Category: Nursing

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

Welcome to week 4!  This week we will apply pharmacology concepts to the gastrointestinal and hepatobiliary systems.
Symptoms of various gastrointestinal (GI) and hepatobiliary disorders often overlap, making diagnosis and treatment challenging. For example, symptoms such as nausea, vomiting, constipation, and diarrhea are non-specific and could also be the result of underlying medical history or current prescription drug use. As an advanced practice nurse, you could be potentially responsible for providing care to a patient who may present with non-specific symptoms related to the gastrointestinal and hepatobiliary systems.
When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (ie diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.
ASSIGNMENT
Submit your Assignment by Day 7 of Week 4 (Sunday night, 11:59 pm ET)
Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories.
For your week 4 assignment, evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.
To Prepare:
Review the case studies (attachment) and answer ALL questions.
When recommending medications, write out a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient’s current medications.
Use clinical practice guidelines in developing your answers. Please review all Required Learning Resources. Use the Medscape app or website and JNC 8 to complete assignment.
Include at least three references to support each scenario and cite them in APA format. Please include in-text citations. You do not need an introduction or conclusion paragraph.
WEEK 4 ASSIGNMENT
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?
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.
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?
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?

In your Case Study Analysis related to the scenario provided, explain the following:
1. The cardiovascular and cardiopulmonary pathophysiologic processes result in the patient presenting these symptoms.
2. Any racial/ethnic variables that may impact physiological functioning.
3. How these processes interact to affect the patient.
A paragraph or two per question asked in the scenario and at least three current primary references are needed to support your points (peer-reviewed current articles,)
papers submitted include a title page, introduction, summary, and references.
-3 reference must be from peer reviewed article journals not older than 5 years
Case study and rubric (ATTACHED)

Burnout and Remote Work in Nursing                **Please add more to this powerpoint***
1 . first slide should discuss:  
Definition and Symptoms of Burnout in Nursing
Causes of Burnout in Nursing
2. Second Slide
1  . Effects of Burnout on Nurses and Patient Care such as
Challenges:
Isolation: Lack of physical interaction with colleagues and patients.
Work-Life Balance: Difficulty in separating work from personal life
Physical Health: Increased risk of chronic conditions like hypertension, cardiovascular disease, and sleep disorders.
Mental Health: Higher incidence of anxiety, depression, and substance abuse.
Job Performance: Decreased productivity, higher rates of errors, and lower quality of patient care. 
2. Assessment and Diagnosis
Tools and Methods:
Maslach Burnout Inventory (MBI): A widely used tool for measuring burnout levels.
Self-Assessment: Personal reflection tools and questionnaires.
Professional Diagnosis: Evaluations conducted by mental health professionals.
3. Third and fourth Slide should 
Prevention Strategies For example 
Structured Schedules: Creating clear work boundaries and routines.
Virtual Support: Maintaining connections through virtual meetings and support groups.
Organizational Interventions:
Workload Management: Ensuring adequate staffing levels and manageable workloads.
Support Systems: Providing access to counseling and peer support groups.
Work Environment: Fostering a positive, collaborative, and supportive work culture.
Mindfulness is a type of meditation 
Can add website on Meditation 

