Nursing  week6.1

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Discussion: Examining Nursing SpecialtiesYou have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire.Often decisions are not so easily inspired. Perhaps you discovered this when choosing a specialty within the MSN program. This decision is a critical part of your plan for success, and you no doubt want to get it right. This is yet another area where your network can help, as well as other sources of information that can help you make an informed choice.To Prepare:Reflect on your decision to pursue a specialty within the MSN program, including your professional and academic goals as they relate to your program/specialization.By Day 3Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.Support main post with 3 of more current, credible sources and cite source within content of posting and on a reference list in proper APA.By Day 6Be sure to offer support from at least 2 current, credible sources in each required response to classmates’ main post and cite per APA.Respond to at least two of your colleagues on two different days, by sharing your thoughts on their specialty, supporting their choice or offering suggestions if they have yet to choose.Submission and Grading InformationGrading CriteriaLearning ResourcesNote: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.Required ReadingsBickford, C. J., Marion, L., & Gazaway, S. (2015). Nursing: Scope and standards of practice, third edition—2015. Retrieved from https://www.augusta.edu/nursing/cnr/documents/seminar-files/pp8.28.pdfQuinn-Szcesuil, J. (2016). Why you should join a nursing association. Retrieved from https://dailynurse.com/join-nursing-association/Robert Wood Johnson Foundation. (2011). Implementing the ION future of nursing report—part II: The potential of interprofessional collaborative care to improve safety and quality. Charting Nursing’s Future, (17)1–8. Retrieved from https://www.rwjf.org/content/dam/farm/reports/issue_briefs/2011/rwjf71709Robert Wood Johnson Foundation. (2010, November 22). Interdisciplinary collaboration improves safety, quality of care, experts say. Retrieved from https://www.rwjf.org/en/library/articles-and-news/2010/11/interdisciplinary-collaboration-improves-safety-quality-of-care-.htmlWalden University. (n.d.). Master of Science in Nursing (MSN). Retrieved October 12, 2018, from https://www.waldenu.edu/masters/master-of-science-in-nursingDocument: Academic Success and Professional Development Plan Template (Word document)Choose among the following to review your specialization’s Scope and Standards of Practice or Competencies:American Nurses Association. (2015). Nursing informatics: Scope and standards of practice (2nd ed.). Silver Spring, MD: Author.Nursing InformaticsE-book: Nursing Informatics: Scope and Standards of Practice“The Scope of Nursing Informatics Practice: Functional Areas of Nursing Informatics” (pp. 18–3Nursing EducationWebsite: Competencies for the Academic Nurse EducatorNational League for Nursing. (2019). Nurse educator core competency. Retrieved from http://www.nln.org/professional-development-programs/competencies-for-nursing-education/nurse-educator-core-competencyNote: The competencies for the Academic Nurse Educator do not encompass the competencies or scope and standards of practice for the Nursing Professional Developer. The set of competencies associated with that specific role within the Nurse Education specialization will be examined in future competencies throughout your specialization program of study.Nurse ExecutiveWebsite: Nurse Executive CompetenciesAmerican Organization for Nursing Leadership. (2015). AONL Nurse Executive competencies. Retrieved from https://www.aonl.org/resources/nurse-leader-competenciesPublic Health NursingWebsite: Public Health Nurse CompetenciesQuad Council Coalition. (2018). Community/Public Health Nursing [C/PHN] competencies. Retrieved from http://www.quadcouncilphn.org/documents-3/2018-qcc-competencies/American Nurses Association. (2013). Public health nursing: Scope and standards of practice (2nd ed.) Silver Spring, MD: Author.Public Health NursingE-book: Public Health Nursing: Scope and Standards of PracticeOptional ResourcesWalden University. (n.d.). Subject Research: Nursing. Retrieved November 9, 2018, from https://academicguides.waldenu.edu/library/subject/nursingRubric DetailSelect Grid View or List View to change the rubric’s layout.Name: NURS_6002_Week_6_Discussion_RubricGrid ViewList ViewExcellentGoodFairPoorMain Posting45 (45%) – 50 (50%)Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.Supported by at least three current, credible sources.Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.40 (40%) – 44 (44%)Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.At least 75% of post has exceptional depth and breadth.Supported by at least three credible sources.Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.35 (35%) – 39 (39%)Responds to some of the discussion question(s).One or two criteria are not addressed or are superficially addressed.Is somewhat lacking reflection and critical analysis and synthesis.Somewhat represents knowledge gained from the course readings for the module.Post is cited with two credible sources.Written somewhat concisely; may contain more than two spelling or grammatical errors.Contains some APA formatting errors.0 (0%) – 34 (34%)Does not respond to the discussion question(s) adequately.Lacks depth or superficially addresses criteria.Lacks reflection and critical analysis and synthesis.Does not represent knowledge gained from the course readings for the module.Contains only one or no credible sources.Not written clearly or concisely.Contains more than two spelling or grammatical errors.Does not adhere to current APA manual writing rules and style.Main Post: Timeliness10 (10%) – 10 (10%)Posts main post by day 3.0 (0%) – 0 (0%)0 (0%) – 0 (0%)0 (0%) – 0 (0%)Does not post by day 3.First Response17 (17%) – 18 (18%)Response exhibits synthesis, critical thinking, and application to practice settings.Responds fully to questions posed by faculty.Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.Demonstrates synthesis and understanding of learning objectives.Communication is professional and respectful to colleagues.Responses to faculty questions are fully answered, if posed.Response is effectively written in standard, edited English.15 (15%) – 16 (16%)Response exhibits critical thinking and application to practice settings.Communication is professional and respectful to colleagues.Responses to faculty questions are answered, if posed.Provides clear, concise opinions and ideas that are supported by two or more credible sources.Response is effectively written in standard, edited English.13 (13%) – 14 (14%)Response is on topic and may have some depth.Responses posted in the discussion may lack effective professional communication.Responses to faculty questions are somewhat answered, if posed.Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.0 (0%) – 12 (12%)Response may not be on topic and lacks depth.Responses posted in the discussion lack effective professional communication.Responses to faculty questions are missing.No credible sources are cited.Second Response16 (16%) – 17 (17%)Response exhibits synthesis, critical thinking, and application to practice settings.Responds fully to questions posed by faculty.Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.Demonstrates synthesis and understanding of learning objectives.Communication is professional and respectful to colleagues.Responses to faculty questions are fully answered, if posed.Response is effectively written in standard, edited English.14 (14%) – 15 (15%)Response exhibits critical thinking and application to practice settings.Communication is professional and respectful to colleagues.Responses to faculty questions are answered, if posed.Provides clear, concise opinions and ideas that are supported by two or more credible sources.Response is effectively written in standard, edited English.12 (12%) – 13 (13%)Response is on topic and may have some depth.Responses posted in the discussion may lack effective professional communication.Responses to faculty questions are somewhat answered, if posed.Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.0 (0%) – 11 (11%)Response may not be on topic and lacks depth.Responses posted in the discussion lack effective professional communication.Responses to faculty questions are missing.No credible sources are cited.Participation5 (5%) – 5 (5%)Meets requirements for participation by posting on three different days.0 (0%) – 0 (0%)0 (0%) – 0 (0%)0 (0%) – 0 (0%)Does not meet requirements for participation by posting on 3 different days.Total Points: 100Name: NURS_6002_Week_6_Discussion_Rubric

