4 What testing does this woman need ordered due to her change in status both SHORTNESS OF BREATH and BLOOD PRESSURE? (USE CASE STUDY ABOVE FOR THIS QUESTION)

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NURSING questions

Case Presentation:L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5’4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb. Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with Lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated. One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of micro-albumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes and HTN.Subjective data reveals that she is experiencing increased exertional SOB. She expresses concern because when this happens it takes her awhile to get her breath back to normal. Denies any pain or dizziness with these episodes.Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm. Otherwise exam is unremarkable.CC: “I am more short of breath when walking up stairs than I used to be”.

Questions NEED TO BE ABOUT 3-4 SENTENCES BUT THOROUGH ANSWERS

1. What are the effects of controlling BP in people with diabetes?

2. What is the target BP for patients with diabetes and hypertension?

3. Which antihypertensive agents are recommended for patients with diabetes?

4 What testing does this woman need ordered due to her change in status both SHORTNESS OF BREATH and BLOOD PRESSURE? (USE CASE STUDY ABOVE FOR THIS QUESTION)

5. What is the significance of microalbuminuria in this woman? How does this affect her cardiovascular risk?

Write this case study up as a clinical note including all elements of plan of care regarding issues presented in the case.

What opportunities and challenges may arise as a result of individuals with differing leadership styles and skills working together? How would you work on a team or in a group with those whose style differs from your own?

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nursing leadership

In the Week 8 Discussion, you proposed a new product or service, aligned with organizational goals and professional standards, and described the management and leadership competencies that would facilitate successful implementation of this project.

For this Discussion, you consider the importance of building a team of leaders from across the organization to implement the new product or service you are recommending.

To prepare:

  • Think of the product or service you proposed in the Week 8 Discussion.
  • Consider the leaders across the organization you would work with to roll out the product or service. Which leadership styles and skills might you encounter as you work with various individuals? 
  • What opportunities and challenges may arise as a result of individuals with differing leadership styles and skills working together? How would you work on a team or in a group with those whose style differs from your own?

By Day 3

Post a description of how the leadership styles and skills of others you would work with to roll out the product or service would support, complement, or contrast your own. Describe challenges and opportunities that may arise as a result of working with individuals with differing leadership styles and skills in a team or group setting.

What change may be needed? (Note: This problem should be different from the one you are addressing in the Week 2 Assignment.). A clinical problem works well; an example is that you note an increasing number of patients with deep vein thrombosis following orthopedic surgery.

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nursing leadership

To prepare:

  • Think about a problem in a specific unit or area of your organization or one with which you are familiar. What are the indications that there is a problem? What change may be needed? (Note: This problem should be different from the one you are addressing in the Week 2 Assignment.). A clinical problem works well; an example is that you note an increasing number of patients with deep vein thrombosis following orthopedic surgery.
  • Consider how you could locate evidence to examine the needed change. What literature would you review? Which professional organization standards or recommendations may be relevant? With whom would you communicate/network to ascertain community standards? Bear in mind that you may also look at evidence from fields other than nursing.
  • Review the information in the Learning Resources. Using your knowledge of contemporary theories of chaos and complexity, consider how you could adapt Lewin’s classic model for change and apply this to your selected problem.

By Day 3

Post a description of the problem, including relevant indicator(s). Provide a synopsis of how you would proceed in locating evidence, including research literature you would consult, which professional organization standards may be relevant, and with whom you would communicate or network to ascertain community standards. Then, identify how you would adapt Lewin’s classic model of change based on chaos and complexity theory to address this evidence-based change.

Approx 150-180 words APA format with references and in-text citations response to the discussion below. The term “Evidence-Based Practice” (EBP) was fairly new when I was entering nursing schoo

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Approx 150-180 words APA format with references and in-text citations response to the discussion below. The term “Evidence-Based Practice” (EBP) was fairly new when I was entering nursing schoo

 Approx 150-180 words APA format with references and in-text citations response to the discussion below. 

The term “Evidence-Based Practice” (EBP) was fairly new when I was entering nursing school in 1999. Although it made sense that nursing practice was based on academic research and findings, many nurses have passed down traditions simply based on the notion that “it has always been done this way”. I can remember this new term, and the exciting thought that nursing would be more valued and respected with a greater emphasis on practice based in facts and best outcomes. I became an RN in 2004, and I have worked in the psychiatric field for the majority of my career. The American Psychiatric Nurses Association (APNA) was my chosen healthcare organization website. This can be found at https://www.apna.org/i4a/pages/index.cfm?pageid=1 . Although I was already somewhat familiar with what the website had to offer, I gained a greater understanding and admiration for this site as I dug a little deeper.

