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Everyone should have an approved topic for your final paper on an ethical dilemma of your choosing. This week’s assignment is to write the first, and most important, part of your paper (my topic “Incompetent/Impaired Nurses”)

This is the Introduction—Summary of What is Known about the Issue (See Grading Rubric for Final Paper)

1. Why is this topic important to investigate?
2. What is the scope, context, and significance of the topic as an ethical dilemma?
3. Highlight the importance of the problem/issue and make general statements about the problem/issue
4. Summarize the current understanding and background information about the topic
5. Include one reference source that will support your introductory thoughts about your topic.
6. APA 7th edition format; full sentences, attention to grammar

Assignment-Interpersonal Psychotherapy 

Using Yalom’s The Gift of Therapy,  Wheeler’s Psychotherapy for the Advanced Practice Nurse, (Barry and Wheeler) Chapter 9, Interpersonal Psychotherapy, and 

the following journal article

Markowitz & Weissman, Interpersonal Psychotherapy: Past, Present, and Future

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3427027/ 

After reading The Wheeler Chapter and the information from Markowitz and Weissman the nurse therapist has knowledge that  Peplau based her theory on the work of Sullivan. Interpret Yalom’s work and how it is applicable for the APRN. Please view the slide information about Peplau’s work below:

https://www.slideshare.net/AnnHinnenSparks/peplau-interpersonal-relations-pptppx–

The introduction of your paper should include:

Describe the interpersonal psychotherapy occurring in your clinical setting. If this is not occurring, describe how you will incorporate this into practice. 

This paper should provide an overall reflection of the student’s clinical interpersonal psychotherapy experience and should demonstrate the student’s ability to process a therapeutic session; the student is expected to obtain skills to conduct psychotherapy this semester.  The format of this paper is left to the discretion of the student as long as all requirements are included and APA 7th edition format is followed.  Required readings support your work, however, you should use evidence-based journals and advanced practice nursing literature to inform and support your paper. Citations of references using APA 6th edition style are to support the analyses and interpretation of group dynamics. The paper should be under 20  pages. 

1.  Provide the setting, population, background information where the individual therapy occurs

2. Give case examples that illustrate the use of interpersonal psychotherapy

3. Describe the differences in approach when using IPT as compared to psychodynamic psychotherapy and the reason the approach works in this setting.

4. Describe the psychiatric issues in your case study and how IPT is helpful

5. Describe how the IPT approach compares to Peplau’s Interpersonal Model

 Architect Daniel Libeskind is credited with saying “To provide meaningful architecture is not to parody history, but to articulate it.” The suggestion is that his work does not copy the efforts of others but relies on it.

Understanding the work of others is critically important to new work. Contributions to the nursing body of knowledge can happen when you are able to analyze and articulate the efforts of previous research. Research analysis skills are therefore critical tools for your toolbox.

In this Assignment, you will locate relevant existing research. You also will analyze this research using a tool helpful for analysis.

To Prepare:

• Reflect on the strategies presented in the Resources      this Module’s Learning Resources in support of locating and analyzing      research.
• Use the Walden Library to identify and read one      peer-reviewed research article focused on a topic in your specialty field      that interests you.
• Review the article you selected and reflect on the      professional practice use of theories/concepts described by the article.

The Assignment:

Using the “Module 4 | Part 4” section of your Academic Success and Professional Development Plan Template presented in the Resources, conduct an analysis of the elements of the research article you identified. Be sure to include the following:

• Your topic of interest.
• A correctly formatted APA citation of the article you selected, along with link or search details.
• Identify a professional practice use of the theories/concepts presented in the article.
• Analysis of the article using the “Research Analysis      Matrix” section of the template
• Write a 2-paragraph justification stating whether you would recommend this article to inform professional practice.
• Write a 3- to the 4-paragraph summary that you will add to      your Academic Success and Professional Development Plan that includes the      following:
  • Describe your approach to identifying and analyzing peer-reviewed research.
  • Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research.
  • Identify at least one resource you intend to use in the future to find peer-reviewed research.

