Nursing Leadership and Management

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Instructions
Write a 3–4 page evidence-based resourcing plan for one component of the Heart Failure Clinic.
It is important for the nurse leader to have not only a basic understanding of the budget process, but to understand how to work with variances
in staffing, patient loads, and supply costs in order to meet the needs of the patients, without compromising the funding process of the clinic.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment
criteria:
Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to
improve health care delivery and patient outcomes.
Apply evidence-based management strategies and best practices for resourcing health care services.
Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.
Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.
Apply legal and professional standards for resourcing outpatient services.
Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.
Reference
Kelly, P., & Tazbir, J. (2014). Essentials of nursing leadership and management (3rd ed.). Clifton Park, NY: Delmar.

Hospice and Palliative Care Assignment

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 Hospice and Palliative Care (150-word min response)
In this week’s discussion you will share the hospice and palliative care resources available in your area. You will explore the referral process and what services are typically covered by hospice in the area where you live and will potentially practice as a human service professional. It is recommended that you call the facility and speak to staff directly but if that is not possible, their website can be used instead
Please respond to the following:

  • Identify the hospice and/or palliative care resource you have selected. Include the location, phone number, website, and a brief reason why you selected this agency.
  • What is the referral process of the agency?
  • What is the criteria for receiving hospice care? Do they also provide palliative care?
  • What does a hospice team look like in their agency (doctor, social worker, nurse, etc.)?
  • Is this an area you see yourself working in? Why or why not?

PART 2: (125-word min response)
Pediatric conditions are often some of the most difficult cases to treat due to the complex emotional aspects, varying physical attributes between patients, and the degree of involvement from the family or support team. Therefore, it is always important to remain professional while providing consistent compassionate care.   Each of the following diseases or disorders have varying dietary implications.
Please choose ONE disease/condition from below and briefly summarize medical aspects & common symptoms.

  • Prader-Willi
  • Autism
  • Cerebral Palsy
  • Down’s Syndrome

Then, address each of the following topics:

  • Are there any weight issues associated with the disease/condition? What does the research say?
  • Does the disease alter GI tract function (digestion or absorption)? What is recommended?
  • What feeding or meal consumption challenges/ issues may exist in children with this condition? Recommendations? (may include theories here)
  • Does the disease/condition alter overall calorie/protein requirements?
  • Does the disease or condition raise the risk of other nutrition associated side effects or chronic diseases (i.e. diabetes, heart disease, alzheimers)? Can the risk be reduced?

Nursing Care Plan for Compartment Syndrome of Fracture of Ankle

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Nursing Care Plan for Compartment Syndrome of Fracture of Ankle

Instruction 
Complete attached template

Problem/PICOT/Evidence Search (PPE) Worksheet

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Directions
Read over each of the following directions.
You must read the Assignment Practice Scenario below before completing the PPE Worksheet.
Download and use the required PPE Worksheet
(Links to an external site.)
.
Review the information provided in our library of how to search for journal articles here
(Links to an external site.)
.
Review the information provided in our library of how to locate and copy a journal permalink
(Links to an external site.)
.
You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013
(or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word
Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the
student portal at http://my.chamberlain.edu
(Links to an external site.)
. Click on the envelope at the top of the page.
Complete each section of the Problem/PICOT/Evidence (PPE) Worksheet. For the Clinical PICOT Question, use the NR439_Guide for writing
PICOT Questions and Examples.N439_Guide for writing PICOT Questions and Examples
(Links to an external site.)
Use one of the templates/guides to write your Clinical PICOT Question using all of the PICOT elements. Be sure to include the PICOT letters in
your question.
Be sure to use the PPE grading rubric to make certain you are meeting all grading criteria of the PPE Worksheet.
Use correct grammar, spelling, punctuation, and in-text APA formatting.
Submit the completed PPE Worksheet on the Week 3 Assignment page.
Students, A short tutorial with tips for completing the Week 3 Problem/PICOT/Evidence Search (PPE) worksheet assignment may be viewed
here.

