, safety and quality, strategic planning, and audit and compliance committee (Price, 2018). Strategies for building buy-in-among different stakeholders, including nursing Doctors, nurse practitioners, physician assistants, physical therapists, social workers, and case managers will need to be on board with the change process. Historically nurses have a hard time with change. Financial trends and anticipation of the availability of human resource and project funding Implementing tele-health and training to decrease stroke readmission, mostly education and new ways to check that everything a patient needs, will cost money which the institution will have to be prepared to put into their budget. Institutions get penalized financially for readmissions so increasing efforts to decrease these would be a financial benefit (Kripalani, Theobald, Anctil, & Vasilevskis, 2015). Hospital or governmental policy constraints It may be tricky for patients that have strokes that are on Medicaid or Medicare and working around their insurance policies. Within hospitals it takes time to get a policy set into place. Regulatory requirements Some regulatory acts that would have to be taken into consideration would be The Health Information Technology for Economic and Clinical Health Act (HITECH) (Maryville University, 2020) and the Medicare Access and CHIP Reauthorization Act of 2015 (Maryville University, 2020). The MARCA works with a payment model for quality of care, reducing readmissions would help with reimbursements (Maryville University, 2020). Patient diversity Educating patients on ways to decrease their admission will have many different considerations. Reading levels, language spoken, family support, use of technology, what disability they have after their stroke. Understanding why groups of people tend to get readmitted over others is an important way to decrease admissions. Individuals less than 80 years of age had a less chance of being readmitted over individuals over 80, this was related to statin use (Poston, 2018). References Kripalani, S., Theobald, C., Anctil, B., & Vasilevskis, E. (2015). Reducing Hospital Readmission: Current Strategies and Future Directions. Annu Rev Med, 1-18. Maryville University. (2020). 5 Important Regulations In United States Healthcare. Retrieved from Maryville University: https://online.maryville.edu/blog/5-important-regulations-in-united-states-healthcare/ Poston, K. (2018). Reducing readmissions in stroke patients. American Nurse Today, 9-15. Price, N. (2018, August 24). Board Structure of a Healthcare Institution. Retrieved from Board Effect: https://www.boardeffect.com/blog/board-structure-healthcare-institution/ Peer 2: Zachary Erickson posted Victoria and Lisa, My apologies for late submission this week. I know it doesn’t leave you much time for feedback and I will try to be more prompt in the future. My implementation plan is coming together but I look forward to your thoughts on what to add and what to clarify. Let me know what you think. -Zak Change Proposal: Work-Related Bullying Implementation Plan Utilizing Lippitt’s Phases of Change, (Mitchell, 2013) Raising Awareness of The Need for Change Create buy-in for the change process by appealing to direct and indirect victims of WRB. Build enthusiasm by drawing attention to commonalities and shared experiences. Multimedia approach incorporating; Visual printed media to spark collaboration and create a dialogue Initial email surveys to gain baseline data and identify areas of greatest need Opening anonymous reporting channels to increase communication and involvement Overcome technological hurdles is essential during this phase. Identifying and utilizing existing resources within the organization starts by reaching out to internal research, quality management, and information technology departments to secure support and time commitments for the development of infrastructure changes that facilitate reporting and data collection. This ties into the next phase of change. Building a Relationship with The System Presentation of a completed Change Proposal to nursing leadership and members of administration. Clearly stating the evidence-supported physical, psychological, and financial costs to patients, staff members, and the organization at large Accurately estimating the time and resource commitment necessary for program development and ongoing success Building buy-in on an administrative level Reaching out to unit managers to identify their perception of WRB and its prevalence on their individual work environments Involvement of employee health/occupational medicine staff as partners in the reduction of workplace stressors through larger behavioral changes. Further promotion of the WRB reduction initiative among staff members and identification of staff champions passionate about these changes. Defining the Problem What does WRB look like? Where is WRB occurring in this work environment? What is the direct impact to staff members? How does WRB impact our patients? What are the long-term ramifications of allowing WRB to go unaddressed? Are there policies in place that address WRB? If so, do they need to be modified? Setting Goals and Action Planning Time sensitive goals create milestones and improve evaluation of program success. Program phases will be rolled out quarterly, with the relationship building and collaborative planning happening in the first quarter after program approval, followed by the initial campaign to raise awareness in the second quarter, and full program implementation on select units slotted for six months after approval. Evaluation of successful change will occur quarterly thereafter to measure program effectiveness, make changes, and incorporate new work areas. Action planning should be interdisciplinary and tailored to the needs of individual work environments. Buy-in and early adoption of the program is essential to the success of this phase. Implementation The operational model will be relationship-based and involve several components Psychodynamic education based on cognitive behavioral models Cognitive rehearsal training, i.e. role-play, universal anti-bullying phrases, resilience training Policy enforcement training: building awareness and support for new or changed policies Coaching: using the established reporting system to identify WRB trends and address areas of highest incidence  (Balevre, Balevre & Chesire, 2018) Weekly program updates with core program supporters and monthly meetings with staff champions will identify areas of success and areas in need of reevaluation. Stabilization/Acceptance Change program success depends on acceptance and sustainability This means consistent administrative support through the enforcement of zero-tolerance policies that directly address WRB events in a timely and supportive fashion. Ongoing evaluation of staff awareness and involvement in initiative. Monthly review of staff feedback and yearly retraining as part of core safety measures. Maintaining program flexibility and changing delivery of training and monitoring strategies to best suit each work environment. Redefine the Role of the Change Agent Once the change process is initiated, the change agent works to keep others on track with program support and involvement. Coordinate the feedback review efforts and continue to recruit interested staff members to act as program champions. Liaise with administration members and continue to “bridge the gap” between program results and the impact on staff and patients. Share program successes both within the organization and with the community. References Balevre, S., Balevre, P., & Chesire, D. (2018). Nursing professional development anti-bullying project. Journal for Nurses in Professional Development, 34(5), 277-282. doi: 10.1097/nnd.0000000000000470 Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management, 20(1), 32-37. doi: 10.7748/nm2013.04.20.1.32.e1013

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Pharmacological Management Of COPD 2025

Instructions This will be done weekly and according to what we will be studying for that week, and will begin Week 2, and end Week 9. Each student will be responsible for preparing one power point presentation on pharmacological management of the disease or pharmacological applications of a drug or group of drugs. Each student will clearly write a title for this topic. Examples are ‘Pharmacological Management of Deep Vein Thrombosis and/or Pulmonary Embolisms Using Anticoagulants/Thrombolytics and Nursing Implications’ or ‘Pharmacological Effects of Anti-hypertensive Medications in the Management of Hypertension and Nursing Implications’. Nursing Implications are the nursing related consequences and what you as the nurse should be looking for in the treatment and care of your patient. Students must get their title approved by the professor before the deadline shown in your schedule. Unapproved titles will not be accepted The presentation must identify the Pharmacodynamic properties and actual/potential effects on the patient.

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