Discussion Essay: Cardiovascular System

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Discussion Essay: Cardiovascular System

LM is an 89-year-old female resident of a long-term care facility who has been experiencing multiple falls, some resulting in injuries such as bruising and skin tears. Over the last 6 months, her ambulation status has declined from independent to wheelchair level. She complains of pain in her legs when walking more than short distances across the nursing unit.

PMH:

  • HTN
  • Alzheimer’s disease
  • Hypothyroidism
  • Osteoarthritis
  • Diabetes

MEDICATIONS:

  • Amlodipine 10 mg QD
  • Donepezil 10 mg QHS
  • Levothyroxine 0.88 mg QAM
  • Celecoxib 200 mg QD
  • Furosemide 40 mg QAM
  • Metformin 500mg, 1 BID
  • Glyburide 5mg, 1 BID

ALLERGIES: NKA

SOCIAL HISTORY:

Widowed with 2 adult children living in town, retired photographer and owner of an art supply store

VITALS:      LABS:

Weight: 129 lbs                                   TSH 2.45         Free T4 0.98

Height: 64 inches                                Na 135, K+ 3.8, Cl 99, CO2 25,

BP: Supine = 177/82                           Glucose 101, SCr 0.9, BUN 42

HR: 78 bpm                                         WBC 7.0, RBC 4.5, Hgb 11.9, Hct 34.1

Plt 255

Cr: 1.6 UA: Clear

eGFR: 45 ml/min

PE:

  • HEENT: Normocephalic, no evidence of trauma, PERRLA, EOMI, Dry mucous membranes
  • CV: RRR
  • Respiratory: Clear to auscultation bilaterally
  • Abdomen: Soft, non-tender, no masses or guarding
  • G/U: Skin intact, assisted with toileting and personal hygiene by staff
  • Extremities: Bilateral 2+ edema to lower extremities; skin dry, dark bruising and skin tear to right elbow and forearm. Discussion Essay: Cardiovascular System
  • Neuro: Alert and oriented to person only. MMSE 18/30, stable over last 12 months.

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PAIN ASSESSMENT:

Faces pain scale: No pain occurs at rest, upon walking, pain is moderate to severe

2- to 3-page and following:

  • Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
  • Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
  • Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvement

References x 3 including :

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier. Discussion Essay: Cardiovascular System

Cultural And Diversity Awareness In Health Assessment

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Cultural And Diversity Awareness In Health Assessment

Cultural and Diversity Awareness in Health Assessment

CASE STUDY/SENARIO

Paloma Hernandez, 26-year-old, Spanish speaking patient who presents to the clinic for the last 2 days in a row complaining of abdominal pain that is getting worse. The first visit the staff relied on her younger bilingual daughter to translate. She was treated with Omeprazole and encouraged to take OTC medication. Today she presents with the same problem. Her daughter states it is the same problem but worse today.

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To prepare:

  • Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
  • Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
  • Consider how you would build a health history for the patient. What questions would you ask, and      how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
  • Think about the challenges associated with communicating with patients from a variety of specific      populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information? Cultural And Diversity Awareness In Health Assessment

The question

1. Explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned.

2. Explain the issues that you would need to be sensitive to when interacting with the patient, and why.

3. Provide at least  Five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

  • attachment 

    THELEARNINGRESOURCES.docx

    Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

     

    · Chapter 1, “The History and Interviewing Process” (Previously read in Week 1)

    This chapter highlights history and interviewing processes. The authors explore a variety of communication techniques, professionalism, and functional assessment concepts when developing relationships with patients.

     

    · Chapter 2, “Cultural Competency”

    This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices.

     

    Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.

    Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.

     

    · Chapter 2, “Evidenced-Based Clinical Practice Guidelines”

     

    Melton, C., Graff, C., Holmes, G., Brown, L., & Bailey, J. (2014). Health literacy and asthma management among African-American adults: An interpretative phenomenological analysis. Journal of Asthma, 51(7), 703–713. doi:10.3109/02770903.2014.906605

    Credit Line: Health literacy and asthma management among African-American adults: An interpretative phenomenological analysis by Melton, C., Graff, C., Holmes, G., Brown, L., & Bailey, J., in Journal of Asthma, Vol. 51/Issue 7. Copyright 2014 by Taylor & Francis, Inc. Reprinted by permission of Taylor & Francis, Inc. via the Copyright Clearance Center. Cultural And Diversity Awareness In Health Assessment

     

    The authors of this study discuss the relationship between health literacy and health outcomes in African American patients with asthma.

