Tag Archive for: nursing

abnormal findings in patients

/0 Comments/in /by

For this assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. Please remember to pretend that this is an actual patient and gives as much detail as possible!

Week 10: Special Examinations—Breast, Genital, Prostate, and Rectal GENITALIA ASSESSMENT

Subjective: • CC: “I have bumps on my bottom that I want to have checked out.” • HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.

• PMH: Asthma •

Medications: Symbicort 160/4.5mcg •

Allergies: NKDA •

FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD •

Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective: • VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs •

Heart: RRR, no murmurs • Lungs: CTA, chest wall symmetrical • Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia • Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, negMcBurney •

Diagnostics: HSV specimen obtained

Assessment: • Chancre

 

Patients are frequently uncomfortable discussing with healthcare professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.

In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

To Prepare

  • Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.
  • Based on the Episodic note case study:
    • Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.
    • Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.
    • Consider what history would be necessary to collect from the patient in the case study.
    • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
    • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

  • Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  • Analyze the objective portion of the note. List additional information that should be included in the documentation.
  • Is the assessment supported by the subjective and objective information? Why or why not?
  • Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
  • Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

ZERO PLAGIARISM

FIVE REFERENCES NOT MORE THAN FIVE YEARS

PLEASE PAY ATTENTION TO THE CASE STUDY ON THE TOP

supportive peer audience

/0 Comments/in /by

Directions:

A) The final research project presentation is an opportunity to present your finished Project to a supportive peer audience (Classmates) via discussion #2. The power point presentation (PPT) or Poster Board Template presentation should include the primary theory or claim you are defending, the bulk of the research upon which your position is based, and the major arguments that support it. You can utilize the information you have submitted within your assignment submissions for this course to complete your PPT.

There’s no required slide count for this discussion. Make sure you address all criteria/questions below for your initial discussion posting. Be Creative (include, photos, charts graphs, videos, etc).

Presentation Format:  Required Criteria

Your submission MUST follow the format below with headings (i.e. abstract, problem statement, etc.).

1. Title = Project title, your name, panther ID, date

2. Abstract= A concise summary of the key points of your research. Your abstract should contain at least your research topic, research questions, participants, methods, results, data analysis, and conclusions.  You may also include possible implications of your research and future work you see connected with your findings.  Your abstract should be a single paragraph double-spaced.  Your abstract should be between 150 and 250 words.

3.  Briefly describe the General Problem Statement and Specific Problem Statement proposed in assignment #1.

4. List your research questions proposed in assignment #1.

5. Briefly discuss the Literature Review Three Concepts (1 paragraph; 5-6 complete sentences), proposed in assignment #2.

6. Briefly discuss the Methods (1 paragraph; 5-6 complete sentences), proposed in assignment #3.

7. Briefly discuss the Findings (1 paragraph; 5-6 complete sentences), proposed in assignment #4.

8. Briefly discuss the Limitations (1 paragraph; 5-6 complete sentences), proposed in assignment #4.

9. Conclusion (1 paragraph; 5-6 complete sentences), proposed in assignment #4.

10.Reflection statement: Provide a summary (1 paragraph; 5-6 complete sentences)) statement of your  thoughts on the research project (i.e., what are you the most proud of while completing the research, what were the biggest challenges, advantages and disadvantages,are their any disappointments?, what methods will you use to communicate your research results to your chosen audience (i.e. delivery of research to bring awareness; i.e. via social media, email, etc.) ?, what are your hopes for the future with your research project, etc.).

11.List and provide (websites) of Two (2) potential peer review Journals that your abstract/ manuscript may be published in (refer to chapters 34-36 from your course required textbook to get ideas).

12. References (Min. 5 References) APA format.

I have also included an example of the presentation.

Introduction to Public Health

/0 Comments/in /by

I need about 120 words for each of these assignments with each individual references

MODULE 1

Topic 1: Introduction to Public Health

DQ 1

In reviewing the Affordable Care Act, what are the potential effects of the options for insurance coverage in both the private and public sectors? How will this impact the discussion about population-based nursing?

DQ 2

Identify a population-based problem of interest, such as obesity among children. After reviewing topical information in Healthy People 2020 and The Community Guide to Preventive Services, identify relevant outcomes related to this problem that will help guide your plans for intervention.

MODULE 2

Topic 2: Measures of Health I: Exploring Epidemiological, Biostatistical, Occupational, and Environmental Data

DQ 1

How could you use descriptive epidemiological methods in your practice? Provide an example where you could use descriptive epidemiology to improve care. Explain your rationale.

