Determination of death


Determination of Death / Informed Consent

1. Uniform Determination of Death Act (UDDA):

· How this law was created

· Legal definition of death, describe

2. Define dying within context of faith, basic principle about human life

3. Bioethical Analysis of Pain Management – Pain Relief

4. What is the difference between Pain and suffering? Explain

5. Diagnosis / Prognosis: define both.

6. Ordinary / Extraordinary means of life support. Explain the bioethical analysis.

7. Killing or allowing to die? Define both and explain which one is ethically correct and why?

8. Catholic declaration on life and death; give a summary of this document: 

https://www.cfocf.org/wp-content/uploads/Combined-Catholic-Declaration-and-Understanding-ENGLISH.pdfLinks to an external site.

9. What is free and informed consent from the Catholic perspective?

10. Define Proxi, Surrogate

11. Explain:

· Advance Directives

· Living Will

· PoA / Durable PoA

· DNR

12. Read and summarize ERD paragraphs #: 24, 25, 26, 27, 28, 55, 59, 61, 62

professional identity

how best to define professional identity

m8 program critique

please follow all directions 

assist week 5

Week 5 – Assignment: Support Quality Performance Improvement through Enhanced Interprofessional Communication

For your assignment this week, you will use the case study found in the week's resources titled, Case Study: A Private Practice in the Pennsylvania Chronic Care Initiative. 

After reading the case study, you will take on the role of a health administration intern hired by Dr. Johnson to run his office practice, and you will prepare a draft written communication in the form of a business letter or memorandum addressed to the local Chief Executive Officer Jamie Harper (fictitious) at Hospital Anywhere (fictitious). 

According to the Agency for Health Research and Quality, a challenge to improving quality in private physician practices is the lack of communication with hospital organizations to increase the exchange of information related to the emergency room visits, hospital admissions, and discharges of their patients especially when the physician does not have privileges to practice at the hospital and is not notified of the patient's medical or surgical treatments.

Your communication in the form of a business letter or memorandum as the health administration intern wrote on Dr. Johnson's behalf to CEO Jamie Harper will include the following information:

 A salutation and introduction of who you are and on whose behalf you are writing. Give Dr. Johnson a fictitious first name and give the medical practice a fictitious name.

 Background information in synopsis form on the operation of your physician's office practice and how and why your practice has joined the
Pennsylvania Chronic Care Initiative (PCCI). Be sure to mention the quality outcome performance of the office before and since joining the
PCCI (this information is in the case study; so, be sure to summarize the important points regarding these quality measures as it relates to the diabetic patients).

 State the reason for your written communication that includes the desire to improve the interdisciplinary communication between Hospital Anywhere and your office practice especially for your diabetic patients and the potential hospital services that would be beneficial to your diabetic patients (see the Miller-Rosales and Rodriguez (2021) resource in your Weekly Resources).  

 Propose how using the identified hospital services will benefit the hospital and your office practice from both a healthcare quality and financial perspective.

 Provide a closing paragraph in your business letter/memorandum and the appropriate complimentary signoff. Be sure to mention the attachments you are providing.

 Create a tool that you propose to collect the data from the identified hospital staff following their consultations with your diabetic patients and include it in your business letter or memorandum as an Attachment 1 (see the Miller-Rosales and Rodriguez (2021) resource in your Weekly Resources).

 Lastly, create a draft checklist that you will provide to your office staff to assure your diabetic patients are completing their annual tests and screenings and include it in your business letter/memorandum as Attachment 2 (see the Florida Blue Medicare Caregiver Guide (2019) in your resources). 

Be creative with this assignment and enjoy its real-world applicability. While it is not a requirement for this assignment, you may wish to embellish your business letter or memorandum. You can find a business or memo templates from the MS Word templates. Click
File at the top of your Word document, then click
More Templates. Remember, if you use a template, after the first page of a memorandum, the remaining pages usually are plain. Be sure to consult APA guidelines for the use of attachments which may be called appendices. 

Length: A minimum of 3-4 pages, not including the title page, reference page, or the 2 attachments

https://www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/gabbay.html

https://www.tandfonline.com/doi/full/10.1080/20009666.2019.1593782



Florida Blue Medicare Family Caregiver Guide

Florida Blue Medicare Caregiver Guide (2019).
Florida Blue Medicare Resources.

Consult page 31 in this resource for your assignment this week to see a list of the annual tests required for diabetics.

https://www.jabfm.org/content/34/1/151



Interdisciplinary Primary Care Team Expertise and Diabetes Care Management

Miller-Rosales, C., & Rodriguez, H. P. (2021). Interdisciplinary primary care team expertise and diabetes care management.
Journal of the American Board of Family Medicine, 34(1), 151-161. doi: 10.3122/jabfm.2021.01.200187.

