Category: Nursing

Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

Introduction

According to Istepanian et al., a strategic plan is a leadership tool in health care system which needs a focus, openness, and commitment (2014). In order to realize the outcomes of the streamlined efforts, a strategic plan must integrate a detailed plan of determination and ambitions, a vibrant evaluation of an organization’s activities and identification of what to do to safeguard its prospects. When plans and strategies are successfully implemented five possible outcomes are delivered. (1) Drives accountability and effective implementation, (2) develop understanding, insight, and commitment, (3) focuses, allocates and aligns resources, (4) produces meaningful differentiation, and (5) define, develops, and sustains a value advantage.

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UnitedHealth Group

UnitedHealth Group is a profit managed health care that offers healthcare products and insurance services. The products and services allow people, develop customer choice and reinforce patient benefactor affiliations through the healthcare continuum (Cox and Semanskee, 2016). Defining the quality of healthcare services and products are influenced by two different primary stakeholders, the internal and external. A substantial change affecting one element will redesign the whole organization. Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

The internal stakeholders consist of the management (engineering, pharmaceutical managers, clinical managers, and human resource manager), non-management (nursing, environmental services, administration), and professional staff. Stakeholders, as asserted by (Davis, 2014), are the most powerful group in a healthcare industry. The external shareholders consist of everyone else such as the patients, suppliers, competitors, related healthcare organizations, government agencies, private accrediting associations, professional associations, third-party payers, labor unions, special interest group and the local community. After a thorough SWOT analysis process, the UnitedHealth Group has identified that the strengths of the company were proficiencies in the differentiated health aids market segment, strong presence in high margin health service business trademark and national scale helping influence proficiencies.

The strong presence in high margin health services business helps the UnitedHealth Group organization’s leadership management in the health benefits market segment. The organization is equipped with strong information and communication technology founded on quality health delivery services through its business components which are Prescriptions Solutions, optimum health, and Ingenix. Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

National scale is helping influence proficiencies and trademark. UnitedHealth Group leads globally with its insurer’s services and the biggest public traded health indemnity organizations in the United States (Davis, 2014). Lastly, the proficiencies in a differentiated health benefits market segment of UnitedHealth Group provides a strong suite of products comprising vision, dental, pharmacy benefit management (PBM), and Medicare services.

Internal stakeholders

Internal stakeholders are directly involved in the operations and the strategy of the UnitedHealth Group. The organizations’ mission and vision are to help people live healthier lives and help make the health system work healthier for everybody (Davis, 2014). The workers have a substantial fiscal and time savings in the enterprise, play a vital role in the plan, policies, and processes the organizations carries out. Managers play significant roles in determining the strategy of the organization, as well as the making a substantial voice in making critical decisions in the organization. Lastly, the owners form the stem of the organization. UnitedHealth Group owners are held liable for the influences the industry has, as well as having a substantial role in the plan. Owners make important health decisions both on internal and external stakeholders. Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

External stakeholders

Understanding the impacts of the UnitedHealth Group from the wider perspective of external stakeholders is quickly realized when various groups of stakeholders are identified. The stakeholder theory of business ethics and organizational management discourses the ethics and morals in handling an enterprise. The key players of UnitedHealth Group external stakeholders such as customers play a significant role in helping the organization fulfills the needs of its clients through service and product delivery. An operative relationship with customers maintains a healthy community. Suppliers and other strategic alliances are independent. The suppliers maintain a strong relationship with the organization to have an effective operational process. The government tax business considers the profit motive involved in UnitedHealth Group activities. The government offers regulatory oversight, making sure that all activities in an organization are accounted for and providing legal measures responsible by the industry representatives.

Stakeholder relationships.

UnitedHealth Group stakeholder relationship is one that supports the Healthcare objectives and actions. The two primary types of stakeholder relationships (potential for threat, and potential for a corporation) makes it possible to classify the four types of UnitedHealth Group stakeholder relationships. The four main stakeholder relationships are the mixed blessing relationship, the supportive relationship, the non-supportive relationship, and the marginal relationship. These relationships must be mirrored with both the external and internal scanning of stakeholders.

Three stakeholder groups that should be subjected to further evaluation to support the strategic initiatives of the organization

An active board – the active board, should be involved in strategic planning for many reasons. The trustees usually have important insights resulting from their expertise and entrepreneurial activities. Since strategic initiatives usually carry high price tags and comprise of policy considerations, they often need boarder consent. In cases where board affiliates are involved in designing the strategic plan from which such initiates come from, higher chances of understanding their underlying rationale and be more willing to support them. According to (Istepanian et al., 2014), the importance of board members having involved is to design the overall direction.

Include physicians – it is important to involve those with the real stake in the organization to define and set strategic directions for the enterprise. It is the unique role of the physicians that design many of the most crucial hitches experienced by hospitals and health systems. The UnitedHealth Group physicians are essential in discharging its mandate. In my opinion, many physicians want and expect to be involved in strategic leadership. There is continuity of processes and procedures when physicians are involved in strategic planning (Cox and Semanskee, 2016).

The last stakeholder is the chief strategist – the chief strategist formulates the strategic plan alone. Other key players such as managers and CEO brings insightful information when making decisions. Good listening skills are important assets for any strategist. In UnitedHealth Group, the chief strategist must be an active participant in planning rather than a stoic observer. The CEO set initiatives within the context of its most significant challenges and its aspirations for the future (Berkowitz, 2016).

A stakeholder perspective on mission and vision statements of UnitedHealth Group

The use of stakeholder to explain the perspectives and content of mission statements. The purpose of mission and vision statements alongside stakeholders is to provide the projected outcomes and uphold the feasibility of its products and services. The stakeholders affect the way a health care system implements an approach and recognize its mission and vision. This becomes the primary purpose why leaders must consider stakeholders’ interest, necessities, and inclinations. Influence reflects a stakeholder’s virtual supremacy over and within an enterprise; importance designates the degree to which the organization cannot be deliberated effectively if a stakeholder’s expectations, needs, and issues are not considered (Berkowitz, 2016). Characteristically, stakeholder assessment of both quantitative and qualitative performance efficiency will determine whether management is functional. Stakeholder analysis when developed along the mission and vision statements help organization meet or exceed the needs of its key stakeholders. Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

UnitedHealth Group approach to addressing recent health care legislation, and an evaluation of the strategic response that is commonly employed

After the passage of the Affordable Care Act (ACA) in 2010, the healthcare industry changed. Some of the changes were experienced in savings, take the risk, and when forming relationships that were previously forbidden. Changing trends of accountable care organizations (ACOs), Health Information Technology for Economic and Clinical Health (HITECH), Health Insurance Portability and Accountability Act (HIPAA) and the Joint Commission has greatly affected the stakeholders in revenue-driving consolidation, growth of structured quality measures, patients becoming more informed consumers, and information technology innovations driving inter-stakeholder communications (Gulati et al., 2016). The commonly strategic response that is executed is using the federal government to implement the national quality strategy to increase the quality of healthcare and to minimize its cost.

