Cultural Considerations In Mental Health Nursing

Cultural Considerations In Mental Health Nursing

Cultural Considerations In Mental Health Nursing

Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper allows you to explore best practice and help improve client outcomes on a psychiatric unit. Your paper should describe how you, as a nurse, will include – or have included – cultural awareness in a client diagnosed with a mental illness. The person you describe could be someone in your clinical setting, someone you have worked with in the past, or a theoretical client.

Remember that culture can also include gender equality, sexual orientation, and other cultures besides race and religion – including cultures unique to one particular family. Your paper should be at least 3 pages (double-spaced, not including the title or reference pages) in APA Format and include:

  • Assessment: Discuss what you would assess in regard to a client’s culture. For example, are there specific dietary requirements? Are schedule changes necessary to avoid conflicts with religious practices? Who is the spokesperson for the family? What would you assess?
  • Diagnosis: List any mental health nursing diagnoses this person has or may be at risk for. Include at least one cultural diagnosis.
  • Planning: What planning needs to be done to ensure the cultural and emotional safety of the client?
  • Implementation: What are interventions that would ensure the safety of your client in regard to culture? Include at least two interventions. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure the client’s safety? What can you do to make sure the client’s cultural needs are met?
  • Evaluation: How will you evaluate whether your implementation was effective? Make sure the parameters are objective and measurable.
  • In your summary, discuss whether any completed interventions were successful. What could be done differently in the future? If the interventions have not yet been carried out, you might discuss some institutional changes that could be made to ensure cultural safety for all clients in that setting.

Your paper should utilize proper APA guidelines and include at least three scholarly sources to support your paper. A scholarly source is a source that has been peer reviewed and has appropriate authors that are credentialed. For more information on APA, please visit the Online Library.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Who We Are 

We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

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  • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
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SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – Cultural Considerations In Mental Health Nursing

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. Cultural Considerations In Mental Health Nursing

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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Assignment: MCOs Market segments

Assignment: MCOs Market segments

Assignment: MCOs Market segments

Market Segments And Distribution Channels For The MCOs

© P.R. Kongstvedt

Chapter 6: Sales, Governance and Administration

Learning Objectives

Understand the basic structure of governance and management in payer organizations

Understand the basic elements of the internal operations of payer organizations, including:

Information technology (IT)

Marketing and sales, including insurance exchanges

Underwriting and premium rate development

Eligibility, enrollment and billing

Claims and benefits administration

Member services, including appeal rights

Statutory accounting and statutory net worth

Financial management

2

2

Board of Directors

May be specific to a plan, may be pro-forma for a subsidiary of a larger company, etc.

Responsibilities:

Final approval of corporate bylaws

General oversight of the profitability or reserve status

Oversight and approval of significant fiscal events

Review of reports and document signing

Setting and approving policy

Oversight of the quality management program

In for-profit plans, responsibility to protect shareholders’ interests

In free-standing plans, hiring the CEO and reviewing CEO’s performance

3

© P. R. Kongstvedt

Typical Key Management Positions

Chief Executive Officer/Executive Director

Chief Operating Officer/Operations Director

May be a separate position from CEO in large companies

If separate from CEO, the COO may also be the President

Chief Medical Officer/Medical Director

Vice President (or SVP or EVP) of Network Management

Chief Financial Officer/Finance Director

Treasurer

Chief Marketing Officer/Marketing Director

Chief Underwriting Officer

Chief Information Officer/Director of Information Systems

Corporate Compliance Officer

4

Typical Key Operational Committees

Quality Management Committee

Credentialing Committee

Utilization Review Committee

Pharmacy and Therapeutics Committee

Medical Grievance Review and Appeals Committee

5

Foundational Information Technology (IT) Systems

Key software functionality includes:

Benefit configuration

Employer group and member enrollment

Premium management

Provider enrollment, contracting and credentialing

Claims payment

Document Imaging and Workflow

Customer Servicing

Medical Management

Ability for two-way EDI with insurance exchanges, employers, state and federal government, members, providers, etc.

