Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient andsystems outcomes.Summarize an interview focused on past or current issues at a health care organization.Describe collaboration approaches from the literature that could be relevant in establishing orimproving an interdisciplinary team to address an organizational issue.Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.Identify an issue from an interview for which an evidence-based interdisciplinary approach would beappropriate.Competency 4: Explain how change management theories and leadership strategies can enableinterdisciplinary teams to achieve specific organizational goals.Describe change theories and a leadership strategy that could help develop an interdisciplinarysolution to an organizational issue.Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient,interdisciplinary team, and systems outcomes.Communicate with writing that is clear, logically organized, and professional, with correct grammar andspelling, using current APA style.

Case StudyChief complaint: “I’m here for a medication refill because I ran out of my medicines”.HPI: Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway.PMH: Primary Hypertension, Previous history of MI 1 year agoSurgeries:1 year ago-Left Anterior Descending (LAD) cardiac stent placementAllergies: PenicillinVaccination History: Up-to-dateSocial history:High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago.Family history:Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.ROS:Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks. Psychiatric: Non-contributory.Physical examination:Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111, R 22 and non-laboredHEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: + Heberden's nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH: Normal affect. Cooperative. SKIN: No rashes. Positive for dry skin.Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.A:Primary Diagnosis: Congestive Heart Failure (CHF)Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA)Differential Diagnosis: Peripheral Vascular Disease (PVD)Plan:Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis painLabs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index.Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 %BNP – not available.As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease).Questions:1. According to the ACC/AHA guidelines, what medications should this patient be prescribed?2. Does he need medication(s) given his history of MI? As usual, all posts must be supported by at least 2 peer reviewed references no more than 5 years and all paragraphs must be cited.

Benchmark Assignment-Professional PortfolioThe purpose of this assignment is for the nursing education student to have a forum to showcase personal achievements and to demonstrate current qualifications in preparation for certification as a nurse educator or in seeking a position as a nurse educator.There is no one right way to submit a portfolio. Organizations that utilize this format for clinical advancement and/or peer review may have a standard format that is to be followed for submission. Organizations may also require a portfolio as part of a job application. These may or may not have specific formatting guidelines. For the purposes of this assignment, the portfolio must contain the following pieces:Introduction that includes a professional goal(s) statementCurrent license and credentialsReference list comprising of at least three referencesTwo letters of referenceIntegration of the Boyer's model for scholarship and the National League for Nursing (NLN) eight competencies for nurse educators, outlining your accomplishments in each of the eight areasWhile 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.