Chapters 24,25
DQ#1 Discuss the shamanic worldview of health and illness and how
Chapters 24,25
DQ#1 Discuss the shamanic worldview of health and illness and how it pertains to the practice of nursing.
For all DQs: Please abide by APA 7th edition format in your writing. Answers should be 2-3 Paragraphs made up of 3-4 sentences each, at least 250 words (more or less) in length.
AND, please use your assigned textbook as, at least,
one reference, or 10 points will be deducted.
INTRODUCTION:
Select a community organization or group that you feel would be in
INTRODUCTION:
Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10-12-slide, 20-minute presentation, with audio, intended for that audience. Create a detailed narrative script or speakers notes for your presentation, 4-5 pages in length.
This assessment provides an opportunity for you to develop a presentation for a local community organization, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional.
SCENARIO:
Your nurse manager at the community care center is well connected and frequently speaks to a variety of community organizations and groups. She has noticed the good work you are doing in your new care coordination role and respects your speaking and presentation skills. Consequently, she thought that an opportunity to speak publicly about contemporary issues in care coordination would be beneficial for your career and has suggested reaching out to a community organization or support group to gauge their interest in hearing from you, as a care center representative, on a topic of interest to both you and your prospective audience. You have agreed that this is a good idea and have decided to research a community organization or support group that might be interested in learning about ethical and policy issues related to the coordination of care.
To prepare for this assessment, you may wish to:
Research your selected community organization or support group.
Review the Code of Ethics for Nurses With Interpretive Statements and associated health policy issues, specifically, the ACA.
Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.
Allocate sufficient time to rehearse your presentation before recording the final version for submission.
INSTRUCTIONS:
Use the Assessment 02 Supplement: Ethical and Policy Factors in Care Coordination [PDF] Download Assessment 02 Supplement: Ethical and Policy Factors in Care Coordination [PDF]to select the community organization or support group that you plan to address.
Develop a PowerPoint with typed speaker notes (the script for your voice recording) and audio voice-over recording, intended for that audience. Video is not required.
Presentation Format and Length
You may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voice over. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
Be sure that your slide deck includes the following slides:
Title slide.
Presentation title.
Your name.
Date.
Course number and title.
References (at the end of your presentation).
Your slide deck should consist of 10–12 slides, not including a title and references slide with typed speaker notes and audio voice over. Your presentation should not exceed 20 minutes.
Create a detailed narrative script for your presentation, approximately 4–5 pages in length.
Supporting Evidence
Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script.
Grading Requirements
The requirements outlined below correspond to the grading criteria in the Ethical and Policy Factors in Care Coordination Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.
Explain how governmental policies related to the health and/or safety of the community affect the coordination of care.
Provide examples of a specific policy affecting the organization or group.
Refer to the assessment resources for help in locating relevant policies.
Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA).
Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
What are the implications and consequences of specific policy provisions?
What evidence do you have to support your conclusions?
Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
Consider the factors that contribute to health, health disparities, and access to services.
Consider the social determinants of health identified in Healthy People 2020 as a framework for your assessment.
Provide evidence to support your conclusions.
Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included for a proficient score; both speaker notes and the audio voice over are included for a distinguished score.
Present a concise overview.
Support your main points and conclusions with relevant and credible evidence.
read the article attached by Malti, et al. (2020). Begin the discussion with an
read the article attached by Malti, et al. (2020). Begin the discussion with an overall reaction to the study and then discuss the following aspects:
Discuss the importance of predicting maternal obesity-related oxidant stress.
Given the results of this study, how soon should clinicians begin using 1st trimester leptin levels as a predictive biomarker of oxidant stress in obese pregnancies?
Look at your course colleagues’ responses.
From your advanced practice mindset
Look at your course colleagues’ responses.
From your advanced practice mindset reflect on a discussion you would like to have with two of your course colleagues about their responses.
Post a response individually to each of them that expresses your advanced practice nursing role perspective of the data represented in their response.