The Institute of Medicine’s Roundtable on Evidence-Based Medicine put an emphasis on three major areas: a learning healthcare system, generating evidence to support effective healthcare strategies, and improving public awareness regarding the importance of EBP in healthcare (Melnyk, & Fineout-Overholt, 2018). The APNA website contributes to the IOM’s goal of improving public awareness related to EBP. This is evident in the numerous resources on the website from academic journals, continuing education (conferences and CEU’S), standards of practice updates, and also the ability to find information about academic programs and scholarships. The Journal of the American Psychiatric Nursing Association is a peer-reviewed journal which publishes original research, practice-focused articles, editorials, and interviews. One tab entitled “Reports & Surveys” shares the latest national reports and surveys covering topics related to the future of nursing and nurses’ health.

Although the website is not entirely based in EBP (some tabs are related to the organization and membership) it is clear that its goal is to promote the understanding of psychiatric nursing through the recent solid research. One item available for free via ebook to members (and for sale to non-members) is “Psychiatric-Mental Health Nursing: Scope and Standards of Practice”. This spells out important aspects of psychiatric-mental health nursing- the who, what, when, where, and how of practice- at various levels and in multiple settings. The latest edition was published with the input and expertise of psychiatric nurses from the APNA and the International Society of Psychiatric-Mental Health Nurses (ISPN). Goals established prior to the easy access of the internet are able to be met not only through scholarly articles, but with new styles of sharing information and with a culture of networking to filter out the most relevant, and timely information.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126

https://www.apna.org/i4a/pages/index.cfm?pageid=1

Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file]. Baltimore, MD: Author.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

develop medical terms—include at least 10 that would be appropriate in this case. You should consult medical, surgical, and diagnostic procedures in your textbook as you select at least 3 tests and procedures for this patient.

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Med term

Post with a description of two patients. Remember, you do not need a complete assessment of all body systems, just the body system we are studying this week. Your post needs to be at least 250 words, and requires full references in APA format for any resource you use.

You have two very ill patients this week, and each of them presents a very complicated case. First, you have a patient with an ongoing problem that has resisted diagnosis. He was en route to an evaluation with a neurologist, but on the way to the hospital suddenly fell into a coma (a state of involuntary unconsciousness due to illness or injury) and had to be brought in to your medical facility by ambulance.

You will use at least 10 medical terms to describe this patient, and to refer to the original underlying problem the patient had in the first place. Use the nervous system medical word elements chart and the medical, surgical, and diagnostic terms chart on from your textbook to get you started on the medical terms you will need. You can include specific drugs used in neurological disease as you list at least 3 tests and procedures used. 

Your second patient this week is also quite ill and is presenting a number of problems. This patient is diabetic, and also has another Endocrine System disorder (of your choice). Consult the endocrine medical word elementschart as you develop medical terms—include at least 10 that would be appropriate in this case. You should consult medical, surgical, and diagnostic procedures in your textbook as you select at least 3 tests and procedures for this patient. 

Executive Summary – Nursing

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Executive Summary – Nursing

In this assignment, you will select a program, quality improvement initiative, or other project from your place of employment. Assume you are presenting this program to the board for approval of funding. Write an executive summary (850-1,000 words) to present to the board, from which they will make their decision to fund your program or project. The summary should include:

  1. The purpose of the program or project.
  2. The target population or audience.
  3. The benefits of the program or project
  4. The cost or budget justification.
  5. The basis upon which the program or project will be evaluated.

Share your written proposal with your manager, supervisor or other colleague in a formal leadership position within a health care organization. Request their feedback using the following questions as prompts:

  1. Do you believe the proposal would be approved if formally proposed?
  2. What are some strengths and weaknesses of the proposal?

Submit the written proposal along with the “Executive Summary Feedback Form.”

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

Needs to be 100% PLAGARISM FREE

Write a 3–4 page report for the committee that provides your findings:

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technology in nursing assessment

Preparation

Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on medical technology used to manage patients post-hospitalization. You will need at least three articles to use as support for your work on this assessment.

Directions

Assume you work in a rural health care center. The facility just received a generous grant from a health care foundation. The funds from this grant must be used to acquire new technologies to foster better health outcomes for residents who live in remote areas. The Director of Nursing has formed a committee to research types of patient care technologies that are available to manage and monitor patients upon their release from care. You have been asked to look into the different types of technologies available for patients who are discharged from the hospital and cannot travel hundreds of miles for frequent follow-up appointments. You were also asked to provide evidence-based research to support your selections.

Write a 3–4 page report for the committee that provides your findings:

  • Summarize the issues facing rural health care providers’ efforts to deliver quality care.
  • Explain the use of information management tools and technologies to monitor and improve outcomes.
  • Recommend three new technologies that improve patient outcomes post-hospitalization, in rural settings.
  • Support your recommendations for new technologies with evidence-based research.

