DNP 810 – Emerging Areas of Human Health GCU: All Discussions And Assignments

Health Issues for the Aging Essay Example

Aging cause major socio-economic effect for the community, including the healthcare organizations. As people ages, their health generally declines requiring more medical attention. They are also at higher risk for chronic disease such as: Alzheimer’s disease, diabetes, arthritis, heart disease and particularly falls which can impact their health and quality of life (Awang, Mansor, Nai Peng & Nik Osman, 2018). Falls are the major reason of injury in adults aged 65 years or older.

Falls often generate moderate to severe harms like head trauma, fractures and death leading to longer hospital stays, unnecessary admissions/readmissions and increase the healthcare expenditures (Jin, 2018) DNP 810 Course Papers.  Given the aging population growth and the damaging effect of falls, this paper will analyze how to incorporate quality improvement solutions into public policy in order to reduce the occurrence of falls and fall-related damage in the aging population.

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Evaluation of Literature, Suggestions, Resolution to Issue

Fall is a major public health issue that can bring about serious injuries and even death in the elderly. In 2014, approximately 27,000 elderly died from unintentional fall injuries and the emergency departments treated 2.8 million elderly of which 742,000 required hospitalization. Elderly fall cost approximately $35 billion in 2012 and is expected to increase to $100 billion in 2030, without the cost for therapy and grievances.

Falls created over 20 million dollars annually and increased hospital stay to an extra 6.9 days costing the patient an extra $13,806 (Phelan, Mahoney, Voit & Stevens, 2015). Since falls can be prevented, the Centers for Medicare and Medicaid Services since 2008 have stopped reimbursing hospitals for detrimental fall-related injuries DNP 810 Course Papers. As a result, fall prevention have become for the healthcare systems both a financial and patient safety importance.

Healthcare organizations have put into effect various programs to prevent falls among patients. Preventing falls is important to preserve patient safety and decrease the financial weight on the healthcare system (Staggs, Mion & Shorr, 2015). Decreasing and preventing falls among the elderly has been a focus of study for years due to the rising number of individuals living into older age.

Many interventions such as exercise, home safety assessment, modification and multifactorial have been established through randomized controlled trials (RCTs) and subsequently condensed in systematic reviews and meta-analyses and have been showed to be effective in preventing falls among the elderly (Stubbs, Brefka & Denkinger, 2015) DNP 810 Course Papers.

Solutions and development of approaches to decrease the incidence of falls have been a noticeable emphasis in the literature for years DNP 810 Course Papers. There is now convincing indication that falls can be averted with a variety of resolutions. Studies have shown that exercise programs and home/environment evaluations by an occupational therapist can reduce the number of falls (Pighills, Ballinger, Pickering, & Chari, 2016)

Incorporating Solution into Public Policy

The United States (US) population is aging, quickly, the number of older adults is anticipated to increase from 50 million to 75 million as the last group of baby boomers turns 65. By 2034, older adults are predicted to be more than their children in the nation’s history (Naylor, Hirschman, Hanlon, Bowles, Bradway, McCauley, & Pauly, 2014).

The urgency to incorporate falls prevention among older adults into public policy should be considered. Policy, research and practice are unified elements needed for a successful and workable program of falls prevention for the elderly DNP 810 Course Papers.  The development and complicated nature of fall risk among a fast-growing aging populace requires a practical and organized approach to prevention.

The function of policy is to grant the infrastructure and funding necessary for the incorporation of falls prevention into practice.  Research is essential to provide facts to support the successful application of fall prevention interventions DNP 810 Course Papers.  Practice is where evidence is employed based on the guidelines and rules set by policy (Houry, Florence, Baldwin, Stevens & McClure, 2016).

Medicaid and Medicare which is the second and third major health insurance providers in the US has several policies that can be used to tackle falls prevention, however, they have not all been used to their full benefits. As the guarantor of more than 48 million Americans elderly, the Medicare program can demand, authorize, and incentivize provider actions associated to falls prevention.

