Discuss a recent unsuccessful change in healthcare that you have experienced. Discuss how you would improve the outcome.
Discuss a recent unsuccessful change in healthcare that you have experienced. Discuss how you would improve the outcome.
Identify and explain some of the principle features of death-related encounters (Death Rates, Average Life Expectancy, Causes of Death, Death Trajectories, Location of Death) and the six factors associated with these changes (Industrialization, Public Health Measures, Preventative Care, Modern Cure-Oriented Medicine, Nature of Contemporary Families and Lifestyles). Include specific examples.
Identify a recently proposed health policy and share your analysis of the evidence in support of this policy.
Advocating for the Nursing Role in Program Design and Implementation
Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
Select a healthcare program within your practice and consider the design and implementation of this program.
Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.
Create an interview transcript of your responses to the following interview questions:
Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
Who is your target population?
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
What is the role of the nurse in healthcare program implementation? How does this role vary between the design and implementation of healthcare programs? Can you provide examples?
Who are the members of a healthcare team that you believe is most needed to implement a program? Can you explain why?
Providing safe and effective patient care is critical for all health care organizations. Many acronym
related to quality improvement exist, and multiple organizations monitor quality of patient care. How does
the Nurse Leader remain current, adhere to quality standards from multiple organizations, and integrate
those findings into everyday nursing practice?
Construct a minimum of 3-page APA-formatted paper (not including Title and Reference pages). *Include
at a minimum the use of Level 1 and Level 2 headings.Download the provided template to use as a
guideline for APA format.
Interpret and analyze the following bolded topics and sub-topics (required) to guide the flow of discussion
in your paper keeping in mind the key question “How does the Nurse Leader remain current, adhere to
quality standards from multiple organizations, and integrate those findings into everyday nursing
Develop a 20-minute presentation for nursing colleagues highlighting the fundamental principles of care
coordination. Create a detailed narrative script for your presentation, approximately 4–5 pages in length, and
record a video of your presentation.
Nurses have a powerful role in the coordination and continuum of care. All nurses must be cognizant of the
care coordination process and how safety, ethics, policy, physiological, and cultural needs affect care and
patient outcomes. As a nurse, care coordination is something that should always be considered. Nurses must
be aware of factors that impact care coordination and of a continuum of care that utilizes community resources
effectively and is part of an ethical framework that represents the professionalism of nurses. Understanding
policy elements helps nurses coordinate care effectively.
This assessment provides an opportunity for you to educate your peers on the care coordination process. The
assessment also requires you to address change management issues. You are encouraged to complete the
Managing Change activity.
Completing course activities before submitting your first attempt has been shown to make the difference
between basic and proficient assessment.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies
through the following assessment scoring guide criteria:
•Competency 2: Collaborate with patients and family to achieve desired outcomes. ◦Outline effective strategies
for collaborating with patients and their families to achieve desired health outcomes.
•Competency 3: Create a satisfying patient experience. ◦Identify the aspects of change management that
directly affect elements of the patient experience essential to the provision of high-quality, patient-centered
•Competency 4: Defend decisions based on the code of ethics for nursing. ◦Explain the rationale for
coordinated care plans based on ethical decision making.
•Competency 5: Explain how health care policies affect patient-centered care. ◦Identify the potential impact of
specific health care policy provisions on outcomes and patient experiences.
•Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care. ◦Raise
awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation.
Script and reference list are not submitted.
Your nurse manager has been observing your effectiveness as a care coordinator and recognizes the
importance of educating other staff nurses in care coordination. Consequently, she has asked you to develop a
presentation for your colleagues on care coordination basics. By providing them with basic information about
the care coordination process, you will assist them in taking on an expanded role in helping to manage the care
coordination process and improve patient outcomes in your community care center.
To prepare for this assessment, identify key factors nurses must consider to effectively participate in the care
My name is Anaise. I am an NP student studying the AGNP specialty track. This topic particularly interested me as I love to focus on health promotion as well as the ongoing relationship with patients on an ongoing basis and really focus on management and health promotion over a long period of time. I have already had two rotations in primary care and I see a lot of the AGPNP role involves educating, empowering patients and families to sort of take control of their health. Being a bedside nurse for 11 years has given me the experience of communicating and educating patients and families as well as assisting them with their plan of care.
According to the Gerontological Advanced Practice Nurses Association (2015, p. 8), defined “The APRN Gerontological Specialty as an advanced practice registered nurse who has acquired ongoing education and clinical experience, distinctive expertise, fluency, and advanced clinical decision-making proficiencies for managing the complexities of older adults and their families/carers with multifaceted, multilayered health care needs”.
