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Nursing Care Models Worksheet Guidelines

Nursing Care Models Worksheet Guidelines

Purpose

The purpose of this assignment is to identify nursing care models (not Nursing Theories) utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO4: Apply concepts of leadership and team coordination to promote the achievement of safe and quality outcomes of care for diverse populations. (PO4)

CO6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO2, and 3)

CO8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

Due Dates

Submit by Saturday, 11:59 p.m. MT, end of Week 5.

Directions : Use this form to complete the Week 5 Nursing Care Models Assignment: Nursing Care Models Worksheet  (Links to an external site.)

  1. Read your text, Finkelman (2016), pp- 111-116. Watch the tutorial below.
  2. You are required to complete the assignment using the template.
  3. You will cite the textbook and one scholarly source for each of the two models. Scholarly references must be published within the last 5 years, peer-reviewed, from the Chamberlain Library only and you will need to provide the Permalink
  4. Review the information provided in our library of how to search for journal articles (Links to an external site.).
  5. Review the information provided in the library on how to locate and copy a journal permalink (Links to an external site.).
  6. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
  7. Identify the Model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model
  8. Review and summarize one scholarly resource (not your textbook) related to the nursing care model you observed in the practice setting.
  9. Review and summarize one scholarly resource (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
  10. Discuss the nursing care model from step #9, and how it could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
  11. Summarize this experience/assignment and what you learned about the two nursing care models.
  12. Submit your completed worksheet no later than 11:59 p.m. MT on Sunday by the end of Week 5.

Reminder

Before preparing your assignment, please review this Crediting Sources Made Simple (Links to an external site.) resource. This tool is intended to help you understand scholarly writing, APA, referencing, and crediting. Please reach out to your instructor with any questions as you prepare your assignment.

**Academic Integrity**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

community activism

-Describe the key concepts underlying community activism and give examples of how each of these concepts applies to a specific context.

-Examine how advanced practice nurses can engage in community activism to limit further negative health impacts from Big Tobacco in their respective health communities.

Attached below is an additional resource, an article, that details various ways by which nursing professionals can engage in community activism.

Patient Advocacy and in the Community and Legislative Arena: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Advocacy-in-Community-and-Legislative-Arena.html?css=print

long-term physical and behavioral effects of a drug

hi dear,

can you help me to finish this assignment with good quality and be on time please?

follow the instruction blow. there’s attachments of example and sources of information. the example is very clear.

 

Discussion Questions

Research and report on the acute and long-term physical and behavioral effects of a drug of your choice and discuss opinions on the legalization of drugs.

1. Choose a substance described in your readings for the first three weeks of the class.

Answer the following 8 questions about the substance, using your sources:

1. What are the behavioral effects of the substance? (cite your source)

2. What are the physiological effects of the substance? (cite your source)

3. What are the acute health effects of using this substance? (cite your source)

4. What are the chronic health effects of using this substance? (cite your source)

5. Are any of these effects worse when combined with other drugs? Which ones? (cite your source)

6. What did you learn that surprised you the most? (no citation needed)

In order to answer questions 7 & 8, WATCH THESE THREE SHORT VIDEOS to learn the difference between legalization and decriminalization of drugs.

https://www.youtube.com/watch?v=2OP8JFKMTcQ Big Think The Harvard economist explains why legalizing all drugs—including cocaine, heroin, and methamphetamine—would be a better policy than the current prohibition.

https://www.youtube.com/watch?v=M_0CN_42YWg Dr. Carl Hart on Legalization vs Decriminalization of Drugs

https://www.youtube.com/watch?v=uQJ7n-JpcCk How Portugal Successfully Tackled Its Drug Crisis

Then read the following from Wikipedia https://en.wikipedia.org/wiki/Drug_liberalization.

Drug legalization

Drug legalization calls for a return to the pre-20th century situation in which almost all drugs were legal. This would require ending government-enforced prohibition on the distribution or sale and personal use of specified (or all) currently banned drugs. Proposed ideas range from full legalization which would completely remove all forms of government control, to various forms of regulated legalization, where drugs would be legally available, but under a system of government control which might mean for instance:

· Mandated labels with dosage and medical warnings,

· Restrictions on advertising,

· Age limitations,

· Restrictions on amount purchased at one time,

· Requirements on the form in which certain drugs would be supplied,

· Ban on sale to intoxicated persons,

· Special user licenses to purchase particular drugs.

· A possible clinical setting for the consumption of some intravenous drugs and/or supervised consumption.

The regulated legalization system would probably have a range of restrictions for different drugs, depending on their perceived risk, so while some drugs would be sold over the counter in pharmacies or other licensed establishments, drugs with greater risks of harm might only be available for sale on licensed premises where use could be monitored and emergency medical care made available. Examples of drugs with different levels of regulated distribution in most countries include: caffeine (coffee, tea), nicotine (tobacco), and ethyl alcohol (beer, wine, and spirits).

