Individual plan for addressing the 10 pyramid point.

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Develop an individualized plan for addressing each of the 10 pyramid points. Describe how you will address each point and identify a specific schedule, place, and goal for studying. 

Week 2 discussion

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Conc of Pathophys for Nsg.

https://files.galencollege.edu/media/ADN/NUR242_170/fluid_and_electrolytes/FluidsOverview/story.html

https://files.galencollege.edu/media/ADN/NUR242_170/fluid_and_electrolytes/electrolytes/story.html

Week 2 Discussion: Anorexia and fluid and electrolyte imbalances (USLOs 1, 2, 3, 4)

You are a nurse caring for 16-year-old Jonathan Collins. He was admitted to the emergency department after passing out during gym class. During your admission assessment, he admits he has not been eating much and exercising more to lose weight.  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 anorexia and fluid and electrolyte imbalances, respond to the following prompts:

1. Thoroughly explain the pathophysiology of 
anorexia. Use a 
scholarlyor 
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.

· cultural

· financial

· environmental implications

3. Identify 3-5 priority nursing interventions for the client while in the 
emergency department.

4. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. 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 reply

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Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by suggesting additional strategies your colleague could implement to bring about needed change in their community.use 3 reference each.

 1.    I am currently employed at a freestanding psychiatric hospital located on the south shore of Massachusetts.  We provide inpatient psychiatric services to adolescents, adults, and geriatric patients who suffer from mental illness.  Since the Covid-19 pandemic, we have seen an increase in the community’s need for mental health services.  A recent study conducted by Blue Cross Blue Shield of Massachusetts found that the need for services has increased exponentially due to the effects of the pandemic.  Currently,  “one in three Massachusetts residents over the age of 19 reported needing behavioral health care for themselves or a close relative; however, 26% percent said they were not able to get it” (Becker, 2022).  As an organization, we need to find a way to increase access to mental health services in our community.

How the Doctor of Nursing Practice (DNP) Prepared Nurse Can Increase Access to Mental Health Services

 As a DNP-prepared nurse, it is my goal to serve as an agent of positive change at the local level to the patients who are under my organization’s care as well as the community at large.  In order to reduce accessibility issues as a DNP-prepared nurse, it will be critical for me to consider the American Association of Colleges of Nursing essential number 8 and “conceptualize new care delivery models that are based in contemporary nursing science and that are feasible within current organizational, political, cultural, and economic perspectives” (American Association of Colleges of Nursing, 2006).  One thought I have for my organization would be to integrate outpatient services such as partial hospitalization programs so that we can increase accessibility to mental health services in the community.  One significant challenge, both nationally and for my organization, is the shortage of nursing staff.  In order to increase the services we provide, it will be imperative for my organization to build partnerships with local agencies.  Wegner et al. (2000) determined that “groups of people who share a concern, a set of problems, or a passion about a topic, and who deepen their knowledge and expertise in the area by interacting on an ongoing basis” will have more success.  In order to recruit nurses to my organization, I aim to partner with local universities and colleges to provide a site for their psychiatric clinical rotations.  If student nurses have a positive clinical experience at my organization, they will be more likely to consider employment with us in the future which will, in turn, allow us to expand the services we provide and increase accessibility to mental health care.

References

American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf

Becker, D. (2022). The pandemic has led to a surge in mental health need in Mass., survey finds. https://www.wbur.org/news/2022/02/08/massachusetts-pandemic-mental-healthLinks to an external site.

Wenger, E., McDermott, R., & Snyder, W. M. (2000). A guide to managing knowledge: Cultivating communities of practice. Harvard Business School.

2.There is a very large homeless population within my community, and with that unfortunately comes high rate of substance use disorders. The most recent census of this six hundred plus square mile county was approximately 170,000 individuals, ten percent of whom were living below the poverty level (United States Department of Commerce, 2023). Despite the known concerns for homelessness in Monroe County, there remains to be only three small shelters that are seasonally available to those in need, open between the hours of 7:00pm and 5:00am EST. As a very rural area, the lack of available resources leaves individuals living in homeless communities in wooded areas. Multiple individuals have been found to be passed away due to exposure in the winter months. While community members are also aware of the concern for substance use disorders, there have been very direct and disheartening efforts preventing the opening of treatment centers in the area. Signs have been posted in front yards with slogans such as ‘no drug addicts in our back yard.’

