Nursing Reflection Journal Working In Primary Setting And With Geriatrics

November 4, 2022/in Nursing Homework Help /by Naomi Nas

Nursing Reflection Journal Working In Primary Setting And With Geriatrics

Details: Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences: New practice approaches Intraprofessional collaboration Health care delivery and clinical systems Ethical considerations in health care Population health concerns The role of technology in improving health care outcomes Health policy Leadership and economic models Health disparities Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course. While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. Rubric New Practice Approaches New practice approaches are not present. New practice approaches are present, but incomplete or otherwise lacking in required detail. New practice approaches are present. Some minor details or elements are missing but the omission(s) do not impede understanding. New practice approaches are present and complete. The submission provides the basic information required. New practice approaches are present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10.0 %Intraprofessional Collaboration (4.3) Intraprofessional collaboration information is not present. Intraprofessional collaboration information is present, but incomplete or otherwise lacking in required detail. Intraprofessional collaboration information is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Intraprofessional collaboration information is present and complete. The submission provides the basic information required. Intraprofessional collaboration information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10.0 %Health Care Delivery And Clinical Systems (4.1) Health care delivery and clinical systems information is not present. Health care delivery and clinical systems information is present, but incomplete or otherwise lacking in required detail. Health care delivery and clinical systems information is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Health care delivery and clinical systems information is present and complete. The submission provides the basic information required. Health care delivery and clinical systems information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10.0 %Ethical Considerations In Health Care (5.4) Ethical considerations in health care information is not present. Ethical considerations in health care information is present, but incomplete or otherwise lacking in required detail. Ethical considerations in health care information is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Ethical considerations in health care information is present and complete. The submission provides the basic information required. Ethical considerations in health care information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10.0 %Population Health Concerns (5.3) Population health concerns information is not present. Population health concerns information is present, but incomplete or otherwise lacking in required detail. Population health concerns information is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Population health concerns information is present and complete. The submission provides the basic information required. Population health concerns information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10.0 %The Role Of Technology In Improving Health Care Outcomes (4.3) Information on the role of technology in improving health care outcomes is not present. Information on the role of technology in improving health care outcomes is present, but incomplete or otherwise lacking in required detail. Information on the role of technology in improving health care outcomes is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Information on the role of technology in improving health care outcomes is present and complete. The submission provides the basic information required. Information on the role of technology in improving health care outcomes is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10.0 %Health Policy Health policy information is not present. Health policy information content is present, but incomplete or otherwise lacking in required detail. Health policy information content is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Health policy information content is present and complete. The submission provides the basic information required. Health policy information content is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10.0 %Leadership And Economic Models Information on leadership and economic models is not present. Information on leadership and economic models is present, but incomplete or otherwise lacking in required detail. Information on leadership and economic models is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Information on leadership and economic models is present and complete. The submission provides the basic information required. Information on leadership and economic models is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10.0 %Health Disparities (1.5) Information on health disparities is not present. Information on health disparities is present, but incomplete or otherwise lacking in required detail. Information on health disparities is present with minor elements missing that do not impede understanding. Information on health disparities is present and complete. The submission provides the basic information required. Information on health disparities is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 5.0 %Presentation The piece is not neat or organized, and it does not include all required elements. The work is not neat and includes minor flaws or omissions of required elements. The overall appearance is general, and major elements are missing. The overall appearance is generally neat, with a few minor flaws or missing elements. The work is well presented and includes all required elements. The overall appearance is neat and professional. 5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) 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), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English. 100 %Total Weightage * THIS IS OVER A TEN WEEK PERIOD DATE EACH ENTRY WEEK 1,2,3 etc. make some entry stating I have worked with CHF patients. Nursing Reflection Journal Working In Primary Setting And With Geriatrics

Evidence-Based Practice Proposal – Solution Description

November 4, 2022/in Nursing Homework Help /by Naomi Nas

Evidence-Based Practice Proposal – Solution Description

Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria: Proposed Solution:

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(a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention.

(b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional expertise. You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Evidence-Based Practice Proposal – Solution Description

Benchmark-Capstone Project Change Proposal.

November 4, 2022/in Nursing Homework Help /by Naomi Nas

Benchmark-Capstone Project Change Proposal.

