Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol

 

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol

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. M., 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. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.'s situation. Include the following:

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

1. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
2. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
3. Describe the physical, psychological, and emotional effects Mr. M.'s current health status may have on him. Discuss the impact it can have on his family.
4. Discuss what interventions can be put into place to support Mr. M. and his family.
5. Given Mr. M.'s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Step by Step Expert Answer and Explanation.

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Write a 1200-1500-word essay addressing each of the following points/questions. Be sure to completely address each bullet point

 

Write a 1200-1500-word essay addressing each of the following points/questions. Be sure to completely address each bullet point.

Group Development

Write a 1200-1500-word essay addressing each of the following points/questions. Be sure to completely address each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least four (4) sources in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

1. Explain the five stages of group development.

2. Describe the various information gathering methods a group may use.

3. Explain the difference between a traditional work team and a self-managing work team.

4. Explain the various approaches managers can use to build team performance

Borkowski, N. (2016). Organizational behavior, theory, and design in health care (2nd ed.). Jones & Bartlett. ISBN 978-1-284-05088-2. Read Chapters 15, 16 & 17.

Expert Answer and Explanation

Group Development

Introduction

Group development refers to the procedure where the members of a newly formed team have to learn how their teammates have been operating. The primary objective for doing this is to make them acquitted to the ways of the organization so that they can be assimilated faster and start working as expected.

The amount of time that is dedicated by the organization to group development is of great essence since it will make it possible for the new members to learn more about the organization, and this knowledge will be helpful in their daily activities. In addition to that, group development reduces supervision.

The five stages of group development

There are five stages in group development. The first one is the forming stage. In this stage, new people join the groups based on their skill set or the work that they have been assigned by the organization (Tuckman & Jensen, 2017). Most of the members in this stage have a lot of uncertainty as they will be testing the waters.

The second stage is referred to as the storming stage. This stage is named after the intragroup conflict. This is because there is conflict on who will be leading the group and the activities that the group can be assigned by the management of the organization. However, a hierarchy is established, and there is normalcy.

The third stage is the norming stage. Here close relationships are established.   By so doing, the groups become cohesive since everyone knows the role that they have to play. In addition to that, everyone is aware of the objectives of the group. The expectations of the group are well-defined, and there are fewer internal wrangles in the group.

The second last stage is referred to as the performing stage. The group now has a structure that can be accepted by everyone. The energy of the group moves from wanting to know about each other to want to work in unison as a group. The task forces and project teams have less work to do, and all their efforts are focused on the success of the group.

The last stage is referred to as the adjourning stage. The primary focus of this group is to disband, and attention is focused on wrapping things up (Miller, 2019). The group members have a different reaction to how they take things. Some will be thrilled by the accomplishments of the group, while others will be upbeat.

Information-gathering methods used by a new group

There are many ways in which a group can use it to gather information. The first method is literature sources. This method involves collecting of data that is already published and has been made available in the public domain.

Surveys are also useful in information gathering. Information can be gathered using questionnaires for the group that will decide to use this method (Cohen, Ledford Jr, & Spreitzer, 2021). Some of the ways surveys can be used include a paper-based questionnaire and web-based questionnaires, and the results are easy to analyze, making profound conclusions about the topic of study.

Experiments will help the group in gathering causal relationships between various variables that have to be examined. The advantage of the method is that one of the variables can be manipulated so that the group can measure the other to get the desired results.

Interviews have been efficient for an extended period of time in information gathering. The group will have to intensively engage the respondents so that they can get the information that they intend to gather.   It is the best method to correct new and in-depth responses to an issue.

Observation is a good method for the group to use. In this method, the group will have to observe specific patterns which are easy to identify and deduce what they would be leading to or identify specific trends of interest. This method has to be natural so that the respondents will not change their ways.

Documents and records are an important source of credible and verified information. In this process, the group will have to go through and examine some of the existing documents for the topic of interest to them. By so doing, they will be able to track changes that have been happening over time.

The difference between a traditional work team and a self-managing work team

A traditional team is also referred to as an intact team. A traditional team is a functional team that is comprised of a variety of experts who come together to share a common path on how the set objectives of the organization can be achieved. In many organizations, the traditional work team is an entire department (Kirschenbaum, 2022).

The senior level manager is in charge of leadership in the traditional teams; therefore, the management decides the recruitment process, and the people to be selected will be on the basis of their competency and technical skills. Traditional teams are the typical teams that have been existing in organizations. All the other types of teams have evolved from them in an attempt to improve on their efficiency to meet the current demands of employees in an organization. These teams are still effective in a number of ways.

On the other hand, the self-managing work team refers to a team of employees in a group within an organization who can share the responsibility of making plans and executing their work without the direct supervision of the managers. In that regard, the team members have the responsibility of taking ownership of their processes, workflows, roles and schedules.

The team members can make commitments to each other so that they can have a common way of doing things that will make it possible for them to achieve their common goals (Rosenberg, 2017). However, even without a well-elaborated hierarchy, there is accountability and great leadership in the self-managed teams. This is because there are specific individuals in these teams who have been assigned the task of directing others even though they will still take part in the accomplishment of these tasks assigned to the team.

Approaches managers can use to build team performance

Having high-performing teams should be the goal of any organization. The internal performance of an organization is a great determinant of the effects it will have in the market. As a matter of fact, when the internal conditions are favorable to the teams, then success can be guaranteed. Below are some of the ways of improving the performance of teams.

Communication should be made a priority in an organization for the performance of the teams to improve. The management should make the employees feel free to express themselves so that their issues can be addressed.

Setting SMART objectives is a key factor for the organization to improve the competency levels of their employees. The teams are aware of what they are expected to achieve and the timeframes that have been set by the organization. The teams have to be consulted when these objectives are being set.

Managing conflict is one of the activities that have to be conducted effectively (Armstrong & Baron, 2020). This is because internal conflicts in an organization can easily ruin the reputation that they have been having, and this will make the customers refrain from doing business with them, making the organization incur huge losses.

Having an understanding of where the organization is and where they intend to be in the coming years are one of the most profound things that the management can do. This is because they will manage to direct the efforts of their employees so that they can achieve their set objectives.

Building on trust. The cornerstone of the success of any organization is trust. Once there is trust, the management will be able to spend less on supervision, and the teams will be able to work to their best since they are aware that their efforts will be fairly rewarded.

Conclusion

Group development is one of the most important things that organizations have to undertake. Groups help in achieving the set objectives of the organization. However, the stages of group development have to be well understood so that the management can know how to react responsibly at any stage. However, communication is one of the leading approaches that managers need to use in order to build the performance of their teams.

References

Armstrong, M., & Baron, A. (2020). Performance management. Human resource management, 69.

Cohen, S. G., Ledford Jr, G. E., & Spreitzer, G. M. (2021). A predictive model of self-managing work team effectiveness. Human relations, 49(5), 643-676.

Guinan, P. J., Cooprider, J. G., & Faraj, S. (2018). Enabling software development team performance during requirements definition: A behavioral versus technical approach. Information systems research, 9(2), 101-125.

Kirschenbaum, S. S. (2022). Influence of experience on information-gathering strategies. Journal of Applied Psychology, 77(3), 343.

Manz, C. C., & Sims Jr, H. P. (2017). Leading workers to lead themselves: The external leadership of self-managing work teams. Administrative science quarterly, 106-129.

