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Write a Short Essay of 3 to 4-pages clearly defining the stance of Muslim (exclusivism, inclusivism, pluralism) in relation to diversity of opinion about religion (and/or), spirituality (and/or), divinity.  Make at least two direct quotations in reference to the Diana Eck,  two direct quotations in reference to the chapter on Prophetic Religions from Haught  and one direct quotation reference from each of the required chapters “Christianity,” “Judaism,” and “”Islam” from Weeks 7 & 8. Give at least one specific story example from your work as a health care practitioner (or in your life experience) where your stance was challenged, or formed, or affirmed (or some combo of challenged, formed, and affirmed).

Writing guidelines for all Short Essays:

• The essay must be of the required length according to the assignment, posted as a Word Document.
• Your grammar and spelling must be correct and will be graded accordingly.
• Number the pages in lower right corner.
• Typed, double-spaced, 12-point Times New Roman font, 8.5”x11” page size, one-inch margins.
• Block quotes of more than 4 lines are single-spaced and indented (No more than a total of 12 lines of block quotes are allowed in these very brief essays).
• Never use a title page. Use a single-line heading: Your Name. Week 4, 9, 14, FINALS Week. Title.
• Include only include one space between single line heading and essay

Use parenthetical in-text citations in this format: (Peters, Ch3, p45) or (Peters, Ch3, Loc.900).  If you stick with that same source for the very next citation, use this format (Ch4, p67) or (Ch4, Loc.1020). Only include a full bibliographic reference at the end of your assignment if you refer to a source not included in the required readings for this course.

The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

To Prepare:

• Review the concepts of informatics as presented in the Resources.
• Reflect on the role of a nurse leader as a knowledge worker.
• Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

• Explain the concept of a knowledge worker.
• Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
• Include one slide that visually represents the role of a nurse leader as knowledge worker.
• Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.

Scenario

You are the director of community affairs for the health lobby organization, Pathways to a Healthy America. In 2010, President Barack Obama signed the Affordable Care Act into law. As a result, millions of Americans who were previously uninsured gained access to the healthcare system. One of the initial provisions of the Act required individual states to expand the eligibility criteria for Medicaid. The program’s costs would be absorbed by the federal government at a rate of 100% for the first three years of program participation which would decrease to 90% after 2020, still, considerably higher than previous funding by the federal government. However, in 2012, the Supreme Court ruled the mandate unconstitutional allowing individual states to voluntarily “opt” out of the Medicaid expansion program. As a result of the various states’ decision to “opt” out of the ACA’s Medicaid expansion, millions of adults fell into the critical coverage gap. Your organization represents a state which has decided to forego participation in the ACA expansion program. The decision was met with both praise and criticism.

It has now been a few years since the decision and your organization has gathered information on the impact of the decision in order to advocate for Medicaid reform during the next state legislative session.

You are required to write an advocacy report to state lawmakers in which you advocate for either participating in the original expansion program or participating with conditions (waivers) to address the critical gap in coverage for vulnerable adults in your state. Waivers such as Section 1115 enable for alternative implementation of Medicaid expansion and allow states to impose restrictions which may result in a denial of Medicaid eligibility for individuals who do not meet those restrictions, i.e., work requirements.

Instructions

State: Texas 

Research the Medicaid expansion program offered through the Affordable Care Act (ACA) as well as Medicaid reform initiatives using waivers to increase access to Medicaid. Determine, based on your state’s profile, which process (the ACA’s expansion program or the use of waivers) is most beneficial to your state. Include a comprehensive, well-supported recommendation for participation in Medicaid reform using either the ACA’s program or a modified reform process using waivers.

Your advocacy report should describe your state’s (Texas) current Medicaid program including its eligibility criteria, demographics, Medicaid spending and savings since the ACA’s implementation, and comprehensive details of current or pending waivers. You should also include a discussion (benchmark) on another state’s success with Medicaid reform using your recommended strategy (the ACA’s expansion program or the use of the specific types of waivers for which you propose).

Fluid, Electrolyte, and Acid-Base Balance
1. You are a nurse who frequently cares for post-surgical patients in your hospital unit. Most of the medical-surgical patients have IV fluids infusing during their admission. Due to the frequent use of IV fluids on your floor, understanding fluid balance and electrolyte function is primary to your nursing practice. 
a. What conditions might lead to the development of hypovolemia?
b. How would the amount of patient fluid loss be determined?
c. Describe how hypovolemia and third-space fluid shifts correlate.
d. Outline the major difference between hypovolemia and third-space fluid shift.
e. Which conditions can result in third-space fluid shift?
2. You are a nurse in a nonsurgical cardiac unit caring for a 92-year-old patient who has two sons, 15 grandchildren, and 49 great-grandchildren. She lives in assisted living and has a history of congestive heart failure (CHF). She consistently struggles with balancing her fluids and electrolytes and has an affinity for dill pickles and sauerkraut. While hospitalized, she remains on a fluid restriction—much to her chagrin, as she loves ice cream. 
a. What within her history would indicate she was at risk for hypervolemia?
b. How would dill pickles and sauerkraut impact her fluid volume?

c. What body areas offer observational evidence of excessive interstitial extracellular fluid (ECF)?
d. Why would your patient be on a strict fluid restriction while hospitalized?
e. Outline nursing interventions used while a patient is on fluid restriction.

PLEASE follow the instructions. Answer each question in the order it appears and separately. This is the bibliography to guide you:

 1.Potter, P.A., &Perry, A. G. (2017). Fundamentals of Nursing: Concepts, Process, and Practice (9th ed.). St. Louis: MO:  Mosby. ISBN: 9780323327404.  

 There has been a lot in the news lately when it comes to the health care system here in the United States. The system has grown exponentially over the past decade. In 2006, “health care expenditures reached $2.2 trillion, which translates to $7,421 per person or 16.2 percent of the nation’s Gross Domestic Product. The health-spending share of GDP reached 16.2 percent, up from 16.0 percent in 2006” (Centers for Medicare & Medicaid Services, 2009, para. 1). With these figures along, you can understand the urgency behind containing cost, making accessible, and ensuring quality is important in health care. Making this also more beneficial for vulnerable populations. Are the difficulties inherent in the present U.S. health system caused by the private insurance companies or by too much government involvement? Explain your answe 

Part I: Choose ONE of the following options.

1. Birth Outcomes      Birth outcomes, like other health indicators, follow the wealth-health gradient of the socioeconomic ladder. According to the video clip #3, what did Dr. Lu mean by the life-course perspective and how does this perspective support a link between racism and premature birth or low birth-weight babies? Why do African American mothers – even those with college degrees – have more low birth-weight babies than white American women? Answer these two questions using at least 250words. Be sure to use sources from your readings and the video clips to support your answer and cite your sources using proper APA format.
2. Social Status    This week you read about how social status impacts health status from birth to death. Why do differences in health outcomes emerge from childhood conditions? What specifically are these conditions and how do they change as move we through childhood, adolescence, adulthood and finally into retirement? Answer these two questions using at least 250 words. Be sure to use sources from your readings and the video clips to support your answer and cite your sources using proper APA format.
3. Health Behavior    Exercise, maintaining a healthy diet, and buckling up the seat belt are all behaviors that reduce the changes a person will die early. What things influence our health behavior? Why are those people higher on the socioeconomic ladder more likely to refrain from health-damaging behaviors and engage in those behaviors that promote health? Answer these two questions using at least 250 words. Be sure to use sources from your readings and the video clips to support your answer and cite your sources using proper APA format.

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

Looking Ahead

The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper.

 Complete the HRSA Data Warehouse Website Activity.

