In the abstract elaborate upon each major aspect of the paper and helps readers decide whether they want to read the rest of the paper.

/in /by

Can Trauma-Focused Care be Implemented for a Non-Verbal Autistic Client?

Requirements for  Master of Science in Nursing with specialization in Forensics

In 150-200 words, highlight the main details of your Capstone Project.

An Abstract is a summary of your project. In the abstract elaborate upon each major aspect of the paper and helps readers decide whether they want to read the rest of the paper.

Include key information to make the abstract useful to someone who may want to examine your work. It should not include information from other published work or citations.

 

Provide a concise description of this challenging experience. What core values were challenged in this experience? What lessons were learned from this experience? How did the experience inform future professional behaviors, decisions, and actions?

/in /by

Week 3: Collaboration Cafe (graded)

Our social and professional networks often overlap, which is why we don’t always say what we really think. In fact, the anticipation of the upset is far greater than the reality. However, the core values that are expected and appreciated in nurses are responsibility, honesty, integrity, belief in human dignity, patient equality, and the desire to prevent and alleviate suffering. A nurse’s professionalism is judged based on personal behaviors, appearance, presentation, and so on. Nurses are responsible for their own practice and the care that their patients receive. The nurse is responsible for following standards of care in all practice. As the roles of nursing change, nurses are faced with more complex decisions regarding delegation and management of care. The nurse must exercise judgment in accepting responsibilities, and seeking the counsel of others in the course of their duties.

  • Think about a time in your nursing practice where you encountered a challenging situation either with a patient or a co—worker that caused you to reflect on your core-values.
  • Provide a concise description of this challenging experience.
  • What core values were challenged in this experience?
  • What lessons were learned from this experience?
  • How did the experience inform future professional behaviors, decisions, and actions?

IMPORTANT NOTE: Your instructor will be monitoring the Collaboration Café but not participating as this is your opportunity to give and receive feedback from your peers. The Collaboration Café is graded this week (50 points). There are no scholarly references required in this discussion format. Please see the guidelines and grading rubric below.

MSN Collaboration Cafe Guidelines and Rubric

 

Explain the medication reconciliation process. Analyze the client scenario for any omissions, additions, or duplications of medications and discuss the implications to the client. Analyze the client scenario for potential risks associated with the client’s current condition and currently prescribed home medications.

/in /by

Pharmacology (medication administration)

Review the information provided in Canvas concerning Medication Reconciliation: Medication Reconciliation – AO.pptx

Using the client scenario provided on the assignment document and your Davis Drug Guide for Nurse’s, conduct medication reconciliation. Be sure to include the following in your final submission:

  • Explain the medication reconciliation process.
  • Analyze the client scenario for any omissions, additions, or duplications of medications and discuss the implications to the client.
  • Analyze the client scenario for potential risks associated with the client’s current condition and currently prescribed home medications.
  • Identify potential drug interaction and prioritize the drug interactions that are most concerning to you.
  • Identify actions that the nurse should implement and provide a reason for each action.

 

Discuss how the outcomes of your project will be measured. Is your project one that is sustainable or is it designed to be a single occurrence? Did you encounter any real or potential barriers during your practicum experience related to your project?

/in /by

Practicum experience

Throughout your practicum experience, you have been designing and implementing a project. You will now assess that experience. Prior to beginning this paper, discuss the topics below with your preceptor. Include their feedback as well as your own. In a word document, discuss the following topics:

  • Describe your leadership project, its focus, and the site where it was implemented. How did you discover the need for this project? The first case on-time starts in the operating room. The goals will be aligned with the attempt to improve first-case on-time starts by adding personnel, providing additional resources, or introducing positive or negative financial incentives. At Tampa General Hospital.
  • Discuss how the outcomes of your project will be measured. Is your project one that is sustainable or is it designed to be a single occurrence?
  • Did you encounter any real or potential barriers during your practicum experience related to your project?
  • Evaluate the success of your project. If you were not able to implement your project, discuss why. What are the next steps for the project?
  • What were the goals you set for yourself and the AONE competencies you hoped to achieve?