Format this report following current APA style, paying close attention to headings and subheadings, paragraph structure, and proper grammar, spelling, and punctuation.

Additional Requirements

Your report should meet the following criteria:

  • Contain between 750–1000 words (3–4 pages).
  • Include a minimum of 3 references. (These must be recent, from within the past five years.)
  • Be double-spaced in Times New Roman font, 12 point. 
  • apa format

Assignment: Philosophy of Nursing

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Philosophy of Nursing

Assignment: Philosophy of Nursing

What is your philosophy when it comes to nursing? Which aspects of your philosophy do you think reflect the philosophical influences that have shaped the profession and are likely shared by other nurses? Which aspects of your philosophy reflect your personal values, beliefs, experiences, and unique perspective? How is your philosophy demonstrated through your practice?

This Assignment provides an opportunity for you to examine your philosophy of nursing within the context of the information presented this week.

To prepare:

  • Review the information presented in the Learning Resources with your own philosophy of nursing in mind. Focus on any new insights you gained from the readings and how they influence your philosophy.
  • Reflect on how philosophy influences scientific approaches or knowledge development in nursing.
  • Examine how positivism and post-positivism have influenced approaches to nursing science (including research methods) and nursing practice. Conduct additional research as necessary using credible websites and the Walden library.

By Thursday 06/08/17, write a 6- to 7-page APA paper with a minimum of 5 references from the list of required readings below that include the level one headings as numbered below:

1)       Introduction (must end with a purpose statement e.g. “the purpose of this paper is…”)

2)       Articulates your philosophy of nursing identifying the philosophical influences and summarizing how this week’s readings influenced your views/beliefs.

3)       Explains how nursing’s philosophical foundations influence your nursing practice and provides at least two specific examples.

4)       Answers the question: What is the relationship between philosophy and knowledge development? How is this evidenced in your nursing philosophy or practice?

5)       Outlines how positivism and post-positivism influences approaches to nursing science (including research methods) and nursing practice as well as your own personal philosophy.

6)       Conclusion (Summary of the paper)

Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from appropriate Learning Resources and additional scholarly sources as appropriate. Refer to the Publication Manual of the American Psychological Association to ensure that your in-text citations and reference list are correct.

Required Readings

McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health.

Chapter 1, “Philosophy, Science, and Nursing”

 Chapter 1 introduces the scientific and philosophical foundations of nursing and how these contribute to knowledge development within the discipline of nursing.

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

Chapter 1, “Discovering the World of Nursing Research”

 Chapter 1 introduces nursing research and discusses how science, theory, and philosophy all influence research.

Chapter 2, “Evolution of Research in Building Evidence-Based Nursing Practice”

 Chapter 2 reviews the history of nursing research beginning with the work of Florence Nightingale and examines the influence of nursing research today on evidence-based practice.

Moran, K., Burson, R., & Conrad, D. (2017). The doctor of nursing practice scholarly project: A framework for success (2nd ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 1, “Setting the Stage for the Doctor of Nursing Practice Scholarly Project”

Chapter 5, “The phenomenon of Interest”

Chapter 6, “Developing the Scholarly Project”

Isaacs, S., Ploeg, J., & Tompkins C. (2009). How can Rorty help nursing science in the development of a philosophical ‘foundation’? Nursing Philosophy, 10(2), 81-90. doi:10.1111/j.1466-769X.2008.00364.x

 Note: You will access this article from the Walden Library databases.

This article discusses the application of the Richard Rorty’s pragmatic philosophy to nursing practices and research.

Kinsella, E. A. (2010). Professional knowledge and the epistemology of reflective practice. Nursing Philosophy, 11(1), 3-14. doi:10.1111/j.1466-769X.2009.00428.x

 Note: You will access this article from the Walden Library databases.

 This article examines the philosophical underpinnings and epistemological assumptions of reflective practice in an effort to advance understanding for application in professional healthcare settings.

Mackay, M. (2009). Why nursing has not embraced the clinician-scientist role. Nursing Philosophy, 10(4), 287-296. doi:10.1111/j.1466-769X.2009.00416.x

 Note: You will access this article from the Walden Library databases.

 In this article, the role of the clinician-scientist and importance of clinical research for nursing is examined.

Persson, J. (2010). Misconceptions of positivism and five unnecessary science theoretic mistakes they bring in their train. International Journal of Nursing Studies, 47(5), 651-661. doi:10.1016/j.ijnurstu.2009.12.009

 Note: You will access this article from the Walden Library databases.

 This article discusses misconceptions of positivism and the implications of these misconceptions for nursing researchers.

Pesut, B., & Johnson, J. (2008). Reinstating the ‘Queen’: Understanding philosophical inquiry in nursing. Journal of Advanced Nursing, 61(1), 115-121. doi: 10.1111/j.1365 -2648.2007.04493.x

 Note: You will access this article from the Walden Library databases.

