Category: Nursing

Activity 2
Developing a Change Project – Part II
Instructions
Develop six SMART

Activity 2
Developing a Change Project – Part II
Instructions
Develop six SMART goals an effective leader would need to successfully complete a change project.
Reading and Resources
SMART Goals Resource
Chapter 16 in Marquis, B.L., & Huston, C.J. (2021). Leadership roles and management functions in nursing: Theory and application.
Hamilton, D Kirk, FAIA, FACHA; Orr, Robin Diane, MPH; Raboin, W Ellen, MBA, MSOD. HERD. Organizational Transformation: A Model for Joint Optimization of Culture Change and Evidence-Based Design: Health Environments Research & Design Journal; London Vol. 1, Iss. 3, (Spring 2008): 40-60.
Play Video
Additional Instructions:
All submissions should have a title page and reference page.
Utilize a minimum of two scholarly resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.
Adhere to the chosen Submission Option for Delivery of Activity guidelines.
Submission Options
Choose One:
Instructions:
Paper
1 to 2-page paper. Include title and reference pages.

The research paper has to be about Acute Lymphocytic Leukemia (ALL) which is the

The research paper has to be about Acute Lymphocytic Leukemia (ALL) which is the 
most common type of Leukemia in children.

Please read the case study in the file and answer the questions, highlighted in

Please read the case study in the file and answer the questions, highlighted in yellow, at the end of the case study (last page). 

My Master’s in Psychiatric (PMHNP). I live in Miami and due to my clinical rotat

My Master’s in Psychiatric (PMHNP). I live in Miami and due to my clinical rotation in Better Living medical center
Develop a PowerPoint presentation that includes the following criteria:
Slide 1:  Title Page.
Slide 2:  SBIRT overview – Describe the history of SBIRT, the SBIRT process and how it is used in clinical practice settings using US research articles.
Slide 3:  Case Presentation – Do not include patient identifying information but include demographics i.e. age, gender, race/ethnicity, chief complaint, social history, family psychiatric history, psychiatric history, and risk factors.
Slide 4:  Screening Tool used – Describe the screening tool, validity (sensitivity and specificity), scoring information, and citation.  Your patient’s score and the interpretation of the patient’s score are required.
Slide 5:  Brief Intervention – How was the Motivational Interviewing process applied and shared your client’s score and need for behavioral changes.
Slide 6:  Referral for Treatment – Describe the referral for follow-up treatment plan.  Include the name, address and telephone number of the local large organization.  Be specific with the department where necessary.
Slide 7:  Evaluation of the process – Share the patient’s outcome and your evaluation of the SBIRT process.
Slide 8:  References –5 references.  7th Edition APA format.  Include Screening Tool authors.
Submission Instructions:
The slides are to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
The narration is to be fluid with clear enunciation and the volume of speech is appropriate, with no pauses or distracting fillers.
The PowerPoint presentation should be formatted per current APA guidelines and 8-10 slides in length, including the title and references slides. Incorporate a minimum of 5 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.  For presentation clarification, students may include the presenter’s notes.
Record the project with whatever software works best for you, upload it to Studio, and submit the project using Canvas Studio.
Upload your PowerPoint without the narration for this assignment.
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.

The purpose of this assignment is to evaluate the physical environment of inform

The purpose of this assignment is to evaluate the physical environment of information technology in your work area, hospital, clinical setting, office, or classroom.
View the video on ergonomics and human factors:
Human Factors Engineering Links to an external site.

Complete the National Institutes of Health Computer Workstation Ergonomics: Self-Assessment Checklist Links to an external site..
In a 2–3-page paper:
Describe the physical, cognitive, and organizational ergonomic conditions present or absent in the assessment of your work area.
Identify how human factors presented in the video apply to your work area physical and functional characteristics.
Suggest ways in which the ergonomic design of the work area can be improved to mitigate human factors and to better facilitate human-computer interaction, reduce risk factors, and promote safety.

A commonly occurring issue that you will be diagnosing is patients affected by i

A commonly occurring issue that you will be diagnosing is patients affected by irritable bowel syndrome (IBS). 
Write a 700- to 1,050-word summary regarding the assessment and treatment of a patient with IBS.
Include the following in your summary: 
Based on the latest evidence-based practice guidelines, what symptoms suggest that a patient may be experiencing IBS?
What are the diagnostic tools used to diagnose IBS?
What is the pathophysiology of IBS and what are treatment options for it?
How would you determine differential diagnoses? Provide rationale.
Which ICD-10 codes would you use to code this visit? Explain why. 
Outline a detailed collaboration and follow-up plan you would use for a patient with IBS, including any referrals and, if needed, the collaboration you would utilize to optimize the patient’s care. 
Cite 2 peer-reviewed sources to support your assignment.
Format citations and references according to APA guidelines.  

Answer the following questions with provider level language: 
Identify the sympt

Answer the following questions with provider level language: 
Identify the symptoms of hypoglycemia, hyperglycemia, and ketoacidosis. Why is it important to educate patients about these?
What is the mechanism of action of the gliptins (DPP-4 inhibitors)?
What is the mechanism of action of GLP-1 agonists?
What is the mechanism of action of alpha-glucosidase inhibitors?
What are the adverse effects of propylthiouracil and methimazole? Explain the adverse effects, considering what a patient would need to know.
What are the adverse effects of levothyroxine? Explain the adverse effects, considering what a patient would need to know.
A patient develops a toxic goiter. What is the recommended treatment?
What is the mechanism of action of the meglitinides?
What is the mechanism of action of propylthiouracil and methimazole?
What are the contraindications to therapy with alpha-glucosidase inhibitors?
What patient education is important relative to the administration of levothyroxine?
What black box warning has the FDA issued regarding the administration of TZDs?
What signs and symptoms may indicate that a patient is taking too much thyroid replacement hormone?
What are the mechanisms of action of metformin?
What lab values will be used to monitor a patient on levothyroxine?
What is the mechanism of action and side effects of selective sodium glucose co-transporter 2 inhibitors? Explain the side effects, considering what a patient would need to know.

Based on your clinical experiences with those who are dying, how have these expe

Based on your clinical experiences with those who are dying, how have these experiences shaped your view of death and impacted your ability to demonstrate the qualities of empathy?

Please read the case study in the file and answer the questions, highlighted in

Please read the case study in the file and answer the questions, highlighted in yellow, at the end of the case study (last page). 

Throat, Respiratory & Cardiovascular Disorders
For this Discussion, you will tak

Throat, Respiratory & Cardiovascular Disorders
For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. 
CC: A 75-year-old female reports experiencing pain in her chest while walking up steps today.
SUB:Could not sleep previous night. Feels like an ache or a burning sensation at the center of sternum. Denies any arm pain, pain was at a scale of 8 in the AM now it is at a 2. Suffers from History of hypertension, denies heart disease, denies leg swelling up, denies pain feeling worse when taking deep breath.
vs:BP 129/70, (HR) 72 and regular, (RR) 16 unlabored, temperature 98.8°F, oral pulse oximetry is 99%
general:obese female, alert, in no acute distress.
Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple carries. 
CTA AP&L
carotids are 2+ without bruits; thyroid is not palpable; no lymphadenopathy
S1 and S2 normal without murmur, gallop, or rub.
Your case number 3, answer the following questions:
What other subjective data would you obtain?
What other objective findings would you look for?
What diagnostic exams do you want to order?
Name 3 differential diagnoses based on this patient presenting symptoms?
Give rationales for your each differential diagnosis.
Submission Instructions:
Your instructor will assign you your case number and you will post on the case number you have been assigned.
You will reply to the other two case studies (One of each).
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.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.