CHANGE IMPLEMENTATION AND MANAGEMENT PLAN

It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.

As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.

 To Prepare:

  • Review the Resources and identify one change that you believe is called for in your organization/workplace.
    • This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
  • Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute narrated PowerPoint presentation):

Change Implementation and Management Plan

Create a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose. 

Your narrated presentation should be 5–6 minutes in length.

Your Change Implementation and Management Plan should include the following:

  • An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
  • A description of the change being proposed
  • Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
  • Details about the type and scope of the proposed change
  • Identification of the stakeholders impacted by the change
  • Identification of a change management team (by title/role)
  • A plan for communicating the change you propose
  • A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

Alternate Submission Method

You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the Kaltura Media UploaderLinks to an external site. page. This page will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only “Screen” and “Audio” are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the “Posting Your Video in the Classroom Guide” found on the Kaltura Media page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes. 

discussion 3

 

Answer the questions below based on the following case study.

A 41-year-old man presents to his PCP with feelings of hopelessness, sadness, and helplessness. He says that he cries for no reason, and has difficulty sleeping. He noticed that the problems began about 6 weeks before, and he did not feel able to shrug them off. He has been drinking more alcohol than usual and has stopped going to work. When on his own, he admitted that he had thought of driving his car into the nearest canal.

  1. Summarize the clinical case.
  2. What is the DSM 5-TR diagnosis based on the information provided in the case?
  3. Which pharmacological treatment would you prescribe including the name, dose, route and frequency of the drug in accordance with the clinical guidelines? Include the rationale for this treatment.
  4. Which non-pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment excluding a psychotherapeutic modality.
  5. Include an assessment of the treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence to the chosen medication. Use a local pharmacy to research the cost of the medication and provide the most cost-effective choice for the patient. Use great detail when answering questions 3-5.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in the 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.

Nursing

EBP PICO question Does the use of a flutter valve compared to no use of a flutter valve affect the outcomes of post op patients? Use 3-5 EBP journal articles less than 5 years .

customer service ip 3

 This soft drink brand is recognized worldwide. The drink has one of the most recognized corporate logos and is sold in over 200 countries through 250 bottlers throughout the world.

This company’s story began in Atlanta, Georgia, in 1886, when pharmacist John Pemberton was experimenting with a recipe that he later mixed with carbonated water and began to sell at his drugstore. Two years after its invention, Pemberton sold his secret formula to a businessman by the name of Asa Candler, who formed a corporation to bottle and distribute the trendy drink. He later sold the rights to two other businessmen who wanted to bottle the drink to enhance distribution. Candler sold syrup that his company produced to these distributors, but not his secret formula. They simply mixed the syrup with carbonated water and bottled it. From there, the product became a household name as more people began to take the drink home to enjoy.

Competitors soon emerged. To ensure that people could tell the original from the competition, the distributors created the trademarked contour bottle in 1916 so that customers would recognize the original product. Candler ultimately sold his company in 1919 to a group of investors, with Robert Woodruff as the president. The new group wanted to make the drink available anytime and anyplace. To accomplish this, the new company started adding bottling plants all over the world.

The six Ps of the company vision statement highlight its purpose and desired future objectives—people, portfolio, partners, planet, profit, and productivity.

To assist in accomplishing its vision, the company established a foundation in 1984. This entity focuses on helping and giving back to communities worldwide. Some of the issues supported in various countries include water stewardship (providing safe, clean drinking water), lifestyle and behavioral change programs (e.g., nutrition, exercise, and behavior modification), recycling, and education.

Assignment Details

Answer the following questions 

  1. What is your opinion of this company? Explain.
  2. Based on what you know or what you read on the Internet or in other sources, do you believe that the company is customer-focused? Why or why not?
  3. How does the company’s community involvement potentially affect its image in the eyes of customers or potential customers?

Laboratory for Diagnosis, Symptom and Illness Management

 

Soap Note 1 “ADULT”  Wellness check up (10 points)

Follow the MRU Soap Note Rubric as a guide:

Use APA format and must include mia minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in’ s Score must be less than 25% or will not be accepted for credit; it must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25%. Copy-paste from websites or textbooks will not be accepted or tolerated and will receive a grade of 0 (zero) with no resubmissions allowed.

case study

MSN 5550 Health Promotion: Prevention of Disease
Case Study Module 6

Instructions: Read the following case study and answer the reflective questions. Please provide
evidence-based rationales for your answers. APA, 7th ed. must be followed.

Due: Saturday by 23:59 pm

CASE STUDY: Albert

Albert Mitchell is a 36-year-old man who will be traveling to Dubai to give a business
presentation in 3 months. Although he has traveled widely in the United States as a consultant,
this is his first trip to the Middle East.

He requests information regarding immunizations needed before his trip. Albert states that as
he will be in Dubai for only a few days, he is unlikely to contract a disease in such a short time
and therefore believes that it is illogical to obtain immunizations.

Albert states that he has heard that the side effects of the immunizations might be worse than
the diseases they prevent. He is also concerned about leaving his wife at home alone because
she is 6 months pregnant.

Reflective Questions
How would you address Albert’s beliefs?
What learning would be needed in each domain?
What learning theories would you consider?
How might his family concerns be addressed?

GLOBAL HEALTH

Select a global health issue affecting the international health community. Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments). Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues. 

Resources within your text covering international/global health, and the websites in the topic Resources, will assist you in answering this discussion question.

Health Assessment

10/17/23, 5:31 PM Topic: Week 8: Discussion

https://waldenu.instructure.com/courses/85632/discussion_topics/760465?module_item_id=2747340 1/5

This is a graded discussion: 100 points possible
due Oct 18 at 10:59pm

5 5

Back to Week at a Glance
(https://waldenu.instructure.com/courses/85632/modules/items/274
7339)

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The body is constantly sending signals
about its health. One of the most easily
recognized signals is pain.
Musculoskeletal conditions comprise one
of the leading causes of severe long-term
pain in patients. The musculoskeletal
system is an elaborate system of
interconnected levers that provides the
body with support and mobility. Because
of the interconnectedness of the
musculoskeletal system, identifying the
causes of pain can be challenging.
Accurately interpreting the cause of
musculoskeletal pain requires an
assessment process informed by patient
history and physical exams.

In this Discussion, you will consider case studies that describe abnormal findings in patients seen
in a clinical setting.

ASSESSING MUSCULOSKELETAL PAIN

RESOURCES

10/17/23, 5:31 PM Topic: Week 8: Discussion

https://waldenu.instructure.com/courses/85632/discussion_topics/760465?module_item_id=2747340 2/5

To prepare:

By Day 1 of this week, you will be assigned to one of the following specific case studies for this
Discussion. Please see the “Course Announcements” section of the classroom for your
assignment from your Instructor.
Your Discussion post should be in the Episodic/Focused SOAP Note format rather than the
traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and
the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance.
Remember that all Episodic/Focused SOAP notes have specific data included in every patient
case.
Review the following case studies:

Case 1: Back Pain

(https://waldenu.instructure.com/courses/85632/files/5407561/preview) A 42-year-old male reports
pain in his lower back for the past month. The pain sometimes radiates to his left leg. In
determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots
might be involved? How would you test for each of them? What other symptoms need to be
explored? What are your differential diagnoses for acute low back pain? Consider the possible
origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework.
What physical examination will you perform? What special maneuvers will you perform?

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

WEEKLY RESOURCES (https://waldenu.instructure.com/courses/85632/modules/items/2747342)

10/17/23, 5:31 PM Topic: Week 8: Discussion

https://waldenu.instructure.com/courses/85632/discussion_topics/760465?module_item_id=2747340 3/5

Case 2: Ankle Pain

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courses/85632/files/5407623/preview)

A 46-year-old female reports pain in both of her
ankles, but she is more concerned about her
right ankle. She was playing soccer over the
weekend and heard a “pop.” She is able to
bear weight, but it is uncomfortable. In
determining the cause of the ankle pain, based
on your knowledge of anatomy, what foot
structures are likely involved? What other
symptoms need to be explored? What are your
differential diagnoses for ankle pain? What
physical examination will you perform? What
special maneuvers will you perform? Should
you apply the Ottawa ankle rules to determine
if you need additional testing?

10/17/23, 5:31 PM Topic: Week 8: Discussion

https://waldenu.instructure.com/courses/85632/discussion_topics/760465?module_item_id=2747340 4/5

Case 3: Knee Pain

(https://waldenu.instructure.com/courses/85632/files
/5407665/preview)

A 15-year-old male reports dull pain in both
knees. Sometimes one or both knees click, and
the patient describes a catching sensation
under the patella. In determining the causes of
the knee pain, what additional history do you
need? What categories can you use to
differentiate knee pain? What are your specific
differential diagnoses for knee pain? What
physical examination will you perform? What
anatomic structures are you assessing as part
of the physical examination? What special
maneuvers will you perform?

