NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Conditions of the Eye, Ear, Nose, and Throat

Symptoms of eye, ear, nose, and throat (EENT) conditions are among the most common complaints for patients. When patients with EENT conditions reach the level of acuity necessary for inpatient care, proper diagnosis can be challenging, because many EENT symptoms can be associated with multiple conditions. As the advanced practice nurse, you must be able to differentiate symptoms and recognize typical and atypical presentations of EENT conditions.

This week, you will examine limitations and challenges of clinical practice. Then, as you study patient presentations of EENT conditions in acute care settings, you will explore strategies for assessing, diagnosing, and treating patients with these conditions. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Learning Objectives

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By the end of this week, students will:
  • Analyze limitations and challenges of clinical practice
  • Evaluate patients with eye, ear, nose, and throat conditions
  • Develop differential diagnoses for patients with eye, ear, nose, and throat conditions
  • Develop treatment plans for patients with eye, ear, nose, and throat conditions

Photo Credit: Ariel Skelley/Blend Images/Getty Images


Learning Resources

Required Readings

Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F.A. Davis Company.
 

  • Section 5, “Head: Eyes, Ears, Nose, and Mouth”
    • Chapter 68, “Audiometry Testing”
    • Chapter 70, “Tympanometry”
    • Chapter 71, “Visual Function: Evaluation (Snellen, Illiterate E) Procedures—Eyes”
    • Chapter 76, “Eyebrow Laceration Repair”
    • Chapter 77, “Eyelid Eversion Procedures: Ears/Nose”
    • Chapter 79, “Cerumen Impaction Removal: Irrigation of the Ear and Curette Technique”
    • Chapter 80, “Ear Piercing”
    • Chapter 88, “Tooth Avulsion and Fracture”

Papadakis, M. A., McPhee, S. J., & Rabow, M. W. (2018). Current medical diagnosis & treatment (57th ed.). New York, NY: McGraw Hill. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

  • Chapter 7, “Disorders of the Eyes & Lids” (pp. 170-204)
  • Chapter 8, “Ear, Nose, & Throat Disorders” (pp. 205-245)

Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F.A. Davis Company.
 

  • Chapter 5, “EENT Imaging” (pp. 105–123)

American Association for Clinical Chemistry. (2014b). Lab tests online: Test index. Retrieved from http://labtestsonline.org/map/aindex

Family Practice Notebook. (2014). Nasal packing. Retrieved from http://www.fpnotebook.com/ent/Procedure/NslPckng.htm

Johns Hopkins Medicine. (2007). Understanding your audiogram. Retrieved from http://www.hopkinsmedicine.org/hearing/hearing_testing/understanding_audiogram.html

University of Texas Medical Branch. (n.d.). Tympanometry. Retrieved Noveember 25, 2014, from http://www.utmb.edu/pedi_ed/aom-otitis/tympanometry/tympanometry.htm

Overgaard, C. B., & Dzavik, V. (2008). Inotropes and Vasopressors: Review of Physiology and Clinical Use in Cardiovascular Disease. Circulation , 118: 1047-1056. Copyright 2008 by Llippincott Williams & Wilkins – Journals. Reprinted by permission of Llippincott Williams & Wilkins – Journals via the Copyright Clearance Center.

Document: Midterm Exam Study Guide

Required Media

i-Human Patient Cases. (2014). Retrieved from https://ih2.i-human.com/users/sign_in

MDforAll. (2010, September 11). Frontal sinus transillumination [Video file]. Retrieved from http://www.youtube.com/watch?v=8Lo3bENDqzs

MDforAll. (2010, September 11). Maxillary sinus transillumination [Video file]. Retrieved from http://www.youtube.com/watch?v=Z-CYWdc73IQ. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Optional Resources

Godara, H., Hirbe, A., Nassif, M., Otepka, H., & Rosenstock, A. (2014). The Washington manual of medical therapeutics (34th ed.). Baltimore, MD: Lippincott Williams & Wilkins.

Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F.A. Davis.

The nursing field requires professionals to be committed to life-long learning and growth. Because a large part of this learning and growth is achieved through clinical experiences, it is invaluable for advanced practice nurses to be able to apply knowledge recently gained from clinical experiences to new situations. By collaborating with colleagues and sharing these experiences and knowledge, advanced practice nurses can further enhance their professional competency.
This week in order to demonstrate collaborative learning; discuss a situation in your acute hospital experience of a collaboration that occurred. Reflect on the experience and the impact it had on your care of this patient. How will this experience possibly impact you in your future practice with these type of patients? What are some limitations and challenges you encountered during this clinical experience?
To prepare:

  • Reflect on this week’s clinical experiences.
  • Consider one limitation or challenge you encountered.
  • Think about how you overcame this limitation or challenge and how this might impact your future practice in acute care settings.

By Day 3

Post a description of at least one limitation or challenge you encountered during your clinical experience this week. Explain how you overcame this limitation or challenge and how this might impact your future practice. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers
Read a selection of your colleagues’ responses.

