Describe your current care delivery model or environment, (or a model/environment with which you are familiar); along with specific tenets or characteristics from a systems theory or thinking model that makes sense or best depicts the care delivery model or environment that you’ve described.

Describe your current care delivery model or environment, (or a model/environment with which you are familiar); along with specific tenets or characteristics from a systems theory or thinking model that makes sense or best depicts the care delivery model or environment that you’ve described.

Readings
Read: Senge, P. M. (1990). The fifth discipline. The arts and practice of the learning organization. New York, NY: Doubleday/Currency, as a slide presentation

or PDF .

Read: Rubenfeld, G. D. (2004). Using computerized medical databases to measure and to improve the quality of intensive care. Journal of Critical Care, 19(4), 248-56. doi:http://dx.doi.org/10.1016/j.jcrc.2004.08.004

Read: Lee, C. T., Fitzgerald, B., Downey, S., & Moore, M. (2012). Models of care in outpatient cancer centers. Nursing Economics, 30(2), 108-116.

Read: Sidani, S., Doran, D. M., & Mitchell, P. H. (2004). A theory-driven approach to evaluating quality of nursing care. Journal of Nursing Scholarship, 36(1), 60-5.

Activities & Assignments

Attached Files:

docx(20.864 KB)
docx(34.851 KB)
Review examples of models of care delivery.
Note the elements of a learning organization from Senge’s work. Consider the relevance of complex systems theory to the complexity of 21st century healthcaredelivery and adaptation to constant change.
Think about your current care delivery model or environment from a systems perspective.
Discussion–Systems Model. From a systems perspective (and considering the care delivery model you described) how would you:
Describe your current care delivery model or environment, (or a model/environment with which you are familiar); along with specific tenets or characteristics from a systems theory or thinking model that makes sense or best depicts the care delivery model or environment that you’ve described.


 

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Analysis of the congruence of concepts and theoretical statements

Analysis of the congruence of concepts and theoretical statements

The file NUR 513 Week 6 Nursing Theory Plan Of Care PART 2 consists of the following parts:

1. Introduction

2. Analysis of the congruence of concepts and theoretical statements

3. Determination of the current influences of research utilization in practice

4. Conclusion


 

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Discuss how you can plan a media budget for an upcoming election. Discuss how you can plan a media budget for an upcoming election. Problem 3-12A political candidate is planning his media budget for an upcoming ellection.

Discuss how you can plan a media budget for an upcoming election.
Discuss how you can plan a media budget for an upcoming election. Problem 3-12A political candidate is planning his media budget for an upcoming ellection.

Discuss how you can plan a media budget for an upcoming election.
Problem 3-12A political candidate is planning his media budget for an upcoming ellection. he has $90,500 to spend. His politiacal consultants have provided him with the following estimates of additional votes as a result of the advertising effort: For every small sighn placed by the rodside, he will garner 10 additional votes For every large sign placed by the roadside, he will garner 30 additional votes For every thousand bumper stickers placed on cars, he will garner 10 additional votes For every hundred personal mailings to registered voters, he will garner 40 additional votes, For ever radio ad heard daily in the last month before the election, he will garner 485 additional votesAdvertising Medium Cost minimum Maximum Bumper stickers (thousands) $30.00 40 100 Personal mailings (hundreds) $81.00 500 800 Radio ads (per day) $1,000.00 3 12 Small road side signs $25.00 100 500 Large road side signs $60.00 50 300Problem 3-22The load master for a freighter wants to determin the mix of cargo to be carried on the next trip.The ship’s volume limit for cargo is 100,000 cubic meters , and its weight capacity is 2,310 tons.The master has five different types of cargo from which to select and wishes to maximize the calue of the selected shipment. However, to make sure that none of his customers are ignored, the load master would like to make sure that at least 20% of each cargo’s available weight is selected. The specifications for the five cargoes are shown in the following tablecargo type Tons Available Value Per Ton Volume Per TONE A 970 $1,350.00 26 B 850 $1,675.00 54 C 1900 $1,145.00 28 D 2300 $850.00 45 E 3600 $1,340.00 37A nursing home employs attendants who are needed around the clock. Each attendant is paid the same, regardless of when his or her shift begins. Each shift is 8 consecutive hours. Shifts begin at 6 A.M., 10 A.M., 2 P.M., 6 P.M., 10 P.M., and 2 A.M. The following table showws the nursing home’s requirements for the numbers of attendants to be on duty during specifiv