In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

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Develop a 1,250- 1, 500 written project that includes the following information as it applies to the problem issue, suggestion, initiative, or educational need profiled in the capstone change proposal: 1) Background 2) Clinical Problem Statement 3) Purpose of the change Proposal in relation to providing patient care in the changing health care system. 4) PICOT Question 5) Literature Search Strategy employed. 6) Evaluation of the literature 7) Applicable Change or nursing theory utilized. 8)Proposed implementation plan with outcome measures. 9) Discussion of how evidence-based practice was used in creating the intervention plan. 10) Plan for evaluating the proposed nursing intervention. 11) Identification of potential barriers to plan implementation, and a discussion of how these could be overcome. 12) Appendix section, if tables, graphs survey, educatonal materials, etc are created. Review the feedback from your instructor on the topic 3 assignment, PICOT Question Paper and topics 6 assignment, literature review, use this feedback to make appropriate revisions to these before submitting. Prepare this assignment according to the guidelines found in the APA style guide located in the student success center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectation for successful completion. you are required to submit this assignment to lopewrite. Refer to the lopewrite -technical support articles for assistance. Benchmark information This benchmark assignment assesses the following programmatic competences. RN to BSN 1:1 Exemplify professionalism in diverse health care settings. 1:2 comprehend nursing concepts and health theories. 1:3 Implement patient care decisions based on evidence-based practice.

Discussion Case Study – Primary Care The Art Of Advance Practice

November 4, 2022/in Nursing Homework Help /by Naomi Nas

Discussion Case Study – Primary Care The Art Of Advance Practice

As an NP in primary care, what would you have done differently? I would have completed a more thorough history and physical. More details about events leading up to his symptoms, which are described below. A more thorough physical examination including positional and bilateral vital signs. A more detailed history also described below. This would have led me to a diagnosis of possible aortic dissection, and I would have sent the patient for an emergent MRI and notified the appropriate persons to take over the patient’s care (Schneider et al., 2016). As recommended by McConaghy (2021), I would have performed a cardiac examination while the patient was lying supine and while sitting up and leaning forward. Classically, patients will have symptom relief with sitting up, and this is also the best position in which to evaluate the patient for a pericardial rub. Evaluation for pulsus paradoxus (an abnormally large decrease in systolic blood pressure [>10 mmHg] on inspiration), which is indicative of cardiac tamponade, should also have been assessed.