By Day 6

Respond to two colleagues by sharing additional insights or alternative perspectives.

Discussion Part II: Pharmacology

To Prepare:
Read the following article to enhance your knowledge on commonly prescribed medications:

Overgaard, C. B., & Dzavik, V. (2008). Inotropes and Vasopressors: Review of Physiology and Clinical Use in Cardiovascular Disease. Circulation, 118: 1047-1056. Copyright 2008 by Llippincott Williams & Wilkins – Journals. Reprinted by permission of Llippincott Williams & Wilkins – Journals via the Copyright Clearance Center.

All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.
Antiemetic:

  • Zofran
  • Kytril
  • Phenergan;

Positive Inotropes:

  • Digoxin

Catecholamines:

  • Dobutamine
  • Dopamine
  • Epinephrine
  • Norepinephrine
  • Vasopressin

Nitroglycerine;

  • Amrinone
  • Midodrine
  • Milrinone

Note: When sharing your initial post, select a topic that has not yet been discussed. If all topics have been discussed, then you may select that topic again, but select a different drug within the medication group.

By Day 3

For this Discussion, address 1 of the following options:

Option 1

Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose.

Option 2

Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication?

Option 3

Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Describe a patient to whom you would prescribe this medication. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Note: To be considered as one of your required responses, your pharmacology rationale must include a supporting reference.

Submission and Grading Information

Grading Criteria

Week 3 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 3 Discussion


Assignment: Assessing, Diagnosing, and Treating EENT Conditions

Many EENT conditions have common symptoms and are often the result of underlying health disorders. Therefore, to ensure proper diagnosis, it is essential for advanced practice nurses to perform comprehensive assessments when patients present with EENT complaints. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat patients presenting with EENT conditions.
To prepare:

  • Review this week’s Learning Resources. Consider how to assess, diagnose, and treat conditions of the eye, ear, nose, and throat.
  • Review this week’s i-Human case studies. Based on the patient information provided, think about the health history you would need to collect from the patient
  • Consider what physical exams and diagnostic tests would be appropriate to help you gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers
  • Identify three to five possible conditions to consider in a differential diagnosis for the patient.
  • Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
  • Reflect on a treatment plan for the patient that includes health promotion and patient education strategies.

To complete:
As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Patients Case Player Student Manual in the Week 1 Learning Resources.
NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

 

Novice Competent Proficient
HPI statement
(0%) – 5 (5%)
Poorly written HPI statement. Incomplete ideas and sentences. Lacks basic history taking skills
(6%) – 10 (10%)
Well written HPI statement but may be missing 1-2 key components from the history
11 (11%) – 15 (15%)
Clearly written HPI statement with comprehensive information gathering from case questions.
Objective testing and physical exam
(0%) – 5 (5%)
Poorly written physical examination. May be missing 3 or more key exam findings that are critical to patient’s diagnosis. Includes 3 or more inappropriate exams or tests.
(6%) – 10 (10%)
Well written physical examination but may be missing 1-2 key exam findings critical to patient’s diagnosis. May include 1-2 unnecessary exams or tests.
11 (11%) – 15 (15%)
Clearly written physical examination covering all critical components of a focus exam. Tests that are ordered are appropriate for patient and cost effective.
Assessment
(0%) – 10 (10%)
Differential diagnosis list too brief and inconclusive. May be missing 3 or more critical components. Priority list may be out of order. Primary diagnosis may be wrong.
11 (11%) – 19 (19%)
Well written differential diagnoses. May be missing 1-2 critical components. Correct primary diagnosis identified.
20 (20%) – 25 (25%)
Clearly written differential diagnoses. Primary diagnosis identified.
Plan for patient
(0%) – 15 (15%)
Poorly written plan. May be missing 3 or more key issues that are critical to patient’s diagnosis.
16 (16%) – 25 (25%)
Well written plan but may be missing 1-2 key issues critical to patient’s diagnosis.
26 (26%) – 30 (30%)
Clearly written plan covering all critical components for patient’s final diagnosis.
Clinical Questions
(0%) – 10 (10%)
Correctly answered 0-69% of the clinical questions.
11 (11%) – 13 (13%)
Correctly answered 70-89% of the clinical questions.
14 (14%) – 15 (15%)
Correctly answered 90-100% of the clinical questions.

NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

 

Outstanding Performance Excellent Performance Competent Performance Proficient Performance Room for Improvement
Main Posting:
Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.
44 (44%) – 44 (44%)
Thoroughly responds to the discussion question(s)is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.
supported by at least 3 current, credible sources
40 (40%) – 43 (43%)
Responds to the discussion question(s)is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.
75% of post has exceptional depth and breadth
supported by at least 3 credible references
35 (35%) – 39 (39%)
Responds to most of the discussion question(s)is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.
50% of post has exceptional depth and breadth
supported by at least 3 credible references
31 (31%) – 34 (34%)
Responds to some of the discussion question(s)one to two criteria are not addressed or are superficially addressed
is somewhat lacking reflection and critical analysis and synthesis
somewhat represents knowledge gained from the course readings for the module.
post is cited with fewer than 2 credible references
(0%) – 30 (30%)
Does not respond to the discussion question(s)lacks depth or superficially addresses criteria
lacks reflection and critical analysis and synthesis
does not represent knowledge gained from the course readings for the module.
contains only 1 or no credible references
Main Posting:
Writing
(6%) – 6 (6%)
Written clearly and conciselyContains no grammatical or spelling errors
Fully adheres to current APA manual writing rules and style
5.5 (5.5%) – 5.5 (5.5%)
Written clearly and conciselyMay contain one or no grammatical or spelling error
Adheres to current APA manual writing rules and style
(5%) – 5 (5%)
Written conciselyMay contain one to two grammatical or spelling error
Adheres to current APA manual writing rules and style
4.5 (4.5%) – 4.5 (4.5%)
Written somewhat conciselyMay contain more than two spelling or grammatical errors
Contains some APA formatting errors
(0%) – 4 (4%)
Not written clearly or conciselyContains more than two spelling or grammatical errors
Does not adhere to current APA manual writing rules and style
Main Posting:
Timely and full participation
10 (10%) – 10 (10%)
Meets requirements for timely and full participationposts main discussion by due date
(0%) – 0 (0%)
NA. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers
(0%) – 0 (0%)
NA
(0%) – 0 (0%)
NA
(0%) – 0 (0%)
Does not meet requirement for full participation
First Response:Post to colleague’s main post that is reflective and justified with credible sources.
(9%) – 9 (9%)
Response exhibits critical thinking and application to practice settingsresponds to questions posed by faculty
the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives
8.5 (8.5%) – 8.5 (8.5%)
Response exhibits critical thinking and application to practice settings
7.5 (7.5%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting
6.5 (6.5%) – 7 (7%)
Response is on topic, may have some depth
(0%) – 6 (6%)
Response may not be on topic, lacks depth. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers
First Response:
Writing
(6%) – 6 (6%)
Communication is professional and respectful to colleaguesResponse to faculty questions are fully answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English
5.5 (5.5%) – 5.5 (5.5%)
Communication is professional and respectful to colleaguesResponse to faculty questions are answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English
(5%) – 5 (5%)
Communication is mostly professional and respectful to colleaguesResponse to faculty questions are mostly answered if posed
Provides opinions and ideas that are supported by few credible sources
Response is written in Standard Edited English
4.5 (4.5%) – 4.5 (4.5%)
Responses posted in the discussion may lack effective professional communicationResponse to faculty questions are somewhat answered if posed
Few or no credible sources are cited
(0%) – 4 (4%)
Responses posted in the discussion lack effectiveResponse to faculty questions are missing
No credible sources are cited
First Response:
Timely and full participation
(5%) – 5 (5%)
Meets requirements for timely and full participationposts by due date
(0%) – 0 (0%)
NA
(0%) – 0 (0%)
NA
(0%) – 0 (0%)
NA
(0%) – 0 (0%)
Does not meet requirement for full participation
Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.
(9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings * responds to questions posed by facultythe use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives
8.5 (8.5%) – 8.5 (8.5%)
Response exhibits critical thinking and application to practice settings
7.5 (7.5%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting
6.5 (6.5%) – 7 (7%)
Response is on topic, may have some depth
(0%) – 6 (6%)
Response may not be on topic, lacks depth. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers
Second Response:
Writing
(6%) – 6 (6%)
Communication is professional and respectful to colleaguesResponse to faculty questions are fully answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English
5.5 (5.5%) – 5.5 (5.5%)
Communication is professional and respectful to colleaguesResponse to faculty questions are answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English
(5%) – 5 (5%)
Communication is mostly professional and respectful to colleaguesResponse to faculty questions are mostly answered if posed
Provides opinions and ideas that are supported by few credible sources
Response is written in Standard Edited English
4.5 (4.5%) – 4.5 (4.5%)
Responses posted in the discussion may lack effective professional communicationResponse to faculty questions are somewhat answered if posed
Few or no credible sources are cited
(0%) – 4 (4%)
Responses posted in the discussion lack effectiveResponse to faculty questions are missing
No credible sources are cited
Second Response:
Timely and full participation
(5%) – 5 (5%)
Meets requirements for timely and full participationPosts by due date
(0%) – 0 (0%)
NA
(0%) – 0 (0%)
NA
(0%) – 0 (0%)
NA
(0%) – 0 (0%)
Does not meet requirement for full participation

NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

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Paper Requirements

 500 words minimum about 2 pages

 double spaced

 times new roman format

 font size 12

 one inch margins

 utilizing three references in the body of the paper

 works cited page

Content Requirements

 you must indicate your major/interest in one to two paragraphs

 indicate how your topic could impact your work environment, career, or college education.

 Without the works cited page and references in the body of the paper, I will conclude that this was an opinion paper and you will receive 0 points.

