Category: Nursing

  • The Importance of Lifelong Learning and Achieving Higher Levels of Education in Nursing: A Path to Achieve Health Equity Introduction In the ever-evolving field of healthcare, nursing education plays a crucial role in ensuring the delivery of high-quality,

    “The Future of Nursing 2020-2030: Charting a Path to Achieve
    Health Equity” report makes recommendations for lifelong learning and achieving
    higher levels of education.
    In 1,000-1,250
    words, examine the importance of nursing education and discuss your
    overall educational goals.
    Include the following:
    Discuss
    your options in the job market based on your educational level.
    Review
    “The Future of
    Nursing 2020-2030: Charting a Path to Achieve Health Equity”
    report’s recommendations for achieving higher levels of education.
    Describe what professional certification or advanced degrees (MSN, DNP, etc.) you
    may want to pursue and explain your reasons for wanting to attain this
    education. Discuss the timeline for accomplishing these goals.
    Discuss
    how increasing your level of education would affect how your
    competitiveness in the current job market and your role in the future of
    nursing.
    Discuss
    the relationship of continuing nursing education to competency, attitudes,
    knowledge, and the ANA
    Scope and Standards for Practice and Code of Ethics.
    Discuss
    whether continuing nursing education should be mandatory. Provide support
    for your response.
    You are required to cite a minimum of three sources to complete this assignment.
    Sources must be published within the last 5 years, appropriate for the
    assignment criteria, and relevant to nursing practice. 
    Prepare this assignment according to the guidelines found in
    the APA Style Guide, located in the Student Success Center.

  • Title: Improving Patient Outcomes through Evidence-Based Remote Collaboration: A Case Study Proposal

    Create a 5-10 minute video of yourself, as a presenter, in which you will propose an evidence-based plan to improve the outcomes the patient in the provided case study, and examine how remote collaboration provided benefits or challenges to designing and delivering the care.
    Please see scenario attached 
    References: Cite at least three professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.
    APA reference page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video. Be sure to format the reference page according to current APA style. Submit a narrative of all of your video content.

  • “The Role of Professional Nurses in Shaping Health Policy: An Action Plan for Increased Involvement” Introduction Health policy plays a crucial role in shaping the healthcare system and influencing the health outcomes of individuals and communities. As healthcare professionals on the front

    Write a paper on the role of the professional nurse in health policy.
    Discuss the professional nurse’s role in health policy.
    Identify and articulate an action plan for nurses to increase involvement.

    Submission Instructions:
    The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
    The paper is to be no shorter than 5 pages; nor longer than 7 pages in length, excluding the title, abstract and references page.
    Your paper should be formatted per APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions).
    Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA style

  • “Improving Quality and Safety Outcomes: An Executive Summary of Existing Outcome Measures” “Addressing Quality and Safety Outcomes in the Face of the Nursing Shortage: A Strategic Approach”