Full legalization is often proposed by groups such as libertarians who object to drug laws on moral grounds, while regulated legalization is suggested by groups such as Law Enforcement Against Prohibition who object to the drug laws on the grounds that they fail to achieve their stated aims and instead greatly worsen the problems associated with use of prohibited drugs, but who acknowledge that there are harms associated with currently prohibited drugs which need to be minimized. Not all proponents of drug re-legalization necessarily share a common ethical framework, and people may adopt this viewpoint for a variety of reasons. In particular, favoring drug legalization does not imply approval of drug use.

Drug decriminalization

Drug decriminalization calls for reduced control and penalties compared to existing laws. Proponents of drug decriminalization generally support the use of fines or other punishments to replace prison terms, and often propose systems whereby illegal drug users who are caught would be fined, but would not receive a permanent criminal record as a result. A central feature of drug decriminalization is the concept of harm reduction.

Drug decriminalization is in some ways an intermediate between prohibition and legalization, and has been criticized as being “the worst of both worlds”, in that drug sales would still be illegal, thus perpetuating the problems associated with leaving production and distribution of drugs to the criminal underworld, while also failing to discourage illegal drug use by removing the criminal penalties that might otherwise cause some people to choose not to use drugs. However, there are many that argue that the decriminalization of possession of drugs would redirect focus of the law enforcement system of any country to put more effort into arresting dealers and big time criminals, instead of arresting minor criminals for mere possession, and thus be more effective.

In 2001 Portugal began treating use and possession of small quantities of drugs as a public health issue. This means rather than incarcerating those in possession they are referred to a treatment program. The drugs are still illegal, the police just handles the situation differently. This also decreases the amount of money the government spends fighting a war on drugs and money spent keeping drug users incarcerated. “As noted by the EMCDDA, across Europe in the last decades, there has been a movement toward “an approach that distinguishes between the drug trafficker, who is viewed as a criminal, and the drug user, who is seen more as a sick person who is in need of treatment” (EMCDDA 2008, 22).6 A number of Latin American countries have similarly moved to reduce the penalties associated with drug use and personal possession” (Laqueur, 2015, p. 748). Portugal is the first country that has decriminalized the possession of small amounts of drugs, to positive results. Anyone caught with any type of drug in Portugal, if it is for personal consumption, will not be imprisoned.

7. LEGALIZATION: Do you think that all drugs should be legalized in general? Why or why not? (See pages 340-341 in the textbook). (No citation needed)

8. DECRIMINALIZATION: Do you think that all drugs should be decriminalized like Portugal did? Why or why not? (no citation needed)

Format: Use the following headings: (See sample post – a separate document)

1. Behavioral effects

2. Physiological effects

3. Acute health effects

4. Chronic health effects

5. Combining with other drugs

6. What surprised me 

7. Legalization of all drugs

8. Decriminalization of all drugs

Sources:

· Because this is college, you need to use at least TWO academic sources: from government reports or scholarly/peer-reviewed journal articles. This will give you experience doing academic research. You can use the course textbook or other sources as additional sources, but they will not count as one of the two required sources.  Read the handout (below) on scholarly sources.

· Use the NU library to find your sources. If you don’t know how, contact the NU library for help.

· Use your OWN WORDS (e.g., do not cut and paste from an article).

· Do NOT use any quotations.  Paraphrase (use your own words) to report the information.

· Use in-text citations. Write the source of your information at the end of the applicable sentences using APA 6th edition format.  This will give you practice using APA to cite references.

· List all the references in APA 6th Edition format at the end of your post in a References list.

NOTE: If you are new to APA, I recommend that you use an online citation builder such as APA Style Central http://apastylecentral.apa.org.nuls.idm.oclc.org/ or the NU library database to automatically format your references correctly. You can also get help from the Writing Center https://nu.mywconline.com/ and the NU library on how to use APA to cite references.

READ THE DISCUSSION RUBRIC BEFORE YOU START. COMPARE WHAT YOU WRITE WITH THE RUBRIC. READ THE SAMPLE POST BEFORE YOU START.

IMPORTANT: Do NOT submit your first draft. First, read what you wrote out loud. Check for:

– Missing words or letters

– Missing or misplaced periods, apostrophes, commas

– Incomplete sentences

– 2 or more sentences strung together that should be made into separate sentences

– Putting something is past tense that should be in present tense or vice versa

– Plural words that should be singular or singular words that should be plural

– Making the verb and subject match (plural or tense)

AFTER you make these corrections, then post your discussion.

