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Case Study 2 Case Study 2 Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him. Question Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following: • • • • Describe your approach to care. Recommend a treatment plan. Describe a method for providing both the patient and family with education and explain your rationale. Provide a teaching plan (avoid using terminology that the patient and family may not understand). © 2013. Grand Canyon University. All Rights Reserved.
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Please respond to the following post, add citations and references.

In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.

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

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

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What is the impact to the nursing profession and to the public related to the projected nursing shortage? Discuss at least one way that the nursing profession is working toward a resolution of this problem.

The projected nursing shortage will cause insufficient staffing. This will then raise the stress level of the nurses, impact job satisfaction, and make many nurses leave the profession. One study noted that an increase in a nurse workload by one patient increased the chance of a patient dying within 30 days of an admission by 7%. It was also observed that a higher nurse to patient ratio was associated with higher hospital readmission rates. Having a high nurse to patient ratio was also found to increase nurse burnout which then increased urinary tract infections and surgical site infections.

One effort to address the nursing shortage is the Campaign for Nursing’s Future by Johnson & Johnson. It is a multimillion-dollar effort that includes television commercials, recruitment videos, a web site, brochures, and other visuals to promote careers in nursing. There are also some programs that are offering loan forgiveness for future nurse faculty who agree to teach after graduation. Due to the shortage of faculty and clinical preceptors, nursing schools are having to turn away thousands of qualified applicants for the nursing programs. By filling these spots, it will make room for more students to attend nursing programs to help with the projected nursing shortages.

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please respond to the following post. add citations and references.

What is the impact to the nursing profession and to the public related to the projected nursing shortage? Discuss at least one way that the nursing profession is working toward a resolution of this problem.

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Joy Okoto 1 posts

Re: Topic 1 DQ 1

It is something that has been well anticipated and planned for over the last several years, and despite plans to decrease or slow it down has been unsuccessful, of course we are talking about a nursing shortage. According to the Bureau of Labor Statistics, Registered nurses is listed among the top occupations regarding job growth through 2024, where it is anticipated that the RN workforce will grow from 2.7 million in 2014 to 3.2 million in 2024 (AACN, 2017). That is a 16% increase over a 10-year period, not including the need to replace closes to 650,000 current nurses which are expected to retire, that results in a total of 1.09 million replacements by 2024.

The factors that contribute to this shortage results from several factors, this includes an explosion in nursing school enrollment that universities are unable to keep up with resulting in restricted program access. As well as a significant portion of the nursing population is nearing retirement age, as of 2013 55% of the RN population was aged 50 or older, coupled with an increase in the aging population, thanks to the baby boomers that require additional services. The final major contributing factor is the toll that the insufficient staffing is having on the current RN’s which is resulting in a staggering number of nurses burning out and/or leaving the profession all together.

The shortages are not only having a direct impact on the nursing staff but the patients they serve which is resulting in an increase in medical errors, as well as rushed patient care that is not up to nursing standards. However, there is hope! Some strategies to address the nursing shortage have inundated the system with initiatives such as loan forgiveness for nurses, strategic partnerships between nursing schools and the VA Healthcare system and the expansion of a national centralized application service for RN programs (ANCC, 2017). With nursing education at an all-time demand, and an increase in availability for nursing educators and university expansion there is hope that if the current nursing population just holds on a little longer that there is back up on the way! All we must do and grin and bear it for a little while longer and we can turn this whole thing right around.

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As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.

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

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

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

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