The purpose of this assignment is to present a complete picture of interdisciplinary care using specific therapeutic modalities in the care of a complex adult health client. The student will demonstrate clinical reasoning skills and will discuss interdisciplinary care that had been incorporated and/or anticipated using a healthcare technology or therapeutic modality for the care of the complex health client.
Preparing the assignment:
Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
~ Choose a therapeutic modality or healthcare technology.
~ Examples of a therapeutic modality include Extracorporeal Membrane Oxygenation, Automatic rotating pronation beds, right and/or left ventricular assist devices, nontraditional ventilator modes.
~ Examples of healthcare technology can include regional O2 saturation monitoring (NIRS).
~ For APA, formatting, or grammar assistance visit the APA Citation and Writing page in the online library. 7) Include the following sections (detailed criteria listed below and in the Grading Rubric):
Introduction –
• The chosen therapeutic modality or healthcare technology meets one of the following criteria:
o Has been introduced recently at the bedside for care of the complex adult patient.
o Is a non-traditional modality for very ill patients in special circumstances.
o Is being used in a new way to treat a patient with complex needs.
o Requires specific training above and beyond general entry-level nursing education.
• Introduce the therapeutic modality or healthcare technology.
Name the therapeutic modality or healthcare technology.
• A brief fictional case is used to illustrate the therapeutic modality or healthcare technology.
b. Explanation and Background–
• Include a clear description of the therapeutic modality or healthcare technology. • Discuss how the therapeutic modality or healthcare technology works.
• Describe the patient population it is used for.
• Include medication, safety, and cost considerations as applicable.
c. Risks and Benefits–
• Describe how the therapeutic modality or healthcare technology can benefit the patient. • Discuss ways to promote positive outcomes.
• Explain the complications that may arise.
• Discuss considerations for preventing complications.
d. Interdisciplinary team’s Roles and Responsibilities–
• Identify all interdisciplinary team members caring for the patient, such as respiratory therapy, assistive
personnel, providers, case managers, clinical nurse specialists, and researchers.
• Describe the roles and responsibilities of each member of the healthcare team that is involved in the use
of the therapeutic modality or healthcare technology.
• Discuss the roles and responsibilities of the nurse as a member of the interdisciplinary team caring for the
patient.
e. Nursing Scope of Practice –
• Discuss the knowledge needed for the Registered Nurse to provide care for the patient using the therapeutic modality or healthcare technology.
• Describe skills needed for the Registered Nurse to provide care for the patient using therapeutic modality or healthcare technology.
• Discuss attitudes needed for the Registered Nurse to provide care for the patient using therapeutic modality or healthcare technology.
f. Patient Education –
• Describe the information to be taught to the patient and/or family. • Discuss how information will be taught.
• Explain how the effectiveness of the teaching will be evaluated.
g. Conclusion –
• Provide a summary of the paper.
• No new information is introduced.
• Include additional resources for further learning.
h. APA Style and Organization –
• References are submitted with paper.
• Uses current APA format and is free of errors.
• Grammar and mechanics are free of errors.
Prepare a two to three page written assignment that includes the following:
Content:
Introduction to the assignment (sections of the assignment; roles of the nurse, scope of practice, compare and contrast scope of practice)
Describe the roles of the nurse for the program you are currently enrolled
Identify the scope of practice for the nurse in the state where you intend to practice
Using the Nurse Practice Act for the state where you intend to practice, compare and contrast the scope of practice for the LPN and RN
Conclusion (reflect on the assignment including how you will use the scope of practice to support your role)
Use at least two credible resources to support your findings. For example, one of the resources could be the State Board of Nursing website, and another resource could be a textbook. These resources must be integrated into the body of your paper using at least two in-text citations. Be sure to use proper APA format and style.
Format:
Standard American English (correct grammar, punctuation, etc.)
Logical, original and insightful
Professional organization, style, and mechanics in APA format and style
Run your paper through Grammarly and make corrections to identified errors before submission. Note: You must use the following link to create your Grammarly account. You must use your Rasmussen student email address: https://www.grammarly.com/signin?page=edu
Explain the purpose and process of a FMEA and provide some examples of application in the workplace.
Compare and contrast a corrective action plan and a preventive action plan. Apply these ISO concepts with at least one example of each within the discussion.
250 words, 2 references each question within 5 years from a reliable source.
– Question #1: (one full page) Describe the physiology of blood pressure control. Causes of Primary Hypertension may include overactivity of the SNS; overactivity of the RAAS; alterations in other neurohumoral mediators of blood volume and vasomotor tone such as ANP, BNP, and adrenomedullin; inflammation; a complex interaction involving insulin resistance and endothelial function; and obesity-related hormonal changes.
a) Select 3 of the above potential causes and explain the pathophysiologic mechanisms of primary hypertension.
.- Question #2: (one full page) Identify one of the main organ damage that can occur as a result of Hypertension. Describe the pathophysiologic process of the organ damage.
.- Question #3: (one full page) Orthostatic hypotension can occur as an adverse effect of medications used to manage hypertension. Based on question #1 describe the pathophysiologic process that causes orthostatic hypotension.
W5: .- Question #1: (one full page) Both bronchiolitis and bronchiectasis present with a cough and dyspnea. Describe the pathophysiologic process of both bronchiolitis and bronchiectasis. Compare and contrast the two processes.
.- Question #2: (one full page) Comment how Both bronchiolitis and bronchiectasis can be present as a complication of COVID-19 virus.
