Nutrition Tracker Final Assessment 50 Points

Nutrition Tracker Final Assessment 50 Points

Nutrition Tracker Reflection – Signature Assignment

Attached Files:
File Nutrition Tracker Final Assessment.docx Nutrition Tracker Final Assessment.docx – Alternative Formats (13.211 KB)
Please answer the question on the attached document and submit it as an attachment to this submission box. You must include a copy of your most current food log (All Daily Report) with your submission.
Nutrition Tracker Final Assessment
50 points
Throughout the semester you have been tracking your diet using NutrientCalc. For your final assessment, you will log ONE DAY of food as you did at the beginning of the semester. Upon completion of logging your food for the day, you will need to attach the NUTRIENTS REPORT to your iLearn submission and complete the following questions, attaching them to your submission file as well. Write an analysis of your report in paragraph format of 300-400 words (REQUIRED) as you address the following questions:

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1. How has your diet improved or digressed throughout the semester?
2. Did you find the use of a nutrition tracker to be beneficial in helping you make healthier eating choices?
3. Where did you find yourself lacking the most in nutrients? Vitamins? Minerals?
a. List three changes you could make or have made to help you gain the things you are missing in your diet.
b. What is one SMART goal that you established and completed throughout the course of this term?
4. What have you learned about your eating behaviors from doing this assignment that you were not aware of before? Nutrition Tracker Final Assessment 50 Points

Nurse’s Role In Influencing The Legislative Process

Nurse’s Role in Influencing the Legislative Process

2-3 pages formatted in APA style, you will answer three questions related to your opportunity as a nurse and an advocate. The first two questions relate to influencing a bill that is traveling through the legislative process. The third question refers you to the social determinants of health and asks you to think specifically on your role as a nurse in influencing social determinants of health.

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Answer the following questions:

  • What parts of the lawmaking process does a nurse have an opportunity to influence the final bill passage?
  • List at least two ways that this influence can take place. In your opinion, would one way be preferable over the other?
  • Reviewing the social determinants of health, select one to respond to this question:
    • What role can nurses play in promoting health status through policy changes directly affecting this social determinant?

Write each question as a new topic area and then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading. Nurse’s Role In Influencing The Legislative Process

Health Care Informatics: Technology Project In Nursing- Smart Inhalers For COPD Patients

Health Care Informatics: Technology Project In Nursing- Smart Inhalers For COPD Patients

APA format

1) Minimum  5 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per page

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraph

         Bulleted responses are not accepted

         Don’t write in the first person 

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 5 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed. Health Care Informatics: Technology Project In Nursing- Smart Inhalers For COPD Patients

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5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

_________________________________________________________________________________

It is a project that intends to be offered to a health institution for possible implementation (Hypothetically)

Topic: Smart inhalers for COPD patients in the home

Continuing with the project designed in File 1 (attached) continue with the following questions.

1. Financial Proposal analysis

2. Alternative plan of actions

3. Proposed project plan to include:

a. Project activities

b. Timeline

c. Budget

d. Evaluation Plan

4. Executive Summary at end of project

 

Project Proposal: Smart Inhalers for COPD Patients

 

 

COPD (Chronic Obstructive Pulmonary Disease) tends to be a chronic inflammatory lung complication that causes an obstruction of the airflow from the lungs. Some of the major symptoms of this health condition comprise difficulty in breathing, coughing, wheezing as well as production of mucus. Majorly this health condition is often caused by extensive exposure to particulate matter or irritating gases such as cigarette smoke. Particularly, individuals suffering from COPD tend to be at a higher risk of developing lung cancer, heart-related diseases, and other related conditions (Ding et al., 2019).

With the introduction of new and advanced technology, the health care sector has introduced technological devices which aid in promoting positive health care outcomes. The proposed project will focus on how the smart inhaler, a technological device, may contribute to monitoring and recording data regarding the utilization of the inhaler as well as the location of the patient.

Smart Inhalers for COPD Patients

Smart Inhalers

The smart inhaler is a technological device that integrates Bluetooth technology to record data regarding the time as well as the date the inhaler was used, and also it identifies the location of the patient in every use. This will ensure the health care providers are able to keep an effective track of the patient. COPD tends to impact more than 200 million individuals across the globe, with chronic respiratory disease making up approximately 8% of the globe’s chronic burden (Park, 2017).

