[ANSWERED 2023] An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these
An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. Module 2 Assignment: Case Study Analysis An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other. Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact. An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in diagnosis and treatment of many diseases. For APRNs this understanding can also help educate patients and guide them through their treatment plans. In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. To prepare: By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. Scenario: A 65-year-old patient is 8 days post op after a total knee replacement. Patient suddenly complains of shortness of breath, pleuritic chest pain, and palpitations. On arrival to the emergency department, an EKG revealed new onset atrial fibrillation and right ventricular strain pattern – T wave inversions in the right precordial leads (V1-4) ± the inferior leads (II, III, aVF). your Case Study Analysis related to the scenario provided, explain the following Assignment (1- to 2-page case study analysis) In your Case Study Analysis related to the scenario provided, explain the following The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms. Any racial/ethnic variables that may impact physiological functioning. How these processes interact to affect the patient. By Day 7 of Week 4 Submit your Case Study Analysis Assignment by Day 7 of Week 4 GRADING RUBRIC: Develop a 1- to 2-page case study analysis, examing the patient symptoms presented in the case study. Be sure to address the following:Explain both the cardiovascular and cardiopulmonary pathophysiologic processes of why the patient presents these symptoms.– Excellent 28 (28%) – 30 (30%) Good 25 (25%) – 27 (27%) Fair 23 (23%) – 24 (24%) Poor 0 (0%) – 22 (22%) Explain how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.– Excellent 28 (28%) – 30 (30%) Good 25 (25%) – 27 (27%) Fair 23 (23%) – 24 (24%) Poor 0 (0%) – 22 (22%) Explain any racial/ethnic variables that may impact physiological functioning.– Excellent 23 (23%) – 25 (25%) Good 20 (20%) – 22 (22%) Fair 18 (18%) – 19 (19%) Poor 0 (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.– Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3 (3%) – 3 (3%) Poor 0 (0%) – 2 (2%) Written Expression and Formatting – English Writing Standards:Correct grammar, mechanics, and proper punctuation– Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3 (3%) – 3 (3%) Poor 0 (0%) – 2 (2%) Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.– Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3 (3%) – 3 (3%) Poor 0 (0%) – 2 (2%) Total Points: 100 Expert Answer and Explanation Cardiovascular and Cardiopulmonary Pathophysiologic Processes The clinical interventions have seen some specific advancements that have improved medical professionals’ ability to provide safe and quality care to patients. However, medical professionals have found it hard to manage cardiovascular diseases despite the advancements present in the field of medicine as of now. Reamy, Williams, and Odom (2017) argue that the challenge of managing cardiovascular diseases can be reflected in the higher number of patients with the diseases being readmitted to hospitals even after holistic and intensive care. Also, a great number of patients have died of cardiovascular disease despite getting quality and safe medical interventions (McCance & Huether, 2019). Researchers have found that to provide better care to patients with cardiovascular diseases, clinicians should know the pathophysiologic processes resulting in the symptoms. The Cardiovascular and Cardiopulmonary Pathophysiologic Processes Various cardiovascular and cardiopulmonary processes resulted in the symptoms presented by the patient. The shortness of breath was caused by interactions between the cardiovascular system, oxygen carriers, neural responses, and the respiratory system (Coccia, Palkowski, Schweitzer, Motsohi, & Ntusi, 2016). The symptom occurred when the drive to breath was not matched by pulmonary ventilation. The process is often triggered by the mismatch between the lungs, chest wall structures, receptors in the airways, and the central respiratory motor activity. The patient experienced pleuritic chest pain because the two large layers of tissues separating the patient’s lungs were inflamed (Inamdar & Inamdar, 2016). The patient felt chest pain because the pleural membrane layers were swollen and rubbing against each other when he breathes. According to Ashton and Raman (2015), there are no clinical reasons for the symptoms of palpitations. However, the authors note that palpation occurs when the cardiac rhythm or rate changes or when the heart moves abnormally in the chest. Racial/Ethnic Variables that may Impact Physiological Functioning Many existing genetic variables may impact the physiological functioning of patients. One such variable is peroxisome proliferator activated‐receptor γ (PPARγ). One of the functions of this variable is regulating the fat cell. Also, activated PPARγ works with thiazolidinediones to block the channel activity of calcium smooth muscle cells, lower blood pressure, promote the secretion of the vasodilator C‐type natriuretic peptide, and prevents the release of
[SOLVED 2023] Select an adult patient that you examined during the last 4 weeks who presented with a disorder other than the disorder present in your Week 3 Case Presentation
Select an adult patient that you examined during the last 4 weeks who presented with a Create a Focused SOAP Note on this patient using the template provided in the Learning Resources. There is also a completed Focused SOAP Note Exemplar provided to serve as a guide to assignment expectations. Please Note: All SOAP notes must be signed, and each page must be initialed by your Preceptor. Note: Electronic signatures are not accepted. When you submit your note, you should include the complete focused SOAP note as a Word document and PDF/images of each page that is initialled and signed by your Preceptor. You must submit your SOAP note using SafeAssign. Note: If both files are not received by the due date, faculty will deduct points per the Walden Grading Policy. Then, based on your SOAP note of this patient, develop a video case study presentation. Take time to practice your presentation before you record. Include at least five scholarly resources to support your assessment, diagnosis, and treatment planning. Ensure that you have the appropriate lighting and equipment to record the presentation. The Assignment Record yourself presenting the complex case study for your clinical patient. In your presentation: Dress professionally and present yourself in a professional manner. Display your photo ID at the start of the video when you introduce yourself. Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information). Present the full complex case study. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management. Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value. Be succinct in your presentation, and do not exceed 8 minutes. Specifically address the following for the patient, using your SOAP note as a guide: Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment? Assessment: Discuss patient mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis, and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and supported by the patient’s symptoms. Plan: What was your plan for psychotherapy? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Be sure to include at least one health promotion activity and one patient education strategy. Reflection notes: What would you do differently with this patient if you could conduct the session over? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow up, discuss what your next intervention would be. Learning Resources Required Readings (click to expand/reduce) Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer. Chapter 28, “Assessing Neurocognitive Disorders (Dementia and Delirium)” Expert Answer and Explanation Schizoaffective Disorder Subjective: CC (chief complaint): “They want to kill me but people do not believe me. I can even hear them talk.” HPI: JW is a 45-years-old male of Caucasian origin who came to the healthcare facility complaining of auditory and visual hallucinations. The patient has not been prescribed any medications at the moment until screening and testing are done. He complains that he has been seeing people around his home and hearing them planning his death. She has been reporting hallucinations for the past six weeks or so. He was accompanied by his wife to the office. The wife noted that the patient has been showing catatonic behavior for the past weeks. She narrated that the patient sometimes grabs his gun and speaks to himself by saying that he will kill them before they kill him. He has also been spotted echoing words as if he is repeating someone else’s words. The wife argued that when the client is not experiencing hallucinations, he experiences a depressed mood by not eating or wanting to be near anybody. When he is moody, he wants to be isolated and away from the world. The wife noted that the symptoms have pushed him away from his work and family. He was given leave to go and sought himself out. Substance Current Use: The patient has a history of taking drugs. He reports using illicit drugs such as cocaine and meth. However, he denies using alcohol or cigarettes. Medical History: He was diagnosed with hypertension but stopped taking medications noting that “they” want to kill him using medications. Current Medications: He is not on any medications at the moment. Allergies:No allergies. Reproductive Hx:He has not been able to engage in sexual activities in the past seven months. ROS: GENERAL: Wife reports weight loss. The client reports fatigue and weakness on some occasions. Denies fever or chills. HEENT: Eyes: No eye diseases or abnormalities. Ears, Nose, Throat: He denies hearing loss or infections. He denies a runny nose, sore throat, congestion, or sneezing. SKIN: No rash. CARDIOVASCULAR: No chest pressure, edema or palpitations, chest discomfort, or chest pressure. RESPIRATORY: No difficulty breathing, sputum, or cough. GASTROINTESTINAL: No abdominal pain, diarrhea, vomiting, nausea, or anorexia. GENITOURINARY: No odd color, hesitancy, odor, urgency, or burning during urination. NEUROLOGICAL: No tingling or numbness of the legs or fingers. No dizziness, headache, ataxia, paralysis, or bowel problems. MUSCULOSKELETAL: No stiffness or pain in the joints and muscles. No muscle, back pain, joint pain, or stiffness. HEMATOLOGIC: No anemia, clotting abnormalities, or abnormal hematologic status. LYMPHATICS: No enlarged nodes. ENDOCRINOLOGIC: Denies polydipsia, cold, sweating, polyuria, or heat problems. Objective: Physical Exam: Temp 36, BP 137/90, Ht. 6’2, Wt. 145lbs, P 78, RR 18. HEENT: Head: Face is symmetrical. Cranial nerves V and VII around the head are intact. He can move facial muscles at will. The shape of the head is rounded and there are no involuntary muscle movements.Eyes: Cornea, conjunctiva, lacrimal system, anterior chamber, and pupils are intact. The eye is not painful or red. Vision intact. Lacerations positions normal. Ears: Hearing
[ANSWERED 2022] In a Microsoft Word document of 4-5 pages formatted in APA style, you will develop a process for advocating about an issue as a nurse, from identifying a problem that needs to be solved through articulating a process for doing so
In a Microsoft Word document of 4-5 pages formatted in APA style, you will develop a process for advocating Reaching out a Solution In a Microsoft Word document of 4-5 pages formatted in APA style, you will develop a process for advocating about an issue as a nurse, from identifying a problem that needs to be solved through articulating a process for doing so. This assignment consists of answering each of the questions listed below from the “Political Analysis and Strategies” chapter of your course textbook. Write each question as a new topic area; then follow with a paragraph or two to answer the question. Let us assume that you are a school nurse in a high school. At a recent school athletic event, a spectator suffered a cardiac arrest in the stands. A coach of the home team went into the high school to fetch the automatic emergency defibrillator (AED) only to find out that it was not readily available. In the meantime, an emergency squad arrived and resuscitated the spectator. On Monday morning, you learn of the absence of the AED only to find out that it had been locked in the custodian’s closet. Reflect on the following questions outlined in the “Political Analysis and Strategies” chapter What is the issue? Is it my issue, and can I solve it? Is this the real issue or merely a symptom of a larger one? Does it need an immediate solution, or can it wait? Is it likely to go away by itself? Can I risk ignoring it? What are the possible solutions? Are there risks to these solutions? What steps would you need to take in order to solve the issue? Does anyone else at the school need to be involved in the solution? Where is the power leverage in the school to reach the preferred solution? Reaching a solution requires the use of power vested in the nurse. Review Box 9-1 (Sources of Power) and determine which type(s) of power the school nurse has in this situation. State your reasons for your answer. On a separate reference page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper. Expert Answer and Explanation Reaching out a Solution What is the issue? Nurses have to go through many issues that need their attention in their line of work. The problems can include but not limited to, policy-based, medical equipment based, and financial-based problems. In this scenario, the high school nurse is experiencing the issue of poor storage of medical emergency equipment. Is it my issue, and can I solve it? Poor storage of medical equipment is a nursing issue, and they should be part of the team that provides solutions. According to Lavin et al. (2015), nurses should have medical equipment readily available so that they can effectively discharge their duties. However, if the tool is out of reach, the nurses will not save lives are required of them. Is this the real issue or merely a symptom of a larger one? The inadequate storage of