Miller, D. L. (2019). The stages of group development: A retrospective study of dynamic team processes. Canadian Journal of Administrative Sciences/Revue Canadienne des Sciences de l'Administration, 20(2), 121-134.

Rosenberg, V. (2017). Factors affecting the preferences of industrial personnel for information gathering methods. Information Storage and Retrieval, 3(3), 119-127.

Tuckman, B. W., & Jensen, M. A. C. (2017). Stages of small-group development revisited. Group & organization studies, 2(4), 419-427.

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FAQs

5 stages of group development

The five stages of group development are a theoretical model for understanding how groups form, develop, and mature over time. These stages were first proposed by psychologist Bruce Tuckman in 1965 and have since been widely used in group dynamics research and organizational management. The five stages are:

1. Forming: In this stage, group members are just getting to know each other and defining the boundaries of the group. They may be polite and hesitant to voice their opinions, as they are still getting a sense of the group's purpose and goals. This stage is marked by a lot of questions and uncertainty, as well as a desire for clear leadership and direction.
2. Storming: Once the group has started to form and establish its goals, the next stage is marked by conflict and competition. Group members may push back against leadership or assert their own agendas, leading to arguments and tension. This stage is important for establishing trust and setting clear expectations for the group's work.
3. Norming: In the norming stage, the group begins to develop its own culture and shared identity. Members may start to work together more cooperatively and collaborate on tasks. They may also establish rules and norms for communication and decision-making, which can help to resolve conflicts and keep the group on track.
4. Performing: At this point, the group has achieved a level of cohesion and trust, and can work together effectively to accomplish its goals. Members have a shared understanding of their roles and responsibilities, and are able to communicate and coordinate effectively. This stage is marked by high productivity and a sense of accomplishment.
5. Adjourning: In the adjourning stage, the group disbands, either because its work is done or because members have moved on to other projects or roles. This stage can be bittersweet, as members may feel a sense of loss or nostalgia for the group's camaraderie and shared purpose. It is important for group members to reflect on their accomplishments and share feedback with each other to ensure that the group's work has lasting impact.

5 stages of group development with examples

Here are the five stages of group development with examples:

1. Forming: This stage is marked by the initial formation of the group and is characterized by a lot of uncertainty and anxiety. Members may be hesitant to express their opinions, and there may be a lack of clear leadership. For example, a new team of employees has been assigned to work on a project together. At the first team meeting, they may be polite and reserved as they try to get to know each other and establish the purpose of the team.
2. Storming: In the storming stage, conflicts and disagreements may arise as members begin to assert their own ideas and vie for leadership positions. For example, in the team of employees from the previous example, one member may suggest a different approach to the project that is different from what others have been considering, leading to debate and disagreement.
3. Norming: In the norming stage, the group begins to establish norms and rules for communication and decision-making, which can help to resolve conflicts and keep the group on track. For example, after the disagreements in the previous stage, the team may agree to establish regular check-ins and to take turns leading meetings in order to ensure that everyone's ideas are heard.
4. Performing: At this stage, the group has established a clear sense of purpose and is working effectively to achieve its goals. For example, the team of employees has developed a solid plan for the project and is working collaboratively to execute it. They are communicating effectively and are achieving their milestones on schedule.
5. Adjourning: In the adjourning stage, the group disbands, either because its work is done or because members have moved on to other projects or roles. For example, after the project is complete, the team of employees may disband and move on to other assignments. They may reflect on their successes and failures and share feedback with each other in order to improve their performance in future projects.

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Select a database from NCHS or complete a query using CDC WISQARS

 

Select a database from NCHS or complete a query using CDC WISQARS

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Select a database from NCHS or complete a query using CDC WISQARS.

 

Select a specific health concern or injury using the population of your choice. Be sure not to limit your query so you have enough data to evaluate, and include a substantial time frame so you are able to identify trends.

 

Submit a 750-1,000 word report that provides an overview the database or query results. The report should consist of a demographic description of the chosen population including a review of noticeable trends in morbidity and/or mortality by race, gender, and geographic location where specified.

 

Based on the results and possible trends, present the implications for public health intervention or involvement.

 

In your report, include considerations of basic ethical and legal principles pertaining to the collection, maintenance, use, and dissemination of epidemiologic data. As Chapter 13 of the text describes, focus on privacy and security issues surrounding protected health information and how HIPAA protects the confidentiality of the patient. Consider the ethical implications of whether public health organizations have too much latitude in the use and dissemination of epidemiologic data.

 

Use examples and evidence to support your report.

 

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. You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Expert Answer and Explanation

Vector-Related Diseases Affecting Kansas Community

Introduction

Vectors are organisms that have the capability of transmitting diseases among animals. They perform these actions through blood sucking, fluid release among other techniques (Rao, 2017). Mosquitoes are widely known as vectors of the malaria parasites (Plasmodium falciparum in humans), as they transmit it effectively across human beings and across different organisms.

Vector-borne diseases can also be due to transmission of viruses and bacteria through the bites of snails, lice, ticks, tsetse flies, among others. There is an annual global death toll of over 700,000 from diseases that are as a result of the action of these vectors (Rao, 2017). Tropical and sub-tropical areas are more affected by these diseases, and the poor populations are also at higher risk of being unable to fight these diseases.

Also, the presence of various environmental and social elements affect the distribution of vector-borne diseases. For instance, overcrowded places are likely to suffer more effects of an outbreak of a vector-borne disease compared to less crowded places. Climate change, as well as shifts in agricultural practices can also be great determinants of the spread of vector-borne diseases. In Kansas, mosquitoes and ticks are the most prevalent vector-borne diseases, with West Nile Virus and Rickettsiosis being the top diseases they cause respectively.

Current Health Concerns in Kansas

Besides the high rates of obesity, cancer, and lower respiratory disease that affect Kansas, vector borne diseases in the state are in the rise. The environment in which people live greatly affects the spread of certain diseases (Zhao, 2017). Recently, there has been a lot of evidence that Kansas is among the leading states with numerous environmental hazards that are responsible for causing disease. A considerable number of diseases in the state, however, remain to be attached to genetic factors.

According to Kansas Health Institute, KHI, (2018) the common environmental hazards in the State include pesticides, ambient air contaminated with mercury, nitrites, and arsenic in drinking water, as well as numerous vectors of diseases such as malaria and rickettiosis.

While critical measures of information are right now being gathered (for the most part by the Kansas Department of Health and Environment), the data is commonly used to screen and implement government and state natural quality guidelines (World Health Organization, 2017). A populace based way to deal with natural medical problems will require more grounded ecological wellbeing epidemiologic limit, top to bottom investigation of the accessible data, extra data on the markers of uncommon premium not right now secured by existing projects and linkage of the data on ecological perils with the circulation of related wellbeing results in the state.

With these frameworks set up, the state's ecological wellbeing needs could be better surveyed and needs for mediation distinguished. Intercessions may incorporate open data crusades (for instance, safeguards to take when the air quality records fall beneath security edges), network level mediations (for instance, empowering the advancement and utilization of individual transportation options in networks with outside air quality issues) or instructive exercises on best practices to oversee wellbeing conditions exacerbated by presentation to ecological dangers.

Environmental Risk Assessment Methods in Public Health Issues

There are various methods that researchers often use to assess the impacts of environmental hazards on human life. Two of the main techniques include the tiered approach, where there is the PNEC health assessment and the probabilistic risk assessment; and the biology-based risk assessment, used where more specific information is needed among species.

