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Incorporate health outcomes of the health promotion, detection of disease and disease prevention.  Organize an interdisciplinary plan of care for your client and the delivery of safe and effective care. Choose a patient, a gender, a medical condition and a situation of patient condition and their disease process and apply standards that are evidenced based which help support for the protection of your client.  

Incorporate concepts from Care of the Aging weekly powerpoints and the book-Gerontological Nursing and Healthy Aging (Toughy & Jett, 2018).

Paper should be 3 pages not including title and reference page.  

Paper should follow APA guidelines with a minimum of 5 references within 5 year span.sic

Module 11 Discussion – Reflection

Initial Post

Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency.

Describe how this new knowledge will impact your nursing practice.

Course Competencies

1. Explain principles of care for clients with oncological disorders.
2. Identify components of safe and effective nursing care for clients experiencing fluid and electrolyte imbalances.
3. Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.
4. Select appropriate nursing interventions for clients with upper gastrointestinal disorders.
5. Select appropriate nursing interventions for clients with lower gastrointestinal disorders.
6. Evaluate responses to nursing interventions for clients with endocrine disorders.

The benefits, concerns, and challenges of a systems approach offers the practice scholar several ways to view a health problem. Select a practice problem within your unique setting and consider the following.

1-Describe the selected problem from two of the three systems levels (micro-, meso-, and macro).

2-Explain how the outcomes of one system level effect the other level?

3-How is a systems approach beneficial in improving healthcare quality and safety?

Please answer these questions separated and use at least 3 sources no later than 5 years.

 
Discuss medications to treat GERD. What specifically should patients be taught about these medications to prevent adverse side effects?

An understanding of the neurological and musculoskeletal systems is a critically important component of disease and disorder diagnosis and treatment. This importance is magnified by the impact that that these two systems can have on each other. A variety of factors and circumstances affecting the emergence and severity of issues in one system can also have a role in the performance of the other.

Effective analysis often requires an understanding that goes beyond these systems and their mutual impact. For example, patient characteristics such as racial and ethnic variables can play a role.

An understanding of the symptoms of alterations in neurological and musculoskeletal systems is a critical step in diagnosis and treatment. For APRNs this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

You will be assigned to a specific case study scenario for this Case Study Assignment.

Assignment (2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

· Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.

· Any racial/ethnic variables that may impact physiological functioning.

· How these processes interact to affect the patient?

Case Study:

A 58-year-old obese white male presents to ED with a chief complaint of fever, chills, pain, and swelling in the right great toe. He states the symptoms came on very suddenly and he cannot put any weight on his foot. Physical exam reveals exquisite pain on any attempt to assess the right first metatarsophalangeal (MTP) joint. Past medical history positive for hypertension and Type II diabetes mellitus. Current medications include hydrochlorothiazide 50 mg PO q am, and metformin 500 mg po bid. CBC normal except for elevated sedimentation rate (ESR) of 33 mm/hr and C-reactive protein (CRP) 24 mg/L. Metabolic panel normal. Uric acid level 6.7 mg/dl.

Elements of Malpractice

There is a need to understand that malpractice is one of the legal issues that face nurse practitioners. Therefore, it is essential to understand the elements of malpractice to avoid legal problems in the future. There are four malpractice elements: the duty, breach of duty, damages, and causation. There is a need to ensure that nurses adopt several measures that prevent them from malpractice claims. These are such as documenting, educating patients, and ensuring that there is consent from patients.

One of the elements of malpractice in nursing is the duty of care. The element of duty of care means that as a nurse, one is obligated to act to eliminates breach of duty to protect the patient (Cypher, 2020). Therefore, if a patient presents themselves to a nurse, they should be treated in a manner that uplifts their health. A good example of a breach of duty of care in nursing is whereby the nurse does not provide a safe environment for the patients, thus getting injured. The patient may claim that the nurse failed to provide a duty of care to them.

The second element of malpractice in nursing is the breach of duty. It is essential to understand that nurses have several duties assigned to them. As a result, they need to ensure that they regularly address their duties to promote their patients’ safety and health. However, in cases where the nurse fails to undertake their specific responsibility, they may breach their duty. An example of a breach of duty in nursing is ensuring that the bed rails are up. This is to prevent patients from falling. However, if the nurse fails to have the bed rails up, and the patient falls and gets injured, the nurse may breach duty.

The third element of malpractice in nursing is that of damages. There is a need to understand that damages refer to the injuries or any financial repercussions that the patient may have incurred (Cypher, 2020). There is a need to understand that in cases of malpractice, patients may experience damages. Therefore, there is a need to ensure that patients claim damages as a remedy. A good example of nursing malpractice damage is when the patient falls from their bed because the rails were not up as required, and they suffer injuries. The patient may need to be compensated for injures acquired, and this is referred to as damages in nursing malpractice.

References

Brous, E. (2020). The Elements of a Nursing Malpractice Case, Part 3B: Causation. AJN The American Journal of Nursing, 120(1), 63-66.

Catalano, L. A., & Werdman, E. (2017). Avoiding legal risks in critical care nursing. Nursing2020 Critical Care, 12(4), 30-35.

Cypher, R. L. (2020). Demystifying the 4 Elements of Negligence. The Journal of Perinatal & Neonatal Nursing, 34(2), 108-109.

Attached is my discussion and assignment, please follow the attached rubric and 7th edition APA format, must have 3 references and more to get my grades

 Do you believe you have the traits to be an effective leader? Perhaps you are already in a supervisory role, but as has been discussed previously, the appointment does not guarantee leadership skills.

How can you evaluate your own leadership skills and behaviors? You can start by analyzing your performance in specific areas of leadership. In this Discussion, you will complete Gallup’s StrengthsFinder assessment. This assessment will identify your personal strengths, which have been shown to improve motivation, engagement, and academic self-conference. Through this assessment, you will discover your top five themes—which you can reflect upon and use to leverage your talents for optimal success and examine how the results relate to your leadership traits.

Post a brief description of your results from the StrengthsFinder assessment. Then, briefly describe two core values, two strengths, and two characteristics that you would like to strengthen based on the results of your StrengthsFinder assessment. Be specific.

Making recommendations on how you might strengthen the leadership behaviors profiled in your StrengthsFinder assessment, or by commenting on the lessons learned from the results that can be applied to personal leadership philosophies and behaviors.

 The work is about  disorders of hormonal regulation.  The following questions need to be discussed with your classmates. APA stile 4 pages minimum 10 references  2 for each question. due next Tuesday October 6. please follow the instruction carefully.

1. A patient having renal surgery suddenly develops massive hypertension and dies during surgery. An autopsy shows the presence of a pheochromocytoma. In your own words, explain how this incident might have happened, provide ten (10) bulleted points.
2. Your favorite cousin, who is 20 years old, has just been diagnosed with type 2 diabetes. He is overweight and spends most of his time playing computer games or watching television. He asks you what he should do to take care of his diabetes. As a health professional, provide ten (10) bulleted points on the advice will you give him?
3.  Your patient has just been diagnosed with SIADH. His mother is asking you what this condition is and what she should expect next. Kindly provide ten (10) bulleted points regarding what you will tell her?
4. Your patient has been admitted to the hospital in preparation for a subtotal removal of her thyroid gland to reverse her hyperthyroidism. She suddenly develops thyroid storm. What manifestations will you find? Please list at least five (5) and what is the pathophysiologic basis of thyroid storm?

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The culminating argument paper is a restructuring of the first two papers with the addition of an abstract, introduction, and conclusion.

• This paper should include a newly composed introductory section and a new final conclusion section that presents your discussion of (and argument for) the solution. Your argument, or rationale, for the solution that you propose is the focus of this paper.

Your paper must:

• Be 15–20 pages in length
  • Title page (1 page)
  • Introduction (1–2 pages)
  • Reworked informative papers (10–15 pages)
  • Conclusion (1–2 pages)
  • References (1–2 pages)
• Reference 12–15 scholarly, peer-reviewed resources (compiled by combining all of the references from your Perspective of Inquiry papers and any additional resources you use in this final paper.)
• Follow all APA Style guidelines.
• Is over the two papers I’m uploading that you make into one big paper of the four perspectives of the topic of patient satisfaction in the ED.