To be able to able to mitigate the clinical severity of the health condition, individuals suffering from COPD need to strictly adhere to medication schedules to be in a position to attain control of their symptoms and enable them to live a normal life (“Objective assessment of adherence to inhalers by COPD patients,” 2019). Further, the utilization of inhalers tends to be crucial for maintaining the strict regimen needed for controlling COPD conditions, as they avoid the need for as well as negative impacts linked to the utilization of oral and injectable drugs. Health Care Informatics: Technology Project In Nursing- Smart Inhalers For COPD Patients

Further, through the utilization of smart inhalers, COPD patients will be constantly reminded to take their medication and at the same collecting crucial data that may be utilized by the patients and the health care providers to monitor as well as alter the medication dosage when necessary (Ding et al., 2019). This means that the patients are offered the appropriate medication based on their  COPD condition and at the same time allowing the health care providers the ability to track the patient’s condition and, as a result, enable them to determine the appropriate medication.

Project Description

The main purpose of the project is to ensure that patients suffering from COPD do not misuse the freedom that is linked to the utilization of inhalers through ignoring the recommended treatment schedule, as well as failure to stock their refills.

With the implementation of advanced technology in the health sector, the way health care provision is practiced significantly changed, and it has promoted positive health outcomes. Through the use of the smart inhaler, it comprises an automatic reminder of when the patient needs to take his or her medication. Further, it also tends to alert signals when the patients forget to take their inhalers with them as well, as it aids in addressing noncompliance-related issues. Moreover, the attained data records will offer a prediction of a respiratory attack such as asthma, and as a result, enable the patients to prevent the attacks from happening (Slevin et al., 2021). Majorly this information will contribute to the reduction of clinical severity as well as the length of every attack and, as a result, prevent increased damage of the lungs.

Additionally, the identification of the patient’s time, as well as location, allows the health care providers to be able to point out the various aspects that trigger the occurrence of COPD. In other situations, the smart inhalers may also sense significant levels of pollen or air pollutants and provide the patient with a warning signal of the potential exacerbations (Slevin et al., 2019).

Additionally,  the smart inhaler also tends to enlighten the patient on the appropriate inhaler technique in order to deliver the right amount of drugs to the lungs as well as minimize the possible side effects. Fundamentally, through the attainment of crucial data, the smart inhalers will contribute to significant savings in regards to health care cost and human suffering in relation to COPD as they allow the patient to achieve significant control over their health condition through the identification of trigger factors, connection and sharing of information with their health care providers (Slevin et al., 2019). Arguably, the smart inhaler technology will be of great benefit as it will promote adherence to the treatment schedule, usage tracking, as well as dosage reminders through offering patient-relevant notifications.

Background

COPD tends to be a progressive health condition, and over time the condition tends to get more severe if the symptoms are addressed. However, appropriate management allows a significant population of COPD patients attain excellent control as well as the quality of life and limited risks linked to this health condition. A significant patient population with COPD is often provided with inhalers which provide medication directly to the lungs enabling the patient to breathe easily through relaxation and widening of the patient’s airway. However, most of the patients lack the ability to effectively manage the COPD condition, and as a result, their symptoms tend to get severe to the point of causing even death (Slevin et al., 2019). Health Care Informatics: Technology Project In Nursing- Smart Inhalers For COPD Patients

Every COPD patient tends to suffer from unique chronic obstructive pulmonary disease (COPD) symptoms, and it is essential for the patient to have an adequate understanding of their COPD to be able to attain control over their lives (Slevin et al., 2021). Further, having an adequate understanding of one’s chronic obstructive pulmonary disease (COPD) symptoms allows one to be able to identify the possible triggers and the appropriate medication to take to manage the condition. Also, through understanding chronic obstructive pulmonary disease (COPD), one is able to explain to their health care providers how they feel.

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Goal and objectives

One main goal of this project proposal is to enhance the patient’s functional status as well as their quality of life through ensuring the optimal functioning of their lungs, prevention of exacerbation recurrence as well as enhancing the symptoms experienced through the use of improved technology (Park, 2017). This goal tends to be crucial as it allows the patient to achieve control over their lives. Another significant goal of the project is to assert that the implementation of new and advanced technology in the management of COPD has the ability to reduce its severity and allow patients to live a healthy normal life.

On the other hand, the main objectives of the project are ensuring that the patients and the health care providers are able to utilize the acquired data from smart inhalers to develop effective COPD management approaches (Park, 2017. Another major objective of the project is to ensure that the patients are enlightened about their COPD conditions and encouraged to participate in effective management approaches.

