Client Questions

Describe the fundamental principles of servant leadership. Present two qualities of servant leadership and explain how they support interprofessional communication in providing patient care.

Identify the Population   Health concern you selected. Unfortunate Elevation   of Suicide Rate in America   Describe the Population   Health concern you selected and the factors that contribute to it.  Suicide is mental illness   when people direct violence at themselves with intent to end their life which   is a major public health problem and leading cause of death in America.   According to Center of Disease Control and Prevention (CDC) suicide is tenth   leading cause of death in US claiming the lives of over 47,0000 people.   During 2001 – 2017 total rate increase is 31 percent from 10.7 – 14.0 per   100,000 and in male suicide is four times higher than female (National   Institute of Mental Health).   Administration (President   Name) (Current President) Donald J Trump (Previous President) Barack Obama (Previous President) George W Bush   Describe the administrative   agenda focus related to this issue for the current and two previous   presidents. President Trump issued a   “National call to Action to Empower Veterans and End the National tragedy by   Veteran Suicide”, this administrative agenda focuses on improving the quality   of life of America’s Veterans and ending the tragedy of veteran’s suicide.   Despite significant efforts and billions of dollar investment veteran’s   suicide has raise to 26 percent from 2005-2016. President’s aim through this   agenda is to revolutionize the VA healthcare system (U.S. Department of   Veterans affairs,2016). President Trump signed, the   National Suicide Hotline Improvement Act of 2018, which made civilian to   access suicide crisis prevention by direct 3-digit number rather than long 10   digits (American Foundation for Suicide Prevention,2018). In Obama’s administration,   Affordable Care Act played crucial role in extension of mental health and   substance use disorder benefits and parity protection among individuals who   were suffering from mental health illness. Obama also focused in prevention   of American Veteran suicide by making easy access to the mental health   providers. President proclaimed September 10,2015 as world suicide prevention   day by making awareness to citizen, government agencies, organization, health   care institute and research institute. He focused on prevention of bullying   and harassment which is major leading cause of suicide among teenagers (The Whitehouse,2015). In Bush’s administration, suicide   was introduced as one of the serious mental health problems among civilian   and veterans. In 2001 Bush’s agenda was focused in serving all person at risk   of suicide in US through network of local, certified crisis call center. This   program now called the National Suicide prevention lifeline. Agenda primary   focus was to make it available 24/7. In 2009 on supervision of Bush VA added   1-1 “chart service” for veteran who prefer to reach through internet (US   Department of Health and Human Services, 2012). President Bush signed H.R.   327, the “Joshua Omvig Veterans Suicide Prevention Act” and H.R. 1284 the “   Veterans compensation cost-of-living adjustment act,2007) into law which   required VA to develop and implement a comprehensive program to reduce the   incidence of suicide among veterans and increase beneficiaries of veteran’s   disability compensation(Office of press secretary,2007).   Identify the allocations of   financial and other resources that the current and two previous presidents   dedicated to this issue. The executive orders on   president’s Roadmap to empower Veteran’s and End a National Tragedy of   suicide establishes a task force that includes the secretaries of VA,   Defense, Health and Human services and Homeland security. Frequent meeting of   the taskforce is held for topic prevention of suicide which includes head of   other executive department and agencies to other senior officials in the   Whitehouse office. President Trump secured a record $73.1 billion in funding   for the VA to provide quality medical care which includes $8.6 billion for   mental services and $206 million for suicide prevention (Whitehouse, 2018). The president has expanded   access to telehealth services to help reach more veterans through “Anywhere   to Anywhere” effective VA health care initiative (Whitehouse,2018). Affordable Care Act (ACA)   created Prevention and public health fund which funded 27 grants for   prevention of suicide (US Department of Health and Human Services, 2012). President George W Bush   signed the Garrett Lee Smith Memorial Act on October 21, 2004, turning bill   into law, the measure provides $82 million in grants to school, colleges,   universities and American Indian organization for development of suicide   prevention program (Kelvin,2004).   Explain how each of the   presidential administrations approached the issue. President’s roadmap to   empower Veterans include a national research strategy for engaging with   public and private sector stakeholders to better understand the underlying   factors of suicide and lead to earlier identification and intervention, it   also includes a proposal for equipping state and local government with the   resource and tools to empower veteran communities. This roadmap helps to   create on active engagement with each veteran because 70 percent veteran   suicide without any mental assessment and intervention, it helps each veteran   for easy access of healthcare (Whitehouse,2018). Mr. Trump’s order made a wide   range of mental health services available to all veterans as they transition   back to civilian society. Trump directed the department of VA for expansion   of health care to telemedicine, which has the potential to connect veteran   with care no matter where they live, and its use of technology allows former   service members to schedule appointment online. If VA can’t serve them   quickly then Veteran can go for private and allowance will be given (White   house,2018). The Affordable Care Act   extends mental health and substance use disorder benefits and parity   protection to over 60 million Americans, helping men and women across country   to access critical care. Protection under the health care law prohibit   insurers from denying coverage because of pre- existing conditions, like a   diagnosis of mental health illness and require most insurance plan to cover   and recommended prevention service without co pays, including behavioral   assessment for children and depression screening( The White House,2018). In February, Obama signed the   Clay Hunt suicide prevention for American Veteran Act to help fill serious   gaps for serving veterans with PTSD and other illness. Obama announced 19   executive actions to make it easier for veterans to access care, including   increasing the number of mental health providers at the department of   Veterans Affair (The White House,2018). Suicide prevention national   strategy was first released in 2001, assembled by president George W Bush in   2002,the commission was asked to study mental health service delivery system,   to make recommendations that would enable adults with serious mental health   illness and children with serious emotional disturbance at work and    school. Participating fully in their communities, after one year of   study, reviewing and testimony the group issued its final report, which   identified six goals and corresponding recommendation. Activity in the filed   of suicide prevention has grown dramatically since the national strategy was   issued in 2001.Government agencies at all levels, school, nonprofit   organization and business have started program to address suicide prevention   (US Department of Health and Human Services, 2012). The network of local   certified crisis call center was established in such a way that people in   crisis get their call transferred in nearest place so that suicide prevention   team can be in place of crisis quickly. There are greater than 100 suicide   call centers in 49 states. In October 2011, lifeline answered about 3 million   calls. (US Department of Health and Human Services, 2012).

