Discussion

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 PHILOSOPHY OF NURSING PRACTICE 

Applying nursing theory to research and advance practice

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How to apply theory to practice for better outcomes?

Nursing

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Diabetes Mellitus Medications 

Insulin  

Type                     Name                    Onset          Peak Action      Duration      

Rapid Acting             

Insulin              

 

Short Acting               

Insulin                

                

Intermediate    

Acting Insulin

 

 


Long Acting                        

Insulin                                                                                                 

          

          

 

Ultra Long          

Acting Insulin           


Option Bank:

30-90 min 36+hrs 3-5 hrs        15-30 min 5-7 hrs Peakless 1-2 hrs

2-3 hrs No Peak 6 hrs 24 hrs 30-60 mins 1 hr 4-6 hrs

14-24 hrs

Glargine (Lantus)/Detemir (Levemir Glargine u-300(Toujeo)

Insulin Isophane/Humulin N/ Novolin N Regular Insulin/Humulin R/Novolin R

Human insulin/ lispro (Humalog)/Novolog 

moral and ethical dialog

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It is challenging to engage in meaningful discussions with patients when moral and ethical dilemmas present themselves.

How we engage with our patients can have a profound impact on the care they receive and the decisions they make.

The following exercise will present you with moral and ethical dilemmas common to many clinical practices.  The moral and ethical challenges here are often ones the practitioner will have strong, personal feelings about.

Your task in this exercise is to serve as the practitioner advocate for the patient by engaging in dialog that does not project personal bias or prejudice while also providing the patient with the medical information needed to make an informed, personal decision.  As you choose your responses, try to use one of the ethical decision-making models we’ve explored to systematically evaluate each dilemma and choose the best way to engage the patient in dialog.

https://webapps.srm-app.net/CanvasContent/SF/WCU_NURS_521_DE_TEMPLATE/Case_Study/Conducting%20Moral%20and%20Ethical%20Dialog%20in%20Clinical%20Practice/story_html5.html

The following questions refer to your experience in this week’s exercise, Conducting Moral and Ethical Dialog in Clinical Practice. Describe your overall experience with the moral and ethical dialog exercise, and address at least three (3) of the following:

  • Did you find any of the scenarios more difficult to deal with than others? 
  • Did you feel any internal conflict with any of the scenarios? 
  • How did your personal and professional background impact how you decided to interact with the patient? 
  • Do you feel the responses the patient gave to the practitioner’s response were reasonable or typical? 
  • Were you taken aback by any of the patient reactions? 
  • How might this activity contribute to your role as a nurse advocate in a moral and ethical practice? 
  • Did you utilize an ethical decision making model to explore a systematic way to evaluate any of these ethical dilemmas? If so, describe the effectiveness.  

week 1 self assessment

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Week 1 Self-Assessment: NLN Competencies

Teaching is a complex activity that integrates the art and science of nursing and clinical practice into the teaching-learning process. Specifically, teaching involves a set of skills or competencies that are essential to facilitating student learning outcomes. In 2005 the NLN published eight core competencies of nurse educators which were updated in 2012. These competencies encompass the entirety of the nurse faculty role (teaching, research, and service) that can be developed through educational preparation, faculty orientation programs, and faculty development opportunities. It is important for nurse educators to ensure that they continuously evaluate their role as it relates to meeting these competencies to remain up-to-date while continuously striving to encompass the full role of the educator. Understanding these competencies will also better prepare your for successful mastery of the Certified Nurse Educator exam.

In this assignment, you will use the NLN Core Competencies of the Nurse Educator to create a preliminary, personalized, faculty development plan for yourself.

