NR 506 Week 2 Discussion Policy-Priority Selection
Chamberlain University NR 506 Week 2 Discussion Policy-Priority Selection– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 506 Week 2 Discussion Policy-Priority Selection assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 506 Week 2 Discussion Policy-Priority Selection
Whether one passes or fails an academic assignment such as the Chamberlain University NR 506 Week 2 Discussion Policy-Priority Selection depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 506 Week 2 Discussion Policy-Priority Selection
The introduction for the Chamberlain University NR 506 Week 2 Discussion Policy-Priority Selection is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NR 506 Week 2 Discussion Policy-Priority Selection
After the introduction, move into the main part of the NR 506 Week 2 Discussion Policy-Priority Selection assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 506 Week 2 Discussion Policy-Priority Selection
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 506 Week 2 Discussion Policy-Priority Selection
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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NR 506 Week 2 Discussion Policy-Priority Selection
Identify your selected healthcare concern in your city or state that needs your advocacy with an elected official. What is the impetus and rationale for your selection? What is your solution to this concern? Describe the model of policy making that you feel would be best applied to your policy concern and the rationale for selecting this model.
According to the National Institute on Drug Abuse (2018), Each day 115 Americans die from opioid overdoses, which means nearly 42,000 people die annually from a preventable cause. I grew up in a town of 1,000 people, so for me to see this amount of people die annually is baffling.
The estimated total “economic burden” for the US each year is $78.5 billion a year, as per The Center for Disease Control and Prevention, (2017). This is said to include the misuse of opioid prescriptions, cost of healthcare, loss of productivity, addiction alone, and the involvement of criminal justice (National Institute on Drug Abuse, 2018).
I think that as far as sources of healthcare policy, this policy would be at the Organizational level, because it would be required to meet FDA requirements, and have multiple organizations involved in decision making as well as including multiple organizations’ data. This would be a public policy.
This topic is important to me, because as nurses we all have a few patients that we say we will never forget. One of these patients for me was a 21 year old. He was admitted for altered mental status and was on a Narcan drip. Once he began to wake up he told us that he had just tried a pill and this is what happened to him. He stated it was his first time, and he had no previous history of drug abuse. The doctor then decided to discharge him this day, and everyone chalked it up to a young college kid making a stupid choice and trying a pill that was given to him.” Not 12 hours later the same young 21 year old ended up in the ER. He was being coded en route to the hospital, and after a long attempt at resuscitation, he did not make it. This patient had access to Fentanyl patches and was apparently cutting them open and eating them. This was a definite eye opening experience for me. There are also been newspaper reports in a surrounding community about five to 10 Narcan kits being used each weekend. It just amazes me that this situation has gotten so out of control over the last several years.
References:
National Institute on Drug Abuse. (2018). Opioid overdose crisis. Retrieved from: https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis
The Center for Disease Control and Prevention. (2017). National Vitals Statistics System, Mortality. Retrieved from: https://wonder.cdc.gov
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I think that there should be required follow up between the provider and patient once opiods are prescribed. All too often a patient is discharged from the hospital with narcotics and the provider does not do any type of follow up other than refer them to follow up with their primary care provider. I think all providers whether it be inpatient/hospital setting or primary care providers, should be required to follow up with all of their patients who are on prescribed opioids. I also think there should be documented non-opioid treatment attempts on all chronic opioid users as well.
With this being said, I do not think that opioids should not be used for acute patients. For example, if I came into the my physician’s office with a kidney stone or after I threw my back out, I would not expect them to attempt non-pharmacological treatment. In instances like these, a small amount of narcotics should be able to be prescribed, but then the physician should be required to follow up within a given time frame, whether it be 24 hours or a week. I think because the FDA is a federal agency, this should be done by everyone and not just by certain states. Of course, to make a change it’s not easily done at that level, so I think it would have to start slowly. I think I would first propose it to all hospital employed providers at my hospital. After that change was implemented and there was time for adequate data to be obtained, i would branch out to other facilities, and then eventually to the state level.
Many physicians will prescribe a patient a narcotic for an acute pain, but then continue to refill the medication for years “just because.” This contributes to the problem. I worked with a nurse years ago who had back pain and went to her PCP and was prescribed Norco. She became dependent on the Norco, and eventually stole Dilaudid, Morphine, Norco, and many other drugs from the hospital. Of course she was caught and her license was disciplined, but the point is, this prescription started innocent, but due to a lack of follow up from her physician, the medication was continued to feed a habit, which could have been avoided had there been stricter follow up.
