Experiences in Clinical Practice Reflective Narratives

Students maintained and submitted weekly reflective narratives throughout the course to explore the personal knowledge and skills gained throughout this course. This assignment combines those entries into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

This final submission should also outline what students have discovered about their professional practice, personal strengths and weaknesses that surfaced during the process, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and, finally, how the student met the competencies aligned to this course.

The final journal should address a variable combination of the following, while incorporating your specific clinical practice experiences:

  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care
  6. Ensuring the integrity of human dignity in the care of all patients
  7. Population health concerns
  8. The role of technology in improving health care outcomes
  9. Health policy
  10. Leadership and economic models
  11. While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide,

Health Information Discussion

Chapter 3 Overview

Findings from the study conducted (discussed in this chapter) suggested that:

  • Higher educated women tended to use print health or news media, broadcast media, health policy organizations and organized events 2.0 to 2.4 times more than less educated women (high school education or less) – these findings were, however, not statistically significant
  • Compared to unemployed women, working females had greater odds (1.2 – 2.4) of accessing health information via the Internet and other computing resources
  • Both groups primarily used print & news media, broadcast media and computer-based resources as an order of overall resource preference

Chapter 4 Overview

  • It’s important to increase awareness of the organization to re-conceptualize its business and services processes, as well as the need to adopt a new corporate culture of data sharing
  • Requires the cooperating organizations to be involved in the ongoing development of standards
  • Applications of the HMIS enterprise software will, sooner or later, allow the individual organizations to go beyond their limitations

Pandemic Management Logistics

Choose one of the 3 scenarios listed below and write 10 pages that briefly describes the incident.

You may select one of the topics for your paper:

  • A community of approximately 10,000 has been exposed to an unknown virus. It appears to be spread by contact. At present, only a small portion of the population is affected. Government leaders and health officials are contemplating community containment. Discuss how you, as the logistic chief, would supply and support emergency operations, what agencies would you seek support from, and establish points of distribution.
  • Severe storms have ravaged your rural community of 10,000. Fortunately, there are few deaths but many are displaced. Being rural, access to the community is limited and made worse by the storms. Discuss your immediate actions post-incident, and present a plan for short term sustainment of operations and support to population. If a logistics pre-plan would be beneficial, include that in your discussion.
  • Your rural community of 10,000 main employer- a large agricultural chemical processing plant- is struck by a large fire. Due to the nature of the chemicals, the fire may last for days. Emergency Management has decided to tell citizens to shelter in place versus to evacuate. The incident has drawn responders from a large area, and most arrive ill equipped for a sustained operation. Further complicating the issue is water runoff from fire suppression into the town’s only source of water. Discuss how you would support both the citizens and the providers while being aware of sheltering, along with limited movement because of the fire. Do not be concerned about the potential exposure- focus on the logistic support.

Environment Harms for Biodiversity Loss

Discussion: Unit 2, Due Wednesday by 11:59 pm CT

Biodiversity Valuation

INSTRUCTIONS:

Address the following:

  • Explain how the economic situation of a town, city, or country could lead to biodiversity loss.
  • Biodiversity is a critical topic globally. Find an example of biodiversity loss. Discuss its impact on the environment.
  • What are the impacts of biodiversity loss? Do you see examples in your community?

Please be sure to validate your opinions and ideas with citations and references in APA format.

Estimated time to complete: 2 hours

This topic is valued at 40 points. Please review post and response expectationsPlease review the rubric to ensure that your response meets criteria (Read Me First Section of the Course).

Peer Response: Unit 2, Due Sunday by 11:59 pm CT

Biodiversity Valuation

INSTRUCTIONS:

Please post 1 peer response.

In your response post, include the following:

  • What are some suggestions to protect biodiversity in the environment? In your community

Please be sure to validate your opinions and ideas with citations and references in APA format.

Estimated time to complete: 1 hour

Please review post and response expectationsPlease review the rubric to ensure that your response meets criteria (Read Me First Section of the Course).

Public Interest and Special Interest Theories

These are 2 separate questions.

1. Compare and contrast the public interest and special interest theories that describe the motivation behind government intervention in the health care market. Which theory do you believe is the most accurate? Why?

2. What is the information imperfection in health care and how does it impact the efficiency of the market?

Intermenstrual Bleeding

J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month his-tory of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

Past Medical History (PMH)

Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about21⁄2years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause pep-tic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.

