Leadership

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nursing Assignment 2: Leadership and the Graduate Nursing Role In Week 5, the Final Project will synthesize what you have discovered about the different advanced practice roles and scope of practice found in the master of nursing curriculum. Family Nurse Pactitioner You will review all roles and then examine the specialty for which you were admitted, focusing on the scope of practice, core competencies, certification requirements, and legal aspects of practice for that specific role. This week you will focus on Leadership and the Graduate Nurse Role. The graduate nurse evidences leadership as seen in the four domains: the profession of nursing, clinical practice arena, health policy arena, and systems level. In order to complete this assignment, complete the short eighteen-question quiz (this takes approximately five minutes) about your leadership style at Cherry, K. (2016). What’s Your Leadership Style? Learn more about your strengths and weaknesses as a leader. Retrieved from https://www.verywell.com/whats-your-leadership-style-3866929 In a 3- to 5-page paper (excluding the title page, references and appendices), you will address the following criteria: Report your findings from the quiz:What kind of leader were you? How does this fit into your beliefs about your leadership style? Examine the attributes of leadership that may be needed for graduate level nurses. Analyze your personal leadership attributes you feel you have that will help you in your graduate nursing role. Also discuss those attributes that you feel you may need to develop in your graduate nursing role. Finish with a quotation from a library article related to leadership in an advanced nursing role. Look in some of the known leadership journals like The Journal of Nursing Scholarship or Nursing Leadership Forum or the American Journal of Nursing, Journal of Nursing Administration, Nursing Administration Quarterly, Nursing Management or Health Care Management Review

 

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Diversity and Health

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Discussion 2: Diversity and Health Assessments In May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012). Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the health care field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and health care professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity. In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Case 1 Subjective DataCC: “I came for my annual physical exam, but do not want to be a burden to my daughter.” History of Present Illness (HPI): At-risk 86-year-old Asian male – who is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. PMH: hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency and chronic prostatitis PSH: S/P cholecystectomy Drug Hx: Current Meds: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and cipro 100mg daily. Review of Systems (ROS) General: + weight loss of 25 lbs over the past year; no recent fatigue, fever or chills. Head, eyes, ears, nose & throat (HEENT): no changes in vision or hearing, no difficulty chewing or swallowing. Neck: no pain or injuryRespiratory: CV: GI: GU: no urinary hesitancy or change in urine stream Integument: multiple bruises on his upper arms and back. MS/Neuro: + falls x 2 within the last 6 months; no syncopal episodes or dizziness Psych: Objective Data PE: B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8 HEENT: Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, ornasopharynx clear, edentulous. Lungs: CTA AP&L Cor: S1S2 without rub or gallop Abd: benign, normoactive bowel sounds x 4 Ext: no cyanosis, clubbing or edema Integument: multiple bruises in different stages of healing – on his upper arms and back. Neuro: No obvious deformities, CN grossly intact II-XII Case 2 Subjective