In the biology based risk assessment. The specific toxic properties and systems in species are the main concerns of the assessments on the stressor. The two methods also involve characterization of the severity and the specific biological effects that are brought by the environmental health hazards.

New Modifier/ Prevention Program for Kansas Vector-Borne Diseases

The fact that there has been over 100% rise in the tick-borne diseases in Kansas is evident enough that affirmative action has to be taken. According to the Centers of Disease Control and Prevention (2017), there were 250 tick-borne diseases and 75 mosquito borne diseases in 2016 alone.

It is therefore clear that the state needs to establish different affirmative action for ensuring the safety of its people against these diseases. In the new program, different ways of exterminating the disease vectors or making them be less harmful to human beings have been suggested.

The first element of the program is installing the smart mosquito traps in public places and the most affected areas. In the current digital era, it is important that the challenges present be presented with solutions in a digital way. The smart mosquito trap is one of these powerful inventions that is capable of capturing only the harmful mosquitoes in the environment.

That is, it carefully selects the mosquitoes that can spread zika virus and leaves others that are harmless. The tool was developed by Microsoft, and has an accuracy of 80% (World Health Organization, 2017). Besides saving time, the method is advantageous in that researchers can use the data collected to study the behavior of insects, and hence make it easier to handle outbreaks. This method would reduce the spread of mosquito-borne diseases in Kansas by over 50%.

A second approach in the program is including special repellants such as DEET in different products that people in Kansas use such as sunscreen, facial oil, and even hair applications. These repellants should be designed in a way they do not affect the initial purpose of the product, while still maintaining their powerful effect.

They are effective in preventing tick-borne diseases, as ticks will be less likely to find an opportunity to thrive. With the decreased ability to reproduce, it is expected that the ticks will slowly be faced out of the system, and the few remaining will not reach the threshold of causing diseases (World Health Organization, 2017).

Another innovation that can be applied in fighting these vector-borne environmental hazards in Kansas is the use of Wolbachia, a bacterium that reduces mosquito populations and stops deadly viruses from growing (Dutra et al., 2016). This technique is mostly recommended because of the fact that it is environmental friendly, and can lead to the trigger of a self-sustaining ecosystem.

Most mosquitoes have this virus, but some that are involved in the transmission of diseases do not have the bacterium. Introducing it in the insects helps prevent or completely stop the growth of human viruses. Also, introducing Wolbachia-filled males in an ecosystem reduces the chance of reproduction of the mosquitoes, and hence lowering population and the chances of spreading these diseases.

Vaccination of the population against mosquito and tick-borne diseases should be done, using the AGS-v vaccine that triggers immune response of human beings to mosquito saliva, preventing infection with the virus embedded in it.

Sample Program Budget

ITEM	COST
AGS-v vaccination	$200,000
Wolbachia administration	$40,000
DEET repellants	$35,000
Smart Mosquito traps	$110,000
TOTAL	$385,000

SWOT Analysis

The program contains several strengths and weaknesses, and is faced by a number of threats and opportunities as well. To begin with, the strengths include the high workability of the program elements, the availability of technical expertise, and the short time-frame requirement of implementing the program.

Unlike most other state health programs, there is very little time lapse between proposal and implementation, of course while all factors remain constant. The program is also highly workable as the necessary technology and expertise is readily available. The opportunities present with the program is that through selling the ideas to other states and other parts of the world, the program can become self-funding, reducing the financial burden for the state.

Some of the threats of the program include the fact that the federal government may not be willing to part with such a large amount of money in simple projects to prevent vector-borne diseases. There is a high likelihood that some of the decision makers may not be inclined to the idea of prevention rather than cure.

A possible weakness of the program is that the repellants and the vaccines may already have become resistant among the population, and in order to make them safe from these vectors, they may need an entirely different approach. In conclusion, environmental quality departments need to take seriously the prevention of vector-borne diseases in Kansas, as cure will always have higher costs.

References

Centers of Disease Control and Prevention (2017). Kansas: Vector-borne Diseases Profile (2004-2016). National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Vector-Borne Diseases (DVBD)

Dutra, H. L. C., Rocha, M. N., Dias, F. B. S., Mansur, S. B., Caragata, E. P., & Moreira, L. A. (2016). Wolbachia blocks currently circulating Zika virus isolates in Brazilian Aedes aegypti mosquitoes. Cell host & microbe, 19(6), 771-774.

Rao, A. M. K. M. (2017). Trends of vector borne diseases in the west and likely climate impact. International Pest Control, 59(4), 202-204.

World Health Organization. (2017). Design of epidemiological trials for vector control products: report of a WHO expert advisory group, Château de Penthes, Geneva, 24-25 April 2017 (No. WHO/HTM/NTD/VEM/2017.04). World Health Organization.

Zhao, S. (2017). Spontaneous changes of human behaviors and intervention strategies: human and animal diseases (Doctoral dissertation, Kansas State University).

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FAQs

Web based injury statistics query and reporting system

The Web-Based Injury Statistics Query and Reporting System (WISQARS) is an online tool developed by the Centers for Disease Control and Prevention (CDC) in the United States. It allows users to access and analyze injury-related data in the form of statistics, graphs, and maps.

The system contains a vast amount of data on fatal and nonfatal injuries that occur in the United States, including information on the causes, types, and locations of injuries, as well as demographic and geographic information about the people who are injured. Users can search for specific data by using various filters such as age, gender, race/ethnicity, injury intent, and geographic location.

The data in WISQARS is collected from a variety of sources, including death certificates, hospital records, and surveillance systems. The system provides users with access to data from different time periods and allows them to compare injury-related data across different groups or over time.

WISQARS also allows users to generate customized reports and visualizations, including tables, charts, and maps. This makes it a valuable tool for researchers, public health professionals, policymakers, and anyone else who needs injury-related data to inform decision-making or to understand injury patterns and trends.

Overall, the Web-Based Injury Statistics Query and Reporting System is a powerful and comprehensive tool for accessing and analyzing injury-related data in the United States. Its user-friendly interface and customizable features make it accessible to a wide range of users with varying levels of expertise in injury-related data analysis.

What is WISQARS

WISQARS stands for Web-Based Injury Statistics Query and Reporting System. It is an online tool developed by the Centers for Disease Control and Prevention (CDC) in the United States that provides access to injury-related data in the form of statistics, graphs, and maps. WISQARS contains a vast amount of data on fatal and nonfatal injuries that occur in the United States, including information on the causes, types, and locations of injuries, as well as demographic and geographic information about the people who are injured.

Users can search for specific data by using various filters such as age, gender, race/ethnicity, injury intent, and geographic location. WISQARS also allows users to generate customized reports and visualizations, making it a valuable tool for researchers, public health professionals, policymakers, and anyone else who needs injury-related data to inform decision-making or to understand injury patterns and trends.

CDC gun violence database

The Centers for Disease Control and Prevention (CDC) in the United States maintains a database on gun violence through the National Violent Death Reporting System (NVDRS). This system is a state-based surveillance system that collects detailed information on violent deaths, including those involving firearms.

The NVDRS is a collaborative effort between the CDC and state health departments. It collects data on violent deaths from multiple sources, including death certificates, coroner and medical examiner reports, and law enforcement records. This system provides detailed information on the circumstances surrounding each violent death, including the type of firearm used, the relationship between the victim and the perpetrator, and the location and time of the incident.

