differences and similarities between Managed Care Organizations (MCOs) vs. Accountable Care Organizations (ACOs).

/in /by

Discuss the differences and similarities between Managed Care Organizations (MCOs) vs. Accountable Care Organizations (ACOs). Given the current health care environment, provide a solid speculation to how MCOs and ACOs may transform to meet the needs of its consumers. Be sure to support your thoughts and analysis with scholarly sources.

*Will also need to respond to 3 classmate’s post, will send that after you turn in assignment.

Gynecologic Health

/in /by

elect a patient that you examined as a nurse practitioner student during the last three weeks of clinical on OB/GYN Issue. With this patient in mind, address the following in a SOAP Note 1 OR 2 PAGES :

 

Subjective: What details did the patient provide regarding her personal and medical history?

 

Objective: What observations did you make during the physical assessment?

 

Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

 

Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters for this patient , as well as a rationale for this treatment and management plan.

 

Very Important:  Reflection notes: What would you do differently in a similar patient evaluation?

 

 

 

Reference

 

Gagan, M. J. (2009). The SOAP format enhances communication. Kai Tiaki Nursing New Zealand, 15(5), 15.

 

Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.

 

 

 

Chapter 6, “Care of the Well Woman Across the Life Span” ,“Care of the Woman Interested in Barrier Methods of Birth Control” (pp. 275–278)

 

Chapter 7, “Care of the Woman with Reproductive Health Problems”

 

“Care of the Woman with Dysmenorrhea” (pp. 366–368)

 

“Care of the Woman with Premenstrual Symptoms, Syndrome (PMS), or Dysphoric Disorder (PMDD)” (pp. 414–418)

Newman pointed out that, “nurse client relationships often begin during periods of disruption, uncertainty, and unpredictability in patient’s lives”

/in /by

Newman pointed out that, “nurse client relationships often begin during periods of disruption, uncertainty, and unpredictability in patient’s lives” (Smith & Parker, 2015, p. 288).

Explore what she means by this statement. Then, reflect on a patient that you cared for that you could apply her theory to. Provide details of the interaction and outcomes.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

Smith, M. C., & Parker, M. E. (2015). Nursing theories and nursing practice (4th ed.). Philadelphia, PA: F.A. Davis. Chapters 16-18

Can incongruent communication be culturally based?

/in /by

This discussion is worth 100 points and will be graded according to the BSN discussion rubric located under the grading criteria tab. You must start a discussion thread before you can read and reply to other discussion posts.

Option1: Can incongruent communication be culturally based? (Be sure to refer to rubric for grading criteria)

Option 2: How does sociocultural background influence perception?

CriteriaOutstandingCompetentRoom for improvementCriterion ScoreQuality of Work submitted: The extent to which work meet the assigned criteria and reflects BSN level analysis30 points

30 to 25 points. Assignment exceeds expectations. All topics are addressed with a minimum of 85% containing exceptional breadth and depth about each of the assignment topics

24 points

24 to 20 points.
Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics.

19 points

19 to 0 points.
Assignment superficially meets some of the expectations. One or more required topics are either not addressed or inadequately addressed.

/ 30Purpose of work submitted: Purpose of the paper is clear5 points

5 to 4 points.
A clear and comprehensive purpose statement is provided which delineates all required criteria.

3 points

3 to 2 points.
Purpose of the assignment is stated, yet is brief and not descriptive.

1 point

1 to 0 points.
Purpose of the assignment is vague or not provided.

/ 5Synthesis of ideas: 1. Interpret the assignment’s key concepts25 points

25 to 20 points.
Demonstrates the ability to critically appraise and intellectually explore key concepts.

19 points

19 to 15 points.
Shows some degree of understanding of key concepts.

14 points

14 to 0 points.
Shows a lack of understanding of key concepts, deviates from topics.

/ 25Synthesis of ideas: 2. apply course resources and outside credible resources25 points

25 to 20 points.
Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 2-3 course resources to support

19 points

19 to 15 points.
Integrates specific information from 1 credible outside resource and 1 to 2 course resources to support major points and point of view.

14 points

14 to 0 points.
Minimally includes and integrates specific information from 0 to 1 resource to support major points and point of view.

/ 25Written expression and formatting: 1. Paragraph and sentence structure. Paragraphs make clear points that support clear points and support well developed ideas, flow logically. Sentences are clearly structured and follow appropriate writing style5 points

5 to 4 points.
Paragraphs and sentences follow writing standards 90% of the time.

