Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition.

Discussion: Assessing Musculoskeletal Pain

The body is constantly sending signals about its health. One of the most easily recognized signals is pain. Musculoskeletal conditions comprise one of the leading causes of severe long-term pain in patients. The musculoskeletal system is an elaborate system of interconnected levers that provides the body with support and mobility. Because of the interconnectedness of the musculoskeletal system, identifying the causes of pain can be challenging. Accurately interpreting the cause of musculoskeletal pain requires an assessment process informed by patient history and physical exams.

In this Discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

To prepare:

· By Day 1 of this week, you will be assigned to one of the following specific case studies for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

· Your Discussion post should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.

Case : Ankle Pain

A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a “pop.” She is able to bear weight, but it is uncomfortable. In determining the cause of the ankle pain, based on your knowledge of anatomy,

· what foot structures are likely involved?

· What other symptoms need to be explored? What are your differential diagnoses for ankle pain?

· What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottawa ankle rules to determine if you need additional testing?

With regard to the case study you were assigned:

· Review this week’s Learning Resources, and consider the insights they provide about the case study.

· Consider what history would be necessary to collect from the patient in the case study you were assigned.

· Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

· Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources.

Provide evidence from the literature to support diagnostic tests that would be appropriate for each case.

List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.

Discuss how the specific artifacts in your portfolio represent your professional strengths.

1. Create a professional mission statement (suggested length of 1 paragraph) that includes the following:

● a representation of your career goals, your aspirations, and how you want to move forward with your career

● an overview of where you would like to focus your time and energies within the profession

a. Reflect on how your professional mission statement will help guide you throughout your nursing career.

2. Complete a professional summary (suggested length of 3–4 pages) that includes the following:

a. Explain how the specific artifacts or completed work or both in your portfolio represent you as a learner and a healthcare professional.

b. Discuss how the specific artifacts in your portfolio represent your professional strengths.

c. Discuss challenges you encountered during the progression of your program.

i. Explain how you overcame these challenges.

d. Explain how your coursework helped you meet each of the nine nursing program outcomes.

Note: Refer to the attachment “Nursing Conceptual Model.”

Scenario Information You are assuming the role of the project manager for a company called SuperPacks to provide a new backpack product with a built-in refrigeration pouch and radio module. Your customer for this project is the U.S. Army, Ground Forces and Special Operations. As the project manager for your team, you will be submitting to your manager a project management report. Instructions You are now in the final phase of being a Project Manager for SuperPacks and need to create a closeout plan on how to terminate or closeout the project. Management has asked you to consider the following checklist below for your closeout plan in a presentation to your team. Your presentation can be created using PowerPoint, Prezi, or any presentation tool. You have been asked to address the following questions in your presentation as you will be giving it to the management team: 7 slides minimum apa references. Be sure to include notes this will be presented as a live presentation Create a closeout checklist for your project. What are the key components that you should include? Discuss how you would successfully close out this project, such as verifying project scope, contracts, administration, etc. In your closeout plan, identify the type of termination/closeout process you will use, and explain why that process is appropriate. Consider the control process you plan to use for managing this project to ensure quality is met.

Scenario Information

You are assuming the role of the project manager for a company called SuperPacks to provide a new backpack product with a built-in refrigeration pouch and radio module. Your customer for this project is the U.S. Army, Ground Forces and Special Operations. As the project manager for your team, you will be submitting to your manager a project management report.

Instructions

You are now in the final phase of being a Project Manager for SuperPacks and need to create a closeout plan on how to terminate or closeout the project. Management has asked you to consider the following checklist below for your closeout plan in a presentation to your team. Your presentation can be created using PowerPoint, Prezi, or any presentation tool. You have been asked to address the following questions in your presentation as you will be giving it to the management team: 7 slides minimum apa references. Be sure to include notes this will be presented as a live presentation

Create a closeout checklist for your project. What are the key components that you should include?

Discuss how you would successfully close out this project, such as verifying project scope, contracts, administration, etc.

In your closeout plan, identify the type of termination/closeout process you will use, and explain why that process is appropriate.

Consider the control process you plan to use for managing this project to ensure quality is met.

Clearly introduce your executive summary in the introduction paragraph.

This paper will be graded on quality of paper information, use of citations, use of Standard English grammar, sentence structure, and organization based on the required components.

