Care Of A Patient With An Esophageal

Care Of A Patient With An Esophageal

Post with a minimum of 250 words posts must contain at least (2) professional references properly cited in the current APA format

Discussion Topic

Care of a Patient with an Esophageal Problem

A 58-year-old patient has undergone a Laparoscopic Nissen Fundoplication (LNF) for a hiatal hernia. Before discharge, you are preparing to teach the patient and family about self-management.

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  1. For what postoperative complications will you monitor, and why could they occur after this surgery?
  2. What type of diet will the patient need to eat, and for how long will the diet be recommended?
  3. What types of activities will you recommend for the patient? Are there any restrictions on an activity that you should teach the patient?
  4. The patient will have a postoperative incision. What will you teach the patient about wound care?
  5. What type of follow-up instructions will you provide?

Care Of A Patient With An Esophageal

 

Nurs-6521 Assignment Wk1

Nurs-6521 Assignment Wk1

Assignment: Ethical and Legal Implications of Prescribing Drugs

What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?

These are some of the questions you might consider when selecting a treatment plan for a patient.

As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond. Nurs-6521 Assignment Wk1

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To Prepare

Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.

https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=1300

https://www.deadiversion.usdoj.gov/drugreg/practioners/index.html

https://oce.ovid.com/article/01741002-201705000-00005/HTML

Review the scenario assigned by your Instructor for this Assignment.

Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region and reflect on these as you review the scenario assigned by your Instructor.

The Scenario for this week’s assignments is:

You see another nurse practitioner writing a prescription for her husband, who is not a patient of the nurse practitioner. The prescription is for a narcotic. You can’t decide whether or not to report the incident.

Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

Assignment

Write a 2- to 3-page that addresses the following:

Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.

Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.  Nurs-6521 Assignment Wk1

Explain the process of writing prescriptions, including strategies to minimize medication errors

 

Organizations Serving Vulnerable Population

Organizations Serving Vulnerable Population

Step 1: In your initial post to this discussion forum, respond to the following prompts. Include personal and practice-related experiences or observations as examples that support your response. Organizations Serving Vulnerable Population

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  1. Explore an organization that serves a vulnerable population.
    1. Select a reputable local or regional organization that serves at least one vulnerable population.
    2. Learn about the organization through information readily available (for example, a website or brochure) and/or a brief phone interview with an employee of the organization.
    3. Find out how a member of the vulnerable population would access the services of this organization, what services are available, what health issues are addressed, how the services are financed, the hours of operation (if applicable), who is employed by the organization (for example, public health nurses, social workers, psychologists, chaplains, community health workers), and so on.
  2. Post an informational profile that identifies the organization and describes the organization’s impact on the health of this population. Include information about how a member of the vulnerable population would access the services of this organization, what services are available, what health issues are addressed, how the services are financed, the hours of operation (if applicable), who is employed by the organization (for example, public health nurses, social workers, psychologists, chaplains, community health workers), and so on.

Organizations Serving Vulnerable Population

Patient’s Spiritual Needs: Case Analysis

Patient’s Spiritual Needs: Case Analysis

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment. Patient’s Spiritual Needs: Case Analysis

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

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  1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
  2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
  3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care? Patient’s Spiritual Needs: Case Analysis

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

AttachmentsPHI-413V-RS-T3T5CaseStudyHealingAndAutonomy.docx

Patient’s Spiritual Needs: Case Analysis

Mental Health Discussion 11 Reflecting

Mental Health Discussion 11 Reflecting

Directions:

Initial Post

Areas for reflection:

  • Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency
  • Describe how you achieved the transferable skill, Communication, including at least one example of new knowledge gained related to the transferable skill
  • Describe how this new knowledge will impact your nursing practice.

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Course Competencies
  • Describe the foundations of mental health nursing.
  • Explain current legal issues and social concerns in mental healthcare.
  • Select appropriate nursing interventions for clients with certain cognitive, addictive and psychotic conditions.
  • Evaluate nursing care strategies for clients with certain mental health/mood/personality and eating disorders.
  • Assemble nursing care interventions for clients with mental health/stress related disorders.
  • Identify factors that impact mental health in special populations.
Transferable Skills

Communication: Displaying capability in writing, reading and oral communication; understanding of non-verbal language.

Mental Health Discussion 11 Reflecting

 

Health Promotion Proposal, Part 1

Health Promotion Proposal, Part 1

Description

Over the duration of this course you will write a scholarly paper, “Health Promotion Program Proposal,”

addressing existing nursing knowledge related to health promotion.

In the proposal, you will also develop a health promotion program to meet a health need of a vulnerable

population in your potential concentration area or community.

The proposal must demonstrate graduate school level writing and critical analysis. The final version of

your proposal is due in Unit 15

For this assignment you will submit Part One of your proposal, detailing a health problem that is

prevalent within your selected group and demonstrating your research of health promotion strategies for

addressing this specific health problem. At this point you already developed in your discussions the core ideas of the topic contained on this assignment. You will use the same information, but it won’t be a copy and paste exercise. The purpose is that you enhance your ideas with the comments and outcomes of the weekly discussions and previous evaluation. Health Promotion Proposal, Part 1

 

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Directions

1. Describe the health problem. (1-2 paragraph).

Using data and statistics, support your claim that the issue you selected is a

problem.

