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  • [Solved] SOAP

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    **files (1)** – ## SOAPWEEKLY2026.docx **## SOAPWEEKLY2026.docx** Over the course of the semester you will choose 1 patient encounter each week to document a SOAP note for. In Weeks 2, 3, and 4, you will submit only the subjective and objective data sets for your chosen encounter. It is expected tha…

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    **files (1)**

    – ## SOAPWEEKLY2026.docx

    **## SOAPWEEKLY2026.docx**

    Over the course of the semester you will choose 1 patient encounter each week to document a SOAP note for. In Weeks 2, 3, and 4, you will submit only the subjective and objective data sets for your chosen encounter.

    It is expected that you vary the primary focus of each note to ensure you are receiving quality feedback for several types of patient encounters to include acute, chronic and wellness encounters.  You are not to utilize the same type of encounter, acute/chronic health condition or wellness exam, more than once unless you have received approval to do so from your clinical faculty person.

    SOAP notes will be evaluated using a standardized rubric.  Please review the evaluation criterion to ensure that your SOAP notes are constructed to address the required elements and desired level of achievement.

    For planned weekly clinical experiences submission of the SOAP notes would be accomplished by submitting one SOAP note weekly for weeks 2 through week 7.

    For planned and approved condensed, compressed or alternate clinical experiences, submission of the SOAP note would be dependent on the approved clinical schedule.  This may mean that more than 1 SOAP note would need to be submitted on a weekly basis.  If you are not in clinical for weeks where a SOAP note is due a ‘0’ will be input into the Grade Center as a place holder until you have submitted the required assignment.

    **## SOAPWEEKLY2026.docx**

    Over the course of the semester you will choose 1 patient encounter each week to document a SOAP note for. In Weeks 2, 3, and 4, you will submit only the subjective and objective data sets for your chosen encounter.

    It is expected that you vary the primary focus of each note to ensure you are receiving quality feedback for several types of patient encounters to include acute, chronic and wellness encounters.  You are not to utilize the same type of encounter, acute/chronic health condition or wellness exam, more than once unless you have received approval to do so from your clinical faculty person.

    SOAP notes will be evaluated using a standardized rubric.  Please review the evaluation criterion to ensure that your SOAP notes are constructed to address the required elements and desired level of achievement.

    For planned weekly clinical experiences submission of the SOAP notes would be accomplished by submitting one SOAP note weekly for weeks 2 through week 7.

    For planned and approved condensed, compressed or alternate clinical experiences, submission of the SOAP note would be dependent on the approved clinical schedule.  This may mean that more than 1 SOAP note would need to be submitted on a weekly basis.  If you are not in clinical for weeks where a SOAP note is due a ‘0’ will be input into the Grade Center as a place holder until you have submitted the required assignment.

  • [Solved] Nursing assignment 4

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    **files (1)** – ## NursingAssignment4MR.docx **## NursingAssignment4MR.docx** Nursing Assignment 4 MHA-FPX 5006 Sustainable healthcare organizations today need to balance the clinical and fiscal facets of the operation. People at all levels in a healthcare organization need to understand how the org…

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    Assignment Prompt & Instructions

    **files (1)**

    – ## NursingAssignment4MR.docx

    **## NursingAssignment4MR.docx**

    Nursing Assignment 4

    MHA-FPX 5006

    Sustainable healthcare organizations today need to balance the clinical and fiscal facets of the operation. People at all levels in a healthcare organization need to understand how the organization makes money (accounts receivable) and how it chooses to allocate or spend these resources (accounts payable).

    **Early careerists** in a healthcare organization may participate in any or all of the following financial activities:

    · Evaluate existing and new healthcare service lines.

    · Develop a departmental budget.

    · Provide input to strategic planning or finance department meetings.

    **Mid-level or advanced careerists** may be asked to:

    · Evaluate higher-level organization financing options.

    · Anticipate cash flow needs.

    · Present financial information to the CEO and board.

    For the purpose of this assessment, assume you are a manager in a healthcare organization. Your organization likes to educate employees about the organization's fiscal operations from the very start—at new hire orientation. You have been asked to prepare a presentation for new hire orientation that addresses the organization's three types of revenue sources: Medicaid, Medicare, and managed care.

    You will prepare a presentation with speaker notes and slides on the three revenue sources for healthcare organizations: Medicare, Medicaid, and managed care. The last three slides of your presentation should cover the quality metrics for each revenue source and include a 3–5 minute audio recording. You may use PowerPoint or Kaltura to record your presentation. The audience for your presentation is new hires attending orientation.

    · Conduct independent research on Medicare, Medicaid, and managed care.

    · See the "Merit-Based Incentive Payment System (MIPS): Participation Options Overview" resource from the Quality Payment Program website by the Centers for Medicare & Medicaid Services.

