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care delivery

Interprofessional teams are part of practice trends we see developing in all aspects of care delivery. Consider you own work environment (or recent clinical setting).

For this assignment, consider the concept of interprofessional teamwork and patient outcomes.

Look to your current workplace as an example. (If you are not currently employed, look to a past workplace or clinical practice area.)

Apply the components of the iCARE concept to interprofessional teams in a short paper. (Body of the paper to be 3 pages, excluding the title page and references page)

iCARE components are:

C ompassion

A dvocacy

R esilience

E vidence-Based Practice (EBP)

How could you contribute to an interprofessional team and patient outcomes through nursing actions of: compassion, advocacy, resilience, and evidence-based practice?

Select one scholarly nursing article from CINAHL as a resource for your paper. Additional scholarly sources can be used but are optional.

Use APA format throughout, particularly in citations and on the References page.

Please paraphrase throughout. One short quote is permitted.

The prepared paper template is RECOMMENDED for this assignment.

Elements of iCARE paper

Title page

Below are the headings to be used for this assignment.

Introduction: (No heading needed here in APA) Explain the type of work setting you are discussing and whether interprofessional teams are currently present. If interprofessional teams are present, indicate a team function that could be improved. If interprofessional teams are NOT present, indicate what type of team you think might be possible in the setting.

Describe a nursing action item for each component below that could contribute to: interprofessional team support; how this might impact the culture of your unit or organization; and possible impact on patient outcomes.

Compassion

Advocacy

Resilience

Evidence-Based Practice

Summary: Include a summary statement of how iCARE components can support interprofessional teams and patient outcomes. Address how you may be able to influence this process of support for interprofessional teams overall in your unit or organization.

References page: List any references used in APA format.

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holistic adaptive system

Callista Roy and Betty Neuman’s theories view the person (individual, group, or community) as a holistic adaptive system that constantly interacts with the internal and external environments. Both theories view the person as being the center of nursing and present health/wellness and illness as parts of the same continuum, however there are some key assumptions that are different. As such, select one of the theories and identify 1 assumption of the theory and discuss how the care rendered for this patient by an advanced practice nurse would be structured (assessment, diagnosis, planning, intervention, evaluation) according to the theory. Give 2 specific examples of interventions that you anticipate will be included in the patient’s care.

Mr. Reynolds is a 32 year-old male patient hospitalized on the orthopedic unit of the hospital. He is status-post motorcycle accident and right leg below the knee amputation. He has a history of Depression and Schizophrenia. He is currently separated from his wife and estranged from his family. He is awaiting social work for placement in a rehabilitation facility, where he will continue his recovery.

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  Lyme Disease 

  Lyme Disease

Case Study

A 38-year-old male had a 3-week history of fatigue and lethargy with intermittent complaints of headache, fever, chills, myalgia, and arthralgia. According to the history, the patient’s symptoms began shortly after a camping vacation. He recalled a bug bite and rash on his thigh immediately after the trip. The following studies were ordered:

Studies Results

Lyme disease test, Elevated IgM antibody titers against Borrelia burgdorferi (normal: low)

Erythrocyte sedimentation rate (ESR), 30 mm/hour (normal: ≤15 mm/hour)

Aspartate aminotransferase (AST), 32 units/L (normal: 8-20 units/L)

Hemoglobin (Hgb), 12 g/dL (normal: 14-18 g/dL)

Hematocrit (Hct), 36% (normal: 42%-52%)

Rheumatoid factor (RF), Negative (normal: negative)

Antinuclear antibodies (ANA), Negative (normal: negative)

Diagnostic Analysis

Based on the patient’s history of camping in the woods and an insect bite and rash on the thigh, Lyme disease was suspected. Early in the course of this disease, testing for specific immunoglobulin (Ig) M antibodies against B. burgdorferi is the most helpful in diagnosing Lyme disease. An elevated ESR, increased AST levels, and mild anemia are frequently seen early in this disease. RF and ANA abnormalities are usually absent.

