Tag Archive for: nursing

Chronic Stable Angina

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Use APA 6th Edition Format and support your work with at least 4 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers. All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 3 pages of content, no greater than 4 pages, excluding cover page and reference page. If Any questions, please do not hesitate to contact me.

Chronic Stable Angina

E.H. is a 45-year-old African American man who recently moved to the community from another state. He requests renewal of a prescription for a calcium channel blocker, prescribed by a physician in the former state. He is unemployed and lives with a woman, their son, and the woman’s 2 children. His past medical history is remarkable for asthma and six “heart attacks” that he claims occurred because of a 25-year history of drug use (primarily cocaine). He states that he used drugs as recently as 2 weeks ago. He does not have any prior medical records with him. He claims that he has been having occasional periods of chest pain. He is unable to report the duration or pattern of the pain. Before proceeding, explore the following questions: What further information would you need to diagnose angina (substantiate your answer)? What is the connection between cocaine use and angina? Identify at least three tests that you would order to diagnose angina.

Diagnosis: Angina

1. List specific goals of treatment for E.H.

2. What dietary and lifestyle changes should be recommended for this patient?

3. What drug therapy would you prescribe for E.H. and why?

4. How would you monitor for success in E.H.?

Chronic Stable Angina

6. List one or two adverse reactions for the selected agent that would cause you to change therapy.

7. What would be the choice for the second-line therapy?

8. Discuss specific patient education based on the prescribed first-line therapy.

9. What over-the-counter and/or alternative medications would be appropriate for E.H.?

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egarding competing needs.

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Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly. Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice

examples of practices that might lead to conflicting needs in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

  • Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
  • Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
  • Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.

The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

  • Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
  • Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
  • Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
  • Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
  • Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

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clinical decision making.

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No plagiarism will be checked with turnitin.

APA style, font 12, double spaced with headers.

Will need Title page, content 3 full double spaced  pages in length, plus Reference page. Total of 5 pages. Remember that discussion of each topic requires citations that are current

(less than 5 years old 2014-2018) and relevant.

This assignment is a formal paper. This includes: APA format, title page, headings, literature review, proper citation per APA, logical sequence, conclusions, clarity, understanding of the topic, and reference list.

The paper must demonstrate independent ideas and conclusions.  At a minimum, the following topics must be well articulated in the paper.

Please refer to the grading rubric for how your paper will be graded.

Please use headings while answering the questions below.  

  • 1. Explain how multidisciplinary collaboration can affect clinical decision making.
  • 2. Discuss how collaboration can lead to improved patient outcomes.
  • 3. Discuss how lack of collaboration can lead to poor patient outcomes.
  • 4. Identify three barriers to professional collaboration among healthcare professionals and patients?
  • 5. What are the five best ways to promote professional collaboration in pediatric primary care?
  • 6. How can the nurse practitioner encourage and support collaboration among the patient, family, caregivers, and healthcare professionals?

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Scenario One

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As a nurse manager, it is imperative to understand how social technologies can impact productivity, peer-to-peer relationships, and patient safety within the workplace. Collaborating with HR to understand policies and the organization’s expectations related to the use of social technologies allows nurse managers to more effectively and appropriately integrate today’s social platforms while mitigating the occurrence of inappropriate behaviors.

For this week’s Discussion, your Instructor will assign you to one of the scenarios below. You will then use that scenario to investigate the social, ethical, and legal ramifications of social technologies.

Scenario One: You have recently been promoted to charge nurse for the day shift in your department. As a result of this promotion, your former peers are now reporting directly to you. You have been working in your setting for five years and consider many of these peers to be your friends. The way that one of your friends posts on social media sites has always bothered you. Many times, her comments are inappropriate, discussing her negative feelings about “ignorant superiors” and “annoying patients.” You also know that she frequently accesses these sites for extended periods of time while patients are waiting to be helped. Now that she reports directly to you, how do you address this? If your workplace does not have a formal policy on social media use, how can you adapt her behaviors to align with the expectations of nursing professionalism?

Post an explanation of the possible social, ethical, and/or legal ramifications of your assigned scenario. Explain the policy your current or past workplace has on the use of social technologies and how effective you believe the policy is. If your workplace does not have a policy, explain what the accepted practices or expectations are for your setting. Has lack of policy led to any problems? Support your responses by referencing authentic examples from the workplace and this week’s Learning Resources as appropriate.

 

Alichnie, C. (2012). Social media and nursing. Pennsylvania Nurse, 67(1), 3–10.  Retrieved from the Walden Library databases.

This article discusses the use of social media in nursing. The author determines that social media can be a means to an end if it’s used wisely, professionally, and within legal and ethical boundaries.

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Climate Change

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Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
Create a problem statement.
Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
Discuss the impact on the health care delivery system.
Include three peer-reviewed sources and two other sources to support the policy brief.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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 Esophageal Reflux Disease

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Write a comprehensive medical report on Esophageal Reflux Disease. Be sure to include all relevant medical history, testing/diagnostics, treatment options and recommended plan of action. Paper should be APA format and 4-6 pages.