For each competency you will:

· Identify 3 goals that you have met throughout this program and your practicum

· Provide one specific example of how you met each goal

· Identify 3 additional goals you want to meet in this practicum course

· Provide a specific example of how you will plan to meet that goal

· Choose 4 competencies and accompanying goals that you want to improve upon in the future as an educator

· Identify ways in which you plan to meet those goals

· Include the estimated timeline for when the goal will be met

Requirements for this assignment include:

1. Address each of the required components and be specific

1. Here is a copy of the

NLN Core Competencies of Nurse Educators

1. 
Download NLN Core Competencies of Nurse Educators.

 You can utilize a table format to present your preliminary faculty development plan if you wish. Here is

a template

1.
Download a template that maybe helpful.

1. Include references in APA format if you utilize additional resources.

ANALYSIS OF A PERTINENT HEALTHCARE ISSUE

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Due Sunday by 10:59pm Points 100 Submitting a text entry box or a file upload
Attempts 0 Allowed Attempts 2

Start Assignment

Back to Module at a Glance
(https://waldenu.instructure.com/courses/80551/modules/items/2436534)

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare.
Within each goal are many issues that, if addressed successfully, may have a positive impact on
outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease
management often provided in an acute care setting to health promotion and disease prevention
delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing
the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field
has always faced significant challenges, and that goals to improve healthcare will always involve
multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing
population needs care, there are factors involved such as the demands of providing that care and the
rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an
industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further
review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected.
You will also review research that addresses the issue/stressor and write a white paper to your
organization’s leadership that addresses the issue/stressor you selected.

ANALYSIS OF A PERTINENT HEALTHCARE
ISSUE

RESOURCES

To Prepare:

Review the national healthcare issues/stressors presented in the Resources and reflect on the
national healthcare issue/stressor you selected for study.
Reflect on the feedback you received from your colleagues on your Discussion post for the national
healthcare issue/stressor you selected.
Identify and review two additional scholarly resources (not included in the Resources for this module)
that focus on change strategies implemented by healthcare organizations to address your selected
national healthcare issue/stressor.

The Assignment (2-3 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 2 to 3 page paper, written to your organization’s leadership team, addressing your selected
national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the
following:

Describe the national healthcare issue/stressor you selected and its impact on your organization.
Use organizational data to quantify the impact (if necessary, seek assistance from leadership or
appropriate stakeholders in your organization).
Provide a brief summary of the two articles you reviewed from outside resources on the national
healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other
organizations.
Summarize the strategies used to address the organizational impact of national healthcare
issues/stressors presented in the scholarly resources you selected. Explain how they may impact
your organization both positively and negatively. Be specific and provide examples.

Looking Ahead

The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment
instructions for Module 2 to prepare for your revised paper.

Submit your paper.

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES (https://waldenu.instructure.com/courses/80551/modules/items/2436547)

BY DAY 7 OF WEEK 2

Criteria Ratings Pts

25 pts

30 pts

Develop a 2-3 page paper,
written to your
organization's leadership
team, addressing the
selected national
healthcare issue/stressor
and how it is impacting
your work setting. Be sure
to address the following: ·
Describe the national
healthcare issue/stressor
you selected and its
impact on your
organization. · Use
organizational data to
quantify the impact (if
necessary, seek
assistance from leadership
or appropriate
stakeholders in your
organization).

25 to >22.0 pts
Excellent

The response
accurately and
thoroughly
describes the
national
healthcare
issue/stressor
selected and its
impact on an
organization.
…The response
includes
accurate, clear,
and detailed
evidence/data to
quantify the
impact of the
national
healthcare
issue/stressor
selected.

22 to >19.0 pts
Good

The response
describes the
national
healthcare
issue/stressor
selected and its
impact on an
organization.
…The response
includes
accurate data to
quantify the
impact of the
national
healthcare
issue/stressor
selected.

19 to >17.0 pts
Fair

The response
inaccurately or
vaguely
describes the
national
healthcare
issue/stressor
selected and its
impact on an
organization.
…The response
includes vague
or inaccurate
data to quantify
the impact of the
national
healthcare
issue/stressor
selected.

17 to >0 pts
Poor

The response
inaccurately
and vaguely
describes the
national
healthcare
issue/stressor
selected and
its impact on
an organization
or is missing.
…The
response
includes vague
and inaccurate
data to quantify
the impact of
the national
healthcare
issue/stressor
selected or is
missing.· Provide a summary of the

two articles you reviewed
from outside resources, on
the national healthcare
issue/stressor. · Explain
how the healthcare
issue/stressor is being
addressed in other
organizations.