 

 

Significance

The significance of the proposed project is to ensure that COPD patients are able to utilize their smart inhalers to collect crucial symptomatic information relating to their health condition and share it with their health care providers. This tends to allow the patient to be effective in understanding their COPD type, and on the other hand, it allows the health care provider to develop the appropriate COPD management approach based on the information acquired from the smart inhaler (Slevin et al., 2021). Additionally, through the utilization of smart inhalers, patients are constantly reminded of the time to take their COPD medicine as well as through the sensors attached to the inhaler, they are also able to predict the occurrence of an exacerbation and, as a result, enable them to achieve the quality of life.

Conclusion

Particularly, individuals suffering from COPD tend to be at a higher risk of developing lung cancer, heart-related diseases, and other related conditions. With the introduction of new and advanced technology, the health care sector has introduced technological devices which aid in promoting positive health care outcomes. In conclusion, the utilization of smart or digital inhalers will bring potential benefits to the management of COPD as it will ensure that the patients and their health care providers are constantly enlightened on the various symptoms impacting the patient. Further, this tends to allow the patient  to effectively understand their COPD type, and on the other hand, it allows the health care provider to develop the appropriate COPD management approach based on the  in the  information acquired from the smart inhaler. Health Care Informatics: Technology Project In Nursing- Smart Inhalers For COPD Patients

 

References

Ding, H., Fatehi, F., Maiorana, A., Bashi, N., Hu, W., & Edwards, I. (2019). Digital health for COPD care: The current state of play. Journal of Thoracic Disease, 11(S17), S2210-S2220. https://doi.org/10.21037/jtd.2019.10.17

Objective assessment of adherence to inhalers by COPD patients. (2019). Case Medical Research. https://doi.org/10.31525/ct1-nct04025242

Park, J. H. (2017). Pharmacologic management of COPD. COPD, 333-349. https://doi.org/10.1007/978-3-662-47178-4_23

Slevin, P., Kessie, T., Cullen, J., Butler, M. W., Donnelly, S. C., & Caulfield, B. (2019). Exploring the potential benefits of digital health technology for the management of COPD: A qualitative study of patient perceptions. ERJ Open Research, 5(2), 00239-2018. https://doi.org/10.1183/23120541.00239-2018

Slevin, P., Kessie, T., Cullen, J., Butler, M. W., Donnelly, S. C., & Caulfield, B. (2021). A qualitative study of clinician perceptions regarding the potential role for digital health interventions for the management of COPD. Health Informatics Journal, 27(1), 146045822199488. https://doi.org/10.1177/1460458221994888 Health Care Informatics: Technology Project In Nursing- Smart Inhalers For COPD Patients

Health Care Informatics: Technology Project In Nursing- Portable Monitors In ICU

Health Care Informatics: Technology Project In Nursing- Portable Monitors In ICU

APA format

 

1) Minimum 5 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per page

 

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraph

Bulleted responses are not accepted

Don’t write in the first person

Don’t copy and paste the questions. Health Care Informatics: Technology Project In Nursing- Portable Monitors In ICU

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

 

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

 

4) Minimum 5 references (APA format) per part not older than 5 years (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

 

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

_________________________________________________________________________________

It is a project that intends to be offered to a health institution for possible implementation (Hypothetically)

 

Topic: Portable Monitors in ICU

 

Continuing with the project designed in File 1 (attached) continue with the following questions.

1. Financial Proposal analysis

2. Alternative plan of actions

3. Proposed project plan to include:

a. Project activities

b. Timeline

c. Budget

d. Evaluation Plan

4. Executive Summary at end of project

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Portable Monitors in ICU 

In a dynamic world where technology is among the main driving force, it is good to acknowledge the development of technology use in the ever-dynamic health care systems. Healthcare systems have greatly improved from the use of advanced technology. These technologies have brought changes in sustaining lives by improving quality of life, proper management and monitoring of patients with chronic conditions (Alotaibi & Federico, 2017), and improving care for patients in the intensive care units (ICU).

