Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

Include the following:

1. Describe the work of the Robert Wood Johnson Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

2. Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.

3. Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

4. Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.   (MY STATE IS ILLINIONS)

5. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

You are required to cite to a minimum of three sources  to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

Prepare this assignment according to the guidelines found in the APA Style Guide.

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. 

The three types of qualitative research are phenomenological, grounded theory, and ethnographic research. Compare the differences and similarities between two of the three types of qualitative studies and give an example of each.

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 not required to submit this assignment to LopesWrite.

Attachments 

Family Dynamics at the end of life 

-How does culture or religion affects end of life decisions?

-How to support a grieving family member?

-Benefits of family support?

-3 paragraphs  2 references

Week 2 Case 2: Alzheimer’s

Ms. Washington is a 67-year-old African American female who is brought to your office by her daughter with concerns of “forgetfulness.” She has lived with her daughter for 4 years now, and her daughter reports noticing she asks the same questions even after they have been answered. She even reports her mom getting lost in Walmart recently. Ms. Washington has lived with her daughter since losing her husband of 57 years, about 4 years ago. Her daughter states her mother is a retired teacher and usually very astute but notices more forgetfulness. 

According to Ms. Washington’s daughter, Angela, her mom has been demonstrating increased forgetfulness of more recent things but can easily recall historical moments and events. She also reports that sometimes her mom has difficulty “finding the right words” in a conversation, and then will shift to an entirely different line of conversation. She also said her mother will “laugh off” things when she forgets important appointments and/or become upset or critical of others who try to point these things out. 

Note: Be sure to review the Mini-Mental State Exam (MMSE) and how to interpret results. Use the MMSE, in the attached document, to determine the patient’s MMSE score in the video. Make sure you document the patient’s score in your SOAP note document: Mental State Assessment Tests.

Ms. Washington is a 67-year-old female who is alert, cooperative with today’s clinical interview. Her eye contact is fair. Speech is clear and coherent but tangential at times. She makes no unusual motor movements and demonstrates no tics. She denies any visual or auditory hallucinations. She denies any suicidal thoughts or ideations. She is alert and oriented to person, partially oriented to place but is disoriented to time and place. (She reported that she thought was headed to work but “wound up here,” referring to your office, at which point she begins to laugh it off.) She denies any falls or pain. 

All other Review of System and Physical Exam findings are negative other than stated.

PMH: Hypertension, Hyperlipidemia, Osteoporosis 

Allergies: Penicillin, Lisinopril

Medications:

• Amlodipine 10mg daily
• HCTZ 12.5mg daily
• Multivitamin daily
• Atorvastatin 40mg daily
• Alendronate 70mg orally once a week

Social History: As stated in Case Study

ROS: As stated in Case study

Diagnostics/Assessments done: 

1. CXR—no cardiopulmonary findings. WNL
2. CT head—diffuse Cerebral Atrophy
3. MMSE—Ms. Washington scores 18 out of 30 with primary deficits in orientation, registration, attention and calculation, and recall. The score suggests moderate dementia. 

The Assignment:

Complete the Focused SOAP Note Template provided for the patient in the case study. Be sure to address the following:

• Subjective: What was the patient’s subjective complaint? What details did the patient provide regarding their history of present illness and personal and medical history? Include a list of prescription and over-the-counter drugs the patient is currently taking. Compare this list to the American Geriatrics Society Beers Criteria®, and consider alternative drugs if appropriate. Provide a review of systems.
• Objective: What observations did you note from the physical assessment? What were the lab, imaging, or functional assessments results? How would you interpret and address the results of the Mini-Mental State Examination (MMSE)?
• Assessment: Provide a minimum of three differential diagnoses. List them from top priority to least priority. Compare the diagnostic criteria for each, and explain what rules each differential in or out. Explain you critical thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
• Plan: Provide a detailed treatment plan for the patient that addresses each diagnosis, as applicable. Include documentation of diagnostic studies that will be obtained, referrals to other healthcare providers, therapeutic interventions, education, disposition of the patient, caregiver support, and any planned follow-up visits. Provide a discussion of health promotion and disease prevention for the patient, taking into consideration patient factors, past medical history (PMH), and other risk factors. Finally, include a reflection statement on the case that describes insights or lessons learned.
• Provide at least three evidence-based peer-reviewed journal articles or evidenced-based guidelines, which relate to this case to support your diagnostics and differentials diagnoses. Be sure they are current (no more than 5 years old) and support the treatment plan in following current standards of care. Follow APA 7th edition formatting. 