Create this assignment using Microsoft (MS) Word, which is the required format for all Chamberlain documents. You can tell that the document is saved as a MS Word document because it will end in “.docx”.

Submit to the appropriate assignment area by 11:59 p.m. MT on Sunday of the week due. Any questions about this paper may be discussed in the weekly Q & A Discussion topic.

The length of the paper is to be no greater than three (3) pages, excluding title page and reference page.

APA format using the sixth edition manual is required in this assignment, including a title page and reference page. Use APA level 1 headings for the organizational structure of this assignment. Remember that the introduction does not carry a heading that labels it as a level heading in APA format. The first part of your paper is assumed to be the introduction. See the APA manual sixth edition for details. Use the suggested format and headings to organize your assignment:

Include introduction (do not label as a heading in APA format)

Issue and Magnet Model Component Identified

Key Components of Executive Summary

Supporting Evidence

Conclusion

Preparing the paper

Note: Please use the resources in your Roussel textbook, Chapter 15, to assist with how to write an executive summary format to articulate the results of your Magnet report from ANCC.

Clearly introduce your executive summary in the introduction paragraph. Include a sentence that states the purpose of your assignment.

Clearly identify and articulate the issue and component from the Magnet model to be communicated to the board of directors at SLMC by you, the nurse executive. Discuss how your choice may affect your healthcare environment and transform healthcare.

Key components of an executive summary format, related to the results of the Magnet report, should be included and clearly articulated. (Examples are in your textbook or you may search for them on the web). Include in your executive summary how this assignment relates to the Person-centred Framework by McCormack and McCance (2017).

Include of a minimum of three sources of scholarly, empirical evidence to support the issue to be communicated.

Provide concluding statements that should summarize your overall assignment content.

The paper will be no longer than three pages maximum, excluding title and reference page(s).

Note: There are several formats of an executive summary in your text or on the internet. As the nurse executive, you may choose which style you prefer.

Title and reference page(s) must be in APA format using the sixth edition manual.

Use 12 Times New Roman font and one-inch margins on all sides of the paper.

Note: After submitting your assignment to the Week 7 assignment area, please also upload your completed assignment to the Week 8 designated threaded discussion to share with your peers.

Population most affected (ex: Older Adults, Middle Adults, Young Adults, Teenagers, Child, Infants)

Family nurse practitioner

You need to answer the questions brief and right to the point

Disease: Prostatitis

1. Population most affected (ex: Older Adults, Middle Adults, Young Adults, Teenagers, Child, Infants)

2. Age related milestone for your chosen population

3. Socio-Demographic/Risk factors for getting the disease/condition

4. Impact on Quality Of Life

5. Current/new/recent research/Evidence Base Practice that will benefit/support this patient with the specific disease (If there are none please state so)

6. Recommendation for treatment or Gold standards for treatment if any (can be tied into the current research as above) (If there are no gold standards then please state so, but there should be some recommendations)

7. Please tell what/how you (speak in the first person) as the FNP caring for this patient with this specific disease can make a difference in his/her care and incorporate patient care/self-help teaching that can help him/her minimize disease symptoms.

8. Red flags for this condition (what specific Sign/Symptoms require urgent/ER care) or when should you refer patient to specialist.

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Community Assessment and Analysis Presentation

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”

Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

PowerPoint Presentation

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.

Summary of community assessment: (a) funding sources and (b) partnerships.

Summary of interview with community health/public health provider.

Identification of an issue that is lacking or an opportunity for health promotion.

A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA format ting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

ecommendation for treatment or Gold standards for treatment if any (can be tied into the current research as above) (If there are no gold standards then please state so, but there should be some recommendations)

amily nurse practitioner

You need to answer the questions brief and right to the point

Disease: Prostatitis

1. Population most affected (ex: Older Adults, Middle Adults, Young Adults, Teenagers, Child, Infants)

2. Age related milestone for your chosen population

3. Socio-Demographic/Risk factors for getting the disease/condition

4. Impact on Quality Of Life

5. Current/new/recent research/Evidence Base Practice that will benefit/support this patient with the specific disease (If there are none please state so)

6. Recommendation for treatment or Gold standards for treatment if any (can be tied into the current research as above) (If there are no gold standards then please state so, but there should be some recommendations)

7. Please tell what/how you (speak in the first person) as the FNP caring for this patient with this specific disease can make a difference in his/her care and incorporate patient care/self-help teaching that can help him/her minimize disease symptoms.

