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Pathophysiology, Nursing Role Transition, Psychology and Biology (20 hours)

Parts  5 and 6  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.APA format1) Minimum 7 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per pageYou must strictly comply with the number of paragraphs requested per page.Part 1: minimum 1 pagePart 2: minimum  1 pagePart 3: minimum  2 pagesPart 4: minimum  1 pagePart 5: minimum  1 pagePart 6: minimum  1 pageSubmit 1 document per part2)¨******APA normsAll paragraphs must be narrative and cited in the text- each paragraphThe writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information.Bulleted 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 (APA format) 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: PathophysiologyAnswer two questions in a single paragraph. Make sure the number of words is similarHematopoietic:J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.Past Medical History (PMH):Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.Case Study QuestionsOne paragraph1. Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.2. Describe the major reason J.D. might be presenting constipation or dehydration.One paragraph3. Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.4. Describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.One paragraph5. If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? DescribeLabs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal.6. Research list and describe for appropriate recommendations and treatments for J.D.Part 2: PathophysiologyAnswer two questions in a single paragraph. Make sure the number of words is similarCardiovascularMr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.Case Study QuestionsOne paragraphFor patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct1. Describe the modifiable and non-modifiable risk factors.2. What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?One paragraphHaving only the opportunity to choose one laboratory test to confirm the acute myocardial infarct3. Which would be the most specific laboratory test you would choose and why?4. Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.One paragraph5. How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct?a. When that can be observed and for how long? Base your answer on the pathophysiology of the event.Part 3: Nursing Role TransitionCompare the primary care NP role with other APN roles. What are the1. Describe two similarities among the roles (One paragraph per similarities- Total of two paragraphs)2. Describe  two differences among the roles (One difference per differences- Total of two paragraphs)3. How would you communicate the role to a healthcare provider and a consumer? (One paragraph for healthcare provider and  One paragraph for healthcare consumer- Total two paragraphs)Part 4: Psychology1. Explain each level of Maslow Hierarchy.  Explanation in your own words (two paragraphs)a. Physiological (food and clothing)b. Safety (job security)c. Love and belonging needs (friendship)d. Esteeme. Self-actualization2.- Explain what you understand about Voluntary and Involuntary admission. (One paragraph)Parts  5 and 6  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Part 5: BiologyCheckhttps://www.youtube.com/watch?time_continue=37&v=6HsC3wsTxms&feature=emb_logoScientific research is essential for understanding the world, creating solutions to environmental problems, and developing therapies for disease. Given this1. What do you think are some of the variety of social impacts of the practices discussed in this video?The issues discussed in the video, as well as ways to combat them, have been the topic of many news articles. FIND A RECENT NEWS ARTICLE (published within the last 5 years) from a reputable source (e.g. BBC (Links to an external site.), Nature Journal News (Links to an external site.), NPR (Links to an external site.), Science Magazine News (Links to an external site.)) which either addresses a specific instance of misconduct, a pattern of misconduct, or approaches to prevent or address scientific misconduct.Provide a brief summary of the issues raised in the article, using your own words.2. How do you think the issues raised in this video and in the article you shared impact you directly?Part 6: BiologyCheckhttps://www.youtube.com/watch?time_continue=37&v=6HsC3wsTxms&feature=emb_logoScientific research is essential for understanding the world, creating solutions to environmental problems, and developing therapies for disease. Given this1. What do you think are some of the variety of social impacts of the practices discussed in this video?The issues discussed in the video, as well as ways to combat them, have been the topic of many news articles. FIND A RECENT NEWS ARTICLE (published within the last 5 years) from a reputable source (e.g. BBC (Links to an external site.), Nature Journal News (Links to an external site.), NPR (Links to an external site.), Science Magazine News (Links to an external site.)) which either addresses a specific instance of misconduct, a pattern of misconduct, or approaches to prevent or address scientific misconduct.Provide a brief summary of the issues raised in the article, using your own words.2. How do you think the issues raised in this video and in the article you shared impact you directly?

 
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The Theory of Self-Efficacy

Critique the theory of Self-Efficacy using the internal and external criticism evaluation process.-  Formatted and cited in current APA 7-  Use 3 academic sources. Not older than 5 years-  Not Websites are allowed.-  Plagiarism is NOT allowed

 
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Nursing

Why Study Families?Rowe (2018, chapter 3, page 54) states, “If there is one ‘mantra’ about family life in the last half century, it is that the family has undergone tremendous change. “Family nursing comprises a philosophy and a way of interacting with clients that affects how nurses collect information, intervene with patients, advocate for patients, and approach spiritual care with families.This philosophy and practice incorporates the following assumptions:Health affects all members of familiesHealth and illness are family eventsFamilies influence the process and outcome of health careAll health care practices, attitudes, beliefs, behaviors, and decisions are made within the context of larger family and societal systemsWhy Study Families? Give a detailed description of why it is important to study families in healthcare

 
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(Nursing) Scenario #1 – Thorax and Lungs: 300 words

You are working in the Emergency Room on the 7:00 am-7:00 pm shift. Upon arrival, a 27-year-old African-American male walked up to you holding his chest, and states: “I can’t breathe, help me”.  His diaphoretic, skin is warm and moist. Respiratory rate is 28 even and slightly labored, heart rate 112 even and regular. Blood pressure is 134/86. Lung sounds have bilateral wheezes.  His last meal was breakfast 30 minutes ago at McDonald’sBased on his presenting signs, what other questions would you elicit?How would you demonstrate knowledge of cultural sensitivity/humility in approach to this patient?What would you assess?What could be the problem?