APA format
DOI reference link
Use scholarly resources relevant to your advanced practice nursing role (FAMILY NURSE PRACTICIONER) if you are a nurse practitioner what are your observations about the non-conventional modality presented in the schemata, can you locate any evidence or the foundational basic sciences that support the modality, etc?
PLEASE RESPOND TO THE FOLLOWING POST:
Progressive pathophysiologic relationship between an MI and the development of LV Failure, and affects of severity:
With Mr. T., he has several risk factors for MI and LV failure including obesity, black race, untreated hypertension, dyslipidemia, and possibly some genetic factors with his family history. With hypertension, it can cause left ventricular hypertrophy due to overworking the muscle, leading to left ventricular heart failure (McCance & Huether, 2019). In myocardial infarction, risk of death is dependent on several things, some of which are the degree of the dysfunction and ischemia of the left ventricle (McCance & Huether, 2019). Heart failure can occur due to pulmonary congestion and abnormal heart motion, which also decrease stroke volume and ejection fraction post-MI.
Manifestations and management of clients with DVT:
Although some do not necessarily have symptoms when having a DVT, post thrombotic syndrome is a sign that a DVT is present, where a patient may have pain, edema, and ulceration of the limb being affected (McCance & Huether, 2019). Prevention is the main strategy through prophylaxis, one intervention is pneumatic compression devices, proven in random trials to help prevent DVT (Seang et al., 2024). If a DVT is suspected, doppler ultrasound and D-dimer may be helpful. If a high risk patient is found to have a clot, low-molecular weight heparin would be the main line of treatment for anticoagulation followed by three months of therapy, most often with direct thrombin inhibitors (McCance & Huether, 2019).
Summary of things learned from the article:
I have taken care of several patients with DVT but have not considered that about half of people with DVT do not have any symptoms (CDC, 2024). Although I have seen many of these in practice, I think as an NP it will be important to remember the complications that can result from PE/DVT, and educating and prescribing appropriately to prevent reoccurrence since the risk is higher once it has occurred (CDC, 2024).
Centers for Disease Control and Prevention. (2024, May 15). About venous thromboembolism (blood clots). Centers for Disease Control and Prevention. https://www.cdc.gov/blood-clots/about/?CDC_AAref_Val=https://www.cdc.gov/ncbddd/dvt/facts.htmlLinks to an external site.
McCance, K., and Huether, S. (2019). Pathophysiology (8th ed.). Elsevier Health Sciences.
Seang, R., Young, K., & Yun-Hee, K. (2024). Characteristics and effects of intermittent pneumatic compression devices interventions to prevent venous thromboembolism in critical care patients: A systematic review of randomized controlled trials. Korean Journal of Adult Nursing, 36(1), 28–40. https://doi.org/10.7475/kjan.2024.36.1.28Links to an external site.
Review Healthcare Debates – MHA Online(https://www.mhaonline.com/blog/debates).
Review Healthcare Debates – MHA Online(https://www.mhaonline.com/blog/debates). You will see that there are examples of common debates in the medical field. Every argument has different sides.
Choose a debate in the medical field either from the Healthcare Debates – MHA Online page or another debate topic of your choice.
Using logical concepts and logical argumentative approaches, write a 500 -750-word paper that shows support for one side of the debate you have chosen.
Include the following in your paper:
A title page
A basic logical concept for your position on the debate
Valid points for your argument that are sound and from reliable sources
At least 2 references on a reference page (one being the book and one being an outside scholarly source)
Accompanying in-text citations where the references are used
The paper should be formatted in APA style. Use the provided template to start your paper as it is already in proper APA format. Be sure to remove the existing text in the template and replace it with your own.
Must be submitted as a Word file.
Please refer to the assignment rubric PDF for specific details regarding the assignment criteria and expectations.
Part 1 Peer Responses: Introduction DP.