The easiest way to find information is to do a google search. Do not utilize topics from the textbook, this paper should uncover research that is outside of what is presented in the text. If you choose a different topic than below, you must receive permission from the instructor. Do not wait until the last minute to pick a topic as you may need assistance with your reference search.

Topics the following are topics that can be utilized:

 Harassment & Discrimination Prevention tips

 Diversity & Inclusion Training Diversity Benefits

 Acceptance versus Assimilation: Move past requiring others to conform; learn how to go from tolerating to accepting and embracing diversity

 Leading a Diverse Organization

 Uncovering Implicit Bias in the workplace

 Respect and Inclusion in the workplace

 Beyond the Law: As you promote diversity in your workforce, go beyond what the law requires, and create a culture of inclusion.

 Hiring High Quality Diverse Candidates

 Diverse Team Building Across Cultures

 The Power of Respectful Language

 Managing the Multigenerational Workforce

 Diversity Transition to Respect

 Honoring Holiday Traditions (Tips on how holiday-related policies can help create a workplace of inclusion. Best practices for holiday-related celebrations).

Discussion: Integrating The Research Process

About 15 years ago, before evidence-based practice became a standard to which to aspire, a professor found an article describing a treatment program for substance-abusing African-American women that incorporated their children and aimed to preserve their families. The program was built around principles of African-centered theory. The professor thought the program appeared well designed and heartily urged students to study the article and possibly find ways to imitate the program ideas, if not the program itself. A few years later, the professor, having continued her education, especially in the area of research, searched for a follow-up on the program, perhaps reporting outcomes and evidence of effectiveness. No research evidence on the program appears in the scholarly journals. In fact, no evidence that the program continues to exist at this time has been found. The fact that what appeared to be a promising practice approach did not endure or have the opportunity to benefit from evaluation is unfortunate.

Note: This week you will work as a class to create a plan for evaluating the rite of passage program described in the assigned article. Each member of the class will be assigned one step of the research process:

1.Research problems and questions
2.Finding and using existing knowledge
3.Focused research questions and research hypothesis
4.Research methods
5.Sampling issues and options
6.Measurement
7.Data acquisition
8.Data collection instruments
9.Analyzing data
10.Disseminating research findings

To prepare for this Discussion, read the Poitier et al. study and then revisit what you have learned about your assigned step of the research process. Consider what would be the most important information to share with your colleagues about that step. Together the class will create a research plan for evaluating the rite of passage program described in the assigned article.

Required Readings

Poitier, V. L., Niliwaambieni, M., & Rowe, C. L. (1997). A rite of passage approach designed to preserve the families of substance-abusing African American women. Child Welfare, 76(1), 173–195.
Retrieved from Walden Library databases.

Please respond to the following: “Marketing Segment and Perceptual Map

  • Evaluate the value and utility afforded by Philip Kotler’s Segment-by-Segment Invasion Plan as a tool for mapping current and future market segment pursuits. Provide support for your rationale.
  • Assess the importance of a Perceptual Map for current and potential product offerings in the marketplace. Suggest one (1) way in which this instrument can be used by marketers to affect better product positioning outcomes within the health care industry.

NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers
NUR 508 Week 1 Discussion DQ 1 & DQ 2 
DQ 1
What were the major causes of U.S. mortality in the last 100 years, and what public health measures most contributed to improvements in the health of the nation? Include at least two source citations from the readings and/or additional sources to support your answer. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
DQ 2
What are the major causes of disease and death in the 21st century (e.g., chronic illnesses, communicable diseases, etc.) that continue to affect U.S. citizens in spite of the achievements in public health in the past century? What have been some of the strategies implemented to combat these illnesses on the local and national levels? Have they been successful? Include reference citations where appropriate.
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 NUR 508 Week 2 Discussion DQ 1 & DQ 2 
Select one of the United Nations’ (U.N.) Millennial Development Goals (MDGs). Visit the website and report on the UN’s progress in achieving this goal? How will meeting this goal positively impact the health of the world? What suggestions would you make to help the UN achieve this goal? NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers
Select a global health issue from the World Health Organization (WHO) list of health topics available athttp://www.who.int/topics/en/How has globalization influenced this issue from a positive or negative perspective?
 NUR 508 Week 3 Discussion DQ 1 & DQ 2 
DQ 1
Debate the various social factors associated with the situation of the “underinsured.” Respond to two other classmates’ answers with solid reasoning and support your opinions with appropriate reference citations.
DQ 2
Review the Agency for Healthcare Research and Quality (AHRQ) report “Priority Populations”:
http://www.ahrq.gov/health-care-information/priority-populations/index.html
Select one of the “priority populations” and explain the disparities this population faces. What strategies have been implemented to combat these disparities on the local and national levels? Have they been successful? Include reference citations where appropriate. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
NUR 508 Week 4 Discussion DQ 1 & DQ 2 
DQ 1
Debate the efficacies of public versus private-based quality initiatives. What roles do each play in the quality of U.S. health care? How would the elimination of one aspect affect the other? Respond to two other classmates and counter their answer, citing references as appropriate.
DQ 2
After reading the Kaiser Family Foundation summary on the Patient Protection and Affordable Care Act, state why or why not you believe the act should remain in law, or which pieces should be reversed. Then describe two pieces of the act that you were unaware was part of the act and how that may affect you as a citizen. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
 NUR 508 Week 5 Discussion DQ 1 & DQ 2 
DQ 1
What are the eligibility requirements and coverage of Medicaid for the categories of low-income adults, pregnant women, and the aging/blind/disabled in the state where you live? Do you consider the eligibility requirements reasonable or restrictive? Do you consider the coverage reasonable or liberal? What are the benefits and drawbacks to keeping these populations insured through Medicaid? Consider both direct and indirect factors. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
DQ 2
Review the CMS.gov 30-Day Mortality and Readmission Data website. Review at least two local hospitals and see how they compare to state and national benchmarks. How and why may a consumer or a health care professional use this data to make decision about their next hospitalization? Will reporting this data have an impact on hospitals bottom line in addition to financial penalties from CMS? Give at least two examples of how this data may be used and what type of impact if may have if at all on the hospitals.
NUR 508 Week 6 Discussion DQ 1 & DQ 2 
DQ 1
Debate the question: “Is health care a basic right in the United States?” Answer this question through the lens of your role as RN. Support your response utilizing ethical theories and principles. Respond to two other classmates using respectful communication and solid reasoning. Support your response with appropriate references. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
DQ 2
Select an ethical dilemma related to health policy from the categories of moral values, professional regulation, health of individuals in society, or distributive justice. What are the controversies surrounding this issue? What are the opposing ethical principles? How has past or current health policy addressed this dilemma? Support your reasoning with reference citations. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
NUR 508 Week 7 Discussion DQ 1 & DQ 2 
DQ 1
How do spiritual beliefs impact political ideologies and the policy process? How have they affected the health policy reform process? Using respectful communication, debate your response with two other classmates. Give examples and support your reasoning with appropriate references.
DQ 2
What is the role of a religious ethic in public policy today? Should a religious ethic and/or theistic worldview take priority over that of others? How can religious policy decision makers remain true to their personal values while respecting the views of individuals with differing cultural and spiritual beliefs? Respond to two other classmates and cite references as appropriate.
NUR 508 Week 8 Discussion DQ 1 & DQ 2 
DQ 1
Select an advanced professional or advanced practice nursing specialty. How has past and current regulation/legislation affected the role and scope of this nursing role? What, if any, discussions are currently underway relative to the scope and role of this specialty? What resources are available to assist nurses in advocating for these roles? NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers
DQ 2
Select a professional or specialty nursing association. What impact has this organization had on health care legislation in the past 2 years? Respond to two other classmates and support your answer with appropriate references and specific examples.
NUR 508  Week 2 Assignment 
The IOM Future of Nursing report calls for an increase in leadership from nurses at all levels. One way nurses demonstrate their role as a leader, is through public policy change. A leader does not always carry an official title or position, but demonstrates leadership through the work and the stance he/she takes to make a change for the good of others. Nurses have been noted by the Gallop poll year after year as the most trusted professionals.
This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, healthcare, and/or the public. Policy changes can occur by working with members of your legislature, and state or national nurses associations, to introduce a new bill and/or change to a current law in your state or federal government.
Examples of public policy includes any component of the current legislation governing health care, Medicare part D, Medicaid, nursing regulation, medication technicians, etc.
In 750-1000 words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that you believe needs to change and why.

  1. The policy must NOT be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan.
  2. Include a specific section for the exact wording for the bill or change in wording of the law.
  3. Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage.
  4. Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur? Did you vote for the individual in office that you want to help you make this change? NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.

Resources:

  1. Review different pieces of legislation for ideas on wording.
  2. Visit your state’s legislative governmental affairs website site to understand the process your policy change could take if you wanted to introduce to into legislation.
  3. Refer to the Nursing Leadership Health Policy Presentation Rubric.
  4. Submit the assignment to the instructor by the end of Topic 2.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
NUR 508 week 5 Assignment


In a paper of 500-1,000 words, describe the relationship between health care cost and quality. Address the following:

  1. Select one public agency and one private agency and differentiate their roles and major activities in addressing cost and quality in health care. See Topic 4 Readings for sources regarding health care agencies.
  2. Analyze current and projected initiatives to improve quality while simultaneously controlling costs. Describe any unintended consequences.
  3. Synthesize implications for staff nurses and advanced practice nurses, including evidence-based practice, relative to cost and quality.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
Resource 1: CLC Health Issue Analysis Overview. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers
Group work has benefits and liabilities. EVERYONE assigned to a CLC is expected to equally participate in the work in terms of time and quality of effort. Each participant has strengths and it is reasonable to apportion the work to make best use of this. Some are natural leaders. Our strengths can be our greatest liabilities: No one wants to be bossed around no matter how skilled the boss is. Honest communication is critical to effective group work. The best way to avoid conflict is to set very clear expectations up front. Then, if someone does not do what is expected him/her, he/she can be referred to the original agreement rather than have the confrontation become personal.
Course instructors are able to observe the group process in the CLC forum. If the work takes place outside the forum, this information will be absent. Be certain (even if communicating via e-mail, phone, or face-to-face) to record the communication in the CLC forum. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
CLC Project Overview
The purpose of this assignment is to critically analyze a health care issue through the focus of major concepts from each Topic. There are six components to this assignment after the CLC agreement is signed and the topic is identified. It is not expected that every member of the CLC group will contribute to each assignment, but that assignments will be divided fairly and equally among the group. Each of the written components of the CLC project will be 500-1,000 words. These papers should be in APA format with a title and a reference page. An abstract is not required. An introduction is required ONLY for Part 1 and is not required in any parts thereafter. It is the intention that if one were to take the six parts of this assignment and put them together, a comprehensive and cohesive analysis would be produced. Part 1 is worth 3 points and each of the subsequent parts (2-6) are worth 4 points each.
Topic 1 (10 points)
Check into the CLC group and provide contact information and describe prior experience, if any, with health policy. Locate and read the CLC Agreement provided by the instructor, located within the Additional Resources Folder in Canyon Connect. Choose one member to transfer the document to the CLC forum. Decide upon the process needed to fill out the contract. Everyone should participate. Before filling out the agreement, it may be helpful for each student to describe the most difficult, frustrating, helpful, or beneficial apects of working on a collaborative project. Getting this type of information out in the open ahead of time may help to prevent conflict later on. Since no one is angry yet, you can comfortably list what is likely to make you angry and also what would make you satisfied.
Complete the CLC Agreement (except for the final block, which is used at the end). Select someone to submit the CLC Agreement by the end of Topic 1.
Topic 2 (10 points)
Initiate a conversation regarding potential topics of interest. This should be a health issue with national and international relevance that will be the basis for your final project. It may be helpful to identify a number of topics of interest and have individual group members do a quick survey of the literature to be sure that there is current information available. Revise the CLC Agreement with the choice of the topic identified in the title and re-submit the CLC Agreement.There is no formal writing requirement for the topic selection. It is merely a brief paragraph declaring your identified topic.
Topic 3 – Part 1 (50 points)
Research and outline the history of the health issue. Write a formal paper in APA format (500-1,000 words in length), describing the history of the issue. A title, introduction, and a reference page are required, but an abstract and conclusion are not. Include the following:
1) Influences such as determinants of health and socioeconomic status.
2) Past and present initiatives (private and public) to address the issue.
3) Outcomes that have been developed and utilized to measure progress on the issue.
4) The current status of the health issue based on measured outcomes.
Topic 4 – Part 2 (60 points)
Describe the national and international implications of the health issue. Write a formal paper (500-1,000 words in length), using APA format. Include a title page and a reference page. An abstract, introduction, and conclusion are not required. Include the following:
1) Scope and depth of the problem.
2) Countries that are faring better or worse than others.
3) How the U.S. ranks on this issue in relation to other countries.
4) Efforts of the World Health Organization and other agencies on this issue.
5) Existing disparities (include race, age, and gender, as appropriate) in relation to the issue – describe the populations that have emerged as being disadvantaged and why. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers
Topic 5 – Part 3 (60 points)
Write a formal paper (500-1,000 words in length), using APA format. Include a title and a reference page. An abstract, introduction, and conclusion are not required. Include a title page and a reference page, and the following:
1) Discuss past and present funding for initiatives that address the health issue. Include both public and private sources.
2) Analyze past and present quality initiatives that address the health issue. Include both public and private sources.
3) Differentiate how being insured versus uninsured impacts health outcomes relative to this issue;
4) Compare health outcomes for the issue between the U.S. and a country with universal health coverage.
Topic 6 – Part 4 (60 points)
Write a formal paper (500-1,000 words in length), using APA format. A title page and a reference page are required, but an abstract, introduction, and conclusion are not. Include the following:
1) Examine the previously addressed aspects of health policies, finance, global/national prevention, and/or treatment initiatives related to the health issue by identifying applicable ethics principles.
2) Differentiate how application of the identified ethics principles to the health issue has resulted in population disparities.
3) Hypothesize how existing disparities might be eliminated using alternate ethics principles.
4) Critique whether the applicable ethics principles are consistent with the ANA’s Code of Ethics for Nurses.
Topic 7 – Part 5 (60 points)
Write a formal paper (500-1,000 words in length), using APA format. A title page and a reference page are required, but an abstract, introduction, and conclusion are not. Include the following:
1) Discuss cultural beliefs and influences relative to the health issue.
2) Differentiate any religious/spiritual beliefs and values relative to the issue.
3) Appraise how religious/spiritual beliefs and values have influenced progress in addressing the issue – either negatively or positively.
4) Compare differences in ideologies related to the issue across political party lines, geographic regions, and countries of the world.
Topic 8 – Part 6 (60 points)
Write a formal paper (500-1,000 words in length), using APA format. A title page, conclusion, and a reference page are required, but an abstract and introduction are not. Include the following:
1) Assess the past and present impact nurses, including advanced professional/ advanced practice nurses, have made in addressing this health issue. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers
2) Describe how nurses can become more broadly involved with influencing health policy related to this issue. Include available resources. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
3) Hypothesize how nurses can positively impact future outcomes related to the provision of care for persons affected by the health issue.
4) Synthesize all aspects of the health care issue through a summary conclusion, concisely tying up Parts 1-8 of the CLC project. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
This is a CLC assignment.

  1. Check into your respective Collaborative Learning Community and provide contact information. Describe your prior experience with health policy.
  2. Read “CLC Health Issue Analysis Overview.”
  3. Read “CLC Group Project Agreement.”
  4. Transfer “CLC Group Project Agreement” to your CLC team space, come to a consensus on team responsibilities, and complete one copy of the form.

APA format is not required, but solid academic writing is expected.
You are not required to submit this assignment to Turnitin.
NUR 508 CLC Group Project Agreement
Grading Criteria
CLC Course Information

Course Name/Section Number:
Instructor’s Name:
Start Date of the Course:

CLC Member Contact Information 

(Who is in our group?)

CLC Member Name Primary E-mail Address Secondary E-mail Address Other Contact Information

CLC Group Values]

(What do we need to do to ensure our team’s success?)

What Each Team Member Agrees to Do Why This Is Important to the Team
Check into the CLC regularly to review progress on the assignment.
Contribute ideas and feedback to the group from initial discussions throughout project completion.
Communicate with all CLC members as soon as a problem or issue arises.
Maintain respectful communications with all team members.
Complete assigned tasks by the deadlines set by the CLC members.
Take a leadership role in CLC assignments.
Make sure to cite and reference all sources of information used in completing tasks.
Other:
Other:

Project Management Specifics 

(What needs to be undertaken to complete the CLC project?)

CLC Group Member’s Name Task to be Completed by This Team Member
(This section will change for each CLC Project.)
Due Date for Completing the Task for the CLC to Review
Contributing one or more ideas for how the project should be completed.
Outlining the CLC project.
Assigning tasks to CLC members.
Performing research on assigned topics and writing it up for CLC members to review.
Making sure everyone meets their assigned deadlines for tasks.
Proofreading and editing the paper.
Submitting the paper via the Assignments feature by the due date deadline.
Other:
Other:

CLC Group Interaction Guidelines

(How can we anticipate and deal with group conflict when it arises?)

What Could Happen To Impede Our Teamwork? What We Will Do if This Happens?
A CLC member doesn’t provide project ideas or feedback to other team members.
A CLC member doesn’t complete his/her task at all.
A CLC member completes his/her task, but turns it in after the agreed-upon due date.
Other:
Other:

CLC Group Review Process

(What makes a CLC effective?)

What did Our CLC Do Well This Time?
(This section will change for each CLC Project.)
What Can We Do to be a More Effective CLC Next Time?
(This section will change for each CLC Project.)

NUR 508 Week 7 Assignment 
Write a paper of 750-1,000 words examining your personal values and beliefs. Include the following:

  1. Describe your personal values and spiritual beliefs.
  2. Using the elements of cost, quality, and social issues to frame your description, differentiate your beliefs and opinions about health care policy. Give examples of relevant ethical principles, supported by your values.
  3. Analyze how factors such as your upbringing, spiritual or religious beliefs/doctrine, personal and professional experiences, and political ideology affect your current perspective on health care policy.
  4. Examine any inconsistencies you discovered relative to the alignment of your personal values and beliefs with those concerning health policy. Discuss what insights this has given you.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers

Formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular   clinical area and identifies clinical problems or issues that arise   from clinical care. The intervention should be an independent,   specified nursing change intervention. The intervention cannot require   a provider prescription. Include a comparison to a patient population   not currently receiving the intervention, and specify the timeframe   needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the   assigned readings. The PICOT statement will provide a framework for   your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem   and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing   Practice

Prepare this assignment according to the guidelines found in the APA   Style Guide. An abstract is not required.

This assignment uses a rubric.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Rubric:

1. Clinical problem/issue is identified based on key concepts that define evidence-based practice or clinical experience. Articles are cited to support the need for change in nursing practice. The identified problem/issue can be resolved, or a patient outcome can show a marked improvement through a nursing intervention. 

2. Clinical problem/issue description includes a developed and thorough explanation of the problem/issue, the setting, the patient population, and the rationale for why it is a problem/issue. The identified clinical problem/issue explains the following elements with detail and clarity: evidence-based solution, nursing intervention, and improved patient care consistent with specific health care agency resulting in nursing practice change. Sound rationale is provided in the discussion of the clinical problem/issue resolution. 

