MD4_Module 07 New Admit

8/20/2022

 
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Social Determinants of Health

Complete the following requirements:Application of Course KnowledgeExamine the overview of your assigned social determinant of health on theHealthyPeople (Links to an external site.)website. Define the determinant.Describe how the assigned social determinant could impact the health outcomes of a client.Identify what information the NP could gather to assess the impact of the determinant for the client.Discuss at least two online, national, or local resources available for at-risk clients and families for the selected determinant.Integration of Evidence: Provide support from a minimum of one scholarly in-text citation in addition to the textbook.Engagement in Meaningful Dialogue: Respond to a student peer and course faculty to further dialogue.Peer Response: Respond substantively to at least one topic-related post by a student peer with a different topic from the initial post. A substantive post adds content or insights or asks a question that will add to the learning experience and/or generate discussion.Faculty Response: Respond substantively to at least one question by course faculty. The faculty question may be directed to the student, to another student, or the entire class.Professionalism in Communication: Present information in a logical, meaningful, and understandable sequence that is relevant to the discussion topic.Grammar, spelling, and/or punctuation are accurate.Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 10 words). The quote must add substantively to the discussion.Reference Citation: Provide references with complete information as required by APA (0-1 errors). Include in-text citations included for all references AND references for all in-text citations (0 errors).

 
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Systems Thinking in Long-term Care

A CASE STUDY HIGHLIGHTING SYSTEMS LEADERSHIP: SYSTEMS THINKING IN LONG-TERM CARECreated by Izabela Kanzana, DNP, RNAs an Advanced Practice Registered Nurse in a Long Term Care (LTC) facility you provide care to 10 residents on Unit A. Every time you are on that floor during lunch time the majority of residents are sitting in wheelchairs and eating their lunch at tables in the dining room. You have looked at several research studies that point to inactivity of residents as a major risk factor contributing to disability and the relationship between increased walking activity and higher functional performance and quality of life. You are curious whether those residents have severe physical limitations keeping them from walking. Your facility has a Walk to Dine program, led by the facility’s restorative nurses. How many residents are able to walk? Is it safe for them to walk? When do they walk? Who assists them with walking? How far do they walk? You are motivated to engage in a project as you have identified an important practice problem. Because the evidence is strong that physical activity is the solution, you know that a QI project to implement the evidence into the process on your unit is the right way to go. The Medical director agrees with you that walking has potential benefits even in LTC.QUESTIONS1.  Who would be on your QI team? Which members will be the most important to interview?You know that restorative nurses are in charge of Walk to Dine program for residents. You interview restorative nurses and they do not know how many residents are enrolled in Walk to Dine program. They do not know how often residents walk to meals and how far residents walk.2.  What would be helpful baseline data?3.  What might your goals be for your improvement project?Read the above Case Study: A Case Study Highlighting Systems Leadership and Systems Thinking in LTC, on page 57 in your text, Leadership and systems improvement for the DNP. Armstrong, G., Sables-Baus, S. (2019) Springer Publishing.Answer the questions (1-3) in an effort to design the QI project.Searching the LiteratureYou searched the literature and found strong evidence that walking patients in LTC leads to better outcomes. You also find in the literature search evidence of key implementation strategies that support walking in LTC residents:•  Staff education (Galik et al., 2013; Slaughter & Estabrooks, 2013)•  Monitoring (Slaughter & Estabrooks, 2013)•  Mentoring and motivating (Galik et al., 2013; Taylor et al., 2015)You contacted your colleague in a different LTC facility and they successfully implemented a walking program designed by the Vanderbilt Center for Quality Aging (Schnelle & Simmons, 2013).Context for the Improvement:You assess Unit A’s readiness for a change using the organizational readiness to change survey. To understand the causes of the low participation in the Walk to Dine program, you collect information from all the stakeholders. The following data surfaces:•  Unit A is sometimes understaffed•  CNAs turnover is high•  There is no clear workflow process of walking a resident from an activity to a meal•  There are not enough walkers for residents who can ambulate with a walker•  A third manager was hired within last 2 months and is still getting oriented•  Family members request wheelchairs for residents to take residents to meals•  Many residents have dementia and they tell you they were assisted with walking even though you are told by staff they did not walk•  Two restorative nurses are in charge of the Walk to Dine program in the entire facility (230 beds)•  CNAs think that it is restorative staff function to provide walking activity to residents•  There is no log to track who walks to meals•  No one knows which residents are able to ambulate to meals•  There is no clear process for identification of residents who want to walk to meals•  There is no monitoring in how the residents that ambulate to meals tolerate the ambulation”

 
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Week 4: Discussion Board Posting

Discuss the importance of nursing leadership as it applies to the advanced practice nurse roleDescribe how nurses demonstrate leadership7 sentence 2 References apa format reference no older then 5 yearsalso need to reply to 3 people but don’t need that done till tomorrow

 
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Research

Do you work with a culturally diverse nursing staff?Is your patient population diverse?Discuss an incident in which cultural considerations played a role in patient care OR in leadership.How were decisions made regarding patient care?Was communication an issue in this case?How was the situation handled to ensure the best outcome for the patient, or if it was not handled well, what could have been done to increase awareness and sensitivity to the patient’s needs?At least two references should be used to support the content of the initial post. At least one reference should be outside the assigned textbook, not a website, and written within the last 5 years or less.need this in 14 hour .write in APA format 7 edition.Write in 270 words

 
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Epidemiology

Identify a current health issue of interest to you e.g diabetes, HIV/AIDS, heart disease etc. On the basis of current epidemiologic evidence, explain the factors that have contributed to the following: the observed trend in mortality rates for this disease, the changes in survival; the changes in incidence. A key concept in epidemiology is that of the levels of prevention.  As a community health nurse, describe primary, secondary, and tertiary prevention interventions related to this health issue.  Are there modifiable factors, such as health behaviors that lend themselves to better prevention efforts?

 
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Case Study Patient Care Part 2

Case Study is in CHPATER 8 client name HARRIS, problem Spinal Cord Injury at T3, Complete. See attachment below ( Rehab Hospital).Need to be a Word Document in APA format with references. Do not matter how many word or pages, all I need is all assignment objective, procedures.

 
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ccl

Research health care legislation that is being considered in your state. What impact might this legislation have on your future practice? What impact does it have on the collective practice of nurses in your state? How do you envision yourself potentially becoming involved in political advocacy for the profession in your future practice?

 
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learned after exploring learning material

300 words, 2 references less than 5 years APA 7th

 
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Change Implementation and Management Plan

Create a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose.Your narrated presentation should be 5–6 minutes in length.Your Change Implementation and Management Plan should include the following:An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)A description of the change being proposedJustifications for the change, including why addressing it will have a positive impact on your organization/workplaceDetails about the type and scope of the proposed changeIdentification of the stakeholders impacted by the changeIdentification of a change management team (by title/role)A plan for communicating the change you proposeA description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

 
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