Category: Nursing

Mr. Stewart, 49 years of age, and his wife arrive in the emergency department one evening, fearful that he has had a stroke. His right hand is limp, and he is unable to hyperextend his right wrist. Sensation to the fingertips in his right hand is impaired.
Mr. Stewart looks much older than his stated age; in fact, he looks about 65. His complexion is ruddy and flushed. History-taking is difficult. Mr. Stewart answers only what is asked of him, volunteering no additional information. He states that he took a nap that afternoon and that when he awakened he noticed the problems with his right arm.
Ms. Winkler, the admitting nurse, begins the assessment. Mr. Stewart reveals that he has been unemployed for 4 years because the company he worked for went bankrupt. He has been unable to find a new job but has a job interview in 10 days. His wife is now working full time, so the family finances are okay. They have two grown children who no longer live at home. As he relates this, momentarily his lips start to tremble and his eyes fill with tears.
He denies any significant medical illness except for high blood pressure, just diagnosed last year. His father has a history of depression, and his mother is a recovering alcoholic. Ms. Winkler shares with him the fact that depression and alcoholism run in families. She asks Mr. Stewart whether he knows this and whether it concerns him with regard to his own drinking. He says that he knows and that he does not want to think about it.
Ms. Winkler speaks with Mr. Stewart’s wife and asks whether there is anything that she would like to add. Mrs. Stewart’s shoulders slump; she sighs and says, “I have spent the entire day talking to a counselor at the local treatment center to see if I can get him in. He won’t admit that he has a problem.” Mrs. Stewart recounts a 6-year history of steadily increasing alcohol use. She says that she could not admit to herself that her husband was an excessive drinker. “He tried to hide it, but gradually I knew. I could tell from little changes that he was intoxicated. I couldn’t believe it was happening because he had been through the same thing with his mother. I thought I knew him. Actually, I guess I did when he was working. Being unemployed and unable to find a job has really devastated him. And now he’s going to job interviews intoxicated.”
She describes her feelings, which are like an emotional roller coaster – elated and hopeful when he seems to be doing okay, dejected and desperate when he loses control. Mrs. Stewart hates going to work for fear of what he might do while she is gone. She says she is terrified that one day her husband will get into a car wreck and kill himself, because he often drives when intoxicated. He tells her not to worry because the life insurance policy is paid up.
Meanwhile, the physician in the emergency department has examined Mr. Stewart. The diagnosis is radial nerve palsy. Mr. Stewart most likely passed out while lying on his arm. Because Mr. Stewart was intoxicated, he did not feel the signals that his nerves sent out to warn him to move (numbness, tingling). He was in this position for so long that the resultant cutoff of circulation was sufficient to cause some temporary nerve damage.
Mr. Stewart’s blood alcohol level (BAL) is 0.31%. This is three times the legal limit for intoxication in many states (0.1%). Even though he has a BAL of 0.31%, Mr. Stewart is alert and oriented, not slurring his speech or giving any other outward signs of intoxication. The difference between Mr. Stewart’s BAL and his behavior indicates the development of tolerance, a symptom of physical dependence.
Questions:
Identify at least five objective data observed while assessing this patient.
Identify two key diagnoses the nurse is most likely to record for this patient, and back each up with evidence.
Based on key diagnoses identified in the previous question, select appropriate long-term outcomes for this patient.

Step 1: Review the scenario below:
The government is considering a nationwide healthcare data management system so that any care provider can access a client’s data in any location. There are many benefits and concerns with this idea.  
Step 2: Answer the discussion prompts below with explanation and detail.   
Paragraph one: Discuss at least three benefits of a nationwide healthcare data management system for care providers and clients. Provide an APA in-text citation for the scholarly source.
Paragraph two: Discuss at least three concerns of a nationwide healthcare data management system for care providers and clients. Provide at least one scholarly source from the Chamberlain Library to answer the question. Provide an APA in-text citation for the scholarly source.
Paragraph three: Share your opinion of a nationwide healthcare data management system for the United States. Discuss the reasoning for your opinion. How do you envision the integration of a nationwide healthcare data management system impacting your daily nursing practice and the overall efficiency of your healthcare organization?
References: Provide complete references for all citations.