Additionally, numerous Medicare Advantage (MA) plans have contracted with community-based establishments to offer falls prevention services to the elderly consisting of free fitness programs and Silver-Sneakers programs (Horton, Dwyer & Seiler, 2018) DNP 810 Course Papers.

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Determining Barriers to Implementation of Solution

Implementation of falls prevention can be guided by several reasons including environmental and circumstantial problems; staff understanding, views and mindsets; organizational values and climate; staff assignments; and access to correct equipment and funds DNP 810 Course Papers.

Barriers can include viewpoints that falls cannot be avoided, inadequate understanding on falls prevention in patients with multifaceted care needs like cognitive impairment, lack of funds and involvement in falls prevention efforts (Ayton, Barker, Morello, Brand, Talevski, Landgren, Melhem, Bian, Brauer, Hill, Livingston & Botti, 2017).

Managing falls in the elderly can be difficult due to their multi-factorial make-up. Contributing factors include environmental/home hazards, poor health and functional debilities. Despite various successful interventions to prevent falls among the elderly, such as multi-component exercises, home hazard adjustments, medication evaluations, healthcare providers may not be prepared to manage falls due to numerous challenges.

Both elderly and clinicians need to adjust their traditional ways of living and working in order to adopt new approaches and actions that can decrease falls (Loganathan, Ng, Tan & Low, 2015). Other barriers in implementing fall prevention solutions is a lack of organization between diverse local, state and federal organizations DNP 810 Course Papers.

Even though various agencies have their own falls prevention plans, there is no main agency that organizes programs/actions being managed by all of them. In addition, funds offered to the states often must undergo diverse regulations and restrictions DNP 810 Course Papers. At the state level, fall/injury prevention programs particularly tend have a low importance, and normally there is only one person organizing state-wide efforts (Healthy housing solutions, 2017).

Options for Public and/or Private Funding

Many states have allocated funds to create and uphold statewide fall prevention plans. For instance, the Massachusetts government have launched a fall prevention plan, which propose prevention stratagems in a yearly report DNP 810 Course Papers. Washington also have an established fall prevention program and funding for services provided by the program.

In 2008, Congress approved the Safety of Seniors Act, which orders the secretary of health and human services to give funding and to support states that have various elderly fall prevention programs. The states of Minnesota, Kentucky, New Hampshire and California have utilized the ‘Core Injury Prevention” Grants funding from the Center for Disease Control and Prevention (CDC)’s “National Center for Injury Prevention and Control” to form local teams that support evidence-based plans for fall prevention (Scotti, 2016).

The Administration on Aging, a program within Administration for Community Living (ACL), has given over $4.8 million grants for the development and implementation evidence-based falls prevention services and tactics nationwide DNP 810 Course Papers. ACL awarded ten grants to public and private not-for-profit units, as well as state organizations and community, and four grants to ethnic organizations (ACL, 2019). Policymakers need to allocate adequate funding for the development of effective falls prevention plans.

The CDC through the “Center for Injury Prevention”, participates in a variety of surveillance, study, and activities implementation to decrease elderly falls DNP 810 Course Papers. The CDC appraises data to find and broadcast valuable falls prevention programs, develops teaching tools for providers and sustains state attempts to decrease elderly falls through the “Core State Violence and Injury Prevention Program” funding.

The government’s FY2018 budget have planned to remove funding for falls prevention programs at the CDC, however, the Senate has instead advised to continue financing the CDC’s fall programs at around $2 million a vital ongoing savings that would increase in future years considering the fifty billion in yearly medical expenses to manage falls (Horton, Dwyer & Seiler, 2018).

Recommended Solution

When taking measures to apply recommended solution for falls, the reasons that generate fall must be considered for instance intrinsic and extrinsic risk. Intrinsic risk can be attributed to normal aging process and acute or chronic medical issues. Extrinsic factors are associated to the physical environment for example unsuitable floor conditions, lack of grab bars, defective or inappropriate use of equipment (Frieson, Tan, Ory & Smith, 2018).

