August 2019 – Page 619 – Homework Handlers

What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

August 20, 2019/in Uncategorized /by Macha

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting symptoms of a mental health disorder.

The Assignment:

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 families.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

Case #2
Anxiety disorder, OCD, or something else?

8-year-old black male

BACKGROUND

Tyrel is an 8-year-old black male who is brought in by his mother for a variety of psychiatric complaints. Shaquana, Tyrel’s mother, reports that Tyrel has been exhibiting a lot of worry and “nervousness” over the past 2 months. She states that she notices that he has been quite “keyed up” and spends a great deal of time worrying about “germs.” She states that he is constantly washing his hands because he feels as though he is going to get sick like he did a few weeks ago, which kept him both out of school and off the playground. He was also not able to see his father for two weekends because of being sick. Shaquana explains that although she and her ex-husband Desmond divorced about 2 years ago, their divorce was amicable and they both endeavor to see that Tyrel is well cared for.

Shaquana reports that Tyrel is irritable at times and has also had some sleep disturbances (which she reports as “trouble staying asleep”). She reports that he has been more and more difficult to get to school as he has become nervous around his classmates. He has missed about 8 days over the course of the last 3 weeks. He has also stopped playing with his best friend from across the street.

His mother reports that she feels “responsible” for his current symptoms. She explains that after he was sick with strep throat a few weeks ago, she encouraged him to be more careful about washing his hands after playing with other children, handling things that did not belong to him, and especially before eating. She continues by saying “maybe if I didn’t make such a big deal about it, he would not be obsessed with germs.”

Per Shaquana, her pregnancy with Tyrel was uncomplicated, and Tyrel has met all developmental milestones on time. He has had an uneventful medical history and is current on all immunizations.

OBJECTIVE

During your assessment of Tyrel, he seems cautious being around you. He warms a bit as you discuss school, his friends at school, and what he likes to do. He admits that he has been feeling “nervous” lately, but when you question him as to why, he simply shrugs his shoulders.

When you discuss his handwashing with him, he tells you that “handwashing is the best way to keep from getting sick.” When you question him how many times a day he washes his hands, he again shrugs his shoulders. You can see that his bilateral hands are dry. Throughout your assessment, Tyrel reveals that he has been thinking of how dirty his hands are; and no matter how hard he tries to stop thinking about his “dirty” hands, he is unable to do so. He reports that he gets “really nervous” and “scared” that he will get sick, and that the only way to make himself feel better is to wash his hands. He reports that it does work for a while and that he feels “better” after he washes his hands, but then a little while later, he will begin thinking “did I wash my hands well enough? What if I missed an area?” He reports that he can feel himself getting more and more “scared” until he washes his hands again.

MENTAL STATUS EXAM

Tyrel is alert and oriented to all spheres. Eye contact varies throughout the clinical interview. He reports his mood as “good,” admits to anxiety. Affect consistent to self-reported mood. He denies visual/auditory hallucinations. No overt delusional or paranoid thought processes were apparent. He denies suicidal ideation.

Lab studies obtained from Tyrel’s pediatric nurse practitioner were all within normal parameters. An antistreptolysin O antibody titer was obtained for reasons you are unclear of, and this titer was shown to be above normal parameters.

Decision Point One

BASED ON THE INFORMATION PROVIDED IN THE SCENARIO ABOVE, WHICH OF THE FOLLOWING DIAGNOSES WOULD THE PMHNP GIVE TO TYREL?

In your write-up of this case, be certain to link specific symptoms presented in the case to DSM–5 criteria to support your diagnosis.

Generalized Anxiety Disorder (GAD)

Obsessive Compulsive Disorder

Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (“PANDAS”)

ANSWER CHOOSEN: Obsessive Compulsive Disorder

Decision Point Two

BASED ON THE ABOVE INFORMATION, SELECT YOUR NEXT ACTION. BE CERTAIN TO DISCUSS THE RATIONALE FOR YOUR DECISION.

Begin Zoloft 50 mg orally daily

Begin Fluvoxamine immediate release 25 mg orally at bedtime

Begin Fluvoxamine controlled release 100 mg orally in the morning

Discontinue Zoloft and begin Fluvoxamine controlled release 100 mg orally every morning In terms of an actual diagnosis, the child’s main symptoms are most consistent with obsessive-compulsive disorder. There may also be an element of social phobia developing, but at this point, the PMHNP has not assessed the nature of the school avoidance—that is, why is the child avoiding school. Notice that nothing in the scenario tells us that the PMHNP has assessed this. Zoloft is FDA-approved to treat OCD in children. However, between ages 6 and 12, it should be started at 25 mg orally daily. If starting doses are too high, the child may experience side effects that he associates with the medication and as such, may refuse to take the medication. Starting at too high a dose can result in unfavorable side effects (gastrointestinal side effects are notable in this drug), and we can see that Tyrel is experiencing nausea and decreased appetite. In this case, it is recommended to wait to see if the side effects dissipate. Decreasing the dose to 12.5 mg orally daily for about 3 or 4 days, then going back to 25 mg orally daily may help to overcome the unfavorable side effects. If side effects persist, the PMHNP may need to consider switching to a different medication.Fluvoxamine controlled release is not FDA-approved for use in children with OCD (see “Special Populations: Children and Adolescents” in the Fluvoxamine monograph of Stahl’s Prescriber’s Guide for further details). Fluvoxamine 100 mg orally daily may not be tolerated in the morning secondary to the drug’s sigma-1 antagonist properties, which can cause sedation. Dosing of Fluvoxamine should be such that the larger dose is given in the evening to minimize daytime sedation. It is also worth noting that nothing in the scenario tells us that the Zoloft will not be effective.

ANSWER CHOOSEN: Begin Fluvoxamine immediate release 25

mg orally at bedtime

·Client returns to clinic in four weeks

·Upon return to the clinic, Tyrel’s mother reported that he has had some

decrease in his symptoms. She states that the frequency of the handwashing

has decreased, and Tyrel seems a bit more “relaxed” overall.

·She also reports that Tyrel has not fully embraced returning to school, but that

his attendance has improved. She reported that over this past weekend, Tyrel

went outside to play with his friend from across the street, which he has not done in a while.

RESULTS OF DECISION POINT TWO

· Client returns to clinic in four weeks

· Upon return to the clinic, Tyrel’s mother reported that he has had some decrease in his symptoms. She states that the frequency of the handwashing has decreased, and Tyrel seems a bit more “relaxed” overall.

· She also reports that Tyrel has not fully embraced returning to school, but that his attendance has improved. She reported that over this past weekend, Tyrel went outside to play with his friend from across the street, which he has not done in a while.

Decision Point Three

BASED ON THE ABOVE INFORMATION, SELECT YOUR NEXT ACTION. BE CERTAIN TO DISCUSS THE RATIONALE FOR YOUR DECISION.

Increase Fluvoxamine to 50 mg orally at bedtime

Augment with an atypical antipsychotic such as Abilify

Augment treatment with cognitive behavioral therapy

ANSWER CHOOSEN: Increase Fluvoxamine to 50 mg orally at

bedtime

Guidance to Student

In terms of an actual diagnosis, the child’s main symptoms are most consistent with obsessive-compulsive disorder. There may also be an element of social phobia developing, but at this point, the PMHNP has not assessed the nature of the school avoidance—that is, why is the child avoiding school. Notice that nothing in the scenario tells us that the PMHNP has assessed this.

Fluvoxamine immediate release is FDA-approved for the treatment of OCD in children aged 8 years and older. Fluvoxamine’s sigma-1 antagonist properties may cause sedation and as such, it should be dosed in the evening/bedtime.

At this point, it would be appropriate to consider increasing the bedtime dose, especially since the child is responding to the medication and there are no negative side effects.