Summarize your project experience related to those goals and AONE competencies.

Use a minimum of two peer-reviewed resources (published within the last 5 years) as evidence to support your views.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.

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

What is the law in New Jersey with regard to social host liability? How did this law come to be? What do think about the New Jersey Law? Why? What public policy objectives does the New Jersey law serve?

/in /by

Chapter 4 – The American Legal system (Pg starts at 136)

Brief (see the text on page 141 for “how to brief”) the legal case of Nichols v. Niesen and answer the five questions following the case.

What is the law in New Jersey with regard to social host liability?
How did this law come to be?
What do think about the New Jersey Law? Why?
What public policy objectives does the New Jersey law serve?

Brief Mayer v. Bill Belichik and answer the questions following the case.
Brief Nickles v. Schild and answer the questions following the case.

Also, watch the relevant section on the lecture from the link below:
https://thebusinessprofessor.com/home/business-law/

General Guideliness:

Need to prepare a written case study and analysis. It should have following sections:

1. The facts of the case study.
2. The issues raised by the case study. These issues may be social, legal, political, managerial, economic, etc. These issues may be broad and/or narrow. The issues should be stated in question form.
3. An analysis of the issues presented. This section should include a discussion of both sides of each issue raised and should include your research findings.
4. Conclusions. These should be clearly explained and adequately defended.
5. Recommendations for the future.

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

/in /by

League’s targeted questions

Respond on or before Day 6 on 2 different days to at least two of your colleagues who were assigned a different patient than you. Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.

This is the case study that my colleagues are responding to

Case Study:

John Green, 33 year-old Caucasian male, presents to the office to establish as a new patient. John’s natal sex is female but he identifies as a male. He transitioned from female to male 2 years ago. He has made a full transition with family and socially last year. He just moved back home and is unemployed at this time. He has been obtaining testosterone from the internet to give to himself. He has not had any health care since he decided to change other than getting his suppression medications through Telehealth 3 months ago. His past medical history includes smoking 2 packages of cigarettes per day for the last 10 years, smokes 3-6 marijuana joints every weekend (has an active green card), and does suffer from depression episodes. He is HIV positive for the last 3 years but remains virally suppressed at his last blood draw 6 months ago. He has been feeling very weak over the last few weeks which prompted him to move back home with his parents. He takes Biktarvy once daily that comes in the mail for free, tolerates it well, and 100 mg Testosterone IM every 7 days. His PMH is non-contributory. No past medical history. He has never been married. No significant family history. He is worried since moving back home and unemployed he will be a burden on his family, and he thinks his health may be declining.

 

Kathy C.

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

 

The patient assigned is J.G., a 33-year-old male who transitioned from female to male two years ago. He obtains testosterone from the internet and takes intramuscular injections every seven days. The patient is currently depending on his family since he is unemployed. Given this information, he is of low socio-economic status. It is also worth noting that the patient has not had any health care since transitioning besides the suppression medication he got through telehealth. This is common among the transgender community: avoiding healthcare due to anticipated discrimination, low quality of care offered to the LGBT (lesbian, gay, bisexual, transgender) community, and lack of insurance (Kcomt et al., 2020).

In communicating with the patient, the provider will use a question-centered approach to bridge the gap between the patient and provider direct questions about the patient’s physical health instead of avoiding making them uncomfortable as they had never been to a hospital in person since their transitioning. Another strategy to gain pertinent information may be exploring the patient’s ideas about the issue, trying to understand the person and family influences, telling the patient what is wrong and seeking common ground and partnership, and finally, striving for a provider-patient relationship (King & Hoppe, 2013).  Using these ten questions would aid in demonstrating to the patient that the provider is culturally competent and knowledgeable on the health risks and disparities of the transgender community and his eagerness to personalize their care (Kcomt et al., 2020).

