D.Saa Critical Care Wk 5

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MY NUMBER ASSIGNED WAS 2 WHICH IS:  Explain burn staging (1st, 2nd, 3rd, and bone). Provide info about partial and full thickness burns AND two major complications of burn injuries.

Each student will be assigned a number randomly.  Whatever your number is, select the corresponding topic below, then post a minimum of 5 bullet points about the topic.  

Your bullet points should address key components of the topic, such as what, how, who, & why.  This information should not be basic things you learned in Med/Surg, but rather advanced critical care based.  

Think about this as a group effort to create a study guide. Use ONLY your textbook, but do not cut & paste from the book.  

Then create, find, or borrow a test style question about your topic & post at the bottom of your bullet points. The format needs to be multiple choice or select all that apply. Think NCLEX style. 

PART 2:

Take a few minutes and ask 2 people about their personal coping mechanisms for dealing with the stress of working in healthcare during this unique time of Covid. Stress can be physical, emotional, spiritual, or any combination of triggers. Ask a diverse variety of people, don’t forget those in other departs at different points of hierarchy. For example, ask your unit manager, environmental services, volunteers, patients, fellow nurses, etc.  Write 2-3 paragraphs on your findings and impressions while respecting the person’s identity. 

Opportunities & Challenges with Patient Safety Goals

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  • Select one of the 2021 National Patient Safety Goals.
  • Share your thoughts about the opportunities and challenges related to achieving the goal in your work environment.

Lessons

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Please complete all of the lessons and send the certificates. There should be a total of 5 lessons with the link provided. Please send the certificates when finished. After each lesson there are a few questions based on the reading.



https://www.hhs.gov/ohrp/education-and-outreach/human-research-protection-training/human-research-protection-foundational-training/index.htmlLinks to an external site.
 

disscusion 6psych

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 Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.Scenario:

C.Z. is a 20-year-old Caucasian male who is in his second year of college. He is seeking treatment due to persistent fears that campus security and the local police are tracking and surveilling him. He cites occasional lags in his internet speed as evidence that surveillance devices are interfering with his electronics. His intense anxiety about this has begun getting in the way of his ability to complete schoolwork, and his friends are concerned – he says they have told him, “you’re not making sense.”

C.Z. occasionally laughs abruptly and inappropriately and sometimes stops speaking mid-sentence, looking off in the distance as though he sees or hears something. He expresses concern about electronics in the room (phone, computer) potentially being monitored and asks repeatedly about patient confidentiality, stating that he wants to be sure the police won’t be informed about his treatment. His beliefs are fixed, and if they are challenged, his tone becomes hostile.

Questions:

Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers. 

  1. Discuss the etiology, course, and the structural/functional abnormalities of schizophrenia. 
  2. Discuss the evidence-based pharmacological and nonpharmacological treatment for this patient using the US Clinical Guidelines.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Discussion week 5

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Week 5 Discussion: Gastrointestinal Alterations (USLOs 1, 2, 3, 4)

You are caring for 39-year-old Kali Kim-Collins who arrived for follow-up care at her primary physician's office after being discharged from the emergency department with peptic ulcer disease. Mrs. Collins went to the emergency department after experiencing severe gastric pain for three days. She reported the pain was relieved after eating.

Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of peptic ulcer disease, respond to the following prompts:

1. Thoroughly explain the pathophysiology of peptic ulcer disease. Use a 
scholarly or 
authoritative source to support your answer.

2. Examine each of the following three factors related to this disease process. 
Support all three with a scholarly source.

1. cultural

2. financial

3. environmental implications

3. Identify 3-5 priority nursing interventions for the client after discharge home.

4. Describe labs and diagnostic testing you would anticipate monitoring for the client upon follow-up with her PCP. What are critical indicators? 
Support with a scholarly source.

5. What members of the interdisciplinary team need to be included for holistic patient-centered care? 
Provide a rationale and support with a scholarly source.