The CDC has founded a process termed “STEADI” (Stopping Elderly Accidents, Deaths, and Injuries) that provides guided interventions to help clinicians integrate falls assessment and prevention into their establishment DNP 810 Course Papers. Also implementing the American Geriatrics Society’s  guideline will help providers to decrease elderly falls. Another way to reduce fall is through continuing education trainings for providers to better assess the elderly at risk of falls through appropriate management and referral to fall prevention programs.

Clinicians also need to provide home adjustments help support to keep the elderly safe in their homes to reduce and prevent falls. Lastly, incorporating medication review is important in assessing elderly at fall-risk DNP 810 Course Papers. Several groups of medications, principally psychoactive, antidepressants and sedatives medication put the elderly at greater risk, they are provable predictors of falls as they alter the sensorium and destabilize gait and balance (Casey, Parker, Winkler, Liu, Lambert, & Eckstrom, 2017).

To conclude, the inevitable growth in elderly people produce several age-related chronic diseases and severe problems on quality of life. It is important for DNP-prepared nurses to quickly detect those at risk for fall and increase the community awareness of falls prevention. Given the injurious effects falls have on patients and the high cost on the patient and the healthcare system, there is need for clinicians to promote preventive care and make sure to perform methodical assessment as well as a thorough physical examination, fall assessment, medication review, functional and environmental assessment (Khadka & Darai, 2018).

With each preventing falls, the patients/families, providers and the healthcare organizations all profit. DNP-prepared nurses have an integral responsibility in decreasing fall among the elderly DNP 810 Course Papers. Understanding older adults’ standpoint on falls prevention and how to get them involve in fall prevention activities is important to keep the elderly safe in their homes and communities rather than going to nursing home care (Phelan, Mahoney, Voit & Stevens, 2015).