     

    Centers for Disease Control and Prevention. (2020, October 21). Cultural competence in health and human services. Retrieved from https://npin.cdc.gov/pages/cultural-competence This website discusses cultural competence as defined by the Centers for Disease Control and Prevention (CDC). Understanding the difference between cultural competence, awareness, and sensitivity can be obtained on this website.

     

    United States Department of Human & Health Services. Office of Minority Health. (n.d.). A physician’s practical guide to culturally competent care. Retrieved June 10, 2019, from https://cccm.thinkculturalhealth.hhs.gov/

     

    From the Office of Minority Health, this website offers CME and CEU credit and equips healthcare professionals with awareness, knowledge, and skills to better treat the increasingly diverse U.S. population they serve.

     

     

    Coleman, D. E. (2019). Evidence based nursing practice: The challenges of health care and cultural diversity. Journal of Hospital Librarianship, 19(4), 330–338. https://doi.org/10.1080/15323269.2019.1661734

     

     

    Young, S., & Guo, K. L. (2016). Cultural diversity training. The Health Care Manager, 35(2), 94–102. https://doi.org/10.1097/hcm.0000000000000100. Cultural And Diversity Awareness In Health Assessment

Maternal Clinical 3: Case Study 128

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Maternal Clinical 3: Case Study 128

Maternal Clinical 3: Case Study 128

Case Study 128 – Postpartum

Read the scenario and answer all questions

Scenario:

T.N. delivered a healthy male infant 2 hours ago. She had a midline episiotomy. This is her sixth pregnancy. Before this delivery, she was G6, T4, P0, A1, L4. She had an epidural block for her labor and delivery. She is now admitted to the postpartum unit.

1. What is important to note in the initial assessment? necessary.

2. You find a boggy fundus during your assessment. What corrective measures should be instituted?

3. The patient complains of pain and discomfort in her perineal area. How will you respond?

4. The nurse reviews the hospital security guidelines with T.N. The nurse points out that her baby has a special identification bracelet that matches a bracelet worn by T.N., and the nurse reviews other security procedures. Which statement by T.N. indicates a need for more teaching?

a. “If I have a question about someone’s identity, I can ask my nurse about it.”

b. “If someone comes to take my baby for an examination, that person will carry my baby to the examination room.”

c. “Nurses on this unit all wear the same color uniform.” Maternal Clinical 3: Case Study 128

d. “Each staff member who takes my baby somewhere will have a picture identification badge.”

5. An hour after admission, you recheck T.N.s perineal pad and find that there is a very small amount of lochia on the perineal pad. What will you do next? a. Ask T.N. to change her perineal pad

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b. Check her perineal pad again in 1 hour

c. Check the pad underneath T.N.’s buttocks

d. Document the findings in T.N.’s medical record

6. That evening, the nursing assistive personnel assesses T.N.’s vital signs. Which vital signs would be of concern at this time?

Vital Signs:

Temperature: 99.9°F
Blood pressure: 100/50
Pulse rate: 120 bpm

Respiratory rate: 16/min.

7. What will you do next? Monitor VS, notify doctor is BP and pulse do not improve. Assess pt for bleeding or leaking. Assess for color, amount, consistency, and odor of the lochia. Check to see if blood has spread to other areas of the body. Check uterine fundus, if boggy, massage until firm.

8. After your prompt intervention, you need to document what occurred. Write an example of a documentation entry describing this event.

Time: 1600 Pulse: 120 BP: 100/50

Large amount of lochia rubra noted with small clots underneath patients buttocks. Fundus was boggy until massaged firm. Patient encouraged to increase fluid intake. Patient voiding without difficulty. Assisted patient with perineal hygiene and provided a clean perineal pad which was placed under patient. Will continue to monitor.

9. Two hours later, you perform another perineal pad check and observe a 2 in. stain on the pad. How would you document your findings in terms of the amount of lochia on the peripad? Light

10. T.N.’s condition is stable, and you prepare to provide patient teaching. What patient teaching is vital after delivery?

