Week 4 Discussion Forum
There are many possible sources of literature available (e.g., the West Coast University
library electronic databases, such as Medline, Cinahl, and PubMed). Which specific
scholarly articles did you use and why did you choose them for your topic?
More than 300 words other than references. Can wait 4 days.
Week 6 Organizational Ethics Presentation
This week, you will submit a video presentation. (I will doing the video presenting the power point you will be doing for me ) Your presentation must include both audio and visual components and be professional in nature.
1. Choose a topic below. – same topic you have to select from Discussion Board 1.
· Taken from the assigned reading in Butts chapter 12, page 401, “EthicalReflection: Typical Unethical or Illegal Behaviors in Organizations” ( list bellow and also attached in instructions on discussion Board 1)
2. Create a presentation (Power Point ) of 12-15 slides or screens
excluding the title and references. ( Total about 17 slides with title and references )
· Your slides/screen should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc.
3. 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.( same references you have to mention on discussion Board 1)
· Close with a summary of your topic, and APA formatted reference slide(s).
Review the rubric for further information on how your assignment will be graded.
URS_521_DE – Presentation Rubric NURS 512
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NURS_521_DE – Presentation Rubric NURS 512 |
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Criteria |
Ratings |
Pts |
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This criterion is linked to a Learning OutcomeContent |
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105 pts |
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This criterion is linked to a Learning OutcomeOrganization |
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105 pts |
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This criterion is linked to a Learning OutcomeSlide Presentation |
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60 pts |
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This criterion is linked to a Learning OutcomeMechanics and APA |
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30 pts |
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Total Points: 300 |
Week 4 – Assignment: Analyze Quality Performance
Improvement requires the ability to effectively analyze data. While extensive knowledge in using statistical analysis tools is desirable, health administrators adept at constructing charts and analyzing the organizational data as compared to established benchmarks yields valuable information.
For your assignment this week, you will prepare an Analysis Report paper. Begin your assignment with the following steps:
1.Read the case study published by the Agency for Healthcare Research and Quality (AHRQ) featuring Tampa General Hospital's use of the AHRQ tools to improve quality measures. The link to the Tampa General Hospital's case study is found in your Weekly Resources.
After reading the Tampa General Hospital case study, you will access the
Hospital Compare website link found in your Weekly Resources. At this site, you will insert Tampa, Florida into the location box, select Hospital as the type of facility, and insert Tampa General Hospital into the name box. Once the webpage for Tampa General Hospital is accessed, click on
Patient Survey Ratings. Here you will find the hospital's patient satisfaction ratings along with the state and national ratings in each category.
With these data, you will use an Excel spreadsheet to insert the type of indicator (i.e.,
Patients who reports their nurses always communicated well and the observed score for Tampa General Hospital as well as the average Florida and National scores provided). Repeat this process to include all 10 statements of patient satisfaction.
Once your spreadsheet data is complete, create a bar graph by clicking on Insert in the top header and selecting the bar graph to visually display the comparison of Tampa General Hospital's scores to the state and national average scores. Instead of using Excel, you may alternately create a Table in Microsoft Word using the same data as described above placed in a table. Once the table is complete, click Insert from the ribbon at the top of the page, and then click Chart. From here, select Bar chart and use the Clustered Bar Chart style. For either method, make sure all three data sources are depicted in the chart. An example of how to set up your table and the resulting bar graph that is both required in your paper are shown. Keep in mind the information you retrieve is a single data set and does not represent performance over time, but rather represents a snapshot of organizational performance as compared to external standards.
Next, you will click on
Quality in the Tampa General Hospital's website header and scroll down to
Complications and Deaths. Once the section expands, scroll down to
Infections. In the
Infection's section, you will find the quality score for the topic in the case study regarding catheter-associated urinary catheter infections (CAUTI). Record the score for Tampa General Hospital for this measure and note the national benchmark score of 1. You will analyze this score as it compares to the national score and its relevance to the case study.
Lastly, you will prepare your Analysis Report paper that contains an introductory section, the body of your report containing your analysis of Tamps General Hospital's patient satisfaction ratings and the comparison of the ratings to the state and national scores, and your analysis of the CAUTI infection rate compared to the national rate. You will also include a summary section in your paper. You will insert your Clustered Bar graph (see example) with the 10 statements and scores as a Figure into your discussion and analysis of the scores. The table you created (see example) to display the 10 statements and the hospital, state, and national scores will be in an appendix to your report. Be sure to check APA guidelines for using an appendix in a report, how to label figures and tables.
Table example:
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Patient satisfaction survey statements |
Tampa General Hospital rating |
Florida rating |
National rating |
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Patients who reports their nurses always communicated well |
81% |
81% |
77% |
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Clustered Bar graph example from data in table example:
length: A minimum of 5 pages, not including the title page, reference page, and the appendix
Week 3: Problem-Focused SOAP Note
Criteria Ratings Pts
This criterion is linked to a
Learning Outcomes
(Subjective)
2.5 pts
Accomplished
Symptom analysis is well organized, with C/C,
OLD CART, pertinent negatives, and pertinent
positives. All data needed to support the
diagnosis & differential are present. Is
complete, concise, and relevant with no
extraneous data.
2.5 pts
This criterion is linked to a
Learning Outcome
(Objective)
2.5 pts
Accomplished
Complete, concise, well organized, well
written, and includes pertinent positive and
pertinent negative physical findings. Organized
by body system in list format. No extraneous
data.
2.5 pts
This criterion is linked to a
Learning Outcome A
(Assessment)
2.5 pts
Accomplished
Diagnosis and differential dx are correct,
include ICD code, and are supported by
subjective and objective data.
2.5 pts
This criterion is linked to a
Learning Outcome (Plan)
2.5 pts
Accomplished
The plan is organized, complete and supported
with 2 evidence-based references. Addresses
each diagnosis and is individualized to the
specific patient and includes medication
teaching and all 5 components: (Dx plan, Tx
plan, patient education, referral/follow-up,
health maintenance).
2.5 pts
Total Points: 10
Use the template that I gave you before. The first page needs blank for cover sheet.
Diagnoses is R300; Dysuria. Needs ICD 10 codes for differential dx,
CPT codes for labs and procedures such as UA, Urine culture and sensitivity, physical
examination etc Do not paste and copy all (it needs paraphrasing). Research a lot for
patient education, pertinent positive and pertinent negative, non-pharmacologic
treatment etc. APA 7 format. I can give you five days to complete it.
Patient initial: J. V.
Patient DOB: 1963 Sex: F
SUBJECTIVE:
Chief Complaint:
History Of Present Illness:
-Patient is seen today for flank pain and dysuria
Medical History:
COVID pos 5/7/22
anemia
UTI, pyelonephritis s/p hospitalization w/sepsis
Mx kidney stones
Varicose Veis
Scoliosis
Surgical History:
Lithotripsy 2020
Gynecological History:
G5P5A0
denies h/o abnormal pap or mammo
Family History:
M: dementia, lupus, hypothyroid
F: varicose veins
Social History:
-single
-lives with children
-works as food service worker HMH
-denies tobacco
-denies ETOH
-denies recreational drugs
Smoking Status: Never Smoked
Allergies:
Macrobid; ; Dizziness
Morphine; ;
Current Medications:
Currently not taking medications
Review of System:
Constitutional: #fatigue#
Patients deny weight change, fever, chills, weakness, sleep changes, appetite changes.
Head: Patient denies headache.
Neck: Patient denies abnormal masses, neck stiffness.
Eyes: Patient denies vision loss, blurring, discharge, excessive tearing, dryness.
Ears: Patient denies hearing loss, tinnitus, vertigo, discharge, pain
Nose: Patient denies rhinorrhea, stuffiness, sneezing, itching.
Mouth: Patient denies ulcers, bleeding gums, taste problems.
Throat: Patient denies throat pain, difficulty swallowing,
Cardiovascular: Patient denies chest pain, chest pressure, palpitations, DOE,
orthopnea.
Respiratory: Patient denies shortness of breath, cough, increased sputum, hemoptysis.
Gastrointestinal: Patient denies nausea, vomiting, heartburn, dysphagia, diarrhea,
constipation, melena, abdominal pain, jaundice, hemorrhoids.
Genitourinary: #R flank pain, dysuria, increased frequency#
Patient denies abnormal urgency, hesitancy, incontinence, hematuria, nocturia, stones.
Musculoskeletal: Patient denies arthralgias, joint stiffness, myalgias, muscle weakness,
instability and abnormal range of motion
Integumentary (Skin and/or Breast): Patient denies rash, changes in hair, changes in
nail, pruritus
Neurological: Patient denies headache, syncope, seizures, vertigo, ataxia, diplopia,
tremor, numbness, tingling.
Psychiatric: #insomnia#
Patient denies depression, mood abnormalities, anxiety, memory loss, appetite
changes
Endocrine: Patient denies sensitivity to cold or heat, polyuria, polydipsia.
