Briefly discuss (550 words) how the course content will assist you in your nursing career. Consider the bioethical principles, introduction to ANA policy statements, and leadership ethics discussed in this course.

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Ethics & Health Policy in nursing

In your final module, briefly discuss (550 words) how the course content will assist you in your nursing career. Consider the bioethical principles, introduction to ANA policy statements, and leadership ethics discussed in this course.
This is a discussion board poast.

Discuss your professional aims and your proposed practicum professional development objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.

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Practicum Professional Experience Plan

For this Assignment, you develop a Professional Experience Plan (PEP) to outline how your involvement in the practicum will contribute to your growth as a professional and allow you to hone your specialization knowledge and skills. The PEP consists of two or three objectives related to professional development that you will address during your practicum experience.

To prepare:
As necessary, review the information related to developing objectives provided in last week’s Learning Resources.

Revisit the objective(s) you crafted for last week’s Discussion, and reflect on the ideas exchanged in the forum. Refine the objective(s) as needed for the practicum experience, making sure they reflect the higher order domains of Bloom’s Taxonomy (i.e., Application level and above). Note: You will be submitting two to three professional development objectives as part of this Assignment.

Think more deeply about areas for which you would like to gain Application-level experience and/or continued professional growth. How can your experiences in the practicum help you achieve these aims?

Discuss your professional aims and your proposed practicum professional development objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.

Download and save the Professional Experience Plan Template provided in this week’s Learning Resources.

To complete your Professional Experience Plan:

Record the required information in each area of the Professional Experience Plan Template, including two or three objectives you will use to facilitate your professional development during the practicum. Include your intended Practicum Project focus.

Include the breakdown of the 144 hours between the practicum experience and the project. Consult your Faculty and Preceptor if less than 50% of the hours is needed for either the practicum or the project.

As the term progresses and the hours between the practicum and project need to be adjusted, consult your Faculty. Include the rationale for editing hours in the Practicum Experience Journal.

Learning Resources

American Organization for Nursing Leadership. (2015). Nurse executive competencies. https://www.aonl.org/system/files/media/file/2019/06/nec.pdf

Armstrong, P. (n.d.). Bloom’s taxonomy. https://cft.vanderbilt.edu/guides-sub-pages/blooms-taxonomy/

Bergren, D. (2020, January 22). Setting SMART goals for career success. https://waldencareerservices.com/2020/01/22/setting-smart-goals-for-career-success/

Kiper, V. (2019). Navigating a role transition: How to use your nursing leadership skills in a new career chapter. Nursing Management, 50(9), 49–52. https://dx.doi.org/10.1097/01.NUMA.0000579036.86223.bb

Lankshear, S., Kerr, M. S., Laschinger, H. K. S., & Wong, C. A. (2013). Professional practice leadership roles: The role of organizational power and personal influence in creating a professional practice environment for nurses. Health Care Management Review, 38(4), 349–360. https://doi.org/10.1097/HMR.0b013e31826fd517

Nix, M. (2017). Nurse executive professional development. Nursing Management, 48(12), 52–53. https://doi.org/10.1097/01.NUMA.0000526920.69840.a3

University of North Carolina Charlotte. (2004). Writing objectives using Bloom’s taxonomy. https://teaching.uncc.edu/sites/teaching.uncc.edu/files/media/files/file/GoalsAndObjectives/BloomWritingObjectives.pdf

University of North Carolina Wilmington. (n.d.). Writing SMART learning objectives. Retrieved from https://uncw.edu/career/documents/writingsmartlearningobjectives.pdf

 

 

Walden University Field Experience. (n.d.). Field experience: College of Nursing: Student resources and manuals. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments

Note: The College of Nursing Practicum Manual for MSN Specializations is available at this site. The site also contains contact information for the Office of Field Experience, Meditrek tutorials, and additional information pertaining to your practicum.

HSoft Corporation. (n.d.). Meditrek. https://edu.meditrek.com/Default.html
Note: Use this website to log into Meditrek to report your practicum hours throughout the course.

Cope, V., & Murray, M. (2018, March 21). Use of professional portfolios in nursing. Nursing Standard, 32(30), 55–63. https://doi.org/10.7748/ns.2018.e10985

Hannans, J., & Olivo, Y. (2017, November 28). Craft a positive nursing digital identity with an ePortfolio. American Nurse Today. https://www.americannursetoday.com/craft-a-positive-nursing-digital-identity-with-an-eportfolio/

Schneider, A. (2016). Building a professional nursing portfolio. https://www.rn.com/nursing-news-building-professional-nursing-portfolio/

Webb, T., Diamond-Wells, T., & Jeffs, D. (2017). Career mapping for professional development and succession planning. Journal for Nurses in Professional Development, 33(1), 25–32. https://doi.org/10.1097/NND.0000000000000317

Walden University Library. (n.d.-a). Choosing your topic. https://academicguides.waldenu.edu/library/topic

Walden University Field Experience. (n.d.). Field experience: College of Nursing: Student resources and manuals. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments

 

Should societal and cultural norms about behavior be considered by community mental health nurses? Why or why not? What is the role of the school nurse? Include examples of their required skills in your answer.

