The essay is to be typewritten and double-spaced (1,000 words) and should include the following: 

1. Introduction that includes who you are and where you practice nursing 

2. Definition of nursing 

3. Assumptions or underlying beliefs 

4. Definitions and examples of the major domains of nursing 

5. Summary that includes answers to the following questions: a. How are the domains connected? b. What is your vision of nursing for the future? c. What are the challenges that you will face as a nurse? d. What are your goals for professional development? 

Contrast of Health Care Structures

There continues to be much debate over the structure of health care organizations. Advocates of both public and private structures are quite vocal in attempting to persuade the general public to adopt their views. Proponents of public health care structures claim the public structure will make health care universally accessible while proponents of private structures assert that quality of care can only be achieved via a private structure. In this assignment, you will contrast public and private health care structures, analyze the current viability and future sustainability of each structure, and provide a rationale for which structure you believe is optimal.

General Requirements:
Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• Refer to Chapters 2-4 of the Publication Manual of the American Psychological Association (6th ed.) for specific guidelines related to doctoral level writing. These chapters contain essential information on manuscript structure and content, clear and concise writing, and academic grammar and usage.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Directions:
Write a paper of 1,000-1,250 words in which you contrast public and private health care structures. Include the following in your paper:

1. A contrast of public and private structures with regard to the population served, decision-making processes, financial practices, and ethical considerations relating to the quality of care and patient safety.
2. An analysis of current viability and future sustainability of each structure.
3. A rationale for selecting one structure as optimal.

Week 2: Patient Education Technology Guide to a Mobile Health Application PowerPoint

Submit Assignment

Points 175  Submitting a file upload

The purpose of this assignment is to demonstrate the skills of the professional nurse as an educator. You are to prepare a guide that will serve as a handout to assist a specific patient that you identify. Your guide or handout should help this patient find and evaluate a reliable mobile health, or mHealth application (app) that is already developed. This may be related to the patient’s disease process or diagnosis or may be an app that can help a patient maintain or improve good health and prevent illness.

You will develop the guide using Microsoft PowerPoint. PowerPoint is a versatile application that lets you design slideshows and handouts. For this assignment, you will be using PowerPoint to create a guide or handout that you may print and give to patients and families. You will be submitting this PowerPoint file for grading.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO1: Describe patient-care technologies as appropriate to address the needs of a diverse patient population. (PO1)

CO5: Identify patient care technologies, information systems, and communication devices that support safe nursing practice. (PO5)

Points

This assignment is worth a total of 175 points.

Due Date

The Patient Education Technology Guide to a Mobile Health Application PowerPoint assignment is due in Week 2. Submit your completed assignment. You may consult the Policies section in the Introduction & Resources module for details regarding late assignments. Late assignments will result in loss of points. Post questions about this assignment in the Course Q & A Forum.

Directions

You are required to complete this assignment using the productivity tools required by Chamberlain University, which is Microsoft Office 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.pptx” format. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.

You are required to cite your source(s) as it relates to your application slide. Other citations are permitted, but this is not a requirement for the assignment.

Title slide (first slide): Include a title slide with your name and the title of the presentation.

Scenario Slide (one slide): This slide should include a brief scenario, then identify a patient who is experiencing a specific disease process or diagnosis who would benefit from an already developed and reliable mHealth app. Or it could identify a person who is currently healthy and would like to maintain or improve health and prevent illness. Be sure to include the nurse’s assessment of the patient’s learning needs and readiness to learn. Be specific.

Example:

Scenario for Ms. Ellis

Jane Doe (your name here)

Jennifer Ellis, a 62-year-old African American woman, has been recently diagnosed with chronic kidney disease (CKD). She has been prescribed several medications she must take every day.

The nephrologist has stressed the importance of leading a healthy lifestyle to slow or stop the progression of CKD.

She is interested in ways in which she can better track her health and make healthier choices.

She is a high school graduate and iPhone user, mostly to send text messages to family and friends.

She is eager to learn how to use an app that can help her manage her CKD.

Prepare the following slides as if you are presenting them to the patient.

mHealth application slide (one to three slides): Identify a developed and reliable mHealth app that could benefit the patient. Describe the app, including the following.

Name

Purpose

Intended audience

Mobile device(s) upon which it will operate

Where to download or obtain it (include a working link if it is to be downloaded from a website)

Any other information you believe would be pertinent to this situation

Be sure to cite all sources you use.

Teaching slides (one to three slides): Prepare slides that contain important points about the app that you want to teach to the patient, such as how to use the app safely and effectively (including how to interpret and act on the information that is provided).

Evaluation slide (one to three slides): Describe how you would determine the success of the patient’s use of this app. For example, include ways to evaluate the effectiveness of the teaching plan that are a good fit for the type of app or focus on specific ways that this app benefits the patient’s health and wellness.

References (last slide): List any references for sources that were used or cited in the presentation.

