Nursing

Describe and discuss the nurse’s role in health promotion and disease prevention in older adults. Share an example from your personal experience as a RN. Name and elaborate on at least three screening/preventive procedure that must be done in older adults. Define and discuss three common End-of-life documents that you as nurse must be familiar with to be able to educate older adults.

Objective 6 Narrative Requirements  Provide a narrative description of how you carry out the nursing process to develop a comprehensive plan of care for a patient. Describe how you involve the patient in development of his/her plan of care. Address how you incorporate holistic care concepts into the provision of patient care. Address how you incorporate evidence-based practice guidelines into your plan of care. Utilizing the case study you developed in #1, discuss the plans you developed to address the identified nursing diagnoses.

APPLICANT INSTRUCTIONS FOR ESSAY: PLEASE ADDRESS EACH ITEM BELOW.    Describe why you are choosing nursing as a career. Describe your professional goals for the next 5 years (career plan). Describe three strengths that will make you successful as a student in an accelerated program. Describe three challenges that may impede your success in an accelerated program.

PLEASE USE SIMPLE WORDS THAT EVERYONE CAN UNDERSTAND.  THANK YOU. Read the article “Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing” by Christine Tanner, which is linked below: Link to article: Attached In at least three pages, answer the following questions: What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things? In your opinion, what part does intuition play in clinical judgment? How do you think you’ll be able to develop nursing intuition? Additional sources are not required but if they are used, please cite them in APA format. Thank you. Please message should you have any question.

Objective 9 Narrative Requirements  Describe your use of case management principles in coordination of healthcare of individuals across the lifespan. Describe the age group(s) of patients with which you work. (As a nurse with adult patients from Nursing homes) Describe situation in which you worked with patients and their significant others to obtain needed health care services or access. Discuss your participation in case management in your nursing practice.

