Assignment 1 Week 7 Voluntary and Involuntary commitment

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Based on the scenario, would you recommend that the client be voluntarily committed? Why or why not?Based on the laws of Texas, would the client be eligible for involuntary commitment? Explain why or why not.Did understanding the state laws confirm or challenge your initial recommendation regarding involuntarily committing the client? Explain.If the client were not eligible for involuntary commitment, explain what actions you may be able to take to support the parents for or against voluntary commitment.If the client were not eligible for involuntary commitment, explain what initial actions you may be able to take to begin treating the client.(Use of Outside references/resources welcomed)

 
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NURS 3375 Health Policy and Legal Aspect (Assignment)

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Overview: Peer ReviewIn the Module 3 Reflection Assignment, you will reflect upon what you have learned about Peer Review Committee processes and Texas Board of Nursing rules as you consider the actions of fictitious nurses and committee members in scenarios. REMEMBER, YOU ARE USING THE TEXAS BOARD OF NURSING RULES, NOT THE STATE YOU LIVE IN. Please use the link provided in the assignment for the Texas BON Rule 217.16.ALSO, THERE ARE 2 PARTS TO THIS ASSIGNMENT. PLEASE MAKE SURE YOU COMPLETE BOTH PARTS.Refer to your course readings and lectures as you complete the assignment.Performance Objectives:ú Apply the Minor Incident Rule to specific incidents.ú Describe the due process protections for a nurse who is peer-reviewed.RubricUse this rubric to guide your work on the assignment, ?Peer Review.?TaskAccomplishedProficientNeeds ImprovementPart 1 (a)Applying Rule 217.16(Total 50 points)Lists all the correct 5 criteria, accurately explains application of ÿÿcriteria clearly. (25 points)Lists 3 or 4 of the ÿÿcorrect criteria, accurately explains application of these criteria(15 points)Lists 2 applications of criteria.10 points)Incorrectly lists criteria (0 ÿÿpoint)Part ÿÿ1 (b)Reflects upon applicationsof Rule 217.16(Total 25 points)Correctly states if nurse should be reported or not reported with 3 substantial sentences. (25 points)Correctly states if nurse should be reported or not reported with 2 sentences.(15 point)Writes 1 sentence.(10 points)Incorrectly judges whether violations occurred (0 point)Part ÿÿ2Violation of IBPR Rule 217.19 (Total ÿÿ25 points)Correctly listed the 4 violations and provides correct explanations (25 points)Correctly lists 2-3 violations and explanations (15 points)Lists 1 violation and explanation (10 points)Incorrectly lists criteria (0 point)All 5 questions correct (25 points)4 questions correct (20 points)3 questions correct (15 points)2 questions correct (10 points)1 question correct (5 points)0 questions correct (0 point)Part 1: (a) Applying Rule 217.16(h) Minor IncidentsRead the following scenario and then answer the questions that follow:You are on your hospital?s Peer Review Committee (PRC). You are reviewing Nurse A?s practice. She works on the pediatric unit. In the past, Nurse A has practiced safely without incidents. However, four months ago, Nurse A gave immunizations to five pediatric patients (3 months, 9 months, 2 years, 4 years, and 5 years of age). She used a vial of Hepatitis B vaccine that had been expired for 30 days but still was being stored in the unit refrigerator. She gave the five immunizations within a few minutes of each other, and she got the vial from the refrigerator only once (i.e., She did not take it out and replace it five times). She took responsibility for the errors when she was informed by her unit manager.Should Nurse A be reported to the BON?Let?s review what deems a minor vs. a reportable (NOT minor) incident-A minor incident is- 217.16(a)- ÿas defined under the Texas Nursing Practice Act, Texas Occupations Code ?301.401(2), means conduct by a nurse that may be a violation of the Texas Nursing Practice Act or a Board rule but does not indicate the nurse’s continued practice poses a risk of harm to a patient or another person.A reportable incident is- 217.16(h)- conduct that falls outside of the definition of a minor incident and must be reported to a PRC or BON.Apply the Minor Incident Rule to reach and support your decision. This Rule 217.16 can be found at http://www.bon.texas.gov/rr_current/217-16.aspUse this specific link only- it is the official updated Texas Board of Nursing information. Click on the link and scroll down to the bottom to find the letter (h), where criteria are listed that describes actions that must be reported to the Peer Review Committee or BON.Criteria. In the first column of the table, list the 5 criteria as it appears in the rule that are essential in determining if an incident is a reportable action. All 5 must be listed for full credit. Then, in the second column, record your explanation as to why or why not the nurse?s actions deem it reportable and therefore harmful to a patient.Criteria that determine an incident is reportableRule 217.16(h)Explanation of whether or not Nurse A?s actions are minor vs. reportableCriteria :1.2.3.4.5.Part 1: (b) Report vs. Not ReportBased on the Rule 217.16(h) criteria you listed above, would you report Nurse A to the Board? Please explain why or why not. At least 3 substantial sentences are needed for full credit.: ÿÿÿÿÿÿ(Explain below)Part 2: Applying Rule 217.19 Incident-Based Peer ReviewRead the following scenario and then reflect upon the actions it portrays.:Last month, the chairperson of your hospital?s Peer Review Committee (PRC) passed you in the hallway and said, ?I?m glad I ran into you. You?re going to be peer-reviewed.? The chairperson continued, saying, ?Your manager found out that you called the Texas Department of State Health Services two months ago and reported that LVNs were being allowed to do the complete initial assessment on patients. Also, you made some medication errors over the past couple of months. I?ll let you know when the meeting is to occur.?You heard nothing more about the PRC meeting. Today, the chairperson came to you and told you that you had been reported to the Texas Board of Nursing. She said, ?It was just felt by the work group that you are a troublemaker and lack the skills to practice due to your med errors. I?m also giving you a ?heads up? that you are going to be put on suspension for at least three days by your unit manager.?Applying Rule 217.19, what violations of the rule occurred in the above scenario?First, review your learning about incident-based peer review. In the first column of the table, list any 4 criteria from Rule 217.19 that were violated (there are more than 4 to choose from).1-2-3-4-In the second column, explain how each criterion was violated. All 4 boxes must be completed for full credit. Please use the link provided at http://www.bon.texas.gov/rr_current/217-19.aspWhich part of the rule was violated?(Subsection number and letter OR descriptive phrase)(Rule 217.19)Explanation of violation ( from the 4 criteria above):1.2.3.4.

