Nursing Life Span and Development

Nursing Life Span and Development

Required Resources Read/review the following resources for this activity: Textbook: Chapter 15, 16 Lesson Minimum of 1 scholarly source (in addition to the textbook) Initial Post Instructions Choose 1 option Option 1: In your readings this week, there is an extensive discussion on the physical decline that adults in their middle adulthood may likely face. What are some small steps that a 30-year-old patient can take now that can help reduce some of the negative physical consequences that they could experience at 50-years-old? Address at least 2 of the 6 listed: Diet Exercise Substance use, abuse, dependence (caffeine, nicotine, THC, etc.) Stress Sleep Sexual behaviors Option 2: You are likely aware that a person’s cognitive functioning can affect their social and emotional well-being. For this discussion, you will be responsible for integrating the concepts of chapters 15 and 16. The textbook tells us that the number of relationships may decline in middle adulthood, just as processing speed and working memory may also decline. What are some ways that people can integrate social activities/ make friends or nurture the relationships that they have, while simultaneously improving their cognitive functioning? Some examples may include activities like: Dance lessons Choir Chess clubs, etc. Follow-Up Post Instructions Respond to at least two peers or one peer and the instructor. Further the dialogue by providing more information and clarification. Writing Requirements Minimum of 3 posts (1 initial & 2 follow-up) Minimum of 2 sources cited (assigned readings/online lessons and an outside source) APA format for in-text citations and list of references

Diastolic Versus a Systolic Murmur Cardiac Discussion

Diastolic Versus a Systolic Murmur Cardiac Discussion

Please answer the following questions. At least 250 words per question.
1. List four reasons and explain your reasoning why you would refer your patient to a cardiologist for further evaluation.
2.Evaluate what type of diagnostic tools used by an Family Nurse Practitioner for patients with complaints of chest pain, shortness of breath and/or dyspnea.
3. Differentiate between a diastolic versus a systolic murmur. Which one would need emergent follow-up?

SOAP NOTE Differential Diagnosis for Skin Conditions

SOAP NOTE Differential Diagnosis for Skin Conditions

1. Assignment: You are going to write a SOAP note. Use the attached template for the SOAP note and SKIN GRAPHICS. The skin graphics. Choose one graphic to write up for a SOAP note. This is to be written as a SOAP note (NO NARRATIVES). As you write the SOAP note, you must address all sections. If you are not given the information, you will need to make it up. Make sure that you use medical terminology to describe the image. Include 5 differentials and identify which is the most likely diagnosis. I recommend that you use the SOAP exemplar as a guide for this assignment.

The Lab Assignment

• Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style.. Remember that not all comprehensive SOAP data are included in every patient case.

• Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose.

Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

Application of Concepts from Nursing Caring Science

Application of Concepts from Nursing Caring Science

Instructions 

You will identify an issue that could potentially influence the growth and performance of an international company.

This issue will be identified by you. You can identify an issue by reading about what is happening in the international business environment.

Some examples of issues that would impact on an international business’s performance could be increased sales or new products launched by competitors.

Another example could be political instability in the main export market or country where you import most of your resources from.

New laws or regulations around how you package, sell or manufacture the products could also impact on the strategy moving forward. There is no strict requirement around what constitutes an issue.

Nursing Discuss Board Questions

Nursing Discuss Board Questions

In this DB, you will synthesize the four research articles about your topic discussed in Modules 1 & 2. A synthesis includes an analysis of the aggregate of articles, not the individual articles. e.g. clustering and interrelating ideas from the studies to form an overall representation of the conceptual definitions, descriptions, interventions, instruments, and strengths and weaknesses of the body of knowledge represented by the articles. See the examples in Chapter 7 (in particular, Synthesizing Sources and Discussion of Empirical Literature) and Chapter 18 related to
Quantitative Research in Gray, Grove, & Sutherland (2017). This is a discussion, not a paper! Be succinct and refer to the questions below.
Use the following questions to synthesize your four articles:
1. What are the conclusions drawn from the articles in relation to your topic?
2. Identify similarities and differences of the studies. These may include a discussion of the samples, research designs, and findings, for
example.
3. Are there conflicting findings among the articles?
TEXTBOOK: Gray, J., Grove, S. & Sutherland, S. (2017). Burn’s and Grove’s The practice of nursing research: Appraisal, synthesis, and
generation of evidence (8th ed.). St. Louis, MO: Elsevier. ISBN 978- 0-323-37758-4

