Advance tutor pls note: 

1)  Submit 1 document per part

Part 1: Complete the file “Template Soap Note” taking into account the file “Note 1”

Part 2: Complete the “Template Soap Note” taking into account the following information:

     Name: LR

     Gender: Female

     Age: 55 years

     Diagnosis: Pure hyperglyceridemia

     Chief complain:  Pain in the mid-epigastric, chest, and back regions 

Part 3: Complete the “Template Soap Note” taking into account the following information:

    Name: MK

    Gender: Female

    Age: 55

    Diagnosis: Vitamin D deficiency

    Chief complain:  Fatigue 

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3) It will be verified by Turnitin and SafeAssign

4) Minimum 4 references per part not older than 5 years

 Purpose 

The process for affecting positive change to improve practice outcomes can start with either the identification of an area of interest or the identification of a potential or existing practice problem. Selecting an area of interest helps to define a direction for further inquiry. The purpose of this assessment is for students to identify and discuss an area of interest specific to advanced practice nursing. Students will identify a common practice problem related to the selected area of interest and provide a recommendation to affect positive change. Students will build on this project in later courses. 

Note: The purpose of the MSN project is to translate evidence currently found in the literature into practice within the chosen specialty track. Due to the research complexity, time involvement, and implications regarding human subjects, drug studies are not acceptable areas of interest for an MSN project. 

Requirements: 

Criteria for Content 

For this presentation, select an area of nurse practitioner (NP) practice that is of interest to you and in which you would like to see a practice change occur. Conduct a review of literature to see what is currently known about the topic and to find research support for the practice change you are recommending.  You may use a topic from the list at the link below or may investigate a topic of your choice as long as it pertains to NP practice. If you are unsure of your topic, please reach out to your instructor.  Be sure to provide speaker’s notes for all slides except the title and reference slides.  

Through this assignment, the student will demonstrate the ability to: 

1. Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (CO1)  
2. Analyze essential skills needed to lead within the context of complex systems. (CO3) 
3. Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings. (CO4) 

List of Possible Topics 

Note: The purpose of the MSN project proposal  is to translate evidence currently found in the literature into practice within the chosen specialty track.  Due to the research complexity, time involvement, and implications regarding human subjects, drug studies are not acceptable areas of interest for a MSN project.

FNP

· Best evidence available about a topic (i.e. frequency of mammography)

· Screening recommendations (i.e. PSA for prostate cancer)

· Information about a healthcare-related phenomenon (i.e. when to talk to a person about ending treatment for a terminal illness, non-compliance of diet for individuals with congestive heart failure)

· Vaccinations for adults and/or children

· Early assessment for health-related concerns (i.e. depression in teenagers; suicide prevention for the elderly)

· Life style changes (i.e. smoking cessation, increasing activity in teenagers)

· Relationship between events or health concerns (i.e. relationship between dementia and caffeine consumption.

· Selection on an intervention (i.e. use of small group theory to lessen anxiety)

· Symptom management (i.e. pain, vomiting)

Create an 8-12 slide PowerPoint Presentation that includes the following: 

1. Introduction: slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered. 
2. Evidence-based projects: slide should explain the general importance of master’s-prepared nurses engaging in evidence-based projects related to nursing practice and profession. Provide speaker’s notes with additional detail and support from at least one outside scholarly source (not the textbook or course lesson). 
3. Conceptual Model: slide should provide an illustration of a conceptual model that could be used to develop an evidence-based project. Possible models include The John’s Hopkins or Advancing Research and Clinical Practice through Close Collaboration (ARCC) Models or you may select another model you find in the literature. In the speaker’s notes, explain how the model would be applied to the development of an evidence-based project. Provide support from at least one outside scholarly source (not the textbook or course lesson). 
4. Area of Interest: identify an area of interest related to NP practice in which a practice change may be needed. Slide should identify the area of interest and what is currently known on the topic. Speaker’s notes more fully explain what is currently known and should provide rationale for why the area of interest is important to NP practice. Provide support from at least one outside scholarly source (not the textbook or course lesson). 
5. Issue/concern and recommendation for change: slide should identify a specific concern related to your general area of interest and your recommendation for a practice change. Speaker’s notes should more fully explain the recommended change and rationale for the change. Recommendation should be supported by at least one outside scholarly source (not the textbook or course lesson). 
6. Factors Influencing Change: slide should identify at least 2 internal and external factors that could impact your ability to implement your recommended change. Speaker’s notes should more fully explain how the factors you’ve identified would support or impede the implementation of your recommendations. Factors may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas. 
7. NONPF Competencies: slide identifies at least two NONPF Competencies that are relevant to an evidence-based project related to your area of interest. Speaker’s notes should explain how the competencies relate to your area of interest. Provide support from at least one outside scholarly source (not the textbook or course lesson). 
8. Conclusion: slide provides summary points of presentation. Speaker’s notes provide final comments on the topic.  

