Explain how ethical considerations may impact your treatment plan and communication with patients.

Examine Case Study: Pakistani Woman With Delusional Thought Processes. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)

Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)

Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #3 (1 page)

Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Conclusion (1 page)

Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Describe the organizational structure and the lines of authority within the healthcare system where you work.

Describe the organizational structure and the lines of authority within the healthcare system where you work. Identify the relationship between the type of power observed and the authority line.
Part 2: With Your Group

Share an example of a power differential gap or unclear authority lines you have observed or have been involved in. What accountability issues arose from the gap? How was group communication and/or collaboration affected by this gap? What strategies would you propose leaders could use to navigate power-differential gaps and blurred lines of authority?

Research if there are centralized or decentralized management of state responsibilities?

Description

· Discover which agencies, in your state (Florida), are responsible for public health of citizens.

· Research if there are centralized or decentralized management of state responsibilities?

· Determine minimum 3 key indicators of health. (for each indicators needs a explantion)

American Association of Colleges of Nursing (AACN):

American Nurses Association (ANA):  Nurses Credentialing Center (ANCC):

American Public Health Association (APHA):

Institute of Medicine (IOM):

National Institute of Nursing Research (NINR):

U.S. Department of Health and Human Services (USDHHS):

Please only 3 sites mentioned above

Explain how value-based care differs from a fee-for-service or a capitated approach.

Scenario: You work for the contracting department for a national payer that is working to convert its provider contracts to value-based arrangements. Your team is approaching large physician groups for recontracting. Develop a 12-15-slide presentation with speaker notes to show the value of converting to a value-based arrangement:

Explain value-based care.
Explain how value-based care differs from a fee-for-service or a capitated approach.
Describe why adopting a value-based purchasing arrangement would be financially advantageous for the physician groups and to the health plan.
Include at least three references, including my text book Economics and Financial Management for Nurses and Nurse Leaders

Describe the teaching experience and discuss your observations.

In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

Summary of teaching plan:

Epidemiological rationale for topic
Evaluation of teaching experience
Community response to teaching
Areas of strengths and areas of improvement

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.

Discuss the Schools and Universities/Community colleges?

● Boundaries What defines the boundaries? Roads, water, railroads. Is the area known for a particular name? What area is this community located in?

● Housing and Zoning What is the age of the houses? Describe type of construction material, appearance, and general condition. Do you see single family housing? Multi-family housing?

● Common Meeting Places Where do people in the neighborhood hang out? Who hangs out there and what hours of the day?

● Indicators of Growth or Decline Is this a “thriving” community or does it look “run down?” Is there new or ongoing construction? Businesses and Industries coming to the area? Are buildings, roadways, and public areas clean and well-kept? Do you see dirt, trash, or graffiti?

● Employment Opportunities What places for employment are there is this area? Name the businesses and industries in this area.

● Transportation How to people get from one place to another? Is public transportation available? How timely is it? Personal autos? Bikes? Walking?

People Make sure you address fully what you observed and NOTE if something was not found within your community area.
● Race and Ethnicity What is the majority racial group represented? What is the majority ethnic group represented? Describe the distribution of gender, approximate ages, single families, multiple families, generational families?

● Cultural Characteristics What cultural similarities or differences do you observe? Languages spoken? Clothing? Ethnic eating places? Culturally based celebrations? Signs in languages other than English?

●Lifestyle Healthy Behaviors What healthy lifestyle behaviors do you observe? Do you see people exercising, wearing helmets when biking, seat belt usage, using trash cans for garbage disposal, healthy eating practices?

● Lifestyle Risk Behaviors What unhealthy lifestyle behaviors do you observe? Do you see people practicing risky lifestyle behaviors such as drinking alcoholic beverages, smoking, fighting? Do you see signs of violence, gang activity, drug use, criminal activity, and bars on doors and/or windows? Do you see overweight/underweight persons? Do you see children unattended playing out in the streets? Describe gender, age, and race/ethnicity of persons observed.

● Poverty Indications Do you see any signs of homelessness? People living without adequate shelter or in temporary shelter? Describe gender, age, and race/ethnicity of persons observed.

Services in the Community Make sure you address fully what you observed and NOTE if something was not found within your community area, how far away it is and how people will access it.
● Social Services Do you see evidence of recreation centers, parks, and social services? For services that are not available, how far must persons travel to access these services? Describe each.

● Health Services Do you see evidence of health (Hospitals, Dr’s Offices, Clinics) and mental health services? Describe each. Are there any signs of alternative services in the area, such as healers (curanderos), herbalists, herbal stores, palm readers, acupunctures, chiropractors? For services that are not available, how far must persons travel to access these services?

● Fire and Police Services Do you see any fire and police services/equipment/officers? Where are the closest fire and/or police stations?

● Educational Resources Where is the nearest public library? Discuss the Schools and Universities/Community colleges?

● Religions What signs of religion do you see? Discuss the types of churches, mosques, temples. What services are offered by these places of worship? e.g., Day Care, Mother’s Day Out, Summer Camps, Languages Classes, Citizenship Classes, Food Banks, Clothing, other.

Business & Industry Describe stores and shops available in the community, e.g., grocery stores, gas stations, department stores. What type of business climate exists? Manufactures? Light or heavy industry? Large employers? Small business owners? Retail? Hospitality industry? Do people have to seek employment elsewhere? Is this considered a “bedroom community”- where people work outside this community but live here? Make sure you address fully what you observed and NOTE if something was not found within your community area.

Politics What indicators do you see about politics? Posters? Headquarters? Make sure you address fully what you observed and NOTE if something was not found within your community area.

Media Do you see indicators of what people read? Listen to the radio? Watch TV? Are there any signs of media language other than English? Make sure you address fully what you observed and NOTE if something was not found within your community area.

Key Informants Interview a fireman or police office.
Also interview a librarian, schoolteacher, school nurse or administrator.
Ask each person interviewed to share their perceptions of
the following and cite personal communication as appropriate:
Interview with fireman or police officer
˃ Community’s Health issues
˃ Community’s Safety issues
˃ Strengths of the Community

Interview with librarian, schoolteacher, school nurse or administrator
˃ Community’s Health issues
˃ Community’s Safety issues
˃ Strengths of the Community
Enter the information about your interviews with Key Informants in this space in your template. You will not receive credit if the Key Informant interviews are inserted elsewhere on this template.

Analysis of Windshield Survey Analyze and summarize your observations and the input from key informants. Write a 3-paragraph summary of community health (2) and safety (1) issues for this community and strengthens of the community. Remember to cite personal communication as appropriate:

Conduct a literature search on your approved nursing practice problem.

Review feedback from your instructor on your “Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem,” submitted in Topic 1. If your original proposed nursing problem was outside the scope of nursing practice or not conducive to an evidence-based practice project proposal, work with your instructor to identify a new topic prior to beginning this assignment. If your proposed topic requires revision, complete this prior to beginning this assignment.

Conduct a literature search on your approved nursing practice problem. Find two translational research articles, one quantitative article, and one qualitative article. Using the “Translational Research Graphic Organizer,” present your proposed topic and, in the tables provided, compare one translational study to the quantitative study, and one translational study to the qualitative study.

Evaluate a clinical preventative intervention designed to promote health and wellness for populations.

6DQ1 Evaluate a clinical preventative intervention designed to promote health and wellness for populations. Summarize the intervention and explain whether it has been successful. You will use the clinical preventative intervention you select for

DQ2. 6DQ2 Discuss how to integrate appropriate information and communication technologies for the clinical preventative intervention in DQ 1 to improve nursing practice and care delivery for individuals and populations.