Category: Nursing

Select a research article pertinent to your clinical area (Cabbabinoid Hyperemesis Syndrome in Emergency Department) 
Utilie the attached Articles only. 

Disease Process and Pathophysiology Risk Factors
5 pts
Satisfactory
Learner performs a thorough review of the disease process pathophysiology; identifies risk factors.
3.5 pts
Beginning
There are critical aspects of pathophysiology missing. This entry is incomplete.
0 pts
Unsatisfactory
The pathophysiology information is missing.
5 pts
This criterion is linked to a Learning OutcomeRecognizing Cues
What matters most?
5 pts
Satisfactory
Based on available patient data, the learner identifies at least four (4) critical cues that are significant and could impact the patient condition. The learner may consider both subjective and objective patient data.
3.5 pts
Beginning
Based on available patient data, the learner identifies two (2) or three (3) critical cue(s) that are significant and could impact the patient condition. The learner may consider both subjective and objective patient data.
0 pts
Unsatisfactory
Based on available patient data, the learner identifies zero (0) or one (1) critical cue(s) that are significant and could impact the patient condition. The learner may consider both subjective and objective patient data.
5 pts
This criterion is linked to a Learning OutcomeAnalyzing Cues
What could it mean?
5 pts
Satisfactory
Based on the identified cues, the learner is able to create three (3) – four (4) supporting connections between the relevant cues and client conditions/problems.
3.5 pts
Beginning
Based on the identified cues, the learner is able to create two (2) supporting connections between the cues and patient condition/problems.
0 pts
Unsatisfactory
Based on the identified cues, the learner is able to create one (1) or zero (0) supporting connection(s) between the cues and patient condition/problems.
5 pts
This criterion is linked to a Learning OutcomePrioritizing Hypotheses
Where do I start?
5 pts
Satisfactory
Based on the identified connections between cues and patient conditions/problems, learner is able to identify and rank three (3) client conditions/problems critical to positive patient outcomes. These should be listed with most urgent problems first.
3.5 pts
Beginning
Based on the identified connections between cues and patient conditions/problems, learner is able to identify and rank two (2) client conditions/problems critical to positive patient outcomes. These should be listed with most urgent problems first. This point value is also chosen if client/problems are not listed with the priority concern(s) first.
0 pts
Unsatisfactory
Based on the identified connections between cues and patient conditions/problems, learner identifies zero (0) or one (1) client conditions/problems critical to positive patient outcomes.
5 pts
This criterion is linked to a Learning OutcomeGenerating Solutions
What can I do?
5 pts
Satisfactory
List five (5) solutions/outcomes with appropriate interventions that will positively impact client outcomes and are appropriate to the care of the client. Outcomes/goals are listed in the SMART format.
3.5 pts
Beginning
List three (3) to four (4) solutions/outcomes with appropriate interventions that will positively impact client outcomes and are appropriate to the care of the client. Outcomes/goals are listed in the SMART format.
0 pts
Unsatisfactory
List zero (0) to two (2) solutions/outcomes with appropriate interventions that will positively impact client outcomes and are appropriate to the care of the client. This point value is also chosen if outcomes/goals are not listed in the SMART format.
5 pts
This criterion is linked to a Learning OutcomeTaking Actions
What will I do?
5 pts
Satisfactory
Describe how each of the five (5) identified nursing interventions will be performed, implemented, administered, communicated, or taught.
3.5 pts
Beginning
Describe how three (3) to four (4) of the identified nursing interventions will be performed, implemented, administered, communicated, or taught.
0 pts
Unsatisfactory
Describe zero (0) to two (2) of the identified nursing interventions will be performed, implemented, administered, communicated, or taught.
5 pts
This criterion is linked to a Learning OutcomeEvaluating Outcomes
Did it help?
2.5 pts
Satisfactory
Describe how you will determine the effectiveness of the five (5) priority nursing interventions you implemented. How will you know if your interventions are effective or not?
1.5 pts
Beginning
Describe how you will determine the effectiveness of three (3) to four (4) priority nursing interventions you implemented. How will you know if your interventions are effective or not?
0 pts
Unsatisfactory
Describe how you will determine the effectiveness of zero (0) to two (2) priority nursing interventions you implemented.
2.5 pts
This criterion is linked to a Learning OutcomeNursing Process template
2.5 pts
Satisfactory
Recognizing the completion of this template will assist the learner with the concept map assignment, all six (6) boxes are thoroughly completed. The SBAR information is thoroughly identified, and the chosen concept for the assignment is clearly identified.
1.5 pts
Beginning
Information is missing from one (1) to three (3) box(es). The SBAR information is thoroughly identified, and the chosen concept for the assignment is clearly identified.
0 pts
Unsatisfactory
Information is missing from four (4) to six (6) boxes. This point value is also chosen if the SBAR information is missing and/or the chosen concept for the assignment is not identified.
2.5 pts

Barriers for Advanced Practice Nursing
Describe three barriers that have slowed down the progress of advanced practice nursing and strategies to help overcome these barriers. (Saunders, 2014)
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Please APA format and following instructions

Discussion 1
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.
Please APA format and follow directions

case study paper
2 full pages, not just 1.5
not to exceed 3 pages
files attached
I also attached 4 images on how to cite capella media for intent citation and reference page

wisdom & knowledge
Do you are agree that wisdom/critical thinking is a better predictor.9f well being than intelligence? to answer you will have to define what the following terms mean for you
critical thinking
wisdom
intelligence
well being