6

HIPAA Mandated Electronic Transaction Standards

HIPAA requires covered entities that conduct certain electronic transactions to use only ANSI X12N 5010 defined standards

ACA is creating new standards and requiring more standardization of implementation

7

Transaction Standard
Provider Claims submission ANSI X12 – 837 (different versions exist for institutional, professional, and dental)
Pharmacy claims NCPDP
Eligibility ANSI X12 – 270 (inquiry) ANSI X12 – 271 (response)
Claim status ANSI X12 – 276 (inquiry) ANSI X12 – 277 (response)
Provider Referral certification and authorization ANSI X12 – 278
Health care payment to provider, with remittance advice ANSI X12 – 835
Enrollment and Disenrollment in health plan* ANSI X12 – 834
Claims attachment (additional clinical information from provider to health plan, used for claims adjudication) ANSI X12 – 275 (not finalized at the time of publication), and HL7 CDA
Premium payment to health plan* ANSI X12 – 820
First report of injury ANSI X12 – 148 (not yet issued)
* These are for voluntarily but not mandatory use by employers, unions, or associations that pay premiums to the health plan on behalf of members.  

Source: Compiled by author based on 45 CFR §160.920 and other sources at the Center for Medicare and Medicaid Services (CMS);

Accessible at http://www.cms.gov

HIPAA Mandated Privacy and Security Requirements

HIPAA requires high levels of privacy and security for electronic information, to:

ensure the confidentiality, integrity, and availability of electronic PHI;

protect against any reasonably anticipated threats or hazards to the security and integrity of electronic PHI;

protect against any reasonably anticipated uses or disclosures of electronic PHI not permitted by the HIPAA privacy rules; and

ensure compliance with the above by its workforce (Source: Federal Register, 45 CFR § 164.308)

There are eighteen standards for HIPAA security rules:

8

Security Management Process Assigned Security Responsibility Workforce Security
Information Access Management Security Awareness and Training Security Incident Procedures
Contingency Plan Evaluation Business Associate Contracts
Facility Access Controls Workstation Use Workstation Security
Device and Media Controls Access Control Audit Controls
Integrity Person or Identity Authentication Transmission Security
Source: Federal Register, 45 CFR § 164.308(a & b), 45 CFR § 164.310(a-d); 45 CFR § 164.312(a-e)    

Standardized SBC/SOC

ACA requires all health plans, including self-funded, must provide a standardized Summary of Benefits and Coverage (SBC), also called a Summary of Coverage (SOC) to all current and prospective enrollees

The SBC/SOC to be done in a uniform and common format that defines the number of pages, the exact information that must be provided, and even the size of the font

The SBC does not replace the far more detailed Evidence of Coverage (EOC), sometimes called a Certificate of Coverage or Certificate of Insurance

9

Marketing vs. Sales

Marketing and sales are related but distinct activities

Marketing

Focus is on overall growth goals, strategies and tactics, management of the process

Compensation combination of salary and overall growth goals

Role in Insurance Exchange as well as outside exchange

Sales

The actual process of selling the plan’s offerings in the marketplace through any distribution channel

Compensation usually heavily weighted towards achievement of sales goals

No real role in the insurance exchange

10

© P.R. Kongstvedt

Fundamental Elements of Marketing

Brand Management

External Communications and Public Relations

Advertising

Employer versus consumer advertising

Collateral texts: outdoor, direct

Market Research

Lead Generation

Sales Campaign Support

Heavily regulated for individual and small group market through the Exchange

11

Distribution Channels by Market Segment

12

 

Health Insurance Exchanges…

ACA created state-based American Health Benefit Exchanges and Small Business Health Options Program (SHOP) Exchanges, administered by a governmental agency or non-profit organization, through which small businesses with up to 100 employees can purchase qualified coverage

Separate exchanges for individuals to access coverage

Permit states to allow businesses with more than 100 employees to purchase coverage in the SHOP Exchange beginning in 2017

States may form regional Exchanges or allow more than one Exchange to operate in a state

Feds operate exchanges in states that refused to build them

Office of Personnel Management to contract with insurers to offer at least two multi-state plans in each Exchange. At least one plan must be offered by a non-profit entity

Creation of plan rating systems similar to that used in Medicare Advantage

13

Health Insurance Exchanges (cont.)