I have already started the powerpoint and need you to finish it and fix any errors on the slides that are alrerady done. I will attach the requirements and grading rubric. ****Topic: Maternal Health in Vietnam ****
———————————————————————————————————-
SIGNATURE CRITICAL ASSIGNMENT – Team Culture Group Presentation
A) Teams will be assigned a pre-determined culture. Each group will identify a specific maternity problem related to that culture.
Maternity problems will be obtained through research and study. Each group will assign a Team Leader who is responsible for
making sure the group is on task to complete the group project within the allotted time and to ensure all project criteria is met
before turning in the final project to faculty. For this project, the group will focus on their culture and maternity-related problems
and how they relate to each other. Cultural beliefs and care of that patient with the identified problem will be applied throughout
the presentation in the areas antepartum, intrapartum, post-partum, and newborn periods.
B) Upon completion of this assignment, the team will accomplish the following objectives:
– a. Prioritize complex topics.
– b. Refine research skills. – c. Utilize planning and organization skills,
– d. Work collaboratively as a team utilizing time management skills, problem identification, and the nursing process.
C) Make a formal (25-minute maximum) presentation in front of the class to practice oral communication skills.
D) Team members will bring together information and facts about their assigned culture and their own identified maternity
problem related to that culture, and 2 nursing process problems (1 for mother and 1 for newborn) to create an integrated
and comprehensive PowerPoint presentation on a prescheduled date (see Class Schedule). *Skits and video presentations
will be permitted; however, they must be limited to a maximum of 7 out of the 25 minutes allotted and MUST include all
team members within its body. The remaining minutes are divided among team members for an actual PowerPoint
presentation so you can be observed for public speaking, professional dress, and other grading criteria.
E)Identify a team leader to organize the group. (Stated previously) This student will be the “Team Leader” (TL). Team
Leader role: Team Leader who is responsible for making sure the group is on task to complete the group project within the
allotted time and to ensure all project criteria is met before turning in the final project to faculty.
F) Each team member will cover the specific content for their part of the presentation per the grading criteria located in the
syllabus. Each student will create their own part of the presentation with accompanying slides, narratives and citations/
references. All students need to actively participate in the presentation during the live class session. Recorded
presentations will not be accepted.
——————————————————————————————————
Include in your PowerPoint the following information:
a. Include each team member’s name on the notes section of the presentation to identify their work. (The audience
should not be able to see the “notes” section on the PPT presentation. Student notes sections will include citations
in APA format to match the reference page. PPT slides will include citations in APA format to match reference
page.
b. The PPT presentation will have a final slide with all references/bibliography in the proper APA format and in a font
large enough to read on the PPT presentation and in the portfolio.
c. Points may be deducted for fonts that are too small to read in the portfolio portion of the assignment. ———-
Reference Page :
a. 2-peer reviewed NURSING journal articles (within the last 5 years) additional references may be included from other
journals once the nursing journal requirement has been met.
b. 2 textbooks (course text strongly recommended, ATI review modules acceptable).
c. No care plan books permitted as the required textbooks; however, you may use them for the nursing process part of your
project, and they will be present on the reference/bibliography list.
d. Two credible and reputable primary websites
Examples:
Credible: WHO, NIH, CDC, AWHONN (meet criteria)
Non-credible, Kellymom, Wilipedia, WebMD (DO NOT meet criteria)
Addition, repurable sources (e/g/ interviews, pamphlets, manuals, policies or procedures) to support your culture and
problem.
All above reources must be current within the last 5 years. * You may use additional articles outside the 5-year limit once the
required 6 sources have been met)) **Highly encouraged to keep additional references within the last five years.
Each student must use correct APA in-text citations for sources that support information on their slide to match
reference list. —————
Cultural Considerations related to identified problem: How does your identified problem in association with your identified
culture affect these areas when caring for the patient? How would you care for your patient(s) with this problem and of this
culture? Must be represented throughout the presentation.
Antepartum implications
Intrapartum implication
Postpartum implications
Newborn implications
—————-
The Nursing Process
Two nursing diagnoses associated with your culture and problem must be incorporated into your PPT. • 1 diagnosis for mother and 1 diagnosis for newborn (may be listed as a “risk for” diagnosis). • 1 expected outcome for each nursing diagnosis • 3 measurable interventions to achieve the expected outcome. (No evaluation will be required for this presentation). • “As evidenced” may be included in your nursing process if you wish to show as a group you understand what would be present on a patient with your diagnosis but it is not required since you will not have an actual patient and your diagnosis, as stated previously, will be listed as a “Risk for……..” diagnosis.