Archive for category: Nursing Assignment Help

This is a paper that is focusing on the use the biopsychosocial model sources of the pain identification. The paper also provides additional information to use in writing the assignment paper.

Use the biopsychosocial model sources of the pain identification

In a 5-page case study paper, create a fictitious client for whom you will do the following:

assess either acute or chronic pain (indicate how you will conduct the assessment),

identify sources of the pain (describe in detail the sources and use the biopsychosocial model),

determine the consequences of the pain condition (describe the physical and psychological consequences), and formulate a pain management plan of action.

Describe how the planned intervention(s) will affect both physiological and psychological consequences of pain. You may use information from the Intervention Evaluation assignments.

In addition to the course readings, you must incorporate at least two additional scholarly sources (e.g., refereed journals or scholarly books).

The 5-page case study must use headers for the following sections:
Description of Client (give demographic details about the client),

Condition and Cause of Pain (Describe in detail the pain condition and identify causes),

Consequences of Pain (Detail the symptomology associated with this pain condition), and

Pain Management Plan (Include in the plan the approach to assessment. The plan should also

address short and long term intervention strategies).

Sub-headings may be used to further categorize the description (e.g., physiological mechanisms and psychological mechanisms). APA citations are required. Successful projects will effectively integrate content and concepts from the course readings as well as additional sources. Clear connection between the condition, consequences, and treatment should be abundantly evident.

Remember, ensure  that the paper is  exclusive of the cover and the reference pages. Also, ensure that you include all the references you use in finding research for this assignment paper. References should be at least three for the paper. All references, citation, and writing should follow the APA formatting and styling guidelines. Finally, ensure you focus on the assignment topic in detail.

This paper is on Advocating for the Nursing Role in Program Design and Implementation. As their names imply, the honeyguide bird and the honey badger both share an affinity for honey.

Advocating for the Nursing Role in Program Design

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.

In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

1). Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
2). Select a healthcare program within your practice and consider the design and implementation of this program.
3). Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

THE ASSIGNMENT (2–4 pages)

In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

Firstly, tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?

Secondly, who is your target population?

Thirdly, what is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?

Fourthly, what is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?

Further, what is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?

Finally, who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

This is a paper that is focusing on the Research the health-illness continuum and its relevance to patient care. The paper also provides additional information to use in writing this assignment paper.

Research the health-illness continuum and its relevance to patient care

Research the health-illness continuum and its relevance to patient care. In a 750-1,000-word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.

Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing.

Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum. (54 YEAR OLD FEMALE- OBESITY. HYPERTENSION AND ANXIETY}

Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required.
Remember, ensure  that the paper is at least three pages exclusive of the cover and the reference pages. Also, ensure that you include all the references you use in finding Cfor this assignment paper. References should be at least three for the paper. All references, citation, and writing should follow the APA formatting and styling guidelines. Finally, ensure you focus on the assignment topic in detail.

Ensure that you follow the instructions provided keenly. Marking of the assignment is on how you do the task and how you submit the assignment too. In case of any question feel free to ask your instructor for more guidelines before doing the assignment.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list?

What types of words would you use to build a nursing word cloud

The Role of the RN/APRN in Policy-Making

Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?

Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

To Prepare:

1). Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.

2). Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

ASSIGNMENT

Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.

Mr. Jon Smith, a 50 year old African American male, has come to your clinic with a 15 year history of hypertension and type 2 diabetes.  He drinks “a few beers” per week and confirms cigarette use of 1 ppd for the past 30 years.

Mr. Jon Smith a 50 year old African American male

ADULT CASE:

Brief Adult Patient History:
Mr. Jon Smith, a 50 year old African American male, has come to your clinic with a 15 year history of hypertension and type 2 diabetes.  He drinks “a few beers” per week and confirms cigarette use of 1 ppd for the past 30 years. He tells you that he works a physical job in construction so is mostly on his feet and active. Also, he eats what is available and tries to watch his diet when he can. Mr. Smith is taking Amlodipine 10 mg daily for hypertension and metformin 1,000mg BID for diabetes.