Analyzes the key elements that make up a health assessment at the community, group, and individual levels (I need three separate paragraphs).   Explains the process involved in conducting a comprehensive health assessment and outlines best-practice strategies for obtaining critical information

“Professional Roles and Responsibilities” Family nurse practitioners (FNPs) are graduate-educated, nationally-certified and state licensed advanced practice registered nurses (APRNs) who care for medically stable patients across the lifespan, from infants to geriatric patients. What are the educational requirements to practice as a FNP? According to the American Association of Colleges of Nursing (AACN), what is the recommended terminal degree to prepare nurse practitioners. Who determines the scope of practice for FNPs? Who defines it? Who Credentials and what is the role of a Professional and Political Organization in defining the role? Review the following website: https://floridasnursing.gov/nursing-faqs/advanced-practice-registered-nurse-aprn/ Discuss at least 3 regulations impose in APRN in the state of Florida and would you like to change and what process will you use to do it?.

Visit South’s online library and review these two articles. Connelly, L. M. (2014). Use of theoretical frameworks in research. MEDSURG Nursing, 23(3), 187-188. Green, H. E. (2014). Use of theoretical and conceptual frameworks in qualitative research. Nurse Researcher, 21(6), 34-38. Next, review the evidence you are collecting for your proposed study. Which theories have others cited? Are you seeing a common theme? Next construct a conceptual map (see p. 138 in your textbook). Use Microsoft Word or Microsoft PowerPoint and include this as an attachment. Be sure you have defined the concepts and included relational statements.

CLINICAL CASE DECISION INSTRUCTIONS Grading Criteria for Clinical Case Decisions: The highest potential points for each Clinical Case Decision Question are 15-points.  Students are required to upload their response as a word document attachment to the assignment drop box. Each uploaded response is worth a possible 15 points. Your comments should be substantiated and substantive. Postings require two citations from 1 scholarly journal and/or 1 outside textbook. Textbooks assigned to this course may be used for an additional citation only.    Each of the two references must be from a different reference source. To gain full credit for the assignment, the response must be a full page, but no more than three (3) pages in length, which includes the reference list. Students are required to use APA format, proper citations, and references.  Students using direct quotes from referenced sources in the body of the paper must include quotations. Students will be assigned to a question. Clinical Decision Case study. Begin with a Head-Toe assessment, you decide if it should be treated as episodic with rationale. You have been assigned two (2) cases to provide analysis. All cases should include the following a. Pathophysiology and pharmacology of the disease b. Expected signs and symptoms of the disease. c. Nursing Diagnosis with a plan of care. d. All questions pertaining to the case as listed under each case.  You have been assigned two (2) cases to provide analysis.  C1.  Mr. Bush, a 45-year-old middle school teacher arrives at the emergency department by EMS ground transport after he experienced severe mid-sternal chest pain at work. On arrival to the ED, a.  What priority interventions you would initiate? b. What information would you require to definitively determine what was causing Mr. Bush’s chest pain? C2. Explain how diuretics, receptor antagonists, angiotensin converting enzyme antagonists, and angiotensin receptor antagonists reduce blood pressure in individuals with primary hypertension.

