The purpose of this assignment is to interview a pharmacist to learn more about interprofessional collaboration between prescribers and pharmacists. If possible, volunteer to shadow the pharmacist. Discuss the following in your interview:

1. The process of filling a prescription.
2. Common reasons pharmacists call providers to clarify orders.
3. What is on a proper prescription.
4. Common omissions on prescriptions they receive.
5. Medication errors pharmacists encounter.
6. The prior authorization (par) process and common par medications.

Write a 500-1,000 word paper summarizing your experience and what you learned from the pharmacist you interviewed. Reflect on how this information will help your prescription writing. Discuss intercollaboration between pharmacists and prescribers.

You are required to cite three to five sources related to intercollaboration to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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

Select a medication used for pain management and review available evidence and treatment guidelines to determine appropriate therapeutic options. Share the mechanism of action of this medication and hints for monitoring, side effects, and drug interactions, including CAM. In addition, share an example where you have observed an adverse event from a pain medication and explain the management taken regarding this adverse event. If you do not have an example, select an adverse event from the pain medication and explain what interventions you could make to mitigate this adverse event. Include references using APA format.

Health:  A Community View

Historical Factors:  Community Health Nursing in Context Community Assessment and Population Health Problems 

Read chapters 1, 2 & 6 of the class textbook and review the attached PowerPoint presentations once done, answer the following questions.

1.  Compare and contrast the definitions of health from a public health nursing perspective and list and explain the, three levels of prevention and give an example of each one.

2.  Mention and discuss community/public health nursing interventions as explained by the intervention Wheel.

3.  Describe and explain the process of conducting a community health assessment and identify and discuss the uses for epidemiological data at each step of the nursing process.

4.  Compare the application of the public health principles to the nation’s major health problems at the turn of the twentieth century (i.e. acute disease) with the beginning of the twenty-first century (i.e. chronic disease) and mention and discuss the major contemporary issues facing community/public health nursing, and trace the historical roots to the present.

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled Week 1 discussion questions and the SafeAssign exercise in the assignment tab of the blackboard which is a mandatory requirement.  A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years must be used. 700 words except first page and reference. 

 

Week 1: Touchpoint Reflection: Healthcare Systems Financial Environments

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Guidelines for Touchpoint Reflections

Touchpoint Reflections: This is a new type posting that occurs in the same type portal as the discussion thread. However, these are treated as mini-weekly assignments. You will be able to see and read the posts of peers but are not required to respond to them. However, if someone responds to your TPR, replying their post is always the collegial thing to do. Your grade is not affected either way.

There are specific formatting and content guidelines. Remember to use the headings as defined to address each section, Experience, Reflection, Implications, in your responses. A downloadable version of the guidelines, which includes further information, is available for access below.  You are encouraged to download these guidelines and rubric to avoid the need for referring back to this page for the link.

EXPERIENCE

Understanding how your organization is reimbursed for services depends on several components. Assess your organization and identify its care delivery system and payer mix make up. Include percentages represented by each payer group. Identify the key people in your organization from whom you obtained your information. Perhaps it is your unit director, operational directors, financial officers, CNOs. Your direct supervisor might be able to point you in the right direction, Since the information required is often available to the public through public reports you might also access the information through online searches of internal systems or external internet searches.

Your Name’s Healthcare Organization

Healthcare Delivery System (Type)

Payer Mix

Percentage

Medicare

Medicaid

Managed Care

HMO

PPO

IPA

Self-pay

Uninsured

REFLECTION

Based on this data, discuss the assumptions that could be made about the population demographics for your institution. What influence do these variables have on the types of services offered at your facility?

IMPLICATIONS FOR THE FUTURE

• What might your analysis tell you about the long-term health of your community?
• What future needs might be identified?

Instructions

Nursing Theory Analysis Paper

Overview/Description: 

The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below.

Theory/Author Name and Background 

1. Select a Grand or Mid-Range Theory that is appropriate to your practice setting.
2. Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.
3. Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
4. Identify the phenomenon of concern or problems addressed by the theory.

Theory Description

1. Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.
2. Describe the major concepts of the theory. How are they defined? (theoretically and/or operationally) Is the author consistent in the use of the concepts and other terms in the theory?
3. Interpret how the concepts are defined. Implicitly or explicitly?
4. Examine the relationships (propositions) among the major concepts.