Brokers still allowed to operate in this market segment for health

Exchanges do not prohibit a non-Exchange market for individual and group coverage, but rates must be the same if sold both in and outside of the Exchange

Require the Office of Personnel Management to contract with insurers to offer at least two multi-state plans in each Exchange. At least one plan must be offered by a non-profit entity

Each multi-state plan must be licensed in each state and must meet the qualifications of a qualified health plan

Members of Congress and congressional staff may only enroll in either plans created under ACA (e.g., CO-OPs) or in plans offered in Exchange – but this also required a “fix” because ACA as written did not allow of an employer contribution to coverage purchased through the individual exchanges

Two-way data exchange requirements are huge

© P.R. Kongstvedt

14

Actuarial Services

Actuaries analyze the data and predict costs, adjusted for

Trend

Utilization

Costs

Benefits design

Behavioral shift

Distribution amongst different providers with different cost profiles

Actuaries generally do not create the rates, but only model costs

Large payers have their own, smaller and mid-sized plans use actuarial consulting firms

15

Rating and Underwriting

Underwriting has had two distinct but related meanings:

Medical underwriting referred to using an individual’s or small group’s medical history to determine whether to offer coverage at all

General underwriting includes gathering of information to assist in the development of premium rates

Underwriters use the actuarial data and other factors to calculate rates

Three types of premium rating:

Community rating

Experience rating

Premium equivalent or imputed premium rates

Type of rating only affects the calculation of the base rate, not the mechanics of creating actual premium rates

Community rating requires the same base rate for all, though may be different for all individuals vs. all small groups

Experience rating uses base rate from actual costs of the group

Premium equivalent is calculated just like experience rating for the base rate

16

Rating and Underwriting in the Individual and Small Group Markets under the ACA

Extension of dependent coverage to age 26

Prohibition on rescissions except in cases of outright fraud

Prohibition of preexisting condition exclusions and coverage rescissions

Lifetime and annual policy coverage limits prohibited

Require first-dollar coverage for preventive services

Minimum medical loss ratio (MLR) of 85% for large group and 80% for individuals and small groups – applies only to insured business, not self-funded (no premiums)

Insurers required to guarantee availability and renewability to individuals and groups.

Insurers not allowed to use health status as a rating variable

Only the following will be allowed:

Age related pricing variations are limited to a maximum of 3 to 1.

The number of people covered under the policy (e.g., “single” vs. “family” coverage).

Tobacco use (except rates may not vary by more than a ratio of 1.5 to 1)

Other provisions such as out-of-pocket cost limitations based on income, etc.

Requirement to include Essential Health Benefits at one of four different coverage levels

Premium risk-adjustment mechanism for individual and small group markets

Beginning in 2018, impose an excise tax of plans with premiums that exceed a certain level

17

© P.R. Kongstvedt

The ACA’s Four Coverage Tiers What’s in Your Wallet?

Allows for 40% swing in cost sharing between Platinum and Bronze plan designs

Coverage levels based on in-network costs for all but emergency care (defined via “prudent layperson), not billed charges

Coverage based on actuarial equivalency, so may be spread around benefits, except cannot have different cost-sharing for MH/BH than for Med/Surg.

