Go back to the discussion topic in Week 1 and review your discussion posts.

Have any of your thoughts or concepts of trends in nursing have changed since week 1.  Please share specific examples.

BELOW IS MY POST FROM WEEK 1:

 

When I think of issues and trends in nursing, I think of how there are constant changes in the management of patients and healthcare facilities based on the prevailing social, technological and economic changes. Issues and trends in nursing are patterns, development and changes that occur in the healthcare sectors to enhance the delivery of care services. Nursing issues and trends encompass a wide range of issues depending on the challenges the nursing sector faces at a particular time.

Issues and trends have affected nursing regulations and policies, particularly in the United States. Constant amendments and changes of policies and laws affecting nurses are crucial to ensure that healthcare personnel work within the framework of the law. The national, state and country are changed to fit international laws and policies. Nurses across the globe should be updated on the current issues and trends in nursing policies and regulations to comply with patient care.

Due to technological advancement, nurses must continue implementing new technologies to enhance data storage and real-time retrieval of patients’ medical care to facilitate care based on evidence-based information. The current trends in implementing advanced technologies in the nursing sector are in the right direction. For instance, implementing electronic health records (EHR) has improved communication and collaboration between nurses, particularly during patient complications and medical errors through the Internet.

I understand that the nursing sector is dynamic and influenced by other factors such as social, economic and politics of not only countries but the entire world. In this regard, nurses keep changing their methods, laws, policies, and techniques to handle patient challenges. 

 Develop an 8- to 10-slide PowerPoint presentation in which you:

• Describe the history and evolution of databases. Address each of the following:
• Flat files
• Early data management systems
• Relational database systems
• NoSQL
• Compare open source database systems to commercial database systems.
• Analyze the benefits and challenges of open source database systems and commercial database systems. Be specific and provide examples.
• Analyze the use of databases as the foundation for health-related information systems. Be specific and provide examples.
• Provide current references within 5 years in APA style at the end of your presentation—the reference slide or slides do not count toward your assignment total. 

Based on course readings, resources, and discussions, create your own theory based on your specific practice area. For example, Liken’s Theory of Nurse/Patient Connectedness for Individuals with a Diagnosis of Depression. 

Be sure to include definitions and descriptions of at least two key concepts that make up your theory. Describe the relationships between these concepts. For example “connectedness” and “depression.” 

What role does research play in the development and use of your theory in practice? 

Give a case example of how your concepts and theories would be used in a specific client situation in practice. What are the barriers to using your theory in practice? 

  

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:

Kel is a 42-year-old certified public accountant (CPA) who dreams each year that she will board a cruise ship the day after Tax Day and go somewhere, anywhere, except Portsmouth, Virginia. Each year the dream, like the ocean, ebbs and flows, but this year she is not even going to think about such a “ridiculous idea.” In fact, she does not even have the energy to dream; getting out of bed and preparing to go to work is simply too labor intensive. 

Each evening Kel retires to bed with a lack of energy to complete her normal tasks such as readying her clothes for work and making a lunch. She lacks the energy to shop in the evening; consequently, she eats mostly crackers and canned soup. She is not hungry, and her scale reflects this. She has lost 15 pounds over the last 2 months. She does not attend to her makeup or clothes; she finds both too taxing. The clothes she selects are drab and not ironed. At work she makes no effort to talk with her co-workers and does not initiate new contacts with clients. The normal work of filing taxes and writing reports, which she used to enjoy, are overwhelming, and she feels too disorganized to complete them. Telephone calls and e-mail messages from friends are ignored. Attendance at work is spotty.

Sue, her sister, becomes alarmed with Kel’s unanswered telephone calls and e-mails. Worried, she decides to visit her sister at home. She finds the apartment unclean and in disarray. Kel is unkempt, disheveled, and looks sad. Her voice is monotone and flat. Kel tells Sue that she feels “sad and hopeless. Nothing is ever going to change. I am a bad person and I can’t even do my work right. Although I sleep for many hours, I am still tired all the time.” Sue is alarmed at the changes in her sister and arranges for Kel to visit a health care worker at the medical clinic.

Questions:

Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers. 

Describe the presenting problems.

Generate a primary and differential diagnosis using the DSM5 and ICD 10 codes.

Formulate and prioritize a treatment plan. 

Identify and discuss appropriate screening instruments for a patient who has suicidal ideation.

  Read the following case and answer reflective questions.Provide evidence based rationals for your answers APA 7th forma and scholarly references no older than 5 years old

CASE STUDY: Preschool Child: Ricky Ricky, age 4 years, arrives in the clinic with his mother. Ricky lives with his mother and father, who both work full-time, and his infant sister. Their extended family lives in a different state more than 100 miles away. Both parents are of average height and in good health. Ricky’s mother mentions that Ricky often expresses frustration, particularly in regard to food. Conflict over food occurs every day. Mealtime is a battle to get him to eat, unless his mother feeds him. Ricky’s baby sister seems to tolerate all baby foods but requires her mother to spoon-feed. Ricky’s mother is quite frustrated and concerned that he will become malnourished.

Reflective Questions 

1. What additional assessment information would you collect? 

2. What questions would you ask, and how would you further explore this issue with the mother? 

3. In what ways does the distance of the extended family influence this family’s approach to health promotion? 

4. What factors would you consider to determine whether malnourishment is a factor in this family?