 
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Nursing  Nursing Role and Scope, Physical Assessment in Health Care and Culture in Nursing (Due 24 hours)

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1) Minimum 6 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per pagePart 1: minimum 1 pagePart 2: minimum 1 pagePart 3: minimum 1 pagePart 4: minimum 1 pagePart 5: minimum 2 pagesSubmit 1 document per part2)¨******APA normsAll paragraphs must be narrative and cited in the text- each paragraphBulleted responses are not acceptedDon’t write in the first personDon’t copy and paste the questions.Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraphSubmit 1 document per part3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)4) Minimum 3 references per part not older than 5 years  (Journals, books) (No websites)All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the nextExample:Q 1. Nursing is XXXXXQ 2. Health is XXXX6) You must name the files according to the part you are answering:Example:Part 1.docPart 2.doc__________________________________________________________________________________Part 1: Nursing Role and ScopeYou are taking care of an 80 African-American-year-old male patient in a medical-surgical unit who was hospitalized with congestive heart failure. He is being discharged with multiple medications and home health care.1. Describe the steps you would take to provide patient education including cultural considerations.Part 2: Nursing Role and Scope1. Describe the importance of evidence-based practice2. describe how and where to search for evidence?Part 3: Physical AssessmentAn individual is being seen in the emergency room. She is complaining of right lower quadrant pain.1. Discuss various techniques used in assessing possible appendicitis.Part 4: Physical AssessmentThe nurse is completing a peripheral pulse assessment on a patient with atherosclerosis. She is having difficulty feeling the popliteal pulse.1.  Discuss another technique to find the popliteal pulse in this patient.Part 5: Culture in NursingJulie is a 35-year-old with bipolar II disorder. After her third child was born, she had a severe depressive episode. She attempted suicide by taking 25 Xanax pills. She is back in the hospital with depression after having a 2-week hypomanic episode. She has not been taking her medications.1. What responsibility does the health care organization have to Julie?2. What structures are needed at a hospital to ensure that Julie will get the care she needs?3. What is the nurse’s responsibility regarding the health promotion activities directed toward Julie?Stephane, a 15-year-old Haitian refugee who is living at a center for children of refugees, has a severe cough and fever. She is curled up in a corner of the community room wrapped in a towel. She looks like she has been crying.4. How can the nurse ensure culturally competent care?5. List three priorities for the nurse regarding the cultural values, beliefs, and possible practices that Stephane may have.

 
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Nursing  home work on HEALth care FINS

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Everytihng u will find id in the Attachment.

 
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Nursing  proposal and annotated bib

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ANNOTATED BIBLIOGRAPHY:Implementing research in your proposal is key to convincing your audience to adopt your new ideas or procedures. However, before implementing research into your assignment, you need to be able to find relevant, credible sources to support your points. Completing an annotated bibliography is a practical way to both practice writing correct APA citations and evaluate the sources you are planning to use in your proposal.An annotated bibliography consists of two parts: a citation (in APA style) and an annotation, which you will use to analyze the source and evaluate how it will be used in your proposal.  For your annotated bibliography, you will write at least seven entries that include a citation and an annotation.Specifics:Five of the seven entries must bescholarly, peer-reviewed journal articlesTwo must be academic articles.Here is the difference.Entries must have been published in the last 5 years.Use a variety of academic journals.  Overly-depending on one or two journals suggests bias, even when academic journals are used.Each entry in your annotated bibliography will consist of your citation, followed by your annotation, which includes three parts. First, you will briefly summarize the source in your own words. Title this section Summary. Next, you will write a paragraph where you assess the source by determining whether it is useful and reliable. Title this section Assessment. Finally, you will reflect on your source to determine how you will use it within the proposal. Title this section Reflection.Thus, each of your seven sources will have the following:An APA-formatted bibliographic entry.A Summary section.a.  