 
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DUE 8/6/2021…PLEASE READ AND FOLLOW ALL INSTRUCTIONS…. NO PLAGARISM

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PurposeThe purpose of this assignment is:To apply a change process using the ACE Star Model of Knowledge Transformation and a systematic review after identifying a clinical topic of concern and related nursing practice issue.The information from the ‘Illustration’ part of our lessons in Weeks 1-6 will mentor you through this process. Your change process is to be set up as a pilot project.Course OutcomesThis assignment enables the student to meet the following course outcomes:CO 2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO 2)CO 8: Selects evidence for best practices when planning professional nursing care involving systems, processes, and devices for individuals, families, aggregates and communities. (PO 8)PointsThe assignment is worth 225 points.Due DateSubmit your completed assignment by Sunday end of Week 6 by 11:59 p.m. MT.DirectionsPlease do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project. Nurse Daniel serves as an example only to illustrate the change process.Please review the infographic as way to guide you in getting started with your assignment:Developing an Assignment with Integrityÿ(Links to an external site.)View aÿshort tutorial with tips for completing this assignment:Evidence-Based Practice Change Process Assignment Tutorialÿ(Links to an external site.)or by reading thetranscriptÿ(Links to an external site.).Download theEBP Change Process formÿ(Links to an external site.)during Week 1. The use of this specific form is REQUIREDIdentify a clinical topic and related nursing practice issue you think needs to be changed.Locate a systematic review on your topic from the CCN Library databases. Be sure this involves nursing actions.Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the ‘Illustration’ part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review).Work on a portion of the process each week, as the illustration unfolds.Best PracticesPlease reach out to your instructor for feedback or assistance with your PICOT question as needed.Required and Additional Background Reading in Weeks 1 and 2 under Readings is available for more information on the ACE Star Model and the use of systematic reviews.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 CitationsPlease cite any references (in APA format) of your systematic review or other scholarly document (optional) as needed.Paraphrasing information, rather than quoting, is expected. No quotes for this assignment please!**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.

 
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Module 05 Written Assignment – Case Study

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A 60-year-old male patient is admitted with chest pain to the telemetry unit where you work. While having a bowel movement on the bedside commode, the patient becomes short of breath and diaphoretic. The ECG waveform shows bradycardia.What other assessment findings should you anticipate?Why does this patient probably have bradycardia?Does this dysrhythmia need treatment? Why or why not? What intervention would you implement first?What is the drug treatment and dosage of choice for symptomatic bradycardia? How does this drug increase heart rate?