.- Question #3: (one full page) Provide a clinical example of bronchiolitis and bronchiectasis.
W6:
You are seeing a patient with fatigue, pallor, dyspnea on exertion, and palpitations. The patient is 50 years old. Laboratory report indicates a low hematocrit 32, hemoglobin 9.7 and reticulocyte count low at .47% MCV of 78 and MCHC of 32.1.
.- Question #1: (one full page) Describe the pathophysiologic process of Anemia.
Identify two differential diagnoses and provide the pathophysiology of these two differential diagnoses.
.- Question #2: (one full page) Identify the additional workup that is needed to rule in or rule out these differential diagnoses. What clinical signs/symptoms would you expect to see with these two differential diagnoses?
.- Question #3: (one full page) Post the diagnosis you believe to be correct for this patient.
W8: .
.- Question #1: (one full page) : Explain what happens physiologically with chronic renal failure and the GFR. Support with evidence. Include important labs that are monitored in the process.
.- Question #2: (one full page) : Explain the role of Angiotensin II and proteinuria as they relate to advancing renal disease.
.- Question #3: (one full page): List at least three other body systems that are impacted by chronic kidney disease and why.
W9:
.- Question #1: (one full page) : Describe the pathophysiology of depression.
.- Question #2: (one full page) : Discuss the phenomenon of depression effects on appetite. Describe from a pathophysiologic basis why some people with depression experience a lack of appetite resulting in weight loss while others will experience increased food intake and have weight gain.
.- Question #3: (one full page) : Discuss two additional clinical findings of depression and present the pathophysiologic basis of these symptoms.
W10: .- Question #1: (one full page) : Explain the action of thyroid hormone. Your answer should contain the impact of the thyroid hormone on functions in the body.
.- Question #2: (one full page) : Discuss the negative feedback loop of thyroid function.
.- Question #3: (one full page) : Select either hypothyroidism or hyperthyroidism and define the clinic presentation providing the pathophysiologic process underlying the clinical presentation.
The purpose of this initial paper is to briefly describe your search strategies when identifying two articles that pertain to an evidence-based practice topic of interest.
The Role of Risk Factors in the outcome measures in patients diagnosed with COVID-19 (This is the paper’s topic)
Please implement this article in the paper:
NEJM Catalyst. Identifying patients with increased risk of severe Covid- 19 complication: Building an actionable rules-based model for care teams. (2020). Retrieved from https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0116
Directions for the paper:
a) State the purpose of your paper. What will your paper do or describe? This is similar to a problem
statement. “The purpose of this paper is to . . .”
b) The research question for a quantitative study may include such components as Populations, Interventions, Comparisons, and Outcomes (PICOT). Please implement PICOT into the paper
c) Levels of Evidence
• Identify the type of question being asked (therapy, prognosis, meaning, etc.).
• What is the best type of evidence to answer that question (e.g., RCT, cohort study, qualitative study, etc.)?
d) Search Strategy
• List search terms and results.
• Databases used (start with the CU library). Link your search with the PICOT question described above.
• Refinement decisions. As you did your search, what decisions did you make in refinement to get your
required articles down to a reasonable number for review? Were any limits used? If so, what?
• Identification of two (2) most relevant articles (primary sources published within the last 5 years).
e)Format
• Correct grammar and spelling.
• Include a title page.
• Use of Headings for Each Section!!
▪ Clinical Question, Levels of Evidence, Search Strategy, and Conclusion
• Adheres to current APA formatting and guidelines.
*Please do not plagiarize as this paper will be turned in a database for plagiarism*
Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.
Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact.
In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.
1-Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
2-Select an existing healthcare program or policy evaluation or choose one of interest to you.
3-Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.
The Assignment: (2–3 pages)
Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:
1-Describe the healthcare program or policy outcomes.
2-How was the success of the program or policy measured?
3-How many people were reached by the program or policy selected?
4-How much of an impact was realized with the program or policy selected?
5-At what point in program implementation was the program or policy evaluation conducted?
6-What data was used to conduct the program or policy evaluation?
7-What specific information on unintended consequences was identified?
8-What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
9-Did the program or policy meet the original intent and objectives? Why or why not?
10-Would you recommend implementing this program or policy in your place of work? Why or why not?
11-Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.
9- (This is a MUST )-APA 7the edition-Be sure to use 2 resource from course resource, A and B (Below)
and other resources should come from outside resources
Module 5: Program/Policy Evaluation (Weeks 9-10)
In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results.
1-How comfortable are you with the thought of becoming involved with such matters? (policy-making)
Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership,
2-why not with government and regulatory agencies?
In this Discussion, you will reflect on the role of professional nurses in policy evaluation.
In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
3- Review the Resources and reflect on the role of professional nurses in policy evaluation.
4-Give an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review.
5-Explain some of the challenges that these opportunities may present and
6-describe how you might overcome these challenges.
7-Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities.
8-Be specific and provide examples.
9- (This is a MUST )-Be sure to use 2 resource from course resource, A and B (Below)
and other resources should come from outside resources
Create a discussion paper that addresses the following questions:
1. What personal and professional values underpin your nurse-person interrelationships?
2. What are the differences between values-based practice and evidence-based care as presented by Cody (2013)?
The purposes of this paper are to promote understanding of and insight into personal values and beliefs, the differences between notions of care and professional practice, and the interplay of values and evidence in one’s professional practice and provision of care.
Provide information about the steps to follow in the process to carry out a quantitative approach and qualitative approach research.
Analyze the difference between both approaches, and make a summary in APA format.
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