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Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome? While the patient does exhibit some symptoms congruent with the diagnosis of viral pleurisy, the importance of ruling out other serious causes of the patient’s symptoms cannot be overlooked. Hooshmand et al. (2019) stated that, a differential diagnosis list is the list of possible diagnoses, usually in priority order. One method for the development of a differential diagnosis list is considering the problem from the “skin in.” In the case study example of chest pain, all possible causes of chest pain should be considered beginning at the skin. A visual exam of all the structures in the area that could possibly be affected. Below the skin, the musculoskeletal system (including the rib cage) could be causing pain, from costochondritis or from muscle strain. A pulmonary cause should be considered. Next, is the esophagus. Could the pain be from esophagitis, gastroesophageal reflux, or hiatal hernia? The pericardium is a possible source of pain, as with pericarditis. Finally, consider cardiac pain. Using this approach to create a list of differential diagnoses prevents jumping to early conclusions without considering a wide range of problems. It, thus, avoids the common diagnostic error of premature closure. The differential diagnosis list should always include any conditions that are life, organ, or function threatening. In this example, a more thorough history and physical along with the creation of a differential diagnosis list likely would have prevented the catastrophic outcome for this patient. Discussion Case Study – Primary Care The Art Of Advance Practice . If a serious diagnosis comes to mind based on a patient’s symptoms: Ask yourself: Have you considered the likelihood of a serious diagnosis and whether it needs to be ruled out by testing or referral? Yes, there are many serious diagnoses that present with these symptoms and must be ruled out by testing or referral. As the clinician did in the case study, an ECG would have been a priority, along with possible radiography. Any other testing would require further examination. Because many serious disorders are challenging to diagnose, have you considered ruling out the worst-case scenario? The provider in the case ruled out an ischemic cause by performing an ECG. Although there are many other life-threatening causes of the patient’s symptoms as evidenced by this case. Labs such as Troponin are often protocol for all patients presenting with chest pain as a brief ECG in the primary care setting is not truly diagnostic of cardiac changes. Ask yourself: Do you have a sufficient understanding of the clinical presentation to offer an opinion on the diagnosis? The answer is no, more information was required to offer a diagnosis. Did the patient have any signs or symptoms of a virus in the office or recently? The assessment did not indicate the presence of viral symptoms. The sudden onset and short duration point to a non-viral/inflammatory cause. Risk factors need to be explored further, pre-existing conditions, family history, BMI, does he smoke/consume alcohol, exercise, is he diabetic? A patient with one or more of these risk factors will require further testing to rule out serious cardiac diagnoses, even if the patient was previously healthy. jugular venous distension should be assessed. Had the patient eaten recently, was it spicy, greasy, or a large meal? Has the patient been emotionally stressed recently? The assessment mentioned a heart murmur, is this new onset. According to Black & Manning (2021), a cardiac murmur is a possible symptom of aortic dissection and should have been investigated further. Did he do anything strenuous earlier in the day? What medications is he taking? Does he take supplements or consume large amounts of caffeine or other stimulants. What other diagnoses could it be? How might the treatment to date have altered the patient’s outcome? acute coronary syndrome (ACS) – anginal symptoms at rest, new-onset angina (McConaghy, 2021). Aortic dissection – is rare but may be a surgical emergency. Patients with acute aortic dissection typically present with acute chest and back pain that is severe and sharp and may have a ripping or tearing quality. Pain can radiate anywhere in the chest or into the abdomen (McConaghy, 2021). Pulmonary embolism – The most common symptoms of pulmonary embolism include dyspnea followed by pleuritic chest pain and cough (McConaghy, 2021). Cardiac tamponade – In a patient with pericarditis, development of cardiac tamponade can be life-threatening. Symptoms are sudden in onset and include chest pain, tachypnea, and dyspnea (McConaghy, 2021). Pericarditis/myopericarditis, Myocarditis – symptoms include sharp, pleuritic chest pain which is decreased by leaning forward from a seated position, and radiates to the trapezius ridge (McConaghy, 2021). Stress cardiomyopathy – Symptoms, including substernal chest pain, are like that of acute myocardial infarction (McConaghy, 2021). Malignancy – Patients with lung cancer may complain of chest pain, typically on the same side as the primary tumor. Other symptoms can include cough, hemoptysis, and dyspnea. This diagnosis is unlikely due to the sudden onset of symptoms (McConaghy, 2021). Esophageal causes would be high on my differential diagnosis list due to the patient’s complaints of sudden onset, non-productive cough, worsened by movement, radiated to base of the neck. Antacids or a GI cocktail (often lidocaine and Maalox) can be administered in the office and the patient can be observed for relief of symptoms, this method is not truly diagnostic but a simple noninvasive test. Discussion Case Study – Primary Care The Art Of Advance Practice. GERD – Chest pain due to GERD can mimic angina pectoris and may be described as squeezing or burning, located substernal and radiating to the back, neck, jaw, or arms. It can last minutes to hours and resolves spontaneously or with antacids. It may occur after meals, awaken patients from sleep, and be exacerbated by emotional stress (McConaghy, 2021). Other – Hiatus hernias may cause chest pain, acute cholecystitis, biliary colic, and pancreatitis may have pain that involves the chest (McConaghy, 2021). Psychiatric and drug use – are also possible causes (McConaghy, 2021). Aortic dissection is on the differential diagnosis list and had the patient been assessed for this he may have had a different outcome. Also, investigation into many of these differential diagnoses may have led to the more serious diagnosis as well. What other diagnostic and laboratory or imaging was needed in order to make a complete differential list? What support tools would you consider using in helping to create a differential diagnosis list? McConaghy (2021) reported Indications for a chest radiograph include suspected pulmonary causes of chest pain, heart failure or rib fracture. In this case the patient should have had a chest x-ray. McConaghy (2021) stated that, if symptoms are concerning for aortic dissection (acute chest and back pain that is severe, sharp, with a ripping or tearing quality), blood pressure should be obtained in both arms. Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain? Clinical practice guidelines should be obtained from national organizations such as The American Heart Association and American Collage of Cardiology. Resources such as UpToDate offer evidence-based clinical decision support by compiling national data into peer reviewed research articles. Discussion Case Study – Primary Care The Art Of Advance Practice

Assignment: Academic Success And Professional Development Plan Part 4: Research Analysis

November 4, 2022/in Nursing Homework Help /by Naomi Nas

Assignment: Academic Success And Professional Development Plan Part 4: Research Analysis

Using the “Module 4 | Part 4” section of your Academic Success and Professional Development Plan Template presented in the Resources, conduct an analysis of the elements of the research article you identified. Be sure to include the following: Your topic of interest. A correctly formatted APA citation of the article you selected, along with link or search details. Identify a professional practice use of the theories/concepts presented in the article. Analysis of the article using the “Research Analysis Matrix” section of the template

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Write a 1-paragraph justification stating whether you would recommend this article to inform professional practice. Write a 2- to 3-paragraph summary that you will add to your Academic Success and Professional Development Plan that includes the following:

Describe your approach to identifying and analyzing peer-reviewed research. Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research. Identify at least one resource you intend to use in the future to find peer-reviewed research. Note: Add your work for this Assignment to the original document you began in the Module 1 Assignment, which was built from the Academic Success and Professional Development Plan Template.

