Fundamental M5

Assignment Content

1. Complete the
ATI Systems Disorder template for your assigned respiratory topic. Every box on the template must be completed, a citation is needed for every box, and your reference list must be included (APA). 

DIscussion asignment

 Compare and contrast the growth and developmental patterns of two toddlers of different ages using Gordon’s functional health patterns. Describe and apply the components of Gordon’s functional health patterns as it applies to toddlers.    

nursing

 

you are going to participate in a discussion on a novel or movie.  Please choose one of the stories below and read the novel or watch the movie.  You’ll participate in the discussion thread below related to the story you choose. 

  1. Fault in Our Stars novel by Green (2012) or Fault in Our Stars movie (2014)
  2. Still Alice novel by Genova (2009) or Still Alice movie (2014)

This family story discussion has two parts:

Part 1:Construct Grid (ALL)

Using the blank construct grid, choose 8 constructs relevant to the family in the novel/movie and complete those rows of the grid.  Share your completed constructs with your discussion group and explain why you chose them. 

Part 2:  Family Story Discussion Fault in Our Stars

The rest of the focus for this week is the Fault in Our Stars book or movie discussion. I am providing the following list of questions to jump start the discussion. You don’t need to answer all of the questions. This is meant to be a free-flowing conversation, and I expect each of you will add your questions throughout the discussion.

Each of you can tell us how you experienced the story, and pick one of the questions below to answer if these help focus your thoughts.

  1. John Green uses the voice of a teenage girl to tell this story. Why do you think he choose to do this? Was it effective? How would it have been different if he had told the story from a different voice? How does voice relate to family nursing practice?
  2. What does the title, Fault in Our Stars, mean?
  3. How would you describe the two main characters, Hazel and Gus?
  4. How do Hazel and Gus relate to their cancer?
  5. At one point in the book, Hazel states, “Cancer books suck.” What is she really meaning?
  6. How do Hazel and Gus change, in spirit, over the course of the novel?
  7. Why is “An Imperial Affliction” written by Peter Van Houten Hazel’s favorite book?
  8. How many of you looked to see if, “An Imperial Affliction” was an actual book?
  9. What do you think about the author Peter Van Houten?
  10. Why it was so important for Hazel and Gus to learn what happens after the heroine dies in the An Imperial Affliction?

Part 2:  Family Story Discussion Still Alice

The rest of the focus for this week is the Still Alice book or movie discussion. Below, you’ll find a list of questions to jump start the discussion. You don’t need to answer all of the questions. This is meant to be a free-flowing conversation, and I expect each of you will add your questions throughout the discussion.

Each of you can tell us how you experienced the story, and pick one of the questions below to answer if these help focus your thoughts.

Participate in a book discussion by choosing and answering one of the questions below. 

  1. Why do you think the author named the book “Still Alice?”
  2. How is Alzheimer’s not only Alice’s diagnosis but also her family’s?
  3. How does Alzheimer’s affect roles in a household? 
  4. Why do you think the author wrote the book from third person narrative, taking away from the personal connection? 
  5. Or, write your own question related to the novel and answer it.

Strategic Visioning With Stakeholders

Introduction

The implementation and success of a strategic plan depends on the support of key stakeholders. This in turn depends on your ability to communicate clearly and persuasively with decision makers and to sell your vision of the future. You must also be able to lead the initiative and sustain strategic direction. This assessment provides you with an opportunity to showcase your strategic thinking and exercise the communication skills necessary to move your strategic plan forward toward implementation.

Note: In this assessment, you will develop a presentation to stakeholders for the strategic plan you developed in Assessment 2.

Preparation

Your strategic plan has been reviewed, and you have been asked to present your plan—including operational recommendations and strategic control mechanisms—at a strategic visioning session with key stakeholders (senior leaders if your plan is organization-wide, community leaders if your plan is for a community health project, or the nurse manager of a specific department or team). This session is the next step in moving your plan toward implementation.

Your deliverable for this assessment is a slide deck of 10-20 slides to supplement your presentation and facilitate discussion of your plan. You may use Microsoft PowerPoint or any other suitable presentation software. Please use the notes section of each slide to develop your talking points and reference your sources, as appropriate.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Reflect on the current cultural climate in your care setting.