 
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Practicum Experience Plan (PEP)

For this Assignment, you will consider the areas you aim to focus on to gain practical experience as an advanced practice nurse. Then, you will develop a Practicum Experience Plan (PEP) containing the objectives you will fulfill in order to achieve your aims. In this practicum experience, when developing your goals and objectives, be sure to keep psychotherapy approaches and techniques in mind.To PrepareReview your Clinical Skills Self-Assessment Form you submitted last week and think about areas for which you would like to gain application-level experience and/or continued growth as an advanced practice nurse. How can your experiences in the Practicum help you achieve these aims?Review the information related to developing objectives provided in this week’s Learning Resources. Your practicum learning objectives that you want to achieve during your Practicum experience must be:SpecificMeasurableAttainableResults-focusedTime-boundReflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above)Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.Select one nursing theory and one counseling theory to best guide your practice in psychotherapy. Explain why you selected these theories. Support your approach with evidence-based literature.Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements.AssignmentRecord the required information in each area of the Practicum Experience Plan template, including 3–4 measurable practicum learning objectives you will use to facilitate your learning during the practicum experience.

 
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Weekly Article Summary 1

Find and read a nursing scholarly article that relates to your clinical practice and is found in a peer-reviewed journal. Follow the instructions for the format in course textbook and write a 1-page summary.Submission Instructions:Must be a research article. Write a 1-page summary using an outline of the steps of the research process stated in the course textbook. Discuss the study type, purpose, and research question(s).The summary is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.The summary should be formatted per current APA and 1 page in length, excluding the title page and references page. No abstract needed.Incorporate a minimum of 2 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

 
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Week 13-16 DQ posts

Week 13 DQ 1Describe the three types of burns: thermal, chemical, and electrical. Explain the method to determine the percentage of body mass that has been burned. Describe a patient scenario with one type of burn and discuss the obstacles you may face in treating the patient. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.Week 13 DQ 2Joanne presents to the emergency department after catching dinner on fire. According to the fire department, the house was engulfed in heavy smoke, and Joanne was rescued from the kitchen, where the fire originated. She has respiratory distress requiring 4 liters nasal cannula flow of oxygen. She has second and third degree burns over her right arm, leg, and chest/abdomen. Address the following questions:What is the percentage of body mass burned?What would her wounds look like?What other concerns alarm you regarding her care?What and why would you choose a set of orders upon admission to the hospital?Discuss a recommendation for environmental and nutritional interventions for acute and chronic conditions.Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.Week 14 DQ 1As an AGACNP, what health system measures would you put into place to assure addictive behaviors are identified and the risk of opioid dependency is mitigated? As you think of health system measures that could be employed to mitigate opiate dependency, discuss current legislations and policies, how policies and programs affect patient care, and opioid dependency when the patient requires more than the recommended dosage of an opioid. Support your answer with a minimum of two APRN peer-reviewed resources.Week 14 DQ 2What does it mean to provide “cost-effective care”? Discuss the role of accountable care organizations in ensuring cost-effective care. What outcomes do you expect for a patient when you provide cost-effective care? Describe your responsibilities as an AGACNP to ensure that patients will receive cost-effective care that also results in optimal patient outcomes. Support your answer with a minimum of two APRN peer-reviewed resources.Week 15 DQ 1As a busy AGACNP, finding sufficient time to stay current with and apply best practices can be a challenge. Share your methodology for personal evaluation, including the positives and negatives of the approach you are currently taking. Propose ways in which you could enhance your current efforts incorporating evidence-based inquiry and evaluation without adversely affecting a healthy work-life balance. What are the benefits of using current research or experiential learning to improve your practice? Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.Week 15 DQ 2Describe a clinical situation in which you have directly applied evidence-based data to produce a successful patient outcome. If you have not yet done so in practice, describe a clinical situation in which you envision this as a possibility. Explain your process. What steps in the process would you either add or eliminate if you were to encounter this particular set of circumstances again? How could your actions lead to better patient advocacy or a community action? Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.Week 16 DQ 1As the most senior staffer and only AGACNP on your team, you are tasked by a medical surgical unit supervisor with developing a 1-hour teaching module based on a disease process from one of the following: Neurology, Cardiovascular, Pulmonary, Gastroenterology, Urology, Endocrinology, Orthopedics, Dermatology, Renal, Hematology. This is intended for a small group of new-hire, newly licensed RNs on your medical-surgical unit. You have been asked to introduce them to the key principles of noninvasive hemodynamic monitoring and other concepts they will need to firmly understand to perform their jobs. In the lesson, be sure to analyze theories regarding implementation of change in clinical practice. Also include the importance of implementing the best standard of care in the acute care setting. Create and post an outline with a brief rationale of the proposed educational lesson you will deliver.You may not repeat a disease process that one of your colleagues has already completed. In your forum responses to your colleagues, select one area of focus of their proposed lesson plans and offer additional suggestions to improve or expand that area to provide a richer, more in-depth learning experience for the learners. Support your answer with a minimum of two APRN peer-reviewed resources. Cite your lesson and feedback sources in APA format.Week 16 DQ 2Discuss the role of an AGACP as an educational change agent in health care. Then select one colleague’s proposed educational lesson from DQ 1 in this topic. Do not select a lesson for which you have provided feedback. Analyze their method of disseminating evidence to other health care professionals. Provide constructive feedback to your colleague regarding the following.Additional information that should be included in the lesson plan.Structure and flow of the lesson.Other supportive ideas to assist your colleague in developing a comprehensive, effective, and relevant lesson on the chosen educational topic.Support your answer with a minimum of two APRN peer-reviewed resources.

 
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