Critical Thinking Questions

1. What is the cardinal sign of Lyme disease? (always on the boards)

2. At what stages of Lyme disease are the IgG and IgM antibodies elevated?

3. Why was the ESR elevated?

4. What is the Therapeutic goal for Lyme Disease and what is the recommended treatment

Peripheral Vascular Disease

Case Studies

A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except for decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial pulses were markedly decreased compared with those of his left leg.

Studies Results

Routine laboratory work Within normal limits (WNL)

Doppler ultrasound systolic pressures Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure)

Arterial plethysmography Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves

Femoral arteriography of right leg Obstruction of the femoral artery at the midthigh level

Arterial duplex scan Apparent arterial obstruction in the superficial femoral artery

Diagnostic Analysis

With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic.

Critical Thinking Questions

1. What was the cause of this patient’s pain and cramping?

2. Why was there decreased hair on the patient’s right leg?

3. What would be the strategic physical assessments after surgery to determine the adequacy of the patient’s circulation?

4. What would be the treatment of intermittent Claudication for non-occlusion?

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importance of professional associations in nursing

Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to your specialty area, or a specialty area in which you are interested. In 1,250 word paper, provide a detailed overview the organization and its advantages for members. Include the following:

  1. Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member.
  2. Explain why it is important for a nurse in this specialty field to network. Discuss how this organization creates networking opportunities for nurses.
  3. Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area.
  4.  Discuss opportunities for continuing education and professional development.

NO PLAGIARISM :Prepare this assignment according to APA style with a maximum of 1250 words with 5 References.

 

NO PLAGIARISM PLEASE

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Food Journal

Assignment 2.1: Food Journal

Step 1: Track your food over the course of a minimum of 5-7 days

Keep a record of journal entry:

·      Include ALL of your food – meals and snacks

·      Include ALL of your beverages – alcoholic and non-alcoholic

·      Include a full weekend (Friday, Saturday, and Sunday)

·      Include all exercise

Step 2: Take your food log and import into a Nutrition app of your choice, (ex. MyFitnessPal) and track your food.

· Include the meals and the servings sizes for each day.

 

Two examples attached of what a day would like from MyfitnessPal.  Submit your food log and your MyFitnessPal dietary journal. (See Examples)

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Respond the inquiry below.

For this assignment you’ll have a total of 2 responses. 

PART A

Respond the inquiry below.

2. In the case below identify the consequences of the action taken and decide whether the action represented the greater good.

c. A physician on the staff of an urban medical center is approached by a lawyer from a remote part of the state and asked to testify on behalf of his client, a rural doctor charged with criminal negligence in the care of a patient.  The lawyer admits that his client is guilty of the charge.  He goes on to explain that although the doctor is old and not well versed in the latest medical knowledge, she is nevertheless competent; the negligence she is charged with resulted from the strain of being the only doctor in a large mountain area with a number of tiny towns and a total population of two thousand people.  The lawyer pleads with the medical center physician to testify that the negligent act was proper treatment.  The physician does so.

PART B

Answer ONE of the two inquiries below.

5. Reportedly, at least two companies specialize in buying the body parts of fetuses from abortion clinics and selling them to universities and medical institutes for use in research.  One of these companies reportedly charges $999 for a human brain under eight weeks’ gestation, $50 to $100 for eyes and ears, and $400 for an intact limbless trunk.  Evaluate the morality of (a) abortionists selling fetal body parts to the companies, (b) the companies selling such parts to research institutions, and (c) the use of fetal body parts in research.  In your evaluation discuss the relevant obligations, moral idealls, and consequences.

OR

7.  Several years ago a married couple, faced with the tragic fact that the husband had terminal cancer, made an important decision: His sperm would be frozen so that the wife could conceive their child after his death. Three months after his death she was impregnated with his sperm and subsequently gave birth to a little girl.  The Social Security Administration ruled that the child was not entitled to receive benefits as his heir.  At first thought, you might be inclined to judge this ruling morally insupportable because the ideal of fairness requires that this child be treated as any other heir.  Resist that judgment until you have used your imagination to identify the significant consequences that would likely follow (a) denying the child the status of an heir and (b) granting the child the status of heir. Compare those consequences and make your decision. (Explain your reasoning.)