Instructions:
Please respond to at least
Part 1 Peer Responses: Introduction DP.
Instructions:
Please respond to at least 2 of your peer’s posts. To ensure that your responses are substantive, use at least two of these prompts:
Welcome your peers to class!
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response meets the criteria.
PEER 1:
Hello, all! My name is Nyra Kershaw, but most people call me Dawn. I am a mother of three sons out of school and in the workforce. My mother is a nurse and, at 74 years old, is still going strong working in a busy ICU. I have never wanted to do anything else. Two of my sons still live at home, and I am great with that. I love to cook and learn new ways to cook. I have a kitchen gadget hoarding issue. We also rescue dogs, and at this time, we have six. They are a full-time job alone. I live in deep southwest Louisiana and work in a rural area in the home health field. I have been a registered nurse for five years but was an LPN for 21 years. I have been employed with the same company for 22 years. I have a year-round vegetable garden and love to try new vegetables every year for added challenges. I am a true crime junkie and love trash TV in my downtime, especially on high-stress days. I also teach BLS in my spare time. I chose to continue my education in Advanced Practice Nursing to enhance what I can do to serve my community and serve at a higher level. I plan to do community care as an APRN. House calls and mobile care are needed in this area as there are elderly and disabled people who do not drive and are deprived of primary care due to their inability to attend appointments. In the rural areas I serve, there is not a vast selection of transportation for the elderly and disabled.
PEER 2:
My name is Kalynn Curtis. I am 31 years old and born and raised in New Orleans, Louisiana. I have a 10-year-old son who is currently going into the fifth grade. I have a bachelor’s degree in psychology with a minor in chemistry from Xavier University of Louisiana. I received my bachelor’s of science in nursing from Herzing University in April of 2023. I am currently an RN in an oncology/BMT unit. I just became chemo-certified earlier this year and am in the process of getting my BMT certification. I also have been picked to start precepting new hires at work. One of my interests includes reading. I am going back and forth between the Alex Cross series by James Patterson and the Jack Reacher series by Lee Child. I am also learning French. My son has been speaking it since he was four because of the school he attends, and I want to keep up, lol. My goal is to graduate from the Family Nurse Practitioner program and eventually get my doctorate. I have always wanted to help people and see myself continuing for a while.
Part 2: Decision Making models utilized by PCP’s DP
Instructions:
Review the reflection posts of your course colleagues. Consider the knowledge you have gained from this week’s lecture.
Construct a response to at least 2 of your peers commenting on the following:
Your thoughts about the model they chose to frame their discussion.
Consider you were the primary care provider that had seen your course colleague. Comment if there were any actions/activities you would have done differently or would not have done that the primary care provider did relative to your course colleague’s encounter with them.
Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response meets the criteria.
PEER 3:
Working alongside physicians provides a unique experience when monitoring patient-provider encounters. There was a provider who was extremely intelligent but quite disconnected from his patients. I began shadowing him during his assessment and found him to be incredibly thorough, but his explanation of the care plan was full of medical jargon that was hard for the patients to understand. Not only did they not comprehend his interpretations, but they were afraid to ask for clarification. At this moment, I started translating the jargon into layman’s terms to advocate for the patient and make them feel comfortable. It is essential that patients feel involved in their care. Effective communication, such as being an active listener, makes patients feel heard when explaining their concerns. The provider must ensure the patient understands the treatment plan and feels empowered to explore their options without coercion or fear of disapproval.
The shared decision-making model, as outlined by Yun et al. (2024), underscores the crucial role of patient involvement in healthcare decision-making. This model allows the patient and the healthcare team to make the best decisions for the patient, leading to significant improvements in health recovery and quality of life (Yun et al., 2024). It prompts us to re-evaluate the relationship between professionalism, empathy, health-rated factors, and clinical decision-making ability (Yun et al., 2024). By allowing the patient to participate in the care model, we can increase the likelihood of patient compliance and restore responsibility and accountability to the patient. This approach requires our commitment and dedication to ensuring that patients are actively involved in their care decisions.
