Category: Health Care and Life Sciences : Nursing

Mrs. A is a 71 year old widow with CHF and osteoarthritis who has recently been exhibiting quite unusual behavior. Her daughter is concerned about her mother’s ability to remain independent and wishes to pursue nursing home admission arrangements. She fears the development of a dementing illness. Over the last two to three months Mrs. A has become confused, easily fatigued and very irritable. She has developed disturbing obsessive/compulsive behavior constantly complaining that her lace curtains were dirty and required frequent washing. Detailed questioning revealed that she thought they were yellow-green and possibly moldy. Her prescribed medications are:
Furosemide 40 mg daily in the morning
Digoxin 250 micrograms daily
Acetaminophen 500mg, 1 to 2 tablets every 4 hours PRN
Piroxicam 20 mg at night
Mylanta suspension, 20 ml PRN
Colace 100mg, 1 to 2 capsules at night
Assignment Questions and Instructions
Critically discuss this case study in terms of the problematic nature of this patient’s pharmacological management.
Outline some pharmacokinetic changes in the geriatric population that may affect drug disposition.
Outline how changes in renal and hepatic function may affect treatment strategies.
In the drug regimen presented above – discuss potential side effects and potential interactions, if any?
Your response should include a discussion of the problems of polypharmacy as it is related to this case study and the assessment/management and educational strategies which could have been implemented to improve the outcome of Mrs. A.

Employee Attributions
Instructions:
Read the Case Studies of Managing Employees’ Attributions.
>Take one of the questions and discuss your answer as it applies to your organization. Please see Borowski & Meese text. Chapter 8, pg. 155 – 156.
>>Please see case study attached<< >>For reference I work in oncology at the cancer institute<< Textbook: Pages 155-156 https://www.homeworkforyou.com/static_media/uploadedfiles/1664208771_661553__030..pdf  

Describe a time where you have witnessed effective conflict resolution.  1. After reading, what do you see as the relation between the materials in the text and in the video?
2. Referencing the video, what was the root of the conflict?
3. How does conflict resolution relate to other topics we’ve read such as group identity, motivation, and emotional intelligence? 
4. What strategies were employed to diffuse the situation?
Link to reading is here-
https://pressbooks.usnh.edu/leadingleadingteams/chapter/10/
Link to video is here-

scenario should be nursing related

Consider your own personal motivation and a current or previous work situation. It may be helpful to discuss your True Colors Assessment.  Provide background about your work and how you define how you are motivated for instance:
1. Are you intrinsically or extrinsically motivated?
2. How does your culture influence your motivation?
3. Is empowerment important to you?
4. Does belonging matter to you? Has it always? If yes, or no, how has that changed over the years?
5. Do you resonate with Theory X and Y or Herzberg’s Two-Factor Principles?
6.Have your motivations changed overtime? 
-work background is Elementary School Nurse currently and previous worked in hospital as staff nurse from 2018-2022

A 28-year-old female veteran presents for complaints of fatigue, increased sleeping, and weight gain. She states she has had depression off and on since she was discharged from the Army four years ago but denies any other health problems. She is not currently on any prescription medication and has never been hospitalized. She tells you that she is between jobs and currently doesn’t have a home, so she ‘couch-surfs’ with friends and relatives or sometimes sleeps in her car.
What are your differentials? What diagnostics should you perform? Discuss and name the specific veteran resources in your clinic’s community for referral. Include these specific resources in your treatment plan, as well as diagnostics, treatment, education, and follow-up. Use high-level scholarly journals and clinical practice guidelines. Avoid point-of-care references for this discussion. 

Assign DSM-5-TR diagnoses, ICD-10, and reimbursement codes to services based on the patient case scenario. 
Then, in 2-3 pages, address the following. You will add your narrative answers to these questions to the bottom of the case scenario document and submit them altogether as one document.
What reimbursement billing code would you use for this session? Provide your justification for using this billing code.
Explain what pertinent information is required in documentation to support your chosen DSM-5-TR diagnoses, ICD-10 coding, and billing code.  
Explain what pertinent documentation is missing from the case scenario and what other information would be helpful to narrow your coding and billing options. (There are at least 12 missing pertinent components of documentation).
Discuss legal and ethical dilemmas related to overbilling, upcoding, and fraudulent practices. Propose 2 strategies for promoting legal and ethical coding and billing practices within your future clinical roles.
Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.
For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?
In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.
To Prepare:
Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.
Required reading
American Nurses Association. (2015). Code of ethics for nurses with interpretive statementsLinks to an external site.. Silver Spring, MD: Author. Retrieved fromhttps://www.nursingworld.org/coe-view-onlyNote: Review all, with special attention to “Provision 6” (pp. 23–26).
Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practiceLinks to an external site.. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06. Retrieved fromhttp://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html  
Milliken, A. (2018). Ethical awareness: What it is and why it mattersLinks to an external site.. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01. Retrieved fromhttp://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html