PICOT Question Smoking Cessation

PICOT Question Smoking Cessation

*PICOT QUESTION: For chronic smokers, what is the effect of counseling in comparison to pharmacotherapy on successful smoking cessation
to be completed over 4 weeks.
*Instructions/Requirements
1. Select one current, quantitative scholarly nursing article related to your PICOT question and determine its strengths, limitations, and potential
application.
2. Complete the Johns Hopkins Nursing Evidence Based Practice Appendix E Evidence Appraisal Tool . Once you’ve completed the tool, use
your own words to summarize your appraisal of the article. Include the following:
• Description of the purpose
• Explanation of research design
• Discussion of sample
• Description of data collection methods
• Summary of findings
• Strengths of the study (minimum of 1)
• Limitations of the study (minimum of 1)
• Recommendations regarding potential application for future practice that are insightful and appropriate.
3. Attach the article to your post, in addition to including the full reference for the article in your post.
*Johns Hopkins Nursing Evidence Based Practice Appendix E Evidence Appraisal Tool file is attached
*Reference must be a scholarly article within 5 years (only 2015-2020)
*Direct quotes can’t be used

Complex Care Nursing

Complex Care Nursing

Paper Instructions 

Review the attached case study of Liam and his shared care plan then answer the following questions: Part one Complete the missing information on Liam’s care plan and provide the relevant information; Part two Role of the RN as the complex care coordinator to deliver the shared Care Plan.

Assessment 2 Shared Care Plan: Liam

Risk Level: High

Last updated by (RN) 3/3/2019

Original Author (RN). 3/3/2019

Medical Summary:

History

Liam’s has JIA (polyarticular) which was diagnosed age 8. Liam reports increasing pain levels in the joints, particularly R wrist, which was fractured in a cycling accident 3 years ago. He also reports increasing discomfort in his shoulders and knees over the last 6 months. Erica reports that prior to this latest exacerbation Liams’ symptoms have been well controlled with regular medications since his last flare up two years ago.

Liam has allergic Asthma diagnosed aged 10. His primary triggers are dust and pollen. Liam had 4x attendances at the Westtown Regional Hospital A&E department last summer. Three acute exacerbations were associated with large dust storms in the area (currently in drought) and once after being exposed to large amounts of dust while assisting his farther load cattle onto a truck in the stock yards.

Current presentation 4/4/20XX

On examination R hand, R shoulder and L knee have mild swelling and are warm to the touch. Liams complains of 4/10 pain on movement of these joints. Liam report having to use his Asthma reliever medication at least once per week for the last 2-3 months.

Liams’ mother Erica has expressed concerns in relation to his current psychological status. She states that she believes Liam is becoming increasingly socially withdrawn and is not participating as actively in the management of his JIA or Asthma as he has in the past. She states that his year advisor has also been in touch as he is displaying reduced effort in class which is out of character as he is usually a good student. Liam was somewhat reluctant to engage in discussion regarding management and treatment of either of his conditions.

Patient Care Team:

TBA

Personal Support Team:

Mother- Erica Smith

Step father- John Smith

Father- Michael Taylor

Step mother- Annie Taylor

Patient’s care goals (chronic and preventive)

Liam

  • “I am sick of feeling different – I just want to be normal like everyone else”.
  • “I want to be able to play weekend sport again. All the other guys in my year seem to play something on the weekends I’m the odd one out”.

Erica

  • “I am very concerned about Liams’ psychological health and want to identify a strategy to address this issue ASAP”
  • “We want to get to the specialists to review his JIA an Asthma management. We need to get to the bottom of what has caused his Asthma and JIA to get worse over the last 6 months”
  • “We need to come up with a better plan for organizing and managing all of Liams’ appointments and the information we receive from them – we seem to just be reacting when thing go wrong these days”

Patient’s self-management tools:

  • Consult paediatric rheumatologist and paediatrician ASAP.
  • Develop a plan for staged increased activity and return to team sport (hockey).
  • Develop strategy for competing school-based tasks when JIA/Asthma flares.
  • Attend counselling/psychotherapy
  • Develop a strategy for being independent at school, and home (x2) regarding medications and trigger identification (with minimal supervision).
  • Erica, Michael and Liams to develop plans for medication adherence, 1-1 time and medical response plans for both households in the event of an acute exacerbation of Asthma or JIA.