Reference
Yun, J., Seong, M., Cho, Y., & Sok, S. (2024). Influences of nursing professionalism, empathy, and clinical decision-making ability on shared decision-making awareness among hemodialysis nurses. Journal of Nursing Management, 2024. https://doi.org/10.1155/2024/2518065
Peer 4:
For me, it has been a while since I have seen a primary care physician. Many factors play into why so I don’t have a personal experience to share. However, working on an oncology unit, I have seen many interactions with doctors and patients about different avenues that a person can take to get better. I personally just had a patient whose cancer was spreading to her brain. It was time for the doctor to sit down with the patient and her family about the steps that they should take next. From what I have seen, many of the physicians have used the shared model when talking to their patients. The SHARE approach is one model used to facilitate shared decision-making. Shared clinical decision-making is a collaborative process that involves patients and healthcare providers working together to make healthcare decisions (Montori et al., 2022). This approach ensures that patients are fully informed about their options and that their preferences and values are considered in the decision-making process. It includes the following steps: S: Seek your patient’s participation. Encouraging patients to be actively involved in their healthcare decisions is important (Moleman et al., 2020). H: Help your patient explore and compare treatment options. This can be accomplished by providing patients with evidence-based information about their condition and the available treatment options (Moleman et al., 2020). A: Assess your patient’s values and preferences. Understanding the patient’s values, preferences, and lifestyle to tailor the treatment plan accordingly (Moleman et al., 2020). R: Decide with your patient. Collaboratively deciding on the best course of action that aligns with the patient’s preferences and clinical evidence (Moleman et al., 2020). E: Evaluate your patient’s decision. Reviewing and following up on the decision to ensure it meets the patient’s needs and adjusting the plan if necessary (Moleman et al., 2020). This approach not only respects patient autonomy but also aims to improve patient satisfaction, adherence to treatment plans, and overall health outcomes.
References
Moleman, M., Regeer, B. J., & Schuitmaker‐Warnaar, T. J. (2020). Shared decision‐making and the nuances of clinical work: Concepts, barriers and opportunities for a dynamic model. Journal of Evaluation in Clinical Practice, 27(4), 926–934. https://doi.org/10.1111/jep.13507Links to an external site.
Montori, V. M., Ruissen, M. M., Hargraves, I. G., Brito, J. P., & Kunneman, M. (2022). Shared decision-making as a method of care. BMJ Evidence-based Medicine, 28(4), 213–217. https://doi.org/10.1136/bmjebm-2022-112068Links to an external site.
Create a 3-5 page annotated bibliography and summary based on your research rela
Create a 3-5 page annotated bibliography and summary based on your research related to best practices addressing a current health care problem or issue.
Introduction
In your professional life, you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need. For this assessment, you will research a health care problem or issue faced by current health care organizations.
Instructions
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.
For this assessment, research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 4. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking.
Select one of the health care problems or issues presented in the Assessment 02 Supplement: Applying Research Skills [PDF] Download Assessment 02 Supplement: Applying Research Skills [PDF] resource. Write a brief overview of the selected health care problem or issue. In your overview:
Summarize the health care problem or issue.
Describe the professional relevance of this topic.
Describe any professional experience you have with this topic.
Identify peer-reviewed articles relevant to this health care issue or problem.
Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. You will select four current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.
Refer to the NHS-FPX4000: Developing a Health Care Perspective Library Guide to help you locate appropriate references.
Use keywords related to the health care problem or issue you are researching to select relevant articles.
Assess the credibility and explain relevance of the information sources you find.
Determine if the source is from an academic peer-reviewed journal.
Determine if the publication is current.
Determine if information in the academic peer-reviewed journal article is still relevant.
Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Provide a rationale for inclusion of each selected article. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:
Identify the purpose of the article.
Summarize the information.
