Category: Nursing

first 2 attachments are classmates response to discussion assignment. Last attachment is original discussion assignment instructions. please ONLY provide a response to classmate’s discussion post.

Select one existing health policy that addresses an issue of interest. The selected policy may be at the unit, organizational, community, local, state, national, or global level. As you select one policy, be sure it is a policy about which you can gather facts and information that will be needed for this assignment.
In an 8 – 12 slide PowerPoint presentation, address the following elements. Include a minimum of 4scholarly sources, current within 5 years, to support your work. See rubric for specific, required content criteria within each section of the presentation:
Introduction
Policy Effectiveness and Acceptability
Equity, Cost, and Feasibility
Conclusion and Recommendation
Follow these submission guidelines
Abide by the Chamberlain College of Nursing Academic Integrity Policy.
Use Microsoft PowerPoint to create the presentation.
Each slide (excluding title and reference slides) must include detailed speaker notes.
The purpose of the speaker notes is to expand upon the idea and document facts and information about the bulleted information points on the slide.
Formal, scholarly writing style with complete sentence and paragraph structure should be used to create the speaker notes.
Scholarly literature support should be integrated within the speaker notes.
Speaker notes assure that all assignment expectations and key points are covered.
Within the speaker notes, the rules of grammar, spelling, word usage, punctuation, sentence, and paragraph structure are followed and consistent with formal, scholarly writing as noted in the most current edition of the APA Manual.
First person should not be used for this scholarly assignment.
Citation and referencing of sources must be congruent with guidelines noted in the most current edition of the APA Manual.
Slides are professional in appearance with visually balanced text, font appropriate for audience reading, succinct bulleted points, and visually appealing contrast between background and font utilized. Correct spelling and appropriate use of graphics/images is evident.
Sources older than five years may not be used without the permission of the class professor.

Create a scholarly literature-review research paper focused on the importance of nutrition, maternity health, evidence-based care, and incorporating genetic and genomic information into a thorough evaluation of the pregnant patient and fetus to include:
A summary of assessment components for evaluating maternal and fetal health status at initial and follow-up intrapartum visits (include EDB using Naegele’s rule)
Components of a thorough health history (including family history, genetics, and environment)
Importance of collaboration with the members of the healthcare field for better understanding of daily patient care and improvement of patient care outcomes
Predictive and protective factors for maternal, fetal, and family health
Anatomical and physiological changes expected with advancing pregnancy and preterm, term, and post-term neonates
Thorough understanding of patient care outcomes and possible improvements, quality of patient care, and cost- effective care
Benefits that knowledge of genetic and genomic information provides for mother, baby, and family health maintenance and promotion in the future

Quality Improvement Paper TOPIC: ICU delirium Overview:
You will select an opportunity for improvement from within your healthcare organization. To do so, you must have data that supports performance that is not in line with organizational/national benchmark data (ex. Falls, Patient Satisfaction, Infection rates, ED through-put, lengths of stay, etc). You will discuss your idea with someone from the organization to determine priority projects. You will write a Quality Improvement Paper that will be no more than 20 pages, in APA 7th edition format (double spaced, 12 point font), excluding title and reference pages.
This project will be guided by the FOCUS-PDSA quality improvement framework. To assist you with this process, throughout the course, we will discuss each component of the model and have corresponding assignments that will help you shape your project. Assignment:
Quality Improvement Paper/Project – The project is due on by 11:55 pm EST on Saturday of Week 7. The page limit recommendations for each section are a guideline only!
MANDATORY PROJECT COMPONENTS
The following are requisites for this project:
Title Page (running head is NOT required for student papers)
Introduction (approx. 1-2 pages), to include:
Problem statement
Background
Data that is specific to your unit/organization that serves as the basis for a QI initiative. (May include graphs and charts as appendices, if allowed by the organization)
Literature Review (approx. 2-3 pages) (This should provide evidence to support interventions to address your issue)
Body – approx.12-15 pages
Evidence-based intervention that is being implemented
Plan for implementation, including the who, what, when, where and why
Ethical considerations
Required resources
Leadership theory to help guide implementation and sustain it
Change theory that will facilitate implementation
Evaluation procedures
Alternative processes, plan for sustainability
How will this improve outcomes? Are there any next steps?
Conclusion (approx. 0.5 page)
Summary and provide closure
References – a minimum of seven recent (within last 5-7 years), peer-reviewed sources. Remember, each reference must be cited as an “in-text citation” (within the body of the paper/project).