Patients barriers to care goals

TBA

Team Goals: (chronic and preventive)

  • Devise a plan/for communication between all relevant specialists (regardless of location) including the use of an electronic health record.
  • Develop collaborative care strategy for Liams monthly case conferences (including Liam and parents) every 2 months for 6 months.
  • Foster Liams’ independent management of both chronic conditions (with minimal parental supervision).
  • Monitor effectiveness of physical and psychological interventions closely over the next 6 months with monthly clinic visits (care coordinator). Relevant team members to collaborate and revise plans as necessary.

 

Adapted from: Patient Centred primary Care Institute (2020) The basic person-centred care plan – Providence Medical Group Southeast, Available at: http://www.pcpci.org/sites/default/files/resources/Shared%20Care%20Plans_0.pdf

Culture in Nursing Profession

Culture in Nursing Profession

Paper Instructions:

1. Discuss the role of nonverbal communication such as touch, facial expression, eye movement and body posture in different cultures. How is silence viewed among different cultural groups? Provide examples.

2. Articulate factors that influence communication among different cultures, and how the nurse adopts special approaches when a patient speaks a different language. Describe the role of interpreters in the provision of nursing care. What have been your experiences with the use of interpreters in practice?

Nursing Reflection Paper

Nursing Reflection Paper

Course name: Communication and Informatics in health care.
Summarize in a paper how you have evolved as a nurse though the participation in this course, and how you think have achieved the learning outcome of the course. You must identify at least three learning outcomes and three BSN essentials you achieved and how you think you have
achieved them (Refer to the learning outcomes in your syllabus and the program outcomes in the RN to BSN handbook).
Remember that achieving the learning outcome is important to attaining the overall program outcome.
What course learning outcome, program outcome, and baccalaureate nursing essential do you think you achieved by completing this course?
How will you incorporate what you have learned into your nursing practice moving forward? Give examples.
Note: The grade for this reflection paper is part of you final assignment grade is included in the rubric. double space in 12 margins
Learning Outcomes: Upon successful completion of, students this course will be afforded the opportunity to:
1. Demonstrate effective communication strategies with interdisciplinary members of the health care team. I, II, VI, IX
2. Examine the impact that negotiation skills (conflict resolution), group dynamics and personal assertiveness have on promoting positive patient or organizational outcomes. II, VI
3. Effectively present oral, written, and digital information for the formulation of safe patient care in a variety of health care settings. II, IV
4. Describe how technology can improve healthcare. IV
5. Analyze the technological issues facing the delivery of healthcare. IV, VIII
BSN Essentials:
Interprofessional Communications and Collaboration for Improving Patient Health Outcomes
▪ Communication and collaboration among healthcare professionals are critical to delivering high quality and safe patient care.
Clinical Prevention and Population Health
Professionalism and Professional Values
▪ Professionalism and the inherent values of altruism, autonomy, human dignity, integrity, and social justice are fundamental to nursing.

Baccalaureate Generalist Nursing Practice
▪ The baccalaureate-graduate nurse is prepared to practice with patients, including individuals, families, groups, communities, and populations across the lifespan and across the continuum of healthcare environments.

Role of the Advanced Nurse. Roles of APRNs. Nurse Roles.

Role of the Advanced Nurse. Roles of APRNs. Nurse Roles.

1. Describe the role of the advanced practice nurse and the reason for pursuing an advanced
degree.
2. Discuss how a masters level nursing education makes a difference in patient-centered care
and decision-making.
3. Discuss how the selected advanced practice role can impact career advancement.
a. Utilize the Institute of Medicine (IOM) report: The Future of Nursing Leading Change,
Advancing Health (found in Modules/Week 3) in the discussion.
4. The scholarly paper should be in narrative format and 3 to 4 pages excluding the title and
reference page.
5. Include an introductory paragraph, purpose statement, and a conclusion.
6. Include level 1 headings to organize the paper.

7. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’) and in 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.
8. Include three professional peer-reviewed scholarly journal references to support the paper
(review in Ulrich Periodical Directory) and be less than five years old.
9. APA format is required (attention to spelling/grammar, a title page, a reference page, and intext citations).
10. Submit the assignment to Turnitin prior to the final submission, review the originality report,
and make any needed changes.