Provide rationale for inclusion of each article.
Include the conclusions and findings of the article.
Write your annotated bibliography in a paragraph form. The annotated bibliography should be approximately 150 words (1–3 paragraphs) in length.
List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography.
Make sure the references are listed in alphabetical order, are double-spaced, and use hanging indents.
Summarize what you have learned while developing an annotated bibliography.
Summarize what you learned from your research in a separate paragraph or two at the end of the paper.
List the main points you learned from your research.
Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Assessment 2 Example [PDF] Download Assessment 2 Example [PDF].
Additional Requirements
Your assessment should also meet the following requirements:
Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 point.
APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Content: Provide a title page and reference page following APA style.
References: Use at least four scholarly or academic peer-reviewed journal articles.
APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.
Assess the credibility and relevance of information sources.
Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.
Summarize what was learned from developing an annotated bibliography.
Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
Apply academic peer reviewed journal articles relevant to the health care problem or issue being researched.
Produce text with minimal grammatical, usage, spelling, and mechanical errors.
Integrate into text appropriate use of scholarly sources, evidence, and citation style.
The practice of health care providers at all levels brings you into contact with
The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for basic knowledge and understanding of different faith expressions. No matter what someone’s worldview is, death and dying is a difficult experience whether emotions are expressed or not. For the purpose of this assignment, the focus will be on the Christian worldview.
Read the “Case Study: End-of-Life Decisions” document or one provided by your instructor. Based on the reading of the case, the Christian worldview, and the worldview questions presented in the required topic Resources, you will complete an ethical analysis of situation of the individual(s) and their decisions from the perspective of the Christian worldview.
Based on your reading of “Case Study: End-of-Life Decisions” document (or one provided by your instructor) and topic Resources, complete the “Death and Dying: Case Analysis” document, in which you will analyze the case study in relation to the following:
Christian view of the fallen world and the hope of resurrection
Christian worldview of the value of life
Christian worldview of suffering
Empathy for the individual(s) as they are supported and cared, actions, and their consequences
Respect for the perspectives of individual(s) different from personal and professional values, conscious and unconscious biases related to human rights in health care practice, actions, and their consequences
Personal decision-making based on personal worldview
Support your response using only the following Topic 4 Resources:
Chapter 4 from the textbook Practicing Dignity: An Introduction to Christian Values and Decision-Making in Health Care
“Physician-Assisted Suicide and Euthanasia: Theological and Ethical Responses”
“Always Care, Never Kill: How Physician-Assisted Suicide Endangers the Weak, Corrupts Medicine, Compromises the Family, and Violates Human Dignity and Equality”
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.
Instructions
Choose a theory of interest to you.
Provide an introduction to the
Instructions
Choose a theory of interest to you.
Provide an introduction to the chosen theory—why was it chosen? How can it be used in your nursing practice?
Using the Synthesized Method of Theory Evaluation explained in Chapter 5 of the McEwen & Wills (2023) text, analyze one theory of your choice.
Create a personal reflection on the use of theory analysis criteria in studying nursing theory in your nursing practice as a conclusion to your paper.
Additional Instructions:
7-9 page paper, excluding the title and reference pages.
Utilize a minimum of four scholarly resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.
The Impact of Standardized Nursing Terminology Practice Statement
In a 3-page Pr
The Impact of Standardized Nursing Terminology Practice Statement
In a 3-page Practice Statement, address the following:
Explain how data and information contribute to the formation of knowledge for nursing practice. (1/2 page)
Explain how knowledge for nursing practice might differ between healthcare organizations. (1/2 page)
Explain how these differences might contribute to standards for nursing. Be specific and provide examples. (1/2 page)
*NOTE: The response must synthesize and integrate at least two outside resources
Explain the importance of standardized nursing terminologies. (1/2 page)
Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples. (1 page)
*NOTE: The response must synthesize and integrate at least two outside resources
Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Walden Library.