Tom a 26-year-old runner came in to the office today complaining

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Tom a 26-year-old runner came in to the office today complaining

Tom, a 26-year-old runner, came in to the office today complaining of constant pain in the right ankle. While running his usual route, he accidentally stepped on a branch lying in his path, twisting his ankle inward.

Tom, a 26-year-old runner, came in to the office today complaining of constant pain in the right ankle

Hi, here’s the case study.
 
Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course reading and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples; demonstrates a clear connection to the reading

Case Study

Tom, a 26-year-old runner, came in to the office today complaining of constant pain in the right ankle. While running his usual route, he accidentally stepped on a branch lying in his path, twisting his ankle inward. He denies hearing a “pop.” He was able to walk, or limp, the remaining ¼ mile back to his home, where he immediately elevated and iced the ankle for 30 minutes. Also, he took two acetaminophen 325 mg, showered and dressed for work, and drove to his place of employment.

He continued to experience significant pain in the ankle, worse when walking. His foot became swollen. Since his job in a sporting goods store requires that he be on his feet most of the day, he was unable to continue his normal workday, and made a same-day appointment to be seen. He has no chronic diseases, takes no medication, and denies recent use of NSAIDs, as aspirin and ibuprofen cause him to have gastritis. He sprained the ankle last year, but was able to manage that injury at home.

Assessment

A 26-year-old, otherwise healthy male presents limping into the examination room, holding his right shoe in his hand. He grimaces with partial weight-bearing of the affected foot. He has local ecchymosis and 1+ edema over the anterolateral ligaments of the right ankle. Capillary refill, pulses, and sensation of the foot and toes are intact. There is no lateral or anterior instability of the joint or tendons. X-ray of the ankle and foot are negative for fracture or dislocation. He has a grade I lateral ankle sprain.

1.   What pain relieving medications would you prescribe? Defend your choice.

2.   How would your prescribe them?

3.   What side effects should you educate the patient about?

4.   Does the age of the patient influence what your choice?

Discussion Question 2

What organs are damage d mostly by taking NSAIDS? What patient education would you provide to someone taking NSAIDS? Further, what organ is damaged by taking too much aspirin? Additionally, what patient education should you provide to a patient taking Aspirin? List 3 diagnosis for which you would administer NSAIDS. List 3 diagnosis for which you would administer Aspirin. What labs or diagnostic tests would you perform for a patient who has consumed too much Aspirin and NSAIDS. Your response should be at least 350 words.

Personal health behavior that you would like to change

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Personal health behavior that you would like to change

Using your own human experience, select a personal health behavior that you would like to change (e.g., smoking, drinking, exercise, etc.). Then, according to the principles and ideas outlined in the Module

Select a personal health behavior that you would like to change

As a behavioral health student, you should now have a good understanding of the behaviors that are most indicative of psychological and physical well-being. However, despite recognizing the best behaviors, sometimes it’s difficult to choose that path.

Using your own human experience, select a personal health behavior that you would like to change (e.g., smoking, drinking, exercise, etc.). Then, according to the principles and ideas outlined in the Module, explain how you might be able to change the behavior. Even though this assignment is focused on personal experience, please avoid using anecdotal knowledge or inserting personal opinions into your assignment. Instead, be sure to rely on evidence and data to support your work. A minimum of 2 scholarly references is required.

In a 3-4 page paper, written in APA format using proper spelling/grammar, address the following:

Describe the 8 dimensions of wellness.
Choose 1 of the 8 dimensions that you would like to improve, then evaluate your behaviors in that dimension.
Decide on a specific behavior from within your chosen dimension. Also, discuss how the behavior affects your personal health and wellness.
Explain how you could change the behavior based on the 5 stages of behavioral change.

Why is quitting so hard?

We all know the health risks of smoking, but that doesn’t make it any easier to kick the habit. Whether you’re an occasional teen smoker or a lifetime pack-a-day smoker, quitting can be really tough.