 
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Bacterial Vaginosis

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Write two to three well-developed paragraphs using APA formatting, integrating three evidence-based resources .Read the scenario and answer the following questions:R.S. is a 32-year-old Caucasian woman who seeks treatment for a vaginal discharge that she has had for the past month. She is sexually active and has had the same partner for the past 6 months. She reports noticing an odor, especially after sexual intercourse. Her history reveals that she has been using a commercial douche on a bi-weekly basis during the past year for hygienic purposes in an attempt to prevent vaginal infections. She denies any other associated symptoms.The physical examination reveals a white vaginal discharge. Microscopic examination of the vaginal discharge shows clue cells, and the pH is 5.5.Diagnosis: Bacterial VaginosisList specific goals of treatment for this patient.What drug therapy would you prescribe? Why?What are the parameters for monitoring the success of the therapy?Discuss specific patient education based on the prescribed therapy.List one or two adverse reactions for the selected agent that would cause you to change therapy.What would be the choice for second-line therapy? Provide rationaleWhat OTC or alternative medications would be appropriate for this patient?What dietary or lifestyle changes should be recommended?Describe one or two drug?drug or drug?food interaction for the selected agent.

 
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13psy

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n this week?s activity you will have an opportunity to play a clinician and diagnoseÿfictitiousÿindividuals with mental disorders. Please answer the questions below;Susan, a college student, is anxious whenever she must speak. Her anxiety motivates her to prepare meticulously and rehearse material again and again. Is Susan?s reaction normal, or does she have an anxiety disorder? Explain the criteria you used in arriving at your answer.In recent years, several best-selling books have argued that most emotional problems can be traced to an unhappy or traumatic childhood (an abusive or dysfunctional family, ?toxic? parents, suppression of the ?inner child?). What are two possible benefits of focusing on childhood as the time when emotional problems originate, and what are two possible drawbacks?Some mental health professionals (though not most psychologists) think that PMS should be classified as a mental disorder. Drawing on evidence from Chapter 5 of your textbook and information in Chapter 11, write a paragraph giving some arguments against this position.This assignment must be submitted in ?doc? or ? docx.? format. Additionally, it must beÿtyped, double spaced, Times New Roman font (size 12), one inch margins on all sides. Type the question followed by your answer to the question. A title page is to be included. The title page is to contain the title of the assignment, your name, the instructor?s name, the course title, and the date.All assignments must be submitted in ?Blackboard by by clicking on the Assignment link under the appropriate weekly unit and clicking on Browse to attach your work as a .doc or .docx.

 
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Transitioning From Closed to Open Systems

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Transitioning From Closed to Open SystemsHow do effective nurse leaders and others approach problem solving and decision making in organizations? As suggested in this week’s Learning Resources, systems theory provides a valuable way to assess situations and prepare to address problems.For this week’s Discussion, you identify an issue or process that could be improved and apply knowledge and strategies related to systems theory.Note: You may find it helpful to view the Assignment instructions and use the same problem for this Discussion.To prepare:Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?Post (1) a description of the problem that you identified in your selected organization. (2) Explain the problem from a closed-system perspective. Then, (3) describe how the problem could be addressed by viewing it from an open-system perspective, and (4) explain how this modification would help you and others improve health care outcomes.Required Resources.ReadingsMarquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.Review Chapter 7, “Strategic and Operational Planning”See especially Figure 7.1 on page 147.Chapter 8, “Planned Change”Organizational Change Associated With Nonlinear Dynamics (pp. 172–176)Read this section of Chapter 8 on planned change. Consider the role of leaders in effectively managing planned change.Chapter 12, “Organizational Structure”“Organizational Culture” (pp. 274–276)There are many structures organizations take, and these structures influence how the organization functions. This chapter discusses many different organizational structures and provides insights into how these structures influence the change process, as well as leadership and management.Johnson, J. K., Miller, S. H., & Horowitz, S. D. (2008). Systems-based practice: Improving the safety and quality of patient care by recognizing and improving the systems in which we work. Retrieved from http://www.ahrq.gov/downloads/pub/advances2/vol2/Advances-Johnson_90.pdfThis article addresses the importance of systems-based practice (SBP) in health care workplaces. The authors state that SBP knowledge is one of six core competencies that physicians have to know in order to provide safe and proper care for their patients.Manley, K., O’Keefe, H., Jackson, C., Pearce, J., & Smith, S. (2014). A shared purpose framework to deliver person-centred, safe and effective care: Organisational transformation using practice development methodology. FoNS 2014 International Practice Development Journal 4 (1) [2].Except from Abstract: A shared purpose is an essential part of developing effective workplace cultures and one of the founding principles of practice development in establishing person-centred, safe and effective practices that enables everyone to flourish. When units within health care organizations recognize their interdependence, they can create an interdisciplinary practice through systems integration.Meyer, R. M., & O’Brien-Pallas, L. L. (2010). Nursing services delivery theory: An open system approach. Journal of Advanced Nursing, 66(12), 2828–2838.Retrieved from the Walden Library databases.In this article, the authors examine the effects of nursing services delivery theory in large-scale organizations. Among other benefits, this theory supports multilevel phenomena and cross-level studies, and it can guide future research and the management of nursing services.Optional ResourcesGlennister, D. (2011, July). Towards a general systems theory of nursing: A literature review. Paper presented at the 55th Annual Meeting of the International Society for the System Sciences, Hull, United Kingdom. Retrieved from http://journals.isss.org/index.php/proceedings55th/article/viewFile/1717/569Hayajneh, Y. (2007). Management for health care professionals series: Systems & systems theory. Retrieved from http://www.hayajneh.org/a/readings/Systems-Theory.pdf