    ·
    [Merit-Based Incentive Payment System (MIPS)](https://capella.alma.exlibrisgroup.com/leganto/public/01CAPELLA_INST/lists/2462447970006731?auth=SAML&section=2532824840006731).

    · Focus your research on current resources available through scholarly and/or authoritative sources. This resource will help you identify scholarly and authoritative sources:

    ·
    [Health Administration Master's Program (MHA) Library Guide](https://capellauniversity.libguides.com/mha)

    Create a 12–15 slide PowerPoint presentation with speaker notes. Incorporate the information you gained from your independent research on Medicare, Medicaid, and managed care in the presentation.

    Also include a recorded narrative for the last three slides of your PowerPoint presentation. These slides should cover the quality metrics for each revenue source, and include a 3–5 minute audio recording explaining the quality metrics you have noted. Your audio narration can be recorded directly on the last three slides of the PowerPoint document, or recorded as a separate Kaltura screen recording of the last three slides with audio narration.

    Please be sure to address all of the following headings and answer all of the questions underneath each heading in your presentation:

    #### Introduction: Healthcare Revenue Sources—Medicare, Medicaid, and Managed Care (2–3 slides)

    · What are the three main types of healthcare revenue sources?

    ·
    **Note:** Find ways to engage your audience in the first few minutes of your presentation. Can you open with a startling statistic or a compelling quote or question? Feel free to be creative when labeling your slides.

    #### Medicare (3–4 slides)

    · What is Medicare's purpose?

    · What benefits do Medicare program participants receive?

    · What steps do healthcare organizations take to be reimbursed for the Medicare services they provide?

    · Consider creating a flow chart to illustrate the major steps in the process.

    · What challenges do healthcare organizations face in terms of reimbursement?

    · What data and/or quality metrics does the organization need to provide for reimbursement?

    · How long does it take to receive reimbursement?

    #### Medicaid (3–4 slides)

    · What is Medicaid's purpose?

    · What benefits do Medicaid program participants receive?

    · What steps do healthcare organizations take to be reimbursed for the Medicaid services they provide?

    · Consider creating a flow chart to illustrate the major steps in the process.

    · What challenges do healthcare organizations face in terms of reimbursement?

    · What data and/or quality metrics does the organization need to provide to be reimbursed?

    · How long does it take to receive reimbursement?

    #### Managed Care (3–4 slides)

    · What is managed care's purpose?

    · What benefits do managed care program participants receive?

    · What steps do healthcare organizations take to be reimbursed for the managed care services they provide?

    · Consider creating a flow chart to illustrate the major steps in the process.

    · What challenges do healthcare organizations face in terms of reimbursement?

    · What data and/or quality metrics does the organization need to provide for reimbursement?

    · How long does it take to receive reimbursement?

    #### Conclusion (2–3 slides)

    · What key information do you want new hires to retain from your presentation?

    · Consider creating a grid or job aid that highlights critical information about each revenue source all in one place.

    · Include the quality metrics for each revenue source.

    · How can you close your presentation in a memorable way?

    #### Practice and Record Your Conclusion

    ·
    **Record a narrative of the last three slides of your presentation.** These slides should cover the
    **quality metrics for each revenue source**. To complement those slides, please include a 3–5 minute audio recording explaining the quality metrics you have noted. Your audio can be done directly into the PowerPoint presentation or using Kaltura in a separate recording.

    ·
    **Note:** If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact
    [DisabilityServices@Capella.edu](mailto:DisabilityServices@Capella.edu) to request accommodations.

    ·
    **Listen to your audio prior to submitting** to ensure it is loud enough.

    ·
    **Upload your slides, speaker's notes and recording (if it is a separate file from the PowerPoint)** to the assessment area.

    Your assessment should also meet the following requirements:

    ·
    **Written communication:** Your slides need to include bullet points highlighting the key concepts. As a best practice, each slide should contain no more than 5–7 bullet points and no more than 5–7 words per bullet point. Use speaker notes to include additional information. Appropriately balance text and visuals. Make sure your content is clear, persuasive, well-organized and free of errors in grammar, punctuation, and spelling.

    ·
    **Title slide:** Develop a descriptive title for your presentation of 5–15 words. It should stir interest, yet maintain professional decorum.

    ·
    **Length:** 12–15 slides with speaker notes and a 3–5 minute audio narration during the final three slides.

    · If you use Kaltura, you can upload your recording to the courseroom, or provide a working link your faculty can access.

    ·
    **Font and font size:** Appropriate size and weight for presentations, generally 24–28 points for headings and no smaller than 18 points for bullet-point text.

    ·
    **Reference slide:** Include a
    **minimum** of three citations to current scholarly and or authoritative sources in a final reference slide. These sources need to be from your independent research, over and above the resources in the suggested reading list for this assessment. Current means they can be no more than five years old.

