Category: Nursing

Please review the attached.
A. Environmental Hazards – required for topic approval need to submit by 09/24 11:59 pm
B. Scholarly Position Paper
C. Rubric
D. Scholarly Position Paper – Example of work submitted.

Choose your article from any source you find appropriate.
Read it through and paraphrase in your own words what the article means to you. You are required to turn in both the article and your thoughts about the article.
Articles are to be at least three (3) paragraphs long.
This assignment is due on Sunday at 11:59pm.

Module 08 Course Project – Presentation Outline
Topic for this project: Coronary artery disease
Course Competency:
Identify local, state, and national resources which facilitate safe and effective transitions of care for older adults.
Your supervisor at Rasmussen Home Health Services is satisfied with the resources described in your annotated bibliography and is eager for you to continue your work. As a next step, your supervisor wants you to develop and share the following items with them.
Write an introduction about your in-service presentation topic.
Create an outline that identifies and describes the important content areas for your in-service presentation topic.
Write a conclusion.
Provide an APA formatted References list that contains at least 2 credible references that you intend to cite in your presentation.

Video link https://youtu.be/haqi4xvjvKo
book link;
https://ecampus.vitalsource.com/reader/books/9780323597791/epubcfi/6/2%5B%3Bvnd.vst.idref%3Dhtml_cover_image%5D!/4/4/4%5Bcover_01%5D/2%4050:78
Part A: Existing Knowledge
After watching the video, discuss the following question based on your thoughts and experiences. Post your initial reply by Tuesday. Respond to your classmates until Thursday. After you complete your textbook reading, continue to Part B.
Question: What are the consequences and/or benefits of smoking e-cigarettes?
Part B: Applying What You Learn
Prepare for the second part of this discussion by creating one well-crafted question based on what you learned from the textbook and the module “Required Materials”. Your question should include enough background information to help your classmates respond to you. Title your question post with the heading “CLASSMATE QUESTION.”

There are 2 tasks to complete for this assignment with multiple parts.
Task 1 – Implementation Plan
For this assignment, you will use an AHRQ worksheet and tool that were created to be used in tandem. The purpose of the worksheet is to help you break down the scope of your project into manageable units of work whose outcome comprises a task or deliverable. The AHRQ Implementation Measurement tool will help you define a means of measurement within your plan.
Download the Implementation Plan Worksheet.
Complete the form by following the instructions that accompany the worksheet.
Download the Implementation Measurements tool.
Following the guidelines stipulated in the measurement tool, devise a means/tool for measuring the success of your project intervention.
Each best practice that you have identified on the Implementation Plan Worksheet will also need to have a defined means of measuring its success.
Briefly summarize what each best practice implementation consists of and how you will measure it.
Note: For additional support, you might consider using the IHI Improvement Tracker, which has measures already set up on numerous topics. Or you can create your own custom measures. The Improvement Tracker automatically graphs your data and lets you create reports.
Now that you have defined your project best practice tasks/deliverables, you will need to create a timetable for completing them.
Create a Gantt chart for your project. Include best practice tasks/deliverables on the chart as well as all project activities from development to implementation and evaluation. There are numerous Gantt chart templates available for free online, including a free Gantt chart template from Vertex42.com that is easy to use.
Task 2 – Cost-Benefit Analysis
Read the selected articles on cost-benefit analysis from the University Library.
Conduct a cost-benefit analysis for your project.
Develop a budget for your project. The budget will vary depending on the nature of your project. Start with the individual tasks/deliverables that you identified in your implementation plan and break them down in terms of cost (labor, materials, facilities, services, and overhead are all costs). The sum of all tasks on your implementation plan constitutes the total budget of your project.
Consider the potential benefits and savings that may result from your project implementation. There may be tangible and non-tangible benefits. Consider quality of life, reduced health care expenses, impact on population health and considerations of DEI, increased reimbursement, staff morale, institution liability, etc.
Create a table with a corresponding explanation to depict your project budget, potential benefits, and savings to demonstrate a cost/benefit ratio analysis. See the example of how to do this on a table.
Assignment Deliverable
Your assignment deliverable will consist of the following components:
Completed AHRQ Implementation Plan Worksheet
Summary of each best practice and how it will be measured
Tool developed for measuring the success of project intervention
Gantt chart
Table depicting the budget and demonstrating a cost/benefit ratio analysis