            Addressing socioeconomic determinants of health and the wellness of this community is one of many roles of the Doctor of Nursing Practice (DNP) (American Association of Colleges of Nursing, 2006). These two community health issues are very much related. The ongoing gap in access to substance use disorder treatment perpetuates the cycle of substance-related crime, associated health concerns treated in the local emergency department, and inability to treat the often-underlying mental health concerns leading to self-medication (Mitchell et al., 2023). As a social change agent, the DNP can not only research evidence-based interventions to provide community-based care to individuals in need but also educate community members on why this is important, and how their efforts to prevent this from happening harms not only those in need but the populace as a whole (American Association of Colleges of Nursing, 2006).

            The DNP acts as an expert support when advocating for health policy in local, state, or federal government. Meeting with members of local government to provide evidence-based testimony regarding the detrimental impact the blocking of substance use treatment facilities has on the community is one step in creating increased access to care. Individuals in need of substance use treatment often experience shame and ambivalence to seek the support they so greatly need; it is essential to educate lawmakers about how the additional stigma placed upon individuals by the formal supports who should be enabling their ability to access treatment severely impedes community wellness (Stewart et al., 2023).

            Engaging directly with the homeless shelters currently available to review current barriers to availability is the first step to increasing accessibility. Two of the three shelters are run by volunteer organizations, and the third is a locally funded organization that is a part of the community health department. As a DNP, gathering data and evidence to support the implementation of an intervention is essential to buy in from any stakeholder and can be achieved by evaluating the number of individuals who seek shelter at these resources, and those who are able to stay the night (McEwen & Wills, 2019). Presenting this data to local officials to along with evidence-based data regarding the benefits of this community initiative, such as reduction in deaths associated with exposure and the current use of law enforcement to relocate homeless individuals from areas deemed inappropriate for their inhabitation, can support approval for shelter expansions.

References

American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf

McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.  

Mitchell, E., Waring, T., Ahern, E., O’Donovan, D., O’Reilly, D., & Bradley, D. T. (2023). Predictors and consequences of homelessness in whole-population observational studies that used administrative data: a systematic review. BMC Public Health, 23(1), 1610. https://doi.org/10.1186/s12889-023-16503-z

Stewart, R. E., Cardamone, N. C., Schachter, A., Becker, C., McKay, J. R., & Becker-Haimes, E. M. (2023). A systematic review of brief, freely accessible, and valid self-report measures for substance use disorders and treatment. Drug and Alcohol Dependence, 243, 1–11. https://doi.org/10.1016/j.drugalcdep.2022.109729

United States Department of Commerce. (2023). QuickFacts: Monroe County Pennsylvania. https://www.census.gov/quickfacts/fact/table/monroecountypennsylvania/PST045222

w8

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In 2–3 pages, plus introduction and references pages.APA format and free plagiarism

Submit your Assignment. Attach copies of or links to the suicide and violence risk assessments you selected.

· Explain your state laws (FLORIDA) for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.

· Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.

· Explain the difference between capacity and competency in mental health contexts.

· Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source.( choose the one you want.)

· Identify one evidence-based suicide risk assessment that you could use to screen patients.

· Identify one evidence-based violence risk assessment that you could use to screen patients.

thorectical clinical Advanced Pathophysiology

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Sample Outline for Concept Analysis Paper

See chapter 3 in McEwen and Wills. Use the method by Walker and Avant Box 3-1 ( p 60

I. Title Page: Select one of the following topics

a.
Advanced Practice Competency: A Concept Analysis

b.
Diversity in Nursing: A Concept Analysis

c.
Social Determinants of Health: A Concept Analysis

Format Outline(s)

II. Introduction (
Using Walker and Avant)

a. What is the concept selected-state and define the terms

b. Aims or purposes of this analysis-why are you doing the analysis?

c. Discuss all possible uses of the concept briefly-how is the concept used in different contexts, examples and then how are you using it for this paper

d. Determine the defining attributes-regardless of where it exists, what are the common identifiers that the person has this characteristic

e. Identify a model case-Use the attributes you’ve identified and highlight them in a case. A case that is hypothetical, from a text, or that you have experienced in practice.

f. Identify a borderline case and contrary case-what is a case that is something like the model case, but misses some attributes

g. Identify antecedents and consequences-what happens before the concept instance is identified; what happens as a result of acquiring it?

h. Define empirical referents- how do you know that what you are seeing is really it? How would you measure it? Or know that you are reserving it?

health care statistics. dp4

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There are many purposes for and types of health care data. In this discussion, you will summarize the purpose for and types of health care data, and discuss the emerging field of data analytics and Big Data as they are used in health care management. Include the following in your discussion post:

  • Explain the purpose of healthcare data and its relevance to patient outcomes and reimbursement.
  • Discuss the difference between:
    • Internal and external sources of data in healthcare
    • Qualitative and quantitative data in healthcare
  • Discuss data analytics and how it is being used in healthcare management and healthcare delivery.

