Minority Groups 

The four largest minority groups in the United States are African  Americans, Hispanic Americans, Asian Americans, and Native Americans.

Using the South University Online Library or the Internet, research  about the above mentioned minority groups in the United States. Based on  your research and understanding, respond to the following:

• Select at least two of the minorities listed above and describe how  being a member of that minority group might affect aging. Be sure to  include the role of family and social support.
• Highlight some health and chronic conditions that are prevalent in the chosen minority groups.
• Describe the role of seniors in the chosen minority groups. Explain the changes in the role of seniors over the years.
• Explain any future challenges for the selected minority groups in the years ahead.

Aging In Other Times At Other Places

The proportion of older people in developed as well as developing  nations of the world has been increasing. An aging population creates  new economic and social challenges for nations.

Using the South University Online Library or the Internet, research  about the economic or social challenges of nations with an aging  population. Based on your research and understanding, compare and  contrast seniors in the U.S. with seniors in another country of your  choice. Your comparison should include, but should not be limited to,  the following:

• Changes in demographics
• Family roles and social supports
• Advances in technology
• Living arrangement
• Retirement
• Health issues

Discussion: Clinical Challenges for the NP

Each state has laws that differ in regard to the role of the Nurse Practitioner. They also may significantly impact the NP’s practice. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes may significantly impact your scope of practice as a Nurse Practitioner. Remaining current with the laws in your state is essential. For example, the recent change at the federal level changing hydrocodone-containing drugs from a Schedule III drug to a Schedule II drug has impacted NPs in some states. For states that allow for Nurse Practitioners to write Schedule III-V drugs, these NPs are now unable to write for hydrocodone- containing medications, which significantly impacts their ability to provide care for their patients. The Pearson Report, which is updated almost annually, provides a national overview of each state’s current legislature. As a future NP, you should become familiar with The Pearson Report and stay abreast of state and federal legislation.

For this Discussion, you will post an explanation that defines the legal implications for standard of care, the key components of a malpractice policy in regard to a case study. Additionally you will explain the collaborative agreements and rules for your state in regard to your NP practice and the case study you select.

To prepare:

Review the following case studies and select one to research in depth:

Case Study One: Dismissing the non-compliant patient.

Gwen, a 52 year old Caucasian LPN, recently joined your practice as a new patient. She currently has a BMI of 32, B/P of 142/88. Pulse is 89, Respiratory rate is 22, Pulse Ox is 96% on Room Air. She is taking Lisinopril 10mg po daily (when she can remember), Metformin 1000mg po BID and refuses lab work. Her physical exam is unremarkable and foot exam is normal. She refuses all vaccinations including Prevnar and Influenza. Gwen’s last mammogram and pap smear were “years ago.”

Case Study Two: Preventive care, why is it so important to document? 

John, a 62 year old attorney, who has been a long-term patient of yours, comes to you to discuss his erectile dysfunction. You note that he has refused lab work for the past two years. He is a 30 pack/year smoker, and has not had a chest x-ray or ECG in three years. He does take his HCTZ 25 mg po daily. His BMI is 29 and all vital signs are within normal limits. He does agree to his Prevnar Vaccine today.

Case Study Three: Patient and professional relationships.

Jennifer, a 45 year old Caucasian returns to your clinic for a refill of her hydrocodone. She was diagnosed with Ovarian Cancer last year, followed by successful removal and treatment. All vital signs are stable and preventive care is up to date. She wants to discuss filing a lawsuit against the surgeon that initially turned her away and told her she had gastritis and needed to eat healthier.

Review the following articles found in this week’s Learning Resources:

Miller, K. P. (2013). The National Practitioner Data Bank: An Annual Update. The Journal for Nurse Practitioners, (9)9, 576-580.

Stelmach, E. I. (2015). Dismissal of the Noncompliant Patient: Is this What We Have Come to? The Journal for Nurse Practitioners, 11(7), 723-725.

Review endocrine disorders and erectile dysfunction in your Primary Care Medicine text (Gorrol, Ah. & Mulley, A.G., 2009).

Consider strategies and treatment options that would be most effective for these patient scenarios to improve compliance and health outcomes.

Reflect on how to approach the non-compliant patient and the importance of a separate preventive care visit.

By Day 5

Post an explanation that addresses the following for the Case study you selected:

Identify and briefly summarize the case study you selected

Explain any legal implications for standard of care related to the case study you selected

Identify and explain the key components of a malpractice policy related to the case study you selected

Explain the collaborative agreements and knowledge the rules for your state in regards to NP practice the case study you selected

Read chapters 86 & 87 and post a short reflection, approximately 1 paragraph in length, discussing your thoughts and opinions about one or several of the specific topics covered in the textbook readings. pertaining to politics in associations and interest groups. Identify which one MSN Essential most relates to your selected topic in your discussion.

 No scholarly sources are required 

As pediatric patients grow from infancy to adolescence, there are many common body system disorders that may potentially present. As an advanced practice nurse caring for these patients, you must understand the pathophysiology and epidemiology of these disorders as this will help you to recognize symptoms and select appropriate assessment and treatment options. In this Assignment, you prepare for your role in clinical settings as you design a protocol for the diagnosis, management, and follow-up care for a common body system disorder.

To prepare:

• Reflect on the body system disorder that you selected in Week 5 – Asthma
• Think about the pathophysiology and epidemiology of the disorder.
• Consider a protocol for the diagnosis, management, and follow-up care of the disorder you selected.
• Think about how culture might impact the care of patients who present with this disorder.

To complete:

Write a 2- to 3-page paper that addresses the following:

• Explain the disorder you selected, including its pathophysiology and epidemiology.
• Explain a protocol for the diagnosis, management, and follow-up care of this disorder.
• Explain how culture might impact the care of patients who present with the disorder you selected.

Module 10 Course Project – PowerPoint Presentation Due

Module 10 Content

1. Follow instructions below and attached rubric closely- I am excited to see your final presentation!

   Course Competencies:

   • Incorporate professional values, attitudes, and expectations regarding ageism when caring for the older adult.
   • Outline the importance of advocating for older adults in management of their care.
   • Your supervisor provided some valuable feedback in response to your outline! They are excited to see the PowerPoint slideshow you are creating for your topic’s in-service training. Having developed a number of presentations for in-services, your supervisor offered the following advice:

     “When developing a slideshow, it’s important to be mindful of how you layout your content. For an in-service presentation, the slides should present key points, be arranged logically, without extraneous information contributing to a cluttered look. The audience should get a lot of the content from listening to what you say, not just from reading the slides. Using the Speaker Notes feature in PowerPoint is a great way to include relevant details that you want to provide without overloading the slides.”

     Your supervisor wants you to work from your outline and prepare a visually appealing PowerPoint slideshow for the in-service presentation. They said it should:

   1. Have a title slide.
   2. Contain 6-10 content slides pertaining to the important content areas for your presentation topic.
   3. Use the Speaker Notes feature in PowerPoint to reduce the amount of text that appears on the slides. (The Speaker Notes will contain the text that will guide what you say while presenting the slides.)
   4. Be written using proper spelling/grammar.
   5. Cite at least 2 credible references and present the sources in APA format on a References slide.
   6. For information about creating PowerPoint presentations or adding Speaker Notes, consult the resources below.

      Tip:

   • Writing Guide: PowerPoints
   • PowerPoint FAQ
   • PowerPoint & APA: citing sources and creating reference lists in PPT presentations
   • How do I add Speaker Notes to my PowerPoint presentation slides?
   • Submit your completed assignment to the drop box below. Please check the Course Calendar for specific due dates.