Write a fictitious letter to your dear friend “Mary” who has just found out she is expecting a baby. Be sure to include information that you consider to be crucial for Mary to know.

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Write a fictitious letter to your dear friend “Mary” who has just found out she is expecting a baby. Be sure to include information that you consider to be crucial for Mary to know. Examples of information to include are stages of prenatal development, teratogens to stay away from, the importance of nutrition, stages of labor, birthing options, prenatal yoga and prenatal massage, Lamaze/birthing classes, and prenatal testing. You will present this information in a letter to Mary — how you format is up to you. This assignment provides you the opportunity to evaluate the information presented on prenatal development and select the information that you believe is essential for an expecting mother to know.

Instructions:

Type a 2- to 3-page letter to Mary. It is up to you how you would like to write the letter and what information you would like to include in the letter. Feel free to personalize it however you would like, including personal sentiments or pictures if you wish. In the letter, you must include at least 3 of the concepts that are covered in our text (be specific which textbook concepts you used and include the page/section numbers).  This extra credit assignment is worth up to 20 points and must be submitted before the deadline.  Late assignments will not be accepted.

Write a 3-4 page scholarly paper that includes: how their personal philosophical statement is compatible with their one chosen theory; how they envision using their selected theory/philosophical statement in their individual nursing practice to improve patient outcomes, via a patient case study.

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Students will develop a personal philosophical statement, create a mind map, and select a nursing theorist/theory that is compatible with their individual nursing practice. Students will write a 3-4 page scholarly paper that includes a)) how their personal philosophical statement is compatible with their one chosen theory; b) how they envision using their selected theory/philosophical statement in their individual nursing practice to improve patient outcomes, via a patient case study. The self-created theory mind map will be attached to this assignment, along with APA style references and a title page (these three elements are not counted toward the paper page limit).
NOTE: We strongly discourage students from using Nightingale as well as Henderson’s theories for this assignment. For this to be meaningful and useful in your clinical settings, we want you to use a contemporary nursing theory. Your textbook has many to choose from!
A. Personal philosophical Statement :
The use of a nursing philosophy is the basis for nursing practice and promotes the proper application of nursing knowledge as well as the development of nursing theory and knowledge.
• Develop a personal nursing specific philosophical statement incorporating your personal thoughts, and beliefs about nursing to improve patient outcomes.
• Information regarding your personal philosophical statement will be included in your mind map, and discussed in the scholarly paper. (See below for more details).
B. Theory Mind Map:
1. Incorporate your personal philosophical statement in your mind map.
2. Illustrate the compatibility of your one selected theorist/theory with your personal philosophical statement of how you practice nursing in your mind map. (In other words…provide a conceptual image/drawing of how you envision your personal philosophical statement is compatible with your selected theorist/theory through use of the nursing metaparadigm as you think about improving patient outcomes.
Mind Map Specifics:
• Complete an individual mind map/drawing to illustrate/demonstrate synthesis of course concepts by relating one nursing theory to your experiences as a nurse and application to practice.
• The mind map shows the relationship of the concepts of person, environment, health and nursing by a theorist of your choice as you see the theory helping to improve patient outcomes and as it relates to your personal philosophical statement. NOTE: each theorist has their own unique terms/concepts within each metaparadigm domain concept. We are looking for these terms. No examples of mind maps are given so you can be creative.
• The mind map can be stick figures, pictures, drawings, diagrams, etc. Review the document “How To Create a Mind Map in Word. How To Create Mind Map in Word
Mind map will include:
a. Personal thoughts, feelings, and beliefs about the four domain concepts of the nursing metaparadigm:
Person/client
Environment Health Nursing
b. Your personal philosophical statement clearly stated
c. Connection or relationship to one selected nursing theory with your theorist’s key terminology evident in the mind map–theory terms within each metaparadigm domain concept.
C. What is expected in the scholarly paper along with the mind map:
1. Clearly identify and state your personal philosophical statement in the scholarly paper and briefly discuss. Minimum 1/2 page.
2. Discuss the compatibility of your personal philosophical statement with a chosen existing nursing theory in the scholarly paper. Discuss how these two are similar and different. Include details of the nursing theory, including at least 3 core concepts ( not the metaparadigm domain concepts, but rather their actual unique words/phrases/terminology), compared to your philosophical statement. Only select one theory. Minimum 2 pages.
3. Discuss the chosen theory’s application to your current practice in the scholarly paper by providing a specific clinical (case) example of how you would apply this theory combined with your personal philosophical statement to improve patient outcomes. This is a distinct and separate section of the paper. Be sure to use a clear case example and both theory terms as well as the major part of your philosophical statement.

Identify and describe any potential factors that may account for differences in performance measures. Explain how these differences in performance measures might impact nursing practice.