Note: Add your work for this Assignment to the original document you began in the Module 1 Assignment, which was built from the Academic Success and Professional Development Plan Template 

Submit your analysis, including your completed section of the Academic Success and Professional Development Plan Template sections and your matrix and summary.

 Identify and assess the key principles of inner leadership, leading people, managing resources, leader credibility and relevance and community outreach for a health leader . 1 or two pages

For this assignment, explore the different types of leadership styles. In a 10-12-slide PowerPoint discuss which approaches are most effective for a health care setting and why. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the following: Title page, Loom link (at the beginning), and an additional slide for References at the end.

1. Define leadership style and explain why it is important to for health care leaders to understand their leadership style.
2. Outline the leadership skills and behaviors necessary to leverage diversity, foster inclusion and ensure professionalism and professional responsibility.
3. Examine different leadership styles. Describe two leadership styles that would be especially effective in a health care setting and explain why. Discuss advantages and challenges for each of these leadership styles.
4. Explain how leadership styles are impacted by personal, organizational, societal, multicultural, and global norms and values.

A minimum of three academic references from credible sources are required for this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Benchmark Information

This benchmark assignment assesses the following programmatic competency:

BS Health Sciences

4.4: Identify how various leadership styles are impacted by personal, organizational, societal, multicultural, and global norms and values.

 Submit Section III of the case study, in which you will address the chosen organization’s financial incentives and quality improvement processes.

 Specifically, you will critique the organization’s population-health oriented policies, the organization’s approach to care and the extent to which it is patient-centered, and any strategies the organization uses in its population-health approach. 

Reference these resources to complete your milestone assignments: 

Montefiore Medical Center Case Study

 Interpreting Services Program

 Specifically the following critical elements must be addressed: 

III. Financial incentives and quality improvement processes 

a) Analyze population health-oriented policies (such as non-discrimination in hiring, care and treatment, Patient Bill of Rights, financial assistance, etc.) that the organization may have implemented for reducing costs and improving overall quality. Be sure to provide evidence to support your claims.

 b) To what extent is the organization’s approach to care considered patient-centered? Be sure to cite specific examples to substantiate your claims. 

c) What specific strategies(such as eliminating unnecessary procedures and providing only essential treatments or interventions) does the organization employ in its population health approach to reduce costs and improve overall quality?

 d) Describe gaps or deficiencies that may exist in the organization’s use of the population health approach in reducing costs and improving quality of care, and provide evidence to support your claims. If you feel there are none, be sure to explain your reasoning. 

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

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.

Please see the attached Case study.

All Case studies /assignments must be done in APA format with a separate sheet for references. 

Managing care in a Culturally Considerate manner

CASE STUDY 2

Patient Profile
F.M. is a 68-year-old white man who comes to the emergency department (ED) in the early afternoon with a 2-day history of severe chest pain. The pain started on wakening the previous day. The pain increased during the night, but his wife could not convince him to go to the hospital. He comes to the ED today because the pain is severe and no longer relieved by rest.

Subjective Data

• Describes recurring chest pain for the past 6 months that was relieved by rest; the pain is a feeling of heaviness in chest with no radiating pain to arm or jaw or accompanying complaints of nausea or dizziness
• Recently the chest pain has become severe and is no longer relieved by rest; is now complaining of being slightly nauseated
• His father died of a heart attack at age 62
• Denies alcohol or drug use
• Smokes one pack of cigarettes per day
• Describes his lifestyle as sedentary

Objective Data

Physical Examination

• Blood pressure 180/96, pulse 98, temperature 99.8° F, respirations 20
• Height 5’11”, weight 210 lbs, BMI 29.3 kg/m2
• Alert and oriented to person, place, and time
• Skin diaphoretic and clammy
• Heart rhythm regular, no murmurs or extra heart sounds
• Lungs are clear to auscultation