With the introduction of health informatics and technology, there has been a huge decrease in mortality rates and other problems that occurred more frequently in healthcare systems such as medication errors. Nurses and healthcare professionals, in general, have also fewer burdens now that with the proper knowledge and skills in the use of technology they can execute their functions more efficiently and faster than before. Nonetheless, the technological world is still changing first and the best thing to do is for nurses and healthcare professionals to keep up with the pace (Poncette et al., 2019). This is a technology project in nursing that describes the use of portable monitors in ICU as to be presented to a health institution for possible implementation.

Portable Monitors in ICU

Description of the Topic

The technology to be discussed in this project proposal is portable monitors to be implemented in the ICU.  Portable monitors mostly known as a portable patient monitors are devices that can be carried with the nurse wherever they go (Weller et al., 2018). Portable monitors are effective tools for checking patients out at the right time and at the same time allowing a nurse to go on with other duties. Portable devices are safe and easy to use because they just keep the nurse updated about the patient and when there is an emergency an alarm from the device beeps to let the nurse know that there is an emergency (Weller et al., 2018). Health Care Informatics: Technology Project In Nursing- Portable Monitors In ICU. Portable devices can be adopted by hospitals, and train their patients on how to use and take care of the devices to save them on time and resources. With a portable device, a nurse can handle patients in different departments and can help doctors whenever they are needed.

ICU patients are among the critically ill patients in hospitals and they need extra care since there is a lot of monitoring to do including blood pressure, oxygen saturation, respiratory rate, heart rate, and rhythm among others. All these monitoring can be done effectively and efficiently with a portable device as they are made to collect and display beneficial data on a patient’s condition (Poncette et al., 2019). Progressively, such data have been collected from less critically ill patients using non-invasive sensors to show emergency conditions and record required data consistently, from patients’ homes. In ICU several portable patient monitor devices can be established for such activities and more. For example, the iVita O2 Plus is one of the most used portable patient monitoring devices that provide sufficient patient data including other benefits (Leenen et al., 2020).

Description of the Project

This project will focus on the patients in the ICU and how portable monitoring devices can help improve their care. Patients in the ICU have extensive needs that include much more than medical needs. Until these patients are stable nurses and healthcare professionals have to ensure that they are making progress or they are stable daily. Introducing portable monitors means nurses will not have to be at the patient’s bedside checking their machines at all times (Leenen et al., 2020). They can monitor the patients in ICU while engaging in other activities which brings an overall benefit to a hospital. This is because other patients who need help will not be stranded at any point waiting for a nurse to finish with another patient.

Nurses need to see patients in the ICU at least after every one hour to fix anything they might need. This project focusing on portable monitors will keep nurses at rest and alarm them when a need arises. The monitors collect continuous data and the nurse stays updated as though they are in the room with the patient at all times. The benefit of portable monitors is that they are not heavy to carry around and they do not need a lot of expertise as long as they are connected to receive and show data from the patient’s room machines (Poncette et al., 2019).

Apart from keeping nurses from worrying much about their patients when they are not with them, portable monitors can also help in saving a lot of ICU patients’ lives. Without the portable monitors, nurses can sometimes be too late to save a dying patient. This is because they might not know exactly what went wrong, and by the time they check on a patient and notice a machine is not plugged in correctly or anything else is a miss the patient might be already dead or in critical conditions than before (Weller et al., 2018). Portable monitors will ensure that nurses can come to a patient’s help on time. When the alarm on the device goes on they are already on the move as they are not waiting for anyone to call out on them, and could tell what the problem might be.

Background Discussion

A patient’s vital signs describe their condition more. When vital signs go unchecked they can cause preventable death which would be prevented if the vital signs were checked. There is always a difference between when a routine patient monitoring system is available and when it is not available (Leenen et al., 2020). Portable, wireless and wearable devices have guided the practice of nurses in several hospitals to make sure there is a routine check of hospitalized patients. These measures protect patients from injuries such as falls; protect them from preventable deaths, and also from their condition getting worse (Leenen et al., 2020).

