Archive for category: Nursing Assignment Help

Theory chosen is:

Theory of the peaceful end of life from standard of care for terminally ill patients by Ruland and Moore (1998), The writer should research and include more. Assignment Criteria: Middle Range Nursing Theorist Paper Theories are patterns that guide the thinking about, being, and doing of nursing.

Theories provide structure to nursing practice and research. Theories guide nursing practice, stimulate creative thinking, facilitate communication, and at the same time clarify purposes. A metaparadigm is a global concept of a disciple that identifies the primary phenomena of interest to that discipline. In nursing, the dominate phenomena within the science of nursing revolves around the concepts of humans, health, environment and nursing. Assignment Criteria: For this assignment select a middle range theory Using this theory, develop a scholarly paper that includes the following criteria:

Define the middle range theory and the purpose of the selected middle range theory. Define and discuss the nursing metaparadigm within the context of the selected middle range theory. a. Explain how the theorist employs and defines each of the four concepts that comprise the nursing metaparadigm within the selected middle range theory Explain the importance of the selected middle range theory in nursing practice. a. provide and discuss two examples of use of the selected middle-range theory from current practice The scholarly paper should be 4-5 pages excluding the title and reference pages. Include level 1 and level 2 headings. The paper should begin with an introductory paragraph that includes the purpose statement.

The introductory paragraph and purpose statement allow the reader to understand what the paper/assignment is going to address. The paper should include a conclusion. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’). Include a minimum of three references from professional peer-reviewed nursing journals (review in Ulrich Periodical Directory) to support the paper. ***Historical references may be used as appropriate. (Definition of historical reference: reference to a well-known person, place event or literary work that adds meaning to the paper.) APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations). Submit the assignment to Turnitin Direct prior to the final submission to Canvas Review the originality report and make any needed changes prior to submitting.

Make sure that sources are within 5 years old. Please follow the rubric. Week 1: Compare and Contrast Assignment Purpose

The purpose of this assignment is for learners to: Improve their knowledge base and understanding of disease processes in Neurology

Have the opportunity to integrate knowledge and skills learned throughout all core courses in the FNP track and previous clinical courses.

Demonstrate the ability to analyze the literature be able to perform an evidenced-based review of disease presentation, diagnosis and treatment. Demonstrate professional communication and leadership, while advancing the education of peers. Demonstrate the ability to take information from assigned readings and translate it into the way you would describe it to a patient or family member in your own words. Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to: Interpret subjective and objective data to develop appropriate diagnoses and evidence based management plans for patients and families with complex or multiple diagnoses across the lifespan. (CO 1) Develop management plans based on current scientific evidence and national guidelines. (CO 4) Due Date: Wednesday by 11:59 pm MT of Week 1 A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of Week 1 at 1159PM MT, regardless of the number of days late.

NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0). A 10% penalty will be imposed for not entering the minimum number/type of interactive dialogue posts OR not posting on the minimum required number of days (3 days). NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0)

Total Points Possible: 100 points Requirements: For Week 1 of the course there is no case study given to you by the Faculty. Instead you will be assigned two diseases to compare and contrast based on the first letter of your last name. This information will be posted in the Course Announcements under Week 1 Welcome as well as the “Assignment” portion of the Week 1 module and will change every session. A comparison and contrast assignment’s focus is to identify and explore similarities and differences between two similar diseases. The goal of this exploration is to bring about a better understanding of both diseases. Week 1 Part 1: Due Wednesday by 11:59PM MT MN You will research the two areas of content assigned to you and compare and contrast them in a discussion post.

