Module 07 Discussion: Strategies For Civility Discussion Topic Activity Time: 3 Hours Directions: Initial Post In

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Module 07 Discussion: Strategies For Civility Discussion Topic Activity Time: 3 Hours Directions: Initial Post In

 Module 07 Discussion: Strategies for Civility

Discussion Topic

Activity Time: 3 Hours
Directions:

Initial Post

In your initial post, address the following prompts and/or questions.

  • Define the following terms and include examples: civility and incivility.
  • Describe strategies to promote civility for the nurse-to-client, nurse to nurse, and nurse to members of the interprofessional team.
  • Describe strategies to prevent incivility for the nurse-to-client, nurse to nurse, and nurse to members of the interprofessional team.

Response Post

In your reply post, write a reflection on one student’s initial post and address the following prompts and questions:

  • Select a colleague’s post about incivility you found interesting. Describe why you selected this example. Share a strategy to prevent this kind of incivility.

     

    Mr. Jones Is An Otherwise Healthy, 80 Yo Aa Male Who Seeks Treatment At Your

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    Mr. Jones Is An Otherwise Healthy, 80 Yo Aa Male Who Seeks Treatment At Your

    Mr. Jones is an otherwise healthy, 80 yo AA male who seeks treatment at your clinic for a cough with an onset of 2 weeks ago. He states the nonproductive cough keeps him awake at night and he feels he is “coughing up a lung” whenever he coughs. His vital signs are Temp 98.7, Ap 80, Resp 26, BP 166/88. His wife states that he has been especially forgetful this past week. His Objective assessment reveals prolonged coughing episodes that do not proceed to bronchospasms, He has dyspnea with minimal exertion and increased tactile fremitus in the right upper lung field. Fine Rales (crackles) can be hear in this area, with the remaining lung field having vesicular lung sounds. Include references to articles.

    1. What other subjective information would you like to elicit from Mr. Jones? 

    2. What other objective assessments would you like to perform on Mr. Jones? 

    3. What is your diagnosis of Mr. Jones? What are your 2 or 3 Differentials? 

    4. Why did you arrive at this diagnosis? Why did you arrive at the differential diagnoses?

    5. What is your treatment plan for Mr. Jones? 

     

    Mr. Rojas Is A 49-Year-Old Patient With End Stage Renal Disease. He Has A History

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    Mr. Rojas Is A 49-Year-Old Patient With End Stage Renal Disease. He Has A History

     

    Mr. Rojas is a 49-year-old patient with End Stage Renal Disease. He has a history of hypertension and uncontrolled type 1 diabetes (since he was 12 years old). His last Hemoglobin A1c was 12.8%. He is currently receiving hemodialysis three times per week for three hours. He is in the hospital because he went into DKA a few days ago when he had a stomach virus. He is asking you about renal transplantation.

    • What are the criteria to be placed in the transplant list?
    • What options for transplantation does Mr. Rojas have?
    • What recommendations can you give Mr. Rojas on treatment compliance?
    • What other renal replacement therapies could Mr. Rojas be educated about?
    • What are their advantages and disadvantages?

       

      Musculoskeletal Function: G.J. Is A 71-Year-Old Overweight Woman Who Presents To The Family Practice Clinic

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      Musculoskeletal Function: G.J. Is A 71-Year-Old Overweight Woman Who Presents To The Family Practice Clinic

       

      Musculoskeletal Function:
      G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed.

      Case Study Questions

      1. Define osteoarthritis and explain the differences with osteoarthrosis. List and analyze the risk factors that are presented on the case that contribute to the diagnosis of osteoarthritis.
      2. Specify the main differences between osteoarthritis and rheumatoid arthritis, make sure to include clinical manifestations, major characteristics, joints usually affected and diagnostic methods.
      3. Describe the different treatment alternatives available, including non-pharmacological and pharmacological that you consider are appropriate for this patient and why.
      4. How would you handle the patient concern about osteoporosis? Describe your interventions and education you would provide to her regarding osteoporosis.