DNP 810 Course Papers References

• Administration for Community Living (ACL). (2019). ACL Funds Evidence-Based Falls Prevention Grants. Retrieved from https://acl.gov/news-and-events/announcements-latest-news/acl-funds-evidence-based-falls-prevention-grants.
• Awang, H., Mansor, N., Nai Peng, T., & Nik Osman, N. A. (2018). Understanding ageing: fear of chronic diseases later in life. The Journal of international medical research, 46(1), 175–184. https://doi.org/10.1177/0300060517710857.
• Ayton, D. R., Barker, A. L., Morello, R. T., Brand, C. A., Talevski, J., Landgren, F. S., Melhem, M., Bian, E., Brauer, S. G., Hill, K. D., Livingston, P. M., & Botti, M. (2017). Barriers and enablers to the implementation of the 6-PACK falls prevention program: A pre-implementation study in hospitals participating in a cluster randomised controlled trial. PloS one, 12(2), e0171932. https://doi.org/10.1371/journal.pone.0171932.
• Casey, C. M., Parker, E. M., Winkler, G., Liu, X., Lambert, G. H., & Eckstrom, E. (2017). Lessons Learned From Implementing CDC’s STEADI Falls Prevention Algorithm in Primary Care. The Gerontologist, 57(4), 787–796. doi:10.1093/geront/gnw074.
• Frieson, C. W., Tan, M. P., Ory, M. G., & Smith, M. L. (2018). Editorial: Evidence-Based Practices to Reduce Falls and Fall-Related Injuries Among Older Adults. Frontiers in public health, 6, 222. https://doi.org/10.3389/fpubh.2018.00222.
• Horton, K., Dwyer, G., & Seiler, N. (2018). Older Adult Falls—Costly But Not Inevitable. Retrieved from https://www.healthaffairs.org/do/10.1377/hblog20180402.25780/full/.
• Houry, D., Florence, C.,  Baldwin, G., Stevens, J., & McClure, R. (2016). The CDC Injury Centers Response to the Growing Public Health Problem of Falls Among Older Adults.  American Journal of Lifestyle Medicine, 10, 74-77.
• Jin, J. (2018). Prevention of Falls in Older Adults. JAMA, 319(16),1734. doi:10.1001/jama.2018.4396.
• Khadka, A., & Darai, A. (2018). Common Health Problems and their contributing factors among elderly residing in Changu VDC. Journal of Institute of Medicine, 40(1), 103–107.
• Loganathan, A., Ng, C. J., Tan, M. P., & Low, W. Y. (2015). Barriers faced by healthcare professionals when managing falls in older people in Kuala Lumpur, Malaysia: a qualitative study. BMJ, 5, e008460. doi: 10.1136/bmjopen-2015-008460.
• Naylor, M. D., Hirschman, K. B.,. Hanlon, A. L ., Bowles, K. H., Bradway, C.,  McCauley, M., & Pauly, M. V. (2014). Comparison of evidence-based interventions on outcomes of hospitalized, cognitively impaired older adults. Journal of Comparative Effectiveness Research, 3(3), 245-257.
• Phelan, E. A., Mahoney, J. E., Voit, J. C., & Stevens, J. A. (2015). Assessment and management of fall risk in primary care settings. The Medical clinics of North America, 99(2), 281–293. https://doi.org/10.1016/j.mcna.2014.11.004.
• Pighills, A., Ballinger, C., Pickering, R., & Chari, S. (2016). A critical review of the effectiveness of environmental assessment and modification in the prevention of falls amongst community dwelling older people. British Journal of Occupational Therapy, 79(3), 133-143. doi:10.1177/0308022615600181
• Scotti, S. (2016). Preventing Elderly Falls. National Conference of State Legislatures (NCSL), 24, 17.
• Staggs, V. S., Mion, L. C., & Shorr, R. I. (2015). Consistent differences in medical unit fall rates: Implications for research and practice. Journal of American Geriatric Society, 63(5), 983987. doi:10.111/jgs.13387.
• Stubbs, B., Brefka, S., & Denkinger, M.D. (2015). What works to prevent falls in community- dwelling older adults? Umbrella review of meta-analyses of randomized controlled trials. Phys. Ther, 95, 1095–1110. doi: 10.2522/ptj.20140461.Casey, C. M., Parker, E. M., Winkler, G., Liu, X., Lambert, G. H., & Eckstrom, E. (2017).

Lessons Learned From Implementing CDC’s STEADI Falls Prevention Algorithm in Primary Care. The Gerontologist, 57(4), 787–796. doi:10.1093/geront/gnw074.DNP 810 Course Papers

DNP 810 Full Course Discussions GCU

DNP 810 Course Papers Topic 1 DQ 1

DNP 810 Course Papers Topic 1 DQ 2

DNP 810 Course Papers Topic 2 DQ 1

DNP 810 Course Papers Topic 2 DQ 2

DNP 810 Course Papers Topic 3 DQ 1

DNP 810 Course Papers Topic 3 DQ 2

DNP 810 Course Papers Topic 4 DQ 1

DNP 810 Course Papers Topic 4 DQ 2

DNP 810 Course Papers Topic 5 DQ 1

DNP 810 Course Papers Topic 5 DQ 2

DNP 810 Course Papers Topic 6 DQ 1

DNP 810 Course Papers Topic 6 DQ 2

DNP 810 Course Papers Topic 7 DQ 1

DNP 810 Course Papers Topic 7 DQ 2

DNP 810 Course Papers Assignments GCU

DNP 810 Topic 1 Individual Success Plan (ISP): Part 1

The Individual Success Plan (ISP) assignment in this course requires your collaboration with the course faculty early on to establish a plan for successful completion of mutually identified and agreed upon specific deliverables for your programmatic requirements. Programmatic requirements are: (1) completion of required practice immersion hours, (2) completion of work associated with program competencies, (3) work associated toward completion of your Direct Practice Improvement Project.

