Free clinic staffed by student volunteers

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Free clinic staffed by student volunteers

You are working in a free clinic staffed by student volunteers. The clinic has students from multiple disciplines, including medical, nursing, nutrition, social work, and pharmacy students, who all work side-by-side to provide care for uninsured

You are working in a free clinic staffed by student volunteers

Week 4 DQ
Submission Details:
• Post your initial response to the Discussion Area by Day 3. • Please make sure you are using scholarly references and they should not be older than 5 years. Your posts/references must be in APA format.

Case Scenario
You are working in a free clinic staffed by student volunteers. The clinic has students from multiple disciplines, including medical, nursing, nutrition, social work, and pharmacy students, who all work side-by-side to provide care for uninsured or underinsured residents of the local urban underserved community.

Dr. Gabriela Medel, your supervising family medicine preceptor, also, discusses your next patient with you and Carla George, a nursing student with whom you are working.

Dr. Medel tells you and Carla, “Mr. Jose Martin is a 54-year-old male who is new to the clinic and has not received medical care in over 10 years.”

Carla offers to take Mr. Martin’s blood pressure.

Carla reports to you and Dr. Medel, “Mr. Martin’s blood pressure is 150/85 mmHg in his right arm, and his pulse is 80 beats per minute. So it appears that we will be considering whether Mr. Martin has hypertension or not.”

You recall that you recently read an article about hypertension, and that guidelines for its definition and treatment have changed over time.

You mention this, and Dr. Medel responds, “For many years, we defined blood pressures between 120-139/80-89 as ‘prehypertensive.’ Blood pressures in this range were recognized to put people at higher risk of cardiovascular events, also physicians were supposed to give patients with prehypertension guidance on making changes to their diet and exercise to prevent the development of hypertension.

“Unfortunately, physicians and patients often disregarded this label. More recent guidelines, from the American College of Cardiology (ACC). Also, the American Heart Association (AHA). Now define blood pressures of 130/80 or greater as hypertensive. Which could push physicians and patients to focus more on the importance of lifestyle changes.”

You ask Dr. Medel, “Am I recalling correctly that the AAFP (American Academy of Family Physicians) did not endorse these guidelines? Further, how do you decide which guidelines to follow in your practice if organizations disagree?”

Dr. Medel replies, “That is one of the challenging things about clinical practice. After reviewing these guidelines, I chose to adopt them into my clinical practice. The AAFP pointed out that these guidelines did not fully address the risk of harms with lower blood pressure goals, and so I am more cautious about the potential downsides of lower blood pressures than the ACC/AHA guidelines suggest (especially in groups such as older adults, who are particularly at risk of adverse events from medications). I am also always cautious about conflicts of interest, which was another concern of the AAFP, and will be looking out for further studies that may change these recommendations once again.”

 

Safeguarding patient care assignment

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Safeguarding patient care assignment

This is a paper that requires the student to undertake the HSNS376 safeguarding patient care assignment. The paper also provides additional information to use in the writing of the assignment paper. Below is the assessment description to follow:

Undertake the HSNS376 safeguarding patient care assignment

Assignment 1 – Written Assignment

HSNS376/576 Assignment 1

This assessment relates to: Learning Outcomes 1-5
Assessment 1: Safeguarding patient care

This assignment examines roles, and also responsibilities nurses have about making decisions about practice aiming to keep patients safe in Australian healthcare.  As a core skill for a nurses reflection is a conscious effort to think systematically about an activity or incident that allows us to consider what was positive or challenging and if appropriate plan how it might be enhanced, improved or done differently in the future.

Case study

In 2001, 18-month-old Josie King died of dehydration and a wrongly administered narcotic while an inpatient at Johns Hopkins Hospital.  Her mother, Sorrel King, tells the story of how this happened and explains her role as a consumer (parent) in improving patient safety.

*Please note Josie’s story is a confronting and also avoidable tragic incident that occurred in a hospital. Please be aware that it may cause you distress and seek support if you need it. You can discuss with the unit coordinator, or contact UNE Student Support.