    ·
    **APA format:** Ensure in-text citations and references adhere to current APA format. For an APA refresher, review the
    [Evidence and APA](https://lat.strategiced.com/redirect?linkid=1540) section of the Writing Center.

    **## NursingAssignment4MR.docx**

    Nursing Assignment 4

    MHA-FPX 5006

    Sustainable healthcare organizations today need to balance the clinical and fiscal facets of the operation. People at all levels in a healthcare organization need to understand how the organization makes money (accounts receivable) and how it chooses to allocate or spend these resources (accounts payable).

    **Early careerists** in a healthcare organization may participate in any or all of the following financial activities:

    · Evaluate existing and new healthcare service lines.

    · Develop a departmental budget.

    · Provide input to strategic planning or finance department meetings.

    **Mid-level or advanced careerists** may be asked to:

    · Evaluate higher-level organization financing options.

    · Anticipate cash flow needs.

    · Present financial information to the CEO and board.

    For the purpose of this assessment, assume you are a manager in a healthcare organization. Your organization likes to educate employees about the organization's fiscal operations from the very start—at new hire orientation. You have been asked to prepare a presentation for new hire orientation that addresses the organization's three types of revenue sources: Medicaid, Medicare, and managed care.

    You will prepare a presentation with speaker notes and slides on the three revenue sources for healthcare organizations: Medicare, Medicaid, and managed care. The last three slides of your presentation should cover the quality metrics for each revenue source and include a 3–5 minute audio recording. You may use PowerPoint or Kaltura to record your presentation. The audience for your presentation is new hires attending orientation.

    · Conduct independent research on Medicare, Medicaid, and managed care.

    · See the "Merit-Based Incentive Payment System (MIPS): Participation Options Overview" resource from the Quality Payment Program website by the Centers for Medicare & Medicaid Services.

    ·
    [Merit-Based Incentive Payment System (MIPS)](https://capella.alma.exlibrisgroup.com/leganto/public/01CAPELLA_INST/lists/2462447970006731?auth=SAML&section=2532824840006731).

    · Focus your research on current resources available through scholarly and/or authoritative sources. This resource will help you identify scholarly and authoritative sources:

    ·
    [Health Administration Master's Program (MHA) Library Guide](https://capellauniversity.libguides.com/mha)

    Create a 12–15 slide PowerPoint presentation with speaker notes. Incorporate the information you gained from your independent research on Medicare, Medicaid, and managed care in the presentation.

    Also include a recorded narrative for the last three slides of your PowerPoint presentation. These slides should cover the quality metrics for each revenue source, and include a 3–5 minute audio recording explaining the quality metrics you have noted. Your audio narration can be recorded directly on the last three slides of the PowerPoint document, or recorded as a separate Kaltura screen recording of the last three slides with audio narration.

    Please be sure to address all of the following headings and answer all of the questions underneath each heading in your presentation:

    #### Introduction: Healthcare Revenue Sources—Medicare, Medicaid, and Managed Care (2–3 slides)

    · What are the three main types of healthcare revenue sources?

    ·
    **Note:** Find ways to engage your audience in the first few minutes of your presentation. Can you open with a startling statistic or a compelling quote or question? Feel free to be creative when labeling your slides.

    #### Medicare (3–4 slides)

    · What is Medicare's purpose?

    · What benefits do Medicare program participants receive?

    · What steps do healthcare organizations take to be reimbursed for the Medicare services they provide?

    · Consider creating a flow chart to illustrate the major steps in the process.

    · What challenges do healthcare organizations face in terms of reimbursement?

    · What data and/or quality metrics does the organization need to provide for reimbursement?

    · How long does it take to receive reimbursement?

    #### Medicaid (3–4 slides)

    · What is Medicaid's purpose?

    · What benefits do Medicaid program participants receive?

    · What steps do healthcare organizations take to be reimbursed for the Medicaid services they provide?

    · Consider creating a flow chart to illustrate the major steps in the process.

    · What challenges do healthcare organizations face in terms of reimbursement?

    · What data and/or quality metrics does the organization need to provide to be reimbursed?

    · How long does it take to receive reimbursement?

    #### Managed Care (3–4 slides)

    · What is managed care's purpose?

    · What benefits do managed care program participants receive?

    · What steps do healthcare organizations take to be reimbursed for the managed care services they provide?

    · Consider creating a flow chart to illustrate the major steps in the process.

    · What challenges do healthcare organizations face in terms of reimbursement?

    · What data and/or quality metrics does the organization need to provide for reimbursement?

    · How long does it take to receive reimbursement?

    #### Conclusion (2–3 slides)

    · What key information do you want new hires to retain from your presentation?

    · Consider creating a grid or job aid that highlights critical information about each revenue source all in one place.

    · Include the quality metrics for each revenue source.

    · How can you close your presentation in a memorable way?