What specifically will you address in your proposed health promotion program?

Be sure your proposed outcome is realistic and measurable.

2. Describe the vulnerable population. (1-2 paragraph).

What are the risk factors that make this a vulnerable population?

Use evidence to support the risk factors you have identified.

3. Provide a review of literature from scholarly journals of evidence-based interventions that address the problem. (2 paragraph).

After completing a literature search related to effective interventions for your chosen health promotion activity, write a review that evaluates the strengths and weaknesses of all the sources you have found. (1-2 paragraph).

You might consult research texts for information on how to write a review of the

literature found in your search.

4. Select and present an appropriate health promotion/disease prevention theoretical or conceptual model that best serves as the guiding framework for the proposal. (1-2 paragraph).

 

Paper Requirements

Three to five pages in length (excluding title page, references, and appendices)

Follow APA format

Cite a minimum of five research articles

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home. Health Promotion Proposal, Part 1

 

Custer Headache Assignment

Custer Headache Assignment

Richard is a 40-year-old man with a history of 4 weeks of cluster headache once each year. These began when he was 35 years old. His cluster periods occur in the fall. The cluster period begins slowly, increasing over 1 week, reaching a peak where Richard has two or three severe cluster attacks each day. They occur from 10 p.m. to 3 a.m. Each cluster headache lasts from 40 to 90 minutes, and the headaches are severe. The pain is always on the right side, with eye tearing and nasal congestion.  Custer Headache Assignment

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Richard comes into our office 1 week into this fall’s cluster series. The headaches are increasing in intensity, and he is miserable with the pain.

Please complete the following questions:

  • Describe Cluster Headache and its epidemiology.
  • What would be your goals for therapy for Richard? Give rationale with evidence from articles.

Please limit your posts to the above 2 questions.

Provide 3 Postings (Initial Posting and Respond to 2 Peers Based on APA Guidelines). Work must be supported by peer-reviewed article published within 5 years. Custer Headache Assignment

Nursing homework help

In this , you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 ) to present to the board, from which the board will make its decision to fund your program or project. Include the following:

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  1. The purpose of the quality improvement initiative.
  2. The target population or audience.
  3. The benefits of the quality improvement initiative.
  4. The interprofessional collaboration that would be required to implement the quality improvement initiative.
  5. The cost or budget justification.
  6. The basis upon which the quality improvement initiative will be evaluated.

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

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

This 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 to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.  Nursing homework help

Advanced Pharm 2 Assignment Paper

Advanced Pharm 2 Assignment Paper

Often we see a great deal of misinformation in the care of patients with diabetes, and often this misinformation is centered around the role and choice of medications.  Many patients, especially newly diagnosed patients, are prescribed medications that do not fit into the scheme of the ADA / AACE guidelines / best evidence based practices – for instance, starting on Januvia (sitagliptin) or Jardiance (empagliflozin) or Byetta (exenatide) as initial monotherapy without a compelling indication or reason. Advanced Pharm 2 Assignment Paper

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In this discussion, please talk about how patients get put on these medications and why/how they should be transitioned to more evidence based treatments.

  • Is it okay to start a patient on a drug (particularly an oral drug) other than metformin as an initial drug?  Please cite possible circumstances where this could be reasonable.
  • What anti-diabetic medications have compelling evidence for use in select populations, possibly as initial therapy, and is this benefit a “class” effect?
    • (eg. SGLT2Is – Patients with type 2 diabetes and a high risk of cardiovascular disease had reduced risk of a cardiovascular death, nonfatal myocardial infarction, or nonfatal stroke relative to those randomized to receive placebo)
  • How can patients and practitioners be convinced to change their behavior and opt for more evidence based approach to therapy?

Now let’s consider the following case about thyroid disorders. A 69-year-old man goes to his family doctor because he has been feeling fatigued and lethargic. His doctor does a complete evaluation. This patient had a myocardial infarction and has a recurrent ventricular arrhythmia (treated with amiodarone). The patient’s TSH is elevated and his T4 is slightly decreased.

  • Please provide an evaluation of this patient’s condition, approach to therapy and factors you have taken into consideration

A minimum of 150 words, scholarly written, APA formatted, and referenced.  A minimum of 2 references are required 

Advanced Pharm 2 Assignment Paper

 

 

Discussion: Alterations in Cellular Processes

Discussion: Alterations in Cellular Processes

At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells from functioning normally.
Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis and treatment of many diseases. For the Advanced Practice Registered Nurse (APRN), this understanding can also help educate patients and guide them through their treatment plans. For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts.

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To prepare:
By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
By Day 3 of Week 1
Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:
The role genetics plays in the disease.
Why the patient is presenting with the specific symptoms described.
The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
The cells that are involved in this process.
How another characteristic (e.g., gender, genetics) would change your response. Discussion: Alterations in Cellular Processes