Virginia APRNs Prescriptive Authority Paper

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1. The licensure of Advanced practitioner registered nurse (APRN) in the state of Virginia is regulated by the Board of Medicine and the Board of Nursing equally. Virginia’s nurse practice act (NPA) does require a collaborative agreement with a physician. The APRN and the physician collaborate as members of the patient’s care team (Virginia Law Library, 2020). The collaboration is a safety mechanism that ensures open communication and decision making in providing a safe and effective plan of care and treatment. As the APRN  grows and develops clinical experience, which is defined by five years of full-time experience of 1800 hours per year totaling 9,000 hours, she/he may qualify for autonomous practice (Commonwealth of Virginia, 2020, p. 7).

2. The Commonwealth of Virginia requires APRNs to have a prescribing practice agreement with the collaborating physician who provides prescriptive authority.  The APRN can only prescribe medications within the scope of the written or electronic practice agreement (Virginia Law Library, 2020). When prescribing medications, a prescribing agreement is necessary to ensure regulation that requires the practitioner to remain competent to ensure the required standard of care is being provided to the patient.  Another way the Commonwealth of Virginia ensures patient safety is by limiting the number of collaboration a physician can have with an APRN at one time to 6 (Commonwealth of Virginia, 2020, p. 7).

3. The Commonwealth of Virginia grants authority for APRNs to prescribe Schedule II thorough Schedule VI controlled substances and devices as long as the collaborating physician has designated prescriptive authority to the APRN and the APRN has established a bonafide practitioner-patient relationship (Virginia Law Library, 2020).  In prescribing schedule II through VI medications, the practitioner must  perform an examination, initiate interventions and schedule follow up care to ensure that the medication is effective and that the patient is not experiencing side effects which may cause the patient not to complete the treatment.

4. Treatment of rashes does fall in the scope of practice of a CNP.  As long as the CNP meets the criteria of being properly trained to perform a physical health assessment on the specific age group, can properly identify and diagnosis the rash, and has competency in the drugs to prescribe taking in consideration the patient’s medical history including comorbidities and current medications (Arcangelo, et al., 2017).   then yes the CNP should treat rashes across the lifespan.  In developing a treatment plan, the CNP should collaborate with a physician and only take the case as long as she/he has a thorough understanding of the rash and/or the secondary condition that could have caused the rash.  Prior to prescribing a treatment plan, the CNP must be competent in prescribing a treatment plan to the specific age group and be able to provide a follow up appointment with the patient.  If the CNP is relying on the collaborating physician to be the decision maker due to inexperience or or lack of knowledge with the age group or rash, then the CNP should not treat the patient and should refer the patient to a competent practitioner.

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References

Arcangelo, V. P., Peterson, A. M., Wilbur, V. & Reinhold, J. A. (2017). Pharmacotherapeutics  for advanced practice: A               practical approach  (4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams I Wilkins.

Commonwealth of Virginia regulations governing the licensure of nurse practitioner.  Retrieved from http://www.dhp.virginia.gov/media/dhpweb/docs/nursing/leg/Nursepractitioners.pdf

Virginia Law Library. (2020). The code of Virginia. Retrieved from https://law.lis.virginia.gov/vacode/54.1-2957.01/

Discussion 1

Locate your state’s nurse practice act (NPA) and associated regulations governing prescribing by advanced practice nurses (CNPs, CRNAs, CNMs, CNSs). Answer and discuss the following in this forum:

  1. Does your NPA require the APRN to have a collaborative agreement with a physician? Discuss whether you think the NPA should or should not require the APRN to have a collaborative agreement, and explain why/why not.
  2. Does your NPA require the APRN to have a prescribing agreement with a physician? Discuss whether you think the NPA should or should not require the APRN to have a prescribing agreement, and explain why/why not.
  3. Does your NPA permit APRNs to prescribe all classes (schedules) of medications? Discuss whether you think the NPA should or should not permit APRNs to prescribe all classes of medications, and explain why/why not.
  4. Describe collaborative approaches to treating rashes across the lifespan. Should the CNP treat without a collaborator or consultant? Support your statements based upon evidence.

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria.

The American Association on Nurse Practitioners (AANP) defines full practice authority as the “authorization of nurse practitioners to evaluate patients; diagnose, order and interpret diagnostic tests; and initiate and manage treatments, including prescribing medications and controlled substances, under the exclusive licensure authority of the state board of nursing” (AANP 2020). Twenty-two states and the District of Columbia currently have full practice authorization. Nurse Practitioners (NP) have consistent requirements nationwide regarding education, licensure, and certification. However, there is an inconsistency between states regarding the conditions which authorize NPs to practice.

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The state of Virginia requires a collaborative agreement with a physician. In 2018, Virginia approved bill 793, allowing nurse practitioners with five years and nine thousand hours of physician supervision to advance to full practice autonomy. The autonomous nurse practitioner in Virginia will provide a plan to refer complicated and emergency patients to a physician or appropriate provider. I agree with allowing NP autonomy following a collaborative practice period with a supervising physician. However, five years is an excessive period. I support a national standard to guarantee the best healthcare.

Nurse practitioners in Virginia can prescribe Schedule II to VI medications. Virginia requires 1000 hours and 30 credit hours of pharmacology education for NP to qualify for prescriptive authority. Nurse Practitioners in Virginia have a prescribing agreement with a physician until the NP has met the requirements for independent practice. I agree that a term of monitored practice is reasonable; however, according to Buppert (2017), the supervision lacks evidence that care is enhanced. Therefore, I support nationwide standardization of NP requirements to certify the safest healthcare.

Rashes are common and can be difficult for nurse practitioners to diagnose. A thorough history and physical examination will aid in identifying these skin conditions. From diaper rash to acne to herpes zoster (shingles), rashes occur throughout the lifespan and can be complicated or straightforward to treat. The symptoms, size, and the affected area can help identify the need for collaborative care. Rashes not responding to conventional treatment would require consultation. The collaborative care model works to improve patient outcomes through an inter-professional team. Dieticians, Physiotherapists, or medical specialists are valuable adjuncts to the primary care team.