         

        Name Some Very Important Organs That Are Not Vital Organs. List The Functional Description

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        Name Some Very Important Organs That Are Not Vital Organs. List The Functional Description

         

        1. Name some very important organs that are not vital organs.
        2. List the functional description of all the normal vital organs, including today’s exceptions.
        3. Is it possible to live without a vital organ? Why? Example?
        4. Distinction between assisting or substituting vital organs. Bioethical analysis.
        5. Do the following practices assist or substitute the vital organ? Why?
          • Dialysis
          • Respirator
          • Ventilator
          • Tracheotomy
          • CPR
        6. Read and summarize ERD PART FIVE Introduction.
        7. Unconscious state: Definition.
        8. Clinical definitions of different states of unconsciousness: Compare and contrast
        9. Benefit vs Burden: bioethical analysis.

           

          Nearly Half The World’S Kids Are Exposed To Dangerous Levels Of Lead And We Aren’T

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          Nearly Half The World’S Kids Are Exposed To Dangerous Levels Of Lead And We Aren’T

          Nearly half the world’s kids are exposed to dangerous levels of lead And we aren’t doing much to prevent it. By Dylan Matthews [email protected] Jan 14, 2022

          Starting in 2014, the impoverished city of Flint, Michigan, experienced the highest-profile lead exposure crisis in recent American history.

          Lead levels in Flint’s children spiked after the city failed to properly treat a new water source. Eventually, the state of Michigan and the city of Flint were forced to agree to a $641 million settlement for residents affected by the lead poisoning, and several state officials, including former Gov. Rick Snyder, were criminally indicted for their role in exposing children to lead.

          While estimates differ, a prominent study found that the share of screened Flint children under the age of 5 with high lead levels reached 4.9 percent in 2015, up from 2.4 percent before the problems with lead contamination began. According to the CDC guidance at the time, a level of lead in blood that would be considered high was 5 micrograms per deciliter (µg/dL) (the agency has since lowered the threshold to 3.5 µg/dL). That said, no level of lead exposure is considered safe, and even exposure well below public health recommendations can be quite harmful. That nearly 5 percent of young children in Flint faced exposure to rates that high is a travesty.

          As scandalous as the Flint lead crisis is, it’s sobering to know that it may be just the tip of the iceberg globally.

          A recent systematic evidence review, widely cited and respected in the field, pooled lead screenings from 34 countries representing two-thirds of the world’s population. The study estimated that 48.5 percent of children in the countries surveyed have blood lead levels above 5 µg/dL.

          Let me repeat that: Flint became the symbol of catastrophic lead exposure in the United States. The breakdown of a long-neglected system was so terrible that it led to headlines for months and even became an issue in the 2016 presidential election. Yet children in low- and middle-income countries are, per this estimate, 10 times likelier to have high blood lead levels than children in Flint were at the height of the city’s crisis.

          This week's learning activity will consist of the following:

          As you learned about the local, national, and global lead problems, what was surprising to you? Why? Ensure you reference the appropriate number of scholarly sources.

          NO PLAGIO MORE THAN 10 % 

          DUE DATE FEBRUARY 12, 2024

          ADD REFERENCES NO OLDER THAN 5 YEARS

          APA STYLE AND CHECK FOR PROPER AND PROFESSIONAL GRAMMAR USE

             

            Is A Nurse’S Conflict Between Personal Integrity And Professional Responsibilities A Matter That Should Be

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            Is A Nurse’S Conflict Between Personal Integrity And Professional Responsibilities A Matter That Should Be

            Is a nurse's conflict between personal integrity and professional responsibilities a matter that should be decided by the government or the courts?  Use at least one peer-reviewed journal article not more than 5 years old to justify your response.  Examples might include birth control, nurse-patient ratios, etc. 

             

            Journal Entry (2 3 Pages):  Explain What Most Excited And/Or Concerned You

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            Journal Entry (2 3 Pages):  Explain What Most Excited And/Or Concerned You

             

            Journal Entry (2–3 pages): 

            • Explain what most excited and/or concerned you throughout your pediatric clinical experience.
            • Discuss how your personal definition of family and family roles has changed or stayed the same.
            • How has your understanding of family and family roles influenced your assessment of children and their families?
            • Explain how your understanding of culture (both the culture of the provider and that of the child and his or her family) has changed and how it may have influenced the assessments you conducted during your practicum.
            • Assess how you did with accomplishing the goals and objectives you developed in Week 1 for the practicum experience.
            • Based on your practicum experience, refine your existing goals and/or develop new goals for your continued education and professional practice. Be sure to consider the NAPNAP Position Statement on Age Parameters for Pediatric Nurse Practitioner Practice.
            • Use title page and references according to APA.

