Category: Nursing

Telemedicine has become more common over the years and is utilized by many disciplines to reach patients in remote areas of the world. As a new FNP/PMHNP, what are your concerns when treating patients on a virtual conferencing platform? Is there one element of care that concerns you the most? Search the literature for an article that speaks to your concern- (for example, validating or providing a possible solution to a problem). This week’s discussion board is meant to be reflective. There is no correct or incorrect answer

Cure Method
Instructions:
Review pages 76-81.
Write a 1-2 pages to define your understanding of the “CURE” method.
Use your own words to discuss how you could adopt the CURE method to other areas of your nursing practice.
Present your work utilizing proper spelling, grammar, and APA format.
Type your answer(s) in a Word document and save the file.
Upload the file by clicking “Upload File”.
PAGES 76-81 WILL BE PROVIDED IN FILES AND MUST USE TO COMPLETE ASSIGNMENT 
BOOK MUST BE USED AS A REFERENCE

Step 1 Select a group and a behavior to change.
You may choose a family group, a social group, or a community group. In addition, describe the characteristics and makeup of the group.
Step 2 Identify a health promotion intervention.
Select a health promotion intervention to change the behavior of the identified group. This may be a health promotion intervention that is currently being implemented.
Step 3 Describe the intervention.
Describe the framework of the social marketing of this plan by using the following framework: identify the product, cost of implementation, availability of resources to implement, and the promotion of the plan.
Step 4 Explain how to evaluate the intervention.
Explain the evaluation process to determine if the social marketing was successful. Make sure to include what benchmark or percentage of participants would indicate success.

Goal:
Identify, describe, and assess a clinical issue that to be addressed in your Quality Improvement Project.
Content Requirements:
Identify the clinical issue that will be the focus of your Quality Improvement project.
Provide rationale for the need to change the status quo.
Identify best practices from the literature related to the issues.

Download and read this information. Discuss with your classmates these different types of parenting skills. One initial post (300 words) and one response (200 words) for grading purposes.
https://www.verywellfamily.com/types-of-parenting-styles-1095045 

I just need the outline for this paper by next week and the rest I will needed in few weeks. 
All students are required to submit a scholarly paper on a health
topic related to the aging adult
with an emphasis on population health. The paper should detail the disease
process (pathophysiology), epidemiology, diagnostic measures (including pertinent
lab test) diagnosis (including differential diagnoses) evaluation, management
(including pharmacology) and the role of the nurse practitioner in the
management of this patient utilizing the Shuler framework. The paper must be in
APA format (current 7th edition) with all the references and
bibliography in correct format. Please see the Grading Rubric in Blackboard. The paper must be at least 10 pages long
excluding the references and bibliography.

For your signature assignment, compose a 3- to 4-page case analysis (in addition to a title page, abstract, and reference list page) written in APA Style citing at least 3 references with one non-Internet reference. The following should be covered in the paper:
Title Page: Case Title, Full Name, Section, Date, Instructor, and Campus
Abstract: Summarize the case o One non-indented paragraph on a separate page. This will be page 2.
Introduction: The physiological importance of the liver, pancreas, and kidneys for the proper functioning of the human body
Body: Response to the prompts: Organize your analysis with headings that thoroughly answer the prompts (e.g., “Abnormal Glucose Levels” for question 1). Explain each prompt in depth with physiological concepts and provide sufficient evidence from the literature for each prompt. o Include normal physiological ranges (if it applies).
Maintain the order of questions when answering.
Conclusion: Summarize the paper in a paragraph.
Support your opinions with evidence from your readings and research. Review the rubric for complete grading criteria.
CASE: END-STAGE KIDNEY DISEASE
Cynthia, a 53-year-old female presented to the emergency room due to feeling constantly tired, hungry, thirsty, and with frequent urination. Her past medical history is significant for cirrhosis and end-stage kidney disease. Physical examination had revealed yellowish discoloration to the skin, multiple bruises, bilateral edema, and weakness lasting more than three weeks. Laboratory tests were ordered (results provided below) after which she was prescribed metformin and informed to contact a doctor if she starts experiencing nausea, vomiting, fast breathing, and/or lethargy, as metformin has been known to cause metabolic acidosis.
Complete Blood Count (CBC)
Sodium
126 mEq/L
Glucose
220 mmol/L
Calcium
7.1 mg/dl
Red blood cell count
3.9 cells/ul
Iron
40 mcg/dL
Albumin
2.5 g/dl
Vitals
Blood pressure
92/64 mmHg
Hormone Panel
Renin
Low
ADH
Elevated
Aldosterone
Low
Vitamins
Vit D
Low
Vit K
Low
Vit E
Low
Vit A
Low
Urine and Stool Sample
Stool color
Gray
Stool content
Increase fat content
Urine color
Clear
Complete Blood Count (CBC)
Glucose
Present
Answer the following questions regarding Cynthia’s case:
What hormone is not functioning properly causing Cynthia’s glucose levels to be abnormal? Furthermore, explain in depth how this hormone regulates blood glucose levels.
What other hormone(s) are responsible for maintaining normal glucose levels? Explain in depth how they work.
Explain why Cynthia is presenting with excessive thirst (polydipsia), tiredness and hunger (polyphagia), and frequent urination (polyuria).
Explain why Cynthia is experiencing hypotension. How does the body and its various organ systems bring the blood pressure back towards homeostasis?
What do you expect Cynthia’s heart rate and end-diastolic volume (EDV) to be (elevated, normal, or low) and justify your expectation with cardiovascular formulas such as cardiac output (CO) and stroke volume (SV).
What is the importance of iron in the body and the consequence of it being 40 mcg/dL?
Explain in detail what gluconeogenesis is and where in the body it occurs? Knowing that gluconeogenesis helps maintain blood glucose level, what is the effect of metformin on the management of diabetes mellitus type 2?
Looking at Cynthia’s albumin levels, what effect does it have on her (a) blood osmolarity (b) glomerular filtration rate (GFR) and (c) urine volume?
Explain how glucose is normally reabsorbed by the kidneys? What is happening in Cynthia’s kidneys resulting in glucosuria and what effect does glucosuria have on her blood pressure?
If Cynthia ends up developing metabolic acidosis, what would the levels of her pH, CO2, and HCO3 be in the blood? Furthermore, how would the body compensate and address both renal and respiratory compensation (optional: show the compensation via a flow chart)?

First, review the technologies presented in the Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF] Download Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]resource and select one of the options to use as the focus for this assessment.
Next prepare a 4–6 page paper in which you introduce your selected technology and describe at least four peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. You will conclude your paper by summarizing why you recommend a particular technology by underscoring the evidence-based resources you presented. Be sure that your paper includes all of the following elements:
Introduction to the Selected Technology Topic
What is your rationale for selecting this particular technology topic? What is interesting about it?
What research process did you employ?
Which databases did you use?
Which search terms did you use?
Note: In this section of your bibliography, you may use first-person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.
Annotation Elements
For each resource, include the full reference followed by the annotation.
Explain the focus of the research or review article you chose.
Provide a summary overview of the publication.
According to this source, what is the impact of this technology on patient safety and quality of care?
According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?
Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.
Summary of Recommendation
How would you tie together the key learnings from each of the four publications you examined?
What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.
How would you justify the implementation and use of the technology in a health care setting? This is the section where you will justify (prove) that the implementation of the
patient care technology is appropriate or not. The evidence should be cited from the literature that was noted in the annotated bibliography.
Consider the impact of the technology on the health care organization, patientcare/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.
Notes
Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.
Your selections need to be current—within the last five years.
Written communication: Ensure written communication is free of errors that detract from the overall message.
Length: 4–6-typed, double-spaced pages.
Number of resources: Cite a minimum of four peer-reviewed publications, not websites.
Font and font size: Use Times New Roman, 12 point.
APA: Follow APA style and formatting guidelines for all bibliographic entries.
See the attached file for topics

Instructions: Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers. APA, 7th ed. must be followed.

The focus this week is to research the internal evidence that supports the intervention formulated in the Week 1 PICOT question. The internal evidence may include clinical practice guidelines (CPGs), best practices from professional and federal organizations, quality improvement projects, clinical expertise, practice data, etc. that are intended to optimize patient care, improve outcomes, and reduce costs.
Locate a specific practice guideline or best practice that supports the intervention formulated in the Week 1 PICOT question and post the link to the practice guideline.
Summarize why the selected practice guideline or best practice supports the chosen intervention.
Provide the name of the chosen practice guideline or best practice.
The initial posting will require the link to the selected practice guideline or best practice as a reference
Synthesize the readings into your own words (you may use quotes and paraphrasing from the articles as needed) to support your postings. Expand on your insights and reflect on the material. Be sure to follow APA standards
PICOT QUESTION: In trach and vented patients, how does maintaining the head of the bed above 45 degrees and oral care help reduce the incidence of healthcare-acquired pneumonia, during the length of stay, compared to patients who are not intubated?