PREPARING THE SCHOLARLY PAPER PHASE 1 Carefully read these instructions and the Rubric. Download the Week 4 Scholarly Paper Phase 1 Template (Links to an external site.)Links to an external site. . Use of the assigned template is required. Rename that document as Your Last Name Scholarly Paper Phase 1.docx, for example Smith Scholarly Paper Phase 1. Save it to your own computer or drive in a location where you will be able to retrieve it later. Type your assignment directly on the saved template. You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site. Click on the envelope at the top of the page. Remember that only Microsoft Word 2010 or a later version is acceptable. The document must be saved as a .docx. Save your work frequently as you type to prevent loss of your work. The only resource for your paper is the following assigned article: Article link (Links to an external site.)Links to an external site. Note: Logging in to the Chamberlain Library is needed to access this article. Use of the assigned article is required. You must click on the PDF Full Text link on the upper left portion of the page to download the correct version of this required article. Follow the instructions and specifics on the assigned required template and the rubric. You will demonstrate your scholarly writing abilities as well as APA abilities in references, citations, quotations, and paraphrasing. See rubric for length limitations for each section and other criteria. Information below explains how to complete the Article Summary section of the paper (see Rubric for details). Clearly summarize the major content of the assigned article using 175–200 words. Content must include main ideas from across the entire article. Specifics should be excellent. Content must be attributed to the correct source. For the Impact section (see rubric for details) clearly state how learning from the assigned article will impact your future practice; length must be 125–150 words; writing must be concise and clearly relate the assigned article contents to practice; and use first person in this section. Double check your work with the rubric prior to submission. Note: Assigned Template must be used for this assignment. The Assigned Template has been specially prepared to help you do well on this assignment. See #2 above. Note: Assigned Article must be used for this assignment. Failure to do so may result in loss of points and/or Academic Integrity violation investigation.

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Describe the key concepts underlying community activism and give examples of how each of these concepts applies to a specific context. Examine how advanced practice nurses can engage in community activism to limit further negative health impacts from Big Tobacco in their respective health communities. Attached below is an additional resource, an article, that details various ways by which nursing professionals can engage in community activism. Patient Advocacy and in the Community and Legislative Arena: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Advocacy-in-Community-and-Legislative-Arena.html?css=print

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You see a 2-month-old for a well-child visit. She is breastfed and nurses every 2 to 3 hours during the day, but her mother reports she is not nursing as vigorously as before. She sleeps one 4-hour block at night. Birth weight was 7 pounds 5 ounces. Weight gain over the last 2 weeks reveals gain of 5 ounces per week. Physical examination reveals the following: HEENT exam is benign, lung sounds are clear, a new III/VI systolic ejection murmur is noted along the left lower sternal border, cap refill is brisk, skin is pink and moist, and abdominal exam is benign. Questions Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the respiratory, cardiovascular, and/or genetic disorder.

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No Plagiarism please: Assignment—Case Study for Chronic Condition For this Assignment, you are answer the questions regarding this case study. Please make sure to support your answers using evidence based practice. Case Study: 56 y/o Caucasian male presents to the primary care clinic with complains of dizziness and nausea x 4 days. The patient reports he has not been able to get out of bed since the symptoms started. The patient reports symptoms are worse when he tries to get out of bed to stand. He denies any headaches or blurry vision. He states he is urinating more over the last few days and he has noticed increase in thirst. He reports he just drank a large sweet tea before he came into the clinic. The patient reports that he is out of his Lantus and metformin because he cannot afford the refill until he gets his disability check. He is disabled after his second CVA that left his with generalized weakness. His medical history includes DM, HTN, CAD. Upon arrival at the clinic, the patient’s vital signs are as follows- Blood sugar 405, B/P 190/101, HR 102, R-20, T- 98.5. Using Evidence Based practice, answer the following questions thoroughly. Be sure to use APA formatting. Use headings while answering questions below: What is the pertinent positive and negative findings in this patient assessment? Create a list of differentials with rationales for this patient? Discuss a medication regimen for this patient considering his financial status? What is the priority concern for this patient? How does this patient’s comorbid diagnosis impact his current symptoms? Discuss how the patient’s’ health beliefs, culture and behaviors impact the potential outcomes for the patient.

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Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document. Give examples of psychosocial factors that affect the health care professional and the effect those factors could have on patient education. Give examples of psychosocial factors that affect the patient and the effect those factors could have on patient education. Explain what is meant by personality styles and give examples of approaches that could be used to help the patient. Include self-perception as a factor. List the steps in adjustment to illness and how the patient copes with each step. Explain the health professional’s role in teaching the patient at different life stages. Define the role of the family in patient education. How might the family influence the compliance of the patient and what measures can the health care professional use in communication with the family?