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The administrator for your healthcare organization is asking nurse leaders to understand how quality of care is measured as well as determine what each nurse can do to make an impact on areas that need improvement in healthcare organizations. Each nurse leader is asked to gather pertinent data from two organizations and to compare this data to assess performance. State and national averages should be identified when using the benchmark data from the Compare sites and should be used to compile a presentation to the hospital administrator.

In response to your administrator’s request, you will brainstorm and create a presentation that will highlight performance comparisons for two HOME HEALTHCARE organizations. Review the data from the Compare sites and brainstorm on what the data may be highlighting and indicating relative to each healthcare organization’s performance. Your presentation should contain the following sections:
1. Identify and describe any potential factors that may account for differences in performance measures.
2. Explain how these differences in performance measures might impact nursing practice.
3. Describe the publicly reported data on the quality and safety of care for TWO of the following Home Health Agencies;
a.Patient Survey Results.
4. Provide recommendations that are supported by the research literature for clinical decisions systems that may potentially explain why the healthcare organizations are performing well, including an explanation of what you, as a nurse leader might continue doing to sustain a high level of performance OR why the healthcare organizations are not meeting standards, including an explanation of what you, as a nurse leader might do to help reach standards in the selected healthcare organizations.

The healthcare problem is high readmission rates regarding congestive heart failure. For patients with congestive heart failure, will providing a CHF care program decrease re-hospitalizations compared to not providing a care program?

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The healthcare problem is high readmission rates regarding congestive heart failure.

The hospital readmissions are significant because the problem was never controlled by the patient at home due to lack of understanding or patient instruction adherence.

The current practice related to the problem is there is a lack of CHF clinics that will help to manage the heart failure outpatient.

The problem impacts the patient and hospitals by unnecessary readmissions by using resources from the hospital and patient’s finances.  Regarding my local area of a high Hispanic population, it is a cultural norm to visit family members weekly and have small food get-togethers that impacts the patient’s diet.

For patients with congestive heart failure, will providing a CHF care program decrease re-hospitalizations compared to not providing a care program?

What is the research questions or the area of inquiry and explain why is interesting?  What was the hypothesis or hypotheses tested? Describe the methods use in the research. Describe what was the conclusion? What did you learn from the article as you enter the nursing pro

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  • From the chapters review on this unit, go to the epcc library website
  • Find an article from a peer-reviewed journal related to one of the classifications for these chapters that is within 5 years of current year. For example: antidepressants, opiods, antiepileptic, etc.

Answer the following questions on the link provided below (make sure you submit an electronic copy of the article you selected;

  • What is the research questions or the area of inquiry and explain why is interesting?
  • What was the hypothesis or hypotheses tested?
  • Describe the methods use in the research
  • Describe what was the conclusion?
  • What did you learn from the article as you enter the nursing pro.

 

Who were the guideline developers? Were the developers representative of key stakeholders in this specialty (interdisciplinary)? Who funded the guideline development? Were any of the guidelines developers funded researchers of the reviewed studies?

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Who were the guideline developers?

Were the developers representative of key stakeholders in this specialty (interdisciplinary)?

Who funded the guideline development?

Were any of the guidelines developers funded researchers of the reviewed studies?

Did the team have a valid development strategy?

Was an explicit (how decisions were made), sensible,and impartial process used to identify, select, and combine evidence?

Did its developers carry out a comprehensive, reproducible literature review within the past 12 months of its publication/revision?

Were all important options and outcomes considered?

What were the options/outcomes?

Is each recommendation in the guideline tagged by the level/strength of evidence upon which it is based and linked with the scientific evidence?

Do the guidelines make explicit recommendations (reflecting value judgments about outcomes)?

Has the guideline been subjected to peer review and testing?

Is the intent of use provided (e.g. national, regional, local)?Explain.

Are the recommendations clinically relevant?

What are the recommendations and how are they relevant or not?

Identify the actions that a nurse leader would take with regards to the following: Communication with stakeholders, training, budget, change management, include a specific change management theory that is appropriate to this project, authority.

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This week’s focus is on the nurse leader’s role in this and in similar projects.

Consider the nurse leader’s role at each stage of your project. “My selected project is: Patient Safety”Top of Form

Identify the actions that a nurse leader would take with regards to the following:

  • Communication with stakeholders
  • Training
  • Budget
  • Change management
  • Include a specific change management theory that is appropriate to this project.
  • Authority

Discuss the disease process: etiology, epidemiology, and pathophysiologic mechanism. Identify common complications that may occur with the alterations or treatment modalities. Patient’s overall prognosis

