Discussion: Chronic Back Pain

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Discussion: Chronic Back Pain

Patients frequently present with complaints of pain such as chronic back pain. They often seek medical care with the intent of receiving drugs to manage the pain. Typically, for this type of pain, narcotic drugs are often prescribed. This can pose challenges for you as the advanced practice nurse prescribing the drugs. While there is a process for evaluating back pain, it can be difficult to assess the intensity of a patient’s pain because pain is a subjective experience. Only the person experiencing the pain truly knows whether there is a need for drug treatments. This makes it important for you, as the prescriber, to watch for red flags and warning signs of abuse. In this Discussion, you explore the ethical implications of prescribing narcotics to patients with chronic back pain. Discussion: Chronic Back Pain

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To prepare:

  • Review this week’s media presentation on evaluating back pain, as well as Chapter 15 of the Buttaro et al. text in the Learning Resources. Reflect on the evaluation process for a patient with a history of back pain.
  • Consider how you might evaluate a patient that presents with back pain. Think about potential red flags and warning signs of drug abuse.
  • Reflect on the ethical implications of prescribing narcotics for chronic back pain.
  • Think about what you would prescribe and why. Discussion: Chronic Back Pain
By Day 3
Post a description of how you might evaluate a patient who presents with back pain. Then, describe potential red flags and warning signs of drug abuse. Explain the ethical implications of prescribing narcotics for chronic back pain. Finally, explain what you would prescribe for patients and why. Discussion: Chronic Back Pain

Case Study On Biomedical Ethics Essay

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Case Study On Biomedical Ethics Essay

Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

  1. Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
  2. Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
  3. According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case? Case Study On Biomedical Ethics Essay
  4. According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?

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Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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 Turnitin. Please refer to the directions in the Student Success Center.

Case Study On Biomedical Ethics Essay

 

Discussion: Community Advocacy Agencies

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Discussion: Community Advocacy Agencies

Having received a diagnosis of Alzheimer’s and encountering the associated stigmas, Michael Ellenbogen encourages increased advocacy efforts for the geriatric population struggling with this disease. He says, “We did nothing wrong to get this disease, and we need to speak up to let our voice be heard…There are no excuses for not wanting to help. The human cost factor is too high, and we are all accountable to do something” (Ellenbogen, 2012). As an advanced practice nurse caring for the geriatric population, it is important for you to join in advocacy efforts within your community whether it is in support of Alzheimer’s or another prevalent need such as abuse. You should be aware of community agencies that advocate for the well-being and care of your local geriatric population, as these agencies often provide resources and assistance to the elderly in need. In your role of care, you are able to identify prevalent needs and work with patients, their families, and agencies to promote change and impact lives. Discussion: Community Advocacy Agencies

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To prepare:

  • Review this week’s media presentation, as well as the American Geriatric Society’s Public Policy and Advocacy website in the Learning Resources.
  • Locate and research two agencies that advocate for the elderly in your community. Consider their current advocacy actions and/or campaigns.
  • Reflect on your experiences and observations at your practicum site. Consider new advocacy actions you might suggest to the agencies you selected. Based on these advocacy actions, think about new policies that might improve the care of the population at your current practicum site.
By Day 3

Post a description of two agencies that advocate for the elderly in your community, including their current advocacy actions and/or campaigns. Then, explain new advocacy actions you might suggest to these agencies based on your experiences and observations at your practicum site. With these advocacy actions in mind, suggest at least one new policy that might improve the care of the population at your current practicum site. Discussion: Community Advocacy Agencies

Nursing Philosophy Research Paper

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Nursing Philosophy Research Paper

According to Polifroni (2018), nursing philosophy is a reference that helps deem ideas correct, inconsistent, or wrong, and aids in guiding assumptions and actions in advanced nursing practices.  Not only does it examine how nurses approach studying science, it also brings into question knowledge itself.  Using this process helps nurses develop best standard practices by way of praxis.  Nursing Philosophy Research Paper

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Praxis is a part of the philosophy of science.  Prolifroni defines praxis as “the planned, deliberate, and thoughtful creation of a plan of action to achieve a set goal” (p. 11).  I believe this is a technique used in all parts of nursing to achieve the best possible patient outcomes.  Praxis is also applied to all fields of nursing.  From community health to floor nursing, nurses set goals to achieve and collaborate with other specialties in order to find the best way to arrive at that goal.

Rodgers (2018) also adds much of the focus of nursing is on skills, rather than the knowledge which drives those skills.  Nursing theory provides the framework for what makes nursing a professional discipline.  Having a defined base that examines why nurses do what they do supports the work of nurses and provides information necessary to the delivery of effective care and continuing the development of nursing as a discipline (Rodgers, 2018).   Advanced practice nurses will be an important factor in the devolvement of new research and forming evidenced-based practices as our society continues to evolve and change. Nursing Philosophy Research Paper

References

Polifroni, E. C. (2018) Philosophy of science: an introduction and a grounding for your practice. In J.B. Butts & K.L. Rich (Eds.), Philosophies and theories for advanced nursing practice (pp. 1-18). Burlington, MA: Jones & Bartlett Learning.

Rodgers, B. L. (2018) The evolution of nursing science. In J.B. Butts & K.L. Rich (Eds.), Philosophies and theories for advanced nursing practice (pp. 1-18). Burlington, MA: Jones & Bartlett Learning.

Nursing Philosophy Research Paper

 

 

Evolving Practice Of Nursing And Patient Care Delivery Models

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Evolving Practice Of Nursing And Patient Care Delivery Models

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

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Evolving Practice Of Nursing And Patient Care Delivery Models

  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.

While 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.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. Evolving Practice Of Nursing And Patient Care Delivery Models

 

Discussion 1: Maladaptive Responses to Immune Disorders

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Discussion 1: Maladaptive Responses to Immune Disorders

Maladaptive responses to disorders are compensatory mechanisms that ultimately have adverse health effects for patients. For instance, a patient’s allergic reaction to peanuts might lead to anaphylactic shock, or a patient struggling with depression might develop a substance abuse problem. To properly diagnose and treat patients, advanced practice nurses must understand both the pathophysiology of disorders and potential maladaptive responses that some disorders cause.

Consider immune disorders such as HIV, psoriasis, inflammatory bowel disease, and systemic lupus E. What are resulting maladaptive responses for patients with these disorders? Discussion 1: Maladaptive Responses to Immune Disorders

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To Prepare

  • Review Chapter 6 and Chapter 8 in the Huether and McCance text. Reflect on the concept of maladaptive responses to disorders.
  • Select two of the following immune disorders: HIV, psoriasis, inflammatory bowel disease, or systemic lupus E (SLE).
  • Identify the pathophysiology of each disorder you selected. Consider the compensatory mechanisms that the disorders trigger. Then compare the resulting maladaptive and physiological responses of the two disorders.
  • Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factor might impact your selected immune disorders.
By Day 3

Post a brief description of the pathophysiology of your selected immune disorders. Explain how the maladaptive and physiological responses of the two disorders differ. Finally, explain how the factor you selected might impact the pathophysiology of each disorder.

Discussion 1: Maladaptive Responses to Immune Disorders

 

Worldview And Nursing Theory Assignment

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Worldview And Nursing Theory Assignment

Being able to articulate your personal worldview can help you formulate a personal philosophy of practice and enhance your influence on patients and the industry. In this assignment, you will have an opportunity to reflect on your current and future practice, and the ways worldview and nursing theory influence that practice.   Draft a 1,000 word paper in which you:

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1 Describe an integrative worldview, “which attempts to reconcile rational thought and science with a spiritual sense of awe for the environment”, including the religious, spiritual, and cultural elements that you think most influence personal philosophy of practice and attitude the nursing theory  towards patient care.
2 Choose a specific nursing theory (Sister Callista Roy’s View of Adaptation) and discuss the similarities. Explain how the nursing theory nursing theory reinforces your approach to care.
3 Finally, explain how the worldview and the nursing theory can assist in further developing future practice.You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Worldview And Nursing Theory Assignment

NRS-441V Week 1 Identifying A Problem

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NRS-441V Week 1 Identifying A Problem

Prepare for the capstone project by listening to the audio interview, “Capstone: Planning Your Project”. NRS-441V Week 1 Identifying A Problem

Preview and utilize the “Topic 1 Checklist.” This resource will assist you in organizing your work and will provide additional information regarding the assignment.

Consider the clinical environment in which you are currently working or have recently worked. Collaborate with a leader or educator in the clinical environment to identify a problem, issue, or educational deficit upon which to build a proposal for change.

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In a paper of no more than 800 words, describe the nature of the problem, issue, or educational deficit. Include the following in your discussion:

  1. The setting and/or context in which the problem, issue, or educational deficit can be observed. NRS-441V Week 1 Identifying A Problem
  2. Detailed description of the problem, issue, or educational deficit.
  3. Impact of the problem, issue, or educational deficit on the work environment, the quality of care provided by staff, and patient outcomes.
  4. Gravity of the problem, issue, or educational deficit and its significance to nursing.
  5. Proposed solution to address the problem, issue, or educational deficit.

Prepare for the capstone project by listening to the audio interview, “Capstone: Planning Your Project,” located at http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs441v_capstone.php.

Review “Topic 1: Checklist.” This resource will assist you in organizing your work and will provide additional information regarding the assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

You are not required to submit this assignment to Turnitin.

NRS-441V Week 1 Identifying A Problem

 

HCS 589 Week 2 Individual Assignment Strategic Plan Part I

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HCS 589 Week 2 Individual Assignment Strategic Plan Part I

Decided on an appropriate health care organization for which to develop a strategic plan

Examined the role of the organization’s mission, vision, and key values in relationship to its strategic plan

Explained the strategic planning model the chosen organization currently uses

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Identified the theoretical framework the chosen organization currently uses

Identified the organizational structure and key leaders of the organization

Identified the change management model the organization uses

Analyzed the involvement of the organization’s governing board in implementing strategic goals

Summarized the various key components of the organization’s value chain in relation to strategic plan implementation

HCS 589 Week 2 Individual Assignment Strategic Plan Part I

 

NRS-451V Week 4 Organizational Values Presentation

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NRS-451V Week 4 Organizational Values Presentation

Prepare a 10-minute presentation (10-15 slides, not including title or reference slide) on organizational culture and values.

  1. Describe how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes.
  2. Discuss how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem solving.
  3. Identify a specific instance from your own professional experience in which the values of the organization and the values of the individual nurses did or did not align. Describe the impact this had on nurse engagement and patient outcomes.

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While APA style 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. NRS-451V Week 4 Organizational Values Presentation

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin.

NRS-451V Week 4 Organizational Values Presentation