iscussion
Dorothy is a 26-year-old woman who is 5 months pregnant with her third child. She and her two older children—Alice aged 6 years and Tom aged 3 years—are currently living in a shelter after leaving her abusive husband. At her visit, she tells the nurse this is her first prenatal visit. She also lets the nurse know that she has seldom seen the doctor or taken the children for well visits.
What are some immediate issues?
What are some short-term goals?
What are some long-term goals?
Compare and Contrast Delirium vs Dementia
Purpose
The purpose of this assignment is for learners to:
Improve their knowledge base and understanding of disease processes in Neurology
Have the opportunity to integrate knowledge and skills learned throughout all core courses in the FNP track and previous clinical courses.
Demonstrate the ability to analyze the literature be able to perform an evidenced-based review of disease presentation, diagnosis and treatment.
Demonstrate professional communication and leadership, while advancing the education of peers.
Demonstrate the ability to take information from assigned readings and translate it into the way you would describe it to a patient or family member in your own words.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
Interpret subjective and objective data to develop appropriate diagnoses and evidence based management plans for patients and families with complex or multiple diagnoses across the lifespan. (CO 1)
Develop management plans based on current scientific evidence and national guidelines. (CO 4)
Requirements:
For Week 1 of the course there is no case study given to you by the Faculty. Instead you will be assigned two diseases to compare and contrast based on the first letter of your last name. This information will be posted in the Course Announcements under Week 1 Welcome as well as the ""Assignment"" portion of the Week 1 module and will change every session.
A comparison and contrast assignment's focus is to identify and explore similarities and differences between two similar diseases. The goal of this exploration is to bring about a better understanding of both diseases.
You will research the two areas of content assigned to you and compare and contrast them in a discussion post. NOTE: A comparison and contrast assignment is not about listing the info regarding each disease separately but rather looking at each disease side by side and discussing the similarities and differences given the categories below. Consider how each patient would actually present to the office. Paint a picture of how that patient would look, act, what story they would tell. Consider how their history would affect their diagnosis, etc. Evaluation of mastery is focused on the student's ability to demonstrate specific understanding of how the diagnoses differ and relate to one another. Address the following topics below in your own words:
Presentation
Pathophysiology
Assessment
Diagnosis
Treatment
Compare and contrast the following diagnoses as assigned:
Student Last Name -Topic
(Find the corresponding first letter of your last name to find your topic assignment for this discussion)
F-J - Dementia and Delirium
**To see view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric.
Post contributes unique perspectives/insights applicable to the identified diseases. Demonstrates course knowledge by thorough, thoughtful, specific, evidence-based discussion of similarities and differences between assigned diseases in reference to:
• Presentation (demographics, onset of symptoms, associated risk factors)
• Pathophysiology (knowledge demonstrated in original dialogue)
• Assessment (physical assessment, diagnostic testing)
• Diagnosis
• Treatment
Evidence Based References
Discussion post supported by evidence from appropriate sources published within the last five years. Focus of journal articles represents a logical link between the article content and the case study information. In-text citations and full references are provided.
Practicum – Assessing Client Family Progress
A 14 year old male African American came in with his mum. He was alert and oriented x3. He was dressed appropriately for the weather and was observed as being hyperactive, restless and irritable. He exhibits symptoms of agitation, feeling of worthlessness, worry, and lack of focus and concentration. Client denies suicidal or homicide ideations, no drug or alcohol abuse, he never been arrested and is not involved in gang activity. He further denies any physical, sexual, or emotional abuse, had never been arrested, and is not involved in gang activity. He further denies any physical sexual or emotional abuse . Client reported that he had an altercation with his mother concerning his disrespected behavior towards her because he rejects any authoritative control and engaged in a disruptive altercation with his mother . He subquently left the home seeking the local police for assistance
Diagnosis:
Adjustment disorder with mixed anxiety and depressed mood
Assignment
Part 1: Progress Note
Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following:
Treatment modality used and efficacy of approach
Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals)
Modification(s) of the treatment plan that were made based on progress/lack of progress
Clinical impressions regarding diagnosis and or symptoms
Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job)
Safety issues
Clinical emergencies/actions taken
Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them
Treatment compliance/lack of compliance
Clinical consultations
Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists)
The therapist’s recommendations, including whether the client agreed to the recommendations
Referrals made/reasons for making referrals
Termination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
Issues related to consent and/or informed consent for treatment
Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
Information reflecting the therapist’s exercise of clinical judgment
Note: Be sure to exclude any information that should not be found in a discoverable progress note.
