Nursing  Week 1

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DQ #1 : Describe the difference in roles between leadership and management. Explain how the goals of management and leadership overlap and provide one example. As a nurse leader, describe how you can facilitate change by taking advantage of this overlap.DQ #2: Compare two leadership theories. Provide an overview of each and discuss the strengths and weakness in relation to nursing practice.DQ #3: Review your state’s mandated reporter statute. Provide details about this in your post. If faced with a mandated reporter issue, what are the steps in reporting the issue? Create a mandated reporter scenario and post it. Respond to one of your peer’s scenarios using the guidelines for submission/reporting in your state. Be sure to include a reference to your state’s website related to mandated reporting. (California)Professionalism and Social Media: Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field.In 500-750 words, summarize the findings of your review. Include the following:Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.Rubric attached for last assignment

 
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Nursing  W-1

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It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.Evaluate the Health History and Medical Information for Mrs. J., presented below.Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.Health History and Medical InformationHealth HistoryMrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.Subjective DataIs very anxious and asks whether she is going to die.Denies pain but says she feels like she cannot get enough air.Says her heart feels like it is “running away.”Reports that she is exhausted and cannot eat or drink by herself.Objective DataHeight 175 cm; Weight 95.5kg.Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.InterventionThe following medications administered through drug therapy control her symptoms:IV furosemide (Lasix)Enalapril (Vasotec)Metoprolol (Lopressor)IV morphine sulphate (Morphine)Inhaled short-acting bronchodilator (ProAir HFA)Inhaled corticosteroid (Flovent HFA)Oxygen delivered at 2L/ NCCritical Thinking EssayIn 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:Describe the clinical manifestations present in Mrs. J.Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.Prepare this assignment according to the guidelines found in the APA Style Guide

 
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Nursing  Need response for below discussion on case study

