· Explain the stepwise approach to asthma treatment and management.

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Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening symptoms. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors. One method that supports the clinical decision-making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To prepare:

· Consider drugs used to treat asthmatic patients including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients including adults and children.

· Review Chapter 25 of the Arcangelo and Peterson text. Reflect on using the stepwise approach to asthma treatment and management.

· Consider how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

By Day 7

Write a 2- to 3- page paper that addresses the following:

· Describe long-term control and quick relief treatment options for asthma patients, as well as the impact these drugs might have on patients.

· Explain the stepwise approach to asthma treatment and management.

· Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

Reflect on a specific change that has recently occurred in your organization or one in which you have worked previously.

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As a nurse leader, you need to have the skills and knowledge to collaborate and communicate with those who plan for and manage change. This capacity is valuable in any health care setting and for many different types of change. Furthermore, it is essential to be able to evaluate a change effort and determine if it is promoting improved outcomes and making a positive difference within the department or unit, or for the organization as a whole.

To prepare:

Review Chapters 7 and 8 in the course text. Focus on the strategies for planning and implementing change in an organization, as well as the roles of nurses, managers, and other health care professionals throughout this process.
Reflect on a specific change that has recently occurred in your organization or one in which you have worked previously. What was the catalyst or purpose of the change?
How did the change affect your job and responsibilities?
Consider the results of the change and whether or not the intended outcomes have been achieved.
Was the change managed skillfully? Why or why not? How might the process have been improved?

Post a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities. Explain the rationale for the change, and whether or not the intended outcomes have been met. Assess the management of the change, and propose suggestions for how the process could have been improved.

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Review Chapter 7, “Strategic and Operational Planning”
Chapter 8, “Planned Change”

This chapter explores methods for facilitating change and the theoretical underpinnings of implementing effective change
McAlearney, A., Terris, D., Hardacre, J., Spurgeon, P. Brown, C., Baumgart, A., Nyström, M. (2014). Organizational coherence in health care organizations: Conceptual guidance to facilitate quality improvement and organizational change. Quality Management in Health Care, 23(4), 254–267 doi: 10.1097/QMH.0b013e31828bc37d

An international group of investigators explored the issues of organizational culture and Quality Improvement (QI) in different health care contexts and settings. The aim of the research was to examine if a core set of organizational cultural attributes are associated with successful QI systems.

Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management – UK, 20(1), 32–37. doi: 10.7748/nm2013.04.20.1.32.e1013

Retrieved from the Walden Library databases.

Shirey, M. R. (2013). Lewin’s Theory of Planned Change as a strategic resource. The Journal of Nursing Administration, 43(2), 69–72. doi:10.1097/NNA.0b013e31827f20a9

Retrieved from the Walden Libr

Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.

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Assignment: Application: Planned Change
in a Department or Unit
Health care organizations are continuously immersed in change from the emergence of new policies, to promote quality care and improve patient safety to keeping pace with the rapid growth in knowledge and best practices. Establishing a solid framework for planning and implementing change is a wise move, as it provides a foundation for the extensive coordination that will be needed to successfully facilitate the change.

For this Assignment, you propose a change at the department or unit level and develop a plan for guiding the change effort.

To prepare:

Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies.
Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue.
Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.
Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected.
Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort.
To complete:

Write a 4 page paper (page count does not include title and reference page) that addresses the following:

Identify a problem, inefficiency, or issue within a specific department/unit.
Describe a specific, realistic change that could be made to address the issue.
Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.
Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection.
Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy.
Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.

Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.

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situation might be when a patient has not been given complete informed consent.

Include the following in your paper:

Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.
Apply the Bioethical Decision Making Model to the specific clinical ethical situation that you choose. Address each section of the model in your paper.
Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate.
Your paper should be 4 pages

• What plan will you make for yourself in response to this change in score?

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Report Issue
Hi ,

Can you complete this assignment: due date 06/23/2017 (Tomorrow)

Final Journal Assignment: due date 06/23/2017

Repeat the stress measures again.

Are your stress measures higher or lower than in Week 1? To what do you attribute any change in score? What plan will you make for yourself in response to these scores?

Submit additional Mindfulness Worksheets with your Final Journal Entry.

This Journal is due by the end of the course, according to date provided in Activities and Assignments Guide.

Student Stress Scale(1).pdf

Perceived Stress Scale(1).docx

Complete the Perceived Stress Scale again and submit into Journal area provided and answer the following:

• Is your score higher or lower than it was in Week 1?

• To what do you attribute this change in score?

• What plan will you make for yourself in response to this change in score?

Write an entry (word document) APA format and share your results (2-3 pages). Interpret your results using the instructions provided.

THE STRESS MEASURES

Student Stress Scale test

My results: 14. (See attachment) Increased

Perceived Stress Scale test:

My results: 66 (see attachment) increased

· Lower grade than expected (29):I suspended the last exam due to not enough study, poor time management and working extra times and weekends …….

· Increase workload at the school (37): I’m in the last weeks of this semester with 2 classes and with a lot of assignments, test, and clinical practices

Attached is the firs

What observations did you make during the physical assessment?

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In addition to Journal Entries, SOAP Note submissions are a way to reflect on your Practicum experiences and connect these experiences to your classroom experience. SOAP Notes, such as the ones required in this course, are often used in clinical settings to document patient care. Please refer to this week’s Learning Resources for guidance on writing SOAP Notes.

Select a patient who you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note:

Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies.
Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?

Discuss the difference between external and internal evidence as it relates to your PICOT search strategy.

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Topic 1: Defining Internal and External Evidence

Topic 1: Defining Internal and External Evidence

Discuss the difference between external and internal evidence as it relates to your PICOT search strategy.
Address the strengths and weaknesses of searching in a databank versus a web-based search engine. You must use two databanks mentioned in the text.
Please see the Discussion Board grading rubric on the Course Resources.

Will need 3 references not older than 5 years (2012-2017)

a minimun of 200 words.

attachment
unit_3_gradu
Address the strengths and weaknesses of searching in a databank versus a web-based search engine. You must use two databanks mentioned in the text.
Please see the Discussion Board grading rubric on the Course Resources.

Will need 3 references not older than 5 years (2012-2017)

a minimun of 200 words.

attachment
unit_3_gradu

Briefly summarize the literature you reviewed. Focus your discussion on the “problem” and how the literature you identified provides evidence of the existence of the problem

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Begin by reading the American Association of Colleges of Nursing’s (AACN) position statement on nursing research (http://www.aacn.nche.edu/publications/position/nursing-research).
Identify a potential problem specific to the role of Family Nurse Practitioner that you would like to investigate through this course.
Search a minimum of three nursing research articles not older than 5 years that have addressed the problem you have identified.
Briefly describe the problem you are interested in researching and why this is of interest to you.
Briefly summarize the literature you reviewed. Focus your discussion on the “problem” and how the literature you identified provides evidence of the existence of the problem.
Include in your

Explain how you would assess your patient’s needs. Your focus here is on primary prevention.

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Write a 2 pages discussion answering the following topics:

Discuss three risk factors associated with the development of cardiovascular diseases.
For each risk factor, briefly discuss what you might include in an educational plan for your patient who has yet to develop heart disease.
Explain how you would assess your patient’s needs. Your focus here is on primary prevention.