Each state has laws that differ in regard to the role of the Nurse Practitioner. They also may significantly impact the NPs practice. Legislative changes may occur annually bi-annually or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes may significantly impact your scope of practice as a Nurse Practitioner. Remaining current with the laws in your state is essential. For example the recent change at the federal level changing hydrocodone-containing drugs from a Schedule III drug to a Schedule II drug has impacted NPs in some states. For states that allow for Nurse Practitioners to write Schedule III-V drugs these NPs are nowunableto write for hydrocodone- containing medications which significantly impacts their ability to provide care for their patients.The Pearson Report which is updated almost annually provides a national overview of each states current legislature. As a future NP you should become familiar withThe Pearson Reportand stay abreast of state and federal legislation.For this Discussion you will post an explanation that defines the legal implications for standard of care the key components of a malpractice policy in regard to a case study. Additionally you will explain the collaborative agreements and rules for your state in regard to your NP practice and the case study you select. Review the following case studies and select one to research in depth:o Case Study One:Dismissing the non-compliant patient.Gwen a 52 year old Caucasian LPN recently joined your practice as a new patient. She currently has a BMI of 32 B/P of 142/88. Pulse is 89 Respiratory rate is 22 Pulse Ox is 96{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119} on Room Air. She is taking Lisinopril 10mg po daily (when she can remember) Metformin 1000mg po BID and refuses lab work. Her physical exam is unremarkable and foot exam is normal. She refuses all vaccinations including Prevnar and Influenza. Gwens last mammogram and pap smear were years ago.o Case Study Two:Preventive care why is it so important to document?John a 62 year old attorney who has been a long-term patient of yours comes to you to discuss his erectile dysfunction. You note that he has refused lab work for the past two years. He is a 30 pack/year smoker and has not had a chest x-ray or ECG in three years. He does take his HCTZ 25 mg po daily. His BMI is 29 and all vital signs are within normal limits. He does agree to his Prevnar Vaccine today.o Case Study Three:Patient and professional relationships.Jennifer a 45 year old Caucasian returns to your clinic for a refill of her hydrocodone. She was diagnosed with Ovarian Cancer last year followed by successful removal and treatment. All vital signs are stable and preventive care is up to date. She wants to discuss filing a lawsuit against the surgeon that initially turned her away and told her she had gastritis and needed to eat healthier. Review the following articles found in this weeks Learning Resources:o Miller K. P. (2013). The National Practitioner Data Bank: An Annual Update.The Journal for Nurse Practitioners (9)9 576-580.o Stelmach E. I. (2015).Dismissal of the Noncompliant Patient: Is this What We Have Come to? The Journal for Nurse Practitioners 11(7) 723-725. Review endocrine disorders and erectile dysfunction in yourPrimary Care Medicinetext (Gorrol Ah. & Mulley A.G. 2009). Consider strategies and treatment options that would be most effective for these patient scenarios to improve compliance and health outcomes. Reflect on how to approach the non-compliant patient and the importance of a separate preventive care visit.Postat least 250 words (no intro or conclusion)

Discussion 1: The Influence of Mission and Vision on Planning As you read the following mission statements think about what you might deduce about each organization:Nurses advancing our profession to improve health for all American Nurses AssociationThe American Red Cross prevents and alleviates human suffering in the face of emergencies by mobilizing the power of volunteers and the generosity of donors American Red CrossThe mission of Southwest Airlines is dedication to the highest quality of Customer Service delivered with a sense of warmth friendliness individual pride and Company Spirit Southwest AirlinesTo inspire hope and contribute to health and well-being by providing the best care to every patient through integrated clinical practice education and research Mayo ClinicProvide telehealth solutions and executive medical research management to enhance and support military healthcare and promote innovative medical technologies Telemedicine & Advanced Technology Research Center (TATRC)Googles mission is to organize the worlds information and make it universally accessible and useful GoogleAn organizations mission describes its core purpose. In partnership with the organizations vision which communicates a future-focused direction the mission provides a basis for