    #### Practice and Record Your Conclusion

    ·
    **Record a narrative of the last three slides of your presentation.** These slides should cover the
    **quality metrics for each revenue source**. To complement those slides, please include a 3–5 minute audio recording explaining the quality metrics you have noted. Your audio can be done directly into the PowerPoint presentation or using Kaltura in a separate recording.

    ·
    **Note:** If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact
    [DisabilityServices@Capella.edu](mailto:DisabilityServices@Capella.edu) to request accommodations.

    ·
    **Listen to your audio prior to submitting** to ensure it is loud enough.

    ·
    **Upload your slides, speaker's notes and recording (if it is a separate file from the PowerPoint)** to the assessment area.

    Your assessment should also meet the following requirements:

    ·
    **Written communication:** Your slides need to include bullet points highlighting the key concepts. As a best practice, each slide should contain no more than 5–7 bullet points and no more than 5–7 words per bullet point. Use speaker notes to include additional information. Appropriately balance text and visuals. Make sure your content is clear, persuasive, well-organized and free of errors in grammar, punctuation, and spelling.

    ·
    **Title slide:** Develop a descriptive title for your presentation of 5–15 words. It should stir interest, yet maintain professional decorum.

    ·
    **Length:** 12–15 slides with speaker notes and a 3–5 minute audio narration during the final three slides.

    · If you use Kaltura, you can upload your recording to the courseroom, or provide a working link your faculty can access.

    ·
    **Font and font size:** Appropriate size and weight for presentations, generally 24–28 points for headings and no smaller than 18 points for bullet-point text.

    ·
    **Reference slide:** Include a
    **minimum** of three citations to current scholarly and or authoritative sources in a final reference slide. These sources need to be from your independent research, over and above the resources in the suggested reading list for this assessment. Current means they can be no more than five years old.

    ·
    **APA format:** Ensure in-text citations and references adhere to current APA format. For an APA refresher, review the
    [Evidence and APA](https://lat.strategiced.com/redirect?linkid=1540) section of the Writing Center.

  • [Solved] Project Plan

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    How to best describe a project plan?

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    How to best describe a project plan?

  • [Solved] Developing an Evidence-based Plan

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    I need help developing an evidence-based implementation plan.

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    Assignment Prompt & Instructions

    I need help developing an evidence-based implementation plan.

  • [Solved] Question

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    Critique a **quantitative nursing research article** that _**uses a nursing or related theory**_. **files (5)** – ## NRSG7000MSNQUANTITATIVEresearchcritiqueworksheet.docx – Screenshot2026-07-21at5.17.17PM.png – Screenshot2026-07-21at5.17.04PM.png – Screenshot2026-07-21at5.16.49PM.png – FullArticle.p…

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    Critique a **quantitative nursing research article** that _**uses a nursing or related theory**_.

    **files (5)**

    – ## NRSG7000MSNQUANTITATIVEresearchcritiqueworksheet.docx

    – Screenshot2026-07-21at5.17.17PM.png
    – Screenshot2026-07-21at5.17.04PM.png
    – Screenshot2026-07-21at5.16.49PM.png
    – FullArticle.pdf

    **## NRSG7000MSNQUANTITATIVEresearchcritiqueworksheet.docx**

    ### **![](https://www.sweetstudy.com/questions/question-20980179) Ottawa University Master of Science in Nursing Program**

    ### **_NRSG 7000: Quantitative Research Article Critique Worksheet_**

    | | |
    | — | — |
    | **_AREA TO EVALUATE_** | **_ANALYSIS OF THE STUDY_** |
    | **Name of article in APA format** | |
    | **Problem and Purpose** | |
    | · Title- Does it accurately & concisely reflect the study? | |
    | · Purpose – Describe the purpose or aim of the study. | |
    | · Significance – Of what importance is the problem to nursing science and practice? | |
    | **Theoretical/Conceptual Framework** | |
    | · Is a theory or conceptual framework reported? If so, briefly describe how it relates to the problem. | |
    | **Review of Literature** | |
    | · Is the literature review adequate and reflective of the current knowledge? | |
    | **Research Question (s) or Hypotheses** | |
    | · What research question(s) or hypotheses are <br>identified? <br>_(_<br>_**HINT**: Sometimes the research question is not clearly stated but can be constructed from the purpose/aim statement)_<br>· What are the major concepts or variables identified? <br>· What are the independent and dependent variables (if applicable). | |
    | **Research Design** | |
    | · Identify and describe the research design utilized. <br>· What is the target population? <br>· What type of sampling technique (probability or non-probability) is used? | |
    | **Methodology** | |
    | · What were the data collection methods?<br>· What instruments were used to measure concepts? <br>· Has the study undergone review by a human subjects review board and is there evidence that the rights of subjects were protected? | |
    | **Findings/Data Results** | |
    | · What statistics are used to analzye the data in the study? <br>· Summarize the results of the data analysis. | |
    | **Conclusion & Recommendations** | |
    | · Are the conclusions based on the findings of the study?<br>· What are the author’s recommendations for implementation based on the study?<br>· What are the limitations (both those identified by the authors & ones that you identify)?<br>· Does the study have merit for applicability to nursing practice? Why or Why not? | |

