Nutrition Assessment Case Study

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Nutrition Assessment Case Study

Read the scenario in the case study and answer the writing prompts. Provide a rationale for each answer. All posts must contain at least two (2) professional references, properly cited in the current APA format.  Nutrition Assessment Case Study

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Case Study

C.M. is an 89-year-old woman who presents with her daughter to the provider’s office. The daughter is concerned because her mother has not been eating well. She has been having bleeding gums. Her past medical history includes HTN and hypothyroidism. A 24-hour diet recall reveals an intake of approximately 1100- calories. The patient lives alone, and the daughter lives nearby. Since she doesn’t drive, her daughter shops for her. The patient usually likes to cook and eat light meals. Her Vital signs shows T: 37 ° C , P: 72 bpm/min, R: 12 breaths / min, BP 104/64 mmHg Weight: 104 lb. Her weight at the time of her last visit 3 months ago was 115 lb. Her  height is 5 feet, 1 inch. Her oral mucosa is dry. Her dentures seem to be loose. Poor skin turgor noted.

Writing Prompts

  1. Develop a problems list from the objective and subjective data.
  2. What nursing diagnoses can be derived from the problems list?
  3. What should be included in the plan of care?
  4. Calculate the patient’s body mass index.
  5. How many calories a day does this patient need to maintain her current weight?
  6. What laboratory studies would help determine the patient’s nutritional status?

Nutrition Assessment Case Study

Treatment Of Neurocognitive Disorders

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Treatment Of Neurocognitive Disorders

TOPIC: Mild Neurocognitive Disorder Due to Traumatic Brain Injury

Neurocognitive disorders (NCD) such as delirium, dementia, and amnestic disorders are more prevalent in older adults. As the population ages and as life expectancy in the United States continues to increase, the incidence of these disorders will continue to increase. Cognitive functioning such as memory, language, orientation, judgment, and problem solving are affected in clients with NCDs. Caring for someone with a neurocognitive disorder is not only challenging for the clinician but also stressful for the family. The PMHNP needs to consider not only the client but also the “family as client.” Collaboration with primary care providers and specialty providers is essential. Anticipatory guidance also becomes extremely important. Treatment Of Neurocognitive Disorders

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In this discussion, you will integrate several sources of knowledge specific to NCDs as you discuss evidence-based therapies used to treat these disorders.

Learning Objectives

Students will:
  • Analyze diagnostic criteria for neurocognitive disorders
  • Analyze evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders
  • Evaluate benefits and risks of neurocognitive therapies
  • Compare differential diagnostic features of neurocognitive disorders

Post:

  • Explain the diagnostic criteria for your assigned neurocognitive disorder.
  • Explain the evidence-based psychotherapy and psychopharmacologic treatment for your assigned neurocognitive disorder.
  • Identify the risks of different types of therapy and explain how the benefits of the therapy that might be achieved might outweigh the risks.
  • Support your rationale with references to the Learning Resources or other academic resources.

Treatment Of Neurocognitive Disorders

 

Evidence-Based Practice Integration

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Evidence-Based Practice Integration

integrating Evidence-Based Practice

Write a 1000-word essay addressing each of the following points/ questions:. Be sure to completely answer all the questions for each bullet point. There should be two main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with (2) sources (1 outside source and the textbook) using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

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Part 1:

Describe the eight steps to integrating evidence-based practice into the clinical environment. What barriers might you face in implementing a new practice to address your research topic (as identified in Module 1)? Describe strategies that could be used to increase success, including overcoming barriers.

Part 2:

Describe six sources of internal evidence that could be used in providing data to demonstrate improvement in outcomes.

Evidence-Based Practice Integration

 

Access To Health Services Paper

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Access To Health Services Paper

This will be a 10-page paper, not including the title page or references. The topic would be access to health services. Please follow the guidelines below.

APA format, in-text citation, references within the last 5 years.

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please make this paper from the point of view of a nurse in a community settings, such as in a hospital, clinic interview staff, or patient advocacy government office in NYC.