 

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BRIEFLY EXPLAIN THE PHYSIOLOGICAL PROCESS THAT OCCURS IN ACUTE PULMONARY OEDEMA AND LIST 6 SIGNS OR SYMPTOMS.

BRIEFLY EXPLAIN THE PHYSIOLOGICAL PROCESS THAT OCCURS IN ACUTE PULMONARY OEDEMA AND LIST 6 SIGNS OR SYMPTOMS. IN YOUR ANSWER IDENTIFY THE TYPE OF ACID/BASE IMBALANCE MR HOOPER HAS AND EXPLAIN HOW OXYGEN AND A DIURETIC WILL IMPROVE HIS RESPIRATORY AND CARDIAC FUNCTION ORDER DESCRIPTION

Mr Hopper develops signs of acute pulmonary oedema (APO). Investigations include arterial blood gases (ABG) which reveal: pH 7.25 PaO2 68 PaCO2 60. He is ordered oxygen and a diuretic (frusemide). Briefly explain the physiological process that occurs in acute pulmonary oedema and list 6 signs or symptoms. In your answer identify the type of acid/base imbalance Mr Hooper has and explain how oxygen and a diuretic will improve his respiratory and cardiac function
Order Description
Question 1: Mr Hopper develops signs of acute pulmonary oedema (APO). Investigations include arterial blood gases (ABG) which reveal: pH 7.25 PaO2 68 PaCO2 60. He is ordered oxygen and a diuretic (frusemide). Briefly explain the physiological process that occurs in acute pulmonary oedema and list 6 signs or symptoms. In your answer identify the type of acid/base imbalance Mr Hooper has and explain how oxygen and a diuretic will improve his respiratory and cardiac function (approx.250 words)
Information related to Acute pulmonary oedema a good source is the Mayo-clinic see link
below
http://www.mayoclinic.org/diseases-conditions/pulmonary-edema/basics/symptoms/con-20022485
? The ABG result of 7.25 is it acidosis or alkalosis this is all you need to outline
? Diuretic removes excess fluid
? Oxygen : why would we give oxygen to someone ?

Question 2: Outline the nursing assessment that you would make of Mr Hopper over the next 1-2 days and discuss the significance of these observations, including nursing detection of complications related to an AMI (include subjective and objective data). (approx. 250words)

Include nursing History (subjective)
The sort of information that you would obtain during an admission process including family
history.
? Nursing assessment ( objective data)
? only need to cover 3 points in total not from each system.
Look at the information from each body system CNS, CVS, Respiratory, GIT, Integumentary,
& musculoskeletal

Question 3: Mr Hopper has recovered well in hospital and discharge planning has commenced. Discuss 5 health services in Tasmania, that could assist Mr Hopper’s recovery. (approx 100words)


 

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The focus of this weeks assignment is identifying research components.You will be responsible for reviewing two articles (listed below) andcompleting the following tasks for each one in 3 pages for each: Cite all sources in APA format

The focus of this weeks assignment is identifying research components.You will be responsible for reviewing two articles (listed below) andcompleting the following tasks for each one in 3 pages for each:
Cite all sources in APA format

Students with the last name beginning with A-L ( my last name starts with G)
Bortz A. Ashkenazi T. & Melnikov S. (2015).Spirituality as a predictive factor for signing an organ donor card.Journal of Nursing Scholarship 47(1) 25-33. doi: 10.1111/jnu.12107
Dinkel S. & Schmidt K. (2015).Health education needs of incarcerated women.Journal of Nursing Scholarship 46(4) 229-234. doi: 10.1111/jnu.12079


 

