Tag Archive for: nursing

local Alcoholics Anonymous meeting

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Assignment Overview In this assignment, you will conduct a discrete and respectful community observation of an Alcoholics Anonymous meeting. Locate and attend a local Alcoholics Anonymous meeting in your area. Explain to the meeting leader that you are a nursing student studying community resources. Write a two page summary of your experience describing the clientele (be sure to respect members’ anonymity), meeting, and topics. Apply your nursing knowledge to evaluate the quality and effectiveness of this particular resource. Assignment Details: Perform the following tasks: • Complete the reading assignment and the interactive lesson before attempting this assignment. • Attend a local Alcoholics Anonymous meeting in your area o Introduce yourself to the meeting leader and explain to him/her that you are a nursing student who is studying community resources. o Conduct your community observation and take notes if necessary. • Write a two-page summary of your experience o Describe the clientele (respecting members’ anonymity), meeting, and topics. o Apply your nursing knowledge to evaluate the quality and effectiveness of this particular resource. o Use APA format. • Include the proper file naming convention: NUR206_wk9_assn_jsmith_mmddyyy. Grading: Criteria Excellent (3pts) Good (2pts) Needs Improvement (1pt) Pts. Content -Includes description of clientele. -Describes meeting. -Evaluates quality and effectiveness using nursing knowledge. -Includes description of clientele. -Vaguely describes meeting. -Non-specific evaluation. -Vague description of clientele. -Missing description of meeting. -Does not apply nursing knowledge in evaluation. Organization -Well organized into separate headings. -Main points are clearly identified. -Paragraphs transition well. -Somewhat organized. -Main points are clear. -Occasional issues with flow and transitions. -Disorganized. -Main points are unclear -Difficult to follow or illogical. Spelling/grammar/ APA -No spelling or grammar errors. -APA format is correct. -Appropriate length -Some spelling or grammar errors. -APA format is correct. -Appropriate length. -Many spelling or grammar errors. -Incorrect APA format. -Inappropriate length. Instructor:  Total sco

ARNP disciplinary sanctions

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CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

 Presigning blank prescription forms.

 Prescribing a Schedule II for office use.

 Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

 Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

 Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

 Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

 Prescribing, dispensing, or administering a controlled substance to himself or herself.

 Prescribing, dispensing, or administering laetrile.

 Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

 Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? use APA style and appropriate references.

Healing and Autonomy

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Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

  1. Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
  2. Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
  3. According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?
  4. According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?

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 Turnitin. Please refer to the directions in the Student Success Center.

body systems

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CASE STUDY 2

A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms.  She has a history of HTN. She complains of hot flushing, night sweats, and genitourinary symptoms.  She had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms.  She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal. Home medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is 150/90.  She has regular monthly menstrual cycles. Her LMP was 1 month ago.

 

For this Discussion, you will be assigned a patient case study and will consider how to address the patient’s current drug therapy plans. You will then suggest recommendations on how to revise these drug therapy plans to ensure effective, safe, and quality patient care for positive patient health outcomes.

To Prepare
  • Review the Resources for this module and reflect on the different health needs and body systems presented.
  • Your Instructor will assign you a complex case study to focus on for this Discussion.
  • Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected.
By Day 3 of Week 9

Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

You will respond to your colleagues’ posts in Week 10.

ZERO PLAGIARISM

5 FIVE REFERENCES NOT MORE THAN 5YEARS

Schizophrenia from patient’s point of view.

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Module 6 discussion. Schizophrenia from patient’s point of view.

Think about a client with schizophrenia that you know about from personal, work or clinical experience, or from news media or other sources. Describe the individual.

What are the positive and/or negative symptoms?

What are the person’s struggles? What treatments have been tried and failed? What works?

If you were that person, what would you like to tell your nurse about yourself, your needs, and your fears?

Please provide evidence from professional sources to support your information. Include examples of your prior experience with a client who was having a problem with delusions and/or hallucinations.

Servant Leadership and Competitive Advantage in Contemporary Organizations

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INDIVIDUAL PROJECT 2

Topic: Servant Leadership and Competitive Advantage in Contemporary Organizations

Nonprofit Servant Leader Profile

Details:

Conduct research and use the links below to locate a reputable nonprofit organization that serves people and the community as a servant leader:

1. https://topnonprofits.com/lists/best-nonprofits-on-the-web/

2. https://www.charitywatch.org/top-rated-charities

3. http://www.tampabay.com/topics/specials/worst-charities/

4. https://www.charitynavigator.org/

Create a poster, PowerPoint presentation, brochure, YouTube video, etc. that illustrates how the nonprofit organization puts servant leadership into action. Within the informational piece, include written or verbal documentation of the following:

1. Specific information about the servant leadership principles employed by the organization

2. Examples of how implementing servant leadership principles has helped the organization achieve success while having a positive impact on people and the community.