11. T.N. tells you she must go back to work in 6 weeks and is not sure she can continue breastfeeding. What options are available to her? Maternal Clinical 3: Case Study 128

T.N. is discharged to home and plans to consult a lactation specialist before returning to work.

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Managed Care Organizations And Integrated Healthcare Networks

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Managed Care Organizations And Integrated Healthcare Networks

Managed Care Organizations and Integrated Healthcare Networks

Health care organizations continually face challenges from various regulatory and government agencies while also being bound by Managed Care Organization (MCO) standards. View the video located in the study materials entitled “College of Nursing and Health Care Professions: Do We Know What Our Future Is?” for insight into the challenges of health care reform. Based on the video, describe two key reform factors that you believe will need to be addressed by future health care workers or leaders and explain why. (Note: You can download slides from this video for ease of review in developing your forum response). Additionally, what role does adherence to MCO standards play in your future health care vision?

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Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way. Managed Care Organizations And Integrated Healthcare Networks

Reflective Analysis: Risk Management & The Role Of Managed Care

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Reflective Analysis: Risk Management & The Role Of Managed Care

The purpose of this assignment is to analyze the role of managed care organizations within health care and risk management programs.

Reflect on and evaluate the role that the managed care organization (MCO) plays in today’s health care environment by developing a 250‐500-word response that addresses the following:

1-What is a health care organization’s administrative role in executing risk management policies and ensuring compliance with managed care organization (MCO) standards?

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2-What value do the regulatory statutes of a typical MCO provide to a health care organization? Consider how strategies pertaining to policies such as conflict resolution and risk management affect patients as well as employees and employers.

3-What MCO responsibilities relevant to the Patient Protection and Affordable Care Act (ACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws? Reflective Analysis: Risk Management & The Role Of Managed Care

In addition to your textbook, you are required to support your analysis with a minimum of two peer‐reviewed references.

  •  

    Rubric_Print_Format51.xlsx

    Rubic_Print_Format

    Course Code Class Code Assignment Title Total Points
    HLT-308V HLT-308V-O500 Reflective Analysis: Risk Management and the Role of Managed Care 70.0
    Criteria Percentage 1: Unsatisfactory (0.00%) 2: Less Than Satisfactory (65.00%) 3: Satisfactory (75.00%) 4: Good (85.00%) 5: Excellent (100.00%) Comments Points Earned
    % Scaling 100.0%
    Administrative Role of a Health Care Organization in Ensuring Compliance With Managed Care Organization (MCO) Risk Management Standards 25.0% An assessment of the administrative role of a health care organization in ensuring compliance with MCO risk management standards is not included. An assessment of the administrative role of a health care organization in ensuring compliance with MCO risk management standards is partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient. Reflective Analysis: Risk Management & The Role Of Managed Care An assessment of the administrative role of a health care organization in ensuring compliance with MCO risk management standards is present, but minimal detail or support is provided for one or more components. An assessment of the administrative role of a health care organization in ensuring compliance with MCO risk management standards is incorporated in full. The submission encompasses essential details and provides appropriate support. An assessment of the administrative role of a health care organization in ensuring compliance with MCO risk management standards is comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.
    Value of MCO Regulatory Statutes to a Health Care Organization 25.0% An explanation of the value MCO regulatory statutes provide to a health care organization is not included. An explanation of the value MCO regulatory statutes provide to a health care organization is partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient. An explanation of the value MCO regulatory statutes provide to a health care organization is present, but minimal detail or support is provided for one or more components. An explanation of the value MCO regulatory statutes provide to a health care organization is incorporated in full. The submission encompasses essential details and provides appropriate support. An explanation of the value MCO regulatory statutes provide to a health care organization is present and comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.
    MCO Responsibilities Relative to ACA and CMS Focus on Fraud, Waste, and Abuse Laws 25.0% A description of the MCO responsibilities relative to the ACA and CMS focus on fraud, waste, and abuse laws is not included. A description of the MCO responsibilities relative to the ACA and CMS focus on fraud, waste, and abuse laws is partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient. A description of the MCO responsibilities relative to the ACA and CMS focus on fraud, waste, and abuse laws is present, but minimal detail or support is provided for one or more components. A description of the MCO responsibilities relative to the ACA and CMS focus on fraud, waste, and abuse laws is incorporated in full. The submission encompasses essential details and provides appropriate support. A description of the MCO responsibilities relative to the ACA and CMS focus on fraud, waste, and abuse laws is comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.
    Thesis Development and Purpose 5.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
    Argument Logic and Construction 5.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
    Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.
    Paper Format (use of appropriate style for the major and assignment) 5.0% Template is not used appropriately, or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.
    Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Reflective Analysis: Risk Management & The Role Of Managed Care Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Paragraph 1