Use this resource to complete your assignment as the researchers discuss the use of interdisciplinary care to manage patients with diabetes.

evidence based


NUR640 Week 4 Assignment 4.1 Page 1

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Assignment Title: Research Critique

Step 4 for your Evidence-Based Practice Mini-Project (Research Proposal)

Assignment Overview:

Since your EBP Research Proposal does not include completing the entire research process, e.g., collecting data, statistics, or findings, you will do a critique of a Level of Evidence I-IV research article there is a rubric related to this critique that you will follow.

Deliverables:

The final copy of your Research Critique assignment is due on or before Sunday at 11:59pm, just before Week 5 begins, at the latest. Be sure to use the file naming protocol: NUR640_EBP Step4_last name_mmddyyyy.

Assignment Details:

For this assignment, you will write a research critique of a research article. It does not have to be an article similar to what you would do in a Research Proposal. It can be a research article that you find scholarly and would like to delve into more deeply. The critique does need to be a LeveI I-Level IV level of evidence. Use the discernment gained from your Week 4 Discussion regarding whether your article is credible, and use that to answer a section in your research critique.

Include the Following Sections that are noted on your research critique, and use your textbook if you are unsure of what each of these headings mean.

1. Purpose

2. Conceptual Framework

3. Design/Method

4. Sampling/Setting

5. Major variables studied and their definition

6. Data Analysis

7. Study Findings

8. Overall strengths and weaknesses of the study, e.g. reliability and validity, ethics (IRB), topic, etc.



Grading: Each part (category) listed above for your research article critique has a rubric that is to be followed. All submissions should have a title page and reference page.

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pn 2 m8 written

 

An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.

Answer the following questions:

  1. What else should you ask the client?
  2. What teaching would you reinforce to prevent the recurrence of otitis media?
  3. What expected outcomes would be specific to this situation?

revisit 3W D

please follow all directions

Theoretical and Scientific Foundations of Nursing

  

EXPLORING EBP QUALITY IMPROVEMENT

Submit your 20-25 page final capstone project that synthesizes the work you completed in the previous four assessments

Submit your 20-25 page final capstone project that synthesizes the work you completed in the previous four assessments

You will also be required to submit your completed practicum hours using CORE ELMS. You must submit a minimum of 20 hours with each assessment deliverable to receive a grade for the entire assessment.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

Your final submission for your capstone project will bring together all of the sections you have worked on throughout this course, as well as the relevant revisions you have made to those sections based on feedback from your instructor, as well as feedback you have received or observations you may have made during your practicum experience. True professionals can learn to strive for continuous improvement in their work and incorporate feedback from colleagues and leaders to help scaffold improvement efforts. As a master’s-level nurse you will be expected to create and implement plans and evaluate their outcomes. Being able to envision a pathway for a project to move from the idea phase all the way through the evaluation phase is a critical skill. By successfully synthesizing the various sections of this project together into one final artifact, you will have demonstrated your competence in this essential skill.

Preparations

  • Read Guiding Questions: Final Project Submission [DOC]. This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment.
  • As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
    • What is the most useful skill or concept you learned while pursuing your MSN degree?
    • How will you leverage your degree to help you reach your ideal practice career path?
    • How will you be able to apply the work you have done on your capstone project to improve your personal practice?

Instructions

Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.

For your final capstone project submission you will synthesize the work you completed in the previous four assessments. Please make sure that you have made relevant revisions as suggested by your instructor, as well as relevant additions that you uncovered during your practicum experience. The only brand-new content that you will need to create for this assessment is an Abstract and an Introduction.

This final submission will be graded using the seven program outcomes (POs) for the Master’s of Science in Nursing program. As a reminder they are:

  1. Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.
  2. Evaluate the best available evidence for use in clinical and organizational decision making.
  3. Apply quality improvement methods to impact patient, population, and systems outcomes.
  4. Design patient- and population-centered care to improve health outcomes.
  5. Integrate interprofessional care to improve safety and quality and to decrease cost of care.
  6. Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost of care.
  7. Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.

In addition, you will be assessed on how well you incorporated the feedback you received from your instructor on your previous work in this course via the following criterion:

  • Integrate writing feedback to improve the clarity and quality of final product.

You will also be assessed on the completion of hours toward your practicum experience.

  • Demonstrate completion of hours toward the practicum experience.

See the scoring guide for specific grading criteria related to these requirements.

Abstract
  • Summarize the purpose, approach, and any relevant findings of the final capstone project submission (PO #1).
Introduction
  • Summarize your need, target population, and setting (PO #1).
  • Provide a high-level overview of your intervention plan (PO #4).
  • Justify the importance of your need and intervention plan (PO #1).
  • Provide a high-level overview of your implementation plan (PO #4).
  • Provide a high-level over view of your evaluation plan (PO #4).

Reminder: these instructions are an outline. Your heading for this this section should be Problem Statement and not Part 1: Problem Statement.

Part 1: Problem Statement

Need Statement

  • Analyze a health promotion, quality improvement, prevention, education or management need (PO #1).