His blood pressure has been hovering around 150/90 and Hemoglobin A1c has been 6.8. Also included in blood work is a total cholesterol of 243 mg/dL, LDL 170 mg/dL, HDL 36 mg/dL, Triglycerides 201 mg/dL.  Additional findings include normal electrolytes, renal function and liver enzymes.  You decide to enter these results in the ASCVD risk calculator to further learn his CAD risk.

Positive Review of Systems (otherwise you can assume negative):
Respiratory: No SOB, +non productive cough that he has had for “quite sometime”

Past Medical/Surgical History:
Diabetes
Hypertension
Hyperlipidemia
Tobacco use disorder

Social History:
Smokes 1 PPD for the past 30 years
A “few beers” per week
Married with 2 teenage children

Medications:
Amlodipine 10 mg daily
Metformin 1000 mg BID
Naproxen 500mg PO daily PRN

Allergies: Penicillin (anaphylactic reaction)

PE: 50 year old African American Male in no acute distress. VS: Temp 98.0, BP 150/92, Pulse 86, R 18. Height 6’ 0”; weight 230 lbs. Exam unremarkable.

CASE ANALYSIS:

Illustrate your understanding of Pharmacotherapeutics in this patient’s care. Please no copying and pasting but you are welcome to make your own charts or graphs if desired.

Complete an analysis for each medication and any medication you decide to prescribe including:

–          Describe the mechanism of action, side effects, caution and/or contraindications, monitoring parameters and determine if the medication is the best option for this patient

–          Common dosage, route and schedule for the medication

–          Determine cost of each medication

–          Is the medication being used reasonably in this situation (risk/benefit analysis)?

–          Would you make any changes in the use of the drug if you were the provider?

Complete an analysis of the patient including:

Firstly-          Evidence of drug effectiveness

Secondly-          Indicate potential drug interactions (drug-drug, drug-food, drug-herb, etc.)

Thirdly-          Indications of possible adverse drug effects

Fourthly –          Factors affecting compliance/adherence

Further-          What social factors must you considered for this patient?

Additionally –          What education must you provide to the patient about these medications

Further –          Are there special considerations for this patient population that must be considered? When would you want to see this patient again in a follow up visit?

Finally –          Include any nonpharmacologic interventions that you feel are appropriate.

NEXT CASE:

PEDIATRIC CASE:

Brief Pediatric Patient History:
Annie Ramirez, a nine-year-old Hispanic female, has presented to your clinic with a four-day history of cough, fever and increasing fatigue. Prior to the onset of symptoms, Annie had been feeling well, attending school regularly, and participating on her competitive soccer team. Annie has a history of a peanut allergy as well as mild persistent asthma. Annie’s father reports that at baseline, Annie has a nighttime cough “maybe once a week or so” and does wheeze “if she forgets her inhaler before her soccer games.”

Over the past four days, Annie’s activity level has decreased dramatically and she feels that “it is hard to breathe” when she tries to move around. She has a persistent cough that is worse at nighttime. She has been using her inhalers according to her sick plan, but they “do not seem to be helping.” Her father reports that Annie’s fever has been as high as 102.9 °F (tympanic) and ibuprofen has been helpful to reduce her fever. Annie is eating, but less than normal, and her parents have been encouraging her to drink water throughout the day.

You conduct a physical exam and diagnose Annie with left lower lobe community acquired pneumonia (CAP) resulting in an acute asthma exacerbation. You administer albuterol via a nebulizer during the visit and you note that Annie has decreased working of breathing and an increased SpO2%. Your assessment is that she can be treated in the outpatient setting. What additional medications would you prescribe?

Focused Review of Systems

General: Reports fatigue; exacerbated by physical activity.
HEENT: Denies ear pain, discharge from ears, or difficulty hearing. Denies drainage or difficulty breathing through nose. Further, denies sore throat or difficulty swallowing. Also, denies neck pain or decreased range of motion.