When a patient is checked routinely there are great possibilities of progress in their condition compared to when they are not monitored routinely (Jinadatha et al., 2017). It is hard to maintain a routine check in hospitals, especially in inpatient hospitals, since there are a lot of patients and sometimes the patient-nurse ratio can be unequal. Nurses have different tasks to juggle which can make them be under pressure when some of their patients are not well monitored. Advanced medical devices provide a win-win situation to healthcare facilities since patients can receive quality care and at the same time, nurses can manage their schedules properly (Weller et al., 2018). With the advancement of these technologies, the major changes remain in proper knowledge to use these technologies efficiently to ensure that patients benefit more than they are harmed. Health Care Informatics: Technology Project In Nursing- Portable Monitors In ICU

The healthcare system is facing an increased number of patients that need immediate attention due to the general increase in the world’s population. To manage the large numbers of patients in hospitals technology comes in handy and needs proper application. Medical professionals and engineers are working to make healthcare and biomedical technologies more developed, portable, and computerized to meet the demands and requirements of patients (Alotaibi & Federico, 2017). Modernization has become an essential component of cutting-edge life, and it has an impact on the way people live, interact and work in society. Advanced medical devices are among the major innovations that have changed the way the healthcare system is operated.

Goals and Objectives

The first goal of the project is to achieve a decreased rate of ICU patient deaths by 50% using portable monitors. The other goal is to achieve increased knowledge among nurses on the effective use of patient monitoring devices, and how to effectively use them in any unit around the hospital. The objectives of the project are to ensure effective monitoring of ICU patients by actively using portable monitors as an intervention, and observing changes in death rates before and after the use of portable monitors. Another objective is to ensure that nurses have and can show proper knowledge of using portable monitors on patients in ICU.

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Significance of the Project

The introduction and use of portable monitors are to improve the quality of care for patients in the ICU and minimize any dangers they were experiencing before due to lack of proper monitoring. One of the major risks is deaths that are accompanied by poor monitoring of vital signs for patients in the ICU unit (Poncette et al., 2019). Portable devices can bring a great change to such shortcomings as they do not require a nurse to be there in person for them to check the patient’s progress. With the use of portable monitors, nurses can always be at the patient’s site when there is an emergency (Weller et al., 2018). The nurse should be able to show that they are knowledgeable about various healthcare technologies and that they can notice when a device is not working properly to get them fixed to avoid inconveniences.

Conclusion

The healthcare sector is rapidly evolved toward a technology-centered system that provides effective and efficient care for patients using technology. Portable devices are devices that enable nurses to monitor patients while they are handling other tasks and be at the patient’s side when they are alarmed by an emergency. Portable monitors and other devices have been used in various hospital settings as part of embracing healthcare technology. Portable monitors are an added advantage when they are used with other ICU devices to monitor patients’ progress. Patients can be easily protected from unexpected outcomes by having their vital signs monitored around the clock by use of portable monitors.

References

Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Medical Journal38(12), 1173–1180. https://doi.org/10.15537/smj.2017.12.20631

Jinadatha, C., Villamaria, F. C., Coppin, J. D., Dale, C. R., Williams, M. D., Whitworth, R., & Stibich, M. (2017). Interaction of healthcare worker hands and portable medical equipment: a sequence analysis to show potential transmission opportunities. BMC Infectious Diseases17(1), 1-10. https://doi.org/10.1186/s12879-017-2895-6

Leenen, J. P., Leerentveld, C., van Dijk, J. D., van Westreenen, H. L., Schoonhoven, L., & Patijn, G. A. (2020). Current evidence for continuous vital signs monitoring by wearable wireless devices in hospitalized adults: a systematic review. Journal Of Medical Internet Research22(6), e18636. https://doi.org/10.2196/18636

Poncette, A. S., Spies, C., Mosch, L., Schieler, M., Weber-Carstens, S., Krampe, H., & Balzer, F. (2019). Clinical requirements of future patient monitoring in the intensive care unit: qualitative study. JMIR Medical Informatics7(2), e13064. https://doi.org/10.2196/13064

Weller, R. S., Foard, K. L., & Harwood, T. N. (2018). Evaluation of a wireless, portable, wearable multi-parameter vital signs monitor in hospitalized neurological and neurosurgical patients. Journal of Clinical Monitoring and Computing32(5), 945-951. https://doi.org/10.1007/s10877-017-0085-0

Zahid, H., Syed, S. A., Saad, A., Mushtaq, T., Nadeem, M., Siddiqui, R., … & Waqar, E. (2021). Portable smart mini patient monitor for improved healthcare outcomes: patient-based care device. Pakistan Journal of Science73(1), 88. Health Care Informatics: Technology Project In Nursing- Portable Monitors In ICU

PA- Module 10 Peripheral Vascular

PA- Module 10 Peripheral Vascular

You will perform a history of a peripheral vascular problem that your instructor has provided you or one that you have experienced and perform a peripheral vascular assessment. You will document your subjective and objective findings, identify actual or potential risks,  PA- Module 10 Peripheral Vascular