DNP 810 Course Papers General Requirements:

Use the following information to ensure successful completion of the assignment as it pertains to deliverables due in this course:

1. Locate and download the Individual Success Plan (ISP) document in the DNP Program Documents folder in the DNP Program Materials section of the DC Network.
2. Review the DNP Program Milestones document in the DC Network and identify which milestones apply to this course. Note: Not all courses have milestones.
3. Determine what practice experiences you plan to seek to address each competency. Include how many hours you plan to set aside to meet your goals. Learners will apply concepts from each of their core courses to reflect upon, critically examine, and improve current practice, and are required to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.
4. Use the ISP to develop a personal plan for completing your practice hours and how competencies will be met. Show all the major milestones and deliverables.

Within the ISP, ensure you identify specific deliverables which can include the following: Individualized DNP practice immersion contracts; comprehensive clinical log of hours applied to doctoral level learning outcomes; learner evaluations; mentor evaluations; current and updated CV; scholarly activities; GCU DNP competency self-assessment; reflective journal; course goals and plan for how competencies and practice immersion hours will be met; faculty and mentor approvals of course goals and documented practice immersion hours; and DPI project milestones.

DNP 810 Course Papers Directions:

1. Identify the specific deliverables you will complete throughout this course from those defined above or others negotiated with your faculty. You must turn in a new ISP in each course.
2. Identify the remaining deliverables you will complete in the upcoming courses.
3. List the challenges you expect to encounter as you continue the practice hour and competency requirements throughout this course? How might you overcome these challenges?
4. You can renegotiate these deliverables with your faculty throughout this course and update your ISP accordingly.
5. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
6. Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
7. You not are required to submit this assignment to LopesWrite.

Complete the Contact Information table at the beginning of the ISP document and type in your signature and the date on which you completed the table.

Read the information in the ISP document including the following:

1. Learner Expectations
2. Derivation of the ISP
3. Instructions for completing the ISP

Follow the instructions and complete the ISP.

DNP 810 Course Papers Topic 1 Family History

Taking a family history is an important step in determining current and future health needs and education. There are many tools available to complete a comprehensive health history. The Surgeon General’s Family Health History tool is part of the larger Family Health History Initiative that encourages people to talk about and write down health issues that seem to run in the family, bringing a larger focus on this important issue. This assignment allows the learner to use the tool and become familiar with this initiative.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Directions:

Use the “My Family Health Portrait” to document your own family history.

Designate a proband for the pedigree with a disease or condition of interest.

Write a summary (750-1,000 words) of your findings. Include the following information:

1. Discuss of the heredity patterns discovered.
2. Evaluate the risk of transmission to other/new family members.
3. Propose the feasibility of using this tool in your own practice.

It may be possible to earn portfolio practice immersion hours for this assignment. Enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I also have tracked said practice immersion hours in the Typhon Student Tracking System for verification purposes and will be sure all approvals are in place from my faculty and practice mentor.

DNP 810 Course Papers Topic 2 Case Study: Part 1

You will be creating a case study in stages over four course topics. Use an example from your own personal practice, experience, or own personal/family; however, simulated cases are not acceptable for practice hours and therefore not acceptable for this assignment. Examples might include a patient with Duchesne’s muscular dystrophy. Huntington’s disease, Down’s syndrome, sickle cell anemia, BRCA 1 or BRCA 2 mutations, or other genetic disorder that you and/or the organization in which you practice may specialize in treating.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Directions:

For this assignment (Part 1 of the “Case Study”), write a paper (1,000-1,250 words) incorporating genetics information learned from assigned readings in Topics 1 and 2. Include the following:

1. Description of the disease, its prevalence, and its incidence.
2. Discussion of laboratory testing that is possible.
3. Guidelines and reasons behind the FDA regulations for introducing new pharmaceutical agents (policy).
4. The role that money and grants play in scientific advances; the economics of health care (capitalism).
5. The role and involvement family plays into the health care decision.

It may be possible to earn portfolio practice immersion hours for this assignment. Enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I also have tracked said practice immersion hours in the Typhon Student Tracking System for verification purposes and will be sure all approvals are in place from my faculty and practice mentor.