IO002: Professionalism
Overview
For this Performance Task Assessment, you will complete an Organizational Policies Report in which you will critique a selected policy to address healthcare issues/stressors, including the policy’s strengths and challenges in promoting ethical practices.
Submission Length: Organizational Policies Report (2-3 pages)
Instructions
To complete this Assessment, do the following:
Reflect on the criteria provided in the rubric.
Download the Writing Checklist to review prior to submitting your Assessment.
Before submitting your Assessment, carefully review the rubric. This is the same rubric the assessor will use to evaluate your submission, and it provides detailed criteria describing how to achieve or master the Competency. Many students find that understanding the requirements of the Assessment and the rubric criteria help them direct their focus and use their time most productively.
Assessment: Organizational Policies Report
Select a healthcare issue/stressor relevant to your own organization. Identify and review two evidence-based, scholarly resources that focus on proposed policies/practices to apply to this healthcare issue/stressor. With your healthcare issue/stressor and associated resources in mind, address the following:
Describe at least two competing organizational needs surrounding your selected healthcare issue/stressor. * NOTE: The response must synthesize and integrate at least two outside resources and two competency-specific resources that fully support the responses provided. Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
Critique the policy for ethical considerations and explain the policy’s strengths and challenges in promoting ethics.
Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
Cite evidence that informs the healthcare issue/stressor and/or the policies and provide two scholarly resources in support of your policy or practice recommendations.

A 50-year-old woman presents to the office with complaints of excessive fatigue and shortness of breath after activity, which is abnormal for her. The woman has a history of congestive heart failure with decreased kidney function within the last year. The woman appears unusually tired and slightly pale. Additional history and examination rules out worsening heart failure, acute illness, and worsening kidney disease. The CBC results indicate hemoglobin is 9.5 g/dL, which is a new finding, and the hematocrit is 29%. Previous hemoglobin levels have been 11 to 13g/dL. The patient’s vital signs are temperature 98.7°F, heart rate 92 bpm, respirations 28 breaths per minute, and blood pressure 138/72. The practitioner suspects the low hemoglobin level is related to the decline in kidney function and begins to address treatment related to the condition. Answer the following:
Which test(s) should be performed to determine whether the anemia is related to chronic disease or iron deficiency, and what would those results show?
Should the practitioner consider a blood transfusion for this patient? Explain your answer.
Which medication(s) should be considered for this patient?
What considerations should the practitioner include in the care of the patient if erythropoietic agents are used for treatment?
What follow-up should the practitioner recommend for the patient?
Submission Instructions:
The paper is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
The paper should be formatted per current APA and 2-3 pages in length, excluding the title, abstract and references page.
Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

Imagine that you are a staff nurse that has identified a problem in your unit. You have created a PICO and taken the draft to your supervisor. Your supervisor asks you to complete a brief report using your PICO and two articles (one qualitative and one quantitative) to support your practice change suggestion. 
For this activity, you may use the PICO identified in the Module 3 discussion or a new PICO of your choice.
Use one of the following databases to find one qualitative and one quantitative article to appraise and support the proposed intervention in the PICO:
The following databases are available through the LIRN library. You can access the LIRN Library in the Canvas navigation bar.
CINAHLPlus
Medline (PubMed or Ovid)
Proquest Central
PsycINFO
Cochrane Database of Systematic Reviews
Write a 1-to-2 page summary report for your supervisor using the articles found. The report should include
A detailed summary of the problem identified in the unit, along with the PICO
A summary of the articles’ findings
The reliability of the articles selected to defend your practice change suggestion