Diagnostic Studies

• Hemoglobin 14 g/dL
• Chemistry panel is normal
• Cardiac markers – pending
• Electrocardiogram showing changes that correlate with non-ST-segment-elevation myocardial infarction (NSTEMI)

Collaborative Care

• 9% NaCl infusing into IV catheter at 75 mL/hr
• Nitroglycerin and morphine given with relief of pain

1. What are F.M.’s modifiable risk factors for coronary artery disease (CAD)? What are his non-modifiable risk factors?
2. What is the difference between chronic stable angina pain and pain associated with myocardial infarction?
3. What are diagnostic studies indicated for F.M.?
4. F.M. is diagnosed as having a myocardial infarction (MI).
5. What is the priority nursing care for F.M.?
6. What other interventions do you anticipate for F.M. at this time?

Week 4

This week discussion is about a 65-year-old male with chronic obstructive pulmonary disease. He is seen in a medical facility related to symptoms of fever and a cough lasting for 2 weeks. The patient denies chest pain and night sweats. With his age, I would ask the patient does he have any other chronic conditions. If so, what medications is he currently prescribed. With COPD, it is the third leading cause of death in the United States. Tobacco smoke is a key factor in the development and progression of COPD; with exposure to air pollutants in the home and workplace, genetic factors, and respiratory infections also play a major role (CDC, 2019).

            The objective findings I would assess is the patient’s lungs sounds which would display wheezing, a productive cough and shortness of breath with movement. Some may experience fatigue, edema to bilateral lower extremities, chest tightening and loss of appetite due to inability to breath. Increased respiratory rate will be observed with a decreased oxygen saturation level.

The diagnostic test used to diagnose COPD is a Lung (pulmonary) function tests. These tests measure the amount of air you can inhale and exhale, and whether your lungs deliver enough oxygen to your blood. During the most common test, called spirometry, you blow into a large tube connected to a small machine to measure how much air your lungs can hold and how fast you can blow the air out of your lungs. Other tests include measurement of lung volumes and diffusing capacity, six-minute walk test, and pulse oximetry. A chest X-ray can show emphysema, one of the main causes of COPD.

An X-ray can also rule out other lung problems or heart failure. A CT scan of your lungs can help detect emphysema and help determine if you might benefit from surgery for COPD. CT scans can also be used to screen for lung cancer. Arterial blood gas analysis measures how well your lungs are bringing oxygen into your blood and removing carbon dioxide (CDC, 2019). There are many chronic conditions that can affect the airway that has similar symptoms such as Upper Respiratory infections.

URI is a common viral infection that affects the nose, throat, and airways. The symptoms may include fever, fatigue, cough, headache and difficulty breathing. Adult onset-Asthma is a condition in which your airways narrow and swell and may produce extra mucus. This can make breathing difficult and trigger coughing and Shortness of breath. This condition will not occur until you are an adult. Symptoms include Coughing, especially at night, during exercise or when laughing, Difficulty breathing, Chest tightness, Shortness of breath and Wheezing.

Moreover, another chronic condition that can have similar symptoms is pneumonia. Pneumonia is an infection that inflames the air sacs in one or both lungs.  The symptoms an individual may experience with pneumonia are fever, a dry cough, headache, muscle pain, and weakness. The symptoms typically get worse within one or 2 days, with increasing cough, shortness of breath and muscle pain (Jarvis, 2016). A chest X-ray will be used to diagnose this disorder and based on your lab test, antibiotic therapy will be initiated.

References:

Centers for Disease Control and Prevention. National Vital Statistics System detailed mortality data at Wonder Database website. http://wonder.cdc.gov. Accessed July 3, 2019.

Jarvis, C. (2016). Physical Examination & Health Assessment (7th ed.). St. Louis, Missouri: Elsevier. ISBN: 9781455728107

Need this in 12 hours