All posts by : chebby

1)  Submit 1 document per part

Part 1: Complete the file “Template Soap Note”  according to:

Name: NM

Gender: Male

Age: 77 years old

Diagnosis:  (L57.0) Actinic keratosis 

  Chief complain:  scaly patches of skin 

Part 2: Complete the “Template Soap Note” taking into account the following information:

     Name: Rl

     Gender: Female

     Age: 67 years

     Diagnosis:  (I49.9) Cardiac arrhythmia, unspecied 

    Chief complain:  Rapid heartbeat or pounding in the chest

Part 3: Complete the “Sample Soap ” taking into account the following information:

Name: KY

    Gender: Female

    Age: 44

    Diagnosis:  (K64.9) Unspecied hemorrhoids  

    Chief complain:  Irritation and pain around the anus.

2)¨******APA norms, please use headers

          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 and SafeAssign

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

Topic: Addressing Nutritional Needs with  a medical condition

An in-depth evaluation of both objective and subjective data related to an individual’s food and nutrient intake, lifestyle, and medical history.

APA formatted

Minimum 3 references within 5 years 

Include: Pathophysiology, Nutritional Needs for assigned disease process, How Nutrition contributes to improving their disease process and health outcomes, educational needs of the patient (including foods from food group/mineral, vitamins), food supplements, and any special diet as it relates to their condition.

Topics include: Hypertension, Diabetes Mellitus, Crohn’s disease, Thyroid disorders, low BMI, high BMI, Cancer, Cystic fibrosis, AIDS, Anorexia Nervosa, Hepatitis B, CAD.APA formatted paper, 3 pages excluding title page and reference page.

Minimum 3 references within 5 years

Original Work! NO Plagiarism…

Due Date is  12/4

Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. 

Would you add policy-maker to your list? 

Do you think it would be a very prominent component of the word cloud?

Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

To Prepare:

· Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.

· Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making.

Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. 

Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making.

Be specific and provide examples.

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

• Chapter 5, “Public Policy Design” (pp. 87–95      only)
• Chapter 8, “The Impact of EHRs, Big Data, and      Evidence-Informed Practice” (pp. 137–146)
• Chapter 9, “Interprofessional Practice” (pp.      152–160 only)
• Chapter 10, “Overview: The Economics and Finance      of Health Care” (pp. 183–191 only)

American Nurses Association (ANA). (n.d.). Advocacy. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/

Centers for Disease Control and Prevention (CDC). (n.d.). Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementation. Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf

Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/

Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementation. Academy of Management Review, 21(4), 1055–1080. doi:10.5465/AMR.1996.9704071863

Sacristán, J., & Dilla, T. D. (2015). No big data without small data: Learning health care systems begin and end with the individual patient. Journal of Evaluation in Clinical Practice, 21(6), 1014–1017. doi:10.1111/jep.12350

Tummers, L., & Bekkers, V. (2014). Policy implementation, street level bureaucracy, and the importance of discretion. Public Management Review, 16(4), 527–547. doi:10.1080/14719037.2013.841978.

Required Media

Laureate Education (Producer). (2018). Getting your Program Designed and Implemented [Video file]. Baltimore, MD: Author.

NR 304 Video Essay Faculty Assignment

NR 304 Video Essay Faculty Assignment

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeQuestion 1Is 50-100 words in length.
Fully answers the question using details and/or examples from the video.
Writing is clear, grammatically correct, and uses good sentence structure.

25.0 pts

This criterion is linked to a Learning OutcomeQuestion 2Is 50-100 words in length.
Fully answers the question using details and/or examples from the video.
Writing is clear, grammatically correct, and uses good sentence structure.

25.0 pts

This criterion is linked to a Learning OutcomeQuestion 3Is 50-100 words in length.
Fully answers the question using details and/or examples from the video.
Writing is clear, grammatically correct, and uses good sentence structure.

25.0 pts

This criterion is linked to a Learning OutcomeQuestion 4Is 50-100 words in length.
Fully answers the question using details and/or examples from the video.
Writing is clear, grammatically correct, and uses good sentence structure.

QUESTION 1. 

A.What is a definition of family that encompasses the different family structures prevalent today? 

B.Discuss the importance of acknowledging nontraditional family structures. 

C. Explain how family systems theory can be used to better understand the interactions of a modern family (traditional or nontraditional). 

QUESTION 2. 

A.Why is the concept of family health important? 

B.Consider the various strategies for health promotion.

 C. How does a nurse determine which strategy would best enable the targeted individuals to gain more control over, and improve, their health?

Tell your story of a personal experience with moral courage. Explain a situation or circumstance where you observed or participated in a situation when moral courage was displayed.

Review the module notes and readings, and reflect upon why you think more people do not engage in moral courage when experiencing a conflicting situation. Relate the importance of where one is situated along the stages of moral reasoning and if one is too many stages beyond another individual, what may be the underlying issues of understanding another’s perspective?

• Provide 1 exemplar of a time when you experienced a conflict and the action(s) you took in response to the conflict. Explain those action(s) from the perspective of Kohlberg’s and Gilligan’s stages of moral reasoning and levels of caring, respectively. Reflect upon this experience and identify what you have learned (new knowledge) and what challenged your assumptions and resulted in you engaging in unlearning or understanding something from a different perspective.
• Discuss why you identified yourself as being at that stage and how this aligns with your beliefs and assumptions as a professional nurse. Think about your emerging identify as a BS prepared registered nurse and describe what you might do now, at this moment in time, to change or reinforce the action you took when faced with conflict. How does this support becoming the professional nurse you want to be?
• Talk out loud with your peers and articulate 2 solutions you as a nurse can endorse and implement within a healthcare environment or community setting that promotes moral courage, mutual respect, authenticity, and integrity as a professional.
• Integrate text/article readings, module notes, and one other scholarly article that support your responses to the discussion questions and solutions for enhancing moral courage.

1) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 6, 7, and 8 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

              Part 6: minimum 1 page

              Part 7: minimum 1 page

              Part 8: 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.

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: Community Nursing

There is a planned community health project to decrease the incidence of human papilloma virus (HPV).

1.  Who is/are the target population? Why?

2. What are some key factors to consider when planning an HPV prevention program?

Part 2:

 1. What is meditation? 

      a. Discuss the benefits of meditation? (mention at least 3).

2. Indicate any research study that support the benefits  of meditation 

3. Have you ever practiced meditation? (Yes)

      a . Discuss your experience? 

Part 3:

Families may encounter different types of crisis. 

1. Choose one of the family crisis discussed in your textbook and discuss it.

Part 4:

A nurse manager is reviewing occurrence reports of medical errors over the last six months. The nurse manager knows that medical errors are not the only indicator of quality of care. They are, however, a pervasive problem in the current health care system and one of the greatest threats to quality health care. The nurse manager is putting together a list of possible solutions to decrease the number of occurrences of medication errors.

1 Recognizing that health care errors affect at least one in every 10 patients around the world, the World Health Organization’s World Alliance for Patient Safety and the Collaborating Centre identified priority program areas related to patient safety. What are the patient safety program areas the nurse manager should consider for implementation?

2.Describe the Joint Commission 2017 National Patient Safety Goals for Hospitals.

3.Discuss the Institute of Medicine’s four-pronged approach to reducing medical mistakes? 

Part 5:

Often in practice, we connect the concept of spirituality with religion, but according to the readings in the text, (chap 15) there are differences.

1. How can nurses incorporate these two concepts (spirituality with religion) into your practice? 

         a. Give at least two examples.

2. Write one of the North American Nursing Diagnosis Association (NANDA) nursing diagnoses related to Sexuality and Intimacy 

       b. Develop two patient-specific interventions for the client.

Part 6:

As an advanced practice nurse, one can engage in activism in order to achieve desired policy changes at various levels including their own organization.

Answer the following questions;

1. Should nurses be unionized  ( yes or not) and why?

2. How does being unionized impact a workforce culture of safety?

3. Include one MSN Essential in your discussion that relates to this topic.

Part 7:

As an advanced practice nurse, one can engage in activism in order to achieve desired policy changes at various levels including their own organization.

Answer the following questions;

1. Should nurses be unionized  ( yes or not) and why?

2. How does being unionized impact a workforce culture of safety?

3. Include one MSN Essential in your discussion that relates to this topic.

Part 8:

As an advanced practice nurse, one can engage in activism in order to achieve desired policy changes at various levels including their own organization.

Answer the following questions;

1. Should nurses be unionized  ( yes or not) and why?

2. How does being unionized impact a workforce culture of safety?

3. Include one MSN Essential in your discussion that relates to this topic.

Responding to the peer discussions 

I have the question, grid and instructions uploaded. Please follow the guideline as requested so I can get a perfect mark. Thanks. If have further question on the assignment don’t hesitate to let me know. Thanks!

CASE STUDY #2 

Chief Complaint: “I have pain in my belly”

History of Present Illness (HPI): A 25-year-old female presents to the emergency room (ER) with complaints of severe abdominal pain for 2 weeks . The pain is sharp and crampy It hurts if I run, sit down hard, or if I have sex

PMH: Patient denies

Drug Hx: Birth control

Allergies: NKA

Subjective: Nausea and vomiting, Last menstrual period 5 days ago, New sexual partner about 2 months ago, No condoms, he hates them No pain, blood or difficulty with urination

Objective Data:

PE: B/P 138/90; temperature 99°F;  (RR) 20; (HR) 110, regular; oxygen saturation (PO2) 96%; pain 5/10 

General: acute distress and severe pain

HEENT: Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.

Lungs: CTA AP&L

Card:S1S2 without rub or gallop

Abd: INSPECTION: no masses or thrills noted; no discoloration and skin is warm to; no tattoos or piercings; abdomen is nondistended and round
• AUSCULTATION: bowel sounds (BS) are normal in all four quadrants, no bruits noted
• PALPATION: on palpation, abdomen is tender to touch in four quadrants; tenderness noted on light palpation, deep palpation reveals no masses, spleen and liver unremarkable
• PERCUSSION: tympany heard in all quadrants, no dullness noted in abdominal area

GU: • EXTERNAL: mature hair distribution; no external lesions on labia
• INTROITUS: slight green-gray discharge, no lesions
• VAGINAL: normal rugae; moderate amount of green discharge on vaginal walls
• CERVIX: nulliparous os with small amount of purulent discharge from os with positive cervical motion tenderness (CMT)
• UTERUS: ante-flexed, normal size, shape, and position
• ADNEXA: bilateral tenderness with fullness; both ovaries without masses
• RECTAL: deferred
• VAGINAL DISCHARGE: green in color

Ext: no cyanosis, clubbing or edema

Integument: intact without lesions masses or rashes

Neuro: No obvious deficits and CN grossly intact II-XII

Then answer the following questions:

1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms?
5. Give rationales for your each differential diagnosis.

–Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.