Conclusion

The stakeholder’s involvement often opens avenues to further align business practices with community requirements and anticipations assisting in driving long-term maintenance and shareholder value. Stakeholder involvement should be conducted when the health care system adopts the required inputs from the individuals involved in the organization for decision making, planning, and strategic initiatives implementations. Effective stakeholder involvement helps healthcare organizations such as UnitedHealth Group to navigate over its competitors easily and changing business climates. Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

References

Berkowitz, E. N. (2016). Essentials of health care marketing. Jones & Bartlett Publishers.

Cox, C., & Semanskee, A. (2016). Analysis of UnitedHealth Group’s Premium and Participation in ACA Marketplaces. Henry J. Kaiser Family Foundation.

Davis, K. (2014). Different stakeholder groups and their perceptions of project success. International Journal of Project Management, 32(2), 189-201. Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

Gulati, R., Mayo, A. J., & Nohria, N. (2016). Management: An Integrated Approach. Cengage Learning.

Istepanian, R., Laxminarayan, S., & Pattichis, C. S. (2014). M-health. John Wiley & Sons.

Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

Syllabus

Course Code: NR511

Course Title: Differential Diagnosis and Primary Care

Top Information

 Course Number: NR511

 Course Title: Differential Diagnosis and Primary Care

 Course Credit: 3 (Theory 0.5; Clinical 2.5)

 Pre-requisite: NR508, NR509

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Course Text

Textbook 1

 Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2015). Primary

care: The art and science of advanced practice nursing (4th ed.). Retrieved from

http://online.vitalsource.com

Textbook 2

 Ferri, F. F. (2014). Ferri’s clinical advisor 2014: 5 books in 1. Philadelphia: Mosby

Elsevier. (Ebook)

Textbook 3

 Jarvis, C. (2016). Physical examination & health assessment (7th ed.). Retrieved from

http://online.vitalsource.com.(Ebook)

Required across all FNP courses:

Textbook 4

 American Psychological Association. (2010). Publication manual of the American

Psychological Association (6th ed.). Washington, DC: Author.

NR511 Syllabus

Course Description

This course will provide students with content regarding formulating differential diagnoses of

individuals within the primary care setting, along with an introduction to critical diagnostic skills

to cultivate evidence-based behaviors. An emphasis will be placed on processing client

information in a logical, progressive manner and formulating differential diagnoses for

individuals across the lifespan. The course will include 125 hours of supervised clinical

practicum in primary care.

Course
Outcomes

1.
Demonstrate diagnostic reasoning that will assist in health promotion and illness

management of common health problems in primary care through case study

presentation. (PO 1)

2. Plan for healthcare delivery in an evidence-based manner to support high-quality and

cost-effective care and decision-making. (PO 1, 9, 11)

3. Formulate differential diagnoses based on the subjective and objective patient data

obtained from the case study. (PO 1, 3)

4. Create weekly S-O-A-P documentation on a clinical patient, demonstrating increased

mastery each week. (PO 1, 3). NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

5. Create a plan of care which integrates pharmacological, complementary, and nonpharmacological

therapies for management of common health problems. (PO 1)

6. Utilize established standards and guidelines for management of common pediatric,

gynecology, internal medicine, and behavioral conditions in primary care. (1, 11)

7. Engage in sequential application of selected advanced skills/procedures. (PO 1)

8. Demonstrate advanced skills/procedures for quality outcomes pertinent to patient

care. (PO 1, 2)

9. Perform selected advanced skills/procedures appropriate to student competence and

provider scope of practice. (1)

10. Conduct a systematic and accurate assessment of a client’s total health status,

utilizing appropriate interviewing and data collection techniques. (PO 1, 2, 5, 11)

11. Reflect on personal and professional growth toward achieving competence as a

family nurse practitioner. (PO 5, 7)

NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

Program Outcomes

The MSN program outcomes are aligned with the American Association of Colleges of Nursing

publication, The Essentials of Master’s Education in Nursing (2011). Upon completion of the MSN

degree program, the graduate will be able to:

1. Practice safe, high-quality advanced nursing care based on concepts and knowledge from

nursing and related disciplines.

2. Construct processes for leading and promoting quality improvement and safety in advanced

nursing practice and healthcare delivery.

3. Use contemporary communication modalities effectively in advanced nursing roles.

NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

4. Evaluate the design, implementation and outcomes of strategies developed to meet

healthcare needs.

5. Develop a plan for lifelong personal and professional growth that integrates professional

values regarding scholarship, service and global engagement.

6. Apply legal, ethical and human-caring principles to situations in advanced nursing practice.

7. Design patient-centered care models and delivery systems using the best available scientific

evidence.

8. Manage human, fiscal and physical resources to achieve and support individual and

organizational goals.

9. Compose a plan for systematic inquiry and dissemination of findings to support advanced

nursing practice, patient-care innovation, and the nursing profession.

10. Collaborate interprofessionally in research, education, practice, health policy and leadership

to improve population health outcomes.

11. Apply principles of informatics to manage data and information in order to support effective

decision making.

NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

Course Schedule

Week 1

Title: Primary Care in the 21st Century,

Caring and the Advanced Practice

Nurse, and the Art of Diagnosis and

Treatment

COs: 3, 6, 8

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 1: Primary Care in the

Twenty-First Century: A Circle

of Caring

 Chapter 4: The Art of

Diagnosis and Treatment

 Chapter 8: Eyes, Ears, Nose,

and Throat Problems

Assignments: Attestation Statement Completion

(required to begin course)

Clinical Encounter Log in eLogs with

SOAP note (required, but not graded)

Case Study

Discussions

Yes

Other

Retrieved on 1/16

Week 2

Title: Evidence Based Practice,

Neurological Problems, and Eyes,

Ears, Nose, and Throat Problems

COs: 4, 6, 9, 10

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 5: Evidence-Based

Care

 Chapter 6: Neurologic

Problems

Assignments: Clinical Encounter Log in eLogs with

SOAP note (required, but not graded)

Case Study

Discussions

Yes

 Other

Week 3

Title: Health Promotion, Skin Problems, and

Respiratory Problems

COs: 4, 5, 7, 8, 9

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 3: Health Promotion

 Chapter 7: Skin Problems

 Chapter 9: Respiratory

Problems

Assignments: Clinical Encounter Log in eLogs with

SOAP note(required, but not graded)

Case Study

Discussions

Yes

Other

Week 4

Title: Diagnostic Testing, Cardiovascular

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Problems, Abdominal Problems,

Renal Problems

COs: 2, 5, 7, 8, 9

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 10: Cardiovascular

Problems

 Chapter 11: Abdominal

Problems

 Chapter 12: Renal Problems

Assignments: Clinical Encounter Log in eLogs with

SOAP note (required, but not graded)

Quiz (required but not graded)

Case Study

Discussions

Yes

Other

Week 5

Title: Men’s Health Problems, Women’s

Health Problems, Musculoskeletal

Problems

COs: 3, 5, 6, 7, 8, 9

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 13: Men’s Health

Problems

 Chapter 14: Women’s Health

Problems

 Chapter 15: Musculoskeletal

Problems

Assignments: Clinical Encounter Log in eLogs

(required, but not graded)

Case Study

Discussions

Yes

Other

Retrieved on 1/16

Week 6

Title: Complex Diagnosis, Endocrine and

Metabolic Problems, Hematologic and

Immune Problems, and Emergency

Problems

COs: 2, 5, 7, 8, 9

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 16: Endocrine and

Metabolic Problems

 Chapter 17: Hematologic and

Immune Problems

 Chapter 19: Emergency

Problems

Assignments: Clinical Encounter Log in eLogs

(required, but not graded)

Case Study

Discussions

Yes

Other

Week 7

Title: Laboratory tests, Psychological

Problems, Palliative Care and

Practical Psychotherapy

COs: 1, 3, 5, 7, 8, 9

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 18: Psychosocial

Problems

 Chapter 20: Palliative Care

 Chapter 23: The 15-Minute

Hour: A Short-Term Approach

to Psychotherapy in Primary

Care

Assignments: Clinical Encounter Log in eLogs

(required, but not graded)

Case Study

Discussions

Yes

Other

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Week 8

Title: Ethical and Legal Issues, the Business

of Advanced Practice, Putting Caring

into Practice: Caring for Self

COs: 11

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 21: Ethical and Legal

Issues of a Caring-Based

Practice

 Chapter 22: The Business of

Advanced Practice

 Chapter 24: Putting Caring Into

Practice: Caring for Self

Assignments: Clinical Encounter Log in eLogs &

Clinical Performance Evaluation

(graded)

Quiz (required but not graded)

Reflection (graded)

Reflection Yes

Other

Late Assignment Policy

Students are expected to submit assignments by the time they are due. Assignments submitted

after the due date and time will receive a deduction of 10% of the total points possible for that

assignment for each day the assignment is late. Assignments will be accepted, with penalty as

described, up to a maximum of three days late, after which point a zero will be recorded for the

assignment.

In the event of an emergency that prevents timely submission of an assignment, students may

petition their instructor for a waiver of the late submission grade reduction. The instructor will

review the student’s rationale for the request and make a determination based on the merits of

the student’s appeal. Consideration of the student’s total course performance to date will be a

contributing factor in the determination. Students should continue to attend class, actively

participate, and complete other assignments while the appeal is pending.

This Policy applies to assignments that contribute to the numerical calculation of the course

letter grade.

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Evaluation Methods

Assignment Points Weighting

Case Study Discussions

(100 points, Weeks 1–7)

700 70%

Reflection

(due Week 8)

50 5%

Quiz

(required, but not graded due

Week 4 & 8)

N/A N/A

Clinical Encounter Log

(due Weeks 1–8)

Clinical Performance Evaluation

(Week 8)

Final clinical performance

evaluation pass and/or

documentation of 125 hours =

250 points

Fail or unsatisfactory on clinical

performance evaluation and/or

less than 125 hours

documented =0 points

250 25%

Total Points 1,000 100%

A passing grade, or S, must be achieved on the clinical performance evaluation. If this is

achieved and the 125 clinical hours are documented, the 250 points will be added to the

remainder of the course points to calculate the final course grade. If the student does not

achieve a passing grade (fail) for the clinical performance evaluation, then the final

course grade assigned will be F.

No extra credit assignments are permitted for any reason.

All of your course requirements are graded using points. At the end of the course, the points are

converted to a letter grade using the scale in the table below. Percentages of 0.5% or higher are

NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

not raised to the next whole number. A final grade of 76% (letter grade C) is required to pass

the course.

LETTER

GRADE POINTS PERCENTAGE

A 940–1,000 94–100%

A- 920–939 92–93%

B+ 890–919 89–91%

B 860–889 86–88%

B- 840–859 84–85%

C+ 810–839 81–83%

C 760–809 76–80%

F 759 and below 75% and below

Students agree that, by taking this course, all required papers may be subject to submission for

textual similarity review to Turnitin.com for the detection of plagiarism. All submitted papers will

be included as source documents in the Turnitin.com reference database solely for the purpose

of detecting plagiarism of such papers. Use of the Turnitin.com service is subject to the Terms

and Conditions of Use posted on the Turnitin.com site.