REFERENCES MUST BE WITHIN 5 YEARS!  Case 1 You are working at a skilled nursing facility that cares for patients with ventilators. G.W. is your first patient with Guillain-Barre syndrome. G.W. Is a divorced, self-supporting 56-year-old woman from a small town who developed a URI after caring for her grandson who had the same. Three weeks later she developed weakness, numbness, and tingling in her feet that progressed up her body. Her physician recognized the seriousness of her condition and transferred her to a tertiary referral center. Within days she became totally paralyzed; she was trached and placed on mechanical ventilation. She spent 1 month in the neuro critical care unit and several months on the floor before being transferred to your facility. Her only in hospital complication was pneumonia, which has totally resolved. The physicians don’t know how long the paralysis will last. This patient is now going to be given Adrenergic drugs secondary to failing sympathetic stimulation: 1.     Enumerate signs and symptoms of failing sympathetic simulation to the following organs: a.     Heart b.     Lungs c.      Peripheral vasculature d.     Brain 2.     Based on the organs identified above and if the patient will be given adrenergic drugs, what would the therapeutic effect be (signs and symptoms)> example: if an alpha adrenergic will be given, its effect on the heart will be increase heart rate. 3.     Provide appropriate nursing care for our patient once the drug has been given and what are the possible adverse effects to watch out for? 4.     List three examples of adrenergic drugs and their mechanism of action in the: a.     Alpha receptor b.     Beta receptor 5.     Formulate a comprehensive education for your patient and their family when they are going to be maintained with these medications 6.     If an antiadrenergic will be provided for the above patient, what would be their mechanism of action and the reason they are being given? Case 2 You are working at a skilled nursing facility that cares for patients with ventilators. G.W. is your first patient with Guillain-Barre syndrome. G.W. Is a divorced, self-supporting 56-year-old woman from a small town who developed a URI after caring for her grandson who had the same. Three weeks later she developed weakness, numbness, and tingling in her feet that progressed up her body. Her physician recognized the seriousness of her condition and transferred her to a tertiary referral center. Within days she became totally paralyzed; she was trached and placed on mechanical ventilation. She spent 1 month in the neuro critical care unit and several months on the floor before being transferred to your facility. Her only in hospital complication was pneumonia, which has totally resolved. The physicians don’t know how long the paralysis will last. This patient is now going to be given Cholinergic drugs secondary to failing Parasympathetic stimulation: 1.     Enumerate signs and symptoms of failing Parasympathetic simulation to the following organs: a.     Heart b.     Lungs c.      Peripheral vasculature d.     Brain 2.     Based on the organs identified above and if the patient will be given cholinergic drugs, what would the therapeutic effect be (signs and symptoms)> example: if a cholinergic drug will be given, its effect in the heart will be decrease heart rate. 3.     Provide appropriate nursing care for our patient once the drug has been given and what are the possible adverse effects to watch out for? 4.     List three examples of cholinergic drugs and their mechanism of action in the: a.     Nicotinic receptor b.     Muscarinic receptor 5.     Formulate a comprehensive education for your patient and their family when they are going to be maintained with these medications when they go back to SNF 6.     If an anti-cholinergic will be provided for the above patient, what would be their mechanism of action and the reason they are being given? Case 3 T.S. is a 76-year-old widower being seen in your outpatient clinic for a medication refill for his Parkinson’s disease. He is a retired railroad engineer who derives great pleasure from collecting railroad memorabilia and taking daily walks with his dog around his neighborhood. T.S. was diagnosed with moderate (stage lll) Parkinson’s disease 2 years ago. He does not smoke cigarettes or drink alcohol. His PMH includes a femur fx at age 22, a cholecystectomy at age 47, and a transurethral resection of the prostate (TURP) at age 72. Medical management of the patient with Parkinson’s is usually directed toward control of symptoms with drug therapy, supportive therapy, physiotherapy, and possibly psychotherapy. Pharmacotherapy can be fairly complex in these patients because there are several types of antiparkinsonian drugs with different mechanisms of action. The physician works with the patient to achieve the most effective regimen and often involves trial-and-error periods.   1. Symptoms vary and are highly individualized. List eight symptoms associated with Parkinson’s and explain the pathophysiology of each of them 2. Why can’t we just give oral dopamine as replacement therapy? What medication do we give instead? 3. Levodopa is always given in combination with carbidopa. Why? 4. Other than the combination Carbi-Levo, what other medication can we give our patient to halt the progression of Parkinson (can be a mono therapy or in combination with Carbi-Levo), provide their mechanism of action as well. (At least three medications) 4. What are the medications that can be given to our patient to counteract the signs and symptoms brought about by Parkinson’s disease. 5. Enumerate nursing interventions to decrease the number or severity of side effects of antiparkinsonian medications?

Ethics in Action Objectives Explain the role of the Institutional Review Board in ethics Describe the nurse’s role when working with research participants Explain the rights of human participants Discussion Overview In this discussion forum, you will explain the role of the Institutional Review Board in ethics, describe the nurse’s role when working with research participants, and explain the rights of human participants. Deliverables Your participation in the discussion forum, including the following: A response to the initial questions below Responses to at least two other students’ posts Step 1 Reflect on your research. Reflect on your proposed research question or problem of interest. Consider the role of an Institutional Review Board and its importance in research. Consider the nurse’s role and responsibilities when working with research participants. Consider the rights of human participants and the ethical concerns that prompted stating and outlining the rights of human participants in research. Post 1-2 questions for peers that facilitate discussion. Use only reliable internet resources with domain ending .edu or .org

