A

Instructions

1.Identify a specialty nursing organization closely related to your current or future area of practice focus. (American Association of Diabetes Educators (AADE) www.aadenet.org) identified

2.Locate a copy of the ANA Standards of Practice and Performance from that specialty nursing organization. You will be using this document in a discussion activity later in the course as well as in the final Teaching Project Summary paper. (Hospital policies and guidelines are not suitable for use in this course!) 

3.Submit a reflection to your mentor via Submissions indicating your identified specialty organization standards. Use this reflection to indicate if you have questions.

Your reflection should include:

• Describe the Professional Standards of Practice and Performance that you have chosen to use as the basis for this teaching project (i.e. from what nursing specialty, year published, etc.)
• Describe how the chosen standards address the teaching/learning role in nursing practice
• Describe how you will use the information contained in the Professional Standards of Practice and Performance to guide the development of your instructional intervention, and promote a change in practice

B

Instructions

Critical Thinking. The instructional design process begins with the identification of an instructional problem or need. The purpose for identifying a problem is to determine whether instruction should be part of the solution. The activity is the first step in conducting a needs assessment. Your goal with this activity is to apply critical thinking skills to identify problems in your workplace (or community if no workplace) and describe the gap between what is expected and the existing conditions.
 

Your posting to the discussion forum should include the following information. Use the subjects Problem 1 and Problem 2 followed by a 2-5 word short description of the problem:

• Identify two (2) problems in your workplace or community for which the lack of knowledge contributes significantly to each of the problems. One of these problems will ultimately become the focus of your teaching project. Use (“increased hospital readmission in patients with diabetes”) as one of the      problems. This is required for teaching project.
• Describe the gap between what is expected and the existing condition or problem.
• Explain why you think teaching may be the solution to each of these problems
• Identify one possible obstacle for the learner in receiving instruction on each topic/problem in a group format
• Identify one possible barrier for you as the designer and provider of instruction for each problem.

3.  You will be taking care of a patient in a nursing home for the first time. Your assignment is to care for an older man who has heart disease. In addition, he has five other medical problems and takes 20 medications. While developing a plan of care for this patient, you can identify 8 to 10 nursing problems. You have no previous experience with nursing homes, and most of what you have heard and read about them is negative. Will you find yourself dreading the clinical day and expecting a negative experience before you even begin?

    Follow the discussion questions participation and submission guidelines.

·      Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

Discussion  : End of Life initial post.

End-of-Life Care (including advanced directives, palliation) Topics to review: 

Article: Nurses roles and responsibilities Providing care and support at end of life. https://www.nursingworld.org/~4af078/globalassets/docs/ana/ethics /endoflife-positionstatement.pdf

choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management

Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.

Practice

1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.

2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.

3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.

4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.

Education

1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.

2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.

3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.

4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.

Research

1. Increase the integration of evidence-based care across the dimensions of end-of-life care.

2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.

3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.

4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.

5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.

Administration

1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.

2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.

3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.

4. Support the development and integration of palliative care services for all in- and outpatients and their families.

Please answer these questions in apa format and NOT plagiarism, at least 2 references and 300 words. Thank you.

Critical thinking activities

1. Your community is at risk for a specific type of natural disaster (e.g., tornado, flood, hurricane, earthquake). Use Nightingale’s principles and observations to develop an emergency plan for one of these events. Outline the items you would include in the plan.

2. Using Nightingale’s concepts of ventilation, light, noise, and cleanliness, analyze the setting in which you are practicing nursing as an employee or student.

3. You are participating in a quality improvement project in your work setting. Share how you would develop ideas to present to the group based on a Nightingale approach