Participation Guidelines

The weekly case study discussion is worth up to 100 points. Students are expected to

participate a minimum of four times (once in part one by Tuesday, 11:59 p.m. MT, once in part

two by Thursday, 11:59 p.m. MT, provide a written summary in SOAP format to the Dropbox by

Sunday, 11:59 p.m. MT, and one post to a student peer as required in the interactive dialogue

criterion). The student must provide answers to the graded case study questions from part one,

post a treatment plan for part two and provide a written summation of their case in SOAP format

to the Dropbox for part three. NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

Grading Rubric

Criteria

Exceptional

Outstanding or

highest level of

performance

Exceeds

Very good or

high level of

performance

Meets

Satisfactory

level of

performance

Needs

Improvements

Poor or

failing level of

performance

Developing

Unsatisfactory

level of

performance

Total Points

Possible=

100

24 Points 21 Points 19 Points 9 Points 0 Points

Application

of Course

Knowledge

Post contributes

unique

perspectives or

Post

contributes

unique

Post has

limited

perspective,

Post

perspectives

are not

Post offers no

insight or

application to

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Criteria

Exceptional

Outstanding or

highest level of

performance

Exceeds

Very good or

high level of

performance

Meets

Satisfactory

level of

performance

Needs

Improvements

Poor or

failing level of

performance

Developing

Unsatisfactory

level of

performance

insights

applicable to the

results from the

physical exam

differential

diagnoses.

Part One: Initial

post includes at

least three (3)

differential

diagnoses with

rationale for

each problembased

learning

case study

patient and

answers all

questions

presented in the

case.

Parts Two and

Three:

Presumptive

diagnosis and

treatment plan

are appropriate

and evidence

based for each

case study

patient.

perspectives

or insights,

but may lack

some

applicability to

presented

case study

patients.

Part One:

Initial post

includes at

least two (2)

differential

diagnoses

with rationale

for each

problembased

learning case

study patient

and answers

most of the

questions

presented in

the case.

Parts Two

and Three:

Confirmed

diagnosis and

treatment plan

partially

applicable

and evidence

based for

each case

study patient.

insights

and/or

applicability to

presented

case study

patients.

Part One:

Initial post

does not

address each

patient or

does not

include at

least two (2)

differential

diagnoses for

each patient.

Some

evidencebased

rationale may

be missing.

Does not

answer

questions

presented in

the case.

Parts Two and

Three:

Confirmed

diagnosis and

treatment plan

are not

applicable or

may not be

evidencebased.

consistent with

current

practice.

the case study

presentation

24 Points 21 Points 19 Points 9 Points 0 Points

Support from

EvidenceBased

Initial discussion

posts in parts

one, two and

Initial

discussion

posts for parts

Initial

discussion

posts for parts

Citations to

non-scholarly

websites given

Discussion

posts contain

no evidence-

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Criteria

Exceptional

Outstanding or

highest level of

performance

Exceeds

Very good or

high level of

performance

Meets

Satisfactory

level of

performance

Needs

Improvements

Poor or

failing level of

performance

Developing

Unsatisfactory

level of

performance

Practice

(EBP)

SOAP note are

supported by

evidence from

appropriate

sources

published within

the last 5 years.

In-text citations

and full

references are

provided

one, two, and

SOAP note

are partially

supported by

evidence from

appropriate

sources

published

within the last

5 years.

In-text

citations and

full references

are provided.

Evidencebased,

peer

reviewed

journal article

cited but may

not fully

support the

treatment

plan.

one, two, and

SOAP note

are partially

supported by

evidence.

Sources may

not be

scholarly in

nature or may

be older than

5 years.

In-text

citations

and/or full

references

may be

incomplete or

missing.

as rationale to

support

differential

diagnoses

and/or

treatment plan.

based practice

reference or

citation.

24 Points 21 Points 19 Points 9 Points 0 Points

Organization

Discussion

posts and

SOAP notes

presents case

study findings in

a logical,

meaningful, and

understandable

sequence. Each

problem-based

learning case

study patient is

presented

individually in all

discussion

posts and

SOAP notes.

Part One:

Discussion

posts and

SOAP notes

are relevant to

the topic but

may be

unclear or

difficult to

follow in

places.

Part One:

Discussion

questions

may not be

addressed

individually for

each patient.

SOAP note

Discussion

posts and

SOAP notes

not fully

relevant to the

topic. May be

unclear or

difficult to

follow in

places.

SOAP note

does not

contain all

components

and/or may be

missing data.

Discussion post

presents case

findings and

plan or

intervention

that are

sometimes

unclear to

follow and may

not always be

relevant to topic

Discussion post

is not relevant

to case study.

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Criteria

Exceptional

Outstanding or

highest level of

performance

Exceeds

Very good or

high level of

performance

Meets

Satisfactory

level of

performance

Needs

Improvements

Poor or

failing level of

performance

Developing

Unsatisfactory

level of

performance

Discussion

questions

addressed

individually for

each patient.

contains all

elements but

may not be

written

following

SOAP note

format.

24 Points 21 Points 19 Points 9 Points 0 Points

Interactive

Dialogue

Presents case

study findings

and responds

substantively to

at least one

topic-related

post of a peer

including

evidence from

appropriate

sources, and all

direct faculty

questions

posted in parts

one and two.

Presents case

study findings

and responds

substantively

to at least one

topic-related

post of a peer.

Does not

include

evidence from

appropriate

sources.

Responds to

some direct

faculty

questions

posted in

parts one and

two.

Responds to a

student peer

and/or faculty

questions but

the posts add

limited content

or insights to

the

discussion.

Responds to a

student peer

and/or faculty,

but the nature

of the response

is not

substantive.

Does not

respond to a

topic-related

peer post

and/or does not

respond to

faculty

questions

posted by

Sunday.

4 Points 3 Points 2 Points

1 Point

0 Points

Grammar,

Syntax, APA

APA format,

grammar,

spelling, and/or

punctuation are

accurate, or

with zero to one

errors.

Two to four

errors in APA

format,

grammar,

spelling, and

syntax noted.

Five to seven

errors in APA

format,

grammar,

spelling, and

syntax noted.

Eight to nine

errors in APA

format,

grammar,

spelling, and

syntax noted.

Post contains

greater than ten

errors in APA

format,

grammar,

spelling, and/or

punctuation or

Retrieved on 1/16

Criteria

Exceptional

Outstanding or

highest level of

performance

Exceeds

Very good or

high level of

performance

Meets

Satisfactory

level of

performance

Needs

Improvements

Poor or

failing level of

performance

Developing

Unsatisfactory

level of

performance

repeatedly

makes the

same errors

after faculty

feedback.