 

American Association of Nurse Practitioners (AANP) (2020, October 20). State Practice Environment. https://www.aanp.org/advocacy/state/state-practice-environment

Buppert, C. (2017). Thoughts About Drafting Bills to Give Nurse Practitioners Full Practice Authority. The Journal for Nurse Practitioners, 13(7), 497-498. http://dx.doi.org.americansentinel.idm.oclc.org/10.1016/j.nurpra.2017.05.015

Arcangelo, V. P. & Peterson, A. M. (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams &Wilkins.

N521-Advanced Pharmacology Module Two: Pharmacokinetics and Pharmacodynamics

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Module 2 Overview

Introduction

All medications and remedies are made of chemical substances.  As such, those substances can have interactions and responses of various types to other drugs or to the patient’s chemical makeup, too.  This week we will explore those interactions and intended responses as we look at Pharmacokinetics and Pharmacodynamics. We will also explore the use of complementary and alternative therapies and possible desirable and undesirable effects when these therapies are intertwined with prescribed medications.

Learning Objectives

After completing this module, you will be able to:

  • Discuss the mechanism of action of each major drug class and natural product at the molecular/cellular and organ/organ system level.
  • Identify the fundamental principles of pharmacology related to prescribed drugs, over-the-counter drugs and natural products.
  • Evaluate common side effects and interactions associated with the major classes of drugs.
  • Utilized evidence-based practice to prevent drug interactions and adverse events

Reading & Resources

Read Chapter 2, 3, 6, 9 & 59  InArcangelo, V. P., & Peterson, A. M. (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins.

Learning Activities

  • Discussion: Participate in Discussion 2.
  • Test: Complete Progress Test 1. Click on the Progress Test 1 link for more details.

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Discussion 2

A.C. is a 60-year-old Caucasian woman with newly diagnosed peptic ulcer disease, generalized anxiety disorder, and iron deficiency anemia. She also has a long history of asthma and depression. She is a strong believer of herbal medicine. She takes St. John’s wort for her depression, iron pills for her anemia, and alprazolam (Xanax) as needed for her anxiety. During her asthma exacerbation, she is instructed to take prednisone for at least 5 days. She also takes esomeprazole (Nexium) for her peptic ulcer disease. Three months later, she experienced severe fatigue, shortness of breath, dizziness, and swelling/soreness in the tongue. Her asthma is well controlled with the occasional use of albuterol (Proventil) inhaler. During her physical exam, her physician suspected that she had bacterial vaginosis and gave her a prescription for a 1-week course of metronidazole (Flagyl). She drinks at least two to three cans of beer per day.

Review the above case and post a discussion that evaluates the potential for interactions that may increase drug availability.  What is the cause of increased drug availability?  Evaluate for interactions that will decrease drug availability.  What is the cause of decreased drug availability?  What recommendations may be made concerning the co-administration of these medications?

Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria.

 

Financial Accountability and Nursing’s Role in Decision-Making Essay Paper

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Financial Accountability and Nursing’s Role in Decision-Making Essay Paper

Financial Accountability and Nursing’s Role in Decision-Making Paper (12 points)

This assignment broadens the students understanding and knowledge of the various roles financial management and nursing leaders play in the business of healthcare. Have you ever said to yourself “If we only did things this way, this department/unit would more efficiently and cost effective? Or, what about “I have an idea to improve care and save money?”

For this assignment, the student will identify a workplace/unit issue or concern. Create a plan related to the issue/concern that could help the unit become more efficient and cost effective. A major emphasis of this assignment is to focus upon on how to be more cost effective without compromising quality and safety. How can the plan improve the fiscalhealth of the department and/or unit? Financial Accountability and Nursing’s Role in Decision-Making Essay Paper.

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Areas and ideas to consider might include:

· Charge for procedures not previously charged for

· Changing brands of items

· Creating a new department

· Outsourcing procedures or personnel

· Buying new or different equipment

· Hiring personnel

· Eliminating procedures, departments, supplies, etc.

· Redesigning procedures, department layout, policy

Assignment Criteria

Develop a scholarly paper that addresses the following criteria:

1. Identify and fully describe the problem or issue Financial Accountability and Nursing’s Role in Decision-Making Essay Paper.

2. Describe in detail why this is a problem/issue and how it affects patients, nursing, and the organization in terms of fiscal management. Be specific.

3. Develop a plan or proposal related to the chosen problem on how to improve the fiscal health of the department/unit.

4. Include a literature review supporting the plan.

· Describe how the literature/evidence describes the problem/issue or supports the plan/ideas to resolve the problem/issue Financial Accountability and Nursing’s Role in Decision-Making Essay Paper.

· Discuss specific goals and objectives for implementing this plan/proposal

5. Identify specific strategies for solving this problem based on the readings and literature.

6. Include a proposed budget that shows the anticipated cost savings.

· Discuss the return on investment expected (when, who, how, etc.)

· This can be described in (a) narrative format within the paper, (b) in a table within the paper, or (c) as an appendix

7. Include a proposed time line for implementation Financial Accountability and Nursing’s Role in Decision-Making Essay Paper.

8. Describe how the proposal/plan effectiveness will be evaluated.

9. The scholarly paper should be six to eight (6-8) pages excluding the title page, reference page, and appendices.

10. Include level 1and 2 headings to organize the paper.

11. The paper should begin with an introductory paragraph that includes the purpose statement.

12. The paper should include a conclusion.

13. Write the paper in third person and a scholarly manner. To clarify: I, we, you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used.

14. Include a minimum of six (6) references from professional peer-reviewed nursing journals to support your paper.References should be from scholarly peer-reviewed journals (review in Ulrich Periodical Directory) and be less than five (5) years old. Financial Accountability and Nursing’s Role in Decision-Making Essay Paper.

15. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations).

16. Submit the assignment to Turnitin Direct prior to your final submission to the assignment drop box by the posted due date. Please be sure to review the originality report and make any needed changes prior to submitting to the assignment drop box.

17. Submit to the assignment drop box by posted due date Financial Accountability and Nursing’s Role in Decision-Making Essay Paper.

NUR 2058 Dimensions of Nursing Exam 2

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NUR 2058 Dimensions of Nursing Exam 2

All of the following are true about the nursing code of ethics except:

2.The nurse is assigned to see a home-bound client on a daily basis to prepare the client’s medications. The nurse fails to visit the client and does not request that another nurse visit the client. The client is later admitted to the hospital after taking the wrong dosage of medication. Which ethical concept does this situation reflect NUR 2058 Dimensions of Nursing Exam 2?

3.A client is held down by the nurse and forced to have a nasogastric tube placed. Which of the following could this represent?

4.When applying the nursing process, which of the following should always be addressed first?

5.How can most living organisms be classified in general systems theory?

6.Which of the following are the steps to the nursing process? Select all that apply

7.What type of tort may occur if a client is not allowed to leave the hospital after receiving emergency care until the bill is paid?

8.Which of the following is the best substitute for self-determination if an individual is no longer competent to make their own health care decisions?

9.Does clinical reasoning and judgment require various ways of thinking in the role of a nurse?

10.A client complains of hip pain and requests pain medication. For the nurse to apply the nursing process, what would the nurse do next? NUR 2058 Dimensions of Nursing Exam 2.

11.The client’s short term outcome was to walk in the hallway by the end of the day. The nurse reviews the client outcome, determines that it was not met, and modifies the interventions. Which phase of the nursing process is this?

12.Which of the following phases of the nursing process determines client problems, risks, and strengths?

13. What is another term that can be used for professional negligence?

14. An example of invasion of privacy would be:

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15. The client must have a treatment requiring an informed consent. Whose role is it to review the proposed treatment and its associated risks with the client? NUR 2058 Dimensions of Nursing Exam 2.

16. Team building, nurse retention, and patient satisfaction are all benefits of being sensitive to personality types.

17. Why is it important for nurses to understand and use a nursing theory or model in practice?

18. Which of the following theorists authored the Model of Goal Attainment?

19. A client suffered a ruptured appendix and had to have an open appendectomy. She is post-op day 1. She isable to perform many of her activities of daily living independently, such as wash her face, brush her teeth, feedherself, and reposition. However, she requires assistance to care for her indwelling urinary catheter, Jackson-Pratt drain, and change her dressing.Which of the following describes the level of care the nurse provides according to Orem’s self-care model?

20. What are the primary ethical issues involved in genetic research?

21. Which of the following would not be appropriate to chart?

22. Identify the four concepts that are common in most nursing theories NUR 2058 Dimensions of Nursing Exam 2.

23. You are teaching a group of senior citizens about the importance of getting their influenza and pneumonia vaccines. What type of intervention are you providing based on Neuman’s Health Care Systems Model?

24. Upon what ethical principle do supporters of assisted suicide base their support for the practice?

25. Which of the following does not describe critical thinking in nursing?

26. Which professional nursing organization wrote the Code of Ethics for Nurses?

27. This theorist states that even though you may be a novice now, with a solid educational base and many patient care experiences over time, you will one day become an expert.

28. A 16-year-old boy brought to the emergency room with a gunshot wound to the head is declared brain dead. His driver’s license identifies him as an organ donor, but the hospital staff is unable to locate his family for permission to take his organs. Another client in the same hospital will die within 24 hours without a heart transplant. The tissues of both clients match sufficiently for a transplant. What is the ethical course of action in this case?

29. Identify the situation in which a nurse would likely be charged with negligence NUR 2058 Dimensions of Nursing Exam 2.

30. Which situation is the nurse allowed to breech a client’s right of confidentiality?

31. Critical thinking can also be referred to as common sense.

32. The requirement that health-care providers do no harm to their clients is known as:

33. Identify the statement that is most accurate concerning middle range nursing theories.

34. Which of the following is the appropriate order in Benner’s stages of knowledge?

35. The nurse is caring for a client who is a kinesthetic learner. How would the nurse best approach teaching the client how to self-inject insulin before discharge?

36. What is the practice of allowing a client to die without the use of any extraordinary measures?

37. A 9-month-old baby who is developmentally delayed is tested for genetic abnormalities. After the results are back from the laboratory, a representative from the client’s medical insurance company calls the nurses’ station on the phone and asks for the results of the tests. How can the nurse best respond to this request? NUR 2058 Dimensions of Nursing Exam 2.

38. What study advice would you provide to a visual learner?

39.The ethical principle which requires the health-care provider to tell the truth and not to deceive or mislead clients is known as:

40. Under which category are nursing licensure laws included? NUR 2058 Dimensions of Nursing Exam 2.

41. What is the underlying legal concept that protects health-care professionals under the Good Samaritan Act?

42. A client complains of pain to the nurse. The nurse medicates the client as prescribed, but then fails to follow up and make sure the patient is no longer in pain. Which of the following ethical principles has the nurse failed to demonstrate?

43. Which of the following demonstrates the planning phase of the nursing process?

44. A nurse is providing a back rub to a client just after administering a pain medication to help decrease the client’s pain. Which phase of the nursing process is this nurse demonstrating?

45. An 18 -month-old infant is brought into the emergency room with several recent cigarette burns on his chestand legs. What is the nurse’s legal responsibility in this case NUR 2058 Dimensions of Nursing Exam 2?

46. Which of the following “rights” are based on a moral principle?

47. A client is in a coma and unable to make health-care decisions. Who should sign the informed consent for a non-emergent, scheduled surgery?