30 to >26.0 pts
Excellent

Response
includes a
complete,
detailed, and
specific
summary of two
outside
resources
(articles)
reviewed on the
national
healthcare
issue/stressor
selected. …The
response
accurately and
thoroughly
explains in detail
how the
healthcare

26 to >23.0 pts
Good

Response
includes an
accurate
summary of two
outside
resources
(articles)
reviewed on the
national
healthcare
issue/stressor
selected. …The
response
explains how the
healthcare
issue/stressor is
being addressed
in other
organizations.

23 to >20.0 pts
Fair

Response
includes a vague
or inaccurate or
incomplete
summary of
outside
resources
(articles)
reviewed on the
national
healthcare
issue/stressor
selected. …The
response
vaguely or
inaccurately
explains how the
healthcare
issue/stressor is
being addressed

20 to >0 pts
Poor

Response
provides a
vague and
inaccurate
summary of
outside
resources
(articles)
reviewed on
the national
healthcare
issue/stressor
selected or
summary is
missing. …The
response
vaguely and
inaccurately
explains how
the healthcare

Criteria Ratings Pts

25 pts

5 pts

issue/stressor is
being addressed
in other
organizations.

in other
organizations.

issue/stressor
is being
addressed in
other
organizations
or explanation
is missing.

· Summarize the strategies
used to address the
organizational impact of
national healthcare
issues/stressors presented
in the scholarly resources
you selected. · Explain
how the strategies may
impact your organization
both positively and
negatively. Be specific and
provide examples.

25 to >22.0 pts
Excellent
Response
includes a
complete,
detailed, and
accurate
summary of the
strategies used
to address the
organizational
impact of the
national
healthcare
issue/stressor.
…Response
accurately and
thoroughly
explains how the
strategies may
impact an
organization
both positively
and negatively,
with specific and
accurate
examples for
each.

22 to >19.0 pts
Good
Response
includes an
accurate
summary of the
strategies used
to address the
organizational
impact of the
national
healthcare
issue/stressor.
…Response
explains how the
strategies may
impact an
organization
both positively
and negatively
with at least one
specific example
for each.

19 to >17.0 pts
Fair
Response
includes a vague
or inaccurate
summary of the
strategies used
to address the
organizational
impact of the
national
healthcare
issue/stressor.
…Response
vaguely or
inaccurately
explains how the
strategies may
impact an
organization
both positively
and negatively.
…Response may
include some
vague or
inaccurate
examples.

17 to >0 pts
Poor
Response
provides a
vague and
inaccurate
summary of the
strategies used
to address the
organizational
impact of the
national
healthcare
issue/stressor
or summary is
missing.
…Response
vaguely and
inaccurately
explains how
the strategies
may impact an
organization
both positively
and negatively
or explanation
is missing.
…Response
does not
include any
examples.

Resource Synthesis 5 to >4.0 pts
Excellent
Using proper in-
text citations, the
response fully
integrates at
least 2 outside
resources and 2
or 3 course-
specific
resources.

4 to >3.0 pts
Good
Using proper in-
text citations, the
response fully
integrates at
least 2 outside
resources and 1
course-specific
resource.

3 to >2.0 pts
Fair
Using proper in-
text citations,
the response
minimally
integrates
outside and
course-specific
resources.

2 to >0 pts
Poor
The response
does not
integrate
outside and
course-
specific
resources or
no in-text
citations are
used.

Total Points: 100

Criteria Ratings Pts

5 pts

5 pts

5 pts

Written Expression and
Formatting—Paragraph
Development and
Organization:Paragraphs
make clear points that
support well-developed
ideas, flow logically, and
demonstrate continuity of
ideas. Sentences are
carefully focused—neither
long and rambling nor
short and lacking
substance. A clear and
comprehensive purpose
statement and introduction
is provided, which
delineates all required
criteria.

5 to >4.0 pts
Excellent

Paragraphs and
sentences follow
writing standards
for flow, continuity,
and clarity. …A
clear and
comprehensive
purpose
statement,
introduction, and
conclusion are
provided, which
delineates all
required criteria.

