dysrhythmia – 2025 Your written assignment for this module should be a 2 3 page paper not including

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dysrhythmia – 2025

Your written assignment for this module should be a 2-3 page paper (not including title page and reference page).

A 78-year old woman is admitted to a Medical unit directly from her physician’s office for evaluation and management of congestive heart failure. She has a history of systemic hypertension.

The initial assessment completed by the RN of the assigned patient reveals a pulse rate that is rapid and very irregular. The patient is restless, her skin is pale and cool, she states she is dizzy when she stands up and she is slightly short of breath and anxious. Her BP is 106/88. Her ECG monitor pattern shows uncontrolled atrial fibrillation with a heart rate ranging from 150 -170 beats/min. Her respirations are 20/min and her O2 saturation is 90%.

  1. Given the findings, what should be the first action of the practical nurse?
  2. What additional data would the practical nurse collect?
  3. Discuss the potential complications of cardioversion and patient preparation for an elective cardioversion. Because the length of time the patient has been in atrial fibrillation is unknown, what adverse reaction may occur?

Later that evening the patient calls the nurse because she feels “like something terrible is going to happen.” She reports chest pain, has increased shortness of breath, and has coughed up blood-tinged sputum.

  1. Based on these symptoms, what might you suspect is happening?
  2. What is the first thing the practical nurse should do and what further information would you expect to be collected?

You should include a minimum of 3 references. Include a title page, in-text citations, and a reference page in APA format.

nursing gerentology week 4/ reply prof – 2025 original question Identify two strategies you can implement to provide comfort to maintain function with an ethnically diverse older

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nursing gerentology week 4/ reply prof – 2025

 

original question:

 Identify two strategies you can implement to provide comfort to maintain function with an ethnically diverse older adult with a chronic disease? This can be nutrition, ADLs, exercise, etc. 

MY ANSWER:

The management of chronic conditions is becoming an integral part of medical care in most parts of the world. The elderly, in particular, are living with one or more chronic illnesses for very long periods. Access to care is not easy, given that most of them are not insured. The situation gets worse when the patient is from an ethnical minority background. Since it can be hard to reach such patients, the first strategy that both the medical staff and the care givers of the patient should put in place is fostering positive communication. Putting a lot of focus in disease prevention, health promotion and early detection is a very effective strategy for enduring successful chronic disease management. This is especially helpful for the frail seniors (Hitchcock, 2016).  It is, therefore, important for the care givers to listen carefully, show compassion and work with the patient to ensure care goals.

            The second strategy would be to embark on a patient-centered approach. Such an approach is supposed to be responsive to, and respectful of, the preference, needs and values of the patient. Physicians should never make assumptions about the treatment option that the patient would choose. Rather, they should discuss also the available options. Doctors should also recognize when such senior patients need help in managing their chronic illness (Iecovich, 2018). Again, it may be important to carefully watch the interactions between different medications that are used to treat different conditions. The physicians and the patient should further come up with an action-plan and always keep it up to date.

While caring for the elderly patients can pose a big challenge for physicians, it does not mean that it is an impossible mission. With the right strategies in place and with the coordination of the doctors, the patients and their caregivers, it will be easier to manage such chronic conditions.

teacher question

  Would this approach be different for a patient of a different age range? 

Root Cause using 5 whys – 2025 Read the news report Maryland Health Care Provider Sentenced to 10 Years in Federal Prison for Health

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Root Cause using 5 whys – 2025

Read the news report “Maryland Health Care Provider Sentenced to 10 Years in Federal Prison for Health Care Fraud Resulting in Patient Deaths.”

Use the Five Whys to conduct a root cause analysis to determine why the Medicare fraud occurred and Timothy Emeigh’s participation in the case.

Write a 525- to 700-word paper that identifies and evaluates the root cause for Medicare fraud in this case.

Include the following:

  • List each of the Five Whys and your response.
  • Speculate as to why Mr. Emeigh participated in the scheme.
  • Explain what you might have done to prevent this from happening.

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

Format your assignment according to APA guidelines.

Post Tami – 2025 Respond by offering additional thoughts regarding the examples shared Systems Development Life Cycle

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Post Tami – 2025

Respond by offering additional thoughts regarding the examples shared, Systems Development Life Cycle SDLC-related issues, and ideas on how the inclusion of nurses might have impacted the example described by your colleagues.