Summary & Analysis of Nurse Manager Interview

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Interview a nurse manager to explore the external factors that influence decision making such as health policy, regulatory requirements, accreditation, and health care financing.

  1. Provide an overview of the role of the nurse manager interviewed. Summarize the information from the interview (do not report the interview question by question)
  2. Perceptions related to impact on health policy on decision. Perceptions related to impact of regulatory agencies on decision making. Perceptions related to impact of health care financing on decision making.
  3. Analysis of the interview supported by the literature.

W7 D see attachment

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Chamberlain


NR599-11532

Week 7

Post TANIC Self-Assessment and Reflection Post

Note: Compared to week 2, this one went much better, my computer knowledge has improved

 Reflection Questions: 

Reflect and respond to 
EACH of the following questions.  

1. Regarding the Post-TANIC Self-Assessment for this week, how does your competency level compare to the Week 2 Self-Assessment?

2. Which two competencies do you think may benefit you in your future role as an APN and why?

3. As discussed in the lesson this week, healthcare providers must be competent in informatics in order to make ethical decisions about informatics technologies and patients' intimate healthcare data and information. To the extent that information technology is reshaping healthcare practices or promises to improve patient care, healthcare professionals must possess certain competencies which will assist with consistency and quality. Which two competencies did you achieve in this course? Explain.

see below

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see below

Develop a 4-6 page plan that will allow your intervention to be implemented in your target population and setting.

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Develop a 4-6 page plan that will allow your intervention to be implemented in your target population and setting. Target population VETERAN. 

TOPIC PREVENTING HOMELESSNESS FOR VETERAN POPULATION

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

Even the best intervention plan will not be effective without a sound and reasonable approach to implementing it. The implementation of the same intervention plan can vary drastically between different care settings, based on the culture of the care setting, the resources available, and the stakeholders involved in the project, as well as the specific policies already in place. A successful implementation plan blends contemporary and emerging best practices and technology with an understanding of the on-the-ground realities of a specific care setting and the target population for an intervention. By synthesizing these various considerations it is possible to increase the likely success of the implementation and continued sustainability of an intervention plan.

Preparations

  • Read Guiding Questions: Implementation Plan Design [DOC]. This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment.
  • As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
    • What are the needs of your stakeholders that are relevant to your target population and need?
    • What applicable health care policy and regulations are relevant to your target population and need?
    • How will these considerations impact the development of your Intervention Plan Design assessment?
    • How can you work these considerations into the development of your Implementation Plan Design assessment?

Instructions

Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.

Your implementation plan design will be the third section of your final project submission. The goal for this is to design a plan that will allow your intervention to be theoretically implemented in your target population and setting. You should be able to preserve the quality improvement outcomes that you designed for your target population and setting while also ensuring that the intervention does not put undue stress on the health care setting’s resources or violate any policies or regulations. Provide enough detail so that the faculty member assessing your implementation plan design will be able to provide substantive feedback that you will be able to incorporate into the final draft of your project.

At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Implementation Plan Design document (linked above) to better understand how each criterion will be assessed. In addition to the bullet points below, provide a brief introduction that refreshes the reader’s memory about your problem statement, as well as the setting and context for which this intervention plan was designed before launching into your implementation plan.

Reminder: these instructions are an outline. Your heading for this this section should be Management and Leadership and not Part 1: Management and Leadership.

Part 1: Management and Leadership
  • Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan.
  • Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs.
Part 2: Delivery and Technology
  • Propose appropriate delivery methods to implement an intervention which will improve the quality of the project.
  • Evaluate the current and emerging technological options related to the proposed delivery methods.
Part 3: Stakeholders, Policy, and Regulations
  • Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan.
  • Propose existing or new policy considerations that would support the implementation of an intervention plan.
Part 4: Timeline
  • Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation.
Address Generally Throughout
  • Integrate resources from diverse sources that illustrate support for all aspects of an implementation plan for a planned intervention.
  • Communicate implementation plan in a way that clearly illustrate the importance of interprofessional collaboration to create buy-in from the audience.