Part 2: Privileged Note
Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment.
In your progress note, address the following:
Include items that you would not typically include in a note as part of the clinical record.
Explain why the items you included in the privileged note would not be included in the client family’s progress note.
Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why.
Discussion
The Role of the RN/APRN in Policy-Making,"This is a discussion. Please make sure it is understandable when read
The Role of the RN/APRN in Policy-Making
Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.
What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?
Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.
Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.
Resources:
Advocacy
https://www.nursingworld.org/practice-policy/advocacy/
Evaluating Policy Implementation
https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf
Congress
https://www.congress.gov/
Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.
By Day 3 of Week 8
Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.
300-350 words. in text citations. 3 references within last 5 years
Nursing Concepts Of Teaching & Learning Discussion
Post your initial response to the topic below.
Formative and Summative Learning Assessment
a. Create a teaching scenario (Nursing) that includes formative and summative learning assessments.
b. Discuss how you would communicate your findings with the learner.
c. Provide examples of positive vs discouraging learner feedback.
NURSING LEADERSHIP & MANAGEMENT
1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system?
2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome?
3. How does technology improve patient outcomes and the health-care system?
4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside?
2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •
What does the organization/agency do that supports the hallmarks of quality? •
What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •
How has the organization/agency affected facilities where you are practicing and your own professional practice?
Reply to discussion post
Nursing is a challenging profession, adapting and overcoming changes, implementations and handling difficult situations. The “annual rate of violent victimization for nurses and physicians was 8.1 and 10.1, respectively, per 1,000 workers compared with 5.1 for all occupations” (Copeland, 2017). Every day nurses, doctors, and health care providers are abused in some way and I want it to stop. I was inspired by this project idea from a recent situation of workplace violence. Actually, for the last few months, I have been faced with difficult situations including confrontation, being yelled at, and called terrible names that no one should deal with, all while just trying to do my job. The most recent situation that I was involved in was where I was verbally abused and yelled at and no actions were taken but giving in to the patient's unruly behaviors. Luckily my shift was over after an hour of dealing with a packed Emergency Department with over 20 patients in the lobby and no beds available for this patient. We were attempting to get her evaluated and then moved to a bed in the Emergency Department. I want to feel safe and protected at work and I don’t want to fear going into work. My initial project idea was to have a zero-tolerance policy and have these patients in any shape or form taken off hospital grounds and I know this sounds cruel but the violence has to stop. This idea seemed doable at the time but due to multiple issues, patients cannot be removed from a hospital if medical care is needed. I have learned that workplace violence has to be taken seriously and professionally. With the current research that I have collected, policy assessments and current policies in place; I have learned that a policy is only a guide and that real-life situations/scenarios happen. My intent now is to revise current policies in place, add educational tools and training and improve our “Code Grey” response with inter collaboration. These changes may be minor but if I can help save one health care provider’s life, the fight will be worth it
Sampling Methods
Create an original posting with a minimum of 250-300 words.
Back up your arguments with reliable evidence.
Sampling Methods
Instructions:
Please find an experimental or quasi-experimental or descriptive article you wild like to use for the article critique assignment. Make sure it is from a nursing journal and is not older than five years. on a topic of your interest.
Review the article and provide a summary of the article, and answer the following questions:
Discuss whether you think the article is true-experimental, quasi-experimental, or no experimental. You must also state what type of quantitative design (descriptive, correlational, etc.)
Where was the setting of the study?
What are the sampling methods? Does the sample reflect the population (representativeness)? What about sample size? What was the risk of sampling error in the study? Did the author acknowledge the sample criteria? Inclusion or exclusion?
What are the variables being measured?
What data collections methods were used?
What is the intervention?
Article Analysis
please add references and follow the template that I uploaded by 10/21/2020 at 4: 00 pm","Search the GCU Library and find two new health care articles that use quantitative research. Do not use articles from a previous assignment, or articles that appear in the Topic Materials or textbook.
Complete an article analysis for each using the ""Article Analysis: Part 2"" template.
Refer to the ""Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,"" in conjunction with the ""Article Analysis Example 2,"" for an example of an article analysis.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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. Refer to the LopesWrite Technical Support articles for assistance
Capstone Project
In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.
Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.
Write a 500-750 word description of your proposed capstone project topic. Include the following:
The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.
The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.
A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
Significance of the topic and its implications for nursing practice.
A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.
You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
