questions
[removed]
[removed]
Week 6 Discussion: Neurological Alterations (USLOs 1, 2, 3, 4)
You are caring for a 68-year-old Akio Kim in the emergency department for rule-out Cerebrovascular Accident (CVA). Mr. Kim's daughter reported that he woke up that morning with left-sided weakness and slurred speech.
Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of Cerebrovascular Accident (CVA), respond to the following prompts:
1. Thoroughly explain the pathophysiology of Cerebrovascular Accident (CVA). Use a
scholarly or
authoritative source to support your answer.
2. Examine each of the following three factors related to this disease process.
Support all three with a scholarly source.
1. cultural
2. financial
3. environmental implications
3. Identify 3-5 priority nursing interventions for the client while in the emergency department.
4. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators?
Support with a scholarly source.
5. What members of the interdisciplinary team need to be included for holistic patient-centered care?
Provide a rationale and support with a scholarly source.
see below
Discussion Topic
I live in Miami FloridaTop of Form
QUESTION 1
Step 1: The three “Principles of Action” outlined in the
final report to the Commission on Social Determinants of Health
https://apps.who.int/iris/bitstream/handle/10665/43943/9789241563703_eng.pdf
are essential to achieving health equity. These actions contain a host of SDH such as access to decent employment, and gender equity. Read the “Executive Summary” (pages 1-23) (provided above) paying special attention to the different social determinants of health the Commission addresses.
Step 2: Find one recent news article (published within the past month), in a newspaper or on a news website, that features a health issue in your particular country or community. Alternatively, you can find one new story of interest on CDC Global Health Newsroom
https://www.cdc.gov/globalhealth/newsroom/
(Choose one story from the list of news stories).
Step 3: Write an 300-350 word essay that includes the following information and answers to the following questions:
1. Briefly summarize the main features of the health issue you selected, and how it is affecting the country or community where it exists.
2. What are the main
risk factors
for this health issue?
3. Outline three social determinants of health that could influence those who are most at risk for this health issue. Describe how these social determinants are linked and relevant to this health issue. (Note: it may help to go through the determinants described by the Commission and try to visualize how each may be linked to the health issue you selected. For example, how might income, employment, gender, structural racism, global warming, physical environments, access to health services, etc. influence those who are at risk?)
4. Briefly describe 3 actions you recommend that could improve health equity related to this health issue. (These recommendations can be community actions, government actions, or international actions but they must address all three of the social determinants you described in question 3).
QUESTION 2
After reviewing the Case Study 'John's Journey'
(provided in Week 1 Folder)
Describe 2 things that the Case Study helped you to understand about the link between community and client health and the impact of the SDOH. Specifically link your observations to John and his family demonstrating understanding and review of the Case Study provided.
Please be sure to adhere to the following when posting your weekly discussions:
1. Students are to write their name and the appropriate discussion number/discussion title in the title bar for each discussion. For example
Discussion 1: Micheal Cabrera or Discussion 3: Sheila
Smith. This is important in identifying that students are submitting original posts as well as response posts as required.
2. Students are to submit their discussions
directly onto Blackboard Discussion Board.
Attachments submitted as discussion board posts will not be graded.
3. As a reminder,
all discussion posts must be minimum 350-550 words, references
must be cited in
APA format 7th Edition, and
must include minimum of 3 scholarly resources published within the past
5-7
years (not part of the classroom coursework).
DISCUSSION POSTS WILL BE DUE NO LATER THAN SUNDAY, Since there was a delay to Week 1&2, this post has been extended to Week 3 and is due by Sunday, 9/17/23 by 11:59 pm EST
Since there is only two students who is registered for this section of the course there will not be any peer responses therefore discussions/Cases will only have the original response and my feedback and the rationale for the length as normally the original discussions are 250 words and 2 peer responses are 150 (300 words). I have therefore increased the length of this original post for this reason.
Bottom of Form
For this assessment, you will develop a Word document or an online resource repository of at least 12 annotated professional or scholarly resources that you consider critical for the audience of your safety improvement plan, pertaining to medication administration, to understand or implement to ensure the success of the plan.