Atypical antipsychotics are typically not used in the treatment of OCD. There is also nothing to tell us that an atypical antipsychotic would be necessary (e.g., no psychotic symptoms). Additionally, the child seems to be responding to the medication, so there is no rationale as to why an atypical antipsychotic would be added to the current regimen.

Cognitive behavioral therapy is the psychotherapy of choice for treating OCD. The PMHNP should augment medication therapy with CBT. If further assessment determines that Tyrel has social anxiety disorder, CBT is effective in treating this condition as well.

Learning Resources

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 31, “Child Psychiatry” (pp. 1253–1268)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

“Anxiety Disorders”

American Academy of Child & Adolescent Psychiatry (AACAP). (2012a). Practice parameter for the assessment and treatment of children and adolescents with obsessive-compulsive disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 51(1), 98–113. Retrieved from http://www.jaacap.com/article/S0890-8567(11)00882-3/pdf

McClelland, M., Crombez, M-M., Crombez, C., Wenz, C., Lisius, M., Mattia, A., & Marku, S. (2015). Implications for advanced practice nurses when pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) is suspected: A qualitative study. Journal of Pediatric Health Care, 29(5), 442–452. doi:10.1016/j.pedhc.2015.03.005

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

SEE ATTACHED ASSIGNMENT OF DECISION TREE AND ASSIGNMENT EXAMPLE/SAMPLE

Quality Metrics for Chronic Disease Management

August 20, 2019/in Uncategorized /by Macha

Quality Metrics for Chronic Disease Management

According to the CDC, chronic diseases are the leading cause of death in the United States, with almost 50% of the population suffering from at least one chronic illness. As a result, almost 80% of health care spending is devoted to its management (CDC, 2010). To this end, the National Committee for Quality Assurance (NCQA) developed performance measures. These performance measures allow organizations to compare yearly quality improvement outcomes in the management of chronic diseases. As a nurse engaged in advanced practice, you may find yourself at the forefront of prevention and care management efforts.
To prepare:

Review the National Committee for Quality Assurance report, presented in the Learning Resources, and examine current trends and measures associated with at least two chronic diseases. This information will form the basis for this Discussion.
Review examples of measures that address the management of chronic diseases for an inpatient setting that might not be relevant in an outpatient setting. Be sure to explore the companion metrics that influence a patient’s ability to manage chronic disease.
Consider how these metrics facilitate change and improve the management of chronic disease.
Examine the efficiency of current automated trigger systems for managing patient safety. Ask yourself: How do these automated trigger systems help improve quality of health care, patient education, and management of chronic illnesses?

By tomorrow 12/27/2017, write a minimum of 550 words essay in APA format with 2 references from the list below. Include the level one headers as numbered below:

post a cohesive response that addresses the following:

1) Compare one quality metric for managing chronic disease that applies to your practice setting to a metric that applies in a different practice setting (i.e. hospital nurse compared to home health nurse).

2) Evaluate how these quality metrics facilitate change and improve the management of chronic disease.

3) Take a stance on the efficiency of current automated trigger systems to help manage patient safety. Do you believe these to be proactive or reactive responses when educating patients on disease management?

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

Chapter 9: “Measuring and Improving Patient Experiences of Care”

Frith, K. H., Anderson, F., & Sewell, J. P. (2010). Assessing and selecting data for a nursing services dashboard. Journal of Nursing Administration, 40(1), 10–16. doi:10.1097/NNA.0b013e3181c47d45

This article highlights the benefits of nurses using dashboards to help with staffing issues. It considers the sharing of data that dashboard can facilitate from the perspectives of nurses, units, hospitals, and patients.

Grossmeier, J., Terry, P. E., Cipriotti, A., & Burtaine, J. E. (2010). Best practices in evaluating worksite health promotion programs. American Journal of Health Promotion, 24(3), TAHP 1–9.