Evaluation

1. Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
2. Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
3. Discuss the clarity of the theory. Did it have lucidness and consistency?

Application

1. Examine how the theory would guide nursing actions.
2. Describe specifically how you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).

1. What do you hope to learn in this class?

 2.Discuss how issues currently affecting the nursing workforce will affect you as an individual. How will the nursing workforce shortage affect the profession of nursing and health care delivery? 

Reference

 e-Textbook Cherry, B. & Jacob, S. (2018). Contemporary Nursing: Issues, Trends & Management (8 th ed.). Elsevier. (e-Book) 

 

Lab Details

Watch the following videos, then complete the required assignment. Review the document in Course Resources for instructions on accessing the videos.

Lab 1

OSCE Clinical Skills

14:53  

Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently on your plan?  

Lab 2

OSCE Clinical Skills

26:53

Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently in your plan?

 

Watch the following videos, then complete the required assignment. Review the document in Course Resources for instructions on accessing the videos.

Lab 1

OSCE Clinical Skills

15:08  

Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently on your plan? 

Lab 2

OSCE Clinical Skills  

16:29

Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently on your plan?

Assignment Details

The purpose of this assignment is to practice the skills you have learned and demonstrate your ability to assess the thorax, lungs, and cardiovascular system. For this assignment you will need to videotape yourself examining the thorax, lungs and cardiovascular system on a volunteer of your choosing. This should take you between 30-45 minutes. When you are done you will document your findings. You will need to submit both your video and your documentation. Below are the required pieces in your assessment. 

Thorax:

• Assess the patients for any signs of respiratory difficulty
• Inspect the shape and movement of the chest
• Asses for chest expansion
• Palpate for tactile fremitus posteriorly
• Percuss the posterior chest
• Percuss for diaphragmatic excursion
• Auscultate posterior breath sounds
• Auscultate for egophony, bronchophony and pectoriloquy
• Examine the anterior chest
• Observe for any abnormalities (size, shape, bruising)
• Auscultate for tactile fremitus anteriorly
• Percuss the anterior chest
• Auscultate anterior breath sounds

CV:

• Assess JVP
• Assess carotid pulses
• Assess the brachial artery
• Inspect and locate the PMI
• Palpate for thrills/bruits
• Auscultate heart sounds 

Next you will need to document your findings. 

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources. 

Assignment Requirements

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above)
• consult the Grading Rubric to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

• 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

Overview: As a community of practice, your task for this week is to  collaborate with professionals across the health care system. With your  community of practice, in the Discussion, find a gap in care or social  determinant that often results in poor health care outcomes. You will  begin to take the lead in advocating for and collaborating with others  to improve the health care outcomes for populations at risk.

Practicum Discussion: During this week, you will identify a  population at risk in your community. This population will be the basis  for your Practicum Discussions and your individual presentations over  the next 6 weeks, as well as the focus of your final PowerPoint  presentation in Week 6. To review, a population is a group of  individuals who share a common environmental or personal characteristic,  such as obese individuals who are at risk for diabetes or  cardiovascular disease (populations at risk) or those individuals who  are otherwise healthy and could stay healthy if they do not develop  risky behaviors (populations of interest). An example of this is  teenagers who dont yet smoke but might consider it due to peer pressure  (Stanhope & Lancaster, 2016). Some of the topics you might consider  are vaccination compliance, obesity rates among children and adults,  teenage pregnancy, or infectious diseases such as Norwalk virus, genital  warts, or sexually transmitted diseases/infections. You might look also  at emerging public health problems such as Chagas or the Zika virus.  Some of the places you might consider looking for information to  substantiate and support your ideas about populations at risk in your  communities are your local health department, the CDC, and the many  evidence-based websites that the CDC supports, such as the CDC Wonder  (http://wonder.cdc.gov/). You may also review the work of other  community groups that focus on improving health care outcomes for your  community. You should begin to support your selection of population and  ideas about their health care problems through the use of health data  and scholarly literature.

Please address the following points in your Practicum Discussion:

• Briefly describe your community and then describe your practice setting.
• What are the determinants of health in your community?  (https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health)
• What are the most prevalent health problems in your community or in your practice?
• Choose a population at risk and describe the health problem specific to that population. Remember t