Step 1: You will use the: Graduate Comprehensive Psychiatric Evaluation Template
Compose a written comprehensive psychiatric evaluation of a patient you have seen in the Psychiatric clinic.
Step 2: Each student will create a focused SOAP note PowerPoint presentation. SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The comprehensive psychiatric SOAP note is to be written using the attached template below.
S =
Subjective data: Patient’s Chief Complaint (CC); History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem (OLDCARTS or PQRST); Review of Systems (ROS)
O =
Objective data: Medications; Allergies; Past medical history; Family psychiatric history; Past surgical history; Psychiatric history, Social history; Labs and screening tools; Vital signs; Physical exam, (Focused), and Mental Status Exam
A =
Assessment: Primary Diagnosis and two differential diagnoses including ICD-10 and DSM5 codes
P =
Plan: Pharmacologic and Non-pharmacologic treatment plan; diagnostic testing/screening tools, patient/family teaching, referral, and follow up
Other: Incorporate current clinical guidelines NIH Clinical Guidelines or APA Clinical Guidelines research articles, and the role of the PMHNP in your presentation.
Reminder: It is important that you complete this assessment using your critical thinking skills. You are expected to synthesis your clinical assessment, formulate a psychiatric diagnosis, and develop a treatment plan independently. It is not acceptable to document “my preceptor made this diagnosis.” An example of the appropriate descriptors of the clinical evaluation is listed below. It is not acceptable to document “within normal limits.”
Graduate Mental Status Exam Guide
Successfully Capture HPI Elements in Psychiatry E/M Notes
AAPC Admin. (2013, August 1). Successfully capture HPI elements in psychiatry E/M notes. Advancing the Business of Healthcare. https://www.aapc.com/blog/25848-successfully-captu…
Submission Instructions:
The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
Upload your completed Comprehensive Psychiatric Evaluation as word document
Then, have your preceptor sign and date your completed Comprehensive Psychiatric Evaluation, on the comprehensive psychiatric evaluation document to confirm they have reviewed and acknowledge this patient was seen in their clinic.
No typed signatures will be accepted. Secure your preceptor’s signature in time for your presentation.
Incorporate a minimum of four current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style, 7th Edition (the library has a copy of the APA Manual).

The AACN/QSEN collaborative efforts provided more detail when it identified expected competencies for master’s-prepared nurses in all six areas of QSEN focus (quality, safety, teamwork and collaboration, patient-centered care, evidence-based practice, and informatics) as well as knowledge and related skills and attitudes.
1. How do the informatics skills you are now developing and expanding upon help you meet current informatics skills levels?
2. Provide some examples from your work setting.
3. How did the TANIC self-assessment change your impression of your current informatics skill levels?

