Differential Diagnosis. Case Study Vignette

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Case Study

A 78-year-old female comes to your office escorted by a neighbor who is a patient of yours. The
neighbor, who has lived next door to the older woman for years, relates that a week ago the
elderly woman’s sister died and that she had been her caregiver for many years. The neighbor relates that although she would occasionally see the older woman, she did not visit the home. At the funeral last week, she noticed that the woman appeared fatigued, confused, sad, and gaunt in appearance. Later the neighbor approached the woman, inquired about her health, and
determined that the woman had a very difficult time the past couple of months, caring alone for
her sister until the end when hospice care was initiated. The neighbor convinced the woman to
seek medical care and today is the first appointment with a provider that this 78-year-old female
has had in 3 years. The older woman states that she is very fatigued and sad over the loss of her
sister. Neither her sister nor the patient has been married. A distant niece came to the funeral but
lives about 30 miles away. The woman states that she is not taking any prescription medication
and relates no medical problems that she is aware of being diagnosed.
Vital signs: T 97.6°F, HR 98, RR 22, BP 95/60, BMI 21
Chief Complaint: Fatigue and sadness over the death of her older sister.
Discuss the following:
1) What additional subjective information will you be asking the patient?
2) What additional objective findings would you be examining the patient for?
3) What are the differential diagnoses that you are considering?
4) What laboratory tests will help you rule out some of the differential diagnoses?
5) What screening tools will you select to use on this patient?
6) What is your plan of care?
7) What additional patient teaching may be needed?
8) Will you be looking for a consult?

Nurses Serving on Boards

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“Please complete an alternative assignment by reviewing the National Nurses on Boards Website –
reflecting on what you learned from the sight – including insights gained regarding what types of
boards nurses are serving on across states and the nation. Also identify two boards in your local
community that you might consider serving on in the future – and the leadership competencies
required for those specific boards which you might need to develop or enhance.”-Professor

Evidence-Based Practice Project with PICO

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Evidence Based Practice Project: Finding the Evidence

This assignment will allow you to create an evidence-based practice project that includes the
development of a PICO question and follows the initial steps of the Iowa Model. You will share
your findings using an APA formatted paper

Evidence Based Practice (EBP) Assignment 

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Criteria: 4 Points 3 Points 2 Points

 

 1 Point 0 Points Points Earned Total possible points
1. Research articles Articles were:

1) Submitted to med surg instructor by established deadline.

2)  Two approved articles submitted with final paper.

3) Research based

4) < 5 years old

 

 Three criterion met Two criterion met One criterion met No criterion met   4
2. Introduction Paragraph     1) Purpose of paper is clearly stated

2) Significance to healthcare is clearly stated

 One criterion met No criterion met   2
3. Summary of Research Articles One paragraph for each research article (2 total). Must contain:

1) sample size

2) Purpose of study

3)Description of study

4)Findings/Results

 

 Three criteria met Two criteria met One Criterion met No criterion met   4
  4
4. Implications for Nursing Practice 1) Clearly describe how the findings impact nursing practice

2) Make specific recommendations for nursing practice/practice changes based on research findings.

  One criterion met;

One criterion not thorough or clearly described

 Both criterion are present but neither  are thorough or clearly described Only one criterion present. No criterion met   4
5. Conclusion     1) Restate problem

2) Summarize main points of paper

 One criterion met No criterion met   2
6. Sentence structure, grammar, punctuation and spelling 1) Sentence structure clear.

2) Correct grammar

3) Correct punctuation

4) No spelling errors

  (1-2 Errors) (3-4 Errors) (5-6 Errors) (Greater than 6 Errors)   4
7. APA Format (7th ed.) APA format (7th ed.) used appropriately:

1) Title page

2) Page numbers

3) In-text citations

4) Reference page

 (1 Error) (2 Errors) (3 Errors) (Greater than or = 4 Errors)   4
Total Points Earned   28
Calculation of grade = total points earned/total possible points X 3 points    

 

 

Physical Assessment: Child vs Adult

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Instructions 

Compare the physical assessment of a child to that of an adult.

In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer
instruction during the assessment, how communication would be adapted to offer explanations,
and what strategies the nurse would use to encourage engagement.

