Many APNs become independent contractors for health care groups that provide services to patients. Discuss the elements that are important to you when seeking a place of employment. What is negotiable and what is non-negotiable? Discuss the two benefits of formal employment as an APN.Due 3/31Length: A minimum of 250 words, not including referencesCitations: At least one high-level scholarly reference in APA from within the last 5 years
Maintenance of the professional relationship with physicians in the network recently has assumed a far greater role in in the industry’s history.” – Peter R. KongstvedtThis quote assumes that professional relationships and networking somehow impacts healthcare services and provider relationships. Discuss your position on this assumption. Do you agree? Disagree? Explain your answers, based on your reading for the week. In your discussion, include why you feel this is an important issue in maintaining managed care.
PurposeThe purpose of this activity is to deepen learning through reflective inquiry. It will allow for expansion in self-awareness, identification of knowledge gaps, and assessment of learning goals.Course outcomes: This assessment enables the student to meet the following course outcomes: • Compare and contrast theories of organizational behavior and leadership. • Investigate the role of advanced nursing practice in innovation and transformation to propose solutions impacting healthcare systems. • Differentiate attributes of effective leaders and followers in influencing healthcare. • Assimilate attributes for intra-/inter-professional collaboration across healthcare settings • Formulate selected strategies for leadership and influence across healthcare systems.Preparing the assessment:Follow these guidelines when completing this assignment.Write a brief 1-paragraph weekly reflection addressing each question posed in the Reflect section of the weekly module.1. Include the following sections in your Reflection.Week 1· As you assess your learning, provide one specific example of how you achieved the weekly objectives by participating in the weekly readings, discussions, or activities (the weekly objectives are found in each week’s “Student Lesson Plan for Learning Success”).· How does leadership formation influence the dynamics and culture of the organization in which the leader operates?· What do you value most about your learning this week?Week 2· As you assess your learning, provide one specific example of how you achieved the weekly objectives by participating in the weekly readings, discussions, or activities (the weekly objectives are found in each week’s “Student Lesson Plan for Learning Success”).· What coaching or leadership development do you believe would help you to reach a new level in your leadership formation?· What do you value most about your learning this week?Week 3· As you assess your learning, provide one specific example of how you achieved the weekly objectives by participating in the weekly readings, discussions, or activities (the weekly objectives are found in each week’s “Student Lesson Plan for Learning Success”).· As a leader, how might you use a professional practice model to influence the culture and sustainability of an organization dedicated to transformation?· What do you value most about your learning this week?Week 4· As you assess your learning, provide one specific example of how you achieved the weekly objectives by participating in the weekly readings, discussions, or activities (the weekly objectives are found in each week’s “Student Lesson Plan for Learning Success”).· How will you use your leadership tools and influence to build ethical, high-value healthcare organizations?· What do you value most about your learning this week?Week 5· As you assess your learning, provide one specific example of how you achieved the weekly objectives by participating in the weekly readings, discussions, or activities (the weekly objectives are found in each week’s “Student Lesson Plan for Learning Success”).· What are the leadership competencies that support the creation of an innovative, high-value healthcare culture?· What do you value most about your learning this week?Week 6· As you assess your learning, provide one specific example of how you achieved the weekly objectives by participating in the weekly readings, discussions, or activities (the weekly objectives are found in each week’s “Student Lesson Plan for Learning Success”).· Identify one theory or framework addressed this week. Identify what behaviors you will emphasize or de-emphasize based upon this theory or framework.· What do you value most about your learning this week?Week 7· As you assess your learning, provide one specific example of how you achieved the weekly objectives by participating in the weekly readings, discussions, or activities (the weekly objectives are found in each week’s “Student Lesson Plan for Learning Success”).· As a DNP leader, how might you incorporate transformational leadership in strategic planning?· What do you value most about your learning this week?Reflective InquiryRequirements: 1. Addresses all aspects of the weekly reflection 2. Assesses own learning 3. Assesses value of the learning experiencePLEASE ANSWER EACH WEEK SEPARATED AND USE AT LEAST 5 SOURCES NO LATER THAN 5 YEARS. PLEASE NO PLAGIARISM. AND SEND ME THE PLAGIARISM REPORT. I attached every discussion board of each week and you can guide for each discussion board to do the paragraph. The question of each week is in black.
