So far in this course, we have explored diversity through the lenses of history, the humanities, and the natural and applied sciences. In this module, you will wrap up your draft of Final Project Part One with Milestone Four, and the social sciences lens is the last piece of the puzzle. Look back over the topics you chose to discuss in previous discussions, select one, and reexamine it now through the social sciences. In your initial post, address the following: Describe or summarize your previous topic. – USING Discussion 4-1 attached below. How has your understanding been affected by the social sciences lens? – Use the info from social science lens of four general lenses attached below. How does the social sciences lens support the lens you previously used?

Make sure you support your response with the readings from this module attached below and any additional resources if needed.

 Write a 3-4 page evidence-based health care delivery plan for one component of a heart failure clinic. 

  Instructions

Deliverable: Develop an evidence-based plan for health care delivery.

Scenario:

The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocols. Since these patients may be discharged from a variety of areas in the facility, having the heart failure clinic staff take ownership of the process will improve both consistency and compliance. There are cardiologists that interact with the staff and patients, but the day-to-day operations of the clinic are designed and supported by the nurses as they interact with appropriate members of the other health care team disciplines promoting the best care for the heart failure patients.

As a member of the nurse team, you have been asked to develop one component of the clinic.

The hospital leadership established these objectives for the clinic services: Evaluate and maximize proper medication therapy. Conduct regular diet, exercise, and stress management classes for the patients. Monitor physiological indicators for the patients (lab work, weights, vital signs, ECGs). Provide a case management system for patients in the program post-discharge.

The overall goals for the heart failure clinic are to: Enroll greater than 90 percent of the patients with a primary or secondary diagnosis of HF prior to discharge. Facilitate discharge planning to achieve 100 percent compliance with patient education prior to discharge (discharge planning). Decrease readmission rates in this population by 5 percent over the next year.

The leadership team has asked you to provide them with an evidence-based plan for one of the components of the clinic. You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly.

Develop one: an Orientation Course Plan, a Discharge Education Plan, or a Care Coordination Plan.

An Orientation Course Plan: Develop an evidence-based plan for health care delivery. Include a comprehensive schedule of topics, objectives, key points, and patient resources for the orientation course. What are the components of an evidence-based education plan? How will you know that patients will understand what to do? What modalities will you use to deliver information? How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds? Identify specialized and supplementary material needs. Apply professional and legal standards in support of a care plan. Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards. Describe the accountability tools and procedures used to measure effectiveness. How will you know if the patient education plan is successful? What are the indicators of success or effectiveness?

A Discharge Education Plan: Develop an evidence-based plan for health care delivery. Develop a discharge plan with objectives and resources, and tools for patients to monitor their progress. How will you know that patients understand what to do? What modalities will you use to deliver information? How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds? Apply professional and legal standards in support of a care plan. Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards. Describe accountability tools and procedures used to measure effectiveness. How will you know if the discharge plan is successful? What are the indicators of success or effectiveness?

Care Coordination Plan: Develop an evidence-based plan for health care delivery. Develop a procedure for coordinating services. Consider the needs of “outliers.” For example, someone with lung disease may need extra resources. Who should be on the team? When would the team be activated? How would it be activated? What is the time frame required to coordinate services? How would the intervention plan be monitored for effectiveness? Apply professional standards in support of a care plan. Explain the alignment to the most recent heart failure guidelines and specific professional standards. Describe accountability tools and procedures used to measure effectiveness. How will you know if the care coordination plan is successful? What are the indicators of success or effectiveness? How will information be collected or communicated? Additional Requirements Written communication: Written communication should be free of errors that detract from the overall message. APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting. Length: The report should be 3-4 pages in content length, double-spaced. Font and font size: Times New Roman, 12 point. Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.

READ ATTACHMENT AND SUMMARIZE FOLLOWING THE INSTRUCTIONS BELOW! ORIGINAL WORK AND QUALITY WORK! 

 

eflect on the first 3-4 weeks of class activity and post your opinions on the topics, perhaps a key point that you have learned from your and your classmates’ research on a discussion topic, and show specific application on how you can apply this material and lessons thus far in the course to your workplace and/or career interests. The Mid-Term Course Application Reflection should be substantial in length (3-5 paragraphs comprising 300-500 words) and meet professional standards in content, punctuation, writing style and APA guidelines for in-text cites and references. You want to have at least one credible outside source in your work (text book does not count). Your submission needs to be respectful and supportive in tone.

 

. Describe what drew you to pursue nursing as a career, and how you see yourself contributing to the nursing profession over the next 5-10 years. (approximately 200 words)
2. Describe how your values align with the mission of Creighton University. (approximately 200 words)
3. Describe an uncomfortable situation or ethical dilemma you encountered. What was your response in the situation, and what (if anything) would you do differently and why? (approximately 200 words)
4. The 12-month Accelerated BSN is an academically rigorous program during which much of a student’s time is occupied with school obligations. Describe the strategies you plan to use to successfully complete this challenging program given the competing demands on your time. (approximately 200 words)
5. If applicable, provide a rationale for any of the following discrepancies on your transcripts. Part of this rationale should provide an explanation of what has changed to promote success in this program. Grades that are lower than a C Courses with a W (withdrawals) Semesters in which you were not a full-time student Other considerations (extended leaves, previous enrollment in professional programs, misconducts, dismissals)

 Draft Discuss “Anesthesia for patients with hypertension”

· Start the body of the paper on a new page after the title page

· 4 pages not including the cover page or the references page

· The introductory section must give information necessary to make the remainder of the project understandable

· If you are discussing a disease and its pharmacologic management, you must provide information regarding the pathology, epidemiology, clinical course, and treatment of the disease

Your paper should be in APA 6th Edition Format complete with an APA-style cover page and reference page

All sources must be correctly cited and your paper must be written in Times New Roman 12-point font, be double spaced, and have 1 inch margins.

You may not use any direct quotations; paraphrase what you read.

  For your papers, you may not use websites as sources of information. You must provide a minimum of five, peer-reviewed (that is, research) articles.