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Benchmark – Capstone Project Topic Selection and Approval In collaboration with the approved clinical preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The selected problem should encourage the student to engage in interprofessional collaborative practice. Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed. This project is only a proposal and will not be implemented in a practice setting. Write a 750-1000-word description of your proposed capstone project topic. Include the following: Describe the problem or issue that will be the focus of the change proposal. Explain with which category (leadership or community) the selected topic would best align. Discuss the setting or context in which the problem or issue can be observed and describe the population affected by this problem or issue. Discuss the implications this clinical practice problem or issue has on nursing practice. Based on your needs assessment in Topic 1, describe why this is a priority for the community/clinical site or affected clinical population. Briefly describe the organizational structure (mission, vision, values, leadership structure, etc.) of the practicum site. What internal and external processes will impact care coordination for the selected population or community? How effective has the organization been in addressing the identified problem or issue?

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the past 5 years, appropriate for the assignme...

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Case Study: End-of-Life Decisions George is a successful attorney in his mid-fifties. He is also a legal scholar, holding a teaching post at the local university law school in Oregon. George is also actively involved in his teenage son’s basketball league, coaching regularly for their team. Recently, George has experienced muscle weakness and unresponsive muscle coordination. He was forced to seek medical attention after he fell and injured his hip. After an examination at the local hospital following his fall, the attending physician suspected that George may be showing early symptoms for amyotrophic lateral sclerosis (ALS), a degenerative disease affecting the nerve cells in the brain and spinal cord. The week following the initial examination, further testing revealed a positive diagnosis of ALS. ALS is progressive and gradually causes motor neuron deterioration and muscle atrophy to the point of complete muscle control loss. There is currently no cure for ALS, and the median life expectancy is between 3 and 4 years, though it is not uncommon for some to live 10 or more years. The progressive muscle atrophy and deterioration of motor neurons lead to the loss of the ability to speak, move, eat, and breathe. However, sight, touch, hearing, taste, and smell are not affected. Patients will rely on a wheelchair and eventually need permanent ventilator support to assist with breathing. George and his family are devastated by the diagnosis. George knows that treatment options only attempt to slow down the degeneration, but the symptoms will eventually come. In contemplating his future life with ALS, George begins to dread the prospect of losing his mobility and even speech. He imagines his life in complete dependence upon others for basic everyday functions and perceives the possibility of eventually degenerating to the point at which he is a prisoner in his own body. Would he be willing to undergo such torture, such loss of his own dignity and power? George thus begins inquiring about the possibility of voluntary euthanasia. Death and Dying: Case Analysis After reading the “Case Study: End-of-Life Decisions” document (or one provided by your instructor) and topic Resources, respond to the following, using only citations from the case and other topic Resources:

Case Study: End-of-Life Decisions

George is a successful attorney in his mid-fifties. He is also a legal scholar, holding a teaching post at the local university law school in Oregon. George...

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APPENDIX A: GCU RN-to-BSN Domains & Competencies University’s Mission Critical Competencies How does this Individual Success Plan support the GCU Mission?

MC1: Effective Communication: Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and ho...

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NRS-493 Individual Success Plan REQUIRED PRACTICE HOURS: 100 Direct Clinical Experience (50 hours community/50 hours leadership) – 25 Indirect Clinical Experience Hours.

 

P  R A C T I
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A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved? How would you test for each of them? What other symptoms need to be explored? What are your differential diagnoses for acute low back pain? Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform? Case 2: Ankle Pain A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a “pop.” She is able to bear weight, but it is uncomfortable. In determining the cause of the ankle pain, based on your knowledge of anatomy, what foot structures are likely involved? What other symptoms need to be explored? What are your differential diagnoses for ankle pain? What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottawa ankle rules to determine if you need additional testing? Case 3: Knee Pain A 15-year-old male reports dull pain in both knees. Sometimes one or both knees click, and the patient describes a catching sensation under the patella. In determining the causes of the knee pain, what additional history do you need? What categories can you use to differentiate knee pain? What are your specific differential diagnoses for knee pain? What physical examination will you perform? What anatomic structures are you assessing as part of the physical examination? What special maneuvers will you perform? With regard to the case study you were assigned: Review this week’s Learning Resources, and consider the insights they provide about the case study. Consider what history would be necessary to collect from the patient in the case study you were assigned. Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.