Explain the pathophysiology behind the signs and symptoms of COPDBronchitis and emphysema are both classified as a chronic obstructive pulmonary disease (COPD). These chronic illnesses obstruct airflow (McCance & Huether, 2019). Because of the elevated mucus in the airway, COPD allows it to close. As a consequence of cilia dysfunction, mucus causes narrowing, which causes shortness of breath, coughing, and difficulty clearing secretions. The obstruction is caused by a narrowed airway, which makes it impossible for oxygen to reach the lungs and prevents CO2 from exiting the lungs, resulting in hypercapnia (Santus et al., 2020). Ventilation-perfusion imbalance is caused by hypercapnia and hypoxia.Individuals with COPD develop symptoms such as barrel chest and clubbing of the fingers over time as a result of trapped CO2 (also known as air trapping). Distention of the alveoli occurs as a result of air trapping, which may lead to failure. Excessive work of breathing and puffing causes weight loss in some people, especially those with emphysema. Understanding and recognizing the signs and symptoms of COPD are critical for establishing care and management strategies.What relationship do you see with Mr. Brown’s vital signs – 26 RR, 91% oxygen saturation, temp: 37.8, HR: 93 BP: 150/70As a result of hypoxia and hypocapnia, Mr. Brown’s respiratory rate has increased. As a result of the faulty gas exchange, the patient is out of breath and has to work hard to breathe in order to expel CO2. Bad oxygenation is caused by mucus blockage and bronchial narrowing, resulting in a decrease in SPO2. Inflammation and infection are the causes of fever. Mr. Brown’s heart rate has risen as a result of a compensatory process in response to the reduced oxygen and increased CO2 levels. As a result of the ventilation-perfusion imbalance, blood pressure rises.Describe the goals of care for Mr. Brown. Make sure to use the COPD gold standards of care(https://goldcopd.org/wp-content/uploads/2018/02/WMS-GOLD-2018-Feb-Final-to-print-v2.pdf (Links to an external site.) (Links to an external site.)) for your plan.The plan of care’s main aim is to prevent COPD exacerbations, keep symptoms under control, and avoid/prevent going to the emergency room. It is possible to use both pharmacological and non-pharmacological treatments. Bronchodilators may be used as preventative medicine or to relieve an exacerbation for a brief period of time. Inflammation may be treated with corticosteroids. Pulmonary rehabilitation, oxygen therapy, and lifestyle changes are examples of nonpharmacological treatments. It is important to have education on how to avoid irritants and adhere to treatment plans. Also, recommendations on the use of peak flow meters to assess the degree of obstruction, participating in smoking cessation, avoid cold weather, and restoring optimum ventilation and oxygen exchange should be the top priorities for the target of treatment.How would you follow up on your proposed plan of care?’Mr. Brown should return for a follow-up appointment in 1 to 2 weeks to see if his symptoms have changed, and to re-evaluate the lungs, and a chest x-ray may be taken. Mr. Brown may benefit from instruction on how to use the reward spirometer and pursed-lip breathing to alleviate shortness of breath and keep the airway clear. To avoid COPD exacerbations, I will also educate the patient about how to reduce their exposure to chemical irritants and air pollution.
Assignment ContentProvide an update on the progress of your SBAR submission to your employer. Please submit a short summary of the status in the assignment section.Discuss the following in your conversation:Has your SBAR been received by your employer?If so, how has your employer responded?If not, why?Are there any adjustments you need to make to your project?***PLEASE READ AND FOLLOW THE ATTACHMENTS I HAVE UPLOADED FROM WEEK 2 ASSIGNMENT AND WEEK 5 ASSIGNMENT***
For this discussion, the student will: “Watch Mission Critical Health – Chronic Disease Nutrition”https://youtu.be/hcVvIBrV2TQAnswer the following:List 5 risk factors placing people at risk of developing chronic diseases.List the top 3 leading causes of death in the United States.Provide 2 strategies to prevent chronic diseases
Epidemiology in the News: Randomized TrialsAccording to the Centers for Disease Control (CDC), asthma is a leading chronic illness in children ages 5 to 17, a leading cause of school absenteeism, and the third highest cause of hospitalizations in children younger than 15 (2011). The costs associated with treating this chronic illness are high.A number of randomized control trials have examined the effect of instituting a home management program for treating asthma in combination with pharmaceuticals. These studies found that, by implementing a structured home management program, the morbidity, severity, and frequency of asthmatic episodes were reduced (Agrawl, Singh, Mathew, & Malhi, 2005). Recent research is also exploring how and when to cut back on levels of medication as asthma episodes become controlled, further reducing the cost of this chronic illness; however, controversy remains over the long-term effects of reducing levels of medication due to the disparateness of asthma (Rogers & Reiberman, 2012).For this Discussion, you are asked to identify an example of an experimental study design in the popular literature and consider the ethical implications of the randomized control trial design.To prepare:Search the Internet and credible websites to locate a news piece or article that features a randomized trial study design. The article should be from a widely distributed news source, accessible to and written for a lay audience. Possible sources include, but are not limited to, online magazines, online newspapers, and health news