Address the infection control that your organization is facing utilizing a PDCA methodology and write a research paper to improve safety and quality in your organization.
Paper must be written in APA Format, 5 pages in content, excluding Title and References pages. The references must be published within the last 5 years.
Requirements: 5 pages

Admission edday outlining professional/personal goals & how I’ve exemplified being a professional RN in the areas of; Quality/safety/patient centered care/leadership development & interprofessionalism with examples

Discussion 1 . Micronutrients are essential for maintaining a healthy body, they have many important functions within the body. They are vital for energy metabolism, nerve function, red blood cell formation, and supporting our immune system. The first micronutrient I want to discuss is Vitamin D, this vitamin helps with calcium absorption from the intestines. Which is essential for maintaining adequate levels of calcium and phosphorus in the blood, allowing us to have strong bones and teeth. It also helps with immune function by producing antimicrobial peptides that can destroy viruses and bacteria. Deficiency of Vitamin D can cause bone health issues making you more prone to fractures and osteoporosis. It can also lead to muscle weakness and increase the risk for falls. Toxicity symptoms include, hypercalcemia, digestive issues, kidney stones, and muscle weakness. Having adequate amount of Vitamin D can prevent Osteoporosis because they maintain proper calcium levels in the blood. Vitamin D can also reduce the risk for respiratory infections because vitamin D plays a role in modulating immune responses. The next micronutrient I will discuss is Iron, Iron is essential for oxygen transportation in the blood, supporting immune function, regulation of body temperature and the overall brain development and function. “Signs and symptoms of deficiency are fatigue, pale skin, shortness of breath, and cold hands or feet. Iron toxicity can manifest as abdominal pain, shock, GI upset, and dizziness. Chronic symptoms can be joint pain, liver damage, cardio issues, or diabetes. Iron plays a very important part in preventing Iron Deficiency Anemia because its necessary for the production of hemoglobin, which carries oxygen from the lungs to tissues throughout the body” (Rafie & Hamedifard, 2017). Iron also reduces the risk of preterm birth and low birth weight, so it is recommend for pregnant women to take iron supplements. Discussion 2. Micronutrients, also referred to as trace elements, are compounds that are required in the body in very small amounts but are necessary for normal bodily functions and disease prevention. The two micronutrients that will be discussed are Vitamin D and Iron.
Vitamin D plays a role in the absorption of calcium; therefore, it is essential for maintaining proper bone density to prevent conditions such as osteoporosis. It boosts the immune system and thus reduces vulnerability to diseases. Vitamin D deficiency can cause rickets in children, which results in bone deformities and osteomalacia in adults, with manifestations such as bone pain and muscle weakness. Toxicity, overall being rare, manifests with hypercalcemia and, consequently, nausea, vomiting, and kidney disorders. Normal levels of Vitamin D help decrease the risk of getting multiple sclerosis, cardiovascular diseases, and particular types of cancer. Vitamin D has an anti-chronic disease effect that owes its origin to immunomodulatory and anti-inflammatory properties (Athanassiou et al., 2022).
Iron is used in the production of hemoglobin, which provides transport mediums for oxygen in the bloodstream. It is so important for energy production in the body as well as the proper functioning of the brain. Iron deficiency results in anemia, with symptoms such as fatigue, weakness, poor cognitive function, and compromised immune systems. Overconsumption of iron generates toxicity, which leads to gastrointestinal disorders, liver inflammation, and oxidative stress. Iron helps prevent anemia complications, as well as improves the cognitive processes in children and pregnant women. Iron-fortified interventions are effective in reducing the incidences of anemia due to iron deficiency globally (Waller et al., 2020).
These micronutrients are vital for normal body processes and are essential for the prevention of diseases. It is necessary to maintain proper amounts through food and, if necessary, supplements for proper health.