Category: Nursing

I just need the outline. Please follow the outline layout, which is provided in the attachment. Each outline should be a page and a half
READ: Obligation Nine – Support the Teaching of Civics
READ: Obligation Ten – Put Country First

***Complete 2 of the 3 tools you selected using information from the QI case***
1. Focus Group (understand the current process)
2. Fishbone diagram/cause & effect (identify root causes)
3. Pareto Analysis (data display)
***Add an interpretation of the findings of the root causes and/or a summary of the data display or analysis depending on which QI tools you select***
Background:
QI Process
The Lean Six Sigma model would be the best QI process to address the increased fall rates in the rehabilitation unit. Quality is a secondary effect since the Lean model primarily focuses on eliminating wasteful processes (Livesay et al., 2020). However, the Six Sigma model in combination with the Lean model identifies and targets various issues contributing to falls and addresses shortcomings within current practice by reducing variations in care techniques to improve quality (Duquette, 2023). The five steps that make up the framework of the Lean Six Sigma model are: define, measure, analyze, improve, and control (DMAIC) (Takao et al., 2017). In the case of the fall rates QI project, the ANP must first define the problem and identify the needs of the staff and patients (Takao et al., 2017). The primary objective is reducing fall rates by streamlining care delivery amongst RNs and CNAs in the rehabilitation unit. Measurement within the Lean Six Sigma model involves collecting baseline data on the priority issues within the rehabilitation unit (Takao et al., 2017). Measurements should be delineated based on the relationship between the unit RNs and CNAs to analyze the data more easily. 
After collecting baseline data, the ANP will analyze the data to identify the direct causes of the problems leading to increased fall rates and prioritize the importance of the problems (Takao et al., 2017). The ANP must assess data that applies to both the RNs and CNAs working in the rehabilitation unit, such as understanding and awareness of functional ability, variability in care, and environmental barriers to adequate care (Loftus et al., 2015). After analyzing the baseline data, the ANP will present, implement, and measure the efficacy of solutions to the problems causing increased falls (Takao et al., 2017). Per Loftus et al. (2015), these improvements, which are intermittently trialed to evaluate the efficacy, should address the initially defined problem and data points analyzed during the analysis step. Based on the efficacy of the trialed improvements, the ANP will implement unit-wide processes and guidelines to ensure long-term fall prevention compliance (Takao et al., 2017).
References
Duquette, C. (2023). Quality improvement models and frameworks for excellence. In M. Joshi, E. Ransom, S. Ransom & D. Nash (Eds.), The healthcare quality book: Vision, strategy, and tools (5th ed.) (pp. 33-43). Health Administration Press
Livesay, S., Zonsius, M., & McNett, M. (2020). Evaluating data to guide care delivery: Quality improvement methods and implementation science. In M. McNett (Ed), Data for nurses (pp. 59-84, focus on pp. 70-77), Elsevier. https://doi.org/10.1016/B978-0-12-816543- 0.00005-4
Loftus, K., Tilley, T., Hoffman, J., Bradburn, E., & Harvey, E. (2015). Use of six sigma strategies to pull the line on central line-associated bloodstream infections in a neurotrauma intensive care unit. Journal of Trauma Nursing, 22(2), 78-86. https://doi.org/10.1097/JTN.0000000000000111
Takao, M. R. V., Woldt, J., & Bento da Silva, I. (2017). Six Sigma methodology advantages for small- and medium-sized enterprises: A case study in the plumbing industry in the United States. Advances in Mechanical Engineering, 9(10), 1–10. https://doi.org/10.1177/1687814017733248

Choose the correct answer for each of the following questions and explain in detail your answers for each.
Use APA format and references 7 years or less. Do not use A.I. it will detect it
2. The skull develops from __________around the developing brain and consists of neurocranium and viscerocranium
(A) endoderm
(B) ectoderm
(C) mesenchyme
(D) intermediate mesenchyme
(E) lateral plate mesenchyme
The answer is C (Mesenchyme)
3. Which of the following cranial anomalies would result in a skull that is taller than normal?
(A) brachycephaly
(B) scaphocephaly
(C) plagiocephaly
(D) microcephaly
The answer is A (Brachycephaly)

Module 3 Discussion

Case Studies 3.1 & 3.2
After reviewing Case Studies 3.1 and 3.2 in the Carroll text, complete and discuss the following:
Examine the approaches presented.
Reflect on the process and provide your insight regarding what you read for each case study.
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due dat

Module 3 Assignment
Due Sunday by 11:59pm Points 20 Submitting an external tool
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icon AI Powered Medical Devices
Review Table 3.1 in the Carroll text and perform an in-depth exploration of one of the AI powered medical devices.
Explore what type of data is gathered in the use of this device.
Assess how predictive data analysis is incorporated in the use of this device.
Submission Instructions:
The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
The paper should be formatted per current APA and 3-4 pages in length, excluding the title, abstract and references page. Incorporate a minimum of 5 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
Complete and submit the assignment by 11:59 PM ET on Sunday.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Overview of an Episodic Exam
Question
How do acute cases differ from chronic cases in primary care?
Assignment Requirements
As this assignment is a Journal entry and not a formal paper, it may at times be difficult to follow the organization, style, and formatting of the APA 7th Edition Manual. Despite this, your Journal assignment should:
clearly establish and maintain the viewpoint and purpose of the assignment;
follow the conventions of Standard English(correct grammar, punctuation, etc.);
be well ordered,logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 7th editionformat for crediting sources.