RESP: Reports cough productive of green sputum; consistent throughout the day, but worsens at night. Shortness of breath with physical activity. Difficulty “getting the air in” even at rest. Using inhalers with minimal results.

CV: Denies heart racing.

GI: Reports a decreased appetite but drinking water throughout the day. Reports soft daily bowel movements; voiding 4-5 times daily.

PAST MEDICAL HISTORY/PAST SURGICAL HISTORY:
Product of a normal pregnancy/delivery (full term infant)
Peanut allergy (anaphylaxis at 18 months)
Mild persistent asthma (diagnosed at 4yo, last required oral corticosteroids 3 years ago)
Denies past surgeries

SOCIAL HISTORY:
·         Lives with two fathers and one 4-year-old brother
·         3rd grade, great student, loves reading. Plays competitive soccer
·         Parents are non-smokers, no second-hand smoke exposure

MEDICATIONS:
·         Asmanex HFA (mometasone furoate), 100mcg/actuation: 1 puff once daily when well; 2 puffs BID when sick with respiratory symptoms

·         Ventolin HFA (albuterol sulfate), 90mcg/actuation: 2 puffs every 4-6 hours PRN for wheeze/cough; 2 puffs prior to exercise; when sick with respiratory symptoms, increase to 4 puffs every 4 hours

·         Epi-pen (epinephrine), 0.3mg: Administer in thigh for any exposure to peanuts or signs consistent with an allergic reaction; seek immediate medical attention after using. May repeat in 5-10 minutes as needed for return of symptoms.

·         Motrin (ibuprofen), 100g/5mL: 15mL every six hours as needed for fever

ALLERGIES:
Foods: peanuts (anaphylaxis)
Medications: none
Environmental: none

PHYSICAL EXAM:

Vitals: Wt-71 lbs, Ht-54.75 inches, BMI 16.7, Temp-101.3 °F (tympanic), HR-118, RR-30, SpO2-95%, BP-92/46, pain-denies
HEENT: Normocephalic; no lesions. Pupils 3 to 4 mm, and symmetrically reactive to light. TMs are flat, non-erythematous, with appropriate light reflexes bilaterally. Nares patent bilaterally. Mucus membranes are moist, good dentition, tonsils are 2+ without exudate, pharynx is non-erythematous.

Lungs: Diffuse inspiratory and expiratory wheezes, coarse crackles in the left lower lobe; no change with deep inspiration/cough. Intercostal and substernal retractions noted. Post-albuterol: Coarse crackles RLL, occasional inspiratory wheeze, resolved retractions.

Cardiovascular: Normal S1 and S2. No murmurs or abnormal heart sounds.
Abdomen: Soft, non-tender, non-distended. No hepatosplenomegaly noted.

CASE ANALYSIS:

Illustrate your understanding of Pharmacotherapeutics in this patient’s care. Please no copying and pasting but you are welcome to make your own charts or graphs if desired.

Complete an analysis for each medication and any medication you decide to prescribe including:

–          Describe the mechanism of action, side effects, caution and/or contraindications, monitoring parameters and determine if the medication is the best option for this patient

–          Common dosage, route and schedule for the medication

–          Determine cost of each medication

–          Is the medication being used reasonably in this situation (risk/benefit analysis)?

–          Would you make any changes in the use of the drug if you were the provider?

Complete an analysis of the patient including:

–          Evidence of drug effectiveness

–          Indicate potential drug interactions (drug-drug, drug-food, drug-herb, etc.)

–          Indications of possible adverse drug effects

–          Factors affecting compliance/adherence

–          What social factors must you considered for this patient?

–          What education must you provide to the patient about these medications

–          Are there special considerations for this patient population that must be considered? When would you want to see this patient again in a follow up visit?

–          Include any nonpharmacologic interventions that you feel are appropriate.

Use the grading rubric provided in the LMS