Purpose
The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced nursing practice. Scholarly information obtained from credible sources as well as professional communication are required. Application of information to professional experiences promotes the analysis and use of principles, knowledge, and information learned and related to real-life professional situations. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:

  1. Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care (CO1)
  2. Apply concepts of person-centered care to nursing practice situations (CO2)
  3. Analyze essential skills needed to lead within the context of complex systems (CO3)
  4. Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings (CO4)

 
Requirements:

Discussion Criteria

I.   Application of Course Knowledge: of Course Knowledge:
The student post contributes unique perspectives or insights gleaned from personal experience or examples from the healthcare field. The student must accurately and fully discuss the topic for the week in addition to providing personal or professional examples. The student must completely answer the entire initial question.
II.  Engagement in Meaningful Dialogue: The student responds to a student peer and course faculty to further dialogue.
a. Peer Response: The student responds substantively to at least one topic-related post by a student peer. A substantive post adds content or insights or asks a question that will add to the learning experience and/or generate discussion.

  • A post of “I agree” with a repeat of the other student’s post does not count as a substantive post. A collection of shallow posts does not equal a substantive post.
  • The peer response must occur on a separate day from the initial posting.
  • The peer response must occur before Sunday, 11:59 p.m. MT.
  • The peer response does not require a scholarly citation and reference unless the information is paraphrased and/or direct quotes are used, in which APA style standards then apply.

Faculty Response: The student responds substantively to at least one question by course faculty. The faculty question may be directed to the student, to another student, or to the entire class.

  • A post of “I agree” with a repeat of the faculty’s post does not count as a substantive post. A collection of shallow posts does not equal a substantive post.
  • The faculty response must occur on a separate day from the initial posting.
  • Responses to the faculty member must occur by Sunday, 11:59 p.m. MT.
  • This response does not require a scholarly citation and reference unless the information is paraphrased and/or direct quotes are used, in which APA style standards then apply.

III.  Integration of Evidence: The student post provides support from a minimum of one scholarly in-text citation with a matching reference AND assigned readings OR online lessons, per discussion topic per week.

  1. What is a scholarly resource? A scholarly resource is one that comes from a professional, peer-reviewed publication (e.g., journals and government reports such as those from the FDA or CDC).
    • Contains references for sources cited
    • Written by a professional or scholar in the field and indicates credentials of the author(s)
    • Is no more than 5 years old for clinical or research article
  2. What is not considered a scholarly resource?
    • Newspaper articles and layperson literature (e.g., Readers Digest, Healthy Life Magazine, Food, and Fitness)
    • Information from Wikipedia or any wiki
    • Textbooks
    • Website homepages
    • The weekly lesson
    • Articles in healthcare and nursing-oriented trade magazines, such as Nursing Made Incredibly Easy and RNMagazine (Source: What is a scholarly article.docx; Created 06/09 CK/CL Revised: 02/17/11, 09/02/11 nlh/clm)
  3. Can the lesson for the week be used as a scholarly source?
    • Information from the weekly lesson can be cited in a posting; however, it is not to be the sole source used in the post.
  4. Are resources provided from CU acceptable sources (e.g., the readings for the week)?
    • Not as a sole source within the post. The textbook and/or assigned (required) articles for the week can be used, but another outside source must be cited for full credit. Textbooks are not considered scholarly sources for the purpose of discussions.
  5. Are websites acceptable as scholarly resources for discussions?
    • Yes, if they are documents or data cited from credible websites. Credible websites usually end in .gov or .edu; however, some .org sites that belong to professional associations (e.g., American Heart Association, National League for Nursing, American Diabetes Association) are also considered credible websites. Websites ending with .com are not to be used as scholarly resources

