Psychiatric Nursing

Many of you have experience in complex adaptive systems whether you realize it or not. Thinking about your current nursing job or future psychiatric nursing practice area, identify an issue or concern. In your initial response, please describe the concern. Does the concern primarily occur at the micro, meso, or macro level? How would you address this issue? What impact might your solution have on the other levels of the system? In what ways could interprofessional collaboration be used to resolve the issue?

 
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response to discussion 2

Please, respond to the following discussion in one  paragraph, using only one reference from peer-reviewed Nursing Journal not older than  years. APA format required, no need for cover page.Changes in Eyes Due to Certain Medical Conditions and Ear Changes Caused by Aging ProcessThe eyes are our windows to the word. Different medical conditions can cause changes to the eyes. In this discussion I will write about Cataracts, Glaucoma, Diabetes Mellitus, and Chronic Hypertension.Cataracts is when protein clumps up and clouds the lens, this reduces the light that reaches the retina. The easiest symptom to see objectively is clouded eyes. The patient complains of sensitivity to light and glares. Difficulty with night vision and halos around lights is also a complaint. Blurred vision is reported due to seeing thru clouded eyes.Glaucoma causes damage to the optic nerve and gets worse over time. It can cause vision loss and blindness overtime. Early treatment can protect from vision loss. Symptoms can be hazy or blurred vision, rainbow colored circles around bright lights, severe eye and head pain, nausea and vomiting with eye pain and sudden eye loss.Diabetes Mellitus can lead to Diabetic Retinopathy which affects vessels in the light sensitive tissue called the retina. This is the leading cause of blindness among the working age. Symptoms can be wavy vision, color changes, spots or floaters, trouble with night vision. Increase in sugar level causes the lens of the eye to swell which affects vision. Decrease in sugar level causes blurriness and double vision.Chronic Hypertension can cause damage to the blood vessels in the retina, the area at the back of the eye where images focus, this is known as hypertensive retinopathy. This can lead to blindness. Symptoms can be fluid oozing from blood vessels, double vision, blurred vision, swelling of the optic nerve or macula, and spots on retina known as cotton wool spots.These conditions can be managed and prevented in some cases if not most with proper attention and education.There are changes to the ears due to the aging process. Older adults should be asked about hearing loss, vertigo, ringing in the ears ( tinnitus), and even dizziness.Otoslerosis is a possibility especially in older adults. Otoslerosis happens due to slow fusion of ossicles in the middle ear, this obstructs sound waves. This can cause difficulty with distinguishing sounds when it is noisy. Mumbled speech can also be a symptom.Presbycusis happens over time and it is a natural sensor neural loss. The hair cells in the cochlea become less flexible. Hearing deficiency is a symptom.During Review of Systems these conditions should be asked about. Sometimes patients are not even aware of these changes and need to be educated so they can seek help.

 
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EBP

Instructions in chat

 
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Nursing Assignment

Instructions to Assignment AttachedThis assignment is due July 3rd at 9pmA 3 page total (750 words excluding references) paperAPA formatting

 
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Discussion Question Final Week 10 Need it ASAP

Discussion QuestionsBy the due date assigned, post your response to the assigned discussion questions in the below Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University Online Library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.No later than by the end of the week, review and comment on the discussion question responses posted by at least two of your peers. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area.Discussion QuestionFor this discussion, you are asked to review the student learning outcomes for this course and discuss how you met these outcomes. The intention here is to provide you an opportunity to “reflect” on the learning achieved during this term and how you successfully met these learning outcomes. If you do not feel you successfully met the objective, discuss your plans to successfully complete the objective in the future.Upon completion of this course, the student should be able to:Critically analyze current practice to formulate researchable problems.Evaluate research as the basis for decision-making to improve outcomes through translation into evidence-based practice.Synthesize an understanding of the research process through development of a proposal to address a nursing problem or focus area identified in nursing practice.Investigate ethical issues related to the conduct of scientific research, including informed consent, data management, data analysis, and protection of human subjects.Explore national and international initiatives and research priorities.I feel that I have gained a core of formulating research questions to problems. I feel that I have gained a broad perspective improving outcomes with evidence based practice. The proposal development was a challenge initially, but everything seemed to fall into place until the statistical portion of the class. At that point, that is where I struggled and I feel that it is because I am not mathematically inclined.Even though I knew about the Tuskegee incident, I learned more about the incident. This new gained information was an eye-opener for me, and I was more horrified at the events. I learned some new ethical issue related information regarding the informed consents and how difficult it was to write in “layman’s” terms as well as more information on the protection of human subjects. Most of the ethical information to me was understood or common knowledge and made sense.Research is a process of discovering new knowledge. The charter rules (45 CFR 46.102 (d)) have been defined as “related to the survey results.” The purpose of the National Academy of Sciences is to “broaden the knowledge of the people in the physical, biological and social world” as well as the study of the knowledge of other types of knowledge reading, etc.), using a systematic process called a different scientific approach.As far as the exploration of national and international initiatives and research priorities, this information is minimal. I feel that I have a lot to learn and that this class was only an exposure. Also, I feel that I need to explore these topics beyond this class to further myself and the core knowledge that was gained from this course.Although I have learned to research, I feel that I am no expert but have gained good base knowledge. I am supposed to be able to form my own research. However, I feel that again with a good basic familiarity; I will probably never do my own research. Instead, I would be involved with research done by others or create performance improvements. I do not feel that I can create my own research trial all by myself and therefore would learn by others. This was an opportunity to “get my feet wet.” Additionally, since I am somewhat statistically challenged, I would need help with creating my own research. Therefore, I feel that I would never be alone and would bring in the people who would help me create a well-designed and well written study. In the end, it is all about teamwork.When researches are done in the real world and money is spent and political people or doctors or scientists do the research. The research’s unique features are one of the common criteria published in academic journals. (Callaham, Michael et al., 2002) Diploma students usually need to conduct their first research as part of a dissertation.ReferencesCallaham, Michael; Wears, Robert; Weber, Ellen L. (2002). “Journal Prestige, Publication Bias,and Other Characteristics Associated With Citation of PublishedStudies in Peer-Reviewed Journals”. JAMA. doi:10.1001/jama.287.21.2847.