The data collected by the NVDRS is used to identify patterns and trends in gun violence and to develop effective prevention and intervention strategies. The CDC also provides access to data from the NVDRS through the "Web-based Injury Statistics Query and Reporting System" (WISQARS) website. WISQARS allows users to generate customized reports and visualizations of gun violence data based on various filters, including age, gender, race/ethnicity, and geographic location.

In addition to the NVDRS, the CDC also conducts research on gun violence and provides funding for research on the causes and prevention of gun violence. The CDC's work on gun violence is part of its broader efforts to promote public health and prevent injuries and deaths.

Scenario 3: A 58-year-old obese white male presents to ED with chief complaint of fever chills pain and swelling in the right great toe

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Scenario 3: A 58-year-old obese white male presents to ED with chief complaint of fever chills pain and swelling in the right great toe

To prepare:

Scenario 3: A 58-year-old obese white male presents to ED with chief complaint of fever chills pain and swelling in the right great toe. He states the symptoms came on very suddenly and he cannot put any weight on his foot. Physical exam reveals exquisite pain on any attempt to assess the right first metatarsophalangeal (MTP) joint. Past medical history positive for hypertension and Type II diabetes mellitus. Current medications include hydrochlorothiazide 50 mg po q am, and metformin 500 mg po bid. CBC normal except for elevated sedimentation rate (ESR) of 33 mm/hr and C-reactive protein (CRP) 24 mg/L. Metabolic panel normal. Uric acid level 6.7 mg/dl.

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

• Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.
• Any racial/ethnic variables that may impact physiological functioning.
• How these processes interact to affect the patient.

Grading Rubric:

Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following:Explain both the neurological and musculoskeletal pathophysiologic processes of why the patient presents these symptoms.--

Excellent28 (28%) - 30 (30%)

Good25 (25%) - 27 (27%)

Fair23 (23%) - 24 (24%)

Poor0 (0%) - 22 (22%)

Explain how the highlighted processes interact to affect the patient.--

Excellent28 (28%) - 30 (30%)

Good25 (25%) - 27 (27%)

Fair23 (23%) - 24 (24%)

Poor0 (0%) - 22 (22%)

Explain any racial/ethnic variables that may impact physiological functioning.--

Excellent23 (23%) - 25 (25%)

Good20 (20%) - 22 (22%)

Fair18 (18%) - 19 (19%)

Poor0 (0%) - 17 (17%)

Written Expression and Formatting - Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.--

Excellent5 (5%) - 5 (5%)

Good4 (4%) - 4 (4%)

Fair3.5 (3.5%) - 3.5 (3.5%)

Poor0 (0%) - 3 (3%)

Written Expression and Formatting - English Writing Standards: Correct grammar, mechanics, and proper punctuation--

Excellent5 (5%) - 5 (5%)

Good4 (4%) - 4 (4%)

Fair3.5 (3.5%) - 3.5 (3.5%)

Poor0 (0%) - 3 (3%)

Written Expression and Formatting - The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.--

Excellent5 (5%) - 5 (5%)

Good4 (4%) - 4 (4%)

Fair3 (3%) - 3 (3%)

Poor0 (0%) - 3 (3%)

Total Points: 100

EXPERT ANSWER AND EXPLANATION

Case Study Analysis

Analysis of Processes Related to Musculoskeletal and Neurological Disorders

A 58-year-old overweight man presents to the ER with symptoms of musculoskeletal degradation. Besides the fever and chills, he has a painful swelling on the right toe which is confirmed after assessment. Musculoskeletal and neurological disorders result when the nerves, ligaments, discs, blood vessels, and tendons become impaired (Rueangsirarak et al., 2018).

The fact that the patient has a history of hypertension and diabetes could also be reason for the occurrence of this degradation of the musculoskeletal system. Breakage of MTD as a result of the deficiency of the necessary nourishment could also play a larger role in the pain, and the associated fatigue brought the musculoskeletal disorder.

Racial and Ethnic Variables that may Impact Physiological Functioning

While people of any race can get musculoskeletal and neurologic disorders, blacks are more susceptible because of their different environmental factors. One of these factors is the absence of active physical activity compared to Hispanics and whites (Stryjecki, Alyass, & Meyre, 2018). Also, blacks are more susceptible to junk diets compared to other races. This lifestyle difference between the races is what increases the presence of more cases of being overweight among blacks.

Impact of Patient Characteristics on Altered Physiology and Disorders

The fact that the patient is obese means that he may not be well positioned to recover from the condition. (Nuckolls et al., 2020). Patients with Musculoskeletal disorders have problems carrying their own weight, and hence being obese makes the situation worse. The therapists of the patient may have to engage them in weight management procedures that would allow them to control the condition with much ease.

References

Nuckolls, G. H., Kinnett, K., Dayanidhi, S., Domenighetti, A. A., Duong, T., Hathout, Y., & McNally, E. M. (2020). Conference Report On Contractures In Musculoskeletal And Neurological Conditions. Muscle & Nerve, 61(6), 740-744. https://doi.org/10.1002/mus.26845

Stryjecki, C., Alyass, A., & Meyre, D. (2018). Ethnic and Population Differences in the Genetic Predisposition to Human Obesity. Obesity Reviews, 19(1), 62-80. Doi: 10.1111/obr.12604. Epub 2017 Oct 10.

Rueangsirarak, W., Zhang, J., Aslam, N., Ho, E. S., & Shum, H. P. (2018). Automatic Musculoskeletal and Neurological Disorder Diagnosis with Relative Joint Displacement from Human Gait. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 26(12), 2387-2396. Doi: 10.1109/TNSRE.2018.2880871.

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Other Solved Questions

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FAQs

Gout

Gout is a type of arthritis that causes sudden, severe attacks of pain, swelling, redness and warmth in joints, especially in the big toe. It occurs when there is a build-up of uric acid crystals in the joint, which triggers an inflammatory response from the immune system. This can result in intense pain, tenderness, and stiffness in the affected joint.

Gout is often accompanied by other symptoms such as fever, fatigue, and a general feeling of malaise. It is most commonly diagnosed in men over the age of 40, but it can affect women and people of all ages. Risk factors for gout include high alcohol consumption, high blood pressure, obesity, and a diet high in purines (substances found in certain foods).

What is the main cause of gout

The main cause of gout is elevated levels of uric acid in the blood, also known as hyperuricemia. Uric acid is a waste product that is produced when the body breaks down purines, which are substances found in certain foods such as red meat, seafood, and some types of alcohol. When there is too much uric acid in the blood, it can form into needle-like crystals that deposit in the joints, causing inflammation and pain.

There are several factors that can contribute to elevated levels of uric acid in the blood and the development of gout, including:

Diet:

Consuming large amounts of purine-rich foods and alcohol can increase the levels of uric acid in the blood and increase the risk of gout.

Genetics:

Some people are more predisposed to elevated levels of uric acid due to genetic factors.

Medical conditions:

Certain medical conditions such as high blood pressure, kidney disease, and metabolic disorders can also increase the risk of gout.

Medications:

Certain medications such as diuretics, low-dose aspirin, and some cancer treatments can also raise uric acid levels and increase the risk of gout.

It's important to note that not all people with elevated levels of uric acid will develop gout, and that other factors such as obesity and stress can also contribute to the development of gout.

Foods that cause gout

There are certain foods that can increase the risk of gout by elevating the levels of uric acid in the blood. These include:

Red meat:

Beef, pork, and lamb contain high levels of purines, which can increase uric acid levels in the blood.