Given the variation between APRNs and related state statutes, rules and regulations, the NP must understand their role as nurse practitioner. APRNs are an integral part of the healthcare team. Studies have shown that individuals are living longer lives in 2014 “14.5% (46.3 million) of the US population was aged 65 or older and is projected to reach 23.5% (98 million) by 2060 (Healthy people, 2020). In order for me to practice in the state of New Jersey as a nurse practitioner after my MSN, I will need to have a valid APN certification within my specialty from one of the credentialing agencies such as ANCC and AANP (New Jersey Consumer Affairs (n.d.). Then apply for the APRN license to the new jersey board of nursing.
APRN to be competent in their specialty field. I intend to follow the nurse practitioner core competencies to provide best/high quality care to my patient based on new practice guidelines and evidenced based research (NONPF, 2017).
APRNs practice is defined by the Nurse Practice Act and governed by the board of Nursing but the ANA supports full practice authority of the APRN, meaning states practice and licensure laws that allow for nurse practitioners to evaluate patients, diagnose order and interpret diagnostic tests, initiate and manage treatments including prescribe medication (ANA, n.d). However the challenge on this topic is that NP are not permitted to use the full practice authority because of limitations in the scope of practice (ANA, n.d.). For instance, New Jersey is not a full practice authority state thus APRN must work in collaboration with a physician which can be very difficult. As a result if the NP loses the physician collaboration they will no longer be allowed to prescribe medications which limit their ability to fully take care of their patients (NJSNA, 2019).
Certified Midwives (CM): Obtain their certification through the American Midwifery Certification Board (AMCB),and they do not require an undergraduate degree in the medical specialty they just need to fulfill the course requirement (Zhou & Lu, 2018). Certified Nurse Midwives (CNM): Are licensed, independent healthcare providers with prescriptive authority in all 50 states and have completed an undergraduate nursing degree. They also have the ability to prescribe medications and obtain licensure. (Zhou & Lu, 2018). Compare with the Certified Professional Midwife (CPM): Obtain their certification through North American Registry of Midwives and prerequisite to enter into this Midwifery program for this certification is a highschool diploma. Their scope of practice is narrow to prenatal, childbirth and postpartum and 6-8 weeks of care for mother and baby following delivery. (Zhou & Lu, 2018).
American Nurse Association (ANA, n.d). Scope of Practice. https://www/nursingworld.org/practice-policy/scope-of-pracitice/
Healthy people 2020. Retrieved from: https://www.healthypeople.gov.
Gerontology Advance Practice Nurse Association. (2015). Consensus Statement on Proficiencies for the APRN.
New Jersey Consumer Affairs. (n.d). Instruction for Advanced Nurse Practitioner Certification in New Jersey. Retrieved from: https://www.njconsumeraffairs.gov
National Organization of Nurse Practitioner Faculties (NONPF). (2017). Nurse practitioners Core Competencies Content.
Zhou, N., & Lu, H. (2018). A review and comparison of midwifery management and education in five representative countries. International journal of nursing sciences.
Include 2 companies that meet the basic qualifications and make sure the skills match the job
-In this paper you will compare the cost of 5 medications (listed below).
Adalimumab 40mg/0.8ml- 2 pens
Rivaroxaban 10mg – 30 tabs
Humalog U-100 insulin – 2 pens
Fluticasone/Salmeterol (Advair Diskus 250/50)- 1 inhaler
ledipasvir/sofosbuvir (Harvoni 90mg/400mg) 30 tabs
-You will compare the prices between 3 types of pharmacies (1. Local (like Hawthorne’s, Long’s, or something
in your hometown), 2. Chain (CVS, Walgreens, Wal-mart, …), and 3. an online pharmacy (will need to
Construct a response to at least 2 of your peers commenting on the adequacy and accuracy of the elements of
their SOAP note. For example, if you note the presence of objective data in the ‘S’ or subjective data in the ‘O’
discuss this with your peers.
For each colleague that you respond to list at least one subjective piece of data and/or one objective piece of
data that support the ‘A’ demonstrated in the note – or comment if there is no data/insufficient data to support
Responses need to address all components of the question, demonstrate critical thinking and analysis and
include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA
Parent should help children to prevent eczema from flaring up by avoiding triggers.
In addition, kids should take shorter baths or showers, and use mild unscented soaps and body products.
Ask the pediatrician if it is okay to use oatmeal baths to help soothe itchiness.
Kids should wear comfortable clothes that do not irritate the skin, such as soft, breathable cotton fabrics; and
kids should avoid wearing wool clothing or using a wool blanket.
Parents should discourage scratching, because it can make the eczema worse, and dirty fingernails can cause
Kids should avoid extreme temperatures, and stay hydrated.