48. The processes used in ethical decision making include all of the following except:

49. Theory can be defined in nursing as which of the following NUR 2058 Dimensions of Nursing Exam 2?

50. The term tort refers to a violation of the civil law?

Side Notes

The process of making ethical decisions requires:

  • Commitment: The desire to do the right thing regardless of the cost
  • Consciousness: The awareness to act consistently and apply moral convictions to daily behavior
  • Competency: The ability to collect and evaluate information, develop alternatives, and foresee potential consequences and risks

-In the ethical decision-making process, identify the steps that can exchange places depending on the circumstances NUR 2058 Dimensions of Nursing Exam 2?

N521-Advanced Pharmacology Discussion 3 Mild Persistent Asthma

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Discussion 3

M. L. is a 15-year-old Hispanic female who plays soccer for her school team. She has noticed that when running, she sometimes has trouble catching her breath. She also reports an increased runny nose and itchy eyes. She has a frequent dry cough and is awakened with coughing spells at least four times a week. Her mother and father have seasonal allergies and her mother has asthma. This morning she woke up and heard “funny sounds” when she took a breath. Her coughing increased when she took a deep breath. In her nose, the mucosa is pale and swollen bilaterally. Her lungs have bilateral expiratory wheezing; respirations are 22 and PEF is 400. Her heart shows a normal sinus rhythm, with no murmurs or gallops; pulse is 72; and there is no cyanosis.

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Diagnosis: Mild Persistent Asthma

In this discussion forum:

  1. Discuss specific goals of pharmacotherapy for treating M. L.’s mild persistent asthma.
  2. Discuss the drug therapy a CNP would likely prescribe and why.
  3. Discuss the parameters for monitoring the success of the therapy.
  4. Discuss age appropriate health promotion recommendations you would consider for M. L.

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria.

N521-Advanced Pharmacology Module Three: Special Populations – Across the lifespan

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Module 3 Overview

Introduction

This week we will explore pharmacotherapy for special populations such as pediatrics, geriatrics, the pregnant patient and nursing mothers, as well as examining the interactions of over-the-counter medications to prescribed therapies.  The advanced practice nurse must be familiar with pathophysiologic changes related to age and disease.  Considerations for prescriptive therapy must be based upon the uniqueness of each diverse patient.

Learning Objectives

After completing this module, you will be able to:

  • Utilize advanced nursing and pharmacological interventions in select case studies to resolve complex and biological, psychological, physiological and pathophysiologic conditions.
  • Synthesize pathophysiologic changes related to the lifespan and recommend approiate evidence-based prescribing behaviors
  • Teach patients, family members, and others from diverse populations regarding safe and effective use of drugs and natural products.

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Reading & Resources

Read Chapters 4, 5, 6, 7 & 14 In Arcangelo, V. P., & Peterson, A. M. (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins.

Learning Activities

  • Discussion: Participate in Discussion 3.
  • Test: Complete Progress Test 2. Click on the Progress Test 2 link for more details.

Discussion 3

M. L. is a 15-year-old Hispanic female who plays soccer for her school team. She has noticed that when running, she sometimes has trouble catching her breath. She also reports an increased runny nose and itchy eyes. She has a frequent dry cough and is awakened with coughing spells at least four times a week. Her mother and father have seasonal allergies and her mother has asthma. This morning she woke up and heard “funny sounds” when she took a breath. Her coughing increased when she took a deep breath. In her nose, the mucosa is pale and swollen bilaterally. Her lungs have bilateral expiratory wheezing; respirations are 22 and PEF is 400. Her heart shows a normal sinus rhythm, with no murmurs or gallops; pulse is 72; and there is no cyanosis.

Diagnosis: Mild Persistent Asthma

In this discussion forum:

  1. Discuss specific goals of pharmacotherapy for treating M. L.’s mild persistent asthma.
  2. Discuss the drug therapy a CNP would likely prescribe and why.
  3. Discuss the parameters for monitoring the success of the therapy.
  4. Discuss age appropriate health promotion recommendations you would consider for M. L.

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria.

NR443 RN Community Settings and Community Health Nursing Roles Essay

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NR443 RN Community Settings and Community Health Nursing Roles Essay

NR443 RN Community Health Nursing

Week 4 Community Settings and Community Health Nursing Roles

Community Settings and Community Health Nursing Roles Guidelines

This assignment will be uploaded automatically to Turnitin when you submit your assignment.

Turnitin is now more closely integrated with Canvas. Overall, you will find Turnitin assignments easier to use, but the steps to submit an assignment have changed somewhat. Directions are as follows: NR443 RN Community Settings and Community Health Nursing Roles Essay.

1. Click the orange “Submit Assignment” button at the top of the page to open the upload window.

2. Click on “Choose File” to select your assignment file you want to upload.

3. Check the box to agree to the Turnitin End-User License Agreement.

4. Click “Submit Assignment.”

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5. Your Turnitin report will be visible in the “Grades” section of your course.

TII file upload diagram

Please refer to the pages below for more information about these changes.

• Turnitin Submitting a Paper (Links to an external site.)Links to an external site. explains how to submit a file. NR443 RN Community Settings and Community Health Nursing Roles Essay.

• Turnitin Assignment Student View (Links to an external site.)Links to an external site. lets you submit a paper, then view feedback on the file you have submitted.

• Turnitin Viewing Instructor Feedback (Links to an external site.)Links to an external site. helps you view your instructor feedback.

Please contact your instructor if you have any questions.

Purpose

The purpose of this paper is to describe the community health nursing role of the forensic nurse in the community setting of your choice. Health promotion nursing interventions and a professional nursing organization related to this role will also be examined.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes NR443 RN Community Settings and Community Health Nursing Roles Essay.

CO5: Analyze the nursing roles in providing comprehensive care in a variety of community health settings. (PO 1)

CO6: Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO 2)

Directions

Watch the tutorial on tips for completing the NR443 Community Settings and Community Health Nursing Roles assignment.