 

Assignment 2 Grading Criteria
Maximum Points
Discussion/diagnostic determination on possible disease with differential diagnosis.
40
Explanation of testing methods
30
Use of correct medical vocabulary with comprehension of material
30
Suggested treatments and potential outcome of disorder
40
Adhered to the page limit.
10
Applied APA standards for writing style.
10
Total:
160

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urinary frequency and nocturia

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A 52-year-old African American male presents to an urgent care center complaining of urinary frequency and nocturia. The symptoms have been present for several months and have increased in frequency over the past week. He has been unable to sleep because of the need to urinate at least hourly all day and night. He does not have a primary care provider and has not seen a doctor in more than 10 years. His father died when he was a child in an automobile accident, and his mother is 79 years old and has hypertension. The patient has no siblings. His social history includes the following: banker by profession, divorced father of two grown children, non-smoker, and occasionally consumes alcohol on weekends only.

To prepare:

  • Review Part 13 of the Buttaro et al. text in this week’s Learning Resources.
  • Review the case study and reflect on the information provided about the patient.
  • Think about the personal, medical, and family history you need to obtain from the patient in the case study. Reflect on what questions you might ask during an evaluation.
  • Consider types of physical exams and diagnostics that might be appropriate for evaluation of the patient in the study.
  • Reflect on a possible diagnosis for the patient.
  • Review the Marroquin article in this week’s Learning Resources. If you suspect prostate cancer, consider whether or not you would recommend a biopsy.
  • Think about potential treatment options for the patient.

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Quality and Sustainability Paper Part One – Quality and Safety

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TOPIC: Quality and Sustainability Paper Part One – Quality and Safety

NOTE: THIS IS THE 1ST PART OF A 3 PART ASSIGNMENT

The Quality and Sustainability Paper is a practice immersion assignment designed to be completed in three sections. This is part one of the assignment. Learners are required to analyze and apply quality and/or safety measures specific to contemporary nursing science.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • Doctoral learners are required to use APA style for their writing assignments.
  • This assignment requires that you support your position by referencing at least six to eight scholarly resources. At least three of your supporting references must be from scholarly sources other than the assigned readings.

Directions:

Write a paper (1,250-1,500 words) discussing the role of quality and/or safety in nursing science. Include the following:

  1. Define quality and/or safety measures and describe their relationship and role in nursing science today.
  2. Provide a contemporary example of how quality or safety measures are applied in nursing science.
  3. Identify the quality and/or components needed to analyze a health care program’s outcomes.

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Personal Leadership Philosophies

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Assignment: Personal Leadership Philosophies

Many of us can think of leaders we have come to admire, be they historical figures, pillars of the industry we work in, or leaders we know personally. The leadership of individuals such as Abraham Lincoln and Margaret Thatcher has been studied and discussed repeatedly. However, you may have interacted with leaders you feel demonstrated equally competent leadership without ever having a book written about their approaches.

What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develop and practice. A leadership philosophy is basically an attitude held by leaders that acts as a guiding principle for their behavior. While formal theories on leadership continue to evolve over time, great leaders seem to adhere to an overarching philosophy that steers their actions.

What is your leadership philosophy? In this Assignment, you will explore what guides your own leadership.

To Prepare:

  • Identify two to three scholarly resources, in      addition to this Module’s readings, that evaluate the impact of leadership      behaviors in creating healthy work environments.
  • Reflect on the leadership behaviors presented      in the three resources that you selected for review.
  • Reflect on your results of the CliftonStrengths      Assessment, and consider how the results relate to your leadership traits.

The Assignment (2-3 pages):

Personal Leadership Philosophies

Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:

  • A description of your core values
  • A personal mission/vision statement
  • An analysis of your CliftonStrengths Assessment      summarizing the results of your profile
  • A description of two key behaviors that you      wish to strengthen
  • A development plan that explains how you plan      to improve upon the two key behaviors you selected and an explanation of      how you plan to achieve your personal vision. Be specific and provide      examples.
  • Topics:      (Refer to the Assignment Rubric). Use the Suggested Format for this      assignment.
    • Description       of Core Values and Personal Mission/Vision Statement
    • Analysis       of the CliftonStrengths Assessment 
    • Description       of Key Behaviors to Strengthen
    • Development       Plans to improve Selected Key Behaviors to achieve Personal Vision.

     

Rubric Detail 

Top of Form

 

Develop and submit a   personal leadership philosophy that reflects what you think are   characteristics of a good leader. Use the scholarly resources on leadership   you selected to support your philosophy statement. Your personal leadership   philosophy should include the following:
·   A description of your core values.
·   A personal mission/vision statement.

Points: 

Points Range: 14 (14.00%) – 15 (15.00%)

The response   accurately and thoroughly describes in detail a set of core values.
The response accurately and completely describes in detail a personal mission/vision statement.

Feedback: 

 

·   Analysis   of your CliftonStrengths Assessment summarizing the results of your profile.
·   A description of two key   behaviors you wish to strengthen.

Points: 

Points Range: 14 (14.00%) – 15 (15.00%)

The response   accurately and completely provides an analysis and detailed summary of the   CliftonStrengths Assessment.
The response accurately and thoroughly describes in detail two key behaviors   to strengthen.

