Category: Nursing

I need a response to this discussion post:
I was driven to further my career out of frustration. I felt that my RN license limited me in providing utmost care to my clients. I felt as an NP, I could take things a step further and better help my clients. I was also frustrated over the shortage of primary care providers, especially for homebound clients. Access to care for this population is scarce at best. I chose to pursue the Adult-gerontology nurse practitioner specialty. I am not particularly interested in serving the pediatric population. The focus of my career has been the geriatric population. I contemplated nursing education and administration as well and ended up choosing the NP.
It was, and is, very difficult to stay committed due to the overwhelming clinical hour requirement. I am wondering how I can work full-time, care for my family and complete the required hours. My end goal, however, is to work as a Nurse Practitioner providing telehealth calls or home visits to my selected population. I am currently serving as Clinical Manager for a Home Health Agency and may switch to MSN in administration. The beauty of Nursing is that there are so many different avenues that one can take. Even the administration program, although much less, has a clinical requirement.
I was a member of the AANP and have now started to renew my membership. This organization provides networking, information and even discounts on various services. During the pandemic, Nurse Practitioner’s scope of practice was extended due to the mass burden on the healthcare system. One study found, “NP full scope of practice improves access and quality of care and leads to better patient outcomes. It also has the potential to reduce health care cost.”
References
Leahy, R., & Filiatrault, A. (2017). Employers’ perceptions of the benefits of employment electronic portfoliosLinks to an external
site.. International Journal of ePortfolio, 7(2), 217-223.
Poghosyan, L., Pulcini, J., Chan, G., Dunphy, L., Martsolf, G., Greco, K., Todd, B., Brown, S., Fitzgerald, M., McMenamin, A., Solari-Twadell, P. (2022). State responses to covid-19 potential benefits of continuing full practice authority for primary care nurse practitioners, Nursing outlook (V70, Is1, P28-35). https://doi.org/10/1016/j.outlook.2021.07.012Links to an external site. Walden University. (n.d.). Field experience: College of Nursing: Student resources – Graduate coursesLinks to an external site.. Retrieved from https://academicguides.waldenu.edu/fieldexperience/son/applicationprocess?Links to an external site. preview=628dc4af1964e1228ef523827b9733ab#s-lg-box-3870501

Scenario
You are assigned to discuss your professional identity with your peers on the unit during a meeting, and you have decided to present the attributes using an infographic. The goal is to encourage all nurses to examine attributes and identify their professional identity to improve professionalism in the health care setting. As a nurse leader, you want your infographic to include the attributes that have guided your growth within the profession. As a leader of the unit, you work to grow the nurses on the unit and want to encourage them to identify their professional identity as the leaders to focus on succession planning. Your goal is to develop your infographic and share with other nurses to encourage them to examine the attributes to grow within the profession.
Instructions
Create an infographic that includes the attributes you believe support your professional identity. Include the following:
Identify 10 attributes that form your professional identity.
Reflect on why each of the attributes were selected for your professional identity.
Determine the attributes that are important for nurse leaders.
Identify how diversity and teamwork plays a role in developing your professional identity.
Provide stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.

Write a 900 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count toward the minimum word amount. Review the rubric criteria for this assignment.
Part 1:
1. Go to the Healthy People 2030  website[1] 
2. Search for the option in “M” for Mental Health and Mental Disorders and click into this option
3. After reading the Overview section for Mental Health and Mental Disorders, click into the Objectives for this section.
4. From the Objective section, pick TWO objectives/goals from the list that you feel affect YOUR community (either your county, city, or state)
5. In your paper, note the number of the TWO objectives chosen as well as the names and explain why these TWO were chosen related to YOUR community.
6. As a nurse in your community, what can YOU do to help the community move towards these two objectives/goals? (this is about what YOU personally can do, ok to use first person)
Part 2:
1. Explain how physical health and mental health are correlated. What impact does each have on the other?
2. Give at least one detailed example of how either a specific physical ailment leads to a breakdown in mental health or how a specific mental health disorder can lead to physical issues. Be specific and detailed.
Part 3:
1. Explain Trauma Informed Care in detail.
2. As a nurse, how can YOU use Trauma Informed Care to assist a child who has been impacted by trauma? (this is about what YOU personally can do, ok to use first person)

Narrow it down to one specific topic about patient centered care. 
Please see attachment for instructions. 

Attached below are my resume and cover letter. Please go over both documents and revise/edit them into a recent new graduate nurse resume. I recently graudated nursing school and needs somone to touch up and edit my resume for a nursing position job. If you have any further question please contact me.

