All posts by : chebby

PLEASE SEE ATTACHED

Due on 11/15/2020 @7pm EST

3 – 4 pages

APA FORMAT 

Minimum of 2 scholarly sources and provide links to the FULL article. Scholarly article journals must be in English.

Submit through Turnitin and provide a report

Detailed instructions attached.

The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care.

Write a paper (1,750-2,000 words) on cancer and approach to care based on the utilization of the nursing process. Include the following in your paper:

1. Describe the diagnosis and staging of cancer.

2. Describe at least three complications of cancer (Complications of cancer are caused by the cancer), the side effects of treatment, and methods to lessen physical and psychological effects.

3. Discuss what factors contribute to the yearly incidence and mortality rates of various cancers in Americans.

4. Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend and why?

5. Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care.

6. Discuss how undergraduate education in liberal arts and science studies contributes to the foundation of nursing knowledge and prepares nurses to work with patients utilizing the nursing process. Consider mathematics, social and physical sciences, and science studies as an interdisciplinary research area.

You are required to cite to a minimum of four sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. DO NOT USE AMERICA CANCER ASSOCIATION AS A SOURCE. 

Prepare this assignment according to the guidelines found in the APA Style Guide 7th edition. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite.  

Reference

Randall, J. (2018). Cellular and Immunological Complexities. Pathophysiology: Clinical Applications for Client Health. Grand Canyon University (Ed.). https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/4

Center for Disease Control and Prevention. (2020). What are the risk factors for skin cancer? U. S. Department of Health and Human Services. https://www.cdc.gov/cancer/skin/basic_info/risk_factors.htm

Perez, D., Kite, J., Dunlop, S. M., Cust, A. E., Goumas, C., Cotter, T., Walsberger, S. C., Dessaix, A., & Bauman, A. (2015). Exposure to the dark side of tanning skin cancer prevention mass media campaign and its association with tanning attitudes in New South Wales, Australia. Health Education Research, 30(2), 336–346. https://doi-org.lopes.idm.oclc.org/10.1093/her/cyv002

Hubert, R. J. & Vanmeter. K. C. (2018). Gould’s pathophysiology for the health professions (6th ed.). Saunders.

A barrier that causes concerns and prevents the application of evidence-based practice within a school setting is the lack of cooperation, noncompliance, and communication. This is a truth that corresponds when working with school professionals, parents, and children. When individuals have poor interest in applying practice that is relevant in the child’s health needs, it domino’s their school work, poor grades, high absences, frequent hospital or doctor visits. As well as financial burdens on working parents who have to take time out from work to care for their ill ones. School nurses are a vital part of a school team, they help identify and reduce health, safety, and social risk factors that affect school attendance. Research shows that almost 93% of absences are related to health issues (NASN, 2018). The health problems seen in the school setting are asthma, allergies, diabetes, obesity, seizure disorders, anxiety, and attention deficit disorder that are responsible for child chronic absenteeism. This is why it is important to eliminate barriers that interrupt the application of evidence-based practice. Creating a cohesive environment for the student both in school and at home, can help the child maintain wellness, and improve attendance, therefore their learning. A student with diabetes must be educated on the diagnosis, the causes for both low and high blood sugars, teach the signs and symptoms and the consequences of not having their insulin administered. Teaching also applies to those in direct care of the child, whether it is a para, social workers, teachers, and parents. 

Reference

National Association of School Nurses. (2018, June). School nurses: An integral member of the school team addressing chronic absenteeism (Position Statement).  https://www.nasn.org/advocacy/professional-practice-documents/position-statements/ps-absenteeism

reply2

Resistance to change has been an issue and a barrier in attempting to introduce evidence-based nursing practices. Unfortunately, there have been instances when employees were alerted to evidence-based practices which would ensure the patient’s health was not at risk, only to have a supervisor ignore the need. From past experiences, allowing staff to continue performing unsafe procedures was easier for the supervisor than addressing the situation. Therefore, having nurses fully engaged and willing to implement an evidence-based practice (EBP) is ineffective without a culture that supports it (Stillwell, Fineout-Overholt, Melnyk & Williamson, 2010).

