Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

• Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
• Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (9- to 10-slide PowerPoint presentation)

Develop a 9- to 10-slide PowerPoint Presentation that addresses the following:

• Describe the differences between a board of nursing and a professional nurse association.
• Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area.
  • Who is on the board?
  • How does one become a member of the board?
• Describe at least one federal regulation for healthcare.
  • How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?
  • Has there been any change to the regulation within the past 5 years? Explain.
• Describe at least one state regulation related to general nurse scope of practice.
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?

APA format 3 references please use 2 from discussion references and 1 from walden university library and 1 and half pages  Due 9/28/19 at 10 am EST

 

Hybrid learning environments are gradually infiltrating face-to-face teaching environments. Wolpert-Gowron states it plainly, “It is not a question of if; it is a question of how” (2011, para. 3). Blending online and face-to-face content can satisfy the need for flexibility and self-direction, yet also includes the facilitative relationship of the student and instructor (Bradshaw & Hultquist, 2017). The two modalities, if carefully structured, can complement each other.

            In the associate degree nursing skills laboratory environment, students show up for a six-hour block of didactic and hand-on learning. The students are often fatigued by the need to be active learners for that amount of time. Indeed, the design of the nursing laboratory is intended to emphasize the application of skills rather than acquiring new knowledge. This environment seems ideal for blended classroom methods. Bradshaw and Hultquist (2017) warn that adequate planning is essential for blended classrooms to be successful. In particular, there is a tendency to expect more work from the students compared with traditional face-to-face learning. In my view, blended environments demand that the instructor be well prepared and very clear with their expectations with the students.  The increased work needed by the instructor has been a barrier to implementing blended classroom methods in my institution.

            The nursing skills laboratory is where students accomplish psychomotor learning of their nursing skills. The way instructors teach in this environment is not guided by evidence because there is not much research on the topic. Staykova, Stewart, and Staykov (2017) compared traditional methods (PowerPoint lecture, hands-on practice with checklists, and quizzes) against innovative methods in the nursing skills laboratory environment.  The innovative strategies included the use of admission tickets (ATs) to class. ATs require home pre-learning to include online or textbook reading and a brief online assignment.  Staykova, Stewart, and Staykov (2017) found that active learning is achieved through a combination of traditional and innovative approaches.  The use of ATs is particularly intriguing to me in order to make sure all learners arrive with the same necessary information and to help create an engaged learning environment when they are present in class. I hope to use this blended teaching strategy in the future.

References

Bradshaw, M. J., & Hultquist, B. L.  (2017). Innovative teaching strategies in nursing and

            related health professions (7th ed.). Burlington, MA: Jones and Bartlett.

Educause Learning Initiative. (2012). Things you should know about flipped classrooms.

 Retrieved from https://library.educause.edu/-/media/files/library/2012/2/eli7081-pdf.pdf

Staykova, M. P., Stewart, D. V., & Staykov, D. I. (2017). Back to the Basics and Beyond:

Comparing Traditional and Innovative Strategies for Teaching in Nursing Skills Laboratories. Teaching and Learning in Nursing, 12(2), 152–157. https://doi-org.ezp.waldenulibrary.org/10.1016/j.teln.2016.12.001

Wolpert-Gawron, H. (2011, April 28). Blended learning combining face-to-face and online

education. Retrieved January 21, 2015 from https://www.edutopia.org/blog/blended-online-learning-heather-wolpert-gawron

 Read a selection of your colleagues’ responses and respond on two different days who selected a different type of diabetes than you did. Provide recommendations for alternative drug treatments and patient education strategies for treatment and management. 

                                                Main Post

 

Type 1 diabetes which is sometimes called juvenile or insulin-independent is when the pancreas produces little to no insulin. It can be seen as an autoimmune disease because the immune system mistakenly attacks the insulin-producing beta cells of the pancreas (Diabetes UK The Global Diabetes Community, 2019). Since these patients are not producing enough insulin, they are insulin-dependent for the rest of their lives, and most patients wear an insulin pump (Mayo Clinic, 2018).  Type 1 is normally diagnosed during pediatric years or people younger than the age of 30 (Diabetes UK The Global Diabetes Community, 2019).

Type 2 diabetes which is also called  adult-onset or non–insulin-dependent diabetes, is different from type 1 because in type 2 the body loses the ability to respond to insulin (Thompson & Romito, 2018). This causes the body to become insulin resistant because the body is not using insulin in the right way (Thompson & Romito, 2018). The pancreas soon becomes overworked and makes less insulin leading to insulin deficiency. Type 2 diabetes can be treated with insulin and medications, it can also be prevented if caught early and by lifestyle modifications such as in food, diet, and behaviors. Type 1 diabetes is not preventable (Diabetes UK The Global Diabetes Community, 2019).

Gestational diabetes (GDM) occurs during pregnancy. A hormone made by the placenta in the womb keeps the body from using insulin the way it should (Cedars-Sinai, 2019). Glucose builds up in the body and is not absorbed by cells leading to this disorder. GDM normally goes away after the birth of a baby. Women who are overweight are more prone to developing this disorder, and  their children are at an increased risk of developing type 2 diabetes (Cedars-Sinai, 2019). Making sure to get blood work done routinely, sticking to proper diet, exercise, medications, and insulin injections can control and prevent developing GDM (Cedars-Sinai, 2019).

