Which side of the viral debate do you agree with and why? Do you feel that viruses are not living things and should be called infectious molecules, or do you believe viruses are more than inert and lifeless molecules? Provide a rationale for your position

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Viral debate

Which side of the viral debate do you agree with and why?

Do you feel that viruses are not living things and should be called infectious molecules, or do you believe viruses are more than inert and lifeless molecules? Provide a rationale for your position.

 

Evaluate the environmental and epidemiological data about your community so that you can determine a population health issue within a chosen community. Identify the relevant data. This can be communicated in a table or chart.

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Population health improvement plan

Create a 5-7 slide PowerPoint presentation about an evidence-based population health improvement plan.

Introduction
Master’s-level nurses need to be able to think critically about the evidence, outcomes data, and other relevant information they encounter throughout their daily practice. Often the evidence or information that a nurse encounters, researches, or studies is not presented in the exact context of that nurse’s practice. A key skill of the master’s-level nurse is to transfer evidence from the context in which it was presented and apply it to a different context in order to maximize the benefit to patients in that new context.

Professional Context
Master’s-level nurses need to be able to think beyond the bedside. It is important to research, synthesize, and apply evidence that will result in improved health outcomes for the communities and populations that are part of your care setting. Improving outcomes at a community or population level, even incrementally, can create noticeably significant, aggregate health improvements for patients across all of a care setting.

Scenario
Your organization has created an initiative to improve one of the pervasive and chronic health concerns in the community. Some examples of possibilities for health improvement initiatives include type 2 diabetes, HIV, obesity, and communicable diseases. You will need to do your own research to gather and evaluate the relevant data for your chosen issue.

Once you have created a presentation for the initiative, you have been asked to present to a group of community stakeholders. The purpose of your presentation is to inform and enlist support for the initiative from your audience.

Instructions
The optional Evidence-Based Population Health Improvement Plan Presentation Template [PPTX] is provided to help you prepare your slides. If you choose to work without the template, consider referring to Creating a Presentation: A Guide to Writing and Speaking and Guidelines for Effective PowerPoint Presentations [PPTX].

The suggested headings for your presentation are:

  • Community Data Evaluation.
  • Meeting Community Needs.
  • Measuring Outcomes.
  • Communication Plan.
  • Evidence.

In your presentation, you will:

Evaluate the environmental and epidemiological data about your community so that you can determine a population health issue within a chosen community.
Identify the relevant data. This can be communicated in a table or chart.
Describe the major population health issue suggested by the data within your community.
Explain how environmental factors affect the health of community residents.
Identify the level of evidence, validity, and reliability for each source.
Develop an ethical health improvement plan with outcome criteria that addresses the population health issue that you identified in your evaluation.
Consider the environmental realities and challenges existing in the community.
Include interventions that will meet community needs.
Address potential barriers or misunderstandings related to various cultures prevalent in the community.
Propose criteria that can be used to evaluate the achievement of the plan’s outcomes for your population health improvement.
Explain why your proposed criteria are appropriate and useful measures of success.
Explain how you plan to apply strategies for communicating with community stakeholders and community members in an ethical, culturally sensitive, and inclusive way about the development and administering of your population health improvement plan.
Identify the community stakeholders that are relevant to your Evidence-Based Population Health Improvement Plan.
Develop a clear communication strategy that is mindful of the cultural and ethical expectations of colleagues and community members regarding data privacy.
Ensure that your strategy enables you to make complex medical terms and concepts understandable to members of the community regardless of disabilities, language, or level of education.
Explain the value and relevance of the resources you used as the basis for your population health improvement plan.
Explain why the evidence is valuable and relevant to the community health concern you are addressing.
Explain why each piece of evidence is appropriate and informs the goal of improving the health of the community.
Communicate the Evidence-Based Population Health Improvement Plan in a professional, effective manner that encourages the community stakeholders to implement and sustain change.
Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.

Identify and definition of the 4 components of the metaparadigm as defined by the theorist. Review a current journal article that used the theory in practice. Identify the setting, describe the population, identify how the theory was used, and discuss the impact of the theory use on patient care.

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Jean Watson. Nursing Theory Paper

The subject of this paper will be a nursing theorist whom you select. The paper should include:

Introduction
• Identification of the nursing theorist with a description of his/her educational background and career path description
• Purpose statement

Body of the paper

• Identify and definition of the 4 components of the metaparadigm (health, nurse, person, and environment) as defined by the theorist. (IF the theory did not address the 4 components of the metaparadigm, this needs to be stated in your paper.)