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APA format 3 peer references needs to review case study and document on differential diagnosis as to agreeing or disagreeing  Due October 20.2018 at 5pmEpisodic/Focused SOAP Note TemplatePatient Information:A.S., 46 F, CaucasainS.CC “ankle pain in both ankles; worse in right ankle, after hearing ‘pop’ while playing soccer.”HPI: A.S. is a 46 year old Caucasian female who presents with bilateral ankle pain which she describes as chronic for the last 3 months. She acutely injured her right ankle 3 days ago while playing soccer. The pain is described as aching with intermittent sharp characteristics. Associated symptoms include limited ROM. The pain is worse with weight bearing and OTC pain medications have included alternating doses of Tylenol and Motrin with moderate relief.Current Medications:Motrin 200 mg by mouth every 4-6 hours as needed for painHydrochlorothiazide 12.5mg by mouth daily for 6 months for HTNAllergies: PCN- rash, no known food/environmental allergiesPMHx: HTN; immunizations are up to date- last tetanus 12/2017; flu shot 10/2018 cholecystectomy 2015Soc Hx: A.S. is employed as a Registered Nurse and remains active by playing soccer three times a week. She is married with two teenage daughters. She denies tobacco and alcohol use.Fam Hx: Maternal grandmother deceased at age 56 from MI. Maternal father deceased at age 75 from complications of COPD. Paternal grandparents unknown. Father history is unknown. Mother is alive with type 2 diabetes that is well controlled with oral agents. Sibling age 43 alive and well. Children are alive and well with no medical hx.ROS:.GENERAL:  No weight loss, fever, chills, weakness or fatigue.HEENT:  Eyes:  No visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat:  No hearing loss, sneezing, congestion, runny nose or sore throat.SKIN:  No rash or itching.CARDIOVASCULAR:  No chest pain, chest pressure or chest discomfort. No palpitations or edema,RESPIRATORY:  No shortness of breath, cough or sputum.GASTROINTESTINAL:  No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.GENITOURINARY:  No burning on urination.NEUROLOGICAL:  No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.MUSCULOSKELETAL: pain and swelling to right ankle, limited weight bearing and ROM in b/l ankles, worse in the right ankle. No muscle cramping.  No back pain.HEMATOLOGIC:  No anemia, bleeding or bruising.LYMPHATICS:  No enlarged nodes. No history of splenectomy.PSYCHIATRIC:  No history of depression or anxiety.ENDOCRINOLOGIC:  No reports of sweating, cold or heat intolerance. No polyuria or polydipsia.ALLERGIES:  No history of asthma, hives, eczema or rhinitis.O.GENERAL:  AAOx 3, limping gait, no distress. No fever.  Skin is warm, dry, and intact. Skin of the lower extremities is warm and pink in color.CARDIOVASCULAR: chest is symmetric with symmetrical expansion, PMI noted at fifth intercostal space at the midclavicular line, normal S1 and S2, no m/r/g, no edema in legs, dorsalis pedis 2/4 bilaterally, normal hair distribution in legs and no pigmentation of b/l legs.MUSCULOSKELETAL: limited ROM and weight bearing in b/l ankles, worse in right ankle. No clubbing, cyanosis, or edema.NEUROLOGICAL: mood and affect appropriate, CN II-XII intact. Motor: 5/5 in upper and lower extremities, DTRs 2+ bilaterally.Diagnostic results:Ankle x-ray- If the Ottawa ankle rule is positive (bone tenderness at posterior malleolus, bone tenderness at posterior medial malleolus, or inability to bear weigh > 4 steps) ankle radiographs are indicated (Polzer, Kanz,  Prall, Haasters, Ockert, Mutschler, & Grote, 2012).If ankle radiographs negative- assess ligament in affected extremity as compared to un-injured extremity by doing the crossed leg test, squeeze test, external rotation test, anterior drawer test, and talar tilt test. These tests will assist in determining the need for an MRI and also grading the sprain  (Polzer, Kanz,  Prall, Haasters, Ockert, Mutschler, & Grote, 2012).Labs may include a uric acid level which is elevated with gout and a WBC which would be elevated with  osteomyelitis. MRI imaging may also be indicted.A.Sprain- because the patient heard the “pop” sound, her injury is likely related to an ankle sprain in which the ligaments and tissue that surround the bones of the ankle are injured causing swelling, pain, and limited ROM  (PubMed Health, 2018).Fracture- a fracture would be unlikely if the patient was able to bear weight after the injury. The area would also become ecchymotic with limited to no ROM (PubMed Health, 2018).Osteomyelitis- the extremity would be warm, erythematous, not usually associated with an acute injury, potential fever present, usually associated with a systemic infection or a wound (Ball, Dains, Flynn, Solomon, & Stewart, 2015)Gout- associated with hot, swollen joints, pain and limited ROM (Ball, Dains, Flynn, Solomon, & Stewart, 2015)Bursitis- limited ROM, swelling, pain, warmth, and point tenderness (Ball, Dains, Flynn, Solomon, & Stewart, 2015)ReferencesBall, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide  to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.Polzer, H., Kanz, K. G., Prall, W. C., Haasters, F., Ockert, B., Mutschler, W., & Grote, S. (2012).Diagnosis and treatment of acute ankle injuries: development of an evidence-based algorithm. Orthopedic Reviews, 4(1), e5. http://doi.org/10.4081/or.2012.e5PubMed Health. (2018). Ankle sprains: overview. Retrieved fromhttps://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0072736/

 
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Nursing  English Module 1 Case

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Module 1 – CaseACADEMIC WRITINGCase AssignmentNote: Module 1 SLP should be completed before the Module 1 Case.After viewing “An Education in Equality,” “Learning Begins at Home,” “A Military Education,” and “an Education,” write an organized and well-supported essay in which you make three observations about education and what impacts (and enhances) student learning. Consider impacts and influences such as parenting, home life, society, race, technology, ethnicity, socioeconomics, etc.A well-organized essay has a beginning, middle, and an end. The beginning, or introduction, should include an opening sentence to grab your reader’s attention. Follow the opening sentence with a brief background on the topic or situation. In this case, it might be the state of education today. The last sentence of the introduction is the thesis statement. The thesis states the main point of the essay, which in this case, would be what impacts/influences student learning.A well-supported essay includes supporting points, details, and examples. For this essay, you must decide the best way to organize the body of the paper. Will you have a paragraph for each impact or enhancement? Will you divide the body of your paper into three paragraphs, one for each impact? In any case, each body paragraph must support (explain) your reasoning (rationale) using specific details. Each body paragraph must begin with a topic sentence that states the main point of the paragraph.The conclusion typically summarizes the main points of the essay and/or closes with a lasting impression that connects the reader to their world. You may wish to offer suggestions to reader about what makes for exceptional student learning.Be sure to proofread your essay and edit for proper grammar, punctuation, diction (word choice), and spelling, as errors in sentence skills will lower a final grade. A grade will be determined based on the Module 1 Case expectations and the Trident University General Education rubric for English found in the course syllabus.Papers must be double-spaced in Times or Times New Roman font (12 cpi) with standard one-inch margins. A grade will be determined based on the Module 1 Case expectations and the Trident University General Education rubric for English.The first person “I” is not used in a formal essay.No secondary sources are to be used in the process of writing this first paper; it is to be entirely written based on one’s point of view and supported with body points and details.Assignment ExpectationsWrite an essay (no less than four pages in length) that states an original thesis statement on what impacts/influences student learning.Demonstrate the ability to write clearly and cohesively when expressing one’s ideas and/or intended purpose.Demonstrate the ability to clearly state and support a thesis in an organized and cohesive essay.