The summary is about the content of the article.An Assessment section..  The assessment is about the veracity of, quality of, credibility of, and usefulness of the article. For example, how does this article compare to the other articles you have found?  Is the author known to publish often in this area? Author credentials?  Will this article truly help your argument?  For this section, you’ll essentially need to do research on your research.A Reflection section..  In this section, you will explain how you will use this source in your proposal. Specifically, how will this source support the points you are making about your argument?  Which points will this source support?  In which section of the proposal will you use this source?Tips:Avoid writing “I feel” or “I believe.”  Your assessment of the source should use concrete evidence from the article that proves your source is reliable, credible, scholarly, and supports your argument.Simply stating that an article is reliable, credible, scholarly, and supports the argument for your proposal isn’t quite what you need to do.  Prove it with evidence from the article and analysis of the author/publisher.Clearly explain how the source will support specific aspects of your proposal. For example, if the source supports your claim that your solution is cost-effective, say so. If the source supports your claim that a current protocol is inefficient, say so.Do not include pictures or other visuals in the annotated bibliography.A 4 page (does not include graphics or references), single-spaced internal unsolicited proposal targeted specifically toward your organizationYour proposal will have the following sections:The Purpose is a brief statement that informs the reader of the purpose of your proposal–why you are writing and what you hope to achieve.The Problem section is more detailed and describes for the reader what the current problem is that your proposal hopes to solve. Since a proposal is essentially a solution to a problem, you cannot convince readers you have a viable solution unless you first convince them there is a problem.The Solution or Plan section is the heart of your assignment; this is where you will detail your proposal. What information you include in this section will depend upon the topic of your proposal. Some common items to include are: description of the plan; materials needed; costs; etc.The Timeline section will include the dates and necessary time for rollout of your  solution.  Include actual dates.The Conclusion section restates the problem, solution, and benefits and recommends the next course of action.Includes at least two graphics.Need 5 scholarly sources published within the last 5 years******Please use this topic to complete the proposal and annotated bibliography:  My proposal will be to my director of nursing at the long-term care facility I work at. The problem is new graduate nurses tend to always quit. My plan is to create a safe place where a new graduate nurse can come to seek mentorship and advice from experienced nurses. This will create a positive work environment and the new graduate nurses will not give up so easily at working at this facility.*****Purpose: create a safe place where new graduate nurses can come to seek mentorship from experienced nurses. This will create a positive work environment and the new graduate nurses will not give up so easily at working at this facility.Problem: New graduate nurses that begin to work here have the tendency to quit before they reach their three months of working at this facility. These nurses feel overwhelmed and need guidance.Solution/Plan: Accepting volunteers that are experienced nurses. They will then be assigned to new graduate nurses that they agree to mentor. These nurses can work at this facility or perhaps nurses the Director of nursing know. The experienced nurses will be volunteering their time so they will not be getting paid. Therefore the facility can offer incentives. Perhaps future gatherings for them to thank them for all their hard work. Also, the director of nursing can offer incentives such as time off and employee recognition. I believe that most of the mentors will be happy to mentor these new grads because offering mentorship to brand new nurses is rewarding in itself.Conclusion: remind my audience of the problem at hand and what can be done to decrease the amount of new graduate nurses that quit.PLEASE MAKE SURE PROPOSAL IS SINGLE SPACED!