Then post 2 responses to other student posts, at least 5-6 full sentences long. You do not need to include any citations in your responses, but you can if you would like.

LIBRARY RESOURCES

URL: http://library.nu.edu

Contact the Library – [email protected] or (858) 541-7900

1-866-NU ACCESS x 7900 (toll free)

This class also has a special NU library page that was created by librarian Zemirah Lee to help you do research http://nu.libguides.com/coh318

It contains references related to our assignments. Zem is available by appointment for one-hour consultations to help you find sources, format in APA and more.

APA RESOURCES

· https://owl.english.purdue.edu/owl/resource/560/06/ 1-page instruction on Reference List format

· http://nu.libguides.com/ld.php?content_id=8766101 2-page handout on APA

· http://apastylecentral.apa.org.nuls.idm.oclc.org/learn/browse/QG-29 Short video on in text citations

· http://nu.libguides.com/training/apa_basics 13 minute video overview on APA

· www.apastyle.com website with many APA resource links

[email protected] 858-541-7940

http:nu.libguides.com/consultation 

Cardiovascular Alterations

Cardiovascular Alterations

At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.

Consider the following scenario:

A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.

To Prepare

Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.

Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.

Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.

Required Readings

** Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

Chapter 23, “Structure and Function of the Cardiovascular and Lymphatic Systems”

This chapter examines the circulatory system, heart, systemic circulation, and lymphatic system to establish a foundation for normal cardiovascular function. It focuses on the structure and function of various parts of the circulatory system to illustrate normal blood flow.

Chapter 24, “Alterations of Cardiovascular Function”

This chapter presents the pathophysiology, clinical manifestations, evaluation, and treatment of various cardiovascular disorders. It focuses on diseases of the veins and arteries, disorders of the heart wall, heart disease, and shock.

Chapter 25, “Alterations of Cardiovascular Function in Children”

This chapter examines cardiovascular disorders that affect children. It distinguishes congenital heart disease from acquired cardiovascular disorders.

** Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

Chapter 11, “Cardiovascular Disorders: Vascular Disease”

This chapter begins with an overview of the vascular component of the cardiovascular system and how the cardiovascular system is normally regulated. It then describes three common vascular disorders: atherosclerosis, hypertension, and shock.

**American Heart Association. (2012). Retrieved from http://www.heart.org/HEARTORG/ 

**Million Hearts. (2012). Retrieved from http://millionhearts.hhs.gov/index.html 

**National Heart, Lung, and Blood Institute. (2012). Retrieved from http://www.nhlbi.nih.gov/

Instructor Requirements

As advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in Up

to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:

1. Up to Date (must use original articles from Up to Date as a resource)

2. Wikipedia

3. Cdc.gov- non healthcare professionals section

4. Webmd.com

5. Mayoclinic.com

– This work should have  Introduction and  Conclusion

– It should have at least 3 current references

– APA format

– At least 2 pages, references page not included

Collaboration

Collaboration is essential to accurate diagnosis of the conditions under consideration in this week. For this week’s Discussion, you practice collaboration by working in a group on developing a “Parent Guide,” which will serve as a teaching tool for parents with children who have been diagnosed with a specific mental health disorder.

It is recommended that you make your project as attractive as possible and consider using the finished product as teaching tools for families that you will work with in your own practices.

Learning Objectives

Students will:

· Analyze signs and symptoms of neurodevelopmental disorders

· Analyze the pathophysiology of neurodevelopmental disorders

· Analyze diagnosis and treatment methods for neurodevelopmental disorders

· Evaluate Parent Guides

To Prepare for this Discussion:

· Topic of disorder is Specific learning disorder

· Review the resources concerning your assigned disorder. (Specific learning disorder)

· Use your group’s Discussion Board to design and develop the Parent Guide before posting to the group wiki.

· Discussions instructions below.

Using evidence-based research, design and develop a Parent Guide for your assigned disorder including:

Introduction

· Signs and symptoms (please concentrate on Signs and symptoms)

·

Provide a minimum of 1-2 academic references.

Assessing Causality and Implications for Public Health Policy 

DUE 2/8 9 P.M EST

Public Health Epidemiology 1 pg Discussion APA W/2 REFERENCES

TOPIC  Assessing Causality and Implications for Public Health Policy

 

In 1965, Sir Austin Bradford Hill proposed guidelines for assessing causality from epidemiological studies. His intention was not for these guidelines to be used in a rigid manner but rather to be used generally to help in the assessment of disease causation. In recent years, other causal models have been developed, including the Rothman sufficient-component cause model and the web of causation.

To prepare for this Discussion, use the Walden library to find an epidemiological research article published in the last 3 months that uses one of the models of causation discussed in the Learning Resources. Make sure the epidemiological research article you choose clearly uses a model of causal inference that you can discuss. Not all articles do this, so choose carefully! The best options are review articles or articles that clearly address an epidemiological causal inference model in their title and/or abstract.