Population and Setting

  • Describe a target population and setting in which an identified need will be addressed (PO #4).

Intervention Overview

  • Explain an overview of one or more interventions that would help address an identified need within a target population and setting (PO #3).

Comparison of Approaches

  • Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting. (PO #5).

Initial Outcome Draft

  • Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education or management need (PO #4).

Time Estimate

  • Propose a rough time frame for the development and implementation of an intervention to address and identified need (PO #1).
Part 2: Literature Review
  • Analyze current evidence to validate an identified need and its appropriateness within the target population and setting (PO #2).
  • Evaluate and synthesize resources from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need (PO #7).

PART 3: INTERVENTION PLAN

Intervention Plan Components

  • Define the major components of an intervention plan for a health promotion, quality improvement, prevention, education, or management need (PO #4).
  • Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components (PO #4).

Theoretical Foundations

  • Evaluate theoretical nursing models, strategies from other disciplines, and health care technologies relevant to an intervention plan (PO #6).
  • Justify the major components of an intervention by referencing relevant and contemporary evidence from the literature and best practices (PO #2).

Stakeholders, Policy, and Regulations

  • Analyze the impact of stakeholder needs, health care policy, regulations, and governing bodies relevant to health care practice and specific components of an intervention plan (PO #7).

Ethical and Legal Implications

  • Analyze relevant ethical and legal issues related to health care practice, organizational change, and specific components of an intervention plan (PO #1).
Part 4: Implementation Plan

Management and Leadership

  • Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan (PO #5).
  • Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs (PO #1).

Delivery and Technology

  • Propose appropriate delivery methods to implement an intervention which will improve the quality of the project (PO #3).
  • Evaluate the current and emerging technological options related to the proposed delivery methods (PO #6).

Stakeholders, Policy, and Regulations

  • Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan (PO #5).
  • Propose existing or new policy considerations that would support the implementation of an intervention plan (PO #7).

Timeline

  • Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation (PO #1).
Part 5: Evaluation of Plan
  • Define the outcomes that are the goal of an intervention plan (PO #4).
  • Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need (PO #3).
Part 6: Discussion

Advocacy

  • Analyze the nurse’s role in leading change and driving improvements in the quality and experience of care (PO #1).
  • Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan (PO #5).

Future Steps

  • Explain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety (PO #6).

Reflection on Leading Change and Improvement

  • Reflect on how the project has impacted your ability to lead change in personal practice and future leadership positions (PO #1).
  • Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts (PO #3).
Address Generally Throughout
  • Integrate resources from diverse sources that illustrate support for all aspects of the project as appropriate throughout the final submission (PO #2).
  • Clearly, concisely, and cohesively articulate a health care need, population, setting, stakeholders, supporting evidence, intervention, and evaluation (PO #6).
  • Integrate writing feedback to improve the clarity and quality of final product.

Practicum Hours Submission

You have been tracking your completed practicum hours each week using the CORE ELMS. By placing the hours into CORE ELMS, you will ensure you are accumulating all hours that are needed to meet the requirements for your specialization and degree.

For this assessment, submit your final CORE ELMS practicum hours tracking log showing all confirmed hours earned at your site during the course. All 100 hours must be documented and confirmed in the CORE ELMS practicum hours tracking log.

You will not receive a grade for this assessment without a practicum hours log showing a minimum of 100 confirmed hours for the time period of this course. Your faculty instructor will review your hours to date and will contact you if he or she has any questions or concerns.

Note for Nursing Informatics learners: Although you will complete your capstone project in this course, your specialization requires 200 hours of practicum, so that work will continue beyond this course. You cannot carry over any hours from NURS-FPX6030. Your final 100 hours of practicum will be completed in NURS-FPX6025.

Additional Requirements
  • Length of submission: 20–25 pages (including references).
  • Written communication: Written communication is free of errors that detract from the overall message.
  • Number of resources: 12–18 resources.
  • APA formatting: Resources and citations are formatted according to current APA style.
  • Font and font size: Times New Roman, 12 point.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.
  • Competency 2: Evaluate the best available evidence for use in clinical and organizational decision making.
  • Competency 3: Apply quality improvement methods to impact patient, population, and systems outcomes.
  • Competency 4: Design patient- and population-centered care to improve health outcomes.
  • Competency 5: Integrate interprofessional care to improve safety and quality and to decrease cost of care.
  • Competency 6: Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost of care.
  • Competency 7: Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.

Note: You will also be assessed on two additional criteria unaligned to a course competency:

  • Integrate writing feedback to improve the clarity and quality of the final product.
  • Demonstrate completion of hours toward the practicum experience.

See the scoring guide for specific grading criteria related to these additional requirements.

586 week 6

Discuss who, among the talented and experienced people you know (use fictitious names) you would initially include on your business start-up venture team to maximize your opportunities for a successful business. Provide a rationale for choosing these individuals.

Expectations

Initial Post:

  • Due: Thursday, 11:59 pm PT
  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years