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Write from a nursing perspective

No consideration for plagiarism

Student Name: ______________________________________

Date: _________________

 
Pre-Procedure Steps  
Knocks  
Washes hands  
Identifies the client with 2 identifiers  
Provides privacy  
Explains procedure  
General Survey (Appearance & Mental Status)  
Assess level of consciousness and orientation to person, place and time  
Assess quality and appropriateness of speech  
Inspect posture & general hygiene  
HEENT (Head, Ears, Eyes, Nose, Throat) and Neck  
Inspect head for bumps, lesions, hair distribution ,and  parasites  
Inspect face for sensation (CN V [trigeminal]) and movement (VII [facial])  
Inspect external eyes for redness & discharge. Inspect pupil size and PERRLA (CN III [oculomotor])  
Inspect extraocular muscle movements (CN III [oculomotor] IV [trochlear, VI [abducens)  
Perform confrontation test (CN II [optic])  
Inspect mouth –  mucous membranes & general dentition condition, tongue midline, say “ah”-uvula midline, observe swallow (CN lX [glossopharyngeal], X [vagus], & XII [hypoglossal])  
Inspect nose for discharge, nasal patency, & deviations in shape  
Inspect ears for cerumen or other discharge in external canal, lesions & gross hearing (rub fingers together by ear – CN VIII [acoustic])  
Assess CN XI (shoulder shrug & turn head against resistance)  
Palpate the following lymph nodes: submental, submandibular, tonsillar, preauricular, postauricular, anterior cervical, posterior cervical, occipital, and supraclavicular  
Thorax, Lung, and Back Assessment  
Inspect shape of thorax with comparison of anteroposterior to transverse diameters  
Assess respiratory rate, rhythm, depth, presence of accessory muscle use or cough  
Inspect spinal alignment  
Percuss for costovertebral angle tenderness  
Palpate for thoracic expansion  
Palpate for tactile fremitus  
Auscultate breath sounds anterior and posterior at least 8 places on each side and 2 places in the axillary region on each side (stethoscope on skin). Total of 20 places.PA- Module 10 Peripheral Vascular  
Heart and Central Vessels Assessment  
Palpate carotid pulses (ONE AT A TIME)  
Student Name: ______________________________________

Date: _________________

 
Auscultate each carotid artery for bruits  
Auscultate heart sounds in the aortic, pulmonic, Erb’s point, tricuspid, & mitral areas (stethoscope on skin)  
Gastrointestinal & Genitourinary Assessment  
Inspect shape of abdomen  
Auscultate bowel sounds in all 4 quadrants (stethoscope on skin)  
Lightly palpate all 4 abdominal quadrants for distension or tenderness  
Assess bowel & urinary habits, problems & last BM  
Musculoskeletal, Neurologic, & Peripheral Vascular Assessment  
Inspect and palpate extremities for edema, tenderness, temperature, deformities & lesions  
   
Check capillary refill of fingers and toes  
Inspect gait and balance (Romberg test)  
Assess range of motion of neck, arms, & legs (at least 3 directions for each)  
Assess strength in all extremities  
Assess the following deep tendon reflexes: patellar, plantar, triceps, Achilles, biceps, & brachioradialis.  
Locate and palpate radial, brachial, popliteal, posterior tibial, and dorsalis pedis pulses, assessing for symmetry and strength.  
Post-Procedure Steps  
Inquires if the client is comfortable  
Student is professional and courteous with their communication  
Ensures the client has their call light  
Ensures client’s personal items are within reach (glasses, phone, etc.)  
Washes hands  
Total Points Earned  
The above named student has:
o Passed this skill evaluation

o Failed this skill evaluation and must remediate.  Plan for remediation:

 
Student signature and date indicating agreement with remediation plan:                                                                                                                                                 _____________________________________

 

Instructor signature and date indicating agreement with remediation plan: ___________________________________

Discussion: Factors That Influence the Development of Psychopathology

Discussion: Factors That Influence the Development of Psychopathology

In many realms of medicine, objective diagnoses can be made: A clavicula is broken.  An infection is present. TSH levels meet the diagnostic criteria for hypothyroidism. Psychiatry, on the other hand, deals with psychological phenomena and behaviors. Can these, too, be “defined objectively and by scientific criteria (Gergen, 1985), or are they social constructions?” (Sadock et al., 2015).