0 Points

Deducted

-10 Points per

Discussion

Part

Participation

Enters first

post to part

one by 11:59

p.m. MT on

Tuesday;

First post to

part two by

11:59 p.m. MT

on Thursday;

and submits

written

summation

by Sunday

11:59 p.m.

MT. Written

submission

(SOAP notes)

will NOT be

accepted

after Sunday

11:59 p.m.

MT.

* 10 points

deducted per

discussion

part if this

criteria is not

met.

Enters first post

to part one by

11:59 p.m. MT

on Tuesday;

first post to part

two by 11:59

p.m. MT on

Thursday; and

submits written

summation by

Sunday 11:59

p.m. MT.

10 points

deducted per

discussion part

if this criteria is

not met.

Written

submission will

not be accepted

after Sunday

11:59 p.m. MT.

33 points

deducted for

missing SOAP

note.

Retrieved on 1/16

Webliography Disclaimer

The purpose of the Webliography is to provide students with annotated bibliographies of world

wide websites relevant to their courses. These websites are not meant to be all inclusive of what

is available for each course’s subjects and have not been sanctioned as academically rigorous

or scholarly by Chamberlain College of Nursing. Please exercise caution when using these

websites for course assignments and references. NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

Professional Portfolio

Select assignments from courses across the FNP program will be compiled as artifacts within a

Professional Portfolio to demonstrate your professional growth and expertise. Your final

portfolio, which will be submitted in the final course NR661, will be assessed against the

learning outcomes of the program. The Professional Portfolio will include the following:

 Reflections from Week 8 for all FNP courses

 Five exemplar case studies (student selects top five)

 eLogs portfolio

 Curriculum vitae

 Professional development plan paper from NR510

NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

NUR 631 Week 5 Assignment: CLC – Endocrine System Presentation – Thyroid Gland

The instructor will divide the class into CLC groups. Each group will be responsible for creating a presentation on one organ of the endocrine system. Include anatomical features, key functions, and purpose in the presentation.

Please note the following participation and submission requirements for the CLC assignment:

Each student is responsible for participation within the CLC group on the assigned case studies. The instructor will monitor the CLC Discussion Forum. One member of the group will submit the assignment to the instructor.

Solid academic writing needed. In text citations and references required using APA documentation.

NUR 631 Week 5 Assignment: CLC – Endocrine System Presentation – Thyroid Gland

NUR-631 Week 6 Assignment: Autoimmunity and Endocrine Disorder Essay (750-1,000 Words)

In an essay of 750-1,000 words, explain the role of autoimmunity in three endocrine disorders. Make sure to

include the following:

The process of autoimmunity. How autoimmunity occurs in the endocrine system. Information about pathophysiological changes described in graduate-level terms.

Prepare this assignment according to the APA guidelines. An abstract not required. Submit this assignment to Turnitin.

NUR-631 Week 6 Assignment: Autoimmunity and Endocrine Disorder Essay

Acid-Base Case Study Essay Assignment Paper – NUR 631 Advanced Physiology and Pathophysiology

NUR 631 Week 4 Assignment: Acid-Base Case Study Essay (1,000-1,250 Words)

Review the “Acid-Base Case Study” resource. Respond to the following questions in an essay of 1,000-1,250

words.

Research and fill in the normal values for the table. Include the table in your essay.

What type of acid-base disturbance is Mr. Davis suffering from and why? What role does excessive alcohol consumption play in the acid-base disturbance seen?

What type of fluid or electrolyte imbalances does Mr. Davis have and why? Calculate the anion gap. Is it high or

normal? Why is it high or normal? What information does the anion gap give the provider?

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Are Mr. Davis’ respiratory and renal systems attempting to compensate for his acid-base disturbance? If so, how

are they compensating and what evidence do you have that they are compensating? Explain the rationale for the low

glucose level and high urine ketones. Is the protein level seen in the UA abnormal? Provide a rationale. How do

the findings relate to Mr. Davis?

Prepare assignment according to the APA guidelines. An abstract not required, submit assignment to Turnitin.

Acid-Base Case Study Essay Assignment Paper – NUR 631 Advanced Physiology and Pathophysiology

NRS 437V: Ethical Decision Making in Health Care Discussion Essay Assignment Papers

NRS 437V Topic 1 Discussion Question 1

Many situations can raise ethical concerns, particularly in the face of disagreement and conflict between parties. However, not all situations of an ethical nature result in values conflict or constitute an ethical dilemma. Explain the characteristics of an ethical dilemma. How do they differ from other situations resulting in disagreement between conflicting preferences, needs, or expectations?

NRS 437V Topic 1 Discussion Question 2

Consider the age-old tale of the father who stole a loaf of bread to feed his hungry family. Stealing is deemed wrong by our society and is punishable by law. Failing to provide for one’s family is neglectful and fundamentally wrong. What would be the dilemma and the implications of such a crime on the individual, the family, the community, and society?

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NRS 437V Topic 2 Discussion Question 1

How do personal values, morals, and ethics influence decision making? (Consider your upbringing, your family structure, your socioeconomic status, your community, and your own personal experiences). How do these factors influence your decisions? How might they conflict with the needs, preferences, and biases of your patients and their families? Which ethical theoretical framework best describes your personal worldview? Support your response with examples.

NRS 437V Topic 2 Discussion Question 2

Read the assigned article, “Dealing With Futile Treatment: A Medical Student’s Perspective.” How does the author describe futile treatment? What ethical dilemmas are faced by health care providers who must address human suffering? How can ethical principles be used to identify the most appropriate decision when conflict arises?

What ethical dilemmas are faced by health care providers who must address human suffering?

How can ethical principles be used to identify the most appropriate decision when conflict arises?

NRS 437V Topic 3 Discussion Question 1

Uustal (1993) proposed a decision-making model that provides concrete steps in which to arrive at a morally acceptable solution when faced with an ethical dilemma. What type of an ethical dilemma have you encountered in the clinical setting? How can the decision-making model identified by Uustal be applied to this situation? Be specific when describing each of the nine steps.

NRS 437V Topic 3 Discussion Question 2

How do a nurse’s fundamental duties, as described by the Hippocratic Oath and Nightingale Pledge, influence a nurse’s practice and decision making?

NRS 437V Topic 4 Discussion Question 1

Does the principle of autonomy guarantee a person the right to do something that is harmful to oneself? To others? Explain your response with ethical rationale.