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Discusses the Pathophysiology of the mentioned Chronic and Complex Conditions and their Related Clinical Manifestations

Case Study Report: Length: 2000 Words
Case Study for Part A
Angela is a 69 year old lady who was born in England and moved to Australia when she was 14 with her family. She is married and lives with her 74 year old husband, and has three daughters who live close by, and has seven grandchildren that she helps care for when her daughters work.
Angela has a 24 pack per year history of smoking and has been diagnosed with Chronic Obstructive Pulmonary Disease (COPD), with an FEV1/FVC ratio of 52%. She quit smoking 6 years ago, but her husband continues to smoke. Her inhalers for COPD include Symbicort 400/12mcg (Budesonide and Eformetorol) and Spiriva 18mcg (tiotropium Bromide). She uses salbutamol via inhaler as required.
Angela worked as a cleaner for many years and has some arthritic changes related to the wear and tear secondary to this work. She takes paracetamol only to manage this. Angela is compliant with all medications and efforts to manage her COPD and arthritis.
On a routine visit with her GP, Angela was noted to be hypertensive with a BP of 164/96. She has been commenced on an angiotensin converting enzyme inhibitor, perindopril arginine, 2.5mg daily, to be reviewed in 4 weeks. Her weight has increased from 64kg to 72kg in the 3 months since her last review and she reports increased discomfort when mobilising, particularly from her spine. This is limiting her ability to exercise and she is now finding she is increasingly breathless when walking any distance, and is finding caring for the grandchildren more difficult.

Rationale
It is known that chronic disease is the leading cause of death across the world (Johnson & Chang, 2014). Nurses need to be able to provide care to all health consumers, with a significant role in assessing a person, planning care, communicating with colleagues and ensuring that the holistic needs are met and evaluated. The ongoing nature of the conditions can result in longer term debilitating outcomes if not addressed appropriately. Children, young people, adults and older adults all experience the full range of health issues yet manage them differently.
This assessment task addresses the following subject learning outcomes:
• Plan nursing care for patients with complex co-morbidities demonstrating rationale for how one affects the other.
• Plan nursing care of a patient with a co-morbidity in consultation with individuals/groups significant others and the interdisciplinary health care team in the clinical setting.
• Explain and describe common physiological, mental health and developmental chronic conditions.

Requirements:
Discusses the Pathophysiology of the mentioned Chronic and Complex Conditions and their Related Clinical Manifestations

There is a detailed, succinct and accurate discussion of the disruptions to normal physiological processes that underlie each condition, with consistently clear links to all of the clinical manifestations.
All clinical manifestations are clearly linked to underlying pathophysiology

Explains the Concepts of Co-morbidity, Chronicity and Complexity

The definitions of each of the key terms have been integrated into a detailed, succinct and accurate discussion of the chronicity and complexity of the patient’s condition.

Discusses the Impact of Chronic and Complex Conditions on the Patient

There is a comprehensive, accurate and integrated discussion of two ways in which the conditions may impact on each other and the possible effects of the conditions on the patient in the case study, with substantial links made to the previously discussed pathophysiology and clinical manifestations.

Use of Evidence to Support the Discussion

An extensive range of highly relevant and current sources have been located, evaluated and synthesised to
substantially support the discussion throughout the paper

Academic Writing and Presentation
The report is logically and succinctly structured according to academic writing conventions.
The content is presented in such a manner that it creates a cohesive, coherent and analytical report.
There is use of formal academic language throughout, including the accurate use of nursing terminology.
The content consistently adheres to grammatical conventions. There are no spelling mistakes or errors in punctuation.
Referencing

All sources are explicitly acknowledged in-text.
APA guidelines for in-text referencing and the reference list are consistently adhered to.
All sources cited-in text match those cited in the reference list.


 

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Describe why multidisciplinary collaboration is important when promoting/supporting physiologic birth.

Describe why multidisciplinary collaboration is important when promoting/supporting physiologic birth.

Physiologic birth includes spontaneous vaginal birth at term with minimal technologic and pharmacologic interventions. Many perinatal interventions currently used decreases physiologic birth.

