Category: Nursing

Consider how data analysis contributes to safe, high quality, efficient delivery of healthcare. Investigate the role of information management in the evaluation of outcome achievement and provision of data to drive strategic decision-making. Identify one specific data point for which information is collected within a healthcare system. Develop a 4 – 6 page paper to address the rubric expectations; use a minimum of 5 scholarly sources to support your work.
Provide an introduction to the paper.
Explain one selected data point and the purpose for the collection of this data within the healthcare system. Describe how this data point measures quality, safety, and/or efficiency within the system. Discuss one internal or external benchmark surrounding this data point that serves as a measure or indicator of success.
Describe a case scenario where outcomes regarding this data point fall short of meeting the required benchmark. Identify the stakeholders impacted by the poor outcome, and the consequences realized by each stakeholder. Discuss the potential impact on organizational quality, safety, and/or efficiency that results.
Describe how outcomes surrounding this data point reflect organizational performance regarding quality, safety, or efficiency. Explain how the data in the case scenario can inform strategic decision-making to improve organizational outcomes. Create an action plan to correct the poor outcomes noted in the case scenario. Explain the action steps, stakeholder involvement, influencing factors that will impact the plan.
Provide a conclusion to the paper.
Assignment Instructions
Abide by the Chamberlain College of Nursing Academic Integrity Policy.
Sources older than five years may not be used without the permission of the class professor.
Title page, pagination, subheadings, body of paper, citation of sources, and reference page must follow APA guidelines as found in the most current edition of the manual.
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.
Sources older than five years may not be used without the permission of the class professor.
No direct quotes are to be used in this assignment.
Please note: If you do not receive a proficient rating in any major content category, you can re-submit your assignment with revisions in those content categories to receive a better grade. You have one additional opportunity to revise after the initial submission in order to make improvements. The initial submission must be a complete paper, rough drafts will not be graded. All revisions must be submitted no later than Sunday of Week 7 at 11:59pm. (You cannot revise your graduate level writing style for a higher grade in that category)

First, select one of the local, national, or global nonprofit organizations or government agencies presented in the Assessment 02 Supplement: Community Resources [PDF] Download Assessment 02 Supplement: Community Resources [PDF] resource.
Then research the nonprofit organization or government agency that you selected. Determine how the organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3–5 page report structured according to the following specifications:
Document Format and Length
Format your paper using APA style.
Refer to the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your paper. Be sure to include:
A title page and references page. An abstract is not required.
Appropriate section headings.
Your paper should comprise 3–5 pages of content plus title and references pages.
Supporting Evidence
Cite at least three credible sources from peer-reviewed journals or professional industry publications published within the past 5 years that support your research findings.