    uncovered in your gap analysis that you intend to address.
    Collapse All
    Introduction
    Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.
    As a nurse leader, you must be able to access, identify, and describe outcome measures as they relate to safety and quality problems in your organization.
    This assessment provides an opportunity to examine existing outcome measures, assess their strategic value, and present your findings to executive leaders in a manner that will help you gain their support.
    Quality and safety are everyone’s responsibility as a team of interprofessional care delivery partners. Together we develop policies that support quality and safe care delivery. As part of the interprofessional team, nurses are leaders in care and thus are responsible and accountable for leading and providing safe quality care.
    Health care delivery is structured around evidenced-based information. Quality is defined by exploring proven, evidenced-based information. After reviewing and defining evidenced-based information, the interprofessional team applies this knowledge to assess the organization’s or the practice setting’s ability to provide evidenced-based care delivery. When a gap in care is identified, it is important to propose an evidenced-based change and to execute a plan for improved care.
    Preparation
    Your summary of relevant outcome measures is based on your findings from the quality and safety gap analysis you completed in the previous assessment.
    Your analysis of the gap between current and desired performance was the first step toward improving outcomes. You now have the information you need to move forward with proposed changes. Your next step is to focus on existing outcome measures and their relationship to the systemic problem you are addressing. For this assessment, you have been asked to draft a summary of existing outcome measures for your organization’s executive team to raise awareness of the problem and the strategic value of existing measures.
    Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.
    As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
    Building stakeholder support is crucial to fostering and sustaining change. Therefore, as you approach this assessment, think about the stakeholders whose support you will need for the change you want to bring about.
    What information is most essential for both the formal and informal stakeholders to understand about the proposed change?
    How might you communicate the need for change using just a few sentences (this is often referred to as an “elevator speech”).
    The following resources are required to complete the assessment.
    APA Style Paper Tutorial [DOCX]. Use this for your executive summary.
    Requirements
    Note: The requirements outlined below correspond to the grading criteria in the Executive Summary Scoring Guide. Be sure that your written analysis addresses each point, at a minimum. You may also want to read the Executive Summary Scoring Guide and Guiding Questions: Executive Summary [DOCX] Download Guiding Questions: Executive Summary [DOCX]to better understand how each criterion will be assessed.
    Composing the Executive Summary
    Explain key quality and safety outcomes.
    Determine the strategic value to an organization of specific outcome measures.
    Analyze the relationships between a systemic problem in your organization or practice setting and specific quality and safety outcomes.
    Determine how specific outcome measures support strategic initiatives related to a quality and safety culture.
    Determine how the leadership team would support the implementation and adoption of proposed practice changes affecting specific outcomes.
    Writing and Supporting Evidence
    Write clearly and concisely, using correct grammar and mechanics.
    Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
    Additional Requirements
    Format your document using APA style.
    Use the APA Style Paper Tutorial [DOCX]. Be sure to include:
    A title page and reference page. An abstract is not required.
    A running head on all pages.
    Appropriate section headings.
    Properly-formatted citations and references.
    Your summary should be 4–5 pages in length, not including the title page and reference page.
    Portfolio Prompt: You may choose to save your executive summary to your ePortfolio.
    Competencies Measured
    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
    Competency 1: Analyze quality and safety outcomes from an administrative and systems perspective.
    Explain key quality and safety outcomes.
    Analyze the relationships between a systemic problem in an organization and specific quality and safety outcomes.
    Competency 2: Determine how outcome measures promote quality and safety processes within an organization.
    Determine how specific outcome measures support strategic initiatives related to a quality and safety culture.
    Competency 3: Determine how specific organizational functions, policies, processes, procedures, norms, and behaviors can be used to build reliability and high-performing organizations.
    Determine the strategic value to an organization of specific outcome measures.
    Competency 4: Synthesize the various aspects of the nurse leader’s role in developing, promoting, and sustaining a culture of quality and safety.
    Determine how a leadership team would support the implementation and adoption of proposed practice changes affecting specific outcomes.
    Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
    Write clearly and concisely, using correct grammar and mechanics.
    Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
    USE NURSING SHORTAGE FOR THIS PAPER

  • “Case Studies in Primary Care: Diagnosing and Managing Chronic Gastritis and Pediatric Diabetes” “Diagnosis and Treatment of Chest Pain in a 58-Year-Old Male with a History of Coronary Artery Disease” What is the most likely diagnosis? The most likely diagnosis for this patient is angina, specifically stable angina. “Assessment and Management of a New Patient with Type 2 Diabetes Mellitus and Abdominal Pain: A Case Study” Title: Abdominal Distention with Negative Psoas and Obturator Signs: A Case Study

