Devise a strategy for the six types of non-adherence to help an elder to adhere to a drug regime for the six types of non-adherence.

1. Hesitance to initiate therapy (You have prescribed a drug and discover the elder has not started taking it.)
2. Skipped doses (The elder forgets or is not home to take the drug.)
3. Medication discontinuation (The elder perceives that the medication is not working and stops taking it.)
4. Dose self-adjustment (The elder adjusts the dose to save money.)
5. Over-adherence (The elder takes more of the drug because symptoms worsen.)
6. Inappropriate administration (The elder misuses or abuses the drug.)

Please cite your references using APA style. Min 350 words

This is a discussion post, ABOUT 250 WORDS, tittle page not require In- text citation is required original work please, scholarly references are required for this assignment, website source strongly preferred.

QUESTION 1: The author of the assigned article, “Shattuck Lecture:

The author of the assigned article, “Shattuck Lecture: A Successful and Sustainable Health System — How to Get There From Here”

(https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/929159711?accountid=7374) maintains that a sustainable health system has three key attributes. What are these three key attributes and what recommendations are offered to ensure efficiency, sustainability, and optimal functioning? A minimum of THREE academic references from credible sources are required for this assignment

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You will submit your final EBP Project Proposal paper to the Final SafeAssign dropbox for grading. This one submission will go directly to both the SafeAssign Depository and for grading. Please include previous sections of the paper and use the EBP Project Proposal paper template. Review all instructions below before submitting your paper.

Please include the following criteria:

• Title Page and Thank You Acknowledgements (faculty, coach, RN facilitator)
• Abstract (Please click this link for instructions and template) .
  
  • Purpose PICO (PICOT) Question
  • Significance of the Problem
  • Summary of Synthesis of Evidence
  • Recommended Implementation for Practice Change
  • Conclusions/recommendations (Practice, Education or Research)
  • Keywords
• Introduction
• Review of Literature and Synthesis of Evidence including narrative synthesis and table
• Plan for Implementation including table
• Plan for Evaluation including table
• Conclusions, Recommendations and Implications
• References
• Appendices (if applicable) otherwise you may delete these pages

Note: Your final EBP Project Proposal paper MUST be submitted to this SafeAssign final section area dropbox for grading by the coach. Once you are satisfied with your “matching” score in the Draft areas, submit your final paper to this area.  Remember, it may take up to 24 hours to obtain your report.

The Final EBP Project Proposal must have a “matching” score of 34% or less. It is mandatory that your final EBP Proposal paper is 34% or less or you will FAIL THE COURSE. Failure to submit to SafeAssign Final area will result in failure for the course. You will NOT have the opportunity to redo the Final EBP Proposal paper nor request an extension based on your originality report. Please submit your Final Paper to SafeAssign on the template in the FINAL Submission area ONLY. Neither coaches nor instructors will submit papers for you to SafeAssign if you did not submit your paper correctly, ie email them.

Note: In addition to the grading rubric for the specific content above, corrections and changes based on Module 1 to Module 4 revision feedback from coaches and/or instructors and your SAFEASSIGN draft reports must be completed for module 5 final paper submission.

 

Assignment 2: EBP Proposal PowerPoint

 

PowerPoint instructions:

Do not cut and paste from your EBP Proposal paper. Do not identify your agency by name–please use initials only. There should be plenty of white space and be readable to the audience.  For this assisgnment please do not use graphics, pictures, images, etc., as they take up too much space that should be devoted to content.You will develop and submit a PowerPoint presentation approximately 11-13 slides in length. The presentation should have bullets summarizing the sections of your EBP Project Proposal. Prepare the presentation as if you were presenting it at your agency and/or a professional conference. When completed post your PowerPoint Presentation  to Module 5 Assignment AND to Module 5 Discussion (see Discussions).

Develop a professional PowerPoint presentation that includes the following information:

• Title (1 slide)
• Introduction (Significance of the Problem) (2 slides)
• PICO(T) (1 slide)
• Evidence Review (2-3 slides)
• Implementation Plan (2 slides)
• Evaluation Plan (1 slide)
• Conclusions and Recommendations for Implementation (2 slides)
• Major references using APA format (1 slide)
• Grammar, writing mechanics, and spelling (0.5 point will be deducted for any error)

Note: Failure to submit your PowerPoint will be interpreted as failure to meet the required assignment and will be recorded accordingly.

 

Assignment 3: Reflective Journal

 

Please include a narrative of the following criteria, as this pertains to your knowledge, skills, and attitudes gleaned from this Capstone Course. In addition, a short narrative summary of your educational experience in the RN-BSN program will assist in providing feedback for future curricular revision. Using the personal pronoun “I” is expected in writing a Self-Reflection and Reflective Journal.

Please include:

• Description of experiences and accomplishments
• Evaluate personal and professional growth
• Evaluate experiences with collaborating with RN facilitator
• Evaluate growth as life-long learner
• Evaluate professional role as change agent

Respond to your colleagues’ posts by sharing your thoughts on their specialty, supporting their choice or offering suggestions if they have yet to choose. 

 At least 2 references in each peer responses! 

Nursing informatics is essential in enhancing the effectiveness of nursing. Using statistics one can narrow down potential causes error or find the effectiveness of a process. In any area of nursing having a greater understanding of what is occurring and the effectiveness will only be beneficial.

As a behavioral health nurse a common problem is the rate of readmission among the local homeless population. Having more comprehensive data on the population such as, where are they being discharged to or are these places successful at helping decrease the need for hospitalization could substantially decrease the rate of readmission. Though anecdotal in the single year of being a behavioral health nurse I have witnessed a substantial amount of patients come in for three or more stay because of acute psychosis because of a lack of treatment outside of the hospital.

Having data on what are the most beneficial places to discharges patients to may have multiple outcomes. Hospital outreach may expand to the effective place and create a stronger partnership. Successful places may have successful interventions the hospital may be able to learn from and apply to their own inpatient stays. Additionally with this information less successful facilities may adapt to be more like successful ones. In a study about readmission rates after being discharged to a respite care facility it was found that there was roughly a 50% decrease in readmission rates within 90 days of discharge (Kertesz et al., 2009). An additional study of young homeless populations was able to identify key factors in identifying likelihood of readmission (Mackelprang et al., 2015.) Knowing a person will likely have to be readmitted because of their drug abuse for example may help identify that the hospital should use additional resources to help decrease the likelihood of this.

The homeless population is among some of the most disenfranchised and are frequently undertreated for their ailments due to lack of resources. Having a greater understanding can only help in providing care and giving them the resources to succeed.

 

Presentation: Purnell Model for Population Sub-Group 

Identify cultural influences on health and decision-making. Create a PowerPoint presentation that addresses the following items:

1. Sub-group name and image with rationale
2. Purnell’s Model constructs and sub-group information (n = 12)
3. Sub-group presence and issues 15 related to local and global community
4. Summary of recommendations for providing culturally competent nursing care to this sub-group

Submission Instructions:

• Presentation is original work and logically organized. Followed current APA format including citation of references.
• Power point presentation with 10-15 slides were clear and easy to read. Speaker notes expanded upon and clarified content on the slides.
• Incorporate a minimum of 5 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA style (the library has a copy of the APA Manual).