Writing and design: There should be no spelling or grammatical errors. Writing is concise and clear. Avoid words that the patient may not understand. Slides are visually appealing, incorporating graphics, photographs, colors, and themes.

Review the section on Academic Integrity Policy found in the RNBSN Policies. All work must be original (in your own words) unless properly cited.

Best Practices in Preparing PowerPoint Slideshows

Be creative but realistic.

Incorporate graphics, color, themes, or photographs to increase interest.

Make it easy to read with short bullet points and large font.

Review directions thoroughly.

Cite all sources within the slides with (author, year), as well as on the reference slide.

Proofread prior to final submission.

Check for spelling and grammar errors prior to final submission.

Abide by the Chamberlain academic integrity policy.

Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx (Links to an external site.)Links to an external site. The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSPRNBSN may be found in your student portal.

**Academic Integrity Reminder**

 values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

Rubric

NR361 Patient Guide – Sept 18

NR361 Patient Guide – Sept 18

Criteria  RatingsPts

This criterion is linked to a Learning Outcome Scenario Slide

Scenario is clear and concise, including a disease process or diagnosis, or identify a patient with a desire to maintain good health and prevent illness. Include the nurse’s assessment of learning needs and readiness to learn.

40.0 pts

Scenario is a clear and concise description of patient with a specific disease or diagnosis, or someone who is healthy and wants to prevent illness and maintain good health. Makes clear that the person is seeking information, including a detailed assessment of learning needs and readiness to learn.

35.0 pts

Scenario is clear but not concise as it exceeds more than one slide. It includes a description of the patient with specific disease or diagnosis, or desire to maintain good health. Scenario generally describes the nurse’s assessment of learning needs and readiness to learn.

32.0 pts

Scenario includes a description of the patient with specific disease or diagnosis, or desire to maintain good health. Scenario lacks the nurse’s assessment of learning needs OR readiness to learn.

15.0 pts

Scenario is missing the description of disease process OR diagnosis OR desire to maintain good health Scenario lacks both the nurse’s assessment of learning needs AND readiness to learn.

0.0 pts

Scenario fails to describe the patient’s situation The nurse’s assessment of learning needs and readiness to learn are lacking.

40.0 pts

This criterion is linked to a Learning Outcome mHealth Application Slide

Identify a mHealth app that could benefit the patient. Describe the app including its: • Name • Purpose • Intended audience • Mobile device(s) upon which it will operate • Where to download or obtain it. Include a working link if it is to be downloaded from a website. • And any other information you believe would be pertinent to this situation. • Citation

50.0 pts

Describes the mHealth application in detail including its: Name, Purpose, Intended Audience, Mobile device upon which it operates, Download or where to obtain, Other pertinent information, and Sources that are used are cited.

44.0 pts

Describes the mHealth application but is lacking one of the elements in the first column.

40.0 pts

Describes the mHealth application but is lacking two of the elements in column.

19.0 pts

Describes the mHealth application but is lacking three of the elements in the first column.

0.0 pts

Provides a poor or confusing description of the mHealth application that lacks most of the elements in the first column.

50.0 pts

This criterion is linked to a Learning Outcome Teaching Slide

Information on slides to be taught to patient about the mHealth app including any safety guidelines, and how to interpret and act on the information that is provided.

40.0 pts

Prepares slides that teach all pertinent details about how to use the app safely and effectively including how to interpret and act on the information that is provided.

35.0 pts

Prepares slides that teach most information about how to use the app safely and effectively including how to interpret the information that is provided.

32.0 pts

Prepares minimal information that the patient needs to know to use the device, for example, lacking safety guidelines that may need to be followed.

15.0 pts

Prepares slides that are confusing and does not convey useful information that the patient needs to know.

0.0 pts

Teaching slides are not included in the presentation

40.0 pts

This criterion is linked to a Learning Outcome Evaluation Slide

Describe how you would determine the success of the patient’s use of the mHealth app.

20.0 pts

Describes in detail ways to evaluate the effectiveness of the teaching plan that are a good fit for the type of app or focus on specific ways that this app benefits the patient’s health and wellness.

18.0 pts

Describes general or universal ways to evaluate the effectiveness of the teaching plan that considers the nature of the app.

16.0 pts

Describes limited ways to evaluate the effectiveness of the teaching plan, which does not reflect the nature of the app.

8.0 pts

Describes an evaluation plan but it is unlikely to determine if the patient has learned what is necessary.

0.0 pts

Does not include an evaluation plan.

20.0 pts

This criterion is linked to a Learning Outcome Writing and Design

Writing contains no spelling or grammatical errors. Bullets should be used instead of long sentences or paragraphs. Reading level is appropriate for patient described. Slides are visually appealing incorporating graphics, photographs, colors and themes. Sources that are used are cited.

25.0 pts

Slides have the following elements: Name of student appears on the Title Slide; Themes of slides are clearly identified; Bullets are used instead of long sentences or paragraphs; Reading level appropriate for patient; Slides are visually appealing incorporating graphics, photographs, colors and themes; Grammar, punctuation, and spelling are correct; Citation present for application.