Using information from evidence based findings found in current professional resources; respond to the following.

· Describe two (2) potential health benefits for the maternal/fetal dyad resulting from physiologic birth care practices.

· Describe how the registered nurse would promote physiologic birth.

· Describe why multidisciplinary collaboration is important when promoting/supporting physiologic birth.


 

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The emerging role of nursing in the care of the patients with lung cancer in Saudi Arabia. The keywords in the search strategy must be related to the aim of the study such as ( Nursing role AND Lung cancer patients, Nursing management AND Lung cancer patients, Nursing care AND Lung cancer patients).

The emerging role of nursing in the care of the patients with lung cancer in Saudi Arabia. The keywords in the search strategy must be related to the aim of the study such as ( Nursing role AND Lung cancer patients, Nursing management AND Lung cancer patients, Nursing care AND Lung cancer patients).

The aim of this study was to scope the role of nurses’ in the case management of the patients with lung cancer in Saudi Arabia.
The Study Question:
what is the emerging role of nurses in the care of patients with lung cancer in Saudi Arabia?
Sub-questions:
• What happing now?
• What are the possibilities for the future?
– The keywords in the search strategy must be related to the aim of the study such as ( Nursing role AND Lung cancer patients, Nursing management AND Lung cancer patients, Nursing care AND Lung cancer patients).
I need you to use Pubmed, Scopus and Cinahl as a database for the searching process.
– I want you to follow Search process table in the databases (Attached).
– The main focus of this study should be in Saudi Arabia. There are limited studies in Saudi Arabia regarding this topic. However, I need you to clarify this issue at the end of the literature review which is the reason for conducting this study. You are welcome to include articles globally.
-17 Original articles (Qualitative) should include in this literature review. arguments and critique
in the articles should be considered.
– In the search strategy, I need it to be limited to recent five years 2011 to 2016 original articles; qualitative research only and focuses on nursing field. This information should be clarified in the beginning as inclusion and exclusion criteria.
– The 17 articles should be Categorised in themes as sub-heading in the literature review to organise the work.


 

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Evaluate published nursing research for credibility and lab significance related to evidence-based practice.

Evaluate published nursing research for credibility and lab significance related to evidence-based practice.

Research Article Review

PURPOSE
The purpose of this assignment is for the student to learn to assimilate, analyze, critique, and summarize an original research article. In other words, select a report of a single, original study.
COURSE OUTCOMES
Through this assignment, the student will demonstrate the ability to meet the following course outcomes:
CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO #7)
CO2: Apply research principles to the interpretation of the content of published research studies. (POs #4 and 8)
CO4: Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (POs #4 and 8)
CO5: Recognize the role of research findings in evidence-based practice. (POs #7 and 8)
POINTS
The assignment is worth a total of 225 points.
DUE DATE
You are to submit your paper to the Week 6 Research Article Review Dropbox by Sunday 11:59 p.m. MT at the end of Week 6.
REQUIREMENTS
Through this assignment, the student will:
1. Conduct a systematic search of relevant databases to find research-based evidence related to a nursing problem (CO 1);
2. Critique a peer-reviewed study, indicating the purpose, sample, design of study, data collection method, findings, and limitations of each (CO 2, CO 4,)
3. Summarize the research article and evaluate the significance to nursing. (CO 3).
4. Please remember this assignment will be sent to Turnitin for review. If you wait until late Sunday night to submit, you may not receive your feedback in time if you need to make changes. Please read the announcement on the Turnitin information.
PREPARING THE PAPER
Conduct a PICO(T) search on the nursing problem that you identified in Week 2, Discussion questions. Select one most recent peer-reviewed study that describes original research in a single study.
Analyze the article and provide the following information in brief format: purpose of the study; type of sample and number of participants; research design of the study, findings of the study; and limitations of the study. Summarize the importance to nursing.
The estimated length of this paper is four (4) pages, excluding the title page and References page. Summarize the results of the study as outlined below:
1. Write a brief introduction to your paper, however do not label it as an “Introduction” in accordance with the rules of APA scholarly writing.
2. State the research question for this study in a paragraph.
3. Describe the research design of this study.
4. Explain how the sample was selected and include the number of participants. Make a judgment as to whether the sample size was adequate, and defend your answer why or why not.
5. Describe the data collection method(s) including who collected data, what tools were used, and other pertinent information.
6. Identify the limitations of the study, and describe how the limitations could be overcome in subsequent studies.
7. Describe the findings reported in the study. What is the answer to the research question based on these findings? If the study fails to answer the research question, what do you believe is the reason?
8. Summarize the article. Based on these findings, is the evidence that you found on your topic strong enough to suggest a change in practice, or an idea for practice? Please provide the rationale for your answer.
9. List your references, formatted in APA style, On the References page. Guidelines and a sample paper on APA may be found under Course Home in the Course Resources link. Follow the guidelines for writing professional papers using APA formatting as described in the 6th edition of the manual.
( My picot question)
Can purposeful hourly rounding improve risk for patient falls?


