Appendix F – Death and Dying

Ticket to class:

• Place in dropbox prior to the start of class
• At least 50 words in each response
• Give the questions some thought and answer honestly
• Number your answers to correspond with the question
• Worth 12 points/5%

Questions:

1. What will be important to you when you are dying?
2. What limitations to your physical and mental health would affect the health care decisions you would make?
3. Would you prefer hospice care with the goal of keeping you comfortable in your home during the final period of your life, as an alternative to hospitalization?
4. In general, do you wish to participate or share in making decisions about your health care and treatment?
5. Would you always want to know the truth about your condition, treatment options, and the chance of success of treatments?
6. What are the most comforting and frightening aspects of dying? Give examples.

Assignment:

1. Create a PowerPoint of an overview of your project, then record the presentation of all phases of the education project (this is different from the one used at your event, if you created one for that purpose). This will be presented as if you are in front of a group of peers explaining how your community education project was planned, developed, implemented, and how the outcomes were achieved and then how you evaluated if your goals were met.

Review each case study and answer all questions with a scholarly response using APA style and include 2 scholarly references. ALL answers must be scholarly and be 3-4 sentences in length with rationale and explanation. 

All answers to case studies must have reference cited in text for each answer and minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study.

SEPARATE EACH CASE STUDY. 

Read Chapter 8: Safety and Quality Improvement in Professional Nursing Practice and answer the questions: How can the commitment to quality improvement be integrated throughout all roles and at all levels of professional nursing practice?

 Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

APA format (intext citation and references)

Plagiarism FREE

Do you believe that a government mandate for certain issues such as prices and healthier products for low income families can eliminate these issues that the low income families are facing?

Please review the substantive posting requirements posted in the forum and announcements: When you post responses to your peers the response needs to be “substantive” to receive credit. Substantive posting criteria includes: Acknowledge what your peer stated (agree or disagree). Include additional information. End the post with an open-ended follow up question. This is important to encourage further discussion. If your post is substantive it will be marked with a badge icon. Six substantive posts are required each week to earn full participation credit. Please post twice on at least three different days of the week.

Please make up a substantive questionnaire along with this assignment

 Hello i need a Briefly, Good and Positive Comment for this Post.Thank you.  I need at least two references.   

see attached

Please discuss all three of these questions regarding eating disorders. 

1.)  Compare and contrast the symptoms of anorexia nervosa and bulimia nervosa.  

2.)  What role does media/or society plays in the development of these disorders?  

3.)  What  are some important nursing considerations regarding the treatment of a  client with eating disorders during inpatient hospitalization? 

Choose  between week 6: class discussion one and two to discuss.  Please note,  you will not be able to see other students’ posts until you post your  initial post.

Both the DNP prepared nurse and PhD prepared nurse have valuable and vital roles within the healthcare field.  PhD prepared nurses are skilled in the area of research methods, such as quantitative, qualitative, and mixed research methods (Trautman, Idzik, Hammersla & Rosseter, 2018), therefore are research centered.  PhD prepared nurses are defined as linking research, teaching, and practice within the nursing profession (Andreassen & Christensen, 2018).  According to a quantitative study by Andrerassen & Christensen the number of PhD nurses is growing worldwide.  A priority of the PhD nurse is to complete practice based research with a goal to maintain a positive overall impact on patient care. 

   The DNP program was intended to prepare the advanced practice nurse to become a leader in a clinical practice setting (McCauley, Broome, Frazier, Hayes, Kurth, Musil, Norman, Rideout & Villarruel, 2020), therefore is more focused on clinical practice.  DNP prepared nurses often find themselves bridging the gap between research and the bedside (Trautman et al., 2018).  DNP nurses lead quality improvement initiatives while utilizing data to translate research into evidence based practice (Trautman et al., 2018).  Over the years the number of DNP programs available for one to enhance their education has grown.  DNP nurses complete coursework involving assessments of the most up to date technologies available to prescribers and will be prepared to apply this technology in the workforce to solve various problems (McCauley et al., 2020), such as solving emerging problems during this pandemic.   

   Both roles (DNP and PhD) aim at improving one’s healthcare services and wellbeing also are degrees of the highest level of nursing practice.  The goal of both the DNP and PhD prepared nurse is to have a positive patient care outcome.   Nurses have the opportunity to obtain either a PhD or DNP while expanding their knowledge in the healthcare field.  Overall this is a great opportunity,  one is able to choose what career path most suits them and their career goals.  I am excited to take advantage of this educational pathway with a goal to practice in a PMHNP role leader position.  I fully intend to  pursue my career in the mental health field and strengthen my clinical practice skills.   