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Rashid Ahmed is a 50-year-old Middle Eastern male who was admitted this morning to the medical unit with a diagnosis of dehydration and hypokalemia. He has been experiencing nausea, vomiting, and diarrhea for the past 48 hours after eating at a local restaurant three days ago.
Medications:
• Trimethoprim/Sulfamethoxazole 160/800 mg PO q12h
• Potassium chloride (KCL) 40 mEq PO once
• Ondansetron 4 mg IV push q6h prn for nausea
• Lisinopril 5mg PO daily
• Atorvastatin 10mg PO nightly
Orders:
• Vital signs every 4 hours and prn
• Daily weights
• Activity: Up ad lib with assistance x1
• Diet: Clear liquids, progress to regular as tolerated
• IV: 1000 mL dextrose 5% in normal saline with 20 mEq KCL at 125 mL/hr
• Intake and output, record every 8 hours
SBAR Report:
S: Mr. Rashid Ahmed is a 50-year-old Middle Eastern male who was admitted to our unit at 0600 this morning after being admitted to the ED at 0400 with a diagnosis of dehydration and hypokalemia. We are monitoring his fluid and electrolyte status closely. I have just received admission orders.
B: Three days ago, he developed abdominal cramping, nausea, vomiting, and severe diarrhea 12 hours after eating lunch at a local restaurant. The symptoms have continued for the past 2 days, and food and fluid intake has been minimal to none since the symptoms began. Last night he nearly passed out while going to the bathroom around 0300. Mr. Ahmed was brought to the ED by his wife, and reported dizziness, weakness, and continued nausea. He received 4 mg ondansetron IV for nausea in the ED. Lab work was drawn and is available in the patient chart, and urine and stool samples have been sent to the lab. Mr. Ahmed’s only medical history includes hypertension and hyperlipidemia.
A: Mr. Ahmed is drowsy but oriented x 3, appears ill, and is irritable. He reports having a headache, which he rates a 4 on a scale of 0–10, but he hasn’t wanted anything for it. Admission weight was 73 kg (162 lb), which the patient reports to be about 4.5 kg (10 lb) less than usual. Vital signs were obtained on admission, including orthostatic blood pressure readings which were positive. Patient had drop in BP from 135/70 while lying down to 105/55 once he stood up. He reports dizziness. Heart rate is tachycardic and irregular. Patient also noted to have a 100.4 degree temperature. He has only taken a few ice chips since admission due to his nausea. The patient had one small liquid stool in the ER. He has not voided or experienced emesis since admission. An IV bolus has been completed and now D5NS IV fluids are running at 125 mL/hr.
R: Mr. Ahmed has new IV orders that need to be initiated. You will need to start him on oral antibiotics and potassium when nausea resolves. Provide patient education on safety, his prescribed medications, and intake and output measurement.
Pathophysiological Discussion
1. APA format (citations and references)
2. Discuss the disease process: etiology, epidemiology, and pathophysiologic mechanism
3. Identify common complications that may occur with the alterations or treatment modalities
4. Patient’s overall prognosis

Describe meaningful use/promoting interoperability, its goals, and how it relates to privacy and security.

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HIPAA privacy and security requirements are embedded in Medicare and Medicaid electronic medical health record incentive programs through meaningful use/promoting interoperability requirements. Describe meaningful use/promoting interoperability, its goals, and how it relates to privacy and security.

It is not uncommon for healthcare professionals to face ethical challenges throughout their careers. Describe 3 “TOP” ethical challenges that healthcare professionals face and how such challenges are being handled. In addition, please share if you or someone you know has faced a medical ethical challenge, how it was handled and what the outcome was. It’s important to note that different countries have varying views as to what constitutes medical ethics, so please feel free to share if you know of a challenge someone has faced in another country.

Select one article from the list in Canvas Week 9, or may select a different study approved by the instructor for the critique assignment.  Use the guidelines in the Polit and Beck text to set a benchmark to critique the quantitative research study

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For this assignment students will critique a qualitative research article.  Select one article from the list in Canvas Week 9, or may select a different study approved by the instructor for the critique assignment.  Use the guidelines in the Polit and Beck text to set a benchmark to critique the quantitative research study.  Cite the benchmark source for each area of the critique and describe how the study authors met or did not meet the benchmark criteria listed below.

Assignment Criteria:

Develop a scholarly paper that addresses the following criteria:

  1. Identify an area of clinical interest.
  2. Locate a minimum of one peer-reviewed journal article (no older than 5 years) related to your clinical topic of interest.
  3. Critique the journal article, fully answering the questions in the table below. Cite benchmark reference sources to explain where the authors meet the criteria or miss the mark
  4. The scholarly paper should be in narrative format, 4 to 5 pages excluding the title and reference page.
  5. Include an introductory paragraph, purpose statement, and a conclusion.
  6. Include level 1 and 2 headings to organize the paper.
  7. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’) and in a scholarly manner. To clarify: I, we, you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used.
  8. Include a minimum of one professional peer-reviewed scholarly journal references to support the paper and a second benchmark peer reviewed source (may be textbook or other journal article) and be less than five (5) years old.
  9. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations).
  10. Submit the assignment to Turnitin prior to the final submission, review the originality report, and make any needed changes
  11. Submit by the posted due date.
  12. Format the critique paper using the IMRaD format with level 1 and level 2 headings as designated in the grid below: