What are your thoughts about the debate regarding whether health care is a right or a privilege? How has the changing health care environment impacted your practice?
Submission Instructions:
(I need 2 different copies of this Assignment)
Discuss a personal nursing philosophy. Apply what you have learned about nursing theory in this course. Identify a nursing philosophy that best matches your personal philosophy. Discuss a nursing framework or theory that fits that philosophy including how it fits your personal philosophy. Identify a possible situation in which that framework or theory would be a poor fit and discuss why it is a poor fit for that situation. While it is an important skill to be able to match a theory with a situation, it is also critical to understand when a theory or framework does not fit a situation.
Expectations
See USU NUR Research Paper Rubric – MSN for additional details and point weighting.please use APA 6TH EDITION
BELOW IN INSTRUCTOR REMARKS
POST1
Professor Question
Thank you for your main post regarding success strategies as an online learner. You have noted the value of prioritizing as a time management skill. Are there other skills you can think of that might support you? With your comment regarding “perfection” – this can be a barrier to completing your assignments on time. How do you propose getting around this?
My Initial Post
Nursing education can be challenging. However, it is crucial for all learners to be willing to go through these challenges in order to gain new skills that will be of help in the practice setting. Most nurses find it hard to close the gap between theory and practice, especially for those who are newly transitioning into practice (Windey, 2017). In this discussion, I will present one strategy that has enabled me to become better when it comes to technology use over the years especially in as far as my education and profession are concerned. In both cases, I have mastered ways of maneuvering through different databases especially in nursing research. This has been very advantageous to both my academic progress as well as my practice. In nursing, research is inevitable especially if evidence has to be the basis of practice (Black et al., 2015). Optimizing on tools that are offered by different databases when searching for evidence or when doing an academic paper has allowed me to not only make good use of technology but also completing these activities in an effective manner.
I tend to take so much time before finishing some activities and this is because of the need to perfect what I do. This is good but I can make improvements on time management in order to be more efficient. One strategy that I should consider when it comes to time management is prioritizing. This is a strategy that I believe shall allow me to know what to do first before moving to the next thing. I should also consider the use of a rapid planning model and effective decision making depending on the prevailing circumstances and the tasks that need to be completed. As a student and practitioner, I have to capitalize on critical thinking especially in the making of decisions. This is always considered to be important for patient outcomes (Chen, Chen & Pai, 2019).
References
Black, A. T., Balneaves, L. G., Garossino, C., Puyat, J. H., & Qian, H. (2015). Promoting evidence-based practice through a research training program for point-of-care clinicians. The Journal of Nursing Administration, 45(1), 14
Chen, F. F., Chen, S. Y., & Pai, H. C. (2019). Self-reflection and critical thinking: The influence of professional qualifications on registered nurses. Contemporary nurse, 55(1), 59-70
Windey, M. (2017). Transition to Practice: Sharing Experiences and Insights. Journal for Nurses in Professional Development, 33(1), 42
POST 2
PROFESSOR QUESTION
I love learning about your mission to impact through social change the nursing profession. Your missing is to enhance and promote the dignity and respect for our wonderful profession. As you know, nurses are considered the “most trusted” profession. I know for myself, I have patients who rely on my as there main health care provider for a variety of issues, and typically will first check with me prior to make health care decisions…..and I am in a “specialty practice”.
Have you experienced any barriers to your mission? If so, what were your lessons learned?
Initial Post
Social change is one of the greatest focus that is presented in the mission and vision of Walden. Health professionals are prepared to be able to meet the current and emerging challenges in the health care delivery system. This standpoint by Walden is properly aligned with the AACN competencies. The competencies are related to different domains including patient care, knowledge and practice, practice-based learning and improvement, professionalism, interpersonal and communication skills, personal and professional development, interprofessional collaboration and systems-based practice. When health workers are properly prepared to meet the competencies in all these domains, it means that they are not only ready to handle the challenges in the health care industry but also that they are ready to bring the desired social changes in their areas of practice and to the nursing profession.
Nurses are considered to be agents of change (Rafferty, 2018). This is how see myself as I pursue my professional and career goals. One of the most important aspects of my individual nursing philosophies is that I should be able to use all the available tools in order to bring the necessary social changes as a nurse. One tool that is always appreciated as a tool for change in population health is advocacy. I believe in the power of good policies in bringing desirable changes in the health care industry. As such the standpoint by Walden on social change is something that I resonate with (Williams, Phillips & Koyama, 2018).
Thus, one of my professional goals is to continue to promote the respect and dignity of the nursing profession. A second professional goal is to make use of the current evidence to bring the best outcomes in my area of practice. The ability of evidence in influencing outcomes is a well-known relationship (Li, Cao & Zhu, 2019). From the two goals, it is clear that I have properly integrated Walden’s standpoint on social change in my professional goals.
References
Li, S., Cao, M., & Zhu, X. (2019). Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses—systematic review. Medicine, 98(39)
Rafferty, A. M. (2018). Nurses as change agents for a better future in health care: the politics of drift and dilution. Health Economics, Policy and Law, 13(3-4), 475-491.
