case study

 APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document t 

Nursing Assignment

WEEK 5

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.Links to an external site.

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 (1-2 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) formLinks to an external site.
?

POLST: Portable medical orders for seriously ill or frail individuals

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 Style.

The paper should be between 3-5 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.   

NURS_521_DE – Feild Activity Paper

NURS_521_DE – Feild Activity Paper

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeContent

50 to >43.5 pts

Meets Expectations

Content is clear, thorough, and organized effectively. Main points are well supported. Meets all of the criteria of the written assignment.

43.5 to >37.5 pts

Approaches Expectations

Content is somewhat clear, thorough, and organized effectively. Some points are well supported. Meets most of the criteria of the written assignment.

37.5 to >29.5 pts

Below Expectations

Content is generally unclear, not thorough, and organized ineffectively. Main points are not well supported. Meets only a few of the criteria of the written assignment.

29.5 to >0 pts

Does Not Meet Expectations

Content is disconnected, unorganized, and does not meet the criteria of the written assignment.

50 pts

This criterion is linked to a Learning OutcomeClarity and Coherence

50 to >43.5 pts

Meets Expectations

Writing flows smoothly from one idea to another. Writer has taken pains to assist the reader in following the logic of the ideas expressed.

43.5 to >37.5 pts

Approaches Expectations

Sentences are mostly structured to communicate ideas clearly. Transitions between paragraphs make the writer’s points easy to follow.

37.5 to >29.5 pts

Below Expectations

Sentence structure and word choice sometimes interfere with clarity of content and distract the reader.

29.5 to >0 pts

Does Not Meet Expectations

Poor sentence structure, sentences do not make sense; no clarity evident in the paper.

50 pts

This criterion is linked to a Learning OutcomeReferences and Citations Within the Body of the Paper

12.5 to >10.88 pts

Meets Expectations

The required number of scholarly references is used and cited skillfully throughout the paper.

10.88 to >9.38 pts

Approaches Expectations

The required number of scholarly references is used but some may not be cited accurately or skillfully throughout the paper.

9.38 to >7.38 pts

Below Expectations

The required number of scholarly references is not used and most are not cited accurately or skillfully throughout the paper.

7.38 to >0 pts

Does Not Meet Expectations

References or citations are not included in the body of the paper and writing indicates none were used.

12.5 pts

This criterion is linked to a Learning OutcomeMechanics and APA

12.5 to >10.88 pts

Meets Expectations

The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.

10.88 to >9.38 pts

Approaches Expectations

The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly.

9.38 to >7.38 pts

Below Expectations

The assignment generally follows current APA format with several mistakes and grammatical, spelling, or punctuation errors. Most sources are cited and referenced incorrectly.

7.38 to >0 pts

Does Not Meet Expectations

The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Sources are missing.

12.5 pts

Total Points: 125

Nursing Discussion assignment

Discussion: Write at least 2 paragraph with citations in APA format.

Explain the meaning of an asset-based approach to health improvement.

· Provide an example of how positive resources available to individuals and communities enable them to gain more control over their lives and circumstances.

· Describe two to three implications for nursing practice including the cultural aspects.

Reply to the two discussions below (You do not need to use the same citation in the responses to the discussions.

Discussion #1

Hi Angelica, I agree with your view of the asset-based approach and its significance in healthcare. I think it means focusing on community resources that could promote health and well-being. Cassetti et al. (2019) explain that health assets are resources such as skills that improve people’s ability to maintain health. I have also thought that resources are a primary strength in communities that empower individuals and help in overcoming health promotion obstacles. Your example of using written or visual communication to overcome language barriers demonstrates the significance of utilizing community resources. In this scenario, some community members could have the ability to translate health promotion materials using local language. Nurses should build healthy relationships with such individuals to effectively advance individual well-being. I agree with your suggestions for nursing practice—practitioners should understand and respect communities’ communication styles. Do you think cultural competence is a vital element in an asset-based approach?    

References

Cassetti, V., Powell, K., Barnes, A., & Sanders, T. (2019). A systematic scoping review of asset-based approaches to promote health in communities: Development of a framework. 
Global Health Promotion
27(3), 175797591984892. https://doi.org/10.1177/1757975919848925

Discussion #2

Asset-based approaches to health promotion have become increasingly popular to tackle health inequalities by empowering people in more disadvantaged communities to use local resources and increase control over health and its determinants (Cassetti et al, 2019).  This approach focuses on resources available in the community and using those resources to address healthcare disparities facing the underserved communities.