    ## image1.jpg

    **Screenshot2026-07-21at5.17.17PM.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2026-07-21at5-17-17pm-png-10578447)

    **Screenshot2026-07-21at5.17.04PM.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2026-07-21at5-17-04pm-png-10578449)

    **Screenshot2026-07-21at5.16.49PM.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2026-07-21at5-16-49pm-png-10578451)

    **FullArticle.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/fullarticle-pdf-10578445)

    **FullArticle.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/fullarticle-pdf-10578445)

    **## NRSG7000MSNQUANTITATIVEresearchcritiqueworksheet.docx**

    ### **![](https://www.sweetstudy.com/questions/question-20980179) Ottawa University Master of Science in Nursing Program**

    ### **_NRSG 7000: Quantitative Research Article Critique Worksheet_**

    | | |
    | — | — |
    | **_AREA TO EVALUATE_** | **_ANALYSIS OF THE STUDY_** |
    | **Name of article in APA format** | |
    | **Problem and Purpose** | |
    | · Title- Does it accurately & concisely reflect the study? | |
    | · Purpose – Describe the purpose or aim of the study. | |
    | · Significance – Of what importance is the problem to nursing science and practice? | |
    | **Theoretical/Conceptual Framework** | |
    | · Is a theory or conceptual framework reported? If so, briefly describe how it relates to the problem. | |
    | **Review of Literature** | |
    | · Is the literature review adequate and reflective of the current knowledge? | |
    | **Research Question (s) or Hypotheses** | |
    | · What research question(s) or hypotheses are <br>identified? <br>_(_<br>_**HINT**: Sometimes the research question is not clearly stated but can be constructed from the purpose/aim statement)_<br>· What are the major concepts or variables identified? <br>· What are the independent and dependent variables (if applicable). | |
    | **Research Design** | |
    | · Identify and describe the research design utilized. <br>· What is the target population? <br>· What type of sampling technique (probability or non-probability) is used? | |
    | **Methodology** | |
    | · What were the data collection methods?<br>· What instruments were used to measure concepts? <br>· Has the study undergone review by a human subjects review board and is there evidence that the rights of subjects were protected? | |
    | **Findings/Data Results** | |
    | · What statistics are used to analzye the data in the study? <br>· Summarize the results of the data analysis. | |
    | **Conclusion & Recommendations** | |
    | · Are the conclusions based on the findings of the study?<br>· What are the author’s recommendations for implementation based on the study?<br>· What are the limitations (both those identified by the authors & ones that you identify)?<br>· Does the study have merit for applicability to nursing practice? Why or Why not? | |

    ## image1.jpg

    **Screenshot2026-07-21at5.17.17PM.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2026-07-21at5-17-17pm-png-10578447)

    **Screenshot2026-07-21at5.17.04PM.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2026-07-21at5-17-04pm-png-10578449)

    **Screenshot2026-07-21at5.16.49PM.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2026-07-21at5-16-49pm-png-10578451)

    **FullArticle.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/fullarticle-pdf-10578445)

    **## NRSG7000MSNQUANTITATIVEresearchcritiqueworksheet.docx**

    ### **![](https://www.sweetstudy.com/questions/question-20980179) Ottawa University Master of Science in Nursing Program**

    ### **_NRSG 7000: Quantitative Research Article Critique Worksheet_**

    | | |
    | — | — |
    | **_AREA TO EVALUATE_** | **_ANALYSIS OF THE STUDY_** |
    | **Name of article in APA format** | |
    | **Problem and Purpose** | |
    | · Title- Does it accurately & concisely reflect the study? | |
    | · Purpose – Describe the purpose or aim of the study. | |
    | · Significance – Of what importance is the problem to nursing science and practice? | |
    | **Theoretical/Conceptual Framework** | |
    | · Is a theory or conceptual framework reported? If so, briefly describe how it relates to the problem. | |
    | **Review of Literature** | |
    | · Is the literature review adequate and reflective of the current knowledge? | |
    | **Research Question (s) or Hypotheses** | |
    | · What research question(s) or hypotheses are <br>identified? <br>_(_<br>_**HINT**: Sometimes the research question is not clearly stated but can be constructed from the purpose/aim statement)_<br>· What are the major concepts or variables identified? <br>· What are the independent and dependent variables (if applicable). | |
    | **Research Design** | |
    | · Identify and describe the research design utilized. <br>· What is the target population? <br>· What type of sampling technique (probability or non-probability) is used? | |
    | **Methodology** | |
    | · What were the data collection methods?<br>· What instruments were used to measure concepts? <br>· Has the study undergone review by a human subjects review board and is there evidence that the rights of subjects were protected? | |
    | **Findings/Data Results** | |
    | · What statistics are used to analzye the data in the study? <br>· Summarize the results of the data analysis. | |
    | **Conclusion & Recommendations** | |
    | · Are the conclusions based on the findings of the study?<br>· What are the author’s recommendations for implementation based on the study?<br>· What are the limitations (both those identified by the authors & ones that you identify)?<br>· Does the study have merit for applicability to nursing practice? Why or Why not? | |