I will tip a 10% min upon completion and up to 25% for excellent work.
.Case Study: Prescribed Drugs with CAMs
Mr.
X, a 42-year-old male presents to your primary care practice today complaining
of low back pain.
History
– Mr. X states that he has had chronic low back pain since he had a skiing
accident about 10 years ago. Three days ago, he felt a pulling sensation in his
lower back after moving some boxes. The pain intensity increased over the
subsequent 24 hours and is now steady, aching in nature, at 3-4 out of 10. Mr.
X also has Type2
diabetes, which is well controlled on metformin with a HGA1c of 5.6. He
has a history
of DVT 4 months
ago for which he takes Coumadin, INR is WNL. He is followed by a specialist for
this problem. He recently started taking two OTC products; kava kava for what he describes as “anxiety” and CoEnzyme Q10 on the advice of a friend.
Social
– Mr. X is a smoker, 1 pack per week for 15 years. No alcohol or drug use. He
is employed as an accountant and has medical insurance. He is divorced.
PE/ROS – Complains of low back stiffness and pain on movement with occasional
spasms related to moving in certain directions. You note he has mild difficulty
getting onto the exam table but gait is normal. He denies
weakness/numbness/tingling of legs, no radiation, no change in bowel or bladder
habits. BMI 27. All range of motion of the back is decreased by 25%. Straight
leg lift is negative bilaterally, DTR intact. All other systems WNL.
Medications:
Metformin
1000mg ER one tab daily – Type II Diabetes controlled
Coumadin
5 mg. daily – Hx of DVT – Controlled
Kava
Kava 50 mg. tid – Self-medication for anxiety
CoQ10
– 200 mg. daily. – Self-medication for unknown reason
Provide a diagnosis for the
patient and your rationale for the diagnosis
Provide a treatment plan
specifically for this patient, pharmacologic and non-pharmacologic.
Comment on the use of OTC
products in relation to Mr. X’s current chronic and acute disease
diagnoses and medications. Include drug-drug interactions and side effect
profiles.
Provide an education plan for Mr.
X
Present this Assignment as a
PowerPoint presentation with between 12 and 16 slides (not including
opening slide and resource slide).
You will use the Narrative notes
section of the presentation to include the majority of your evidentiary
support of your treatment choices and education of family complete with
in-text citations using APA formatting,

Grand Theories (also classified as Philosophies) –Application to Practice
Select ONE nursing theorist/theory from the list below:
Virginia Henderson:  The Nature of Nursing: A definition and Its Implications for Practice, Research, and Education
Joyce Travelbee:  Human to Human Relationship Model
Imogen King: King’s Conceptual System and Theory of Goal Attainment and Transactional Processes
Myra Levine: The Conservation Model
Faye Abdellah: Patient Centered Approach to Nursing Theory
Myra Levine: The Conservation Model
Betty Neuman: Systems Model
Sister Callista Roy: Adaptation Model
Jean Watson: Watson’s Philosophy and Theory of Transpersonal Caring
Ernestine Wiedenbach:  The Helping Art of Clinical Nursing
Kathryn Barnard: Child Health Assessment Model
Nancy Roper, Winifred Logan, and Allison Tierney:  A Model for Nursing based on a Model of Living
Helen C. Erikson, Evelyn Tomlin, and Mary Ann P. Swain: Modeling and Role-Modeling 
Create an infographic tool, incorporating the following:
Explain what Broad Theories or Conceptual Models are and how they are used in nursing practice. Then, describe the chosen theorist(s) and their background which influenced their theory development.
Analyze the theory based on the criteria below:
Philosophical Underpinnings of the theory
Major assumptions, concepts, and relationships
Parsimony
Usefulness
Testability
Application to Clinical Practice—develop a clinical scenario where this theory can be applied
Please include at least two references at the bottom of your created infograph.
One must be a professional nursing journal article from within the past 5 years. Historical articles (older than 5 years may be used) but must be designated/labeled as such.
Use color and design to make your infograph eye-catching and engaging. Look at this project as “real” and something that could potentially be used in your community. 

Nurses as researchers:
Chapter 10 of the Black textbook discusses the science of nursing and evidence-based practice. Think of a research question or problem-related to your unit/place of work or one that you have encountered in the past. Using the JU library website, identify one peer-reviewed article. Answer the following:
What was the topic you searched?
What question did the article answer?
In a sentence or two, summarize the findings of the article.
Nurses as Leaders:
Review the website by the American Nurses Association regarding leadership qualities and styles. Identify a leadership style that you think fits each role below with a brief explanation.
Nurse Preceptor
Nurses Manager
Chief Nursing Officer
In response to your peers, consider the leadership styles they have chosen. Do you agree or disagree?
Nurses as educators: (This information will be used for your Holistic Teaching Project) Share the topic related to holistic care discussed in the week 2 journal Entry here with your peers. identify a group of learners to whom you can teach this information (coworkers, family members, etc.) Assess their learning needs using the list below:
Prior knowledge of the subject:
Developmental level:
Readiness to learn:
Preferred learning style:
Special learning needs:
We can use reference from peer review nursing; Nursing journal, and the book is: 
Professional Nursing: Concepts & Challenges 10th Edition
by Beth Black PhD RN FAAN (Author)

After studying the course materials located on Module 1 Lecture Materials & Resources (see attached doc and video listed below) page, answer the following:
1. Explain the difference between spontaneous and procured abortion. As well as their Ethical impact of each one.
2. Why can the contraceptive pill, the IUD and the “morning after” pill also be considered abortifacients?
3. Abortion methods, depending on the stage of pregnancy. Explain each one.
4. Describe the Roe Vs. Wade case and provide a summary of Norma McCorvey’s life.
5. Describe some better alternatives to abortion.
6. Read and summarize ERD ( see attached doc)paragraphs # 45, 46, 47, 48, 49, 50, 51, 66.
watch: