Tag Archive for: nursing

Nurse-Patient relationship

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Part one:

Peplau was the first nursing theorist to identify the nurse–patient relationship as being central to all nursing care. Peplau valued knowledge, believing that the nurse must possess extensive knowledge about the potential problems that emerge during a nurse–patient interaction. Peplau’s theoretical work on the nurse–patient relationship continues to be essential to nursing practice.

  • Describe the phases of the Nurse-Patient relationship as defined by Peplau. Align your presentation regarding the use of Peplau’s theory with a current practice example.

Part two:

Provide a discussion of Orem’s Self-Care Deficit Theory. Identify and explain the three related parts? Identify a current nursing practice example where Orem’s theory would be relevant. Use at least one evidenced-based research article to support your practice example. The PowerPoint should include at least 3 outside references and the textbook. It should include title and reference slides and be 14-20 slides.

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CASE STUDY

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CASE STUDY

You are a nurse working the day shift and have been assigned to five patients. One of your patients is an 89-year-old male with a stage III decubitus ulcer to his coccyx. The healthcare provider is planning to discharge him to a long-term facility today and would like you to discuss wound healing with him and his wife. Please use the following prompts to guide your analysis, and use evidence from the literature to support your answers attached below

Distinguish between the main types of healing: first-intention and second-intention.
Discuss at least three factors that can delay wound healing, and identify some strategies to improve wound healing.
Explain the four phases of wound healing, identifying the role that the extracellular matrix plays in the process.
For additional details, please refer to the CASE STUDY GUIDELINES AND RUBRIC.

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health insurance company

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I’m doing my Community practice in a health insurance company as a case manager.

What are your upcoming week’s specific learning goals and objectives?

What is your upcoming week’s detailed schedule at your community practice experience placement?

Were there any placement items/issues that occurred this week that you feel your instructor should be aware of that are private in nature and are more appropriately shared here than in the discussion board with your classmates?

Give a brief description of an objective you worked on this week. Make sure to cite at least one reference showing how your objective relates to the public health knowledge you’ve studied during this course or the public health course. You may choose to reference your e-text, journal articles, or videos you’ve studied during these courses or you may find an outside reference on your own to further enhance your public health knowledge and practices.

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healthcare issue

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· Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.

· Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.

· Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.

· Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.

· Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

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Scenario Information

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Scenario Information

You have been hired as the Human Resources Director for a global organization that is headquartered in the United States. Your job is to evaluate and make recommendations in the area of diversity for your company. Each section will contain specific areas within diversity for you to focus on. You will be tasked with choosing from one of the diversity areas that are provided to you. Be sure to conduct research using the university library and other relevant sources.

Diversity Area-Race

Instructions

As the Director of Human Resources, the CEO and other executive leaders have requested you to design a training session on “Best Practices” for managers on diversity in the workplace. You will need to create a PowerPoint presentation . 8 slides minimum. make sure to include notes in the PowerPoint this will be presented to a class

  1. Introduction included overview and importance of diversity training program using 2 examples
  2. Discussed common mistakes or problems managers could face if diversity is not addressed using 3 examples.
  3. Provide suggestions for best practices managers can take away from the training 3 examples
  4. Conclusion summarized the importance of diversity planning for managers 2 examples

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Medicine Men before Christianity

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From Medicine Men before Christianity began to today, there has been much change.  There are similarities of past nursing practice to present, but the scope of practice has changed (Spector, 2004), (Chapter 2 History of Professional Nursing by Stacey Whitney, 2018).  Key leaders in this change would start with Florence Nightingale in 1837, where she began the change in a hospital in Turkey (Cohen, 1984).  There she and her nurses took care of the wounded soldiers in unsanitary conditions.  She felt a change in environment was needed in order to decrease the death rate of infections.  It was because she took the leadership role to request a change and formed research and data analysis to convince those that could help her implement the environmental change (Cohen, 1984).  She then wrote a book of her experiences and founded a school in London in 1859, called the Nightingale Training School for Nurses (Cohen, 1984).  In 1867-1940, Mary Brewster and Lillian Wald founded a Visiting Service of New York and the Henry Street Settlement House.  The Settlement House was where they cared for poor immigrants.  Lillian Wald also helped student absenteeism in New York Schools due to sickness, to decrease by having one of her nurses, Lina Rogers, to be responsible for the care of the poor sick children in their homes so that they may return to school.  With nursing services needed in the American Civil War (1821-1912), Clara Barton volunteered and became the founder of the American Red Cross.  With the difference she made in the military, military officials saw the need and convinced Congress to allow trained female nurses to be members of the military.  It was in (1862-1919) that Jane Delano founded the American Red Cross Nursing Service (Sarnecky, 1999).  As the advancement of nursing continued, the need for professional nursing education was recognized during the Civil War.  Linda Richards became the first graduate as a professional trained American nurse.  By the early 1913, Nurse training programs was on the rise in the United States and Japan where Linda Richards began nurse training programs (Faison, 2012).