medical equipment is not the real issue in this situation. The problem is part of a more significant issue, which is the lack of training staff on how to handle medical equipment. If the workers are not well trained, they will not have proper knowledge of how to handle medical tools (Freeland et al., 2016). Institution managers should also be trained on how to manage health tools. Does it need an immediate solution, or can it wait? A patient might die if not given immediate first aid treatment. However, Bojarski et al. (2016) report that nurses cannot provide proper first aid when the equipment to do so is lacking. Thus, this issue should be solved immediately to avoid significant situations in the future. Is it likely to go away by itself? Poor handling of medical equipment is part of the lack of training. Thus, it cannot go by itself. On that note, nurses should be involved in solving it. Can I risk ignoring it? A nurse or any other stakeholder cannot ignore the issue of improper handling of medical equipment. Freeland et al. (2016) argue that if emergency medical tools are missing, many people can die. Therefore, the nurse should step up and handle the issue with all the resources at his or her disposal. What are the possible solutions? Are there risks to these solutions? The first possible solution to mishandling medical equipment is training staff on how to handle the tools. The custodian could have been educated to give a nurse or any person in charge of student health who was on the shift to control the automatic emergency defibrillator (AED). The second solution is employing trained personnel to handle medical equipment. The custodian of the AED was not medically trained to handle the therapeutic tool. The final solution is firing the custodian of AED for not being present during such a huge event where a person might develop a health issue. What steps would you need to take in order to solve the issue? The first step a nurse can take in solving the issue is researching, asking why the AED was not available when needed. Second is writing a report on the findings and presenting it to the revenant authorities within the school. Lastly, following up to check if his or her recommendations are being implemented. Does anyone else at the school need to be involved in the solution? Many people in the school need to be involved in solving the issue. The management should be included, and their thoughts collected. Also, the nurse should meet the finance and HR departments and discuss with them why they need to fire the current custodian and hire another person who is more qualified to handle medical equipment such as AED. Where is the power leverage in the school to reach the preferred solution? The school nurse can
[ANSWERED 2023] Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient
Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones Case Study Assignment Assessing the Head, Eyes, Ears, Nose, and Throat Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes but would probably perform a simple strep test. Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment. In this Case Study Assignment, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions. Required Sources Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. Chapter 11, “Head and Neck” This chapter reviews the anatomy and physiology of the head and neck. The authors also describe the procedures for conducting a physical examination of the head and neck. Chapter 12, “Eyes” In this chapter, the authors describe the anatomy and function of the eyes. In addition, the authors explain the steps involved in conducting a physical examination of the eyes. Chapter 13, “Ears, Nose, and Throat” The authors of this chapter detail the proper procedures for conducting a physical exam of the ears, nose, and throat. The chapter also provides pictures and descriptions of common abnormalities in the ears, nose, and throat. Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby. Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center. Chapter 15, “Earache” Download Chapter 15, “Earache” This chapter covers the main questions that need to be asked about the patient’s condition prior to the physical examination as well as how these questions lead to a focused physical examination. Chapter 21, “Hoarseness” Download Chapter 21, “Hoarseness” This chapter focuses on the most common causes of hoarseness. It provides strategies for evaluating the patient, both through questions and through physical exams. Chapter 25, “Nasal Symptoms and Sinus Congestion” Download Chapter 25, “Nasal Symptoms and Sinus Congestion” In this chapter, the authors highlight the key questions to ask about the patients symptoms, the key parts of the physical examination, and potential laboratory work that might be needed to provide an accurate diagnosis of nasal and sinus conditions. Chapter 30, “Red Eye” Download Chapter 30, “Red Eye” The focus of this chapter is on how to determine the cause of red eyes in a patient, including key symptoms to consider and possible diagnoses. Chapter 32, “Sore Throat” Download Chapter 32, “Sore Throat” A sore throat is one most common concerns patients describe. This chapter includes questions to ask when taking the patient’s history, things to look for while conducting the physical exam, and possible causes for the sore throat. Chapter 38, “Vision Loss” Download Chapter 38, “Vision Loss” This chapter highlights the causes of vision loss and how the causes of the condition can be diagnosed. Note: Download the six documents (Student Checklists and Key Points) below, and use them as you practice conducting assessments of the head, neck, eyes, ears, nose, and throat. Document: Episodic/Focused SOAP Note Exemplar Download Episodic/Focused SOAP Note Exemplar (Word document) Document: Episodic/Focused SOAP Note Template Download Episodic/Focused SOAP Note Template (Word document) Document: Midterm Exam Review Download Midterm Exam Review (Word document) Shadow Health Support and Orientation Resources Shadow Health. (2021). Welcome to your introduction to Shadow Health Links to an external site.. https://link.shadowhealth.com/Student-Orientation-Video Shadow Health. (n.d.). Shadow Health help desk Links to an external site.. Retrieved from https://support.shadowhealth.com/hc/en-us Shadow Health. (2021). Walden University quick start guide: NURS 6512 NP students Download Walden University quick start guide: NURS 6512 NP students. Links to an external site. https://link.shadowhealth.com/Walden-NURS-6512-Student-Guide Document: DCE (Shadow Health) Documentation Template Download DCE (Shadow Health) Documentation Template for Focused Exam: Cough (Word document) Use this template to complete your Assignment 2 for this week. To Prepare By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP Notes have specific data included in every patient case. With regard to the case study you were assigned: Review this week’s Learning Resources and consider the insights they provide. Consider what history would be necessary to collect from the patient. Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. The Assignment Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources.
