Identify the complications J.D. is at risk for and explain the pathophysiology causing those risks.

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Your written assignment for this module should be a 2-3 page paper (not including title page and reference page) that describes the following:J.D. is a 70-year-old man with a history of prostate cance

Your written assignment for this module should be a 2-3 page paper (not including title page and reference page) that describes the following:

J.D. is a 70-year-old man with a history of prostate cancer, being treated with palliative hormones and radiation. His admitting diagnosis is adenocarcinoma of the prostate with widespread bone metastasis. J.D. is married and has one grown daughter, who often helps with his care. His chief concern is severe back pain for which the physician has ordered intrathecal morphine sulfate and aspirin 650 mg for pain relief. J.D.’s admitting CBC shows a WBC count of 500 and platelet count of 15,000.

For this case study:

  1. List the symptoms typically seen in patients with prostate cancer.
  2. Identify the risk factors for prostate cancer, including which population is most at risk.
  3. Identify the complications J.D. is at risk for and explain the pathophysiology causing those risks.
  4. List 3 nursing problems and your goals for J.D.
  5. List at least 3 nursing interventions for each problem.

You should include a minimum of 3 references. Include a title page, in-text citations, and a reference page in APA format.

4. What is your role as the nurse in the dilemma of antibiotic overuse? How can you make a difference?

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This is for a discussion post Please provided at least two references in APA format Antibiotic overuse is another issue that is of concern in our health care system. Improper outpatient use leads t

This is for a discussion post 

Please provided at least two references in APA format 

Antibiotic overuse is another issue that is of concern in our health care system. Improper outpatient use leads to an increase in antibiotic resistance.  Reasons for overuse are things like: the patient expects to get an antibiotic when they visit a provider; patient satisfaction scores, diagnostic uncertainty, and of course, time pressures on the providers. So, an antibiotic is prescribed “just in case.”

For this week’s discussion, find one peer reviewed journal article discussing antibiotic overuse in the healthcare system. Address all questions below in your initial response. You still must meet the minimum number of required references per the discussion rubric. The peer reviewed journal article stated above just has to be ONE of your references (and the main reference)  for the initial posting.

1. Summarize the main points of the article for your peers.

2. Provide the link to the article for your peers.

3. Relate the findings of the article to your area of nursing practice. Could the recommendations in the article be applied to your area of nursing practice? Why or why not?

4. What is  your role as the nurse in the dilemma of antibiotic overuse? How can you make a difference?

CO5: Explore the professional responsibilities involved in conducting a comprehensive health assessment and provide appropriate documentation. (PO #6)

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PurposeThis assignment is to help you gain insight regarding the influence of an individual’s lifestyle and health-related practices, on their opportunities for health promotion. You are to obtain a l

Purpose

This assignment is to help you gain insight regarding the influence of an individual’s lifestyle and health-related practices, on their opportunities for health promotion. You are to obtain a lifestyle and health practices profile using yourself as the client, and then practice analyzing the data to formulate a health promotion nursing diagnosis.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO1: Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO #1)

CO5: Explore the professional responsibilities involved in conducting a comprehensive health assessment and provide appropriate documentation. (PO #6)

Note: This assignment must be answered on the form in the attached. The description and format is on the form uploaded.

Not less 500 words.

 Please see the grading criteria and rubrics on  the attachment.

This assignment is worth a total of 200 points.

Respond to the nursing discussion below

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APA format MSN degree 1 page with 3 references one from walden university library   Due March 8, 2019 at 7pmResponse need for below discussion:            When deciding on curriculum chan

APA format MSN degree 1 page with 3 references one from walden university library   Due March 8, 2019 at 7pm

Response need for below discussion:

            When deciding on curriculum changes/advancements or any new program/change, it is important to focus on both internal and external factors as well as do a needs assessment. These factors can either be positive or negative, and some factors faculty can control while others are out of the faculty’s control. Internal factors are those that are within the institution/clinic etc. and external factors are those that influence the change or development but are external (Keating & DeBoor, 2018). “In any dynamic organization, curriculum change is not a choice but a requirement” (Billings & Halstead, 2016, p. 73). Changes in curriculum or always needed to keep up to date with changes in the community, town, country, and world (Billings & Halstead, 2016).

            This week’s post is going to focus on the external factor: population demographics and trends. Before implementing any changes, it is important to know the characteristics of the population. It is important to know who the potential students will be and who the students will be taking care of once they graduate. Knowing whether there are adult learners or younger learners can help with curriculum advancements. Ethnicity, financial resources, and faculty availability are crucial to curriculum development (Keating & DeBoor, 2018).

