Does media portrayal of nursing affect how patients perceive nurses as authority figures? Why or why not? Think about nursing stereotypes and discuss the ways you can influence the public image of nursing. Discuss the various roles nurses can play that support the real image of nursing. Think about community health care and preventive services for all, but especially the underserved.

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Issue and trend course in nursing

Answer the two questions, this is a discussion for issue and trend course in nursing. the sources should be WITHIN 5 YEARS.

1.Does media portrayal of nursing affect how patients perceive nurses as authority figures? Why or why not? Think about nursing stereotypes and discuss the ways you can influence the public image of nursing.

2.Discuss the various roles nurses can play that support the real image of nursing. Think about community health care and preventive services for all, but especially the underserved.

Explain why your proposed initiative presents a viable and beneficial economic opportunity for your organization. Describe your proposed service line or economic initiative. Explain why your proposal presents an economic opportunity at the micro level and macro level. Explain how your proposed initiative will provide ethical and culturally equitable improvements to the quality of care. Analyze the economic factors of supply and demand associated with your proposed initiative, within a context relevant to your organization or care setting.

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Economic initiative in New Jersey

Research an economic opportunity that might be available within your health care setting—at both micro (departmental, neighborhood) and macro (organizational, community) levels—that you believe will provide ethical and culturally equitable improvements to the quality of care. Then, propose an initiative to take advantage of that opportunity. Support your proposal with economic data (sector growth, supply versus demand, cost versus reimbursement, et cetera) and an analysis of the prospective benefits for your department and for the organization overall.

Such economic opportunities might include offering a new service line, working to improve a service line already offered, retiring an outdated or unprofitable service line, or any other initiative you believe will be of benefit to your organization in the short and long term. One example is a recently launched partnership with a local bicycle-sharing company. Your organization partners with them to host healthy community events that offer free screenings for early detection of various health issues. Free screenings help fulfill some of your organization’s preventive and healthy lifestyle initiatives, while also potentially driving referrals to other services provided by your organization.

The requirements for your proposal, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document forma, length, and supporting evidence.

Explain why your proposed initiative presents a viable and beneficial economic opportunity for your organization.
Describe your proposed service line or economic initiative.
Explain why your proposal presents an economic opportunity at the micro level and macro level.
Explain how your proposed initiative will provide ethical and culturally equitable improvements to the quality of care.
Analyze the economic factors of supply and demand associated with your proposed initiative, within a context relevant to your organization or care setting.
What do economic and demographic data suggest is the supply and demand?
What additional information would improve your analysis?
Explain how relevant economic and environmental data support your proposed initiative.
How does the data illustrate a potential opportunity and the economic viability of your proposal?
Write concisely and directly, using active voice.
Proofread your proposal before you submit it to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

Competencies Measured

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

Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.
Analyze the economic factors of supply and demand associated with a proposed initiative, within a context relevant to a particular organization or care setting.

Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.
Explain why a proposed initiative presents a viable and beneficial economic opportunity for an organization.

Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.
Explain how relevant economic and environmental data support a proposed initiative.

Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.
Write concisely and directly using active voice.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

How does the information in this case inform the practice of a master’s prepared nurse? How should the master’s prepared nurse use this information to design a patient education session for someone with this condition? What was the most important information presented in this case? What was the most confusing or challenging information presented in this case? Discuss a patient safety issue that can be addressed for a patient with the condition presented in this case.

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Acute bacterial meningitis

Disease process ( acute bacterial meningitis,)

Discuss how the treatment impacts the disease process.

Conduct an evidence-based literature search to identify the most recent standards of care/treatment modalities from peer-reviewed articles and professional association guidelines (www.guideline.gov) (Links to an external site.). These articles and guidelines can be referenced, but not directly copied into the clinical case presentation. Cite a minimum of three resources.

Include the following in your clinical case presentation:
A discussion of the pathophysiology of the disease, including signs and symptoms.
An explanation of diagnostic testing and rationales for each.
A review of different evidence-based treatment modalities for the disorder obtained from guideline.gov or a professional organization.