Seafood:

Shellfish, anchovies, sardines, and other types of seafood contain high levels of purines and can increase the risk of gout.

Alcohol:

Drinking large amounts of alcohol, especially beer, can increase uric acid levels in the blood and increase the risk of gout.

Sweetened drinks:

Sugary drinks such as soda and fruit juices can also increase the risk of gout by increasing insulin resistance and promoting the formation of uric acid crystals.

Processed foods:

Processed foods that contain high fructose corn syrup, such as candy, cakes, and sweetened drinks, can also increase the risk of gout.

It's important to note that these foods can trigger gout attacks in some individuals, but not necessarily in others. A diet that is low in purines and high in whole foods, such as fruits, vegetables, and whole grains, may help reduce the risk of gout. Additionally, maintaining a healthy weight, staying physically active, and avoiding excessive alcohol consumption can also help reduce the risk of gout.

Types of gout

There are several types of gout, including:

Acute gout:

This is a sudden and intense attack of gout that can cause severe pain, redness, and swelling in a joint, often the big toe.

Intercritical gout:

This refers to the periods between gout attacks, when a person does not have any symptoms.

Chronic gout:

This occurs when gout attacks happen frequently and cause long-term damage to the joints, bones, and surrounding tissues.

Asymptomatic hyperuricemia:

This is when a person has high levels of uric acid in their blood but does not have any symptoms of gout. This can eventually lead to gout if left untreated.

Tophaceous gout:

This is a severe form of gout that occurs when uric acid crystals accumulate in the joints, tendons, and surrounding tissues, causing lumps (tophi) to form.

Recurrent gout:

This occurs when a person has multiple gout attacks over a period of time.

It's important to consult a doctor if you suspect you have gout, so that an accurate diagnosis can be made and the appropriate treatment can be prescribed. Early diagnosis and treatment can help prevent long-term complications and reduce the risk of joint damage.

Is gout curable

Gout is not a curable condition, but it can be effectively managed with proper treatment. The goal of treatment is to reduce the frequency and severity of gout attacks, prevent joint damage, and manage pain and other symptoms.

Treatment for gout typically involves medication to reduce pain and inflammation, as well as changes to your diet and lifestyle to help lower uric acid levels. In some cases, gout can be effectively managed with over-the-counter pain relievers and anti-inflammatory drugs, while other cases may require prescription medications.

In addition to medication, your doctor may recommend lifestyle changes, such as losing weight if you are overweight, limiting your intake of alcohol and foods high in purines, and engaging in regular physical activity.

It's important to work with your doctor to develop a treatment plan that is right for you, and to stick to that plan to help manage your gout and prevent future flare-ups. With the right combination of medication, lifestyle changes, and ongoing medical care, many people with gout are able to live full and active lives, despite the condition.

How to treat gout on foot

Treating gout in the foot typically involves the following steps:

Reduce pain and swelling:

Over-the-counter pain relievers, such as ibuprofen or naproxen, can help reduce pain and swelling. In severe cases, your doctor may prescribe stronger pain medication or a corticosteroid medication to reduce inflammation.

Apply ice:

Placing a cold pack or ice on the affected joint for 20 to 30 minutes at a time can help reduce pain and swelling.

Elevate the foot:

Keeping the affected foot elevated above the level of your heart can help reduce swelling and improve blood flow to the area.

Avoid activities that put stress on the affected joint:

Until the pain and swelling have subsided, avoid activities that put pressure on the affected foot, such as standing for long periods of time or walking.

Take prescription medications:

If your doctor has prescribed medication for gout, be sure to take it as directed. This may include medications to lower uric acid levels, such as allopurinol or febuxostat, or medications to reduce pain and inflammation, such as colchicine.

Make lifestyle changes:

In addition to medication, your doctor may recommend lifestyle changes to help manage your gout, such as losing weight if you are overweight, limiting your intake of alcohol and foods high in purines, and engaging in regular physical activity.

It's important to see a doctor if you are experiencing gout pain in your foot, as prompt and effective treatment can help reduce the risk of joint damage and improve your overall quality of life. Your doctor can help you develop a treatment plan that is right for you, and can monitor your condition to ensure that it is well-controlled.

After presenting your capstone project change proposal write a 250-350 word summary of the presentation

 

After presenting your capstone project change proposal write a 250-350 word summary of the presentation.

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Review the feedback on the change proposal professional presentation and make the required adjustments to the presentation. Present your evidence-based intervention and change proposal to an interprofessional audience of leaders and stakeholders. Be prepared to answer questions and accept feedback.

After presenting your capstone project change proposal, write a 250-350 word summary of the presentation. Include a description of the changes that were suggested by your preceptor before your presentation and how you incorporated that feedback. Describe how this interprofessional collaboration improved the effectiveness of your presentation. Include a description of the feedback and questions from your audience after your presentation, and how this experience will affect your professional practice in the future.

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.

Expert Answer and Explanation

Capstone Project Change Proposal Presentation

The capstone project presentation provided an opportunity for sharing the evidence-based idea I had worked on with the help given by my preceptor. The project involved introducing an education intervention that aimed to improve the communication skills of home care nurses. The basis of the project change proposal was founded on tangible, collected evidence, which showed that with improved communication skills, there was a likelihood to experience improved patient engagement, enhanced trust, and ultimately improved patient experience and satisfaction (Kim & White, 2018).

The preceptor played a major role in making the presentation successful. Some of the suggestions made by the preceptor involved the evidence to be presented and some of the key points that need to be captured, for example, the resources needed and the anticipated outcomes to make the presentation more effective. By doing so, I was able to make my presentation more concise, which made it easier for the audience to understand.

To assess the effectiveness of the presentation and whether the content was understood, I had to seek feedback from the audience. Most of the feedback was positive, but there were a few questions posed that sought to clarify some of the logistical issues involving the implementation of the project. Some from the audience were skeptical about whether the project would achieve the intended impact.

However, using the evidence gathered, I was able to convince them that it was worth a try. From this experience, I believe I have gained some skills that will help in planning, coordinating, and implementing positive changes in diverse care settings. It is a skill I intend to hone as I continue advancing my education and profession.

References

Kim, B., & White, K. (2018). How can health professionals enhance interpersonal communication with adolescents and young adults to improve health care outcomes?: A systematic literature review. International Journal of Adolescence and Youth, 23(2), 198-218. https://www.tandfonline.com/doi/ref/10.1080/02673843.2017.1330696?scroll=top

Alternative Answer

Capstone Project Change Proposal Presentation

Nurses should have skills in presentation to help them present findings to the stakeholders. I created a presentation about my change proposal to present it to the preceptor to for feedback. My preceptor made a few corrections to the presentation to ensure that it looked comprehensive, informative, and straight to the point.

The preceptor asked me to change the presentation's heading and include something that will catch the readers' attention and increase their urge to read or listen to what is in the project. One of the corrections was to use visuals when developing the PowerPoint presentation. Therefore, I had to use images and illustrations to emphasize my points. Visual presentation style is a type of presentation where the presenter uses various illustrations to make their points clear (LeFebvre et al., 2022). However, I was advised not to use too many images to prevent diverting readers from the content.

The preceptor recommended some improvements to make my presentation effective and better. One of the recommendations to include key points on the slides and explain them on the speaker note sections to allow people who want to skim through the project to do it in the shortest time possible and capture all the points noted. Interprofessional collaboration is a vital element, and it highly impacted the effectiveness of my presentation. Interprofessional collaboration is a practice where professionals work towards a common goal. Through interprofessional collaboration, I was able to note errors in my presentation and make changes as advised. The audience responded positively to the presentation.

