Analysis paper (Nursing)

Analysis paper (Nursing)

Due Date: Jul 08, 2018 23:59:59 Max Points: 100

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Details:

Complete “The VARK Questionnaire: How Do I Learn Best?”

http://vark-learn.com/the-vark-questionnaire/

Click “OK” to receive your questionnaire scores.
Once you have determined your preferred learning style, review the corresponding link to view your learning preference.
Review the other learning styles: visual, aural, read/write, kinesthetic, and multimodal (listed on the VARK Questionnaire Results page).
Compare your preferred learning strategies to the identified strategies for your preferred learning style.
Appraise how this awareness of learning attributes influences your perceptions of teaching and learning.
In a paper (750-1,000 words), summarize your analysis of this exercise. Include the following:

Provide a summary of your learning style.
List your preferred learning strategies.
Compare your preferred learning strategies to the identified strategies for your preferred learning style.
Discuss how the awareness of individual learning styles, preferences and strategies influence teaching (those who are in a position to teach) and learning (those who are in a position to learn).
Cite a minimum of three references in the paper.
Although the topic of this assignment refers to your individual learning style, avoid the use of first person voice (words such as, “I, we, our”) in your essay.

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 Turnitin. Please refer to the directions in the Student Success Center.

 

-MY QUESTIONNAIRE RESULTS

Your scores were:

Visual 3
Aural 3
Read/Write 2
Kinesthetic 8
You have a strong kinesthetic learning preference.

Use the following pages for study strategies that apply to your learning preference:

Kinesthetic- http://vark-learn.com/strategies/kinesthetic-strat…

Ethical Frameworks Essay

Ethical Frameworks Essay

Consider the “Four Topics Approach” (or Four Box method) to ethical decision making , Table 2.1 in Butts (below).

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Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice?

Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.

Four Topics Method for Analysis of Clinical Ethics Cases

Medical Indications: The Principles of Beneficence and Nonmaleficence

1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?

2. What are the goals of treatment?

3. In what circumstances are medical treatments not indicated?

4. What are the probabilities of success of various treatment options?

5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?

Patient Preferences: The Principle of Respect for Autonomy

1. Has the patient been informed of benefits and risks, understood this information, and given consent?

2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?

3. If mentally capable, what preferences about treatment is the patient stating?

4. If incapacitated, has the patient expressed prior preferences?

5. Who is the appropriate surrogate to make decisions for the incapacitated patient?

6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?

Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy

1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?

2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?

3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?

4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?

5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?

6. What are plans and rationale to forgo life-sustaining treatment?

7. What is the legal and ethical status of suicide?

Contextual Features: The Principles of Justice and Fairness

1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?

2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?

3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?

4. Are there financial factors that create conflicts of interest in clinical decisions?

5. Are there problems of allocation of scarce health resources that might affect clinical decisions?

6. Are there religious issues that might influence clinical decisions?

7. What are the legal issues that might affect clinical decisions?

8. Are there considerations of clinical research and education that might affect clinical decisions?

9. Are there issues of public health and safety that affect clinical decisions?

10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?

Source: Jonsen et al., 2010

Christian Caring vs Caring

Christian Caring vs Caring

AT&T LTE * 86% 4:11 PM moodle.mc.edu ed., pp. 14-29). St. Louis, MO: Elsevier Saunders. Paper 2 – Christian Caring vs Caring . Explain what you see as “Christian Caring” versus “Caring” in your nursing profession. Provide rationale for your concepts A minimum of one and one- half pages, a maximum of three pages (content, not including title or reference pages). Word limit 500- 750. Must have at least one reference (professional nursing journal, textbook, or reputable internet source) Written in APA format
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Functional Health Pattern

Functional Health Pattern

In this assignment, you will be exploring actual and potential health problems in the childhood years using a

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functional health assessment and Erickson’s Stages of Child Development. To complete this assignment, do the following:

Using the textbook, complete the “Children’s Functional Health Pattern Assessment.” Follow the instructions in the resource for completing the assignment.
Cite and reference any outside sources used in your answers. Include in your assessment a thorough discussion of Erickson’s Stages of Child Development as it pertains to the development age of the child.
While APA format 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.

