As we bring this class to a close, reflect on this course. How will you use a current theory or envision a new theory that can be used to support evidence-based change related to your practice as an advanced practice nurse.
Discuss how Course Outcomes were supported and met by the activities you have completed in this course. What changes did you note in your post-TANIC TIGER assessment from when you started this course in week 1?
Case Study
To satisfy the requirements of the TSP — Emergency program, you are required to complete a written assignment. This assignment must demonstrate comprehension and analysis of a complex patient presentation to the ED — the septic patient.
Read the case study over page. Address the following in your assignment:
• Discuss the pathophysiology.
• Outline your initial nursing assessment including primary assessment and second assessment C.
• Interpret the values seen in Roger’s venous blood gas in relation to his presenAtion.
• Discuss six management priorities specific to the septic patient including the rationale.
Imagine that you are a Public Health Informatics specialist and that you and your colleagues are concerned about the response to the COVID-19 pandemic. Review the public health data that were used to determine the response to the pandemic. Which data would need to be collected to assess the outcomes of the pandemic response?
Introduction. Briefly review your practice problem and include a purpose statement. Include data to support the problem.
Evidence-Based Practice Plan Explanation (Completed in Week 4)
Provide a detailed explanation of the evidence-based practice quality improvement plan that you will use to address the practice problem.
Support your plan with scholarly references (the sources you found in the analysis of the evidence).
Evidence-Based Practice Quality Improvement Plan Explanation
Using the Quality Improvement Model you described in Week 3, (FADE Model from Spath introduction to Healthcare Quality Management) provide a detailed explanation of the quality improvement plan that you will use to address the practice problem.
Use the sources you found in the analysis of the evidence to support the plan.
Resources (new in Week 5)
Describe the resources needed to support the change in practice such as personnel time, supplies for staff education, cost of new equipment, or cost of software.
Explain why each resource is necessary.
Conclusion
Discuss all key points addressed in this assignment.
Write a 1250-1700-word essay addressing each of the following points. Be sure to completely answer each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.
This week’s readings introduced many of the important laws, theories and models, and privacy and data security concerns that govern informatics. From the chapters in the text and any articles assigned:
Select three laws and one theory or model pertaining to informatics, technology use, patient privacy, and data security.
Based on the selections, describe the role government, private or public employers, and professional ethics have in enforcing patient privacy and data security and the penalties for failure to maintain privacy or security.
Paper Criteria:
Address the following criteria in your paper and identify/label paper sections (level headings) following APA guidelines.
Phase One: Define the Community
1. Name of Community: Wake County, North Carolina
2. Location, boundaries, size in miles/acres, physical environment including any environmental hazards
Phase Two: Assessment
The goal of assessment is to collect data and usable information about the community residents. Data gathering involves compiling information that already exists. Data can be collected from a variety of valid and professional sources.
Include the following:
1. Biophysical aspects including population (number of residents), age, gender, race/ethical composition
2. Psychosocial and cultural aspects including socioeconomic status, number and level of educational facilities, average or prevailing education level, major occupations, unemployment rate, religious facilities/churches, cultural considerations
3. Behavioral aspects including recreation and exercise facilities, substance use and abuse, sexual activity (teenage pregnancy, STD’s, HIV)
4. Health care services available in the community including the levels of care provided (primary, secondary, tertiary) and factors such as adequacy, affordability, accessibility, and acceptability/use
5. Overall health status of the community and any vulnerable groups. Using mortality and morbidity rates identify the leading causes of death (top 3), prevalence of chronic illness (top 3). Compare with the mortality and morbidity rates of the state and nation.
Phase Three: Data Interpretation
Data are analyzed and synthesized to search for significant themes and trends.
1. Identify 1 area of strength in the community and provide rationale for your decision.
2. Identify 1 health need in the community (based on Healthy People 2020) that can be addressed: Substance abuse by the community health nurse and provide rationale for your decision.
Phase Four: Community Health Nursing Program
Develop an original evidence-based nursing program to address the identified community health need
1. Describe the program including the major purpose of the program
2. Identify one specific program objective to help meet purpose of program (include action verb, single purpose, single result, time frame)
3. Discuss activity(s) needed to meet program objective
4. Describe resources needed including personnel/staff, equipment, supplies, facilities
5. Explain collaboration/teamwork needed with other healthcare disciplines and/or community organizations
Add a section to the 2-3 page paper you submitted in Module 1. The new section should address the following in 1-2 pages:
This week we are focusing on the application of nursing theories to evidence-based practice. This discussion can reflect on what you have been working on for your week 7 PowerPoint assignment due at the end of the week. For this discussion: Select an issue or concern related to nursing, then select a nursing theory or model that can be used as a framework to support the resolution of your identified issue/concern. In your initial response, address the following:
Include an example from the literature or your own experience to illustrate your points. Remember to include at least one outside scholarly source.
L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5′4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb.
Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.
Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated.
One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of microalbumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes. Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm.
Questions
What are the effects of controlling BP in people with diabetes?
What is the target BP for patients with diabetes and hypertension?
Which antihypertensive agents are recommended for patients with diabetes?
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