Use of moisturizes [ointment, mild lotions] can help control eczema, as well as reducing the amount of stress a
child may experience (Healthline, 2019).
Consultation/Collaboration: Pediatrician, dermatologist, dietician (Healthline, 2019).
Healthline. (2019). Eczema: Symptoms, Causes, and Treatment. https://www.healthline.com/health/eczema
Jul 8, 2021Jul 8 at 7:56am
Week 9 Discussion
Atopic dermatitis (AD) is a common, chronic skin disorder that can significantly impact the quality of life of
affected individuals as well as their families. AD is a highly pruritic (itchy) inflammatory skin disease and is also
one of the most common skin disorders in children (Kapur et al., 2018). Although the pathogenesis of the
disorder is not completely understood, it appears to result from the complex interplay between defects in skin
barrier function, environmental and infectious agents, and immune dysregulation. The disorder results in
significant morbidity and adversely affects quality of life. Not only are patients affected by the social stigma of a
visible skin condition, but the intense itching characteristic of the disease often leads to skin trauma and
significant sleep disturbances (Kapur et al., 2018).
Worsening rash on bilateral arms without improvement after using hydrocortisone topical cream.
History of eczema
Reporting the area of her arms is very itchy and painful. Rating pain a 7/10, describes as a “burning feeling.”
Reports that nothing makes the pain better, but it helps when she itches.
States that right after she itches, it will start to burn worse and itch more.
Noted signs of excoriations on bilateral antecubital region, scaling on bilateral antecubital regions with
erythema about 3 inches in diameter.
Reports increased itching and flakiness on her scalp
There are no diagnostic tests for AD; therefore, the diagnosis is based on specific clinical criteria that consider
the patient’s history and clinical manifestations (Kapur et al., 2018). Current management involves treatment
combinations to suppress inflammation, restore skin barrier function, and prevent superinfection. Systemic
immunosuppressants are reserved typically for treatment of moderate-to-severe AD but are associated with
adverse events (AEs) and not suitable for long-term use. Therefore, more effective, and well-tolerated
therapies are required that target the etiologic mechanisms of AD pathophysiology rather than simply providing
symptom relief (Wollenberg et al., 2019).
Allergy testing: Children with moderate to severe eczema have a high incidence of associated allergy. The
results of these tests in combination with the clinical history provide a more accurate assessment of the child’s
Lab: CBC-checking WBC count due to fever.
Children’s Motrin 300mg PO q 6-8 hours for fever and inflammation
Assists with pain control and treatment of fever.
OTC Children’s Diphenhydramine 25mg PO Q 4-6 hours PRN
Helps with itching.
Triamcinolone Acetonide 0.025% topical application to affected areas 2-4 times a day.
Assists with itching, swelling and irritation of AD.
Studies have shown that probiotics lower Bacteroidescounts in the fecal microflora of children with atopic
eczema than in healthy infants and suggested that probiotics can be used to treat AD in children (Huang et al.,
Tea Tree oil shampoo and conditioner
Aveeno soothing bath treatment colloidal oatmeal skin protectant
Relieves dry, itchy, irritated skin due to poison ivy, insect bites, eczema, sunburn, hives & rashes.
Wear cotton clothing
Avoid known allergens.
Bath daily (do not use extremely hot water).
Avoid extreme temperatures.
Medication application as suggested.
Apply moisturizers immediately after bathing.
Use mild, fragrance-free laundry detergents, and avoid fabric softeners.
Follow up in 1 week.
Dermatologist: This physician specializes in conditions involving the skin, hair, and nails.
Allergist: specializes in the diagnosis and treatment of asthma and other allergic diseases.
Huang, R., Ning, H., Shen, M., Li, J., Zhang, J., & Chen, X. (2017). Probiotics for the Treatment of Atopic
Dermatitis in Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Frontiers in
Cellular and Infection Microbiology, 7. https://doi.org/10.3389/fcimb.2017.00392
Kapur, S., Watson, W., & Carr, S. (2018). Atopic dermatitis. Allergy, Asthma & Clinical Immunology, 14(S2).
Wollenberg, A., Howell, M. D., Guttman-Yassky, E., Silverberg, J. I., Kell, C., Ranade, K., Moate, R., & van der
Merwe, R. (2019). Treatment of atopic dermatitis with tralokinumab, an anti–IL-13 mAb. Journal of Allergy and
Clinical Immunology, 143(1), 135–141. https://doi.org/10.1016/j.jaci.2018.05.029
What health care providers are the major players in the U.S. health care system? What are the positive and
negative effects of the often-conflicting self-interests and lack of regulation on these players?