Week 13 DQ 1 Describe the three types of burns: thermal, chemical, and electrical. Explain the method to determine the percentage of body mass that has been burned. Describe a patient scenario with one type of burn and discuss the obstacles you may face in treating the patient. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources. Week 13 DQ 2 Joanne presents to the emergency department after catching dinner on fire. According to the fire department, the house was engulfed in heavy smoke, and Joanne was rescued from the kitchen, where the fire originated. She has respiratory distress requiring 4 liters nasal cannula flow of oxygen. She has second and third degree burns over her right arm, leg, and chest/abdomen. Address the following questions: What is the percentage of body mass burned? What would her wounds look like? What other concerns alarm you regarding her care? What and why would you choose a set of orders upon admission to the hospital? Discuss a recommendation for environmental and nutritional interventions for acute and chronic conditions. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources. Week 14 DQ 1 As an AGACNP, what health system measures would you put into place to assure addictive behaviors are identified and the risk of opioid dependency is mitigated? As you think of health system measures that could be employed to mitigate opiate dependency, discuss current legislations and policies, how policies and programs affect patient care, and opioid dependency when the patient requires more than the recommended dosage of an opioid. Support your answer with a minimum of two APRN peer-reviewed resources. Week 14 DQ 2 What does it mean to provide “cost-effective care”? Discuss the role of accountable care organizations in ensuring cost-effective care. What outcomes do you expect for a patient when you provide cost-effective care? Describe your responsibilities as an AGACNP to ensure that patients will receive cost-effective care that also results in optimal patient outcomes. Support your answer with a minimum of two APRN peer-reviewed resources. Week 15 DQ 1 As a busy AGACNP, finding sufficient time to stay current with and apply best practices can be a challenge. Share your methodology for personal evaluation, including the positives and negatives of the approach you are currently taking. Propose ways in which you could enhance your current efforts incorporating evidence-based inquiry and evaluation without adversely affecting a healthy work-life balance. What are the benefits of using current research or experiential learning to improve your practice? Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources. Week 15 DQ 2 Describe a clinical situation in which you have directly applied evidence-based data to produce a successful patient outcome. If you have not yet done so in practice, describe a clinical situation in which you envision this as a possibility. Explain your process. What steps in the process would you either add or eliminate if you were to encounter this particular set of circumstances again? How could your actions lead to better patient advocacy or a community action? Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources. Week 16 DQ 1 As the most senior staffer and only AGACNP on your team, you are tasked by a medical surgical unit supervisor with developing a 1-hour teaching module based on a disease process from one of the following: Neurology, Cardiovascular, Pulmonary, Gastroenterology, Urology, Endocrinology, Orthopedics, Dermatology, Renal, Hematology. This is intended for a small group of new-hire, newly licensed RNs on your medical-surgical unit. You have been asked to introduce them to the key principles of noninvasive hemodynamic monitoring and other concepts they will need to firmly understand to perform their jobs. In the lesson, be sure to analyze theories regarding implementation of change in clinical practice. Also include the importance of implementing the best standard of care in the acute care setting. Create and post an outline with a brief rationale of the proposed educational lesson you will deliver. You may not repeat a disease process that one of your colleagues has already completed. In your forum responses to your colleagues, select one area of focus of their proposed lesson plans and offer additional suggestions to improve or expand that area to provide a richer, more in-depth learning experience for the learners. Support your answer with a minimum of two APRN peer-reviewed resources. Cite your lesson and feedback sources in APA format. Week 16 DQ 2 Discuss the role of an AGACP as an educational change agent in health care. Then select one colleague’s proposed educational lesson from DQ 1 in this topic. Do not select a lesson for which you have provided feedback. Analyze their method of disseminating evidence to other health care professionals. Provide constructive feedback to your colleague regarding the following. Additional information that should be included in the lesson plan. Structure and flow of the lesson. Other supportive ideas to assist your colleague in developing a comprehensive, effective, and relevant lesson on the chosen educational topic. Support your answer with a minimum of two APRN peer-reviewed resources.
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