                                              Main Post

                         Systems Development Life Cycle

           The systems development life cycle (SDLC) is a process whereby a company or entity determines the need for the implementation of new technology.  SDLC provides information systems that are effective at incorporating the company’s business plan (McGonigle & Garver Mastrian, 2018).  It is essential that a working knowledge of the problems or issues are understood.  In the case of healthcare organizations, this means establishing an assessment that discovers the needs of each department (McGonigle & Garver Mastrian, 2018).  Most of the time when analyzing these needs an outside company is brought in to assess, interview, and determine the type of system that would benefit the company.

Consequences of Lack of Inclusion of Nurses

In the application of any new technology or policy, it is essential to trial it with the individuals that will be using it.  When considering an update or new system in the healthcare setting, it is beneficial to involve nurses in the decision-making process.  The Agency for Healthcare and Research (n.d.a) report that it is important to consult with nurses in the preliminary period of development.  By incorporating nurses into the initial design, the researchers learn nursing processes, possible new tasks, effect the technology will have on patient care, staffing needs, and usability of the design.  This analysis of workflow is used to determine the best use of technology (McGonigle & Garver Mastrian, 2018).  Including nurses in this process opens routes for discussion and collaboration that will benefit the designers and users.  

            Failure to include nurses in the planning stages of technology design is detrimental to the intended use of the new system.  A researcher or computer designer could miss critical elements of the nursing process due to their lack of knowledge regarding nursing procedures.  McGonigle & Mastrian (2018) state, “nursing informatics professionals should always be included in these activities to represent the needs of clinicians and to serve as a liaison for technological solutions to process problems” (p. 250).  The role of the informatics nurse and a nurse, in general, can play in designing technology is critical.  Their contribution to the analysis of workflow and clinical implications is invaluable information needed for the formation of a system that will be used to its potential.

An Example of Collaboration

            A study was done in Canada to determine the impact of the initiation of computerized order entries for medications on nursing workflow and reduction of medication errors.  Registered nurses participated in a study where interviews and observations were used to study the effects of digital technology on the nursing process (Vito, Borycki, Kushniruk, & Schneider, 2017).  The researchers spent considerable time observing and recording how the technology affected nurses and the influence it made on time spent with patients.  This study is one example of the impact that nurses can have on the design and implementation of technology in the healthcare setting.

Current Healthcare Facility

             When our facility transitioned to electronic health records (EHR) as an ER nurse, I was not involved in the planning.  The nurse informaticist I assume worked with the company to create templates that are in use today.  Within the ER portion of the EHR, there have been changes made because of nursing input.  As a unit, we have asked for an ED narrator to be developed with our order sets, documentation narrators, and medication administration policies.  Recently we asked for changes to our trauma narrator to include additional documentation options for different trauma levels.  As a group we have also discussed missing pieces of data that is beneficial for everyday use and discussed this with our leaders.  The leaders take this information to the information technology (IT) individuals that work directly with the EHR company and changes are then made.  There are times when the nurse’s input is not embraced due to financial constraints or leadership ability to see the need.  The size of the healthcare organization plays a significant role in the inclusion of nurses in decision-making practices.  Many variables exist to modification of technology in healthcare.  In an ideal setting, it would be ideal to include nurses throughout the design process.

References

Agency for Healthcare Research and Quality (n.d.a). Health IT evaluation toolkit and evaluation measures quick reference guide.  Retrieved April 17, 2019, from https://healthit.ahrq.gov/sites/default/files/docs/page/impact-of-hit-on-nurses-quick-reference-guide.pdf

McGonigle, D., & Garver Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning, LLC.

Vito, R., Borycki, E., Kushniruk, A., & Schneider, T. (2017). The impact of computerized provider order entries on nursing practice. Studies in Health Technology and Informatics, 234, 364-369. doi:/10.3233/978-1-61499-742-9-364

Proposed evidence based Change project Plan – 2025 Develop a proposed evidence based change project plan specific to the environment you are using to implement your change

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Proposed evidence based Change project Plan – 2025

Develop a proposed evidence-based change-project plan specific to the environment you are using to implement your change project. Your environmental assessment will include a work breakdown structure, a budget plan, and a measurement tool.

This week, you will design a plan that is at least four pages in length and includes all the information listed in the instructions below to discuss the elements of your proposed plan.