            When I worked out west in a college in downtown Calgary, it was very clear based on patient demographics that ethnicity and financial resources were key factors to keep in mind when developing curriculum. Many of the students first language were not English, they had immigrated to Canada, and many had financial struggles. A lot of the students were nurses, pharmacists and even physicians in their home country. Cultural sensitivity will need to be taken into consideration with all changes/developments in the curriculum (Billings & Halstead, 2016). If students can’t afford to go to school or don’t have access to financial resources, they may not perform to their highest standard in school. I had students who came to clinical exhausted and who I had to send home for safety reasons. These students had to work multiple jobs to get by and provide for their family. A lot of these students also needed help with their English, and therefore the college had to take this into mind and make sure the resources were available for English tutoring. Calgary, in general, had a lot of minorities, and therefore these are the patients that the students will be taking care of when they graduate.

            The demographics of our population are rapidly shifting and “by 2030 it is estimated people age 65 and older will represent almost 20% of the total U.S. population” (Billings & Halstead, 2016, p.74). This means nurses need to be trained in chronic care and end of life care (Billings & Halstead, 2016). There will also be an increased need for home care. These statistics help nursing faculty to adjust the curriculum appropriately to make sure the newest generation of nurses is trained to help this population (University of Saint Mary, 2019).

References

Billings, D.M., & Halstead, J.A. (2016). Teaching in nursing: A guide for faculty (5th ed.). St. Louis, MO: Elsevier.

Keating, S.B., & DeBoor, S.S. (Ed.). (2018). Curriculum development and evaluation in nursing (4th ed.). New York, NY: Springer.

University of Saint Mary. (2019). The impact of the aging population on nursing. Retrieved from https://online.stmary.edu/msn/resources/impact-of-aging-population-on-nursing

Respond by providing additional thoughts about competing needs that may impact your colleagues’ selected issues, or additional ideas for applying policy to address the impacts described.

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Respond by providing additional thoughts about competing needs that may impact your colleagues’ selected issues, or additional ideas for applying policy to address the impacts described.      

Respond by providing additional thoughts about competing needs that may impact your colleagues’ selected issues, or additional ideas for applying policy to address the impacts described.

                                                              Main Post

Addressing the issue of workplace violence (WPV) is a significant concern for organizations. WPV of any form (verbal, physical, psychological) increases the chances that nurses will leave the profession permanently, resulting in nursing workforce retention challenges (Marshall  & Broome, 2017). Nurses must maintain environments that allow the profession to be virtuous, allowing for mutual respect, integrity, communication, caring, and benevolence (American Nurses Association (ANA), 2015). Workplace violence does not just include nurses or other healthcare professionals but also patients/ family members being uncivil.

As a new nurse, my preceptor was off the floor for a meeting. The charge nurse did not care for me, and she never had any problems showing it. With two open rooms and already taking care of a DKA patient and prepping another patient for surgery with low hemoglobin. The EMS radio called with a code blue and the eta was 5minutes. There were other rooms and nurses available to take the code, but she placed the patient in my room and offered no assistance, and within minutes of getting the code blue patient she placed yet another patient in the fourth room. 

Feeling overwhelmed and very upset; why would she deliberately try to sabotage a new nurse. My preceptor, nurse manager, and I confronted her and asked why she would intentionally risk patient safety and stack patients on one nurse. Her response was “No one told her to stay in the ED, who is she to try to change the way we do things here, I do not agree with having graduate nurses in the ED, she would be better off on one of the inpatient units.” 

Workforce resources are competing for needs maintaining and implementing policies to combat such behaviors. The consequences of this situation impacted my other three patients and delayed care; the whole situation created a negative attitude towards the rest of the nursing staff, and trusting anyone and asking for help when my preceptor was not available was out of the question. I felt like this situation needed to happen so that management could see the negative culture/attitudes within the department.

 With the looming nursing shortage, leadership may tolerate or entirely ignore WPV.  The charge nurse continued to bully other nurses, and the older nurses felt like, the newer nurses were coming in and changing their department. While professional standards appear specific to WPV, an atmosphere of support is essential to reducing the stigma and reoccurrence often associated with those who are victims of bullying. Standards of professional behavior must be developed and implemented with consistent use across all departments (Fink-Samnick,2015).

American Nurses Association. (2015). Code of ethics for nursing with interpretive statements. Silver Springs, MD: Author. Retrieved from: https://www.nursingworld.org/coe-view-only

Fink-Samnick, E. (2015). The New Age of Bullying and Violence in Health Care. Professional Case Management,20(4), 165-174. doi:10.1097/ncm.0000000000000099

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader. New York, NY: Springer Publishing Company.

