Nursing  NURSING

ScenarioYou are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows.Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limitsMedical history: Chronic hypertension (HTN) x 5 years;Allergies: PenicillinSocial history:(+)      tobacco, “occasional” per client (pt), <5 per/day currently, has smoked      “off and on” for 15 years(+)      cocaine use, states she has not used any cocaine/drugs for > 1 year;      (-) alcohol useAbusive      partner with first pregnancy, states she has a new partner x 4 yearsDepression,      currently not taking meds for treatment (tx)Medications: Prenatal vitamins; Labetalol 200mg BID;Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased)Chap13,15,21InstructionsWrite a two to three-page analysis of this scenario that answers the following questions:What should the nurse consider related to caring      for a client with a history of domestic abuse, drug use, sexually      transmitted diseases and depression?Document the considerations of yourself as the      professional nurse in regards to self-awareness; be aware of attitudes,      values and beliefs that you hold related to clients from different social      backgrounds so that care is not affected negatively.What conditions are in Mrs. Jones history that      would cause concern during pregnancy, labor, and birth?What concerns should be discussed with Ms. Jones      before she leaves her appointment?Each answer to your question should include the following:A      correct answer with thorough development of the topicGives      clinical examplesInclude      evidence from scholarly sourcesAppropriate      use of medical terminologyFormatStandard      American English (correct grammar, punctuation, etc.)Logical,      original and insightfulProfessional      organization, style, and mechanics in APA format

 
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Nursing  Pharmacological vs. Non-Pharmacological Intervention

Initial PostDiscuss pharmacological versus non-pharmacological nursing interventions used for pain management during labor and birth. List two different classifications of drugs used for pain relief during labor and birth, and include potential side effects of the drugs on the fetus. Also, describe two nursing interventions by the nurse to provide comfort during labor and birth that could be considered as non-pharmacological and the expected outcomes.

 
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Nursing  discussion question 3

Please answer the following Discussion Question. Please be certain to answer the three questions on this week DQ and to provide a well-developed and complete answer to receive credit. Your main discussion answer needs to be at least 3 paragraphs in length with 3 references to justify your answer. Use APA format.Why is a positive work environment important in Nursing?Describe some ways to create a positive work environment.What role can you play in creating a positive work environment?

 
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Nursing  Reflection on Learning

Requirements:Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week.You will need to post your reflection here before you are able to see other students’ posts.Some possible areas to explore:In your experience, how have changes in healthcare affected nurses’ ability to provide person-centered, holistic care?As you think ahead to your future practice as an NP, which of the concepts covered this week resonates most with you? Why?How do you anticipate that the concept of cultural humility will affect your practice?

 
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Nursing  Nursing Theory Analysis Paper

Nursing Theory Analysis PaperOverview/Description:The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below.Theory/Author Name and BackgroundSelect a Grand or Mid-Range Theory that is appropriate to your practice setting.Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.Identify the phenomenon of concern or problems addressed by the theory.Theory DescriptionExplain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.Describe the major concepts of the theory. How are they defined? (theoretically and/or operationally) Is the author consistent in the use of the concepts and other terms in the theory?Interpret how the concepts are defined. Implicitly or explicitly?Examine the relationships (propositions) among the major concepts.EvaluationIdentify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?Discuss the clarity of the theory. Did it have lucidness and consistency?ApplicationExamine how the theory would guide nursing actions.Describe specifically how you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).Download the Theory Critique Template.APA Style/Format

 
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Nursing  wk 8 responses nurs 6521