Preparing the presentation 

Submission Requirements 

1. Application: Use Microsoft Power Point™ to create the PowerPoint presentation.  
2. Length: The PowerPoint presentation must be 8-12 total slides (excluding title and reference slides).   
3. Speaker notes are used and include in-text citations when applicable. 
4. A minimum of four (4) scholarly literature references must be used. 
5. Submission: Submit your file: Last name_First initial_Wk6Assessment_Area of Interest. 

Best Practices in Preparing the Project 

The following are best practices in preparing this project: 

1. Review directions thoroughly. 
2. Follow submission requirements. 
3. Make sure all elements on the grading rubric are included. 
4. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing. 
5. Review the Creating a Professional Presentation located resource.  
6. Ideas and information that come from scholarly literature must be cited and referenced correctly. 
7. Abide by CCN academic integrity policy. 

 ASSIGNMENT CONTENT  

 Introduction  

 Slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered.  

 Evidence-based projects   

 Slide should explain the general importance of master’s-prepared nurses engaging in evidence-based projects related to nursing practice and profession. Provide speaker’s notes with additional detail and support from at least one outside scholarly source (not the textbook or course lesson).  

 Conceptual Model 

 Slide should provide an illustration of a conceptual model that could be used to develop an evidence-based project. Possible models include The John’s Hopkins or Advancing Research and Clinical Practice through Close Collaboration (ARCC) Models or you may select another model you find in the literature. In the speaker’s notes, explain how the model would be applied to the development of an evidence-based project. Provide support from at least one outside scholarly source (not the textbook or course lesson).  

 Area of Interest 

 Identify an area of interest related to NP practice in which a practice change may be needed. Slide should identify the area of interest and what is currently known on the topic. Speaker’s notes more fully explain what is currently known and should provide rationale for why the area of interest is important to NP practice. Provide support from at least one outside scholarly source (not the textbook or course lesson).  

 Issue/concern and recommendation for change 

 Slide should identify a specific concern related to your general area of interest and your recommendation for a practice change. Speaker’s notes should more fully explain the recommended change and rationale for the change. Recommendation should be supported by at least one outside scholarly source (not the textbook or course lesson).  

 Factors Influencing Change  

 Slide should identify at least 2 internal and external factors that could impact your ability to implement your recommended change. Speaker’s notes should more fully explain how the factors you’ve identified would support or impede the implementation of your recommendations. Factors may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas.  

 NONPF Competencies  

 Slide identifies at least two NONPF Competencies that are relevant to an evidence-based project related to your area of interest. Speaker’s notes should explain how the competencies relate to your area of interest. Provide support from at least one outside scholarly source (not the textbook or course lesson).  

 Conclusion  

 Slide provides summary points of presentation. Speaker’s notes provide final comments on the topic.   

 ASSIGNMENT FORMAT  

 APA Formatting  

1) References on reference slide must be in APA format. May use bullets instead of hanging indents.

2) In-text citations on slides and in speaker’s notes must be in APA format. 

 Writing Mechanics  

 Writing mechanics follow the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the current edition of the APA manual. Presentation length meets assignment guidelines.  

 Slide Formatting 

1) Presentation has title slide 

2) Presentation has reference slide(s)  

3) Slides are professional in appearance and tone;  

4) Slides are balanced spatially, including words and graphics. 

 PLEASE FOLLOW THE INSTRUCTION BELOW

5 REFERENCES

ZERO PLAGIARISM

earning Objectives

Students will:

• Assess progress for clients receiving psychotherapy
• Differentiate progress notes from privileged notes
• Analyze preceptor’s use of privileged notes

To prepare:

• Reflect on the client you selected for the Week 3 Practicum Assignment.
• Review the Cameron and Turtle-Song (2002) article in this week’s Learning Resources for guidance on writing case notes using the SOAP format.

The Assignment

Part 1: Progress Note

Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):

• Treatment modality used and efficacy of approach
• Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals)
• Modification(s) of the treatment plan that were made based on progress/lack of progress
• Clinical impressions regarding diagnosis and/or symptoms
• Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.)
• Safety issues
• Clinical emergencies/actions taken
• Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them)
• Treatment compliance/lack of compliance
• Clinical consultations
• Collaboration with other professionals (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.)
• Therapist’s recommendations, including whether the client agreed to the recommendations
• Referrals made/reasons for making referrals
• Termination/issues that are relevant to the termination process (i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
• Issues related to consent and/or informed consent for treatment
• Information concerning child abuse, and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
• Information reflecting the therapist’s exercise of clinical judgment

Week 5 Project

Compilation

Summarize, in 3-4 pages, this assignment that provides information from Weeks 1 to 4 (ATTACHED).

In addition to the work you completed in the last four weeks, your assignment should also:

·  Include an introduction and a conclusion.

·  Implement the recommendations from the instructor.

·  Describe the role of nursing informatics.

·  Explain how nursing informatics or technology in health care will help or hinder your leadership.

Please note that the title and reference pages should not be included in the total page count of your paper.