The Josie King Story

In preparation for the assessment task
View – the video of Josie’s story
Additionally, review – the associated relevant documents below

i.  Firstly, review the NMBA Registered Nurse Standards of Practice https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx

ii.   Secondly, Australian Commission Safety and Quality in Health Care National Safety and Quality Health Service (NSQHS) Standards: Partnering with consumer standard and follow to the link Partnering with patients in their own care.

iii. Thirdly, Code of conduct; Code of conduct for nurses

iv. Fourthly, Code of Ethics;  Code of ethics for nurses from 1 March 2018, the International Council of Nurses Code of ethics is in effect for all nurses in Australia

Family practice issues identification and therapy models

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Family practice issues identification and therapy models

This is a paper that focuses on the family practice issues identification and therapy models and also recommendations for these problems. Additionally, the paper discusses the major assumptions made.

Family practice issues identification and therapy models

Family Practice Paper
I. Family description (1-2 pages)

Describe a family with whom you are working

Structure and Composition of the Family

i.    Firstly, you have to describe demographics, characteristics and roles of each family member
ii.    Then, identify strengths and resources of the family as a whole

Presenting Issues of the family

i.   Identify and describe the issues that you and the family are working on.
ii.  Draw a family genogram to illustrate the problem visually (one page attachment or figure embedded in paper.

II.  Secondly, write a literature Review on Presenting Issues (1-2 pages)   .
A.   Identify the prevalence, characteristics, and scope of one or more of the family’s primary presenting issues.
B.   Then, review research on family therapy with one or more selected issue that you are working on (or if necessary would like to or have previously worked on)
C.   Subsequently, describe efficacy or effectiveness of various family therapy approaches at resolving the problem.

III.  Thirdly, write a literature Review on Two Family therapy Models

Select two of the following therapies which you believe have potential for being effective at resolving the family problem.

Attachment Based Family therapy

Cognitive-Behavioral (Multiple strategies and also models can be found in the literature)
Communication (Satir)
Experiential (Whitaker)
Family Systems (Bowen)
Narrative (White & Epston)
Multisystemic Family Therapy
Solution-Focused (Berg)
Strategic (Haley & Madanes)
Functional Family Therapy (Alexander)
Brief Strategic Family Therapy (Szapocznik)
Multidimensional Family Therapy (Liddle)
Structural (Minuchin)
Other family therapies that you have found in the literature |

Describe the key ideas and major assumptions of each approach.
Discuss how each approach would account for the culture and values of the family.
Then, describe the assessment process including the essential information for applying each approach.
Review the evidence base for each therapy approach in relation to the presenting issue
Lastly, select one of the two approaches with a rationale for your choice.

IV. Fourthly, discuss an intervention plan (4 – 5 pages) Specify if you are able to carry out any of this approach with the family.  However, if you can begin to carry this out, describe this process; if you are not able to apply this describe how you would plan to carry this out.

Develop a plan for implementing or applying the information to the  family situation.
Then, identify the goals for treatment
Specify techniques to address the problem.
Additionally, give examples of how you would use the techniques with the family (include sample dialogue if necessary).
Lastly, describe also how you will evaluate the effectiveness of treatment (i.e. how will you know you have successfully resolved the problem the family came in to address?).

V. Lastly, come up with conclusions and Implications

Conclusions about state of the evidence regarding the presenting issue
Additionally, write implications for future practice

 

 

Brief summary of the patient’s current health problem

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Brief summary of the patient’s current health problem

This is an assignment hat focuses on the brief summary of the patient’s current health problem. The paper requires adequate information on the patient’s health.

The brief summary of the patient’s current health problem

CNA772 Assignment 1

This assessment task enables you to deeply engage with the literature around the management of an acutely ill patient.  You must select a patient for the case study who has experienced either shock, acute respiratory or cardiac dysfunction.
Write a brief summary of the patient’s current health problem, relevant history. Additionally, any specific early management provided to address the primary problem prior to arriving into the emergency department. This should be sufficient to set the scene for the reader. The introduction should take up no more than one (1) to one and a half (1 ½) pages.