  • Develop an environmental assessment of your change project area and its readiness for the specific change project you are going to implement. 
    • Include a work breakdown structure. For example, you could create a (timeline/task list/Gantt chart)—a hierarchical definition of the planned tasks and activities of a project that normally begins with the highest-level activities and works downward into the individual tasks.
    • Include a proposed project budget (table or spreadsheet) for the project that addresses the needed personnel, equipment, and supplies that may have associated costs. Click this link for a sample budget template Click for more options .
    • Include your measurable evaluation methods (indicators/metrics). Include the actual measurement tool you will use and describe any of the following that are applicable to your project: cost savings, improved efficiencies, access to care (visits/procedures/admissions), patient/family satisfaction, associate satisfaction, associate engagement, retention, clinical outcomes, injury prevention, and risk reduction.

The project will take place in Sanitas medical center where patients will fill out a questionnaire

There is no budget needed, please address this in the paper. 

The measurable tool is the DSMQ, which I have attached.

Please review the attachments.

community health field experience. Topic Obesity in Adults- revision needed – 2025 B Write your community health nursing diagnosis statement 1 Explain how the health concern from your community health nursing

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community health field experience. Topic Obesity in Adults- revision needed – 2025

 

B.  Write your community health nursing diagnosis statement.

1.  Explain how the health concern from your community health nursing diagnostic statement is linked to a health inequity or health disparity within the target population.

a.  Discuss the primary community resources and primary prevention resources currently in place to address the health concern.

b.  Discuss the underlying causes of the health concern.
 

2.  Discuss the evidence-based practice associated with the Field Experience topic.

a.  Identify data about the selected Field Experience topic from the local (e.g., county), state, and/or national level.
 

C.  Develop a community health nursing social media campaign strategy that will convey your health message and address the Field Experience topic by doing the following:

1.  Describe your social media campaign objective.

2.  Recommend two population-focused social marketing interventions and justify how each would improve the health message related to your selected Field Experience topic.

3.  Describe a social media platform you would use that is appropriate for communicating with the target population.

a.  Discuss the benefits of the selected social media platform in supporting preventative healthcare.
 

4.  Discuss how the target population will benefit from your health message.
 

D.  Describe best practices for implementing social media tools for health marketing.
 

E.  Create a social media campaign implementation plan by doing the following:

1.  Describe stakeholder roles and responsibilities in implementing the plan.

2.  Discuss potential public and private partnerships that could be formed to aid in the implementation of your campaign.

3.  Create a specific timeline for implementing your campaign.

4.  Explain how you will evaluate the effectiveness of the campaign.

5.  Discuss the costs of implementing your campaign.
 

F.  Reflect on how social media marketing supports the community health nurse’s efforts to promote healthier populations.

1.  Reflect on how your social media campaign could apply to your future nursing practice.
 

G.  Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
 

H.  Demonstrate professional communication in the content and presentation of your submission.
 

Assessing and Planning Care for an Elderly Person – 2025 In order to gain an insight into the world of elder adults it is important to understand how they view

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Assessing and Planning Care for an Elderly Person – 2025

 

In order to gain an insight into the world of elder adults, it is important to understand how they view themselves and the values they hold. Additionally it is important to assess and determine his/her needs and establish appropriate interventions for this individual.

By the due date assigned, choose an older adult to interview. This cannot be a patient in your clinical setting. You can use a friend, family member, or co-worker. The older adult should be 65 years or older. Use the format provided to record the responses. A list of questions is available for you to start with. Include 2–3 questions of your own to get a complete picture of the older adult. Summarize your findings and also contrast the responses with findings in your readings and other current literature.

Download a patient questionnaire. This form should be used as an example.

After gaining permission, conduct a physical and mental functional assessment of the older adult you have chosen. Review your readings for the process of functional assessment.

Make use of the tools discussed this week to complete a comprehensive assessment of your patient. Search the Internet for resources on these tools.

  1. Tinetti Balance and Gait Evaluation
  2. Katz Index of Activities of Daily Living
  3. Assessment of Home Safety
  4. The Barthel Index

Make sure the older adult is clearly identified on the tools. Do not include their name, but do include professional or other designation, and age. Your name should also be identified on the tool. (This should be a part of your Appendix.)

Compare and contrast the age-related changes of the older person you interviewed and assessed with those identified in this week’s reading assignment. During this data analysis process provide at least 4–6 preliminary issues that you have identified. Identify three alterations in health that you would propose and describe them. Identify a minimum of three comprehensive interventions for each problem.

Make sure that you integrate personal cultural awareness and cultural competency.