  1. Apply culturally competent health strategies and empathic care to the care of individuals, families, groups, and communities
  2. Build relationships with community members and leaders of community groups and organizations to achieve mutually agreed-upon health goals
  3. Educate individuals, families, groups, and communities from a variety of cultural backgrounds about health promotion, health protection, and disease prevention
  4. Assess the health and illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations
  5. Promote achievement of safe and quality outcomes of care for diverse populations

Access To Health Services Paper

 

Health Promotion .Case Study

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Health Promotion Case Study

Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide a citation for your answers. Use APA-7 format

Case Study: Family Member with Alzheimer’s Disease: Mark and Jacqueline Mark and Jacqueline have been married for 30 years. They have grown children who live in another state. Jacqueline’s mother has moved in with the couple because she has Alzheimer’s disease. Jacqueline is an only child and always promised her mother that she would care for her in her old age. Her mother is unaware of her surroundings and often calls out for her daughter, Jackie, when Jacqueline is in the room.  Health Promotion. Case Study

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Jacqueline reassures her mother that she is there to help, but to no avail. Jacqueline is unable to visit her children on holidays because she must attend to her mother’s daily needs. She is reluctant to visit friends or even go out to a movie because of her mother’s care needs or because she is too tired. Even though she has eliminated most leisure activities with Mark, Jacqueline goes to bed at night with many of her caregiving tasks unfinished. She tries to visit with her mother during the day, but her mother rejects any contact with her daughter. Planning for the upcoming holidays seems impossible to Mark because of his wife’s inability to focus on anything except her mother’s care. Jacqueline has difficulty sleeping at night and is unable to discuss plans even a few days in advance. She is unable to visit friends and is reluctant to have friends visit because of the unpredictable behavior of her mother and her need to attend to her daily care.

Reflective Questions

1. How do you think this situation reflects Jacqueline’s sense of role performance?

2. How do you think that Jacqueline may be contributing to her own health?

Health Promotion Case Study

Case Study 14 Health Promotion

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Case Study 14: Health Promotion

 Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide citations/references for your answers in APA format.  Case Study 14: Health Promotion

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Case Study: Caregiver Role Strain: Ms. Sandra A

. Sandra, a 47-year-old divorced woman, received a diagnosis of stage 3 ovarian cancer 4 years ago, for which she had a total hysterectomy, bilateral salpingo-oophorectomy, omentectomy, lymphadenectomy, and tumor debulking, followed by chemotherapy consisting of cisplatin (Platinol), paclitaxel (Taxol), and doxorubicin (Adriamycin). She did well for 2 years and then moved back to her hometown near her family and underwent three more rounds of second-line chemotherapy. She accepted a less stressful job, bought a house, renewed old friendships, and became more involved with her two sisters and their families. Sandra developed several complications, including metastasis to the lungs. Then she could no longer work, drive, or care for herself. She had been told by her oncologist that there was nothing else that could be done and that she should consider entering a hospice. She met her attorney, prepared an advance directive and completed her will. She decided to have hospice care at home and, with the help of her family, set up her first floor as a living and sleeping area. She was cared for by family members around the clock for approximately 3 days. Sandra observed that she was tiring everyone out so much that they could not really enjoy each other’s company. At this time, she contacted the Visiting Nurse Association (VNA) to seek assistance. Her plan was to try to enjoy her family and friend’s visits. After assessment, the VNA nurse prioritized her problems to include fatigue and caregiver role strain. Other potential problem areas that may need to be incorporated into the care plan include anticipatory grieving and impaired comfort. Case Study 14: Health Promotion  Reflective Questions

1. What are some of the stresses on Sandra’s middle-aged sisters and their families?

2. What resources are available to manage these stresses and support the sisters while caring for their dying sister, Sandra?

3. Describe Sandra’s feelings about dependency and loss of autonomy because she is unable to do her own activities of daily living any longer.

Case Study 14: Health Promotion

NURS 6051: Transforming Nursing And Healthcare Through Technology

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NURS 6051: Transforming Nursing And Healthcare Through Technology

To Prepare:

  • Review the Resources on healthcare policy and regulatory and legislative topics related to health and nursing informatics.
  • Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
  • Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

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The Assignment: (1 page, not including the title and reference page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

  • Briefly and generally explain the policy or regulation you selected.
  • Address the impact of the policy or regulation you selected on system implementation.
  • Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
  • Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.
  • Use APA format and include a title page, in-text citations, and reference page.
  • Use the Safe Assign Drafts to check your match percentage before submitting your work.