Role of the RN/APRN in Policy Evaluation

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Part 1
Discussion: The Role of the RN/APRN in Policy Evaluation
(1 page, with 3 sources)
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, why not with government and regulatory agencies?
In this Discussion, you will reflect on the role of professional nurses in policy evaluation.
Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.
Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
Part 2
Assignment: Assessing a Healthcare Program/Policy Evaluation
(1 page, with 3 sources)
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.
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: (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.

Healthcare Program/Policy Evaluation Analysis Template
Use this document to complete the Module 5 Assessment Assessing a Healthcare Program/Policy Evaluation

Healthcare Program/Policy Evaluation   
Description  
 
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?   
 
 
 
 
 
 
 
 
What data was used to conduct the program or policy evaluation?   
 
 
 
 
 
 
 
 
 
What specific information on unintended consequences were 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 one year of implementation.   
 
 
 
 
 
 
 
 
 
 
General Notes/Comments  
 
 
 
 
 
 
 
 
 
 

 

Psychology: Treatment for Mental Disorders

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Required: 
Write a thoughtful response to the question, “Why is it that some people who need mental health help choose not to seek it?”
The paper for the class is to write a thoughtful response to the question, “Why is it that some people who need mental health help choose not to seek it?”
This paper must be 3 pages long, double spaced, and no larger than 12 font.
Points will be taken off if your paper is shorter than 2 pages.
If you include information from a source, you must cite the information and have a references/works cited page.
You can use whatever format you are comfortable with for the works cited.

Pediatric Nurse Practitioner: Clinical Case Scenario Vignette

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Pediatric Nurse Practitioner: Clinical Case Scenario Vignette,
The purpose of this paper is to address the following clinical scenario with the use of your textbook, external credible literature, and/or reliable electronic sources.
Use the guide below to draft your paper and review the rubric to ensure you have met the assignment criteria.
The expected length of the paper is approximately 4-5 pages, which does not include the cover page and reference page(s).
Lisa Anderson, a 22 y.o., Caucasian single parent, is referred for genetic counseling by her pediatric Nurse Practitioner. She has a 3-year-old boy with developmental delay and small joint hyperextensibility. The pediatric Nurse Practitioner has diagnosed fragile X-associated mental retardation. She is currently pregnant with her second child at 14 weeks of gestation. The family history is unremarkable.

Management of Patients With Complications From Heart Disease Case Study)

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Management of Patients With Complications From Heart Disease Case Study)
1. George Brown, 72 years of age, is a male patient who is admitted with the diagnosis of acute
pulmonary edema secondary to acute left ventricular heart failure. The patient has a history of
coronary artery disease that has been treated medically. The patient is anxious, pale, cold, clammy, and dyspneic. The vital signs are: blood pressure 88/50 mm Hg, heart rate 110 bpm,
respiratory rate 32 breaths/min, and temperature 97°F. There are bubbling crackles and
wheezing throughout the lung fields and the patient is raising frothy blood-tinged clear sputum.
The patient’s admission weight is 100 kg.
What first actions should the nurse take and what are the rationales for these actions?
The physician ordered furosemide (Lasix) 40 mg IVP STAT.
What are the actions of furosemide that will help the patient?
What nursing actions should be implemented when administering a diuretic?
2. Carl Edwards is a 75-year-old man with congestive heart failure. Having sustained three
myocardial infarctions in the last 10 years, he has decreased left ventricular function. Mr.
Edwards takes Digoxin, Capoten, Coreg, and Lasix for management of this disease. Today he
presents to the emergency department with fatigue, generalized weakness, and feelings of
“skipping” heartbeats. Upon arrival, he is placed on the cardiac monitor, his vital signs are
assessed, and an IV is inserted. He currently denies chest pain, but is experiencing some
shortness of breath, and is placed on 2 L of oxygen via nasal cannula.
Which of his medications might be contributing to his symptoms of generalized weakness and
heart irregularities?
For what clinical manifestations should you assess to correlate to his left-sided heart failure?
How do his medications treat his congestive heart failure?
How does the hypokalemia affect the effects of Digitalis?

