Discuss the rationale for an evaluation tool for any evidence-based change project.

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Professional Capstone Project – Developing an Implementation Plan

Discuss the rationale for an evaluation tool for any evidence-based change project.

After completing the teaching proposal, review the teaching plan with a community health and public health provider in your local community.

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The RN to BSN program at meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: This is an individual assignment. Applying what you have learned thus far, develop a community teaching proposal designed to address the needs of your community.

Select one of the following as the focus for the teaching plan:

  1. Primary Prevention/Health Promotion
  2. Secondary Prevention/Screenings for a Vulnerable Population
  3. Bioterrorism/Disaster
  4. Environmental Issues

Complete the “Community Teaching Work Plan Proposal.” This will help you organize your plan and create an outline for the written assignment.

  1. After completing the teaching proposal, review the teaching plan with a community health and public health provider in your local community.
  2. Request feedback (strengths and opportunities for improvement) from the provider.
  3. Complete the “Community Teaching Experience” form

How would you respond if you were diagnosed with HIV?

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How would you respond if you were diagnosed with HIV? Address hope and fear in your response. Be sure to refer to the GCU introduction and the textbooks. Cite references from your reading to support your answer.4.5

What tensions do you think you might experience arising from the differing worldviews of administrators, health care providers, and patients?

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What tensions do you think you might experience arising from the differing worldviews of administrators, health care providers, and patients? Base your response from the GCU introduction and the textbooks. Cite references from your reading to support your answer.

Of the information provided, what data support the diagnosis of AOM and what would be inconclusive?

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Select one of the two questions from the discussion questions listed below.

Be sure to respond to the question using the lessons and vocabulary found in the reading. Justify your answers using examples and reasoning. Support your answers with examples and research and cite your research using APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ posts. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion.

Discussion Question 1

SJ is a sixteen-month-old boy who is brought to the clinic with a one-day history of tugging at his right ear and crying and a two-day history of decreased appetite, decreased playfulness, and difficulty sleeping. His mother has documented a fever, so she has been giving him 5 mL of ibuprofen every twelve hours. He was diagnosed with acute otitis media (AOM) at the age of four months; he has had the same diagnosis three times since. On physical exam, his vital signs are normal with the exception of a temperature of 102°F. His weight is 10 kg. Both tympanic membranes (TMs) are erythematous, with the right one more than the left one. The right TM is bulging with limited mobility, copious cerumen, and purulent fluid behind the TM. The left TM appears normal. The right TM landmarks are difficult to visualize. Answer the following questions:

  • Of the information provided, what data support the diagnosis of AOM and what would be inconclusive?
  • How would you distinguish AOM and otitis media with effusion (OME)?
  • What treatment would you suggest?
  • What types of cautions or instructions would you provide to his mother?

Discussion Question 2

Administration of ophthalmological medications requires some explanation. What are the important points that you would review with a patient when teaching how to instill ophthalmic drops and when teaching how to instill ointment? What are the differences you would need to consider if the patient was a child or if the patient is a geriatric patient? Search the literature to see whether you are able to locate any guidelines to support this teaching.

What information in the case study suggests that her asthma is not well controlled?

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Assignment 1: Discussion Questions

Select one of the two questions from the discussion questions listed below.

Be sure to respond to the question using the lessons and vocabulary found in the reading. Justify your answers using examples and reasoning. Support your answers with examples and research and cite your research using APA format.

 

Discussion Question 1

SE is a twenty-two-year-old Caucasian woman who was diagnosed with asthma at age seven. According to her medical record, she has “mild persistent” asthma. Today, she reports that she has been using her albuterol metered-dose inhaler (MDI) approximately three to four days per week over the last two months. Over the past week, she admits to using albuterol once daily. She has been awakened by a cough three nights during the last month. She states she especially becomes short of breath when she exercises. However, she also admits that the shortness of breath is not always brought on by exercise. She also has a fluticasone MDI, which she uses “most days of the week.” She has been hospitalized twice in the last year for poorly controlled asthma and has been to the emergency department (ED) three times in the last six months for the same problem. Her lab work is all within normal limits, with the exception of a positive human chorionic gonadotropin (HCG). Answer the following questions:

  • What information in the case study suggests that her asthma is not well controlled?
  • What factors could possibly lead to this?
  • How would you classify the symptoms based upon the National Institutes of Health (NIH) guidelines?
  • With the recognition that she is pregnant, how would you alter her treatment for asthma?

Support your responses with guidelines, including the NIH guidelines, for management of asthma during pregnancy. Use other peer-reviewed articles as needed to support specific aspects of your plan.

Discussion Question 2

TJ is a fifty-five-year-old police officer who presents to the clinic with complaints of epigastric pain for two weeks. He has been taking over-the-counter (OTC) Zantac without relief. He was diagnosed about a year ago with a bleeding ulcer, and he expresses concerns that the current symptoms remind him of that event. At that time, he was given “multiple prescriptions” for his stomach, but he did not complete the course of therapy because he began to feel better. He also has osteoarthritis in his wrists and hips, for which he takes OTC NSAIDs. He smokes one to two packs per week and drinks an average of one alcoholic beverage daily. His vital signs and blood work are all within normal limits. Answer the following questions:

  • What additional testing would you suggest at this point?
  • Describe any and all variables that could be contributing to his symptoms.
  • What alterations would you suggest in his treatment? Be sure to consider additional diagnoses and whether prophylaxis would be appropriate for NSAID-induced ulcers.

Support your responses with guidelines you locate in the literature and peer-reviewed articles as needed to support your ideas.

How should it be determined which commercial activities are harmful and whether they have an economic impact?

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Public health economists are at the forefront in optimizing limited resources to advance health outcomes. They offer assistance to local, state, and federal governments and organizations by conducting economic research such as the evaluations of burden of disease, cost effectiveness, and effectiveness of interventions to prevent or treat specific diseases. This helps them compare the costs of various interventions and make decisions about the effective and efficient use of resources.

Considering this, respond to the following:

  • Do you believe we should strive for a well-regulated society that deters harmful commercial activities in order to keep healthcare costs down? Why or why not?
  • How should it be determined which commercial activities are harmful and whether they have an economic impact?

Give examples and reasons in support of your responses.

Respond to the question using the lessons and vocabulary found in the readings. Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.

Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.

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To prepare:

  • Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.
  • Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.
  • Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?

By Day 3

 

Post a description of the problem that you identified in your selected organization. Explain the problem from a closed-system perspective. Then, describe how the problem could be addressed by viewing it from an open-system perspective, and explain how this modification would help you and others improve health care outcomes.

Explain the major components of communication in the workplace.

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Email

 

You work in a health care office. Your new coworker has never worked in an office environment. She asks you to give her some insight into workplace communication.

 

 

 

Write a 500 word e-mail to her in word document format.

 

Address the following:

 

  • Explain the major components of communication in the workplace.
  • Include types of communication she will experience while working in a professional environment.
  • Explain the role perception plays in communication in the workplace.