This APA paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper.Please use the recommended APA Template linked below, which incorporates the following categories as the first level headings on your paper. APA formatting helps you to organize your paper in a professional manner and provides consistent methods for citing your sources and completing your reference page. See the documents in the APA category in Course Resources for assistance with APA formatting. The Student Success Strategies resource has great sections on writing scholarly papers and APA formatting.

The role for this paper must be on Forensic Nursing.

Click to view and download the NR443 Community Settings APA Template (Links to an external site.)Links to an external site. to complete your paper. The template is formatted with the appropriate running head, title page, page numbers, paragraph formatting, and most of the headings. Please edit the headers and title page with your specific information. You are also encouraged to view the Week 4 assignment tutorial found at the end of the Academic Integrity Reminder.

Read the chapter of your textbook on the role and take notes based on the outline below.

Locate and read at least one scholarly peer-reviewed journal article that is not assigned in the course related to a nurse’s role in health promotion in this setting. Go to the Chamberlain library at http:/library.chamberlain.edu (Links to an external site.)Links to an external site.. Search peer reviewed journals to find a scholarly article on this topic. The article must be less than 10 years old (less than 5 years is best).

Thoroughly address the following categories using the APA Template that is provided.

Introduction (one paragraph):

The introduction should be interesting and capture the reader’s attention.

Introduce the assigned community health nurse role and a community setting where this nurse may work.

Introduce your community and where/how this CHN role is utilized in your community

Identify population(s) served by this role in your community

Include a purpose statement

Community Setting (two to three paragraphs)

Describe a practice setting for the assigned CHN role.

Describe the population(s) served in this setting.

Discuss three health services provided by the assigned CHN role in this setting.

You may use your textbook or an outside scholarly source to address these sub-points.

Health Promotion Nursing Intervention (two to three paragraphs)

Describe in detail health promotion intervention(s) of the assigned CHN role specific to the community setting identified. NR443 RN Community Settings and Community Health Nursing Roles Essay.

Identify people/organizations/community members this CHN role may collaborate with in health promotion interventions.

Include one peer-reviewed journal article discussed that clearly relates to nursing health promotion intervention.

Professional Nursing Organization (two paragraphs)

Provide a detailed description of a professional nursing organization that supports nurses in this role in your own words. Search the text, your article, or the Internet for one professional organization that supports nurses in this role. If you can’t find an organization specific to this group, search the American Nurses Association (ANA) website for information on this role.Cite the organization in the body of the text with (organization name, year), and include a complete reference on the reference page.

Discuss one professional issue that this organization is addressing related to this CHN role NR443 RN Community Settings and Community Health Nursing Roles Essay.

Summary (one paragraph)

The summary reiterates key points about:

The CHN role and community setting

Health promotion intervention

Professional organization

Includes a concluding statement.

Reference Page:The reference page should start on a new page (insert a page break). All references should be cited within the body of the paper as (author or organization, year), and the full reference should be included in APA format on the reference page. A URL link alone is not an adequate reference. See the Chamberlain Guidelines for Professional Writing in the APA Folder in Course Resources for examples of properly formatted references. NR443 RN Community Settings and Community Health Nursing Roles Essay.

Guidelines

Application: Use Microsoft Word 2010™ or later to create this assignment on the template provided.

We highly recommend that you used the specific APA paper template for this assignment linked above as the headings are already included.

Scholarly Writing: APA format is required. Review APA documents Course Resources, and use the free resources of tutor.com for writing tutors. NR443 RN Community Settings and Community Health Nursing Roles Essay.

Length: This paper is expected to be no more than 4 pages in length (not including the title page and reference list).

Quotations should be minimal—please paraphrase your sources. A maximum of one quotation should be used for this paper.

Save your paper with your last name in the document title (e.g., Smith Community Settings).

Submission: Submit your paper by 11:59 p.m. MT Sunday of Week 4.

Late Submission: See the course policy on late submissions.

Best Practices in Preparing the Paper

Week 4 Discussion

Community Settings

This week’s graded topics relate to the following Course Outcomes (COs).

• CO3: Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice. (POs 4 and 8)

• CO5: Analyze the nursing roles in providing comprehensive care in a variety of community health settings. (PO1)

Community health nurses practice in a variety of settings. Choose one of the following CH settings, and describe what you have learned about the setting and the role(s) of the nurse in that setting (see Nies & McEwen, 2019, Chapters 30-34). Please do not choose forensic nursing for this discussion because your paper is on forensic nursing. NR443 RN Community Settings and Community Health Nursing Roles Essay.

• School nursing

• Faith-based or parish nursing

• Occupational health nursing

• Home health nursing

• Hospice nursing

• Correctional nursing

Next study levels of prevention in this week’s lesson (primary, secondary, and tertiary). Note that the term primary is used differently than in normal conversation NR443 RN Community Settings and Community Health Nursing Roles Essay.

• Describe one of the levels of prevention, and discuss how a community health nurse (CHN) in the setting you discussed can implement this level of prevention.

Nies, M. A., & McEwen, M. (2019). Community/Public health nursing: Promoting the health of populations (7th ed.). St. Louis, MO: Saunders/Elsevier. NR443 RN Community Settings and Community Health Nursing Roles Essay.

NR393 Nursing History Essay

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NR393 Nursing History Essay

Week 1 Discussion

History of Your Previous School

CO1 Incorporate appropriate historical perspectives into current professional nursing practice (PO 2)

CO4 Compare current professional nursing practice roles with historical roles of the nurse (PO 7)

This week we have learned about the history of Chamberlain University, Chamberlain College of Nursing, and Deaconess School of Nursing. As you consider that history and the impact on the present and future, please tell us about the history of the previous nursing school you attended. If you are unable to find history information for your school, please profile the history of another school of nursing in your geographic area. NR393 Nursing History Essay.