I moved to Salt Lake City, UT from another country about 15 years ago; one of the resources I got connected early on and found very successful across the immigrants’ communities is a community gardening program run by local nonprofit, county, and city government. It is called ‘New Roots’ program (New roots in Salt Lake City, n.d.). It provides garden plots, technical support, seeds and other resources for local refugee and immigrants community to grow seasonal vegetables and help them sell those in local farmers’ markets. Fresh produces are sold weekly; individuals who have Supplemental Nutritional Assistance Program (SNAP) will be able to use it to buy double the produce than in local markets through match from grants. This asset-based approach provides immigrants with sense of ownership of gardens, sense of community, physical and mental exercises, fresh produces, and an ability to earn some money through selling produces.

Mental health, social work, and nursing embrace an asset-based approach to assessment within the health promotion context (Edelman & Kudzma, 2021, p. 146). Nurses can use asset-based approach in identifying gaps in services for the patients/families we are caring for and connect them to available resources to address their needs. Nurses are members of the community, and it is very crucial for us as nurses to be aware of the health care context, service gaps and resources in our community, especially when we are working with individuals from underserved communities.

                                                                                                References

Cassetti, V., Powell, K., Barnes, A., & Sanders, T. (2019). A systematic scoping review of asset-based approaches to promote health in communities: development of a framework. 
Global Health Promotion
27(3), 15–23. 

https://doi.org/10.1177/1757975919848925Links to an external site.

Edelman, C., & Kudzma, E. C. (2021). 
Health Promotion Throughout the Life Span – E-Book. Elsevier Health Sciences.

New roots in Salt Lake City. (n.d.). The IRC. 

https://www.rescue.org/announcement/new-roots-salt-lake-cityLinks to an external site.


Theoretical and Scientific Foundations of Nursing

  

DISCUSSION RESPONSE

CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE

patient advocacy

Specifically define the role of the registered nurse in patient advocacy. Describe situations in which nursing advocacy can assist patients within the healthcare environment. Defend why nurses are, or are not, adequately prepared, in pre-licensure education, to act as patient advocates. 

help

Analyze how the Institute for Healthcare Improvement article entitled Addressing Institutional Racism can positively affect the future of nursing. Examine how these strategies can contribute towards advanced practice nurses’ empowerment and patient safety. What strategies are required for nurses to shape a better future in healthcare?

1 page

PLEASE ONLY USE 2 REFERENCES

1 references will be from the article uploaded

Customer Service DP2

 

  • How can verbal feedback affect customer encounters?
  • Be sure to provide support for your position by including examples.

Gas Exchange

 

Mr. Nguyen is a 58-year-old patient that had septic shock and developed Acute Respiratory Distress Syndrome. He is orally intubated and on a mechanical ventilator. He is paralyzed and sedated.

  • What manifestations might you observe for a patient with ARDS?
  • What complications can Mr. Nguyen develop from being mechanically ventilated?
  • List priority nursing interventions to prevent complications associated with ventilatory support.
  • What interventions can be implemented specifically to prevent the development of Ventilator Acquired Pneumonia (VAP)?
  • You are orienting in the ICU, the nurse you are working with is not implementing the VAP interventions. What would you do?

Organizational Ethics Presentation

  1. Create a presentation of 10-15 slides or screens excluding the title and references.
  • Your slides/screen should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc.  
  1. In your presentation:
  • Describe an ethical situation, based on the chosen topic, that can get in the nurse’s way of practicing ethically. Describe the situation clearly and concisely.
  • Identify how this situation relates to one provision within the Code of Ethics for Nurses.
  • Identify two ethical principles that may arise when facing this situation.
  • Discuss how a nurse might lessen the impact of the situation on the nurse’s practice.
  • In addition to the course texts, cite and reference a minimum of two (2) additional scholarly sources to support your work.
  • Close with a summary of your topic, and APA formatted reference slide(s).

emerging populations

Choose two emerging populations, such as Latino/Hispanic Americans, Asian Americans/Pacific Islanders, or Black/African Americans. How do health issues differ between the two populations?