    ## image1.jpg

    **Screenshot2026-07-21at5.17.17PM.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2026-07-21at5-17-17pm-png-10578447)

    **Screenshot2026-07-21at5.17.04PM.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2026-07-21at5-17-04pm-png-10578449)

    **Screenshot2026-07-21at5.16.49PM.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2026-07-21at5-16-49pm-png-10578451)

    **FullArticle.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/fullarticle-pdf-10578445)

  • [Solved] English

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    In-depth study guidance and analytical solution covering English.

    Instant Solution Download

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  • [Solved] Examining concepts of capacity

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    **files (1)** – ## Examiningconceptsofcapacity.docx **## Examiningconceptsofcapacity.docx** **Please follow APA format, add citations and references from the articles. Document will be verified for plagiarism and AI use. Thank you!** **Please read the instructions. Although I may be interested in yo…

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    **files (1)**

    – ## Examiningconceptsofcapacity.docx

    **## Examiningconceptsofcapacity.docx**

    **Please follow APA format, add citations and references from the articles. Document will be verified for plagiarism and AI use. Thank you!**

    **Please read the instructions. Although I may be interested in your opinions and personal experiences outside of the class; however, for the sake of this class, I am not. Your postings should not express agreement, absolutes, opinion, or place a value on your peers comments. I asks that you simply expand from the scientific literature based on the postings.**

    **Postings should not appear like journalism, chats, or social media.**

    **Topic: Examining concepts of capacity**

    You have been requested to determine decisional capacity on a patient. Please access the peer-reviewed literature to learn about the topic and to assist you in answering important practice questions. In the future, you may need to access the scientific literate to solve clinical problems. This exercise is meant to assist you in answering practice questions through the use peer-reviewed, scientific literature.

    In the discussion board, please assist your peers in answering these or any relevant clinical questions that may arise with regard to capacity?

    What is capacity?

    What are types of capacity?

    How do you determine capacity?

    Are there scales or assessment tools and how reliable are they?

    Who can determine capacity?

    What current theories on capacity?

    What are common practice dilemmas associated with determining capacity?

    How will this knowledge affect your individual practice?

    Explore the topic. Please cite two articles that you have found to assist with the questions. Be original. If you come across something valuable, interesting, or relevant, please share.

    All responses or postings are required to be written in a scholarly manner and should not exceed two paragraphs, single spaced. All references must be cited correctly in APA style. Please observe conventions of APA style as outlines in chapters two and three of the APA manual. Cite and reference peer-reviewed articles only. Do not cite the APA manual.  Do not exclusively "recycle or reuse" your own articles or those of your peers for multiple postings. I am not looking for whether your agree or disagree. I am not interested in opinions. Your posts must be scholarly and in the APA style, not las with journalism or social media.

    **You must search and cite two original peer-reviewed articles from the literature as your original discussion post (about 250 words).** You will then offer two brief (100 words) responses to your peers with at least one original peer-reviewed article.

    The rubric.

    2 points
    **not** gained for incorrect or improper APA

    2 points
    **not** gained for failure to post initial discussion

    1 points
    **not** gained for failing to hand in a discussion response

    **Please provide a peer response from each discussion posts you can find below. 100 words each with at least one original peer-reviewed article.**

    **Discussion 1**

    Decisional capacity is a determination of whether a patient can make a particular healthcare decision at a point in time. Assessment should look at the patient’s ability to understand information, reason about available options and risks, and choose a choice. A psychiatric diagnosis, treatment denial, or a disagreement in choice does not establish incapacity. The clinician should identify how delirium, psychosis, mania, intoxication, or cognitive impairment, affects abilities for specific decision making.

    Evaluation can improve consistency when capacity is uncertain. The Aid to Capacity Evaluation has the interview focused on treatment, alternatives, risks, and factors interfering with informed choice, giving a practical method for comparing assessments with provider decisions (Etchells et al., 1999). Assessment is important because incapacity can remain unrecognized during routine care. At least 40% acute medical inpatients are estimated to lack capacity, yet treatment teams determined incapacity in a minority of interviewed patients (Raymont et al., 2004). In practice, findings regarding insight should be documented along with reasoning and choice. Efforts to improve capacity through simple explanations, treatment of symptoms, interpretation service, and reassessment. This approach protects autonomy while supporting substitute decision making only when functional impairment prevents informed consent.