NRS 437V Topic 4 Discussion Question 2

What is the difference between beneficence and nonmaleficence? Give examples of each from your clinical practice.

NRS 437V Topic 5 Discussion Question 1

What is the ethical dilemma?

What is your value and ethical position related to the case? Include discussion of theory and principles on which your position is based.

What are some other alternatives for resolving the problem?

What are the possible consequences for those acceptable alternatives?

How would you prioritize the acceptable alternatives?

What is your plan of action?

NRS 437V Topic 5 Discussion Question 2

Health care providers are obligated to provide for those entrusted in their care. To what extent do they meet this obligation? How might their obligation to others conflict with their obligation to themselves?

NRS 437V: Ethical Decision Making in Health Care Discussion Essay Assignment Papers

NRS 437V Week 5 Assignment: Analysis of an Ethical Dilemma – Part II

This is a CLC assignment. Refer to the “Collaborative Learning Community: Analysis of an Ethical Dilemma” resource for the dilemmas and resources that will be used for this multi-part assignment.

After completing the individual interviews (Part ONE), share your interview results. Consider the responses of the four types of individuals interviewed. Assess their similarities and differences.

Compose a written recommendation of 750-1,000 words. Incorporate the research YOU HAVE done as well as your interview results for the four types of individuals to come to a resolution to the ethical dilemma. Be sure to clearly articulate your position and the rationale for your position.

NRS 437V Week 5 Assignment CLC: Analysis of an Ethical Dilemma – Part III

This is a CLC assignment. Refer to the “Collaborative Learning Community: Analysis of an Ethical Dilemma” resource for the dilemmas and resources that will be used for this multi-part assignment.

After completing the individual interviews (Part Two), share your interview results. As a group, consider the responses of the four types of individuals interviewed. Assess their similarities and differences.

Compose a written recommendation of 750-1,000 words. Incorporate the research your group has done as well as your interview results for the four types of individuals to come to a resolution to the ethical dilemma. Be sure to clearly articulate your group’s position and the rationale for your position.

NRS 437V: Ethical Decision Making in Health Care Discussion Essay Assignment Papers

NRS 437V Topic 5 Discussion Question 1: 
What is the ethical dilemma?

What is your value and ethical position related to the case? ……….. is based.

What are some other alternatives for resolving the problem?

What are the possible consequences for those acceptable alternatives?

How would you prioritize the acceptable alternatives?

What is your plan of action?

NRS 437V Topic 5 Discussion Question 2: 
Health care providers are obligated to provide for those entrusted in their care. To what extent do they meet this obligation? How might their obligation to others conflict with their obligation to themselves?

NRS 437V: Ethical Decision Making in Health Care Discussion Essay Assignment Papers

NRS 437V Topic 1 Discussion Question 1: 
Many situations can raise ethical concerns, particularly in the face of disagreement and conflict between parties. However, not all situations of an ethical nature result in values conflict or constitute an ethical dilemma. Explain the characteristics of an ethical dilemma. How do they differ from other situations resulting in disagreement between conflicting preferences, needs, or expectations?

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NRS 437V Topic 1 Discussion Question 2: 
Consider the age-old tale of the father who stole a loaf of bread to feed his hungry family. Stealing is deemed wrong by our society and is punishable by law. Failing to provide for one’s family is neglectful and fundamentally wrong. What would be the dilemma and the implications of such a crime on the individual, the family, the community, and society?

NRS 437V: Ethical Decision Making in Health Care Discussion Essay Assignment Papers

NRS 437V Topic 2 Discussion Question 1

How do personal values, morals, and ethics influence decision making? (Consider your upbringing, your family structure, your socioeconomic status, your community, and your own personal experiences). How do these factors influence your decisions? How might they conflict with the needs, preferences, and biases of your patients and their families? Which ethical theoretical framework best describes your personal worldview? Support your response with examples.

NRS 437V Topic 2 Discussion Question 2

Read the assigned article, “Dealing With Futile Treatment: A Medical Student’s Perspective.” How does the author describe futile treatment? What ethical dilemmas are faced by health care providers who must address human suffering? How can ethical principles be used to identify the most appropriate decision when conflict arises?

What ethical dilemmas are faced by health care providers who must address human suffering?

How can ethical principles be used to identify the most appropriate decision when conflict arises?

NRS 437V: Ethical Decision Making in Health Care Discussion Essay Assignment Papers

NRS 437V Week 3 Assignment: Applying Ethical Frameworks in Practice

NRS 437V Topic 3 Discussion Question 1: 
Uustal (1993) proposed a decision-making model that provides concrete steps in which to arrive at a morally acceptable solution when faced with an ethical dilemma. What type of an ethical dilemma have you encountered in the clinical setting? How can the decision-making model identified by Uustal be applied to this situation? Be specific when describing each of the nine steps.

NRS 437V Topic 3 Discussion Question 2: 
How do a nurse’s fundamental duties, as described by the Hippocratic Oath and Nightingale Pledge, influence a nurse’s practice and decision making?

NRS 437V: Ethical Decision Making in Health Care Discussion Essay Assignment Papers

NRS-410V: Pathophysiology and Nursing Management of Clients Health Essay Assignment Discussion Papers and Questions

NRS 410V Module 5 Assignment: Evidence-Based Practice Project – Paper on Diabetes

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

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

Based on the summary of research findings identified from the Evidence-Based Project-Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

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Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:

A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.

A descriptive discussion of …….. is supported by sound research.

APA format is not required for this assignment, solid academic writing is expected, and in-text citations & references required.

NRS-410V: Pathophysiology and Nursing Management of Clients Health Essay Assignment Discussion Papers and Questions

NRS 410V Week 4 Assignment: Case Study of Patient Sallie Mae Fisher

 As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video ……….. Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment. Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment: NRS-410V: Pathophysiology and Nursing Management of Clients Health Essay Assignment Discussion Papers and Questions

Essay Portion: 
After viewing the home visit, write an essay of 500-750-words in which you do the following:

Identify, prioritize, and describe at least four problems.

Provide substantiating evidence (assessment data) for each problem identified.

Identify and describe at least four medical and/or nursing interventions.

Discuss your rationale for the interventions identified.

Prepare this step of the assignment according to the APA guidelines Abstract not required.