Benchmark – Learning Styles

As faculty members, you have been asked to design a 4-hour Leadership Strategies course that would accommodate the learning styles for a selected 10 students. The students have all completed a learning style inventory in which three of the students are determined visual learners, four are kinesthetic learners, and the rest are auditory learners. Note: The intended audience for the course can be either newly graduated nurses or experienced staff nurses as you choose.

Compose a 500-750-word paper which describes your plan to accommodate the learning styles of each student. This plan starts with defining course objectives; use the “A-B-C-D Method of Writing Objectives” resource as a guide. The objectives should incorporate Bloom’s taxonomy, be written at the appropriate level for the audience, and include at least two learning domains (cognitive, psychomotor, and affective). Make sure to include the following:

1. An outline of the course content and agenda that will be covered. 
2. Descriptions of the learning activities and the rationale for the learning activities selected
3. Strategies to assess learning, based on the learner objectives
4. Use at least three scholarly, peer-reviewed resources less than 5 years old in addition to the course materials.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

Refer to “Learning Styles 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.

Leadership Skills Toolbox

Submit Assignment

• Due Tuesday by 11:59pm
• Points 100
• Submitting a file upload

Consider what you might put in a toolbox if you were going to build something in your home. You might want a hammer, some nails, maybe a level, and if they were available power tools could be a big help and perhaps may the project finish more quickly. The most important part of your toolbox is having tools you know how to use properly and keeping them at your fingertips, ready to use when needed. 

Now that we have reviewed the benefits of focusing on your strengths, as much if not more than areas with room for growth, consider what you would want to have in your leadership toolbox. What strengths have you identified that are your primary tools as a leader? What strength would be the first tool you might take out of your toolbox if you needed to help organize a skilled team? Would you choose a different tool if you moved into a team that had never worked together before?

For this assignment, imagine you are the leader of a group in one of your courses and the assignment is to do a semester-long service learning project. You will need to identify and discuss specific things you could do to create a positive climate, positive relationships, positive communication, and positive meaning in a group with your peers.

First, consider the strengths you have that would help you lead this semester-long project. In your response of at least 300 words include what you would include in your leadership toolbox to help you create a positive and productive leadership style to support your team.

Create a 250-350 word response that includes the following:

• Paragraph 1: Identify at least three of your leadership strengths that are in your leadership toolbox that you can rely on supporting you as a leader in a variety of settings. Include a short description of the strength and why you feel it would be helpful to you as a leader.
• Paragraph 2: Describe what you would use from your toolbox if you were the new leader of a team that was highly skilled in their field. Why do you feel this would be the best choice for this team?
• Paragraph 3: Discuss which choice you would make if you were asked to be the leader of a team that had never worked together before. Provide an explanation of why you would or would not choose something different from your toolbox for this group. 

Please keep in mind, even if you have not had an opportunity to lead a group formally, you can reflect on how you have provided leadership in many different settings to help support your thinking for this reflection.

Complete the final draft of your course project. You can review the detailed requirements for the course project proposal on the Module 01 Course Project – Introduction page.

*****(EVERYTHING YOU NEED TO COMPLETE THIS ASSIGNMENT IS IN THE ATTACHMENTS)*****

Be sure to include all required components of the proposal:

• Title page
• Table of contents
• Outline
• Executive summary
• 4 – 5-page essay that includes purpose statement, problem, original and creative solutions and conclusion sections
• Reference page with at least four sources, two of which must be scholarly
• Visuals
• Appendix if necessary (appendix can include other supporting documents).

Please respond to these discussion points using appropriate grammar and punctuation.

#1) Name two expected outcomes to promote optimal infant growth and developmental needs.  

#2) Pick two typical developmental milestones in the toddler and discuss them.

#3)What are a couple of ways that the nurse can promote the health of the preschooler and family?

#4)  Make a list of nursing diagnoses and expected outcomes for the following clients:

• A mother brings her son to a clinic for a checkup. She tells the nurse that she is concerned because her 4-year-old son is having trouble with his speech and is repeating words and syllables in his sentences.
• Parents of a 3-year-old girl bring her to their pediatrician for a visit. They tell the nurse that they are concerned because their daughter will only allow her father to take care of her and wants to be near him all the time.

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APA Format

essay