Room to futz with benefits as long as cost sharing ends up where it’s supposed to

18

High deductible plan with preventive services and limited office visit coverage for the under-30s

18

Eligibility in the Commercial Market

Eligibility in the commercial (non-Medicare/Medicaid) market may be thought of in four categories:

Eligibility in Employer Sponsored Group Benefits Plans

Eligibility changes based on life events

Individual eligibility

Eligibility for subsidized coverage

Employer sponsored coverage

Must be full time

Dependent coverage through employee

Must first enroll during defined periods such as upon employment following a defined number of days after they start working

19

Life Events and Eligibility Options

[Put Table 6 – 2 here]

20

© P.R. Kongstvedt

 

Life Events and Eligibility Options (cont’d)

[Put Table 6 – 2 here]

21

 

Elements of Claims Complexity

Multiple Lines of Business

Provider Payment Rules

Sophiscated Px & Dx Coding

Unbundled Claims

Referral/Authorization Rules

Government Mandates

Medicare/Medicaid Standards

Other Party Liability

Cost Sharing Features

Benefit Plan Variations

Multiple Lines of Business

Rules and Regulations of Exchange

Tracking MLR for Groups and Individuals

Value Based Benefits

New Payment Models

22

Claims Operational Functions

The modern claims capability is the set of operational functions within the payer organization that together process claims from receipt to issuance of payment and/or Explanation of Benefits (EOB).

23

© PR Kongstvedt

Determination of Eligibility & Liability

Benefit plan in force on the date of service

Provider network and/or PCP on date of service

Coordination of Benefits (COB), Other Party Liability (OPL), and Subrogation

Benefits Administration

Applying the applicable schedule of benefits in force on the date of service

Requires CPT codes, Hospital Revenue Codes, HCPCS codes, ICD-10

Computation of cost sharing amounts

Application of appropriate medical policies

Application of appropriate provider payment schedules based on specific network at time of service, in vs. out of network, etc.

Management of pended claims, resubmissions, and duplicate claims

Adjustments and appeals

Detection of fraud and abuse

24

Core Claims Determinations in the Adjudication Process

Role of Member Services and Consumer Affairs

Help members understand how to use the plan

Help resolve members’ problems or questions

Measure and monitor member satisfaction, administer surveys

Monitor and track the nature of member contacts

Allow members to express dissatisfaction with their care

Help members seek review of claims that have been denied or covered at a lower than expected level of benefits

Manage member problems with payments

Help address routine business issues

State health insurance exchanges may play a similar function, but unclear at this point

25

Formal Internal Appeals Process Requirements

[Put Table 6 – 3 here]

26

 

Formal External Appeals Process Requirements

[Put Table 6 – 4 here]

27

© P.R. Kongstvedt

 

Financial Management

Four primary responsibilities

Operational finance

Budgeting

Treasury function (managing cash and investments)

Reporting

Key concepts

Accrual accounting

Statutory Accounting Principles (SAP) vs. Generally Accepted Accounting Principles (GAAP)

Only cash and cash equivalents can be counted as assets, not things like IT systems, buildings, long-term investments, etc.

Statutory Net Worth requirements, using SAP

Calculation and management of claims reserves, including Incurred But Not Reported (IBNR)

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Who We Are 

We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

Do you handle any type of coursework?

Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

Is it hard to Place an Order?

  • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
  • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
  • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – 

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. Assignment: MCOs Market segments

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Assignment: MCOs Market segments

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

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Storm Water Management Facilities.

 Storm Water Management Facilities.

An agency has focused its system development and critical infrastructure data collection efforts on separate engineering management systems for different types of assets and is working on the integration of these systems. In this case, the agency focused on the data collection for two types of assets: water treatment and natural gas delivery management facilities. Please identify what type of critical infrastructure data collection is needed for pavement and storm water management facilities. Chapter 6 discusses the concept of correlation. Assume that An agency has focused its system development and critical infrastructure data collection efforts on separate engineering management systems for different types of assets and is working on the integration of these systems. In this case, the agency focused on the data collection for two types of assets: water treatment and natural gas delivery management facilities. Please identify what type of critical infrastructure data collection is needed for pavement and storm water management facilities.

As indicated above, identify what type of critical infrastructure data collection is needed for pavement and storm water management facilities.

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We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help in your coursework.

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4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.

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Storm Water Management Facilities.
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5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it. 

