Please respond to the following questions based upon these course objectives:

• Explain basic atomic structure.
• Interpret the Periodic Table of Elements.
• Analyze the principles of chemical reactions.
• Apply the scientific method to experimental data.
• Apply principles of measurement.

Please answer the following questions with supporting examples and full explanations.

• For each of the learning objectives, provide an analysis of how the course supported each objective.
• Explain how the material learned in this course, based upon the objectives, will be applicable to professional application.

Reflect back on your journey through this course and answer the following:

• What topic in the course did you find most interesting and applicable?
• Thoughts on your learning in the course?

Please be sure to validate your opinions and ideas with citations and references in APA format.

Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.

Cite any resources/references in APA formatting that were used in the discussion – if applicable.

*Please note: There is no additional content covered in Unit 8. This discussion is the last item that needs to be completed in this course.

Estimated time to complete: 1 hour

I need about 100 words for each question. Please provide individual references separately with each question

Unit 2

Topic: Scope of Practice

DQ1

Identify at least three regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty. Discuss the way these bodies or regulations influence the educational requirements and experiences for your specialty. Advanced practice registered nurses must incorporate the APRN consensus model in their response.

DQ2

Compare two different advanced registered nurse roles with regard to ethical guidelines. Are there any differences in the ethical guidelines that govern these roles? What situations might require one role to respond differently, depending on the ethical guidelines?

STUDY MATERIALS

Read Chapters 11, 26, and 27 in Advanced Practice Nursing: Essential Knowledge for the Profession.

https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php

Review Chapter 2 in Leadership in Nursing Practice: Changing the Landscape of Health Care.

https://www.gcumedia.com/digital-resources/jones-and-bartlett/2018/leadership-in-nursing-practice_changing-the-landscape-of-healthcare_3e.php
Explore the Advanced Practice Nurses page of the American Nurses Association (ANA) website.

http://nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses

Explore the Students page of the American Association of Colleges of Nursing website.

http://www.aacn.nche.edu/students
Explore the American Nurses Association (ANA) website.

http://nursingworld.org/

Explore the Nursing Overview links on the Explore Health Careers website.

http://explorehealthcareers.org/en/Field/6/Nursing

UNIT 3

Topic: Diversity and Global Perspectives of Care

DQ1

Identify a population that you will likely serve as an advanced registered nurse that you think is particularly vulnerable to issues of health disparities/inequity. Discuss the contribution of your particular specialty to health promotion and disease prevention for this population. How do issues of diversity and global perspectives of care contribute to your understanding of health equity as it relates to this population?

DQ2

What is your personal worldview? Connect your worldview to cultural and spiritual competence. How will your worldview and cultural and spiritual competence affect your future practice and role? Consider both the provision of safe, quality care to diverse populations and interprofessional relationships.

STUDY MATERIALS

Read Chapters 7, 8, and 24 in Advanced Practice Nursing: Essential Knowledge for the Profession.

https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php

Explore the Diversity Rx website.

http://www.DiversityRx.org

Explore the Tanenbaum Center for Interreligious Understanding website.

http://www.tanenbaum.org/

UNIT 4

Topic: Theory-Based Nursing Practice I

DQ1

Compare and contrast two nursing theories. How do they differ based on their intent, scope, and goals? Which one might be more relevant to your future role, and why?

DQ2

Select two different nursing theories and describe how they relate to patient care. How could you use them for inciting behavioral changes? Discuss the pros and cons of applying each theory and how they could be integrated into your future practice. Are there any particular ethical issues related to the integration of these theories that should be considered?

STUDY MATERIALS

Read Chapters 19 and 23 in Advanced Practice Nursing: Essential Knowledge for the Profession.

https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php

Read “The Living Tree of Nursing Theories,” by Tourville and Ingalls, from Nursing Forum (2003).

https://lopes.idm.oclc.org/login?url=http://search.proquest.com.lopes.idm.oclc.org/docview/195013387?accountid=7374
Read “A Cross-Cultural Comparison of a Clinical Nurse Competency Path Model,” by Sportsman, Hamilton, and Schumacker, from International Journal of Nursing Education (2014).

https://web-a-ebscohost-com.lopes.idm.oclc.org/ehost/detail/detail?vid=0&sid=a9aff34d-23dd-48a1-ad58-8dee7cc0b7f3%40sdc-v-sessmgr03&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=103820896&db=ccm
Read “A Multidimensional Analysis of the Epistemic Origins of Nursing Theories, Models, and Frameworks,” by Beckstead and Beckstead, from International Journal of Nursing Studies (2006).

https://lopes.idm.oclc.org/login?url=http://dx.doi.org.lopes.idm.oclc.org/10.1016/j.ijnurstu.2004.09.021

Explore the links on the Nursing Theories page of the Current Nursing website.

http://currentnursing.com/nursing_theory/

UNIT 5

Topic: Theory-Based Nursing Practice II

DQ1

During this program, you will complete an evidence-based practice project addressing a problem, issue, or concern in your specialty area of professional practice. Consider an area in your specialty that you believe needs improvement. Which nursing theories could you apply to this problem? Why is this the best theory?

