Tag Archive for: nursing

Culture, Family, and Community.

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Culture, Family, and Community.

Read chapter 11 of the class textbook and review the attached PowerPoint presentation.  Once done;

1.  Define Culture, Family, and Community and discuss how they are related.

2.  Mention and discuss what cultural concepts will you use to provide nursing care to families, communities and, aggregates.

3.  Mention and discuss potential health problems in refugees and immigrant populations.

4.  Mention and discuss interventions that are culturally sensitive and relevant to address the health concerns of a refugee population.

INSTRUCTIONS:

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 11 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard.   It is mandatory to post your assignment in the SafeAssign exercise.  If the assignment is not posted there, I will grade the assignment as 0.  A minimum of 2 evidence-based references besides the class textbook no older than 5 years must be used and quoted.  You must post two replies to any of your peers sustained with the proper references no older than 5 years in two different days to verify attendance and as well make sure the references are properly quoted in your assignment and you mention to whom you are replying to.  The reply is a comment to your peer not an extension of your assignment.   A minimum of 800 words is required.  Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.  Please review the rubric attached in lecture You must present the assignment according to how it is posted, answering the questions by number, essay-style assignments will not be accepted unless otherwise specified.  I’ve been grading a lot of assignments with quite a few spelling/grammar errors.

Concept Synthesis

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Concept Synthesis Paper on Personal Nursing Philosophy

You are required to submit a scholarly paper in which you will identify, describe, research, and apply the concepts that underlie your personal philosophy for professional nursing practice.

This will help you identify your own values and beliefs about the established metaparadigms and metatheories of the discipline. It will also help you identify and articulate concepts relevant to your specific practice. This paper is intended to be an exercise in clarification and organization of your professional foundation. You are also required to provide a list of assumptions from personal nursing practice that illustrate the concepts and framework of your theory.

Your paper should follow a format that includes:

· Nursing Autobiography: A brief (1 page) discussion of your background in nursing.

· The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.

· Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.

· List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described.

Each week, you will complete various segments of your Concept Synthesis Paper and submit it to the Submissions Area for facilitator feedback when necessary. Your paper should integrate these discrete elements and reflect your personal nursing philosophy.

Answer the following questions as you complete your various tasks related to this assignment.

 

1. How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?

 

2. What are the major concepts I employ that are unique to my professional practice?

 

3. What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts?

 

4. How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into my philosophy and practice?

 

5. What research supports these theories and concepts?

 

6. How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice?

The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 6-8 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.

Your philosophy/framework is to be given a title that is appropriate to its content and emphasis.

Additional directions

The nursing autobiography included personal experiences in the field of nursing.
Provided an account of the current professional role of the student.
Included factors that guided decision making.
Quality of Essay

Enlisted the four concepts of the nursing metaparadigm.

The essay included a definition of the four concepts of the nursing metaparadigm with reference to professional practice

The essay mentioned how the four concepts of the nursing metapardigm were employed in nursing practice.

The essay enlisted two practice-specific concepts.

The essay included a numbered list of at least 5 propositions or assumptions.

The assumptions illustrated the concepts in a manner, which further clarified the students’ use of the conceptual material.

The essay demonstrated consistency between concepts and assumptions.

The concepts were connected and integrated to reveal a meaningful sequence.

The essay demonstrated clarification and organization of the students’ professional foundation.

The essay demonstrated evidence of critical thinking in analysis and response.

The essay demonstrated understanding and integration of lecture material, reading assignments, and sources consulted.

The essay was well written, well organized, and articulate.

Presentation Criteria

The paper clearly demonstrated an understanding of theoretical principles (i.e., concept development, definitions, etc.)

The paper revealed clarity, organization, and articulation of ideas.

The paper showed that ideas were well documented.

The paper revealed the breadth of research effort.

Written responses are free of grammatical, spelling or punctuation errors. Citations and references are included and written in the correct APA Style. Paper length is limited to 6-8 pages.

diagnosis codes

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Answer the following questions, please make sure all answers are CORRECT and send back to me

2.   A 23-year-old patient comes in complaining of shortness of breath, fatigue, and an abnormally fast heartbeat. She also has GERD, acute exacerbation of asthma, and cachecticorum acne. The physician obtains a complete blood cell count, and renders a diagnosis of Rietti-Greppi-Micheli anemia. What diagnosis codes are assigned?

