Case Study or Share an Experience – 2025 Option 1 Case Study to Consider Ann and Michael have been married for 55 years Ann is 80 years old

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Case Study or Share an Experience – 2025

 

Option #1 – Case Study to Consider

Ann and Michael have been married for 55 years. Ann is 80 years-old, and suffers from lung cancer and advanced Alzheimer’s disease. She currently resides in a nursing home, and often does not recognize Michael when he visits. Last night she was admitted to the hospital with difficulty breathing. Today, you are the nurse caring for Ann, and her physician is suggesting surgery to remove part of her lung to potentially slow the progression of her cancer. Michael is feeling unsure about this course of treatment, and asks for your advice and guidance.

How would you respond to Michael and serve as advocate for your patient?

Option #2 – Share a Related Experience

Share with your classmates a time when you cared for a patient at the end of their life. This may be a time when you assisted the patient (or their support system) with decisions related to end of life care; or a time when you were present for the death of a patient.

What were your observations related to this experience? Do you believe it was a peaceful death? What went well? Can you think of anything that could have made the experience better for the patient and/or family?

db resolution guidelines – 2025 Ms Brown comes into the emergency department to secure treatment for a head

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db resolution guidelines – 2025

 

Ms. Brown comes into the emergency department to secure treatment for a head injury, plus minor bruises and abrasions she reportedly received during an assault that happened about 20 hours ago. Ms. Brown is 34 years old and accompanied by her boyfriend, Roy. She indicates they were sleeping in a protected entrance to an elevator in the city parking garage when two young men began beating and kicking them. The two men took Ms. Brown’s purse, a sack of food she and Roy had accumulated, and Roy’s wallet which contained $5.00.

Ms. Brown indicates she has been homeless for more than a year. She occasionally stays in city shelters but spends most of her time roaming the city and walking to procure meals at the various programs that feed the poor. She is tall and thin, with a variety of skin lesions. She came to the hospital due to dizziness that prevented her from walking to the church, where she could eat. She and Roy occasionally work odd jobs but use the bulk of their income to support Roy’s drug habit. She is trying to get Roy to quit using.

The nurse practitioner (NP) cleans Ms. Brown’s scalp and tapes the traumatic lesion. A contusion is suspected, and the NP suggests Ms. Brown rests for a few days and goes to the neurological clinic if the dizziness worsens. Ms. Brown points out that she has no place to rest and cannot get to the clinic without public transportation. The NP realizes this but indicates it is beyond her control. Because the contusion is not definitively diagnosed, the NP must discharge Ms. Brown with follow-up orders to seek help if things get worse.

Using the Resolution Guidelines with the mnemonic ETHICAL, consider the following questions:

  • E—Examine what other data are needed to make informed choices.
  • T—Think about who should be involved in the decision-making process and who should make the ultimate decision. Should Roy be involved? What agencies are available in your community to assist Ms. Brown?
  • H—Humanize Reflect on all the possible options with resulting consequences and humanize them by constructing a decision tree.
  • I—Incorporate the ethical principles (autonomy, beneficence, nonmaleficence, veracity, confidentiality, fidelity, and justice) when appropriate. Are there any legal statutes that apply? What standards of care should be incorporated
  • C—Choose an option.
  • A—Act on your ethical choice.
  • L—Look back and evaluate your option to see if you need to make any other choices. This also will be a guide for the next time a similar situation arises.

Peer Responses/Participation [Due Sunday]   

  • Make sure to respond to at least two of your fellow classmates postings as well and challenge each other to go beyond just the surface.
  • Share your thoughts on how you support their ideas and explain why.
  • Present new references that support your opinions.

 

Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal – 2025 The benchmark assesses the following competency 4 2 Communicate therapeutically with patients The RN to BSN program

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Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal – 2025

 

The benchmark assesses the following competency:

4.2 Communicate therapeutically with patients.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note:  The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

  1. Primary Prevention/Health Promotion
  2. Secondary Prevention/Screenings for a Vulnerable Population
  3. Bioterrorism/Disaster
  4. Environmental Issues

Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.

  1. After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.
  2. Request feedback (strengths and opportunities for improvement) from the provider.
  3. Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.

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. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Communication and Education to Promote Change – 2025 Communication and Education to Promote Change Who provides formal and informal leadership within your practicum

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Communication and Education to Promote Change – 2025

  

Communication and Education to Promote Change

Who provides formal and informal leadership within your practicum setting? What power and/or authority do these individuals hold? How has this influenced planning for and implementing change in the past?