DQ2

Select one theory discussed during Topics 4 and 5. Does application of this theory differ based on the population focus (individuals, families, communities, and special populations)? Why or why not? Use examples from your current practice to illustrate differences or similarities.

STUDY MATERIALS

Review Chapters 19 and 23 in Advanced Practice Nursing: Essential Knowledge for the Profession.

https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php

Review “The Living Tree of Nursing Theories,” by Tourville and Ingalls, from Nursing Forum (2003).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=11354720&site=ehost-live&scope=site

Review “Competencies Create Expert, Accountable Nurses Delivering Quality Care,” by Pirschel, from ONS Voice(2017).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=122120446&site=ehost-live&scope=site

Review “A Multidimensional Analysis of the Epistemic Origins of Nursing Theories, Models, and Frameworks,” by Beckstead and Beckstead, from International Journal of Nursing Studies (2006).

https://lopes.idm.oclc.org/login?url=http://dx.doi.org.lopes.idm.oclc.org/10.1016/j.ijnurstu.2004.09.021

UNIT 6

Topic: Role of Research and Research Process for Advanced Registered Nurses

DQ1

Review the evidence-based practice project ideas you described in Topic 5 DQ 1. Based on your initial ideas, what types of scholarly nursing research (such as quantitative or qualitative research, peer-reviewed resources, etc.) would be required to further investigate the issue? Identify the criteria you would use to evaluate the appropriateness of the research. Why is it important to select research that meets these criteria?

DQ2

Imagine the following scenario: You are taking the evidence-based practice course and one of your classmates shares an EBP project draft with you. You notice that some of the research has not been cited correctly or even at all. When you approach your classmate, the response is that “no one will notice and it is not a big deal anyway.” What are your next steps in speaking with your classmate? Consider how this could reflect on the credibility and integrity of the individuals involved, the University, and the profession.

STUDY MATERIALS

Read Chapters 20-22 in Advanced Practice Nursing: Essential Knowledge for the Profession.

https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php

Watch “Information Literacy: The Perils of Online Research,” by Cambridge Educational (2006), available through Films on Demand in the GCU Library.

https://lopes.idm.oclc.org/login?url=http://digital.films.com.lopes.idm.oclc.org/PortalPlaylists.aspx?aid=12129&xtid=35675

Watch “Effective Internet Search: Basic Tools and Advanced Strategies,” by Cambridge Educational (2011), available through Films on Demand in the GCU Library.

https://lopes.idm.oclc.org/login?url=http://digital.films.com.lopes.idm.oclc.org/PortalPlaylists.aspx?aid=12129&xtid=43788

Watch “Researching, Reading, and Writing,” by Cambridge Educational (2009), available through Films on Demand in the GCU Library.

https://lopes.idm.oclc.org/login?url=http://digital.films.com.lopes.idm.oclc.org/PortalPlaylists.aspx?aid=12129&xtid=40414

Read “A Scholar Is What a Scholar Writes: Practical Tips on Scholarly Writing,” by Walker, from Journal of Theory Construction & Testing (2003).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=12835591&site=ehost-live&scope=site

Read “Critically Analyzing Information Sources: Critical Appraisal and Analysis,” located on the Cornell University Library website.

http://guides.library.cornell.edu/criticallyanalyzing

UNIT 7

Topic: Evidence-Based Practice Initiatives

DQ1

Describe the steps of the evidence-based research process and the importance of using them. In the initial stages of an EBP project, where do nurses in your specialty go to locate sources of information that help them to determine whether or not a practice problem is appropriate for an evidence-based practice change proposal. Include two specific sources on information in your discussion.

DQ2

What are some of the major ethical issues in conducting research that impacts the advanced registered nurse? Discuss the role of the advanced registered nurse in advocating for patient safety and rights in conducting research.

