Lesson 3 – Discussion: Applying Theory to Practice

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You are assessing a 25-year-old male patient of Haitian descent admitted as newly diagnosed with Diabetes type II on the Medical-Surgical Unit. He is married and has two children ages 5 and 2, and he is currently unemployed. He does not speak English and has no health insurance. He describes his religion as Seventh Day Adventist. Both his parents live in Haiti.What family and nursing theory or theories would be best utilized to properly assess this patient. Why?(be sure to include at least one nursing theory and one family theory. Keep in mind that theories should complement each other.)What approaches would you use to provide culturally sensitive care to this patient?300 words , apa, not plagiarism

 
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Euthanasia & Physician Assisted Suicide (PAS)

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EuthanasiaMedical / Generic definitionBioethical definition.Describe pain and suffering within context of faithPhysician Assisted Suicide / Death ( PAS / PAD)DefinitionIs it ethical?Should we have the right to end our lives? Why yes or why not?Better alternatives to PAS; compare and contrast each:HospicePalliative care / Terminal sedationCase studies. Brief summary of:Hemlock SocietyJacob KevorkianBritanny MaynardRead and summarize ERD paragraphs #:  59, 60, 61.

 
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Applying Interdisciplinary Theories to Nursing Practice

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My Assigned Interdisciplinary Theory is Health Promotion.Post a brief description of your assigned theory and your practice issue. Then, explain how you would apply your assigned theory to your practice issue and explain your reasoning. Be specific and provide examples. Cite your sources in your post.

 
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matrix

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follow directions on attachment and use the matrix template to fill it out

 
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Health Organization Evaluation

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Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:Describe the health care organization or network.Describe the organization’s overall readiness based on your findings.Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.* No plagiarism* No copying* Must answer all questions and follow rubric

 
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Med Sure

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A patient in ICU is on a cardiac monitor is currently exhibiting atrial fibrillation. The fibrillation that feels like fluttering started 24 hours ago and the primary provider wants to cardiovert the patient. The patient is anxious, afraid and does not understand why her heart is doing this or why the procedure is so important. Using your best RN teaching skills, how could you help the patient weigh the pros and cons of the procedure. What possible situations may arise that could adversely affect the patient? What are the patient’s options in this case?

 
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Clinical case scenario

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A 39-year-old homeless man presents to the emergency department for cough and fever. He says that his illness has been worsening over the past 2 weeks. He originally had dyspnea on exertion and now is short of breath at rest. On questioning, he tells you that he lives in a homeless shelter when he can, but he frequently sleeps on the streets. He has used IV drugs (primarily heroin) “on and off” for many years. He denies medical history but the only time he gets medical attention is when he comes to the emergency department for an illness or injury. On review of systems, he complains of fatigue, weight loss, and diarrhea. On examination, he is a thin, disheveled man appearing much older than his stated age. His temperature is 100.5°F (38.0°C), his blood pressure is 100/50 mm Hg, his pulse is 105 beats/min, and his respiratory rate is 24 breaths/min. His initial oxygen saturation is 89% on room air, which comes up to 94% on 4 L of oxygen by nasal cannula. Significant findings on examination include dry mucous membranes, a tachycardic but regular cardiac rhythm, a benign abdomen, and generally waste dappearing extremities. His pulmonary examination is significant for tachypnea and fine crackles bilaterally, but no visible signs of cyanosis. His chest x-ray is read by the radiologist as having diffuse, bilateral, interstitial infiltrates that look like “ground glass.”Answer the following questionsWhat is the most likely cause of this patient’s current pulmonary complaints?➤ What underlying illness does this patient most likely have?➤ What testing and treatment should be started now?

 
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Case Study

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Madeline: Pain and SufferingMadeline S. is a 66-year-old German woman admitted to a home care agency for care related to end-stage cardiac disease and renal failure.  She has complained of chronic generalized chest pain, frequent cramps in her legs, and worsening arthritis pain related to her immobility.  The home care nurse has been in contact with Madeline’s physician almost daily for the past week and her analgesics have been steadily increased with little pain relief but an increase in nausea, constipation and sedation.  The nurse feels frustrated as she observes Madeline declining rapidly with worsening depression, withdrawal and weeping.  Madeline’s neighbor has noticed that her lights are left on 24 hours a day and the nurse has noticed that Madeline has several rosaries and prayer books now at her bedside.  Madeline has refused referral to hospice but the home care nurse has requested a team conference with assistance from the local hospice affiliated with the home care agency.Instructions:Read the case study above.Answer the questions below as thoroughly and concisely as possible. Be sure to reference any works that you utilize in answering the questions (Be sure that references are in APA format).What disciplines should be included in the case conference?What additional assessment might the nurse obtain?How can this patient’s pain and suffering best be treated?Are there any alternative or complementary treatments that should be considered?Are there any cultural issues that should be identified that you will need to know?

 
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Nutrition wt2

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Module 02 ContentCreate a PowerPoint presentation of no more than 15 slides that reflect your understanding of the three macronutrients discussed in this module: Carbohydrates, Lipids, and Proteins. Be creative!Each slide should include information about each macronutrient.Definition of the macronutrient inclusive of its function and structureWhere they are digested and absorbedTypes and their purposeSpecial characteristics and functionClinical applications as they relate to health and dietsUse APA Editorial Format for citations and references used other than the textbook.

 
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Case Study: Jax

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Purpose:Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.Scenario:Jax is a 66-year-old Caucasian female whose wife has encouraged her to seek treatment. She has never been in therapy before, and has no history of depression or anxiety. However, her alcohol use has recently been getting in the way of her marriage, and interfering with her newly-retired life. She describes drinking increasing amounts over the last year, currently consuming approximately a six-pack of beer per day. She notes that this amount “doesn’t give me the same buzz as it used to.” She denies ever experiencing “the shakes” or any other withdrawal symptoms if she skips a day of drinking.Jax comments that her wife is her biggest motivation to decrease her alcohol use. She tells Jax that she gets argumentative and irritable when she drinks, though she does not always remember these incidents. She has also fallen while intoxicated twice, causing bruises both times and hitting her head on one of the occasions.Questions:Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers.Describe the presenting problems/issues. Is there any information that was not provided that you would need to formulate a diagnosis?Generate a primary and differential diagnosis using the DSM5 and ICD 10 codes.What physiological and psychological processes lead to substance dependence?Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources.

 
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