Posts

Nursing Diagnosis:

  1. Students
  2. This is your main assignment for this week.  Attached is a blank Care Plan template.  I will also included a case study that you will use to complete your Care Plan. Basically, a Care Plan is the Nursing Process, which we have studied over the past few week.  We will use the information that we learned to Assess the patient using subjective and objective data, formulate a nursing diagnosis, develop a plan of care for the patient, implement our plan, and then evaluate our plan.
  3. We will discuss the CARE PLAN on the Webinar this week.
  4. The care plan details are as follows: Much of the information is given to you.  There is one diagnosis listed and you will need to develop a second diagnosis for this patient.    Make sure that you have three references in APA format.  If the information is included in the case study (example:  Nursing diagnosis, interventions, etc.) you can use them in your care plan.  This is your first care plan, so much of it is fill in the blanks.  Good luck and I will be glad to help you with this assignment. APA format.  If the information is included in the case study (example:  Nursing diagnosis, interventions, etc.) you can use them in your care plan.  This is your first care plan, so much of it is fill in the blanks.  Good luck and I will be glad to help you with this assignment.
  5. Attached is the care plan template.  Please submit to the drop box by the due date.

A 48 year old male is admitted to the interventional holding area after having a cardiac cath. The patient received a cardiac stent in the right coronary artery (RCA) and the insertion site was angiosealed. The insertion site is soft, no bruising noted, or active bleeding. Pulses are palpable in bilateral lower extremities. A sandbag in on the site which has to stay for another 1.5 hours per md orders. The patient is complaining of discomfort in the groin area and rates his pain 8 on 1-10 scale. In addition, the patient and his wife have verbalized they desire (but feel they will not be able to) to manage the new medication regime and post-op care and are having difficulty understanding why it is so important to take these new medications and quit smoking since he already “has his problem fixed with the stent placement”. He states he is going to have problems integrating these new “rules” into his daily life because he works around people who smoke all the time and does not want these medications to interfere with his life.interventional holding area after having a cardiac cath. The patient received a cardiac stent in the right coronary artery (RCA) and the insertion site was angiosealed. The insertion site is soft, no bruising noted, or active bleeding. Pulses are palpable in bilateral lower extremities. A sandbag in on the site which has to stay for another 1.5 hours per md orders. The patient is complaining of discomfort in the groin area and rates his pain 8 on 1-10 scale. In addition, the patient and his wife have verbalized they desire (but feel they will not be able to) to manage the new medication regime and post-op care and are having difficulty understanding why it is so important to take these new medications and quit smoking since he already “has his problem fixed with the stent placement”. He states he is going to have problems integrating these new “rules” into his daily life because he works around people who smoke all the time and does not want these medications to interfere with his life.

Nursing Diagnosis:

-Acute Pain related to tissue trauma and prescribed post procedure immobilization as evidence by patient rating pain 8 on 1-10 scale.      Demographics:  White male, 48 years old.  Weight is 285 pounds, Height is 5’9″. Pt is married and his wife and 2 children are at the bedside.  Pt speaks fluent English.  He is Catholic.  He finished high school and 2 years of community college.  He is employed in an office with about 30 other employees.    Past medical history:  HTN, Hyperlipidemia, Smokes

Current labs:  Glucose – 165, Sodium 140, Potassium 3.2, Chloride 98, BUN 15, Creatinine 0.8.

Chest Xray – normal

Medications:  Select 3 medications for your care plan.  One should be for hypertenstion, 1 should be for pain while in the hospital, the 3rd one is of your choice (a medication that goes along with his diagnosis).

Nursing Outcomes:

-The patient will rate his groin pain less than 5 on a 1-10 scale within in 2 hours from admission.

-The patient and his wife will relate to the nurse that they feel like they can integrate the new medication and stop smoking regimen into their lifestyle before discharge.

-The patient and his wife will verbalize 4 benefits of quitting smoking for the heart by discharge.