Thanks to myriad advances during recent decades, we know that psychopathology is caused by many interacting factors. Theoretical and clinical contributions to the field have come from the neural sciences, genetics, psychology, and social-cultural sciences. How do these factors impact the expression, classification, diagnosis, and prevalence of psychopathology, and why might it be important for a nurse practitioner to take a multidimensional, integrative approach? Discussion: Factors That Influence the Development of Psychopathology

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To Prepare:

  • Review this week’s Learning Resources, considering the many interacting factors that contribute to the development of psychopathology.
  • Consider how theoretical perspective on psychopathology impacts the work of the PMHNP.

By Day 3 of Week 1

Explain the biological (genetic and neuroscientific); psychological (behavioral and cognitive processes, emotional, developmental); and social, cultural, and interpersonal factors that influence the development of psychopathology.

 

Resources

 

Cheung, F. M., & Mak, W. W. S. (2018). Sociocultural factors in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.), APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders., Vol. 1. (pp. 127–147). American Psychological Association. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1037/0000064-006

 

 

Butcher, J. N., & Kendall, P. C. (2018). Introduction to childhood and adolescent psychopathology. In J. N. Butcher & P. C. Kendall (Eds.), APA handbook of psychopathology: Child and adolescent psychopathology., Vol. 2. (pp. 3–14). American Psychological Association. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1037/0000065-001

 

 

Jackson, C. E., & Milberg, W. P. (2018). Examination of neurological and neuropsychological features in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.), APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders., Vol. 1. (pp. 65–90). American Psychological Association. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1037/0000064-004

 

Masten, A. S., & Kalstabakken, A. W. (2018). Developmental perspectives on psychopathology in children and adolescents. In J. N. Butcher & P. C. Kendall (Eds.), APA handbook of psychopathology: Child and adolescent psychopathology., Vol. 2. (pp. 15–36). American Psychological Association. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1037/0000065-002 Discussion: Factors That Influence the Development of Psychopathology

 

 

 

 

Nursing homework help

Respond to the two following post make it strait forward and easy.

APA format

2 scholarly References within the last two years for each post

Plagiarism free, Turnitin report

 

Donna K

Discussion # 1

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Work  place issues.  Absent from work, several times a year.  If you only have one client to take care of, that would put a damper on the child and the family’s  life and how they get to work, back and forth.  With Covid 19 now in different settings, a lot of people are calling in sick with the Covid 19.  But, if you have covid 19, you have to be absent from work for a couple of weeks.

Staffing Shortages.  With staff calling in sick, this would put a damper on appropriate staffing for the hospital or the nursing home.  What with a nursing home, they are always having a staffing shortage for nurses and CNA’s.  CMT and CNA’s.  There is no easy answer for this crisis.  A lot of places are now using travel nurses and contracting with local nurses.

Angry issues.  There are a lot of staff that become angry when working with other staff.  Especially if one staff member wants  to work a certain shift and the other staff member already is working that shift.  People become angry when they have small arguements. It is very hard for the nursing supervisor to keep everyone happy.

My recent hospital, which I worked at for 2 years, got help by using agency and offering staff nurses and CNA’s more money.  Which really helped at the time.  With shortages due to covid 19, this really came in handy, with food costing too much and gasoline as well.  Nursing homework help

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Arthur J

Discussion # 2

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The healthcare stressor I chose is Covid-19. Since 2020 Covid-19 has changed our world forever. We have lost hundreds of thousands of lives due to the deadly virus. The virus has affected healthcare in countless ways. Care of older patient populations has become even more challenging with how virulent Covid-19 is. Sharma et al. (2021) state that “there is a higher mortality rate in the elderly (individuals over the age of 50) and those with prior health complications” (Sharma et al. 2021. p. 16). Combine increased mortality rates with nursing shortages and it truly shows how much of a stressor Covid-19 has been for hospitals. Covid-19’s high transmission rate has caused high numbers of patients to be infected during their hospital stay. At my place of employment, Covid-19 has caused major changes intraoperative management of patients. Operating rooms have to be prepped for patients that test positive. Also, rooms have to be shut down for extended periods of time when a patient has Covid. This costs hospitals large amounts of money and it decreases the number of cases that can be done in a day. At one point during the delta surge over 60% of our cases were positive. There are often tense situations with surgeons and hospital management about whether or not a surgery should take place with a patient who is Covid positive. Dexter et al. (2020) state that “restriction of procedures has substantial clinical and management complications” (Dexter et al. 2020, p. 4). Covid-19 has dramatically changed the structure and planning of operating room cases on a widescale. At my place of employment, we have developed many strategies to limit the exposure of Covid. After each patient enters the OR we use air filters to ensure that particles are not dispersed to other operating rooms. Also, we cover all cabinets with sheets to make sure that sterile supplies are not contaminated. Furthermore, we use runners who go and get supplies that we normally have in the room. Perrone et al. (2021) state that “it is mandatory to adopt strong strategies to reduce the risk of contamination in the OR” (Perrone et al. 2021, p. 1). Another strategy we use is recovering the patient in the OR. This allows for safe anesthesia without the risk of exposing other patients in the PACU. Covid-19 is a horrible virus that has wreaked havoc on our world; however, innovations have been developed that will be permanent mainstays for future pandemics. Nursing homework helpBottom of Form