Description
Identify and describe a needed change in your workplace. It could be a change in the levels of staffing; a change in policy, such as time off or tuition reimbursement; a change in use of equipment or supplies; a change in charting and computerized medical records; and so on. Start with an introductory paragraph that includes the purpose of the paper.
In your paper, describe the implications of the change on nursing staff and nursing management. Include the potential impact of the change on patient care. Describe the steps needed to implement the change. Be sure to use proper APA formatting, including a title page.
The following headings are required in the assignment:
Change Description Change Implications for Nursing Change Impact on Quality of Care and Safety Concerns for Patients Implementation Plan for Change Conclusion References (a separate page) The deliverable length for each section is as follows:
The change issue should be described in 3–4 paragraphs, 200–250 words. The implications for nursing should be described in 1–2 paragraphs, 100–150 words. The change impact on quality of care and safety concerns for patients should be described in 1–2 paragraphs, 100–150 words. The implementation plan for change should be described in 2–4 paragraphs, 200–250 words. The total length of the paper, EXCLUDING title page and reference page, should be 3–4 pages. A minimum of 6 scholarly references are needed to complete this assignment.
Please click on this APA Style for CTU Students link for help with APA formatting. Use the CTU Writing Style Guide (templates provided)—not the Introductory Writing Style Guide.
Please submit your assignment.
For assistance with your assignment, please use your textbook and all course resources.
Individual Project Rubric
The Individual Project (IP) Grading Rubric is a scoring tool that represents the performance expectations for the IP. This Individual Project Grading Rubric is divided into components that provide a clear description of what should be included within each component of the IP. It’s the roadmap that can help you in the development of your IP. Individual Project Grading Rubric

The disorder is PANIC DISORDER
Management Plan: Write a final management plan for the client you presented in the Week 2 Mental Health Case Study Discussion. Include the following components in the management plan:
Primary diagnosis
Recommended diagnostic testing based on clinical practice guidelines
Medications
Nonpharmacologic interventions
Recommended follow-up schedule and referrals with rationale
Analysis: Complete an analysis of the case and management plan:
Pathophysiology: Write a summary of the underlying pathophysiology of the diagnosis.
Pharmacology: Write a summary of how the pharmacological agent chosen acts to reverse or control disease pathology.
Additional analysis: Describe how clinical practice guidelines were used to make a diagnosis and management plan. If the case is based on a client you have seen in practicum, discuss how the client’s care compared to the recommended treatment guidelines.
Follow-up and referrals: Describe what actions should be taken at the time of follow-up. If applicable, describe the client’s symptoms and response to the plan of care at the follow-up visit.
Quality: Discuss any information you learned in the weekly discussion that impacted your approach to the creation of the client’s management plan or would inform your care of a future client with a similar disorder.
Coding and billing: Identify all appropriate ICD-10 codes for the client.
Evidence-Based Resources
Support the management plan and analysis with evidence from appropriate sources published within the last five years and the most recent clinical practice guidelines.
Select articles and guidelines that represent a logical link to the management plan.
Provide in-text citations and complete APA references for all selected scholarly resources.

The
PowerPoint (PPT) assignment allows you to delve deeply into the ethical dilemma
of Physician-Assisted Suicide (PAS) and practice presentation skills.
See the
folder in Module 4: Wk 8-9 labeled Opposing Views of Physician-Assisted
Suicide and view the opposing sides of the issue. — linked at the bottom
You
are to provide an ethical and legal analysis of PAS in a 7–9-minute
presentation (see rubric). Keep in mind that PAS is not a “case” as in the
ethical issue paper. You are to analyze the positions of those for and
against PAS.
Develop
a PowerPoint presentation that follows best practices for slide
development and addresses the components of the assignment (see
rubric).
4.     The class readings may support this
assignment, but you should also read and integrate a minimum of three (3)
peer-reviewed scholarly references no more than five years old. The maximum
number of references is six (6)
a.    
If cited in the narration,
the Butts and Rich textbook will count as one reference. It is not an edited
book, so reference it correctly. No other textbook can be referenced in the presentation.
b.    
You
cannot use web references, Wikipedia, or other references like newspaper
articles, blogs, or lay journals. You may use .gov websites for background
information, but these will not be included in the three peer-reviewed
references
Please
refer to the grading rubric below to ensure all required elements are
included.
The
references should be in APA-7th edition format in the last slide or two.
Rubric:
PowerPoint
Introduce
the case study
·       Provide a description,
overview, and background of the case study. (10)
·      
Identify the purpose of the presentation. (5)
15
Identify the impact of the issue
·      
Identify the ethical issues
involved in the case without bias. (5)
·      
Identify the legal issues
involved in the case. (5)
·      
Clearly identify the two
opposing sides of the case without bias. (5)
15
Investigate & analyze the case
·      
Identify any
stakeholders involved in the case. Who was impacted? Include comprehensive
identification of all stakeholders in the case, including the
interdisciplinary team members. (6)
·       Thoroughly discuss the two sides of the issue and the case’s impact on healthcare. Include a thorough discussion of the ethical and legal aspects of each side of the case. (12)·       Apply at least one ethical principle and one ethical theory to each side of the case debate. (10)·       Discuss at least one provision from the ANA Code of Ethics that applies to both sides of the case. (3)·       Analyze the possible impact of multiculturalism and diversity on the case. (4)·       Discuss the continuing resolutions to the case. (5)
40
Conclusion
·       Recap main ideas in a
clear, summarizing manner. (5)
·      
Reflect on your previous viewpoint and if your views have
changed after reviewing this case. In your opinion, what was learned from the
case? (5)
10
Presentation Style
·       The purpose of the
assignment is stated clearly on the first or second slide. (1)
·       There is a logical
development of the stated purpose of the assignment (Organization, flow &
focus). (2)
·       PowerPoint follows
guidelines for effective presentation, avoids wordiness and crowded slides,
has a contrasting background and font color, is organized, and has effective
graphics if used. (3)
·       Narration is clear, well-paced,
and within the time frame (7 to 9 minutes) (4)
10
APA Style & Format
·       PowerPoint consists
of a title slide, introduction, body, conclusion, and references slide(s). (2)
·       The title slide
contains the title,
the author’s name,
and the institutional
affiliation. (1)
·       Citations are in
proper APA format when needed on the slides.(3)
·       Provides the required
type and number of references. (3)
·       References are in
proper APA format. (3)
·      
Has correct spelling, usage, syntax, & punctuation.
(1)
10
Assisted Suicide:
Pro:



Con:

write a paper in APA format of sufficient length to thoughtfully address the questions in the assignment but also be succinct and not exceed 6 pages (plus cover page and references). starting with the pio/pico (what is the effect of diet and excercise education on obesity in America?), use database literature search, and the analysis of five (5) related original research studies. It should also include one or more additional articles that support the significance or background of the question.

Human Trafficking: Please view the following TedTalk and answer one of the questions that follow.
Behind the everyday bargains we all love — the $10 manicure, the unlimited shrimp buffet — is a hidden world of forced labor to keep those prices at rock bottom. Noy Thrupkaew investigates human trafficking – which flourishes in the US and Europe, as well as developing countries – and shows us the human faces behind the exploited labor that feeds global consumers.
Thrupkaew, N. (2015). Human Trafficking is All Around You. This is How it Works [TED2015]. Retrieved from https://www.ted.com/talks/noy_thrupkaew_human_trafficking_is_all_around_you_this_is_how_it_works
Choose One question to answer:
Whose responsibility is it to end slavery? What are some common tactics and strategies used to combat slavery?
Is poverty a root cause of slavery? If so, would eliminating poverty eliminate slavery?
Are there places in the world where slavery is more prevalent? What are the drivers of higher prevalence in different parts of the world?
Please ensure you are following the discussion rubric and including a nursing, scholarly journal article in addition to your textbook as sources of support.

Ensuring Quality Care is Delivered
Based on what you have learned so far in this course, create a 20-slide PowerPoint presentation. Be thorough and include rationale and references for your recommendations. Be sure to completely answer all the points below. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) sources throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Include detailed speaker notes for each slide. Review the rubric criteria for this assignment.
Performing in the role of a DNP, you determine a need for a practice change to improve the quality of care and outcomes. You are to prepare a presentation for the staff. The presentation should be based on research and evidence from the literature to justify the implementation.
Identify the problem and background and need for quality improvement.
Describe the theoretical or conceptual framework that will support your recommendation for the practice change. Address a plan to measure and evaluate outcomes; include the implications and significance for nursing practice.
Include slides as follows:
Introduction (1 slide)
Identify the problem (1 slide)
Background (2 slides)
Quality improvement needs (2 slides)
Theoretical or conceptual frameworks description (3 slides)
Recommendations for practice change based on theoretical or conceptual frameworks (4 slides)
Plan to measure and evaluate outcomes (4 slides)
Implications and significance for nursing practice (4 slides)
References (1 slide)
Also add Speaker notes .

Competency
Prioritize nursing care strategies for clients with cardiovascular disorders.
Scenario
Cardiac disease a one of the leading causes of death in the United States. Since it is so prevalent, you want to ensure your co-workers are fully prepared to care for patients. You are hosting a lunch to provide a refresher on heart disease and how to care for patients. During the lunch, you will present a PowerPoint Presentation to your co-workers.
Instructions
Choose one of the cardiac diseases that we covered in the last two modules. Within your presentation include:
Provide a detailed overview of the disease process
Diagnosis
Treatment
Multidimensional care including risk reduction, health promotion, and nursing interventions specific to the disease process

The conference call involving you, your preceptor, and your instructor needs to be scheduled by Week 1 and complete by Week 2.
You are required to have a conference call between you, your preceptor, and your instructor. Failure to complete this call could result in an unsatisfactory grade for this course and prevent you from moving forward in your MSN program.
To prepare for the conference call, refer to your MSN Capstone Project Plan Proposal and use the Conference Call Worksheet [DOC]. Consider the following:
What is going well in your practicum?
What are the challenges you are encountering?
Are you making progress on your practicum goals?
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.Submit a summary of the conference call.