For this Focused Note Assignment, you will select a patient with
gynecologic conditions from your clinical experience and construct a patient
history, assess and diagnose the patient’s health condition(s), and justify the
best treatment option(s) for the patient.
Note: All Focused Notes must be
signed, and each page must be initialed by your preceptor. When you submit your
Focused Notes, you should include the complete Focused Note as a Word document
and pdf/images of each page that is initialed and signed by your preceptor. You
must submit your Focused Notes using SAFE ASSIGN.
To prepare:
·      
Use the Focused SOAP Note Template found in the Learning
Resources for this week to complete this Assignment.
·      
Select a patient that you examined during the last three weeks.
With this patient in mind, address the following in your Focused Note Template.
Assignment
·      
Subjective: What
details did the patient provide regarding her personal and medical history?
·      
Objective: What
observations did you make during the physical assessment?
·      
Assessment: What were your
differential diagnoses? Provide a minimum of three possible diagnoses. List
them from highest priority to lowest priority. What was your primary diagnosis
and why?
·      
Plan: What was your plan
for diagnostics and primary diagnosis? What was your plan for treatment and
management, including alternative therapies? Include pharmacologic and
nonpharmacologic treatments, alternative therapies, and follow-up parameters,
as well as a rationale for this treatment and management plan.
·      
Reflection notes: What
would you do differently in a similar patient evaluation?
PRAC_6552_Week3_Assignment2_Rubric
MUST FOLLOW RUBRIC AND TEMPLATE
Criteria Ratings Pts
Create documentation in the Focused SOAP Note Template about
the patient you selected.
In the Subjective section, provide: • Chief complaint•
History of present illness (HPI) • Current medications• Allergies• Patient
medical history (PMHx), including immunization status, social and substance
history, family history, past surgical procedures, mental health, safety
concerns, reproductive history• Review of systems
10 to >8 pts
Excellent
The response throughly and accurately describes the
patient’s subjective complaint, history of present illness, current
medications, allergies, medical history, and review of all systems that would
inform a differential diagnosis.
/ 10 pts
In the Objective section, provide: • Physical exam
documentation of systems pertinent to the chief complaint, HPI, and history•
Diagnostic results, including any labs, imaging, or other assessments needed to
develop the differential diagnoses
10 to >8 pts
Excellent
The response thoroughly and accurately documents the
patient’s physical exam for pertinent systems. Diagnostic tests and their
results are thoroughly and accurately documented.
/ 10 pts
In the Assessment section, provide: • At least 3
differentials with supporting evidence. Explain what rules each differential in
or out and justify your primary diagnosis selection. Include pertinent
positives and pertinent negatives for the specific patient case.
25 to >22 pts
Excellent
The response lists at least three distinctly different and
detailed possible conditions for a differential diagnosis of the patient in the
assigned case study, and provides a thorough, accurate, and detailed
justification for each of the conditions selected.
/ 25 pts
In the Plan section, provide: • A detailed treatment plan
for the patient that addresses each diagnosis, as applicable. Includes
documentation of diagnostic studies that will be obtained, referrals to other
health care providers, therapeutic interventions, education, disposition of the
patient, and any planned follow up visits.• Reflections on the case describing
insights or lessons learned. • A discussion related to health promotion and
disease prevention taking into consideration patient factors, PMH, and other
risk factors.
30 to >26 pts
Excellent
The response thoroughly and accurately outlines a treatment
plan for the patient that addresses each diagnosis and includes diagnostic
studies neeed, referrals, therapeutic interventions, patient education and
disposition, and planned follow-up visits. Reflections on the case demonstrate
strong critical thinking and synthesis of ideas. A thorough and accurate
disucssion of health promotion and disease prevention related to the case is
provided.
/ 30 pts
Provide at least three evidence-based, peer-reviewed
journal articles or evidenced based guidelines which relates to this case to
support your diagnostics and differentials diagnoses. Be sure they are current
(no more than five years old) and support the treatment plan in following
current standards of care.
10 to >8 pts
Excellent
The response provides at least three current, evidence-based
resources from the literature to support the treatment plan for the patient in
the assigned case study. Each resource represents the latest in standards of
care and provides strong justification for treatment decisions.
/ 10 pts
Written Expression and Formatting – Paragraph Development
and Organization: Paragraphs make clear points that support well-developed
ideas, flow logically, and demonstrate continuity of ideas. Sentences are
carefully focused–neither long and rambling nor short and lacking substance. A
clear and comprehensive purpose statement and introduction are provided that
delineate all required criteria.
5 to >4 pts
Excellent
Paragraphs and sentences follow writing standards for flow,
continuity, and clarity. A clear and comprehensive purpose statement,
introduction, and conclusion are provided that delineate all required criteria.
/ 5 pts

8 Hour Opioid Waiver Training
Submission Instructions:
Access the Waiver Training for Advanced Practice Registered Nurses on the Providers Clinical Support Systems website.Links to an external site. Complete the APRN level 8 Hour Waiver Training (adults) or the 8 Hour Online Pediatric Waiver Training. Upload the 8 hour CEU certificate upon completion to Assignments in Canvas by the posted due date.The certificate must include the date and time the certificate was printed
The certificate must not be dated prior to the first day of the course.
The URL which includes the certificate number must be included.

Instructions are provided in the document below. Here are the two book choices to choose from.
Collard,
P. (2014). The little book of mindfulness: 10 minutes a day to less stress,
more peace. Gaia. Retail price: $8.59
·       
ISBN-10 1856753530
·       
ISBN-13 ‏  978-1856753531
Duhigg,
C. (2014). The power of habit: Why we do what we do in life and business.
Random House Publishing Group. Retail price: $9.98
·        ISBN-13 ‏‎ 978-0812981605