    These are the 3 textbooks:
    CURRENT Diagnosis & Treatment in Family Medicine, 5th Edition (Required)
    McGraw-Hill Education / Medical; 5th Edition
    ISBN-10: 126013489X
    ISBN-13: 978-1260134896
    Rapid Interpretation of EKG (Required)
    Cover Publishing Company, Tampa, FL., 6th Edition
    ISBN-10: 0912912065
    ISBN-13: 978-0912912066
    Laboratory and Diagnostic Tests with Nursing Implications (Required)
    Boston, MA: Pearson, 10th edition
    ISBN-13: 978-0134704463
    ISBN-10: 9780134704463
    There are 6 discussions in total.
    Case Study 1 Discussion 
    Chief Complaint:
    Mrs. Garcia a 62 year old female with a history of chronic gastritis presents today to your primary care office with complaints of weakness, fatigue, burning sensation in the tongue, paresthesias to bilateral lower extremities, and memory loss. Patient reports symptoms began more than 3 months ago. She admits to drinking 1 bottle of wine on a daily basis to “relax her nerves”.
    Patient Medical History:
    Hypertension,  osteopenia, chronic gastritis
    Review of Systems
    Uses glasses for distance and reading. Hard of hearing. Occasional episodes of short term memory loss.  Fatigue and short of breath when laying down and with exertion at times.  She has occasional palpitations. Reports her bowel movements are normal and denies any melena or blood in the stool.
    Screenings:
    Mammogram and colonoscopy are up to date and were all unremarkable. Dual energy x-ray absorptiometry scan shows osteopenia.
    Surgical History:
    Denies any surgical procedures.
    Allergies:
    NKDA
    Medications:
    Omeprazole 20 mg po daily  
    Calcium carbonate (OsCal) with vitamin D twice daily
    Physical Exam:
    Appears disheveled, thin and frail. Skin is pale. Bilateral conjunctivae appear pale. She is mildly short of breath at rest but in no apparent pain or distress. She is 5 feet 2 inches tall and weighs 100 pounds. The patient wears glasses for distance and reading. Her oropharynx is clear, and her neck is supple. There is no lymphadenopathy. Lungs are clear. Heart: S1-S2, Systolic 2+ murmur in the left MCL. The abdomen is soft, non-tender. BS are positive x4 quadrants. No masses palpated. Decreased sensitivity to bilateral lower extremities
    Vital signs:
    Blood pressure of 100/72 mm Hg; pulse 90 beats/minute; temperature 97.4 degrees F; respirations 20 breaths/minute; and oxygen saturation 93%.
    Answer the following questions:
    What is your differential diagnosis?
    What is your working diagnosis?
    You then order labs and these are the results on the subsequent visit:
    Complete Blood Count
    RBC
    3.2 million/microliter
    Hemoglobin
    10.5 g/dL
    Hematocrit
    32%
    MCH
    41 microliter
    MCHC
    42%
    MCV
    115 microliter                        
    Leukocytes
    5,700 cells/mcL
    Serum iron
    90 mcg/dL
    Total iron binding capacity
    300 mcg/dL      
    Transferrin
    250 mg/dL
    Reticulocyte count
    0.3%
    Stool for occult blood
    Negative (three samples)
    Chemistry profile
    Normal
    Answer the following questions:                                                                                                   
    Which lab values are normal, and which lab values are abnormal?
    Explain the significance of each abnormal result?
    What type of anemia does this patient most likely have and what further lab(s) would you order to confirm your diagnosis?
    Discuss your treatment plan if the lab(s) ordered to confirm the diagnosis are positive. (Be specific to your diagnosis).
    What is your follow up?
    **Provide References** 
    Case Study 2 Discussion
    A 11 year old female presents to the Emergency Department with her mother complaining of abdominal pain and has had several episodes of emesis over the last 3 hours.  Her current weight is 110 lbs with a body mass index > 85th percentile. Her mother states that she is extremely tired and has not been acting like herself for the past 3 days. Upon further questioning, you note that despite the patient’s recent increase in appetite, she has actually lost weight. The patient has been asking for several glasses of water per day and has had new-onset nocturnal enuresis.
    Her vital signs include a heart rate of  105 beats/min, a respiratory rate of 24 breaths/min, a temperature of 37.5C (99.5F) and a blood pressure of 101/60 mm Hg. 
    What is the most likely diagnosis?
    What are your differential diagnoses?
    What labs/diagnostics would you order?
    What is the sensitivity and the specificity of your tests ordered?
    What is the general treatment for this condition?
    What referrals would be warranted for a child with this condition?
    What complications can be seen with this condition?
    What education and anticipatory guidance should be provided at this visit?
    Case Study 3 Discussion
    Clinical Note
    Age: 58             Sex: M        Date
    Chief complaint “Pain on my chest” on and off for the past six months.
    History of present illness Mr. Solomon is a 58-year-old insurance broker who presents tonight in the office following an episode of “chest pain” that he experienced earlier in the day during a golf game. Although he minimizes the severity of the pain and attributes it to being “out of shape,” his wife insisted that he see a physician because he has had similar episodes during the past six months.
    Mr. Solomon describes the pain as being more of a discomfort or heaviness. It is localized to “my breastbone” and does not radiate. Today, following a brief rest, the pain subsided, and he returned to his golf game. Previous episodes of the heavy feeling tended to occur following large meals and one occasion while dancing at a wedding. None of the episodes lasted more than “several minutes.”
    Although Mr. Solomon did not experience nausea or vomiting today, he notes many episodes in the past of feeling a burning sensation in his chest. He describes the sensation as being “like acid behind my breast bone.” This feeling occurs most often late at night when he lays down. Usually he has had a large meal or drank alcohol. The sensation does not radiate.
    Patient’s perspective: When asked about how he feels about these episodes, he admits to being concerned about his health and longevity, considering his father died at age 52 of “heart problems.” He says, business is poor, my kid is always in trouble. “Who’s going to take care of things?
    Past Medical history: Not significant
    Family history: hypertension (father), Mother Alive and well.
    Social history: Smoker 1 PPD X 30 years
    Medications: Vitamins
