Category: Nursing homework help

 
 What strategies can staff nurses use to share evidence that could impact health policy decisions? 
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts
Read
Mason, D. J., Gardner, D. B., Outlaw, F. H. & O’Grady, E. T. (2020). Policy and politics in nursing and health care (8th ed.). Elsevier Health Sciences.
Chapters 1 & 3-13
American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.).
Use as a guide for writing in current APA format.

 
Hematopoietic:
J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.
Past Medical History (PMH):
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.
Case Study Questions
Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.
Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?
The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.
Cardiovascular
Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.
Case Study Questions
For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct, describe the modifiable and non-modifiable risk factors.
What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?
Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct, which would be the most specific laboratory test you would choose and why?
How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct, when that can be observed and for how long? Base your answer on the pathophysiology of the event.
Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.
Submission Instructions:
Include both case studies in your post.
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

 
Antipsychotic medications play a crucial role in managing psychiatric disorders, particularly Schizophrenia. However, understanding their adverse effects is essential for safe and effective patient care. Explores the common adverse effects associated with typical antipsychotics, emphasizing the importance of monitoring, patient education, and individualized treatment approaches.
Provide a substantive response to the topic of the discussion (the initial post) 
Please review the rubric before posting to ensure a maximum of points. 
 At least 400 words.
At least three appropriate references APA 7th should be used. 
The usage of “IA” is not approved and violates academic integrity.
No plagiarism

A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent and oriented x4. The client is on a fixed income but has enough to manage a modest lifestyle. The client has family and social support but is very independent and is proud of her self-reliance. The client’s height is 5’ 6”, weight is 210 lb. / 95.25 kg.
Please answer the following:
What is the client’s BMI?
Identify what screening tools you would use to assess nutritional and exercise knowledge and why.
One Outcome/Intervention/Rationale:
Identify one outcome/goal that is reasonable, measurable, and realistic. Identify one nursing intervention for the outcome and give a rationale for the intervention.
Identify what weakness in the client’s life may be impacting the client’s activity and diet.
What referrals would you make and why?
(Use references for your responses, not just opinions.)

 
Discussion Topic: What are the goals of a patient interview? 
Discuss ways to enhance a successful patient interview process.  
 Discussion Topic: What are the 4 Cs of communication? 
Please elaborate on how can the Family Nurse Practitioner meet the 4 Cs of communication based on culturally competent care.
At least 400 words.
References APA 7th at least 3

Explain how interprofessional collaboration will help reduce errors, provide higher-quality care, and increase safety. Provide an example of a current or emerging trend that will require more, or change the nature of, interprofessional collaboration.

Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. Explain how this model is advantageous to patient outcomes.

 
Discussion Board Instructions: Impact of Stress and Disease on the Human Body
This discussion board focuses on the interconnectedness of stress and disease in the human body. As future healthcare providers, understanding this link is crucial for comprehensive patient care.
Discussion Prompts:
Physiological Effects:
How does the body react to stress in the short term (acute stress) and long term (chronic stress)?
Discuss the physiological consequences of chronic stress on various bodily systems (e.g., cardiovascular, immune, digestive).
Stress & Disease:
Can chronic stress directly cause disease? If so, how? Provide specific examples.
In cases where stress doesn’t directly cause a disease, how can it worsen existing conditions?
The Cycle:
Explore the potential for a cycle to develop between stress and disease.
How might a person with a chronic illness experience increased stress, and how might that stress in turn impact their illness?
Nursing Implications:
How can nurses identify signs and symptoms of stress in patients?
Discuss strategies nurses can employ to help patients manage stress and improve overall well-being.
Additional Guidelines:
Share relevant scholarly articles or resources to support your points.
Use respectful language and cite your sources appropriately.
Respond to your fellow students’ posts, fostering a collaborative discussion.
Consider real-world examples from your clinical rotations (if applicable) to illustrate the concepts.
Remember: The goal is to gain a deeper understanding of the complex relationship between stress and disease, and how this knowledge can be applied in your future nursing practice.
At least 500 words
references APA 7 edition
No plagiarism.

Replies 1
 
I am returning to school to complete a BSN degree because it is a prerequisite for me to change my military occupation code (MOS) and return to Active Duty as a nurse. 
I see myself in the third, new beginnings phase of Bridge’s Model of Transition because I have my sights set on future goals post-graduation (Blais & Hayes, 2015); I have accepted my transition from an in-person ADN student to an online BSN student and have modified my behavior to ensure success in said role (where “success” is measured by completion of the degree with a cumulative GPA of > 3.5). 
In the absence of a fourth phase to Bridge’s Model, Blais and Hayes (2015) emphasize the importance of prioritizing a healthy work-life balance to prevent slipping back to a previous phase that no longer serves the goals of the current one. Once internalized, character traits that would help solidify my position in the new beginnings phase include reflectiveness, determination, resilience, and confidence (Blais & Hayes, 2015). Because this program is more rigorous than my last one, leaving behind previous habits and staying committed to the revised time hacks and study goals I have established for myself will be essential to my success.
Replies 2
 
Why are you returning to school?
I decided to return to school to further my knowledge and meet the entry-level requirements most healthcare facilities seek in this ever-evolving, high-demand profession, as technology and evidence-based practices enhance patient safety and care. Returning to school will not only improve my critical thinking when it comes to patient outcomes, but it will increase my salary and provide more job opportunities as I continue to acquire new skills that demand a higher level of complexity as I transition into new areas within my specialty as a Perioperative RN.
Using key points from the Bridges Model, where do you see yourself transitioning to the professional level role? What professional skills and characteristics will you need to develop to transition to the next level in the Bridges Model of Transition?
Within the three phases of the Bridges Model, I find myself in the ending phase, as a new grad nurse working as an RN for just five months. It has been a challenge. I sometimes struggle with disengagement as I shift from my old nursing student role to my new RN role (Blais & Hayes, 2016). During this new role as an RN, I wonder if I made the right choice; according to the Bridges Model, I enter the disorientation component of doubt as I transition into the new role (Blais & Hayes, 2016). Now, rather than observing and getting a little hands-on experience during the clinical rotation as a student nurse, the roles have shifted. The responsibilities are now mine as I embrace this new role as an RN.
In this new role as an RN, the professional skills and characteristics I will need to develop to transition to the next level of the Bridge Model would be adequate time management, gaining more confidence in myself, and knowing that I can achieve each task and obstacle daily. I earned my license, and now it is time to embrace my new role, learn new skills, and get out of my comfort zone. As I progress in my current role as an RN as well as achieving my BSN, embracing the shift in changes and knowing it is just an integral part of life in the field of nursing will allow me to transition to the next level in the Bridges Model, as my mindset adopts to the new challenges I will face along the way.

Hi, You need to write the observation report on the basis of any one of the video whos link is attached in the attachment. No word limit for report.
On tbe basis of the observation report, you need to write critical reflection and justification of 1500 words. 
All information is in the attachment.