With regard to the case study you were assigned:

Review this week's Learning Resources, and consider the insights they provide about the case
study.
Consider what history would be necessary to collect from the patient in the case study you
were assigned.
Consider what physical exams and diagnostic tests would be appropriate to gather more
information about the patient's condition. How would the results be used to make a diagnosis?
Identify at least five possible conditions that may be considered in a differential diagnosis for
the patient.

Note: When you submit your initial post, please include a header as the first line
indicating your assigned case study. For example, “Review of Case Study ___.” Fill in
the blank with the number of the case study you were assigned.

Post an episodic/focused note about the patient in the case study to which you were assigned
using the episodic/focused note template provided in the Week 5 resources. Provide evidence
from the literature to support diagnostic tests that would be appropriate for each case. List five
different possible conditions for the patient's differential diagnosis, and justify why you selected
each.

BY DAY 3 OF WEEK 8

10/17/23, 5:31 PM Topic: Week 8: Discussion

https://waldenu.instructure.com/courses/85632/discussion_topics/760465?module_item_id=2747340 5/5

Replies are only visible to those who have posted at least one reply.

Search entries or author

 Reply

Note: For this Discussion, you are required to complete your initial post before you
will be able to view and respond to your colleagues' postings. Begin by clicking on
the Reply button to complete your initial post. Remember, once you click on Post
Reply, you cannot delete or edit your own posts and you cannot post anonymously.
Please check your post carefully before clicking on Post Reply!

Read a selection of your colleagues' responses.

Respond to at least two of your colleagues on 2 different days who were assigned different
case studies than you. Analyze the possible conditions from your colleagues' differential
diagnoses. Determine which of the conditions you would reject and why. Identify the most likely
condition, and justify your reasoning.

BY DAY 6 OF WEEK 8

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Locating Credible Databases and Research

Assessment 4

Remote Collaboration and Evidence-Based Care

Create a 5-10 minute video of yourself, as a presenter, in which you will propose an evidence-based plan to improve the outcomes for the Vila Health patient and examine how remote collaboration provided benefits or challenges to designing and delivering the care.

Introduction

As technologies and the health care industry continue to evolve, remote care, diagnosis, and collaboration are becoming increasingly more regular methods by which nurses are expected to work. Learning the ways in which evidence-based models and care can help remote work produce better outcomes will become critical for success. Additionally, understanding how to leverage EBP principles in collaboration will be important in the success of institutions delivering quality, safe, and cost-effective care. It could also lead to better job satisfaction for those engaging in remote collaboration.

Instructions

Before beginning this assessment, make sure you have worked through the following media:

Vila Health: Remote Collaboration on Evidence-Based Care.

You may wish to review Selecting a model for evidence-based practice changes. [PDF] and Evidence-Based Practice Models, which help explain the various evidence-based nursing models.

For this assessment, you are a presenter! You will create a 5-10-minute video using Kaltura or similar software. In the video:

Propose your evidence-based care plan that you believe will improve the safety and outcomes of the patient in the Vila Health Remote Collaboration on Evidence-Based Care media scenario. Add your thoughts on what more could be done for the client and what more information may have been needed.

Discuss the ways in which an EBP model and relevant evidence helped you to develop and make decisions about the plan you proposed

Wrap up your video by identifying the benefits of the remote collaboration in the scenario, as well as discuss strategies you found in the literature or best practices that could help mitigate or overcome one or more of the collaboration challenges you observed in the scenario.

Be sure you mention any articles, authors, and other relevant sources of evidence that helped inform your video. Discuss why these sources of evidence are credible and relevant. Important: You are required to submit an APA-formatted reference list of the sources you cited specifically in your video or used to inform your presentation. You are required to submit a narrative of all your video content to this assessment and to SafeAssign.

The following media is an example learner submission in which the speaker successfully addresses all competencies in the assessment.

Exemplar Kaltura Reflection.

Please note that the scenario that the speaker discusses in the exemplar is different from the Vila Health scenario you should be addressing in your video. So, the type of communication expected is being model, but the details related to the scenario in your submission will be different.

Make sure that your video addresses the following grading criteria:

Propose your own evidence-based care plan to improve the safety and outcomes for a patient based on the Vila Health Remote Collaboration on Evidence-Care media scenario.

Explain the ways in which you used an EBP model to help develop your plan of care for the client.

Reflect on which evidence you found in your search that was most relevant and useful when making decisions regarding your care plan.

Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.

Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style.

Refer to Using Kaltura as needed to record and upload your video.

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Nutritional Principles in Nursing

Discuss dietary concerns and barriers for an older adult to maintain appropriate nutrition levels. Identify the types of concerns and barriers they may encounter. Include two client teaching and nursing interventions for prevention of nutritional deficits as well as the consequences of inadequate nutrition and hydration.