The dissertation is a SERVICE IMPROVEMENT PLAN (SIP) focusing on the use of an interpretation device, not a telephone interpreter, to improve optimal care services for pregnant women and babies in uk. Most include reports from NHS, MBRRACE,NICE GUIDELINES, NMC, CQC, and any other meaningful journals . I have attached how the table of contents should look like. The tone is formal, direct, consistent, and objective .

Scenario
You are assigned to create a strategic plan that facilitates change to improve outcomes in your organization. Knowing that change is based on data, relative position within the dynamics of an organization, and a theoretical foundation, you agree to create a strategic plan.
Instructions
Generate a strategic plan that reflects an understanding of a problem within the context of the organization’s needs and potential for change. As a nurse leader or manager, develop your plan to improve outcomes by addressing one of the following processes:
Healing spaces
Retention of new nurses
Increase number of BSN RNs
Nurse leader succession planning
Clinical ladder
This strategic plan will include a description of the background of the institution, mission, vision, and values of the organization, and goals and strategies for the change. A thorough strategic plan must include the following:
Identify the institution, history, accomplishments, and situation for the strategic plan
Describe the mission, vision, and values of the organization.
Lists of the strategies to achieve objectives.
Description of the problem to be analyzed to promote a change and improve an outcome.
Identify the ethics and professional responsibility of the organization.
Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.

Complete a Nutritional Assessment, using a tool of your choice (such as the Nestle Mini Nutritional Assessment Tool noted blow), on two members of a selected family (one between the age 5-17years and a second aged 21-59).  Collect and summarize at least 8 objective and 4 subjective elements for each person.  Create an actual or potential problem list, including 4 problems, for both individuals, include 2 health promotion teaching opportunities you would suggest for 1 problem for each individual; a total of 16 objective (8 for each individual) and 8 subjective (4 for each individual) elements, a total of 8 problems (4 for each individual), and 4 health promotion teaching opportunities (2 for each person) for one of the problems for each individual.
Review the Nutritional assessment in Jarvis Chapter 12 or find a nutritional assessment online.
Read Chapters 1-3 and Chapter 12 Jarvis, C. (2018). Physical examination and health assessment (8th ed.). St. Louis, MO: Saunders
Additional Instructions:
All submissions should have a title page and reference page.
Utilize a minimum of two scholarly resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.
Adhere to the chosen Submission Option for Delivery of Activity guidelines.
NO AI & NO PLAGARIASIM PLEASE!!!!!
YOU MUST USE THE RUBRIC THAT I UPLOADED TO HELP YOU!!!
YOU MUST HAVE A CONCLUSION!!!

I attached the example. Please, follow the exact example. Please, include all the topics I noted. Total number of my topics is 35.

