Peter R Kongstvedt states, “The case manager is consistently challenged with managing fiscal constraints with patient expectations in light of orders and expectations articulated by the care team. This requires a highly skilled individual, certainly not a job for the faint of heart.” The case manager can also play a role in identifying disease prevention strategies.

In 2 pages, develop a “job description” or job outline for a case manager. Consider disease prevention as part of the responsibilities of the role. Also consider education and skills. Feel free to set up your information in a table. Give your work a professional look, and be sure to include each of the following headings or sections:

• Facility name
• Department
• Position title
• Classification
• Position grade or level
• Shift and/or days of the week
• Reporting relationships
• Summary statement
• Responsibilities
• Required competencies or position requirements
• Physical requirements or working conditions
• Date written
• Date revised

For information on case managers, see your reading. You may also want to conduct research in the following websites:

• Case Management Society of America (CMSA)
• American Case Management Association (ACMA)

Do not simply reproduce a position description that already exists! This is plagiarism. Be creative. You will be evaluated on the information contained in the position description, as well as how professional your document looks.

 

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Using the Practicum Experience for Professional Growth

Your practicum experiences in NURS 8410, NURS 8400, and NURS 8500 have provided opportunities to gain knowledge, perspective, and skills that bolster your specialty area practice. They have laid a foundation for reflecting on your own strengths and challenges as a scholar-practitioner and a nurse leader in a dynamic workplace. Indeed, significant self-analysis is a core aspect of this course, and you will be asked to integrate this type of reflection into your work on several assignments in the upcoming weeks.

This Discussion serves as a springboard for the Practicum assignment you are to develop this week. As you plan your practicum experience for this course, consider how you can effectively communicate with key stakeholders in your practicum setting regarding the implementation, evaluation, and dissemination of an evidence-based project.

To prepare:

• View      and consider the “To prepare” section of the Week 1 Assignment area.
• Reflect      on your practicum experiences in NURS 8410, NURS 8400, and NURS 8500.
• Assess      the professional growth (including development of leadership and      communication skills) you have achieved through previous practicum      experiences in the DNP program. Also, think about the topics presented in      courses you completed earlier in the program. Are there content areas or      skills that you would like to—or may need to—address to facilitate your continued      development as a scholar-practitioner and a nurse leader?
• Think      about competencies that support the successful implementation, evaluation,      and dissemination of an evidence-based project, and assess your strengths      and areas for growth with regard to these competencies.
• Begin      to develop your plan for the practicum, including two or three learning      objectives.

By tomorrow Tuesday May 28, 2019 write a minimum of 550 words essay in APA format with at least three scholarly references. Include the level one header as numbered below:

Post a cohesive response that addresses the following:

1) Describe how you intend to use your practicum experience to further your goals for successful evidence-based project implementation, evaluation, and dissemination and for your development as a scholar-practitioner and a nurse leader.

Required Readings

Oermann, M. H., & Hays, J. C. (2016). Writing for publication in nursing (3rd ed.). New York, NY: Springer Publishing Company.

· Chapter 1, “Getting Started”

This chapter introduces the steps an author can follow in planning, writing, and publishing manuscripts in nursing. The chapter predominantly focuses on early writing decisions.

· Chapter 2, “Selecting a Journal” 

Chapter 2 focuses on how to evaluate and select journals. The chapter also provides guidelines for writing a query letter to gauge the interest of journal editors.

· Chapter 4, “Reviewing the Literature” 

In this chapter, the authors make suggestions for conducting and writing a literature review for a manuscript. 

Keep in mind that, as noted in Chapter 4, the Literature Review section of an article for publication must be tailored for that format; it is not the same as for an academic paper.

Required Media

Laureate Education, Inc. (Executive Producer). (2012b). The DNP Project. Baltimore, MD: Author. 

Note: The approximate length of this media piece is 6 minutes.

Dr. Kristen Mauk shares her experiences and insights on developing and completing her DNP Project.

 

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Running head: DISCUSSION 1

DISCUSSION 1

Discussion: Factors that Influence Diseases

Student’s Name

Institution

Date

Atherosclerosis is a disease where the inside of the arteries is clogged by substances known ad plaque. Plaque is a combination of a number of other different substances including fat deposits, calcium, cholesterol and other substances that could be found in the blood. When plaque is allowed to build up because of failure to detect or because of failure to adhere to medications and other therapies, it becomes hard and this leads to the narrowing of the arteries where there is build-up of plaque. The result is that oxygen-rich blood is prevented from effectively flowing to different organs and this may lead to adverse health events. Normally, stroke, heart attack and eventually death are the results of atherosclerosis (Bentzon, Otsuka, Virmani & Falk, 2014). Atherosclerosis is associated with significant morbidity and mortality in the United States today. Worldwide, this disease is considered to be the leading cause of vascular disease, mostly manifested as ischemic heart disease, ischemic stroke and peripheral arterial disease (Herrington, Lacey, Sherliker, Armitage & Lewington, 2016). The cost of treating atherosclerosis and the disease burden on the healthcare system is also significant.