Discussion

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Home-Based Telemental Health Care Act of 2023

The role of policy in health is inseparable. Politics significantly dictate an array of interventions in healthcare. The government incorporates the population’s power bestowed upon them to produce policies that influence public health interventions to safeguard a community’s health and welfare. Most recently, on 30th March 2023, the Senate introduced the Home-Based Telemental Health Care Act of 2023 (Congress.gov, n.d.). The bill aims to protect and improve the mental wellness of underserved individuals in the suburban regions who depend on income from farming, fishing, and forestry. This bill establishes grants to support the development of mental health and substance use services within rural regions. According to Mongelli et al. (2020), underserved individuals in the United States face various challenges to access mental health services, including social stigma, unavailable mental health units and services, inaccessible hospitals, unaffordable services, lack of medical insurance, and delays in treatment. Mental health and wellness are a basic need and a public health concern globally. Therefore, necessary efforts toward ensuring healthcare for all and reducing disparities in access are crucial.

The significant social determinants of health impacting the populations in the proposed Home-Based Telemental Health Care Act bill are economic instability, lack of education, lack of support system, and inefficient healthcare services. People living in rural areas are likely to have inadequate healthcare services owing to the limited number of clinicians willing to provide services to the region and low socioeconomic status (Coombs et al., 2021). Thus, in the event of sickness, they are predisposed to delays in accessing health services due to limited funds, lack of health insurance, long travel costs, and hours in search of appropriate care facilities.

Telehealth adoption in healthcare is extensive to narrow the barriers to access. Research by McBain et al. (2023) found that telehealth significantly improved access to specialized health services and mental health treatment in the United States during the COVID-19 pandemic, where in-person services were unavailable. Results in this study demonstrate that the intergration of telehealth to promote rural healthcare areas can result in a marked expansion of mental health and substance use services, bypassing the avoidable travel and expensive treatment costs and time wastage. Hence, supporting the Home-Based Telemental Health Care Act will significantly impact the health outcomes of individuals living in rural areas with blue-collar jobs.

 Respond to this by either supporting or respectfully challenging this explanation on whether there is an evidence base to support the proposed health policy they described. 

No plagiarism, 7th ed writing style

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Assignment: Regulation for Nursing Practice Staff Development Meeting

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

· Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.

· Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (9- to 10-slide PowerPoint presentation)

Develop a 9- to 10-slide PowerPoint Presentation that addresses the following:

· Describe the differences between a board of nursing and a professional nurse association.

· Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area.

o Who is on the board?

o How does one become a member of the board?

· Describe at least one federal regulation for healthcare.

o How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?

o Has there been any change to the regulation within the past 5 years? Explain.

· Describe at least one state regulation related to general nurse scope of practice.

o How does this regulation influence the nurse’s role?

o How does this regulation influence delivery, cost, and access to healthcare?

· Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).

o How does this regulation influence the nurse’s role?

o How does this regulation influence delivery, cost, and access to healthcare?

W1 N YIN

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Case for the Ongoing Development and Use of Nursing Grand Theories         

Case for the Obsolescence of Nursing Grand Theories

question

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Back to Module at a Glance

ACADEMIC SUCCESS AND PROFESSIONAL DEVELOPMENT PLAN PART 3: RESEARCH ANALYSIS

Architect Daniel Libeskind is credited with saying “To provide meaningful architecture is not to parody history, but to articulate it.” The suggestion is that his work does not copy the efforts of others but relies on it.

Understanding the work of others is critically important to new work. Contributions to the nursing body of knowledge can happen when you are able to analyze and articulate the efforts of previous research. Research analysis skills are therefore critical tools for your toolbox.

In this Assignment, you will locate relevant existing research. You also will analyze this research using a tool helpful for analysis.

RESOURCES


Be sure to review the Learning Resources before completing this activity. 
Click the weekly resources link to access the resources. 



WEEKLY RESOURCES

· Al-Jundi, A., & Sakka, S. (2017).
Critical appraisal of clinical research
Links to an external site.
.
 Journal of Clinical and Diagnostic Research: JCDR, 11(5), JE01–JE05. https://doi.org/10.7860/JCDR/2017/26047.9942

· Shellenbarger, T. (2016). 
Simplifying synthesis
Links to an external site.
. Nurse Author & Editor, 26(3). Retrieved from http://naepub.com/reporting-research/2016-26-3-3/ 

· Walden University Library. (n.d.). 
Databases A-Z: Nursing
Links to an external site.
. Retrieved October 4, 2019 from https://academicguides.waldenu.edu/az.php?s=19981