 
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Women’s Health and Infectious Disease

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By Day 3 of Week 9Post a brief description of your patient?s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.Patient Case Study 1:HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.Ht: 5?8?ÿ Wt: 89 kgAllergies: Penicillin (rash)

 
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Capstone Change Project Evaluation Plan

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Describe one internal and one external method for the dissemination of your evidence-based change proposal. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your change proposal to both of these groups. How will your communication strategies change for each group?In order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change. Discuss one way you will be able to evaluate whether your project made a difference in practice.

 
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Knee pain

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I need a respond to this assignmentthree referenceszero plagiarismCase 3 : KNEE PAIN.A 15-year-old male reports dull pain in both knees. Sometimes one or both knees click, and the patient describes a catching sensation under the patella. In determining the causes of the knee pain, what additional history do you need? What categories can you use to differentiate knee pain? What are your specific differential diagnoses for knee pain? What physical examination will you perform? What anatomic structures are you assessing as part of the physical examination? What special maneuvers will you perform?Assessing Musculoskeletal Pain: KneePatient Initials: MAÿ ÿ Age: 15 yearsÿ Gender: MaleSUBJECTIVE DATA:Chief Complaint (CC):ÿ ?My knees hurt, panful and with clicking sound. I experience catching sensation under the patella. ?ÿ The additional history will be assessed by asking questions related to the onset of the pain in terms of acute or gradual, duration of the pain and its associated symptoms and previous treatment for the pain.History of Present Illness (HPI): MA is a high school sophomore who came to the doctor complaining of knee pain.ÿ He is an active basketball player for his school team. He started experiencing knee pain in the last week. He claims to be suffering clicking sounds from both knees.Location: bilateral knees.Onset: Eight days while playing basketball.Character: Dull intermittent pain.Associated signs and symptoms: A catching sensation under kneecaps.Timing: For the past 8 dyas.Exacerbating/ relieving factors: gets worst while patient treks to school. ÿThe pain subsides with mediciation rest and ice pack.Severity: 7 on a pain scale of 1-10 after pain medication Ibuprofen 200mg 2 tabs orally was taken and 10/10 worst pain level after a trek to school.Medication: Ibuprofen.Allergies: No allergy to medication but allergic to shellfish.Past Medical History (PMH): The patient sprained his left knee four months ago, and history of Rheumatic fever during his early childhood.Past Surgical History (PSH): No history of medical surgery.Sexual/Reproductive History:ÿ None. The patient is not sexually active.Personal/Social History:ÿDenies smoking, drinking alcohol, or using any other drugs.Immunization History:ÿAll immunizations are up to date as per the parents. Received flu vaccine 10/5/19.Significant Family History:ÿ MA lives with his parents. Both grandfathers have diabetes, his mother is obese. His two other siblings are healthy. The family has a history of obesity.Review of Systems: MA has presented a complaint of dull knee pain that he experiences in both knees.ÿ The pain is clicking and accompanied with a catching sensation under the patella.