Smoking tobacco is both a physical addiction and a psychological habit. The nicotine from cigarettes provides a temporary—and addictive—high. Eliminating that regular fix of nicotine causes your body to experience physical withdrawal symptoms and cravings. Because of nicotine’s “feel good” effect on the brain, you may turn to cigarettes as a quick and reliable way to boost your outlook, relieve stress, and unwind. Smoking can also be a way of coping with depression, anxiety, or even boredom. Quitting means finding different, healthier ways to cope with those feelings.

 

 

Doctoral Learning Strategies – Doctor of Nursi‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ng Orientation Webinar

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Doctoral Learning Strategies – Doctor of Nursi‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ng Orientation Webinar

The purpose of the assignment is to discuss the Doctoral Learning Strategies and the Doctor of Nursing Orientation Webinar.

D​‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍​octoral Learning Strategies – Doctor of Nursing Orientation Webinar

Firstly, the doctoral learning strategies or process is uniquely autonomous. It is important to develop individual plans for success and to use personal strategies to reach your goals.

Secondly, this assignment is to come up with a 750-1,000 paper that addresses the following.

Discuss learning experiences one may face prior to the doctoral learning experience. Support your discussion with scholarly evidence. Research the autonomous nature of doctoral learning. Discuss how doctoral programs, learning skills and strategies employed when completing them is different than other learning experience. Discuss how the “Doctor of Nursi‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ng Orientation Webinar” can help to prepare you for your program.

Lastly, conduct a literature review of five scholarly articles related to strategies for success in doctoral programs. Based on your research, discuss specific strategies you recommend when developing a plan for successful completion of a doctoral program.

General Requirements: When writing this paper, ensure you are speaking from a formal standpoint and are not using I-statements. The APA Style Guide is located in the Student Success Center. This assignment uses a rubric.

Practicum goals and objectives using the seven domains of practice

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Practicum goals and objectives using the seven domains of practice

Describe your practicum goals and objectives using the seven domains of practice (the seven domains of practice are: Management of Patient Health/Illness Status. The Nurse Practitioner-Patient Relationship…

practicum goals and objectives using the seven domains of practice

A) Describe your practicum goals and objectives using the seven domains of practice (the seven domains of practice are
1). Management of Patient Health/Illness Status,
2). The Nurse Practitioner-Patient Relationship,
3). The Teaching-Coaching Function,
4). Professional Role,
5). Managing and Negotiating Health Care Delivery Systems,
6). Monitoring and Ensuring the Quality of Health Care Practices-
7). Culturally-Sensitive Care
B) Discuss a nursing theory that would be used to guide your practice.

More details;

The competencies are in seven content domains:

Firstly, Management of Patient Health/Illness Status.

Secondly, The Nurse Practitioner-Patient Relationship.

Thirdly, The Teaching-Coaching Function, Professional Role,

Fourthly,Managing Negotiating Health Care Delivery Systems.

Further,Monitoring

Additionally, Ensuring the Quality of Health Care Practices.

What are the domains of nursing?
The following clinical practice domains of nursing experts were identified:
Firstly, Direct patient care.
Secondly, patient education, support and supervision of nurses.
Thirdly, maintenance and expansion of professional skills and knowledge of the nursing staff.
Fourthly, counselling of managers.
Further, quality assurance
Lastly, organizational development.
What are the 4 domains of nursing?
Each set is laid out under the following four domains:
Firstly, professional values
Secondly, communication and interpersonal skills
Thirdly, nursing practice and decision-making
 Fourthly, leadership, management and team working.
Each domain is comprised of a generic standard for competence and a field standard for competence.
What are the NP core competencies?
The NP Core Competencies are acquired through mentored patient care experiences with emphasis on independent and interprofessional practice; analytic skills for evaluating and providing evidence-based, patient centered care across settings; and advanced knowledge of the health care delivery system.

Nursing theory is “a creative and rigorous structuring of ideas that project a tentative, purposeful, and systematic view of phenomena”. Through systematic inquiry, whether in nursing research or practice, nurses are able to develop knowledge relevant to improving the care of patients.

