Compare and Contrast Assignment

Purpose  

The purpose of this assignment is for learners to: 

Improve their knowledge base and understanding of disease processes in Neurology 

Have the opportunity to integrate  knowledge and skills learned throughout all core courses in the FNP  track and previous clinical courses. 

Demonstrate the ability to analyze the  literature be able to perform an evidenced-based review of disease  presentation, diagnosis and treatment. 

Demonstrate professional communication and leadership, while advancing the education of peers. 

Demonstrate the ability to take  information from assigned readings and translate it into the way you  would describe it to a patient or family member in your own words. 

Activity Learning Outcomes  

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

1. Interpret  subjective and objective data to develop appropriate diagnoses and  evidence based management plans for patients and families with complex  or multiple diagnoses across the lifespan. (CO 1)  
2. Develop management plans based on current scientific evidence and national guidelines. (CO 4)

Requirements:  

For Week 1 of the course there is no case study given to you by the Faculty. Instead you will be assigned two  diseases to compare and contrast based on the first letter of your last  name. This information will be posted in the Course Announcements under  Week 1 Welcome as well as the “Assignment” portion of the Week 1 module  and will change every session. 

A comparison and contrast assignment’s focus is to identify and explore similarities and differences between two similar diseases. The goal of this exploration is to bring about a better understanding of both diseases. 

You will research the two areas of content assigned to you and compare and contrast them in a discussion  post. NOTE: A comparison and contrast assignment is not about listing  the info regarding each disease separately but rather looking at each  disease side by side and discussing the similarities and differences given the categories below. Consider how each patient would actually present to the office. Paint a picture of how that patient would look, act, what story they would tell.   Consider how their history would affect their diagnosis, etc.  Evaluation of mastery is focused on the student’s ability to demonstrate  specific understanding of how the diagnoses differ and relate to one  another. Address the following topics below in your own words:

• Presentation  
• Pathophysiology  
• Assessment  
• Diagnosis  
• Treatment

Compare and contrast the following diagnoses as assigned: 

Student Last Name -Topic

(Find the corresponding first letter of your last name to find your topic assignment for this discussion)

F-J – Dementia and Delirium

**To  see view the grading criteria/rubric, please click on the 3 dots in the  box at the end of the solid gray bar above the discussion board title  and then Show Rubric.

Post contributes unique  perspectives/insights applicable to the identified diseases.  Demonstrates course knowledge by thorough, thoughtful, specific,  evidence-based discussion of similarities and differences between  assigned diseases in reference to: 

 • Presentation (demographics, onset of symptoms, associated risk factors) 

• Pathophysiology (knowledge demonstrated in original dialogue) 

 • Assessment (physical assessment, diagnostic testing) 

 • Diagnosis 

 • Treatment 

Evidence Based References 

Discussion post supported by evidence from appropriate sources published within the last five years. Focus of journal articles represents a logical link between the article content and the case study information.  In-text citations and full references are provided. 

Considering the video and the earlier article you read on Bauerline, address following questions:

1. Do you find that this is the ‘Dumbest’ generation? Why or why not?
2. Do you believe generational attributes affect communication? Explain.
3. How do you see the advances and concentration on technology impacting you, as a professional nurse? Are there communication challenges you foresee when caring for patients and families?
4. How can nurses be efficient and compassionate communicators?

 Name three (3) causes of seizure activity in the pediatric patient.  Discuss the difference between generalized and partial seizures along with the treatment options including pharmacological and nonpharmacological interventions. 

reply1

According to the Health Determinants video, the determinants of health are biological and genetic makeup, individual behavior, social interactions and norms, and physical environment. The video introduced an elderly man named James who lives in a low-income neighborhood and does not have close access to the grocery store to buy fresh fruits and vegetables. Therefore, his environment puts him at risk for getting diabetes because he gets most of his food from convenience stores and fast food restaurants. Interventions to solve health disparities involve information, policies and programs. The intervention proposed for James is to introduce a subsidized farmers market that is walking distance in his neighborhood for low-income seniors (Determinants of Health, 2020). 

           In my experience, I know an elderly individual who is in the same situation as James from the video. She currently does not live near a supermarket and has to take the bus which is more difficult now because of COVID. I have convinced her son to move her to another apartment complex that has a market attached to the first floor so it is walking distance. I believe that the change in environment would benefit her health.

reply2

ne of the patient encounters in which I experienced a health disparity, that was a determinant of the patient’s health was when I attended a patient in a marginalized minority who was unable to pay for her medical bills. Being from a low-income household that has been disadvantaged for a long time, the patient experienced a disparity in health conditions due to their social and economic history. There was credible proof that this patient, who was from a disadvantaged low-income group, faced systemic barriers to receiving quality and affordable health care (Adler et al., 2016).

The state of health of this patient was very serious and emergency medical attention was needed to save her life.  Any delay in providing this patient with basic treatment would minimize her chances of survival. However, by being a victim of health inequality, an opportunity came up to assist her to gain access to healthcare services (Wilhelm & Allen, 2018).I exploited the opportunity and acted by engaging the hospital social worker to help her secure healthcare services without the financial burden and. However, the social worker responded but failed to provide a comprehensive solution to this patient, making my efforts to help the patient futile. The social worker did not provide the financial assistance and only requested for crowd funding to be organized to raise the costs of the healthcare service (Marmot, 2018).

Should such a case present itself the next time, I would consider seeking intervention from the hospital management to put such a patient under persons with special interests who require affirmative health care services. I would also encourage such patients to secure public health insurance to enable them to access medical services without having to pay out of pocket. Such a different approach to a similar situation in the future will help me achieve a positive outcome in solving the challenges caused by health disparities and achieving health equity for all populations.

• For the Week 1 Assignment, you will explore the ethical and legal implications of the following scenario, and consider how to appropriately respond:

As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult. Review the scenario assigned by your Instructor for this Assignment.

• Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.
• Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
• Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

By Day 7 of Week 1

Write a 2- to 3-page paper that addresses the following:

• Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
• Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
• Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. 
• Explain the process of writing prescriptions, including strategies to minimize medication errors.

MUST HAVE 4 REFERENCES LESS THAN 5 YEARS OLD (2015 OR NEWER)

APA 7 FORMAT

TITLE PAGE, AND REFERENCE PAGE 

Week 2 Discussion

Read the following article (attached) on the impact of disease on family members:

Golics, C. J., Basra, M. K. A., Finlay, A. Y., & Salek, S. (2013). The impact of disease on family members: A critical aspect of medical care. Journal of the Royal Society of Medicine, 106(10), 399–407.

After reviewing the article, respond to the following questions.

·  Which factor do you feel has the most impact on family members?

·  Support your response with examples from readings.

·  What are some of the reasons it is important to include the support persons in the plan of care?

As in all assignments, 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.

Discussion: Professional Nursing and State-Level 

Regulations

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

· Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.

· Consider how key regulations may impact nursing practice.

· Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..

By Day 3 of Week 5

Discuss the purpose of strategic planning in a health care environment. Explain what factors affect future planning in an organization and what tools can be used for future planning.

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

• Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
• Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/. 
  • Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.

NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

By Day 3 of Week 8

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

Must have 3 references published within the last 5 years

no references needed