3 points

3 to 2 points.
Paragraphs and sentences follow writing standards 75% of the time

1 point

1 to 0 points.
Paragraphs and sentences follow writing standards < 75% of the time.

/ 5Written expression and formatting: 2. English writing standards: correct grammar, mechanics, and proper punctuation5 points

5 to 4 points.
Uses correct grammar, spelling, and punctuation with (1-2) errors.

3 points

3 to 2 points
Contains several (<5) grammar, spelling, and punctuation errors.

1 point

1 to 0 points.
Contains many (extensive) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

/ 5Written Expression and formatting: 3. The paper follows correct APA 7th Ed.format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in- text citations, and reference list5 points

5 to 4 points.
Contains a few (1-2) APA format errors.

3 points

3 to 2 points.
Contains several (< 5) APA formatting errors.

1 point

1 to 0 points.
Contains extensive APA formatting errors.

/ 5Rubric Total ScoreTotal/ 100

What makes a good peer review?

/in /by

Present and discuss a topic that you are interested in researching for this course. Explain why this topic interests you. Provide a brief background of the topic and speculate on arguments you could pose or problems you could solve. Additionally, draft a potential problem statement. Pose ideas and solicit feedback from your peers on your ideas.

In your responses, provide your peers with constructive criticism. Identify topics that might seem too broad or too narrow in focus. Identify possible challenges and offer ideas and solutions for improvement.

Comment to a minimum of two peers. Remember that your feedback and support are important!

You can download this document for more information: What makes a good peer review?

Review the rubric in My Grades for details on how you will be graded for your peer review postings. Peer review posts and comments follow the same due date structure as the discussion board.

Posting directions: Title your post with your name (e.g., Jenny Smith Topic Proposal) and write in your submission or attach a document for peer review.

PERIE model

/in /by

Review the PERIE model and process described in Ch. 2 of Public Health 101: Healthy People-Healthy Populations.

Create a 3 slide Powerpoint Presentation with speaker notes

 

Analyze possible solutions for Lung Cancerhe issue or disease selected.

  • Identify possible solutions.
  • Explain how successful the solutions were.
  • Determine additional suggestions for treatment or resolution.

differing approaches of nursing leaders and managers to issues in practice.

/in /by

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
  2. Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
  3. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
  4. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
  5. Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
  6. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.

Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1:       Exemplify professionalism in diverse health care settings.

1.3:       Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

3.4:       Demonstrate professional standards of practice.

Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.

/in /by

The field of nursing has changed over time. In a 750‐1,000 word paper, discuss nursing practice today by addressing the following:

  1. Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.
  2. Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.
  3. Identify a patient care situation and describe how nursing care, or approaches to decision‐making, differ between the BSN‐prepared nurse and the ADN nurse.
  4. Discuss the significance of applying evidence‐based practice to nursing care and explain how the academic preparation of the RN‐BSN nurse supports its application.
  5. Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completio

Using      Leininger’s Culture Care Model, what factors in the story shared by Mrs.      Franklin-Jones should be considered by Nurse Hernandez when planning for      the patient’s discharge?

/in /by

Assignment:

Your assignment this week will be an APA paper to include title page, level headings, and a reference page.

Case study #1

Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”

  • Using      Leininger’s Culture Care Model, what factors in the story shared by Mrs.      Franklin-Jones should be considered by Nurse Hernandez when planning for      the patient’s discharge?
  • Why      is the theory of Culture Care Diversity important in the delivery of      nursing care for all patients?
  • Using      Leininger’s Theory of Culture Care Diversity and Universality, develop a      plan of care for Mrs. Franklin-Jones.
  • Discuss      the strengths and limits to Leininger’s Theory.

Case Study #2

Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.

  • Discuss      assumptions of the Transpersonal Caring relationship. What is the nurse’s      role?
  • How      is love, as defined by Watson, evident in this caring moment?
  • How      can the nurse creatively use self to create a healing environment?
  • Discuss      the strengths and limits to Watson’s Theory.

This paper should include 2 outside references and your book. The essay should be between 1500 and 1750 words in length

how the nursing profession is viewed by the general public

/in /by

Describe how the nursing profession is viewed by the general public. Discuss factors that influence the public’s perception of nursing? Describe ways to educate the general public on the professional nurse’s role and scope of nursing within a changing health care system.