 

Legislative process and the role of the nurse

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Legislative process and the role of the nurse

This is an assignment that answers the question- describe the legislative process and the role of the nurse as a healthcare policy advocate. The paper will involve answering of two parts on the topic.

Describe the legislative process and the role of the nurse

Overview
This assessment requires you to describe the legislative process and the role of the nurse as a healthcare policy advocate. Your paper will consist of two parts:
Part 1:
·        A clear and complete discussion of the legislative process
Part 2:
Firstly, you will choose one of the political issues listed in Burkhardt & Nathaniel on pages 392-393
Then, tie that political issue to current legislation being debated in your own state’s house or senate
·Describe both sides of that issue – for and against – clearly and thoroughly
Lastly, explain your own position, and explain why using research-based fact, not just your own opinion.
Make sure you also include a clear, separate introduction and conclusion as a part of this assignment, as these are worth separate points on the grading rubric.

NOTE:  Please avoid the following topics, as these do not demonstrate research into current legislation in health care and are more “hot button” issues that do not often result in a strong paper:·

  • Abortion
  • Staffing ratios/mandatory overtime
  • Physician assisted suicide

Objectives
This assessment is aligned with the the course objective 4 and the following module objective:
·        Students will be able to examine legislative and regulatory processes relevant to the provision of healthcare.
·        Discuss the role of the nurse as a healthcare policy advocate.
Points: 40

References
Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)
Peer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.

Doctoral Degree and Professional Nursing Practice DNP RN FNP

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Doctoral Degree and Professional Nursing Practice DNP RN FNP

This is an assignment that is focusing on a discussion on The Doctoral Degree and Professional Nursing Practice. The paper focuses on various programs that are associated with the nursing practice.

Discussion on The Doctoral Degree and Professional Nursing Practice

In response to the continuous changes in health care today, nurses are in charge with staying well informed on many rapidly evolving aspects of patient care. They are also to contribute to the improvement of health care quality. Engaging in doctoral education is an admirable way to position oneself for accomplishing this goal, and it can lead to new professional opportunities.
Why did you decide to enroll in graduate school? What informed your decision to pursue your chosen degree? How will earning this degree influence your career?

This week, you consider the characteristics of various programs, including the DNP and the PhD. The focus of the DNP degree is on clinical practice, whereas the focus of the PhD is on research. In conjunction with other professional colleagues, DNP- and PhD-prepared nurses often collaborate to analyze critical issues and find appropriate ways to address them.

This first Discussion provides an opportunity for you to examine what it means to earn a doctorate and how your selected degree program relates to your professional goals.
To prepare:
·        Firstly, consider the reasons you have chosen to pursue an advanced degree. How do you anticipate that earning this degree will support your professional goals?
·        Secondly, reflect on the comments shared by the experts in this week’s media regarding the value of a DNP degree and the various roles available to DNP-prepared nurses, as well as the characteristics of the PhD program and opportunities for PhD-prepared nurses.
·        Thirdly, based on the information presented this week, have you developed any new ideas or goals for your future? If so, what are they?

By Day 3

Additionally, post a cohesive response that addresses the following:
·        What does it mean to be a nurse with a practice or research doctorate? What are the expectations associated with this degree? Also, how might this be different for a nurse who holds a different degree?
·        How do these considerations relate to your motivation to pursue a doctoral degree right now?

Stages of nursing process and their application to nursing care

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Stages of nursing process and their application to nursing care

This is a paper that discusses the stages of nursing process and their application to nursing care. Additionally, comparing critical thinking to the nursing process.

Stages of nursing process and their application to nursing care

Firstly, the objective of this assignment id to identify the stages of the nursing process and their application to nursing care. Compare and contrast critical thinking and the nursing process. Demonstrate an appreciation of the history and contemporary issues in nursing and their impact on current nursing practice.
However, ensure that you demonstrate appropriate use of APA format. This includes writing in third person English only: do not use I, My, Me, We, myself, us, you, yourself, etc. Directions You must use at least three scholarly sources and you may use your textbook as one scholarly source. The paper should be no more than five pages (This does not include title page, or reference page). Make sure you review the evaluation rubric before you begin.