[ANSWERED 2023] For this week assignment, write a 1500-word essay addressing each of the following points/questions. Read the case study presented at the end of Chapter 10, which begins
For this week assignment, write a 1500-word essay addressing each of the following points/questions. Read the case study presented at the end of Chapter 10, which begins For this week assignment, write a 1500-word essay addressing each of the following points/questions. Read the case study presented at the end of Chapter 10, which begins “The elderly patient resided at the nursing home for almost a year before she died at the hospital.” Did the lack of documentation in the admitting nurse\’s assessment and notes affect the ultimate outcome of this case? Was there negligence on the part of the nursing staff in the care of this patient? What could the nurse have done differently to facilitate a different outcome in this case? How would you decide this case? Using the sample professional liability insurance policy (Chapter 11 p. 191-192 Figure 11-1) locate the various provisions: Limits of liability Declarations Deductibles Exclusions Reservation of rights Covered injuries Defense costs Coverage conditions and supplementary payments Did you have difficulty finding some of the sections? Would this be a policy that you would consider purchasing for your own liability coverage? Why or why not? Read the case study presented at the end of Chapter 11, You Be the Judge, which begins, “During an unexpected heat wave,…” (Guido, p. 195): What provisions of an insurance policy would you consult to determine if an insurance company should pay such a claim, and what would the limits of the liability be? Is the nursing home insurance company correct in saying that this is a professional judgment issue? Which insurance company (the nursing home\’s or that of the administrator of the nursing home, assuming she has coverage) should pay the court-ordered judgment? How would you decide the case? Please combine all of these responses into a single Microsoft Word document for submission. Submit only completed assignments (not partial or \”draft\” assignments). Be thorough in your responses to adequately address all aspects of each question. Start by reading and following these instructions: Study the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully. Consider the discussion and the any insights you gained from it. Review the assignment rubric and the specifications below to ensure that your response aligns with all assignment expectations. Create your assignment submission and be sure to cite your sources, use APA style as required, and check your spelling. The following specifications are required for this assignment: Length: 1500 words; answers must thoroughly address the questions in a clear, concise manner. Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment. References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims. Format: Save your assignment as a Microsoft Word document (.doc or .docx). Expert Answer and Explanation Professional Liability Issues in Nursing Nurses are legally obliged to be competent, and to provide safe care by following appropriate guidelines and protocol to deliver safe care. In nursing practice, legal and ethical issues arise because of lack of the nurse’s understanding of the policy regulations that dictate and inform professional behavior. Carelessness coupled by stress overload can equally cause the nurse to compromise their moral obligation to the patient, leading to safety concerns (Azizian et al., 2021). Because of too much work, a nurse may neglect some of their obligations or responsibilities, and as a result, cause harm to the patient. When a nurse causes injury to the patient because of negligence, they may lose their license, job or face malpractice suit. In certain cases, an insurance company may pay the injured patient if a nurse has professional liability policy. However, the idea of compensating the patient in this case can be intricate as presented in the case study in chapter 11. It is important to examine the liability issues that occur in the nursing profession. Chapter 10 Case Study Analysis Whether the Lack of Documentation in Admitting Nurse’s Assessment and Notes affected the Outcome of the Case Given the details of the case study, there is a perspective from which one can explain the reasons for the outcomes of the case. The events of the case played out as they did due to the inability of the nurse to recognize missed diagnosis. With undocumented missed diagnosis, the nurse would not have managed to influence the outcomes of the case. The nurse was unprofessional in terms of how they handled the issue, and this could be because they lacked the experience of recognizing the patient’s needs including the diagnosis (Mello et al., 2020). Had the nurse had adequate experience, they would have placed the patient in a safer bed to minimize their risk of developing pressure ulcers. Evidence of Negligence on the Part of the Nursing Staff in the Care of the Patient The nursing staff neglected their duty to prevent the patient from developing the pressure ulcers by failing to perform comprehensive assessment of the patient. Had they comprehensively assessed the patient, they would have helped avert the problem. One of the defining features of this assessment is that it involves gathering pertinent patient’s information including their risks of developing serious health disorders (Dahlawi et al., 2021). Because the nurse’s failure to review the patient’s health, they failed to notice the possibility of the patient developing pressure ulcers. What the Nurse could have Done Differently to Facilitate a Different Outcome in the Case To facilitate different outcomes, the nurse should have documented the diagnosis information. With the information documented, the clinicians working with the patient would have been able to access it, resulting to effective management of the patient’s health. This information is equally important in the sense that it communicates the patient’s data including needs so that providers rely on it to make informed
[ANSWERED 2023] An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors
An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity. Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact. An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans. In this Assignment you examine a case study and analyze the symptoms presented. You identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health. To prepare: By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. The Assignment (1- to 2-page case study analysis) Develop a 1- to 2-page case study analysis in which you: Explain why you think the patient presented the symptoms described. Identify the genes that may be associated with the development of the disease. Explain the process of immunosuppression and the effect it has on body systems. Scenario 3: A 34-year-old Hispanic-American male with end-stage renal disease received a kidney transplant from a cadaver donor, as no one in his family was a good match. His post-operative course was uneventful, and he was discharged with the antirejection drugs Tacrolimus (Prograf), Cyclosporine (Neoral), and Imuran (Azathioprine). He did well for 3 months and had returned to his job as a policeman. Six months after his transplant, he began to gain weight, had decreased urine output, was very fatigued, and began to run temperatures up to 101?F. He was evaluated by his nephrologist, who diagnosed acute kidney transplant rejection. Excellent Good 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 why you think the patient presented the symptoms described. Points Range: 28 (28%) – 30 (30%) The response accurately and thoroughly describes the patient symptoms. The response includes accurate, clear, and detailed reasons, with explanation for the symptoms supported by evidence and/or research, as appropriate, to support the explanation. Points Range: 25 (25%) – 27 (27%) The response describes the patient symptoms. The response includes accurate reasons, with explanation for the symptoms supported by evidence and/or research, as appropriate, to support the explanation. Identify the genes that may be associated with the development of the disease. Points Range: 23 (23%) – 25 (25%) The response includes an accurate, complete, detailed, and specific analysis of the genes that may be associated with the development of the disease. Points Range: 20 (20%) – 22 (22%) The response includes an accurate analysis of the genes that may be associated with the development of the disease. Explain the process of immunosuppression and the effect it has on body systems. Points Range: 28 (28%) – 30 (30%) The response includes an accurate, complete, detailed, and specific explanation of the pathophysiological processes that may be associated with the development of the diagnosed condition. Points Range: 25 (25%) – 27 (27%) The response includes an accurate explanation of the pathophysiological processes that may be associated with the development of the diagnosed condition. NURS 6501 Module 1 assignment Case Study Analysis 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. Points Range: 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. Points Range: 4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive. Written Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation Points Range: 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. Points Range: 4 (4%) – 4 (4%) Contains a few (1 or 2) grammar, spelling, and punctuation errors. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list. Points Range: 5 (5%) – 5 (5%) Uses correct APA format with no errors. Points Range: 4 (4%) – 4 (4%) Contains a few (1 or 2) APA format errors. Fair Poor Points Range: 23 (23%) – 24 (24%) The response describes the patient symptoms in a manner that is vague or inaccurate. NURS 6501 Module 1 assignment Case Study Analysis The response includes reasons for the symptoms, with explanations that are vague or based on inappropriate evidence/research. Points Range: 0 (0%) – 22 (22%) The response describes the patient symptoms in a manner that is vague and inaccurate, or the description is missing. The response does not include reasons for the symptoms, or the explanations are vague or based on inappropriate or no evidence/research. Points Range: 18 (18%) – 19 (19%) The response includes a vague or inaccurate analysis of the genes that may be associated with the development of the disease. Points Range: 0 (0%) – 17 (17%) The response includes a vague or inaccurate analysis of the genes that may be associated with the development of the disease is missing. Points Range: 23 (23%) – 24 (24%) The response includes a vague or inaccurate explanation of the pathophysiological processes that may be associated with the development of the diagnosed condition. Points Range: 0 (0%) – 17 (17%) The response includes a vague or inaccurate explanation of the pathophysiological processes that may be associated with the development of the diagnosed condition, or the analysis is missing. Points Range: 3 (3%) –
[ANSWERED 2023] Conduct research on approaches to risk management processes, policies, and concerns in your current or anticipated professional arena to find an example of a risk management plan
Conduct research on approaches to risk management processes, policies, and concerns in The purpose of this assignment is to analyze a health care risk management program. The concepts in this assignment will be expanded on in the Topic 2 assignment and the Topic 3 benchmark assignment. Conduct research on approaches to risk management processes, policies, and concerns in your current or anticipated professional arena to find an example of a risk management plan. Look for a plan with sufficient content to be able to complete this assignment successfully. In a 1,000‐1,250-word paper, provide an analysis of the risk management plan that includes the following: Description of the health care organization to which the plan applies and the role risk management plays in that setting. Summary of the type of risk management plan you selected (new employee, specific audience, community‐focused, etc.) and your rationale for selecting that example. Description of the standard administrative steps and processes in a typical health care organization’s risk management program compared to the administrative steps and processes you identify in your selected example plan. (Note: For standard risk management policies and procedures, look up the Medicare Improvement for Patients and Provider Act (MIPPA)-approved accrediting body that regulates the risk management standards in your chosen health care sector, and consider federal, state, and local statutes as well.) Evaluation of your selected risk management plan’s compliance with the standards of its corresponding MIPPA-approved accrediting body relevant to privacy, health care worker safety, and patient safety. Analysis of the key agencies and organizations that regulate the administration of safe health care in your current or future area of concentration and an evaluation of the roles each one plays in the risk management oversight process. Proposed recommendations or changes you would implement in your risk management program example to enhance, improve, or secure the compliance standards. Proposed recommendation or changes you would implement to build and support a culture of compassion and concern for patients and health care employee safety. Base your response on the Christian worldview principle that work within the public arena should be performed with compassion, justice, and concern for the common good. In addition to your textbook and the GCU “Statement on the Integration of Faith and Work,” you are required to support your analysis with at least three credible health-related resources. Prepare this assignment according to the guidelines 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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Benchmark Information This benchmark assignment assesses the following programmatic competency: BS Health Sciences 3.2 Discuss compliance