 

A. D58.3, K23.9, J45.906, L70.8

B. D56.3, K24.9, J45.941, L70.8

C. D59.3, K21.9, J45.921, L70.8

D. D56.9, K21.9, J45.901, L70.8

4.   A 33-year-old patient is seen for a bilateral screening mammography with computer-aided detection, interpreted by the physician, with digitization of the radiographic images. What CPT codes should be assigned?

 

A. 78053, 77054

B. 77097, 77056

C. 77059, 77051

D. 77057, 77052

5.   A patient undergoes testing for ten synthetic cannabinoids, cocaine, methadone, and three opiate analogs. What codes would be assigned?

 

A. 80331, 80353, 80358, 83992

B. 80352, 80353, 80358, 80363

C. 80352, 80353, 80364, 80368

D. 80347, 80360, 80363, 80365

7.   A patient undergoes a limited clinical pathology consultation, without review of history or medical records. What code should be assigned?

 

A. 80502

B. 80500

C. 80434

D. 80436

8.   A lumbosacral myelography performed with radiological supervision and interpretation is assigned to code

 

A. 72285.

B. 72270.

C. 72275.

D. 72265.

9.   A 26-year-old patient undergoes a carotene test to check her vitamin A level. What CPT code should be assigned?

 

A. 82381

B. 82384

C. 82380

D. 82382

10.   What code is assigned for intravenous pyelography without KUB and without tomography?

 

A. 74455

B. 74400

C. 74742

D. 74326

11.   A patient has an activated coagulation time test. The coder assigns code 85345. Is this code correct or incorrect?

 

A. The code is correct, but should include a modifier for the activated portion of the test.

B. The code is incorrect. The correct code is 85347.

C. The code is incorrect. The correct code is 85348.

D. The code is correct.

12.   Code 82947 indicates a test that is included in a/an _______ panel.

 

A. renal function

B. lipid

C. electrolyte

D. hepatic function

13.   A new patient comes in to the doctor’s office for her annual gynecological exam. During the course of the exam, she undergoes a screening cervical cytopathology smear, which is performed by an automated system under the supervision of a physician. What HCPCS code is assigned?

 

A. G0147

B. G0417

C. G0856

D. G0256

14.   Code 89230 indicates

 

A. sweat  by iontophoresis.

B. bilirubin, total, transcutaneous.

C. nasal smear for eosinophils.

15.   What code is assigned for a hepatitis C antibody test?

 

A. 86784

B. 86756

C. 86803

D. 86830

16.   Blood lipoprotein with electrophoretic separation and quantitation with high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses would be assigned to code

 

A. 83701.

B. 83698.

C. 83704.

D. 83705.

17.   The description for code 82441 is

 

A. cholinesterase; serum.

B. chlorinated hydrocarbons, screen.

C. cortisol; free.

D. chromium.

18.   What code would be assigned for anterior segment imaging with fluorescein angiography, with interpretation and report?

 

A. 92230

B. 92235

C. 92499

D. 92287

19.   A patient has a temporomandibular joint arthrography. If the procedure is performed under radiological supervision and interpretation, what code should be reported?

 

A. 70553

B. 70350

C. 70332

D. 70551

20.   Mr. Carson comes to the emergency room complaining of leg pain after falling out of bed in his home. A technician at the hospital obtains an x-ray of the tibia and the fibula using the hospital’s radiology equipment. The physician reviews his x-ray, and determines that he has sprained his leg. Mr. Carson also has a history of prostate cancer, cigarette smoking, Crohn’s disease, and hyperbilirubinemia. The emergency department visit included an expanded problem focused history and examination. The medical decision making was of moderate complexity. Code this scenario.

 

A. 99284-25, 73592

B. 99285-25, 73592

C. 99281-25, 73591

D. 99283-25, 73590

Serving Others and the Community

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INDIVIDUAL PROJECT 8

Topic: Serving Others and the Community – Part 2

Benchmark – Servant Leadership Analysis

Details:

Analyze your volunteer experience by writing a 1,000-1,250 word reflection focused on your volunteer experience. Examine how volunteering enabled you to practice the principles of servant leadership. Reference and address the following in the paper.

1. Summarize your servant leadership volunteer opportunity by sharing the who, what, when, where, why, and how of the experience.

2. Which of Greenleaf’s principles of servant leadership did you implement and learn the most about through completing the servant leadership experience? Provide examples in your discussion.