DataCC: “I am here for mRespiratory: CV: GI: GU: no urinary hesitancy or change in urine stream Integument: multiple bruises on his upper arms and back. MS/Neuro: + falls x 2 within the last 6 months; no syncopal episodes or dizziness Psych: Objective Data PE: B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8 HEENT: Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, ornasopharynx clear, edentulous. Lungs: CTA AP&L Cor: S1S2 without rub or gallop Abd: benign, normoactive bowel sounds x 4 Ext: no cyanosis, clubbing or edema Integument: multiple bruises in different stages of healing – on his upper arms and back. Neuro: No obvious deformities, CN grossly intact II-XII Case 2 Subjective Datay annual physical exam and have been having vaginal discharge.” History of Present Illness (HPI): 32-year-old pregnant lesbian – her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. Drug Hx: Current Medications: prenatal vitamins and takes Tylenol over the counter for aches and pains on occasion Family Hx: She a strong family history of diabetes. Gravida 1; Para 0; Abortions 0. Review of Systems (ROS) General: no fatigue, fever or chills. Head, eyes, ears, nose & throat (HEENT): Neck: no pain or injury Respiratory: CV: GI: GU: Integument: multiple piercings, and tattoos. Old scars related to “cutting”. Neuro: no syncopal episodes or dizziness, no change in memory or thinking patterns; no twitches or abnormal movements Objective Data PE: B/P 128/76; Pulse 83; RR 16; Temp 99.0; Ht 5,6; wt 128; BMI 20.98 HEENT: Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, ornasopharynx clear, good dentition. Piercing in her right nostril and lower lip.Lungs: CTA AP&L Cor: S1S2 without rub or gallop Abd: benign, normoactive bowel sounds x 4 GU: external genitalia intact, no lesions or masses. White copious discharge with an amine odor; no cervical motion tenderness; adenxa intact. Ext: no cyanosis, clubbing or edema Integument: intact without lesions masses or rashes. Neuro: No obvious deficits and CN grossly intact II-XII Case 3 Subjective Data CC: “Annual physical exam” History of Present Illness (HPI): 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking “pot” and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. Drug Hx: Current medication – denied Allergies: no allergies to food or medications. Family history: is very positive for diabetes, hypertension, and alcoholism. Review of Systems (ROS) General: no recent weight gains of losses, fatigue, fever or chills. Head, eyes, ears, nose & throat (HEENT): Neck: Respiratory: CV: no chest discomfort or palpitations GI: GU: Integument: history of eczema – not active MS/Neuro: no syncopal episodes or dizziness, no change in memory or thinking patterns; no twitches or abnormal movements Psych:Objective Data PE: B/P 158/90; Pulse 88; RR 18; Temp 99.2; Ht 5,7; wt 208; BMI 32.6 General: 23 year old male appears well developed and well nourished. He is anxious – pacing in the room and fidgeting, but in no acute distress. HEENT: Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, ornasopharynx clear, poor dentition – multiple carries. Lungs: CTA AP&L Cor: S1S2, +II/VI holosystolic murmur; without rub or gallop Abd: benign, normoactive bowel sounds x 4; Hepatomegaly 2cm below the costal margin. Ext: no cyanosis, clubbing or edema Integument: intact without lesions masses or rashes. Neuro: No obvious deficits and CN grossly intact II-XII To prepare:Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments. Select one of the three case studies. Reflect on the provided patient information. Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected. Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks. Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information? By Day 3 Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you selected. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks. Hide