-The patient and his wife will demonstrate and verbalize how to administer and take his new medications before discharge.

 

Nursing Interventions:

 

-The nurse will assist the patient with re-positioning techniques as needed to help alleviate pain.

-The nurse will educate the patient and his wife on 4 benefits of quitting smoking by discharge.

-The nurse will verbalized and demonstrate to the patient and his wife how the patient needs to take his new medications by discharge.  The patient and his wife will verbalize their understanding of the medications.

"Is this question part of your assignment? We can help"

ORDER NOW

THE CASE STUDY APPROACH AND PROBLEM SCOPING

THE CASE STUDY APPROACH AND PROBLEM SCOPING

Assignment Overview

In this Module 4 Case Assignment you will build upon the Problem Scoping analysis you prepared in your Module 3 SLP assignment by:

  1. Developing three alternative solutions that address the problem definition and criteria that you identified.
  2. Comparing the pros and cons of those three alternatives.
  3. Selecting the best alternative.
  4. Developing a logical argument to support your choice.

You will apply these same analytic skills throughout your health sciences program, and they will serve you very well in your professional life.

Case Assignment

Use the Evaluate Alternative Solutions Template to complete your Case Assignment.

Note: Developing alternative solutions is essentially a brainstorming process. What can you do to solve the problem? That is an alternative. Proposed alternatives should be consistent with the problem(s) that you identified in your Module 3 SLP assignment.

Developing a list of good alternatives involves creativity and avoiding preconceived attitudes (knee-jerk solutions) and assumptions. Guidelines for alternative development include:

  1. DON’T SETTLE FOR YOUR FIRST IDEA!
  2. Good designers try to generate as many possible solutions as they can before choosing one that they feel is the best. This creative process of developing ideas is called ideation.
  3. Methods of ideation include:
    1. Examine existing solutions
    2. Conduct brainstorming sessions. Remember the first rule of brainstorming – every idea is a viable one.
    3. Develop as many alternatives as possible. When you are done, try to categorize your alternatives. Then develop three alternatives.
    4. Sketching and doodling to create pictures of possible solutions.

Assignment Expectations

This assignment needs to be completed in paragraph format using full sentences. Insert the decision table you made into your Word document. Use this Insert Table file demonstrating techniques to Insert Tables into Word Documents.

Submit to your Case drop box by the module due date.

"Is this question part of your assignment? We can help"

ORDER NOW

Journal Entry

Assignment 1: Practicum – Week 8 Journal Entry

Learning Objectives

Students will:

· Develop effective documentation skills for group therapy sessions *

· Develop diagnoses for clients receiving group psychotherapy *

· Evaluate the efficacy of cognitive behavioral therapy for groups *

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

*

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

Then, in your Practicum Journal, address the following:

· Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session (see attachment).

· Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.

· Using the DSM-5, explain and justify your diagnosis for each client. (very important to use

· Explain whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach.

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

· Support your approach with evidence-based literature.

"Is this question part of your assignment? We can help"

ORDER NOW

ype 2 diabetes

L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5′4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb.

Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.

Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated.

One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of microalbumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes. Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm.

Questions

  1. What are the effects of      controlling BP in people with diabetes?
  2. What is the target BP for patients      with diabetes and hypertension?
  3. Which antihypertensive agents are      recommended for patients with diabetes?

"Is this question part of your assignment? We can help"

ORDER NOW

patient safety

n this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
  2. Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
  3. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
  4. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
  5. Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
  6. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.

Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

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 (LOCATED IN ATTACHMENTS) . 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. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1:       Exemplify professionalism in diverse health care settings.

1.3:       Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

3.4:       Demonstrate professional standards of practice.