Secondly, describe the history and evolution of the nursing process (this must include a review of literature).
Describe each stage of the nursing process. Provide an example of each stage of the nursing process. Assessment Diagnosis Planning Implementation Evaluation NANDA Include the role and purpose of the North American Nursing Diagnosis Association (NANDA) Identify the strengths of this classification system Identify the limitations of this classification system

Nursing Process and Critical Thinking:

Thirdly, compare and contrast the nursing process and critical thinking. Health Issue: Select one of the health-related issu‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍es listed below. Then, describe the issue and use the nursing process to solve the health issues.

Your neighbor tells you he is not sleeping well Your friend is not getting enough exercise. Your aunt is grieving the loss of her husband. You recognize there are too many McDonald’s in your neighborhood. You read on Twitter: “there are millions of people without water in the world (Links to an external site.)”

  • Assess: Subjective and objective data gathering – You will need to make your own data up for the health issue you select.
  • Diagnose: Identify a priority nursing diagnosis for this health issue. Please use NANDA and PES format (Problem, Etiology (related factors)) and Signs/Symptoms (defining characteristics).
  • Plan: Identify desired outcomes and express in short and long-term goals.
  • Implement: Identify independent, interdependent (collaborative) and dependent nursing interventions to address the nursing diagnosis and established goals.
  • Evaluate: Identify the effectiveness of the process by evaluating goal accomplishment.

Lastly, summarize your paper in 1-2 paragraphs. Any papers that have not been received by the due date as outlined will receive a five-point deduction for each late day. Also, any incidence of plagiarism will result in a score of zero for the assignment and will be reported to the University Honor Council and Nursing Professional Development Com‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍mittee.

Pathophysiology of Disorders and the alterations disorders examination

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Pathophysiology of Disorders and the alterations disorders examination

This is an assignment that focuses on the Pathophysiology of Disorders and the alterations disorders examination. We are tolook at the changes these brings to the body.

Pathophysiology of Disorders and the alterations disorders examination

During the last 5 weeks, you have explored various body systems: neurological, cardiovascular, respiratory, and hematological. These four systems work together along with other body systems to complete a myriad of functions. For this reason, when disorders occur within one body system, it can create potentially devastating effects throughout the entire body. For instance, Parkinson’s disease is a disorder of the central nervous system. However, its alterations actually affect multiple body systems from the cardiovascular system to the gastrointestinal system.

Instructions

In this Assignment, you examine alterations associated with disorders, as well as the impact of the alterations on multiple body systems. To Prepare From the list below, select a disorder of interest to you: Alzheimer’s disease Asthma in children Chronic obstructive pulmonary disease (COPD) Congestive heart failure Hepatic disease (liver disease) Hypertension Hyperthyroidism and hypothyroidism Seizures Sepsis Identify alterations associated with your selected disorder. Consider the pathophysiology of the alterations.

Think about how these alterations produce pathophysiological changes in at least ‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍two body systems. Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as the diagnosis and treatment of your selected disorder. Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology and clinical presentation of your selected disorder.

To Complete Develop a 5- to 10-slide PowerPoint presentation that addresses the following: Describe your selected disorder, as well as associated alterations. Explain the pathophysiology of the alterations, including changes that occur in at least two body systems. Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as diagnosis and treatment of your selected disorder. Construct a mind map for the disorder you selected. Include the epidemiology, pathophysiology of alterations, risk factors, and clinical presentation, as well as the diagnosis and treatment of th‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍e disorder.