Next, address the following questions:
How does the information in this case inform the practice of a master’s prepared nurse?
How should the master’s prepared nurse use this information to design a patient education session for someone with this condition?
What was the most important information presented in this case?
What was the most confusing or challenging information presented in this case?
Discuss a patient safety issue that can be addressed for a patient with the condition presented in this case.

The use of medical terminology and appropriate graduate level writing is expected.
Your paper should be 3 pages (excluding cover page and reference page).

Your resources must include research articles as well as reference to non-research evidence-based guidelines.
Use APA format to style your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. You will need to include a reference page listing those sources. Cite a minimum of three resources.

 

Visit the website below and find one new aspect of the Norovirus to discuss with peers. Find information related to surveillance, morbidity, prevention, virology, disease burden, etc. Take your pick and let’s practice investigating something new!

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Norovirus Discussion

The Norovirus is so common and we often don’t know enough about it. Visit the website below and find one new aspect of the Norovirus to discuss with peers. You will find information related to surveillance, morbidity, prevention, virology, disease burden, etc. Take your pick and let’s practice investigating something new!

https://www.cdc.gov/norovirus/resources.html

Explain care management of a child with leukemia—symptoms, chemotherapy side effects and management of symptoms What are the side effects of chemotherapy on a child with leukemia? Describe care management for Osteogenic sarcoma. What are the signs and symptoms of Hodgkin’s disease? Wilms tumor – Clinical manifestations and nursing care management. Discuss the causes and mechanism of edema formation in nephrotic syndrome. Discuss Idiopathic nephrosis, childhood nephrosis, and minimal-change nephrotic syndrome. Discuss the effect of decreased colloidal osmotic pressure in the capillaries of a child with nephrotic syndrome.

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Homework

Worksheet # 5 Due 7/23/22

  1. Briefly describe the following:
  • Sickle Cell Anemia
    • Complications and management
  • Aplastic anemia
  • Iron deficiency anemia
  • Hemophilia
  • Immune thrombocytopenia
  • Thalassemia major
  1. Explain care management of a child with leukemia—symptoms, chemotherapy side effects and management of symptoms
  2. What are the side effects of chemotherapy on a child with leukemia?
  3. Describe care management for Osteogenic sarcoma.
  4. What are the signs and symptoms of Hodgkin’s disease?
  5. Wilms tumor – Clinical manifestations and nursing care management.
  6. Discuss the causes and mechanism of edema formation in nephrotic syndrome.
  7. Discuss Idiopathic nephrosis, childhood nephrosis, and minimal-change nephrotic syndrome.
  8. Discuss the effect of decreased colloidal osmotic pressure in the capillaries of a child with nephrotic syndrome.
  9. How does this impact the vascular hydrostatic and the pull of the colloidal osmotic pressure?
    1. Relate this information to cause of fluid accumulating in the interstitial spaces (edema) and body cavities, particularly in the abdominal cavity (ascites).
  10. Compare clinical manifestations therapeutic management of a child with nephrotic syndrome and acute glomerulonephritis.
    1. What are the similarities and differences in manifestations?
  11. Discuss the reasons for proteinuria, edema and ascites as seen in a child with minimal change nephrotic syndrome
  12. List the signs and symptoms of acute renal failure compared to chronic renal failure.
  13. Identify the primary nursing intervention in an unconscious child.
  14. Differentiate between concussion and contusion
  15. Discuss nursing care intervention of a child experiencing seizure
  16. Discuss the manifestations of viral and bacterial meningitis and preventions.
  17. What is Reye’s syndrome? What are the clinical manifestations preventive strategies?
  18. Differentiate between types 1 and 2 diabetes mellitus. Discuss complications, preventions, patient educations and self-care management appropriate to a child’s developmental level.
  19. Differentiate between hypoglycemic and hyperglycemic reaction. Discuss treatment for diabetic ketoacidosis
  20. Discuss post-operative care of a child with neural tube defect.
  21. What is a fracture? Discuss the care interventions of a child in a cast
  22. Discuss patient education for a child being discharged in a full cast.
  23. Describe skin and skeletal fraction
  24. What is compartment syndrome?
  25. Discus treatment options for congenital hip dysplasia and talipes equinovarus

 

 

How can stressors be minimized in a hospitalized preschool aged child in terms of time orientation, communication, and their reaction to hospital procedure? What are the various stages of reactions families progress through when a child is diagnosed with a chronic illness or disability? Discuss the goal of palliative care Discuss the educational and socialization needs of a child with Down’s syndrome Describe autism spectrum disorder (ASD).— diagnosis, behavior, communication, and care management.