4 to >3.0 pts
Good

Paragraphs and
sentences
follow writing
standards for
flow, continuity,
and clarity 80%
of the time.
…Purpose,
introduction,
and conclusion
of the
assignment are
stated but are
brief and not
descriptive.

3 to >2.0 pts
Fair

Paragraphs and
sentences
follow writing
standards for
flow, continuity,
and clarity 60–
79% of the
time.
…Purpose,
introduction,
and conclusion
of the
assignment is
vague or off
topic.

2 to >0 pts
Poor

Paragraphs
and sentences
follow writing
standards for
flow, continuity,
and clarity less
than 60% of
the time. …No
purpose
statement,
introduction, or
conclusion is
provided.

Written Expression and
Formatting—English
Writing Standards: Correct
grammar, mechanics, and
proper punctuation.

5 to >4.0 pts
Excellent

Uses correct
grammar,
spelling, and
punctuation
with no errors.

4 to >3.0 pts
Good

Contains a few
(one or two)
grammar,
spelling, and
punctuation
errors.

3 to >2.0 pts
Fair

Contains
several (three
or four)
grammar,
spelling, and
punctuation
errors.

2 to >0 pts
Poor

Contains many
(five or more)
grammar, spelling,
and punctuation
errors that interfere
with the reader’s
understanding.

Written Expression and
Formatting: The paper
follows correct APA format
for title page, headings,
font, spacing, margins,
indentations, page
numbers, running head,
parenthetical/in-text
citations, and reference
list.

5 to >4.0 pts
Excellent

Uses correct
APA format with
no errors.

4 to >3.0 pts
Good

Contains a few
(one or two) APA
format errors.

3 to >2.0 pts
Fair

Contains several
(three or four)
APA format
errors.

2 to >0 pts
Poor

Contains many
(five or more)
APA format
errors.

SOAP note

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Insomnia

health assement

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In a Word® document answer the following questions.

• What two areas of knowledge have you gained?

• What specific health assessment skills are you now able to integrate into your nursing care?

• Are there any areas that still remain unclear? What will you do to increase your clarity?

•

STUDY GUIDE FOR MEDICATION

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Assigned psychotropic medication name:
Paliperidone

Psychosis and schizophrenia greatly impact the brain’s normal processes, which interfere with the ability to think clearly. When symptoms of these disorders are uncontrolled, patients may struggle to function in daily life. However, patients often thrive when properly diagnosed and treated under the close supervision of a psychiatric mental health practitioner. For this Assignment, you will develop a study guide for an assigned psychotropic agent for treating patients with Schizophrenia Spectrum and Other Psychotic Disorders. You will share your study guide with your colleagues

· Research your assigned psychotropic medication agent using the Walden Library. Then, develop an organizational scheme for the important information about the medication.

Create a study guide for your assigned psychotropic medication agents. Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. Be creative! It should not be in the format of an APA paper. Your guide should be informed by the 
FDA-approved and Evidenced-Based, Clinical Practice Guidelines Research but also supported by at least three other scholarly resources.

Areas of importance you should address are:

· Title page

· Description of the Psychopharmacological medication agent including brand and generic names and appropriate FDA indication uses

· Any supporting, valid and reliable research for non-FDA uses

· Drug classification

· The medication mechanism of action

· The medication pharmacokinetics

· The medication pharmacodynamics

· Mechanism of Action

· Appropriate dosing, administration route, and any considerations for dosing alterations

· Considerations of use and dosing in specific specialty populations to consider children, adolescents, elderly, pregnancy, suicidal behaviors, etc.

· Definition of Half-life, why half-life is important, and the half-life for your assigned medication 

· Side effects/adverse reaction potentials

· Contraindications for use including significant drug to drug interactions

· Overdose Considerations

· Diagnostics and labs monitoring

· Comorbidities considerations

· Legal and ethical considerations

· Pertinent patient education considerations

Reference Page to include

U.S. Food & Drug Administration. (n.d.). 

Drugs@FDA: FDA-approved drugsLinks to an external site.
.
https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm

Utah State University. (n.d.). 


Creating study guides

Links to an external site.
. https://www.usu.edu/academic-support/test/creating_study_guides