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Specialty Nursing Practice Questions:

Question #1

Should societal and cultural norms about behavior be considered by community mental health nurses? Why or why not?

Question #2

What is the role of the school nurse? Include examples of their required skills in your answer.

Question #3

Occupational health nurses often come across four types of exposures and hazards found within the workplace. What are they and how should they safely approach those types of exposures?

Clearly describe the research process, including what went well, barriers encountered, and what is still needed.

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Patient and family Engagement During a Pandemic

Include the following sections:
Identification of problem and impact on nursing practice.
• Clearly describe the research process, including what went well, barriers encountered, and what is still needed.
• Correlates research findings to identified clinical issue.
• Summarizes validity of qualitative and quantitative evidence.
• Findings are clearly identified.
• Recommends practice change with measurable outcomes and addresses feasibility issues.
• Suggestions for implementation.
• Conclusion of content findings.

Slides Presentation
• Introductory slide with the clinical problem
• Additional slides illustrating key points
• Conclusion slide
• Reference slide in current APA format
• Effective balance of color, graphics, words, and space

Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.

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The Quadruple Aim

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

List what diagnostic exams would be used to obtain a diagnosis. Provide medical diagnosis with supporting rationale for chosen diagnosis. Describe the process that occurs within the body for the diagnosed disease.

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SHADOW HEALTH-HEALTH HISTORY ASSESSMENT

 

Identified case title:

Significant history findings: (Note findings acquired from Shadow Health case).

Pertinent physical exam findings: (Note findings acquired from Shadow Health case).

Differential diagnosis: (Select a minimum of 3 medical diagnoses.)

Diagnostics: (List what diagnostic exams would be used to obtain a diagnosis.)

Final diagnosis: (Provide medical diagnosis with supporting rationale for chosen diagnosis.)

Pathophysiology of diagnosis: (Describe the process that occurs within the body for the diagnosed disease.)

Treatment plan: (Include pharmacological treatment with patient education.)

 

NOTE: Must utilize a minimum of 3 references with one being UpToDate®.

 

How are things at home? How are things at school? Are you feeling angry or upset about anything lately? Are any of your friends pressuring you into things you’re not comfortable with? Have you had any thoughts of harming yourself or others?

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WEEK 2 DB RESPOND TO MY CLASSMATE ELIZABETH

COLLAPSE
When obtaining a health history, it is important to build a rapport with the patient and create a safe space for communication (Ball et al., 2019). Using a patient-centered approach, as discussed by Ball et al. (2019), increases the opportunities to keep the conversation going and obtaining the information needed to treat the patient. In the case of 16-year-old BK, the clinician must take into account the patient’s age and socioeconomic factors. BK lives with her grandmother and her mother is a drug addict who is incarcerated. The grandmother is concerned about drug abuse by BK, stating that BK has been “acting strange, staying in her room all the time and refusing to do all the things she used to enjoy”.

The priority of the clinician is building a relationship with BK in order to get the information needed to provide optimal treatment (Ball et al., 2019). Using the HEEADSSS assessment tool would be beneficial for this situation (Ball et al., 2019). The HEEADSSS acronym stands for home environment, education/employment, eating, activities/affect/ambition/anger, drugs, sexuality, suicide/depression, and safety from injury and violence (Ball et al., 2019). An interview utilizing this assessment tool would consist of the following five questions:

“How are things at home?”
“How are things at school?”
“Are you feeling angry or upset about anything lately?”
“Are any of your friends pressuring you into things you’re not comfortable with?”
“Have you had any thoughts of harming yourself or others?”

How would you describe yourself? What makes a good friend? What is the most challenging part of your life right now? What is something you wish adults understood about kids? How is it being around your grandmother?

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Week 2 db response

My assigned patient is a 16-year-old Caucasian female who is accompanied by her grandmother. According to the grandmother, the patient has been acting strange, antisocial, and refusing to do things she once enjoyed. The grandmother is concerned that the patient may be using drugs, given the fact that her mother is an incarcerated, drug addict. The patient is obese and does not make any eye contact as the provider enters the rooms.

Some specific socioeconomic factors associated with the patient from the information provided includes her being a teenager and family influences of drug use. Being a teenager is when a child starts to become independent, make their own decisions, and figure out who they are. Often times these decisions are influenced by family, peers, and the environment they are in. According to Janicijevic et al. (2017), “Socioeconomic environment in which young people were raised as children predicts their behavior in young adulthood.” Some specific lifestyle factors associated with the patient includes an unhealthy weight probably related to a lack of exercise as the patient is antisocial, an unhealthy diet, mental well-being, and possible drug use. The patient’s spiritual and cultural factors will have to be thoroughly assessed during the interview. As indicated by Kisilowska et al. (2018), “It is worth noting that contrary to common opinion, often inspired by poor usage of digital collections, cultural information needs are essential for young users.”