• Discussion of at least 3 concepts/principals of the theory

• Review a current journal article that used the theory in practice. Identify the setting, describe the population, identify how the theory was used, and discuss the impact of the theory use on patient care.

• Identification and explanation of how the theory (or a piece of the theory) can be used in practice

Summary
• A summary section with the major points of the paper
• Refer to the rubric for more information

How does nursing history, theories, caring, and evidence-based practice assist with developing yourself as a nursing professional?

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History of nursing

Reflect on the content discussed this week related to the history of nursing, theories, caring, and evidence-based practice. How does nursing history, theories, caring, and evidence-based practice assist with developing yourself as a nursing professional?

Use at least one credible resource to support your initial discussion post

Discuss the role accreditation has on nursing education. Identify essential standards in curriculum content. Discuss future trends in nursing education.

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Standards and Accreditation in Nursing Education

Learning Unit 3 – Academic Standards of Education and Trends in Nursing Education

The focus for the last unit will be on examining the standards of education, accreditation, and trends impacting our roles.

Course Objectives addressed in this unit:

Differentiate effective behaviors for success as a member of the faculty within and between these three settings.

Explore educational research and trends influencing nursing education.

Learning Unit Objectives:

By the end of the unit, the student will be able to:

  1. Discuss the role accreditation has on nursing education.
  2. Identify essential standards in curriculum content.
  3. Discuss future trends in nursing education.

Readings:

  1. Find one article related to a current issue in nursing education, future trend in nursing education, or a current (published last 2-3 years) nursing education research study.
  1. Review AACN 2021 The Essentials: Core Competencies for Professional Nursing Education (NLN is not available for free) https://www.aacnnursing.org/Education-Resources/AACN-Essentials
    1. Preview previous 2008 version (baccalaureate, masters, doctorate) posted in the unit
    2. No need to dive deep in these documents! Just think “impressions” comparing the previous to the new version. Note the difference in program essentials in the 2008 version and leveling competencies in 2021.
  2. AACN Vision for Academic Nursing – posted in unit
  3. NLN Research Priorities in Nursing Education: https://www.nln.org/education/grants-scholarships/research-priorities-in-nursing-education
  1. Articles as needed for substantive discussion post and further learning

*Journal articles must be published within the last 10 years from peer reviewed journals.

 

Required Websites:

  1. Accreditation websites for – ACEN, CCNE, and CNEA (CNEA was just approved by the DOE Summer 2021). Familiarize yourself with these three nursing accrediting institutions.

Discussion Board:  Academic Standards of Education, Accreditation, and Trends in Nursing Education

Be sure to APA reference the required readings and article(s) in discussion board questions as applicable. 

  1. Discuss your thoughts on the 2021 AACN Essentials as compared to the 2008 version AND AACN Vision for Nursing. Is overall the profession of nursing moving in a good direction as envisioned by AACN? Why or why not? (this should be at least a two robust paragraph discussion).
  2. Describe at least two differences between the CNEA, CCNE, and ACEN accrediting bodies focusing on process and emphasis.  Debate the merit, or not, or accreditation (this should be a two to three robust paragraph discussion).
  1. Summarize and discuss your chosen current issue in nursing education, future trend in nursing education, or a current nursing education research study article. (at least a two robust paragraph discussion)

Respond to two peers’ postings. Each response described below should be at least 1-2 robust paragraphs.

Continue the debate of:

  1. the new AACN Essentials and Vision for Nursing.
  2. strengths and weaknesses of accreditation.

 

sider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

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Patient in the case study

  • Consider what history would be necessary to collect from the patient in the case study you were assigned.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved? How would you test for each of them? What other symptoms need to be explored? What are your differential diagnoses for acute low back pain? Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform?

Episodic/Focused SOAP Note Template

Patient Information:

Initials, Age, Sex, Race

S.

CC (chief complaint) a BRIEF statement identifying why the patient is here – in the patient’s own words – for instance “headache”, NOT “bad headache for 3 days”.

HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example:

  • Location: head
  • Onset: 3 days ago
  • Character: pounding, pressure around the eyes and temples
  • Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia
  • Timing: after being on the computer all day at work
  • Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better
  • Severity: 7/10 pain scale

Current Medications: include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products.

Allergies: include medication, food, and environmental allergies separately (a description of what the allergy is ie angioedema, anaphylaxis, etc. This will help determine a true reaction vs intolerance).

PMHx: include immunization status (note date of last tetanus for all adults), past major illnesses and surgeries. Depending on the CC, more info is sometimes needed

Soc Hx: include occupation and major hobbies, family status, tobacco & alcohol use (previous and current use), any other pertinent data. Always add some health promo question here – such as whether they use seat belts all the time or whether they have working smoke detectors in the house, living environment, text/cell phone use while driving, and support system.

