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The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

1. Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
2. Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

 describing the chosen community interest.

Include the following in your presentation:

1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
2. Summary of community assessment: (a) funding sources and (b) partnerships.
3. Summary of interview with community health/public health provider.
4. Identification of an issue that is lacking or an opportunity for health promotion.
5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

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 format ting 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.

Discussion Prompt #1

• Discuss at least two health implicative effects of environment and smoking on an unborn fetus or children. Your initial response should be between 250 to 350 words.

1) Minimum 3  full pages (Follow the 3 x 3 rule: minimum three paragraphs per page)

Submit 1 document per part

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

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 5 references  not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

Case Study 1: Disorders of Hepatobiliary and Exocrine Pancreas Function

Robert is a 68-year-old who has dealt with alcoholism for over 30 years. He has cirrhosis and is anemic. His appetite has declined, and he regularly complains of abdominal pain. Recently, while preparing himself a sandwich, he cut his finger deeply with a knife. The wound bled profusely, and he used a kitchen towel to stop the flow. Refusing to go and seek medical assistance, he put ice on his finger and wrapped the towel around it. He sat down in his recliner with his hand over his head and fell asleep.

1.Anemia and clotting disorders are common features of alcoholic liver disease. What are the mechanisms that cause these hematologic disorders?

2.What gastrointestinal bleed is associated with a high mortality rate in those with advanced cirrhosis? What is the pathophysiology of this condition?3

3.Acute pancreatitis is sometimes seen in alcoholics, particularly after binge drinking. Why are tachycardia and hypotension indications of this condition?

4.Why are women more predisposed to alcoholic liver disease than men?

Name two different methods for evaluating evidence. Compare and contrast these two methods.

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

• Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.
• Any racial/ethnic variables that may impact physiological functioning.
• How these processes interact to affect the patient.

A 58-year-old obese white male presents to ED with chief complaint of fever, chills, pain, and swelling in the right great toe. He states the symptoms came on very suddenly and he cannot put any weight on his foot. Physical exam reveals exquisite pain on any attempt to assess the right first metatarsophalangeal (MTP) joint. Past medical history positive for hypertension and Type II diabetes mellitus. Current medications include hydrochlorothiazide 50 mg po q am, and metformin 500 mg po bid. CBC normal except for elevated sedimentation rate (ESR) of 33 mm/hr and C-reactive protein (CRP) 24 mg/L. Metabolic panel normal. Uric acid level 6.7 mg/dl.

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

• Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.
• Any racial/ethnic variables that may impact physiological functioning.
• How these processes interact to affect the patient.

Describe the selected problem from two of the three system levels (micro, meso, macro).

 The healthcare system is a complex and high risk; therefore, the Joint Commission recommends creating high-reliability organizations within every healthcare facility.  Building a high-reliability organization is about creating a culture of high quality, high safety, and patient-focused.  Using my facility as an example, the culture within each of the departments at the hospital is the microsystems level.  This is the location of patient communication and hands-on patient care.  The problem exists in reporting near misses to avoid bigger safety events in the future.  The culture across the Mercy Health St. Rita’s including the hospital, home care/hospice, primary care, and specialty offices would be the mesosystem level.  Here continuity of care is provided across this environment.  Having an environment that promotes communication and reporting is the problem.  The culture among the entire BonSecour Mercy Health healthcare system would be the macrosystems level.  They govern the overall healthcare being provided according to the standards and expectations (Alam, 2020).  The problem would be to establish the expectations around creating a high-reliability organization.

Explain how the outcomes of one system level effect the other levels?

            The culture of one system-level reflects the values and beliefs of team members across all levels.  The expectations from the macrosystem reflection down to the microsystem.  Like with Joint Commission setting an expectation for healthcare systems to become high-reliability organizations, the regulatory team members from the macro to meso to micro enforce these expectations.  The mesosystem level receives most of the attention related to the culture embedded within their organization good or bad.  However, the training and education to create a culture of high safety and quality happen at the microsystem level.  It includes providing an environment where front line team members feel safe to speak about the problems and offer solutions on how to solve them without the fear of repercussion.  The microsystem level needs to know the macrosystem and mesosystem levels will trust and support them (Manley & Jackson, 2019).

How is a systems approach beneficial in improving healthcare quality and safety?

 All workers want to be apart of an organization that promotes high quality and safety no matter the system level they are associated with.  Continuing the focus of creating a culture of high quality and safety, all levels have a different view.  The macrosystem level can see when environments do not promote this culture leading to risk and harm caused to patients.  They see patterns for success and opportunity across various facilities.  Learning from one another can be promoted.  This level is visionary,  big picture.  At the mesosystem level has the view to see the expectations and see the details specific to the facility to create the process around developing the culture.  Middle managers at this level are strategically valuable.  They can effectively influence change through educating and encouraging team members to speak out.  From here they can voice concerns or needs up to the macrosystem level (Gutberg & Berta, 2017).  The microsystem level can implement a culture of high quality and safety.  With training, development, and support, they can carry out the vision set forth by the macrosystem level   (Manley & Jackson, 2019).  All system levels are important for advancing the healthcare system.  Neither level could function independently effectively or efficiently.   