Scripted Dialogue Portion: 
Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.

Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

NRS-410V: Pathophysiology and Nursing Management of Clients Health Essay Assignment Discussion Papers and Questions

NRS 410V Week 3 Assignment: Case Study: Anemia

NRS 410V Week 3 Assignment: Case Study: Heart Failure

In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

NRS-410V: Pathophysiology and Nursing Management of Clients Health Essay Assignment Discussion Papers and Questions

NRS 410V Week 2 Assignment: Approach to Care of Cancer

Write a paper (1,250-1,750 words) describing the approach to care of cancer. In addition, include the following in your paper:

Describe the diagnosis and staging of cancer.

Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.

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

NRS-410V: Pathophysiology and Nursing Management of Clients Health Essay Assignment Discussion Papers and Questions

Question:
 Which of the following is true of the biological functions of progesterone?

Question:
 Which of the following is true of the biological functions of testosterone?

Question:
 In performing a physical assessment, the nurse notes the patient has a â€oebarrel― configuration to the chest. This is a consequence of:

Question:
 Which of the following is true of the biological functions of estrone?

Question:
 Ausculation of the chest reveals bilateral fine crackles in the bases bilaterally, indicating:

Question:
 The signs and symptoms of anemia ……. pathophysiologic feature of the condition?

Question:
 What is the function of hemoglobin?

Question:
 Common manifestations of bacterial pneumonia include all of the following except:

Question:
 Patients with chronic renal failure usually exhibit:

Question:
 In addition to hypertension, pre-eclampsia is characterized by:

Question:
 What is the physiological function of gluconeogenesis?

Question:
 List the enzymes whose levels are elevated in the blood serum following an MI.

Question:
 The oxyhemoglobin dissociation curve represents the relationship between the:

Question:
 The normal pH range for blood is:

Question:
A calculated ABG value that indicates excess or insufficiency of sodium bicarbonate in the system is:

Question:
 Interpret the following ABG results….pH 7.38 pCOâ‚‚ 38 HCO₃ 24

Question:
 Interpret the following ABG results….pH 7.33 pCOâ‚‚ 60 HCO₃ 34

Question:
 The kidneys compensate for acid-base imbalances by excreting or retaining:

Question:
 Interpret the following ABG results….pH 7.48 pCOâ‚‚ 42 HCO₃ 30

Question:
 Interpret the following ABG results….pH 7.48 pCOâ‚‚ 28 HCO₃ 20

Question:
 How do sulfa drugs selectively kill bacteria while causing no harm to humans?

Question:
 The purposes of epinephrine injection include all of the following except:

Question:
 …….. glycogen metabolism is stimulated by insulin?

Question:
 Your patient is interested in trying medication to improve low mood / depression. All of the following medications might be appropriate except:

Question:
 Therapeutic interventions focused on increasing the oxygen supplied to the heart and decreasing the hearts demand for oxygen include:

NRS-410V: Pathophysiology and Nursing Management of Clients Health Essay Assignment Discussion Papers and Questions

NRS 410V Week 5
 Assignment Benchmark: Evidence-Based Practice Project – Diabetes

NRS-410V Week 5 Assignment: Evidence-Based Practice Project-Intervention Presentation (Diabetes)

NRS 410V Module 5 Assignment: Evidence-Based Practice Project – Paper on Diabetes

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

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

Based on the summary of research findings identified from the Evidence-Based Project-Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:

A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.

A descriptive discussion of …….. is supported by sound research.

APA format is not required for this assignment, solid academic writing is expected, and in-text citations & references required.

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NRS 410V Week 5 Topic 5: Mandatory Discussion Question

The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario: 
Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center. NRS-410V: Pathophysiology and Nursing Management of Clients Health Essay Assignment Discussion Papers and Questions

Objective Data: (1) 
Height: 68 inches (5’ 6”); Weight 134.5 kg (296lbs) 
(2)
 BMI 47.8 
(3) 
BP: 172/96, HR 88, RR 26 
(4)
 Fasting Blood Glucose: 146/mg/dL 
(5) 
Total Cholesterol: 250mg/dL (
6) 
Triglycerides: 312 mg/dL 
(7)
 HDL: 30 mg/dL

Critical Thinking Questions: 
What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not? Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered:

Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.

Ranitidine (Zantac) 300 mg PO at bedtime.

Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.

The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

Assess each of Mr. C.’s functional health patterns using the information given. (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance.)

What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.

NRS-410V: Pathophysiology and Nursing Management of Clients Health Essay Assignment Discussion Papers and Questions

NRS-427V: Concepts in Community and Public Health Essay Assignment Papers

NRS 427V Week 1 Discussion Question 1

What is your idea of a healthy community? Provide specific examples. What do healthy communities have in common? How would you provide care for a community if your idea of a healthy community does not match your community’s definition of a healthy community?

NRS.427V Week 1 Discussion Question 2

Consider the different communities to which you belong:

What is the geopolitical community in you live? Why is it geopolitical?

What is a phenomenological community to which you belong? Why is it a phenomenological community?

What would some challenges and benefits be for community health nurses in providing care for different communities? For similar communities? For the same community? What are some possible solutions to the challenges?

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NRS 427V Week 2 Discussion Question 1

What are social determinants of health? How do social determinants of health contribute to the development of illness? What is a communicable disease chain? Are there steps that a nurse can take to break a link within the communicable disease chain? Give a specific example.

Readings within your text covering international/global health and the following websites will assist you in answering these questions: NRS-427V: Concepts in Community and Public Health Essay Assignment Papers

U.S. Centers for Disease Control and Prevention (CDC) Global Health website: http://www.cdc.gov/cogh/index.htm

U.S. Department of Health & Human Services (HHS) Global Health website: http://www.globalhealth.gov/index.html

Families USA – Why Global Health Matters—Here and Abroad website: http://www.familiesusa.org/

World Health Organization (WHO) website: http://www.who.int

NRS’427V Week 2 Discussion Question 2

Select a global health issue impacting the international health community. Briefly describe the global health issue and its impact on the larger health care system (i.e., continents, regions, countries, states, and health departments). How can health care delivery systems work collaboratively to address global health concerns? Readings within your text covering international/global health and the following websites will assist you in answering these questions:

U.S. Centers for Disease Control and Prevention (CDC) Global Health website: http://www.cdc.gov/cogh/index.htm

U.S. Department of Health & Human Services (HHS) Global Health website: http://www.globalhealth.gov/index.html

Families USA – Why Global Health Matters—Here and Abroad website: http://www.familiesusa.org/

World Health Organization (WHO) website: http://www.who.int

NRS 427V Week 3 Discussion Question 1

What is the difference between a group “at risk” for poor health and a group considered a “vulnerable” population? Provide an example of a group at risk and a group considered a vulnerable population.