CHAPTER 39, Clients with Medical Illnesses

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MENTAL HEALTH

CHAPTER 39, Clients with Medical Illnesses

In completing the case study, students will be addressing the following learning objectives:

Identify common medical conditions that can have accompanying psychiatric complications or symptoms. Describe general nursing implications for clients experiencing psychiatric disorders that are intertwined with other nonpsychiatric illnesses.

1. Carla, a 27-year-old white single mother of two preschool-age children, is in the psychiatric hospital for treatment of anxiety and depression.   Carla has a cardiac condition that requires surgery.  Carla is concerned over the financial cost of the surgery and caretakers for her children while she is in the hospital and undergoing rehabilitation. Carla is also worried that she may be unable to continue in her present employment as a salesperson due to the physical demands of this position.  Carla’s case is representative of many patients with medical conditions who develop psychiatric symptoms.

(Learning Objectives: 1, 2)

a. What are some prevalent medical conditions that can also be accompanied by psychiatric symptoms or complications?

b.What are some nursing implications for Carla that address both the psychiatric and nonpsychiatric illnesses?

Critically analyze current practice to formulate researchable problems.

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reserved for Expert_Researcher

Discussion Question

For this discussion, you are asked to review the student learning outcomes for this course and discuss how you met these outcomes. The intention here is to provide you an opportunity to “reflect” on the learning achieved during this term and how you successfully met these learning outcomes. If you do not feel you successfully met the objective, discuss your plans to successfully complete the objective in the future.

Upon completion of this course, the student should be able to:

  1. Critically analyze current practice to formulate researchable problems.
  2. Evaluate research as the basis for decision-making to improve outcomes through translation into evidence-based practice. 
  3. Synthesize an understanding of the research process through development of a proposal to address a nursing problem or focus area identified in nursing practice.
  4. Investigate ethical issues related to the conduct of scientific research, including informed consent, data management, data analysis, and protection of human subjects.
  5. Explore national and international initiatives and research priorities.
  6. Critically analyze current practice to formulate researchable problems.
    Evaluate research as the basis for decision-making to improve outcomes through translation into evidence-based practice. 
    Synthesize an understanding of the research process through development of a proposal to address a nursing problem or focus area identified in nursing practice.
    Investigate ethical issues related to the conduct of scientific research, including informed consent, data management, data analysis, and protection of human subjects.
    Explore national and international initiatives and research priorities.

a. What are some prevalent medical conditions that can also be accompanied by psychiatric symptoms or complications?

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CHAPTER 39, Clients with Medical Illnesses In completing the case study, students will be addressing the following learning objectives: Identify common medical conditions that can have accompanying psychiatric complications or symptoms. Describe general n

CHAPTER 39, Clients with Medical Illnesses

In completing the case study, students will be addressing the following learning objectives:

Identify common medical conditions that can have accompanying psychiatric complications or symptoms. Describe general nursing implications for clients experiencing psychiatric disorders that are intertwined with other nonpsychiatric illnesses.

1. Carla, a 27-year-old white single mother of two preschool-age children, is in the psychiatric hospital for treatment of anxiety and depression.   Carla has a cardiac condition that requires surgery.  Carla is concerned over the financial cost of the surgery and caretakers for her children while she is in the hospital and undergoing rehabilitation. Carla is also worried that she may be unable to continue in her present employment as a salesperson due to the physical demands of this position.  Carla’s case is representative of many patients with medical conditions who develop psychiatric symptoms.

(Learning Objectives: 1, 2)

a. What are some prevalent medical conditions that can also be accompanied by psychiatric symptoms or complications?

b.What are some nursing implications for Carla that address both the psychiatric and nonpsychiatric illnesses?

Explanation of the main purpose and scope of the cited work

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In this week’s discussion question you were asked to consider a potential problem (appropriate to your role option) that you would like to investigate through nursing research. For this assignment you will review current research from (….)and provide a critical evaluation on that research through an annotated bibliography. An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue’s OWL: https://owl.english.purdue.edu/owl/resource/614/01/

A total of four annotated bibliographies are to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a quantitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable. Each annotation must address the following critical elements: 

  • Explanation of the main purpose and scope of the cited work
  • Brief description of the research conducted
  • Value and significance of the work (e.g., study’s findings, scope of the research project) as a contribution to the subject under consideration
  • Possible shortcomings or bias in the work
  • Conclusions or observations reached by the author
  • Summary as to why this research lends evidence to support the potential problem identified specific to your role option.