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 not required to submit this assignment to Turnitin.

NRS-434VN-R-Childrens-functional-health-pattern-assessment-Student.docx

Response to DQ question

Response to DQ question

Response to below DQ 200 words apa format with 1scholarly reference with citation that is less than 5 years old

Vondielingen posted Jul 7, 2018 12:47 PM

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A 35-year-old woman comes to your office to discuss her “bad headaches,” which started after having her first child 2 years ago. The headaches sometimes awaken her from sleep and at times can be disabling and occasionally require her to take Tylenol and rest in a dark room. Sometimes she vomits during an attack. Over the past 6 months, her headaches have become more severe and frequent, prompting her visit today.

What additional questions would you ask to learn more about her headaches?

I would want to ask for specific frequency and duration. How would she rate them on a pain scale? Where is the pain? Is the pain throbbing, pressure, sharp, dull and achy? Do you experience sensitivity to light and sound? Any vision changes? Anything that seems to bring them on? Any numbness or tingling? Does the Tylenol make the headache go away? Does sleep help? Is the headache associated with any nasal congestion, facial pain or pressure? How long does it take for the pain to be it’s worst? How was your pregnancy? Any complications with pregnancy or delivery?

How do you classify headaches?

Headaches can be classified tension, migraine with or without aura, cluster, traction or inflammatory headache (Dunphy, Winland-Brown, Porter, Thomas, 2015). They can be acute or chronic. There are a number of other classifications, such as headache following injury, medication headache, headache from psychiatric illness etc.

How can you determine if this is an old headache or a new headache/s? Is this a chronic or episodic condition?

I would question the patient about her headache history. Maybe this is gradually worsening of an already chronic problem. I would want to know if she has had headaches in the past. If so, what were the symptoms of them? Same symptoms but just more intense now? Or different symptom profile altogether?

Can you make a definite diagnosis through an open-ended history followed by focused questions?

I would not want to make a definite diagnosis through history and questions alone. I could make a suspected diagnosis through this collection of information but a definite diagnosis would need to come after testing reveals it or a diagnosis has been established through ruling out or exclusion. The International Headache Society (2013) diagnostic criteria often includes ruling out of masses, vascular and structural abnormalities and no other diagnosis to better account for symptoms.

How can you use the patient history to distinguish between benign headaches and serious ones that require urgent attention?

Some key points that may be of concern would be onset of headache after age 50, sudden onset of headache, headache increasing in frequency and severity, new onset headache with risk factors for HIV infection, headache with fever, rash, or stiff neck, focal neurological symptoms, headache after head trauma (Clinch, 2001).

What diagnostic tests do you want to include to help you with your diagnosis?

I would consider a MRI or CT to check for tumors, structural causes, vascular causes. Bloodwork such as CMP, CBC, TSH, Vitamin D should be done. A quick vision test on a Snellen chart would let you know if the patient needs to see an eye doctor. Some patients with certain presenting factors should be have a temporal artery biopsy to rule out temporal arteritis.

Create a differential diagnosis flow sheet for this patient and include the diagnostics related to the differentials.

Brain tumor- CT or MRI and referral to neurosurgeon and oncology if positive.

Menstrual headache- Consider birth control to help with hormonal shift each month or 3 month birth control to lessen total number of periods every year.

Bloodwork irregularities- Correcting irregularities with medicine, fluids, dietary changes.

Hypertension- Check BP in office, have patient check during headache episode.

Stroke/TIA- CT or MRA

Meningitis- Lumbar puncture

Sinusitis- No diagnostics at first, may treat with antibiotic. If no resolution of symptoms, would consider CT for evaluation of chronic sinus disease.

