clinical challenges for the nurse practitioner

Clinical Challenges for the NP

Each state has laws that differ in regard to the role of the Nurse Practitioner. They also may significantly impact the NP’s practice. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes may significantly impact your scope of practice as a Nurse Practitioner. Remaining current with the laws in your state is essential. For example, the recent change at the federal level changing hydrocodone-containing drugs from a Schedule III drug to a Schedule II drug has impacted NPs in some states. For states that allow for Nurse Practitioners to write Schedule III-V drugs, these NPs are now unable to write for hydrocodone- containing medications, which significantly impacts their ability to provide care for their patients. The Pearson Report, which is updated almost annually, provides a national overview of each state’s current legislature. As a future NP, you should become familiar with The Pearson Report and stay abreast of state and federal legislation.

For this Discussion, you will post an explanation that defines the legal implications for standard of care, the key components of a malpractice policy in regard to a case study. Additionally you will explain the collaborative agreements and rules for TEXAS in regard to your NP practice and the case study you select.

  • Review the following case studies and select one to research in depth:
    • Case Study One: Dismissing the non-compliant patient.
      Gwen, a 52 year old Caucasian LPN, recently joined your practice as a new patient. She currently has a BMI of 32, B/P of 142/88. Pulse is 89, Respiratory rate is 22, Pulse Ox is 96% on Room Air. She is taking Lisinopril 10mg po daily (when she can remember), Metformin 1000mg po BID and refuses lab work. Her physical exam is unremarkable and foot exam is normal. She refuses all vaccinations including Prevnar and Influenza. Gwen’s last mammogram and pap smear were “years ago.”
    • Case Study Two: Preventive care, why is it so important to document?
      John, a 62 year old attorney, who has been a long-term patient of yours, comes to you to discuss his erectile dysfunction. You note that he has refused lab work for the past two years. He is a 30 pack/year smoker, and has not had a chest x-ray or ECG in three years. He does take his HCTZ 25 mg po daily. His BMI is 29 and all vital signs are within normal limits. He does agree to his Prevnar Vaccine today.
    • Case Study Three: Patient and professional relationships.
      Jennifer, a 45 year old Caucasian returns to your clinic for a refill of her hydrocodone. She was diagnosed with Ovarian Cancer last year, followed by successful removal and treatment. All vital signs are stable and preventive care is up to date. She wants to discuss filing a lawsuit against the surgeon that initially turned her away and told her she had gastritis and needed to eat healthier.
  • Review the following articles found in this week’s Learning Resources:
    • Miller, K. P. (2013). The National Practitioner Data Bank: An Annual Update. The Journal for Nurse Practitioners, (9)9, 576-580.
    • Stelmach, E. I. (2015). Dismissal of the Noncompliant Patient: Is this What We Have Come to? The Journal for Nurse Practitioners, 11(7), 723-725.
  • Review endocrine disorders and erectile dysfunction in your Primary Care Medicine text (Gorrol, Ah. & Mulley, A.G., 2009).


Post an explanation that addresses the following for the Case study you selected:

  • Identify and briefly summarize the case study you selected
  • Explain any legal implications for standard of care related to the case study you selected
  • Identify and explain the key components of a malpractice policy related to the case study you selected
  • Explain the collaborative agreements and knowledge the rules for Texas in regards to NP practice the case study you selected

nurse flyer

Due Date: Jul 01, 2018 23:59:59 Max Points: 80

Details:

Choose a professional nursing organization ( Florida Nurses Association: http://www.floridanurse.org/ ) that relates to the nursing profession or your clinical practice area. Assuming that you are the chairperson of membership for the organization, create a full-page flyer designed to recruit new members to the professional organization. In your flyer, include:

  1. The function of the organization, as well as its mission and vision.
  2. Potential advantages of membership in the organization.
  3. Provide resource information for new members, including contact information, membership requirements, and organizational endorsements (i.e., what other members or other organizations are saying about the selected organization).
  4. Create a topic for an upcoming meeting that would appeal to your target audience.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion.

You are not required to submit this assignment to Turnitin.

ra 2 health communication campaign

You will now apply what you have learned in this course by developing a plan for a health communications campaign. For this original plan, you will integrate work from previous assignments.

For this assignment, assume you are making a professional presentation to gain community support for your health communications campaign. Complete the following:

  • Compile all your module assignments for reference. (they’re attached.)
  • Design your health promotion campaign for your chosen public health issue.

Be sure to include the following as part of the campaign:

  • A separate executive summary in MS Word format. Download (Attached under AUO beginning file name) and review the executive summary template that you will use for this assignment.
  • A PowerPoint presentation that includes the following:
    • A title page
    • At least one slide each for the following major sections:
      • Preliminary analysis: Overall program goal
      • Outcome objectives: Behavioral, social, or organizational
      • Situation analysis and audience profile
      • Communication objectives
      • Communication strategies
      • Tactical plan: Messages, channels, materials, and activities
      • Evaluation plan
    • Notes for each slide section to provide detailed content and narrative
    • An attached list of examples and scholarly references

Write a 1–2-page executive summary in Word format. Use the following file naming convention: LastnameFirstInitial_M5_A2.doc.

Develop a 10–15-slide presentation in PowerPoint format. Use the following file naming convention: LastnameFirstInitial_M5_A2.ppt.

Apply APA standards to citation of sources.

role of a mental health professional in a natural disaster

Assignment 1: Role of a Mental Health Professional in a Natural Disaster

This assignment focuses on how you might be asked to respond in the wake of a natural disaster as a mental health professional working with law enforcement.

Task:

In a minimum of 300 words, respond to the following:

  • Explain how your services might be utilized during a natural disaster. Use the perspective of a mental health professional and personalize your position to fit the needs of your geographical location.

Apply APA standards to citation of sources.

Submission Details:

  • By the due date assigned, post your responses to this Discussion Area.
  • Through the end of the module, respond to at least two other classmates’ posts. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between one or more lines of reasoning in the discussion.
Grading Criteria Maximum Points
Quality of initial posting, including fulfillment of assignment instructions

16

Quality of responses to classmates

12

Frequency of responses to classmates

4

Reference to supporting readings and other materials

4

Language and grammar

4

Total:

40

Rubrics

health policy 8

Review the following lecture:

  • Policy Formulation: Development of Legislation

While hundreds of bills are introduced during each congressional session, only a very small percentage moves on to be evaluated by the President. Understanding the legislative process for health policy is important for administrators, who are in a position to lobby for effective health policy.

From the Internet, review the following:

Choose a healthy policy item that has been “Introduced” and present the following:

  • Title of the bill
  • Status and sponsor
  • Summary
  • Recommended revisions

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Your posting should be a minimum of 200 words in length.