This history is the reason for the advancement of nursing practice.  With research and evidence of conditions and needs to ensure quality care of patients, and the foundation of focus on health promotion, disease prevention, and risk reduction. Nursing practice has taken this foundation and moved forward with understanding the importance of continuing education, the use of technology, and the importance of continuing research for the purpose of quality care and future knowledge of even better ways to meet the needs of the patients and ensure positive outcomes.

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H. Pylori infection

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GI Case Study:

Chief complaint: “I have recurrent H. Pylori infection”.

HPI: M.C. a 46-year-old Hispanic female presents to the GI clinic for complaint of recurrent H. Pylori infection. She was treated about 2 ½ months ago with H. Pylori triple therapy and failed treatment. She has PMH of dyspepsia, and GERD. She also indicates that she has noticed that her symptoms of dyspepsia are worsening for past 2 months. She has associated her symptoms with nausea, upset stomach with all foods. Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms.

PMH:

H. Pylori infection gastritis

Diabetes Mellitus, type 2

Surgeries: None

Allergies: NKDA

Vaccination History: Up-to-date

Social history:

High school graduate, married and no children. He frequently eats out in restaurants. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago.

Family history:

Both parents are alive. Father has history of DM type 2, Tinea Pedis. Mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis.

ROS:

Constitutional: Negative for fever. Negative for chills.

Respiratory: No Shortness of breath. No Orthopnea.

Cardiovascular: No edema. No palpitations.

Gastrointestinal: No vomiting. +Dyspepsia. + Nausea. No constipation. No melena. No abdominal pain.

Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

Labs day of visit:: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine normal 1.0, AST/ALT normal. TSH 3.7 normal, glucose 98 normal

Assessment:

Primary Diagnosis: Recurrent H. Pylori infection gastritis

Secondary Diagnoses: Dyspepsia

Differential Diagnosis: Peptic Ulcer Disease

Previous medication plan: two months ago and failed.

  1. Clarithromycin      500 mg po BID for 2 weeks
  2. Omeprazole      40 mg po BID for 2 weeks and then po daily.
  3. Cipro      500 mg po BID for 2 weeks

Plan: Tests

Pt had EGD done 2 weeks ago that showed H. Pylori positive gastritis in biopsy results.

Urea breath test 8 weeks after treatment with H. Pylori medications. Pt needs to stop PPI’s 2 weeks prior to Urea Breath test.

Labs: No new labs are needed.

Referrals: may refer based on effect of medication therapy given for 2 weeks.

Follow up: return to office in 8 weeks to reevaluate symptoms.

As a future nurse practitioner, it is important that you determine the medications used for recurrent H. Pylori infection.

Please discuss new therapy guidelines for H. Pylori treatment, and provide patient education.

Below is the website for the American Academy of Gastroenterology Clinical Guidelines (ACG) for the updated H. Pylori therapy. Feel free to consult other peer-reviewed articles within 5 years of publication.

Total of 2 post needed. 1 initial and 1 reply.

http://gi.org/wp-content/uploads/2017/02/ACGManagementofHpyloriGuideline2017.pdf

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Guidelines for Critiquing Systematic Reviews f

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Instructions : Article will be attached. Guidelines for Critiquing Systematic Reviews form will be attached. This is a master level. answer all the questions from the  Guidelines for Critiquing Systematic Reviews form. Do Not miss any question Please. Do Not Invent, Read The article and respond questions according to instructions given below.  Remember to respond to the questions giving examples from the article. It needs to have a cover page and references. I need an A in this one. Thank you.

– Utilize the Guidelines for Critiquing Systematic Reviews form provided and respond to the questions giving examples from the articles. 

-Note: For each question, a “yes” response indicates the strength of the study.  If you answer “no”, this is indication of a potential problem.  However, you have to determine if the answer is “not applicable” first as not all questions apply to all designs. For this form, the authors have color coded the criteria to separate out questions that apply only to systematic reviews of quantitative studies versus qualitative studies.  Also a meta-analysis uses different method for data analysis as compared to a systematic review of a quantitative report.

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Drug Enforcement Administration

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Students will:

Analyze roles of the Drug Enforcement Administration

Analyze PMHNP responsibilities when issued a DEA number

Analyze DEA number application procedures

Analyze state requirements for safe prescribing and prescription monitoring

Analyze PMHNP responsibilities for safe prescribing and prescription monitoring

Analyze Schedule II-V drug levels

To prepare for this Practicum Journal: Review the Learning Resources.

In 3 pages:

Thesis statement

Describe the role of the Drug Enforcement Administration (DEA) as it pertains to the PMHNP.

Explain your responsibilities when having a DEA number.

Explain how you apply for a DEA number.

Explain your state’s requirements for a safe prescribing and prescription monitoring program.

Explain your responsibility as a PMHNP to follow these requirements.

Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.

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clinical problem

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Review the Topic Materials and the work completed in NRS-433V to   formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular   clinical area and identifies clinical problems or issues that arise   from clinical care. The intervention should be an independent,   specified nursing change intervention. The intervention cannot require   a provider prescription. Include a comparison to a patient population   not currently receiving the intervention, and specify the timeframe   needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the   assigned readings. The PICOT statement will provide a framework for   your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem   and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. 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.

You are required to submit this assignment to LopesWrite. Please refer   to the directions in the Student Success Center.

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