In this Discussion, you analyze the dynamics of your practicum setting with attention toward developing political acumen, which can be highly beneficial in your effort to facilitate evidence-based change. You also consider the need for education and methods that could be used to promote knowledge integration among various stakeholders. As you probe these issues, your goal is to develop strategies for building alliances that would support the successful implementation of the change you are proposing for your practicum experience.

To prepare:

  • How      would you describe the distribution of formal and informal power, as well      as authority, within your practicum setting? Think about the constellation      of professional roles. Which ones are most salient for the change you are      proposing? Who holds each of these roles? Who else within the organization      might have political clout and be able to serve as an ally? What approach      would you take to build productive alliances and generate buy-in for your      proposed change?
  • How      do you anticipate that this change would cascade through the environment?      What strategies would you employ to generate wide-scale interest and      investment in your proposed change, as well as the education necessary for      successful adoption? Evaluate specific structures related to      communication, training, organizational culture, and other factors that      relate to the implementation of sustainable change.
  • What      kinds of issues related to organizational structure and culture or      interpersonal dynamics could pose a challenge for creating buy-in and/or      promoting knowledge integration?
  • In      addition to reviewing this week’s Learning Resources, be sure to speak      with individuals in your practicum setting and conduct additional research      to enrich your thinking for this Discussion.

By tomorrow Wednesday 3/20/19  2 pm write a minimum of 550 words essay in APA format with at least 3 references (see list or required readings below). Include the level one headers as numbered below: 

Post a cohesive response that addresses the following:

1) Based on the specifics of your practicum experience and evidence from the literature, what strategies would you employ to communicate with and educate various stakeholders? 

2) How would you engage the support of those with power and authority? Explain how this would facilitate the successful implementation of your proposed evidence-based change.

3) What are potential challenges for knowledge integration? How might you address those challenges?

Required Readings

White, K. M., & Dudley-Brown, S.(2016). Translation of evidence into nursing and health care practice. (2nd ed.) New York, NY: Springer Publishing Company.

· Review Chapter 7, “Translation of Evidence to Improve Clinical Outcomes”

· Review Chapter 13, “Interprofessional Collaboration and Practice for Translation”

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

· Review Chapter 6, “Translation of Evidence for Leadership”

This chapter addresses the pivotal role of leadership in the translation of evidence into practice.

American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf

Use the information in this report to guide the formulation of goals for your practicum experience.

Bleich, M. R. (2011). IOM report, The Future of Nursing: Leading Change, Advancing Health: milestones and challenges in expanding nursing science. Research in Nursing & Health, 34(3), 169-170. doi:10.1002/nur.20433

​IOM report, The Future of Nursing: Leading Change, Advancing Health: milestones and challenges in expanding nursing science. Research in Nursing & Health by Bleich, M. R., in Research in Nursing & Health, Vol. 34/Issue 3. Copyright 2011 by John Wiley & Sons – Journals. Reprinted by permission of John Wiley & Sons – Journals via the Copyright Clearance Center.

Fleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M., & Denis, J. (2016). Nursing unit leaders’ influence on the long-term sustainability of evidence-based practice improvements. Journal of Nursing Management, 24(3), 309-318. doi:10.1111/jonm.12320 

Nursing Unit Leaders’ Influence on the Long-term Sustainability of evidence-based practice improvements by Fleiszer, A.; Semenic, S.; Ritchie, J.; Richer, M.; Denis, J., in Journal of Nursing Management, Vol. 24/Issue 3. Copyright 2016 by John Wiley & Sons – Journals. Reprinted by permission of John Wiley & Sons – Journals via the Copyright Clearance Center.

Greene-Ryan, J. (2016). Creating a community of transformation. Nursing Management, 47(5), 18-21. doi:10.1097/01.NUMA.0000482496.59946.8c

Hauck, S., Winsett, R. P., & Kuric, J. (2013). Leadership facilitation strategies to establish evidence-based practice in an acute care hospital. Journal Of Advanced Nursing, 69(3), 664-674. doi:10.1111/j.1365-2648.2012.06053.x

Kotter, J. P. (2007). Leading change: Why transformation efforts fail. Harvard Business Review, 85(1), 96-103. Retrieved from https://cb.hbsp.harvard.edu/cbmp/pl/57319806/57319860/3d20a24aeeedc7a83d2a918c5013078c

In this foundational reading, Dr. John Kotter discusses errors commonly made as organizations undergo change, and he recommends steps leaders can take to help avoid them.

