Identify 1 public health issue that you think it is important for nurses to advocate for. Why do you think it is important, what change would you like to see take place, and who would you direct your advocacy efforts to in order to make that change?
Have at least three references
Name: Cara Jett
Age: 34 years
Provider: R. Mcbride NP
Allergies: NKA
Admit weight: 102 Ibs (46.3kg)
BMI: 17.5
Code status: full code
I just can’t eat. Every time I do, I have horrible pain in my stomach. My family keeps
accusing me of having an eating disorder. It’s not that I don't want to eat. It's that I can’t
without pain and diarrhea!
4/12
1345
Nursing Note: Client presents for ongoing stomach pain after eating. Current BMI of
17.5. Last recorded BMI from 3 years ago was 22.2. States pain has been ongoing for
several years, more severe as of late yesterday. Client skipped lunch today. Current
abdominal pain is 2/10. States that she has tried using over-the-counter pain relievers to
help with the abdominal pain, but this has not been successful. Rates 2/10 RLQ
abdominal pain.
4/12
1355
Neuro/Cognitive: Alert and oriented x4.
Cardiovascular: Regular heartbeat with S1 and S2 heard. No edema present. Capillary
refill <3 seconds. Bilateral pedal and radial pulses +3.
Respiratory: Lungs clear bilaterally.
Gastrointestinal: Abdomen flat, firm, hyperactive bowel sounds x 4 quadrants. Tender
in RLQ. Denies nausea. Last bowel movement was 1045 today. Loose, brown, mucous
looking – per client. Three loose stools today so far.
Genitourinary: Continent. No pain or burning when urinating
Musculoskeletal: Muscle atrophy present. +5 strengths for all extremities. Tenting
present on arm and collarbone.
Psychosocial: Anxious. Becomes tearful several times during visit. States her family is
accusing her of having an eating disorder.
5/7
1435
Nursing Note: Follow-Up Appointment with Gastrointestinal Specialist
Diagnosis: New Crohn’s disease.
Follow-up appointment after colonoscopy and upper GI procedure. Had a CT scan of the
abdomen completed after the procedure. Rates 4/10 abdominal pain. Client is taking
prednisone and metronidazole as prescribed by primary care provider for Crohn's
disease.
Date Temp HR RR BP SpO2 O2
4/12 1345 96.8 °F
(36.0 °C)
78 18 102/54 100% RA
5/1 0945 97.2 °F
(36.2 °C)
64 12 94/45 89% RA
5/1 1000 97.2 °F
(36.2 °C)
69 12 104/50 92% RA
5/1 1015 97.2 °F
(36.2 °C)
72 14 110/52 94% RA
5/7 1430 98.6 °F
(37.0 °C)
88 18 138/78 99% RA
Date Diagnostic Test Findings
5/1
1015
Upper GI
Colonoscopy
No abnormal findings.
Small ulcer found in the transverse portion of the large intestine with
evidence of more in the small intestine. Further testing, including an
MRI, is highly suggested.
5/5
1500
CT Scan of
Abdomen
Impression: Thickening of the wall of the small intestine present.
Three small abscesses noted by entrance to the colon correlating with
recent gastric studies. No fistula apparent.
5/1
0945
Endoscopy Center Nursing Note:
Client has completed an upper GI study and a colonoscopy with no noticeable
complications. Vitals stable. Drowsy but easily woken. Oriented x4.
5/1
1000
Endoscopy Center Nursing Note:
Vitals remain stable. Client drank 60mL of clear soda and two bites of graham cracker.
Swallow and gag reflex present. Mild 2/10 throat discomfort present. Driver present and
atbedside.
5/1
1015
Endoscopy Center Nursing Note:
Client discharged to home in care of mother, Nancy. Follow-up appointment made.
Assignment that is medical related, or nursing. Have to do a SOAP note, so you would have to know what a SOAP note is in regards to the medical field and there are questions you have to answer about CPT codes, billing codes for patient visits, Dx. codes, etc. But Ican add the diagosis codes.
Thanks Julie
Discuss the term “clinical death,” especially with respect to when not to initiate CPR. Discuss what is meant by a “peaceful death” and a “good death,” including goals for End-Of-Life care. How would you feel if you knew your patients did not want CPR but the family insisted on it?
Dear Students, Health information is data related to medical history.
Health information records include history, lab results, diagnostic information, and notes. It creates data sets that are used for individuals and populations.