IV.  Professionalism in Communication: The post presents information in logical, meaningful, and understandable sequence, and is clearly relevant to the discussion topic. Grammar, spelling, and/or punctuation are accurate.
V.  Wednesday Participation Requirement: The student provides a substantive response to the graded discussion question(s) or topic(s), posted by the course faculty (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.
VI.  Total Participation Requirement: The student provides at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.
Application of Course Knowledge:  Answers the initial discussion question(s)/topic(s), demonstrating knowledge and understanding of the concepts for the week.
Integrity of evidence: Assigned readings OR online lesson AND at least one outside scholarly source are included. The scholarly source is:
1) evidence-based, 2) scholarly in nature, 3) published within the last 5 years
Resources:
DeNisco, S.M., & Barker, A. M. (2015). Advanced practice nursing: Essential knowledge for the profession (3rd ed.).
American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). American Psychological Association.

  • Examine Case 2: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical, as well as mental factors that might impact the client’s diagnosis and treatment.
  • At each Decision Point stop to complete the following:
  • Decision #1: Differential Diagnosis
  • Which Decision did you select?
  • Why did you select this Decision?  Support your response with evidence and references to the Learning  Resources.
  • What were you hoping to achieve by       making this Decision? Support your response with evidence and references       to the Learning Resources.
  • Explain any difference between what       you expected to achieve with Decision #1 and the results of the Decision.       Why were they different?
  • Decision #2: Treatment Plan for      Psychotherapy
  • Why did you select this Decision?       Support your response with evidence and references to the Learning       Resources.
  • What were you hoping to achieve by       making this Decision? Support your response with evidence and references       to the Learning Resources.
  • Explain any difference between what  you expected to achieve with Decision #2 and the results of the Decision.       Why were they different?
  • Decision #3: Treatment Plan for  Psychopharmacology
  • Why did you select this Decision?   Support your response with evidence and references to the Learning       Resources.
  • What were you hoping to achieve by  making this Decision? Support your response with evidence and references       to the Learning Resources.
  • Explain any difference between what you   expected to achieve with Decision #3 and the results of the decision. Why  were they different?
  • Also include how ethical considerations might impact your treatment plan and communication with clients and their family.
For this discussion, respond to the following:
All of our readings this week suggest that successful leaders communicate in ways that add clarity to chaos. This practice is often termed “crisis comms” when it is in response to a particularly negative event, but it can also be the work of a visionary spokesperson who wants to lead their workplace (or society) in a new and exciting direction. What techniques from our previous units – modes of inspiration, critique, etc – might be most successful when you are encouraging change in a workplace (or in a culture)? Give examples.
Your initial post must be at least 250 words
Website: https://openstax.org/books/organizational-behavior/pages/16-3-managing-change
https://openstax.org/books/organizational-behavior/pages/12-9-leadership-needs-in-the-21st-century
  • attachment

    The_Language_of_Leaders_How_Top_CEOs_Communicate_t…_—-_Part_Two_The_fundamentals.pdf

As an early childhood educator, you will be an advocate for children’s needs. As such, you should gather various resources to assist families as they nurture their child’s cognitive, social, emotional, physical, and linguistic growth.
For this assignment, create a 15-20 slide digital presentation, including slides for the title page, presenter’s notes, and references, based on the following scenario:
The child care center where you teach has hired several new teachers. Your child care director has asked you to create a digital presentation  for the new teachers to increase their awareness of various family structures they will see at the center, strategies to get families involved, and agencies at the community, state, and national level that can support families to engage in and enhance the development of their young children.
As you are developing your presentation, keep in mind that your audience has had little exposure to being a classroom teacher.
Include the following:
· Explanation of three different family structures they may encounter in the child care center (single parent family, extended family, military family, blended family, etc.).
· For each family structure, a description of two traumatic or stressful situations that may occur (there may be some overlap).
· For each traumatic or stressful situation described above, provide 1-2 instructional strategies  to assist these children in their growth and development.
· At least 2-3 strategies to encourage family involvement.
· Explanation of at least three local, state, or national resources   available to support family structures, stress, trauma, and special family circumstances that affect learner development.
Support your presentation with 3-5 scholarly resources.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

A woman went to the emergency room for severe abdominal cramping. She was diagnosed with diverticulitis; however, as a precaution, the doctor ordered a CAT scan. The CAT scan revealed a growth on the pancreas, which turned out to be pancreatic cancer—the real cause of the cramping.
Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time-consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen.

In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

Abdominal Assessment

SUBJECTIVE:

  • CC: “My stomach hurts, I have diarrhea and nothing seems to help.”
  • HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.
  • PMH: HTN, Diabetes, hx of GI bleed 4 years ago
  • Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs
  • Allergies: NKDA
  • FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD
  • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

OBJECTIVE:

  • VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Skin: Intact without lesions, no urticaria
  • Abd: soft, hyperctive bowel sounds, pos pain in the LLQ
  • Diagnostics: None

ASSESSMENT:

  • Left lower quadrant pain
  • Gastroenteritis
  • PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

To prepare:

With regard to the SOAP note case study provided:

  • Review this week’s Learning Resources, and consider the insights they provide about the case study.
  • Consider what history would be necessary to collect from the patient in the case study.
  • 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.

To complete:

  1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  2. Analyze the objective portion of the note. List additional information that should be included in the documentation.
  3. Is the assessment supported by the subjective and objective information? Why or Why not?
  4. What diagnostic tests would be appropriate for this case and how would the results be used to make a diagnosis?
  5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.

Purpose

The purpose of this paper is to describe the community health nursing role of the home health nursing in the community setting of your choice. Health promotion nursing interventions and a professional nursing organization related to this role will also be examined.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

  • CO5: Analyze the nursing roles in providing comprehensive care in a variety of community health settings. (PO 1)
  • CO6: Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO 2)

Direcctions

  1. The role for this paper must be on Home Health Nursing (not  including hospice).
  2. Click to view and download the NR443 Community Settings APA Template (Links to an external site.)Links to an external site. to complete your paper. The template is formatted with the appropriate running head, title page, page numbers, paragraph formatting, and most of the headings. Please edit the headers and title page with your specific information. You are also encouraged to view the Week 4 assignment tutorial found at the end of the Academic Integrity Reminder.
  3. Read the chapter of your textbook on the role and take notes based on the outline below.
  4. Locate and read at least one scholarly peer-reviewed journal article that is not assigned in the course related to a nurse’s role in health promotion in this setting. Go to the Chamberlain library at http:/library.chamberlain.edu (Links to an external site.)Links to an external site.. Search peer reviewed journals to find a scholarly article on this topic. The article must be less than 10 years old (less than 5 years is best).
  5. Thoroughly address the following categories using the APA Template that is provided.
  • Introduction (one paragraph):
  • The introduction should be interesting and capture the reader’s attention.
  • Introduce the assigned community health nurse role and a community setting where this nurse may work.
  • Introduce your community and where/how this CHN role is utilized in your community
  • Identify population(s) served by this role in your community
  • Include a purpose statement
  • Community Setting (two to three paragraphs)
  • Describe a practice setting for the assigned CHN role.
  • Describe the population(s) served in this setting.
  • Discuss three health services provided by the assigned CHN role in this setting.
  • You may use your textbook or an outside scholarly source to address these sub-points.
  • Health Promotion Nursing Intervention (two to three paragraphs) 
  • Describe in detail health promotion intervention(s) of the assigned CHN role specific to the community setting identified.
  • Identify people/organizations/community members this CHN role may collaborate with in health promotion interventions.
  • Include one peer-reviewed journal article discussed that clearly relates to nursing health promotion intervention.
  • Professional Nursing Organization (two paragraphs)
  • Provide a detailed description of a professional nursing organization that supports nurses in this role in your own words. Search the text, your article, or the Internet for one professional organization that supports nurses in this role. If you can’t find an organization specific to this group, search the American Nurses Association (ANA) website for information on this role. Cite the organization in the body of the text with (organization name, year), and include a complete reference on the reference page.
  • Discuss one professional issue that this organization is addressing related to this CHN role.
  • Summary (one paragraph)

The summary reiterates key points about:

  • The CHN role and community setting
  • Health promotion intervention
  • Professional organization
  • Includes a concluding statement.
  • Reference Page:The reference page should start on a new page (insert a page break). All references should be cited within the body of the paper as (author or organization, year), and the full reference should be included in APA format on the reference page. A URL link alone is not an adequate reference. See the Chamberlain Guidelines for Professional Writing in the APA Folder in Course Resources for examples of properly formatted references.