References

Dunphy, L.M., Winland-Brown, J.E., Porter, B.O., Thomas, D.J. (2015). Primary care: The art and science of advanced practice nursing. (4th ed). F.A. Davis Company: Philadelphia.

Forbes, R. B. (2(014). Acute Headache. The Ulster Medical Journal, 83(1), 3–9.

Clinch, C.R. (2001). Evaluation of acute headaches in adults. American Family Physicians. Retrieved from https://www.aafp.org/afp/2001/0215/p685.html.

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Tags: nursing headache

Individual Client Health History and Examination

Individual Client Health History and Examination

Functional Health Pattern Assessment (FHP) Pattern of Health Perception and Health Management: • How does the

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person describe current health? • What does the person do to maintain health? • What does person know about links between lifestyle and health? • How big a problem is financing health care for this person? • Can this person report his/her medications and the reason for taking them? • If this person has allergies, what does he/she do to prevent/manage them? • What does the person know about medical problems in his/her family? • Have there been any important illnesses/injuries in this person’s life? Nutritional-Metabolic Pattern: • Is this person well-nourished? • How does this person’s food intake compare with recommended food intake? • Does this person have any disease that affects nutritional/metabolic function? Pattern of Elimination: • Are the person’s excretory functions within normal range? • Does the person have any disease of the digestive system, urinary system, or skin? Pattern of Activity and Exercise: • How does this person describe his/her weekly pattern of: Activity/Leisure?–Exercise/Recreation? • Does this person have any disease that affects his/her: Cardio/Respiratory System?–Musculoskeletal System? Cognitive/Perceptual Pattern: • Does this person have any sensory deficits? If yes, are they corrected? • Can this person express himself/herself clearly and logically? • What is this person’s level of education? • Does this person have any disease that affects mental or sensory functions? • If this person has pain, describe it and its causes. Pattern of Sleep and Rest: • Describe this person’s sleep/wake cycle. • Does this person appear physically rested and relaxed? Pattern of Self-Perception and Self-Concept: • Is there anything unusual about this person’s appearance? • Does this person seem comfortable with his/her appearance? • Describe this person’s feeling state. Role-Relationship Pattern: • How does this person describe his/her various roles in life? • Has, or does this person presently have positive role models for these roles? • Which relationships are most important to this person at this time? • Is this person presently going through any changes in role or relationships? If yes, describe changes. Sexuality – Reproductive Pattern: • Is this person satisfied with his/her situation related to sexuality? • Does this person have any disease/dysfunction of the reproductive system? • Is this person satisfied with his/her plans regarding children? Pattern of Coping and Stress Tolerance: • How does this person cope with difficult situations/problems? • Do these coping mechanism/actions help or make things worse? • Has this person had any treatment for emotional distress? © 2016. Grand Canyon University. All Rights Reserved. Pattern of Value and Beliefs: • What principles did this person learn as a child that are still important to him/her? • Does this person identify with any social, religious, ethnic, regional, cultural, or other groups? • What support systems does this person currently have? © 2016. Grand Canyon University. All Rights Reserved. Health History and Examination Health Assessment of the Head, Neck, Eyes, Ears, Nose, Mouth, Throat, Neurological System, and the 12 Cranial Nerves Skin, Hair, Nails, Breasts, Peripheral Vascular System, Lymphatics, Thorax, Heart, Lungs, Musculoskeletal, Gastrointestinal, and Genitourinary Systems Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include relevant data for your client. Student Name: Date: Client/Patient Initials: Occupation of Client/Patient: Sex: Age: Health History/Review of Systems (Complete and systematic review of systems) Neurological System (headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty swallowing, etc., medications): Head and Neck (pain, headaches, head/neck injury, neck pain, lumps/swelling, surgeries on head/neck, medications): Eyes (eye pain, blurred vision, history of crossed eyes, redness/swelling in eyes, watering, tearing, injury/surgery to eye, glaucoma testing, vision test, glasses or contacts, medications): Ears (earache or other ear pain, history of ear infections, discharge from ears, history of surgery, difficulty hearing, environmental noise exposure, vertigo, medications): Nose, Mouth, and Throat (discharge, sores or lesions, pain, nosebleeds, bleeding gums, sore throat, allergies, surgeries, usual dental care, medications): Skin, Hair and Nails (skin disease, changes in color, changes in a mole, excessive dryness