At all times you must maintain patient confidentiality by assigning the person a pseudonym and not disclosing personal identifying information. Please note that no patient details are required, and it is your interpretation of the management of the patient’s physiological status that is examined. There is no need to include patient’s test results unless significant to the case.  Please do not include diagrams, pictures or tables in the essay. It is your role to interpret the information, not reproduce data.  Ethics approval from health care institutions are not as you are not providing any identifying information, nor patient specifics.

The brief summary of the patient’s current health problem

To facilitate demonstrating depth of knowledge related to acutely ill patients, critically analyse the related health problem (shock, or acute respiratory or cardiac dysfunction) using evidence-based findings, limit your paper to an explanation of the physiology underlying the problem and the management provided. The management should be restrict to the key elements used to address the problem and should be linked back to the alter physiology.
Include a conclusion to the paper that draws the key elements together.  Use a minimum of 12 scholarly references to support your discussion themes ensuring that you correctly reference your work.  You must clearly demonstrate the related pathophysiology in the body of your paper.  References in the main should be no more than five years since publication.

Lastly, write clearly in an appropriate academic style and structure and back up claims by referring to academic literature and references appropriately using modified Harvard style as required by the School of Nursing.
2000 words, Times New Roman size 12, line spacing 1.5, double return before paragraphs, Harvard Author-Date for referencing, left aligned for reference list with single spacing, no need to indent first work of each paragraph, Microsoft Word Document.

Developing a professional practice portfolio for registered nurses RN BSN FNP DNP

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Developing a professional practice portfolio for registered nurses RN BSN FNP DNP

This is an assignment that discusses the developing a professional practice portfolio for registered nurses. The paper also discusses the standards for practice for application.

The developing a professional practice portfolio for registered nurses

Written Assignment (Individual): Developing a Professional Practice Portfolio 1,500 words Weighting 50%
AIM: According to the Registered Nurses Standards for Practice (2016), to provide safe, effective nursing care, nurses must maintain capability for practice through lifelong learning and professional development.1 In this assessment task, you will develop the skills required to create a Professional Practice Portfolio (PPP) in which you can document the evidence of capability for practice as a Registered Nurse in the future and also how the Standards for Practice are applied. This assessment item will address course learning outcomes 1 and 3.

INSTRUCTIONS:

This assessment task has two components. 1. Professional practice portfolio use • Firstly, describe a PPP and discuss the recommended components (approx. 100 words); • Present an argument that supports the use of a PPP to demonstrate professional nursing practice. Your argument should demonstrate critical thinking and analysis of why PPPs should be and the benefits and challenges of using a PPP to demonstrate capability for professional nursing practice (approx. 350 words); • Also, discuss and differentiate between ‘management’ and ‘leadership’ concepts, and describe how development of leadership and management skills could be evidenced in a professional practice portfolio (approx. 400 words). • Support your argument with at least seven scholarly sources from 2015 onwards.

1. Nursing and Midwifery Board of Australia. (2016). Registered Nurses Standards for Practice.

2. Application of Professional Standards
Standard 3 “Maintains the capability for practice” (NMBA, 2016) includes seven points about how the Registered Nurse maintains the capability for practice. The fourth point states the Registered Nurse (RN) “accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role” (NMBA, 2016).

The developing a professional practice portfolio for registered nurses

• Secondly, choose an example from a previous or current clinical placement where you were delegated an action/responsibility by an RN/Clinical Facilitator and describe this example2. Your description should include: The context of nursing practice and health care delivery (i.e. where this occurred); who was involved; what you were delegated to do; how you enacted the delegated action/responsibility, and; the outcome of the delegated action/responsibility (approx. 200 words); • Thirdly, critically discuss how you demonstrated the application of a professional standard (within your student nurse scope of practice) and reflect upon the accountability for your decisions, actions, behaviours and responsibilities (approx. 450 words); • Support your discussion with at least three scholarly sources from 2015 onwards.