    Allergies: None
    Review of systems: No significant problems
    Examination: Mr. Solomon is a short, moderately obese man who appears somewhat anxious but is in no apparent distress. He is wearing clean casual shirt/pants. Vital sings: BP right arm 162/94; left arm 160/92. Weight 176lbs; Height 5’7”. Respiratory rate is 16/minute. Temperature, 98.4 F.
    Neuro: Alert, Awake, Oriented X 3. No acute distress
    Neck:  Supple, No JVD or bruits noted
    Lungs: Clear bilaterally, no adventitious sounds
    Cardiovascular system: reveals a regular, apical heart rate of 86/minute. S1 is heard best at the apex; a loud S2 is heard best in the R2ICS and L parasternal border. A questionable S4 is heard at the apex. There are no murmurs or apical prominence.
    Abdomen: soft, non-tender Bowel sounds positive all four quadrants
    Extremities: Pulses 2+ all extremities with no peripheral edema
    Laboratory  Tests:
    CBC: WBC = 5,600/mm3, hemoglobin = 15.2g/dL, hematocrit = 45%, platelet count = 320,000/mm3
    Chemistries: Glucose 110mg/dL, Blood Urea Nitrogen (BUN) 11mg/dL, Creatinine 0.9mg/dL
    Urinalysis: Specific gravity: 1.016; Protein, Glucose, Ketones = negative.
    Chest X-ray: normal
    CT of the chest: Moderate hiatal hernia, lungs clear
    Questions:
    What is the pathogenesis of coronary artery disease?
    What are the patient’s risk factors (modifiable and Nonmodifiable)?
    What is your diagnosis, differentials?
    Differentiate the diagnosis of chest pain and angina? (Be specific)
    What treatment would you order (Be specific)
    What further test would you order and provide rational? (Be specific)
    Does this patient need a referral?
    Case Study 4 Discussion 
    Patient Name: HD
    Date of Birth: February 14, 1954
    Purpose of visit: new patient
    CHIEF COMPLAIN – Appointment for physical examination                     
    HISTORY OF PRESENT ILLNESS:
    67 y/o female who comes to the clinic for a scheduled physical examination. Patient has a history of Type 2 diabetes mellitus and a history of elevated blood pressure for about 3 years respectively. Patient has not consistently taken any medications and does not have any treatment for the past year. When asked about her medication regimen, “I do not recall, that is why I came here”. Upon assessment, 2×2 noted on forearm, when removed open wound, 1inch x 1inch of size, with serosanguinous and yellowish discharge. Skin around wound is hard and warm to touch. When asked patient, what happened? Patient stated that a dog bit her 2 days ago. Also, patient removed her shoes and showed healthcare provider her left great toe, which is red, painful to touch with a yellowish foul discharge.  Patient has not been at the doctor or emergency room to be checked and refuses to go anywhere else.
    Vitals: 170/110, HR 92, EKG SR with PAC’s. Fingerstick:  330mg/dl. Dipstick, +
    leukocytes, glucose +++, ketones++ and glucose ++++, Temp- 100.5
    height 5’8” weight: 210Lbs
    Past medical history: bilateral knee replacement
    Social history: smokes 1 pack of cigarettes daily, drinks 3 beers a day
    Lives alone, unemployed now
    Allergies: NKA
    Head to toe assessment completed.
    General appearance: good body habitus, well-developed, over weight
    Skin: Skin color appropriate for race, turgor brisk. No rashes or lesions.
    HEENT: PERRL, EOM intact, good dentition, no pallor or icterus.
    Neck: dark area noted on back of neck
    Cardiac: Regular rate and rhythm, S1 S2 with no murmur, gallop, or rub.
    Lungs: rhonchi bilaterally, slightly diminished on bases
    Abdomen: Soft, non-tender, obese, active bowel sounds in all 4 quadrants.
    Extremities: upper extremities wounds. Left great toe red with oozing yellowish discharge ( wounds described previously)
    Pedal pulses present with mild non-pitting edema bilaterally.
    Neurological: No focal deficit.
    1 What type of assessment would you perform during your head- to- toe assessment to check for diabetic neuropathy?
    What diagnostic test would you order for this patient and why?
    What treatment will you do at the office and what will you order
    How will you monitor this patient,
    When will you have the patient come back to see you
    What education will you provide this patient
    Any services at home?
    Support your answers.
    APA style 
    Case Study 5 Discussion 
    A 49 year old male with a history of hypertension and mixed hyperlipidemia presents to your primary care practice with abdominal pain. He states is started a “a few days ago” in the left lower quadrant of the abdomen and now feels as though it is spreading to the mid-abdomen. He describes the pain as coming suddenly, sharp and cramping in nature, constant, and becoming more intense. Last night he began having nausea and vomiting and has been constipated for the last 2 days. He also feels bloated. He has not taken his temperature at home however, has had chills and malaise. Denies rectal bleeding. The patient has decreased appetite, tolerating some liquids and bland foods.
    Past Medical History:
    Hypertension and Mixed Hyperlipidemia
    Social History:
    Nonsmoker; drinks a glass of wine daily with dinner, no illicit drugs
    Vital signs:
    BP 128/75, HR 99, 20 breath/min, temp 100.9 F.
    Medications: Lisinopril 30 mg po daily; Rosuvastatin 20 mg po daily. No Known Allergies.
    Physical exam:
    General: Alert and oriented, appears stressed and anxious, ambulates into the practice examination room holding his abdomen.
    HEENT: Normocephalic, atraumatic, white sclera.  Mucus membranes are moist.
    Cardiovascular (CV): Regular rate and rhythm, no murmurs, rubs, gallops, S1-S2 clear.
    Pulmonary: clear to auscultation bilaterally
    Abdomen: Moderate tenderness to palpation in the left lower quadrant and mild tenderness over mid abdomen without rebound, guarding, or rigidity. Bowel sounds are present throughout. Negative psoas and obturator signs; no distinct masses. Abdominal distention present.
    Back: No cerebrovascular (CVA) tenderness
    Neurological: No focal deficits
    Skin: Warm and dry, no rashes
    Answer the following questions:
    What is you differential diagnosis?
    What is your diagnosis?   
    What diagnostic tests should be ordered for this patient with rationale?
    What type of medical treatment does the patient need? (Be specific)
    What is the follow up required for this patient? (Be specific)
    **Provide References**                                                                 
    Discussion 6 is attached in a pdf because there are x rays images. Please see attached. 