Discussion: Descriptive Statistical Processes

Assignment 1: Descriptive Statistical Processes
Can descriptive statistical processes be used in determining relationships, differences, or effects in your research question and testable null hypothesis? Why or why not? Also, address the value of descriptive statistics for the forensic psychology research problem that you have identified for your course project.
Click here to read an article for additional information on descriptive statistics and pictorial data presentations.
Post your response in a minimum of 300 words.
All written assignments and responses should follow APA rules for attributing sources.

Assignment
1:
Descriptive
Statistical
Processes
Can descriptive statistical processes be used in determining relationships,
differences, or effects in your research question and testable null
hypothesis? Why or why not? Also, address the value of descriptive
statistics for the forensic psychology resear
ch problem that you have
identified for your course project.
Click
here
to read an article for additional information on descriptive
statistics and pictorial data presentations.
Post your response in a minimum of 300 words.
All written assignments and responses should follow APA rules for
attribut
ing sources.
Assignment 1: Descriptive Statistical
Processes
Can descriptive statistical processes be used in determining relationships,
differences, or effects in your research question and testable null
hypothesis? Why or why not? Also, address the value of descriptive
statistics for the forensic psychology research problem that you have
identified for your course project.
Click here to read an article for additional information on descriptive
statistics and pictorial data presentations.
Post your response in a minimum of 300 words.
All written assignments and responses should follow APA rules for
attributing sources.

Power Point Nursing

Guidelines and Grading Rubric

Purpose

The purpose of this assignment is to demonstrate the skills of the professional nurse as an educator. You are to prepare a guide that will serve as a handout to assist a specific patient that you identify. Your guide or handout should help this patient find and evaluate a reliable mobile health, or mHealth application (app) that is already developed. This may be related to his or her disease process or diagnosis, or may be an app that can help a patient maintain or improve good health, and prevent illness.

You will develop the guide using Microsoft PowerPoint. PowerPoint is a versatile application that lets you design slideshows and handouts. For this assignment, you will be using PowerPoint to create a guide or handout that you may print and give to patients and families. You will be submitting this PowerPoint file to the Dropbox.

Course Outcomes

This assignment enables the student to meet the following Course Outcome.

CO#1: Describe patient-care technologies as appropriate to address the needs of a diverse patient population. (PO#1)

CO#5: Identify patient care technologies, information systems, and communication devices that support safe nursing practice. (PO#5)

Points

This assignment is worth a total of 175 points.

Due Date

The Patient Education Technology Guide to a Mobile Health Application PowerPoint assignment is due at the end of Week 2. Submit your completed assignment to the Dropbox by Sunday; 11:59 p.m. MT. You may consult the Policies, under the Course Home tab, for details regarding late assignments. Late assignments will result in loss of points. Post questions about this assignment in the Q & A discussion.

Directions

Use Microsoft PowerPoint to create slides, which will be the basis of the guide or handout. You are required to cite your source(s) as it relates to your application slide. Other citations are permitted, but this is not a requirement for the assignment.

·       Title slide (first slide): Include a title slide with your name and title of the presentation.

·       Scenario Slide (one slide): This slide should include a brief scenario, then identify a patient who is experiencing a specific disease process or diagnosis who would benefit from an already developed and reliable mHealth app. Or, identify a person is currently healthy and would like to maintain or improve health and prevent illness. Be sure to include the nurse’s assessment of the patient’s learning needs and readiness to learn. Be specific.