"Is this question part of your assignment? We can help"

ORDER NOW

Case Study

nstructions:

  1. Read the Case Study 11-2: Go to the Hospital and Come Back with Four More Medications in Chapter 11 of the textbook.
  2. Once you have read the Case Study thoroughly, answer the following questions:
    1. What does the administration of antibiotics have to do with a Clostridium difficile (C. diff infection) infection?
    2. List all the inappropriate medications prescribed for K.L. and describe the reason why they are inappropriate.
    3. What kind of treatment regimen is utilized for a patient with a C. diff infection?
    4. Do any of these treatments regimens raise suspicion as being inappropriate for K.L.?
    5. List the therapy and if contraindicated, give a reason why it is inappropriate.
  3. Your paper should be:
    • One (1) page or more.
    • Use factual information from the textbook and/or appropriate articles and websites.
    • Cite your sources – type references according to the APA Style Guide.
  4. Upload your file by clicking “Browse My Computer” for Attach File.
  5. View rubric for grading.

"Is this question part of your assignment? We can help"

ORDER NOW

Family Health

Case Management

Family Health

Read chapter 20 of the class textbook and review the attached PowerPoint presentation.  Once done answer the following questions;

  1. Define case management and care management and compare the differences.
  2. Mention and discuss the case management concepts into the clinical practice of community health nursing.
  3. Give the definition of family and mention and discuss the different types of families, mention and discuss the model of care for families.
  4. Describe strategies for moving from intervention at the family level to intervention at the aggregate level.

INSTRUCTIONS:

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 9 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard.   If you don’t post your assignment in any of the required forums you will not get the points.  A minimum of 2 evidence-based references besides the class textbook no older than 5 years must be used.  You must post two replies to any of your peers sustained with the proper references no older than 5 years in two different days to verify attendance and as well make sure the references are properly quoted in your assignment.  A minimum of 800 words is required.  Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.  I’ve been grading a lot of assignments with quite a few spelling/grammar errors.  As BSN student you should be able to present an assignment according to APA and without errors.  This reflects our University.

"Is this question part of your assignment? We can help"

ORDER NOW

global health agenda

To Prepare:

  • Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
  • Select at least one additional country to compare to the U.S. for this Assignment.
  • Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
  • Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

  • Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
  • Explain the strengths and weaknesses of each policy.
  • Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
  • Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
  • Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
  • Explain how the health policy you selected might impact the role of the nurse in each country.
  • Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

  • Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.

"Is this question part of your assignment? We can help"

ORDER NOW

Motivation & Organizational Climate

Motivation & Organizational Climate

Evaluate the organizational climate and motivation of a unit where you currently or previously worked.  Describe how leaders and managers evaluate the level of motivation and organizational climate.  Analyze two actions found in the literature that leaders could employ to improve the management of workplace issues (motivation, conflict, scheduling or discrimination).

Support your discussion and opinions with facts and relevant examples from personal nursing practice.

All submissions must have a minimum of two scholarly references to support your work.

Examples of work to show mastery:

  • 2-3 page paper – APA format

"Is this question part of your assignment? We can help"

ORDER NOW

Transformational Leadership

Topic: Transformational Leadership: Other Relevant Leadership Models

Models of Leadership

As a nurse leader, it is important to understand a variety of leadership models and styles. This will help you adapt to different settings and apply strategies to support and inspire others. It may also be necessary to apply models in different professional settings to satisfy certification requirements.

This assignment is composed of two parts, a graphic organizer and a written paper.

Part I: Graphic Organizer

Research five leadership models and styles. One model must be transformational leadership.

Design a graphic organizer to compare servant leadership with the other models. Consider how these models or styles bring about organizational, team, or individual change or growth. How do leaders implement each of the models and how do they fit with your personal beliefs?

Part II: Personal Model of Leadership Paper

Write a 1,000-1,250 word paper about your personal model of leadership, including the following:

1. How may your personal model of leadership be applied in your professional setting?

2. How does your personal model of leadership compare to the models you researched for the graphic organizer?

3. Does your personal model follow the lines of servant leadership or transformational leadership?

Submit the graphic organizer and paper to your instructor.

Prepare this assignment according to the APA guidelines. An abstract is not required.

"Is this question part of your assignment? We can help"

ORDER NOW