with risk management protocol. Expert Answer and Explanation Risk Management Program Analysis Managing risks is a vital part of how healthcare works, ensuring that everyone involved benefits. Having effective criteria for risk management is crucial for the organization to achieve its goals and other important aspects, contributing significantly to its success. In essence, risk management involves evaluating risks and finding solutions to reduce these risks (Hick et al., 2020). Properly communicating about these risks is also a key part of a risk management plan. Nurses Service Organization (NSO) and Healthcare Providers Service Organization (HPSO) can provide valuable insights for developing effective management programs. Description of the Healthcare Organization The plan for managing risks serves as a useful tool for putting the overall risk management program into action within both inpatient and outpatient healthcare organizations. This program provides essential structure and guidelines applicable to the organization’s clinical and business services. Its aim is to enhance the quality of patient care while ensuring a safe working environment for the staff (Johnson et al., 2020). Following the principles of the risk management plan, the emphasis is on providing a simultaneous, thorough, and organized approach to decrease instances of risk for all involved parties. Activities within risk management encompass identifying, analyzing, investigating, and evaluating risks to assess the effectiveness of implemented changes (Johnson et al., 2020). These steps are then followed by choosing and applying the most suitable method to effectively address, manage, reduce, eliminate, or transfer issues related to unintentional injuries in the healthcare setting. Summary of Selected Risk Management Plan The primary aim of the chosen risk management program is to safeguard nursing staff, patients, and healthcare visitors from unintentional injuries. Additionally, the program is designed to protect the intangible and financial assets of the organization, including its standing in the community and reputation. Unintentional injuries, a significant form of healthcare-acquired illness, affect a considerable number of individuals in the healthcare sector (Hick et al., 2020). Hospital-acquired infections or illnesses impose unnecessary financial strain on the hospital and consume resources that could otherwise be used for the treatment and care of deserving patients. In the hospital setting, various inadvertent injuries such as patient falls, late diagnosis, and misdiagnosis pose risks to patients. The identified risk management program provides an analysis of the authorities involved and the roles that the risk manager plays in ensuring the program’s effectiveness. The organization appoints and empowers the risk manager to guarantee the program’s effectiveness and align the final outcomes with the projected goals (Hick et al., 2020). The program includes a governing body with roles and responsibilities that can be communicated verbally or through a written transcript. The risk manager is responsible for creating, implementing, and evaluating the program’s effectiveness, following set standards for quality, infection control, and patient safety management. Standard Administrative Steps and processes In a standard healthcare organization, the established administrative procedures follow a specific intervention model before resolution or elimination. The medical facility, which provides healthcare services, employs staff, including nurses and physicians, who interact with patients. These staff members adhere to company policies that define acceptable and unacceptable practices (Tuck & Hough, 2017). The staff and affected patients or interested parties are the
[ANSWERED 2023] Reflect upon a patient care encounter from personal practice in which principles from Barbara Carper’s theory of “Ways of Knowing” were used. Illustrate how each fundamental pattern
Reflect upon a patient care encounter from personal practice in which principles from Module 1: Assignment Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append. Start by reading and following these instructions: 1. Quickly skim the questions or assignment below and the assignment rubric to help you focus. 2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully. 3. Consider the course discussions so far and any insights gained from it. 4. Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling. Assignment: Reflect upon a patient care encounter from personal practice in which principles from Barbara Carper’s theory of “Ways of Knowing” were used. Illustrate how each fundamental pattern for nursing knowledge contributed to the care of this patient. Select a particular area of nursing that is of interest to you. Elaborate on the specifics of nursing research in relation to this area— what can be accomplished by it, and why you believe it to be valuable. Include an explanation of the following questions in your response. What role does nursing research play in the development of applied medicine? What are the best methods for conducting such research? Include specific topics you will cover, and how this relates to your literature review. How do you know whether a topic qualifies as research worthy? What criteria make a topic acceptable for research? The assignment should be between 1500 and 2000 words in length and contain at least two scholarly sources, in addition to the textbook and provided material. Please submit your assignment in one APA formatted document. Expert Answer and Explanation Research Process and Application in Pediatrics Nursing, as a professional, relies on knowledge and the development of this knowledge is critical to the advancement of the health care objectives. In the context of the nursing profession, meeting patients’ needs is a universal priority, and theories often guide the decisions nurses make in order to meet the expectations of the various stakeholders in the healthcare sector. The contemporary health care delivery models are increasingly adopting findings from the empirical studies as the standard for guiding clinical decisions. This is emerging as a standard practice in the pediatrics where nurses work with younger patients. Theories, combined with the empirical reviews, provide the frameworks for the development of the evidence which pediatricians adopt for the purpose of applying in their practice. Research and theories, are however, useful in the development of the applied medicine (Smith & Parker, 2015). The role of this study is to explore the importance and applicability of nursing knowledge and research with focus on Barbara Carper’s theory of Ways of Knowing. Reflection upon a Patient Care Encounter Reflecting on the past clinical experience, I had an encounter with a patient who cried and complained of pain on the ankle, and I responded to the need of this patient by administering lidocaine. As a caregiver, I see myself as a custodian of the patient, and this formed the basis for my decision to respond as I did. By undertaking