or moisture, itching, bruising, rash or lesions, recent hair loss, changing nails, environmental hazards/exposures, medications): Breasts and Axilla (pain or tenderness, lumps, nipple discharge, rash, swelling, trauma or © 2016. Grand Canyon University. All Rights Reserved. injury to breast, mammography, breast self-exam, medications): Peripheral Vascular and Lymphatic System (leg pain, cramps, skin changes in arms or legs, swelling in legs or ankles, swollen glands, medications): Cardiovascular System (chest pain or tightness, SOB, cough, swelling of feet or hands, family history of cardiac disease, tire easily, self-history of heart disease, medications): Thorax and Lungs (cough, SOB, pain on inspiration or expiration, chest pain with breathing, history of lung disease, smoking history, living/working conditions that affect breathing, last TB skin test, flu shot, pneumococcal vaccine, chest x-ray, medications): Musculoskeletal System (joint pain; stiffness; swelling, heat, redness in joints; limitation of movement; muscle pain or cramping; deformity of bone or joint; accidents or trauma to bones; back pain; difficulty with activity of daily living, medications): Gastrointestinal System (change in appetite – increase or loss; difficulty swallowing; foods not tolerated; abdominal pain; nausea or vomiting; frequency of BM; history of GI disease, ulcers, medications): Genitourinary System (recent change, frequency, urgency, nocturia, dysuria, polyuria, oliguria, hesitancy or straining, urine color, narrowed stream, incontinence, history of urinary disease, pain in flank, groin, suprapubic region or low back): Physical Examination (Comprehensive examination of each system. Record findings.) Neurological System (exam of all 12 cranial nerves, motor and sensory assessments): Head and Neck (palpate the skull, inspect the neck, inspect the face, palpate the lymph nodes, palpate the trachea, palpate and auscultate the thyroid gland): Eyes (test visual acuity, visual fields, extraocular muscle function, inspect external eye structures, inspect anterior eyeball structures, inspect ocular fundus): © 2016. Grand Canyon University. All Rights Reserved. Ears (inspect external structure, otoscopic examination, inspect tympanic membrane, test hearing acuity): Nose, Mouth, and Throat (Inspect and palpate the nose, palpate the sinus area, inspect the mouth, inspect the throat): Skin, Hair and Nails (inspect and palpate skin, temperature, moisture, lesions, inspect and palpate hair, distribution, texture, inspect and palpate nails, contour, color, teach selfexamination techniques): Breasts and Axilla (deferred for purpose of class assignment) Peripheral Vascular and Lymphatic System (inspect arms, symmetry, pulses; inspect legs, venous pattern, varicosities, pulses, color, swelling, lumps): Cardiovascular System (inspect and palpate carotid arteries, jugular venous system, precordium heave or lift, apical impulse; auscultate rate and rhythm; identify S1 and S2, any extra heart sounds, murmur): Thorax and Lungs (inspect thoracic cage, symmetry, tactile fremitus, trachea; palpate symmetrical expansion;, percussion of anterior, lateral and posterior, abnormal breathing sounds): Musculoskeletal System (inspect cervical spine for size, contour, swelling, mass, deformity, pain, range of motion; inspect shoulders for size, color, contour, swelling, mass, deformity, pain, range of motion; inspect elbows for size, color, contour, swelling, mass, deformity, pain, range of motion; inspect wrist and hands for size, color, contour, swelling, mass, deformity, pain, range of motion; inspect hips for size, color, contour, swelling, mass, deformity, pain, range of motion; inspect knees for size, color, contour, swelling, mass, deformity, pain, range of motion; inspect ankles and feet for size, color, contour, swelling, mass, deformity, pain and © 2016. Grand Canyon University. All Rights Reserved. range of motion): Gastrointestinal System (contour of abdomen, general symmetry, skin color and condition, pulsation and movement, umbilicus, hair distribution; auscultate bowel sound;, percuss all four quadrants; percuss border of liver; light palpation in all four quadrants– muscle wall, tenderness, enlarged organs, masses, rebound tenderness, CVA tenderness): Genitourinary System (deferred for purpose of this class) FHP Assessment Cognitive-Perceptual Pattern: Nutritional-Metabolic Pattern: Sexuality-Reproductive Pattern: Pattern of Elimination Pattern of Activity and Exercise: Pattern of Sleep and Rest: Pattern of Self-Perception and Self-Concept: Summarize Your Findings (Use format that provides logical progression of assessment.) Situation (reason for seeking care, patient statements): © 2016. Grand Canyon University. All Rights Reserved. Background (health and family history, recent observations): Assessment (assessment of health state or problems, nursing diagnosis): Recommendation (diagnostic evaluation, follow-up care, patient education teaching including health promotion education): © 2016. Grand Canyon University. All Rights Reserved.
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Political Activism