· Walden University Library. (n.d.). 
Evaluating resources: Journals
Links to an external site.
. Retrieved October 4, 2019, from https://academicguides.waldenu.edu/library/evaluating/resource-types/journals

· Walden University Library. (n.d.). 
Instructional media: Fundamentals of library research
Links to an external site.
. Retrieved October 4, 2019 from https://academicguides.waldenu.edu/library/instructionalmedia/researchfundamentals

·
Walden University Writing Center.
Links to an external site.
 (n.d.). Retrieved November 14, 2018, from https://academicguides.waldenu.edu/writingcenter/home

· Walden University Writing Center. (n.d.). 
Common assignments: Synthesizing your sources
Links to an external site.
. https://academicguides.waldenu.edu/writingcenter/assignments/literaturereview/synthesizing

· Walden University Writing Center. (n.d.). 
Scholarly writing: Overview
Links to an external site.
. Retrieved November 14, 2018, from https://academicguides.waldenu.edu/writingcenter/scholarly

· Walden University Writing Center. (n.d.). 
Webinars: Technical information
Links to an external site.
. Retrieved November 14, 2018, from https://academicguides.waldenu.edu/writingcenter/webinars/technical

· Document: 
Academic Success and Professional Development Plan Template
 Download Academic Success and Professional Development Plan Template(Word document)

· Document: 
Introduction to Scholarly Writing: Tips for success
 Download Introduction to Scholarly Writing: Tips for success(PDF)

To Prepare:

·
Reflect on the strategies presented in the Resources this Module's Learning Resources in support of locating and analyzing research.

·
Use the Walden Library to identify and read one peer-reviewed research article focused on a topic in your specialty field that interests you.

·
Review the article you selected and reflect on the professional practice use of theories/concepts described by the article.

The Assignment:

Using the “Module 3 | Part 3” section of your 
Academic Success and Professional Development Plan Template presented in the Resources, conduct an analysis of the elements of the research article you identified. Be sure to include the following:

·
Your topic of interest.

·
A correctly formatted APA citation of the article you selected, along with link or search details.

·
Identify a professional practice use of the theories/concepts presented in the article.

·
Analysis of the article using the “Research Analysis Matrix” section of the template

·
Write a 1-paragraph justification stating whether you would recommend this article to inform professional practice.

·
Write a 2- to 3-paragraph summary that you will add to your Academic Success and Professional Development Plan that includes the following:

·
Describe your approach to identifying and analyzing peer-reviewed research.

·
Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research.

·
Identify at least one resource you intend to use in the future to find peer-reviewed research.


Note: Add your work for this Assignment to the original document you began in the Module 1 Assignment, which was built from the Academic Success and Professional Development Plan Template.

BY DAY 7 OF WEEK 5

Submit your analysis, including your completed section of the 
Academic Success and Professional Development Plan Template sections and your matrix and summary.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area. 

1.
To submit your completed assignment, save your Assignment as MD3Assgn_LastName_Firstinitial

2.
Then, click on Start Assignment near the top of the page.

3.
Next, click on Upload File and select Submit Assignment for review.


Rubric

NURS_6003_Module03_Week05_Assignment_Rubric

NURS_6003_Module03_Week05_Assignment_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeUsing the Week 3 Part 3, section of your Academic Success and Professional Development Plan Template complete Step 1. Conduct an analysis of the elements of the research article you identified. Be sure to include the following:· The topic of interest you have selected. · Correctly formatted APA citation of the article you selected, along with link or search details. · Identify one or more professional practice uses of the theories/concepts presented in the article.

25 to >22.0 pts

Excellent

The response clearly identifies the topic of interest selected. … The response accurately and completely provides a citation of the article selected, including an accurate and complete link or thorough search details. … The response clearly identifies and describes in detail a professional practice use of the theories/concepts presented in the article.

22 to >19.0 pts

Good

The response partially identifies the topic of interest selected. … The response provides a partial citation of the article selected, including a partial link or search details. … The response partially identifies and describes a professional practice use of the theories/concepts presented in the article.

19 to >17.0 pts

Fair

The response vaguely identifies the topic of interest selected. … The response vaguely or inaccurately provides a citation of the article selected, including vague or inaccurate search details. … The response vaguely or inaccurately identifies and describes a professional practice use of the theories/concepts presented in the article.