  • “My Personal Philosophy of Nursing: The Interplay of Person, Environment, Health, and Nurse in Practice”

    Personal Philosophy of Nursing Paper
    The student will identify his or her personal philosophy of nursing practice through defining personal view and interrelationship of the theoretical concepts of person, environment, health, and nurse. The personal philosophy of nursing section should demonstrate how the personal beliefs of the four theoretical concepts interact to form the personal philosophy. Further, the student will discuss how his or her personal philosophy of nursing either impacts or is impacted by the policy and politics in nursing practice. It is required that the student elaborate on the personal philosophy of nursing practice as the primary focus. The paper must meet the 1000+ word requirement. This is a WAC assignment. APA format is expected. A grading rubric has been included in this syllabus. Contact the writing lab if you desire input or require help with your APA formatting.
    Description of criterion
    This criterion is linked to a Learning OutcomeDescription of criterion
    Define and state personal philosophy of each of the following theoretical concepts: Person, Environment, Health, and Nurse
    Discuss interrelationships of each theoretical concept
    State personal philosophy of nursing
    Discuss impact/influence of policy or politics on development of personal philosophy
    APA format & length
    250 pts
    Excellent
    Thoroughly defines and elaborates on personal beliefs for each of the theoretical concepts of person, environment, health, and nurse Throughly discusses interrelationships demonstrating a full understanding of each concept. Provides a well written, individualized personal philosophy. Personal beliefs should be evident. Discusses the impact or influence that policy or politics has on the development or sustainment of the personal philosophy. Format in APA with minimal (less than 3) spelling or grammar errors. Include title and reference page, if appropriate. No abstract is required. Meets 1000 word requirement (not including title and reference page).

