All posts by : chebby

Find a nursing research website and post the answers to the following questions:

• Title of the Website
• Purpose of the website.
• How would you use the information on the website?
• 500 words or more. 

The DNP scholar, who is seeking to learn more about the different types of inquiry, Research, Quality Improvement, and Evidence-based practice, will bridge the gap between knowledge, research, application, and translation of evidence to nursing practice. There will be interrelationships between nursing practice, education, theory, and research. A systematic review is an important tool for the DNP scholar who is seeking evidence (Polit & Beck, 2017). Dang & Dearholt inform us that systematic reviews utilize meta-synthesis and meta-analysis to analyze the results of several studies. Therefore, these two most reliable methods and the highest standards in evidence-based care could lead the DNP scholar; further determine the effects of nursing interventions, prevention, treatment, and rehabilitation. Case-controlled studies, case series, and case reports make the DNP do in depth research of individual units, which gives insight into the specific intervention. Cohort studies considered observational studies where the DNP scholar can be able to answer questions on the disease etiology, diagnosis, and prognosis except interventions. DNP scholar uses random control trials to measure the different interventions therefore make the best clinical decision on the outcome of each intervention. Critically appraised individual articles are less reliable however, it helps to assess the outcomes for evidence doing an individual study. Critically appraised topics help to understand the strength of evidence provided and creates an understanding on how to evaluate and synthesize multiple research studies. The least reliable evidence yet helpful for the DNP scholar is the ideas, opinions anecdotes, and editorials. It is crucial as a DNP scholar to understand the pyramid of evidence (all seven levels) and to identify the levels needed for their study. 

 I need a comment for this post at least 2 paragraphs and 2 sources no later than 5 years. 

Evaluating the Case Data

This week, you will construct details of a case study that will form the basis for a Nutritional Care Plan you will prepare over the coming weeks. Your Nutritional Care Plan will be due Week 10.

By the due date assigned, submit your case study in the form of a Word document; double spaced, in 12 pt. font, to the Submissions Area.

NTR2050 Course Project

Nutritional Care Plan

For this project, you will identify a case study and then develop a nutritional care plan for the client associated with that case. You should begin working on your project in advance of Week 5as you construct the details of your case. The completed nutritional care plan for your client is due in Week 10.

Please read this entire document to gain understanding of the project scope and those tasks you will complete. This project will take you several weeks to complete. Do not delay beginning the work on this project.

Project tasks to be completed in Week: 5

Task 1:

1. Choose from one of the following stages: pregnancy, infancy and childhood, adolescence, adulthood, and old age.
2. List the specific nutrition issues affecting individuals in your selected stage.

Task 2:

1. Choose a disease or medical condition that could possibly, or commonly, affect your individual. This could be anything ranging from diabetes to cirrhosis.
2. Using the ABCDs of nutritional assessment, create a case study based on an actual client or patient. You can also make one up. Include the following in your case study:
   1. Anthropometrics, relevant biochemical tests, clinical assessment, and dietary intake analysis.
3. Be sure to include a list of common medications that may be used to treat your patient’s condition and identify potential herb/nutrient/drug interactions that may be relevant.
4. Identify your client’s cultural background and give clues as to their socioeconomic status and psychosocial variables. For example, your patient may be a senior living alone on a fixed income or might be living in a nursing facility with reputed staff.

I NEED A RESPONSE TO THIS ASSIGNMENT

3 REFERENCES

William Thompson is a 38-year-old, African American, Catholic who was recently married to Luli Kim. He was a captain in the military during the Iraq war. William is a lawyer specializing in finance law and in jeopardy because of alcohol and PTSD related concerns. He became homeless when he was unable to pay his mortgage. The patient stated, hitting some hard times and needed to move back in with his brother and his brother’s wife. He also stated, they say I have PTSD but that’s another story. William is a marathon runner, plays soccer, enjoys listening to jazz, and is a novice modern art collector.

DSM-5 Criteria

According to the scenario given, the client William Thompson doesn’t have enough signs and symptoms nor enough information to officially diagnose him with PTSD.  According to the DSM 5 criteria requirement, a person being diagnosed with PTSD must have been exposed to actual or threatened death, serious injury, or sexual violence either directly or by experiencing. The traumatic event also needs to be a recurrent event, involuntary, and intrusive.  (DSM-5, 2020). Unfortunately our patient William Thompson does not meet those criteria-based on the information given and information available on patient clinical records.

Client Does Not Meet Criteria 

 As a future nurse practitioner, I will do the ethically right thing and not give my patient any diagnosis if they do not meet the criteria. I believe that labeling the patient based on family history and not on signs and symptoms is wrong. I will conduct a future mental health assessment of the patient to see what the right diagnoses are for the patient and how I can develop an effective treatment plan (Flanagan et al., 2016).

Goals of Treatment

 According to the Psychiatric Association’s practice guidelines for PTSD goals of treatment should include managing signs and symptoms; preventing Comorbid related symptoms such as depression, insomnia, substance abuse, and pain; improve functioning; improve the sense of trust and safety; protect against relapse; and transfer experience into a constructive plan of safety, prevention, and protection (Szafranski et al., 2017). The most important goal of treatment for the patient will include preventing him from committing suicide or hurting those around. The safe of the client and others should always be a priority (Flanagan et al., 2016).

Care plan Options

            As care providers, I will consider using psychotherapy with the client in conjunction with medication therapy that can manage signs and symptoms of depression, insomnia that might be preventing the client from completing his day today activities. Some medication that I will prescribe will include Zoloft to help with the mood and Ambien to help with insomnia, I will also make sure the client enroll in cognitive behavioral therapy (CBT).

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Retrieved from https://dsm-psychiatryonline-org.ezp.waldenulibrary.org/doi/full/10.1176/appi.books.9780890425596.dsm07

Flanagan, J. C., Korte, K. J., Killeen, T. K., & Back, S. E. (2016). Concurrent treatment of substance use and PTSD. Current psychiatry reports, 18(8), 70.

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press *Preface, pp. ix-x

Szafranski, D. D., Smith, B. N., Gros, D. F., & Resick, P. A. (2017). High rates of PTSD treatment dropout: A possible red herring?. Journal of Anxiety Disorders, 47, 91-98.

List 8  PROGRESS NOTES in SOAP format of the   Psychiatric Mental Health Nurse Practitioner Role  with  Child and Adolescents  . Describe the   activities you completed during this   time   period with patients.

NOTE: ( The progress notes has to be related with what the       Psychiatric Mental Health Nurse Practitioner do with Child and       adolescents with different psychiatric conditions). 8 different   notes     with different patients scenarios. 

Reply to this discussion post (site sources if applicable)

     The delivery of high-quality care is so important for nurses to achieve. In order to achieve these goals of improved patient outcomes, nurses must provide new and improved ideas to administration and leadership teams. If the idea is not strongly presented, changes will be hard to achieve. One weakness that I possess in professional presentations is public speaking. I do not enjoy public speaking at all and I struggle with standing in front of my peers and adults around the hospital that I work with. One method of improving this weakness is to practice. Practice makes progress and the only way I will get better and overcome my fear is to practice and improve. 

     One strength of my professional presentation is dedication and preparedness. I’m don’t wait until the last minute to start or finish my project and I hate procrastination. I come prepared and ready for anything. I will know my information that I am presenting and I will be prepared for any questions. Becoming a BSN student allows for the transformation into a leadership style of nursing and by focusing on self-awareness (Strickland, Cheshire & Neal, 2019). Using the skills that I have learned in this program, has made me a stronger and more confident nurse. These behaviors and skills acquired are critical in the workplace and to be able to present a topic of change in the formal setting.  

Assignment 2 Week 10 submission link by doing through GROUPS (same groups as week 4)

• You will be graded on this presentation: 
• 1) succinct detail of the graphic – graphic is clear and explained; 
• 2) concepts presented in precise detail; 
• 3) theoretical foundation presented in precise detail; 
• 4) implications of using the model are clearly presented; 
• 5) multiple scholarly sources are used; 
• 6) ‘right’ amount of time for presentation – not too long; 
• 7) clear articulation and pronunciation; and 
• 8) slides are well organized, appropriate and without spelling err

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

Every student must post just once during the time frame Discussion Forum is Open.

APA 6TH EDITION

2-3 REFERENCES NO OLDER THAN 5 YEARS

NO PLAGIARISM

350 WORD AT LEAST

Chapters 10, 11, and 12 of the Pozgar text each address a different area of practice within the healthcare environment. Identify the chapter that most closely applies to your personal area of practice (current or aspirational), read that chapter, and be prepared to explore the legal and ethical issues in that practice area.

• Chapter 10: Medical staff organization and malpractice
• Chapter 11: Nursing and the law
• Chapter 12: Hospital departments and allied professionals

Prompt: Based on the chapter you selected, your personal experience, ,  identify and analyze the legal and ethical issues specific to your area of practice.

Your analysis must be supported by at least 4 scholarly sources, including the textbook chapter(s) and the Bible, cited in current APA format.

Summary of the article must include the following:

· Why it is important to mental health nursing

· Key points

Discussion of how information from the article could be used in nursing practice (with examples) 

Conclusion should summarize overall findings of the articles and explain relevance to topic chosen.

Topic: SCHIZOPHRENIA