17 to >0 pts

Poor

The response vaguely and inaccurately identifies the topic of interest selected or is missing. … The response vaguely and inaccurately provides a citation of the article selected, including vague and inaccurate search details, or is missing. … The response vaguely and inaccurately identifies and describes a professional practice use of the theories/concepts presented in the article or is missing.

25 pts

This criterion is linked to a Learning OutcomeAnalysis of the article using the Research Analysis Matrix section of the template for:Strengths of the ResearchLimitations of the ResearchRelevancy to the Topic of Interest. · Write a one-paragraph justification explaining whether or not you would recommend the use of this article to inform professional practice.

20 to >17.0 pts

Excellent

The response clearly and accurately provides a detailed analysis of the article using the Research Analysis Matrix section of the template. … The response clearly and accurately explains in detail the justification of whether to recommend the use of the article to inform professional practice.

17 to >15.0 pts

Good

The response provides a partial analysis of the article using the Research Analysis Matrix section of the template. … The response partially explains the justification of whether or not to recommend the use of the article to inform professional practice.

15 to >13.0 pts

Fair

The response provides a vague or inaccurate analysis of the article using the Research Analysis Matrix section of the template. … The response vaguely or inaccurately explains the justification of whether or not to recommend the use of the article to inform professional practice.

13 to >0 pts

Poor

The response provides a vague and inaccurate analysis of the article using the Research Analysis Matrix section of the template or is missing. … The response vaguely and inaccurately explains the justification of whether or not to recommend the use of the article to inform professional practice or is missing.

20 pts

This criterion is linked to a Learning OutcomePart 3, Step 2: Write a 2-3 paragraph summary that you will add to your Academic Success and Professional Development Plan that includes the following: · Describe your approach to identifying and analyzing peer-reviewed research· Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research. · Identify at least one resource you intend to use in the future to find peer-reviewed research.

45 to >40.0 pts

Excellent

The response clearly and accurately describes in detail the approach to identifying and analyzing peer-reviewed research. The response clearly identifies and accurately describes in detail at least two strategies used to be effective in finding peer-reviewed research. … The response clearly identifies and accurately describes in detail at least one resource you intend to use in the future to find peer-reviewed research.

40 to >35.0 pts

Good

The response partially describes the approach to identifying and analyzing peer-reviewed research. The response partially identifies and describes at least two strategies used to be effective in finding peer-reviewed research. … The response partially identifies and describes in detail at least one resource you intend to use in the future to find peer-reviewed research.

35 to >31.0 pts

Fair

The response vaguely or inaccurately describes the approach to identifying and analyzing peer-reviewed research. The response vaguely or inaccurately identifies and describes at least two strategies used to be effective in finding peer-reviewed research. … The response vaguely or inaccurately identifies describes in detail at least one resource you intend to use in the future to find peer-reviewed research.

31 to >0 pts

Poor

The response vaguely and inaccurately describes the approach to identifying and analyzing peer-reviewed research or is missing. The response vaguely and inaccurately identifies and describes at least two strategies used to be effective in finding peer-reviewed research or is missing. … The response vaguely or inaccurately identifies describes in detail or is missing at least one resource you intend to use in the future to find peer-reviewed research.

45 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. which delineates all required criteria.

5 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

4 to >3.0 pts

Good

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

3 to >2.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

2 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.0 pts

Good

Contains a few (1-2) grammar, spelling, and punctuation errors.

3 to >2.0 pts

Fair

Contains several (3-4) grammar, spelling, and punctuation errors.

2 to >0 pts

Poor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts

Total Points: 100

Nursing

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1. Give an example of how you have advocated for a patient, peer or subordinate and the outcome.  How did acting as an advocate help you grow as a leader? (application).

2. Describe an example of strategic or operational planning you have seen in your place of work and appraise the outcome (pros and/or cons) of this planning (evaluation).

3. Analyze the type of organizational structure at your place of work, (which structure does it most closely resemble and why?) How does the structure influence mission, vision, philosophy, and values (evaluation)

4. Which power-building strategies (organizational, political and or personal) have you found to be the most effective for enhancing your personal power and why?  Which has been the least effective or hardest to achieve and why?