  • “Improving Community Health Through Preventive Screenings: A Case Study on Implementing the USPSTF A and B Recommendations”

    Directions
    For this assignment, you will pick one recommended screening from the United States Preventive Task Force A and B Recommendations.
    An initiative is a project or event, so something in the community is ideal; workplace location for employees is also fine. Please include the following suggested level one headings, so content is clear and easily identified.
    Theory or Conceptual Model
    Identify and describe a health promotion program theory or conceptual model.
    Explain how the model or theory is applicable to the initiative.
    Population Screening Purpose
    Identify the screening topic as an A or B preventive screening from the USPSTF.
    Include two components of topic-related community statistics numerically (e.g., mortality, prevalence).
    Describe target population characteristics, including age and sex or risk factor, and match the guidelines.
    Clarify the county and or neighborhood of the population.
    Provide descriptions on the local population to be screened, including three components: number of persons in the county possibly affected based on sex, age, and racial diversity of the county or state.
    Include current rates of screening or factors that would impact the need for screening.
    Location/Setting
    Provide details of the community or workplace event, including three components: type of area or building, time, and day (e.g., Monroe County Senior Center at 9 a.m. to 11 a.m. 4/20/21).
    Include reasoning and explanation of appropriateness.
    Screening Activity
    The screening activity plan meets the preventive guidelines process, is descriptive, and includes:
    Education component description
    Measures tested
    Evidence the tests are aligned with guideline recommendations
    Demonstrates possible positive measure, and normal and abnormal ranges
    Follow up and referral content process
    Three clear and measurable outcome goals
    Explanation of how each outcome is affected by the activity
    Cost
    Provides a detailed cost analysis to perform screening in table form and includes (but is not limited to) the six following line items:
    Testing instrument costs with source for pricing
    Staff costs as appropriate for screening
    Rental cost estimate
    Simple supply costs
    Any attendee cost
    Total
    You may use volunteer staff but not donations of items. Cost analysis for feasibility needs to be demonstrated. The cost analysis total and summary statement should be included.
    Provide a summary of your screening, general benefit to the community, and why it is important. A person should be able to read your paper and understand what you are screening, where, when, the costs, and how it is supported in the guideline. Ideally, a person would be able to duplicate your screening initiative based on the clarity you present.
    Format expectations:
    Follow all assignment directions.
    Include an introduction and conclusion.
    Information in paragraphs and paper organized to convey the content to the reader.
    Paper length paper should be 3–4 pages of content.
    Follows APA in paper format, reference page, in-text citations, or headings.
    Use four or more credible peer-reviewed sources.
    Master’s-prepared nurse educators, leaders, nurse practitioners, and all specialty nursing fields contribute to health promotion in populations across the life span. This assignment is focused on preventive screening applications in the community, workplace, or school settings. You should be able to apply this knowledge to their specialty focus as it relates to health promotion and epidemiology.