OTHER ELEMENTS: • You do not need to include an introduction or conclusion to this written assessment. • Use a heading for each of the two components of the written assessment. • Do not exceed the word limit – the word limit does not include the reference list BUT does include in-text references and quotations;

Stress in the Healthcare Workplace Nurse Burnout

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Stress in the Healthcare Workplace Nurse Burnout

Description

Stress is a common phenomenon in healthcare. Write about stress in healthcare and the impact it can have on employees, organizational performance, the delivery of patient care, etc. Identify and describe the different kinds of stress that can occur. Discuss why stress in a healthcare environment may be more of a pressing issue as compared to other industries (be sure to address factors, such as, professional hierarchy, personalities, ethnicity, gender, etc.). Describe if / how employee burnout (due to stress) is impacting the delivery of care. Once you have written about stress in the workplace, identify some best practices to alleviate the negative effects of stress in the workplace. How should managers behave so that employees experience less stress on the job? Ground all your work in existing theory. What strategies can the organization use so that the employees experience less stress on the job? This write-up has to be supported by current facts and literature. Possible Deliverables • What does the healthcare environment look like currently? • Why is stress more prevalent in healthcare? What impact can it have on an organization, employees, and patients. • Define stress – when is it good and when is it bad? • What can administrators do to address employee stress? What can employees do to better manage stress? • Using established theories to describe stress in a healthcare environment

Reducing Re-admission post hosptalization

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Reducing Re-admission post hosptalization

Reducing Re-admission post hosptalization Choose a nursing issue that impacts your practice. The nursing issue may involve a structure, process, or outcome. Examples might include an increased number of patient falls, long wait times in the Emergency Department, high staff turnover, and poor medication compliance in an outpatient setting • Review the literature (including a minimum of eight peer-reviewed articles published within the last five years) related to the nursing issue • Your team is in charge of establishing a committee to address this issue • Establish membership of your committee including which disciplines should be represented and what individual responsibilities are • Provide goals and objectives for your committee • Provide a timeline for expected resolution of the issue and dissolution of committee • Provide guidelines for communication among committee members, including resolution of conflict • Describe how you will implement your evidence-based solution to the issue, addressing and measuring the effectiveness of your model • You are expected to interview nursing and other healthcare leaders and their facility to help develop their committee • You are also expected to attend interdisciplinary or interprofessional Development of team Membership Duties and responsibilities of team members Committee goals and objectives Timeline

Alternative Pain Management on a Medical Surgical Unit

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Alternative Pain Management on a Medical Surgical Unit

Project #5: Implementation Plan Instructions This assignment requires that you adapt the analysis done for Projects #1 – 4 to a new environment. Use your prior work, i.e. the recommendation memo and network diagram, to develop a high-level plan for implementing an infrastructure that includes the required controls, changes, etc. to mitigate vulnerabilities and convergence issues in the second case study’s environment. You may need to do additional analysis to address issues specific to the second case study’s environment. Your high-level plan should include all the system development life cycle (SDLC) gates/decision points and all relevant tasks. Describe and relate the implementation solution to CIA and incorporate, people, processes and technology to this plan. Note: Make sure that you include (in detail) the steps you would take to secure the new infrastructure. Putting It All Together Your plan will be a combination of a paper and a detailed list of steps and resources that you would follow to implement and complete this project. Think about all of the actions, resources, and tasks that you would need in order to effect a successful implementation. These should also be included as part of the plan. The minimum structure for this assignment is below: • INTRODUCTION o Purpose of Plan • GOALS AND OBJECTIVES o Business Goals and Objectives o Project Goals and Objectives • SCOPE o Scope Definition o Items Beyond Scope • PROJECTED EXPENSES o System Development Life Cycle/Schedule o Milestones • ASSUMPTIONS o Project Assumptions • CONSTRAINTS o Project Constraints o Critical Project Barriers Additional Information 1. Consult the grading rubric for specific content and formatting requirements for this assignment. 2. Your 5 – 8 page Implementation Plan should be professional in appearance with consistent use of fonts, font sizes, margins, etc. You should use headings and page breaks to organize your paper. 3. Your paper should use standard terms and definitions for cybersecurity. See Course Content > Cybersecurity Concepts Review for recommended resources. 4. The CSIA program recommends that you follow standard APA formatting since this will give you a document that meets the “professional appearance” requirements. APA formatting guidelines and examples are found under Course Resources > APA Resources. An APA template file (MS Word format) has also been provided for your use CSIA_Basic_Paper_Template(APA_6ed,Nov2014).docx. 5. You must include a cover page with the assignment title, your name, and the due date. Your reference list must be on a separate page at the end of your file. These pages do not count towards the assignment’s page count. 6. You are expected to write grammatically correct English in every assignment that you submit for grading. Do not turn in any work without (a) using spell check, (b) using grammar check, (c) verifying that your punctuation is correct and (d) reviewing your work for correct word usage and correctly structured sentences and paragraphs. 7. You are expected to credit your sources using in-text citations and reference list entries. Both your citations and your reference list entries must follow a consistent citation style (APA, MLA, etc.)