If the physicians were required to follow up and have documentation that was supportive of their reason for continuing the prescription, the numbers may decrease. At a certain point, the physician could then potentially refer the patient to a pain specialist for some sort of treatment that was not an opioid.
I think the topic you picked is very important right now and the more people talking the more change there can hopefully be made. I grew up and currently live in the suburbs of Cleveland, OH, and have worked at one of the major hospitals in inner city Cleveland. There are a lot of drugs in this area, and not just in the city, but in the suburbs as well. The Opioid Crisis has really taken this area and the state of Ohio by storm. The CDC found Ohio to be the second leading state in drug overdose deaths in 2016.(CDC, 2017) This number continues to climb and I am not sure when it will start to get better. I do have a personal experience with this crisis in the fact that my oldest nephew died of a heroin overdose in 2015 at the age of 23. We were close growing up because we were only 8 years apart and my sister, his mother was 15 years older than me. This has been very hard on our family especially because we did not know what to do to help him when he was using, and so like so many families we had to experience the worst part of this epidemic. Besides this I have also been a nurse to many young patients in the hospital who had endocarditis due to the use of opioids intravenously. One patient on my floor was in their mid-twenties and was in because they needed a 2nd aortic valve replacement surgery due to IV heroin use. Before the patient was placed on the unit I worked on the patient ad her boyfriend had been shooting up heroin in the other hospital room she was staying in, but left AMA because boyfriend was kicked out of the hospital. I know a lot of people might disagree with me, the opioid addiction is a disease, and the death or addiction is preventable.
Since the passing of my nephew, my mom is very involved in different groups related working to fight the opioid epidemic, or have more successful outcomes. In the area I live in my mom has helped police stations be introduced to a program called Safe Passages. This program allows people to go to the police station and ask for help specifically for opioid addiction and they are found detox and treatment and it is paid for. It started with just a few police stations in my area and is spreading rapidly and has had success stories. The first person they had was a pregnant girl who turned her self in, no questions asked no trouble, was able to get help and has been clean for at least a year. In another hospital in my area they are trying to get to the people who overdose right away and offer them help. These are programs that are showing success and need to be spread all over the United States. Something else I believe is that there are a lot of players in the healthcare industry that have attributed to the opioid crisis. Pharmaceutical companies that had really pushed this drugs on doctors to prescribed them, insurance companies for being willing to cover the cost of these medications over alternative therapies, and the utilization of them from providers. In a study done about alternative therapies it was find that there were 44% of people were more likely to still be using opioids when being prescribed opioid analgesics within 7 days of discharge post-op.(White, Elvir Lazo, Lidia, & Xuezhao, 2017) I have seen that providers, especially now, want to use alternatives to medication to help with pain management, but a road block is insurance companies and being able to give some coverage to be affordable for patients. Not only are many alternatives covered or given enough time, but it cost with patient needing transportation, time off work, or just time out of their day. A pill that makes someone feel better is easier, but not better. Even though having to pay more upfront there is a long term benefit and would be cost effective. “A simple, safe, and effective non-invasive pain therapy without side effects could significantly reduce the dependence on oral opioid-containing medications in the post-discharge period after surgery. These non-pharmacologic therapies would also be cost-effective alternatives to opioids for treating chronic pain not responding to non-opioid analgesic medications.”(White, et al., 2017, p.8) We have all seen how opioid addiction has cost the healthcare system time and time again.
References:
The Center For Disease Control and Prevention. (2017). Drug Overdose Death Data. Retrieved from: https://www.cdc.gov/drugoverdose/data/statedeaths.html
White, P. F., Elvir Lazo, O. L., Lidia, G., & Xuezhao, C. (2017). Use of electroanalgesia and laser therapies as alternatives to opioids for acute and chronic pain management. F1000Research, 6http://dx.doi.org.chamberlainuniversity.idm.oclc.org/10.12688/f1000research.12324.1 Retrieved from https://search-proquest-com.chamberlainuniversity.idm.oclc.org/docview/1992878433?accountid=147674Links to an external site.