Williams, S., Phillips, J., & Koyama, K. (2018). Nurse advocacy: Adopting a health in all policies approach. Online Journal of Issues in Nursing, 23(3)
4 pages
no plagiarism
Good references
A+ work
Write a 500-750-word essay on the Stages-of-Life and the influence of age in health care from a patient’s perspective. Interview a friend or family member about that person’s experiences with the health care system. You may develop your own list of questions.
Suggested questions:
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
1) Minimum 10 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)
Parts 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 5 pages
Part 4: minimum 1 page
Part 5: Minimum 1 page
Part 6: Minimum 1 page
Submit 1 document per part
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 (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:
A predominant theme in research and practice today is obesity, which is increasing at an alarming rate worldwide in all ages. As a future nurse practitioner:
1. How would you approach or discuss the topic of obesity and diet with your adult or geriatric patients?
2. What are the possible health consequences of obesity and what factors need to be taken into consideration when treating the obese patient who also has multiple comorbidities (e.g., hypertension, diabetes, high cholesterol)?
Part 2:
DERMATOLOGY CASE STUDY
Chief complaint: “ My right great toe has been hurting for about 2 months and now it’s itchy, swollen and yellow. I can’t wear closed shoes and I was fine until I started going to the gym”.
HPI: E.D a 38 -year-old Caucasian female presents to the clinic with complaint of pain, itching, inflammation, and “yellow” right great toe. She noticed that the toe was moderately itching after she took a shower at the gym. She did not pay much attention. About two weeks after the itching became intense and she applied Benadryl cream with only some relief. She continued going to the gym and noticed that the itching got worse and her toe nail started to change color. She also indicated that the toe got swollen, painful and turned completely yellow 2 weeks ago. She applied lotrimin AF cream and it did not help relief her symptoms. She has not tried other remedies.
Denies associated symptoms of fever and chills.
PMH: Diabetes Mellitus, type 2.
Surgeries: None
Allergies: Augmentin
Medication: Metformin 500mg PO BID.
Vaccination History: Immunization is up to date and she received her flu shot this year.
Social history: College graduate married and no children. She drinks 1 glass of red wine every night with dinner. She is a former smoker and quit 6 years ago.
Family history:Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, HTN.
ROS:
Constitutional: Negative for fever. Negative for chills.
Respiratory: No Shortness of breath. No Orthopnea
Cardiovascular: Regular rhythm.
Skin: Right great toe swollen, itchy, painful and discolored.
Psychiatric: No anxiety. No depression.
Physical examination:
Vital Signs
Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 130/70 T 98.0, P 88 R 22, non-labored
HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness.
NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.
LUNGS: No Crackles. Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress.
HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. 1+ pitting edema ankle bilaterally.
ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.
GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.
MUSCULOSKELETAL: Slow gait but steady. No Kyphosis.
SKIN: Right great toe with yellow-brown discoloration in the proximal nail plate. Marked periungual inflammation. + dryness. No pus. No neuro deficit.
PSYCH: Normal affect. Cooperative.
Labs: Hgb 13.2, Hct 38%, K+ 4.2, Na+138, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.
Assessment:
Primary Diagnosis: Proximal subungual onychomycosis
Differential Diagnosis: Irritant Contact Dermatitis, Lichen Planus, Nail Psoriasis
Special Lab:
Fungal culture confirms fungal infection.
As an NP student, you need to determine the medications for onychomycosis.
Questions:
1. According to the AAFP/CDC Guidelines, what antifungal medication(s) should this patient be prescribed, and for how long? Write her complete prescriptions using the prescription writing format in your textbook.
2. What labs for baseline and follow up of therapy would you order for this patient? Give rationale.
Part 3:
1. Create a case with the following information, include vital sign and explain in detail the case.
Name: YM
Gender: Female
Diagnosis: asthma
2. Make a diagnosis about the case
3. Explain the pathophysiology about asthma and the case
4. Indicate sign and symptoms about asthma and the case
5. Indicate diagnostic test about asthma and the case
6. Assessment technique used for making diagnosis about asthma and the case
7. Make 3 differential diagnosis about the case
Part 4:
following website and answer the following question.
Visit thehttps://nurse.org/resources/family-nurse-practitioner/
After reviewing the different setting in which Family Nurse Practitioners work.
1. What setting will be your career choice and why?
Part 5:
following website and answer the following question.
Visit thehttps://nurse.org/resources/family-nurse-practitioner/
After reviewing the different setting in which Family Nurse Practitioners work.
1. What setting will be your career choice and why?
Part 6:
Discuss at least 3 regulations impose in APRN in the state of Florida and would you like to change the process.
Review the following websites: https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf
American Association of Nurse Practitioners “Standards of Practice”
https://storage.aanp.org/www/documents/advocacy/position-papers/StandardsOfPractice.pdf
Please Essay about pathophysiology of the Arnold-Chiari ll malformation and Describe the clinical components of the Arnold-Chiari II malformation.
The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?
Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.
In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.
Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.
To Prepare:
The Assignment:
Only two questions 500 wordsAPA
instruction is in the attached document