Expand All
Introduction
Communication in the health care environment consists of an information-sharing experience whether through oral or written messages (Chard & Makary, 2015). As health care organizations and nurses strive to create a culture of safety and quality care, the importance of interprofessional collaboration, the development of tool kits, and the use of wikis become more relevant and vital. In addition to the dissemination of information and evidence-based findings and the development of tool kits, continuous support for and availability of such resources are critical. Among the most popular methods to promote ongoing dialogue and information sharing are blogs, wikis, websites, and social media. Nurses know how to support people in time of need or crisis and how to support one another in the workplace; wikis in particular enable nurses to continue that support beyond the work environment. Here they can be free to share their unique perspectives, educate others, and promote health care wellness at local and global levels (Kaminski, 2016).
You are encouraged to complete the Determining the Relevance and Usefulness of Resources activity prior to developing the repository. This activity will help you determine which resources or research will be most relevant to address a particular need. This may be useful as you consider how to explain the purpose and relevance of the resources you are assembling for your tool kit. The activity is for your own practice and self-assessment, and demonstrates course engagement.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 1: Analyze the elements of a successful quality improvement initiative.
· Analyze usefulness of resources for role group responsible for implementing quality and safety improvements with medication administration.
· Competency 2: Analyze factors that lead to patient safety risks.
· Analyze the value of resources to reduce patient safety risk or improve quality with medication administration.
· Competency 3: Identify organizational interventions to promote patient safety.
· Identify necessary resources to support the implementation and sustainability of a safety improvement initiative focusing on medication administration.
· Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
· Present reasons and relevant situations for resource tool kit to be used by its target audience.
· Communicate resource tool kit in a clear, logically structured, and professional manner that applies current APA style and formatting.
References
Chard, R., & Makary, M. A. (2015). Transfer-of-care communication: Nursing best practices.
AORN Journal, 102(4), 329–342.
Kaminski, J. (2016). Why all nurses can/should be authors.
Canadian Journal of Nursing Informatics, 11(4), 1–7.
Professional Context
Nurses are often asked to implement processes, concepts, or practices—sometimes with little preparatory communication or education. One way to encourage sustainability of quality and process improvements is to assemble an accessible, user-friendly tool kit for knowledge and process documentation. Creating a resource repository or tool kit is also an excellent way to follow up an educational or in-service session, as it can help to reinforce attendees' new knowledge as well as the understanding of its value. By practicing creating a simple online tool kit, you can develop valuable technology skills to improve your competence and efficacy. This technology is easy to use, and resources are available to guide you.
Scenario
For this assessment, consider taking one of these two approaches:
1. Build on the work done in your first three assessments and create an online tool kit or resource repository that will help the audience of your in-service understand the research behind your safety improvement plan pertaining to medication administration and put the plan into action.
2. Locate a safety improvement plan (your current organization, the Institution for Healthcare Improvement, or a publicly available safety improvement initiative) pertaining to medication administration and create an online tool kit or resource repository that will help an audience understand the research behind the safety improvement plan and how to put the plan into action.
Preparation
Google Sites is recommended for this assessment; the tools are free to use and should offer you a blend of flexibility and simplicity as you create your online tool kit. Please note that this requires a Google account; use your Gmail or GoogleDocs login, or create an account following the directions under the “Create Account” menu.
Refer to the following links to help you get started with Google Sites:
· G Suite Learning Center. (n.d.).
Get started with Sites. https://gsuite.google.com/learning-center/products/sites/get-started/#!/
· Google. (n.d.).
Sites. https://sites.google.com
· Google. (n.d.).
Sites help. https://support.google.com/sites/?hl=en#topic=
Instructions
Using Google Sites, assemble an online resource tool kit containing at least 12 annotated resources that you consider critical to the success of your safety improvement initiative. These resources should enable nurses and others to implement and maintain the safety improvement you have developed.