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contemporary issues teenagers face today

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, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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nursing conceptual model

A brief overview of the nursing conceptual model selected. WATSON

Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts.

Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice. Elaborate, explain, or defend each point mentioned.

Provide current reliable sources to establish credibility for the presentation.

Requirements for PowerPoint are as follows:

6 slides for content.

1 slide for references.

APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines.

DUE SATURDAY AT 9:00 am eastern standard no plagiaris. 800 word essay. 6 slides content 1 reference with consise info.

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Evaluation Table

Evaluation Table

Use this document to complete the evaluation table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research

 

Full   citation of selected article

Article #1

Article #2

Article #3

Article #4

 

Dubin, J (2018)

Pediatric obesity in primary practice. Pediatric   Nursing .44(4), 202-206.

Hargreaves, m., Orfield, C., Honeycutt, T., Vine,   M., Cabili, C., Coffee- Boden, B., Fisher, S. (2017). Addressing childhood   obesity through multisector collaboration: Journal of community health, 42   (4) 656-663

Kitson, S (2018). Intervention for weight in   obesity to improve survival in women with endometrial cancer. Retrieved from https//www.waldenulibrary.org

Ruopeng An, Mengmeng Ji, & Zhang.   (2017). Effectiveness of social media intervention on weight related behavior   and body weight status. American Journal of health behavior 41(6), 670-682

 

Conceptual Framework

Describe the theoretical basis for the study

 

Design/Method Describe the design

and how the study

was carried out

 

Sample/Setting 

The number and

characteristics of

patients,

attrition rate, etc.

 

Major   Variables Studied

List and   define dependent and independent variables

 

Measurement

Identify   primary statistics used to answer clinical questions

 

Data   Analysis

Statistical   or

qualitative

findings

 

Findings   and Recommendations

General   findings and recommendations of the research

 

Appraisal

Describe   the general worth of this research to practice. What are the strengths and   limitations of study? What are the risks associated with implementation of   the suggested practices or processes detailed in the research? What is the feasibility   of

use in   your practice?

 

General Notes/Comments

 

Levels of Evidence Table

Use this document to complete the levels of evidence table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research

 

Author   and year of selected article

Article #1

Article #2

Article #3

Article #4

 

 

Study Design

Theoretical basis for the study

 

Sample/Setting 

The number and

characteristics of

patients

 

Evidence   Level *

(I, II, or III)

 

Outcomes

 

General Notes/Comments

* Evidence Levels:

  • Level I

Experimental, randomized controlled trial (RCT), systematic review RTCs with or without meta-analysis

  • Level II

Quasi-experimental studies, systematic review of a combination of RCTs and quasi-experimental studies, or quasi-experimental studies only, with or without meta-analysis

  • Level III

Nonexperimental, systematic review of RCTs, quasi-experimental with/without meta-analysis, qualitative, qualitative systematic review with/without meta-synthesis

  • Level IV

Respected authorities’ opinions, nationally recognized expert committee/consensus panel reports based on scientific evidence

  • Level V

Literature reviews, quality improvement, program evaluation, financial evaluation, case reports, nationally recognized expert(s) opinion based on experiential evidence

 

Outcomes Synthesis Table

Use this document to complete the outcomes synthesis table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research

 

Author   and year of selected article

Article #1

Article #2

Article #3

Article #4

 

 

Sample/Setting 

The number and

characteristics of

patients

 

Outcomes

 

Key   Findings

 

Appraisal   and Study Quality

 

General Notes/Comments

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 FierceHealthIT

Students will login to FierceEMR and FierceHealthIT using the link provided in the reading assignment module for Week 5 and select a “current/popular” topic of the week that may impact their practice. Students, in a professionally developed paper, will discuss the rationale for choosing the topic, how it will impact practice in a positive or negative manner, citing pros and cons. Include a discussion of how informatics skills and knowledge were used in the process relevance to developing the assignment. In the conclusion, provide recommendations for the future. Submit completed FierceHealthIT

https://www.fiercehealthcare.com/privacy-security/decatur-county-general-hospital-ehr-data-breach

See attachment for complete instructions of what to do.

4 to 6 pages

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