1. Read about the HRSA Data website and what it does here: https://datawarehouse.hrsa.gov/about/abouthdw.aspx
2. Explore the rest of the tabs on the site.
3. Watch the “How-To Video: Find a Health Center Locator Tool” tutorial found at the following link: https://data.hrsa.gov/how-to-videos
4. Explore some data by selecting Clark County, Nevada using the Data by Geography tool here: https://data.hrsa.gov/hdw/tools/DataByGeography.aspx
5. Next use the HRSA Fact Sheets tool located here: https://data.hrsa.gov/data/fact-sheets to look up HRSA’s activities in HHS regions, states, counties, and congressional districts and compare the data to the Clark County, Nevada data you found using your geography results. Analyze the data included in the fact sheets. Consider the data sets found in the fact sheets. How does Nevada compare nationwide when it comes to the data sets? What about Clark County?
6. Complete a new search using the Data for Geography tool for your state and county. Compare the results of your query to your Clark County, Nevada search. State Florida County: Broward
7. Identify HRSA program resources for HIV/AIDS in your state and county. What are they? How many clinics are funded by HRSA?

Write a two-page paper reflecting on the data you collected and analyzed. How will this data warehouse be useful to you as a professional nurse? Your paper should be at least two pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1” margins.

Select two clients you observed or counseled this week during a group therapy session for children and adolescents. Note: The two clients you select must have attended the same group session. If you select the same group you selected for the Week 8 or Week 9 Journal Entries, you must select different clients.

CHILDREN AND ADOLESCENTS

FIRST CLIENT 13 YEARS OLD AFRICAN AMERICAN: DISRUPTIVE MOOD DYSREGULATION( DMDD): Medication: Adderall XR 10mg

SECOND CLIENT 17 YEARS CAUCASIAN MALE : MAJOR DEPRESSIVE DISORDER (MDD) AND ATTENTION -DEFICIT HYPERACTIVITY DISORDER(ADHD): Medications: Abilify 20mg at night, Ativan 2mg as needed(Aggression), Prozasin 2mg for sleep. Depakote 500mg twice daily, Effexor 150mg daily.

Then, address in your Practicum Journal the following:.

• Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for each client.
• Explain any legal and/or ethical implications related to counseling each client.
• Support your approach with evidence-based literature.

Rubric:

Quality of Work Submitted:

The extent of which work meets the assignned criteria and work reflects graduate level critical and analytic thinking.–

Excellent (90-100) 27 (27%) – 30 (30%)Good (80-89) 24 (24%) – 26 (26%)Fair (70-79) 21 (21%) – 23 (23%)Poor (0-69) 0 (0%) – 20 (20%)

Quality of Work Submitted: The purpose of the paper is clear.–

Excellent (90-100) 5 (5%) – 5 (5%)Good (80-89) 4 (4%) – 4 (4%)Fair (70-79) 3.5 (3.5%) – 3.5 (3.5%)Poor (0-69) 0 (0%) – 3 (3%)

Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to:

Understand and interpret the assignment’s key concepts.–

Excellent (90-100) 9 (9%) – 10 (10%)Good (80-89) 8 (8%) – 8 (8%)Fair (70-79) 7 (7%) – 7 (7%)Poor (0-69) 0 (0%) – 6 (6%)

Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to:

Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources.–

Excellent (90-100) 18 (18%) – 20 (20%)Good (80-89) 16 (16%) – 17 (17%)Fair (70-79) 14 (14%) – 15 (15%)Poor (0-69) 0 (0%) – 13 (13%)

Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to:

Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.–

Excellent (90-100) 18 (18%) – 20 (20%)Good (80-89) 16 (16%) – 17 (17%)Fair (70-79) 14 (14%) – 15 (15%)Poor (0-69) 0 (0%) – 13 (13%)

Written Expression and Formatting
Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.–

Excellent (90-100) 8 (8%) – 8 (8%)Good (80-89) 7 (7%) – 7 (7%)Fair (70-79) 6 (6%) – 6 (6%)Poor (0-69) 0 (0%) – 5 (5%)

Written Expression and Formatting
English writing standards: Correct grammar, mechanics, and proper punctuation–

Excellent (90-100) 7 (7%) – 7 (7%)Good (80-89) 6 (6%) – 6 (6%)Fair (70-79) 5 (5%) – 5 (5%)Poor (0-69) 0 (0%) – 4 (4%) 

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