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Paragraph 1

Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

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Experimental research is an objective, systematic, highly controlled experiment in order to predict and control a phenomena in nursing practice. It is the most powerful quantitative method due to using controls to compare during the experiment. All the individuals would have to pass a screening to verify that they all possessed the same important characteristics needed for this research being done. The degree of the control achieved in experimental studies varies according to the population studied, variable examined, and environment of the study. There are 3 main characteristics of all experimental studies:

1) the independent variable which uses the control of at least 1 variable

2) only exposing some subjects to the treatment while the others receive placebos

3) randomly assign the subjects to the controls.

An example of this would be, an experimental drug was being tested to see how well it works for sleeping. Only half of the subjects would have received the drug and the other half receive a placebo. This would be how the researcher utilizes the control to assist on the research of the study.

In comparison, an non-experimental research study is “when a researcher can not control, manipulate, or alter the predictor variable or subjects but instead relies on interpretations, observations, or interactions to come to a conclusion” (Kowalczyk, n.d.). This research design focuses on variables that occur naturally in the environment instead of trying to control the study with the use of manipulation of the variables involved. An example of a non-experimental study would be when the researcher used both men and women and studied which sex sleeps more at night. With this experiment, the researcher is unable to manipulate the predictor variable, which in this care is the gender.

Reference

Grove, S., Gray, J., Burns, N. (2015). Understanding nursing research: building and evidence based practice (6thed.). St. Louis: Elsevier.

Tags: nursing paragraph please help citations and references

Well Child Assessment

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Well Child Assessment

I need this essay to be rewritten; however, same format. The Child Development Assessment Revised 3 (4). docx

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Child’s initials: A. J., male, caucasian

Age: 11

Born: December 21st

57 inches tall, 78 lbs

3 siblings: 23 year old half brother, 21 year old half sister, 13 year old brother (biological)

Father is a Lieutenant Commander in the military. Father works 5 days a week, leaves at 6 in the morning, returns after 6pm. Father has strict rules, authoritarian household

Mother is a hairstylist. Works part-time. Arrives home to meet children at the bus.

Parent DO NOT SMOKE. The only strain on growth development is the parenting style: authoritarian.

Autocratic Leadership (Authoritarian) Leadership: Autocratic leaders make independent decisions without communicating, collaborating and consulting with others. These leaders state what has to be accomplished, when it must be done, and how it should be done. Families who use an autocratic or authoritarian parenting are typically strict and the leader has control and authority over the other family members. Some families that use the autocratic or authoritarian parenting style are considered patriarchal, with the father as the leader, and others are considered matriarchal with the mother as the person with the power and control over other members of the family.

Family dysfunction, as defined by the North American Nursing Diagnosis Association (NANDA), is the “psychosocial, spiritual, and physiological functions of the family unit are chronically disorganized , which leads to conflict, denial, of problems, resistance to change, ineffective problem solving, and a series of self perpetuating crises”.

Some of the many stressors and crises that can impact on the family unit include poverty, homelessness, abuse, neglect, substance related abuse including alcoholism, divorce, separation, psychological illness, maturational and developmental crises such as the birth of a new baby, role changes, power shifts, and physical illnesses.

Assessment Focus

Communication
Emotional
Coping
Roles/relationship
Expected Outcomes Family Members Will

Not experience physical, verbal, emotional, or sexual abuse.
Communicate clearly, honestly, consistently, and directly.
Establish clearly defined roles and equitable responsibilities.
Express understanding of rules and expectations.
Report the methods of problem solving and resolving conflicts have improved.
Report a decrease in the number and intensity of family crises
Seek ongoing treatment.
Suggested Noc Outcomes

Family Coping; Family Functioning; Family Normalization; Social Interaction Skills; Substance Addiction Consequences

