PART 1   = 2 PAGES 

PART 2   =1 PAGE 

PART 3    = 2 PAGES 

THE STATE THAT WE WILL BE USING IS FLORIDA

This paper will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.

Part I

The Advance Health Care Directive 

Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state’s Advance Directives here http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.

Complete the advance directive for yourself.  Do not turn in your AD with your paper. The AD is for your personal use.

In your paper, Part I:

1. Identify where you obtained the AD and explain its compliance with state law.
2. Conduct research (2 sources) to learn more about the AD in your state and explain how it works.   
3. Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.

(Cite/ reference any sources you use to explore these questions, including your texts.)

Part II

Physician Orders for Life-Sustaining Treatment (POLST) Form

1. What is a Physician Orders for Life-Sustaining Treatment (POLST) form?
2. When should this form be completed?
3. Who can complete the form?
4. Who needs to sign the form to make it a legal document?

(Cite/reference any sources you use to explore these questions, including your texts.)

Part III

Tie the two first sections together by writing a summary and conclusion.

This section should address:

1. the differences between an Advance Health Care Directive and the POLST,

2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcare interventions the patient does or does not want.

____________________________________________

Use current APA format.

The paper should be between 5 pages in length excluding the title and reference page(s). 

Cite and reference the course text and at least two (2) additional appropriate professional sources.

SOURCES SHOULD NOT BE OLDER THAN 2015

 

Discussion: The Inclusion of Nurses in the Systems Development Life Cycle

In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.

In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development.

To Prepare:

• Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.
• Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.
• Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.

By Day 3 of Week 9

Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples.

 

1) Minimum 9 pages

                Part 1: minimum 3 pages

                Part 2: minimum 3 pages

                Part 3: minimum 3 pages

Submit 1 document per part

2)¨******APA norms

            All paragraphs must be narrative and cited in the text- each paragraphs

            Bulleted responses are not accepted

            Dont write in the first person 

            Dont copy and pase the questions.

            Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

           Submit 1 document per part

3) It will be verified by Turnitin and SafeAssign

4) Minimum 18 references not older than 5 years- Must be alphabetically organized               

               Minimum 6 references per part  

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

_____________________________________________________

Part 1: Dorothy Johnson’s Behavioral System Model 

1. Introduction of Dorothy Johnson’s Behavioral System Model 

2. Classification of Dorothy Johnson’s Behavioral System Model. Is Grand Theory, Middle Range, Practice Level….? and why

3. Discuss the model/concept of Dorothy Johnson’s Behavioral System Model (theoretical overview).

4. Applicability to nursing practice (Clinical or Professional Examples)

5. Implications of Dorothy Johnson’s Behavioral System Model for Nursing Research (How will this theory advance nursing practice?)

6. Conclusion (Summary)

Part 2: Dorothea Orem’sSelf-Care Deficit NursingTheory

1. Introduction of Dorothea Orem’sSelf-Care Deficit NursingTheory

2. Classification of Dorothea Orem’sSelf-Care Deficit NursingTheory. Is Grand Theory, Middle Range, Practice Level….? and why

3. Discuss the model/concept of Dorothea Orem’sSelf-Care Deficit NursingTheory (theoretical overview).

4. Applicability to nursing practice (Clinical or Professional Examples)

5. Implications of Dorothea Orem’sSelf-Care Deficit NursingTheory for Nursing Research (How will this theory advance nursing practice?)

6. Conclusion (Summary)

Part 3: Imogene King’s Theory of Goal Attainment

1. Introduction of Imogene King’s Theory of Goal Attainment

2. Classification of Imogene King’s Theory of Goal Attainment. Is Grand Theory, Middle Range, Practice Level….? and why

3. Discuss the model/concept of Imogene King’s Theory of Goal Attainment (theoretical overview).

4. Applicability to nursing practice (Clinical or Professional Examples)

5. Implications of Imogene King’s Theory of Goal Attainment for Nursing Research (How will this theory advance nursing practice?)

6. Conclusion (Summary)

 

Please Complete the Attached Daily Holistic Assessment Tool (DHAT) form using the patient profile below:-

Report from day shift nurse:

Situation: Christopher Parrish is an 18-year-old male who was admitted at 1900 today. His mother visited him at his college dormitory and was very concerned with his health; he seemed weak and had lost weight since she last saw him. She took him to see his primary care provider, and the provider admitted him and has ordered a tube feeding. I placed an 8-Fr, 42-inch feeding tube in his right nares about an hour ago, and x-ray just called and confirmed placement in the stomach. The pump is in his room. He is up to the bathroom prn; otherwise bed rest.

Background: Christopher was diagnosed with cystic fibrosis as a child and has had frequent hospitalizations previously. He reports fatigue and has recently lost 6 kg (13.2 lb) after he registered at the local college and moved to live in a dormitory. Chris’s mom was here earlier, but she is a single parent and has two younger boys, so she had to go home.

Assessment: Christopher is awake and alert. His heart rate and rhythm are regular at 80-85/min. Breath sounds are fine with a respiratory rate at 18/min. His color is a bit pale. Blood pressure is 118/78 mm Hg. He reports no pain and states he’s not had much appetite the past few weeks. His belly is flat and nontender. Bowel sounds are normoactive.

Recommendation: Christopher is due for vital signs and assessment. The tube feeding just arrived, and you will need to start it on the pump. He needs 720 kilocalories over 8 hours overnight. His regular diet is high calorie, high fat, but he wasn’t too hungry this evening; just had a bit of his chocolate shake. You will need to give his pancreatic enzymes orally before you start the tube feeding. You should also assess his diet and reinforce patient education on nutrition.

This is the case study that was assigned:

• Case Study 2:
• HPI: A 12-year-old girl presents with left knee pain during and after playing soccer. She’s been a member of an elite soccer team for the last 6 years. She has 2 hour practices 3 times a week. Does not recall any injuries.
• PMH: asthma, eczema
  MS: Anterior/posterior drawer tests negative; negative ballottement; negative edema/erythema; bony tenderness, slight swelling at the left tibial tubercle. 

These are the questions that need to be answered in the post: (**The rubric is still the same one I sent last time)

• – Include 3 differential diagnosis for the patient in the case study you selected (a summary of the diseases, their symptoms, and their treatments). 
• – Then write about the primary diagnosis you choose for the patient (summary, symptoms, treatments). **Provide medication treatment and symptomatic care for primary diagnosis.
• – When writing about the treatment and management plan for the patient, be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
• – Include strategies for educating patients and families on the treatment and management of the musculoskeletal or neurologic disorder.
• –  What additional questions will you ask the patient? (Has the case addressed the LOCATES mnemonic? If not, what else do you need to ask? What additional history will you need? (Think family medical history, allergies, meds and so forth, that might be pertinent in arriving to your differential diagnoses).
• – What additional examinations or diagnostic tests, if any will you conduct?
• – What immunizations should this child have had? Based on the child’s age, when is the next well visit? At the next well visit, what are the next set of immunizations?
• – Explain strategies for educating parents on their child’s disorder and reducing any concerns/fears presented in the case study 
• – What additional anticipatory guidance should be provided today?