References

LeFebvre, L., Parsons, M., Entwistle, C., Boyd, R., & Allen, M. (2022). Rethinking PowerPoint slide design for multimedia learning. Journal of Educational Technology Systems, 00472395221077628. https://doi.org/10.1177%2F00472395221077628

Schot, E., Tummers, L., & Noordegraaf, M. (2020). Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration. Journal of Interprofessional Care, 34(3), 332-342. https://doi.org/10.1080/13561820.2019.1636007

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ANSWERED! 67-year-old female presents with chief complaint

SOLVED! Healthcare continues to be a lucrative target for

SOLVED! Post a brief explanation of the differences between

SOLVED!! Explain how interprofessional collaboration will

SOLVED! Mr. EBR is a 74-year-old retired Hispanic gentleman

ANSWERED!! Identify your role as a health care professional in supporting Abby’s or Shanti’s dying rituals

ANSWERED!! Explain how personal and business ethics can be subconsciously overridden in decision-making. Does your selected business exemplify this?

FAQs

Capstone project proposal example/ capstone project proposal sample/Capstone project proposal sample pdf

Title: Improving Medication Adherence in Patients with Chronic Diseases through a Mobile Health Application

Introduction:

Chronic diseases such as diabetes, hypertension, and heart disease are prevalent and can lead to significant health consequences if not effectively managed. One of the key components of managing chronic diseases is taking medications as prescribed.

However, medication adherence can be challenging for many patients, leading to poor health outcomes and increased healthcare costs. Mobile health (mHealth) technology has the potential to improve medication adherence by providing patients with convenient and interactive tools to support their treatment.

Objectives:

1. To develop a mobile health application to support medication adherence in patients with chronic diseases.
2. To evaluate the effectiveness of the mobile health application in improving medication adherence compared to traditional paper-based methods.
3. To assess patient satisfaction with the mobile health application and identify any barriers to its adoption.

Methods:

The study will be a randomized controlled trial with two groups: an intervention group that uses the mobile health application and a control group that uses traditional paper-based methods to track medication adherence. Participants will be recruited from a primary care clinic and will be eligible if they have a diagnosis of diabetes, hypertension, or heart disease and are currently taking medications for their condition. Medication adherence will be measured using electronic pill bottles that track pill usage and a self-report questionnaire. Patient satisfaction will be assessed using a standardized questionnaire.

Expected Outcomes: The expected outcomes of this study are to:

1. Develop a user-friendly and effective mobile health application to support medication adherence in patients with chronic diseases.
2. Demonstrate the effectiveness of the mobile health application in improving medication adherence compared to traditional paper-based methods.
3. Identify patient-perceived barriers and facilitators to the adoption and use of the mobile health application.

Implications: This study has the potential to make a significant contribution to the field of mHealth by providing evidence on the effectiveness of mobile health technology in improving medication adherence in patients with chronic diseases. If successful, the mobile health application developed in this study can be used as a tool to support medication adherence and improve health outcomes in patients with chronic diseases.

How to write a capstone project

Introduction

A capstone project is a comprehensive and in-depth study of a topic that is of interest to the student. It is often the culmination of a student's academic program and represents a significant accomplishment in the field of study. Writing a capstone project can be a complex and challenging process, but with proper planning and organization, it can be manageable and rewarding.

The first step in writing a capstone project is to choose a topic that is of interest to you and relevant to your field of study. The topic should be well-defined, feasible within the time frame and resources available, and should provide the opportunity to contribute new knowledge or insights to the field.

Once you have chosen a topic, you will need to conduct a comprehensive literature review to gather information on the topic and identify gaps in the existing knowledge. This will help you formulate a clear research question or hypothesis and guide the development of your research design.

It is important to develop a well-structured and detailed outline for your capstone project, including a clear introduction, literature review, methodology, results, discussion, conclusion, and reference list. Your outline should provide a roadmap for writing your project and ensure that you stay on track as you progress through the writing process.

Finally, it is crucial to revise and proofread your capstone project several times to ensure that it is well-written, well-organized, and free of errors.

Literature Review

The literature review is an important component of a capstone project, as it provides the context and background for your research. A well-written literature review will demonstrate your understanding of the field and show that your research is grounded in existing knowledge.

1. Overview of relevant literature: In this section, you should provide a general overview of the literature related to your topic. This includes a summary of key studies, articles, and books that are relevant to your research question or hypothesis. It is important to provide a balanced and comprehensive overview, including both supportive and opposing perspectives.
2. Key findings and gaps in the literature: In this section, you should synthesize the key findings from the literature and identify any gaps in the existing knowledge. You can use this section to highlight the strengths and limitations of previous studies, and to explain why your research is needed.
3. Theoretical framework or conceptual model: In this section, you should provide a theoretical or conceptual basis for your research. This may involve presenting a specific framework or model that has been developed in your field of study, or synthesizing several different theories or models that are relevant to your research. The theoretical framework or conceptual model provides the basis for your research design and helps to guide your interpretation of the results.

It is important to note that the literature review should not simply be a list of references, but should be an in-depth and critical analysis of the existing knowledge. Your literature review should demonstrate your understanding of the field and show how your research fits into the broader context.

When writing your literature review, it is important to use a consistent citation style and to ensure that your references are accurate and complete. You should also take care to avoid plagiarism by properly citing all sources in accordance with the guidelines of your academic institution.

Methodology

The methodology section of a capstone project is a crucial component, as it outlines the methods you will use to conduct your research and answer your research questions. A well-written methodology section will demonstrate your understanding of the research process and show that your project is feasible and well-designed.

1. Research design: In this section, you should describe the overall approach you will take to conduct your research. This includes the type of research you will be conducting (e.g. qualitative, quantitative, mixed methods), the methods you will use to collect data (e.g. surveys, interviews, observations), and the strategies you will use to analyze the data (e.g. statistical analysis, content analysis).
2. Participants or subjects: In this section, you should describe the individuals or groups who will participate in your study. This includes information about their demographic characteristics (e.g. age, gender, ethnicity), the number of participants, and the criteria for inclusion in the study. You should also describe the recruitment and consent processes and any ethical considerations related to the study.
3. Data collection methods: In this section, you should describe the specific methods you will use to collect data. This includes a detailed description of the instruments you will use (e.g. surveys, interview protocols), the procedures you will follow to collect the data, and the methods you will use to ensure the quality and reliability of the data.
4. Data analysis methods: In this section, you should describe the specific methods you will use to analyze the data. This includes a description of the statistical techniques you will use (e.g. regression analysis, chi-square tests), the software you will use to analyze the data, and the procedures you will follow to ensure the accuracy and validity of the analysis.

It is important to note that the methodology section should be clear, concise, and well-organized. You should also ensure that the methods you describe are appropriate for your research question and that you have considered any potential limitations or challenges that may arise during the research process.

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Results

The results section of a capstone project is where you present the findings of your research. A well-written results section will clearly and effectively communicate your findings, and will demonstrate your understanding of the data you have collected.

1. Description of data collected: In this section, you should provide a brief description of the data you collected, including information about the sample size, demographic characteristics of participants, and the response rate. You should also provide a summary of any missing data and any steps you took to address this.
2. Analysis of data: In this section, you should present a detailed analysis of the data you collected. This includes a description of the statistical methods you used to analyze the data, as well as the results of any tests or analyses you conducted. You should also provide an interpretation of the results, highlighting any significant findings and trends.
3. Presentation of findings: In this section, you should present your findings in a clear and visually appealing way. This may include tables, graphs, and figures that summarize the results, as well as a written description of the findings. When presenting your findings, it is important to use appropriate and clear labeling, scales, and units of measurement.