this decision, the patient’s pain subsided, and they did not cry for the rest of the period they were in the hospital. This brought calm to the patients and relieved the stress in the patient’s family members. I experience a sense of personal satisfaction, and I felt that my decision to act in a way that I did reflects how nurses impact the lives of the patients. As a person driven by belief to do the greater good, I had to consider injecting the patient with anesthetic medication to reduce the patient’s pain, even though I knew that the injection causes pain itself (Alligood, 2014). Based on what I have learned from various studies, injection with anesthetic medication can reduce pain, and this guided my decision. Specifics of the Nursing Research in Relations to Pediatric Nursing Nurses specializing in pediatrics can find the nursing research crucial in helping advance the clinical objectives in this area of their practice. Pediatric patients present in hospitals with a wide spectrum of medical needs, and this warrants the need for the caregivers to perform the correct assessment and administer evidence-guided interventions. Some of the patients who seek for services in this area have limited understanding of the health knowledge, and the provider cannot rely on these patients to make sound clinical decisions. The nursing research compensates for this challenge by making it possible for caregivers to apply what has worked elsewhere into the intervention regiment, and this improves the possibility of gaining favorable intervention outcomes (Alligood, 2014). Indeed, nursing research may give details about certain clinical conditions which affect patients during specific age, and this knowledge can form the basis for performing certain diagnostic procedures to determine the presence of the disease. Role of the Nursing Research in the Development of Applied Medicine Nursing knowledge is becoming increasingly important in applied medicine, and nursing professionals utilize the existing source of knowledge to explore the intervention options which they can apply in the delivery of care to improve treatment outcomes. These professionals, at various levels of their practice, become aware of the procedures involved in retrieving, reading, critiquing and applying the current studies. With this knowledge, nurses can identify issues with the current studies, and correct these mistakes, and ultimately define the new approaches for addressing the disease incidences, either at individual or community level. The healthcare environment is dynamic, and this is because of the increased emphasis on the improvement of the quality. Essentially, nurses can use this research for the purpose of responding to these changes so that they meet the changing expectations. For nurses, understanding of the current approaches to addressing clinical issues can be
[ANSWERED 2023] Create a 1 page fact sheet that your healthcare organization could hypothetically use to explain
Create a 1 page fact sheet that your healthcare organization could hypothetically use to Policy Regulation Fact Sheet As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise. With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders. In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate. To Prepare: Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics. Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA). Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study. The Assignment: (1 page not including the title and reference page) Create a 1 page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following: Briefly and generally explain the policy or regulation you selected. Address the impact of the policy or regulation you selected on system implementation. Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow. Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific. Use APA format and include a title page, in-text citations, and reference page. Use the Safe Assign Drafts to check your match percentage before submitting your work. Grading Rubric Points Range:77 (77.00%) – 85 (85.00%) A fully developed and detailed Fact Sheet is provided for the Assignment.The responses accurately and thoroughly explain in detail the policy and regulation selected.The responses accurately and thoroughly explain in detail the impact of the policy or regulation selected on system implementation.The responses accurately and thoroughly explain in detail the impact of the policy or regulation selected on clinical care, patient/provider interactions, and workflow. Specific and accurate responses thoroughly highlight in detail the organizational policies and procedures that are/will be in place at a healthcare organization to address the policy or regulation selected. Includes: 3 or more peer-reviewed sources and 2 or more course resources. Points Range:68 (68.00%) – 76 (76.00%) A developed Fact Sheet is provided for the Assignment.The responses explain the policy or regulation selected.The responses explain the impact of the policy or regulation selected on system implementation.The responses explain the impact of the policy or regulation selected on clinical care, patient/provider interactions, and workflow. Accurate responses highlight the organizational policies and procedures that are/will be in place at a healthcare organization to address the policy or regulation selected. Includes: 2 peer-reviewed sources and 2 course resources. Points Range:60 (60.00%) – 67 (67.00%) A vague or inaccurate Fact Sheet is provided for the Assignment.The responses explaining the policy or regulation selected are vague or inaccurate. The responses explaining the impact of the policy or regulation selected on system implementation are vague or inaccurate. The responses explaining the impact of the policy or regulation selected on clinical care, patient/provider interactions, and workflow are vague or inaccurate. The responses highlighting the organizational policies and procedures that are/will be in place at a healthcare organization to address the policy or regulation selected are vague or inaccurate. Includes: 1 peer-reviewed source and 1 course resource. Points Range:0 (0.00%) – 59 (59.00%) A vague and inaccurate Fact Sheet is provided for the Assignment, or is missing. The responses explaining the policy or regulation selected are vague and inaccurate, or are missing. The responses explaining the impact of the policy or regulation selected on system implementation are vague and inaccurate, or are missing. The responses explaining the impact of the policy or regulation selected on clinical care, patient/provider interactions, and workflow are vague and inaccurate, or are missing. The responses highlighting the organizational policies and procedures that are/will be in place at a healthcare organization to address the policy or regulation selected are vague and inaccurate, or are missing.Includes: 1 or fewer resources. 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. Points Range:5 (5.00%) – 5 (5.00%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. Points Range:4 (4.00%) – 4 (4.00%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Points Range:3.5 (3.50%) – 3.5 (3.50%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. Points Range:0 (0.00%) – 3 (3.00%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. Written Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation Points Range:5 (5.00%) – 5 (5.00%) Uses correct grammar, spelling, and punctuation with no errors. Points Range:4 (4.00%) – 4 (4.00%) Contains a few (1-2) grammar, spelling, and punctuation errors. Points Range:3.5 (3.50%) – 3.5 (3.50%) Contains several (3-4) grammar, spelling, and punctuation errors. Points Range:0 (0.00%) – 3 (3.00%) Contains many (? 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. Points Range:5 (5.00%) – 5 (5.00%) Uses correct APA format with no errors. Points Range:4 (4.00%) – 4 (4.00%) Contains a few (1-2) APA format errors. Points Range:3.5 (3.50%) – 3.5 (3.50%) Contains several (3-4) APA format errors. Points Range:0 (0.00%) – 3 (3.00%) Contains many (? 5) APA format errors. Expert Answer and Explanation Fact Sheet 21st Century Cures Act Impact on System Implementation This is a bill signed into law in 2016 by former president Barrack Obama. The purpose of the bill was supposed to accelerate medical research and product development through the application of healthcare technology (Gabay, 2017). The act among other
[ANSWERED 2023] You will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach
You will identify an issue or opportunity for change within your healthcare organization You will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach. To Prepare: Reflect on the four peer-reviewed articles you critically appraised see below Reflect on your current healthcare organization and think about potential opportunities for evidence-based change Create an 8- to 9-slide PowerPoint presentation in which you do the following: Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.) Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general. Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered. Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation. Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change. Be sure to provide APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking. Add a lessons learned section that includes the following: A summary of the critical appraisal of the peer-reviewed articles you previously submitted An explanation about what you learned from completing the evaluation table (1 slide) An explanation about what you learned from completing the levels of evidence table (1 slide) An explanation about what you learned from completing the outcomes synthesis table (1 slide) Expert Answer and Explanation I am currently working in a nursing and rehabilitation center, which mainly deals with patients with diverse needs. Our main task is to ensure that patients receive safe and quality care that will assist them regain independence and functionality like they were before their illness. The current organizational culture is unsupportive of the change with poor leadership, lack of accountability, and laxity by staff being some of the factors contributing to this culture. Currently the organization is having high number of cases of falls and other safety issues, which has drastically affected the facility’s rating, patient outcomes and to some extent even work satisfaction of the employees working within the facility. This problem can be attributed to lack of urgency shown by the staff when answering call-lights and alarms Scope: The issue mainly affects patients under admission, where at times they require help from the nurses but laxity of the nurses to respond to call lights and alarms, delay the help they require, which in most instances lead to adverse outcomes, like patient falls. The issue also mainly revolves around nursing unit, who are supposed to be at the forefront in responding to alarms and call lights. The change needed should therefore target at improving the response of nurses in tending to the sensory alarms and call lights to improve patient outcomes. The stakeholders involved in the change include the following; The organization leadership – The organization leadership should show interest in the change given the impact of the issue on the performance of the organization. In support of the change, they should allocate the necessary resources needed to implement the change, and also be at the forefront in leading the change. Another stakeholder are the nurses, nurse practitioners and physicians who are in charge of delivering care to patients. They are supposed to actively participate in resolving the issue with the aim of improving patient outcomes. Technicians will also be among the stakeholders involved. Their role will be to ensure that the monitoring systems are properly functional to avoid false positives and false negatives which end up causing alarm fatigue and laxity by nurses to respond (Baker & Rodger, 2020). Quality assurance team should also be part of the initiative, with their role being to provide oversight on whether the change is meeting the intended quality- related outcomes The patients are also key stakeholders involved given that impact of the change in their outcomes. Some of the risks attached to implementing the proposed change include change resistance from nurses which will affect the success of the project. The other risk is increased nurse workload from what is currently is due to the requirement to increase their level of responses to sensory alarms and call lights. As it currently is, the nurses and other care providers have a lax attitude to respond to call lights and sensory alarms. One of the main causes of laxity to respond to sensory alarms and call lights by nurses can be attributed to alarm fatigue (Baker & Rodger, 2020). Studies have indicated that sensory alarms fatigue is caused by faulty monitoring systems, inadequate training on how to respond to the sensory alarms and organizational factors including poor culture and leadership (Bach et al. , 2018). Therefore the evidence based change that is suggested is to train nurses and introduce an online monitoring system that will reduce the number of false alarms, in turn improving response times and reducing alarm fatigue. The suggested intervention is linked with various studies as being effective including studies by Bach et al. (2018) and Ruskin and Hueske-Kraus (2015). To facilitate knowledge transfer for the change the following plan will be used. The first step is knowledge creation which will entail collection of evidence on good practices which can assist to improve nurse response times to sensory alarms. Knowledge will be created by collecting evidence on the current practice and its impact on patient outcomes and comparing it with best practices, through which the change initiative will be created. The second step is to disseminate the knowledge to various stakeholders using various platforms including through meetings, print media and group discussion. The third stage is organizational adoption which will involve training on the best