Temporomandibular joint disease

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Temporomandibular joint disease

For the assignment, you will write a case study about temporomandibular joint disease using words and abbreviations from the course, as well as other words as needed. You will be able to select a disease of interest from a list that I will provide. A format for the case will be provided, and you will need to include a list of references from quality websites or books. I have given you a list of NIH websites to get you started in the right direction. Make sure to have 3-8 citations. NO PLAGIARISM Links to NIH Institues The NIH has various institutes that cover human diseases of interest. It is excellent quality information. To get background information for your case, select the appropriate institute. Then pick your disease off their list. Use the webpage as a citation. NIH National Cancer Institute http://www.cancer.gov/types NIH National Eye Institute https://nei.nih.gov/health NIH National Heart Lung and Blood Institute http://www.nhlbi.nih.gov/health/health-topics/by-alpha/ NIH National Institute of Allergy and Infectious Diseases https://www.niaid.nih.gov/diseases-conditions/infectious-diseases NIH National Institute of Arthritis and Musculoskeletal and Skin Diseases http://www.niams.nih.gov/Health_Info/default.asp NIH National Institute of Diabetes and Digestive and Kidney Diseases http://www.niddk.nih.gov/health-information/health-topics/Pages/default.aspx NIH National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov/disorders/disorder_index.htm NIH homepage https://www.nih.gov/institutes-nih/list-nih-institutes-centers-offices

Use of Clinical Systems to Improve Outcomes and Efficiencies

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Use of Clinical Systems to Improve Outcomes and Efficiencies

Netflix Case Study  his case paper is different than other papers that you may have written in that your paper will not only be read by me, but also by other members of the class. With this in mind, you will want to make the paper as engaging and interesting as possible so as not to bore your classmates. Some strategies to do this would be to pick a company that others in the class may not have heard about or to present an interesting business problem that a company may encounter. I will grade your paper based on the following three criteria: Interestingness: Is your paper engaging and is it written with the audience’s interests (the class and me) in mind? Does your paper include the appropriate marketing terminology that is presented in the textbook? Writing Style: see writing rubric below. A successful paper is usually at least four pages (1.5spaced). Some possible topics could include: A company that successfully balances corporate social responsibility and profit. A company that has used outstanding marketing practices to reinvigorate the firm and increase profitability by creating a competitive advantage in the marketplace. A domestic firm (or organization) that has successfully entered the international marketplace. A new firm (<10 years old) with extraordinary growth and marketplace success. Things that you may want to include in your paper are: (although you are free to deviate and choose a format that you feel is more interesting for the class). A situation analysis with product/service description and SWOT analysis. A description of the firm’s marketing activities that include target market selection, product positioning strategy, and the important elements of distribution, promotion and pricing. A discussion of how the firm satisfies the needs of its customers and what elements about the company makes them extraordinary. Have they been able to create a sustainable competitive advantage? A note about writing: Excellent writing abilities are imperative to success in business and this is a skill that you can expect to improve during this course. This is a graduate level course and I expect graduate level accomplishment in writing. I will grade not only on your mastery of the content, but I also expect the correct use of grammar, spelling and business terminology. I will also expect you to have a polished writing style. If you know your writing is weak, then consider having a friend proofread your paper and/or contact the Academic Support Center for an appointment, http://www.uww.edu/acadsupport/tutorial/ — This is a free service provided by the University.