planning and decision making at all levels of the organization.For this Discussion you compare mission and vision statements from multiple organizations and consider how these statements relate to planning.To prepare:Review the information related to the planning hierarchy and mission and vision statements in this weeks Learning Resources.Research the mission and vision statements of three different types of organizations: a for-profit health care organization a not-for-profit health care organization and an organization outside of health care. As you examine the organizations mission and vision statements consider the following:How effectively do the mission statements articulate the organizations purpose?How effectively do the vision statements reflect future aims?Do the mission and vision statements convey who (which groups) the organizations serve? Do they indicate obligations to various stakeholders?Are the statements an appropriate length?What do you glean about how leaders in health care and in other industries envision and convey mission and vision?What do you discern about the interdisciplinary nature of crafting mission and vision statements by looking across organizations including those outside of health care?Identify key insights you have gained by comparing the mission and vision statements of these three organizations.Consider how an organizations mission and vision relate to the planning hierarchy. For each organization you have selected think about how the mission and vision could or should influence planning. What elements of each mission and vision stand out as especially significant?Post a comparison of the mission and vision statements of the three organizations selected. Explain how specific elements of each organizations mission and vision statements might inform planning in that organization. Include references/links for the organizations mission and vision statements in your post.Read a selection of your colleagues responses.Respond to at least one of your colleagues using one or more of the following approaches:Ask a probing question substantiated with additional background information or research.Share an insight from having read your colleagues postings synthesizing the information to provide new perspectives.Validate an idea with your own experience and additional resources.Required ReadingsSare M. V. & Ogilvie L. (2010). Strategic planning for nurses: Change management in health care. Sudbury MA: Jones and Bartlett.Review Chapter 4 Just What Is Strategic Planning? (pp. 5782)Chapter 7 The Three Key Elements of the Strategic Planning Process: A Vision That Guides Nursings Future Action (pp. 117143)Chapter 7 addresses elements of the strategic planning process which includes mission and vision.Cady S. H. Wheeler J. V. DeWolf J. & Brodke M. (2011). Mission vision and values: What do they say? Organization Development Journal 29(1) 6378.Retrieved from the Walden Library databases.This article addresses research on mission vision and values from 300 different organizations.Desmidt S. Prinzie A. & Decramer A. (2011). Looking for the value of mission statements: A meta-analysis of 20 years of research. Management Decision 49(3) 468483.Retrieved from the Walden Library databases.This article looks at the relationship of organizational mission and financial performance. It includes a discussion of what a mission statement is and the purpose(s) it serves.Hirota S. Kubo K. Miyajima H. Hong P. & Won Park Y. (2010). Corporate mission corporate policies and business outcomes: Evidence from Japan. Management Decision 48(7) 11341153.Retrieved from the Walden Library databases.The authors examine the implications of the mission statement for organizational practices and performance.King D. L. Case C. J. & Premo K. M. (2012). An international mission statement comparison: United States France Germany Japan and China. Academy of Strategic Management Journal 11(2) 93119.Retrieved from the Walden Library databases.This article examines the content of mission statements stakeholder involvement and the development of goals and objectives.Required MediaLaureate Education (Producer). (2013b). Case study: Mountain View Health Center [Interactive media]. Retrieved from CDN database. (NURS 6241)This interactive multimedia piece presents a case study of Mountain View Health Center with information about the types of activities performed there organizational structure strategic priorities and financial allocations. You will use this as a resource for Discussion 2.Optional ResourcesMarquis B. L. & Huston C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia PA: Lippincott Williams & Wilkins.Chapter 7 Strategic and Operational Planning (pp. 138161)Review as needed.Desmidt S. & Prinzie A. A. (2011). The organizations mission statement: Give up hope or resuscitate? A search for evidence-based recommendations. Advances in Health Care Management 10 2541.