Questions:
When thinking about Health Care information and HIT, autonomy is often an ethical issue. What concerns would patients have about their privacy with electronic health records.
How is beneficence and non-maleficence violated with ransomware?
Rubrics:
APA style 7th edition format
Submit it as word document attachments.
Presentation and references pages are required.
turinitin proof
Mr. Nguyen is a 58-year-old patient that had septic shock and developed Acute Respiratory Distress Syndrome. He is orally intubated and on a mechanical ventilator. He is paralyzed and sedated.
due 10-15-23 @ 10 am
Compare and examine the consequences of an unethical behaviors in a nursing Master’s program and in the nursing practice by providing one example for each.
Please include 350-400 words in your initial posting by Wednesday night. Answer two classmates with 200 words to your classmates. Please include scholarly reference.
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.
· Milstead, J. A., & Short, N. M. (2019).
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.
· Chapter 7, “Health Policy and Social Program Evaluation” (pp. 116–124 only)
· Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003).
Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transitionLinks to an external site.
.
American Journal of Public Health, 93(8), 1261–1267.
· Shiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2016).
Leading by success: Impact of a clinical and translational research infrastructure program to address health inequitiesLinks to an external site.
.
Journal of Racial and Ethnic Health Disparities, 4(5), 983–991.
· Williams, J. K., & Anderson, C. M. (2018).
Omics research ethics considerationsLinks to an external site.
.
Nursing Outlook, 66(4), 386–393.
·
Document:
Healthcare Program/Policy Evaluation Template (Word document)
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
To Prepare:
· Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
· Select an existing healthcare program or policy evaluation or choose one of interest to you.
· 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:
· Describe the healthcare program or policy outcomes.
· How was the success of the program or policy measured?
· How many people were reached by the program or policy selected?
· How much of an impact was realized with the program or policy selected?
· At what point in program implementation was the program or policy evaluation conducted?
· What data was used to conduct the program or policy evaluation?
· What specific information on unintended consequences was identified?
· 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.
· Did the program or policy meet the original intent and objectives? Why or why not?
· Would you recommend implementing this program or policy in your place of work? Why or why not?
· 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.
Submit your completed healthcare program/policy evaluation analysis.
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the
Turnitin Drafts from the
Start Here area.
1. To submit your completed assignment, save your Assignment as
WK10Assgn+LastName+Firstinitial
2. Then, click on
Start Assignment near the top of the page.
3. Next, click on
Upload File and select
Submit Assignment for review.
NURS_6050_Module05_Week10_Assignment_Rubric
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NURS_6050_Module05_Week10_Assignment_Rubric |
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Criteria |
Ratings |
Pts |
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This criterion is linked to a Learning OutcomeProgram/Policy EvaluationBased on the program or policy evaluation you seelcted, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:· Describe the healthcare program or policy outcomes.· How was the success of the program or policy measured?· How many people were reached by the program or policy selected? How much of an impact was realized with the program or policy selected?· At what point in time in program implementation was the program or policy evaluation conducted? |
35 to >31.0 pts
Excellent Using sufficient evidence, response clearly and accurately describes the healthcare program or policy outcomes. …Response accurately and clearly explains how the success of the program or policy was measured. …Response accurately and clearly describes how many people were reached by the program or policy and accurately describes the impact of the program or policy. …Response accurately and clearly indicates the point at which time the program or policy evaluation was conducted. 31 to >27.0 pts
Good Using sufficient evidence, response accurately describes the healthcare program or policy outcomes. …Response accurately explains how the success of the program or policy was measured. …Response accurately describes how many people were reached by the program or policy and accurately describes the impact of the program or policy. …Response accurately indicates the point at which time the program or policy evaluation was conducted. 27 to >24.0 pts
Fair Description of the healthcare program or policy outcomes is inaccurate or incomplete. …Explanation of how the success of the program or policy was measured is inaccurate or incomplete. …Description of how many people were reached by the program or policy and the impact is vague or inaccurate. …Response vaguely describes the point at which the program or policy evaluation was conducted. 24 to >0 pts
Poor Description of the healthcare program or policy outcomes is inaccurate and incomplete or is missing. …Explanation of how the success of the program or policy was measured is inaccurate and incomplete or is missing. …Description of how many people were reached by the program or policy and the associated impacts is vague and inaccurate or is missing. …Response of the point at which time the program or policy was conducted is missing. |