Scenario
You finished new graduate orientation yesterday on a general medical surgical unit, and today you will independently care for two clients. As you receive a report on the second client at 0730, your Preceptor stops by to ask how the first day by yourself is coming along and reminds you to complete the final items on your training list today before the end of the 12-hour shift.
Complete the new online training model and quiz on the sliding insulin scale.
Complete the orientation evaluation form.
Sign up for one of the four nursing committees.
Complete and sign the orientation reflection journal.
Attend the new employee luncheon from 1-2 pm sponsored by the hospital physicians.
Client 1:
25-year-old female 24 hours post-op from a Roux-en-Y gastric bypass
BMI of 50
History of hypertension and sleep apnea
No complications post-operative
Pain at 4 am, three on a scale of 10
Nasogastric tube to gravity
NPO
Mother stayed overnight but left early this morning to shower and will return later in the afternoon
Waiting on morning labs
Physician orders:
Dietary Consult
Bariatric Behavioral Therapist Consult
0.45% NS intravenous infusion post op
Client 2:
46-year-old male admitted 72 hours prior with severe GERD and difficulty swallowing
History of alcoholism, hypertension
Smoked two packs per day for 22 years
Endoscopy for Barrett’s Esophagus was negative on the day of admission
Pain at 4 am, two on a scale of 10
Due to resume clear liquid diet this morning
Potential discharge later today home with family
The ex-wife has stayed in a room with a client and has been disruptive at times demanding pain medication and food.
Waiting on morning labs
Medications:
Protonix 40 mg once daily, intravenous infusion
Switch to oral Protonix 40mg day of discharge
IV infusion 0.9% NS 50 ml/hour
Resume 50mg Lopressor (metoprolol) PO twice daily after rule out Barrett’s Esophagus
1-2mg Morphine Sulfate IV PRN q 4-6 hours for pain greater than 6 out of 10
TIME: 0800
EVENT: You prioritize the need to assess the 46-year-old male first since he has 0900 medications and the physician is rounding and should order discharge today. Assessment and vital signs reveal no concerns, ex-wife not present. A physician writes an order to discharge this client today. The client asks you to return in 30 minutes and go over discharge when ex-wife is present to hear instructions. You administer Lopressor and Protonix.
TIME: 0830
EVENT: You assess the 25-year-old post bariatric surgery client. Vital signs and morning labs are within acceptable limits, and client reports pain two on a scale of 10. While assessing for bowel sounds, you notice the nasogastric (NG) tube not secured to the nose, and the client reports the tube partially came out when she blew her nose but she was able to push it back in with no pain. You document NG tube in place and assist the client to the bathroom.
TIME: 0900
EVENT: You return to 46-year-old client and review discharge instructions with the client and ex-wife, discontinue the IV infusion, remove the intravenous catheter, and complete discharge summary.
TIME: 0945
EVENT: Transport stops by to take 25-year-old client to meet with a support group for bariatric surgery clients — you okay transport.
TIME: 1000
EVENT: Physician stops into see a bariatric client and is upset you let her leave for support group before rounding. You report no concerns, physician reviews chart and writes discharge order for later in the afternoon if no vomiting or pain. The NG tube can be removed at noon by the Nurse Practitioner, and a diet of clear liquids resumed at 6 pm if no vomiting or gastric distention. Call immediately if any vomiting or signs of gastric distention occur.
TIME: 1030
EVENT: You take a break to complete orientation reflection journal, orientation evaluation, and online sliding insulin scale training module and quiz.
TIME: 1130
EVENT: The 25-year-old bariatric client returns from the support group, you see her ambulating in the hallway, and you notice the NG tube is missing. The client states the tube fell out of her nose when she stood up to introduce herself. She has no complaints of nausea and no evidence of gastric distention. You document the NG tube was removed accidentally by the client.
TIME: 1200
EVENT: 46-year-old male client calls and expresses frustration at a time to discharge. He wants to be home by 3 pm for his son’s birthday party. You call transport who assures you and the client they will arrive before 1 pm to discharge the client.
TIME: 1215
EVENT: Morning documentation complete, all orders are in the system, and both clients are stable. You are amazed at how smooth the first day is going. You head to the new employee luncheon with your Preceptor.
TIME: 1330
EVENT: You return from lunch and find the 46-year-old client discharged, and you must prepare for a new admit from the emergency room with rule out pancreatitis. You feel apprehension since this will be your first admit, so you reach out to your Preceptor to review policy and procedure for new admissions.
TIME: 1345
EVENT: While working with your Preceptor, the Certified Nursing Assistant stops by and reports the 25-year-old client refused an afternoon visit from a member of the bariatric support group, complaining of fatigue. Her noon vital signs were blood pressure 90/40, heart rate 112, and respiratory rate 28. Your Preceptor assures you these vital signs, and fatigue often occurs with this type of client. She susgest, the client is probably depressed, ready to go home, and suggests to let her rest for the afternoon.
TIME: 1415
EVENT: The new admit from the emergency department arrives with two pages of physician orders and a communication challenge since he speaks and understands only Spanish. He has pain in the abdomen and begins vomiting. Seeing you are now very busy; the Preceptor offers to “look in” on your 25-year-old client and will take care of any concerns. Also, she will order a translator to assist with the new admit, while you focus on taking care of the physician orders.
TIME: 1730
EVENT: Finally, all orders for the new admit are in the system; pain decreased, no further vomiting, and he is resting comfortably. While waiting for lab results, you decide to check on the 25-year-old client.
TIME: 1745
EVENT: On the way to the client’s room, the Nurse Manager stops and asks you to take a moment to fill out a volunteer form for one of the four nursing committees on the Unit.
TIME: 1815
EVENT: You return to the 25-year-old client’s room and find her unresponsive, pale, with no heart beat or respirations. The abdomen is distended and hard. Attempts are made for resuscitation but are not successful. The client is deceased.
TIME: 1900
EVENT: You prepare to leave to go home. The Nurse Manger stops you and asks to debrief the situation. After reviewing the chart and discussing the situation, she is concerned and sees errors in your judgement and actions. She is sure the client’s death will be a sentinel event and warrant a review by the Internal Review Board.
Instructions
To prepare for debriefing with the Internal Review Board, the Nurse Manager asks you to submit an internal memo with your analysis and perceptions of the events that occurred, including:
Description of the errors and why they occurred.
Align to unexpected client outcomes.
Support choices with rationales.
Strategies for appropriate actions to avoid errors identified and reduce risk of unexpected outcomes.
Support strategies with rationales, nursing theory and evidence from the literature.
Ideas stated with professional language and attribution for credible sources with correct APA citation, spelling, and grammar