Students maintained and submitted weekly reflective narratives throughout the course to explore the personal knowledge and skills gained throughout this course. This assignment combines those entries into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

This final submission should also outline what students have discovered about their professional practice, personal strengths and weaknesses that surfaced during the process, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and, finally, how the student met the competencies aligned to this course.

The final journal should address a variable combination of the following, while incorporating your specific clinical practice experiences:

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation 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.

Instructions

Powerpoint (PPT)  presentation

Assignment Description:

The student will critique the assigned journal article using a narrated power point presentation. Other forms of presentation styles are available but these are easier to upload through dropbox. If there is another presentation style you would like to use please make your request known for consideration.

This assignment addresses the formal analysis and critique of a journal article. Additional references must be used  to support your critique position. The presentation will be voice narrated with no more than 10 slides in length, excluding cover page, references, and appendix (if applicable). You may use screen-o-matic (http://screencast-o-matic.com/home) to narrate PPT slide for easier upload through dropbox. If using prezi or another form of presentation style, submit your references on separate document. The presentation and references must be APA format 6th ed., using peer-reviewed journals of 5 years or less (minimum 6 references), unless there is a historical reference. Wikipedia or dictionary sites are unacceptable references. Peer-reviewed articles are located within professional organization periodicals such as American Nurse Association journal. They allow other peers to critique submitted articles. 

Other non-healthcare related professional journals or articles may be used. Include any conceptual models in the appendix. 

Rubric:

5% ____ Introduction

10%_____ Background of the project

45%_____ Body of the presentation must address these components:

1. Overview/summary of article ( quantitative or qualitative research,empirical data to support article)
2. Relevance to promoting healthcare leadership best practices
3. Relevance to organizational growth
4. Conceptual model/framework to support the article
5. Translation into your practice

10% _____ Critique- what you learned from this project

5%_____  Conclusion

5% _____   APA format and reference

10% ____   Grammar, organization, construction

10%_____  voice narration for each slide of presentation

This assignment addresses course outcome #3 and allows the student evaluate and analyze journal articles relevant to the growth of healthcare professionals. This assignment represents 33% of your grade.

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

Case Scenario

Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

Subjective Data

1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is “running away.”
4. Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data

1. Height 175 cm; Weight 95.5 kg
2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
5. Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

eassy 500 words. 

 Judge the medical case studied in class during Week 8 in the Discussion Board.In the video, philosophers applied the three major ethical principles you learned in this class: Kant’s Categorical Imperative, Utilitarianism, and Virtue Ethics. In a five paragraph essay, apply ONE ethical theory to decide the moral course of action in the medical case of the premature twins studied in class. Apply the ethical theory in each paragraph to support your arguments throughout the entire essay.  

https://www.youtube.com/watch?v=fJ9ttMAQr_A