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so that it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

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Wk 11 (03)

Wk 11 (03)

Throughout the course you have developed aspects of your Academic and Professional Development Plan. You have thought a great deal about your vision and goals, your academic and professional network of support, research strategies and other tools you will need, the integrity of your work, and the value of consulting the work of others. With your portfolio in place, it is now time to finalize your blueprint for success.

Much as builders remain cognizant of the building standards as they plan and begin construction, nurses must remain mindful of the formal standards of practice that govern their specialties. A good understanding of these standards can help ensure that your success plan includes any steps necessary to excel within your chosen specialty.

In this Assignment you will continue developing your Academic Success and Professional Development Plan by developing the final component–a review of your specialty standards of practice. You will also submit your final version of the document, including Parts 1–5.

To Prepare:

  • Review the scope and standards of practice or competencies related to your chosen specialty in the resources for this module.
  • Review the MSN specializations offered at Walden by viewing the module resource, Walden University. (n.d.). Master of Science in Nursing (MSN).
  • Examine professional organizations related to the specialization you have chosen and identify at least one to focus on for this Assignment.
  • Reflect on the thoughts you shared in the Discussion forum regarding your choice of a specialty, any challenges you have encountered in making this choice, and any feedback you have received from colleagues in the Discussion.

The Assignment:
Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan.

  • With the resources specific to the MSN specialization and the, Walden University. (n.d.). Master of Science in Nursing (MSN), shared in this module, write a paragraph or make a Nursing Specialty Comparison table, comparing at least two nursing specialties that include your selected specialization and second-preferred specialization.
  • Write a 2- to 3-paragraph justification statement identifying your reasons for choosing your MSN specialization. Incorporate feedback you received from colleagues in this Module’s Discussion forum.
  • Identify the professional organization related to your chosen specialization for this Assignment, and explain how you can become an active member of this organization.

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    ADDITIONAL INSTRUCTIONS FOR THE CLASS

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    • Discussion Questions (DQ)

    Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

    • Weekly Participation

    Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

    • APA Format and Writing Quality

    Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

    • Use of Direct Quotes

    I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

    • LopesWrite Policy

    For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

    • Late Policy

    The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

    • Communication

    Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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Ethics

Ethics

Introduction
In this session, you have been considering moral-ethical dilemmas you yourself faced or that you know of that you either resolved or failed to resolve, but hopefully learned from. You may never have given much thought to ethical theory nor what ethical premises/paradigms you have unconsciously held.

You will be focusing on this case for this assignment:

Jane Doe is a nursing student at University X. Jane is in week eight of a course entitled: “Introduction to Ethics”.

For the week one discussion, Jane copied work done by her friend John Doe in the same class two months ago (with a different professor). John told Jane it was okay to use his work as John’s professor never checked any work in the class using Turnitin.com. John claimed to have earned an A on the work also.

In week two, Jane went to StudentPapering.com and paid ten dollars for a week two essay done by a student (not John Doe) who took the same course four months ago. StudentPapering promises that all its archived work is of excellent quality and cannot be detected as copied. Jane then uploaded an exact copy of the work for the week two assignment.

In week three, Jane paid a worker at PaperingStudent.com ten dollars to write for Jane a brand new essay after Jane shared with the worker the essay assignment instructions.

In week four, Jane relied on her knowledge of Esperanto. She felt pressed for time and found an article by a professor from Esperanto on the week four topic. She translated Esperanto into English using Moogle Translate, and the translated text served as her week four paper.

In week five, Jane was running late again. Jane purposely uploaded a blank paper hoping that she would later claim it was an innocent mistake and not be assessed a late penalty. In a previous course on History, she had done the same (with an earlier paper from the History class rather than simply a blank) and had not seen any late penalty assessed.

In week six, Jane took work she did in a nursing course from a year ago and submitted that for her discussion posting in her current class. She simply copied and pasted the work she had labored intensively on a year ago (even though University X forbids this practice as ‘self-plagiarism’). Jane was confident her Nursing instructor never checked that work using Turnitin.com or another method.