By Day 7 of Week 7 Submit your analysis, including your completed section of the Academic Success and Professional Development Plan Template sections and your matrix and summary. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK7Assgn+last name+first initial.(extension)” as the name. Click the Week 7 Assignment Rubric to review the Grading Criteria for the Assignment. Click the Week 7 Assignment link. You will also be able to “View Rubric” for grading criteria from this area. Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “Wk7Assgn+last name+first initial.(extension)” and click Open. If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database. Click on the Submit button to complete your submission. Using the Week 4 Part 4 section of your Academic Success and Professional Development Plan Template presented in the Resources, conduct an analysis of the elements of the research article you identified. Be sure to include the following: · The topic of interest you have selected. · Correctly formatted APA citation of the article you selected, along with link or search details. · Identify a professional practice use of the theories/concepts presented in the article. 18 (18%) – 20 (20%) The response clearly identifies the topic of interest selected. The response accurately and completely provides a citation of the article selected, including an accurate and complete link or thorough search details. The response clearly identifies and describes in detail a professional practice use of the theories/concepts presented in the article. 16 (16%) – 17 (17%) The response partially identifies the topic of interest selected. The response provides a partial citation of the article selected, including a partial link or search details. The response partially identifies and describes a professional practice use of the theories/concepts presented in the article. 14 (14%) – 15 (15%) The response vaguely identifies the topic of interest selected. The response vaguely or inaccurately provides a citation of the article selected, including vague or inaccurate search details. The response vaguely or inaccurately identifies and describes a professional practice use of the theories/concepts presented in the article. 0 (0%) – 13 (13%) The response vaguely and inaccurately identifies the topic of interest selected, or is missing. The response vaguely and inaccurately provides a citation of the article selected, including vague and inaccurate search details, or is missing. The response vaguely and inaccurately identifies and describes a professional practice use of the theories/concepts presented in the article, or is missing. Analysis of the article using the Research Analysis Matrix section of the template. Assignment: Academic Success And Professional Development Plan Part 4: Research Analysis

·Write a one-paragraph justification explaining whether or not you would recommend the use of this article to inform professional practice. 18 (18%) – 20 (20%) The response clearly and accurately provides a detailed analysis of the article using the Research Analysis Matrix section of the template. The response clearly and accurately explains in detail the justification of whether or not to recommend the use of the article to inform professional practice. 16 (16%) – 17 (17%) The response provides a partial analysis of the article using the Research Analysis Matrix section of the template. The response partially explains the justification of whether or not to recommend the use of the article to inform professional practice. 14 (14%) – 15 (15%) The response provides a vague or inaccurate analysis of the article using the Research Analysis Matrix section of the template. The response vaguely or inaccurately explains the justification of whether or not to recommend the use of the article to inform professional practice. 0 (0%) – 13 (13%) The response provides a vague and inaccurate analysis of the article using the Research Analysis Matrix section of the template, or is missing. The response vaguely and inaccurately explains the justification of whether or not to recommend the use of the article to inform professional practice, or is missing. Write a 2-3 paragraph summary that you will add to your Academic Success and Professional Development Plan that includes the following: · Describe your approach to identifying and analyzing peer-reviewed research. · Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research. · Identify at least one resource you intend to use in the future to find peer-reviewed research. 41 (41%) – 45 (45%) The response clearly and accurately describes in detail the approach to identifying and analyzing peer-reviewed research. The response clearly identifies and accurately describes in detail at least two strategies used to be effective in finding peer-reviewed research. The response provides a complete, detailed, and specific synthesis of at least one outside resource that may be used in the future to find peer-reviewed research. The response fully integrates at least 1 outside resource and 2-3 course specific resources that fully supports the summary provided. 36 (36%) – 40 (40%) The response partially describes the approach to identifying and analyzing peer-reviewed research. The response partially identifies and describes at least two strategies used to be effective in finding peer-reviewed research. The response provides an accurate synthesis of at least one outside resource that may be used in the future to find peer-reviewed research. The response integrates at least 1 outside resource and 2-3 course specific resources that support the summary provided. 32 (32%) – 35 (35%) The response vaguely or inaccurately describes the approach to identifying and analyzing peer-reviewed research. The response vaguely or inaccurately identifies and describes at least two strategies used to be effective in finding peer-reviewed research. The response vaguely or inaccurately synthesizes at least one outside resource that may be used in the future to find peer-reviewed research. The response minimally integrates resources that may support the summary provided. 0 (0%) – 31 (31%) The response vaguely and inaccurately describes the approach to identifying and analyzing peer-reviewed research, or is missing. The response vaguely and inaccurately identifies and describes at least two strategies used to be effective in finding peer-reviewed research, or is missing. The response fails to integrate any resources that may be used in the future to find peer-reviewed research to support the summary provided, or is missing. Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria. 4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive. 3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic. 0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. 4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors. 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors. 0 (0%) – 3 (3%) Contains many (? 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. 5 (5%) – 5 (5%) Uses correct APA format with no errors. 4 (4%) – 4 (4%) Contains a few (1-2) APA format errors. 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors. 0 (0%) – 3 (3%) Contains many (? 5) APA format errors. Total Points: 100 Name: NURS_6003_Module04_Week07_Assignment_Rubric. Assignment: Academic Success And Professional Development Plan Part 4: Research Analysis