Week 3 Discussion

Nightingale Information New to You

CO2 Use lessons from nursing history to integrate clinical judgment into professional nursing practice (PO 4)

CO3 Demonstrate responsibility for continued professional growth by exploring the nursing and lay literature related to historical nursing practice (PO 5)

The basic story of Florence Nightingale is familiar to most nurses NR393 Nursing History Essay. This week we learned more about Nightingale’s life and work. Select at least one piece of the Nightingale legacy that was new to you and tell us how this changed your understanding of this great woman and her contributions to nursing.

Week 5 Discussion

Progress in Nursing in the Early to Mid-20th Century

CO2 Use lessons from nursing history to integrate clinical judgment into professional nursing practice (PO 4)

CO3 Demonstrate responsibility for continued professional growth by exploring the nursing and lay literature related to historical nursing practice (PO 5)

There was much progress in nursing during the early to middle part of the 20th century (1900 through the late 1930s). After reading the textbook and the lesson for this week, describe one area of change in nursing during that time period that intrigues you. Discuss how that area could be applied today NR393 Nursing History Essay.

Week 6 Discussion

Amazing Changes and Events

CO1 Incorporate appropriate historical perspectives into current professional nursing practice (PO 2)

CO4 Compare current professional nursing practice roles with historical roles of the nurse (PO 7)

The mid- to late 20th century was filled with amazing changes and events in professional nursing. Select one of these changes or events, describe it, and explain how that change or event has impacted quality of nursing practice today.

Week 7 Discussion

Interview Impact

CO1 Incorporate appropriate historical perspectives into current professional nursing practice (PO 2)

CO4 Compare current professional nursing practice roles with historical roles of the nurse (PO 7)

You have completed your interview of a nurse who is making nursing history today. How will that nurse’s contributions and accomplishments impact your future professional nursing practice? As you reflect on your own nursing practice, how are you contributing to nursing history NR393 Nursing History Essay?

Week 8 Discussion

AACN BSN Essential VIII and Your Future Practice

CO1 Incorporate appropriate historical perspectives into current professional nursing practice (PO 2).

CO2 Use lessons from nursing history to integrate clinical judgment into professional nursing practice (PO 4).

AACN BSN Essential VIII clearly calls for BSN graduates to appreciate nursing history and its impact on today’s professional nursing practice. As you consider your future professional nursing practice, tell us

how you will share stories and lessons from nursing history with your nursing colleagues; and

how lessons from nursing history will impact your own future nursing practice.

Week 3 Discussion

Nightingale Information New to You

CO2 Use lessons from nursing history to integrate clinical judgment into professional nursing practice (PO 4) NR393 Nursing History Essay.

CO3 Demonstrate responsibility for continued professional growth by exploring the nursing and lay literature related to historical nursing practice (PO 5)

The basic story of Florence Nightingale is familiar to most nurses. This week we learned more about Nightingale’s life and work. Select at least one piece of the Nightingale legacy that was new to you and tell us how this changed your understanding of this great woman and her contributions to nursing.

Week 8 Discussion

AACN BSN Essential VIII and Your Future Practice

CO1 Incorporate appropriate historical perspectives into current professional nursing practice (PO 2).

CO2 Use lessons from nursing history to integrate clinical judgment into professional nursing practice (PO 4) NR393 Nursing History Essay.

AACN BSN Essential VIII clearly calls for BSN graduates to appreciate nursing history and its impact on today’s professional nursing practice. As you consider your future professional nursing practice, tell us

how you will share stories and lessons from nursing history with your nursing colleagues; and

how lessons from nursing history will impact your own future nursing practice.

Week 5 Discussion

Progress in Nursing in the Early to Mid-20th Century

CO2 Use lessons from nursing history to integrate clinical judgment into professional nursing practice (PO 4)

CO3 Demonstrate responsibility for continued professional growth by exploring the nursing and lay literature related to historical nursing practice (PO 5) NR393 Nursing History Essay.

There was much progress in nursing during the early to middle part of the 20th century (1900 through the late 1930s). After reading the textbook and the lesson for this week, describe one area of change in nursing during that time period that intrigues you. Discuss how that area could be applied today.

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Week 1 Discussion

History of Your Previous School

This week’s graded discussion topic relates to the following Course Outcomes (COs).

CO1 Incorporate appropriate historical perspectives into current professional nursing practice (PO 2) NR393 Nursing History Essay.

CO4 Compare current professional nursing practice roles with historical roles of the nurse (PO 7)

This week we have learned about the history of Chamberlain University, Chamberlain College of Nursing, and Deaconess School of Nursing. NR393 Nursing History Essay. As you consider that history and the impact on the present and future, please tell us about the history of the previous nursing school you attended. If you are unable to find history information for your school, please profile the history of another school of nursing in your geographic area.

Week 2 Discussion

Making Nursing History Today

This week’s graded discussion topic relates to the following Course Outcomes (COs).

CO2 Use lessons from nursing history to integrate clinical judgment into professional nursing practice (PO 4)

CO4 Compare current professional nursing practice roles with historical roles of the nurse (PO 7)

Nursing history is not just about the past and famous people; it is being made by nurses every day. What nurse do you know personally who is making nursing history today? Describe the contributions that this specific nurse is making to impact nursing and nursing history today. NR393 Nursing History Essay.

Week 3 Discussion

Nightingale Information New to You

This week’s graded discussion topic relates to the following Course Outcomes (COs).

CO2 Use lessons from nursing history to integrate clinical judgment into professional nursing practice (PO 4)

CO3 Demonstrate responsibility for continued professional growth by exploring the nursing and lay literature related to historical nursing practice (PO 5)

The basic story of Florence Nightingale is familiar to most nurses. This week we learned more about Nightingale’s life and work. Select at least one piece of the Nightingale legacy that was new to you and tell us how this changed your understanding of this great woman and her contributions to nursing. NR393 Nursing History Essay.

