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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.

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.

Care Delivery or Nursing Model Change on information delivery

This is an assignment that focuses on the Care Delivery or Nursing Model Change. Additionally, this will be on top of how to deliver information.

Care Delivery or Nursing Model Change on information delivery

There will be times when the doctorally prepared advance practice nurse will need to suggest a nursing model change or a change in care delivery. It will be important for the doctorally prepared advanced practice nurse to have an understanding of how to deliver information and what information should be shared with an audience. Also, this assignment will give you practice with presentation software along with preparing you to provide specific information for your proposed changes.

This is a two-part assignment that will also give you practice in presenting to administrators.

General Requirements: Use the following information to ensure successful completion of the assignment: • Doctoral learners are required to use APA style for their writing assignments. • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included. • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Directions:

Part One:

Firstly, create a 12-15 slide presentation (PowerPoint, include slide notes or voice over; Prezi, include voice over) that presents a proposed care delivery or nursing model change for a department that aligns costs, quality, and health that supports the care of patients across the continuum. Include the following:

1. Background of issue

2. The proposed solution

3. How solution meets need of population (stakeholders, cost, and payer to proposed change)

4. Proposed change process to implement delivery model

5. Expected outcomes

6. Implications that are realistic and aligned with current and future health care financing 10 references

Part Two:

1. Secondly, present your presentation to at least one administrator.

2. Thirdly, write a brief summary, 100-250 words, of the feedback given to you by the administrator(s).

4 references

Lastly, you are to complete your assignment using real-world application. Additionally, real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course.

The culmination of your assignment must present a viable application in a current practice setting. with 15 SLIDES SPEECH/PRESE‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍NTATION

40-year-old male with a persistent cough

Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 13: 40-year-old male with a persistent cough.

Family Medicine 13: 40-year-old male with a persistent cough

Assignment
Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 13: 40-year-old male with a persistent cough.

Scenario:
You are working in Dr. Wilson’s office. The first patient of the morning is Mr. Frank Dennison, a 40-year-old cisgender male.
As you and Dr. Wilson open the electronic medical record, you note past visits by Mr. Dennison for allergic rhinitis and refills of various antihistamines and nasal sprays. Then you look at today’s encounter which gives the following information:
Reason for visit: Cough for two months.
Vital signs:
Temperature is 36.8 C (98.2 F)
Pulse is 80 beats/minute
Respiratory rate is 16 breaths/minute
Oxygen saturation is 97%
Blood pressure is 118/68 mmHg
Height is 172.7 cm (68 in)
Weight is 86.2 kg (190 lbs)
Body mass index (BMI) is 28.9 kg/m2
Dr. Wilson asks you to “do a focused history, then let me know what you find.”
Before you go into the exam room, you review common conditions that can lead to a persistent cough.

HISTORY 1

Dr. Wilson has already obtained permission from the patient for you to see him.
You introduce yourself, and begin by asking:

“How may we help you today?”

Mr. Dennison responds, “I’ve had this nagging cough for two months.”

“Tell me more about your cough.”

“I don’t have a fever so I don’t think I have an infection. The cough is worse at night. In fact, I wake up some nights with coughing spells. Eventually, I cough up some clear mucous, and then I feel better. Sometimes I notice that my breathing gets noisy.”

 

“What kind of noise do you make when you are breathing?”

“It’s kind of a musical, whistling sound, especially when I breathe out.”

“How often do you notice this noisy breathing?”

“On one or two nights of the week, I will wake up coughing and get that noisy breathing at the same time. When I cough up some clear mucous, I feel better. I have never had the noisy breathing during the day. In fact, when I jog or bicycle, my breathing is fine.”

“Do you get any chest tightness or chest pain?”
“No.”

HISTORY 2

As you proceed to take the rest of Mr. Dennison’s history, you continue to consider the diagnosis of asthma. Bearing this in mind, you ask Mr. Dennison about his past medical history:

“I see that you have a history of allergic rhinitis. How is that going?”

“What medications do you take for this?”

 

“Why haven’t you been receiving your allergy shots regularly?”

“Let’s discuss some options to help you take your medications and receive your shots.”

Through these questions, you realize Mr. Dennison’s allergic rhinitis is not under ideal control. You wonder if treating his allergic rhinitis would help control his cough and wheezing.

Next, you wish to see if he has an underlying sinusitis since that also is a co-morbid condition of asthma that could explain some of his symptoms.

DISCUSSING DIFFERENT CLINICAL SCENARIOS

CLINICAL REASONING
You know that Mr. Dennison has had chronic nasal symptoms (sneezing, nasal congestion, and drainage) for three to four months, so it is unlikely that he has acute sinusitis. Dr. Wilson asks you to consider a different hypothetical scenario.
“What if Mr. Dennison presented with one week of upper respiratory symptoms including nasal congestion and drainage? On the day the symptoms began, he had a low-grade fever that has now resolved.

His nasal congestion persisted and he has now had yellow nasal drainage for five days with associated mild headaches. On exam, he is afebrile and in no distress. Examination of his tympanic membranes and throat are normal. Examination of his nose is unremarkable although a slight amount of yellowish-clear drainage is noted. There is tenderness when you lightly percuss his maxillary sinuses.”

ACUTE VERSUS CHRONIC TEACHING
You and Dr. Wilson turn your attention back to Mr. Dennison.
By definition, nasal symptoms lasting more than 12 weeks are not acute sinusitis. So you consider chronic sinusitis and recall what you know about the symptoms of chronic sinusitis and you realize with the patient’s chronic nasal congestion and mucopurulent drainage, he may have chronic sinusitis. There may be additional physical signs and diagnostic tests that will be needed later to confirm this.

HISTORY 3

“Do you have any other chronic conditions; have you had hospitalizations or surgeries?”

“Do you take any medications other than the ones we have discussed?”

“Do you have any allergies to any medications, particularly aspirin?”

“Have you ever smoked cigarettes or cigars or chewed tobacco?”

Mr. Dennison reports no alcohol or drug use. He lives with his wife and two children, who are all healthy. His father is deceased, but had allergic rhinitis and asthma.

You remember that there are still some potential asthma comorbid conditions to ask about such as overweight and obesity, gastroesophageal reflux disease, obstructive sleep apnea, stress and depression. Also, you review his current weight and BMI and note that his current BMI classifies him as overweight, but not obese.

You ask Mr. Dennison this series of questions and discover the review of systems is negative:
“Have you ever had any symptoms of heartburn?”

“Has your wife ever commented on the way you sleep—snoring a lot or breathing unusually?”

“How are you doing emotionally; are you stressed or depressed?”

You explain that you would like Mr. Dennison to change into a gown while you go discuss your findings thus far with Dr. Wilson. And, when you return in a moment, you will perform a physical exam.

You find Dr. Wilson in the hallway and give him a synopsis of the history you’ve obtained from Mr. Dennison.

Discussion Question 1

Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

Discussion Question 2
Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

Discussion Question 3
Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.

Discussion Question 4

Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

Discussion Question 5
Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.