Explain why members of these groups cannot advocate for themselves or why advocating for these groups would be beneficial

What would you advocate for?

NRS 427V Week 3 Discussion Question 2

How can community health nurses apply the strategies of cultural competence to their practice? Provide at least one example from each of the following four strategies: cultural preservation, cultural accommodation, cultural repatterning, and cultural brokering. What is a possible barrier to applying the strategy/example chosen? Use an example that is different than the postings of other students. NRS-427V: Concepts in Community and Public Health Essay Assignment Papers

NRS’427V Week 4 Discussion Question 1

What is your evaluation of the effectiveness of the U.S. health care system in the context of delivery, finance, management, and/or sustainability? What are the issues that prompted a need for health care reform? Support your answer with a credible data reference. Do not use a reference already used by another student.

NRS 427V Week 4 Discussion Question 2

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following online resources:

Key Features of the Affordable Care Act: http://www.hhs.gov/healthcare/facts/timeline/index.html

Health Care Transformation: the Affordable Care Act and More:http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/HealthSystemReform/AffordableCareAct.pdf

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

NRS.427V Week 5 Discussion Question 1

Throughout this course, you have viewed the Diary of Medical Mission videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by a previous student.

Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.

With what people or agencies would you work in facilitating the proposed interventions and why?

Link to the Diary of Medical Mission videos: NRS-427V: Concepts in Community and Public Health Essay Assignment Papers

NRS 427V Week 5 Discussion Question 2

What spiritual issues surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or manmade disaster. How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues? NRS-427V: Concepts in Community and Public Health Essay Assignment Papers

NRS 427V Concepts In Community And Public Health Benchmark Assignment: Epidemiology Paper – Hepatitis B

In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease. Choose one communicable disease from the following list:

Chickenpox

Tuberculosis

Influenza

Mononucleosis

Hepatitis B (Selected)

HIV

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Include the following in your assignment:

Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence).

Describe the determinants of health and explain how those factors contribute to the development of this disease.

Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle).

Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up). NRS 427V Concepts In Community And Public Health Benchmark Assignment: Epidemiology Paper – Hepatitis B

Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.

A minimum of three references is required.

NRS-427V Week 4 CLC Assignment CMNTY

NRS 427V Week 4 CLC Assignment: Presentation – Larimer County

NRS 427V Week 4 CLC Assignment: Summary of Interview

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

Assessment/Interview:
 Select a community of interest. It is important that the community selected be one in which a CLC group member currently resides. Students residing in the chosen community should be assigned to perform the physical assessment of the community.

Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”

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. Complete the “Provider Interview Acknowledgement Form” and submit with the group presentation. Develop one set of interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community. Compile key findings from the interview, including the interview questions used, and submit with the group presentation. NRS 427V Concepts In Community And Public Health Benchmark Assignment: Epidemiology Paper – Hepatitis B

PowerPoint Presentation

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and reference slide) describing the chosen community interest. Include the following in your presentation:

Description of community and community boundaries: the people and the geographic, geopolitical, financial, ethnic, and phenomenological features of the community as well as types of social interactions, common goals and interests, barriers, and challenges.

Summary of community assessment.

Summary of interview with community health/public health provider.

A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

While APA format 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.

NRS 427V Week 5 Assignment 3 Community Teaching Plan: Teaching Experience Paper

Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

Summary of teaching plan

Epidemiological rationale for topic

Evaluation of teaching experience

Community response to teaching

Areas of strengths and areas of improvement

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

NRS 427V Concepts In Community And Public Health Benchmark Assignment: Epidemiology Paper – Hepatitis B

NRS 440V Course Essay Assignment Discussions

NRS-440V Topic 1 – Discussion Question 1:

What is the impact to the nursing profession and to the public related to the projected nursing shortage? Discuss at least one way that the nursing profession is working toward a resolution of this problem.

NRS-440V Topic 1 – Discussion Question 2:

What is the role of health care reform in shifting the focus from a disease-oriented health care system toward one of wellness and prevention, and how does nursing fit into this shift?

NRS-440V Topic 2 – Discussion Question 1:

The Patient Protection and Affordable Care Act (PPACA) was passed into legislation in March of 2010. Identify the impact of this legislation on your nursing practice by choosing two key nursing provisions outlined in the American Nurses Association “Key Provisions Related to Nursing” summary at http://www.rnaction.org/site/DocServer/KeyProvisions_Nursing-PublicLaw.pdf?docID=1241&verID=1. Discuss how these two provisions have impacted, or will impact, your current practice of nursing.

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NRS-440V Topic 2 – Discussion Question 2:

Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. How is this advantageous to patient outcomes?

NRS-440V Topic 3 – Discussion Question 1:

Discuss current research that links patient safety outcomes to ADN and BSN nurses. Based on some real-life experiences, do you agree or disagree with this research?

NRS-440V Topic 3 – Discussion Question 2:

What is the difference between a DNP and a PhD in nursing? Which of these would you choose to pursue if you decide to continue your education to the doctoral level?

NRS-440V Topic 4 – Discussion Question 1:

Choose one legislator on the state or federal level who is also a nurse, and discuss the importance of their role as advocate for improving health care delivery. What specific bill(s) have they sponsored or supported that has/have influenced health care?

NRS-440V Topic 4 – Discussion Question 2:

Discuss how the CMS reimbursement rules for never events required a shift in the patient care delivery model in inpatient facilities.

NRS-440V Topic 5 – Discussion Question 1:

Identify the educational preparation and role(s) of the clinical nurse leader (CNL) designation. Give an example of how the CNL influences direct patient care whether in a hospital or out in the community.

NRS-440V Topic 5 – Discussion Question 2:

Identify advocacy strategies that you can use to create change in your current workplace.

NRS 440V Course Essay Assignment Discussions