 This article provides an analysis of the use of philosophical inquiry within nursing research. The article identifies characteristics of philosophical inquiry as well as common tools used in this methodology.

Porter, S. (2001). Nightingale’s realist philosophy of science. Nursing Philosophy, 2(1), 14-25. doi:10.1046/j.1466-769X.2001.00029.x

Note: You will access this article from the Walden Library databases.

 In this article, Florence Nightingale’s realist philosophy of science is compared to today’s dominant philosophy of positivism.

Optional Resources

Connor, M.J. (2004). The practical discourse in philosophy and nursing: An exploration of linkages and shifts in the evolution of praxis. Nursing Philosophy, 5(1), 54-66. doi:10.1111/j.1466-769X.2004.00159.x

 Note: You will access this article from the Walden Library databases.

Chou, M., & Lee, L. (2007). Initial formation of nursing philosophies following fundamental clinical practice: The experience of male nursing students. Journal of Nursing Research, 15(2), 127-137.

 Note: You will access this article from the Walden Library databases.

Effken, J. (2007). The informational basis for nursing intuition: Philosophical underpinnings. Nursing Philosophy, 8(3), 187-200.

 Note: You will access this article from the Walden Library databases.

Mantzoukas, S., & Jasper, M. (2008). Types of nursing knowledge used to guide care of hospitalized patients. Journal of Advanced Nursing, 62(3), 318-326. doi: 10.1111/j.1365-2648.2007.04587.x

 Note: You will access this article from the Walden Library databases.

Mills, J., Chapman, Y., Bonner, A., & Francis, K. (2007). Grounded theory: A methodological spiral from positivism to postmodernism. Journal of Advanced Nursing, 58(1), 72-79. doi: 10.1111/j.1365-2648.2007.04228.x

 Note: You will access this article from the Walden Library databases.

Persson, J., & Sahlin, N. (2008). A philosophical account of interventions and causal representation in nursing research. International Journal of Nursing Studies, 46(4), 547-556. doi: 10.1016/j.ijnurstu.2008.11.008

 Note: You will access this article from the Walden Library databases.

 Trochim, W. (2006). Research methods knowledge base: Positivism & post-positivism. Retrieved from http://www.socialresearchmethods.net/kb/positvsm.php

Assume you are presenting this program to the board for approval of funding. Write an executive summary (850-1,000 words) to present to the board, from which they will make their decision to fund your program or project. The summary should include:

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NURSING – Executive Summary

FOLLOW INSTRUCTION, PROOFREAD, SEE RUBRIC ATTACHMENT – IF INSTRUCTIONS ARE NOT FOLLOWED I WILL FILE A CLAIM FOR MY MONEY BACK !!!!!

DUE BY 7/25/2017 – 10AM

Details:

In this assignment, you will select a program, quality improvement initiative, or other project from your place of employment. Assume you are presenting this program to the board for approval of funding. Write an executive summary (850-1,000 words) to present to the board, from which they will make their decision to fund your program or project. The summary should include:

  1. The purpose of the program or project.
  2. The target population or audience.
  3. The benefits of the program or project
  4. The cost or budget justification.
  5. The basis upon which the program or project will be evaluated.

Share your written proposal with your manager, supervisor or other colleague in a formal leadership position within a health care organization. Request their feedback using the following questions as prompts:

  1. Do you believe the proposal would be approved if formally proposed?
  2. What are some strengths and weaknesses of the proposal?

Submit the written proposal along with the “Executive Summary Feedback Form.”

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

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 required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

Response 150 -200 words and 2 peer questions needed. Applying Nursing Theory Discussion

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Nursing Theorists Discussion

Response 150 -200 words and 2 peer questions needed. Applying Nursing Theory Discussion

Instructions:

  1. Select one of the following scenarios related to a specific nursing. Think about what you would do in the scenario presented and post your ideas.
  2. Post two discussion questions based on the readings along with your answers.

Madeleine Leininger

Discuss the usefulness of the Culture Care: Diversity and Universality Theory in the 21st Century to discover nursing knowledge and to provide culturally congruent care. Take into consideration the current trends of consumers of healthcare, cultural diversity factors, and changes in medical and nursing school curricula. Listed below are some examples of trends and changes you may want to consider in your discussion:

  1. The importance of transcultural nursing knowledge in an increasingly diverse world
  2. An increase of lay support groups to provide information and sharing of experiences and support for patients and/or families experiencing chronic, terminal, or life-threatening illnesses or treatment modalities from diverse and similar (common) cultures.
  3. Use of cultural values, beliefs, health practices, and research knowledge in undergraduate, alternative medicine, herbs, vitamins, minerals, and other over-the-counter medications, which demand a transcultural knowledge base.