DNP 810 Course Papers Topic 3 Case Study: Part 2

You will be creating a case study in stages over four course topics. This assignment will add to your previous work in Topic 2. Use an example from your own personal practice, experience, or your own personal/family; however, simulated cases are not acceptable for practice hours and therefore not acceptable for this assignment. Examples might include a patient with Duchesne’s muscular dystrophy. Huntington’s disease, Down’s syndrome, sickle cell anemia, BRCA 1 or BRCA 2 mutations, or other genetic disorder that you and/or the organization you practice in may specialize in treating.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Directions:

For this assignment (Part 2 of the “Case Study”), write a paper (1,000-1,250 words) incorporating genetics information learned from assigned readings in Topics 1-3. Include the following:

1. Describe if chromosomal analysis is/was indicated.
2. Detail the causes of the disorder.
3. Describe the disorder in terms of its origin as either a single gene inheritance, or as a complex inheritance and considerations for practice and patient education.
4. Analyze the gene mutation of the disease, as well as whether it is acquired or inherited, and how the mutation occurs.

It may be possible to earn portfolio practice immersion hours for this assignment. Enter the following after the references section of your paper:

Practice Immersion Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I also have tracked said practice immersion hours in the Typhon Student Tracking System for verification purposes and will be sure all approvals are in place from my faculty and practice mentor.

Topic 4 Genetic Counseling

With the increase in knowledge around genetic issues, it is important that all health care providers are prepared to have thorough genetic-based discussions now with their patients. In this assignment, you will synthesize your knowledge into a client case with a real or potential genetic health-related illness.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.

• You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Directions:

Write a paper (1,000-1,250 words) addressing a client case that might benefit from the process of genetic counseling. Describe the reason for the genetic counseling based on the findings from your completion of the family health portrait. Discuss the possible reactions the patient may have to your counseling and how to avoid negative reactions.

Imagine this assignment as if you are giving this counseling to a patient. Discuss the following:

1. Health
2. Prevention
3. Screening
4. Diagnostics
5. Prognostics
6. Selection of treatment
7. Monitoring of treatment effectiveness

It may be possible to earn portfolio practice immersion hours for this assignment. Enter the following after the references section of your paper:

Practice Immersion Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I also have tracked said practice immersion hours in the Typhon Student Tracking System for verification purposes and will be sure all approvals are in place from my faculty and practice mentor.

DNP 810 Course Papers Topic 5 Case Study: Part 3

You will be creating a case study in stages over four course topics. This assignment will add to your previous work in Topic 3. Use an example from your own personal practice, experience, or own personal/family; however, simulated cases are not acceptable for practice hours and therefore not acceptable for this assignment. Examples might include a patient with Duchesne’s muscular dystrophy, Huntington’s disease, Down’s syndrome, sickle cell anemia, BRCA 1 or BRCA 2 mutations, or other genetic disorder that you and/or the organization you practice in may specialize in treating.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Directions:

For this assignment (Part 3 of the “Case Study”), write a paper (1,000-1,250 words) incorporating genetics information learned from assigned readings in Topics 1-5.

Include the following:

1. Examine how genetics can influence policy issues.
2. Discuss any nutritional influences for the cause of this disease.
3. Discuss the process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness.
4. Discuss the prevalence rates, testing, treatment, and prognosis as they relate to human nutrition.

It may be possible to earn portfolio practice immersion hours for this assignment. Enter the following after the references section of your paper:

Practice Immersion Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I also have tracked said practice immersion hours in the Typhon Student Tracking System for verification purposes and will be sure all approvals are in place from my faculty and practice mentor.