Feedback: 

 

·   A development plan that   explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be   specific and provide examples.

Points: 

Points Range: 50 (50.00%) – 55 (55.00%)

An accurate, complete,   and detailed development plan is provided that thoroughly explains plans to   improve upon the two key behaviors selected.
The responses accurately and thoroughly explain in detail plans on how to   achieve a personal vision with specific and accurate examples.
The   response includes a comprehensive synthesis of information gleaned from   sources that fully support how to achieve a personal vision. Integrates 2 or more credible outside sources,   in addition to 2 or 3 course-specific resources to fully support the responses provided.

Feedback: 

 

Written Expression and   Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow   logically, and demonstrate continuity of ideas. Sentences are carefully   focused—neither long and rambling nor short and lacking substance. A clear   and comprehensive purpose statement and introduction is provided which   delineates all required criteria.

Points: 

Points Range: 5 (5.00%) – 5 (5.00%)

Paragraphs and   sentences follow writing standards for flow, continuity, and clarity.
A clear and   comprehensive purpose statement, introduction, and conclusion is provided   which delineates all required criteria.

Feedback: 

 

Written Expression and   Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation

Points: 

Points Range: 5 (5.00%) – 5 (5.00%)

Uses correct grammar,   spelling, and punctuation with no errors.

Feedback: 

 

Written Expression and   Formatting – The paper follows correct APA format for title page, headings,   font, spacing, margins, indentations, page numbers,   parenthetical/in-text citations, and reference list.

Points: 

Points Range: 5 (5.00%) – 5 (5.00%)

Uses correct APA   format with no errors.

Learning Resources 

Required Readings

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

  • Chapter      1, “Expert Clinician to Transformational Leader in a Complex Health Care      Organization: Foundations” (pp. 7–20 ONLY)
  • Chapter      6, “Frameworks for Becoming a Transformational Leader” (pp. 145–170)
  • Chapter      7, “Becoming a Leader: It’s All About You” (pp. 171–194)

Duggan, K., Aisaka, K., Tabak, R. G., Smith, C., Erwin, P., & Brownson, R. C. (2015). Implementing administrative evidence-based practices: Lessons from the field in six local health departments across the United States. BMC Health Services Research, 15(1). doi:10.1186/s12913-015-0891-3. Retrieved from https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0891-3

Moore Foundation. (2015). Nurses share lessons in leadership. Retrieved from

https://www.youtube.com/playlist?list=PLopRJPO6GaifsYPGP_jcWXZzU10H3AaX7Bottom of Form

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national/international news

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1.Give an example and details from national/international news of a bioterrorist attack.

Address all of the following in your post:

What was the classification of biological agent used in the attack?
Discuss the implications of the biological agent.
Discuss the therapy for the biological agent.
What are the decontamination procedures for the biological agent used in the attack?
Define the appropriate level of PPE required for this type of biological agent?
In your post, provide the name of the incident you have chosen, and support your answers with evidence/examples. Please provide a working link and a citation for your source(s).
In your replies to peers, compare the different biological agents, their implications and therapies. Discuss the different types of decontamination procedures and levels of PPE that would be required.

Support your answer with evidence from scholarly sources.

2.For this week’s discussion, we will be looking at local or national response protocols that were initiated during a critical incident, and you will choose your topic!

Search reputable local and national media for a man-made disaster to discuss.

Search for critical instances such as: hostage situations, mass shootings, multiple-vehicle or mass transit accidents with multiple critical injuries, and disease outbreaks.

In your initial post, describe the incident and address the following:

Determine the incident type and explain your reasoning.
What resources were deployed for this incident?
What protocols were implemented successfully, and which were unsuccessful?
Discuss way to improve the response to this type of incident in the future.
Support your answer with evidence. ​ Please provide a working link to your story source.

3. For this week’s discussion, you are asked to research a technological or human induced disaster.

(This not the same as in Weeks 3 and 4 where you might have discussed hostage situations, mass shootings, multiple-vehicle or mass transit accidents with multiple critical injuries, bioterrorism, and disease outbreaks.) Here you want to look at situations such as radiological, nuclear accidents, technological disasters (electromagnetic pulse), and hazardous material spills.

In your post, provide the name of the incident you have chosen, and support your answers with evidence/examples. Please provide a working link and a citation for your source(s).

Select 2 of the items below to discuss:

At what point does a technological or man made event become labeled a disaster?
Name and explain the impact categories associated with your disaster.
How well do you think the United States is prepared for a disaster like the one you selected?
Discuss the factors that can influence the effects a disaster may have on a community or region.
What nursing interventions would be a priority for these victims?
What community resources should be provided to the victims for follow up needs?
Support your answer with evidence from scholarly sources.

In your peer replies, suggest different ways to handle these types of disasters and the lessons learned by the professionals who handled these disasters.

4.Describe your current patient population and discuss the challenges you might face in carrying out your responsibilities in a disaster.

How could you gain more hands-on training to supplement your academic study of disaster management? How could you feel more prepared? Discuss different training options that you could participate in (e.g., CERT training).

Support your answer with evidence from scholarly sources.

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