Nelson-Brantley, H. V., & Ford, D. J. (2017). Leading change: a concept analysis. Journal Of Advanced Nursing, 73(4), 834-846. doi:10.1111/jan.13223

Rose, R., Adams, F., & Johnson, S. (2016). Nurse Led, Nurse Driven Service Lines: How Nurse Leaders Are Navigating Change. Nurse Leader,14195-197.doi:10.1016/j.mnl.2016.03.007

Salmela, S., Eriksson, K., & Fagerström, L. (2012). Leading change: a three-dimensional model of nurse leaders’ main tasks and roles during a change process. Journal of Advanced Nursing, 68(2), 423-433. doi:10.1111/j.1365-2648.2011.05802.x

Sherrod, B., & Goda, T. (2016). DNP-Prepared leaders guide healthcare system change. Nursing Management, (9). 13.

Module 09 Written Assignment – Cultural Factors and Their Influence on Medications – 2025 In this written assignment select one cultural factor such as health beliefs language perception of time environment control etc

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Module 09 Written Assignment – Cultural Factors and Their Influence on Medications – 2025

 

In this written assignment, select one cultural factor such as health beliefs, language, perception of time, environment control, etc. (see textbook reading) and apply it to a selected ethnic group. The paper will include the following:

  1. One impact on medication preparation. Explain.
  2. Two impacts on medication administration. Explain.
  3. Two potential adverse reactions. Explain with rationale.
  4. One possible issue in adherence to medication regimen. Explain how this can be overcome.

The paper should be no more than 3 pages. Use APA Editorial Format for all citations and references used.

Perceptions of Aging & Baccalaureate Competencies – 2025 The competency statements can be found under each of the following Appendix 2 A on page 29 of

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Perceptions of Aging & Baccalaureate Competencies – 2025

The competency statements can be found under each of the following:Appendix 2-A on page 29 of Ebersole & Hess’ Toward Healthy Aging (9th edition) Appendix 

1-A on page 19 of Ebersole & Hess’ Toward Healthy Aging (8th edition)

AACN Supplement (Resources section of the course) on pages 11-12 

 Please address the following:

Discuss two BSN Core Competencies and how they relate to your practice (give examples).

As a BSN nurse, what core competency would you develop first and why? Your response should consist of complete sentences and include references as appropriate

to make it easy i provide 2 core competencies i chose”

1-. Assess barriers for older adults in receiving, understanding, and giving of information.

Corresponding to Essentials IV & IX

2-. Use valid and reliable assessment tools to guide nursing practice for older adults.

Corresponding to Essentials IX

i want you to discuss these 2 core competencies i provided and how they are related to your practice with example. Also explain which one you develope first and why?

Deliverable 3 – Patient Satisfaction in Quality Improvement – 2025 Course Scenario Chaparral Regional Hospital is a small urban hospital of approximately 60 beds

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Deliverable 3 – Patient Satisfaction in Quality Improvement – 2025

 Course Scenario

Chaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following:

  • Emergency room      services
  • Intensive care
  • Surgical care
  • Obstetrics
  • Diagnostic      services
  • Some      rehabilitation therapies
  • Inpatient      pharmacy services
  • Geriatric      services
  • Consumer      physician referral services

Recently, the CEO has been hearing complaints from both patients and staff, varying from long wait times to rude physicians. You have been hired to design and implement a Quality Improvement Plan to help uncover quality problems and to satisfactorily resolve them.

Scenario Continued

You started inviting various members of the organization to join you in the QI development team. You received an email back from the Chief Financial Officer who questioned the value of surveying patient satisfaction. You must craft an email response to her explaining the role of patient satisfaction in quality improvement and why it is important.

Instructions

Your email should use proper email formatting (including subject line description) and contain language appropriate to the receiver.

Emails are typically formatted in the following way:

1. Begin with a greeting

2. Thank the recipient

3. State your purpose

4. Add your closing remarks

5. End with a closing

Although an email does not typically include citations, you may have to provide support for your statements, particularly those that involve numerical statistics and quotes from other sources. You would cite this per APA in your email.