Management of Patients With Complications From Heart Disease Case Study)

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Management of Patients With Complications From Heart Disease Case Study)
1. George Brown, 72 years of age, is a male patient who is admitted with the diagnosis of acute
pulmonary edema secondary to acute left ventricular heart failure. The patient has a history of
coronary artery disease that has been treated medically. The patient is anxious, pale, cold, clammy, and dyspneic. The vital signs are: blood pressure 88/50 mm Hg, heart rate 110 bpm,
respiratory rate 32 breaths/min, and temperature 97°F. There are bubbling crackles and
wheezing throughout the lung fields and the patient is raising frothy blood-tinged clear sputum.
The patient’s admission weight is 100 kg.
What first actions should the nurse take and what are the rationales for these actions?
The physician ordered furosemide (Lasix) 40 mg IVP STAT.
What are the actions of furosemide that will help the patient?
What nursing actions should be implemented when administering a diuretic?
2. Carl Edwards is a 75-year-old man with congestive heart failure. Having sustained three
myocardial infarctions in the last 10 years, he has decreased left ventricular function. Mr.
Edwards takes Digoxin, Capoten, Coreg, and Lasix for management of this disease. Today he
presents to the emergency department with fatigue, generalized weakness, and feelings of
“skipping” heartbeats. Upon arrival, he is placed on the cardiac monitor, his vital signs are
assessed, and an IV is inserted. He currently denies chest pain, but is experiencing some
shortness of breath, and is placed on 2 L of oxygen via nasal cannula.
Which of his medications might be contributing to his symptoms of generalized weakness and
heart irregularities?
For what clinical manifestations should you assess to correlate to his left-sided heart failure?
How do his medications treat his congestive heart failure?
How does the hypokalemia affect the effects of Digitalis?

Management of Patients With Chest and Lower Respiratory Tract Disorders (Case Study)

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Management of Patients With Chest and Lower Respiratory Tract Disorders (Case Study)
Management of Patients With Chest and Lower Respiratory Tract
Disorders
1. Harry Smith, 70 years of age, is a male patient who is admitted to the medical-surgical unit
with acute community-acquired pneumonia. He was diagnosed with paraseptal emphysema 3 years ago. The patient smoked cigarettes one pack per day for 55 years and quit 3 years ago.
The patient has a history of hypertension, and diabetes controlled with oral diabetic agents. The
patient presents with confusion as to time and place. The family stated that this is a new change
for the patient. The admission vital signs are as follows: blood pressure 90/50 mm Hg, heart rate
101 bpm, respiratory rate 28 breaths/min, and temperature 101.5°F. The pulse oximeter on room
air is 85%. The CBC is as follows: WBC 12,500, platelets 350,000, HCT 30%, and Hgb 10 g/dL.
ABGs on room air are pH 7.30, PaO2 55, PaCO2 50, HCO3 25. Chest x-ray results reveal right
lower lobe consolidation, presence of apical bullae, flattened diaphragm, and a small pleural
effusion in the right lower lobe. Lung auscultation reveals severely diminished breath sounds in
the right lower lobe and absence of breath sounds at the base. The breath sounds in the rest of
the lungs are slightly decreased. The patient complains of fatigue and shortness of breath and
cannot finish a short sentence before the respiratory rate increases above the baseline and his
nail beds and lips turn a bluish tinge and the pulse oximetry decreases to 82%. The patient is
diaphoretic and is using accessory muscles. The patient coughs weakly, but he does not raise
any sputum. (Learning Objective 3)
What nursing assessment findings support the diagnosis of pneumonia?
What diagnostic findings support the diagnosis of pneumonia?
What NANDA nursing diagnoses should the nurse formulate for the patient?
What goals should the nurse develop for the patient?
What overall interventions should the nurse provide?
2. Marie Perez, a 53-year-old patient, is day 1 after a gastric bypass. She complains of shortness
of breath; her respiratory rate is 30 breaths/min, heart rate is 110 bpm, pulse oximetry 89% on
room air, temperature is 100°F, and her blood pressure is 90/50 mm Hg. She complains of
feeling anxious and having stabbing chest pain which gets worse with inspiration. She complains
that she feels like she is going to pass out or possibly die.
(Learning Objective 7)
What could possibly be going on with the patient and what measures should the nurse provide
immediately?
What risk factors does the patient have for a pulmonary embolus?
What measures are appropriate to manage a pulmonary embolism?
What measures are appropriate to help the patient in this case study prevent the reoccurrence of
a pulmonary embolism?