Homeostasis

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This is a short essay answering the following two questions.

1. The human body is composed of several distinct fluid compartments. Identify the body fluid compartment that is most important in controlling the homeostasis of the human body and explain why it is best suited to perform this task.

2. Analyze and explain how the muscular system structure and function helps to maintain homeostasis in the human body.

Leadership Theories. Comparing and Contrasting Leadership Styles / Theories

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Instructions

Compare and contrast two leadership styles or theories

Mini-Paper: Compare and Contrast two leadership styles or theories

This Assignment fulfills the following course objective:

  1. Integrate nursing leadership concepts and theories into the various roles of the professional registered nurse to promote safe and high quality nursing care.

In this assignment you will select two different leadership styles or theories, and write a 2-3 page paper comparing/contrasting the two. Focus on how the two are similar to each other (comparison), and then describe how they differ (contrast). When you are writing this paper, reflect on analyzing the differences, how and under what conditions would they be utilized, and what is important about them. State how these would or would not be significant to the nursing profession.

Outline:

Introduction

–          Identify the two different leadership theories or styles

–          State the rationale as to why these two theories or styles were chosen

–          What is the significance of these styles or theories, why are they important

Discussion

–          Explain the similarities and differences between the two theories or styles, give examples

–          Discuss the advantages and disadvantages

–          State the conditions/environment that both of the theories or styles would work best.

Summary

–          Summarize the findings from the discussion

–          States significance to the nursing profession.

 

 

 

Nursing Theories. Seven Nursing Theories. Nursing Philosophies.

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7 Nursing Theories. Nursing Theories

Discuss one of the following seven nursing theories  that is suitable or appropriate to your practice as a nurse. Summarize the Nursing theory before you describe how it is appropriate/suitableor aplicable to you as a nurse practitioner.

Betty Neuman: System Model.

Virginia Henderson: Need Theory

Hildegard Peplau: Interpersonal Theory

Martha Rogers: Unitary Human Beings

Patricia Benner: From Novice to Expert

Dorothea E. Orem: Self-Care Theory

Madeleine Leininger: Transcultural Nursing

 

 

 

 

Nursing Theories of Caring. Watson’s Theory of Caring

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Jean Watson’s Theory of Human Caring

Summary: A theory can be used to guide practice.

This assignment is an exercise in supporting a clinical practice with theory and evidence.

Directions: Identify an outcome of nursing practice in your area of practice that can be improved.

For example, if you work in home health, you may identify that throw rug use by fall risk patients is too prevalent.

You may be able to use the problem that inspired the theory concepts that you developed in week two.

Identify the concept in Watson’s Theory of Caring that could represent or include the outcome.

In our example, the outcome would be the changes in self through the change in the patient’s floor covering practice.

Identify a practice that can be changed or implemented that may influence the outcome.

Identify the concept in Watson’s Theory of Caring that includes the practice.

In our example, the practice could be to improve the understanding of fall hazards through the engagement in a teaching-learning experience, one of Watson’s Caritas Processes.

Identify exactly how these two concepts will be measured with their operational definitions.

Develop a proposition between the two. P

resent your outcome in an APA formatted paper meeting the University’s standards for a written assignment. Length: 5 to 7 pages including title and reference pages References: 3 to 10.

There should be enough to support the links between the concepts of the problem and the concepts of Watson’s Theory of Caring.

Watson’s Philosophy and Science of Caring

Caring in Nursing Theory

Theory of Caring

Nursing Theory in Hospital Models of Care

Nursing Theories of Caring

Legal or Ethical Issues Faced by Perioperative Nurses

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Directions
For this assignment, you will select a recent evidence-based perioperative centered article that
was published within the last two years, related to legal or ethical issues faced by perioperative
nurses, (only nurses involved)consider using Google Scholar. Submit a copy of the article with
submission.
Write a synopsis of the article that discusses the pros and cons of the issue being discussed and
how it affects perioperative nursing.
List 2-3 clinical applications or awareness for your practice as a student nurse.
This paper is expository in nature and is to be written in APA format. Your paper is to include a
cover page, be double spaced and cite your sources (and include a reference page-an
abstract is not required).
Please, see attached grading rubric also.