DQ 2

Which epidemiological study design would you use to evaluate an intervention in your practice? Provide a description of the chosen population and the identified intervention. Provide support as to why you believe that the design you chose is the best option including the strengths and weaknesses of the design you have chosen.

MODULE 3

Topic 3: Measures of Health II: Exploring Epidemiological, Biostatistical, Occupational, and Environmental Data

DQ 1

Provide examples of measures that APNs can collaborate with direct care nurses in implementing evidence-based changes to improve health literacy in practice.

DQ 2

Describe an example where a patient’s culture could impact health literacy. What measures would you employ to address the health literacy barrier? How effective is the current protocol for implementing practice changes in your institution? Examine any barriers and the facilitators for implementing an evidence-based change in your specific setting?

MODULE 4

Topic 4: Globalization: Advanced Nursing Practice Within Global Health Systems

DQ 1

What do you see as the largest health concern affecting underdeveloped countries? What role does the DNP play in eradicating this concern? What would be first steps?

DQ 2

In the assigned article, “Attention to Local Health Burden and the Global Disparity of Health Research,” the authors discussed the lack of attention given to global health crisis research. What areas can the DNP address that will promote health in correlation with the WHO’s Commission on Social Determinants of Health?

MODULE 5

Topic 5: Social Justice, Equity, and Ethics in Health Care

DQ 1

Analyze the ANA’s definition of the nurse’s role in in ethics and human rights and the role of the DNP in eliminating health disparities.

DQ 2

Provide an evaluation of the current political climate related to health care and define how the DNP can positively impact through policy or advocacy.

MODULE 6

Topic 6: Evaluation of Clinical Prevention and Population Health Data

DQ 1

In creating a new community-based health program, what program development model would you use? What recommendations would you employ for making the program development successful?

DQ 2

How can large, aggregated databases be used to improve population health?

MODULE 7

Topic 7: Evidence-Based Recommendations for Health Promotion and Risk Reduction

DQ 1

Provide an overview of the program evaluation model and health promotion theory you will use in your proposed community project. Explain your rationale for your choices?

DQ 2

Provide an analysis of your surveyed community and what health-related community need is present. Define the methodology of the health improvement program you will use to solve this problem also include a time line. Include any higher level of care management and policy decision that APNs who work in the community would need to be partner with either community-based consortiums or health care policy makers.

MODULE 8

Topic 8: Building Culturally Diverse Health Care Systems

DQ 1

Complete the “Cultural Competence Self-Assessment Checklist” on the Central Vancouver Island Multicultural Society website:

http://www.coloradoedinitiative.org/wp-content/uploads/2015/10/cultural-competence-self-assessment-checklist.pdf

Discuss the knowledge gained and its implications for further personal growth and application in your practice.

DQ 2

Evaluate the implications of individual culture on health literacy and the role of the DNP in providing opportunities to improve levels of knowledge. Why is this relevant to the DNP and population health?

nursing leadership role.

/0 Comments/in /by

Write 8-10 pages in which you identify a major patient-safety issue within your own organization and use evidence-based best practices and technology to develop a plan to improve the safety issue.

Quality improvement and patient safety are central to the nursing leadership role.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 2: Safety and Quality Practices – Incorporate concepts of patient safety, clinical management, and quality improvement to improve patient outcomes.
    • Describe a patient safety issue and compare currently used organizational processes for handling this issue with concepts, principles, and practices that contribute to quality improvement and patient safety.
  • Competency 3: Nursing Research and Informatics – Incorporate evidence-based practice interventions (for example, information systems and patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan.
    • Recommend evidence-based interventions, including technology, to address specific patient-safety issues.
  • Competency 4: Policy, Finance, and Regulations – Understand the scope and role of policy, finance, and regulatory environments in relationship to individual and population outcomes.
    • Analyze the legal and ethical consequences of not addressing patient-safety issues.
  • Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.
    • Write coherently to support a central idea in appropriate APA format with correct grammar, usage, and mechanics as expected of a nursing professional.
  • Competency 6: Organizational and Systems Management – Apply knowledge of organizational behavior, nursing theory, and systems (micro- and macro-) as appropriate for the scope and role of one’s own practice.
    • Describe strategies to overcome specific organizational barriers to change.

