Client Questions

1. Reply for discussion board.   **One Page only** **Please don’t use another source. Use this materials that is attached only.** Details: When George Monroe found out that he had terminal cancer and was essentially dying, I would implement the theory of planned change. The planned change theory is a good theory to use for a patient who received a new diagnosis. The diagnosis of a terminal illness is definite change and requires daily life change in order to maintain the highest quality of life. Lewin’s theory has three stages. During the unfreezing stage to live with a terminal diagnosis would be addressed. The next step would be announced. Barriers to the plan would be addressed as well and grief would help to sustain the changes that were implemented and ensure they  become a pattern. It would be expected from George. The final stage would be the refreezing stage. This would help to sustain the changes that were implemented and ensure they become a pattern. It would be expected that when faced with terminal diagnosis, there would be a backward and forward process of movement. This theory would best help George to make lifestyle changes to ensure optimal quality of life and it would also assist him in making changes to help fix his relationship with his son during his final days.

Hi, I want you to fill out this table. Please follow exact instruction: I upload the blank table to be filled and a sample to know how to do it.

Outcome measures are significant in showing the worth of the Advanced Practice Nurse’s role in health care. Identify a practice-level outcome study and describe the expectation of its effect on health care. 1 page, 2 sources, APA

examine the main structural and process changes that will be required to design and implement family-style dining at this facility.

Assessment : Heart Failure Clinic Resourcing Plan  Details Overview Write a 3–4 page evidence-based resourcing plan for one component of the Heart Failure Clinic.  It is important for the nurse leader to have not only a basic understanding of the budget process, but to understand how to work with variances in staffing, patient loads, and supply costs in order to meet the needs of the patients, without compromising the funding process of the clinic.  SHOW LESS By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:  Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes. Apply evidence-based management strategies and best practices for resourcing health care services. Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice. Apply legal and professional standards for resourcing outpatient services. Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional. Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style. Reference Kelly, P., & Tazbir, J. (2014). Essentials of nursing leadership and management (3rd ed.). Clifton Park, NY: Delmar.  Competency Map CHECK YOUR PROGRESS Use this online tool to track your performance and progress through your course. Toggle Drawer Context Health care delivery is a complex process and system that includes multiple delivery sites such as hospitals, ambulatory-care centers, private-provider offices, community-health facilities, home-care agencies, and extended-care facilities. Managed care is a method used to reimburse or pay for health care service. It includes more than just payment; it also controls the delivery services. Health care reform has been undertaken for a variety of reasons, not the least of which are access and health disparities issues. Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014).  Toggle Drawer Questions to Consider To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.  For the following questions, you may wish to review the Brown, Bornstein, and Wilcox article “Partnership and Empowerment Program: A Model for Patient-Centered, Comprehensive, and Cost-Effective Care,” listed in the Unit Resources.  Who makes you accountable for the delegation that you use in your organization, as well as on a state and national level? Are there ways you could initiate greater collaboration with the health care team by using delegation? What is the purpose of the National Council of State Boards of Nursing delegation decision-making tree? What is the long-term implication related to health care cost if the patient or patient population continues to have poor outcomes related to cost containment? How can you address cost within your organization, as a nursing leader, and how is this related to patient outcomes? Toggle Drawer Resources Suggested Resources The following optional resources are provided to support you in completing each assessment. They provide helpful information about the topics in this unit. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.  Library Resources The following resources are provided for you in the Capella University Library and are linked directly in this course. These articles contain content relevant to the topics and assessments that are the focus of this unit.  Brown, C., Bornstein, E., & Wilcox, C. (2012). Partnership and empowerment program: A model for patient-centered, comprehensive, and cost-effective care. Clinical Journal of Oncology Nursing, 16(1), 15–17. Rundio, A. (2012). The nurse manager’s guide to budgeting & finance. Indianapolis, IN: Sigma Theta Tau International. Cranmer, P., & Nhemachena, J. (2013). Ethics for nurses: Theory and practice. Maidenhead, Berkshire, UK: Open University Press. Pynes, J. E., Lombardi, D. N. (2011). Human resources management for health care organizations: A strategic approach. San Francisco: Jossey-Bass. Simons, T., Leroy, H., Savage, G. T. (2013). Leading in health care organizations: Improving safety, satisfaction, and financial performance. Bingley, UK: Emerald Group. Zelman, W. N., McCue, M. J., Glick, N. D., Thomas, M. S. (2014). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (4th ed.). San Francisco: Jossey-Bass. SHOW LESS Course Library Guide A Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the BSN-FP4012 – Nursing Leadership and Management Library Guide to help direct your research.  Internet Resources Mensik, N. (2013). What nurses need to know about nurse staffing today | Transcript. Retrieved from https://www.youtube.com/watch?v=mo5OFmGQQH0 American Nurses Association (ANA). (2015). Code of ethics for nurses. Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses.aspx National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved from https://www.ncsbn.org/index.htm Joint Commission. (2015, January 12). Hospital outpatient department. Retrieved from http://www.jointcommission.org/hospital_outpatient_department American Nurses Association (ANA). (n.d.). Scope of practice. Retrieved from www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses/Scope-of-Practice-2 Bookstore Resources The resources listed below are relevant to the topics and assessments in this course. These resources are available from the Capella University Bookstore. When searching the bookstore, be sure to look for the Course ID with the specific –FP (FlexPath) course designation.  Kelly, P., & Tazbir, J. (2014). Essentials of nursing leadership and management (3rd ed.). Clifton Park, NY: Delmar. Chapters 8–10 Chapters 14–15. Assessment Instructions Preparation Refer to the Capella library and the Internet for supplemental resources to help you complete this assessment.  Instructions Deliverable: Develop one component of an evidence-based resourcing plan.  Scenario:  The hospital leadership team has already allocated the major capital expenditures for the heart failure clinic, such as the facility, legal services, IT, and security services. However, as a member of the nurse team, you have been asked to develop one component of a resourcing plan for the next leadership meeting.  You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly.  Choose one of the following:  Budget:  Apply evidence-based management strategies and best practices for resourcing health care services. Identify the business plan budget categories and subcategories (not necessarily the actual cost) to establish a new clinic. Start-up expenses. Examine fixed and variable costs. Capital budget items. Examples: salary and benefits, staffing mix, specialized equipment or materials, et cetera. Contingency fund and parameters. Apply legal and professional standards for resourcing outpatient services. Explain the alignment to best practices and professional standards for cost effective outpatient services. How will uninsured or underinsured patients be managed? Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. What data resources and tools analyze costs, health insurance, and hospitalization services? How will billing be handled? How will you determine if outpatient management is cost-effective? How does transparency impact the consumer? Staffing Plan:  Apply evidence-based management strategies and best practices for resourcing health care services. Identify the disciplines and skill mix needed for appropriate staffing. Estimate staffing requirements by discipline and staffing ratios (evidence-based). Develop a sample staffing schedule. How will you staff to meet corporate diversity goals or the needs of diverse patients? Explain how delegation, collaboration, negotiation will affect staffing plan. How does a union contract affect the staffing plan or schedule? Examine the Nurse Practice Act for your state. How does the Nurse Practice Act affect your staffing plan? Apply legal and professional standards for resourcing outpatient services. Align your staffing plan to best practices, the Nurse Practice Act for your state, scope of practice, and the Joint Commission standards for outpatients. Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. How will you know if staffing is cost-effective? How will you know if staffing mix or schedule impacts patient outcomes? Additional Requirements Written communication: Written communication should be free of errors that detract from the overall message. APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting. Length: The plan should be 3–4 pages in content length, double-spaced. Font and font size: Times New Roman, 12 point. Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.