websites. Be sure to include a link to the article in your posting. You may not select an article already posted by one of your colleagues for this Discussion.Critically analyze the following aspects of the research study:PurposeStudy populationLength of the trialData collection methodsOutcome measuresResults and conclusionsEthical issues associated with the studyAsk yourself: How did this research study benefit from its randomized design? What was discovered by randomization that might not otherwise have been demonstrated?By tomorrow 03/20/2018 , write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”Post a cohesive scholarly response that addresses the following:1) Summarize the research study addressing the aspects bulleted above. In your posting, provide a link to the article you selected.2) Identify and discuss the ethical issues associated with this study.Required ReadingsFriis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.Chapter 8, “Experimental Study Designs”This chapter examines experimental and quasi-experimental study designs.Johnson, T. S. (2010). A brief review of pharmacotherapeutic treatment options in smoking cessation: Bupropion versus varenicline. Journal of the American Academy of Nurse Practitioners, 22(10), 557–563.The authors of this article explored treatment options for smoking cessation by examining the research literature, including looking at the results of randomized control trials. This article provides an example of how such a literature review can influence practice demonstrate the use and benefits of randomized control trial study designs.Milligan, K., Niccols, A., Sword, W., Thabane, L., Henderson, J., Smith, A., & Liu, J. (2010). Maternal substance use and integrated treatment programs for women with substance abuse issues and their children: A meta-analysis. Substance Abuse Treatment, Prevention & Policy, 5, 21–34.This article examines programs that integrate substance abuse treatment and pregnancy, parenting, or child services. The authors conclude that there is a need for funding of high-quality randomized control trial and improved reporting practices. This article also demonstrates the application of analytic research designs to explore a population health problem.Talaat, M., Afifi, S., Dueger, E., El-Ashry, N., Marfin, A., Kandeel, A., Mohareb, E., & El-Sayed, N. (2011). Effects of hand hygiene campaigns on incidence of laboratory-confirmed influenza and absenteeism in schoolchildren, Cairo, Egypt. Emerging Infectious Diseases, 17(4), 619–625.This research study used a randomized control trial to examine the association between hand washing and reducing influenza. As you review this article, notice how they structured the research study and how they measured the association between hand washing and absenteeism.Physicians’ Health Study (2010). Retrieved from http://phs.bwh.harvard.eduThis large-scale, randomized clinical trial that began in 1982 was designed to test the effectiveness of aspirin and beta carotene in preventing heart attacks (myocardial infarctions, or MIs) in male physicians aged 40–84. The first phase of the trial, which included more than 22,000 study subjects, demonstrated that low-dose aspirin does, in fact, reduce the risk of a first MI by 44%. This article provides a good example of the types of large-scale studies conducted using epidemiologic principles that lead to improved population health.Required MediaLaureate Education (Producer). (2012). Epidemiology and population health: Experimental studies [Video file]. Baltimore, MD: Author.Note: The approximate length of this media piece is 5 minutes.In this program, the presenters discuss experimental studies, including the effect of randomization and blinding on study results.Optional ResourcesGroopman, J. (2006, December 18) Medical dispatch—The right to a trial: Should dying patients have access to experimental drugs? New Yorker, 82(42), 40–47.Dorak, M. T. (2006). Epidemiologic study designs [PowerPoint presentation]. Retrieved from http://www.dorak.info/epi/design.pptIbrahim, M., Alexander, L., Shy, C., & Farr, S. (2000). Randomized trials. ERIC Notebook, 10, 1–4. Retrieved from http://cphp.sph.unc.edu/trainingpackages/ERIC/eric_notebook_10.pdf
. Describe the legislation and what was accomplished. What additional steps need to be taken to continue advocacy for this issue?
Week 1 – What are HIV and AIDS? Understanding the diseaseDiscussion Question:How would you describe the structure of HIV/AIDS to one of your patients? Consider your professional jargon and developmental approach.When replying to this forum, please keep in mind the guidance on creating substantive discussions:It’s fine to say you agree with someone, but don’t just leave it at that. Further the discussion in some wayIf you are making a point, use at least 1
week for pojectPersonal Philosophy of NursingIn a 6- to 7-page paper in APA format describe your personal approach to professional nursing practice. Be sure to address the following:Which philosophy/conceptual framework/theory/middle-range theory describes nursing in the way you think about it? Discuss how you could utilize the philosophy/conceptual framework/theory/middle-range theory to organize your thoughts for critical thinking and decision making in nursing practice.Formulate and discuss your personal definition of nursing, person, health, and environment.Discuss a minimum of two beliefs and/or values about nursing that guide your own practice.Analyze your communication style using one of the tools presented in the course. In your paper, discuss the strengths and weaknesses associated with your style of communication and the impact on your ability to collaborate as part of an interdisciplinary team.On a separate references page, cite all sources using APA format. APA format