 

 

 

Nursing homework help

Study Daily 10

In this assignment, you will identify a grand nursing theory used in a research article and a middle-range nursing theory used in a research article. You will examine how each theory was applied within the research study and then analyze the utility of grand and middle-range nursing theories to advance the discipline of nursing and its impact upon your advanced nursing practice:

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1. Provide general background information about grand, middle and practice theories.

2. Examine a research article in which a Grand Nursing Theory was applied in the research. Describe how the theoretical concepts and propositions were used.

3. Examine a research article in which a Middle Range Nursing theory was applied in the research. Describe if the theory was used as a descriptive, explanatory, predictive, or prescriptive theory in the research. Nursing homework help

Neuroanatomy Assignment paper

Neuroanatomy Assignment paper

This week, as you begin to study psychopharmacology, you will explore the basic functional unit of the nervous system, the neuron. You will review the structure of the neuron and you will examine the anatomy of the central nervous system and consider the functionality of the different structures and outward (phenotypic) expression of their activities. You will analyze these concepts as you complete your short answer assessment for this week.

As a psychiatric nurse practitioner, before you can recommend potential pharmacotherapeutics to address a patient’s condition or disorder, you must understand the basic function and structure of the neuron and central nervous system. For this Assignment, you will review and apply your understanding of neuroanatomy by addressing a set of short-answer prompts.

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To Prepare:

  • Reflect on the basic function and structure of the neuron in relation to the central nervous system.
  • Reflect on the inter-connectedness between neurons and the central nervous system, including the pathway and distribution of electrical impulses. Neuroanatomy Assignment paper
  • Reflect on how neurons communicate with each other and review the concept of neuroplasticity.

THE QUESTION

1. In 4 or 5 sentences, describe the anatomy of the basic unit of the nervous system, the neuron. Include each part of the neuron and a general overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse. Be specific and provide examples.

2. Answer the following (listing is acceptable for these questions):

· What are the major components that make up the subcortical structures?

· Which component plays a role in learning, memory, and addiction?

· What are the two key neurotransmitters located in the nigra striatal region of the brain that play a major role in motor control?

3. In 3 or 4 sentences, explain how glia cells function in the central nervous system. Be specific and provide examples.

4. The synapse is an area between two neurons that allows for chemical communication. In 3 or 4 sentences, explain what part of the neurons are communicating with each other and in which direction does this communication occur? Be specific.

5. In 3–5 sentences, explain the concept of “neuroplasticity.” Be specific and provide examples.

 

READING RESOURCES

Camprodon, J. A., & Roffman, J. L. (2016). Psychiatric neuroscience: Incorporating pathophysiology into clinical case formulation. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 1–19). Elsevier.  Neuroanatomy Assignment paper

Nursing homework help

Module 11 Content

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Creating Your Professional Identity

Competency

    • Determine the attributes that help form the professional nurses’ identity.
    • Apply principles of professional identity and professionalism.

Scenario

As a nursing student, you have a vision of your core values and expectations as a professional nurse. In this assignment, create a plan to guide you as you form your professional identity.

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Instructions

This formation will include the following:

    • Describe the meaning of nursing professionalism identity
    • Identify the most important professional identity characteristics/attributes
    • Explain how you will adapt these characteristics/attributes in the clinical setting
    • Reflect on your educational journey and describe how this shaped your professional identity.
    • Create your goals for continued professional identity formation during your career as a nurse.
    • Provide stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar. Nursing homework help