Hematologic/Lymphatic: Patient denies bleeding, bruising, lymphadenopathy.
GYN: Patient denies abnormal bleeding, changes in menstrual cycle, hot flashes.
OBJECTIVE:
Vital Signs:
Height: 64.50 in
Weight: 139.40 lbs
BMI: 23.56
Blood Pressure: 135/78 mmHg
Temperature: 98.60 F
Pulse: 86 beats/min
Physical Exam:
Constitutional:
WD, WN, Alert, Oriented X3 in NAD. Affect appropriate. Gait normal.
Eye: PERRLA, EOMI, nl conjunctiva
Ear: No pinnea/tragal tenderness. Drums are visualized, no wax in canals
Nose: N1 mucosa. N1 Nasal septal walls and turbinates.
Mouth: N1 bucal mucosa, no lesions noted.
Throat: Clear, no erythema or exudates.
Neck: supple, no masses. No thyromegaly. Trachea is midline. N1 carotid auscultation.
No JVD
Cardiovascular: RRR, N1 S1 and S2, No cardiac murmurs, rubs or gallops.
Lungs: ctab, no wheezes, rhonchi or crackles
Chest/Breasts: 4/12/22: #L breast 3 o clock lumpiness, ttp#
Gastrointestinal (Abdomen): soft, nt, nd, bs(+). No palpable masses.
Genitourinary: #R flank CVAT#
Lymphatic: -No LAN noted
Musculoskeletal: #ttp over medial aspect of L knee with preserved ROM with small
healed 1 x1 cm scar from abrasion#
strength symmetrical and wnl. No muscle weakness or stiffness. No joint effusion
Skin: #callus noted between 4th and 5th metatarsal on L foot#
Normal color and texture.
Extremities: #varicose veins R greater than L#
Warm, no clubbing, cyanosis or edema. N1 DP/PT pulses bilaterally
Neurological/Psychiatric: CN I-XII intact, neurosensory wnl, strength (5/5), (2+) DTR
UE/LE bilaterally
-Judgment and insight intact
Imaging: 9/21/22 arterial u/s neg
ASSESSMENT:
Diagnosis:
ICD-10 Codes:
1)M545; Low back pain
2)R300; Dysuria
3)R946; THYROID ABNORMAL RESULT
4)D649; Anemia, unspecified
5)R5383; Fatigue
PLAN:
Procedures:
1) 99215; Comprehensive
2) 99401; 15 min
3) 99000; Handling of specimen from doctor to lab
4) 81002; Urinalysis/Dip
Orders:
1) 5463; UA complete (lab order)
2) 395; UCX (lab order)
Medications:
Augmentin 500-125 MG Oral Tablet; Take 1 tablet orally every 12 hours; Qty: 14;
Refills: 0
Care Plan:
.
***recurrent UTI, h/o pyelo and sepsis- last UCx 4/12/22 showed 100K E coli resistant to
cipro and levaquin. Pt reports 2 day h/o R flank pain, dysuria, frequency and fatigue.
Tried Macrobid in the past which caused severe dizziness.
-UA 12/23/22 pos for leukocytes
-send out Ucx 12/23/22
-Rx Augmentin 500/125mg bid x7 days, r/b d/w pt
-ER precautions over holiday weekend
-referred to uro given recurrent UTI and high-risk history
***abnormal TSH- noted on labs 4/19/22. TSH 0.266 unsure if ever discuss
-reordered TSH 12/23/22
**fatigue- h/o anemia. pt reports hgb dropped to 9 once, donates blood occasionally. per
pt took iron in the past. no overt bleeding 4/19/22 cbc and irons normal. Pt requesting
again to check
-ordered iron panel, ferritin 12/23/22 per pt request
***elevated B12- 4/19/22 B12 level over 1500
-discuss nv, but will need to stop any supplementation
***L knee pain- fell and landed on L knee. worsen with prolonged standing. Reports she
had same pain on R knee and had steriod injection, which resolved it. On PEX, ttp over
medial aspect of L knee with preserved ROM with small healed 1 x1 cm scar.
-on 8/8/22 spoke to pt regrading her L knee x ray. MRI is recommended given that she
sustained a trauma to her knee and has radiologic findings of possible soft tissue injury.
She is in significant pain, takes Ibuprofen, reports difficulty with ambulation. Pt states
that she tried to make appt with ortho and radiology, but no slots were available anytime
soon.
-Needs MRI. Can either order or she can see ortho and do it with them. I was able to
arrange an appt for her to see Dr Panosyan tomorrow at 1:30.