STUDY MATERIALS

Review Chapters 20-22 in Advanced Practice Nursing: Essential Knowledge for the Profession.

https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php
Read “Defining Scholarship for the Discipline of Nursing,” by Edwards, Alichnie, Easley, Edwardson, Keating, and Stanley (1999), located on the American Association of Colleges of Nursing website.

https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S8755722399800684

Read “The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas,” by Stevens, from Online Journal of Issues in Nursing (2013).

http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Impact-of-Evidence-Based-Practice.html
Explore the Cochrane Library website.

http://www.cochranelibrary.com/
UNIT 8

Topic: Role Development for Advanced Registered Nurses

DQ1

Identify three professional nursing organizations that interest you. Provide a brief summary of their purpose, requirements, and any differences in focus, population, scope, or intent. How do these organizations align to your goals and worldview?

DQ2

Research health care legislation that is being considered in your state. What impact might this legislation have on your future practice? What impact does it have on the collective practice of nurses in your state? How do you envision yourself potentially becoming involved in political advocacy for the profession in your future practice?

Anaphylactic Shock

The treatment of anaphylactic shock varies depending on a patient’s physiological response to the alteration. Immediate medical intervention and emergency room visits are vital for some patients, while others can be treated through basic outpatient care.

Consider the January 2012 report of a 6-year-old girl who went to her school nurse complaining of hives and shortness of breath. Since the school did not have any medication under her name to use for treatment and was not equipped to handle her condition, she was sent to an emergency room where she was pronounced dead. This situation has raised numerous questions about the progression of allergic reactions, how to treat students with severe allergies, how to treat students who develop allergic reactions for the first time, and the availability of epinephrine in schools. If you were the nurse at the girl’s school, how would you have handled the situation? How do you know when it is appropriate to treat patients yourself and when to refer them to emergency care?

To Prepare

. Review “Anaphylactic Shock” in Chapter 24 of the Huether and McCance text, “Distributive Shock” in Chapter 10 of the McPhee and Hammer text, and the Jacobsen and Gratton article in the Learning Resources.

. Identify the multisystem physiologic progression that occurs in anaphylactic shock. Think about how these multisystem events can occur in a very short period of time.

. Consider when you should refer patients to emergency care versus treating as an outpatient.

. Select two patient factors different from the one you selected in this week’s first Discussion: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the process of anaphylactic shock.

Post an explanation of the physiological progression that occurs in anaphylactic shock. Then, describe the circumstances under which you would refer patients for emergency care versus treating as an outpatient. Finally, explain how the patient factors you selected might impact the process of anaphylactic shock.

Readings Required

** Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

Chapter 23, “Structure and Function of the Cardiovascular and Lymphatic Systems”

This chapter examines the circulatory system, heart, systemic circulation, and lymphatic system to establish a foundation for normal cardiovascular function. It focuses on the structure and function of various parts of the circulatory system to illustrate normal blood flow.

Chapter 24, “Alterations of Cardiovascular Function”

This chapter presents the pathophysiology, clinical manifestations, evaluation, and treatment of various cardiovascular disorders. It focuses on diseases of the veins and arteries, disorders of the heart wall, heart disease, and shock.

Chapter 25, “Alterations of Cardiovascular Function in Children”

This chapter examines cardiovascular disorders that affect children. It distinguishes congenital heart disease from acquired cardiovascular disorders.

** Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

Chapter 11, “Cardiovascular Disorders: Vascular Disease”

This chapter begins with an overview of the vascular component of the cardiovascular system and how the cardiovascular system is normally regulated. It then describes three common vascular disorders: atherosclerosis, hypertension, and shock.

**American Heart Association. (2012). Retrieved from http://www.heart.org/HEARTORG/ 

**Million Hearts. (2012). Retrieved from http://millionhearts.hhs.gov/index.html 

**National Heart, Lung, and Blood Institute. (2012). Retrieved from http://www.nhlbi.nih.gov/

Instructor Requirements

As advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in Up to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:

1. Up to Date (must use original articles from Up to Date as a resource)

2. Wikipedia

3. Cdc.gov- non healthcare professionals section

4. Webmd.com

5. Mayoclinic.com

– This work should have Introduction and Conclusion

– It should have at least 3 current references

– APA format

– At least 2 pages, references page not included

For your Assignment, your Instructor will assign you one of the decision tree interactive media pieces provided in the Resources. As you examine the patient case studies in this module’s Resources, consider how you might assess and treat patients presenting symptoms of neurological and musculoskeletal disorders.