Week 4 Discussion

Impact of 19th Century Nurses

This week’s graded discussion topic relates to the following Course Outcomes (COs).

CO3 Demonstrate responsibility for continued professional growth by exploring the nursing and lay literature related to historical nursing practice (PO 5)

CO4 Compare current professional nursing practice roles with historical roles of the nurse (PO 7)

Important nurses of the 19th century are often overshadowed by Nightingale’s prominence. Select one 19th century nurse other than Nightingale, and describe this person’s contributions to the profession. Although some duplication is expected, please try to select a nurse who has not already been presented by a classmate. NR393 Nursing History Essay.

Week 5 Discussion

Progress in Nursing in the Early to Mid-20th Century

This week’s graded discussion topic relates to the following Course Outcomes (COs).

CO2 Use lessons from nursing history to integrate clinical judgment into professional nursing practice (PO 4)

CO3 Demonstrate responsibility for continued professional growth by exploring the nursing and lay literature related to historical nursing practice (PO 5)

There was much progress in nursing during the early to middle part of the 20th century (1900 through the late 1930s). After reading the textbook and the lesson for this week, describe one area of change in nursing during that time period that intrigues you. Discuss how that area could be applied today.

Week 6 Discussion

Amazing Changes and Events

This week’s graded discussion topic relates to the following Course Outcomes (COs). NR393 Nursing History Essay.

CO1 Incorporate appropriate historical perspectives into current professional nursing practice (PO 2)

CO4 Compare current professional nursing practice roles with historical roles of the nurse (PO 7)

The mid- to late 20th century was filled with amazing changes and events in professional nursing. Select one of these changes or events, describe it, and explain how that change or event has impacted quality of nursing practice today.

Week 7 Discussion

Interview Impact

This week’s graded discussion topic relates to the following Course Outcomes (COs).

CO1 Incorporate appropriate historical perspectives into current professional nursing practice (PO 2)

CO4 Compare current professional nursing practice roles with historical roles of the nurse (PO 7)

You have completed your interview of a nurse who is making nursing history today. How will that nurse’s contributions and accomplishments impact your future professional nursing practice? As you reflect on your own nursing practice, how are you contributing to nursing history? NR393 Nursing History Essay.

Week 8 Discussion

AACN BSN Essential VIII and Your Future Practice

This week’s graded discussion topic relates to the following Course Outcomes (COs).

CO1 Incorporate appropriate historical perspectives into current professional nursing practice (PO 2).

CO2 Use lessons from nursing history to integrate clinical judgment into professional nursing practice (PO 4).

AACN BSN Essential VIII clearly calls for BSN graduates to appreciate nursing history and its impact on today’s professional nursing practice. As you consider your future professional nursing practice, tell us

how you will share stories and lessons from nursing history with your nursing colleagues; and

how lessons from nursing history will impact your own future nursing practice NR393 Nursing History Essay.

N521-Module Four: Pharmacotherapy of Respiratory & Cardiovascular Disorders

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Module 4 Overview

Introduction

This week we will focus on the pharmacotherapeutics of respiratory and cardiovascular disorders, including commonly occurring conditions and their commonly prescribed medications.

Learning Objectives

After completing this module, you will be able to:

  • Utilize advanced nursing and pharmacological interventions in treatment of respiratory and cardiovascular disorders to resolve complex and biological, psychological, physiological and pathophysiologic conditions.
  • Discuss evidence-based informatics resources for the prescriber
  • Teach patients, family members, and others from diverse populations regarding safe and effective use of drugs and natural products in respiratory and cardiovascular disorders.

Reading & Resources

  • Read Chapters 19-23 & 25-26 in Arcangelo, V. P., & Peterson, A. M. (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins
  • Online, open access readings
  • Hypertension guideline retrieved from http://www.nmhs.net/documents/27JNC8HTNGuidelinesBookBooklet.pdf
  • PulmCCM (2018). New 2017 guidelines for COPD released.  Retrieved from https://pulmccm.org/copd-review/new-2017-gold-guidelines-copd-released/
  • Qaseem, A., Wilt, T. J., Rich, R., Humphrey, L. L., Frost, J., & Forciea, M. A. (2017). Pharmacologic treatment of hypertension in adults aged 60 years or older to higher versus lower blood pressure targets: A clinical practice guideline from the American College of Physicians and the American Academy of Family Physicians. Annals of Internal Medicine, 166(6), 430. doi:10.7326/m16-1785
  • White, J., Paton, J. Y., Niven, R., & Pinnock, H. (2018). Guidelines for the diagnosis and management of asthma: a look at the key differences between BTS/SIGN and NICE. Thorax, 73(3), 293–297. doi:10.1136/thoraxjnl-2017-211189
  • Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Colvin, M. M., … Westlake, C. (2017). 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure. Journal of Cardiac Failure, 23(8), 628–651. doi:10.1016/j.cardfail.2017.04.014

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Learning Activities

  • Discussion: Participate in Discussion 4.
  • Assignment: Complete & Submit Assignment 2. Click on the Assignment 2 link for more details.