  • What aspects of the current cultural climate would aid in achieving one or more specific goals contained in your strategic plan?
  • What aspects of the current cultural climate would present a challenge in achieving one or more specific goals contained in your strategic plan?
  • What leadership theories, models, or strategies could help you turn this challenge into an opportunity?

Effectively communicating with internal and external stakeholders and constituencies can help in achieving strategic initiatives.

  • How would you communicate the essential aspects of the strategic plan you developed in Assessment 2 to stakeholders or groups, both internal and external to your care setting?

 

Presentation

  • Summarize your plan for achieving 2-3 main goals. Include corresponding metrics, targets, and initiatives to help achieve the desired quality or safety improvements in the care setting.

Note: It may be useful to think about what you hoped to achieve in addressing your care setting’s positive core or specific area of concern in Assessment 1. For example:

  • Progress toward achieving the Triple Aim.
  • Better patient safety outcomes.
  • Lower readmission rates.
  • Higher volume of patients and care.
  • Increased financial gain.
  • Minimizing staff burnout.
  • Improved relationship and trust with the community or a specific population.

In addition, remember to consult the literature, research studies, and resources from professional and governmental organizations when developing metrics, targets, and initiatives.

  • Explain how you will communicate your plan to those stakeholders and constituencies who are essential to implementing your plan and sustaining strategic direction.
    • Identify the key individuals or groups with whom you must communicate.
    • Identify the cultural or ethical factors, if any, that are relevant to the design of your communication plan, including how key individuals or groups typically prefer to be contacted.
  • Describe the actions you will take to align your care setting’s structure, systems, shared values, management style, staff, and skills with your strategic goals.
    • Describe the changes that are needed to achieve your goals.
    • Describe the goals and processes for on-boarding relevant individuals or groups.
  • Explain how you will evaluate the success of your strategic plan.
    • Define successful implementation.
    • Describe the successful outcomes for this project.
    • Explain how you will compare outcomes to current performance benchmarks.
    • Explain how you will collect data to evaluate whether you have achieved specific goals and outcomes.
    • Identify your priorities, assuming you cannot accomplish everything.
  • Explain how relevant cultural, ethical, and regulatory considerations influenced the design of your strategic plan and strategies for its implementation.
  • Explain your role, as a nurse leader, in successfully implementing your proposed plan and sustaining strategic direction.
    • Explain how leadership and health care theories support your role.
  • Explain why your leadership qualities and skills will enable you to successfully implement your plan and sustain strategic direction.
    • Explain why you should be the one to lead this initiative.
    • Explain how you have demonstrated some or all of these qualities in past work.

Topic: (End of Life: Physician Assisted Suicide)

1) Discuss the technical aspects of your topic in general terms.

2) Discuss the public policy debates relevant to the topic you choose. This section should cover arguments that favor and oppose the use of the techniques or products.

3) Express your personal opinion regarding the topic’s importance and the validity of the pro and con arguments. Within the personal opinion/conclusion, frame your position with an ethical theory from the six workable theories (Kant, Act Utilitarianism; Rule Utilitarianism; Care Ethics; Virtue Ethics; and Social Contract).

 

HUMANITIES

Competency

Develop a vocabulary for criticizing, evaluating, and describing works of art.

Instructions

For this competency, you will assume the role of a critic. View each piece of work listed below and analyze it as a piece of art, identifying key elements of the work and using terminology common to the discipline. Using a few concise paragraphs for each piece, your analysis should discuss each work as a critic would and include, using the proper vocabulary, what you think the work is about.


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Caring and reflective practice in contemporary nursing

Provide a definition of what person-centered care means to you. Describe how you will apply principles of holistic nursing, cultural humility, and self-reflection in your future role as a nurse practitioner. 

Critical Care Wk 4

 

MY NUMBER ASSIGNED WAS 1 WHICH IS: Pre-Renal & Post Failure
 

Each student will be assigned a number randomly.  Whatever your number is, select the corresponding topic below, then post a minimum of 5 bullet points about the topic.
 

Your bullet points should address key components of the topic, such as what, how, who, & why.  This information should not be basic things you learned in Med/Surg, but rather advanced critical care based.
 