Political Activism

Details:

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Many careers are influenced by government regulations. Health care is one of those careers, similar to education, where the workers are hesitant to be involved in the political process. If we are to advance the cause of quality patient care it becomes imminent that doctorally prepared advanced practice nurses get involved in the political process.

This assignment will prepare you to determine what policy you may want to be involved in changing by creating an objective policy brief. A policy brief is a concise summary of a particular issue, the policy options to deal with it, and some recommendations on the best option. This assignment will be two parts.

General Requirements:

Use the following information to ensure successful completion of the assignment:

Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
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 Turnitin. Please refer to the directions in the Student Success Center.
Directions:

Part One:

Write a policy brief regarding an issue relevant to health policy of 1,000-1,250 words. Include the following:

Executive summary
Introduction
Approaches and results
Conclusion
Implications and recommendations
Graphics and tables may be included as appropriate
Part Two:

Locate the contact information for a state, local, or federal official for your area.
Locate information regarding the official’s stance on the issue you discuss in your policy brief.
Send the official a letter or e-mail that explains your position and offers suggestions on how the official should move forward with the agenda from your policy brief. Include the brief as an attachment.

Political Activism

1
Unsatisfactory
0.00%

2
Less Than Satisfactory
74.00%

3
Satisfactory
79.00%

4
Good
87.00%

5
Excellent
100.00%

70.0 %Content

10.0 %Executive Summary

An executive summary which describes a recent practice experience involving health care outcomes is not present.

An executive summary which describes a recent practice experience involving health care outcomes is present but incomplete.

An executive summary which describes a recent practice experience involving health care outcomes is present but rendered at a perfunctory level.

An executive summary is present which is thorough and defines specific elements but not as completely as expected. Information presented is from scholarly but dated sources.

A complete executive summary is clearly present.

10.0 %Policy Brief (Including Introduction, Approaches and Results, Implications and Recommendations, and Concluding Sections)

Introduction, approaches and results, implications and recommendations, and concluding sections are not present.

Introduction, approaches and results, implications and recommendations, and concluding sections are present but incomplete.

Introduction, approaches and results, implications and recommendations, and concluding sections are present but rendered at a perfunctory level.

Introduction, approaches and results, implications and recommendations, and concluding sections are clearly present but are not as complete as expected. Discussion is thorough and defines specific elements but not as completely as expected.

Introduction, approaches and results, implications and recommendations, and concluding sections are clearly present.

10.0 %Thesis Statement and Points the Policy Brief Will Address

Thesis statement and discussion points are not present.

Thesis statement and discussion points are present but incomplete.

Thesis statement and discussion points are present but rendered at a perfunctory level.

Thesis statement and discussion points are present but are not as complete as expected. Discussion is thorough and defines specific elements but not as completely as expected. Information presented is from scholarly but dated sources.