     One of the first steps in addressing any issue begins with communication at the administrative level. This step is critical to avoid putting patient’s care at risk. All communication should be documented with examples of the evidence-based practice and changes needed for successful implementation. It is also important to remain diligent with follow-up meetings to ensure the issue is being addressed with steps outlined for resolution.

                                                                           Reference

Stillwell, S.B., Fineout-Overholt, E., Melnyk, B.M., Williamson, M. (2010). Evidence-Based Practice, Step by Step: Asking the Clinical Question. AJN The American Journal of Nursing: March 2010 – Volume 110 – Issue 3 – p 58-61. doi: 10.1097/01.NAJ.0000368959.11129.79

Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy. Describe the legislation and what was accomplished. What additional steps need to be taken to continue advocacy for this issue?

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

1. Title page
2. Introduction section
3. A comparison of research questions
4. A comparison of sample populations
5. A comparison of the limitations of the study
6. A conclusion section, incorporating recommendations for further research

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Instructions

For this assignment, please identify an ethnically or culturally diverse restaurant, business (market, shop, or store), or place of worship in their community that serves a group of people different from their own upbringing and heritage.

• Engage respectfully with the organization—for example, you could eat a meal, shop for goods, or attend a worship/religious activity.
• Informally talk to the business owner/religious leader, employees, and/or people at the location to find out more about the group of people the organization typically serves. For example, if you choose a restaurant, ask the server about the food being served, how the food is prepared, how to eat it, to what extent is the real authentic/traditional to the culture, and what mealtime is like for that culture; seek to understand more about this group that is different from you. Consider a visit to a restaurant during non-peak meal times for the least disruption. If you choose a business or place of worship, proceed in a similar, respectful manner. Consider carrying out this activity with classmates or with family/friends.
• After completing this part of the assignment, develop a 2-page reflection paper (approximately 500 words) on your experiences. The paper should include the following:
  • A description of your initial reactions/feelings about the setting
  • A description of what you learned about members of your community who are different from you
  • Then identify 1-2 additional things you would like to know about this community/population
  • A description of what you learned about yourself during the experience
  • A discussion of what you learned and experienced in this activity relates to public health nurses and public health nursing practice
• Submit the completed paper to this assignment dropbox.

Rubric

1. Discussion Question: Write a discussion summarizing the difference between infective endocarditis and rheumatic fever. Include cause, effects, possible complications, and prevention.
2. APA Style
3. 3 paragraphs of 3 sentences each
4. 2 references not older than 2015

1) Minimum 6  full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 3 pages

              Part 2: minimum 3 pages

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 5 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:  Oregon Medicaid Reforms (See sample)

Oregon Medicaid Reform

The purpose of this assignment is to familiarize students with health reform strategies adopted by states. Students will select a state health policy reform innovation and describe the rationale, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact 

Oregon Medicaid Reform

Include (Mandatory):

1.   Rationale 

2.  Adoption of the Reform

3. Funding Plan

4.  Impacts

Part 2:  llinois Medicaid Reform (See sample)

Illinois Medicaid Reform

The purpose of this assignment is to familiarize students with health reform strategies adopted by states. Students will select a state health policy reform innovation and describe the rationale, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact 

Illinois Medicaid Reform

Include (Mandatory):

1.   Rationale 

2.  Adoption of the Reform

3. Funding Plan

4.  Impacts

CASE STUDY

C.C is a nurse practitioner working in a small private high school. She provides comprehensive care to the students and staff at the school. She coordinates the health education program of the school and consults with the administration to identify the educational and health promotion needs of the population.

She works in a Catholic high school. She meets resistance about providing health education about some of the topics typically taught to the adolescent age group. Substance abuse prevention; HIV, AIDS, and sexually transmitted disease prevention; and pregnancy prevention are topics that are highly controversial at her school. However, C.C. realizes that it is imperative that she reach the teens about these difficult topics.

