Discussion 4 2 19246953

Assignment 4.2: Happiness

 
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Discussion 4 300 World

 

CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

 Presigning blank prescription forms.

 Prescribing a Schedule II for office use.

 Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

 Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

 Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

 Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

 Prescribing, dispensing, or administering a controlled substance to himself or herself.

 Prescribing, dispensing, or administering laetrile.

 Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

 Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? 

  

Discussion Grading Criteria:Agreeing and disagreeing do not mean just voicing one’s opinion. The focus of the discussions should remain on the ideas posed in the readings. Agreeing and disagreeing mean making scholarly arguments from the literature that may support your own ideas. Faculty expects you to support your ideas from the readings or similar scholarly writing about the topic in nursing literature. Always cite your source(s).

 
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Discussion 4 3119

 

Review how one of the following theorists have influenced: quality improvement, decisions on quality care, patient health, and safety goals:

1. Dorothea Orem,

2. Betty Neuman,

3. Madeleine Leininger,

4. Jean Watson, and

5. Patricia Benner.

Primary reference must be from peer-reviewed NURSING journals less than 5 y/o. One other reference may be from National professional, or governmental, or educational organizations. Supplemental  references (.org, .gov, and .edu) and the course textbook may be used as supplemental references:

  

George, J. (2011). Nursing theories: The base for professional practice (6thed.). Boston: Pearson.

The initial posting must have a different reference than the response to peer posting. See grading criteria and rubric for discussion postings. APA format required.

 
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Discussion 4 Ebp

Search online for clinical practice guidelines applicable to your EBP topic. Have you used any of the guidelines before? 

2Post whether you have ever used these sites and

3whether you intend to use one or more as a resource after graduation.

4What sites were searched and what was found?

5How will you incorporate your findings in your practice?

Some of the sites you may find are as follows:

  • American Association of Neuroscience Nurses (Links to an external site.)
  • National Guidelines Clearinghouse (Links to an external site.)
  • Emergency Nurses Association (Links to an external site.) (Links to an external site.)
  • Registered Nurse Association of Ontario

My EBP Topic is: In hospitalized patients (P), what is the effect of hand washing (I) on infection control (O) compared to hand sanitizers (C), over a 3-month-period(T)?

 
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Discussion 4 Module

See attachment with information about the assignment. 

 
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Discussion 4b

Did you know that the United States has a higher rate of infant mortality than Japan (CIA, n.d.)? Or, as Dr. Beilenson states in this week’s media presentation, that “your zip code that you live in makes more difference in your health and well-being than the genetic code that you’re born with?” What causes these differences in health outcomes?

To effectively develop policies and programs to improve population health, it is useful to use a framework to guide the process. Different organizations and governmental agencies (for example, Healthy People 2020) have created a variety of such frameworks, which establish measures for assessing population health. These measures frequently are derived from the examination of epidemiologic data, which include key measures of population health such as mortality, morbidity, life expectancy, etc. Within each measure are a variety of progress indicators that use epidemiologic data to assess improvement or change.

For this Discussion, you will apply a framework developed by Kindig, Asada, and Booske (2008) to a population health issue of interest to you. This framework includes five key health determinants that should be considered when developing policies and programs to improve population health: access to health care, individual behavior, social environment, physical environment, and genetics. 

To prepare:

  • Review the article “A Population Health Framework for Setting National and State Health Goals,” focusing on population health determinants.
  • Review the information in the blog post “What Is Population Health?”
  • With this information in mind, elect a population health issue that is of interest to you.
  • Using this week’s Learning Resources, the Walden Library, and other relevant resources, conduct a search to locate current data on your population health issue.
  • Consider how epidemiologic data has been used to design population health measures and policy initiatives in addressing this issue.

Post a summary of how the five population health determinants (access to health care, individual behavior, social environment, physical environment, and genetics) affect your selected health issue, and which determinants you think are most impactful for that particular issue and why. Explain how epidemiologic data supports the significance of your issue, and explain how this data has been used in designing population health measures and policy initiatives.

 
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Discussion 5 19370015

Part one is due tomorrow night by midnight and must be at least 400 words, apa style with scholarly sources cited apa style

Neuman Systems Models is a flexible and adaptive model which can be applied to various aspects of nursing disciplines. Today, the model is used globally as a nursing conceptual model to guide curriculum development, research studies, and clinical practice in the full array of health-care disciplines.

Define a nursing practice area where you could apply Neuman Systems Model. What patient population would you target? How would you use this model to guide best practices? How would nursing outcomes be determined? Use at least one current research article related to your practice example.

part  two  is due Sunday night at midnight 

Create a Power Point Presentation to discuss the following

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.

  • 1) How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?
  • 2) Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.
  • 3)From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?
  • 4) Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns. 

Your PowerPoint should include at least 1 outside reference and your book. The presentation should be 10 to 15 slides in length.

 
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Discussion 5 19375525

USING APA FORMAT…. MY PRESENTATION IS ABOUT CONVERTING FROM MANUAL CHARTING SYSTEM  TO ELECTRONIC MEDICAL RECORD

Discuss what training programs are needed for the technology required for your final presentation topic. Consider what training to provide to new employees and what on-going training may be necessary.

Your initial posting should be at least 400 words in length.

 
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Discussion 5 19437213

Considering your role specialization ( family nurse practitioner), identify the top three current trends or issues that you believe to be most important with regard to your chosen role and the impact the role has one patient outcomes. Synthesize knowledge from values theory, ethics and legal regulatory statutes, and develop your personal philosophy for a career as an advanced practice nurse in DQ1.Incorporate the content of Week 5 ( audio-visuals) .

These are the audio-visual of week 5 

Video 1

https://www.youtube.com/watch?v=rgojAOyPvfk&list=PLU05He9EuwhlRCO5iVPgjeA7-K1lE3Y8X

VIDEO 2 

https://www.youtube.com/watch?v=d-kL1OFbCC8

COPY THE LINK IN YOUTUBE TO SEE THEM. 

 
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Discussion 5 19447129

Investigate how school health is delivered within your local school system. You can look at one specific school, or an entire school district. Do the schools in your area have a school health nurse assigned? If not, how are health care needs within the school district managed? What are ways in your area schools in which health promotion and management of existing health problems are addressed?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

 
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