Discussion 4

R. S., a 65-year-old African-American man, was referred to the CNP in the hypertension clinic for evaluation of high BP noted on an initial screening. He reports having headaches and nocturia. He states that he has gained 8 pounds over the last year. Past medical history: Appendectomy 30 years ago, Peptic ulcer disease 10 years ago, Type 2 diabetes mellitus for 10 years; Family history: Father had hypertension; died of myocardial infarction at age 55, Mother had diabetes mellitus and hypertension; died of cerebrovascular accident at age 60; Physical examination: Height 69 in, weight 108 kg; BP: 140/89 mm Hg (left arm), 138/82 mm Hg (right arm); Pulse: 84 beats/min, regular; Funduscopic examination: mild arterial narrowing, sharp discs, no exudates or hemorrhages; Laboratory findings: Blood urea nitrogen: 24 mg/dL, Serum creatinine: 1.5 mg/dL, Glucose: 95 mg/dL, Potassium: 4.0 mEq/L, Total cholesterol: 201 mg/dL, High-density lipoprotein cholesterol: 30 mg/dL, Triglycerides: 167 mg/dL, Urinalysis: 1+ proteinuria; Electrocardiogram and chest radiograph: mild left ventricular hypertrophy; Social history: Tobacco: 35 pack years, Alcohol: pint of vodka/week, Coffee: 2 cups/day

Diagnosis: Stage 1 Hypertension

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating R. S.’s hypertension and cholesterol
  2. Discuss what you would consider to be first-line pharmacotherapy for R. S., and why.
  3. Discuss the parameters for monitoring the success of the therapy.
  4. Discuss health promotion recommendations you would consider for R. S.
  5. Does the presence of Diabetes Mellitus impact your treatment selection?

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria.

NR443 Community Settings and Community Health Nursing Roles Essay

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NR443 Community Settings and Community Health Nursing Roles Essay

Watch the tutorial on tips for completing the NR443 Community Settings and Community Health Nursing Roles assignment.

This APA paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper.Please use the recommended APA Template linked below, which incorporates the following categories as the first level headings on your paper. APA formatting helps you to organize your paper in a professional manner and provides consistent methods for citing your sources and completing your reference page. See the documents in the APA category in Course Resources for assistance with APA formatting NR443 Community Settings and Community Health Nursing Roles Essay. The Student Success Strategies resource has great sections on writing scholarly papers and APA formatting.

The role for this paper must be on Forensic Nursing.

Click to view and download the NR443 Community Settings APA Template (Links to an external site.)Links to an external site. to complete your paper. The template is formatted with the appropriate running head, title page, page numbers, paragraph formatting, and most of the headings. Please edit the headers and title page with your specific information. You are also encouraged to view the Week 4 assignment tutorial found at the end of the Academic Integrity Reminder. NR443 Community Settings and Community Health Nursing Roles Essay.

Read the chapter of your textbook on the role and take notes based on the outline below.

Locate and read at least one scholarly peer-reviewed journal article that is not assigned in the course related to a nurse’s role in health promotion in this setting. Go to the Chamberlain library at http:/library.chamberlain.edu (Links to an external site.)Links to an external site.. Search peer reviewed journals to find a scholarly article on this topic. The article must be less than 10 years old (less than 5 years is best).

Thoroughly address the following categories using the APA Template that is provided.

Introduction (one paragraph):

The introduction should be interesting and capture the reader’s attention. NR443 Community Settings and Community Health Nursing Roles Essay.

Introduce the assigned community health nurse role and a community setting where this nurse may work.

Introduce your community and where/how this CHN role is utilized in your community

Identify population(s) served by this role in your community

Include a purpose statement NR443 Community Settings and Community Health Nursing Roles Essay.

Community Setting (two to three paragraphs)

Describe a practice setting for the assigned CHN role.

Describe the population(s) served in this setting.

Discuss three health services provided by the assigned CHN role in this setting.

You may use your textbook or an outside scholarly source to address these sub-points.

Health Promotion Nursing Intervention (two to three paragraphs)

Describe in detail health promotion intervention(s) of the assigned CHN role specific to the community setting identified.

Identify people/organizations/community members this CHN role may collaborate with in health promotion interventions.

Include one peer-reviewed journal article discussed that clearly relates to nursing health promotion intervention. NR443 Community Settings and Community Health Nursing Roles Essay.

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Professional Nursing Organization (two paragraphs)

Provide a detailed description of a professional nursing organization that supports nurses in this role in your own words. Search the text, your article, or the Internet for one professional organization that supports nurses in this role. NR443 Community Settings and Community Health Nursing Roles Essay. If you can’t find an organization specific to this group, search the American Nurses Association (ANA) website for information on this role.Cite the organization in the body of the text with (organization name, year), and include a complete reference on the reference page.

Discuss one professional issue that this organization is addressing related to this CHN role.

Summary (one paragraph)

The summary reiterates key points about:

The CHN role and community setting

Health promotion intervention

Professional organization

Includes a concluding statement.

Reference Page:The reference page should start on a new page (insert a page break). All references should be cited within the body of the paper as (author or organization, year), and the full reference should be included in APA format on the reference page. A URL link alone is not an adequate reference. See the Chamberlain Guidelines for Professional Writing in the APA Folder in Course Resources for examples of properly formatted references. NR443 Community Settings and Community Health Nursing Roles Essay.

Guidelines

Application: Use Microsoft Word 2010™ or later to create this assignment on the template provided.

We highly recommend that you used the specific APA paper template for this assignment linked above as the headings are already included.

Scholarly Writing: APA format is required. Review APA documents Course Resources, and use the free resources of tutor.com for writing tutors.

Length: This paper is expected to be no more than 4 pages in length (not including the title page and reference list).

Quotations should be minimal—please paraphrase your sources. A maximum of one quotation should be used for this paper.

Save your paper with your last name in the document title (e.g., Smith Community Settings).

Submission: Submit your paper by 11:59 p.m. MT Sunday of Week 4.

Late Submission: See the course policy on late submissions.

Best Practices in Preparing the Paper

The following are best practices in preparing this project NR443 Community Settings and Community Health Nursing Roles Essay.

Follow the guidelines above carefully.

Use only the assigned CHN role

Complete you own work.

Use the provided APA assignment specific template.

Ask you instructor if you have any questions.

Visit the SSPRNBSN Student Success resource for help with writing a scholarly paper, APA formatting, and library navigation. This should be one of your course tiles.

Use the 1st column of the grading rubric to make sure all elements of the paper are addressed.

Cite all sources within the paper as well as on the reference page.

Proofread prior to final submission. NR443 Community Settings and Community Health Nursing Roles Essay.