Case Study 1 – Health Promotion in Adolescent  

C.C is a nurse practitioner working in a catholic high school providing comprehensive care to both the students and faculty. She also coordinates the school’s health education program and consults the faculty to identify specific health promotion and educational needs of this population. However, she is met with resistance when it comes to teaching certain controversial topics. These topics include sexually transmitted diseases, HIV/AIDS, substance abuse prevention, and pregnancy prevention. C.C understands that she must educate these students because the decisions that they make now may have lifelong consequences.  

Due to their rapidly evolving physical, emotional, and intellectual development, adolescents care can be more challenging than adult or children (Salam, Das, Lassi, & Bhutta, 2016). In order to promote heath for this age group one must educate them on a variety of different topics. The important topics for this age group include sexual and reproductive health, nutrition promotion, immunizations, substance abuse prevention, violence prevention, mental health, and prevention of unintentional injuries and accidents (Salam et al., 2016). A nurse practitioners’ objective for this group will be to provide holistic care and education.  

The first recommended health visit is for adolescents between ages 11-14 (” Adolescence,” 2020). The second recommended health visit is for those within the ages of 15-17 (” Adolescence,” 2020). The final recommended health visit is for those within the ages 18-21 (” Adolescence,” 2020). All three age groups require the same topics to be addressed during their health visits, however they may be prioritized by the individual need of each patient. Those topics include their emotional wellbeing, physical growth and development, risk reduction, safety, and their social determinants of health (” Adolescence,” 2020).    

Adolescence spend a lot of time away from home and often eat foods that are convenient typically consisting foods high in calories and sugar (” Adolescence,” 2020). Therefore, it is not unusual for them to skip meals and only snack. Adolescence also care a great deal about their body image. To initiate this conversation, I would ask the patient the following questions. How do you feel about the way you look? Do you feel like you weigh too little or too much? Are you teased about your weight? Are you doing anything to change your weight? Treatment for someone with an eating disorder warrants a multidisciplinary approach involving a primary provider, a nutritionist, and mental health professional (Walsh, Wheat, & Freund, 2000). Psychotherapy for the patient and for their family is an important intervention (Walsh et al., 2000). Depending on the severity of the patients eating disorder medical intervention may also be necessary.  

Adolescence experience a lot of new biological and physical changes during this time. Boys begin to go through puberty and girls start menstruation. During this time, they also see a growth spurt, some not as much as others due to biological factors. Both sexes begin to notice hair growth on different parts of their bodies. Violence among this age group is also very prevalent. Studies show homicides to be the number four cause of death for people between the ages of 10 and 29 (Golshiri, Farajzadegan, Tavakoli, & Heidari, 2018). Additionally, they may experience violence at school or at home from fighting or being bullied (Golshiri et al., 2018). As healthcare providers we must ensure that these adolescences are growing up in a safe environment. As a means of prevention, we can teach them to resolve conflict without violence, avoid risky situations, healthy dating behaviors, and to confide in their parents, teachers, and healthcare providers.  

References 

Adolescence Visits 11 Through 21 Years. (2020). Retrieved from https://brightfutures.aap.org/Bright%20Futures%20Documents/BF4_AdolescenceVisits.pdf (Links to an external site.) 

Golshiri, P., Farajzadegan, Z., Tavakoli, A., & Heidari, K. (2018). Youth Violence and Related Risk Factors: A Cross-sectional Study in 2800 Adolescents. Advanced biomedical research, 7, 138. https://doi.org/10.4103/abr.abr_137_18 

Salam, R. A., Das, J. K., Lassi, Z. S., & Bhutta, Z. A. (2016). Adolescent Health Interventions: Conclusions, Evidence Gaps, and Research Priorities. The Journal of adolescent health: official publication of the Society for Adolescent Medicine, 59(4S), S88–S92. https://doi.org/10.1016/j.jadohealth.2016.05.006 

Walsh, J. M., Wheat, M. E., & Freund, K. (2000). Detection, evaluation, and treatment of eating disorders the role of the primary care physician. Journal of general internal medicine, 15(8), 577–590. https://doi.org/10.1046/j.1525-1497.2000.02439.x