It is important to note that the results section should be clear, concise, and well-organized. You should also ensure that the results are presented in a logical and coherent way, and that the results are appropriate and relevant to your research questions. Additionally, you should be careful not to over-interpret the results or make unfounded claims, and you should provide a clear and accurate interpretation of the findings.

Discussion

The discussion section of a capstone project is where you interpret and analyze the results of your research. This section is crucial as it provides the context for your results and highlights the significance of your findings.

1. Interpretation of results: In this section, you should interpret the results of your study, and discuss how they relate to your research questions and hypotheses. You should also discuss any unexpected or surprising findings, and provide an explanation for these results.
2. Comparison with findings from the literature: In this section, you should compare your findings with what has been reported in the existing literature. This includes a review of previous studies on the same or similar topics, and an evaluation of how your results contribute to the existing knowledge in the field.
3. Implications of the study: In this section, you should discuss the implications of your results for the field of study, and for practitioners, policy makers, and other stakeholders. You should also identify any practical applications or recommendations for future research that may arise from your results.
4. Limitations of the study: In this section, you should acknowledge the limitations of your study, including any limitations in the design, methods, or sample. You should also discuss how these limitations may have affected the results and their interpretation, and suggest directions for future research that may address these limitations.

It is important to note that the discussion section should be clear, concise, and well-organized. You should also ensure that the discussion is logically structured and that the interpretation of the results is based on the evidence presented in the results section. Additionally, you should be cautious about making generalizations or over-interpreting the results, and you should acknowledge any limitations or limitations to the generalizability of the findings.

Conclusion

The conclusion section of a capstone project is where you summarize the main points of your research and provide a final conclusion. This section is critical as it provides a clear and concise summary of the key findings and implications of your research, and it highlights the significance of your work for the field of study.

1. Summary of main points: In this section, you should summarize the main findings and results of your study, highlighting the key takeaways from your research. You should also summarize the implications of your results, and the contributions your study makes to the existing literature.
2. Final conclusion: In this section, you should provide a final conclusion that summarizes the main findings and results of your study, and highlights the significance of your work for the field of study. You should also reflect on the strengths and limitations of your study, and consider the implications of your results for future research and practice.
3. Recommendations for future research: In this section, you should provide recommendations for future research based on the limitations of your study, and the areas where further research is needed. You should also identify opportunities for future research that may extend or build upon your findings, and highlight any limitations that need to be addressed in future studies.

It is important to note that the conclusion section should be clear, concise, and well-organized. You should also ensure that the conclusion is consistent with the results and discussion, and that it provides a clear and concise summary of the key findings and implications of your research. Additionally, you should be careful not to introduce new information in the conclusion, and you should avoid over-generalizing the results or making unfounded claims.

An Outline of a Capstone Project

I. Introduction

A. Background of the study

B. Problem statement

C. Research questions or hypothesis

D. Objectives of the study

E. Significance of the study

II. Literature Review

A. Overview of relevant literature

B. Key findings and gaps in the literature

C. Theoretical framework or conceptual model

III. Methodology

A. Research design

B. Participants or subjects

C. Data collection methods

D. Data analysis methods

IV. Results

A. Description of data collected

B. Analysis of data

C. Presentation of findings (e.g. tables, graphs, figures)

V. Discussion

A. Interpretation of results

B. Comparison with findings from the literature

C. Implications of the study

D. Limitations of the study

VI. Conclusion

A. Summary of main points

B. Final conclusion

C. Recommendations for future research

VII. References

A. List of references in a standardized format

VIII. Appendices

A. Additional materials (e.g. interview transcripts, survey instruments)

In this assignment you will propose a quality improvement initiative

 

In this assignment you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved

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In this assignment you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:

1. The purpose of the quality improvement initiative.
2. The target population or audience.
3. The benefits of the quality improvement initiative.
4. The interprofessional collaboration that would be required to implement the quality improvement initiative.
5. The cost or budget justification.
6. The basis upon which the quality improvement initiative will be evaluated.

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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Expert Answer and Explanation

Executive Summary

An organization founded on a platform of continuous improvement is bound to always have better outcomes for its stakeholders and itself. The dynamic business environment makes it that being static may render the organization obsolete and out of touch with its consumer needs (López-Gamero & Molina-Azorín, 2016).

It is for this reason that this proposal will highlight a quality improvement (QI) initiative aimed at transforming how care is delivered to patients. The proposal will, among others, have the following components; the purpose of the initiative, the benefits, the target audience of the initiative, cost implications, and evaluation criteria of the initiative.

The Purpose of the Quality Improvement Initiative

One area that has been an issue for the organization is how it can enhance its efficiency and effectiveness of care provision. Serving a diverse population, with some patients living in rural areas, it is at times challenging to reach out to them on time when they need emergency medical assistance. This is especially true for patients with chronic and other severe conditions such as diabetes, hypertension, heart failure, to list a few.

That notwithstanding, the care facility, and by extension, the healthcare system is currently facing a shortage of care providers (Bittner & Bechtel, 2017), which in turn, means that the reach of personnel can only be stretched so far. Based on these reasons, the purpose of this QI initiative is to suggest the introduction of telemonitoring systems in the facility, as assistive tools, to facilitate care provision to such vulnerable population groups.

The Target Population

The target population of this QI initiative is the vulnerable population groups earlier mentioned. This includes patients living in areas with low access to care facilities, and need keen monitoring by care providers, patients suffering from chronic conditions, with high chances of hospital admissions, and lastly the care providers, who as it stands, are thinly stretched due to the impending shortage of care personnel (Bittner & Bechtel, 2017).

The telemonitoring system will facilitate the care personnel to efficiently deliver follow-up care to many patients at the same time without necessarily having to physically meet them.

The Benefits of the Quality Improvement Initiative

The QI initiative is expected to come with numerous benefits not only to the patients but also to the organization as a whole. One of the benefits is reduced cost and improved access to care, especially to the considerably vulnerable population groups; for example, those living in rural areas. Another benefit of implementing a telemonitoring system is that it will facilitate emergency interventions to be given to a patient when need be (Yanicelli et al., 2015).

Telemonitoring systems can also prove to be effective in reducing the number of hospital readmissions. By making early diagnoses, a care provider can suggest proactive measures to the patient which will prevent the patient’s condition from escalating to the level of requiring hospitalization (Hashemi et al., 2018).

The telemonitoring system will also reduce the workload burden faced by care providers within the facility by improving the efficiency of care provision, and reducing events that could lead to more readmissions. Therefore, it is apparent that the QI will be of great benefit to both the patients and the care providers and by extension the organization.

Interprofessional Collaboration

One of the success factors of the QI initiative will be the extent of interprofessional collaboration among the various healthcare professionals and the patients they serve (Reeves et al., 2017). Interprofessional collaboration for this particular initiative will involve physicians, nurses, informaticists, patients, and their families or caregivers.

The listed persons will have to constantly engage with one another to ensure that interventions suggested with the facilitation of telemonitoring systems are adhered to. The engagement will mostly entail relaying information to and from the patient and making personalized care plans based on the data collected using the telemonitoring system. The informaticists will ensure that the system is always functioning optimally and that all parties can utilize them as per the requirements.