In this article, the authors discuss how to measure success when analyzing worksite health promotion (WHP). They then cover how to organize these measurements, assess WHP programs, and determine factors related to best-practice evaluation frameworks.

Stanley, R., Lillis, K. A., Zuspan, S. J., Lichenstein, R., Ruddy, R. M., Gerardi, M. J., & Dean, J. M. (2010). Development and implementation of a performance measure tool in an academic pediatric research network. Contemporary Clinical Trials, 31(5), 429–437.

The details of this article focus on a multi-center research network that initiated an evaluation method using balanced scorecards. The first three years of the measurement tool’s implementation are covered, and the achievements and challenges are discussed.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Benchmarking outcomes. Baltimore: Author.

Note: The approximate length of this media piece is 10 minutes.

In this program, Barbara Epke and Carrie Brady discuss methods that health care organizations use to gather data for measuring outcomes, and explain how data are used to measure key indicators of quality and safety.

Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following: · Identify a problem, inefficiency, or issue within a specific department/unit.

August 20, 2019/in Uncategorized /by Macha

Health care organizations are continuously immersed in change from the emergence of new policies, to promote quality care and improve patient safety to keeping pace with the rapid growth in knowledge and best practices. Establishing a solid framework for planning and implementing change is a wise move, as it provides a foundation for the extensive coordination that will be needed to successfully facilitate the change.

For this Assignment, you propose a change at the department or unit level and develop a plan for guiding the change effort.

To prepare:

· Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies.

· Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue.

· Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.

· Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected.

· Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort.

To complete:

Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:

· Identify a problem, inefficiency, or issue within a specific department/unit.

· Describe a specific, realistic change that could be made to address the issue.

· Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.

· Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection.

· Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy.

· Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.

Learning Resources

Required Readings

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Review Chapter 7, “Strategic and Operational Planning”
Chapter 8, “Planned Change”

This chapter explores methods for facilitating change and the theoretical underpinnings of implementing effective change

McAlearney, A., Terris, D., Hardacre, J., Spurgeon, P. Brown, C., Baumgart, A., Nyström, M. (2014). Organizational coherence in health care organizations: Conceptual guidance to facilitate quality improvement and organizational change. Quality Management in Health Care, 23(4), 254–267 doi: 10.1097/QMH.0b013e31828bc37d

An international group of investigators explored the issues of organizational culture and Quality Improvement (QI) in different health care contexts and settings. The aim of the research was to examine if a core set of organizational cultural attributes are associated with successful QI systems.

Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management – UK, 20(1), 32–37. doi: 10.7748/nm2013.04.20.1.32.e1013

Shirey, M. R. (2013). Lewin’s Theory of Planned Change as a strategic resource. The Journal of Nursing Administration, 43(2), 69–72. doi:10.1097/NNA.0b013e31827f20a9

Required Media

Laureate Education (Producer). (2012g). Organizational dynamics: Planned change and project planning. Baltimore, MD: Author.

Optional Resources

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Chapter 9, “Time Management”

Batras, D., Duff, C., & Smith, B. J. (2014). Organizational change theory: implications for health promotion practice. Health Promotion International, Retrieved from MEDLINE with Full Text, EBSCOhost

This article reviews select organizational change models to identify the most pertinent insights for health promotion practitioners.

Review the Practicum Project Presentation Overview, provided in this week’s Learning Resources, for details about this assignment.

August 20, 2019/in Uncategorized /by Macha

Review the Practicum Project Presentation Overview, provided in this week’s Learning Resources, for details about this assignment.

Preview the instructions in the Week 10 Discussion. Note that the draft of your PowerPoint presentation posted in the online forum should be complete and polished, i.e., it should be your final draft. While you will have an opportunity to make revisions based on your colleagues’ feedback, the document you share should reflect your best effort to create a thoughtful, clear, and engaging presentation.

Begin working on this assignment as soon as possible.