Topic 6 Health Issues for the Aging

As of 2017 health care expenditures in the United States are near 17.9% of our gross domestic product (GDP), with a major portion of Medicare funding going toward chronic illness and care at the last six months of life. The Patient Protection and Affordable Care Act has made some initial legislative changes in our health system, but not sufficient enough to address our growing expenditures and caring for our large aging population. In this assignment, learners will synthesize issues in aging with health policy solutions by writing a paper on one health issue for older individuals addressed in the topic and offering a policy solution. Example of issue: In 2014, more than 50% of the costs of institutional long-term care for older persons are paid for with public funds from Medicaid.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Directions:

Write a paper (1,000-1,250 words) that addresses a health issue for older individuals. Include the following:

1. Evaluate what the literature suggests as a resolution to your chosen issue.
2. Discuss any attempts to incorporate the solution into public policy.
3. Determine the barriers to implementation of the solution.
4. Analyze the options being discussed for public and/or private funding.
5. Propose your own recommendation.

It may be possible to earn portfolio practice immersion hours for this assignment. Enter the following after the references section of your paper:

Practice Immersion Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I also have tracked said practice immersion hours in the Typhon Student Tracking System for verification purposes and will be sure all approvals are in place from my faculty and practice mentor.

DNP 810  Topic 8 Individual Success Plan (ISP): Part 2

As instructed in Topic 1, The Individual Success Plan (ISP) assignment in this course required your collaboration with the course faculty early on to establish a plan for successful completion of mutually identified and agreed upon specific deliverables for your programmatic requirements. These requirements were as follows: Programmatic requirements are: (1) completion of required practice immersion hours, (2) completion of work associated with program competencies, and (3) work associated toward completion of your Direct Practice Improvement Project.

Resubmit your updated and signed ISP.

DNP 810 Topic 8 Case Study: Cumulative Part 4

You will be creating a case study in stages over four course topics. This assignment will add to your previous work in Topic 5. Use an example from your own personal practice, experience, or own personal/family; however, simulated cases are not acceptable for practice immersion hours and therefore not acceptable for this assignment. Examples might include a patient with Duchesne’s muscular dystrophy, Huntington’s disease, Down’s syndrome, sickle cell anemia, BRCA 1 or BRCA 2 mutations, or other genetic disorder that you and/or the organization you practice in may specialize in treating.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
• Directions:

For this assignment (Conclusion of the “Case Study”), include Parts 1, 2, and 3 of the “Case Study” in one document, combined with additional genetics information learned from the assigned readings from all course topics. Make sure you have incorporated any faculty feedback received from previous reports. Do not copy/paste entire papers from Parts 1, 2 and 3. Create a document including only the following areas from previous case reports:

1. Describe the disease, its prevalence, its incidence, and general knowledge of the disease.
2. Discuss the laboratory testing that can be done.
3. Describe if chromosomal analysis is/was indicated and detail the chromosomal change that caused the disease if it is a chromosomal disorder.
4. Describe the disorder in terms of its origin as either a single gene inheritance, or as a complex inheritance and considerations for practice and patient education.
5. Describe the gene mutation of the disease, as well as whether it is acquired or inherited, and how the mutation occurs.
6. Examine how genetics can influence policy issues.
7. Discuss any nutritional influences for this disease.
8. Process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness.

In addition, your case study must include the following:

Part 4:

1. Discuss any ethical considerations for this disease.
2. Compare how genetics can improve care and health outcomes while reducing cost to usual practices.
3. Discuss the changes in approaches to care when new evidence warrants evaluation of other options for improving outcomes or decreasing adverse events.
4. Create a plan for how you might educate colleagues and/or patients on this genetic disorder.

It may be possible to earn portfolio practice immersion hours for this assignment. Enter the following after the references section of your paper:

Practice Immersion Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I also have tracked said practice immersion hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

DNP 810 Topic 8 Reflective Journal

Learners are required to maintain a Reflective Journal integrating leadership and inquiry into current practice.

In your journal, you will reflect on the personal knowledge and skills gained in the current course addressing a variable combination of the following: new practice approaches, intraprofessional collaboration, health care delivery and clinical systems, ethical considerations in health care, population health concerns, the role of technology in improving health care outcomes, health policy, leadership and economic models, and/or health disparities. Outline what you discovered about your professional practice, personal strengths and weaknesses that surfaced, what additional resources and abilities could be introduced to a given situation to influence optimal outcomes, and finally how you met the competencies aligned to this course.