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Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role. What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud? Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation. To Prepare: Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making. Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process. By Day 3 of Week 8 Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making . Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples. By Day 6 of Week 8 Respond to at least two of your colleagues’ * posts by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues. *Note: Throughout this program, your fellow students are referred to as colleagues. Everything should be in APA 7 formart. At least 3 references all  with DOI number and at least 3 paragraphs for mainpost and 2 for replies.’ Discussion for reply one  (Guy) RNs and APRNs have crucial roles in health care to inform decisions of policy making. There are many opportunities that exist for nursing professionals to participate in policy making. According to Burke (2016), “It’s essential that policies exist that define and integrate appropriate standards for delivery of care and address conditions necessary for that care to occur. Through policy work, nurses can and should influence practice standards and processes to assure quality of care. Nurses who influence policy help share the care that will be provided today and tomorrow. Policies also impact resource allocation to support delivery of healthcare”. One opportunity that exists for nurses to become active in policy making is to become a member of the American Nurses Association. According to Catallo, Spalding, & Haghiri-Vijeh (2014), “Policy products that the ANA offers include a “policy activist took kit”. As part of this took kit, RNs are provided with resources that include how to get involved in a political campaign, writing letters to the editor, how to engage politicians and carry out lobbying activities”. The article “Nursing Professional Organizations: What Are They Doing to Engage Nurses in Health Policy?” discusses how nurses can become engaged in health policy activities and how to address policy issues. Another opportunity that exists for nurses to become active in policy making is to advance their education by becoming an APRN. According to Regis College (n.d), “Nurse practitioners have an opportunity to serve as advocates for patients, families, communities, other nurses, and health care organizations. Through this advocacy, nurse practitioners can influence health care policy. By gaining a comprehensive understanding in particular area…

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The Assignment Assign DSM-5 and ICD-10 codes to services based upon the patient case scenario. Then, in 1–2 pages address the following: You may add your narrative answers to these questions to the bottom of the case scenario document and submit altogether as one document. Explain what pertinent information, generally, is required in documentation to support DSM-5 and ICD-10 coding. Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options. Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.

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Qualitative Research in Nursing Practice To prepare: Consider your readings about and understanding of quantitative and qualitative research. If you had to choose, which type of research (quantitative or qualitative) do you think is more rigorous and why? Do you think it is useful to make such generalizations and comparisons? Locate an article describing a qualitative research study related to a health care topic. Formulate a research question to address the problem and that would lead you to employ correlational statistics. With information from the Learning Resources in mind, critically analyze your selected study. Ask yourself: How rigorous was the study in terms of the researchers’ efforts, the data collected, and the conclusions drawn? What might the researchers have done to improve the rigor? Post 1-2 pages cohesive response that addresses the following: 1. Do you think there is one type of research (quantitative or qualitative) that is inherently more rigorous than the other? If so, identify which one and why. If not, discuss your reasoning. 2. Post a brief summary of your research article analysis and the correct APA citation for the article. 3. Outline how the study’s qualitative data collection and analysis did, or did not, promote rigor, provide scientific or systematic scaffolding, and/or generate a more thorough analysis of the research topic. References Required Media Laureate Education, Inc. (Executive Producer). (2011). Research methods for evidence-based practice: Qualitative research. Baltimore, MD: Author. Required Readings Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier. Chapter 12, “Qualitative Research Methods” (pp. 251-274) Articles Bradley, E. H., Curry, L. A., & Devers, K. J. (2007). Qualitative data analysis for health services research: Developing taxonomy, themes, and theory. Health Services Research, 42(4), 1758–1772. doi:10.1111/j.1475-6773.2006.00684.x Note: You will access this article from the Walden Library databases. Smith, J., & Firth, J. (2011). Qualitative data analysis: The framework approach. Nurse Researcher, 18(2), 52–62. Note: You will access this article from the Walden Library databases.

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I want to take this opportunity to discuss our new granted privilege to prescribe controlled substance. There are five classes of substance considered under the Comprehensive Drug Abuse Prevention and Control Act of 1970 (Comprehensive Drug Abuse Prevention and Control Act of 1970, 2019). The privilege for Nurse Practitioners(NPs) to prescribe controlled substance was legally approved in Florida, the last state to grant such a privilege for midlevel practitioners, in 2017( Kellangs & Maye, 2017).  Once licensed as Florida NP, you will need 2 hours of controlled substance prescription CEUs and to apply for the DEA license. The application cost $ 731 and it’s valid for three years. NPs are required to have a controlled substance agreement with the supervising physician. DEA website https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.jsp Do you think the ability to prescribe controlled substance benefits the Nurse Practitioners practice? Why or why not? References Comprehensive Drug Abuse Prevention and Control Act of 1970. Retrieved on March 10, 2019 from https://en.wikipedia.org/wiki/Comprehensive_Drug_Abuse_Prevention_and_Control_Act_of_1970 Kellams, J. R., & Maye, J. P. (2017). The last state to grant nurse practitioners DEA licensure: An education improvement initiative on the Florida prescription drug monitoring program. Journal of addictions nursing, 28(3), 135-142. doi: 10.1097/JAN.0000000000000177 U.S Department of Justice and Drug Enforcement Administration. Diversion control division. Application for Registration Under Controlled Substances Act of 1970 (NewApplicants Only). Retrieved from https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.jsp

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Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal. Include the following: Provide an overview of the problem and the setting in which the problem or issue occurs. Explain why a quality improvement initiative is needed in this area and the expected outcome. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded. 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 formatting 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. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Read “Chapter 44: Tools and Strategies for Quality Improvement and Patient Safety,” by Hughes, from the online eBook, Patient Safety and Quality: An Evidence-Based Handbook for Nurses (2008), available on the National Center for Biotechnology Information (NCBI) website. URL: https://www.ncbi.nlm.nih.gov/books/NBK2682/ Read “Differentiating Between Research and Quality Improvement,” by Gregory, from Journal of Perinatal and Neonatal Nursing (2015). URL: https://www.nursingcenter.com/pdfjournal?AID=3099809&an=00005237-201504000-00005&Journal_ID=54008&Issue_ID=3099787 Read “Focusing on the Fundamentals: A Simplistic Differentiation Between Qualitative and Quantitative Research , ” by Rutberg and Bouikidis, from Nephrology Nursing Journal (2018). URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129106232&site=eds-live&scope=site

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