Assignment Content

1. The ability to identify purpose, audience, genre, and context can improve your comprehension as a reader and enhance your ability to make decisions as a writer. When you write, how do your purpose, audience, genre, and context shape your decisions about how you respond to a project or task? 

   Access the Genre Passages and Response Examples document and:

   • Carefully read the 3 passage excerpts that reflect 3 different genres of writing you may encounter in your daily life. Each passage’s title has been removed.
   • For each passage, make educated guesses about the:
   • Writer’s purpose
   • Passage’s audience
   • Genre of the writing
   • Passage’s context
   • Note specific passage examples to support your educated guesses. Focus on the purpose, the audience, the genre, and the context. Refer to the Response Guidance Examples at the end of the document to see how you might note your observations and respond.
   • Use the example responses provided in the document to assist you with this assignment.
   • Quick tip: While there are no absolute right or wrong answers for this assignment, there are informed and uninformed responses. Informed responses will include specific characteristics and examples from the original text to support your conclusions. Review the Tools for Investigating Rhetorical Situations. Since many details from the passages below have been removed, this resource will help you spot clues to make better guesses. 

     Choose 1 of the following response formats for this assignment and review the corresponding resource:

   • 250- to 350-word written response
   • Review “Mastering the Four Bases” to guide your writing.
   • 2- to 3-minute video response
   • Review “Today’s Tip: How-To Film a Video of Yourself” before beginning. There is also a transcript available.

  

Benchmark – Academic Clinical History and Physical Note

Academic clinical history and physical notes provide a unique opportunity to practice and demonstrate advanced practice documentation skills, to develop and demonstrate critical thinking and clinical reasoning skills, and to practice identifying acute and chronic problems and formulating evidence-based plans of care.

Complete an academic clinical history and physical note based on a patient seen during clinical. In your assessment, provide the following. ( Acute Care Hospital)

History and Physical Note

1. Chief complaint/reason for admission/visit/consult.

2. HPI for the H&P or consult notes.

3. Medical, surgical, family, social, and allergy history.

4. Home medications, including dosages, route, frequency, and current medications, if a consultation note

5. Review of systems with all body systems for H&P or consult notes. Review of systems is what the patient or family/friends tell you (by body system).

6. Vital signs and weight.

7. Physical exam with a complete head-to-toe evaluation. Include pertinent positives and negatives based on findings from head-to-toe exam.

8. Lab/Imaging/Diagnostic test results (including date). (CPT codes)

Assessment and Clinical Impressions

1. Identify at least three differential diagnoses based upon the chief complaint, ROS, assessment, or abnormal diagnostic tools with rationale. (ICD-10 codes)

2. Include a complete list of all diagnoses that are both acute and chronic.

3. List the differential diagnoses and chronic conditions in order of priority.

Plan Component Management and Plan Criteria Incorporation

1. Select appropriate diagnostic and therapeutic interventions based on efficacy, safety, cost, and acceptability. Provide rationale.

2. Discuss disposition and expected outcomes.

3. Identify and address health education, health promotion, and disease prevention.

4. Provide case summary with ethical, legal, and geriatric considerations. Consider potential issues, even if they are not evident.

General Requirements

Incorporate at least three peer-reviewed articles in the assessment or plan.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competency:

MSN Acute Care Nurse Practitioner

6.1: Determine differential diagnoses using physiological and pathophysiological evidence.

 4 PAGES -APA 7th edition. A running head AND abstract are not required. Use appropriate APA headings. No plagiarism! Please follow instructions/rubric below:

Topic:

1. Choose OFFICE BASED SURGERY National Patient Safety Goal. Be sure to identify the chosen program of interest and the specific National Patient Safety Goal you will be discussing in the introduction of your paper. https://www.jointcommission.org/standards/national-patient-safety-goals/office-based-surgery-national-patient-safety-goals/
2. Follow the assignment rubric (see bottom of your screen) closely to write your paper. 

**Please be sure to use the above linked and topic; OFFICE BASED SURGERY****

Rubic

 Identify the chosen program of interest and ONE National Patient Safety Goal including the assigned number. Be sure to include a thesis statement (tell the reader what the paper is about). (4-5 sentences)
*Note you do not include a boldface heading Introduction. Instead you type a non-boldface abbreviated title of paper (see APA 7th edition for example)

Discussion: Address why it is important to have this goal and provide specific examples of why this has been a problem in your practice setting. Scholarly references cited to support this section. (1/2 page)

Discussion: National Patient Safety GoalDiscuss if you believe this goal is realistic. Specifically describe obstacles/barriers that impede implementation and identify actions that will facilitate implementation. (1/2 page)

Summary: Provide a summary of main ideas from your paper. Use the term, “In summary” or “In conclusion”. Do not provide any new information in this section. (4-5 sentences)

APA format, Spelling, Grammar, Headings, References Turnitin Similarity ReportsFollows APA 7th edition format (no abstract or running head required), correct grammar and spelling, uses correct headings, minimum of 4 scholarly references (textbook can be 1 reference), and maximum of 2 direct quotes.