 
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Nursing  Research paper . COT / Research Assignment # 1 Purpose The student will share their PICOT question and further explore and explain its key components, as well as examine its feasibility as a hypothetical project.

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Research paper 1Exercise ContentCOT / Research Assignment # 1PurposeThe student will share their PICOT question and further explore and explain its key components, as well as examine its feasibility as a hypothetical project. This PICOT question will be used in your practicum. At the end of the class, the PICOT question should be approved by the instructor to continue the program.General directionsYou will submit one (1) paper as part of this assignment; inclusive of:PICOT (written/narrative)Your scholarly paper must follow APA format. Include a cover page and headings per 6th edition APA guidelines.PICOT (written/narrative):The PICOT (written/narrative) component of the assignment should be no more than 4-7 pages (not including the title or references pages).Include the following components in the PICOT part of your scholarly paper:Title PageIntroductionProblem StatementPICOT Question explanation of each componentPopulation of InterestIntervention of InterestComparison of InterestOutcome of InterestTimeframeConclusionReferences PageAttached you will findThe following is the formats Required for Research paper 1:SafeAssign accepts these file formats only: DOC, DOCX, DOCM, PPT, ODT, TXT, RTF, PDF, and HTML. Files in other formats aren’t checked. Submit your paper to the Global Reference Database to help prevent plagiarism.Global Reference Database

 
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Nursing  Nursing Research (Due 24 hours)

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1) Minimum 4 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)2)¨******APA normsAll paragraphs must be narrative and cited in the text- each paragraphsBulleted responses are not acceptedDont write in the first personDont copy and pase the questions.Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph3)****************************** 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 years5) 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 XXXX__________________________________________________________________________________Topic: Middle-aged, type 2 diabetes, and medicationPicot Question:In adults with diabetes mellitus, how does physical exercise compare with healthy dietary patterns in establishing glycemic control?Review the two attached articles (Article 1 and 2) based on these articles, in the form of an Essay develop each of the following points. Use headings.1. Background of Studya. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.2. How do these two articles support the nurse practice issue you chose?a. Discuss how these two articles will be used to answer your PICOT question.b. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.3. Method of Study:a. State the methods of the two articles you are comparing and describe how they are different.b. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.4. Results of Studya. Summarize the key findings of each study in one or two comprehensive paragraphs.b. What are the implications of the two studies in nursing practice?5. Ethical Considerationsa. Discuss two ethical consideration in conducting research.b. Describe how the researchers in the two articles you choose took these ethical considerations into account while performing their research.

 
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Nursing  outline 1

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How would you define middle-age, old-age, and elderly without using age as a standard?How has the patient’s control over his own health care changed?

 
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Nursing  Reference

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Discussion 1 In your discussion post discuss various topics related to a cultural, psychological, and spiritual components in care of a patient.

 
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Nursing  Holistic Assessment of the Older Adult

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19-21 slides presentation

 
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Nursing  Humanities

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influence of Popular CultureInstructions:Please complete the following steps for your discussion post.After you have completed the Unit 2 material and have considered the different theories of popular culture discussed within the unit, consider which theory you find most plausible.  For the discussion board this week please address the following in your post:What are the main ideas of the theory you find most plausible? Define and discuss the theory in your own words.What examples from popular culture can you find to support your theory?Please be sure to validate your opinions and ideas with citations and references in APA format.

 
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