3079 – My Nursing Assignment

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To Prepare

Review the interactive media piece in this week’s      Resources and reflect on the types of drugs used to treat pediatric      patients with mood disorders.
Reflect on situations in which children should be      prescribed drugs for off-label use.
Think about strategies to make the off-label use and      dosage of drugs safer for children from infancy to adolescence. Consider      specific off-label drugs that you think require extra care and attention      when used in pediatrics.

Write a 1-page narrative in APA format that addresses the following:

Explain the circumstances under which children should      be prescribed drugs for off-label use. Be specific and provide examples.
Describe strategies to make the off-label use and      dosage of drugs safer for children from infancy to adolescence. Include      descriptions and names of off-label drugs that require extra care and      attention when used in pediatrics.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. 
 
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Policies addressing social inequalities 5-7 pages- apa format-6

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 PLEASE READ FULL INSTRUCTIONS. NO PLAGIARISM! NO QUOTES, MUST PARAPHRASE. I WILL CHECK FOR RECYCLED WORK AND PLAGIARISM, SO WILL THE TEACHERS. THIS ASSIGNMENT IS DUE 07/31/21 AT 9PM PST. IF YOU CANT MEET THIS DEADLINE, DONT AGREE TO DO MY ASSIGNMENT. PRICE ISNT NEGOTIABLE. PLEASE READ GRADING RUBRIC. TEACHERS USE THE GRADING RUBRIC TO DETERMINE GRADE. IF DIRECTIONS ARENT BEING FOLLOWED, I WILL DISPUTE RIGHT AWAY. LETS AVOID THAT.    

  

Select one example of a social inequality that is reflected in the U.S. and worldwide.

  • Compare and contrast current policies that address that social inequality in the U.S. to policies that address this social inequality in other countries (describe at least two). Include the following in your assessment:
    • What policies are currently in place to address the issue in the U.S. vs. other countries? Provide a detailed summary of each policy identified. Use scholarly research to support your discussion.
  • How successful have these policies in the U.S. been in reducing the social inequality compared to the policies in other countries? Use scholarly research to support your discussion.
  • What are some of the limitations of current policies in the U.S. vs. other countries? Use scholarly research to support your discussion.
  • Propose three changes to current policies or suggest three new policies aimed at reducing this social inequality.
    • Make certain to justify the changes or new policies you proposed by providing a detailed reason for each change or new policy. Use scholarly research to support your explanations

3789

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Course Competency:

  • Design plans for care specific to the older adult.

Consider the scenario below, then follow the instructions underneath it to complete the assignment.

Mrs. Y

Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.

Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled.

The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.

During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse’s findings were as follows:

  • Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
  • The client is noted to have moderate functional issues and ambulates with a cane.
  • The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
  • Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently.”

Consider Mrs. Y’s current health status and functional decline, then address the following:

  1. Download the Concept Map and Plan of Care worksheet below. An example is also provided for your reference.
    • File: Concept Map and Plan of Care worksheet
    • File: Concept Map and Plan of Care example
  2. Identify three (3) priority nursing diagnoses for Mrs. Y. Consider using the resource below to assist you.
    • eBook: Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care – Chapter 5 Nursing Diagnoses in Alphabetical Order
  3. Create a visual representation of the three (3) priority nursing diagnoses by incorporating them into the Concept Map (template in the worksheet). Be sure each nursing diagnosis includes the following elements:
    1. “related to (r/t)” — description of the client’s problem
    2. “as evidenced by” — description of the client’s symptoms
  4. Complete the Nursing Plan of Care (table in the worksheet) describing what should be implemented for Mrs. Y.
    1. Goals: Establish at least one (1) goal for each of the nursing diagnoses you identified (for a total of 3 goals). Goals should be: patient specific, measurable, actionable, realistic, and time limited.
    2. Nursing Interventions: Describe at least three (3) nursing interventions for each of the goals (for a total of 9 nursing interventions). Each intervention should be in alignment with the goal it is supporting.
  5. Complete the assignment using proper spelling, grammar, and APA.

tip

For information about creating a concept map, consult the resource(s) below.

  • eBook: Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care, Chapter 4 – Concept or Mind Mapping to Create and Document the Plan of Care
  • Q. What is a concept map and how do I create one?

 

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Improvement plan in-service presentation | Nursing homework help

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For this assessment, you will develop an 8-14 slide PowerPoint presentation with thorough speaker’s notes designed for a hypothetical in-service session related to the improvement plan you developed in Assessment 2.

As a practicing professional, you are likely to present educational in-services or training to staff pertaining to quality improvement (QI) measures of safety improvement interventions. Such in-services and training sessions should be presented in a creative and innovative manner to hold the audience’s attention and promote knowledge acquisition and skill application that changes practice for the better. The teaching sessions may include a presentation, audience participation via simulation or other interactive strategy, audiovisual media, and participant learning evaluation.