  

Deliverable 3 – Patient Satisfaction in Quality Improvement

Course Scenario

Chaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following:

  • Emergency room services
  • Intensive care
  • Surgical care
  • Obstetrics
  • Diagnostic services
  • Some rehabilitation therapies
  • Inpatient pharmacy services
  • Geriatric services
  • Consumer physician referral services

Recently, the CEO has been hearing complaints from both patients and staff, varying from long wait times to rude physicians. You have been hired to design and implement a Quality Improvement Plan to help uncover quality problems and to satisfactorily resolve them.

Scenario Continued

You started inviting various members of the organization to join you in the QI development team. You received an email back from the Chief Financial Officer who questioned the value of surveying patient satisfaction. You must craft an email response to her explaining the role of patient satisfaction in quality improvement and why it is important.

Instructions

Your email should use proper email formatting (including subject line description) and contain language appropriate to the receiver.

Emails are typically formatted in the following way:

  1. Begin with a greeting
  2. Thank the recipient
  3. State your purpose
  4. Add your closing remarks
  5. End with a closing

Although an email does not typically include citations, you may have to provide support for your statements, particularly those that involve numerical statistics and quotes from other sources. You would cite this per APA in your email.

Grading Scale 

2 pages

Correctly defines patient satisfaction.

Discusses the importance a patient satisfaction survey.

Correctly defines examples of the relation of patient satisfaction and quality improvement.

Clearly provides sample questions that measure patient satisfaction.

Pediatric Bipolar Depression Disorder Debate – 2025 Write AGAINST THE DIAGNOSIS OF PEDIATRIC BIPOLAR see file Some debate in the literature exists specific to whether or not

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Pediatric Bipolar Depression Disorder Debate – 2025

  

Write: “AGAINST” THE DIAGNOSIS OF PEDIATRIC BIPOLAR: see file.

  

Some debate in the literature exists specific to whether or not bipolar disorder can be diagnosed in childhood. While some have anecdotally argued that it is not possible for children to develop bipolar disorder (as normal features of childhood confound the diagnosis), other sources argue that pediatric bipolar disorder is a fact.

In this Discussion, you engage in a debate as to whether pediatric bipolar disorder is possible to diagnose.

Learning Objectives

Students will:

· Evaluate diagnosis of pediatric bipolar depression disorder

· Analyze consequences to diagnosing/failing to diagnose pediatric bipolar depression disorder

To Prepare for the Discussion:

· The instructor will assign you a position for or against the issue of diagnosing pediatric bipolar depression disorder.

· Review the Learning Resources concerning the controversy over the diagnosis of pediatric bipolar depression disorder.

Write: “AGAINST” THE DIAGNOSIS OF PEDIATRIC BIPOLAR:

· Write “for” or “against” in the subject line of your Discussion post.

· Based on the position you were assigned, justify whether or not pediatric bipolar depression disorder should be diagnosed.

Support your position with evidence and examples.

Reflection Journal: Public Health Nursing Priorities – 2025 Instructions The emphasis on public health nursing has changed over time After careful review of the reading answer the

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Reflection Journal: Public Health Nursing Priorities – 2025

Instructions

The emphasis on public health nursing has changed over time. After careful review of the reading, answer the following questions:

  • What priorities would you set for the work of the public health nurse in today’s society?
  • How should a nurse balance the relationship between advocacy and case management?
  • Describe how the case management process might occur for one of the following practices: school nurse in an elementary school, occupational health nurse in a factory, or ambulatory care nurse in a well-child clinic at a health department. Provide a specific example or scenario to illustrate your response.

Remember to support your response with evidence. Please use attached resource as well.

health assessment – 2025 Your Discussion post should be in the Episodic Focused SOAP Note format rather than the

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health assessment – 2025

  Your Discussion post should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.

A 15-year-old male reports dull pain in both knees. Sometimes one or both knees click, and the patient describes a catching sensation under the patella. In determining the causes of the knee pain, what additional history do you need? What categories can you use to differentiate knee pain? What are your specific differential diagnoses for knee pain? What physical examination will you perform? What anatomic structures are you assessing as part of the physical examination? What special maneuvers will you perform?

With regard to the case study you were assigned:

· consider the insights they provide about the case study.

· Consider what history would be necessary to collect from the patient in the case study you were assigned.

· Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

· Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.