Case 1: Back Pain A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, base...

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Researching Theory and Scientific Knowledge – Write a 1500-1750 word essay addressing each of the following points/questions. Support your ideas with at least three (3) scholarly citations in your essay. Use strict APA guidelines to format the paper. The cover page and reference page do not count towards the minimum word amount and an abstract and table of contents are not necessary and if included are not part of the overall word count. Using the three methods you identified in the discussion for this week, develop a specific, detailed step-by-step process you will use to find knowledge available in the body of knowledge for the industry. Describe where and how you will find the information. Explain how you will determine if the research you find is appropriate or inappropriate to use in developing a practice implementation model. Assignment Expectations Length: 1500 – 1750 words Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims. Format: Save your assignment as a Microsoft Word document (.doc or .docx). File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”) Verified Answer

Finding Knowledge The three methods that nurses can use to find knowledge include authority, scientific approach, and empiricism. The scientific method is the main appro...

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Module 7 Assignment: Signature Assignment, Implementation, and Review – Write a 2500-2700 word essay addressing each of the following points/questions. Support your ideas with at least five (5) scholarly citations in your essay. Use strict APA guidelines to format the paper. The cover page and reference page do not count towards the minimum word amount and an abstract and table of contents are not necessary and if included are not part of the overall word count. Choose a project that you would like to implement in a healthcare delivery environment. Introduce and describe your project with an introduction/thesis Research and discuss the topic. Develop a plan to implement the knowledge found in the research including stages to fully implement the plan. Discuss how you would evaluate the project including background, analysis; and listing any appropriate technologies, tools, and best practices where appropriate.

Module 7 Assignment: Signature Assignment, Implementation, and Review – Write a 2500-2700 word essay addressing each of the following points/questions. Support your ideas with at...

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Policy Regulation Fact Sheet As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise. With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders. In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

 
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Post a description of the focus of your scenario In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge. Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge. In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation. To Prepare: Reflect on the concepts of informatics and knowledge work as presented in the Resources. Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

By Day 3 of Week 1

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Assignment Description: For this week assignment, write a 1500-word essay addressing each of the following points/questions. Read the case study presented at the end of Chapter 10, which begins “The elderly patient resided at the nursing home for almost a year before she died at the hospital.” Did the lack of documentation in the admitting nurse’s assessment and notes affect the ultimate outcome of this case? Was there negligence on the part of the nursing staff in the care of this patient? What could the nurse have done differently to facilitate a different outcome in this case? How would you decide this case? Using the sample professional liability insurance policy (Chapter 11 p. 191-192 Figure 11-1) locate the various provisions: Limits of liability Declarations Deductibles Exclusions Reservation of rights Covered injuries Defense costs Coverage conditions and supplementary payments Did you have difficulty finding some of the sections? Would this be a policy that you would consider purchasing for your own liability coverage? Why or why not? Read the case study presented at the end of Chapter 11, You Be the Judge, which begins, “During an unexpected heat wave,…” (Guido, p. 195): What provisions of an insurance policy would you consult to determine if an insurance company should pay such a claim, and what would the limits of the liability be? Is the nursing home insurance company correct in saying that this is a professional judgment issue? Which insurance company (the nursing home’s or that of the administrator of the nursing home, assuming she has coverage) should pay the court-ordered judgment? How would you decide the case? Please combine all of these responses into a single Microsoft Word document for submission. Submit only completed assignments (not partial or “draft” assignments). Be thorough in your responses to adequately address all aspects of each question. Submit only the assignments corresponding to the module in this section.

Assignment Description: For this week assignment, write a 1500-word essay addressing each of the following points/questions. Read the case study presented at the end of Chapter ...

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