The use of in-services and/or training sessions has positive implications for nursing practice by increasing staff confidence when providing care to specific patient populations. It also allows for a safe and nonthreatening environment where staff nurses can practice their skills prior to a real patient event. Participation in learning sessions fosters a team approach, collaboration, patient safety, and greater patient satisfaction rates in the health care environment (Patel & Wright, 2018).

As you prepare to complete the assessment, consider the impact of in-service training on patient outcomes as well as practice outcomes for staff nurses. Be sure to support your thoughts on the effectiveness of educating and training staff to increase the quality of care provided to patients by examining the literature and established best practices.

You are encouraged to explore the AONE Nurse Executive Competencies Review activity before you develop the Improvement Plan In-Service Presentation. This activity will help you review your understanding of the AONE Nurse Executive Competencies—especially those related to competencies relevant to developing an effective training session and presentation. This is for your own practice and self-assessment, and demonstrates your engagement in the course.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Analyze the elements of a successful quality improvement initiative.

o Explain the need for and process to improve safety outcomes related to a specific organizational issue.

o Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative.

· Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.

o List the purpose and goals of an in-service session for nurses.

o Explain to the audience their role and importance of making the improvement plan successful.

· Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.

o Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communication strategies for future improvement.

Reference

Patel, S., & Wright, M. (2018). Development of interprofessional simulation in nursing education to improve teamwork and collaboration in maternal child nursing. Journal of Obstetric, Gynecologic & Neonatal Nursing​, 47(3), s16–s17.

Professional Context

As a baccalaureate-prepared nurse, you will often find yourself in a position to lead and educate other nurses. This colleague-to-colleague education can take many forms, from mentoring to informal explanations on best practices to formal in-service training. In-services are an effective way to train a large group. Preparing to run an in-service may be daunting, as the facilitator must develop his or her message around the topic while designing activities to help the target audience learn and practice. By improving understanding and competence around designing and delivering in-service training, a BSN practitioner can demonstrate leadership and prove him- or herself a valuable resource to others.

Scenario

For this assessment it is suggested you take one of two approaches:

1. Build on the work that you have done in your first two assessments and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to your safety improvement plan, or

2. Locate a safety improvement plan through an external resource and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to the issues and improvement goals presented in your chosen context.

Instructions

The final deliverable for this assessment will be a PowerPoint presentation with detailed presenter’s notes representing the material you would deliver at an in-service session to raise awareness of your chosen safety improvement initiative and to explain the need for it. Additionally, you must educate the audience as to their role and importance to the success of the initiative. This includes providing examples and practice opportunities to test out new ideas or practices related to the safety improvement initiative.

Be sure that your presentation addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

· List the purpose and goals of an in-service session for nurses. 

· Explain the need for and process to improve safety outcomes related to a specific organizational issue.

· Explain to the audience their role and importance of making the improvement plan successful.

· Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative.

· Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communication strategies for future improvement.

There are various ways to structure an in-service session; below is just one example:

· Part 1: Agenda and Outcomes.

o Explain to your audience what they are going to learn or do, and what they are expected to take away.

· Part 2: Safety Improvement Plan.

o Give an overview of the current problem, the proposed plan, and what the improvement plan is trying to address.

o Explain why it is important for the organization to address the current situation.

· Part 3: Audience’s Role and Importance.

o Discuss how the staff audience will be expected to help implement and drive the improvement plan.

o Explain why they are critical to the success of the improvement plan.

o Describe how their work could benefit from embracing their role in the plan.

· Part 4: New Process and Skills Practice.

o Explain new processes or skills.

o Develop an activity that allows the staff audience to practice and ask questions about these.

o In the notes section of your PowerPoint, brainstorm potential responses to likely questions or concerns.

· Part 5: Soliciting Feedback.

o Describe how you would solicit feedback from the audience on the improvement plan and the in-service.

o Explain how you might integrate this feedback for future improvements.

Remember to account for activity and discussion time. 

For tips on developing PowerPoint presentations, refer to:

· Capella University Library: PowerPoint Presentations.

· Guidelines for Effective PowerPoint Presentations [PPTX].

Additional Requirements

· Presentation length: There is no required length; use just enough slides to address all the necessary elements. Remember to use short, concise bullet points on the slides and expand on your points in the presenter’s notes. If you use 2 or 3 slides to address each of the parts in the above example, your presentation would be 10–15 slides.

· Speaker notes: Speaker notes should reflect what you would actually say if you were delivering the presentation to an audience. Another presenter would be able to use the presentation by following the speaker notes.

· APA format: Use APA formatting for in-text citations. Include an APA-formatted reference slide at the end of your presentation.

· Number of references: Cite a minimum of 3 sources of scholarly or professional evidence to support your assertions. Resources should be no more than 5 years old.

Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click the linked resources for helpful writing information.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.