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Homework

Worksheet # 4

  1. How can stressors be minimized in a hospitalized preschool aged child in terms of time orientation, communication, and their reaction to hospital procedure?
  2. What are the various stages of reactions families progress through when a child is diagnosed with a chronic illness or disability?
  3. Discuss the goal of palliative care
  4. Discuss the educational and socialization needs of a child with Down’s syndrome
  5. Describe autism spectrum disorder (ASD).— diagnosis, behavior, communication, and care management.
  6. Differentiate between fever and hyperthermia and nursing interventions. The affect of high fever and ways to prevent or minimize complications.
  7. Describe bronchitis and bronchiolitis. What are the clinical presentations of both?
  8. Describe respiratory syncytial virus (RSV), treatment management and prevention.
  9. What are the clinical presentations of asthma—pathophysiology, medication, and care management
  10. Describe the effects of the following drug class in asthma management
    1. β-Adrenergic agonists
    2. Methylxanthines
  11. What is cystic fibrosis? Diagnosis, medication and medication instructions and side effects
    1. Deoxyribonuclease (rhDNase) –administration and side effects
  12. Describe acute otitis media. Signs and symptoms and treatments
  13. Care of client after tonsillectomy— assessment and prevention of postoperative complications
  14. Care of a child with epiglottitis.
  15. Describe mode of transmission of Tuberculosis and isolation method for a child diagnosed with active tuberculosis.
  16. Review the following drugs, mode of action, patient teaching and side effects.
  17. Isoniazid (INH)
  18. pyrazinamide (PZA)
  19. Rifampin
  20. ethambutol
  21. Give examples of heart defects with increase pulmonary flow and heart defects with decrease pulmonary flow
  22. Describe Tetralogy of Fallot
  23. Describe the use, patent education and side effects of :
  • ACE inhibitors
  • Digoxin—therapeutic level and signs of toxicity
  • Indication for the use of prostaglandin E during cardiac surgery
  • Indomethacin
  1. Care management of patient post cardiac catheterization

Differentiate between these three types of dehydration:

  • Isotonic, hypotonic and hypertonic dehydration
  1. List signs and symptoms of and care management for :
  • Intussusception
  • Hirschsprung’s Disease
  • Celiac disease

 

Review the interactive media piece/branching exercise provided in the Learning Resources. Reflect on the patient’s symptoms and aspects of disorders that may be present in the interactive media piece/branching exercise. Consider how you might assess, perform diagnostic tests, and recommend medications to treat patients presenting with the symptoms in the interactive media piece/branching exercise. Develop a set of admission orders based on the patient in the branching exercise.

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Common Diseases and Disorders

For this Assignment, you will review the interactive media piece/branching exercise provided in the Learning Resources. As you examine the patient case, consider how you might assess and treat patients with the symptoms and conditions presented.

To prepare:
• Review the interactive media piece/branching exercise provided in the Learning Resources.
• Reflect on the patient’s symptoms and aspects of disorders that may be present in the interactive media piece/branching exercise.
• Consider how you might assess, perform diagnostic tests, and recommend medications to treat patients presenting with the symptoms in the interactive media piece/branching exercise.
• You will be asked to develop a set of admission orders based on the patient in the branching exercise.

The Assignment
Using the Required Admission Orders Template, write a full set of admission orders for the patient in the branching exercise.

• Be sure to address each aspect of the order template
• Write the orders as you would in the patient’s chart
• Make sure the order is complete and applicable to the patient
• Any rationale you feel the need to supply should be done at the end of the order set – not included with the order
• Do not write per protocol. We do not know what your protocol is and you need to demonstrate what is appropriate standard of care for this patient.
• A minimum of three current, evidenced based references are required.