In this week’s discussion question you were asked to consider a potential problem (appropriate to your role option) that you would like to investigate through nursing research. For this assignment you will review current research from (….)and provide a critical evaluation on that research through an annotated bibliography. An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue’s OWL: https://owl.english.purdue.edu/owl/resource/614/01/

A total of four annotated bibliographies are to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a quantitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable. Each annotation must address the following critical elements: Explanation of the main purpose and scope of the cited work

Brief description of the research conducted

Value and significance of the work (e.g., study’s findings, scope of the research project) as a contribution to the subject under consideration

Possible shortcomings or bias in the work

Conclusions or observations reached by the author

Summary as to why this research lends evidence to support the potential problem identified specific to your role option.

In this week’s discussion question you were asked to consider a potential problem (appropriate to your role option) that you would like to investigate through nursing research. For this assignment you will review current research from (….)and provide a critical evaluation on that research through an annotated bibliography. An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue’s OWL: https://owl.english.purdue.edu/owl/resource/614/01/

A total of four annotated bibliographies are to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a quantitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable. Each annotation must address the following critical elements: 

  1. Explanation of the main purpose and scope of the cited work
  2. Brief description of the research conducted
  3. Value and significance of the work (e.g., study’s findings, scope of the research project) as a contribution to the subject under consideration
  4. Possible shortcomings or bias in the work
  5. Conclusions or observations reached by the author
  6. Summary as to why this research lends evidence to support the potential problem identified specific to your role option.

1) Identify the concept and the related practice problem that you have selected for this Discussion.

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Strategies for Concept Development and Analysis

Strategies for Concept Development and Analysis

As indicated in this week’s Learning Resources, concept analysis is an essential step in research and has significant implications for theory development. Concepts may be abstract (e.g., caring) or relatively concrete (e.g., touch)—yet, in either case, the meaning of a concept depends on context. It is therefore critical to clearly define a concept that serves as a component of research or theory so that a shared language and common understanding can be developed. For this Discussion, you will select a concept related to a practice problem of interest to you. You will then have an opportunity to explore how concept analysis applies to research involving this practice problem. Next week, you will consider how concept analysis relates to theory development.

To prepare:

  • Brainstorm a list of concepts you use or see in practice that pertain to a practice problem of interest to you. Then select one concept to focus on for this Discussion.
  • Using the concept analysis strategies presented in the Learning Resources, analyze your selected concept and clarify its meaning.
  • With your selected concept in mind, formulate a research topic to address the related practice problem.

By Wednesday 6/14/17, post 550 words essay in APA format with 3 references from the list below, that include the level one headings as numbered below:

Post a cohesive response that addresses the following:

1)       Identify the concept and the related practice problem that you have selected for this Discussion.

2)       Provide a summary of your concept analysis (sharing your clarified concept) and the related research topic.

3)       Describe the importance of this concept and research topic to nursing practice.

Required Readings

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

Chapter 3, “Concept Development: Clarifying Meaning of Terms”

 Chapter 3 explains the process of concept development and discusses its application to theory development and research.

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 8, “Frameworks”

 Chapter 8 examines concepts and relational statements, how theories relate to concepts, and how to use conceptual maps to visually illustrate the interrelationships between concepts and statements.

Cronin, P., Ryan, F., & Coughlan, M. (2010). Concept analysis in healthcare research. International Journal of Therapy & Rehabilitation, 17(2), 62–68.

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

 The theoretical and philosophical underpinnings of concept analysis are described in this article. In addition, methods used for concept analysis are discussed.

Ekeland, E., Heian, F., Hagen, K., Abbott, H., & Nordheim, L. (2008). Exercise to improve self-esteem in children and young people. Cochrane Database of Systematic Reviews, (1).

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

 This systematic review examines the influence of exercise on the self-esteem of children and young adults.

Parse, R. R. (2006). Concept inventing: Continuing clarification. Nursing Science Quarterly, 19(4), 289.

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

 This article provides an overview of concept inventing and describes the process as a nonlinear multidimensional approach that requires simultaneous analysis and synthesis.

Penrod, J. (2007). Living with uncertainty: concept advancement. Journal of Advanced Nursing, 57(6), 658–667.

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

 This article provides an analysis of a phenomenological study on the concept of uncertainty among family caregivers.

Optional Resources

Brown, C., Wickline, M., Ecoff, L., & Glaser, D. (2009). Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. Journal of Advanced Nursing, 65(2), 371–3 81.

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

Risjord, M. (2009). Rethinking concept analysis. Journal of Advanced Nursing, 65(3), 684–691.

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