Directions for Preparing the Scholarly Paper Read each of these instructions. Read the assignment grading rubric criteria. Your paper will be graded using the assignment grading rubric criteria. Review the  Recommended Guideline (Links to an external site.). The guideline is a recommended outline only and does not substitute for your assignment grading rubric.  Review the following link which contains a tutorial for your Week 5 Assignment. Tutorial may look slightly different session to session. Grading criteria and rubric will be the same.  Click here for the transcript. (Links to an external site.)  https://lms.courselearn.net/lms/video/player.html?video=0_72mxt830 This assignment is completed as an APA paper. APA resources can be found in your Resources Tab and the library. You are required to complete the paper using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later  version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading  from the student portal at http://my.chamberlain.edu (Links to an external site.) . Click on the envelope at the top of the page Two or more supporting scholarly references are required. Textbooks and assigned readings are not allowed and should not be used as a scholarly source. Use the Chamberlain Library to locate relevant, scholarly sources. No more than two direct quotes are allowed. You should be using mostly your own words to demonstrate your understanding of the topics/criteria for this assignment. Citations and references  must be included. This is a short, scholarly paper. The assignment should be 3-4 pages in length not  including the title page and references page. Submit the completed assignment on the Week 5: Assignment page. Best Practices For questions about this assignment, please contact your instructor. Spell check for spelling and grammar errors prior to final submission.? Please see the grading criteria and rubrics on this page. Please use your browser’s File setting to save or print this page. Scholarly Sources and Citations? Use APA format in citations and references. No more than two direct quotes are allowed. Paraphrasing encouraged.  **Academic Integrity** Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments. By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. References American Association of Colleges of Nurses. (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice. http://www.aacnnursing.org/Education-Resources/AACN-Essentials Quality and Safety Education for Nurses. (2018). QSEN knowledge, skills, and attitude competencies. http://qsen.org/competencies/pre-licensure-ksas/