8. Red flags for this condition (what specific Sign/Symptoms require urgent/ER care) or when should you refer patient to specialist.

On the Suncrest website, hospice is described as treatment provided by “…qualified and compassionate physicians, nurses, aides, social workers, and spiritual advisors” (Suncrest, 2018).

APA format 2 pages 3references 1 from Walden University Library

Due 3/15/19 at 6pm EST

escription of setting

Our midwest group has chosen Suncrest Hospice and Home care located in Ames and Des Moines, Iowa. It is a a home based agency which provides care for patients who are terminally ill. The employees consist of nurses, home health aides, social workers, counselors and others. In addition to medical needs, the team focuses on the emotional, physical, social and spiritual needs of the patients, as well as supporting family members (Hospice.io, n.d.).

Accreditation

There are three agencies that provide accreditation for home care and hospice; The Joint Commission (TJC), Community Health Accreditation Program (CHAP), and Accreditation Commission for Healthcare (ACHC) (Devoti, 2018). Suncrest Hospice and Home Care received accrediation approval from Community Health Accredition Partner (CHAP), which is valid through August 26th, 2021 (CHAP, 2018). CHAP was “created in 1965, and …was the first accrediting body for home and community-based healthcare organizations in the United States” (CHAP, 2018). By being CHAP accredited, Suncrest meets the regulatory requirment to be Medicare certified, which means that hospice services are covered by Medicare/Medicaid (Office of the Federal Register, 2018).

Three CHAP standards selected for review

After review of the CHAP hospice standards (2018), I selected the following three to review:

Written mission statement affirms the concept of hospice and palliative care addressing the physical, social, psychological and spiritual dimensions of care as an integrated whole.

An interdisciplinary care team/group (IDT/IDG) collaborates with patient’s attending physician, patient/representative and primary caregiver to develop a patient directed individualized plan of care.

The hospice program has adequate and appropriate staff and services.

According to Suncrests´ Mission, they are committed to “…provide the highest quality of care and customer service to (their) patients, their families and (their) referring sources” (2018). The mission statement does not clearly detail the goal of hospice and palliative care in addressing the multiple aspects of care of a terminally ill patient, therefore not clearly meeting the first standard selected.

On the Suncrest website, hospice is described as treatment provided by “…qualified and compassionate physicians, nurses, aides, social workers, and spiritual advisors” (Suncrest, 2018). This statement does comply with the second standard selected, in that a team is providing and implementing a plan of care for each patient.

Looking at the career webpage of Suncrest Hospice, there are two opening for employment at the Des Moines location. This meets the third standard selected of adequate staff.

References

Community Health Accreditation Partner [CHAP]. (2018). CHAP accredited organization locator. Retrieved from

https://locator.chaplinq.org/

Community Health Accreditation Partner [CHAP]. (2018). About our history. Retrieved from https://chapinc.org/contact-about-us/

Devoti, A.L., (2018) Accreditation services for home care and hospice. Retrived from

https://www.homecaremag.com/may-2018/accreditation-home-health-hospice

Hospice.io, (n.d.) Suncrest Hospice, Llc west des moines. Retrieved March 12th, 2019 from

https://hospice.io/care/suncrest-hospice-llc-west-des-moines-ia/

Office of the Federal Register. (2018). Continued approval of the community health accreditation partner’s hospice accreditation program. Retrieved from https://www.federalregister.gov/documents/2018/11/16/2018-25066/medicare-and-medicaid-programs-continued-approval-of-the-community-health-accreditation-partners

Suncrest. (2018). Our mission. Retrieved from

Suncrest. (2018). What is hospice? Retrieved from

Discuss the role of the public health nurse in relation to this disease.

Assignment:

Write a scholarly paper in which you apply the concepts of epidemiology and nursing research to a communicable disease. Choose one communicable disease.

Epidemiology Paper Requirements

Include the following in your assignment:

A thorough description of the disease including causes, mode of transmission, symptoms, treatment and complications. Discuss the demographic most affected-incidence, prevalence, morbidity and mortality.

What are the determinants of health affecting this disease? https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health.

Identify the epidemiologic triad including host, agent and environmental factors as related to this disease.

Discuss the role of the public health nurse in relation to this disease. How is the public health nurse involved in finding, reporting, collection and analysis of data and follow up?

A minimum of three references is required. The written essay should be at least 1250 words in length.

APA format is required.