Evidence-based treatments for mental health conditions

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Evidence-based treatments for mental health conditions

This is a paper that is focusing on the review on evidence-based treatments for mental health conditions. The paper also provides additional information to use in the writing of the assignment paper. Below is the assessment description to follow:

Review on evidence-based treatments for mental health conditions

The Topic – Neuromodulation treatment in Obsessive compulsive disorder. For example Transcranial Magnetic Stimulation, Deep Brain Stimulation, electroconvulsive therapy, newer area like focused ultrasound

More info
Purpose: This paper is a research literature review on evidence-based treatments for mental health conditions. Theoretically, you will have an opportunity to explore a particular area of abnormal psychology in depth, critically evaluate research papers, and integrate theory, research and applications of abnormal psychology and treatments. The application is that you will discover what works best for treatment of the mental health condition you have chosen.

Details: This paper is a 6 (+/-1) page paper, excluding title page and references. No abstract is needed. The paper must be presented in APA format. Note that a new version of APA is available and you are welcome to use either the 6th or 7th edition.

Direction: Choose one of the specific mental health disorders from the textbook (e.g., social anxiety disorder, bipolar 2 disorder) and provide evidence for the most effective/efficacious psychological treatments for that particular disorder according to the research evidence. Try to narrow your topic as much as possible (e.g., “cognitive behavior therapy for performance subtype of social anxiety disorder” as opposed to “therapy for depression”). The more you can narrow the disorder, treatment, and topic, the easier it will be to write a study on the effectiveness of treatment.

Remember, ensure that the pages are 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.

Autonomy and ANA code of ethics provisions

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Autonomy and ANA code of ethics provisions

This is an essay that discusses what does autonomy mean and ANA code of ethics provisions. The essay also looks keenly into Burkhardt & Nathaniel book.

What does autonomy mean and ANA code of ethics provisions

1. Firstly, read the Case Presentation on page 63 (in 4th Edition) of Burkhardt & Nathaniel. This is in Chapter 3, and is titled “Noncompliance vs Autonomy”: a. What does Autonomy mean to you? b. Discuss a minimum of two provisions from the ANA Code of Ethics and Interpretative Statements that would offer a nurse guidance in this case – to ensure that Cora’s autonomy was respected.

2. Secondly, read the Case Presentation on page 72 (in 4th Edition) in Burkhardt & Nathaniel. This is in Chapter 3, the case presentation “Beneficence and Nonmaleficence” and answer questions a-c below.

a. Discuss your thoughts as to whether or not the patient was harmed by the nothing by mouth order? (Have you ever had a patient with severe thirst, or experienced that feeling yourself?)

b. In your opinion what should have taken precedence – the NPO order or the patient’s thirst?

c. What ethical principles (listed p.59 in Burkhardt) are relevant in this case other than beneficence & nonmaleficence?

What does autonomy mean and ANA code of ethics provisions

3. Thirdly, read the Case Presentation, “Trying to Be Heard” on page 179, Chapter 7, in Burkhardt & Nathaniel. It is the last case study in Chapter 7; discuss A-C below: a. Does the ANA Code of Ethics, Provision Three (in particular, read 3.4 in its entirety) offer any guidance for the nurse? Why or why not? b. Were the nurse’s actions sufficient in this situation? c. Read the article titled, “Pathways to Moral Courage” (article link below) and apply the “CODE” analysis to the facts of Joanna’s case to determine if a different outcome was possible. Apply each letter of the acronym CODE to the facts of this case. Article link: Pathways to Moral Courage, found Pathways_to_Moral_Courage.pdf

4. Then, after reading the article links relating to Placebos that follow, please address:

a. Discuss both articles and then argue for or against the use of placebos. Include in your discussion a minimum of two applicable ethical principles, e.g. autonomy, beneficence, etc.

b. Discuss what provisions of the ANA Code of Ethics offer guidance on the topic of using placebos in health care. The focus of this discussion should not be on Code of Ethics provisions that apply to clinical trials. Article links: Read the American Society for Pain Management Nursing’s Position Statement on Use of Placebos in Pain Management, found at: UseofPlacebosinPainManagement.pdf Read “US Doctors Use Placebo Treatments but Don’t Always Inform Patients” found at: http://www.medicalnewstoday.com/articles/126791.php (Links to an external site.)