Thesis statement and discussion points are clearly present.

10.0 %Approaches and Results Expected From the Policy Brief

Approaches and results expected from the policy brief are not present.

Approaches and results expected from the policy brief are present but incomplete.

Approaches and results expected from the policy brief are present but rendered at a perfunctory level.

Approaches and results expected from the policy brief are present but are not as complete as expected. Discussion is thorough and defines specific elements but not as completely as expected. Information presented is from scholarly but dated sources.

Approaches and results expected from the policy brief are clearly present. Discussion is convincing and defines specific elements. Discussion is insightful and forward-thinking. Information presented is from current scholarly sources.

20.0 %Implications and Recommendations of Any Implementation of the Policy

Implications and recommendations of any implementation of the policy are not present.

Implications and recommendations of any implementation of the policy are present but incomplete.

Implications and recommendations of any implementation of the policy are present but rendered at a perfunctory level.

Implications and recommendations of any implementation of the policy are present but are not as complete as expected. Discussion is thorough and defines specific elements but not as completely as expected. Information presented is from scholarly but dated sources.

Implications and recommendations of any implementation of the policy are present. Discussion is convincing, insightful, and forward-thinking. Information presented is from current scholarly sources.

10.0 %Summary of the Policy Brief in a Concluding Paragraph, Including Any Graphics or Tables Needed as Appendices

Concluding paragraph summarizing the policy brief is not present.

Concluding paragraph summarizes the policy brief but is incomplete.

Concluding paragraph summarizes the policy brief but is rendered at a perfunctory level.

Concluding paragraph summarizes the policy brief but is not as complete as expected. Graphics or tables are included as appendices, if needed.

Concluding paragraph summarizes the policy brief. Graphics or tables are included as appendices, if needed.

20.0 %Organization and Effectiveness

7.0 %Thesis Development and Purpose

Paper lacks any discernible overall purpose or organizing claim.

Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.

Thesis and/or main claim are apparent and appropriate to purpose.

Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.

8.0 %Argument Logic and Construction

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 progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

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 and/or sentence construction are used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

Some mechanical errors or typos are present, but 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.

10.0 %Format

5.0 %Paper Format (Use of appropriate style for the major and assignment)

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.

5.0 %APA Format

Required format is rarely followed correctly. An appropriate number of topic-related scholarly research sources and related in-text citations are not present. No reference page is included. No citations are used.

Required format is attempted, but some elements are missing or mistaken. A lack of control with formatting is apparent. Some sources are not scholarly research or topic-related. Reference page is present. Citations are inconsistently used.

Required format is used correctly, although some minor errors may be present. Scholarly research sources are present and topic-related, but the source and quality of some references is questionable. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.

Required format is fully used. There are virtually no errors in formatting. Scholarly research accounts for the majority of sources presented and is topic-related and obtained from reputable professional sources. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct.

The document is correctly formatted to publication standards. All research presented is scholarly, topic-related, and obtained from highly respected, professional, original sources. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error. The paper could readily be accepted for publication.

Nursing change project

Nursing change project

Identify the change project topic and identify why it is a problem (provide details). i.e. something to change in

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nursing , like reduce falls or something like that. Identify the stakeholders (both internal and external) and summarize the benefits of the change project as well as the benefits and challenges associated with internal and external stakeholders.

All submissions must have a minimum of two scholarly references to support your work.

Examples of work to show mastery:

1-2 page paper – APA format

Nursing Pathophysiology Case Study on Neuro/Endocrine

Nursing Pathophysiology Case Study on Neuro/Endocrine

A fifty-nine (59) year old black American with hypertension and hypercholesterolemia is brought

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to the emergency department. She has a history of tobacco use for 25 year; quit ten years ago.

Husband smoked one pack per day. She has a positive family history of heart disease.

Occasionally takes walks in the neighborhood with friends, but does not have a regular

exercise regimen.

