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Attention Wizard Kim 

Please be careful with week 6 Discussion/Assignment. Don’t Mix it up. Separate discussion different for assignment part. 

Week 6 Discussion Part: Time Series in Health care 2 pages . 

Week 6 Assignment Part: Time Series Analysis for BLAYER PHARM (5 pages) APA format 7th Ed.

Week 6 Rubrics 

write an essay the history of nursing.

 Please follow the instruction

Zero plagiarism

4 references

Although experiential therapy and narrative  therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, you compare Experiential and Narrative Family Therapy.

Learning Objectives

Students will:

• Compare experiential family therapy to narrative family therapy
• Justify recommendations for family therapy

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide on experiential and family therapies.

The Assignment

In a 2- to 3-page paper, address the following: 

• Summarize the key points of both experiential family therapy and narrative family therapy. 
• Compare experiential family therapy to narrative family therapy, noting the strengths and weakness of each.
• Provide a description of a family that you think experiential family therapy would be appropriate, explain why, and justify your response using the Learning Resources. 

Note: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided by the Walden Writing Center provides examples of those required elements (available at  http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Part 2: Family Genogram

Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).

Health Care Delivery Models and Nursing Practice

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to a minimum of three 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.  

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. 

Should parents be required by law to vaccinate their children 

Mrs. Smith was a 73-year-old widow who lived alone with no significant social support. She had been suffering from emphysema for several years and had had frequent hospitalizations for respiratory problems. On the last hospital admission, her pneumonia quickly progressed to organ failure. Death appeared to be imminent, and she went in and out of consciousness, alone in her hospital room. The medical-surgical nursing staff and the nurse manager focused on making Mrs. Smith’s end-of-life period as comfortable as possible. Upon consultation with the vice president for nursing, the nurse manager and the unit staff nurses decided against moving Mrs. Smith to the palliative care unit, although considered more economical, because of the need to protect and nurture her because she was already experiencing signs and symptoms of the dying process. Nurses were prompted by an article they read on human caring as the “language of nursing practice” (Turkel, Ray, & Kornblatt, 2012) in their weekly caring practice meetings.

The nurse manager reorganized patient assignments. She felt that the newly assigned clinical nurse leader who was working between both the medical and surgical units could provide direct nurse caring and coordination at the point of care (Sherman, 2012). Over the next few hours, the clinical nurse leader and a staff member who had volunteered her assistance provided personal care for Mrs. Smith. The clinical nurse leader asked the nurse manager whether there was a possibility that Mrs. Smith had any close friends who could “be there” for her in her final moments. One friend was discovered and came to say goodbye to Mrs. Smith. With help from her team, the clinical nurse leader turned, bathed, and suctioned Mrs. Smith. She spoke quietly, prayed, and sang hymns softly in Mrs. Smith’s room, creating a peaceful environment that expressed compassion and a deep sense of caring for her. The nurse manager and nursing unit staff were calmed and their “hearts awakened” by the personal caring that the clinical nurse leader and the volunteer nurse provided. Mrs. Smith died with caring persons at her bedside, and all members of the unit staff felt comforted that she had not died alone.

Davidson, Ray, and Turkel (2011) note that caring is complex, and caring science includes the art of practice, “an aesthetic which illuminates the beauty of the dynamic nurse-patient relationship, that makes possible authentic spiritual-ethical choices for transformation—healing, health, well-being, and a peaceful death” (p. xxiv). As the clinical nurse leader and the nursing staff in this situation engaged in caring practice that focused on the well-being of the patient, they simultaneously created a caring-healing environment that contributed to the well-being of the whole—the emotional atmosphere of the unit, the ability of the clinical nurse leader and staff nurses to practice caringly and competently, and the quality of care the staff were able to provide to other patients. The bureaucratic nature of the hospital included leadership and management systems that conferred power, authority, and control to the nurse manager, the clinical nurse leader, and the nursing staff in partnership with the vice president for nursing. The actions of the nursing administration, clinical nurse leader, and staff reflected values and beliefs, attitudes, and behaviors about the nursing care they would provide, how they would use technology, and how they would deal with human relationships. The ethical and spiritual choice making of the whole staff and the way they communicated their values both reflected and created a caring community in the workplace culture of the hospital unit.

Critical thinking activities

Based on this case study, consider the following questions.

1. What caring behaviors prompted the nurse manager to assign the clinical nurse leader to engage in direct caring for Mrs. Smith? Describe the clinical nurse leader role established by the American Association of Colleges of Nursing in 2004.
2. What issues (ethical, spiritual, legal, social-cultural, economic, and physical) from the structure of the theory of bureaucratic caring influenced this situation? Discuss end-of-life issues in relation to the theory.
3. How did the nurse manager balance these issues? What considerations went into her decision making? Discuss the role and the value of the clinical nurse leader on nursing units. What is the difference between the nurse manager and the clinical nurse leader in terms of caring practice in complex hospital care settings? How does a clinical nurse leader fit into the theory of bureaucratic caring for implementation of a caring practice?
4. What interrelationships are evident between persons in this environment—that is, how were the vice president for nursing, nurse manager, clinical nurse leader, staff, and patient connected in this situation? Compare and contrast the traditional nursing process with Turkel, Ray, and Kornblatt’s (2012) language of caring practice within the theory of bureaucratic caring 

• Describe a beneficial use for bacteria of the microbiome in treating disease. These answers can vary and may be experimental. Use some outside library resources like CINAHL Plus with Full Text or NCBI.gov to find these unique viral applications. Entries should include an overview of the viral application and the benefit to patient health or society.
• Also include any complications with this strategy preventing its immediate application.

Please be sure to validate your opinions and ideas with citations and references in APA format.

This should be between 300-500 words

See attachments below this assignment has a template 

Week 5

This week discussion involves a 37-year-old European female seen in the clinic for frequent and watery bowel movements for three days.  The patient has no prior medical history besides an appendectomy at the age of 14. Blood pressure is elevated, and she denies taking any home medications.  There can be many causes that leads up to loose stools.  Your diet, medications, chronic conditions, etc. Loose stools often occur after eating but can also happen at other points in the day. When loose stools occur consecutively on multiple occasions throughout a day, this is described as diarrhea.

This female appears normal and overall healthy.  Sometimes, the body can have problems digesting certain types of sugars, such as  alcohol and lactose (Rhodes, 2021). The subjective data that I would obtain will be: Prior to the three days, how often do you have bowel movements? What form did the bowel movements appear, for example, hard, soft, formed or loose? What did you eat differently this week than normal? Did you take any over the counter medications? If so, what did you take?

            The objective findings that I would look for is already displayed in assessment such as good skin turgor, active bowel sounds, moist mucus membranes, no cyanosis, etc. The diagnosis test that I would order will be a KUB, A kidney, ureter, and bladder (KUB) X-ray may be performed to assess the abdominal area for causes of abdominal pain, or to assess the organs and structures of the urinary and/or gastrointestinal (GI) system.  A stool sample will be collected to test for bacterium or parasite.

Furthermore, the diagnosis that the patient can possibly have is irritable bowel syndrome (IBS), ulcerative colitis or food poisoning. IBS occurs when a properly functioning immune system attacks foreign organisms, such as viruses and bacteria, to protect the body. The cause is unknown. To rule out IBS, combination of endoscopy or colonoscopy, and imaging studies, such as contrast radiography, magnetic resonance imaging (MRI), or computed tomography (CT) will be used (CDC, 2014).

 Chronic causes of colitis include inflammatory bowel diseases like ulcerative colitis and Crohn’s disease.  Ulcerative colitis (UC) is a chronic condition causing inflammation in the colon and rectum. People with UC often experience loose stools and diarrhea. Other symptoms of UC include abdominal pain, frequent bowel movements, fatigue, appetite and weight loss. While ulcerative colitis is not caused by the foods you eat, you may find that once you have the disease, particular foods can aggravate the symptoms. It’s important to maintain a healthy and soothing diet that helps reduce your symptoms, replace lost nutrients, and promote healing (CDC, 2014). Loose stools can also be caused by diets high in alcohol rich and spicy foods, coffee and magnesium.

Food poisoning invades the body with Viruses, bacteria or parasites can cause inflammation in the stomach and intestines. This can cause loose stools and diarrhea, along with other symptoms including abdominal pain, vomiting, and nausea (Kornbluth, 2010). When someone is assessed with frequent diarrhea, we tend to draw labs and evaluate their electrolytes to ensure nothing is abnormal. If hospitalized, fluids will be administered. Broad spectrum antibiotics will be started, and blood cultures will be obtained.   

References:

   Kornbluth A, Sachar DB; Practice Parameters Committee of the American College of Gastroenterology. Ulcerative colitis practice guidelines in adults: American College Of Gastroenterology, Practice Parameters Committee. Am J Gastroenterol. 2010 Mar;105(3):501-23. http://gi.org/guideline/ulcerative-colitis-in-adults/external icon

            Rhoads, J., & Wiggins Petersen, S. (2021). Advanced Health Assessment and Diagnostic Reasoning. Burlington, MA: Jones and Bartlett Learning. ISBN: 9781284105377

The Facts About Inflammatory Bowel Diseases. New York, NY: Crohn’s and Colitis Foundation of America; center for disease control ( CDC)  2014 .http://www.crohnscolitisfoundation.org/assets/pdfs/updatedibdfactbook.pdf pdf icon[PDF-2.32MB]external icon.

 APA Style less than 10 % similarity

You are a school nurse in a middle school when Jamal comes to the nurse’s office requesting medication for a headache. You notice that his eyes are red, and it appears as if he has been crying. You ask if he is hurt, but he denies it. The phone rings in the office, and a teacher tells you that a female student has approached her concerned about Jamal. The teacher tells you that Jamal sent her a text message saying that he flunked his biology examination and wished he was dead.

1. If Jamal shared with you a suicide plan that includes harming himself with a weapon, what would be your first nursing intervention? Why? (Explain your answer).