Assessment Instructions 

Preparation

As you prepare for this assessment, complete the following:

  1. Before you begin, examine your organization’s history of safety in a specific area and how your organization addresses patient safety issues. If possible, consult with a key stakeholder in the organization (such as an administrator) to better understand specific patient-safety concerns and how the organization is working to resolve the concerns. This person should also be able to discuss some of the organizational barriers impacting the patient safety issue.
  2. Next, look at the basic concepts, principles, and practices that contribute to organizational quality improvement and patient safety. Review the literature for best practices and how technology might be used to improve the issue.
  3. Finally, be sure to consider the legal and ethical implications associated with the safety issue, as well as possible organizational barriers to change.

Directions

As you construct this assessment, address each point as completely as possible:

  • Describe a patient-safety issue within your organization, comparing the way your organization addresses the issue with the concepts, principles, and practices that contribute to quality improvement and patient safety.
  • Analyze the legal and ethical consequences of not addressing the issue.
  • Recommend evidence-based interventions, including technology, to address the patient-safety issue.
  • Describe strategies to overcome specific organizational barriers to change, based on your knowledge of the organization.

Additional Requirements

  • Format: Include a title page and reference page. Use APA style and formatting.
  • Length: Ensure your completed assessment is 8–10 pages in length, not including the title page and reference page.
  • References: Cite at least five current scholarly or professional resources.
  • Font: Use double-spaced, 12-point, Times New Roman font.

different types of family

/0 Comments/in /by

Read chapter 29 and 30 of the class textbook and review the attached PowerPoint presentations.  Once done answer the following questions;

1.  In your own words and quoting the appropriate evidence-based references define what is family and the different types of family.  Please tell us what type of family do you belong?

2.   How do you feel that the value system differs from that of your parents? And from your grandparents? Why have these changes come about? As practicing nurses, why is it important to consider these generational differences in values and beliefs?

3.  Discuss traditional health beliefs & practices that have been passed down by families. Are these cultural or regional beliefs? Do you continue to practice any of the same things? Why or why not?

4.  How do you believe that family members and their upbringing have affected your own health or could affect a patient/individual’s health? Discuss positive & negative effects as well as physical, emotional & spiritual health. Give some examples.

As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board.  A minimum of 3 evidenced-based references must be used and 2 replies to any of your peers sustained with the appropriate references must be posted.  Only the assignment must be attached in a word document in the forum, replies do not.  References must be no older than 5 years.  A minimum of 700 words is required.  Please follow the instructions on how to present the first page and the name of the assignment when you post should be Week 9 discussion questions, not my name or blackboard posting.

 preferred learning strategies.

/0 Comments/in /by

n a paper (750-1,000 words), summarize your analysis of this   exercise. Include the following:

  1. Provide a summary of your learning style.
  2. List your     preferred learning strategies.
  3. Compare your preferred     learning strategies to the identified strategies for your preferred     learning style.
  4. Discuss how the awareness of individual     learning styles, preferences and strategies influence teaching     (those who are in a position to teach) and learning (those who are     in a position to learn).
  5. Cite a minimum of three references     in the paper.

Although the topic of this assignment refers to your individual   learning style, avoid the use of first person voice (words such as,   “I, we, our”) in your essay.

Prepare this assignment according to the guidelines found in the APA   Style Guide, located in the Student Success Center. An abstract is not required.

Pain

/0 Comments/in /by

Discussion: Pain

The neurological system affects all parts and functions of the body through nerve stimulation. Nerves also control the sensation and perception of pain. While pain can be described in a variety of ways, it is essentially labeled according to its duration and source. As an advanced practice nurse evaluating a patient, you need to consider the following questions: Does the pain quickly come and go, or is it persistent and ongoing? Does the pain arise at the source of injury or in another location? In this Discussion, you compare three common types of pain—acute, chronic, and referred.

To Prepare

· Review this week’s media presentation on the neurological system, as well as Chapter 14 in the Huether andMcCance text.

· Identify the pathophysiology of acute, chronic, and referred pain. Consider the similarities and differences between these three types of pain.

· Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.

Post a description of the pathophysiology of acute, chronic, and referred pain, including similarities and differences between them. Then, explain how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.

Required Readings

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

  • Chapter 14, “Pain,      Temperature, Sleep, and Sensory Function”

This chapter covers the role of pain, sleep, stress, and the senses on body functions. It also explores alterations involving pain, sleep, stress, and the senses.

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

Simulation in Healthcare

/0 Comments/in /by

Simulation in Healthcare

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.

By the due date assigned, post a response to one of the two discussion topics below, using information from the lectures, reading assignments, library resources, and Internet resources. All responses should be posted to the Discussion Area.