6665 P Wk9: Focused SOAP Note On A Client With GAD

November 4, 2022/in Nursing Homework Help /by Naomi Nas

6665 P Wk9: Focused SOAP Note On A Client With GAD.

DO NOT ADD A REVIEW OF SYSTEMS (ROS) TO THIS PAPER. Patient info: Name – TT; Age – 19. Caucasian female. Medication: Wellbutrin SR 100 mg tab. Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? (You have to make it up). Assessment: Discuss their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis, and why?

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Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and supported by the patient’s symptoms. Include penitent positive and penitent negative symptoms noted in the patient for each differential diagnosis (THIS PART IS VERY IMPORTANT IN THIS PAPER). Plan: What was your plan for psychotherapy (include one health promotion activity and patient education)? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Reflection notes: What would you do differently with this patient if you could conduct the session over? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow up, discuss what your next intervention would be.

Benchmark Professional Development Plan Assignment

November 4, 2022/in Nursing Homework Help /by Naomi Nas

Benchmark Professional Development Plan Assignment

My current occupation is Director of Nurses at a Long Term Care facility. I need a professional plan to fit this position. Benchmark – Professional Development Plan

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The purpose of this assignment is to reflect on personal and professional development and specify an individual plan for achieving leadership objectives. Use the “Professional Development Plan” worksheet to complete the assignment. Reference your Essential Leadership Competencies assignment from Topic 5 for additional assistance on completing the assignment. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Benchmark Information This benchmark assignment assesses the following programmatic competencies: MS Leadership 1.2: Practice methods of self-reflection that contribute to the development of character required by effective leaders. MBA and MS Leadership 5.2: Practice methods of self-reflection that contribute to the development of character required by effective leaders.

Professionalism And Social Media Assignment

November 4, 2022/in Nursing Homework Help /by Naomi Nas

professionalism And Social Media Assignment

Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing. Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field.

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In 500-750 words, summarize the findings of your review. Include the following:

1) Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.

2) Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer. 3) Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Disorders of Gastrointestinal Function Assignment

November 4, 2022/in Nursing Homework Help /by Naomi Nas

Disorders of Gastrointestinal Function Assignment

Case Study 2

Disorders of Gastrointestinal Function

Marcee is a 52-year-old woman who worked at a reception desk at a company head office. She took some time off when she was treated for colorectal cancer. The Dukes classification was stage I, and the treatment protocol involved surgery and radiation therapy. No one in her family had a history of the disease. Marcee does not drink or smoke, but she does not pay close attention to her diet. At work, her meals consisted mainly of the foods she got from vending machines at the cafeteria. At home, she preferred to heat up frozen dinners or any prepackaged food that required minimal preparation time.