ÿ The pain mostly persists during physical activity.OBJECTIVE DATA:General: MA is a healthy 15 years old who has maintained a healthy body. MA is alert and oriented and very active in school when it comes to basketball and running. No complaint of pain in other joints.HEENT:ÿ He denies headache or any sign syncope. Denies loss of vision, has no hearing loss and last visited dentist two months ago.RESPIRATORY: ÿMN denies a cough and shortness of breath.Cardiac: No irregular heart rate notedExtremities: Both knees show no sign of edema and tenderness, but the knees are slightly misaligned with the thigh bone.Physical Exam: Vital signs: BP 112/72, P 76, regular, T 98.6 temporal, RR 18, and regular. His current weight is 165. Height 5 feet 8inch.Cardiovascular/Peripheral Vascular: Heart rate is regular and has good S1, S2; no S3 or S4; no murmur. There is no pedal edema or erythema.Genitourinary: No abnormalities reported with frequencies urinationPsychiatric: The patient appears to be alert and oriented x3.ÿ Denies depressive modeNeurologic: Alert and oriented to persons, place, and time.Skin: Skin is intact and is warm to touch and appears moist.Hematologic: ÿNo evidence of clotting conditions reported.Allergic/Immunologic: Allergy to shellfish.Manual Muscle Testing: Knee flexion 5/5, pain. Knee extension 5/5, painful. Knee ER 5/5, Knee IR 5/5.Musculoskeletal Tests: ÿThe patient can perform a regular activity such as walking, bending the knee with slight discomfort noted.Diagnostic tests: Computerized tomography (CT) scan, Bilateral Knee X-ray, CBC, and Magnetic resonance imaging (MRI).The practitioner must assess for abnormalities during musculosketal examination. The lower extremities must be examined for alignment with the edge between the femur and tibia under 15 degrees (Ball, Dains, Flynn, Solomon, and Stewart, 2015). Range of motion must be assessed in patients with suspected fracture (Ball et al., 2015). McMurray test to rule out tear of the meniscus, Varus-valgus stress test to check for knee stability, and Lachman test for anterior cruciate ligament. ÿThe three diagnostic test will help to examine the tissues around the knee, check for patella abnormalities or dislocation, and rule out knee fracture.ASSESSMENT/Differential Diagnosis:Priority diagnosis would be Osgood Schlatter Disease: A common cause of knee pain in adolescents. This in an inflammation underneath the knee where the ligament from the patellar tendon attaches to the tibia.Differential Dx:ÿ These includeOsteogenic Sarcoma ? This condition is associated with people age 10-25 yrs, and it is characterized by intermittent pain (Ryan, Maryam, & Hue, 2016).Patellar dislocation. This condition is associated with shifting of the knee patella from its normal positioning and is characterized by pain in the patella (Rudavsky & Cook, 2014)Patella fracture. The condition is where the kneecap suffers breakage or cracking and result to pain in the knee, accompanied by swelling and bruising around the knee (Reinking, 2016). Though the patient does not have all these symptoms, it is a probability.Medial meniscus- This condition is associated with knee pain, difficulty flexing, clicking, or catching of the knee movement, just like in the case of the patient (Wu et al. 2018).Patellar chondromalacia. This is when the cartilage in the kneecap gets worn by age or injury and is accompanied by discomfort of the inner knee and pain that aggravate from the physical activity just like in the case of the patient (Pak, Lee, & Lee, 2013).ReferencesBall, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide tophysical examination (8th ed.). St. Louis, MO: Elsevier Mosby.Rudavsky, A., & Cook, J. (January 01, 2014). Physiotherapy management of patellar tendinopathy (jumper’s knee).ÿJournal of Physiotherapy,ÿ60,ÿ3, 122-129.Reinking, M. F. (January 01, 2016). Current concepts in the treatment of patellar tendinopathy.ÿInternational Journal of Sports Physical Therapy,ÿ11,ÿ6, 854-866.Pak, J., Lee, J. H., & Lee, S. H. (January 01, 2013). A novel biological approach to treat chondromalacia patellae.ÿPlos One,ÿ8,ÿ5.Wu, J. L., Lee, C. H., Yang, C. T., Chang, C. M., Li, G., Cheng, C. K., Chen, C. H., Lai, Y. S. (January 01, 2018). Novel technique for repairing posterior medial meniscus root tears using porcine knees and biomechanical study.ÿPlos One,ÿ13,ÿ2.Ryan, A. D., Maryam, M., & Hue, H. L. (December 01, 2016). Review of Osteosarcoma and Current Management.ÿRheumatology and Therapy,ÿ3,ÿ2, 221-243.REPLY QUOTE EMAIL AUTHOR

 
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