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Tasks:

Topic 1

Simulation technology has been transformative in nursing education. Through the use of simulation, nurses can repeatedly practice skills and gain clinical confidence in a risk-free environment. Simulation, however, is not just for health care professionals. How can nurses leverage simulation technology for patient and family education? Share your experiences and ideas for leveraging simulation technology for patient education.

Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA style website through the APA icon web address below.

Practicum Experience

/0 Comments/in /by

Assignment: Practicum Experience

As your practicum proceeds, consider the topics addressed this week. Conduct research to further your understanding of how issues related to health information systems and other resources, such as financials, staffing, and materials, could influence the implementation of your proposed change.

In addition, you reflect on the effectiveness of your practicum experiences for fostering your professional development. What challenges are you encountering, or would you anticipate at this point? If necessary, what can be done to improve the situation?

To prepare:

  • Reflect on the learning objectives and      activities you developed for your practicum experience during Week 1 (See      attached file). Also, consider the leadership competencies introduced in      Weeks 2 and 3.
  • What new skills or insights have you      gained thus far in your practicum experience? How do you think this is      impacting your leadership development and the planning of your proposed      change? What adjustments might need to be made to your leadership presence      within the practicum environment—or your plan for change? What additional      supports would you find most beneficial right now?

To complete: By tomorrow 4/10/19 6mpm, write a minimum of 550 words essay in APA format with at least 3 scholarly references. Include the level one headers as numbered below:

1) What new skills or insights have you gained through your practicum experiences?

2) How is this impacting your leadership development and planning related to your proposed change?

3) What additional supports would be beneficial?

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

· Review Chapter 6, “Translation of Evidence for Leadership”

This chapter addresses the pivotal role of leadership in the translation of evidence into practice.

American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf

Use the information in this report to guide the formulation of goals for your practicum experience.

Kotter, J. P. (2007). Leading change: Why transformation efforts fail. Harvard Business Review, 85(1), 96-103. Retrieved from https://cb.hbsp.harvard.edu/cbmp/pl/57319806/57319860/3d20a24aeeedc7a83d2a918c5013078c

In this foundational reading, Dr. John Kotter discusses errors commonly made as organizations undergo change, and he recommends steps leaders can take to help avoid them.

Murphy, M. P., Staffileno, B. A., & Carlson, E. (2015). Original Article: Collaboration Among DNP- and PhD-Prepared Nurses: Opportunity to Drive Positive Change. Journal of Professional Nursing,31388-394. doi:10.1016/j.profnurs.2015.03.001

Nelson-Brantley, H. V., & Ford, D. J. (2017). Leading change: a concept analysis. Journal Of Advanced Nursing, 73(4), 834-846. doi:10.1111/jan.13223

Salmela, S., Eriksson, K., & Fagerström, L. (2012). Leading change: a three-dimensional model of nurse leaders’ main tasks and roles during a change process. Journal of Advanced Nursing, 68(2), 423-433. doi:10.1111/j.1365-2648.2011.05802.x

Sherrod, B., & Goda, T. (2016). DNP-Prepared leaders guide healthcare system change. Nursing Management, (9). 13.

Optional Resources

Osters, S., & Tiu, F. S. (n.d.). Writing measurable learning outcomes. Retrieved from http://www.gavilan.edu/research/spd/Writing-Measurable-Learning-Outcomes.pdf

Kotter International. (2017). Kotter International. Retrieved from http://www.kotterinternational.com/

National Center for Healthcare Leadership. (2017). NCHL Health Leadership Competency ModelTM.Retrieved from http://www.nchl.org/static.asp?path=2852,3238

Assessinenitalia and Rectum

/0 Comments/in /by

APA format 3 peer review references and please follow directions under to prepare

 

Assignment 1: Assessinenitalia and Rectum

Patients are frequently uncomfortable discussing with health care professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.

In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

GENITALIA ASSESSMENT

Subjective:

  • CC: “I have bumps on my bottom that I want to have checked out.”
  • HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
  • PMH: Asthma
  • Medications: Symbicort 160/4.5mcg
  • Allergies: NKDA
  • FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
  • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

  • VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia
  • Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney
  • Diagnostics: HSV specimen obtained

Assessment:

  • Chancre
  • PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

To prepare:

With regard to the SOAP note case study provided:

  • Review this week’s Learning Resources, and consider the insights they provide about the case study.
  • Consider what history would be necessary to collect from the patient in the case study.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

To complete:

Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study.  Using evidence based resources, answer the following questions and support your answers using current evidence from the literature.

  • Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  • Analyze the objective portion of the note. List additional information that should be included in the documentation.
  • Is the assessment supported by the subjective and objective information? Why or Why not?
  • Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis?
  • Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.