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Review Marcee’s diet. What factors in her dietary choices might contribute to the development of colorectal cancer?
Colorectal cancer often arises from adenomatous polyps. What are the development and histological features of these polyps? Disorders of Gastrointestinal Function Assignment
Colorectal cancer may be a complication in individuals with ulcerative colitis. How are the “pseudopolyps” seen in this disease different from the polyps discussed above?
Why is a fecal occult blood test used as one of the screening tools for colorectal cancer? Explain the procedure for administering the test. Case Study 2Disorders of Gastrointestinal Function
Marcee is a 52-year-old woman who worked at a reception desk at a company head office. She took some time off when she was treated for colorectal cancer. The Dukes classification was stage I, and the treatment protocol involved surgery and radiation therapy. No one in her family had a history of the disease. Marcee does not drink or smoke, but she does not pay close attention to her diet. At work, her meals consisted mainly of the foods she got from vending machines at the cafeteria. At home, she preferred to heat up frozen dinners or any prepackaged food that required minimal preparation time.
1. Review Marcee’s diet. What factors in her dietary choices might contribute to the development of colorectal cancer?
2. Colorectal cancer often arises from adenomatous polyps. What are the development and histological features of these polyps?
3. Colorectal cancer may be a complication in individuals with ulcerative colitis. How are the “pseudopolyps” seen in this disease different from the polyps discussed above?
4. Why is a fecal occult blood test used as one of the screening tools for colorectal cancer? Explain the procedure for administering the test. Disorders of Gastrointestinal Function Assignment

COMMUNITY ASSESSMENT GROUP PRESENTATION PAPER

November 4, 2022/in Nursing Homework Help /by Naomi Nas

COMMUNITY ASSESSMENT GROUP PRESENTATION PAPER

PURPOSE: This assignment is to orient the students to the community used for the community health nursing clinical.

The assessment is to be completed in groups and may require time other than the assigned clinical day for completion. Be prepared to present your findings, orally, in seminar. Date and time of presentation will be scheduled. The following guideline is to focus your assessment.

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On your way to the designated community:
1. Did you go through different small communities? How did they differ?
2. Could you identify boundaries for different communities? (i.e., were there obvious separations between communities?) COMMUNITY ASSESSMENT GROUP PRESENTATION
3. What sights, smells, sounds, etc., were identified with the different communities? COMMUNITY ASSESSMENT GROUP PRESENTATION
After arrival in the designated community:
1. What evidences of a minority culture do you see? How does this affect the environment? (Are there advertising billboards, graffiti, etc., that reflect ethnic characteristics of community?)
2. Who do you see on the streets: elderly, young males, children, and women? (Indications of unemployment, constituencies, etc.)
3. What industries are represented in the community?
4. What would it be like to live in the community?
5. Is public transportation available?
6. How far to supermarkets and shopping centers?
7. What type of housing?
8. Where are “For Sale” signs?
9. Do you think people rent or own the housing?
10. What is the social-economic status of this community?
11. What recreational facilities are there in the area?
12. What kind of churches do you see in this area?
13. What potential environmental hazards did you identify?
What are the medical care facilities in this area? Doctors’ offices? Any evidence that physicians reflect the ethnic background of the population? How accessible are the medical facilities?
Visit a community center, Senior Citizens Center, Chamber of Commerce. Find out what they do. Can they give you further information about this community? What other community resources are available in the area?
Interview adults on the street or elsewhere:
1. What is it like living in your community?
2. What are this community’s strengths? Weaknesses?
3. How is employment for people these days?
4. Do they have a family doctor? How accessible is the doctor?
5. What is the greatest health problem in this area?
6. What seems to be the gossip center or the informal communication network of this community?
7. Develop some key questions of your own. COMMUNITY ASSESSMENT GROUP PRESENTATION PAPER
Stop at a small store and price the following: eggs, milk, meat, sugar, fruits and vegetables. What special needs does the small store meet? Go to the nearest supermarket and price the same item Observe the customers in the stores . . . do they help you speculate about the composition of the area (i.e., ethnic group, age economic status, occupation?) Are any folk medicines for sale in the small store?
Other evidence of Compare prices at the same two stores for baby items as follows: Newborn diapers (3 brands), concentrate formula for 36 o, powdered formula for 36 oz., ready to feed formula for 36 oz.
What would it be like to be elderly or homeless in this community? What resources are available to meet their needs
What would it be like to be a young single teenage mother in this community?
What resources are available for them?
Try to find out what the power structure is in the community.
1. Interview someone in a community organization, i.e., principal of a school, pastor of a church, a person in a service club, etc., to ascertain who is influential in the community and how they are influential?
2. Interview adults on the street to find out who is considered to be influential in the community and why. Any names that appear twice are probably influen
3. Identify potential public health problems/high risk group What solutions do you recommend?

Discuss potential need for community education.
1. Identify potential target groups to teach. COMMUNITY ASSESSMENT GROUP PRESENTATION PAPER

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