 

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Diversity and Health

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Discussion 2: Diversity and Health Assessments In May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012). Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the health care field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and health care professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity. In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Case 1Subjective Data CC: “I came for my annual physical exam, but do not want to be a burden to my daughter.” History of Present Illness (HPI): At-risk 86-year-old Asian male – who is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. PMH: hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency and chronic prostatitis PSH: S/P cholecystectomy Drug Hx: Current Meds: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and cipro 100mg daily. Review of Systems (ROS) General: + weight loss of 25 lbs over the past year; no recent fatigue, fever or chills. Head, eyes, ears, nose & throat (HEENT): no changes in vision or hearing, no difficulty chewing or swallowing. Neck: no pain or injuryRespiratory: CSubjective Data CC: “I came for my annual physical exam, but do not want to be a burden to my daughter.” History of Present Illness (HPI): At-risk 86-year-old Asian male – who is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. PMH: hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency and chronic prostatitis PSH: S/P cholecystectomy Drug Hx: Current Meds: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and cipro 100mg daily. Review of Systems (ROS) General: + weight loss of 25 lbs over the past year; no recent fatigue, fevV: GI: GU: no urinary hesitancy or change in urine stream Integument: multiple bruises on his upper arms and back. MS/Neuro: + falls x 2 within the last 6 months; no syncopal episodes or dizziness Psych: Objective Data PE: B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8 HEENT: Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, ornasopharynx clear, edentulous. Lungs: CTA AP&L Cor: S1S2 without rub or gallop Abd: benign, normoactive bowel sounds x 4 Ext: no cyanosis, clubbing or edema Integument: multiple bruises in different stages of healing – on his upper arms and back. Neuro: No obvious deformities, CN grossly intact II-XII Case 2 Subjective Data CC: “I am here for my annual physical exam and have been having vaginal discharge.” History of Present Illness (HPI): 32-year-old pregnant lesbian – her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. Drug Hx: Current Medications: prenatal vitamins and takes Tylenol over the counter for aches and pains on occasion Family Hx: She a strong family history of diabetes. Gravida 1; Para 0; Abortions 0. Review of Systems (ROS) General: no fatigue, fever or chills. Head, eyes, ears, nose & throat (HEENT): Neck: no pain or injury Respiratory: CV:GI: GU: Integument: multiple piercings, and tattoos. Old scars related to “cutting”. Neuro: no syncopal episodes or dizziness, no change in memory or thinking patterns; no twitches or abnormal movements Objective Data PE: B/P 128/76; Pulse 83; RR 16; Temp 99.0; Ht 5,6; wt 128; BMI 20.98 HEENT: Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, ornasopharynx clear, good dentition. Piercing in her right nostril and lower lip. Lungs: CTA AP&L Cor: S1S2 without rub or gallop Abd: benign, normoactive bowel sounds x 4 GU: external genitalia intact, no lesions or masses. White copious discharge with an amine odor; no cervical motion tenderness; adenxa intact. Ext: no cyanosis, clubbing or edema Integument: intact without lesions masses or rashes. Neuro: No obvious deficits and CN grossly intact II-XII Case 3 Subjective Data CC: “Annual physical exam” History of Present Illness (HPI): 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking “pot” and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. Drug Hx:Current medication – denied Allergies: no allergies to food or medications. Family history: is very positive for diabetes, hypertension, and alcoholism. Review of Systems (ROS) General: no recent weight gains of losses, fatigue, fever or chills. Head, eyes, ears, nose & throat (HEENT): Neck: Respiratory: CV: no chest discomfort or palpitations GI: GU: Integument: history of eczema – not active MS/Neuro: no syncopal episodes or dizziness, no change in memory or thinking patterns; no twitches or abnormal movements Psych: Objective Data PE: B/P 158/90; Pulse 88; RR 18; Temp 99.2; Ht 5,7; wt 208; BMI 32.6 General: 23 year old male appears well developed and well nourished. He is anxious – pacing in the room and fidgeting, but in no acute distress. HEENT: Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, ornasopharynx clear, poor dentition – multiple carries. Lungs: CTA AP&L Cor: S1S2, +II/VI holosystolic murmur; without rub or gallop Abd: benign, normoactive bowel sounds x 4; Hepatomegaly 2cm below the costal margin. Ext: no cyanosis, clubbing or edema Integument: intact without lesions masses or rashes.Neuro: No obvious deficits and CN grossly intact II-XII To prepare: Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments. Select one of the three case studies. Reflect on the provided patient information. Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected. Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks. Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information? By Day 3 Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you selected. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

 

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Nursing

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Nursing Can the RN use acupressure for pain and discomfort? Read the following article: Wagner, J. (2015). CE: Incorporating acupressure into nursing practice. The American Journal of Nursing, 115(12), 40-45. doi:10.1097/01.NAJ.0000475290.20362.77 Initial Discussion Post: Address the following: Identify and state which patient symptoms are more likely to be relieved by this treatment. Give the reasons to support this. Identify and state how the individual RN might incorporate acupressure into nursing practice. Identify and state in what health care settings acupressure might be an effective integrative treatment to offer to patients. Give the reasons to support your thoughts. Base your initial post on your readings and research of this topic.Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

 

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NURSING CASE STUDY

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NURSING CASE STUDY nursing: Child with meningitis: Pediatrics Case Study 2: MeningitisTrevon is an 18-month-old with a 3-day history of upper-respiratory-type symptoms that have progressively worsened over the last 8 hours. His immunizations are up to date. Mom states he spiked a fever to 103.2°F this morning and he has become increasingly fussy. He vomited after drinking a cup of juice this afternoon and has refused PO fluids since then. Pertinent physical exam findings include negative abdominal exam, marked irritability with inconsolable crying, and he cries louder with pupil examination and fights head and neck assessment. You are unable to elicit Kernig’s or Brudzinski’s signs due to patient noncompliance. TO PREPARE: DUE TUESDAY 5/9/17 WRITE: an explanation of the differential diagnosis for the patient in the above case study. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the musculoskeletal or neurologic disorder. RULES: APA, No plagiarism, 5-6 References not later than 5 yeras old. Use scholarly written aricles from USA only. MASTERS LEVEL WRITING. Hide <