It is recommended that you focus on the 3 or 4 most critical categories or themes with respect to your safety improvement initiative pertaining to medication administration. For example, for an initiative that concerns improving workplace safety for practitioners, you might choose broad themes such as general organizational safety and quality best practices; environmental safety and quality risks; individual strategies to improve personal and team safety; and process best practices for reporting and improving environmental safety issues.
Following the recommended scheme, you would collect 3 resources on average for each of the 4 categories focusing on safety with medication administration. Each resource listing should include the following:
· An APA-formatted citation of the resource with a working link.
· A description of the information, skills, or tools provided by the resource.
· A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative pertaining to medication administration.
· A description of how nurses can use this resource and when its use may be appropriate.
Remember that you must make your site ‘public’ so that your faculty can access it. Check out the Google Sites resources for more information.
Here is an example entry:
· Merret, A., Thomas, P., Stephens, A., Moghabghab, R., & Gruneir, M. (2011).
A collaborative approach to fall prevention.
Canadian Nurse, 107(8), 24–29.
· This article presents the Geriatric Emergency Management-Falls Intervention Team (GEM-FIT) project. It shows how a collaborative nurse lead project can be implemented and used to improve collaboration and interdisciplinary teamwork, as well as improve the delivery of health care services. This resource is likely more useful to nurses as a resource for strategies and models for assembling and participating in an interdisciplinary team than for specific fall-prevention strategies. It is suggested that this resource be reviewed prior to creating an interdisciplinary team for a collaborative project in a health care setting.
Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
· Identify necessary resources to support the implementation and continued sustainability of a safety improvement initiative pertaining to medication administration.
· Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements focusing on medication administration.
· Analyze the value of resources to reduce patient safety risk related to medication administration.
· Present reasons and relevant situations for use of resource tool kit by its target audience.
· Communicate in a clear, logically structured, and professional manner that applies current APA style and formatting.
Example Assessment: You may use the following example to give you an idea of what a Proficient or higher rating on the scoring guide would look like but
keep in mind that your tool kit will focus on promoting safety with medication administration. Note that you do not have to submit your bibliography in addition to the Google Site; the example bibliography is merely for your reference.
·
Assessment 4 Example [PDF]
Download Assessment 4 Example [PDF].
To submit your online tool kit assessment, paste the link to your Google Site in the assessment submission box.
Example Google Site: You may use the example Google Site,
Resources for Improved Heparin Infusion Safety, to give you an idea of what a Proficient or higher rating on the scoring guide would look like for this assessment but
keep in mind that your tool kit will focus on promoting safety with medication administration.
Note: If you experience technical or other challenges in completing this assessment, please contact your faculty member.
Additional Requirements
·
APA formatting: References and citations are formatted according to current APA style
See attached
Assignment Instructions:
Case Study 2 Scenario:
Client, William Collins, arrived to the emergency room for an exacerbation of Chronic Obstructive Pulmonary Disease (COPD). The emergency department nurse enters the triage room to find Mr. Collins sitting at the side of the bed leaning forward with both arms on the bedside tray. He complains he is having shortness of breath that he is unable to control with his usual medications. His son is with him at the bedside because his wife is unable to come with him due to dialysis.
Case Study Analysis Assignment Outline:
The case study analysis should include the following sections with responses and rationales for all the prompts.
Introduction (3-5)
Provide an overview of the pathophysiology of the disease exhibited by the client. Include:
Implications for Self-Care (2 paragraphs)
Patient Education Strategy (2-3 paragraphs)
Interdisciplinary Collaboration (2-3 paragraphs)
Conclusion
References
Assignment Specifications:
APA Formatting
To Prepare:
The assingment:
Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.
please include at least 3 apa references
Week 1 Discussion
please see attachment for instructions.
Complete the Typefinder Personality TestLinks to an external site.. For the class discussion, post your response to the following questions:
Additionally, view the TED Talk “The Power of Introverts”Links to an external site. by Susan Cain (TED, 2012). Respond to the following questions:
Be sure to respond to your peers as well. As a reminder, connect to a scholarly source beyond the TED Talk.
Reference
TED. (2012). The power of introverts. https://www.ted.com/talks/susan_cain_the_power_of_introverts