3. Discussion of which servant leadership principles you recognize as most valuable and would consider integrating within your own organization.

Submit your assignment as a Word document, PowerPoint presentation, a PDF file, or YouTube video link.

APA format is not required, but solid academic writing is expected.

 

RESOURCES

Electronic Resource

1. “Servant Leadership” – Serve to Be Great

Read “‘Servant Leadership’ – Serve to Be Great,” located on the Intellisource website (2015).

http://www.intellisource.com/2015/02/servant-leadership-serve-great/

2. 1 Little-Known Advantage Most Investors Miss

Read “1 Little-Known Advantage Most Investors Miss,” by Lomax, located on The Motley Fool website (2014).

http://www.fool.com/investing/general/2014/10/23/1-little-known-advantage-most-investors-miss.aspx

3. At Their Service

Read “At Their Service,” by Drake, located on the Smart CEO website (2013).

https://web.archive.org/web/20160610105450/http://www.smartceo.com/wawas-ceo-servant-leadership/

4. DOs & DON’Ts of Servant Leadership

Read “DOs & DON’Ts of Servant Leadership,” located on the Ritz-Carlton Leadership Center website (2015).

http://ritzcarltonleadershipcenter.com/2015/09/dos-donts-of-servant-leadership/

5. Leadership Expert Simon Sinek on Putting Others First 

View “Leadership Expert Simon Sinek on Putting Others First,” located on the YouTube website (2014).

https://www.youtube.com/watch?v=YNkOKV5xItI&list=PLfoeIlbBnyWtLECFmCAf_u2IUoXbrtuN_&index=2

6. Servant Leadership Sustains Competitive US Manufacturing Advantage

Read “Servant Leadership Sustains Competitive US Manufacturing Advantage,” by Martin, located on the Industry Today website (2012).

http://industrytoday.com/article_view.asp?ArticleID=we385

7. Servant Leadership: A Path to High Performance

Read “Servant Leadership: A Path to High Performance,” by Hess, from The Washington Post (2013).

http://www.washingtonpost.com/business/capitalbusiness/servant-leadership-a-path-to-high-performance/2013/04/26/435e58b2-a7b8-11e2-8302-3c7e0ea97057_story.html

Website

1. America’s Worst Charities

The America’s Worst Charities website can be used to conduct research for the topic assignment.

http://www.tampabay.com/topics/specials/worst-charities/

2. Charity Navigator

The Charity Navigator website can be used to conduct research for the topic assignment.

https://www.charitynavigator.org/

3. Charity Watch

The Top Rated Charities page of the Charity Watch website can be used to conduct research for the topic assignment.

https://www.charitywatch.org/top-rated-charities

4. Competitive Advantages

Review the Competitive Advantages page of the Robert K. Greenleaf Center for Servant Leadership website to locate servant leadership articles.

https://www.greenleaf.org/winning-workplaces/workplace-resources/research-studies/competitive-advantages/

5. TopNonprofits

The Top 100 Nonprofits on the Web page of the TopNonprofits website can be used to conduct research for the topic assignment.

https://topnonprofits.com/lists/best-nonprofits-on-the-web/

Critiquing a Change Effort

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Critiquing a Change Effort

As a nurse leader, you need to have the skills and knowledge to collaborate and communicate with those who plan for and manage change. This capacity is valuable in any health care setting and for many different types of change. Furthermore, it is essential to be able to evaluate a change effort and determine if it is promoting improved outcomes and making a positive difference within the department or unit, or for the organization as a whole.

To prepare:

  • Review Chapters 7 and 8 in the course text. Focus on the strategies for planning and implementing change in an organization, as well as the roles of nurses, managers, and other health care professionals throughout this process.
  • Reflect on a specific change that has recently occurred in your organization or one in which you have worked previously. What was the catalyst or purpose of the change?
  • How did the change affect your job and responsibilities?
  • Consider the results of the change and whether or not the intended outcomes have been achieved.
  • Was the change managed skillfully? Why or why not? How might the process have been improved?

Post  (1) a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities. (2) Explain the rationale for the change, and whether or not the intended outcomes have been met. (3) Assess the management of the change, and propose suggestions for how the process could have been improved.

Readings

  • Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application(8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
    • Review Chapter 7, “Strategic and Operational Planning”
    • Chapter 8, “Planned Change”

      This chapter explores methods for facilitating change and the theoretical underpinnings of implementing effective change

  • McAlearney, A., Terris, D., Hardacre, J., Spurgeon, P. Brown, C.,  Baumgart, A.,  Nyström, M. (2014). Organizational coherence in health care organizations: Conceptual guidance to facilitate quality improvement and organizational change. Quality Management in Health Care, 23(4), 254-267 doi: 10.1097/QMH.0b013e31828bc37d

    An international group of investigators explored the issues of organizational culture and Quality Improvement (QI) in different health care contexts and settings. The aim of the research was to examine if a core set of organizational cultural attributes are associated with successful QI systems.

  • Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management – UK, 20(1), 32-37. doi: 10.7748/nm2013.04.20.1.32.e1013

    Abstract: Planned change in nursing practice is necessary for a wide range of reasons, but it can be challenging to implement. Understanding and using a change theory framework can help managers or other change agents to increase the likelihood of success. This article considers three change theories and discusses how one in particular can be used in practice.

  • Shirey, M. R. (2013). Lewin’s Theory of Planned Change as a strategic resource. The Journal of Nursing Administration, 43(2), 69-72. doi:10.1097/NNA.0b013e31827f20a9

    Abstract: This department [manuscript] highlights change management strategies that may be successful in strategically planning and executing organizational change initiatives. With the goal of presenting practical approaches helpful to nurse leaders advancing organizational change, content includes evidence-based projects, tools, and resources that mobilize and sustain organizational change initiatives. In this article, the author explores the use of the Lewin’s Theory of Planned Change as a strategic resource to mobilize the people side of change. An overview of the theory is provided along with a discussion of its strengths, limitations, and targeted application.

Media

  • Laureate Education, Inc. (Executive Producer). (2012g). Organizational dynamics: Planned change and project planning. Baltimore, MD: Author.

    Note: The approximate length of this media piece is 9 minutes.

    In this week’s media presentation, experts discuss how today’s health care organizations can capitalize on the strengths of nurse leaders to plan for and navigate change effectively.

Optional Resources

  • Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application(8th ed.). Philadelphia: Lippincott, Williams & Wilkins.
    • Chapter 9, “Time Management”
  • Batras, D., Duff, C., & Smith, B. J. (2014). Organizational change theory: implications for health promotion practice. Health Promotion International, Retrieved from MEDLINE with Full Text, EBSCOhost

    This article reviews select organizational change models to identify the most pertinent insights for health promotion practitioners.

: Communicate effectively

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The Course Outcomes covered this week are below.

CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)

CO4:  Perform a culturally competent nursing assessment. (PO7)

This week

  • select and read one of the chapters of particular interest to you listed in Assignments under Readings;
  • discuss what information you should obtain to develop and implement culturally appropriate plans of care for an individual of this group; and
  • share a brief case study or exemplar as a way to share your formation.

Examples:

Childbearing: A young Hasidic mom just emigrated from Israel to the United States. She is at term and comes to your Mother/Baby Unit for delivery.

Children: Oman is 5 years old. His family members are refugees from Syria. At the local community center a routine blood sugar test indicated his results were very high. He now needs hospitalized for control.

Adult: Luca moved to the United States after earning her BSN in Manila, Philippines. She works three jobs so that she can send money home to her family. She needs a treatment for breast cancer, but taking time off from any of the jobs will create a hardship on her local and extended family at home.

Older Adult: KC is 72 years old and came to the United States many years ago from Ghana. He is divorced, his children do not live in the area, and you often see him at the senior citizen’s center where you volunteer. He has uncontrolled hypertension.

Mental Health: Arkady was born in the former Soviet Union. He has battled depression most of his adult life and has been hospitalized again in the mental health facility 30 miles from his family for a suicide attempt. Although he has health insurance, the benefits for his diagnosis are about to expire.

Jean-Watson Theory

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In a power point presentation based on Jean-Watson Theory answer the following:

1-   A brief overview of the theorist’s background.

2-  Discussion of the theorist’s view of the four basic concepts of the nursing metaparadigm and two other concepts unique to the theory

3-An analysis and a critique of the model with a focus on elaboration of the theory’s implications for nursing practice, nursing education, and nursing research.

In a different page , a word document.

A packet of materials should be posted. The packet should include a detailed outline of the PowerPoint presentation and a one-page summary of each of five relevant articles on or about the theory and at the top of the page should have the complete reference in APA format. It should also include any handouts, such as charts, diagrams, or definitions, which will facilitate understanding of the PowerPoint presentation and the theory itself.

relative density

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1. Using the graph that you created in Graph 1 as a reference, where should the pipet float if the solution was a 13.0% sugar solution? How do you know this?

2. Using the graph that you created in Graph 1 as a reference, determine the carbohydrate content of the three beverages that you measured with your hydrometer.

3. Describe how your results compare to those listed on the food labels for the three beverages (recorded in Data Table 2). Calculate the percent error for each and show your work.

4. What is a monosaccharide and what is its chemical composition?

5. Why do food industries need to determine carbohydrate content? How many Calories are in 1 gram of carbohydrates?

6. How are carbohydrates separated from fats and proteins in foods that contain all three macronutrients?

7. Describe two methods for calculating carbohydrate content that were not used in this laboratory.

8. Define the relative density of a substance. Describe how you used the relative density to determine the carbohydrate content of the three unknown substances.