The few things that caught attention were that the patient had been smoking two packets of cigarettes daily for ten years and 3-6 marijuana joins every weekend, which may have been the leading contributing factors to his depressive episodes. He has been HIV positive for three years which is virally suppressed from his last blood draw six months ago. Additionally, he takes biktarvy daily, and his body tolerates it well. The provider should have doubts about the patient’s lifestyle. Still, it would be impossible to get more information because of society’s stereotypical view of what kind of people the LGBT (lesbian, gay, bisexual, transgender) (Suonpera et al., 2019). To assess the lifestyle context, the provider will inquire about his sense of life control and support networks. The patient reported that they have been feeling weak in the past few weeks and are concerned that their health is deteriorating. I suspect that this is a result of them taking their biktarvy medication, chain-smoking cigarettes, and high consumption of marijuana (Suonpera et al., 2019).

Targeted questions 

The questions I would ask to build up the health history and asses any health risks are:

  • How long have you been taking your biktarvy?
  • How active is your sex life?
  • How long have you been having depressive episodes?
  • How do smoking cigarettes and marijuana help you?
  • What brought you in today?

Even though the patient is transgender and somewhat challenging to assess, it is necessary to attend to the cues and findings that cannot be communicated and should not be ignored.

References

Kcomt, L., Gorey, K. M., Barrett, B. J., & McCabe, S. E. (2020). undefined. SSM – Population Health, 11, 100608. https://doi.org/10.1016/j.ssmph.2020.100608

 

Maria. C

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

Cultural competency is necessary to provide the best care and avoid inequalities of care, as one of its main goals is to alleviate minority health disparities (Aggarwal & Others, 2016). As the LGBTQ community experiences and will keep experiencing a challenging history, health professionals must learn to provide compassionate, comprehensive, and high-quality care with education (Bass & Nagy, 2021).

Understanding their terms is a way to be sensitive and better approach the LGBTQ community, as the client belongs to it. Specifically, for the scenario provided the term is F2M/FTM (female to male) – Female at birth but identifies as a male (Bass & Nagy, 2021).

Below are five specific proposed questions for the patient that would help not only build his health history but also assess his health risks and allow him to initiate health care actions proposed for the state of Maryland.

  1. What interventions have you considered to affirm your own gender identity?

The responses to this question will allow exploring the client’s information about the resources needed to achieve his gender identity, his expectations for accessing them, and his knowledge of the available resources in the area. It will also allow connecting the client with gender clinics like Chase Brexton.

  1. Are you afraid of someone, or have you been afraid of someone in the past?

The LGBTQ community usually is subject to violence. It is a population with higher rates of depression, sometimes related to a lack of acceptance by friends or family or the lack of a support network. The responses will guide to step toward screening for depression, trauma assessment, suicidal assessment, or if there is present a reportable situation and to identify if  is a need to refer to behavioral services.

  1. Let us talk now about your current health condition

This open-ended question will encourage the client to express his chief complaint, his medical history, and continuous interaction with the provider to obtain detailed information and understand the social and cultural context.

  1. Could you describe the health care do you need right now?

Health care providers’ negative attitudes toward HIV-positive patients could lead to suboptimal care. The client’s case could be afraid due to his unemployment, not income, no health coverage, past experiences and not feeling well. Also, he has not money, needs care for his health condition, access to the antiretroviral medication and the testosterone he is auto prescribing. If client admits the need of health care, it will an opportunity to link him to the Maryland AIDS Drug Assistance Program (MADAP), which provides health insurance and pays for the antiretroviral he is currently taking. It will also allow exploring all his medical needs, to interchange suggestions of his current health needs, for example, complete and extensive lab work including viral load, chest RX, and update his immunizations, among others.

  1. Is any other topic do you want to discuss today?

This last question proposed will promote confidence, strengthen the initial rapport, and a feeling of listening. It confirms that the session is client’s focused promoting trust and allowing the interchange of additional information about his social and health history.

