You are an RN working in an Urgent Care. Below is just a brief history of a client with information limited on purpose to encourage you to utilize your critical thinking skills.

Subjective information: Miranda is a 26-year-old female who presents to the office with the complaint of diarrhea for 6 days. She states she has lost 8 pounds in one week. She is not currently taking any medications. She has tried over-the-counter remedies for the treatment of her diarrhea with minimal improvement. She is generally healthy with only a sinus and bladder infection on occasion.

Objective information: She does not have a temperature, BP is 102/60, Pulse is 98, and her bowel sounds are present in all quadrants and are hyperactive. Her abdomen is soft and mildly tender.

In a 2-3 page paper, answer the following questions. Include, at minimum, two peer reviewed sources (in-text citation), and provide a Reference page (not included in the page count) using APA Editorial format.

1. What is the pathogenesis of diarrhea?
2. Describe the different mechanisms of diarrhea (osmotic, secretory and motility).
3. With the limited information provided, what additional information would you like to obtain from her history and physical to help direct your care plan? Describe why obtaining this information would be helpful in leading you to a nursing diagnosis.
4. What infectious or inflammatory conditions could she be suffering from?

Conduct a health assessment of a population of your choice. Explain the process and summarize the results.

Effective communication is one of the most critical skills a health care  provider can master. Nurses communicate to a variety of individuals  with a range of educational levels who come from diverse settings.

Suggested Resources

To help you prepare for this assessment, review the resources you  used and the assessments you completed in BSN-FP4002, BSN-FP4010, and  BSN-FP4014.

Preparation

To prepare for this assessment, you will need to think about  changes you feel are needed to address a problem either within nursing  as a professional field or within the organization where you work.  Narrow down your options by considering which change would best be  undertaken by an interprofessional team. Some examples for you to  consider might include:

• The use of mobile and portable technology to support patients.
• Using evidence-based practice (EBP) to improve patient care.
• Increasing patient safety and quality of care.
• The use of medical technology such as genes and stem cells, or robots in the OR.
• Addressing the nursing shortage now and into the future.
• Improving the work environment (providing calm, supportive spaces  for nurses; improved dialog between health care professionals).
• Better safety for nurses at work (violence, spreading diseases, physical injury).
• Substance abuse by health care professionals.

Or you can narrow the scope to an issue within your own organization:

• Developing a mobility program for an inpatient unit.
• Implementing “smart” technology to assist in patient monitoring.
• Creating a mentoring program to attract and retain nurses.
• Implementing protocols for infection control and/or treatment of an epidemic.
• Developing a plan to eliminate physical violence and verbal abuse in the workplace.
• Other.

Once you have selected an issue to address, look for scholarly and  professional articles that focus on the problem, the needed change, and  how interprofessional teams can work together to drive change.

Requirements

Lately you have noticed the need for changes within your  organization that would advance the field of nursing. You have decided  to develop a proposal and submit it to executive leadership. Format this  assessment as a professional proposal. You may want to look at how  proposals are drafted within your organization and follow that format.  You will still need a references page; follow APA guidelines for in-text  citations and references.

Address the following in your proposal:

• Briefly describe the problem and how it impacts the organization, patients, and/or the nursing profession.
• Describe possible evidence-based interventions for the problem.
• Analyze potential barriers and resistance to change that might come from the organization, patients, and/or colleagues.
• Describe strategies to overcome barriers and resistance to change.
• Develop a plan to implement evidence-based interventions. What steps would you take? What resources might you need?
• Identify other health care professionals to enlist as team members to help drive change in the organization.

Your completed assessment should be 4–6 pages in length, not  including title page and references page. Support your statements and  intervention plan with references to and citations for at least four  scholarly or professional resources.

Additional Requirements

• Include a title page and references page.
• Reference at least four current scholarly or professional resources.
• Use APA format for citations and references.
• Use Times New Roman font, 12 point.
• Double space.

In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations:

Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.
Recommendation 5: Double the number of nurses with a doctorate by 2020.
Recommendation 6: Ensure that nurses engage in lifelong learning.
Identify your options in the job market based on your educational level.

How will increasing your level of education affect how you compete in the current job market?
How will increasing your level of education affect your role in the future of nursing?
While 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, which can be found in the APA Style Guide, located in the Student Success Center.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Medicaid and the Middle Class

Description: 2 Parts/Save in 1 document

Part I: Medicaid is not just for low-income people. The American middle class benefits significantly from the Medicaid program. In a 5 page synopsis, analyze a specific Medicaid program that seeks to benefit the middle class in the state in which you reside. Please keep in mind the position and facility you selected. Make sure to include the following:

1. Discuss the purpose of the program.
2. Describe whether the program is effective and offer evidence to support your rationale.
3. Discuss other viewpoints or opposing viewpoints to the program.
4. This portion of your assignment will require you to research and examine information from various sources. Use a minimum of five credible sources for your paper, with three being an academic source from the Rasmussen College Online Library (don’t forget to include in-text citations throughout your paper with paraphrasing or quoting)
5. Make sure to include your APA formatted reference page.

Part II: It’s tough for healthcare professionals to keep up with all the programs offered through the government. Based on the position and facility you selected( Director of Admissions @ Rasmussen Region Hospital), create a one-page information sheet for our staff that they can use to answer questions.

1. The information sheet should give your staff enough information to have an educated conversation with a patient about their healthcare coverage options through Medicaid.
2. Make sure to use audience specific language and tone in your information sheet. Remember, you are writing this information sheet for your staff.
3. Be creative and make your information sheet fun and organized.