 

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ANALYZE THE HUMAN RIGHTS ISSUES PRESENTED BY PHARMACARE’S TREATMENT OF THE COLBERIA’S INDIGENOUS POPULATION VERSUS THAT OF ITS EXECUTIVES.

ANALYZE THE HUMAN RIGHTS ISSUES PRESENTED BY PHARMACARE’S TREATMENT OF THE COLBERIA’S INDIGENOUS POPULATION VERSUS THAT OF ITS EXECUTIVES.

PharmaCARE (We CARE about YOUR health®) is one of the world’s most successful pharmaceutical companies, enjoying a reputation as a caring, ethical and well-run company that produces high-quality products that save millions of lives and enhance the quality of life for millions of others. The company offers free and discounted drugs to low-income consumers, has a foundation that sponsors healthcare educational programs and scholarships, and its CEO serves on the PhRMA board. PharmaCARE recently launched a new initiative, We CARE about YOUR world®, pledging its commitment to the environment through recycling, packaging changes and other green initiatives, despite the fact that the company’s lobbying efforts and PAC have successfully defeated environmental laws and regulations, including extension of the Superfund tax, which was created by Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA).

Based in New Jersey, PharmaCARE maintains a large manufacturing facility in the African nation of Colberia, where the company has found several “healers” eager to freely share information about indigenous cures and an abundance of Colberians willing to work for $1.00 a day, harvesting plants by walking five (5) miles into and out of the jungle carrying baskets that, when full, weigh up to fifty (50) pounds. Due to the low standard of living in Colberia, much of the population lives in primitive huts with no electricity or running water. PharmaCARE’s executives, however, live in a luxury compound, complete with a swimming pool, tennis courts, and a golf course. PharmaCARE’s extensive activities in Colberia have destroyed habitat and endangered native species.

In preparation for this assignment, use the Internet or Strayer Library to research companies that have recently experienced negative consequences as a result of the company’s corporate activities.

Write a six to eight (6-8) page paper in which you:

1.Describe the key characteristics of a stakeholder and determine all the stakeholders within the PharmaCARE scenario.
2.Analyze the human rights issues presented by PharmaCARE’s treatment of the Colberia’s indigenous population versus that of its executives. Recommend at least three (3) changes PharmaCARE can make to be more ethical going forward.
3.Assess PharmaCARE’s environmental initiative against the backdrop of its anti-environmental lobbying efforts and Colberian activities. Support the position.
4.Decide whether or not PharmaCARE’s actions with respect to the indigenous people of Colberia would be ethical in accordance with each of the following ethical theories:

a.Utilitarianism
b.Deontology
c.Virtue ethics
d.Ethics of care
e.Your own moral / ethical compass
5.Compare PharmaCARE’s actions with those of at least one (1) real-world company, whose corporate activities led to ethical, environmental, or workplace safety issues and financial loss. Analyze the similarities and differences between PharmaCARE and the company that you chose.
6.Use at least three (3) quality resources in this assignment. Note: Wikipedia is not an acceptable reference and proprietary Websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:

•Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
•Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:


 

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