ADULT DAILY HOLISTIC ASSESSMENT TOOL

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Situation: Christopher Parrish is an 18-year-old male who was admitted at 1900 today. His mother visited him at his college dormitory and was very concerned with his health; he seemed weak and had lost weight since she last saw him. She took him to see his primary care provider, and the provider admitted him and has ordered a tube feeding. I placed an 8-Fr, 42-inch feeding tube in his right nares about an hour ago, and x-ray just called and confirmed placement in the stomach. The pump is in his room. He is up to the bathroom prn; otherwise bed rest.

 

Background: Christopher was diagnosed with cystic fibrosis as a child and has had frequent hospitalizations previously. He reports fatigue and has recently lost 6 kg (13.2 lb) after he registered at the local college and moved to live in a dormitory. Chris’s mom was here earlier, but she is a single parent and has two younger boys, so she had to go home.

 

Assessment: Christopher is awake and alert. His heart rate and rhythm are regular at 80–85/min. Breath sounds are fine with a respiratory rate at 18/min. His color is a bit pale. Blood pressure is 118/78 mm Hg. He reports no pain and states he’s not had much appetite the past few weeks. His belly is flat and nontender. Bowel sounds are normoactive.

 

Recommendation: Christopher is due for vital signs and assessment. The tube feeding just arrived, and you will need to start it on the pump. He needs 720 kilocalories over 8 hours overnight. His regular diet is high calorie, high fat, but he wasn’t too hungry this evening; just had a bit of his chocolate shake. You will need to give his pancreatic enzymes orally before you start the tube feeding. You should also assess his diet and reinforce patient education on nutrition.

 

CONTINUOUS QUALITY IMPROVEMENT

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Paper details

In a 1,000-1,250 word paper, consider the outcome and process measures that can be used for CQI. Include the following in your essay:

1. At least two process measures that can be used for CQI.

2. At least one outcome measure that can be used for CQI.

3. A description of why each measure was chosen.

4. An explanation of how data would be collected for each (how each will be measured).

5. An explanation of how success would be determined.

6. One or two data-driven, cost-effective solutions to this challenge.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required

Read the Case Study, Theory of Dependent Care

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  1. Read the Case Study, Theory of Dependent Care, on page 209 of textbook (also see attached PDF file and questions below).
  2. Complete the Critical Thinking Activities related to the case study – Questions 1, 2 & 3.  Submit your assignment in the drop box (360 min) (See Grading Rubric in Course Syllabus)
  3. Please submit the assignment on a Microsoft Word document.

Question 1: Examine this case study through the dependency cycle model (Figure 14.3). The outer arrows show a progression through varying stages of dependency. The inner circle represents who can be involved in the dependency cycle. Where are Jane and Dan?

Question 2: Using the basic dependent-care system model (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dan’s BCFs on his self-care demands? Continue on to diagnose Dan’s self-care deficit and resulting dependent-care deficit. Now assess Jane’s self-care system.

Question 3: Design a nursing system that addresses Jane’s self-care system as she increases her role as dependent-care agent for Dan.

APA Format with references please.

Agenda Comparison Grid And Fact Sheet Or Talking Points Brief

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It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.

Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.

As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.

In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.

To Prepare:

  • Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations.
  • Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.
  • Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.
  • Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.

The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:

  • Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.
  • Describe the administrative agenda focus related to the issue you selected.
  • Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
  • Explain how each of the presidential administrations approached the issue.

Part 2: Agenda Comparison Grid Analysis

Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:

  • Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
  • How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?
  • Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?

Part 3: Fact Sheet or Talking Points Brief

Using the information recorded on the template in Parts 1 and 2, develop a 1-page narrative that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following:

  • Summarize why this healthcare issue is important and should be included in the agenda for legislation.
  • Justify the role of the nurse in agenda-setting for healthcare issues.

 

Part 2:

  • Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
  • How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?
  • Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?

Please be specific in this section.

Part 3: Talking Points Brief

Develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. Be sure to address the following:

  • Summarize why this healthcare issue is important and should be included in the agenda for legislation.
  • Justify the role of the nurse in agenda-setting for healthcare issues.

   You need to read the DeMarco and Tufts (2014) article.

  • It must be formatted with an      Executive Summary, Background and Significance, and a Position Statement.
  • The bullets in the syllabus are included in the DeMarco and Adams format.  i.e. why this health care issue is important and should be included in the agenda for legislation. 
  • Justify the role of the nurse in agenda-setting for health care issues (this is straight out of your book).

Remember in this section you are talking to your legislators.  Please do not use I, We, etc.

 

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED: RUBRIC, THE PREVIOUS PRESIDENTIAL AGENDAS GRID TEMPLATE YOU DID EARLIER, DeMarco and Tufts (2014) Article to complete part of the assignment.

4).   PLEASE WRITE PART 3 AS EXECUTIVE SUMMARY AS INDICATED IN THE ASSIGNMENT.

PLEASE NOTE: THIS PARTICULAR ASSIGNMENT STARTS FROM PART 2 OF THE AGENDA COMPARISON GRID TEMPLATE, AND YOU HAVE DONE MOST OF IT EARLIER. PLEASE FOLLOW THROUGH.

Thank you so much.