    **References**

    Etchells, E., Darzins, P., Silberfeld, M., Singer, P. A., McKenny, J., Naglie, G., Katz, M., Guyatt, G. H., Molloy, D. W., & Strang, D. (1999). Assessment of patient capacity to consent to treatment.
    _Journal of General Internal Medicine, 14_(1), 27–34.
    [https://doi.org/10.1046/j.1525-1497.1999.00277.xLinks to an external site.](https://doi.org/10.1046/j.1525-1497.1999.00277.x)

    Raymont, V., Bingley, W., Buchanan, A., David, A. S., Hayward, P., Wessely, S., & Hotopf, M. (2004). Prevalence of mental incapacity in medical inpatients and associated risk factors: Cross-sectional study.
    _The Lancet, 364_(9443), 1421–1427.
    [https://doi.org/10.1016/S0140-6736(04)17224-3Links to an external site.](https://doi.org/10.1016/S0140-6736(04)17224-3)

    **Discussion 2**

    Decision-making capacity is best understood as a functional clinical assessment rather than a diagnosis or legal status. Capacity is determined by the treating clinician responsible for the patient's care, whereas competency (or legal incapacity) is determined by a court (Appelbaum, 2007). Contemporary practice is largely guided by the four-abilities model, which evaluates whether a patient can understand relevant information, appreciate how that information applies to their own situation, reason through treatment options, and communicate a consistent choice (Appelbaum, 2007). This model emphasizes that capacity is both decision-specific and time-specific, meaning that patients may possess capacity for one healthcare decision but not another, or their capacity may fluctuate with conditions such as delirium, mania, intoxication, or psychosis (Palmer & Harmell, 2016). Consequently, the presence of a psychiatric diagnosis alone should never be interpreted as evidence of incapacity.

    One of the greatest challenges in clinical practice is balancing respect for patient autonomy with the ethical obligation to protect patients from harm. Capacity assessments become particularly difficult when patients refuse recommended treatment despite apparently understanding the associated risks or when psychiatric symptoms partially impair, but do not completely eliminate, decision-making abilities (Palmer & Harmell, 2016). Structured assessments and careful documentation are therefore essential to minimize bias and ensure that capacity determinations remain based on functional abilities rather than disagreement with a patient's decision (Appelbaum, 2007). As a future PMHNP, this framework reinforces the importance of performing systematic capacity evaluations, recognizing that capacity can change over time, and maximizing patient autonomy whenever possible before considering surrogate decision-making or involuntary treatment. Applying an evidence-based approach to capacity assessment promotes ethical practice while protecting patients' rights and supporting legally sound clinical decision-making.

    References

    Appelbaum, P. S. (2007). Assessment of patients' competence to consent to treatment.
    _The New England Journal of Medicine, 357_(18), 1834–1840. https://doi.org/10.1056/NEJMcp074045

    Palmer, B. W., & Harmell, A. L. (2016). Assessment of healthcare decision-making capacity.
    _Archives of Clinical Neuropsychology, 31_(6), 530–540.
    [https://doi.org/10.1093/arclin/acw051Links to an external site.](https://doi.org/10.1093/arclin/acw051)

    **## Examiningconceptsofcapacity.docx**

    **Please follow APA format, add citations and references from the articles. Document will be verified for plagiarism and AI use. Thank you!**

    **Please read the instructions. Although I may be interested in your opinions and personal experiences outside of the class; however, for the sake of this class, I am not. Your postings should not express agreement, absolutes, opinion, or place a value on your peers comments. I asks that you simply expand from the scientific literature based on the postings.**

    **Postings should not appear like journalism, chats, or social media.**

    **Topic: Examining concepts of capacity**

    You have been requested to determine decisional capacity on a patient. Please access the peer-reviewed literature to learn about the topic and to assist you in answering important practice questions. In the future, you may need to access the scientific literate to solve clinical problems. This exercise is meant to assist you in answering practice questions through the use peer-reviewed, scientific literature.

    In the discussion board, please assist your peers in answering these or any relevant clinical questions that may arise with regard to capacity?

    What is capacity?

    What are types of capacity?

    How do you determine capacity?

    Are there scales or assessment tools and how reliable are they?

    Who can determine capacity?

    What current theories on capacity?

    What are common practice dilemmas associated with determining capacity?

    How will this knowledge affect your individual practice?

    Explore the topic. Please cite two articles that you have found to assist with the questions. Be original. If you come across something valuable, interesting, or relevant, please share.

    All responses or postings are required to be written in a scholarly manner and should not exceed two paragraphs, single spaced. All references must be cited correctly in APA style. Please observe conventions of APA style as outlines in chapters two and three of the APA manual. Cite and reference peer-reviewed articles only. Do not cite the APA manual.  Do not exclusively "recycle or reuse" your own articles or those of your peers for multiple postings. I am not looking for whether your agree or disagree. I am not interested in opinions. Your posts must be scholarly and in the APA style, not las with journalism or social media.