When was the last time you read Meditation XVII of John Donne’s Devotions Upon Emergent Occasions?
Unless you are a student of seventeenth-century poetry, you may not be all that familiar with this piece. However, you may be much more familiar with one of its well-known phrases: “No man is an island…”.
As you begin your journey toward achieving your academic and professional goals, you have a great opportunity to network with academics and professionals who can help ensure you do not travel alone. This network can help to clarify your own vision for success and can help guide you now and in the future. To paraphrase Donne, no one is an island.
Begin creating an academic and professional network by identifying which academic and professional connections and resources with which you need to collaborate to succeed in your MSN program and as a practicing nurse
To Prepare:
Consider individuals, departments, teams, and/or resources within this University and within your profession that you believe can support your academic and professional success.
Identify at least two academic and at least two professional individuals, colleagues, or teams that might help you succeed in your MSN program and as a practicing nurse.
Download the Academic Success and Professional Development Plan Template.
The Assignment:
Academic and Professional Network
Complete Part 1 of your Academic Success and Professional Development Plan Template. Be sure to address the following:
Identify at least two academic and at least two professional individuals or teams to collaborate with to be successful in your MSN program and as a practicing nurse.
Explain why you selected these individuals and/or teams and how they will support your success in the MSN and PMC program and as a practicing nurse.
Submit Part 1 of your Academic Success and Professional Development Plan Template.

For this assessment, you will develop a Word document or an online resource repository of at least 12 annotated professional or scholarly resources that you consider critical for the audience of your safety improvement plan to understand or implement to ensure the success of the plan.
Using Google Sites, assemble an online resource tool kit containing at least 12 annotated resources that you consider critical to the success of your safety improvement initiative. These resources should enable nurses and others to implement and maintain the safety improvement you have developed.
It is recommended that you focus on the 3 or 4 most critical categories or themes with respect to your safety improvement initiative. For example, for an initiative that concerns improving workplace safety for practitioners, you might choose broad themes such as general organizational safety and quality best practices; environmental safety and quality risks; individual strategies to improve personal and team safety; and process best practices for reporting and improving environmental safety issues.
Following the recommended scheme, you would collect 3 resources on average for each of the 4 categories focusing on a specific patient safety issue. Each resource listing should include the following:
An APA-formatted citation of the resource with a working link.
A description of the information, skills, or tools provided by the resource.
A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative pertaining to a specific patient safety issue.
A description of how nurses can use this resource and when its use may be appropriate.
Remember that you must make your site “public” so that your faculty can access it. Check out the Google Sites resources for more information.
Here is an example entry:
Merret, A., Thomas, P., Stephens, A., Moghabghab, R., & Gruneir, M. (2011). A collaborative approach to fall prevention. Canadian Nurse, 107(8), 24–29.
This article presents the Geriatric Emergency Management-Falls Intervention Team (GEM-FIT) project. It shows how a collaborative nurse lead project can be implemented and used to improve collaboration and interdisciplinary teamwork, as well as improve the delivery of health care services. This resource is likely more useful to nurses as a resource for strategies and models for assembling and participating in an interdisciplinary team than for specific fall-prevention strategies. It is suggested that this resource be reviewed prior to creating an interdisciplinary team for a collaborative project in a health care setting.
Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
Identify necessary resources to support the implementation and continued sustainability of a safety improvement initiative pertaining to a specific patient safety issue.
Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements focusing on a specific patient safety issue.
Analyze the value of resources to reduce patient safety risk related to a specific patient safety issue.
Present reasons and relevant situations for use of resource tool kit by its target audience.
Communicate in a clear, logically structured, and professional manner that applies current APA style and formatting.

Describe a team building activity you have been part of. Do you feel as though it accomplished a sense of belonging?  If so, what make it effective? If not, why.
Belbin’s team roles: describe a team you have been part of, or observed, where have you seen roles emerge?  What roles did you see? Did you observe a correlation between workplace strengths or roles, gender, and/or ethnicity as part of the roles. How so?
How have you seen a team leader positively influence cooperation on a team? This may be a team you have lead or one you observed. Describe your observations.
Trust: discuss how you have seen trust impact the effectiveness of a team, specifically, how have you seen someone build trust within a group?
Social identity: describe an instance where you have observed social identity positively influence the effectiveness of a group.
Please try to have the answers of these questions relate to nursing