Photo Credit: Getty Images/Science Photo Library RF

To Prepare

• Review the interactive media piece assigned by your Instructor.
• Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece.
• Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned.
• You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment.

By Day 7 of Week 8

Write a 1- to 2-page summary paper that addresses the following:

• Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
• Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
• What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
• Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.

 

Complex Regional Pain Disorder
White Male With Hip Pain

BACKGROUND

This week, a 43-year-old white male presents at the office with a chief complaint of pain. He is assisted in his ambulation with a set of crutches. At the beginning of the clinical interview, the client reports that his family doctor sent him for psychiatric assessment because the doctor felt that the pain was “all in his head.” He further reports that his physician believes he is just making stuff up to get “narcotics to get high.”

SUBJECTIVE

The client reports that his pain began about 7 years ago when he sustained a fall at work. He states that he landed on his right hip. Over the years, he has had numerous diagnostic tests done (x-rays, CT scans, and MRIs). He reports that about 4 years ago, it was discovered that the cartilage surrounding his right hip joint was 75% torn (from the 3 o’clock to 12 o’clock position). He reports that none of the surgeons he saw would operate because they felt him too young for a total hip replacement and believed that the tissue would repair with the passage of time. Since then, he reported development of a strange constellation of symptoms including cooling of the extremity (measured by electromyogram). He also reports that he experiences severe cramping of the extremity. He reports that one of the neurologists diagnosed him with complex regional pain syndrome (CRPS), also known as reflex sympathetic dystrophy (RSD). However, the neurologist referred him back to his family doctor for treatment of this condition. He reports that his family doctor said “there is no such thing as RSD, it comes from depression” and this was what prompted the referral to psychiatry. He reports that one specialist he saw a few years ago suggested that he use a wheelchair, to which the client states “I said ‘no,’ there is no need for a wheelchair, I can beat this!”

The client reports that he used to be a machinist where he made “pretty good money.” He was engaged to be married, but his fiancé got “sick and tired of putting up with me and my pain, she thought I was just turning into a junkie.”

He reports that he does get “down in the dumps” from time to time when he sees how his life has turned out, but emphatically denies depression. He states “you can’t let yourself get depressed… you can drive yourself crazy if you do. I’m not really sure what’s wrong with me, but I know I can beat it.”

During the client interview, the client states “oh! It’s happening, let me show you!” this prompts him to stand with the assistance of the corner of your desk, he pulls off his shoe and shows you his right leg. His leg is turning purple from the knee down, and his foot is clearly in a visible cramp as the toes are curled inward and his foot looks like it is folding in on itself. “It will last about a minute or two, then it will let up” he reports. Sure enough, after about two minutes, the color begins to return and the cramping in the foot/toes appears to be releasing. The client states “if there is anything you can do to help me with this pain, I would really appreciate it.” He does report that his family doctor has been giving him hydrocodone, but he states that he uses is “sparingly” because he does not like the side effects of feeling “sleepy” and constipation. He also reports that the medication makes him “loopy” and doesn’t really do anything for the pain.

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. He is dressed appropriately for the weather and time of year. He makes good eye contact. Speech is clear, coherent, goal directed, and spontaneous. His self-reported mood is euthymic. Affect consistent to self-reported mood and content of conversation. He denies visual/auditory hallucinations. No overt delusional or paranoid thought processes appreciated. Judgment, insight, and reality contact are all intact. He denies suicidal/homicidal ideation, and is future oriented.

Diagnosis: Complex regional pain disorder (reflex sympathetic dystrophy)

Decision Point One

Select what you should do:

Savella 12.5 mg orally once daily on day 1; followed by 12.5 mg BID on day 2 and 3; followed by 25 mg BID on days 4-7; followed by 50 mg BID thereafterAmitriptyline 25 mg po QHS and titrate upward weekly by 25 mg to a max dose of 200 mg per dayNeurontin 300 mg po BEDTIME with weekly increases of 300 mg per day to a max of 2400 mg 

PLEASE PAY ATTENTION TO MY CASE STUDY

five references not more than 5 years

Zero plagiarism

A family who requests privacy five times during the day to pray wants to have a sign on the door during their prayer time. The wife of the patient appears untrusting about the organization’s ability to provide the accommodation. The patient is a 45-year-old Muslim man who had a heart attack and is in the step-down telemetry room.

How should the nurse respond in this situation? How should the organization respond? How can organizational and individual cultural assessments affect the plan of care?

Your initial post must include a minimum of 300 words and include proper grammar, punctuation, and reference(s).