In the emergency department, Mrs. Johnson is alert and oriented. Her vital signs are

temperature 98.2 F (36.7C), blood pressure 148/97, pulse 81, and respiratory rate 14. An

electrocardiogram (EEG, EKG) monitor shows a normal sinus rhythm. Mrs. Johnson is still

complaining of “numbness” of the right side of her face and down her right arm. Her mouth is

noted to divert to the right side with a slight facial droop when she smiles. Her speech is clear.

She is able to move all of her extremities and follow commands. Her pupils are round, equal,

and reactive to light (4mm to 2 mm) and accommodation. There is no nystagmus noted. Her

right hand grasp is weaker than her left. Mrs. Johnson does not have a headache and denies

any nausea, vomiting, chest pain, diaphoresis, or visual complaints. She is not experiencing

any significant weakness, has a steady gait, and is able to swallow without difficulty.

Laboratory blood test results are as follows: white blood cell count (WBC) 8,000 cells/mm,

hemoglobin (Hgb) 14 G/dL , hematocrit (Hct) 44%, platelets = 294,000 mm, erythrocyte

sedimentation rate (ESR) 15 mm/hr, prothrombin time (PT) 12.9 seconds, international

normalized ratio (INR) 1.10, sodium (Na) 149 mEq/L, Potassium (K) 4.5 mEq/L, glucose 105

mg/dL, calcium (ca) 9.5 mg/dL, blood urea nitrogen (BUN) 15 mg/dL, and creatinine (creat) 0.08

mg/dL. A head computed tomography (CT) scan is done which shows no acute intracranial

change and magnetic resonance imagery (MRI) is within normal limits. Mrs. Johnson is started

on an intravenous heparin drip of 25,000 units in 500cc of D5W at 18 ml per hour (900 units per

hour). Mrs. Johnson is admitted for a neurology evaluation, magnetic resonance angiography

(MRA) of the brain, a fasting serum cholesterol, and blood pressure monitoring. Upon

admission to the nursing unit, her symptoms have resolved. There is no facial asymmetry and

her complaint of numbness has subsided.

Paragraph 1

Paragraph 1

Please write a Paragraph answering to this discussion below with your opinion. Please include citations and references in alphabetical order in case of another source.

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A comprehensive health assessment in a geriatric patient is conducted to help identify potential abnormal findings (Grand Canyon University, 2012). The assessment should include a physical examination, family history, evaluation of cognition, sensory loss, nutrition, mental health, and a determination of any advance care plan for end of life.

When the nurse first encounters the patient, there are clinical signs that can be observed by paying close attention to the client’s general appearance and behavior. Close observation is important in conducting a thorough assessment, and observation begins from the first moment of contact with the client. Important factors to notice include the steadiness of the patient’s gait and balance, and the general appearance of self-care and hygiene. Also, it is important to note if the elderly client is wearing corrective lenses or hearing aids. These findings are indications of a sensory deficit, and they should trigger the nurse to speak slowly and clearly, making direct interactions in close proximity.

Assessment of family history is important in assessing risk factors and heritable disease, and, especially with the elderly, it has the added benefit of helping the nurse address living conditions and the existence of a support system, which might be beneficial when evaluating a patient’s ability to manage care. Cognition is a critical factor in determining patient’s ability to manage care. A patient with a neurodegenerative disorder, such as dementia, may have a severely diminished capacity to comply with medical recommendations, follow-up care, self-care, and nutrition.

Assessment of nutrition should include examination of the hair, nails, and teeth. This can provide important clues about the state of a patient’s nutrition. Patient’s with diminished nutrition may not be as resilient after sickness or injury, and they are more vulnerable to pathogens and hospital-acquired infections.

The assessment of advanced directives and end-of-life plans is another crucial element in providing care for the elderly. This portion of the assessment is important because many of these directives are legally binding, and they can provide a large amount of information and direction to healthcare providers in the event of death or incapacitation.

References

Health assessment of the older adult (2012). Grand Canyon University. Retrieved from https://lc-ugrad3.gcu.edu/learningPlatform/user/users.html?