Submit your Reflective Journal to both the instructor and the Typhon Tracking System under the corresponding course section. Learners must submit this deliverable in Typhon and LoudCloud. Failure to submit in both locations can result in an “Incomplete” for the course.

DNP 810 Topic 8 Scholarly Activities

Throughout the DNP Program, learners are required to provide a report documenting participation in a minimum of four scholarly activities outside of clinical or professional practice. These reports will be due in specific courses throughout the program (listed below).

Examples of scholarly activities include attending conferences, seminars, grand rounds, participating in policy and quality improvement committees, writing scholarly publications, participating in community planning, serving as a guest lecturer, etc. Involvement and contribution to interdisciplinary initiatives are also acceptable scholarly activities.

Documentation of these activities is required in DNP-810, DNP-820, DNP-830, and DNP-840.

A summary report of the scholarly activity including who, what, where, when, and take-home points will be submitted as the assignment. Include the appropriate program competencies associated with the scholarly activity and the future professional goals related to this activity. You may use the attached template to help guide this assignment.

It may be possible to earn portfolio practice immersion hours for this assignment. Enter the following after the references section of your paper:

Practice Immersion Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I also have tracked said practice immersion hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

DNP 810 Course Papers Topic 8 Practice Immersion Hours Portfolio

The Typhon Tracking System will be used to document and follow the status of your practice immersion hours throughout this and every subsequent course. Learners must be able to document a minimum of 50 concurrently or previously logged practice hours in association with this course, which will contribute to fulfillment of the total required 1,000 post-baccalaureate practice hours by the conclusion of the program. Review the Practice Immersion Hours Portfolio Required Elements below, then review the “Guidelines for Graduate Field Experience Manual” document in the DC Network for details on what may/may not qualify as practice hours.

Practice Immersion Hours Portfolio Required Elements

The Practice Hours Portfolio (using the Typhon Student Tracking System) will include all the following elements:

1. Individual Success Plan signed off by mentor.
2. Comprehensive clinical log of hours applied to doctoral-level learning outcomes.
3. Learner evaluations (final).
4. Practice mentor evaluations (final).
5. Current and updated CV (update each course as necessary).
6. Faculty approvals of the Individual Success Plan and documented practice immersion hours. (Learner is responsible for obtaining approvals.)
7. Practice mentor’s approval of the Individual Success Plan and documented practice immersion hours. (Learner is responsible for obtaining approvals.)

Practice Immersion Hours Completion Statement

Learners will track their practice hours within the Typhon Tracking System throughout each course and via the “Practice Hours Completion Statement” assignment provided in this assignment.

Complete the following statement in a Word document, submit to the instructor, and complete the Typhon Tracking System entries appropriate for this course.

Create a Word document with the following text:

Practice Immersion Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this course. I also have tracked said practice immersion hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

DNP 810  Topic 8 Final Evaluation by Mentor

The mentor will perform a final clinical evaluation via the Typhon system. The mentor will receive an e-mail link at the beginning of Topic 6 to access the evaluation through Typhon. Students will access the completed mentor evaluations in Typhon under the tab for “EASI: Evaluation and Survey Instrument” and print the completed evaluation, sign it, and upload the signed evaluation into LoudCloud.

The course faculty will review the evaluation in LoudCloud and confirm in Typhon. It is the student’s responsibility to ensure that the mentor has completed the evaluation. If the mentor does not receive the evaluation via the e-mail address on file with GCU, the student should contact the course faculty immediately.

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

Mentor and Site Evaluation

Students may evaluate both their mentor and the site in which they conducted their practice immersion experience. All students must pull any completed evaluation from Typhon and submit to the classroom.

Students should provide screenshots of evaluation or copy/paste the evaluation from Typhon in the drop box in