Use this case scenario for this assignment
https://cdn-media.waldenu.edu/2dett4d/Walden/NRNP/6566/SC05/index.html

https://www.cdc.gov/std/treatment-guidelines/STI-Guidelines-2021.pdf
http://www.antimicrobe.org/e62.asp
https://go.openathens.net/redirector/waldenu.edu?url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193806

Perform a new self-assessment. Rate yourself on clinical skills, based on your experiences during this practicum. Summarize the results. Explain which goals you accomplished and which you did not. If you did not achieve a particular goal, explain how you could continue to work on it, perhaps in your next practicum experience.

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Reassessment of Strengths and Opportunities

There is a saying that people must look back in order to look forward. As you transition out of this practicum and into a new one, you must “look back” at all that you have accomplished, taking stock of your skill and confidence levels before moving on.

For this Assignment, you return to your Week 1 Self-Assessment to gain a new perspective on what you need to do moving forward.

To Prepare:
Review your completed Nurse Practitioner Clinical Skills and Procedures Self-Assessment Form from Week 1, as well as the record of procedures you have performed throughout the practicum.

Assignment (2 page)
Perform a new self-assessment. Rate yourself on clinical skills, based on your experiences during this practicum. Summarize the results.
Explain which goals you accomplished and which you did not. If you did not achieve a particular goal, explain how you could continue to work on it, perhaps in your next practicum experience.

In what position should the nurse place Mrs. Hogan and why? Identify symptoms that Mrs. Hogan is not responding to treatment and her condition may be worsening. Discuss the medication albuterol. Include drug classification, frequency, and adverse side effects.

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Mrs. Hogan, 35F, enters the emergency department with her husband and 2-year-old daughter, complaining of shortness of breath. A strong odor of cigarettes is noted when she enters the triage room. Mrs. Hogan denies smoking but states her husband does daily outside the house. While auscultating her lungs, you hear expiratory wheezing and rhonchi throughout. Her VS are as follows: 142/96, HR 88, RR 34, oxygen saturation 86% on room air, and temp is 38.9

1. In what position should the nurse place Mrs. Hogan and why?

2. Identify symptoms that Mrs. Hogan is not responding to treatment and her condition may be worsening.

3. Discuss the medication albuterol. Include drug classification, frequency, and adverse side effects.

4. Write three outcome goals for Mrs. Hogan’s diagnosis of Ineffective Breathing Pattern. (Look up nursing care plans and diagnoses)

5. Mrs. Hogan as responded well to the albuterol nehulizer treatment. The nurse asks her what she was doing when the asthma attack began. Mrs. Hogan says, “nothing special. I was just lying on the couch with my husband.” What other questions may the nurse ask to determine the cause of exacerbation?

6. The nurse discharges Mrs. Hogan will a:,  Explain the steps t at the nurse will teach Mrs. Hogan on how to use the inhaler. ‘ Si cuss three nursing interventions to hep-decrease Mrs. Hogan’s risk of another asthma exacerbation

What is the focus of the goals Natasha holds for her school community? Discuss. Natasha meets with the superintendent of the school district to discuss her county’s schools’ health needs. Natasha knows that psychosocial characteristics affect health. What are the psychosocial characteristics that affect the emotional tones of Natasha’s community? Discuss.

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Case Study

Chapter 15 Case Study
Natasha is a school nurse in a rural community. Because the community is small and does not have many resources, Natasha is the only school nurse for the two elementary schools, one middle school, and one high school in the county. Natasha divides her time among the schools in order to provide nursing care to the students.
Natasha keeps detailed health records on each student, particularly information pertaining to allergies, medications, and immunizations.
The county in which Natasha serves is separated from the neighboring county to the north by a river and from the neighboring county to the west by a mountain range. Why are these boundaries important to Natasha’s work? Discuss.

What is the focus of the goals Natasha holds for her school community? Discuss.

Natasha meets with the superintendent of the school district to discuss her county’s schools’ health needs. Natasha knows that psychosocial characteristics affect health.

What are the psychosocial characteristics that affect the emotional tones of Natasha’s community? Discuss.