Build a slide presentation (PowerPoint preferred) of the health promotion plan you developed in the first assessment (order _134058_350788.doc ). Then, implement your health promotion plan by conducting a face-to-face educational session addressing the health concern and health goals of your selected community member or group. In addition, collaborate with any participants in setting goals for the session, evaluating session outcomes, and suggesting possible revisions to improve future sessions. Review attached Vila Health Doc. The information gained from completing this activity will help you succeed with the assessment as you consider key issues in conducting an effective educational session for a selected audience. Completing activities is also a way to demonstrate engagement. Professional Context Health education is any combination of learning experiences designed to help community individuals, families, and aggregates improve their health by increasing knowledge or influencing attitudes (WHO, 2018). Education is key to health promotion, disease prevention, and disaster preparedness. The health indicator framework identified in Healthy People 2020 helps motivate action in such areas as health service access, clinical preventive services, environmental quality, injury or violence, maternal, infant and child health, mental health, nutrition, substance abuse, and tobacco use. Nurses provide accurate evidence-based information and education in various formal and informal settings. They draw upon evidence-based practice to provide health promotion and disease prevention activities to create social and physical environments conducive to improving and maintaining community health. When provided with the tools to be successful, people demonstrate lifestyle changes (self-care) that promote health and help reduce readmissions. They are better able to tolerate stressors, including environmental changes, and enjoy a better quality of life. In times of crisis, a resilient community is a safer community (ODPHP, n.d.; Flanders, 2018). This assessment provides an opportunity for you to apply teaching and learning concepts to the presentation of a health promotion plan. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 3: Evaluate health policies, based on their ability to achieve desired outcomes. Evaluate educational session outcomes in terms of progress made toward Healthy People 2020 goals and leading health indicators. Competency 4: Integrate principles of social justice in community health interventions. Evaluate educational session outcomes and the attainment of agreed-upon health goals in collaboration with participants. Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health. Present a health promotion plan to an individual or group within a community. References U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion (ODPHP). (n.d.). Healthy People 2020. Retrieved from https://www.healthypeople.gov/ Flanders, S. A. (2018). Effective patient education: Evidence and common sense. Medsurg Nursing, 27(1), 55–58. Note: This is the second part of a two-part assessment. You must complete Assessment 1 before completing this assessment. Preparation This assessment builds upon Assessment 1 where you contacted and secured local individuals or group in your community who were open to a presentation about a health concern and health promotion strategies. Once again, you will assume the role of a community nurse tasked with addressing the specific health concern within your chosen community. This time, you will implement the health promotion plan that you developed in Assessment 1 as a PowerPoint presentation. This presentation must be live and face-toface. You know that you must determine an effective teaching strategy, communicate the plan with professionalism and cultural sensitivity, obtain input on the value of the plan to the individual or group, and revise the plan, as applicable, to improve future educational sessions. To engage your audience, you decide to develop a slide presentation to communicate your plan. A copy of the slide presentation could also be given to the individual or group for future reference. Remember that your first assessment (Assessment 1) MUST be satisfactorily completed to initiate this assessment (Assessment 4). These assessments meet the three-hour clinical learning experience required in this course Please review the assessment scoring guide for more information. To prepare for the assessment, you are encouraged to complete the Vila Health: Conducting an Effective Educational Session simulation. You may also wish to review the health promotion plan presentation assessment and scoring guide to ensure that you understand all requirements. Note: Remember that you can submit all, or a portion of, your draft plan to Smarthinking Tutoring for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Instructions Complete the following: Prepare a PowerPoint presentation of the health promotion plan you developed in Assessment 1, with detailed speaker’s notes that include your evaluation of session outcomes. Speaker notes should reflect what you will actually say when you conduct the face-to-face session. Implement your health promotion plan by conducting a face-to-face educational session addressing the health concern and health goals of your chosen participants. Collaborate with the participants in setting session goals, evaluating outcomes, and suggesting possible revisions to improve future sessions. As you begin to prepare this assessment, you are encouraged to complete the Vila Health: Conducting an Effective Educational Session activity. The information gained from completing this activity will help you succeed with the assessment as you consider key issues in conducting an effective educational session for a selected audience. Completing activities is also a way to demonstrate engagement. Completion of this assessment, and the course, requires that you spend a minimum of three hours face-to-face working with your identified patient who may be a community member or group. Remember that it is a requirement to log your direct clinical hours in the CORE ELMS system. Please be advised that the Volunteer Experience form requires that you provide the name and contact information for at least one individual with whom you worked as part of your direct clinical activity. Your faculty may reach out to this individual to verify that you have accurately documented and completed your clinical hours. PRESENTATION FORMAT AND LENGTH You may use Microsoft PowerPoint (preferred) or other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues. The number of content slides in your presentation is dictated by nature and scope of your health promotion plan. Be sure to include title and references slides per the following: Title slide: Health promotion plan title. Your name. Date. Course number and title. References (at the end of your presentation). Be sure to apply correct APA formatting to your references. The following resources will help you create and deliver an effective presentation: Record a Slide Show With Narration and Slide Timings. This Microsoft article provides steps for recording slide shows in different versions of PowerPoint, including steps for Windows, Mac, and online. Microsoft Office Software. This Campus page includes tip sheets and tutorials for Microsoft PowerPoint. PowerPoint Presentations Library Guide. This library guide provides links to PowerPoint and other presentation software resources. SoNHS Professional Presentation Guidelines [PPTX]. This presentation, designed especially for the School of Nursing and Health Sciences, offers valuable tips and links, and is itself a PowerPoint template that can be used to create a presentation. SUPPORTING EVIDENCE Support your plan with at least three professional or scholarly references, which may include peer-reviewed articles, course study resources, and Healthy People 2020 resources. GRADED REQUIREMENTS The requirements outlined below correspond to the grading criteria in the assessment scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. Present your health promotion plan to your chosen audience. Tailor the presentation to the needs of your audience. Adhere to scholarly and disciplinary writing standards and APA formatting requirements. Evaluate educational session outcomes and the attainment of agreed-upon health goals in collaboration with participants. Which aspects of the session would you change? How might those changes improve future outcomes? Evaluate educational session outcomes in terms of progress made toward Healthy People 2020 goals and leading health indicators. What changes would you recommend to better align the session with Healthy People 2020 goals and leading health indicators?

Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics: Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services) Reorganization in Response to Merger or Consolidation of Services Layoffs as a Result of Declining Revenues Influx of Registry, Part-Time, and Temporary Contract Staff Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars Poor Job Satisfaction Rates Resulting in Turnover You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following: Inform the staff of the two issues (from the topics provided) your organization is facing. Describe the impact of these issues on your department. Describe how improved communication, collaboration, and teamwork can improve conditions in your department. Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration. A minimum of three academic references from credible sources are required for this assignment. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

This assignment is designed to have you think like a nurse. This paper will enhance your knowledge and understanding of pressure ulcer prevention and what you as a nurse can do to help decrease the occurrence of pressure injury. Format: This is an essay to be written in APA style based on course APA Minimum Expectations. Essays must be structurally intact with appropriate grammar, sentence and paragraph composition, spelling, punctuation, and logical, clear essay development (including introduction and conclusion). Paper length 2-3 pages (MAX… POINTS WILL BE DEDUCTED IF OVER 3 PAGES), excluding cover and reference page. Must have a minimum of three references. Content: Address the following topics listed: 1. Discuss the etiology of pressure injury. 2. Discuss risk factors (local and systemic) and who is most at risk. 3. Discuss the tool (Braden Scale) to predict pressure injury risk factors, nursing interventions and up-to-date. This paper will be checked through a plagiarism checker, so please do not submit anyone elses work. Thanks

Identify a quality improvement opportunity in your organization or practice (Long term/rehabilitation center). In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal. Include the following: Provide an overview of the problem and the setting in which the problem or issue occurs. Explain why a quality improvement initiative is needed in this area and the expected outcome. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.