References

Aggarwal, N. K., Cedeño, K., Guarnaccia, P., Kleinman, A., & Lewis-Fernández, R. (2016). The meanings of cultural competence in mental health: an exploratory focus group study with patients, clinicians, and administrators. SpringerPlus, 5, 384. https://doi.org/10.1186/s40064-016-2037-4

Using the knowledge and insights gained from the textbook, provide an overview of qualitative research as it relates to your compelling clinical question. What benefits did you find in qualitative research to answer your specific question?

/in /by

Qualitative research

Instructions

  1. Rubric provided
  2. 1 page paper and clinical question provided 3 references
  3. The book ISBN 9781496384539
  4. .Use database citations such as PubMed, Cochrane, EBSCO, CINAHL®, Less than 4 yrs old.

 Question A

Qualitative Research Design

Using the knowledge and insights gained from the textbook, provide an overview of qualitative research as it relates to your compelling clinical question. What benefits did you find in qualitative research to answer your specific question? Cite the sources used to substantiate your discussion

 

Clinical questionIn elderly patients living in long-term care facilities who are at significant risk of falls, how do frequent checks prevent falls compared with moving residents closer to nursing stations to reduce the incidences of falls over a month?

  • P – elderly patients aged 65 and above
  • I – frequent checks
  • C – moving close to the nursing station
  • O – reduces falls
  • T – in a month

Have you experienced a time when the patient care or processes were not ideal? Did you think that this practice could be improved? Was there something that you thought could be done differently to make the process more efficient for the patient?

/in /by

Quality Improvement Project in Australian Healthcare setting

Question:

In this assessment task, you are asked to identify an area of nursing practice that would benefit from a quality improvement process to improve quality and patient safety outcomes.

Your idea could come from your healthcare experiences as a student on placement, as a healthcare worker or even as a patient. What have you seen that is inefficient and could be solved by a quality improvement project?

Questions to consider:

  • Have you experienced a time when the patient care or processes were not ideal?
  • Did you think that this practice could be improved?
  • Was there something that you thought could be done differently to make the process more efficient for the patient?

 

Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies.

/in /by

Discussion: Politics and the Patient Protection and Affordable Care Act

Discussion: Politics and the Patient Protection and Affordable Care Act

Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society.

Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape.

Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA.

Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid).

Remember, the number one job of a legislator is to be re-elected.

 

Write your own definition for each concept of the meta-paradigm of nursing. Which concept would you add to the meta-paradigm of nursing and why? Which concept would you eliminate and why?

/in /by

Personal Nursing Philosophy

Your week 1 assignment is:

After reading this week’s assigned chapters, think about your nursing philosophy. In your own words, discuss your philosophy of nursing. Reflect on the definition of the four concepts of the nursing meta-paradigm.

Write your own definition for each concept of the meta-paradigm of nursing. Which concept would you add to the meta-paradigm of nursing and why? Which concept would you eliminate and why?

The four concepts of the nursing meta-paradigm:

  • Person (patient)
  • Environment
  • Health
  • Nursing (goals, roles, function). Each of these concepts is usually defined and described by a nursing theorist, therefore you will also.

This paper will include reflections on the four concepts of the nursing meta-paradigm.

Included will be this writer’s own definition for each concept of the meta-paradigm of nursing, which concept would be added to the meta-paradigm of nursing and why? And lastly which concept would be eliminated and why?

Next add these bold headers and add your content Reflections on the four concepts of the nursing meta-paradigm

Conclusion

In conclusion this writer discussed the purpose of this assignment which was to think about this writers nursing philosophy after having read this week’s assignment. This paper included reflections on the four concepts of the nursing meta-paradigm, as well as this writer’s own definition for each concept of the meta-paradigm of nursing.

Also discussed was which concept would be added to the meta-paradigm of nursing and why and which concept would be eliminated and why?