 

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Nursing

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Nursing Scenario: Mark, a 35-year-old, was brought via ambulance to the emergency department after collapsing on the street. He was diagnosed with appendicitis and the surgical team was alerted to the potential surgery. The physician prepared to obtain informed consent and began discussing the simple effective surgery and the treatment with the patient. The RN was present at the bedside. The patient stated he did not want surgery. Based upon his beliefs as a Christian Scientist, it is against his practices. He requested a Christian Science practitioner. The patient rated his pain as 9 on 0-10 verbal pain scale so the RN prepared the narcotic analgesic to relieve the patient’s pain. The patient declined the medication. The RN believes the patient should accept the pain medication and have the surgery thinking “If it were me I would proceed with the surgery and treatments proposed by the surgeon.” The surgeon can be heard speaking to a fellow surgeon about how to go about changing the patient’s decision. Initial Discussion Post: Address the following: State and discuss the legal and ethical considerations occurring in this scenario. Include supporting citations. How can RNs support the Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum. Hidepatient’s decision when the beliefs of the patient are contrary to their own? List three (3) interventions, with supporting rationales, the RN would perform to ensure the delivery of culturally sensitive care. Identify one (1) additional major religion, in which the same circumstances might also require the RN to advocate for the patient’s refusal of surgery. Describe the beliefs behind why the identified religion could pose a moral conflict for a similar patient.

 

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nursing

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nursing The purpose of this assignment is to demonstrate your ability to comple an outline literature search on a topic of interest. This assignment is preparatory work and practice for your EBP Qaulity Improvement Group paper and poster. Instructions: Choose a problem faced by clients in your practice area that you think is important ans would like to learn more about. You may use your PICOT question Write a five (5) page literature review paper on the standing knowledge of the chosen problem. Include a minimum of five (5) journal articles, at least three (3) from nursing journals. Follow APA style rules. View rubric for grading.

 

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Nursing

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Nursing The purpose of this assignment is to demonstrate your ability to critique one quantitative or qualitative nursing research article of interest from any refereed nursing journal. Instructions: Choose a nursing research article of interest from a refereed nursing journal. Utilize at least 5 cite sources to substantiate your findings or critique. Visit the following website for suggested guidelines:’ American Nurses association “Reading and critiquing a research Article” The “John Hopkins Nursing Evidence Practice” Create a 3-4 page critique Follow APA style rules.

 

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Long-Term Care

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Long-Term Care Today Demographics and epidemiological transitions result in dramatic changes in the health needs of individuals throughout the globe. In recent times, there has been increase in the prevalence of long-term disability in the population—causing increasing need for long-term care services. In addition, the present developing world is experiencing an increase in the demand for long-term care services at a cost much lower than industrialized countries. Prepare a report in a 3- to 4-page Microsoft Word document comparing the US long-term care system with the long-term care system of a developing country. Research the Internet to find relevant content. Include the following information in your report: What are the chronic illness trends of each country? What is the incidence and prevalence of elderly consumers of long-term care in the United States as compared to your chosen developing country? How does each country expect these numbers to change in the next ten years? What are the main characteristics of the elderly population in both the countries? Is there any difference in the long-term health care needs of consumers in both the countries? Provide a rationale for your answer. Who are the institutional and noninstitutional caregivers in both the countries? Support your answer with relevant examples. Explain the factors that affect care giving in each country. Is there any difference in the status of quality of care of the elderly consumers in the United States as compared to the developing country? Is there any difference in the health care cost provided in the United States as compared to the developing country? Define any social support that may exist to cover health care in both countries. Support your responses with examples. Cite any sources in APA format.

 

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