Case Study Questions

1. The patient in this case study has seven potential contributing factors for the development of iron deficiency anemia. What are they?
2. Why did the gynecologist question the patient about constipation?
3. Why would you check on serum vitamin B12 and folic acid concentrations tested?
4. Symptoms are subjective clinical manifestations of an illness that can only be reported by the patient. Identify seven clinical symptoms in this case study that are consistent with a diagnosis of iron deficiency anemia.
5. Signs are objective clinical manifestations of an illness that can be observed by someone other than the patient. Identify a minimum of twenty clinical signs in this case study that are consistent with a diagnosis of iron deficiency anemia.
6. Provide five different treatment modalities that will help resolve iron deficiency anemia in this patient.


Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Qualities and Behaviors that Contribute to Effective Management

Read Chapters 2 & 3 and answer the questions below. Attached PDF book.

First Set of Questions

1.Discuss the differences between a leader and a manager.

2. Which is more important, working for an effective leader or an effective manager? Explain your answer.

3. Observe the nurse manager in a unit to which students have been assigned. What management style is displayed? How does the staff respond to this style

4. What qualities do you think are most important to be a good nurse manager?

Second Set of Questions

1. Interview the nurse manager on your assignment unit. What interpersonal, decisional, and informational activities does he or she complete on a daily basis?

2. You are the nurse manager on your unit. One of the most experienced staffers has been out on sick leave, and another just had a baby. The rest of the staff are working very hard to pick up the slack to avoid using agency personnel. What tangible and intangible rewards might you use to thank the staff?

3. PART 1: Begin by writing a 50-word description of the ideal nurse manger, someone you would like to work for. Describe a real-life nurse manager whom you have encountered in one of your clinical rotations. What qualities of this person meet your ideal? In what ways does this individual not meet your ideal? (Reminder: nobody’s perfect.)

PART 2: Think about becoming an ideal manager yourself. What qualities of an ideal manager do you already possess? What qualities do you still need to develop? How will you accomplish this?

Third Set of Questions

1. Find your own state’s requirements for informed consent. Do elective procedures and emergency situations use the same standard?

2. Obtain a copy of your state’s Nurse Practice Act. Does the act give adequate guidance for nurses to know if an action is within the scope of nursing practice?

Fourth Set of Questions

1. Explain how the Nurse Practice Act in your state provides for consumer protection and for professional nursing progress.

2. What are your thoughts on multistate licensure? How does it strengthen and weaken professional nursing?

3. As a new nurse, how can you ensure confidentiality in clinical settings?

4. How can nurses safeguard the confidentiality of medical information when sending it by fax or e-mail?

5. Explain the role of the nurse in obtaining informed consent. Do you believe that this is within the scope of nursing practice? Explain your answer.

6. Should nurses carry malpractice insurance? Explain your answer.

7. Should all patients have advance directives? Explain your answer.

8. Should employers be permitted to require nurses to work overtime if there is a shortage of registered nursing staff on a unit? Support your answer with evidence from the literature.

Ripple Effect of Social Media and Social Networking Essay

Write the key massage from this chapter and notes for each key massage .

Look at the file for more instruction.

Thanks!

Individual project Values and Ethics Discussion

  • Part 1
  • Revisit your Key Assignment draft from the Unit 4 IP, which should include the following: (WHICH IS ATTACHED)
  • In preparation for your Key Assignment, you have discussed corrective action, resolved a management problem with employees showing resistance to change, and developed an organizational chart. Prepare a summary of these tasks.
  • Research and develop a mission and values statement for a facility.
  • Describe what types of health care this facility will provide.
  • Summarize their purpose and services provided, such as the type of health care, number of staff, type of staff, size, departments, and so forth.
  • Update your Key Assignment draft with any peer review feedback from the discussion board and from faculty grading feedback.
  • Part 2
  • Add the following in 2-3 pages (not including title page and reference page) of new information and content to your Unit 4 IP draft to your Key Assignment:
  • Develop 5 ethical standards to implement at your chosen facility.
  • Research 2 companies with ethical standards, and develop standards in your own words.
  • 2 APA references are required.
  • How would you present this information to staff during orientation or training?
  • Describe this training.

Culture Subgroups and Available Medical Care

What are Florida’s Culture Subgroups and Available Medical Care

Requirement

  • The paper will have 4 pages ( non count title page Name, institution…. )
  • The abstract will have non more than 120 words
  • Introduction Title of Paper
  • Body paragraph
  • Conclusion
  • References last 5 years.

Use headings and subheadings to organize the sections of your paper. The first heading level is formatted with initial caps and is centered on the page. Do not start a new page for each heading.

  • The paper need pass Turnitin( Plagiarism) application
  • APA Style guidelines