Category: Nursing

Please complete all four of the following scenarios:
Directions: For each of the scenarios below, answer the questions below using clinical
practice guideline where applicable. Explain the problem and explain how you would
address the problem. If prescribing a new drug, write out a complete medication order
just as you would if you were completing a prescription. Use at least 3 sources for each
scenario and cite sources using APA format.
1. Sara is a 45-year-old female presenting for her annual exam. Her blood pressure
today is 160/90 HR 84 RR 16. Her height is 64 inches and her weight is 195. Her
last visit to the clinic 3 months ago shows a BP of 156/92. She is currently taking
ibuprofen 600 mg tid for back pain. She has no known allergies. What is the goal
for her blood pressure? What medication would you prescribe to treat her blood
pressure? What education would you prescribe?
2. Monty is a 52-year-old male following up on his labs that were drawn last week.
He smokes 1 pack per day. He is currently on Lisinopril 20 mg po daily. He is
allergic to penicillin. Fasting lipid profile shows total cholesterol 266, LDL
cholesterol 180, HDL cholesterol 40, and Triglycerides 185. What treatment plan
would you implement for Monty’s lipid profile? What is the goal Total Cholesterol
(TC), HDL-C, and LDL-C level for Monty? How would you monitor the
effectiveness of your treatment plan? How many risk factors for coronary artery
disease does this patient have? Identify them specifically.
3. Beatrice is a 17-year-old female diagnosed with mild persistent asthma since age
7. During her visit today, she reports having to use her albuterol MDI 3 to 4 days
per week over the past 2 months. Over the past week she has been using
albuterol at least once per day. She reports being awakened by a cough three
nights during the last month. She is becoming more short of breath with exercise.
She also has a fluticasone MDI, which she uses “most days of the week.” Her
current medications include: Flovent HFA 44 mcg, two puffs BID, Proventil HFA
two puffs Q 4–6 H PRN shortness of breath, Yaz one PO daily, Propranolol 80
mg PO BID. What treatment plan would you implement for this patient? What
medication changes would you make? How would you monitor the effectiveness
of this plan?
4. Daute is a 56-year-old man seeking evaluation for increasing shortness of
breath. He noticed difficulty catching his breath about 3 years ago. Physical
activity increases his symptoms. He avoids activity as much as possible to
prevent any SOB. His previous physician had placed him on
salmeterol/fluticasone (Advair Diskus) one inhalation twice daily 2 years ago. He
thinks his physician initiated the medication for the shortness of breath, but he is
not entirely sure. He did not refill the prescription and has not been taking it.
Pertinent history – Chronic bronchitis X 8 years with one exacerbation in last 12
months of treatment with oral antibiotics. He has a 40-pack-year smoking history.
What treatment plan would you implement for this patient? What medication(s)
would you prescribe? How would you monitor the effectiveness of this plan?
Talk to you all soon!

Select a Nursing Theory- Select one specific nursing theorist and nursing middle-range theory that best fits your area of practice (Operating Room nurse). Ex. Pender’s Health Promotion Model, Kolcaba’s Comfort Theory, Beck’s Postpartum Depression Theory, etc)
APA Student Title Page- (No Abstract Needed)
Include the following information on the Student title page in 7th ed. APA format:
Assignment name in Bold Font: (Ex. Theory Application Paper: Swanson’s Theory of Caring in Obstetrics)
Skip a Line
Your Name
Name of University
Course Number and Name
Instructor’s Name
Date of Submission (Month, Day, Year)
Introductory paragraph – Capture the reader’s attention (ex. Grabbing statistics) and introduce the rationale for selecting the specific nursing theory for your area of nursing over other nursing theories (Do not write in first person; Include a purpose statement of what you will describe in the paper as the last sentence of the introductory paragraph.) Next, begin the Body of Paper.
Theory Description (Level 1 Header) Briefly describe the theory.Give overview of theory purpose, scope, concepts, structure, and unique focus.
Rationale (Level 1 Header) Discuss the rationalefor selecting the theory for implementation in your specific practice setting. (Do not use first person)
Implementation Plan (Level 1 Header) Describe a plan to implementthe theory in your area of practice for your entire department or organization.
Barriers to Implementation (Level 1 or 2 Header, your choice) Discuss potential barriers or challenges to the implementation plan and how to overcome these barriers and challenges. 
Conclusion (Level 1 Header) Conclusion paragraph with concluding statements to summarize the content and re-state or re-phrase the original purpose statement.
APA Reference Page- Please be sure to support your paper with in-text citations. Please use 5 peer-reviewed resources.
Additional Instructions: Your assignment should be typed into a Word or other word processing document, formatted in APA style. Paper should be a minimum of 4-5 pages in length, excluding the title and references pages.  (You may increase the number of pages of the body of the paper up to 7-8 pages if needed).  This is a scholarly paper and should not be written in first person.  Paragraphs should have a minimum of 3 sentences.  Paraphrasing should be done using in-text citations.  Direct quotes should be rare and used only when the content can be said in no other way. If using direct quotes, you must include page or paragraph number. 

Discuss at least three symptoms caused by physiologic changes and consequences of GERD and peptic ulcer disease (PUD). Discuss the findings for each disorder, comparing and contrasting symptoms, lab findings, and possible etiologies. Discuss how pharmaceutical treatments are designed to alleviate those symptoms. What are the risks and benefits of these treatments? What are potential drug interactions with these medications?