I selected Aspart (Novolog) insulin pen as the drug of choice for GDM. To prepare this drug I would show the pregnant patient how to administer this drug. First, I would instruct the patient to check their blood sugar pre-meals. If the blood sugar is above 150, right before their meal then the patient should follow the range dose of insulin to give that is prescribed to the patient. If the patient plans of eating all of their food then the patient will be told to give the required dose 15 minutes before or after the meal (University of Iowa Hospitals & Clinics [UIHC], 2019). If the patient only eats half then wait till after the meal to administer insulin.

The patient will be told that in pregnancy the best place to administer insulin is in the abdomen because this is where insulin gets absorbed the fastest in the bloodstream (UIHC, 2019). It should be injected at least 2 inches away from the belly button. To use the pen I would instruct the patient to remove the cap of pen and clean with alcohol, apply needle, prime the pen by selecting 2 units making sure to see drops so you know its working right. After this, select the appropriate dose needed for the patient, point the pen towards the abdomen site and push down to inject (UIHC, 2019). The dietary considerations would consist of a balance of legumes, sweet potatoes, salmon, eggs, fruits, broccoli, green leafy vegetables, fish liver oil. Berries, whole wheat products, and lean cooked meats (Cedars-Sinai, 2019). The patient would be told to stay away from processed, sugary, and fried foods.

A short term effect that may not be talked about with GDM is the cost. On average women living with GDM spend up to two-thousand dollars more than women living without GDM (Xu et al., 2015). This is related to the cost of medications, frequent doctor visits, and symptoms of hyperglycemia that the patient experiences. This is why making sure to take insulin, following a proper diet, and exercise program can help decrease these cost and prevent developing type 2 diabetes in the long-term for patient and child. If the patient develops type 2 diabetes after pregnancy this can lead to obesity, stroke, and heart attack if not properly controlled  (Diabetes UK The Global Diabetes Community, 2019). It is clear that following and living a balanced diet regardless of the type of diabetes diagnosed with can help control, and prevent detrimental effects on the body and allow to live a satisfying life.

              

                                                    References

Cedars-Sinai. (2019). Gestational Diabetes. Retrieved from https://www.cedars-sinai.org/health-library/diseases-and-conditions/g/gestational-diabetes.html

Diabetes UK The Global Diabetes Community. (2019). Differences Between Type 1 and Type 2. Retrieved from https://www.diabetes.co.uk/difference-between-type1-and-type2-diabetes.html

Mayo Clinic. (2018). Type 1 Diabetes. Retrieved from https://www.mayoclinic.org/diseases-conditions/type-1-diabetes/symptoms-causes/syc-20353011

Thompson, E., & Romito, K. (2018). Diabetes: Differences Between Type 1 and 2. Retrieved from https://www.mottchildren.org/health-library/uq1217abc

University of Iowa Hospitals & Clinics. (2019). Insulin use during pregnancy. Retrieved from https://uihc.org/health-topics/insulin-use-during-pregnancy

Xu, T., Danielli, L., Yu, K., Ma, L., Silva Zolezzi, I., Detzel, P., & Fang, H. (2015). The short-term health and economic burden of gestational diabetes mellitus in China: a modelling study  []. BMJ Open, 7(12). Retrieved from https://bmjopen.bmj.com/content/7/12/e018893

Polypharmacy is defined as being on 5 or more medicines, and is a major concern for providers as the use of multiple medicines is common in the older population with multimorbidity, and as one or more medicines may be used to treat each condition.

• Discuss two (2) common risk factors for polypharmacy. Give rationale for each identified risk factor.
• Discuss two interventions you can take as a Nurse Practitioner in your clinical practice to prevent polypharmacy and its complications.

At least three paragraphs and references no older than 5 years in APA.

Write a 500‐1,000‐word paper reflecting on two prescribed areas and one area of your choosing.

Part I

Consider the journals you have written during this course and address the following:

1. Reflect back on the items you selected each week that connected to your education.
2. How has the knowledge you have gained from your program of study assisted you in your volunteer appointment? How do you see it assisting you in the future?

Part II

Consider all areas of student life such as general education requirements, major, minor, emphasis, chapel, extracurricular, community service, volunteer experiences, employment, faculty, administration, etc. and address the following:

1. In your opinion what are one or two things that would have made your experience at Grand Canyon even better?
2. Point out people and events in your Grand Canyon experience that had the most positive influence on you. Explain one or two of them.
3. Then, explain how your Grand Canyon experience changed you personally, professionally, and spiritually.
4. How do you see this whole experience impacting your future?
5. In what specific ways are you better prepared for professional life?

Part III

Reflect on anything else related to your volunteer experience.

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

Essays will be evaluated on content (what you say), but also based on organization, grammar, spelling, freedom from error, punctuation, and the like. The essay should demonstrate the student’s professional ability to communicate and share information. 

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.