In week seven, Jane copied and pasted work found on website.com for the paper. Jane did not use any quotation marks or other documentation to show the text was not by Jane.

Since Jane’s Ethics professor did not check papers and posting for any issues by using Turnitin.com or another method, the professor graded all of Jane’s work unaware of Jane’s actions throughout the weeks of the class. Jane feels her actions are morally justified both because her economic situation requires her to work too much to devote time to school (although other students are well-off enough to have such time) and her religion says that it okay for her to take such actions since a degree will benefit her family (while Jane is aware that other religions of students in the same class forbid such actions).

Instructions
Now that you have had an opportunity to explore ethics formally, create a reflective assessment of your learning experience and the collaborations you engaged in throughout this session. You will submit both of the following:

  • A written reflection
  • An oral presentation using a PowerPoint narrated slide show.

For the written reflection, address Jane Doe’s and respond to the following:

  • Articulate again your moral theory from week eight discussion (You can revise it if you wish). What two ethical theories best apply to it? Why those two?
  • Apply to Jane Doe’s case your personal moral philosophy as developed in week eight discussion and now. Use it to determine if what Jane Doe did was ethical or unethical per your own moral philosophy.
  • Consider if some of these examples are more grave instances of ethical transgressions than others. Explain.
  • Propose a course of social action and a solution by using the ethics of egoism, utilitarianism, the “veil of ignorance” method, deontological principles, and/or a theory of justice to deal with students like  Jane. Consider social values such as those concerning ways of life while appraising the interests of diverse populations (for instance, those of differing religions and economic status).

For the oral presentation, briefly summarize your feelings about taking a course in Ethics and explore your process of transformation in this course.

  • Discuss your experiences of the course, your beginnings, and where you are now. Consider your interaction in discussions.
  • Should health care workers be required to take a course in Ethics? Why or why not

Writing Requirements (APA format)

  • Length: 3-4 pages (not including title page or references page)
  • 1-inch margins
  • Double spaced
  • 12-point Times New Roman font
  • Title page
  • References page (minimum of 2 scholarly sources)

Presentation Requirements

  • Length: 2-3 minutes

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Critically Evaluate Of Mr. C.

Critically Evaluate Of Mr. C.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

1. Height: 68 inches; weight 134.5 kg

2. BP: 172/98, HR 88, RR 26

3. 3+ pitting edema bilateral feet and ankles

4. Fasting blood glucose: 146 mg/dL

5. Total cholesterol: 250 mg/dL

6. Triglycerides: 312 mg/dL

7. HDL: 30 mg/dL

8. Serum creatinine 1.8 mg/dL

9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

1. Describe the clinical manifestations present in Mr. C.

2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.

3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)

4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.

5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.

6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

RUBRICS: Subjective and objective clinical manifestations are detailed. The clinical manifestations are accurate and clearly report the observed and perceived signs and symptoms. A detailed discussion of the potential health risks for obesity is presented. A through and compelling discussion on whether bariatric surgery is an appropriate intervention is presented. The discussion is well-developed and supported by evidence and additional rationale. Five or more actual or potential problems identified from the functional health patterns are discussed. The discussion is insightful, and the identified problems are highly relevant for the patient and his condition. The discussion is well-supported by rationale and evidence. The staging of ESRD and the contributing factors for ESRD are explained. The information is accurate and reflects contemporary practice and research. Patient education for the prevention of future events, health restoration, and avoidance of deterioration of renal status is thoroughly described. The proposed items are clearly presented and highly relevant and supportive of patient and his health status. Strong evidence and rationale generally support the discussion. A clear and detailed explanation on the types of resources available for ESRD patients for nonacute care, and the beneficial types of multidisciplinary approaches, is presented. The explanation demonstrates insight into both resources and multidisciplinary approaches for nonacute care for ESRD patients. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. Writer is clearly in command of standard, written, academic English. All format elements are correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

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Effective Communication

Effective Communication With Diverse Audiences

Select and watch a movie that depicts difficult or different methods of communication between individuals with a disability or with other special needs.  An example of this would be the 2003 movie Radio with Cuba Gooding Jr. There are many ways to view this movie on Netflix, HBO, Amazon, etc.