  • The Role of APRNs in Pain Management and Prescribing in Oklahoma: Guidelines, Laws, and Resources Documentation Requirements for Ordering Medical Devices or DME Title: Ensuring Proper Documentation for Ordering Medical Devices or DME Introduction: Medical devices and durable medical equipment (DME) play a crucial role in the treatment and management of various health conditions

    I will practice in the state of Oklahoma as an APRN.
    Please use the uploaded template to complete the assignment!!!
    Please refer to the Oklahoma Nurse Practice Act and the links provided to answer all questions on the template. These two links were provided to help answer some of the questions but other sources may be needed as well. https://www.ncsbn.org/policy/npa.page
    https://scopeofpracticepolicy.org/legislative-search/
    https://www.obndd.ok.gov/
    Guidelines and recommendations for your state (Oklahoma):
    In response to the opioid epidemic, individual states have developed and adopted voluntary guidelines or recommendations for the treatment of acute and chronic non-cancer pain. Based on research done on the state where you will practice clinically, include the following:
    Provide the name of your practicing state’s organization, group or task force that created guidelines or recommendations for pain management therapies and education.
    Briefly describe an overview of its development and include a web address where this information can be found. If your state does not have guidelines, discuss a federal guideline. (Note: you may need to contact your state’s board of nursing, pharmacy, or medicine if you cannot locate it on your own).
    Some states have multiple organizations or initiatives (ex: Ohio) in place to combat the opioid epidemic and advocate for safer opioid prescribing. Explore whether your state has other resources, groups or organizations where prescribers can reference best practices for pain management treatment. If applicable, provide a brief overview of the group’s recommendations or initiatives. If your state does not have another state-specific resource, discuss the guidelines published by the American Pain Society OR Centers for Disease Control and Prevention.
    Discuss when the use of opioids is appropriate and for what duration should they be prescribed? Provide a reference for your response. (This question is worth 13 points. 5 points for when opioids are appropriate, 5 points for a safe duration of use, and 3 points for a current edition APA formatted reference.)
    State specific laws on controlled substance prescribing for the nurse practitioner:
    Research your state laws on advanced practice nurses’ authority to prescribe controlled substances. Based on research done on the state where you will practice clinically, include the following:
    Identify the law, rule, code, or statute that describes the advanced practice nurse’s authority to prescribe controlled substances in your state.
    Discuss the provisions of the law, rule, code, or statute with regard to the following:
    Conditions or limits on prescribing schedule I-V controlled substances.
    Requirements (if any) in documentation for treating acute and chronic pain.
    Are there specific requirements for advanced practice nurses to reference the state’s prescription drug monitoring database before prescribing a controlled substance? If so, what are they?
    State Prescription Drug Monitoring Program (PDMP): Oklahoma Bureau of Narcotics and Dangerous Drugs
    Research your state’s PDMP* and provide the following information:
    Name of the state’s program.
    Website for the state PMDP.
    Discuss the registration requirements and process.
    Discuss the standards and procedures for the access and review of database information.
    Any resource used must be scholarly, APA format, and 5 years or less old!!!
    State specific laws on medical devices prescribing for the nurse practitioner:
    Research your state laws on advanced practice nurses’ authority to prescribe medical devices. These are also called Durable Medical Equipment (DME). Based on research done on the state where you will practice clinically, include the following:
    Identify the law, rule, code, or statute that describes the advanced practice nurse’s authority to prescribe medical devices or DME in your state.
    Discuss the provisions of the law, rule, code, or statute regarding the following:
    Conditions or limits on prescribing medical devices or DME.
    Requirements (if any) in documentation needed to support order of medical devices or DME.

  • Advocating for Global Health: Addressing Social Determinants of Health Workgroup Objectives Initial Post: The Social Determinants of Health Workgroup objective that I have selected is “Increase access to quality affordable housing for low-income and marginalized populations

    Discussion: Advocating for Global Health
    In this discussion, you will explore the Healthy People 2030 Workgroup objectives, which were developed to address social determinants of health (SDOH). Review the Social Determinants of Health Workgroup objectives linked in the resources section of this module, then select one objective to discuss with your peers.
    Create one initial post and respond to at least two of your classmates.
    For your initial post, address the following:
    1. Explain your selected SDOH Workgroup objective.
    2. How can improvement to this objective impact a SDOH?
    3. How can a national improvement in the SDOH impact global inequity?
    Write a post of 1 to 2 paragraphs.
    Write a post of 1 to 2 paragraphs.
    For your response posts, address the following:
    1. What is one advocacy method and target audience that could bring awareness to your peer’s SDOH Workgroup objective?
    2. Why is this method and target audience appropriate?