NURS 6051: Transforming Nursing And Healthcare Through Technology

Patient Safety And A Culture Of Safety

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Patient Safety And A Culture Of Safety

A shift in paradigm is occurring across the United States from volume- to value-based care. Reflect on your organizational culture to address the following:.

1. Describe the culture of your organization as it relates to patient safety.

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2. Identify one opportunity to improve patient safety outcomes. Propose a strategy for the implementation of this improvement initiative.

3. Describe the current technology used to support patient safety. Identify the potential unintended consequences of this technology. Propose solutions to address these potential consequences.

4: Describe an incident in which patient safety was or had the potential to be compromised due to an emphasis on volume-based care.

Please answer each question separately and use 3 sources no later than 5 years.

Patient Safety And A Culture Of Safety

Ethical And Legal Foundations Of PMHNP Care

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Ethical And Legal Foundations Of PMHNP Care

Advanced practice nursing in all specialties is guided by codes of ethics that put the care, rights, duty, health, and safety of the patient first and foremost. PMHNP practice is also guided by ethical codes specifically for psychiatry. These ethical codes are frameworks to guide clinical decision-making; they are generally not prescriptive. They also represent the aspirational ideals for the profession. Laws, on the other hand, dictate the requirements that must be followed. In this way, legal codes may be thought to represent the minimum standards of care, and ethics represent the highest goals for care.  Ethical And Legal Foundations Of PMHNP Care

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For this Discussion, you select a topic that has both legal and ethical implications for PMHNP practice and then perform a literature review on the topic. Your goal will be to identify the most salient legal and ethical facets of the issue for PMHNP practice and also how these facets differ in the care of adult patients versus children. Keep in mind as you research your issue that laws differ by state and your clinical practice will be dictated by the laws that govern your state.

To Prepare

  • Select one of the following ethical/legal topics:
    • Autonomy
    • Beneficence
    • Justice
    • Fidelity
    • Veracity
    • Involuntary hospitalization and due process of civil commitment
    • Informed assent, consent and capacity
    • Duty to warn
    • Restraints
    • HIPPA
    • Child and elder abuse reporting
    • Tort law
    • Negligence/malpractice
  • In the library, locate a total of four scholarly, professional, or legal resources related to this topic. One should address ethical considerations related to this topic for adults, one should be on ethical considerations related to this topic for children/adolescents, one should be on legal considerations related to this topic for adults, and one should be on legal considerations related to this topic for children/adolescents.

Briefly identify the topic you selected. Then, summarize the articles you selected, explaining the most salient ethical and legal issues related to the topic as they concern psychiatric-mental health practices for children, adolescents, and adults. Explain how this information could apply to your clinical practice, including specific implications for practice within your state. Attach the PDFs of your articles.

Ethical And Legal Foundations Of PMHNP Care

Endocrine System Case Study

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Endocrine System Case Study

Joan Barker, age fifty-six, comes for a routine physical examination. She states that she has been in perfect health and has no complaints. She has a history of asthma but currently requires no medications of any kind. Her physical examination is completely normal, except for a 2-cm firm, nontender, nonmobile mass in the upper outer quadrant of her left breast. She indicates that she does not perform regular breast self-examination and that she did not know the mass was there. She has no family history of breast cancer and has never been pregnant.

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Answer the following questions about Ms. Barker’s condition:

  • What term is used to describe the benign condition that may have caused Ms. Barker’s breast mass?
  • What is inside the cysts of fibrocystic breast disease?
  • Mammography and ultrasonography reveal a solid lesion (not cystic). What is the most common type of breast cancer?
  • A biopsy determines that Ms. Barker has invasive carcinoma of the breast. What is the difference between ductal carcinoma in situ and invasive carcinoma of the breast?
  • Ms. Barker’s breast cancer has metastasized to her lungs. What is the difference between metastatic lung cancer and primary lung cancer?

Endocrine System Case Study