PMHNP
Research the 3 highest priority Differential Diagnoses, the proposed interventions with rationale and respond to the case.
Research the 3 highest priority Differential Diagnoses, the proposed interventions with rationale and respond to the case.
DISCUSSION
Compare and contrast risk factors, age of onset, pathophysiology and clinical manifestations of Type 1 and Type 2 Diabetes. What do you think is the most important topic that must be taught to the diabetic patient and why?
Chamberlain
Week 6
Midweek Comprehension Questions
Discussion
Purpose
As mentioned in this lesson, numerous telecommunications-ready tools are already available to assist nurses in delivering care and improving patients' health outcomes. New and innovative tools are rapidly making it to the marketplace, making current tools dated and sometimes obsolete. Continue to reflect upon the point-of-care tools you may be familiar with using in your role as a Registered Nurse and how your responsibilities will change with your future role as an APN. How will you stay current?
Provide a brief response (100 words or less)
Create a PowerPoint slide show with notes pages discussing their PICOT question, literature review, and recommendations for change.
In a PowerPoint Presentation, address the following.
1.
Title Slide
2.
Introduction (1 slide): Slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered.
3.
Practice Issue (1-3 slides)
: Describe the area of interest and practice issue/problem related to NP practice selected in week 2. Explain why the issue/concern is important to nurse practitioner practice and its impact on health outcomes. Provide speaker notes. Provide scholarly references to support your ideas.
4.
PICOT Question (1 slide)
: Provide the PICOT question developed in week 2. Describe each element of your PICOT question in one or two sentences, being sure to address all the following:
1.
P-Population and problem – What is the nursing practice concern or problem and whom does it affect?
2.
I–Intervention – What evidence-based solution for the problem would you like to apply?
3.
C–Comparison – What is another solution for the problem? Note that this is typically the current practice, no intervention at all, or alternative solutions.
4.
O–Outcome – Very specifically, how will you know that the intervention worked? Think about how you will measure the outcome.
5.
T–Time frame – What is the Timeframe involved for the EBP initiative or the target date of completion?
5.
Literature review (2-4 slides):Summarize the literature review completed in week 5. Discuss themes and special concerns. Discuss any unique insight or perspective offered from the literature. Provide speaker notes. Speaker notes and/or slides include citations from scholarly nursing literature which support the assertions presented.
6.
Recommendations (3 slides):
1. Slide 1: Identify the evidence-based recommendation for the identified practice change. Speaker’s notes should fully explain the recommended change and rationale for the change. Provide support from scholarly references to support the recommendation.
2. Slide 2: Identify the key stakeholders impacted by the recommended change. Speaker’s notes add detail.
3. Slide 3: Analyze the recommendation in terms of fit, feasibility, and appropriateness as discussed by Dang and Dearholt (2018), Ch. 8. Speaker’s notes add detail. *Note: information regarding stakeholders, fit, feasibility, and appropriateness may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas.
7.
Conclusion: (1 slide)Slide provides summary points of presentation. Speaker’s notes provide final comments on the topic.
8.
References: Reference elements provided in APA format, may use bullets. Hanging indents not required.
To get started on your final Key Assignment, you will select a global company and begin working to create an internal communication plan for that company. Each week’s assignment will be iterative, helping you research and start to develop a workplace communication plan. You will use research to study your selected company and design an internal communication plan. You may select a company that you are interested in, or choose one from this list of top global companies in the following link: http://money.cnn.com/magazines/fortune/global500/2011/.
You have been assigned to a global work team tasked with creating a strategic internal employee communications plan for your workplace. Before the team can get started, you must examine the workplace to identify what the overall strategy must cover. Consider the following when brainstorming your communication strategy:
Provide 1–2 sources other than your textbook to support your answer. Use APA style for citations.
PAY ATTENTION: You should have a specific setting for the population (USE EDERLY PATIENTS) and your intervention should last 8 weeks. Why is there ‘inadequate heart failure management” for patients.
What does the “heart failure management entail?
Limit the outcomes for your PICOT.
PICOT QUESTION IS ATTACHED
1. Title Page
2. Introduction to your proposed problem:
– Significance of the Practice Problem: Discuss the identified Practice Problem.
-Introduce the topic of the paper.
-Describe the health problem. Don’t type “Introduction.”
-Using data and statistics, support your claim that your selected issue is a problem.
– Include your purpose statement and what specifically you will address in your proposed program.
-Be sure your proposed outcome is realistic and measurable.
3. PICOT- Should be discussed in detail. This section should include your PICOT question but also should provide thorough descriptions of your population, intervention, comparison intervention, outcome, and timing (if appropriate to your question).
The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome, and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. P – Patient/Problem I – Intervention C – Comparison O – Outcome T – Timeframe
4. Describe the vulnerable population
-Discuss the impact of social determinants on health for your selected population.
-What are the risk factors that make this a vulnerable population?
-Use evidence to support the risk factors you have identified.
5. Research should be from scholarly journals of evidence-based interventions that address the problem.
-Peer-reviewed research articles not older than five years (all articles must be used in your paper)
6. Proposal
-Propose addressing the selected health problem using an evidence-based intervention in your literature search to address the problem in the selected population/setting.
-Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role.
-Be sure to include a timeline for the intervention proposed.
7. Theoretical Framework/Nursing Theory- This section should include the theoretical framework which supports your project. Describe a theory or model to serve as the foundation for your project.
– Overall, you should be able to introduce the problem and why this is significant to the healthcare system. For example: What impact does it have on the patient, community, cost of care, quality of life, readmissions and so forth
-Use appropriate APA 7th Ed. format along with Syllabus outline
-Scholarly, peer-reviewed, and research articles cited should be within the last five years.
-This section should be 3 pages long (not including the title and reference page).
-Use proper in-text citations with a properly formatted reference list.
-All papers must be written in the 3rd person.
NO MORE THAN 10% PLAGIARISM
USE 3-4 REFERENCES NO OLDER THAN 5 YEARS
THIS COUNT 25 % OF CLASS GO STEP BY STEP CAREFULLY
DUE DATE SEPTEMBER 7, 2023
Discussion: Write at least 2 paragraph with citations in APA format.
Explain the meaning of an asset-based approach to health improvement.
· Provide an example of how positive resources available to individuals and communities enable them to gain more control over their lives and circumstances.
· Describe two to three implications for nursing practice including the cultural aspects.
Reply to the two discussions below (You do not need to use the same citation in the responses to the discussions.
Discussion #1
Hi Angelica, I agree with your view of the asset-based approach and its significance in healthcare. I think it means focusing on community resources that could promote health and well-being. Cassetti et al. (2019) explain that health assets are resources such as skills that improve people’s ability to maintain health. I have also thought that resources are a primary strength in communities that empower individuals and help in overcoming health promotion obstacles. Your example of using written or visual communication to overcome language barriers demonstrates the significance of utilizing community resources. In this scenario, some community members could have the ability to translate health promotion materials using local language. Nurses should build healthy relationships with such individuals to effectively advance individual well-being. I agree with your suggestions for nursing practice—practitioners should understand and respect communities’ communication styles. Do you think cultural competence is a vital element in an asset-based approach?
References
Cassetti, V., Powell, K., Barnes, A., & Sanders, T. (2019). A systematic scoping review of asset-based approaches to promote health in communities: Development of a framework.
Global Health Promotion,
27(3), 175797591984892. https://doi.org/10.1177/1757975919848925
Discussion #2
Asset-based approaches to health promotion have become increasingly popular to tackle health inequalities by empowering people in more disadvantaged communities to use local resources and increase control over health and its determinants (Cassetti et al, 2019). This approach focuses on resources available in the community and using those resources to address healthcare disparities facing the underserved communities.
I moved to Salt Lake City, UT from another country about 15 years ago; one of the resources I got connected early on and found very successful across the immigrants’ communities is a community gardening program run by local nonprofit, county, and city government. It is called ‘New Roots’ program (New roots in Salt Lake City, n.d.). It provides garden plots, technical support, seeds and other resources for local refugee and immigrants community to grow seasonal vegetables and help them sell those in local farmers’ markets. Fresh produces are sold weekly; individuals who have Supplemental Nutritional Assistance Program (SNAP) will be able to use it to buy double the produce than in local markets through match from grants. This asset-based approach provides immigrants with sense of ownership of gardens, sense of community, physical and mental exercises, fresh produces, and an ability to earn some money through selling produces.
Mental health, social work, and nursing embrace an asset-based approach to assessment within the health promotion context (Edelman & Kudzma, 2021, p. 146). Nurses can use asset-based approach in identifying gaps in services for the patients/families we are caring for and connect them to available resources to address their needs. Nurses are members of the community, and it is very crucial for us as nurses to be aware of the health care context, service gaps and resources in our community, especially when we are working with individuals from underserved communities.
References
Cassetti, V., Powell, K., Barnes, A., & Sanders, T. (2019). A systematic scoping review of asset-based approaches to promote health in communities: development of a framework.
Global Health Promotion,
27(3), 15–23.
https://doi.org/10.1177/1757975919848925Links to an external site.
Edelman, C., & Kudzma, E. C. (2021).
Health Promotion Throughout the Life Span – E-Book. Elsevier Health Sciences.
New roots in Salt Lake City. (n.d.). The IRC.
https://www.rescue.org/announcement/new-roots-salt-lake-cityLinks to an external site.
How often do you engage with or witness death in your work? How has this experience or the lack of it shaped your view of death? Has it gotten easier or harder for you to accept the fact of death? As you explain, include your clinical specialty.
1) Watch the entire scenario. In the scenario assignment, you are asked to reflect on responses to the presented scenario.
2) Fill out the template attached below
3) Compose the last question on the template reflection in a Word document and be sure to address, at a minimum, the following questions:
*Why do you feel the way you do about the issue presented?
*Of the four responses offered in the scenario, which do you think is the most ethical and why?
*Which ethical theory would you use to support your stance? Why does this theory work?
4) Support your conclusions with evidence and specific examples from the textbook, including a minimum of one theory of ethics to defend your stance.