Intervention And Rationales

Determine: Assess family’s developmental stage, roles, rules, socioeco-nomic status, health history, history of substance abuse; history of sex-ual abuse of spouse or children, problem-solving and decision-making 131 skills, and patterns of communication. Assessment information will provide development of appropriate interventions.Perform: Meet with family members to establish levels of authority and responsibility in the family. Understanding the family dynamics provides information about the kinds of support the family needs to work with the patient’s issues.Create an environment in which family members can expres themselves openly and honestly to build trust and self-esteem.Establish rules for communication during meetings with the family to assist family members to take responsibility for their own behavior.Inform: Teach family members basic communication skills to enable them to discuss issues in a positive way. Have them role-play with one another numerous times to demonstrate what has been learned.Involve the family in exercises to reduce stress and deal with anger.Attend: Hold adults accountable for their alcohol or substance abuse and have them sign a “Use contract” to decrease denial, increase trust, and promote positive change.Involve patient in planning and decision making. Having the ability to participate will encourage greater compliance with the plan.Assist family to set limits on abusive behaviors and have them sign “Abuse contracts” to foster feelings of safety and trust.Manage: Refer to case manager/social worker to ensure that a home assessment is done.Refer to support groups that deal with substance abuse, domestic violence, or sexual abuse depending on the needs of the patient and/or family to enhance interpersonal skills and strengthen the family unit.Provide all appropriate phone numbers so that the family members can initiate whatever follow-up is needed.

Suggested Nic Interventions

Coping Enhancement; Family Integrity Promotion; Family Process Maintenance; Family Support; Normalization Promotion; Substance Use Prevention; Substance Use Treatment

Reference

Yonaka, L., et al. (2007, January–February). Barriers to screening for domestic violence in the emergency department. Journal of Continuing Education for Nursing, 38(1), 37–45.

Theorists: Eric Erickson

Psychosocial Development of Middle Childhood
Erikson’s theory of industry versus inferiority explains the psychosocial development of middle childhood.

The energy of children during middle childhood development is directed towards creativity and productivity. They strive to accomplish competence at useful skills and tasks to attain social recognition among the adults and children in their environment.

Self-esteem development during middle childhood
Self-esteem is based on how children perceive themselves in the areas that are important to them.

Healthy self-esteem is built on positive self-concept, which gets pronounced during middle childhood years.

From age 6 to10 are the early school years, when children establish their own identity. Individuality and independence is first experienced by children during this phase of development.

Self-esteem of middle childhood children is very high

They have high self-esteem; respect themselves and the family to which their own identity is linked. They begin to mark their own social stand in appearance, behavior and capabilities in comparison to those around them.

Their capabilities and social status influence their self-concept and consequently their self-esteem. At this stage of childhood development children judge themselves according to their ability to produce socially valued outputs.

Building healthy self-esteem is a continuous process. It starts in child’s own mind as a part of psychosocial development of middle childhood.

As children advance through school years, they associate their self-esteem in three separate facets; academic, social and body image.

Low self-esteem impairs school performance & social relationships

The danger of inadequate self-esteem development arises in children whose personality development has been hampered by early childhood trauma.

These children are usually poor achievers; they lack their basic self-esteem essential to build overall confident personality. They are likely to suffer from inferiority complex unless intervened early by positive reinforcement by parents and teachers.

Psychosocial development and parent-child relationship
The desire for independence and growing individuality move children into the world that is a little distant from that of their parents. They assert their will, defy authority and resist parental interference. This is often misinterpreted as disrespectful behavior.

Children however recognize the need for the parents’ support. They respect parents’ knowledge and skills and strive to seek parents’ acceptance. Emotional deprivement leaves them lonely and in pain. Co-regulation prevents social and emotional disharmony in children.

Topic four dq two

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Topic four dq two

Outline the concept of professional accountability as it pertains to nursing. Provide examples of how a nurse demonstrates professional accountability in clinical expertise, the nursing process, and evidence-based practice.

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Respond with a paragraph and citations and references

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Respond with a paragraph and citations and references

How has nursing practice evolved over time? Discuss the key leaders and historical events that have influenced the advancement of nursing, nursing education, and nursing roles that are now part of the contemporary nursing profession.

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Respond with a paragraph and citations and references.

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Respond with a paragraph and citations and references.

Discuss the difference between a nursing conceptual model and a nursing theory.

Select a nursing theory and provide a concise summary of it. Provide an example in nursing practice where the nursing theory you selected would be effective in managing patient care.

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