When interacting with the patient, some issues I would need to be sensitive to as a provider includes discussing drug use, weight, and behavior change. Discussing these topics can be embarrassing for the patient, difficult to discuss, and can trigger emotions. While all of these topics can be personal, talking about them can begin a supportive and open conversation. As indicated by Hoopes et al. (2017), “Although the impact of provider communication on health outcomes for adolescents is unknown, there is evidence that communication affects their health care experience.”

 

Six targeted questions I would ask the patient to help build her health history and to assess her health risks includes:

How would you describe yourself?
What makes a good friend?
What is the most challenging part of your life right now?
What is something you wish adults understood about kids?
How is it being around your grandmother?
What do you look forward to most each day?

Define and discuss the condition the patient is presenting with, including the relevant related pathophysiology. Using a systematic approach, discuss the assessment and the priorities of nursing care related to the scenario, and demonstrate an understanding of the biopsychosocial factors that may influence the patient’s care.

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NURS 2021 Responding to Altered Health Care Needs – Adult FOP case scenario

 

You are expected to provide a 3000-word written response to the below case scenario. Ensure you use the DMU Harvard referencing and adhere to the usual academic writing guidelines for this assignment.
Evidence from literature/clinical guidelines should be used to underpin/support your answers.

Case scenario:

Mr Rajesh Patel is a 48-year-old taxi driver who presents to his local Emergency Department (ED) with a crushing central chest pain that radiates to his left arm. He has rapid breathing, seems very anxious and reports feeling nauseated.
Mr Patel does not smoke. He drinks alcohol when not working, often about 20 units or more a week. Due to his shift work doing day and night shifts, his eating patterns are irregular, tending to eat a large meal once he has finished working after 10pm or during his night shift; and he snacks on high calorie and high carbohydrate-based foods while working.

Mr Patel has hypertension which he takes an angiotensin-converting-enzyme (ACE) inhibitor for. He has a family history of cardiovascular disease (CVD), with his father having a first myocardial infarction (MI) before he was 55 years old. On this occasion the emergency medical treatment was successful but he died of a myocardial infarction before he was 65 years old.

Mr Patel and his family were on their way to visit his brother, sister-in-law and children when his chest pain began. He arrived at the ED with his wife, mother and two children. Mr Patel is employed on a zero hours contract and he is the only member of the family whose work is income-generating. He very keen to be treated quickly, so he can return to his job as soon as possible.
His wife is extremely worried for Mr Patel and has been observed to be crying when she thinks no one is looking. She has confided in a member of the nursing team that her anxiety levels have been high since they began their journey today and she has described symptoms consistent with mild agoraphobia having not been out of the house much at all since the pandemic started. She has also mentioned that she is a full-time carer for her mother-in-law since her diagnosis of dementia a year ago.
Mr Patel’s mother presents as moderately confused, disoriented and anxious, and has been observed to be wandering around the ED at times. She appears to respond well to her daughter-in-law and becomes much calmer and contented for a period of time when she has physical contact with her.
Mr Patel’s children, who are twelve and nine years old, are not fully aware of what is happening and have asked a number of times when he will be allowed to leave, so they can go and visit their family.

On admission, the following observations are recorded:
Respiratory rate: 28 breaths per minute at rest
Oxygen saturation: 90 % on room air
Blood pressure: 170/88 mmHg
Heart rate: 117 beats per minute, regular, ST segment elevation noted on electrocardiogram (ECG)
Temperature 36.60C

A diagnosis of ST elevation myocardial infarction (STEMI) is made.
In relation to the above scenario:

Define and discuss the condition the patient is presenting with, including the relevant related pathophysiology. (500 words)

Using a systematic approach, discuss the assessment and the priorities of nursing care related to the scenario, and demonstrate an understanding of the biopsychosocial factors that may influence the patient’s care. (1500 words)

Critically discuss the impact of acute illness on the patient and family. (1000 words)

Specific guidance:

Please familiarise yourself with the learning outcomes below, as these will be used to assess your written assignment.

Be sure to use the clinical definition in relation to your scenario and please research the diagnostic criteria/manuals and consider relevant guidelines e.g. NICE guidelines. Ensure you fully explain the definition and pathophysiology of the condition as well as identify risk factors and commonly used prediction tools with up to date clinical/academic sources to support your writing.
You need to demonstrate a systemic assessment approach using the Resuscitation Council’s (2015) ABCDE assessment method and explain the nursing priorities for the scenario demonstrating an understanding of biopsychosocial factors.
Critically discuss how the acute illness impacts upon the patient, family, carers etc. with an understanding of how the nurses’ role can influence this.

 

Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.

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Environmental Factors and Health Promotion Presentation: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants

The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored.

Include the following in your presentation:

Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.