               

              Ke 4030 Assessment 1   Create A 2-4 Page Resource That Will Describe Databases That

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              Ke 4030 Assessment 1   Create A 2-4 Page Resource That Will Describe Databases That

              KE

              4030 assessment 1

               

              Create a 2-4 page resource that will describe databases that are relevant to EBP around one of the diagnoses found in the provided PDF supplement and could be used to help a new hire nurse better engage in EBP.

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              Introduction

              Evidence-based practice (EBP) integrates the best evidence available to guide optimal nursing care, with a goal to enhance safety and quality. EBP is crucial to nursing practice because it incorporates the best evidence from current literature, along with the expertise of the practicing nurse. The concern for quality care that flows from EBP generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise. To gain the knowledge, you require a good understanding of how to search for scholarly resources, as well as identify which databases and websites are credible for the purposes of implementing evidence-based changes in practice.

              Your Online e-Portfolio

              Creating an ePortfolio is not required in the BSN program, but you may find it helpful to create one to attach to your professional resume while job hunting. Online ePortfolios serve two key purposes: 1) to support learning and reflection, and 2) to be used as a showcase tool. Your learning journey can be documented, and ePortfolios contribute to lifelong learning and growth through reflection and sharing. Online ePortfolios can also be shared with employers and peers to present artifacts that demonstrate your accomplishments at Capella.

              Professional Context

              As a baccalaureate-prepared nurse, you will be responsible for providing patient-centered, competent care based on current evidence-based best practices. You will be required to do research, analysis, and dissemination of best evidence to stay abreast of these best practices. Understanding where to go to find credible sources and locate evidence, as well as which search terms to use, is the foundation of incorporation of best practices.

              Scenario

              You are supervising three nurses working on the medical-surgical floor of a local teaching hospital. This hospital is nationally recognized as a leader in education and has a computer lab with an online library where staff has access to medical research databases (that is, CINAHL, PubMed, Medline, and Cochrane library) and online sources of all hospital policies, procedures, and guidelines, and computers at nurse workstations that also have access to these resources. (For this scenario, use the Capella University Library to simulate the hospital's online library.) You have given the nurses their patient assignments and you have all participated in shift report. A new nurse who just completed orientation and training a week ago approaches you and tells you that one of the assigned patients has a diagnosis he or she is very unfamiliar with. Knowing that patient-centered care based on best practices is imperative to positive patient outcomes, you want to assist this nurse to find research that can be utilized to provide the best care for this patient. Describe how you would communicate with this nurse to encourage him or her to research the diagnosis. Assume you will assist in the quest to locate evidence, then describe where you would go within the facility and what resources you would look for. These resources may include websites, journals, facility policies or guidelines, or any other sources of online information.

              Create a list of at least five sources that could be used to find evidence, with the best source listed first, and explain why the sources you chose are best to find evidence for the diagnosis you chose and the clinical scenario. You are only evaluating the sources of evidence (database, website, policy database or website, journal article, et cetera). You are not actually completing a search and selecting evidence. Consider the following examples: a nursing journal in CINAHL may not be the best source of evidence for information on how to administer medications through a central-venous catheter, whereas a hospital policy database found on a website may not be the best source of information on caring for a patient with a rare chromosomal abnormality.

              Preparation

              To help ensure you are prepared to complete this assessment, review the following resources related to the Capella library. These resources will provide you an overview of the types of tools, resources, and guides available in the library. This may be useful in forming a better understanding of the library to apply to the hypothetical situation laid out in the scenario of this assessment.

              Remember, it is also appropriate to look toward databases and resources outside of the Capella library, such as organizational policies, professional organizations, and government health care resources.