The Cost Justification

The QI initiative will have some budgetary implications. Some of the costs will include, purchase of end-user equipment (servers, computers, network terminals, etc.), training of personnel, and training of patients who will be using the telemonitoring technology. The estimated cost of these elements will be $200,000

The patients will have a wearable device which they will procure to facilitate monitoring of their clinical values. From this perspective, the cost implications of the initiative when weighed against the expected benefits for both the organization, healthcare personnel, and patients, then it can be said that the return on investment will be relatively high.

Basis of Evaluation

The QI initiative will be evaluated base on the following factors. One is the return on investment; that is whether the QI can recoup the cost used to implement it. The next factor is the realization of objectives; that is, whether the outcomes intended by the initiative were achieved.

Some of these outcomes include, improve access to care services, reduced rate of readmissions for patients with chronic illness, improved provider efficiency, to list a few. The last factor is sustainability; that is whether the initiative is sustainable in the long run (Fleiszer et al., 2015).

Conclusion

The information collected by this proposal report has detailed the expected benefits which far outweigh the cost implications of the QI initiative. Therefore, if endorsed and properly implemented, the QI is expected to bring great benefits to both the organization, care providers, and patients.

References

Bittner, N. P., & Bechtel, C. F. (2017). Identifying and describing nurse faculty workload issues: A looming faculty shortage. Nursing Education Perspectives, 38(4), 171-176. DOI: 10.1097/01.NEP.0000000000000178

Fleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M. C., & Denis, J. L. (2015). The sustainability of healthcare innovations: a concept analysis. Journal of advanced nursing, 71(7), 1484-1498. https://doi.org/10.1111/jan.12633

Hashemi, A., Nourbakhsh, S., Tehrani, P., & Karimi, A. (2018). Remote telemonitoring of cardiovascular patients: Benefits, barriers, new suggestions. Artery Research, 22, 57-63. https://doi.org/10.1016/j.artres.2018.04.001

López-Gamero, M. D., & Molina-Azorín, J. F. (2016). Environmental management and firm competitiveness: the joint analysis of external and internal elements. Long-range planning, 49(6), 746-763. https://doi.org/10.1016/j.lrp.2015.12.002

Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, (6). https://doi.org/10.1002/14651858.CD000072.pub3

Yanicelli, L. M., Parodi, N. F., Goy, C. B., Britos, E., Baena, G., López, M. G., & Herrera, M. C. (2015). Heart failure management: Comparative study of telemonitoring systems and medical consensuses. In VI Latin American Congress on Biomedical Engineering CLAIB 2014, Paraná, Argentina 29, 30 & 31 October 2014 (pp. 821-824). Springer, Cham. https://doi.org/10.1007/978-3-319-13117-7_209

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FAQs

Quality improvement initiatives examples

A quality improvement initiative is a systematic and deliberate effort to identify and address issues that affect the quality of products, services, processes, or systems. The aim of a quality improvement initiative is to improve efficiency, reduce errors and defects, enhance customer satisfaction, and increase organizational performance.

A quality improvement initiative typically involves the following steps:

1. Identifying areas for improvement: This involves analyzing processes, systems, and customer feedback to identify areas that need improvement.
2. Defining goals and objectives: The goals and objectives of the initiative must be clearly defined and aligned with the overall mission and vision of the organization.
3. Gathering and analyzing data: Data is collected and analyzed to understand the root cause of problems and to identify opportunities for improvement.
4. Developing and implementing solutions: Based on the data collected and analyzed, solutions are developed and implemented to address the identified issues.
5. Monitoring and evaluating results: The results of the initiative are regularly monitored and evaluated to ensure that the desired outcomes are being achieved.

Quality improvement initiatives can be applied to various areas of an organization, including product design, manufacturing processes, customer service, and operations. By continuously seeking to improve quality, organizations can maintain a competitive advantage and achieve long-term success.

There are many examples of quality improvement initiatives in nursing. Here are a few:

1. Hand hygiene: A hand hygiene quality improvement initiative focuses on increasing compliance with hand hygiene protocols among healthcare workers to reduce the spread of infections.
2. Medication safety: A medication safety quality improvement initiative aims to reduce errors and adverse events related to medication administration. This may include implementing computerized physician order entry systems, standardizing medication administration procedures, and improving staff education.
3. Patient satisfaction: A patient satisfaction quality improvement initiative focuses on improving patient experiences through enhanced communication, timely discharge planning, and increased staff responsiveness.
4. Falls prevention: A falls prevention quality improvement initiative aims to reduce the number of falls among patients, which can result in serious injury and increased healthcare costs. This may involve implementing fall risk assessment tools, modifying the physical environment, and increasing staff education.
5. Pressure ulcer prevention: A pressure ulcer prevention quality improvement initiative focuses on reducing the incidence of pressure ulcers among patients, which can be painful and increase healthcare costs. This may involve implementing turning and repositioning schedules, using specialized bedding and positioning devices, and educating staff and patients.

These are just a few examples of quality improvement initiatives that have been successfully implemented in nursing. By continuously seeking to improve quality and patient outcomes, nursing organizations can provide high-quality care and achieve better patient outcomes.

Examples of quality improvement initiatives in healthcare

There are many examples of quality improvement initiatives in healthcare. Here are a few:

1. Patient Safety: A patient safety quality improvement initiative focuses on reducing medical errors and adverse events. This may include implementing computerized physician order entry systems, standardizing procedures, and improving staff education.
2. Chronic Disease Management: A chronic disease management quality improvement initiative aims to improve the care and outcomes for patients with chronic conditions, such as diabetes and heart disease. This may involve implementing care coordination programs, utilizing electronic health records, and increasing patient education and self-management.
3. readmissions reduction: A readmissions reduction quality improvement initiative aims to reduce the number of patients who are readmitted to the hospital within 30 days of their initial discharge. This may involve improving discharge planning, increasing patient education, and enhancing care coordination between hospital and community-based providers.
4. Clinical Documentation Improvement (CDI): A CDI quality improvement initiative focuses on improving the accuracy and completeness of clinical documentation in electronic health records. This may involve implementing CDI programs, utilizing natural language processing and machine learning algorithms, and educating staff on documentation best practices.
5. Patient Satisfaction: A patient satisfaction quality improvement initiative focuses on improving patient experiences through enhanced communication, timely discharge planning, and increased staff responsiveness.

Executive summary fall prevention

Falls are a common and serious issue in healthcare, causing injury and increased healthcare costs. To address this issue, a comprehensive fall prevention program has been developed to reduce the incidence of falls among patients. This program is based on best practices and includes several key components, including:

1. Fall risk assessment: All patients will be assessed for their risk of falling upon admission to the facility and at regular intervals thereafter.
2. Interventions: Patients identified as being at high risk for falls will receive interventions designed to reduce their risk. These may include modifying the physical environment, implementing turning and repositioning schedules, and using specialized bedding and positioning devices.
3. Education: Staff and patients will be educated on the importance of fall prevention and given information on how to reduce the risk of falls.
4. Monitoring and evaluation: The results of the fall prevention program will be regularly monitored and evaluated to ensure that the desired outcomes are being achieved.

By implementing this comprehensive fall prevention program, our organization aims to reduce the incidence of falls among patients, improve patient outcomes, and reduce healthcare costs. The program will be implemented as soon as possible and regular updates will be provided on its progress and impact.