Example:

Scenario for Ms. Ellis

Jane Doe (your name here)

·       Jennifer Ellis, a 62-year-old African American who has been recently diagnosed with chronic kidney disease (CKD). She has been prescribed several medications she must take every day.

·       The nephrologist has stressed the importance of leading a healthy life style to slow or stop the progression of CKD.

·       She is interested in ways in which she can better track her health and make healthier choices.

·       She is a high school graduate and iPhone user, mostly to send text messages to family and friends.

·       She is eager to learn how to use an app that can help her manager her CKD.

Prepare the following slides as if you are presenting them to the patient.

·       mHealth Application Slide (one to three slides): Identify a developed and reliable mHealth app that could benefit the patient. Describe the app including its:

·       Name

·       Purpose

·       Intended audience

·       Mobile device(s) upon which it will operate

·       Where to download or obtain it. Include a working link if it is to be downloaded from a website.

·       And any other information you believe would be pertinent to this situation.

·       Sources that are used are cited.

·       Teaching Slides (one to three slides): Prepare slides that contain important points about the app that you want to teach to the patient such as: how to use the app safely and effectively including how to interpret and act on the information that is provided.

·       Evaluation Slide (one to three slides): Describe how you would determine the success of the patient’s use of this app. For example, include ways to evaluate the effectiveness of the teaching plan that are a good fit for the type of app or focus on specific ways that this app benefits the patient’s health and wellness.

·       References (last slide): List any references for sources that were used or cited in the presentation.

Writing and Design: There should be no spelling or grammatical errors. Writing is concise and clear. Avoid words that the patient may not understand. Slides are visually appealing incorporating graphics, photographs, colors, and themes.

Review the section on Academic Integrity Policy found in the RNBSN Policies. All work must be original (in your own words) unless properly cited.

Best Practices in Preparing PowerPoint Slideshows

·       Be creative, but realistic.

·       Incorporate graphics, color, themes, or photographs to increase interest.

·       Make easy to read with short bullet points and large font.

·       Review directions thoroughly.

·       Cite all sources within the slides with (author, year) as well as on the Reference slide.

·       Proofread prior to final submission.

·       Spell check for spelling and grammar errors prior to final submission.

·       Abide by the Chamberlain academic integrity policy.

·       Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found under the Special Courses list in Canvas.

Grading Criteria

Case Presentation:L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5’4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb. Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with Lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated. One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of micro-albumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes and HTN.Subjective data reveals that she is experiencing increased exertional SOB. She expresses concern because when this happens it takes her awhile to get her breath back to normal. Denies any pain or dizziness with these episodes.Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm. Otherwise exam is unremarkable.CC: “I am more short of breath when walking up stairs than I used to be”.

Questions NEED TO BE ABOUT 3-4 SENTENCES BUT THOROUGH ANSWERS

1. What are the effects of controlling BP in people with diabetes?

2. What is the target BP for patients with diabetes and hypertension?

3. Which antihypertensive agents are recommended for patients with diabetes?

4 What testing does this woman need ordered due to her change in status both SHORTNESS OF BREATH and BLOOD PRESSURE? (USE CASE STUDY ABOVE FOR THIS QUESTION)

5. What is the significance of microalbuminuria in this woman? How does this affect her cardiovascular risk?

Write this case study up as a clinical note including all elements of plan of care regarding issues presented in the case.

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered. For this assignment, make sure you post your initial response to theDiscussion Area by the due date assigned and complete your participation for this assignment by Day 7. To support your work, use your course and text readings and also use resources from the South University Online Library.As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template
TASK
Post your initial response to one of the two topics below.
Topic 1: Health Promotion

  • Using one of the health issues identified for your community, discuss health promotion areas at two of the three levels primary, secondary, or tertiary promotion.

Topic 2: Poverty and Community

  • What is the poverty level in your community?
  • How many people live below the poverty level in your community?
  • What does this mean for your community (what issues arise from the poverty level and the number of people below the poverty level)?
  • Justify your answers with resources.