Geriatric Nursing Case Study Assignment (Individual)
Due: Friday, 6/14/24 by 11:59PM to Canvas (just reply to this message).
Please NOTE: you will NOT be given attendance credit if you don’t do this assignment and will
have to make up this clinical time next week. Please remit.
Total Time: 6-12 Hours
**Objective:** This case study aims to provide RN students with a practical understanding of
medication safety and the management of chronic conditions in geriatric patients. By the end of
this assignment, students will be able to identify potential medication safety issues, propose
appropriate interventions, and understand the complexities of managing chronic conditions in
older adults.
Case Study: Mrs. Mary Johnson
**Patient Profile:**
– Name: Mary Johnson
– Age: 78
– Gender: Female
– Medical History: Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease
(COPD), Hypertension, Osteoporosis, Anxiety
– Medications:
– Furosemide 40 mg daily
– Lisinopril 10 mg daily
– Metoprolol 50 mg twice daily
– Albuterol inhaler as needed
– Tiotropium inhaler once daily
– Calcium carbonate 500 mg twice daily
– Sertraline 50 mg daily
**Scenario:**
Mrs. Mary Johnson is a 78-year-old female who was admitted to the hospital with
exacerbation of her CHF and COPD. She has been experiencing increasing shortness of
breath, fatigue, and swelling in her legs. Mrs. Johnson lives with her daughter, who helps
her with daily activities, but her daughter works full-time and is not always available.
Assignment Tasks:
**Hour 1-2: Patient Assessment**
1. Conduct a comprehensive assessment of Mrs. Johnson, focusing on her medical history,
current medications, and recent hospital admission.
2. Identify potential risk factors for her CHF and COPD exacerbation and any contributing
factors related to her chronic conditions and medication regimen.
**Hour 3-4: Medication Review**
1. Perform a detailed medication reconciliation for Mrs. Johnson.
2. Identify any potential drug-drug interactions, contraindications, and medications that might
contribute to her symptoms and overall condition.
3. Highlight any issues related to medication adherence and suggest strategies to improve it.
**Hour 5-6: Developing a Care Plan**
1. Based on your assessment and medication review, develop a comprehensive care plan for
Mrs. Johnson.
2. Include interventions aimed at managing her chronic conditions, improving medication safety,
and enhancing her overall quality of life.
3. Consider the role of interdisciplinary team members (e.g., pharmacists, respiratory therapists,
social workers) in implementing the care plan.
**Hour 7-8: Patient Education**
1. Create a patient education plan for Mrs. Johnson, focusing on medication management,
symptom monitoring, and lifestyle modifications.
2. Develop educational materials (e.g., pamphlets, medication schedules) that Mrs. Johnson
and her daughter can use at home.
**Hour 9-10: Simulation and Role Play**
1. Simulate a patient education session with Mrs. Johnson, addressing her concerns and
ensuring she understands her care plan and medication regimen.
Answer these:
1. “How can I manage my shortness of breath more effectively?”
2. “What are the warning signs that my CHF or COPD is getting worse?”
3. “How can I make my home safer to prevent falls?”
**Hour 11-12: Reflection and Discussion**
1. Reflect on the case study and identify key challenges and solutions you proposed for Mrs.
Johnson.
2. Discuss the importance of medication safety and chronic disease management in geriatric
patients.
3. Reflect on how this case study can enhance your clinical practice and improve patient
outcomes.
**Evaluation Criteria:**
– Thoroughness of the patient assessment and medication review.
– Practicality and comprehensiveness of the care plan.
– Effectiveness and clarity of the patient education materials.
– Communication skills demonstrated in the simulation session.

Review the agenda priorities of the current/sitting U.S. president and at least one previous presidential administration.
Tip: You can locate presidential agenda information by searching Google for your health topic and the president. For example, mental health Obama presidential agenda.
Select an issue related to healthcare that was addressed by two U.S. presidential administrations (current and previous).
Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.
Use your Week 1 Discussion post to help with this assignment.
The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page narrative) with a title page. This is an APA paper. Use 2-3 course resources and at least 2 outside resources.
Part 1: Agenda Comparison Grid
Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the previous president, and their agendas related to the population health concern you selected. Be sure to address the following:
Identify and provide a brief description of the population health concern you selected.
Explain how each of the presidential administrations approached the issue.
Identify the allocation of resources that the presidents dedicated to this issue.
Part 2: Agenda Comparison Grid Analysis
Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:
Which administrative agency (like HHS, CDC, FDA, OHSA) would most likely be responsible for helping you address the healthcare issue you selected and why is this agency the most helpful for the issue?
How do you think your selected healthcare issue might get on the presidential agenda? How does it stay there?
An entrepreneur/champion/sponsor helps to move the issue forward. Who would you choose to be the entrepreneur/champion/sponsor (this can be a celebrity, a legislator, an agency director, or others) of the healthcare issue you selected and why would this person be a good entrepreneur/ champion/sponsor? An example is Michael J. Fox is champion for Parkinson’s disease.
Part 3: Fact Sheet
Using the information recorded on the template in Parts 1 and 2, develop a 1-page fact sheet that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following:
Summarize why this healthcare issue is important and should be included in the agenda for legislation.
Justify the role of the nurse in agenda setting for healthcare issues.
Assignment document should include: 
Title page
Introductory paragraph
Agenda comparison grid and analysis
Fact sheet
Summary/conclusions
References
Short, N. M. (2022). Milstead’s health policy and politics: A nurse’s guide (7th ed.). Jones & Bartlett Learning.
Chapter 1, “Informing Public Policy: An Important Role for Registered Nurses” (pp. 2–23 only)
Chapter 3, “Problem Identification and Agenda Setting: What Rises to a Policymaker’s Attention?” (pp. 57–71)
Chapter 10, “Financing Health Care” (pp. 229–239)
Chapter 12, “An Insider’s Guide to Engaging in Policy Activities” (pp. 293–301) 
Centers for Disease Control and Prevention (CDC). (n.d.). Diabetes fact sheetsLinks to an external site.. https://www.cdc.gov/diabetes/library/factsheets.html
You can choose the other two references