 
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Nursing  week 5 discussion

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Directions:Research change theories from scholarly literature resources. Choose a change theory and correlate the steps of the theory to a change that has occurred in your clinical area.Did the change follow the steps well?Was the change made successfully?If it did not go smoothly, how would you have improved the process?Submission DetailsIn your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples; and demonstrates a clear connection to the readings.

 
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Nursing  Capstone Change Project Evaluation Plan

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Review your strategic plan to implement the change proposal, the objectives, the outcomes, and listed resources. Develop a process to evaluate the intervention if it were implemented. Write a 150-250 word summary of the evaluation plan that will be used to evaluate your intervention.The assignment will be used to develop a written implementation plan.APA style is not required, but solid academic writing is expected.Am writing on this : For patients and healthcare workers in the hospital (p) does hand washing using soap and water (I) compared to an alcohol hand-based rub (C) reduce hospital acquired infection (O) within a period of stay in the hospital (T).)

 
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Nursing  Variety of nutrients

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PowerPoint presentation contains at least 6 slides and at least 2 credible reference.

 
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Nursing  replies db breast

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Reply CathyAsking the patient about any breast changes including size change, dimpling, or nipple discharge would be helpful (Centers for Disease Control and Prevention, 2018). In addition, asking the patient about any family history of breast cancer and her menstrual cycle timing could be helpful. A  breast exam would be appropriate during this patient’s physical exam. The patient reported feeling a lump in the shower. By the provider doing their own exam, the patient’s technique and lump placement could be verified (Centers for Disease Control and Prevention, 2018).Some possible differential diagnosis for this patient include breast cancer, a cyst, fibroadenoma, lipoma, mastitis, and breast injury (Mayo Clinic, 2018). Getting a full health history and ordering tests would be needed to know for sure. Some tests that may be ordered include imaging to see what the potential lump looks like and placement.  A mammogram is commonly used along with a biopsy to test the breast tissue cells to determine if they could be cancerous (Mayo Clinic, 2018).Based on the results for this patient, it is possible that a referral could be necessary. This patient may need to see an oncologist or even a surgeon. If this patient has cancer, radiation or chemotherapy may be an necessary intervention (Mayo Clinic, 2018). Making sure this patient has access to information and support is also important when considering management of care.ReferenceCenters for Disease Control and Prevention. (2018). “What Are the Symptoms of Breast Cancer”. Retrieved from:(Links to an external site.)Links to an external site.https://www.cdc.gov/cancer/breast/basic_info/symptoms.htmMayo Clinic. (2018). Breast lumps. Retrieved fromhttps://www.mayoclinic.org/symptoms/breast-lumps/basics/causes/sym-20050619 (Links to an external site.)Links to an external site.Reply QuianaA 35-y.o. woman is seen in the office with a chief complaint of a breast mass. She states she found the lump when she was in the shower, and she is quite visibly distressed. Her medical history is unremarkable, although she reports that she has not had a mammogram. She takes no prescription medications.What additional questions should you ask the patient and why?Additional questions to ask this patient would be if the lump is painful, pain in fibrocystic disease is bilateral and increases before the monthly menstruation.Has the lump changed in size or remained the same, has she ever noticed a lump before, is she menstruating. Cyst gets smaller and pain decreases when the menstrual cycle starts. If the patient is menstruating it is important to have her come back at the end of her menstrual period. This is because the breast cysts can fluctuate during the menstrual cycle (So you found a lump, now what? 2015).Does she have a nipple discharge? A nipple discharge that is unilateral, pink or bloody, non-milky or associated with a mass is an indicator of breast cancer.Ask at what age did she begin menstruating because early menarche increases the risk of breast cancer.Does she have a family history of breast cancer? If a mother or sister had breast cancer there is twice the risk and if both have it there is three times the risk of developing breast cancer.Does she have any children? Null parity increases your risk of breast cancer (Seller, & Symons, 2018).What should be included in the physical examination at this visit?A complete breast exam should be included in this visit. The breast lump should be assessed to determine if it is firm, with indistinct borders and if it is attached to the skin. Assessment should include if there is any dimpling or nipple retraction, and unilateral nipple discharge, all of which are a signs of breast cancer. Benign lumps usually have well-defined borders and are mobile (Sellers, & Symons, 2018).Possible differential diagnoses at this time are as follows:Breast cancer-Patients that develop breast cancer with no family history are normally older than 40 years.Fibrocystic breast disease-Patients have cyclic bilateral breast pain, especially near and during menstruation. The pain and tenderness worsen before menstruation.Fibroadenoma- Usually presents in patients 20-40 years. Usually, a solitary lump that is firm, mobile, smooth, and rubbery (Seller, & Symons, 2018).What tests should you order and why?A mammogram is the first test to order. If the mammogram is inconclusive or the breast has dense tissue then a breast ultrasound should be ordered to differentiate between a cystic mass and a solid mass. If needed a needle aspiration breast biopsy should be ordered. In some cases an MRI can be ordered, especially in high-risk patients (Sellers, & Symons, 2018).How should this patient be managed?If it is fibrocystic breast disease the patient should be advised to wear a firm bra even at night. Dietary restrictions will include coffee, chocolate, and tea. The patient should also take 400 IU of vitamin E daily. If the patient is experiencing pain or moderate to severe fibrocystic breast disease, the therapeutics to prescribe are oral contraceptives, NSAIDs and/or progestin. The patient should also be educated on the importance of conducting breast self-exams monthly even though the breasts may be lumpy (Dunphy, Winland-Brown, Porter, & Thomas, 2015).ReferencesDunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. A. (2015). Primarycare. The art and science of advanced practice nursing. (4th Ed.). Philadelphia, PA. F. A. Davis Company.Seller, R. H., & Symons, A. B. (2018). Differential diagnosis of common complaints. (7th Ed.). Philadelphia, PA. Elsevier, Inc.

 
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Nursing  Mod 3c

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Electronic medical records

 
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Nursing  Book report

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Write 2-3 page report on any aspect of the connection to global health (title and reference page not included in page count). Be sure to include at least one reference to support your work (beyond the book itself). The reference can be one that was discussed during the course. Submit under the Course Materials tab in Blackboard.The book’s name:Timmerman, K. (2009). Where am I wearing?  A global tour to the countries, factories, and people that make our clothes.  New Jersey: Wiley. ISBN 978-0-470-37654-6

 
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