***varicose veins, bil leg pain- to b/l LEX, R greater than L, chronic. c/o occasional
aching. prolonged standing and walking at work. 9/21/22 arterial duplex neg
-Ordered venous u/s 8/3/22
-referred to vein specialist 4/12/22 and 8/3/23
Plan Notes Continued: .
***Tinea cruris bilaterally – noted on PEX on 10/26/22
-Rx ketoconazole 2% cream top bid x 2wks, r/b, d/w pt
***Callus- Pt reports painful, itchy lesion in between 4th and 5th metatarsal. Works long
hours on her feet. Pt reports she has new shoes and tried OTC counter products with
no relief. Admits to trying her son's salicylic acid acne med on lesion. On PEX, small,
hardened callus is noted.
-Referred to podiatry on 10/26/22
***insomnia- chronic. has failed melatonin and hydroxyzine 50 mg. also took Ambien
5mg prn in past
-cont w/caution
Patient Instructions: .
-Pt has been instructed to take medications as prescribed
-Pt received education on compliance with medications and recommendations
-Pt received counseling regarding Medication Side Effects
-Pt received counseling on following a well-balanced healthy diet with veg, fruit and
fiber.
-Pt was instructed to do CV exercise at least 3-4 times every week for 30 minutes.
-Pt received counseling regarding stress management
PHCM: .
58 yo F:
-annual PEX: done 4/12/22–next due 4/12/23
-annual labs: done 4/19/22 unsure if ever discussed
-cervical CA screening: referred to gyn 4/12/22
-breast CA screening: dx mammo L breast u/s ordered 4/12/22
-colon CA screening: referred to GI 4/12/22
-skin CA screening: referred to derm 4/12/22
Immunizations:
-influenza: fall 2021
-tetanus: unsure, rec 4/12/22
-shingrix: rec 4/12/22
-COVID: Pfizer 5/2021, 6/2021, booster 3/2022
Please see the attachment for the instructions
Health Promotion Plan – Template
Complete the following template to outline your Patient Education Brochure that you will create later in the course.
Student Name:
PART I: IDENTIFYING A SHORT-TERM GOAL AND THEORY / MODEL
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Title of your patient education brochure |
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Topic you selected from Healthy People 2030 |
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Objective you selected from Healthy People 2030 |
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Target population for your brochure |
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Short-term goal for what the reader can accomplish from reading your brochure |
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Behavioral Change Theory or model you will use to guide the development of your brochure |
Continue to the next page to complete Parts II and III.
PART II: OUTLINING OBJECTIVES AND CONTENT FOR YOUR BROCHURE
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Learning Objectives Write 3 SMART objectives below. |
Level of Prevention Identify the level of prevention relevant to the objective. |
Rationale Provide a detailed rationale for each objective supported with evidence. Include in-text citations. |
Outline Provide a detailed outline of the content you will include in your brochure to help the reader achieve this objective. |
Evaluation Plan an evaluation strategy for each objective supported with evidence. Include in-text citations. |
PART III: REFERENCES
Include APA-formatted references below for the scholarly or professional sources you used to support your rationales and evaluation strategies.
How to discuss
Case for the Ongoing Development and Use of Nursing Grand Theories
Case for the Obsolescence of Nursing Grand Theories
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:
Jax is a 66-year-old Caucasian female whose wife has encouraged her to seek treatment. She has never been in therapy before, and has no history of depression or anxiety. However, her alcohol use has recently been getting in the way of her marriage, and interfering with her newly-retired life. She describes drinking increasing amounts over the last year, currently consuming approximately a six-pack of beer per day. She notes that this amount “doesn’t give me the same buzz as it used to.” She denies ever experiencing “the shakes” or any other withdrawal symptoms if she skips a day of drinking.
Jax comments that her wife is her biggest motivation to decrease her alcohol use. She tells Jax that she gets argumentative and irritable when she drinks, though she does not always remember these incidents. She has also fallen while intoxicated twice, causing bruises both times and hitting her head on one of the occasions.
Questions:
Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers.
Submission Instructions:
Choose one of the two following specific populations: either pregnant women or older adults. Then, select a specific disorder from the
DSM-5-TR to use. (Major Depressive Disorder)
1- Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women.
2- Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?
3- Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.
4- Support your reasoning with at least three current, credible scholarly resources, one each on the FDA-approved drug, the off-label, and a nonpharmacological intervention for the disorder.
please follow the instructions, develop: older adult and major depressive disorder… no plagiarism, valid references plus Introduction