Additional Instructions are in the word document. Please be sure to include a title slide and reference slide 
Book apa citation:
Ignatavicius, D. D., Workman, M. L., Rebar, C. & Heimgartner, N. M. (2021). Medical-surgical nursing: Concepts for interprofessional collaborative care (10th ed.). Elsevier.

You have been hired as a consultant by a hospital that is going to begin using case managers in the acute, home care, and primary care settings. You meet with the vice president (VP) of patient services. She tells you that the hospital tried to use case managers 3 years ago, and the project failed. She believes one of the major reasons it failed is because there was no clear position description or role description that was understood by the staff. She would like you to help develop an effective nurse case manager position description.
1.      Identify the skills needed for a nurse to enter the case manager role.
2.      Describe the role of the nurse case manager in acute, home care, and primary care setting.
3.      Explains the approaches case managers use to promote the highest quality of care.
You must use at least 2 scholarly references to support your answer.

Activity 5
Emergency Response Planning 
Emergency response planning is the organization, coordination, and direction of available resources to respond to an event or bring and an emergency under control.
Select one of the scenarios below and complete the activity.
Earthquake Emergency Response
The healthcare team has just been notified that there was an earthquake in the Sentinel Mountains that has destroyed buildings in Industrial Heights and Casper Park residential area of Sentinel City®. 
Visit the Industrial Heights and Casper Park residential areas of Sentinel City® and consider the impact zone of an earthquake.  Observe the services, routes and populations that may be involved with the city as a result of the earthquake.
Create a report that describes the potential public health effects, infrastructure damage and environmental hazards related to the earthquake.  Describe the members and roles of the emergency management team and organizations (public and private) that would be activated in Sentinel City®. 
Who are the members of the emergency response team that will be deployed? What private and public resources will assist with the response in the short and long term?
What are the risks and benefits of  using  social media in this situation?
Tornado Emergency Response
The healthcare team has just been notified that a tornado ripped through Casper Park and Acer Tech Center in Sentinel City®. 
Visit the Casper Park and Acer Tech Center areas of Sentinel City® and consider the impact zone of the tornado.  Observe the services, routes and populations that may be involved with the city as a result of the tornado.
Create a report that describes the potential public health effects, infrastructure damage and environmental hazards related to the tornado.  Describe the members and roles of the emergency management team and organizations (public and private) that would be activated in Sentinel City®. 
Who are the members of the emergency response team that will be deployed? What private and public resources will assist with the response in the short and long term?
What are the risks and benefits of  using social media in this situation?
Civic Disturbance Emergency Response
The healthcare team has just been notified that there is a civic disturbance with injuries at City Hall in Sentinel City®.
Visit City Hall.  Observe the services, routes and populations that may be involved with the city as a result of the civic disturbance.
Create a report that describes the potential public health effects and environmental hazards related to the civic disturbance.  Describe the members and roles of the emergency management team and organizations (public and private) that would be activated in Sentinel City®. 
Who are the members of the emergency response team that will be deployed? What private and public resources will assist with the response in the short and long term?
What are the risks and benefits of  using social media in this situation?
Reading and Resources
DeMarco & Healey-Walsh (2020) Read Chapter 20
Visit American Red Cross “Be Red Cross Ready”  
Visit Federal Emergency Management Agency
Visit FEMA: Natural Disasters
Additional Instructions:
All submissions should have a title page and reference page.
Utilize a minimum of two scholarly resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.
Adhere to the chosen Submission Option for Delivery of Activity guidelines.
Submission Options
Choose One:
Instructions:
Paper
2 to 3-page paper. Include title and reference pages.