NU500-8B-UNIT6-DISCUSSION1-REPLY2

A Cancer-Specific Middle-Range Theory of Symptom Self-Care Management: A Theory Synthesis

The middle-range theory of symptom article describes the self-care management for adults with cancer.  Middle-range theories are usually general, simple, and straightforward (McEwen & Wills, 2019, p. 210).  Due to their limited number of concepts, the propositions are clearly stated, and the hypotheses are testable.  The peer-reviewed study indicated that cancer patients could benefit from self-care management behaviors to relieve their discomfort (Baydoun et al., 2018).  The two symptom management theories and self-care management synthesize to create a theory of symptom self-care. “The newly synthesized theory conceptualizes cancer as a chronic illness with related symptoms that persist beyond the acute phase of treatment.” (Baydoun et al., 2018, p. 1).  The study sheds light on the empowerment that cancer patients have when they can take their symptom management into their own hands.  I recall a patient I had in the CTICU once under an enormous amount of discomfort.  She wanted to be discharged, so she refused narcotics in the attempt to be released earlier.  I taught her a little trick I used on my pediatric patients in the ED.  I brought in an energy beauty bar for her to try. It’s a small handheld vibrating facial device for lymphatic drainage removal.  I taught her how to give herself a facial lymphatic massage.  Using the power of overriding the gateway theory, she self-soothe for comfort and relieve her pain.  There is something about allowing a patient to control at least one aspect of their care when so many factors play against them.  NU500-8B-UNIT6-DISCUSSION1-REPLY2

Application of Theoretical Frameworks and Models

Applying theoretical frameworks and models can strengthen nursing research and promote theory-based practice within the nursing profession.  Theoretical frameworks provide a guide to study the design and intervention development for future research (Chinn & Kramer, 2018).  Without theoretical frameworks, the foundation for research could be compromised.  The whole purpose of evidence-based research (EBR) is to ask the question, see the need for change, study and implement the change and evaluate the change outcomes.  It is vital to see all those who came before you.  We have much to learn and grow from researching past articles. The ability to zero in on specific and relevant data is essential.  This foundation helps to focus specific variables and viewpoints so that the researcher can interpret all data gathered(McEwen & Wills, 2019).  For example, it would be challenging to analyze every single study ever done for pain management in cancer patients. That’s where theoretical frameworks and models can be of use and aid in promoting theory-based practice within the nursing profession.  Utilizing the framework of previous studies provides nurses with a way to organize all the clinical data to be interpreted and analyzed more efficiently.

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When I worked in the emergency department, I wanted to find Munchausen By Proxy studies.  I was suspicious of a mother who brought her daughter to the ER with gastrointestinal symptoms.  I was able to find multiple articles, one by Sorrentino, who spoke of the book Playing Sick.  I read the book, used the information I was suspicious of, and reported the patient’s mother to our Attending Physician.   My suspicions were correct, and this mother was making her child ill.  After six months in and out of the courtroom, the little girl was finally free from a tortuous life. I was able to apply the theoretical frameworks from other studies, and I’m almost sure I saved a life.  NU500-8B-UNIT6-DISCUSSION1-REPLY2

A 32-year-old female presents for an evaluation of a lump in her right breast that she found on breast self-examination. The lump is found to be 2cm in size, firm, and mobile. No Adenopothy noted.

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What are two questions you would ask this patient?

• When did you first notice this lump and is it painful to the touch?
• Has there been any trauma to the area or any associated symptoms.

What are two risk factors would you want to assess for?

• I would ask about history of birth control use or any other estrogen intake. According to Daly (2022) The primary risk factor for developing breast cancer is excess exposure to estrogens.
• Is there a family history of breast lumps or any type of cancer in the family? If so, were they diagnosed prior to the age of 50 yrs of age? Family history would be one of the key risk factors for breast cancer, particularly if family members were young (>50) at the age of diagnosis (2022).

What are the levels of prevention for this patient?

• A primary level of prevention would be to educate the patient on modifiable risk factors. These modifiable risk factors, according to the Pan American Health Association, consist of obesity, physical inactivity and reduced alcohol consumption can reduce breast cancer incidence and improve overall health (2014).
• A secondary level of prevention would be performing additional screening to identify the possible possibility of breast cancer in its earliest stages. With the patient being 32 y/o, I would utilize sonography to further assess and identify the mass. With being under the age of 35 y/o the breast tissue tends to be denser. This dense tissue impedes the accuracy of mammography and makes it more challenging to detect microcalcifications (2022). Nursing homework help

Population health topic that rises to the presidential agenda level

Respond to at least two of your colleagues* on two different days by expanding on their response and providing an example that supports their explanation or respectfully challenging their explanation and providing an example.

MAIN POST : Population health topic that rises to the presidential agenda level

Millions of individuals worldwide are dealing with some form of mental illness. People with mental health problems are likelier to become sick or die prematurely. They are stressed out, dysfunctional, and emotionally unstable (Spaeth-Rublee et al., 2017). This crisis in mental health is caused, in part, by the inaccessibility of necessary services. Bush, Obama, and now Trump all put in place new regulations. Their goal was to reduce the stigma associated with mental health care and increase the number of people who can get help when needed.

Social determinant most affects this health issue.