The development and completion of your Practicum Project is a significant milestone in your Master of Science in Nursing program of study. It is now time to share the results of your effort. As you know, there are many traditional formats you can use to share your results, such as presenting at a professional conference or publishing an article in a journal. As a leader with advanced practice knowledge, you may also have the opportunity to present your results virtually. Webinars and virtual workshops are additional methods professionals can use to share knowledge and evidence-based findings.

As you prepare to share your presentation virtually in this Discussion, think about what you would like to convey about your project to your colleagues in this course and to your practicum Faculty Member. What considerations should you take into account as you prepare to present your Practicum Project findings, conclusions, and recommendations online? What strategies can you use to ensure your presentation clearly articulates your results in the virtual environment? Keep these thoughts in mind as you prepare your final draft of your Practicum Project presentation.

To prepare:

Review the Practicum Project Presentation Overview document, included in the Week 9 Learning Resources, and preview the instructions in this week’s Assignment.

Review the information in the Learning Resources, including the suggestions for creating effective PowerPoint presentations.

Consider the distinctions between delivering a presentation in person, e.g., at a professional conference or at your practicum site, and presenting online. What considerations do you need to take into account as you prepare to share your presentation with your colleagues in this online forum? What steps do you need to take to ensure the information is conveyed clearly and effectively?

Using PowerPoint, complete the final draft of your Practicum Project presentation, (as indicated in the Practicum Project Presentation Overview document and this week’s Assignment). Note that the draft of your PowerPoint presentation posted in this online forum should be complete and polished. While you will have an opportunity to make revisions based on your colleagues’ feedback, the document you share should reflect your best effort to create a thoughtful, clear, and engaging presentation.

With these thoughts in mind:

Post the final draft of your Practicum Project presentation (by attaching your PowerPoint to your post). Explain the distinctions that you took into account as you prepared to share your presentation online.

Keep in mind that your presentation must demonstrate graduate-level writing and presentation standards. Your presentation will be evaluated based on the following criteria:

Inclusion of all required content, e.g., evidence of scholarly products developed for the Practicum Project

Effective communication and appropriate emphasis of content

Organization and clarity

Visual appeal

Required Readings

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Alspach, G. (2010). Converting presentations into journal articles: A guide for nurses. Critical Care Nurse, 30(2), 8–15.

Note: Retrieved from the Walden Library databases.

The authors recognize the value of disseminating evidence-based practice in promoting quality care. They address how this can be done using posters.

Forsyth, D. E., Wright, T. L., Scherb, C. A., & Gaspar, P. M. (2010). Disseminating evidence-based practice projects: Poster design and evaluation. Clinical Scholars Review, 3(1), 14–21.

The authors recognize the value of disseminating evidence-based practice in promoting quality care. They address how this can be done using posters.

Jeffress, L., & Lyle, S. D. (2012). Maximizing accessibility of academic publications: Applications of electronic publishing technology. Contemporary Issues in Education Research, 5(4), 257–264.

Note: Retrieved from the Walden Library databases.

This article addresses the use of electronic publishing technology for broader dissemination of research.

Price, B. (2010). Disseminating best practice at conferences. Nursing Standard, 24(25), 35–41.

Note: Retrieved from the Walden Library databases.

In this article, the author provides suggestions for creating and delivering engaging conference presentations.

Roberts, D. (2011). ‘Pay it forward’ through publication. MEDSURG Nursing, 20(3), 112, 122.

Note: Retrieved from the Walden Library databases.

The author proposes creating a chain of lifelong learning through the publication of scholarly works. Among other matters, the article suggests the value of identifying a publication mentor.

Russell, C. L., & Ponferrada, L. (2012). How to develop an outstanding conference research abstract. Nephrology Nursing Journal, 39(4), 307–342.

Note: Retrieved from the Walden Library databases.

The authors propose recommendations for writing and submitting an abstract for a presentation at a conference.

Sawatzky, J. V. (2011). My abstract was accepted—now what? A guide to effective conference presentations. Canadian Journal of Cardiovascular Nursing, 21(2), 37–41.