Preparing the Assignment
Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.  Include the following sections:
Application of Course Knowledge: Answer all questions/criteria with explanations and detail. Preventive care and screenings are essential components to primary practice. Identify your clinical practicum setting (primary care office, urgent care, etc.) and a population that you typically see (i.e., adolescents, women, older adults). Use the US Preventative Services Task Force Links to an external site. or HealthyPeople 2030 Links to an external site. to describe two preventative care screenings recommended for the identified population.
Discuss the preventative care provided at your clinical practicum site by addressing the following:
What guidelines do providers use to determine which screenings to offer?
How would you describe the quality of the preventative care you have observed? Have you observed disparities or bias in the care provided to different members of the population?
How are screening recommendations presented to patients? How do providers address health literacy and the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care Links to an external site. when providing patient education about screenings? Screening opportunities are often missed in vulnerable populations and those with limited access to care. Describe changes you recommend in your practice setting and community to increase the frequency of preventative screenings within vulnerable populations.
Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations:
Cite a scholarly source in the initial post. Cite a scholarly source in one faculty response post. Cite a scholarly source in one peer post. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
ANSWER
Application of Course Knowledge
Clinical Practicum Setting and Target Population
My clinical practicum setting is a primary care office located in a suburban community. The majority of patients seen at this practice are adults aged 45 to 65 years old. This population is at risk for a variety of chronic diseases, including cardiovascular disease, cancer, and diabetes.
Two Preventative Care Screenings Recommended for the Target Population
Blood pressure screening: According to the U.S. Preventive Services Task Force (USPSTF), all adults aged 18 years and older should have their blood pressure checked at least once every two years. High blood pressure is a major risk factor for heart disease, stroke, and kidney disease.
Cholesterol screening: The USPSTF recommends that adults aged 45 to 65 years old with no family history of early heart disease should have their cholesterol levels checked every four to six years. High cholesterol levels are a major risk factor for heart disease and stroke.
Preventative Care Practices at Clinical Practicum Site
Guidelines for Determining Screening Recommendations
Providers at my clinical practicum site use a variety of guidelines to determine which screenings to offer patients. These guidelines include the USPSTF recommendations, the American Heart Association (AHA) guidelines, and the National Cancer Institute (NCI) guidelines.
Quality of Preventative Care and Observed Disparities
In my observations, the quality of preventative care provided at my clinical practicum site is high. Providers are knowledgeable about the latest screening guidelines and are able to effectively communicate the benefits and risks of screening to patients. However, I have observed some disparities in the care provided to different members of the population. For example, patients with lower socioeconomic status are less likely to receive recommended screenings.
Presentation of Screening Recommendations and Patient Education
Screening recommendations are presented to patients in a clear and concise manner. Providers take into account the patient’s age, risk factors, and personal preferences when making recommendations. Providers also address health literacy and cultural considerations when providing patient education about screenings.
Increasing Preventative Screenings in Vulnerable Populations
There are several changes that can be made to increase the frequency of preventative screenings in vulnerable populations. These changes include:
Providing outreach and education to vulnerable populations.
Offering convenient screening times and locations.
Making screening services affordable or free of charge.
Training providers on how to address cultural and linguistic barriers to care.
Integration of Evidence
Scholarly Source for Initial Post
U.S. Preventive Services Task Force (USPSTF). (2023). Recommendations for preventive services.
Scholarly Source for Faculty Response Post
Lee, J., & Hebert, J. R. (2019). Disparities in cancer screening among adults in the United States: A review of the literature. Preventive Medicine Reports, 15, 100983.
Scholarly Source for Peer Post
Smith, H. C., & Davis, M. L. (2022). Addressing health literacy and cultural considerations in cancer screening: A review of the literature. Journal of the National Medical Association, 114(2), 125-135.
Conclusion
Preventative care and screenings are essential components of primary practice. By offering recommended screenings and providing effective patient education, providers can help to prevent chronic diseases and improve the overall health of their patients.

Instructions: Using a PowerPoint Presentation, the student should demonstrate Substantiate Practice Change Project to be presented for the Evaluation Panel.
Your PowerPoint must include:
Cover page with course information, student information, and project title.
Introduction
Significance of the practice problem
PICOT question with objectives
Theoretical framework
Synthesis of the literature reviewed (at least the comments on 3 articles)
Project Plan
Project evaluation plan (with results obtained)
Practice recommendations.
Final conclusions
Remember that this PowerPoint presentation will be used by you to present the Practice Change Project for a panel of expert evaluation; it must be complete and concise.

Pick one or both of the following positions related to the legalization of recreational marijuana use:
For Recreational Marijuana Legalization
Against Recreational Marijuana Legalization
Part 1:
Research your assigned position as well as the alternatives so you can critically engage with your opponents’ position.
In a 7-10-slide presentation, create a summary about your assigned position that describes its major tenets and arguments for them. Make sure to include the physiological, psychological, and sociological effects of marijuana use in your summary.
Include a minimum of three scholarly sources in the presentation.