Using APA format, write a 3-4 page paper.

Part I – Compare and contrast Diabetes Type 1 and Diabetes Type 2. 

Part II – Prepare a full day meal plan (breakfast, lunch, dinner and 2 snacks) that includes portion size, calories and nutrients.

Part III – Discuss treatments available, including oral and parenteral medications 

Part IV – Discuss potential medical complications for undiagnosed cases and complications as a result of patient non-compliance. 

Use correct APA format, grammar and citations 

Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings. 250 words. APA style. 2 references (less than 5 years)Please answer the questions separately.

1-What do you think are some effective tactics for APN strategic positioning regarding pay equality? 

2-Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/ 

Substance Abuse

Instructions:

1. Please respond to one (1) of the following discussion prompts below:
   1. Select a research nursing article that addresses the effects of substance abuse on the individual, the family, or the community. Post a brief summary of the article. 
   2. Choose one commonly abused substance and present a summary of the prevalence of the problem and the local resources for individuals, families or the community
2. Your response should be 200 – 250 words. APA Format, at least 1 reference. (Community is Miami, FL)

4-I so agree with you, its not what you but its how you do it, i always say it never the big things that are done but its always the smallest things that is done will make a difference. Treating employees with kindness will go along way, dont tell the staff that how good their doing but show them sometimes its good to let people knows that they are appreciated and mean it and you wil get more out of them. A few weeks ago we were short staff by 4 CNA i called in a few of them they came in and work we had no grievences on monday i went into my own funds with two other nurses and give each staff members gift cards and then brought them in lunch i do this to let them know that i appreciate all they did those two days for us when they didnt have after all it was their weekend but they gave it up to come in and work, when the administrator heard she call me into the office and told me that i didnt have to do that i looked at her and said i know but the reason i do it is because i wanted to number one and i appreciate them and we need each other,  this is not a one mans band and sometimes its nice to show and tell staffs how we truly feels about them expecially if there help is needed and they come to the  rescue and their hard work she said oh they didnt do it for free they getting paid she said that i must not kid my self they came in because they needed the overtime, i looked at her and walked out, there was nothing more to be said.

5-As a nurse leader, I would develop an outreach program that would benefit our much diverse population in our community. First I would create a vision of a needy program such as having a monthly health fair in the local adult community center.  Leaders and managers overlap in their job functions and this is where a leader can collaborate with the managers to carry out his or her vision.  With leader’s motivation and inspiration, and manager’s task–oriented skills and solid actions, the outreach program can become a reality.  Nurse Managers and Leaders must understand their roles and good communication is crucial to carry out plans either by verbal, non-verbal or written communications (Lecture 2, 2018).

1. A      vision is your personal view that you create for the benefit of your      community
2. Look      at your community makeup, for example, buildings, public spaces, jobs,      kind and types of people (cultural diverse)
3. Think      of some of their needs and develop a vision
4. Communicate      your vision and get feedback, talk to people, go to different community centers,      adult clinics and discuss your vision through seminars, posters, flyers      and get a feel of how strong your vision is
5. Develop      a plan and strategies for your shared vision

Strategic planning is an organizational management process that allows you to involve your staff and monitor the results regularly.  We can be proactive and keep up and stay ahead with the changing trends in the workplace.  It can offer a great foundation with realistic objectives and goals.  It guides managers’ discussion and decision making in resources and budget for the vision.  It can increase profits, provide marketing success and have a strong foundation (Ong, 2015). 

Now as a leader, you have to help people make this vision their own, so that with a sense of ownership everyone can work together in a committed group.  You should do this by communicating effectively and be courageous to all members in order to have the same basic goal of the vision.  The outreach program will be presented to the stakeholders, such as staff and board members during meetings and get feedback. Then step is to go out to the community center and execute the vision and finally get evaluation to see if changes need to be made.

References

Lecture 2. (2018). NRS-451V. Theories and Concepts in Leadership and Management. Phoenix, AZ: Grand Canyon University.

Ong, C. (2015). 5 Benefits of Strategic Planning. Retrieved from https://www.envisio.com/blog/benefits-of-strategic-planning

6-I think that in order to implement any kind of new program, I feel that it is necessary to do the research first. It is also necessary to have good communication with an effective way to present the information that has been gathered. The new program will need to share the same values of the stakeholders in your organization, so it will be important to ensure the match before the presentation. Huber explains that the following steps are useful in developing the framework of a new plan.

•Developing a strategic mission or vision

•Setting objectives

•Developing strategies to achieve the objectives

•Implementing the strategies

•Evaluating the results (Huber, 2014, p. 331).

After the information is gathered, I would develop a PowerPoint presentation that would allow for the information to be shown to the stakeholders. This would include a summarized list of the information, and a detailed packed would be given for reading on their own time. I would want to keep the information short, as I would not want to overwhelm or bore them with the topic. I would include a time for discussion and questions to be asked and answered. Good verbal abilities and eye contact would be necessary for a successful presentation.  In order for this plan to become a reality, the stakeholders of the organization would have to find common ground with the presenting nurse. When they are on the same page, there is the possibility to provide quite the impact on the members in need in the community.

Huber, D. (2014). Leadership and Nursing Care Management, 5th Edition. [Pageburstls].

           Retrieved from https://pageburstls.elsevier.com/#/books/9781455740710/

Reply  |  Quote & Reply 

The scenario I will be writing on is “A 14-year-old biracial male living with his grandmother in a high-density public housing complex”.

            Collecting patient data is a core step in the nursing process and healthcare professionals usually develop a relationship with their patients during the history and interviewing process ((Ball, Dains, Flynn, Solomon, & Stewart, 2019). I will first introduce myself to the patient and establish privacy. When interviewing the patient effective communication is important. It is necessary to establish a positive patient relationship by ensuring courtesy, comfort, connection, and confirmation.

          Teenagers are exposed to many external and internal struggles and are expected to cope with hormonal changes, puberty, social and parental forces, work and school pressures, and other problems of life. During adolescence, individuals may also be exposed to risky behaviors and need help in making the right decisions. As such, teenagers may be unwilling to speak with healthcare providers. There is, therefore, the need to establish privacy and providers must be sensitive to the needs and situation of the patient. Providing a safe place for the adolescent to speak freely is a goal of the healthcare provider (Ball et al., 2019). 

            The health assessment will be from head-to-toe and going through each system of the body. During the interview process, I will ask the patient open-ended questions regarding his health, to allow him to share more information, including his feelings, attitudes, and understanding of the subject. Examples of open-ended questions that may be asked to a 14-year-old include; 

Tell me about your living situation, and how are things at home?
Tell me about your friends, and what activities do you do with your friends?
What do you like or don’t like about your school?

          Risk assessment explores the behavioral and lifestyle changes and influences decisions regarding treatments (Wu & Orlando, 2015). Specific screening tools have been developed for gathering the psychosocial history of adolescents (Sullivan, 2019). The screening tool for adolescent issues is the Home, Education/Employment, Eating, Activities, Drugs, Sexuality, Suicide/Depression, and Safety (HEEADSSS). This interview format is flexible and designed for adolescents because physical and social threats are common during adolescent age.

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination:  An interprofessional approach (9th ed.). St. Louis, MO:  Elsevier Mosby.

Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.

Wu, R. R., & Orlando, L. A. (2015). Implementation of Health Risk Assessments with Family Health History: Barriers and Benefits.” Postgraduate Medical Journal, no. 1079: 508. doi:10.1136/postgradmedj-2014-133195.