3. Both Greenleaf and the biblical passages referenced in the various Topic Materials focus on the idea that power comes from giving it away and that taking the role of a servant can make one a leader. Discuss whether or not your servant leadership volunteer opportunity helped you to find yourself as a leader in this way. Provide supporting examples.

4. Use examples from your servant leadership volunteer opportunity to discuss the idea that serving others as a leader might influence change or produce a positive impact for the greater good.

5. Think about your personal leadership skills and style and discuss what your learned about yourself as a servant leader from completing the volunteer opportunity.

6. Looking forward, how will you use what you have learned about the principles of servant leadership in your workplace, organizations with which you are involved, and in your personal life?

Prepare this assignment according to the guidelines found in the APA Style Guide

RESOURCES

Electronic Resource

1. Drew Dudley “Everyday Leadership” – TED Talks 

View “Drew Dudley ‘Everyday Leadership’ – TED Talks,” located on the YouTube website (2013).

https://www.youtube.com/watch?v=HR2UnsOuKxo

2. Servant Leadership – Joe Schmitt

View “Servant Leadership – Joe Schmitt” located on the YouTube website (2014).

https://www.youtube.com/watch?v=fb0VvPTVp4k

American Diabetes Association

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According to the American Diabetes Association (2011), 25.8 million children and adults have been diagnosed with diabetes in the United States. Approximately 2 million more are diagnosed every year, with another 79 million people considered to be in a pre-diabetes state. These millions of people are at risk of several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. Since diabetes has a major impact on the health of millions of people around the world, it is essential for nurses to understand the pathophysiology and associated alterations of this disorder. In this Discussion, you compare two types of diabetes—diabetes mellitus and diabetes insipidus.

To Prepare

  • Review Chapter 19 in the Huether and McCance text and Chapter 18 in the  Hammer and McPhee text. Identify the pathophysiology of diabetes mellitus and diabetes insipidus. Consider the similarities and differences between resulting alterations of hormonal regulation.
  • Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Think about how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

Post an explanation of the pathophysiology of diabetes mellitus and diabetes insipidus. Describe the differences and similarities between resulting alterations of hormonal regulation. Then explain how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

Rubric:

Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources

Reflection of Your Practicum Experience

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It is important for a public health professional to show evidence of professional development over time. The professional portfolio is one way to collect and showcase achievements and artifacts or evidence of accomplishments.

For this assignment, you will prepare a professional portfolio that includes the following:

Reflection of Your Practicum Experience

In a 1,000-1,250 words, address the following:

  1. Summarize your practicum experience.
  2. Describe how you have applied theory and/or knowledge from your course work into practice during your practicum experience (provide specific examples).
  3. What are the most important things you have learned from this practicum experience and how will you apply them to your public health career?
  4. How has this experience helped develop professionalism skills, such as networking, team building, communication, and professional competencies in public health? What leadership qualities do you possess and how do you envision applying them to your public health career?
  5. Articulate a personal mission, a set of core values, and vision regarding your role in public health. How will your core values help guide your ethical decision making in public health?
  6. Include two or three scholarly sources to support your narrative.

Sample Practicum Work:

In a second, separate document, submit a sample of your practicum work (e.g., health education materials, reports, presentation)

Cover Letter and Resume:

In a third, separate document, submit a cover letter and resume. Prepare a cover letter and resume for a potential (or actual) position in public health.

APA format is required for essays only. Solid academic writing is expected for all presentation formats, and in-text citations and references should be presented using APA 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.

Journaling

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Summary:The journal is intended as a reflection on your experience with the course material and exploration of pertinent APN issues. Journaling allows students to express thoughts and feelings regarding aspects of their weekly discovers with the course content. Journaling offers the student the opportunity to exercise the Theory of Caring Science by becoming more centered and aware of one’s consciousness and state of presence.Directions:You are expected to journal at least one page (single spaced) for each week of Week 1, 3, 5, 7. You may choose to journal more, if you wish.You should address and reflect the Reflection Topic assigned for each week. You will not be graded on the content of the journal, as long as it is relevant to the reflections guided topic for the week.Completion of at least one page per week (or equivalent) throughout the course will receive full credit. APA formatting is not required for this assignment. Your thoughts and reflections should be free flowing.Save the file with Student First Name_Last Name_ReflectionSubmit completed template to the D2L Dropbox.You may choose to create a vlog, screencast, YouTube, podcast, or another format for your reflective journal. Feel free to be creative, as long as you are journaling week 1, 3, 5, 7. Any alternative format must consist of at least five (5) minutes of content. Copy the link to the video onto a Word document and submit in the respective week’s D2L Dropbox.

gynecologic exam

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A 42-year-old African American female is in the clinic for a routine gynecologic exam. When asked, she admits to noticing bleeding in between her menstrual periods for the past several months. She has been pregnant three times and has three children. She is sexually active with one male sex partner in a monogamous relationship. During her bi-manual exam, you note an irregular intrauterine non-tender mass about 4 cm in diameter. The mass is palpable abdomenally. The remainder of her gynecologic exam was normal.