Think about this as a group effort to create a study guide. Use ONLY your textbook, but do not cut & paste from the book.
 

Then create, find, or borrow a test style question about your topic & post at the bottom of your bullet points. The format needs to be multiple choice or select all that apply. Think NCLEX style.
 

PART 2:

 

Part 2:

You will take a few minutes and ask 2 people about their personal coping mechanisms for dealing with the stress of working in healthcare during this unique time of Covid. Stress can be physical, emotional, spiritual, or any combination of triggers. Ask a diverse variety of people, don’t forget those in other departments at different points of hierarchy. For example, ask your unit manager, environmental services, volunteers, patients, fellow nurses, etc. Write 2-3 paragraphs on your findings and impressions while respecting the person’s identity.

emerging populations

Choose two emerging populations, such as Latino/Hispanic Americans, Asian Americans/Pacific Islanders, or Black/African Americans. How do health issues differ between the two populations?

Cardiovascular

Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. 

A 70 year old black American female who has the following
preexisting conditions;

Hypertension (HTN): longterm

Heart failure (CHF) : 2 months

Coronary artery disease (CAD) : longterm

Myocardial infarction (MI) : five years ago

Ejection (EF) of 55% : 2 months ago

Socioeconomic data:

Widow, Lives alone, independent ADL’s, Nonsmoker, Nondrinker

Pharmacologic data:

Aspirin (acetylsalicylic acid, ASA)

Clopidogrel bisulfate (Plavix)

Lisinopril (Prinivil, Zestril)

Carvedilol (Coreg)

Furosemide (Lasix)

Potassium chloride (KCL)

Client Profile:

70 year old woman originally from Alabama. She lives alone and is able to manage herself independently. She is active in her community and church. Diagnosed with heart failure 2 months age and is followed up at home with a visiting nurse every other week for to assist is managing her heart failure symptoms. She is being referred to the nurse practitioner for follow up of changes in her symptoms.

Assessment:

At the office the following subjective and objective data was supplied:

“I noticed my legs were getting a bit bigger and they are achy, too.”

She has gained 10 pounds over the last 5 days.

She gets short of breath when ambulating from one room to the other (approximately 20 feet) and must sit down to catch her breath.

Her oxygen saturation is 95% on room air. Bibasilar crackles are heard when auscultating her lung sounds.

She denies any chest, arm, or jaw pain or nausea.

She denies any back pain, stomach pain, confusion, dizziness, or a feeling faint.

She admits only to feeling a little more tired than usual.

Eats Southern Cooking when at home.

Vital signs :

T= 97.6 F (36.4C), BP 140/70, P 93, R 22.

Labs ordered:

complete blood count (CBC), basic metabolic panel (BMP), brain natriuretic peptide (B-type natriuretic peptide assay or BNP), troponin, creatine kinase (CPK), creatine kinase-MB (CKMB), and albumin. The APN also prescribes oral (PO) Furosemide and arranges an outpatient electrocardiogram (ECG, EKG), chest X-ray, and echocardiogram.

Questions

1. Which assessment findings during this visit are consistent with heart failure?

2. Why did the APN ask about back pain, stomach pain, confusion, dizziness or a feeling that she might faint?

3. Explain what the following terms indicate and include the normal values: cardiac output, stroke volume, afterload, preload, ejection fraction and central venous pressure. Is an ejection fraction of 55% significant. Provide rationale.

5. Discuss the body’s compensatory mechanisms during hear failure. Include an explanation of the Frank-Starling law in your discussion.

6. Heart failure can be classified as left or right ventricular failure, systolic versus diastolic, according to the New York Heart Association (NYHA) and using the ACC/AHA (American Heart Association) guidelines. Explain these four classification systems and the signs and symptoms that characterize each. Which Classification fits this patient?

7. Provide a rationale for why each of the following medications have been prescribed: Aspirin, Clopidogrel bisulfate (Plavix), Lisinopril(Prinivil/Zestril) , and Carvedilol (Coreg).

8. What information will each of the following tests provide: CBC, BMP, BNP, Troponin, CPK, CKMB, and albumin, EKG, CXR, and Echocardiogram