Review your assigned text reading, especially the section regarding thermoregulation and thermal hazards for the older adult. Thermoregulation, as a concept in your nursing program, is defined as processes that control the body’s ability to regulate hot and cold internal and external stimuli in order to maintain a normal temperature and optimal functioning. Optimal functioning for the older adult is affected by all of the changes we have discussed thus far in this course.

After reviewing this module’s resources and learning about thermoregulation and hypo/hyperthermia signs and symptoms in one document:

• Write a one page scenario on a client including gender, age, living conditions and the particular thermoregulation problem the client has.
• List 8-10 nursing interventions with rationales you would anticipate on the care plan.
• Use a bulleted format for this list.
• Use scholarly/credible references.
• Please cite your references at the end of the paper in APA format

Scoring Rubric:

Wrote a patient scenario including gender, age, living conditions, and thermoregulation problem.

Listed 8-10 nursing actions to help the client recover from problems and to prevent future problems with rationales.

Cited references in correct APA format.

Part A

• Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..

compared at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

at least 2 references

Due 9/23/19 by 5pm

Resources for both A&B

Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765. doi:10.1016/j.outlook.2017.10.002

Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. doi:10.1016/j.outlook.2018.03.001

Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4(2), e4. doi:10.2196/med20.4349

part B

 

you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.

• Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (9- to 10-slide PowerPoint presentation)

Develop a 9- to 10-slide PowerPoint Presentation that addresses the following:

• Describe the differences between a board of nursing and a professional nurse association.
• Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area.
  • Who is on the board?
  • How does one become a member of the board?
• Describe at least one federal regulation for healthcare.
  • How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?
  • Has there been any change to the regulation within the past 5 years? Explain.
• Describe at least one state regulation related to general nurse scope of practice.
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?

heading font size at 44…. body of text 28 or enough room on the slide

cited info must be included in power point

Due Wednesday 9/25 by 5pm Refrence page needed.

Triple Constraints

 

The term “triple constraints” refers to three universal restrictions that affect project management across virtually all fields, disciplines, and business sectors. These constraints are scope, time, and cost (or resources). In health care organizations, these constraints are especially relevant given the complex, interconnected nature of workflows; the urgent matter of improving care and outcomes; and the unfortunate realities of tight budgets and limited staffing. In addition, the Health Information Technology for Economic and Clinical Health (HITECH) Act and its meaningful use objectives have added even more requirements to projects undertaken in the health care field.

 

This Discussion focuses on project management in health care organizations. You explore how the requirements for meaningful use have complicated the implementation and conversion to a new informatics project. You also consider strategies for addressing and overcoming these challenges.

 

To prepare

 

• Review this week’s Learning Resources on triple constraints and project management. Consider how each of the three constraints relate to the implementation of workflow changes, technology innovations, and system upgrades in health care settings.
• Reflect on the article, “EHR/EMR: ‘Meaningful Use,’ Stimulus Money, and the Serenity Prayer” in the Learning Resources, and consider its relevance to meaningful use objectives and the challenges they pose for the health care field. Also consider your experiences with meaningful use compliance in your health care setting. How does meaningful use contribute to additional stress for organizations?
• Consider strategies and recommendations for organizations and nurse informaticists in accommodating meaningful use and triple constraints.

 

With these thoughts in mind:

 

Post by tomorrow 11/08/16 a minimum of 550 words essay in APA format with 3 references from the list below, addressing the level one headings as numbered below:

 

1)      An explanation of how each of the triple constraints (scope, time, and cost) relate to project management in health care settings.

 

2)      Describe how meaningful use adds additional complexity to project management planning.

 

3)      Propose at least one specific strategy that could be used to address meaningful use and triple constraints.

 

 

 

 

 

Required Readings

 

 

 

Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.

 

•Review Chapter 2, “Project Selection and Management” (35–80)

 

•Review Chapter 12, “Moving Into Implementation” (pp. 377–397)

 

 

 

Lee, K. J., & Smith, R. M. (2011). EHR/EMR: “Meaningful use,” stimulus money, and the Serenity Prayer. Ear, Nose & Throat Journal, 90(2), E25–E28.

 

Retrieved from the Walden Library databases.

 

The authors outline the steps health organizations need to complete when implementing electronic health records to meet the meaningful use criteria. They argue that although the requirements are rigorous, they will result in more useful systems as well as qualify the organizations for government funding.

 

 

 

 

 

Overgaard, P. M. (2010). Get the keys to successful project management. Nursing Management, 41(6), 53–54.

 

Retrieved from the Walden Library databases.

 

This article compares the nursing process to the project management and process. It also presents the different phases of project implementation and the role the project manager plays at each phase.

 

 

 

 

 

Schifalacqua, M., Costello, C., & Denman, W. (2009). Roadmap for planned change, part 1: Change leadership and project management. Nurse Leader, 7(2), 26–29, 52.

 

Retrieved from the Walden Library databases.

 

Change leadership and project management are integral factors of implementing any new policies or structural changes within an organization. The authors of this article describe the key elements of leading change. These include such suggestions as developing a thorough business charter, business budget, business plan, a project time line, and providing the correct project tools.

 

 

 

 

 

Sugrue, M. D. (2010). Clinical leaders and the adoption of health IT. Nursing Management, 41(9), 18–21.

 

Retrieved from the Walden Library databases.

 

this article, the author highlights the importance of strong leadership in the adoption of HIT. The article outlines the steps of the transformational process and how these can be built upon to ensure the success of the adoption.

 

 

 

 

 

Haughey, D. (2011). Understanding the project management triple constraint. Retrieved from http://www.projectsmart.co.uk/understanding-the-project-management-triple-constraint.html

 

This web page explains the triple constraints of cost, time, and scope that project managers must work within. It also describes how the project manager maintains the balance between these constraints in order to meet organizational goals.

Discussion Board 2: End of Life Care.

Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management

Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.

Practice

1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.

2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.

3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.

4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.

Education

1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.

2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.

3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.

4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.

Research

1. Increase the integration of evidence-based care across the dimensions of end-of-life care.

2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.

3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.

4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.

5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.

Administration

1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.

2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.

3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.

4. Support the development and integration of palliative care services for all in- and outpatients and their families.