Paper should be 5–6 pages, not including the questionnaire or tools used. These should be attached as an Appendix. Remember to use headings to identify the different sections in your paper.

On a separate references page, cite all sources using APA format.

discussion post / activism – 2025 Describe the key concepts underlying community activism and give examples of how each of these concepts applies

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discussion post / activism – 2025

 

Describe the key concepts underlying community activism and give examples of how each of these concepts applies to a specific context. Examine how advanced practice nurses can engage in community activism to limit further negative health impacts from Big Tobacco in their respective health communities.

Attached below is an additional resource, an article, that details various ways by which nursing professionals can engage in community activism.

Patient Advocacy and in the Community and Legislative Arena: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Advocacy-in-Community-and-Legislative-Arena.html?css=print

Delivering Effective Presentations – 2025 Delivering Effective Presentations As a DNP prepared nurse you will likely encounter many different methods of disseminating the findings and implications

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Delivering Effective Presentations – 2025

  

Delivering Effective Presentations 

As a DNP-prepared nurse, you will likely encounter many different methods of disseminating the findings and implications of an evidence-based project. Each method has unique benefits. As discussed in this course, oral presentations can be an effective medium for delivering the findings of DNP projects.

For this Discussion, consider what makes an oral presentation effective. How might presentation approaches vary for an academic presentation versus a practice-based presentation?

To prepare:

  • Review      various forms of disseminating the findings of an evidence-based project,      as well as strategies for delivering effective presentations in this      week’s Learning Resources.
  • If      applicable, reflect on your experiences practicing with colleagues in a      small group and presenting in other professional or academic situations.      Conduct additional research as necessary to enhance your awareness of what      makes a presentation most effective.
  • Consider      how the needs or dispositions of the intended audience may inform your      presentation.

By tomorrow Wednesday 7/17, write a minimum of 550-word essay in APA format with at least three scholarly references that include the level one headers below:

Post a cohesive response that addresses the following:

1) Share three or more insights related to presentation approaches. 

2) Explain how this information may be used to promote the delivery of an effective DNP Project presentation. Be sure to note any considerations related to the intended audience that are important.

Required Readings

Oermann, M. H., & Hays, J. C. (2016). Writing for publication in nursing (3rd ed.). New York, NY: Springer Publishing Company.

· Chapter 14, “Final Paper and Submission to Journal” 

In this chapter, the authors describe the steps in preparing the components of a final paper to submit to a journal. The chapter provides examples of the components and a checklist.

· Chapter 15, “Editorial Review Process” 

This chapter explains the editorial review process from the point at which a paper is received to the final editorial decision.

· Chapter 16, “Publishing Process” 

Chapter 16 explores the publishing process that begins with the acceptance of a paper.

Forsyth, D. M., Wright, T. L., Scherb, C. A., & Gaspar, P. M. (2010). Disseminating evidence-based practice projects: Poster design and evaluation. Clinical Scholars Review, 3(1), 14–21. 

This article provides suggestions for EBP poster creation and describes the development process of a Poster Evaluation Rubric for Evidence-Based Practice.

Hand, H. (2010). Reflections on preparing a poster for an RCN conference. Nurse Researcher, 17(2), 52–59.

In this article, the author describes the planning, preparation, and presentation of a poster she developed for an RCN annual nursing research conference.

 

Ploeg, J., Skelly, J., Rowan, M., Edwards, N., Davies, B., Grinspun, D., & . . . Downey, A. (2010). The role of nursing best practice champions in diffusing practice guidelines: A mixed methods study. Worldviews on Evidence-Based Nursing, 7(4), 238–251.

This article details a study that sought to determine how nurses championing a best practice influence the diffusion of Best Practice Guideline recommendations.

Walden University. (n.d.). Disseminating your research. Retrieved from https://crq.adobeconnect.com/researchtutorials/default/CONTENT/Disseminating_Your_Research/welcome.html

This presentation provides a tutorial for those who wish to disseminate their research. It discusses reasons for and methods of disseminating your research, as well as venues for publication and key considerations.

Executive summary – 2025 In this assignment you will propose a quality improvement initiative from your place of employment that could easily be implemented

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Executive summary – 2025

 

In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:

  1. The purpose of the quality improvement initiative.
  2. The target population or audience.
  3. The benefits of the quality improvement initiative.
  4. The interprofessional collaboration that would be required to implement the quality improvement initiative.
  5. The cost or budget justification.
  6. The basis upon which the quality improvement initiative will be evaluated.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.