It can be challenging to make sense of the links between social factors and an individual’s psychological well-being. A person’s well-being is affected by various factors, including their level of schooling, income, social networks, the nature of their neighbourhood and community, physical environment, and access to medical care. Population health topic that rises to the presidential agenda level

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Ways in which recent presidents handle the problem

Obama signed the Affordable Care Act as a law which promised that universal health care would be a top priority for his administration. This legislation aimed to cover the uninsured at a reasonable cost and expand access to healthcare. It made it illegal for insurance companies to exclude people with pre-existing diseases or mental illnesses from their plans. People with mental health issues now have access to more affordable care because of the Affordable Care Act’s (ACA) reforms to private insurance and Medicaid (Schober, 2022). The Affordable Care Act (ACA) made it possible for people’s mental health coverage to be on par with their physical and surgical coverage, helping people notice and get help for mental health issues sooner. Within a year of the ACA’s passage in 2014, about 22 million Americans had access to and received treatment for mental health issues. More than 45 million people lacked medical coverage before the passage of this act, with one-quarter experiencing mental health problems. Population health topic that rises to the presidential agenda level

Individuals with an antiquity of mental disease were not turned down for coverage under the Obama act. The ACA’s increased funding for community clinics has treated over 900,000 persons with mental health conditions (De Quevedo, 2022). When veterans experienced issues with their mental health, this law was put in place to guarantee they would receive prompt treatment. May could have been designated as National Mental Health Awareness Month by him. He hoped that by raising awareness of the magnitude of the problem, organizations, institutions, and businesses would be more inclined to aid those struggling with mental health concerns in the United States. Everyone needs to be aware of the need for change promotion and be on board with it.

More than $70 million was budgeted by Trump this year for community mental health programs, and $140 million was set aside for kids’ mental health insurance (Fiedler et al., 2020). In order to aid in the care and treatment of patients with mental health illnesses, President Trump advocated for the usage of accredited community medical centers. Repealing the Affordable Care Act is another one of President Trump’s goals. It may devastate the availability of care for those with mental health issues by cutting funding and insurance.

What would I do differently?

As a medical professional, I understand how crucial it is for patients to access comprehensive, non-discriminatory health coverage. Being a nurse who often interacts with veterans has given me insight into their battles with depression, hopelessness, and low self-esteem. Many service members and veterans have sacrificed their lives due to inadequate mental health care. I would reform committees and acts as needed and for the interest of our country as a whole to avoid these kinds of crises. Instead of limiting or removing access to mental health services, I would seek to ensure they are continuously covered. Instead of decreasing funding for organizations such as the Substance Abuse and Mental Health Services Administration, which helps the country’s mentally ill, I would reallocate that money to offer more resources for initiatives that improve the public’s mental health and well-being.Population health topic that rises to the presidential agenda level

Self-Reflection Assignment

Discussion Topic: Self-Assessment

Weekly Objectives

By the end of the lesson, the learner will:

• Reflect on topics they have covered over the last 15 weeks
• Discuss the application of  Middle Range Theories and Nursing Practice.
• Discuss the impact of mentors during the course

Student Learning Outcomes

After completing this course, the learner should be able to:

• Critically analyze the philosophical underpinnings of nursing theories.
• Critique nursing’s conceptual models, grand theories, and mid-range theories.
• Examine the influence that nursing models and theories have upon research and practice.
• Apply nursing theory or theories to nursing research. Self-Reflection Assignment

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Provides an explanation of how the selected Student Learning Outcomes are explored or related to the Discussion Topic.

Topics 

• Historical Background
• Definition of Theory Concepts
• Description of Theory: Major Components and Their Relationships
• Research Application for the Theory of Comfort
• Instruments Used in Empirical Testing
• Summary

Requirements:

– 500 words

– Formatted and cited in current APA 7

– Use 3 academic sources. Not older than 5 years

– Not Websites are allowed.

– Plagiarism is NOT allowed

Leadership Skills Nursing Assignment

Write a 3-4 page letter in which you analyze your leadership skills and how you would use them to lead a project requiring group collaboration.

Introduction

Assessments 2 and 3 are based on the same scenario, so you must complete them in the order in which they are presented.

Leadership is an integral element in any job, regardless of the work title. However, it is important to recognize that leadership is not just one single skill; instead, success in leadership depends on a broad range of skills, among them are decision making, collaboration, and communication. Leadership Skills Nursing Assignment

Preparation

Use the following scenario for this assessment:

• Assessment 2 Scenario [PDF].

Use the following template to complete this assessment:

• Letter Template [DOCX].

Instructions

Develop a 3–4 page professional response to the supervisor using the Letter Template [DOCX], which has two main components. In your response:

• Identify the qualities of a successful leader and compare them to your own leadership characteristics.
• Make recommendations on how to lead and foster teamwork.
  

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Additional Requirements

Your assessment should also meet the following requirements:

• Written communication:
  • Express your main points, arguments, and conclusions coherently.
  • Use correct grammar and mechanics.
  • Proofread your writing.
• Length: 3–4 double-spaced pages.
• Font and font size: Times New Roman, 12 point.
• References: Support your claims, arguments, and conclusions with credible evidence from 2–3 current, scholarly or professional sources.
• APA format: Apply current APA formatting to all in-text citations and references. Leadership Skills Nursing Assignment

Please refer to the scoring guide for details on how your assessment will be evaluated.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• Assessment 2 Example [PDF].

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 1: Apply qualities, skills, and practices used by effective health care leaders.
  • Describe leadership qualities desirable for the proposed project.
  • Compare one’s own leadership skills against those of a chosen health care leader.
  • Explain one’s role as project leader, using approaches from a selected leadership model.
• Competency 2: Apply practices that facilitate effective interprofessional collaboration.
  • Describe an approach to effectively facilitate collaboration among a professional team.
• Competency 4: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.
  • Address assessment purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences. Leadership Skills Nursing Assignment