Beth Martin Generalized Anxiety Disorder-Beth MartinCOLLAPSEThe scenario I chose was the gentleman that had been suffering from generalized anxiety disorder, was using alcohol to cope with job stressors, and felt chest tightness and feelings of impending doom. Generalized anxiety disorder is known as excessively worrying about multiple events, usually lasting 6 months or more (Haseth, Solem, Soro, et al., 2019).I chose to start the patient on Zoloft 50 mg out of the three choices given. I chose Zoloft as this is an SSRI, which means it works by slowing the reabsorption of serotonin in the brain. Serotonin regulates mood such as depression and anxiety and how it works in the brain (Cuncic, 2020).The patient presented back into clinic four weeks later with a decreased feeling of stress in the past 5 days. Based on the Ham -A score the patient has had a partial response to treatment with a score of 18 (Laureate Education, n.d.). I then decide to increase the Zoloft dose to 75 mg daily to help with the positive effects of the medication and reduced anxiety symptoms. The patient returns to clinic in another 4 weeks with even less symptoms and a HAM-A score of 10 ( Laureate Education,2019b).At this appointment, I now decide to keep his medications the way they are and not increase the dosage or make any more changes. It can take weeks to see the full effects of SSRIs and the higher the dosage the higher chance of serotonin syndrome, which is a build-up of too much serotonin in the system which can cause a multitude of symptoms including but not limited to; high blood pressure, confusion, muscle rigidity, fever, diarrhea, hallucinations, and restlessness. The provider must be cognizant of this when adjusting any SSRI medications and sing the lowest amount of medication for the greatest benefit. Adding on another medication like Buspar is not necessary at this time and avoiding polypharmacy with all patients is important to keep adverse effects low ( laureate Education, 2019b).Cuncic, A. (2020, March 26). Zoloft as treatment for social anxiety disorder. VeryWell Mind.https://www.verywellmind.com/zoloft-social-anxiety-disorder-treatment-3024977Haseth, S., Solem, S., Sørø, G., Bjørnstad, E., Grøtte, T., & Fisher, P. (2019).Group metacognitive therapy for generalized anxiety disorder: A pilot feasibility trial. Frontiers in Psychology, 10.https://doi.org/10.3389/fpsyg.2019.00290Laureate Education (2019b) http://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_05/index.htmlNneka Awuruonye Main Post Week 8 disscussionCOLLAPSEWith depression it occurs without the person’s knowledge.  Signs and symptoms can be very prominent and shown to other people.  Depression is one of the most common psychiatric disorders (Rosenthal & Burchum, 2021).  People are being diagnosed with depression daily and only about 35% of depressed people rarely see a mental health provider.  Diagnoses are usually made if symptoms are presented throughout the day and almost everyday for about a two weeks time span.  Depression can be diagnosed as mood disorders that could bring on symptoms over time such as lack of interest in activities, low energy, extreme sadness, and loss of appetite.  Depression can go unresolved for a period of time compared to grief and sadness.   One of the scenarios that I have chosen pertained to the 70 year old hispanic male that had depression.  In order to treat the patient’s symptoms, I have to assess him and ask him a slew of questions pertaining to his condition and how he feels about the situation he is currently in.  During the medical exam the patient took the “Montgomery-Asberg depression rating scale” and it indicated that he was in severe depression with a score of 51.  One of the medications that I have found to be effective is Zoloft 25 mg that can be used to help with depression.  According to Sertraline (generic): Zoloft (Brand) (2014), Sertraline is in a class called serotonin reuptake inhibitors (SSRI).  Zoloft blocks the uptake of serotonin within the human platelets.  It is shown to control the central nervous system.  It allows for the brain to increase the amount of serotonin, absorb it and cause a mood-booster within the patient (Zoloft, 2008).  This essentially helps increase the patient’s attitude and decrease depression.  I would make sure that he is not taking any other type of medications that would interfere and cause an interaction with each other.  After about 4 weeks since the patient developed erectile dysfunction and decreased 25% of his depression, I would order Wellbutrin IR 150mg.  At the next appointment due to the patient becoming jittery the form of medication would be to order Ativan 0.5 mg TID/PRN orally.  Ativan is a benzodiazepine and approved for treatment of anxiety associated with depression (Lorazepam (ativan), 2019).  According to the interactive it suggested changed the Wellbutrin to extended release so that it would not interact with zoloft and produce a jitteriness side effect.ReferencesLorazepam (ativan) (2019).  National Alliance on Mental Health. Retrieved January 18, 2021 fromhttps://www.nami.org/About-Mental-Illness/Treatments/Mental-Health-Medications/Types-of-Medication/Lorazepam-(Ativan)Sertraline (generic): ZOLOFT (Brand). (2014). Brown University Child & Adolescent Psychopharmacology Update, 16, 1–2.Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.Zoloft (2008). Label. Retrieved January 18, 2021 fromhttps://www.accessdata.fda.gov/drugsatfda_docs/label/2009/019839s070,020990s032lbl.pdfthree sources for each discussion, thanks

 
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Nursing  HELP ASAP

1. What is the purpose and focus of performance improvement in Healthcare? Your response should be no less than 2 paragraphs.

 
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Nursing  Assignment

Find an article in the local newspaper, web news service e.g. CNN, MSNBC,Google, or a weekly newsmagazine e.g. Time, Newsweek or U.S. New World Reportsreporting a recent (last six months) health related research study.Your name _________________________________________Name of the newspaper/web/newsmagazine article __________________________Health subject of the article __________________________________1. Summarize the article in two paragraphs and attach the article.2. Use information from Chpt 2 and the article for this question. How was thestudy conducted? Do you believe it was conducted in a reliable manner (largesample, type of study appropriate to research question, experimental vsobservational research, sample contained diverse members or from one group,).Why or why not.3. What would you say to a friend or family member who read the article and hadquestions? Would you tell them to use the drug, buy the product, avoid certainfoods or add a food into their diet, try the supplement? Why or why not?4. Is further research needed on this topic? Why or why not. If so, what wouldyou suggest for the next study?5. What did you learn from this article?For 10 points extra credit, find the original journal science article your newsstory was referring to and summarize the research article, compare and contrastthe two articles, do you think the news story accurately reported the findingsof the journal article why or why not, and attach a copy/link of the journal article.

 
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Nursing  answer the question

Please use attachments (PowerPoint) to help answer

 
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Nursing  CT 6-550

Review theVision 2030website and create a presentation that summarizes the vision, governance, themes, programs, and how these changes will support the improved healthcare of Saudi Arabian citizens. Then answer these questions in the concluding slides of the presentation:What is the future of healthcare in the Kingdom of Saudi Arabia?What are the non-pharmaceutical methods that the Ministry of Health could use to prevent the spread of disease?What steps has the Ministry of Health taken to prepare for pandemic events?How is information accessed and exchanged regarding disease outbreaks in the Kingdom of Saudi Arabia?How does the Kingdom of Saudi Arabia suffer from non-communicable diseases that is the highest cause of mortality?What is the risk of a re-emergence of infectious disease outbreaks in the Kingdom of Saudi Arabia?Research a minimum of six articles that help support your statements in the presentation. Please use the following headings:IntroductionVision 2030 (Governance)Themes (Programs)The Future of Healthcare in KSA (Disease Prevention)Pandemic Preparation (Disease Outbreaks)Non-Communicable Diseases (Re-emergence of Infectious Disease)ConclusionsReferencesYour presentation should meet the following structural requirements:Be 7-8 slides in length, not including the cover or reference pages.Be formatted according to APA writing guidelines.Provide support for your statements with in-text citations from a minimum of six scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but four must be external.Add citation through the text in the slide and in the notesThe speaker note minimum of 100 wordsThe references not more than 5 years ago backAdd cited and colored imagesThe citation of those images has to be added with the references pageRemember to utilize headings to organize the content in your work.No plagiarism at all

 
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