After reviewing the ethical concerns of meeting elders’ medical needs,

 Do you believe age should be a basis for rationing Healthcare?

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Chapter 1 of the DPI Project is entitled “Introduction to the Project” and includes background and other essential information regarding the overall DPI Project design and components.  

General Requirements:  Use the following information to ensure successful completion of the assignment: 

•Locate the “DPI Proposal Template” located in the PI Workspace of the DC Network. 

•Access The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing textbook from DNP-801. The direct link is: http://gcumedia.com/digital-resources/jones-and-bartlett/2013/the-doctor-of-nursing-practice-essentials_ebook_2e.php 

•You may also find it helpful to access the The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing textbook from DNP-801, which you have been using throughout the program. Chapter 10 of this textbook provides an excellent template for a DNP-focused scholarly project. 

•Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center. 

•This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

•You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.  Directions:  Use the “DPI Proposal Template” to help you develop a draft of the Introduction (Chapter 1) of your DPI Project Proposal. Keep in mind this is an outline and formatting structure; it may be of use to you, but recall that each project will vary in nature and scope, so adaptations to this format may be required.  

Sections in Chapter 1 include: 

1. Introduction 2.Background of the Project 

3. Problem Statement 

4. Purpose of the Project 5.Clinical Question(s) 6.Advancing Scientific Knowledge 

7. Significance of the Project 

8. Rationale for Methodology 

9. Nature of the Project Design 

10. Definition of Terms 

11. Assumptions, Limitations, Delimitations 

12. Summary and Organization of the Remainder of the Project  Much of this information can be gleaned from your DPI Prospectus, but you will find that new as well as expanded content in specific areas will be required, depending on the nature of your proposed DPI Project.

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Project Topic:  Use of Advanced Practice Providers in triage in improving waiting times in Emergency departments. 

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The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data

• Complains of pain and heaviness in her leg.
• States she cannot bear weight on her leg and has been in bed for 3 days.
• Lives alone and has not had anyone to help her with meals.

Objective Data

• Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
• Left leg red from knee to ankle
• Calf measurement on left 3 in > than right
• Temperature: 38.9 degrees C
• Height: 160 cm; Weight: 83.7 kg

Laboratory Results

• WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
• Wound culture: Staphylococcus aureus

Critical Thinking Questions

1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

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