Note: Retrieved from the Walden Library databases.

The article addresses fear of public speaking and provides recommendations for delivering successful presentations at conferences.

Walden University. (n.d.). Research Dissemination. Retrieved October 18, 2017, from http://academicguides.waldenu.edu/researchcenter/orsp/dissemination

This Walden University resource examines how research is disseminated through presentations and publications.

Review the types of articles the following journals produce as well as submission requirements for publication:

BMJ Publishing Group. (2013). Evidence-Based Nursing. Retrieved from http://ebn.bmj.com/

Elsevier. (2013). Nurse Leader. Retrieved from http://www.nurseleader.com/

John Wiley & Sons. (2013). Journal of Nursing Scholarship. Retrieved from http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291547-5069/homepage/ForAuthors.html

Lippincott Williams & Wilkins. (2013). CIN: Computers, Informatics, Nursing. Retrieved from http://journals.lww.com/cinjournal/pages/default.aspx

Lippincott Williams & Wilkins. (2013). The Journal of Nursing Administration. Retrieved from http://journals.lww.com/jonajournal/pages/default.aspx

National League for Nursing. (2011). Publications. Retrieved from http://www.nln.org/nlnjournal/writingjournal.htm

Online Journal of Nursing Informatics. (2013). Retrieved from http://www.ojni.org/

Rural Nurse Organization. (2013). Online Journal of Rural Nursing and Health Care. Retrieved from http://rnojournal.binghamton.edu/index.php/RNO

Wiley-Blackwell. (n.d.) Nurse Author & Editor. Retrieved May 20, 2013, from http://www.naepub.com/

Rogobete, C., Peters, G., & Seruga, J. (2012). Cross media and e-publishing. International Journal of U- & E-Service, Science & Technology, 5(2), 17–29.

Note: Retrieved from the Walden Library databases.

Caug124. (2012). How to deliver an effective online presentation [Blog post]. Retrieved from http://www.dalecarnegie.com/events/how_to_present_online/

This resource examines four stages for creating digital presentations.

Crosby, T. (2013). How online presentations work. Retrieved from http://money.howstuffworks.com/business-communications/how-online-presentations-work.htm

This resource provides an overview of online presentations.

Jacobs, L. F., & Hyman, J. S. (2010, February 24). 15 strategies for giving oral presentations [Blog post]. Retrieved from http://www.usnews.com/education/blogs/professors-guide/2010/02/24/15-strategies-for-giving-oral-presentations

The authors provide practical suggestions for delivering effective oral presentations.

Krieger, S. (n.d.). 12 tips for creating better PowerPoint presentations. Retrieved May 20, 2013, from http://betterevaluation.org/resources/guides/12_tips_for_PP

This resource is focused specifically on how to create effective presentations using PowerPoint.

Niemantsverdriet, J. W. (n.d.). How to give a successful oral presentation. Retrieved May 20, 2013, from http://people.whitman.edu/~weilercs/TalkingTips/EFCATStalkingTips.pdf

This article advises how to avoid common pitfalls for giving oral presentations and provides suggestions for creating successful posters.

Purdue University, Purdue Online Writing Lab. (2013). Designing an effective PowerPoint presentation: Quick guide. Retrieved from http://owl.english.purdue.edu/owl/resource/686/01/

With concrete suggestions and design tips, this resource provides guidance for developing a PowerPoint presentation.

Zhang, L. (n.d.). Creating effective PowerPoint presentations [PowerPoint slides]. Retrieved May 20, 2013, from http://library.rmc.edu/mis/images/pptpresentation.pdf

In this document, the author shares “do’s” and “don’t’s” to guide the development of PowerPoint presentations.

What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

Quality Metrics for Chronic Disease Management

Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following: · Identify a problem, inefficiency, or issue within a specific department/unit.

Review the Practicum Project Presentation Overview, provided in this week’s Learning Resources, for details about this assignment.

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