              You are encouraged to complete the Evaluating the Credibility of Evidence activity. This activity offers an opportunity to practice evaluating the credibility of evidence. These skills will be necessary to complete Assessment 1 successfully and is for your own practice and self-assessment. Completing this activity is also a way to demonstrate course engagement.

              Instructions

              The purpose of this assessment is to understand where to find evidence that can be applied to clinical scenarios and to learn effective communication and collaboration with clinical staff during the process of evidence location. As a baccalaureate-prepared nurse, you will not only use research for self-improvement in your clinical role, but you will also serve as a mentor to supervised nursing staff. Therefore, you will need to be able to communicate and collaborate effectively to guide them toward resources to find research, as well as support them through the initial evidence location process. In doing so, nurses can gain access to evidence that can be analyzed and utilized to stay current on best practices. This allows them to provide safe, patient-centered care and improve patient outcomes.

              For this assessment:

              • Describe your role as a baccalaureate-prepared nurse supervising clinical staff nurses with regard to communication and collaboration in locating evidence for application to a nursing practice scenario.
              • Compile a list of five online databases or other online sources (that is, websites, journals, facility policies or guidelines, et cetera) that can be used to research evidence to apply to the diagnosis in this scenario and describe to which of these you would direct a nurse colleague to search for evidence.
              • Describe where you might go in the work place to complete this research and how you would access the desired, relevant research within research databases or other online sources.

              Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.

              • Describe communication strategies to encourage nurses to research the diagnosis/practice issue, as well as strategies to collaborate with the nurses to access resources.
              • Describe the best places to complete research and what types of resources you would want to access to find pertinent information for the diagnosis/health care issue within the context of a specific health care setting.
              • Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis/practice issue.
              • Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis/health care issue.
              • Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.

              Note: While you are not selecting and evaluating specific evidence to help with the clinical diagnosis/practice issue, you should still be citing the literature and best practices to support your description of your communication and collaboration approach. Additionally, it is appropriate to cite best practices related to EBP and evaluating databases to support your explanation as to why you selected the five sources of online information that you did.

              Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

              Additional Requirements

              Your assessment should meet the following requirements:

              • Length of submission: 2-4 pages (not including the title page or the reference page) description of communication, collaboration, and evidence location process, including a list of databases or other sources with description of why they are appropriate for clinical scenario diagnosis/health care issue (that is, something that would be useable in professional practice for other nurses). Be sure to include an APA-formatted reference page at the end of your submission.
              • Number of references: Cite a minimum of three sources of scholarly or professional evidence that supports your findings and considerations. Resources should be no more than five years old.
              • APA formatting: References and citations are formatted according to current APA style.

              Competencies Measured

              By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

              • Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.
                • Explain why the sources selected should provide the best evidence for the chosen diagnosis/health care issue.
              • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision within the context of a specific health care setting.
                • Describe the best places to complete research within the workplace environment and what types of resources one would want to access to find pertinent information for the diagnosis/health care issue.
              • Competency 4: Plan care based on the best available evidence.
                • Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a diagnosis/health care issue and three out of five should be specific to the diagnosis/health care issue.
              • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
                • Describe communication strategies to encourage nurses to research a diagnosis/health care issue, as well as strategies to collaborate with the nurses to access resources.
                • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
                • Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

               

              Ke Powepoint  4030 Assessment 4   Create A 5-10 Minute Video Of Yourself, As

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              Ke Powepoint  4030 Assessment 4   Create A 5-10 Minute Video Of Yourself, As

              KE powepoint 

              4030 assessment 4

               

              Create a 5-10 minute video of yourself, as a presenter, in which you will propose an evidence-based plan to improve the outcomes the patient in the provided case study, and examine how remote collaboration provided benefits or challenges to designing and delivering the care.

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              Introduction

              As technologies and the health care industry continue to evolve, remote care, diagnosis, and collaboration are becoming increasingly more regular methods by which nurses are expected to work. Learning the ways in which evidence-based models and care can help remote work produce better outcomes will become critical for success. Additionally, understanding how to leverage EBP principles in collaboration will be important in the success of institutions delivering quality, safe, and cost-effective care. It could also lead to better job satisfaction for those engaging in remote collaboration.