Diabetes in Hispanic Population ( Charlotte County Fl.)  Described population group then described the population’s health problem providing data to support. Described results of comprehensible community assessment showing collaboration with health care team members and or individuals/groups that represent the problem. Developed possible evidence-based culturally competent interventions/programs aimed at primary prevention at the community and system level of care specific to the community  Chose a possible way to evaluate the outcomes of the project  Presented to a community professional  Described role as a health care leader in the community Format and Writing Format of presentation includes: Bullet information on slide No more than seven lines per slide No more than seven words per sentence Do not write in all capital letters  Select a background that will enhance the quality of the information being presented   APA format for in-text citation and reference list Minimum 15, maximum 18 slides – this includes the title slide and reference list–

Directions: Assess an older adult using the Geriatric Assessment Tool (link located in Files link). Complete all Tables (6 in total) and submit by deadline. Regarding Table 3: perform a head to toe physical assessment on the client, document positive findings and current medications (if any indicated for the body system). For example, vital signs: high blood pressure (Amlodipine 5 mg PO daily, eyes: glaucoma (Xalatan 0.005% one drop both eyes daily).

IT IS IMPORTANT TO COVER THE COMPETENCES; I WROTE THE WORD -IMPORTANT- NEXT TO THE COMPETENCES. PLS READ IT; THOSE ARE THE THINGS THAT NEED TO BE ADDRESSED. THANK YOU !   Develop a 6–8 page, APA-formatted article on a global health topic for publication. Describe the factors that impact health and health care delivery, and the interventions that have been implemented. Explain the influence of altruism on global health, and identify evidence-based interventions to address the global health topic. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Explain the factors that affect the health of communities. (IMPORTANT) -Describe the factors that impact health and health care delivery associated with a global health care issue. (IMPORTANT) -Explain the influence of altruistic organizations on health and health care practices associated with a global health care issue. (IMPORTANT) -Explain how health care decisions and practices at a local level relate to health and health care delivery on a global scale. Competency 2: Apply evidence-based interventions to promote health and disease prevention and respond to community health issues. (IMPORTANT) -Describe interventions implemented to address a global health care issue. (IMPORTANT) -Identify evidence-based interventions to promote wellness and disease prevention associated with a global health care issue. Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional. (IMPORTANT) -Provide background information and statistics on a global health care issue. (IMPORTANT) -Write content clearly and logically with correct use of grammar, punctuation, and mechanics. (IMPORTANT) -Correctly format paper, citations, and references, using current APA style.   Assessment Instructions Preparation Suppose you have been asked to submit an article for publication in your organization’s newsletter, about a global health topic and how policies and practices at the local level can affect global health. Choose one global health topic from the list (or use another of your choice): Mental health. Communicable diseases (HIV/AIDS, influenza, malaria, tuberculosis). Non-communicable diseases (cancer, lung, and heart disease). Maternal and child health (prenatal care, midwife education, childhood vaccinations). LGBT health. Disabilities. Global water supply and safety (GlobalHealth.gov, n.d.). Look in the Capella library and on the Internet for very recent peer-reviewed articles, statistics, and professional nursing information on the global health topic you selected. Requirements For this assessment, develop an APA-formatted research review article that covers one global health topic of your choice. In this assessment: Identify your topic. Provide background information and statistics on the topic, including the global areas most affected by the topic and the types of health care issues most often associated with the topic. Describe the factors that impact health and health care delivery in the global areas most affected by the topic you selected. These factors may include not only culture and tradition, but also politics, economics, and social attitude. Explain the influence of altruistic organizations (Peace Corps, Project Hope, religious and non-religious missions, and so on) on health and health care practices in the global area specifically associated with the topic. Describe the interventions implemented to address the health care issues associated with the topic. Include both conventional and unconventional interventions. Explain how the health care decisions and practices at the local level (the area most impacted by the topic) relate to health and health care delivery in other global areas. This is not limited only to best practices, but could include poor health care decisions and practices. Identify evidence-based interventions that are effective, efficient, cost-effective, and equitable for promoting wellness and disease prevention in the specific area and population. Additional Requirements Complete your assessment using the following specifications: Title page and reference page. Number of pages: 6–8 (not  including the title and reference pages). At least 3 current scholarly or professional resources. APA format for citations and references. Times New Roman font, 12-point, double-spaced.

APA format. 3 paragraphs (360 ) words. This does not include references page. Use on scholar authors and article should be less than 5 years old. This is your population and topic: Primary prevention frame is to prevent hypertension among low socioeconomic status adults in the community.    Practicum Discussion: This week your assignment is to collect and then refine health data about the issue that affects your population group. You will use scholarly professional literature to support your ideas about the population at risk. If data is not available for your population on a local level, then use county or state data. Some examples of health data that you might consider gathering are epidemiologic information related to health conditions, reproductive outcomes, causes of death, vital statistics, socioeconomic data including poverty and/or educational levels, quality of life issues, and/or lack of access to health care due to lack of health insurance or access to providers. You will want to compare local data with state and national trends to fully understand the extent of the selected problem in your community. Please address the following points in your Practicum Discussion: Describe the specific health problem and population you have selected. What data did you find to support your decision? Help each other further refine and clarify the problem and population. What useful health data and public health websites did you locate to support your position? What other evidence did you find? You can include scholarly articles in this discussion