Step 1 Choose an advanced practice or specialty nursing role of interest to you.

Step 2 In your post, respond to the following questions:

• Reflect on your career goals and choose an advanced practice or specialty nursing role. (ARNP)
• Describe the role and why it is of interest to you.
• In what type of health care setting do you wish to practice this role? Hospital Emergency Room
• What is the population you wish to care for?
• What degree do you need to assume this nursing role?
• What are your major responsibilities in this role? Denver School of Nursing Advanced Practice Specialty Nursing Role Discussion
  

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No research or APA is required for this week.

Step 3 Read and respond to other students’ posts.

Select two students who chose roles different than the ones you chose. Identify the similarities and differences in these roles in the following areas:

• Educational and certification requirements
• Type of practice settings
• Population served
• Responsibilities of the roles

Use your personal experience, if it’s relevant, to help support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support your opinions.

Discussion 1 Yolette

I would like to have a specialty in Med-surge first and second in stroke education. There are too many diseases that people are suffering from because of neglect and mostly lack of education; one of them is stroke. My mother died from a posterior stroke; and recently I have a patient, a young man of 45 years old, that was, at that time, paralyzed from a recent stroke. I don’t know the lowest level for this type of job, but I do know that I will go for my Master’s in Nursing as soon as I am done with my BSN program. I would like to create a team for pre and post-stroke care of any race, dedicated to patients that are subject or not to have a stroke, and for post-education after a stroke. This program will also help nurses understand better this disease.

My responsibility will be to coordinate the relationship between the stock program and hospital or other facilities, by pointing potential patients. This program will affect all kinds of communities or churches to provide education to the population on how to have a proper lifestyle including exercises, diet, blood pressure monitoring, and regular doctor check-ups. I hope those two specialties accompanied by my Master’s in nursing will grant me enough skills to realize my dream.

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Discussion 2 Jing

One of the specialty nursing roles that I have always been interested in is forensic nursing. A forensic nurse is a Registered or Advanced Practice Nurse who has received specific education and training. Forensic nurses provide specialized care for patients who are experiencing acute and long-term health consequences associated with victimization or violence or have unmet evidentiary needs relative to having been victimized or accused of victimization. They also collect evidence, provide medical testimony in court, and consult with legal authorities. Forensic nurses work in a variety of fields, including sexual assault, domestic violence, child abuse and neglect, elder mistreatment, death investigation, corrections, and in the aftermath of mass disasters. In the United States, forensic nurses most frequently work in hospitals, community anti-violence programs, coroners and medical examiners offices, correctional institutions, and psychiatric hospitals. I like this role because it is a unique specialty that blends the worlds of nursing, science, and the legal system. It also provides me opportunities to work with many types of people in diverse settings. Denver School of Nursing Advanced Practice Specialty Nursing Role Discussion

To become a forensic nurse, the minimum requirement is to earn a BSN or AND degree while holding an active RN license in the state of practice. Forensic nursing employers most often prefer that nurses have prior clinical nursing experience including medical-surgical, pediatric, or psychiatric nursing. Additional certificate programs such as the SANE-A for working with adults and adolescents and the SANE-P for working with pediatric patients are also available for nurses to achieve the highest standards for sexual assault nurse examiners. Master’s or doctoral degree programs in forensic nursing are also an option for nurses who want to further advance their careers. These degrees prepare nurses to work in clinical forensic roles, teaching, legal nurse consulting, research, forensic psychiatric nursing, violence prevention programs, and roles that require collaboration with the criminal justice system. Forensic nursing is estimated to be one of the fastest-growing fields in the nursing profession, and I am considering the option for my potential career path.

Eczema

You are a nurse at Samaritan General Hospital. You have been asked to create patient education handouts for a variety of integumentary disorders. After you gather the information to put in the handout, you will ask your peers for feedback on the information.

Step 2 Select an integumentary disorder that you would like to learn about and, if necessary, research the pathophysiology of the disorder.

Step 3 Your first task is to describe the pathophysiology of the disorder that you will include in the patient handout. This information should be followed by common signs and symptoms of the disorder. Be sure to cover the pathophysiology of the disorder in terms a patient (or his or her caregiver) would be able to understand. Be sure to cite all sources you use and provide a reference using proper APA formatting.

Step 4 In addition to your original post, be sure to provide a meaningful response to at least two of your peer’s posts by Friday night at 11:59pm Mountain Time.

In your response, provide constructive feedback on the content included in the information as well as the appropriateness of the information for the patient. If differences of opinion occur, debate the issues professionally and provide examples to support your opinions.

Discussion 1 Sharon

It’s interesting to me that several skin disorders often tend to flare up in cycles. Since psoriasis is an immune system disorder, it seems the flare-ups are often caused by things that engage the immune system (“Psoriasis”, 2020, para. 14). One of those triggers is stress. I’ve known many people that often get sick right after a stressful event (such as exams, recitals, tournament, job deadlines, etc). The immune system is bulking up and the adrenal glands release higher doses of corticosteroids to help deal with the stress. But once the source of stress is gone, the body needs a recovery time to catch back up, and often this makes people sick in some way, especially if they already have a disorder such as this one.

“Psoriasis” (2020). WebMD. https://www.webmd.com/skin-problems-and-treatments/psoriasis/understanding-psoriasis-basics#:~:text=Psoriasis%20is%20a%20skin%20disorder,passed%20from%20person%20to%20person. Denver School of Nursing Advanced Practice Specialty Nursing Role Discussion

Discussion 2 Lori

Pressure Ulcers can and are a serious integumentary disorder that can grow large very quickly. Pressure ulcers are from a lack of mobility and over the past 15 years have become rare due to the conscientious use of pressure-reducing measures and technology available. Almost all pressure ulcers are preventable and curable at an early stage. Individuals with poor circulation can be harder to heal but still have a fair chance at the ulcer healing with proper care. Poor profusion can cause pressure ulcers and can make it difficult to heal. Pressure ulcers form when soft tissue is compressed for long periods of time between bony prominences and external surfaces forming tissue ischemia and hypoxia. You may have heard the term, Bed sore, that is the same thing as a pressure ulcer.

Signs and Symptoms of a pressure ulcer include but not limited to, reddened areas, fever, soreness in a specific area, reddened area with white around it, pain, swelling, pus-like look, warm to touch area, and unusual skin changes in a specific area. Pressure ulcers typically form on heels, elbows, ankles, midfoot, hips, and other bony prominences. Denver School of Nursing Advanced Practice Specialty Nursing Role Discussion

Reference

Agrawal, K. (2012) Pressure Ulcers www.ncbi.nlm.nih.gov