First, provide a short summary of the movie, and include the background on the main characters. As discussed in the previous module, utilize person-first language to describe individuals from specialized populations (example: “child with autism,” rather than “autistic child”).

Discuss the communication difficulties or barriers between the individuals in the movie. What misunderstandings or obstacles did you observe that prevented clear communication between the characters?

Lastly, apply this information directly to healthcare. Why does communication often breakdown between healthcare providers, and patients with special needs? What circumstances from the movie could also be applied to healthcare provider and patients?

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Assignment 6 – Power Point

Assignment 6 – Power Point

Please see the complete instruction on the attached document**

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

  • Describe the      differences between a board of nursing and a professional nurse      association.
  • Describe the board      for your specific region/area.(Florida)
    • Who is on the board?
    • How does one become a member of the board?
  • Describe at least one      state regulation related to general nurse scope of practice.
    • How does this regulation influence the nurse’s role?
    • How does this regulation influence delivery, cost, and access to       healthcare?
  • Describe at least      one state regulation related to Advanced Practice Registered Nurses      (APRNs).
    • How does this regulation influence the nurse’s role?
    • How does this regulation influence delivery, cost, and access to       healthcare?
  • Include Speaker      Notes on Each Slide (except on the title page and reference page)

· *At least 3 references*

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The Following IOM Future Of Nursing Recommendations:

The Following IOM Future Of Nursing Recommendations:

In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations:

1. Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.

2. Recommendation 5: Double the number of nurses with a doctorate by 2020.

3. Recommendation 6: Ensure that nurses engage in lifelong learning.

Identify your options in the job market based on your educational level. (I have Associate degree in nursing (ADN) and this a Bachelor science in nursing program, (BSN) so you can have based it on BSN, because I will be done soon)

1. How will increasing your level of education affect how you compete in the current job market?

2. How will increasing your level of education affect your role in the future of nursing?

A minimum of Four scholarly references are required for this assignment. solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, an abstract is not required, CITE WEBSITE SOURCE.

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Environmental Factors And Health Promotion Pamphlet

Environmental Factors And Health Promotion Pamphlet

To prepare for this assignment view the following brief video from the American Medical Association titled, “Health Literacy and Patient Safety: Help Patients Understand.” The video can be accessed through the following link:

/orders/youtu.be/cGtTZ_vxjyA

Part I: Pamphlet

  1. Develop a pamphlet to inform parents and caregivers about environmental factors that can affect the health of infants.
  2. Use the “Pamphlet Template” document to help you create your pamphlet. Include the following:
  3. Select an environmental factor that poses a threat to the health or safety of infants.
  4. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
  5. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
  6. Offer examples, interventions, and suggestions from evidence-based research. A minimum of three scholarly resources are required.
  7. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
  8. In developing your pamphlet, take into consideration the healthcare literacy level of your target audience.

Part II: Pamphlet Sharing Experience

  1. Share the pamphlet you have developed with a parent of an infant child. The parent may be a person from your neighborhood, a parent of an infant from a child-care center in your community, or a parent from another organization, such as a church group with which you have an affiliation.
  2. Provide a written summary of the teaching / learning interaction. Include in your summary:
  3. Demographical information of the parent and child (age, gender, ethnicity, educational level).
  4. Description of parent response to teaching.
  5. Assessment of parent understanding.
  6. Your impressions of the experience; what went well, what can be improved.

Submit Part I and Part II of the Accident Prevention and Safety Promotion for Parents and Caregivers of Infants assignment by the end of Topic 1.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation 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. Please refer to the directions in the Student Success Center.

NRS-434VN-R-Pamphlet-Template-Student.docx

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Who We Are 

We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

Do you handle any type of coursework?

Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

Is it hard to Place an Order?

  • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
  • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
  • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

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We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

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