It is important to understand that there are a number of risk factors associated with atherosclerosis including, age, ethnicity, race, gender, diabetes, inflammation, genetics, lifestyle behavior such as unhealthy eating, smoking and finally, lack of physical activities among others (Rafieian, Setorki, Doudi, Baradaran & Nasri, 2014). For the purpose of this paper, the factor that shall focused on is age. Evidence has shown that with age, plaque builds up in the arteries increasing the risk of developing the disease. To be specific, the risk in men increases after the age of 45 while the risk in women increases after the age of 55 (Rafieian, Setorki, Doudi, Baradaran & Nasri, 2014). The importance of age in development of atherosclerosis cannot be overstated. This is a disease that develops with time and this is why age is a significant factor. After decades of eating unhealthy foods, drinking, smoking and lack of exercise, the chances of plaque building up in arteries increases. In addition, with age, other diseases that act as risk factors for atherosclerosis may also develop such as hypertension and diabetes. This is why age is a major risk factor for atherosclerosis.

Notably, atherosclerosis has been classified as an aging disease. In the light of this, it is safe to actually consider age as an independent factor for atherosclerosis. In cases of premature aging, atherosclerosis has been established as well. This is because plaques have illustrated instances of cellular senescence that is characterized by reduction in cell proliferation, growth arrest that is irreversible increased DNA change, apoptosis, telomere shortening and dysfunctions and epigenetic modifications (Wang & Bennett, 2012). Studies have shown that atherosclerosis starts from teenage years but the effects are felt in later years. This is why most elderly persons are the ones with the symptoms. Ideally, atherosclerosis is caused by lipid retention as well as modification and oxidation which triggers chronic inflammation at areas that are susceptible such as the walls of major arteries (Insull, 2009)

When an individual has atherosclerosis, the most common symptoms are associate with the fact that there are difficulties in different organs receiving sufficient oxygen and the heart may end up struggling more than it should to pump blood to the affected areas. As such, the common symptoms include chest pain or angina, shortness of breath, fatigue, weakness in leg muscles because of reduced blood circulation, pain in the areas where the arteries are blocked. The mechanism of the plaque could lead to manifestation of other complications when a patient has atherosclerosis. For instance, plaque may rupture leading to stenosis or thrombosis. When surfaces of some plaque are eroded, they may also rupture and this may also trigger thrombosis.

References

Bentzon, J. F., Otsuka, F., Virmani, R., & Falk, E. (2014). Mechanisms of plaque formation and rupture. Circulation research, 114(12), 1852-1866

Herrington, W., Lacey, B., Sherliker, P., Armitage, J., & Lewington, S. (2016). Epidemiology of atherosclerosis and the potential to reduce the global burden of atherothrombotic disease. Circulation research, 118(4), 535-546.

Insull Jr, W. (2009). The pathology of atherosclerosis: plaque development and plaque responses to medical treatment. The American journal of medicine, 122(1), S3-S14

Rafieian-Kopaei, M., Setorki, M., Doudi, M., Baradaran, A., & Nasri, H. (2014). Atherosclerosis: process, indicators, risk factors and new hopes. International journal of preventive medicine, 5(8), 927.

Wang, J. C., & Bennett, M. (2012). Aging and atherosclerosis: mechanisms, functional consequences, and potential therapeutics for cellular senescence. Circulation research, 111(2), 245-259

 

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Assigned Culture: ______________________________________________________________________

Purpose: To recognize that individual culture does impact womans health care, communication, nutrition, and family influences that shape the families you are caring for. 

Concept: Cultural Diversity  

Objective:  Write a paper regarding a culture and its impact on families, contraception, conception and birth.

Instructions:  Create a cultural diversity paper.

1. This project is to a be written paper 5 pages in length APA format. These 5 pages include a cover page and a reference page. 

2.  Refer to Purnells’ Cultural Competency as a guide to assessing the patient in the identified culture from your Health Assessment course.

3.  Is education valued, are boy children preferred over gril children? How do they view families? Is contraception allowed and who is involved in the decision making regarding birth control choices? 

4. In an unintended pregnancy is adoption allowed? Is assisted reproductive technology accepted? What about donor sperm or surrogacy?

5. Who attends childbirth? Where do women have babies? What are the special practices employed to support the new mom and baby? Who in the family system makes decisions regarding the woman’s health?

6. What implications does culture present to the issues of womens’ health care?

See below ( 10 points)

Refer to Purnells’ Cultural Assesment Tool to address additional questions to enhance each section  (See attached)

Points:

Description of requirement:

Total points  with comments

1 point

Overview of culture that is not   familiar to you.

a.  Study and investigate the role of women in   the culture you have chosen

b. Is education   valued?

c. Is one gender   preferred over another?

d. How does this   culture view families?

2.5 points 

What health care practices does this   culture embrace that may be different than Western medicine?

a. What practices   may interfere with health care?

b. What are the   major illness common to the culture you are studying and what are its   implications on pregnancy and birth?

2.5 points

What spiritual or religious practices does   this culture follow? 

a. Is contraception   allowed and which forms are acceptable?

b. Who makes the   decision regarding contraception choices?

c. Is assisted   reproductive technology acceptable, donor sperm, surrogacy?Is adoption   allowed?

d. What gives   strengths and meaning to life?

2.5points

Birth practices specific to your assigned   culture:

a. Where do the   women have babies, ( home birth, hospital, birth home) and who attends the   birth? What are the special practices employed   to support the mom or new baby?

b. Who in the   family system makes decisions regarding the woman’s health such as an   emergency cesarean section?

c. Include an   explanation regarding how the content provides a focus for nursing assessment   and or nursing interventions and nursing advocacy.

1.5points

References: APA Format 

a. References: Utilize   in text citations within the power point slides and provide a reference at   the bottom of the slide. Include a reference page slide.

10 Total

* Please choose any culture other than African, Because we are not to talk on culture we’re part of.

 

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