Grading Rubric
| Performance Category | 100% or highest level of performance
100% 16 points |
Very good or high level of performance
88% 14 points |
Acceptable level of performance
81% 13 points |
Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points |
Failing level
of performance 55% or less 0 points |
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| Total Points Possible= 50 | 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three or more of the following elements
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| 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
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| Application of Course Knowledge
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in the all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three of the following elements
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| 10 Points | 9 Points | 6 Points | 0 Points | |||
| Interactive Dialogue
Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
Demonstrated all of the following:
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Demonstrated 3 of the following:
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Demonstrated 2 of the following:
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Demonstrated 1 or less of the following:
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8 Points |
7 Points |
6 Points |
5 Points | 4 Points |
0 Points |
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| Grammar, Syntax, APA
Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error. |
The following was present:
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AND
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The following was present:
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The following was present:
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The following was present:
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The following was present:
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The following was present:
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| 0 Points Deducted | 5 Points Lost | |||||
| Participation
Requirements |
Demonstrated the following:
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Failed to demonstrate the following:
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| 0 Points Lost | 5 Points Lost | |||||
| Due Date Requirements | Demonstrated all of the following:
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
Demonstrates one or less of the following.
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
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Grading Rubric Guidelines Week 8 ONLY |
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| Performance Category |
100% or highest level of performance 100% |
Very good or high level of performance
88% |
Acceptable level of performance 81% |
Inadequate demonstration of expectations
68% |
Deficient level of performance
56% |
Failing level of performance
55% or less |
| 8 Points | 7 Points |
6 Points |
5 Points | 4 Points | 0 Points | |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three or more of the following elements
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| 8 Points | 7 Points | 6 Points | 5 Points | 4 Points | 0 Points | |
| Application of Course Knowledge –
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
Application of information is comprehensive and specific to the required topic. |
Presentation of information was minimally demonstrated in the all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three of the following elements
Application of information is comprehensive and specific to the required topic. |
| Interactive Dialogue
For Week 8 only: Initial post should be a minimum of 200 words (references do not count toward word count) The peer and instructor responses must be a minimum of 100 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
Demonstrated all of the following:
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Demonstrated 3 of the following:
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Demonstrated 2 of the following:
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Demonstrated 1 or less of the following:
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| 4 Points | 3 Points |
2 Points | 0 Points | |||
| Grammar, Syntax, APA
Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error. |
The following was present:
AND
AND
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The following was present:
AND/OR
AND/OR
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The following was present:
AND/OR
AND/OR
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The following was present:
AND/OR
AND/OR
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| 0 Points | 5 Points Lost | |||||
| Participation Requirements | For Week 8 ONLY:
Demonstrated the following:
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Failed to demonstrate the following:
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| 0 Points Lost | 5 Points Lost | |||||
| Requirements | For Week 8 ONLY:
Demonstrated all of the following:
A minimum of one peer or one instructor response is to be posted within the course no later than Wednesday, 11:59 pm MT |
Demonstrates one or less of the following.
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NOTE: To receive credit for a week’s discussion, students may begin posting no earlier than the Sunday immediately before each week opens. Unless otherwise specified, access to most weeks begins on Sunday at 12:01 a.m. MT, and that week’s assignments are due by the next Sunday by 11:59 pm MT. Week 8 opens at 12:01 a.m. MT Sunday and closes at 11:59 pm MT Wednesday. Any assignments and all discussion requirements must be completed by 11:59 pm MT Wednesday of the eighth week.
*Scholarly source: Per the APA Guidelines in Course Resources, only scholarly sources should be used in assignments and threaded discussions. These include peer reviewed publications, government reports, or sources written by a professional or scholar in the field. Your textbook and lesson are not considered to be an outside scholarly source. For the discussions, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer reviewed nursing journal. You are encouraged to use the Chamberlain library and search one of the available data bases for a peer reviewed journal article. The following sources should not be used: Wikipedia, Wikis, or blogs. These web sites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality. For example American Heart Association is a .com site with scholarship and quality. It is the responsibility of the student to determine the scholarship and quality of any .com site. Ask your instructor before using any site that you are unsure of. If the instructor determines that the site does not demonstrate scholarship or quality, points will be deducted for not using scholarly sources. Current outside scholarly sources are required for the initial posting. This is defined to be 5 years or less. Instructor permission must be obtained if using a source that is older than 5 years.