              Professional Context

              Remote care and diagnosis is a continuing and increasingly important method for nurses to help deliver care to patients to promote safety and enhance health outcomes. Understanding best EBPs and building competence in delivering nursing care to remote patients is a key competency for all nurses. Additionally, in some scenarios, while you may be delivering care in person you may be collaborating with a physician or other team members who are remote. Understanding the benefits and challenges of interdisciplinary collaboration is vital to developing effective communication strategies when coordinating care. So, being proficient at communicating and working with remote health care team members is also critical to delivering quality, evidence-base care.

              Preparation

              Before beginning this assessment, it would be helpful to review the following media activity to examine another example of remote collaboration:

              You may also wish to review Selecting a model for evidence-based practice changes. [PDF] and Evidence-Based Practice Models, which help explain the various evidence-based nursing models.

              Scenario

              Review the case study in the Assessment 04 Supplement: Remote Collaboration and Evidence-Based Care [PDF]  Download Assessment 04 Supplement: Remote Collaboration and Evidence-Based Care [PDF]resource. You will use this case study as the focus for this assessment.

              Instructions

              For this assessment, you are a presenter! You will create a 5–10-minute video using Kaltura or similar software. In the video:

              • Propose an evidence-based care plan that you believe will improve the safety and outcomes of the patient in the case study presented in the Assessment 04 Supplement: Remote Collaboration and Evidence-Based Care [PDF] Download Assessment 04 Supplement: Remote Collaboration and Evidence-Based Care [PDF]resource. Add your thoughts on what more could be done for the patient and what more information may have been needed.
              • Discuss the ways in which an EBP model and relevant evidence helped you to develop and make decisions about the plan you proposed
              • Wrap up your video by identifying the benefits of the remote collaboration in the scenario, as well as discuss strategies you found in the literature or best practices that could help mitigate or overcome one or more of the collaboration challenges you observed in the scenario.

              Be sure you mention any articles, authors, and other relevant sources of evidence that helped inform your video. Discuss why these sources of evidence are credible and relevant. Important: You are required to submit an APA-formatted reference list of the sources you cited specifically in your video or used to inform your presentation. You are required to submit a narrative of all your video content to this assessment and to SafeAssign.

              The following media is an example learner submission in which the speaker successfully addresses all competencies in the assessment.

              • Exemplar Kaltura Reflection.
                • Please note that the scenario that the speaker discusses in the exemplar is different from the Vila Health scenario you should be addressing in your video. So, the type of communication expected is being model, but the details related to the scenario in your submission will be different.

              Make sure that your video addresses the following grading criteria:

              • Propose your own evidence-based care plan to improve the safety and outcomes for a patient in the provided case study.
              • Explain the ways in which you used an EBP model to help develop your plan of care for the client.
              • Reflect on which evidence you found in your search that was most relevant and useful when making decisions regarding your care plan.
              • Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
              • Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style.

              Refer to Using Kaltura as needed to record and upload your video.

              Note : If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact [email protected] to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.

              Additional Requirements

              Your assessment should meet the following requirements:

              • Length of video: 5-10 minutes.
              • References: Cite at least three professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.
              • APA reference page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video. Be sure to format the reference page according to current APA style. Submit a narrative of all of your video content.

              Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.

              Competencies Measured

              By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

              • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
                • Reflect on which evidence you collected that was most relevant and useful when making decisions regarding the care plan.
              • Competency 3: Apply an evidence-based practice model to address a practice issue.
                • Explain the ways in which you used the specific evidence-based practice model to help develop the care plan identifying what interventions would be necessary. This requires a particular evidence-based model, such as the Johns Hopkins, Iowa, Stetler, or other.
              • Competency 4: Plan care based on the best available evidence.
                • Propose your evidence-based care plan to improve the safety and outcomes for the Vila Health patient with a discussion of new content for the care plan.
              • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
                • Identify benefits and propose strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
                • Communicate via video with clear sound and light, and include a narrative of video content.
                • Provide a full reference list that is relevant and evidence-based (published within five years), exhibiting nearly flawless adherence to APA format.