Develop a 3-4 page plan to identify the causes of organizational conflict, explain how conflict affects an organization, and select a conflict resolution style to use. Explain conflict negotiation strategies and determine the likely outcomes. Introduction Disagreements occur because we have differences of opinions, values, and goals. Solutions to disagreements require negotiation skills. While negotiating, the parties involved have to “generate options, brainstorm ideas, give and take, and attempt to get their mutual goals met” (Hocker & Wilmot, 2014, p. 249). Reference Hocker, J., & Wilmot, W. (2014). Interpersonal conflict (9th ed.). New York, NY: McGraw-Hill. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Identify variables within an organizational structure that can promote conflict. Identify the factors responsible for conflict within an organization. Competency 3: Apply appropriate strategies to reduce or resolve conflicts. Describe a conflict resolution style appropriate for a conflict situation within an organization. Explain conflict negotiation strategies appropriate for a conflict situation within an organization. Competency 4: Analyze the impact of conflict on relationship building in face-to-face, virtual, cyber, and group communication. Explain how conflict affects an organization. Competency 5: Evaluate the outcome of proposed strategies of conflict resolution. Determine the outcomes of conflict negotiation strategies for an organization. Competency 6: Communicate effectively in a variety of formats. Write coherently to support a central idea in appropriate APA format with correct grammar, usage, and mechanics. Preparation Use the Capella library and the Internet to research conflict negotiation strategies and conflict resolution styles. Find at least three resources to use in this assessment to support your plan. Instructions You volunteer with an organization whose executive leadership has conflicted for almost a year in deep, fairly public ways, on a variety of topics. At first the conflict seemed to center on the types of events the organization sponsored, but more recently some members of the leadership team have been making accusations of bias based on race, culture, social status, and religion against other leadership members, including the director. The conflict is making it difficult for anyone to continue working with the organization. The leadership team is composed of seven members. Six of the members, including the director, are women. There are two African-American members, including the only man on the team. There is one Hispanic member. The other four members, including the director, are Caucasian. You have successfully handled small conflicts among the volunteers and staff in the past, and now they have asked you to step in and see if you can help resolve the conflict before it destroys the organization. Leadership has already agreed to bring you in to try and help the situation, but you know you need to have a solid plan for this undertaking. Include the following in your conflict resolution plan: Identify the factors that may be responsible for causing the conflict. Explain how the conflict is affecting the rest of the organization. Describe the conflict resolution style you will use in this situation. Explain the conflict negotiation strategies you will try. Based on your chosen strategies, determine the likely outcome. To facilitate the evaluation of your plan, format your plan according to APA guidelines. Additional Requirements Submit 3–4 typed, double-spaced pages, not including title and reference pages. Use 12-point, Times New Roman font. Include a title page and reference page. Cite at least three current scholarly or professional resources. It is recommended that you include this assessment in your ePortfolio. This assessment should illustrate your progress in areas of knowledge related to all the topics presented in this course. Portfolio Prompt: You may choose to save this learning activity to your ePortfolio.

Pro’s in assisted suicide related to nursing and explain why

Client File Project (9 pages, 6 page body, title page, abstract page, references): 1. Demonstrate the screening process through which the counselor, consumer, and others determine the most appropriate course of action to meet the consumer’s needs and the available resources within the community by determining the eligibility to a particular program. Identify the appropriate screening instrument to use when determining the eligibility of a client into a program. Gather information from client and collateral sources. Validate screening instruments, including their purpose, application, and limitations. Use a screening instrument. 2. Identify the counseling theories that have been utilized in the file. Describe the theory and theory techniques that are effective. 3. Who is on the treatment and referral team? What are each person’s duties and responsibilities? How is your position as the case manager important? 4. Have you checked the referral dates and requirements? What are the diagnoses and issues that your consumer is having based on the latest DSM? What are the next steps that you and the team will pursue to effectively assist the consumer? What are some multicultural considerations? Familial considerations? 5. Develop a reference list. Be sure to include the authors’ views inside the paper. Case Study Charles: An Adult with Developmental Disabilities Charles has mental retardation as a result of brain damage suffered during birth. When I met him he was living in a group home and had been there since being released from the state institution for persons with mental retardation years before. In association with his brain damage, Charles had apraxia of speech, great trouble moving his lips, tongue, and soft palate to make sounds. My task was to improve his functional communication by encouraging word use instead of grunts or gestures and then teach the skills trainer at his group to do the same. Charles was able to produce two and three word phrases but had not needed words at the institution and so had fallen out of the habit of making the effort required to talk. We met once weekly at his group home for three months with his skills trainer present and we taught the trainer to administer the speech encouragement program. I also trained this person in techniques of indirect language stimulation, using short descriptive phrases to describe what Charles was doing or seeing without asking questions, all in an effort to bolster his receptive language. I then checked on Charles’ progress at six month intervals.