Assessment Description
The purpose of this assignment is to develop a PICOT
question. A PICOT (Patient, Intervention, Comparison, Outcome and Time)
question starts with a designated patient population in a particular clinical
area and identifies clinical problems or issues that arise from clinical care.
The intervention used to address the problem must be a nursing practice
intervention. Include a comparison of the nursing intervention to a patient
population not currently receiving the nursing intervention, and specify the timeframe
needed to implement the change process.
Using the “PICOT Question” template, formulate a
PICOT question applying the PICOT format that addresses the approved clinical
nursing problem from Topic 2.
The PICOT question will provide a framework for your
capstone project change proposal.
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.
This assignment uses a rubric. Please review the rubric
prior to beginning the assignment to become familiar with the expectations for
successful completion.
You are required to submit this assignment to LopesWrite. A
link to the LopesWrite technical support articles is located in Class Resources
if you need assistance.
American Association of Colleges of Nursing Core
Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 3.1
Attachments
NRS-465-RS-T3-PICOTDevelopment.docx
ANY ARTICLES will work

Choose a diverse minority group member and discuss their potential contact with the Criminal Justice System as it relates to their diversity. Describe their (potential or actual) custodial journey and the services that are in place within your organisation which can support the individual and their families.
Focus your discussion on:
The lens of the Social Determinates of Health
Current health and justice statistics specific to this minority (using current data and evidence).
Your organisation’s support services and how they support this cohort (please use a pseudonym to protect your organisation)
Services both within and outside your organisation which may be accessed to support this cohort, while in custody and upon release (This includes how you are able to facilitate access for the individual, considering equity and access of minority groups to established services)
Note:
A pseudonym must be used for the organisation and the individual receiving care
If you are not currently working in a custodial environment you can use a relevant custodial healthcare model currently used in your state or country of residence (there are Models in Week 7 you can explore)
Your assessment report is to be presented in formal academic writing style

Write a paper on Domestic Violence, geared towards nursing. Paper should have an overview of what domestic violence is, impact and statistics within the US and etc. Only one source is needed for the citations. If you have any questions please feel free to contact me for clarification. 

In need of a one-page typed paper addressing the experience
objectives :
1.     Analyze the impact of surgery and hospitalization
on the lived experience of the client/family.
2.  Observe
the roles of the health care team members providing care and services for the
operative  client/family,
with special emphasis on the role of the professional nurse.
3.   Note methods used to ensure patient safety
in clinical experience .  Note potential
safety issues while  identifying
methods to prevent harm from occurring, and changes needed in delivery system
to  prevent these safety issues. 
Will disclose more info upon hire.  Will tip 

Choose one multisystem dysfunction. Describe pathophysiological changes, abnormal findings, and symptoms of the chosen dysfunction. How does it affect the patient’s activities of daily living?  

Personal Objectives
Please identify two personal objectives you want to accomplish during DNP Practice Immersion II.
These objectives should be “stretch goals,” providing opportunities to enhance your professional development when engaged in Practice/Project.
You will need to include specific actions/activities, a timeline, and individual(s) that may be helpful to you in accomplishing your personal objectives.
You will want to reflect on The Essentials: Core Competencies for Professional Nursing Education (2021) and other competencies as necessary when considering how you accomplished your objectives/goals.
Here is the reference for The Essentials: Core Competencies for Professional Nursing Education: https://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Essentials-2021.pdfLinks to an external site.
Here is a reference to developing SMART goals:
https://www.mindtools.com/pages/article/smart-goals.htmLinks to an external site.
SMART goals(5).docxDownload SMART goals(5).docx
Please upload your goals as a Word document – make sure that you are following the rubric for maximum points.
APA 7th Edition
2-page maximum
At least one other citation (in addition to the Essentials)

Leadership at My Excellence Center became concerned when reimbursements began to shrink with the advent of pay-for-performance for Medicare patients. As they began to evaluate their performance metrics, they noted that there were large variations in outcomes across their patient care units. One safety outcome in particular, patient falls, seemed to show the greatest variability from month to month and across patient care units. Leaders determined to set improvement of falls as a priority for the organization.
A transdisciplinary team was formed to review evidence and make recommendations for practice change. The team reviewed evidence for acute care fall reduction programs, developed a protocol, and gained stakeholder support for its implementation. The team met to determine what outcomes should be measured.
a. Why is it important to monitor outcomes?
b. What key criteria must be taken into account when deciding what outcomes you will measure? 
a. In this scenario, what outcomes might the team measure?
b. Thinking about the sources of data within healthcare organizations, where might the team find data to address the outcomes identified? 
Simultaneously, leadership put a dashboard up to track progress and make data readily available to both unit leadership and staff to increase awareness and allow them to monitor data around the unit’s patient fall rates. Additionally, the dashboard allowed nurses to monitor potential relationships among patient falls, changes in staffing, volatility of admissions, discharges, transfers, and case mix. Nurse managers knew the literature suggested that there is a relationship between falls and staffing levels but were unsure how staffing levels were affecting their own units. With the implementation of the new dashboards on their units, they were able to evaluate factors surrounding times of patient falls in order to look for patterns. They became excited about their ability to monitor progress based on their own data.
What are some different mechanisms to report data to stakeholders in a meaningful, understandable way? 
Create a 1-2 page APA style paper