Post an explanation of the differential diagnosis for the patient in the case study you selected. Provide a minimum of three possible diagnoses and list them from highest priority to lowest priority. Explain which is the most likely diagnosis for the patient and why. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients on the disorder.

Mental Health Practicum

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  Mental Health Practicum–Week 10 Journal Entry

                                                          Learning Objectives

Students will:

· Develop effective documentation skills to examine group therapy sessions with

children and adolescents *

· Develop diagnoses for child and adolescent clients receiving group

psychotherapy *

· Analyze legal and ethical implications of counseling child and adolescent clients with psychiatric disorders *

                                                                    ASSIGNMENT

Select two clients you observed or counseled this week during a group therapy session for children and adolescents. Note: The two clients you select must have attended the same group session.

Then, address in your Practicum Journal the following:

· Using the Group Therapy Progress Note in this week’s Learning Resources,

document the group session.

· Describe each client (without violating HIPAA regulations), and identify any

pertinent history or medical information, including prescribed medications.

· Using the DSM-5, explain and justify your diagnosis for each client.

· Explain any legal and/or ethical implications related to counseling each client.

· Support your approach with evidence-based literature.

                                                        Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

  • Chapter 17, “Psychotherapy with Children” (pp. 597–624)
  • Chapter      20, “Termination and Outcome Evaluation” (pp. 693–712)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

McGillivray, J. A., & Evert, H. T. (2014). Group cognitive behavioural therapy program shows potential in reducing symptoms of depression and stress among young people with ASD. Journal of Autism and Developmental Disorders, 44(8), 2041–2051. doi:10.1007/s10803-014-2087-9

Restek-Petrović, B., Bogović, A., Mihanović, M., Grah, M., Mayer, N., & Ivezić, E. (2014). Changes in aspects of cognitive functioning in young patients with schizophrenia during group psychodynamic psychotherapy: A preliminary study. Nordic Journal of Psychiatry, 68(5), 333–340. doi:10.3109/08039488.2013.839738

Document: Group Therapy Progress Note (SEE ATTACHED PROGRESS NOTE)

                                                         Required Media

Microtraining Associates (Producer). (2009). Leading groups with adolescents [Video file]. Alexandria, VA: Author.

Psychotherapy.net (Producer). (2002). Adlerian parent consultation [Video file]. Mill Valley, CA: Author.

                                                          Optional Resources

Psychotherapy.net (Producer). (2012). Group counseling with adolescents: A multicultural approach [Video file]. Mill Valley, CA: Author.

Common Health Conditions

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Common Health Conditions with Implications for Women

 

Select a patient that you examined during the last four weeks as a Nurse Practitioner. Select a female patient with common endocrine or musculoskeletal conditions, Evaluate differential diagnoses for common endocrine or musculoskeletal conditions you chose .With this patient in mind, address the following in a SOAP Note:

 

Subjective: What details did the patient provide regarding or her personal and medical history?

 

Objective: What observations did you make during the physical assessment?

 

Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

 

Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up appointment with the provider, as well as a rationale for this treatment and management plan.

 

Reflection notes: What would you do differently in a similar patient evaluation? And how can you relate this to your class and clinical readings.

 

 

 

References

 

Schuiling, K. D., & Likis, F. E. (2013). Women’s gynecologic health (2nd ed.). Burlington, MA: Jones and Bartlett Publishers.

 

 

 

Chapter 22, “Urinary Tract Infection in Women” (pp. 535–546)

 

Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.

 

Review: Chapter 8, “Primary Care in Women’s Health” (pp. 431–560)

 

Centers for Disease Control and Prevention. (2012b). Women’s health. Retrieved from http://www.cdc.gov/women/

 

National Institutes of Health. (2012). Office of Research on Women’s Health (ORWH). Retrieved from http://orwh.od.nih.gov/

 

U.S. Department of Health and Human Services. (2012a). Womenshealth.gov. Retrieved from http://www.womenshealth.gov/