I need a comment for this post at least 2 paragraphs with 2 sources no later than 5 years. 

This is a Collaborative Learning Community (CLC) assignment. 

The purpose of this assignment is to assess leadership styles, traits, and practices as a nursing professional, establish the importance of effective interprofessional communication as a leader in nursing, and to explore the role of servant leadership in nursing practice.

Read the study materials on leadership and complete the topic quiz activities to better understand your leadership qualities.

Upon completion, summarize and share with your group what you learned about your specific leadership qualities, so you can become familiar with how you are similar and different from your peers when it comes to being a leader.

As a group, review the study materials related to servant leadership. Using what you have learned about the tenets of servant leadership and traits and practices of successful leaders, create a 10-12 slide PowerPoint presentation with speaker notes. Add an additional slide for references at the end of your presentation.  

Include the following in your presentation:

1. Each group member: Create a slide that summarizes your leadership style, traits, and practices.
2. Compare the personal leadership styles of your group members, including commonalities between group members’ strengths and weaknesses.
3. Explain why it is important for nursing professionals to be aware of their personal leadership style, traits, and practices.
4. Discuss what leadership traits and styles are necessary to be an effective communicator. Explain the importance of leaders adapting communication approaches when working interprofessionally (across ancillary departments, vendors, community members).
5. Discuss how nursing professionals can benefit from integrating the tenets of servant leadership to empower and influence others as they lead.
6. Discuss how leaders who practice servant leadership and have a strong understanding of their personal leadership traits can successfully lead others and navigate the unique challenges that are part of nursing and health care. Provide two examples that illustrate your main ideas.

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. 

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. 

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. 

Assignment: Community Resource 

Assignment Overview 

In this assignment, you will conduct a discrete and respectful community observation of an Alcoholics Anonymous meeting. Locate and attend a local Alcoholics Anonymous meeting in your area. Explain to the meeting leader that you are a nursing student studying community resources. Write a two page summary of your experience describing the clientele (be sure to respect members’ anonymity), meeting, and topics. Apply your nursing knowledge to evaluate the quality and effectiveness of this particular resource.  

Assignment Details: 

Perform the following tasks: 

• Complete the reading assignment and the interactive lesson before attempting this assignment. 

• Attend a local Alcoholics Anonymous meeting in your area o Introduce yourself to the meeting leader and explain to him/her that you are a nursing student who is studying community resources. 

o Conduct your community observation and take notes if necessary. 

• Write a two-page summary of your experience o Describe the clientele (respecting members’ anonymity), meeting, and topics. o Apply your nursing knowledge to evaluate the quality and effectiveness of this particular resource. 

o Use APA format. 

•

Grading: 

Criteria 

Excellent (3pts) 

Good (2pts) 

Needs Improvement 

(1pt) 

Pts. 

Content 

-Includes   description of clientele. 

-Describes   meeting. -Evaluates quality and effectiveness using nursing knowledge. 

-Includes description of clientele. 

-Vaguely describes meeting.   -Non-specific evaluation. 

-Vague description of clientele. 

-Missing description of meeting. 

-Does not apply nursing knowledge   in evaluation. 

Organization 

-Well organized into separate headings. -Main points   are clearly identified. 

-Paragraphs   transition well. 

-Somewhat organized. -Main points   are clear. -Occasional issues with flow and transitions. 

-Disorganized. 

-Main points are unclear -Difficult to follow or   illogical. 

Spelling/grammar/ APA 

-No spelling or grammar errors. 

-APA format   is correct. 

-Appropriate   length 

-Some   spelling or grammar errors. 

-APA format is correct. 

-Appropriate length. 

-Many   spelling or grammar errors. 

-Incorrect APA format. 

-Inappropriate length. 

 Patient portals and other Internet-based applications are often used in health care in the United States. These systems rely upon the commercial use of an Internet connection. Some areas cannot afford Internet or may have a cultural or religious objection to significant use of Internet applications as resources for the population being served. Discuss how this may affect the health care organization that is required to update processes in order to meet regulatory requirements. Provide supporting references for your response. PLEASE INCLUDE REFERENCE AND IN-TEXT CITATION

Using these diagnosis, impulses control disorder, Adjustment disorder, Substance or addictive disorder, Sleep disorder and personality disorder to formulate 5 psychiatric cases, and treatment approaches with a very brief summary of client visit and demographics. One page.