    **You must search and cite two original peer-reviewed articles from the literature as your original discussion post (about 250 words).** You will then offer two brief (100 words) responses to your peers with at least one original peer-reviewed article.

    The rubric.

    2 points
    **not** gained for incorrect or improper APA

    2 points
    **not** gained for failure to post initial discussion

    1 points
    **not** gained for failing to hand in a discussion response

    **Please provide a peer response from each discussion posts you can find below. 100 words each with at least one original peer-reviewed article.**

    **Discussion 1**

    Decisional capacity is a determination of whether a patient can make a particular healthcare decision at a point in time. Assessment should look at the patient’s ability to understand information, reason about available options and risks, and choose a choice. A psychiatric diagnosis, treatment denial, or a disagreement in choice does not establish incapacity. The clinician should identify how delirium, psychosis, mania, intoxication, or cognitive impairment, affects abilities for specific decision making.

    Evaluation can improve consistency when capacity is uncertain. The Aid to Capacity Evaluation has the interview focused on treatment, alternatives, risks, and factors interfering with informed choice, giving a practical method for comparing assessments with provider decisions (Etchells et al., 1999). Assessment is important because incapacity can remain unrecognized during routine care. At least 40% acute medical inpatients are estimated to lack capacity, yet treatment teams determined incapacity in a minority of interviewed patients (Raymont et al., 2004). In practice, findings regarding insight should be documented along with reasoning and choice. Efforts to improve capacity through simple explanations, treatment of symptoms, interpretation service, and reassessment. This approach protects autonomy while supporting substitute decision making only when functional impairment prevents informed consent.

    **References**

    Etchells, E., Darzins, P., Silberfeld, M., Singer, P. A., McKenny, J., Naglie, G., Katz, M., Guyatt, G. H., Molloy, D. W., & Strang, D. (1999). Assessment of patient capacity to consent to treatment.
    _Journal of General Internal Medicine, 14_(1), 27–34.
    [https://doi.org/10.1046/j.1525-1497.1999.00277.xLinks to an external site.](https://doi.org/10.1046/j.1525-1497.1999.00277.x)

    Raymont, V., Bingley, W., Buchanan, A., David, A. S., Hayward, P., Wessely, S., & Hotopf, M. (2004). Prevalence of mental incapacity in medical inpatients and associated risk factors: Cross-sectional study.
    _The Lancet, 364_(9443), 1421–1427.
    [https://doi.org/10.1016/S0140-6736(04)17224-3Links to an external site.](https://doi.org/10.1016/S0140-6736(04)17224-3)

    **Discussion 2**

    Decision-making capacity is best understood as a functional clinical assessment rather than a diagnosis or legal status. Capacity is determined by the treating clinician responsible for the patient's care, whereas competency (or legal incapacity) is determined by a court (Appelbaum, 2007). Contemporary practice is largely guided by the four-abilities model, which evaluates whether a patient can understand relevant information, appreciate how that information applies to their own situation, reason through treatment options, and communicate a consistent choice (Appelbaum, 2007). This model emphasizes that capacity is both decision-specific and time-specific, meaning that patients may possess capacity for one healthcare decision but not another, or their capacity may fluctuate with conditions such as delirium, mania, intoxication, or psychosis (Palmer & Harmell, 2016). Consequently, the presence of a psychiatric diagnosis alone should never be interpreted as evidence of incapacity.

    One of the greatest challenges in clinical practice is balancing respect for patient autonomy with the ethical obligation to protect patients from harm. Capacity assessments become particularly difficult when patients refuse recommended treatment despite apparently understanding the associated risks or when psychiatric symptoms partially impair, but do not completely eliminate, decision-making abilities (Palmer & Harmell, 2016). Structured assessments and careful documentation are therefore essential to minimize bias and ensure that capacity determinations remain based on functional abilities rather than disagreement with a patient's decision (Appelbaum, 2007). As a future PMHNP, this framework reinforces the importance of performing systematic capacity evaluations, recognizing that capacity can change over time, and maximizing patient autonomy whenever possible before considering surrogate decision-making or involuntary treatment. Applying an evidence-based approach to capacity assessment promotes ethical practice while protecting patients' rights and supporting legally sound clinical decision-making.

    References

    Appelbaum, P. S. (2007). Assessment of patients' competence to consent to treatment.
    _The New England Journal of Medicine, 357_(18), 1834–1840. https://doi.org/10.1056/NEJMcp074045

    Palmer, B. W., & Harmell, A. L. (2016). Assessment of healthcare decision-making capacity.
    _Archives of Clinical Neuropsychology, 31_(6), 530–540.
    [https://doi.org/10.1093/arclin/acw051Links to an external site.](https://doi.org/10.1093/arclin/acw051)