NOTE: A comparison and contrast assignment is not about listing the info regarding each disease separately but rather looking at each disease side by side and discussing the similarities and differences given the categories below. Consider how each patient would actually present to the office. Paint a picture of how that patient would look, act, what story they would tell. Consider how their history would affect their diagnosis, etc. Evaluation of mastery is focused on the student’s ability to demonstrate specific understanding of how the diagnoses differ and relate to one another. Address the following topics below in your own words: Presentation Pathophysiology Assessment Diagnosis Treatment Compare and contrast the following diagnoses as assigned:

Matching Theory to Client Intervention Paper:

Paper details Matching Theory Case Study Unsettling Transition Mrs. Elizabeth Cuthbert is an 81 year old Caucasian woman. She has been diagnosed with syncope (fainting spells), hypertension, and chronic obstructive pulmonary disease. For the last four months she has resided in a nursing facility and receives skilled nursing services. Mrs. Cuthbert’s move to the facility occurred as a result of repeated syncope and falls. Her condition has been exacerbated by the recent development of a foot drop, a weakening of the structures in her ankle that allows the foot to dangle when walking. This ailment has increased her risk of falling. Mrs.Cuthbert has been fitted with an ankle foot orthosis (AFO) and provided with a walker, but she claims these aids make her feel “weak.” Mrs. Cuthburt receives physical therapy for her balance and occupational therapy for her tasks of daily living. Her discharge plan involves placement in an assisted living apartment once she has developed the safety and ambulation skills that will allow her to live without constant monitoring. Mrs.Cuthbert’s medications for the last six months include therapeutic aspirin, blood pressure medication,and Tylenol for pain relief from her fall and osteoarthritis.

She is compliant with her medications. Mrs.Cuthbert was widowed 20 years ago and has lived alone in her home of 35 years since that time. Her immediate family includes two adult children, who live in the area, and three grandchildren, who visit and send her letters. Family members visit frequently, at least twice a week. Mrs.Cuthbert Expresses a negative attitude toward the aged in comments during unrelated discussions. For instance, when the social worker intern first met her, she cast aspersions on an“old dog” who lived in the unit, and then went on to make negative comments about her own appearance, saying she looked like “an old hag.” She received the social workers supportive comments positively, but the change in attitude appears transitory. The results of a mini-mental status examination conducted on Mrs.Cuthbert indicated that she was aware of person, time, and place. Mrs.Cuthbert was also evaluated using a mood scale to determine her risk for depression. She scored 7 out of 15 (a score higher than 5 is indicative of depression). Her response to the mood-scale questions revealed feelings of worthlessness, low energy, insomnia, and diminished interest in pleasurable activities. Mrs. Cuthbert evidences no symptoms of mania. Mrs.Cuthbert is undergoing significant change in her social support system as a result of her move to the nursing facility. She no longer has the neighbors whom she visited each day as she went about retrieving her newspaper, checking on her garden, and watering her outdoor plants. She has lost the use of her car and feels that she should give up driving permanently to prevent possible accidents. She also no longer has the option of walking to her place of worship because of her current condition. An additional problem for Mrs.Cuthbert is her reluctance to make safety changes that will allow her to move to an assisted living apartment in a nearby community where several lifelong friends reside. She has been very reluctant to adopt the walker or the AFO and has been refusing the majority of her physical and occupational therapy treatments because she is “tired.” During her care plan meeting, Mrs. Cuthbert expressed surprise that the entire interdisciplinary team had gathered to discuss her case with her and her family. She asked, “Why are all of you interested in me?” She stated that she wanted to move to assisted living because she would be able to visit with her friends there once she did so. When told that she could not move until she addressed the safety and ambulation deficits she is experiencing, she expressed interest in cooperating with the various therapists and counselors. According to Mrs. Cuthbert’s daughter, Barbara, until her current health problems and the move to the nursing facility, her mother was a relatively contented person. She crocheted,enjoyed crossword puzzles, called on friends, assisted two shut-ins whom she has known for years, and had her grandchildren over for weekend visits. Since her admission to the nursing home, it has become difficult for Mrs. Cuthbert to accomplish several of her old activities, and simply not feasible to continue others. However, she has also discontinued the activities that were appropriate for her while at the nursing home, except for doing crossword puzzles. Barbara noted that her mother was not interested in going out for meals as she had been before fall. Her daughter speculated that her mother might not want to be seen in public with the AFO and walker, but noted that she also refused take-out meals offered as well. When asked, Barbara was unaware of any history of mood disorders or other mental illness in her mother’s background, but said that her mother wouldn’t typically speak of such things anyway. Mrs. Cuthbert financial situation is sound. She owns her own house and collects pensions from both her own employment as a secretary and her husband’s work.