Must be done by Friday 3/5/2021 @ 5pm Miami, FL time

Realist emphasize a nationalist and a zero-sum trade, investment, and finance (Nau, 2017). Realist argues that trade policy favors exports over imports and domestic industries over foreign industries (Nau, 2017).  Additionally, realist argues that fiscal policies should limit the dependence of the need for foreign borrowing (Nau, 2017). The realist perspective views the world’s economy primarily regarding security and relative gains (Nau, 2017). Which for a realist means that security relations create a geo-economic balance of trade and determine whether free trade or protectionist policies should be implemented (Nau, 2017). More specifically, realist values export over imports when it comes to trade and that allowing imports can be seen as substituting foreign jobs for domestic jobs (Nau, 2017). When it comes to trade negotiations realist, seek a bilateral or alliance approach because they are wary of security implications (Nau, 2017). The realist perspective sees international investment as a means to gain access to foreign resources and markets while protecting defensive industries from international forces (Nau, 2017). Finally, realist sees immigration in which population is an important ingredient in national power and are reluctant to liberalize stance unless doing so offers a national advantage (Nau, 2017). 

The liberal perspective argues an international and a non-zero-sum trade policy (Nau, 2017). The liberal argues that trade policy should favor the open market. Investment policies that treat industries equally, and fore policy that facilitate global savings (Nau, 2017). Liberal perspective, when it comes to security and economics, highlights the absolute or collective gains more than the relative gains (Nau, 2017). From the liberal perspective, the spread of wealth was beneficial, and more players involved. In the open market the better (Nau, 2017). Unlike the realist perspective, which believes that security leads to international economic ties, the liberal perspective believes that international economic interdependence will lessen the dependence on security (Nau, 2017). Liberals see trade negotiations as the desire to put into place multilateral negotiations which focuses on collective gains that over time reduce security concerns (Nau, 2017). When it comes to international investment, liberals understand the security and economic approach that a nation must ensure but focuses on broader measures to diversify investments and strengthen international rules (Nau, 2017). When it comes to immigration liberals, emphasize the need to align labor skills and economic needs across national boundaries, allowing for a common material benefit (Nau, 2017).

Identity Perspective sees globalization as different then realist perspective or liberal perspective. Identity perspective sees globalization regarding development and climate change (Nau, 2017). Development brings about greater income equality in many parts of the world (Nau, 2017). The identity perspective is concerned about who is doing the development, which ethnic group, religious sect, social class, or nation (Nau, 2017). Identity perspective recognizes that development possesses a negative effect on the environment and thinks that more developed nations bear the responsibility to make technology to counteract the negative effects (Nau, 2017). The identity perspective concedes then that the world is common home and that its resources are to be protective (Nau, 2017). It is for this reason that the concept of identity and justice is important and that wealth disparity should not be ignored (Nau, 2017). Finally, identity perspectives highlight the distinct and shared values of globalization, the more advanced nation can influence developing nations (Nau, 2017).

Outside the three mainstream perspectives, there lies a critical theory perspective which rejects the three main perspectives (Nau, 2017). According to critical theory, the three main perspectives fail to accurately apply the past to future world development (Nau, 2017). The identity perspective argues that if a developing country wants to become modern, they have to adopt Western concepts (Nau, 2017). The realist perspective argues that developing countries can not develop independently because geography and demography do not favor them (Nau, 2017). If these countries want to develop, they have to be reliant on Western nations (Nau, 2017). The liberal perspective argues that developing countries if they want to survive or grow, have to implement Western rules and institutions of specializations, comparative advantage, multinational corporations, and open markets (Nau, 2017). Critical Theory rejects these notions, arguing that the benefit that developed nations enjoy is not a product of internal Western ideas, institutions, or competitions (Nau, 2017). In other words, although the Western model can be a successful model, others can be successful outside that model. Critical Theory argues that the Western model is a consequence of the “systematic external exploitation” of weaker nations (Nau, 2017). Thus, the critical theory argues that globalization is not driven by Western perspective but by a totalistic logic that cannot be controlled or hindered (Nau, 2017). The critical theory perspective argues that cause and effect are not sequential, rather causality can be understood only in a given historical period and the consciousness of the people who understand the realities (Nau, 2017).

Reference

Nau, H. (2014). Perspectives on international relations: power, institutions, and ideas. Washington DC: CQ Press.