Respond to the following questions:

  1. What is the epidemiological causal inference model used by the authors? How did they apply the model to the association they studied?
  2. Do you agree with the author’s choice of causal model? Why or why not? Provide evidence to support your assessment.
  3. What are the implications for public health policy, given the evidence for causality presented in the article?

Make sure that your discussion focuses on evaluating your article using the entire causal model that the authors used (as opposed to using one or two criteria). Be sure to cite the article you reviewed using proper APA formatting, and include in-text citations and references as appropriate.

teen pregnancy

Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:

1. Describe the contemporary issue and explain what external stressors are associated with this issue.

2. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.

3. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract/thesis is required.

Bipolar disorder

In 3-4 pages, write a treatment plan a client with Bipolar disorder

  • Describe the HPI and clinical impression for the client.
  • Recommend psychopharmacologic treatments and describe specific and therapeutic end points for your psychopharmacologic agent. (This should relate to HPI and clinical impression.).
  • Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
  • Identify medical management needs, including primary care needs, specific to this client.
  • Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
  • Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

APNP scope on practice

Hi class,

On the following three weeks (13 to 15) we will be covering the APNP scope on practice: relationship with supervised physician via protocol covered on your portfolio assignment, new introduced controlled substance prescribed abilities, our role on research and evidence based practice, etcetera. It is very important to understand your scope of practice which basically determined yours legal scope of practice.

The scope of practicedescribes the procedures, actions, and processes that a health care practitioner is permitted to undertake in keeping with the terms of their professional license.

(Scope of practice – Wikipedia https://en.wikipedia.org/wiki/Scope of_practice)
Recommended readings:

1. Scope of practice of nurse practitioners: professional role. https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners

2. State practice environment (AANP). https://www.aanp.org/advocacy/state/state-practice-environment

—————————————————————————————————————————————————————————————————————————————————

3. I want to take an opportunity to discuss our new granted privilege to prescribe controlled substance. There are five classes of substance considered under the Comprehensive Drug Abuse Prevention and Control Act of 1970 (Comprehensive Drug Abuse Prevention and Control Act of 1970, 2019).This privilege was legally approved in Florida, the last state to grant such a privilege for midlevel practitioners, in 2017( Kellangs & Maye, 2017). Once licensed as Florida Nurse Practitioner (NP) license, you will need 2 hours of controlled substance prescription CEUs and to apply for the DEA license. The application cost $ 731 and it’s valid for three years. NPs are required to have a controlled substance agreement with the supervising physician.

DEA website https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.jsp

References

Comprehensive Drug Abuse Prevention and Control Act of 1970. Retrieved on March 10, 2019 fromhttps://en.wikipedia.org/wiki/

Comprehensive_Drug_Abuse_ Prevention_and_Control_Act_of_1970

Kellams, J. R., & Maye, J. P. (2017). The last state to grant nurse practitioners DEA licensure: An education improvement initiative on the Florida prescription drug monitoring program. Journal of addictions nursing, 28(3), 135-142. doi: 10.1097/JAN.0000000000000177

U.S Department of Justice and Drug Enforcement Administration. Diversion control division. Application for Registration Under Controlled Substances Act of 1970 (NewApplicants Only). Retrieved from https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.jsp

On initial post remember to include your scholarly reference (EBP published within last 5 years). You can discuss the knowledge gained when reviewing the Family APRN scope of practice. Example: you can select to post about the new controlled substance privilege and requirements (CEU, DEA license, protocol with MD), eForce supervision, the advantages and its implication on our NP practices, etcetera.

Thank you

skilled nursing facility

A nurse is taking care of an 85-year-old woman in a hospital based skilled nursing facility. In report, the nurse is told the patient has not been breathing well for the past 2 days. She has been lethargic, her skin is warm and dry, and she has a decreased urine output. The following laboratory findings were returned from the laboratory immediately after morning report:

  • Na: 147
  • Cl 110
  • K 4.0
  • Blood Gases:
  • pH 7.33
  • PCO2 48
  • HCO3 27
  • Po2 96
  • Urine:
  • Urine Specific Gravity 1.040

Address the following:

  1. Identify each of the abnormal laboratory findings in the above results. Specify how they differ from a normal range and identify what condition each abnormality indicates.
  2. What specific electrolyte disturbance does the patient have?
  3. What clinical manifestations would the nurse expect to see with this electrolyte abnormality presented above?
  4. If the patient had an increase in her potassium level, what clinical manifestations would the nurse monitor for?
  5. What blood gas abnormality is seen in this patient? Discuss the rationale for your answer.
  6. What are the three major mechanisms of pH regulation.