                                                                                        References

Andreassen P., & Christensen M.K. (2018). “We’re at a watershed”: The positioning of PhD 

nurses in clinical practice. Journal of  Advanced Nursing, 74(8), 1–11. doi.org/ 10.1111/jan.13581

McCauley, L. A., Broome, M. E., Frazier, L., Hayes, R., Kurth, A., Musil, C. M., Norman, L. D., 

Rideout, K. H., & Villarruel, A. M. (2020). Doctor of nursing practice (DNP) degree in the United States: Reflecting, readjusting, and getting back on track. Nursing outlook, 68(4), 494–503. https://doi.org/10.1016/j.outlook.2020.03.008

Trautman, D.E., Idzik, S., Hammersla, M., Rosseter, R., (2018). Advancing Scholarship through 

Translational Research: The Role of PhD and DNP Prepared Nurses. OJIN: The Online Journal of Issues in Nursing, 23(2) 1-1. doi: 10.3912/OJIN.Vol23No02Man02

1) Minimum 5 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 2, 3, 4 and 5 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Health Assessment

Case scenario

A previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal.

On physical examination, the only findings of note are chest wall tenderness and a faint cardiac murmur. The ECG in the office is normal. The patient is observed for an hour in the office and assessed. He is diagnosed with viral pleurisy and sent home on non-steroidal analgesics.

The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade.

Discussion Assignment:

Developing a list of possible conditions that might produce a patient’s symptoms and signs is an important part of clinical reasoning.

1. As an NP in primary care, what would you have done differently?
2. Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome?

If a serious diagnosis comes to mind based on a patient’s symptoms:

• Ask yourself: Have you considered the likelihood of a serious diagnosis and whether it needs to be ruled out by testing or referral?
• Because many serious disorders are challenging to diagnose, have you considered ruling out the worst-case scenario?
• Ask yourself: Do you have a sufficient understanding of the clinical presentation to offer an opinion on the diagnosis?
• What other diagnoses could it be? How might the treatment to date have altered the patient’s outcome?
• What other diagnostic and laboratory or imaging was needed in order to make a complete differential list? What support tools would you consider using in helping to create a differential diagnosis list?
• Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain?
• Please support with up-to-date evidence-based standard of care guidelines.

Part 2: Pathopysiology

Mr. F is a 38-year-old man in overall good health who has been complaining about an aching pain in his knees when working around the house and often when simply walking. He has noticed that his knees feel “hard” and tight. His history indicates that he has always been involved in athletics and was on the college football team, but recently family responsibilities and work have not made it easy for him to exercise.

Discussion Questions

1. Relate Mr. F’s case history to the pathophysiology of osteoarthritis.

2. How do anti-inflammatory drugs and analgesics help Mr. F deal with this form of arthritis?

    a.  Why is moderate, non–weight-bearing exercise recommended?

3. What is the probable prognosis for Mr. F?

Part 3: Pathopysiology

Mr. F is a 38-year-old man in overall good health who has been complaining about an aching pain in his knees when working around the house and often when simply walking. He has noticed that his knees feel “hard” and tight. His history indicates that he has always been involved in athletics and was on the college football team, but recently family responsibilities and work have not made it easy for him to exercise.

Discussion Questions

1. Relate Mr. F’s case history to the pathophysiology of osteoarthritis.

2. How do anti-inflammatory drugs and analgesics help Mr. F deal with this form of arthritis?

    a.  Why is moderate, non–weight-bearing exercise recommended?

3. What is the probable prognosis for Mr. F?

 Part 4: Pathopysiology

Mr. K. is a 57-year-old man who consulted his physician after noticing marked leg pains while playing golf. He had previously noticed increasing fatigue and discomfort in his legs associated with moderate exercise. When sitting for extended periods with legs dangling, his legs became red, and sometimes his feet felt numb. His history indicates he smokes cigarettes and is chronically overweight. His blood cholesterol and other lipid levels are abnormal, and his physician suspects peripheral atherosclerosis as the cause of his discomfort.

Discussion Questions:

1. Discuss the development of atherosclerosis, including the predisposing factors in this case and the pathophysiological changes.

2. Discuss the complications that might develop in this patient. (Pathophysiology, Signs and Symptoms.)

3. Discuss the treatments for all aspects of the patient’s condition, including slowing the progress of the

atherosclerosis, maintaining circulation in the leg, and treating complications.

 Part 5: Pathopysiology

Mr. K. is a 57-year-old man who consulted his physician after noticing marked leg pains while playing golf. He had previously noticed increasing fatigue and discomfort in his legs associated with moderate exercise. When sitting for extended periods with legs dangling, his legs became red, and sometimes his feet felt numb. His history indicates he smokes cigarettes and is chronically overweight. His blood cholesterol and other lipid levels are abnormal, and his physician suspects peripheral atherosclerosis as the cause of his discomfort.

Discussion Questions:

1. Discuss the development of atherosclerosis, including the predisposing factors in this case and the pathophysiological changes.

2. Discuss the complications that might develop in this patient. (Pathophysiology, Signs and Symptoms.)

3. Discuss the treatments for all aspects of the patient’s condition, including slowing the progress of the

atherosclerosis, maintaining circulation in the leg, and treating complications.