Fam Hx: illnesses with possible genetic predisposition, contagious or chronic illnesses. Reason for death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.

ROS: cover all body systems that may help you include or rule out a differential diagnosis You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

Example of Complete ROS:

  • GENERAL:  Denies weight loss, fever, chills, weakness or fatigue.
  • HEENT:  Eyes: Denies visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat:  Denies hearing loss, sneezing, congestion, runny nose or sore throat.
  • SKIN:  Denies rash or itching.
  • CARDIOVASCULAR:  Denies chest pain, chest pressure or chest discomfort. No palpitations or edema.
  • RESPIRATORY:  Denies shortness of breath, cough or sputum.
  • GASTROINTESTINAL:  Denies anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.
  • GENITOURINARY:  Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY.
  • NEUROLOGICAL:  Denies headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.
  • MUSCULOSKELETAL:  Denies muscle, back pain, joint pain or stiffness.
  • HEMATOLOGIC:  Denies anemia, bleeding or bruising.
  • LYMPHATICS:  Denies enlarged nodes. No history of splenectomy.
  • PSYCHIATRIC:  Denies history of depression or anxiety.
  • ENDOCRINOLOGIC:  Denies reports of sweating, cold or heat intolerance. No polyuria or polydipsia.
  • ALLERGIES:  Denies history of asthma, hives, eczema or rhinitis.

O.

Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History. Do not use “WNL” or “normal.” You must describe what you see. Always document in head to toe format i.e. General: Head: EENT: etc.

Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines)

A.

Differential Diagnoses (list a minimum of 3 differential diagnoses).Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence based guidelines.

This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

References

You are required to include 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 to use correct APA 7th edition formatting.

 

 

What actual or potential harm could have happened as a result of the information? How can you evaluate the quality of health-related information on the Internet?

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The Internet and Healthcare

In this written assignment, you will address health-related information on the Internet.

Step 1 Share an example of a time in your practice when you have had concerns about information that a patient (or family member, friend, or you) has obtained from the Internet.

If you have not had such an experience, go to a consumer health information website, such as WebMD, and look up a health condition that you typically see in your practice or have seen in your clinical experiences. Consider how a patient might use this information as you answer the questions in Step 2.

Step 2 In a one-page paper, describe safety concerns related to people who seek health-related information on the Internet and explain how to evaluate the quality of health-related information on the Internet. Use the following questions as guidelines for your paper:

What was the perceived health problem, and how did you or the patient research this problem?
What health-related information was obtained?
Was the information accurate?
How did (or might) the patient interpret the information?
What did (or might) the patient do with the information obtained?
What actual or potential harm could have happened as a result of the information?
How can you evaluate the quality of health-related information on the Internet?

Briefly describe the history of hospitals in the United States. Briefly discuss the major changes hospitals have experienced over the past 20 years. Discuss how these changes have affected the delivery of health care in the United States.

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The Current Roles of Hospitals

In this writing assignment, you will describe the current 21st century role of U.S. hospitals.

Step 1: Write a two to three page paper describing the current role of hospitals in the United States. In your paper, respond to the following questions.

Briefly describe the history of hospitals in the United States.
Briefly discuss the major changes hospitals have experienced over the past 20 years.
Discuss how these changes have affected the delivery of health care in the United States.

Step 2: Save and submit your assignment.
When you have completed your assignment, save a copy for yourself in an easily accessible place and submit a copy to your instructor.

Write three to four pages which expands upon your argument on the relationship between two pieces of art. Critically analyze the paintings to decide upon their shared meaning and then, using the rhetorical appeals, argue your point as to which painting better embodies its meaning.

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Rhetorical Essay

Assignment:

For this essay, you will write three (3) to four (4) pages (at least 1,000 words) which expands upon your argument from ASSIGNMENT #2 on the relationship between two pieces of art. (The same two pieces from the assignment.) You are not being asked to choose which painting is better, as that is a subjective opinion, rather, what you will be asked to do is consider the rhetorical situation of each piece (context, purpose, audience) along with your own analysis and interpretation to decide which painting you find to be more effective at getting across its meaning. To do so, you will be asked to critically analyze the paintings to decide upon their shared meaning and then, using the rhetorical appeals, argue your point as to which painting better embodies its meaning.

Select a global health concern and explain ways the nurse can impact a healthier environment. What individual behaviors could you change to promote a healthier global, community, work and home environment?

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Global health concern

Select a global health concern and explain ways the nurse can impact a healthier environment. What individual behaviors could you change to promote a healthier global, community, work and home environment?