 
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Mental health & crisis management 7 APRIL qui z

here is preivous1. A pregnant patient receives the news that she has low iron according to the complete blood count (CBC) lab results. The patient panics and worries that there is something wrong. Your response to the patient is:2. A newborn is delivered by Cesarean Section and weighs 4000 gms. As the nurse caring for the newborn you will complete the following action: Question 40 options: Avoid skin to skin with mother Heel stick for blood glucose Recommend formula feeding as a supplement Refrain from covering the newborn’s head with a hat to avoid overheating3. Fertility Awareness Methods are best utilized by:4. The purpose of applying pressure to the anus and perineal area with a sterile towel during the delivery of the fetal head is:5. A patient in labour and delivery is hemorrhaging after the vaginal delivery of a 2800 gm newborn. You know that the most likely cause of hemorrhage is: Question 31 options:  Uterine atony Lacerations to the perineum and birth canal Placental abruption Retained palcental tissue6. A pregnant patient reports having upper epigastric pain, a headache and pitting edema. You know that these are all symptoms of: Question 27 options: Preeclampsia Fatty liver disease Seizure disorder of pregnancy Eclampsia7. When palpating a contraction, what criteria is the nurse assessing regarding the contraction?8. you are assessing a non-hispanic black, 35 years old multipara at 24 weeks gestation.9. You are coming onto shift and have been assigned Room #3. You receive report that the newborn in Room #3 is 39 weeks gestation, Large for gestational age, pink and feeding well. When you observe the newborn you see that the newborn weighs 3000 gms, is covered in lanugo and is feeding well. This observation concludes that: Question 14 options: The newborn is actually large for gestation age The newborn is actually intrauterine growth restricted The social worker needs to be contacted. The newborn is less than 39 weeks gestation10. An newborn is delivered vaginally at 36 weeks gestation. You are aware that this newborn may :11. The fetus has engaged and Mom has been pushing for 4 hours. The physician encourages an epidural to give Mom a rest. When the baby is finally delivered vaginally you notice the following:

 
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Clinical Decision Support Systems

Clinical Decision Support SystemsDecision support systems were first designed and implemented in the corporate world to support business management. The integration of support systems into health care organizations brings a sharpened analysis capacity to data warehousing and data mining. This refined data analysis capability can lead to improved patient care and diagnoses through evaluation of various symptoms, prediction of certain drug interaction outcomes, and much more.In this Discussion, you explore the use of clinical decision support systems and consider their value in assisting advanced practice nurses in making informed decisions and providing quality health care.To prepare:Review the information in the Learning Resources focusing on the use of clinical decision support systems.Consider where you seek support for clinical decisions. Do you seek advice from other health care professionals in your organization? Do you use computerized clinical decision support systems? Do you perform your own research? Assess the advantages and disadvantages of each approach.Reflect on how decision support technologies, including databases, might assist nurses in clinical practice.Consider how you can validate the integrity of the data you are using in a clinical decision support system.Peruse the information presented at the Open Clinical website presented in this week’s Learning Resources. Locate an article that focuses on how clinical decision support systems can be used to support or improve patient care. How does the information in the article align with or differ from your own experiences?ASSIGNMENT: WRITE a description of how you currently seek support for clinical decision making and how you determine the integrity of the information you gather. Analyze the advantages and disadvantages of using computerized clinical decision support systems in clinical practice. Justify your response. Finally, summarize the article you selected from the Open Clinical website and include an evaluation of how computerized clinical decision support systems can be used to improve care.

 
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The initial post should have a minimum of four paragraphs . Each post should be supported by two references from journals no older than 5 years. Please I need references. APA format

Parkinson’s DiseasePopulation most affected (ex: Older Adults, Middle Adults, Young Adults, Teenagers, Child, Infants)Age related milestone for your chosen populationSocio-Demographic/Risk factors for getting the disease/conditionImpact on QOLCurrent/new/recent research/EBP that will benefit/support this patient with the specific disease (If there are none please state so)Recommendation for treatment or Gold standards for treatment if any (can be tied into the current research as above) (If there are no gold standards then please state so, but there should be some recommendations)Please tell what/how you (speak in the first person) as the FNP caring for this patient with this specific disease can make a difference in his/her care and incorporate patient care/self-help teaching that can help him/her minimize disease symptoms.Red flags for this condition (what specific S/S require urgent/ER care) or when should you refer patient to specialist.Again, please follow the directions of what I am looking for and keep it to the point, as simple/concise as possible.Points will be taken of for incorrect grammar and incorrect APA format/citations.This last CS will be graded out of 15, and is worth 5 extra points to your final grade.Thanks.

 
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PPO and HMO

what are the advantages and disadvantages of having a PPO Vs. an HMO. Which one do you prefer and why?

 
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Kings Conceptual System Theory – 1250 words

Discuss and explain King’s Conceptual System Theory.First explain the 3 systems and provide examples of each systemExplain how the systems influence goal attainmentHow could King’s theory help define a clinical quality problem?Apply this theory to a potential practice quality improvement initiative within your clinical practice.How could a quality committee align outcomes with King’s Conceptual System Theory?What additional nursing theory from our readings could also align with an improved quality of practice initiative?

 
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