Assignment ScenarioAfter graduating from nursing school and passing your boards, you accepted a position as an RN in the emergency center at Rasmussen General Hospital (RGH). In the weeks ahead, your emergency center plans to implement a new initiative where clients diagnosed with low-risk deep vein thrombosis (DVT) will be sent home on 3 months of oral anticoagulation therapy with rivaroxaban.Historically, clients diagnosed with DVTs in the emergency center were admitted to the hospital's observation unit. However, when surveyed about their experiences, many clients reported that this was costly, time-consuming, and inconvenient. Under RGH's new program, emergency center nurses will be responsible for educating clients about their new medication and administering the first dose to the client before discharge.As part of this new initiative, all emergency center nurses at RGH must be trained to properly educate these clients on all aspects of their new medication regimen. Because you have demonstrated a keen interest in pharmacology, your manager has asked you to develop the educational tools that will be used to train the nurses at RGH.It's worth noting that the standard dosing for all low-risk DVTs is as follows:15 mg BID, 12 hours apart, for 21 daysAfter 21 days, use 20 mg once per dayAfter 90 days, the client will follow up in the thrombosis clinic to evaluate if they meet criteria for discontinuing the medicationAssignment InstructionsYour manager explained that all of the emergency center nurses at RGH will be educated in small groups through a short, in-service training session. You have been asked to develop a professional-looking PowerPoint presentation that the trainers will use to guide the in-service sessions. Your PowerPoint will need to:Be professional-looking, have a title slide, and 10-15 content slides.Use the Speaker Notes feature in PowerPoint to reduce the amount of text that appears on the content slides.The Speaker Notes for each slide will contain the text that will guide what the trainer will say while presenting the slides during the in-service.The content slides themselves should be clear and easy to understand; they serve as an outline so the audience can follow along with what is being presented.Be written using proper spelling/grammar and at a level that would be appropriate for the audience.Remember the purpose of the training is to help nurses learn to educate their clients about the use of a medication. With that in mind, it may be helpful to provide examples of how to explain the information to a client in an easy to understand way without complicated, technical terms.Include APA formatted in-text citations for at least 3 scholarly references and present the sources in APA format on a References slide.Contain content addressing the items below.PharmacotheraputicsState the drug name and its therapeutic categoryPharmacodynamics (how does this drug work to achieve its intended response)Pharmacokinetics (how is this drug absorbed, distributed, metabolized, and excreted).Discuss dosage, scheduling, route, and length of therapy.Describe what clients can expect regarding their therapeutic response and when it should developIntroduce nondrug measures that clients can do to enhance their therapeutic response (e.g., specific diet to follow, exercise requirements, substances to avoid, special precautions to take, etc.)Side Effects, Adverse Effects, and InteractionsExplain the symptoms of common side effects, and what clients can do to minimize any discomfortExplain the symptoms of any major adverse effects, and what clients should do if they experience themList the major adverse drug-drug interactions and drug-food interactions that clients need to be made aware ofFollow-up CareProvide information regarding when clients should call their doctor for advice (e.g., questions, non-urgent symptoms, unpleasant side effects, etc.)Emphasize any symptoms for which clients should seek immediate care (e.g., when to go to the emergency center or call 911)When developing a professional-looking presentation, it's important to be mindful of how you layout your content. The slides should present key points, arranged in a logical manner, without extraneous information contributing to a cluttered look. Using the Speaker Notes feature in PowerPoint is a great way to include relevant details without overloading the slides.For information about creating PowerPoint presentations or adding Speaker Notes, consult the resources below.Writing Guide: PowerPointsHow do I add Speaker Notes to my PowerPoint presentation slides?PowerPoint FAQPowerPoint & APA: citing sources and creating reference lists in PPT presentations Submit your completed assignment to the drop box below. Please check the Course Calendar for specific due dates.Save your assignment as a PowerPoint presentation

Assignment:Leininger and WatsonWrite a 1500-1750 word APA paper addressing each of the following points. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources and the textbook using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.Case study #1 Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, "I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn't think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He's got more time at home now than I do since he lost his job. There isn't too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That'll set me right!"Using Leininger's Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient's discharge?Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?Using Leininger's Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.Discuss the strengths and limits to Leininger’s Theory.Case Study #2Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?How is love, as defined by Watson, evident in this caring moment?How can the nurse creatively use self to create a healing environment?Discuss the strengths and limits to Watson’s Theory. Assignment Expectations:Length: 1500 – 1750 wordsStructure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) outside scholarly sources and the textbook are required for this assignment.Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.Format: Save your assignment as a Microsoft Word document (.doc or .docx) or PDF document (.pdf)File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

Discuss the best practices for sustaining a change project. What might be barriers to success for a change implementation? Provide specific examples. Use a minimum of two references to support your claims.