22.0 pts

Good mechanics considering the elements listed in the first column.

20.0 pts

Fair mechanics considering the elements listed in the first column.

10.0 pts

Poor mechanics considering the elements listed in the first column.

0.0 pts

Very poor mechanics such that assignment is difficult to read.

25.0 pts

This criterion is linked to a Learning Outcome Topic Use/Use of Power Point

0.0 pts

0 points deducted

Correct Topic/Power Point used for the assignment results in 0 points lost.

0.0 pts

17.5 (10%) points deducted

Incorrect topic used or NO power point used results in a deduction of 17.5 (10%) points. 17.5 point deduction

0.0 pts

Total Points: 175.0

  

Discussion: Pharmacotherapy for Cardiovascular Disorders

As the leading cause of death in the United States for both men and women, cardiovascular disorders account for 7 million hospitalizations per year (NCSL, 2012). This is the result of the extensive treatment and care that is often required for patients with these disorders. While the incidences of hospitalizations and death are still high, the mortality rate of cardiovascular disorders has been declining since the 1960s (CDC, 2011). Improved treatment options have contributed to this decline, as well as more knowledge on patient risk factors. As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.

Consider the following case studies:

Case Study 1:

Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:

· Atenolol 12.5 mg daily

· Doxazosin 8 mg daily

· Hydralazine 10 mg qid

· Sertraline 25 mg daily

· Simvastatin 80 mg daily

Case Study 2:

Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following:

· Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun

· Aspirin 81 mg daily

· Metformin 1000 mg po bid

· Glyburide 10 mg bid

· Atenolol 100 mg po daily

· Motrin 200 mg 1–3 tablets every 6 hours as needed for pain

Case Study 3:

Patient CB has a history of strokes. The patient has been diagnosed with type 2 diabetes, hypertension, and hyperlipidemia. Drugs currently prescribed include the following: 

· Glipizide 10 mg po daily

· HCTZ 25 mg daily

· Atenolol 25 mg po daily

· Hydralazine 25 mg qid

· Simvastatin 80 mg daily

· Verapamil 180 mg CD daily

To prepare:

· Review this week’s media presentation on hypertension and hyperlipidemia, as well as Chapters 19 and 20 of the Arcangelo and Peterson text.

· Select one of the three case studies, as well as one the following factors: genetics, gender, ethnicity, age, or behavior factors.

· Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.

· Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.

· Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

With these thoughts in mind:

Post an explanation of how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you selected. Then, describe how changes in the processes might impact the patient’s recommended drug therapy. Finally, explain how you might improve the patient’s drug therapy plan.

Link to Media:

https://class.waldenu.edu/bbcswebdav/institution/USW1/201930_27/MS_NURS/NURS_6521/adobePresenter/Week03/media2/index.htm

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Urinary Tract Infection

1. Urinalysis is necessary to verify the infection and presence of positive urine culture (Choe et al., 2017). It is particularly important to keep track of leukocytes and nitrites when utilizing a urine test strip (Ebell, Butler, & Hay, 2018). It may also be necessary to utilize ultrasound (RBUS) to detect genitourinary anomalies if it is established that the patient suffers from febrile UTI.

2. An UTI is most likely to be caused by bacteria and available evidence indicates that conditions like acute pyelonephritis are primarily caused by E. coli in close to eighty percent of the cases (Choe et al., 2017).

3. It could be appropriate to prescribe Cephalexin 10 mg/kg/d or Cefaclor 10 mg/kg/d (Choe et al., 2017). On the other hand, such factors as the expected pathogen should be taken into account when selecting an appropriate antibiotic agent. Additionally, the duration of the therapy should be between seven and fourteen days depending on the situation. Therefore, additional information is necessary to determine appropriate pharmacological treatment for the patient.

4. It is imperative to ensure that the patient and her mother have an understanding of safe dosing and follow the recommendations. Additionally, a healthcare professional should explain the need to follow the regimen and explain the risks that could be faced by the patient if recommendations are ignored. It is also necessary to explain the benefits of preventing UTI and the risks associated with possible antimicrobial resistance in the future. Available evidence indicates that cranberry and associated products have the potential to prevent UTI in children, and it would be appropriate to advise the patient to consume such products to avoid infections in the future (Choe et al., 2017). The patient should also be advised to drink plenty of water to dilute urine and reduce the risks related to UTI in the long-term.

.

References

Choe, H., Lee, S., Yang, S. S., Hamasuna, R., Yamamoto, S., Cho, Y., & Matsumoto, T. (2017). Summary of the UAA-AAUS guidelines for urinary tract infections. International Journal of Urology, 25(3), 175–185. doi:10.1111/iju.13493

Ebell, M. H., Butler, C. C., & Hay, A. D. (2018). Diagnosis of urinary tract infections in children. American Family Physician, 97(4), 273-274.