35 pts |
|
This criterion is linked to a Learning OutcomeReporting of Program/Policy Evaluations· What data was used to conduct the program or policy evaluation?· What specific information on unintended consequences was identified?· What stakeholders were identified in the evaluation of the program or policy? Who would benefit the most from the results and reporting of the program or policy evaluation? Be specific and provide examples.· Did the program or policy meet the original intent and objectives? Why or why not?· Would you recommend implementing this program or policy in your place of work? Why or why not?· 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. |
50 to >44.0 pts
Excellent Response clearly and thoroughly explains in detail: -specific information on outcomes and unintended consequences identified through the program or policy evaluation. -the stakeholders involved in the program or policy evaluation. -who would benefit most from the results and reporting of the program or policy evaluation. -whether the program met the original intent and outcomes, including an accurate and detailed explanation of the reasons supporting why or why not. -whether the program should be implemented, including an accurate and detailed explanation of the reasons supporting why or why not. -at least two ways that the nurse advocate could become involved in the evaluation of the program or policy after 1 year of implementation. 44 to >39.0 pts
Good Using sufficient evidence, response accurately identifies the data used to conduct the program or policy evaluation. Response explains in detail specific information on outcomes and unintended consequences identified through the program or policy evaluation. Response explains in detail the stakeholders involved in the program or policy evaluation. Response explains who would benefit most from the results and reporting of the program or policy evaluation. Response includes an accurate explanation of whether the program met the original intent and outcomes, including an accurate explanation of the reasons supporting why or why not. Response includes an accurate explanation of whether the program should be implemented, including an accurate explanation of the reasons supporting why or why not. Response includes an accurate explanation of two ways that the nurse advocate could become involved in the evaluation of the program or policy after 1 year of implementation. 39 to >34.0 pts
Fair Response vaguely or inaccurately identifies the data used to conduct the program or policy evaluation. Explanation of specific information on outcomes and unintended consequences identified through the program or policy evaluation is vague or incomplete. Explanation of the stakeholders involved in the program or policy evaluation is vague or inaccurate. Explanation of who would benefit most from the results and reporting of the program or policy evaluation is vague or inaccurate. Explanation of whether the program/policy met the original intent and outcomes, and the reasons why or why not is incomplete or inaccurate. Explanation of whether the program or policy should be implemented, and the reasons why or why not, is incomplete or inaccurate. Explanation of ways that the nurse advocate could become involved in the evaluation or policy after 1 year of implementation is incomplete or inaccurate. 34 to >0 pts
Poor Identification of the data used to conduct the program or policy evaluation is vague and inaccurate or is missing. Response includes vague and incomplete or is missing explanation of: -specific information on outcomes and unintended consequences identified through the program or policy evaluation. -the stakeholders involved in the program or policy evaluation. -who would benefit most from the results and reporting of the program or policy evaluation. -whether the program or policy met the original intent and outcomes, and the reasons why or why not. -whether the program or policy should be implemented, and the reasons why or why not. -ways that the nurse advocate could become involved in the evaluation or policy after 1 year of implementation. |
50 pts |
|
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, low 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 is provided which delineates all required criteria. |
5 to >4.0 pts
Excellent Paragraphs and sentences follow writing standards for flow, continuity, and clarity. …A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria. 4 to >3.0 pts
Good Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. …Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive. 3 to >2.0 pts
Fair Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. …Purpose, introduction, and conclusion of the assignment is vague or off topic. 2 to >0 pts
Poor Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. ...Purpose, introduction, and conclusion of the assignment is incomplete or missing. |
5 pts |
|
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation |
5 to >4.0 pts
Excellent Uses correct grammar, spelling, and punctuation with no errors. 4 to >3.0 pts
Good Contains a few (1-2) grammar, spelling, and punctuation errors. 3 to >2.0 pts
Fair Contains several (3-4) grammar, spelling, and punctuation errors. 2 to >0 pts
Poor Contains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. |
5 pts |
|
This criterion is linked to a Learning OutcomeWritten Expression and Formatting:The paper follows correct APA format for title page, font, spacing, parenthetical/in-text citations, and reference list). |
5 to >4.0 pts
Excellent Uses correct APA format with no errors. 4 to >3.0 pts
Good Contains a few (1-2) APA format errors. 3 to >2.0 pts
Fair Contains several (3-4) APA format errors. 2 to >0 pts
Poor Contains many (≥5) APA format errors. |
5 pts |