3. PICOT statement clearly focuses on the resolution of a clinical problem/issue and aims at improving patient care through the application of an evidenced-based nursing intervention.

4. Population, Intervention, Comparison, Outcomes, and Time are comprehensive and thoroughly developed with supporting details. 

5. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 

6. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

7. Writer is clearly in command of standard, written, academic English. 

8. All format elements are correct.

9. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 

  • 1-s2.0-S019665531400649X-main.pdf
  • 1-s2.0-S096433971730071X-main.pdf
  • document.pdf
  • document1.pdf
  • document2.pdf
  • Improving_Registered_Nurses_K.pdf
  • NPSG_Chapter_HAP_Jan2019.pdf
  • GCULibraryResources-NursingHealthSciences.html
  • Strategiestopreventcentralline-associatedbloodstreaminfecti.pdf
  • Articles1.docx

Assignment: Regulation for Nursing Practice Staff Development Meeting Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout t

Assignment: Regulation for Nursing Practice Staff Development Meeting

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

  • Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
  • Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (9- to 10-slide PowerPoint presentation)

Develop a 9- to 10-slide PowerPoint Presentation that addresses the following:

  • Describe the differences between a board of nursing and a professional nurse association.
  • Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area.
    • Who is on the board?
    • How does one become a member of the board?
  • Describe at least one federal regulation for healthcare.
    • How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?
    • Has there been any change to the regulation within the past 5 years? Explain.
  • Describe at least one state regulation related to general nurse scope of practice.
    • How does this regulation influence the nurse’s role?
    • How does this regulation influence delivery, cost, and access to healthcare?
  • Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
    • How does this regulation influence the nurse’s role?
    • How does this regulation influence delivery, cost, and access to healthcare?
  • AT LEAST 3-4 REFERRENCE ARE REQUURED AND ARE TO BE ON SEPARATE SLIDE AT END
  • I HAVE INCLUDED A LIK TO FOLLOW FOR POWERPOINT GUIDELINE. IT IS THE 6 LINE DOWN
  • https://academicguides.waldenu.edu/ld.php?content_id=45326761
Phil W7 Assg2- Evaluating Resources
  • The completed assignment should be approximately 750 words (3-4 pages).
  • View the video “A Consumer’s Guide to Sourcing in News Reports” from The News Literacy Project at
  •  https://www.youtube.com/watch?v=W1A46_Zd_wk
  • Research the Internet to obtain 5 online sources that support your position on an issue.
  • Apply each the 7 Key Points outlined in the video to each of the 5 sources.
  • Based on these 7 key points, indicate whether or not each of the 5 sources is a credible resource on the issue and explain your rationale.

The assignment should follow guidelines for clear and organized writing:
·  Address main ideas in body paragraphs with a topic sentence and supporting sentences.
·  Include an introductory paragraph and concluding paragraph.
·  Adhere to standard rules of English grammar, punctuation, mechanics, and spelling.
This course requires use of Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details.
The assignments should follow these formatting and citation requirements:
·  Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
·  In-text citations and the References page must follow Strayer Writing Standards (SWS) format.
·  Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

For this Assignment, review your agency learning agreement and the results of your midterm evaluation. Consider how your field education experience fulfilled the goals and objectives in your agency learning agreement. Reflect on what you would like to gain in future field education experiences.
Note: You should receive your midterm evaluation from your field instructor.
The Assignment (4-5 pages):

  • Describe whether you met or did not meet the goals/objectives in your agency learning agreement and include the results from your evaluation.
  • Compare your learning agreement and your evaluation to critically consider how the two are compatible and how you may approach completing the learning agreement differently next term.
  • Describe the social work practice skills you developed.
  • Describe potential areas where you might need improvement in relation to social work practice skills, ethics, or professionalism.
  • Explain how your next field education experience might address those areas.
  • Explain how participation in this course might inform your future field courses, what will you do the same, what will you do differently.
  • Be sure to submit the results of your evaluation to this assignment
  • attachment

    evaluation.docx

Prompt: To begin, review the final project research study, “Salmonella in the Caribbean.” Then, address the following critical elements in your short paper: 

II. Health Issue: In this section of your final project, you will analyze the health issue in focus in the research study.  A. Describe the risk factors associated with the public health issue. Support your description with evidence from the research study and your independent research.  B. Describe the mode of transmission of the public health issue. Support your description with evidence from the research study and your independent research.  C. Determine the incidence and prevalence of the health issue using the data from the research study to perform the appropriate calculations. Tip: Use the data in Table 1 of the final project research study to calculate the incidence of the Total of Serotypes. Also, use the incidence to help you determine the prevalence of the disease.  D. Determine the mortality rate of the health issue using the data from the research study to perform the appropriate calculations.  E. Interpret the odds ratio to determine the strength of association between the potential sources of exposure and the disease. Tip: Use the data in Table 2 of the final project research study to calculate the odds ratio. One to two pages