On a separate references page, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the  University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

Respond to all the  discussion board questions post at least one substantive comment (or comment and question) in each of the student-led discussions. Your comments should demonstrate critical thinking, extend the conversation and add to the class.  Responses should be more than just one or two sentences. 

please cite Explain, and make references to themes from the required readings using American Psychological Association (APA) format.

Please answer the 5 questions below for attendance credit. Submit your answers to the proper assignment folder. Please do not share work.

1. What is hypopituitarism and how is it managed?
2. Compare and contrast the pathophysiology of Syndrome of Inappropriate Antidiuretic Hormone (SIADH) and Diabetes Insipidus (DI)
3. Discuss the pathophysiology of Graves disease and include signs and symptoms associated with this disorder.
4. Discuss the pathophysiology of congenital hypothyroidism and the therapeutic management
5. Discuss the therapeutic management of diabetic ketoacidosis (DKA)

After reading chapters nine (9) and 10 answer the following question

1. To best understand the concepts of ethics, define the following terms:

• Utilitarianism
• Egoism
• Relativism
• Absolutism

2.List two of the functions of a gerontological nurse regardless of practice setting.

Please use the following 3 x 3 rule: when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences.

All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

Discussions must have a minimum of two references, not older than 2015.

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

Peer 1

Once an elderly individual becomes abused, they end up in a pattern of abuse. According to Levin et al., (2020), an elderly individual is mostly likely subject to abuse from a family member, and the abuse also comes from a caregiver or trusted individual. The abuse can be psychological, financial, physical, sexual, exploitation, neglect and self-neglect. Because these elderly individuals that require assistance due to physical or cognitive issues, they often with a family member, this makes it difficult for the elderly abused to get out of the situation. This abuse can be considered intentional, unintentional, or related to lack of knowledge. Miller (2018, p. 166) also indicated that the caregiver can become overwhelmed, or suffer from their own cognitive and physical issues making the neglect or abuse complicated. Elderly abuse is also perceived by differently cultures differently, for example the Chinese culture can consider raising your voice, or being disrespectful as abuse. Physical abuse to this vulnerable population is preventable and needs to be rectified. The second is emotional or psychological. This form of abuse can be hidden easier, but it causes the individua to become isolated leading to depression. According to the National Council on Aging, 5 million elderly are abused each year with only 1 in 14 cases being reported.  

There are ways to limit elderly abuse. Families that are taking care of an elderly person should seek outside time, or time for themselves, this helps prevent caregiver strain and fatigue. Elderly individuals can also be educated at checkup appointments about abuse and the many forms it can entail. As practitioner’s we should evaluate our patients regularly, even asking he caregiver to step outof the room to discuss their emotional state and identify any signs of possible abuse. We should also empower healthcare givers to attend group meetings to form relationships with other caregivers. 

Jaimee 

Levin, M. K., Reingold, D., & Solomon, J. (2020). Elder Abuse Shelter Programs: From Model to Movement. Generations, 44(1), 74–80. 

Miller, C. A. (2018). Nursing for Wellness in Older Adults. [South University]. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9781975100735/ 

Peer 2

Elder abuse has been shined a spotlight on and has become more evident to the public. Two types of elder abuse that are very crucial to discuss are chemically subduing the elderly patients and physically abusing the elderly patients with assault and battery. Even though the light is on this topic, it may be difficult to intervene even though it may be easily spotted. if the elderly patient is being chemically subdued in the nursing home, it can become difficult to notice the signs since the elderly patient may be sleeping when the family members arrive, or may be afraid to say something because the patient believes they will receive some sort of punishment. When physically abusing the patient, the signs are easy to identify however the employee may say the patient just fell and hurt themselves. It is easily believable especially if the older patient suffers from dementia and has become restless and anxious.

These two are the most crucial because these two are mentally, physically, and emotionally exhausting to the patients that must endure it. These patients may become depressed, scared, traumatized, and have a hard time trusting anyone else. As nurses, it goes against our code when purposely inflicting damage to someone that is under our care. It is our responsibility to go beyond and provide the utmost care possible to everyone. The most important is prevention however we cannot prevent another employee causing harm however what we may do is be able to detect and know the early signs. Some signs are oversleeping, unexplained bruises, scarring, burns, sprains, so many signs so it is our duty to stay educated on this topic to help all our patients (Team, 2020).

Team, T. N. H. A. C. (2020, January 8). Physical Elder Abuse – Signs of Physical Elderly Abuse. Nursing Home Abuse Center. https://www.nursinghomeabusecenter.com/elder-abuse/types/physical-abuse/

HA3220D – Health Information Systems 

Discussion 10.2: Workflow Design Team

 A group of physician offices is in the process of implementing a new clinical documentation system to replace a paper-based process. The group already uses an electronic patient registration system. You have been asked to create a multidisciplinary workflow design team to address concerns with system communication. What are some work processes that may be redesigned as a result of the implementation? How could the system improve the workflow? What team members would you assign? Explain your reasoning.