To complete this Assignment, you will choose a case study for a patient population for special consideration during prescribing practices. You will consider the specific patient and determine the appropriate medication to prescribe, based on the patient specifics and medication attributes in various case studies. You will construct a 4- to 5-page paper in which you determine the medication, the dosing, necessary patient education, and potential side effects. You will also indicate why the other medications would not be appropriate, as well as any necessary labs or diagnostics that might be needed. You will develop a plan to enhance medication adherence for the nonadherent patient.
Construct a paper concerning the vulnerable population patient case that mosts interests you. In your paper include the following:
Determine which medication would be most appropriate to prescribe from the assigned vulnerable population patient case medication choices.
Explain your rationale for choosing this medication. Explain why the other medications listed are not appropriate for this patient.
Explain the dosing schedule for the specific patient including the therapeutic endpoint.
Provide necessary education to the patient to review risks, benefits, and potential side effects of the medication.
Describe any necessary labs or additional diagnostics needed prior to prescribing this medication.
Explain how you might monitor efficacy or side effects of the medication.
Include any additional collaboration or education to others that would be necessary for this patient. Consider family members, home health care, primary care providers, etc.
What would you need to include in your assessment for a patient who may become nonadherent with your prescribing plan for your scenario? What are alternative treatment solutions based upon how you assessed? Describe your new treatment plan.
Special Considerations for Patient Population Cases:
Patient 1: 82-year-old male presenting with cognitive decline. He had always been a very active individual. Over the past year, he has become less active in the community. Previously, he played cribbage weekly with friends at the local senior center but has been struggling with the math involved with the game and no longer attends the weekly card game. He had also volunteered as a crossing guard for the local public school. He quit doing that after he took the wrong turn to get home and drove around the town feeling lost. He acknowledges he is “sensitive” to this and can be irritable towards his children when they bring up these concerns. He was diagnosed with mild neurocognitive disorder after completing neuropsychological testing. Of the following medications, which would be the most appropriate to prescribe? Explain why you chose this medication. What would be the dosing schedule for this patient? Provide education to the patient and review risks, benefits, and potential side effects of the medication. In addition, explain why the other medications listed are not appropriate for this patient. Med List: lorazepam, olanzapine, memantine
Patient 2: 76-year-old female who recently moved from her home to an assisted living. After 1 week of moving in, she has become extremely confused. Staff have attempted to re-orient her, and she struggles to focus on what they are saying. She is only oriented to self. She has become very agitated and has even thrown breakable objects in her room. Her family is concerned stating she is “out of it.” The PCP ordered labs and UA. Labs are unremarkable outside of mild leukocytosis and positive dipstick analysis for nitrite and red blood cells. Med List: valproate, alprazolam, trimethoprim
Patient 3: A 33-year-old female that is 6 weeks postpartum. She presents with depressed mood, sadness, easily emotional, difficulties with sleep even when the infant is sleeping. She has lost weight and has a poor appetite. You note psychomotor retardation. She has limited interests in hobbies or bonding with the infant. Her partner is concerned and reports she is typically active and “bubbly” and enjoys the outdoors. She is diagnosed with major depressive disorder, with postpartum onset. She denies suicidal ideation, homicidal ideation, or infanticidal ideation. No psychotic symptoms are present. She is nursing the infant and wants to continue this hoping it will assist with bonding with the infant. Med List: lithium, paroxetine, sertraline
Patient 4: 10-year-old male who comes in with his father. He has been diagnosed with generalized anxiety disorder. He has constant worries that he cannot control. He feels nervous and tense. He is easily irritable. He struggles to settle down or relax. He is also quite fidgety and restless. He and his father are interested in medications to manage these symptoms. Med List: quetiapine, duloxetine, fluoxetine
Patient 5: 27-year-old male with a diagnosis of schizophrenia. He has been hospitalized three (3) times in the past 1 year due to symptoms. When symptomatic, he becomes disorganized and paranoid. He will respond to auditory hallucinations. He will scream out at night after seeing a shadow in his room. He has delusions that the CIA is poisoning food and will not eat for multiple days. He has unintentionally hurt his mother after “slapping” food out of her hand, as he did not want her to ingest the “poisoned food.” Symptoms are treated very well with paliperidone, but he struggles to remember to take it. Med List: paliperidone palmitate, clozapine, lamotrigine.
To Prepare:
Review the Learning Resources.
Carefully review your assigned vulnerable population patient.
Carefully review the medication list to determine the best medication to prescribe.
Consider the implications, impact, advantages, and disadvantages of the listed medications.
The Assignment (4–5 pages)
Construct a paper concerning your assigned vulnerable population patient case. In your paper include the following:Determine which medication would be most appropriate to prescribe from the assigned vulnerable population patient case medication choices.
Explain your rationale for choosing this medication. Explain why the other medications listed are not appropriate for this patient.
Explain the dosing schedule for the specific patient including the therapeutic endpoint.
Provide necessary education to the patient to review risks, benefits, and potential side effects of the medication.
Describe any necessary labs or additional diagnostics needed prior to prescribing this medication.
Explain how you might monitor efficacy or side effects of the medication.
Include any additional collaboration or education to others that would be necessary for this patient. Consider family members, home health care, primary care providers, etc.
What would you need to include in your assessment for a patient who may become nonadherent with your prescribing plan for your scenario? What are alternative treatment solutions based upon how you assessed? Describe your new treatment plan.
This Assignment requires a minimum of five (5) peer-reviewed, evidence-based scholarly references outside of course resources. Note: You will need to include the APA style formatting. Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

Read the following article from the Chamberlain library and address the questions below.
Sacks, & Peca, E. (2020). Confronting the culture of care: A call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhereLinks to an external site.. BMC Pregnancy and Childbirth, 20(1), 249–249. https://doi.org/10.1186/

Combine steps 1-3 of your EBP mini-proposal and make a Power Point for presentation.
Click on the link for assignment details and to complete the Week 5 Assignment.

Why are nurse managed healthcare programs and organizations important for the economics of addressing the healthcare needs of vulnerable populations?