Journal 2 (6675)

TO PREPARE

  • Refer to the “Population-Focused Nurse Practitioner Competencies” in the Learning Resources, and consider the quality measures or indicators advanced practice nurses must possess in your specialty.
  • Refer to your “Clinical Skills Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.
  • Refer to your Patient Log in Meditrek; consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.

In 450–500 words, address the following:

Learning From Experiences

  • Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
  • Reflect on the 3 most challenging patients you encountered during the practicum experience. What was most challenging about each? 
  • What did you learn from this experience? 
  • What resources were available?
  • What evidence-based practice did you use for the patients?
  • What would you do differently? 
  • How are you managing patient flow and volume?  How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

  • Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
  • Answer these questions: How am I doing? What is missing? 
  • Reflect on the formal and informal feedback you received from your Preceptor. 

Nursing Assignment 2

The baccalaureate prepared nurse must have a good understanding of the quality 

management process as well as the programs that various governmental and professional 

organizations have in place to measure and improve patient safety and quality of care. In

addition to discussing the National Database of Nursing Quality Indicators, delineate the 

role any two of the following have in addressing safety and quality issues: the Joint 

Commission (JC), Centers for Medicare & Medicaid Services (CMS), Agency for

Healthcare Research and Quality (AHRQ), or National Quality Forum (NQF). 

Assigment .Apa seven . All instructions attached.

rt 2 Writing Assignment Week 7

Top of Form

Bottom of Form

Health Promotion Proposal, Part 2 Content

1.

Top of Form

Health Promotion Proposal, Part 2

This is a continuation of the health promotion program proposal, part one, which you submitted previously. 

Please approach this assignment as an opportunity to integrate instructor feedback from part I and expand on ideas adhering to the components of the MAP-IT strategy. Include necessary levels of detail you feel appropriate to assure stakeholder buy-in.

 

Directions 

You have already completed the steps 1-4. 
Do not resubmit part 1. Make sure you revise this initial submission according to your instructor’s comments. 

To assist in maintaining harmony between Part I and 2 here you have a reminder of the previous paper outline:

· 1. Describe the health problem. Using data and statistics support your claim that the issue you selected is a problem. What specifically will you address in your proposed health promotion program? Be sure your proposed outcome is realistic and measurable. 

· 2. Describe the vulnerable population and setting. What are the risk factors that make this a vulnerable population? Use evidence to support the risk factors you have identified. 

· 3. Provide a review of literature from scholarly journals of evidence-based interventions that address the problem. After completing a library search related to effective interventions for your chosen health promotion activity, you will write a review that evaluates the strengths and weaknesses of all the sources you have found. You might consult research texts for information on how to write a review of the literature found in your search. 

· 4. Select an appropriate health promotion/disease prevention theoretical framework or conceptual model that would best serve as the framework guiding the proposal. Provide rationale for your selection which includes discussion of the concepts of the selected model 

 

For this assignment develop criteria 5-8 as detailed below: 

You will submit just this section 5-8 as essay. Please do not resubmit Part 1. 

Use a presentation page. Start the body of content with topic 5.

· 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. 

· Be certain to include a timeline. (2 to 4 paragraphs- you may use bullets if appropriate). 

· 6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. 
The SMART goal statement should be no more than one sentence (1 paragraph). 

· 7. Provide a detailed plan for evaluation for each outcome. (1 paragraph). 

· 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph). 

· Finish the paper with a conclusion paragraph (1 paragraph) without typing the word “conclusion” before the paragraph. 

Paper Requirements 

Your assignment should be up to 3-5 pages (excluding title page and references). 

Remember, your Proposal must be a scholarly paper demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion. 

Finish the essay with a your reference page.

Please review the Grading Rubric for this Assignment.

 

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Week 2 Reflections NR501NP

Weekly objective

  1. Explore an area of interest through patterns of knowing (CO 1)
  2. Examine the components of the nursing metaparadigm.
  3. Examine different patterns of knowing in nursing. (CO 2)
  4. Analyze the benefits of reflection for shaping and understanding theory. (CO 2)
  5. Differentiate between the received and perceived schools of scientific thought. (CO 2)

Course Outcomes

  1. Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO 2 and 5)
  2. Apply nursing theory as a framework to guide the development of new knowledge and implementation of evidence-based practice in future professional settings. (PO 1 and 4)

The above is just additional information for the question below.

 Write 1-2 paragraphs reflecting on ways of knowing and the use of metaparadigm in the NP role 

  • Provide one specific example of how you achieved the weekly objectives.
  • What do you value most about your learning this week?
  • What else about the weekly topics do you need to explore to grow further as a future NP?

Vital organs


Vital Organs / Unconscious State

1. Name some very important organs that
are not vital organs.

2. List the functional description of all the normal vital organs, including today’s exceptions.

3. Is it possible to live without a vital organ? Why? Example?

4. Distinction between assisting or substituting vital organs. Bioethical analysis.

5. Do the following practices assist or substitute the vital organ? Why?

· Dialysis

· Respirator

· Ventilator

· Tracheotomy

· CPR

6.
Read and summarize ERD PART FIVE Introduction.

7. Unconscious state: Definition.

8. Clinical definitions of different states of unconsciousness: Compare and contrast

9. Benefit vs Burden: bioethical analysis.

CULTURAL WK 6 DISCUSSION

As a baccalaureate-prepared nursing professional, what role will you take to advocate for culturally diverse clients in your healthcare practice?

Surgeon uses ministry in medical practice

Assignment Discussion Questions

  1. Discuss the pressure, if any, placed on the patient to responding to the suggestion of prayer prior to surgery.
  2. Describe how you, as the surgeon, or nurse, would address a patient’s religious or spiritual needs if the risks of a complex surgical procedure appear to be threatening.
  3. Why did you choose to respond to this story?
  4. How is religion or faith displayed in your clinical setting?

THESE ARE THE RESOURCES TO USE

https://westcoastuniversity.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=d9d37202-fdd9-40d6-832e-aba501297ca5

The full story https://web.archive.org/web/20220521154220/https://www.dallasnews.com/news/2013/07/28/praying-with-patients-a-dallas-surgeon-finds-a-way-to-put-ministry-into-practice/

https://archive.ph/xSb8V

https://www.modernhealthcare.com/article/20150612/NEWS/150619965/2-south-korean-hospitals-shut-over-mers-fears-11th-person-dies

Advanced pathophysiology

Fluid and Electrolyte Case Study

Case Study:

A 65 year old female is admitted to your unit complaining of nausea vomiting and diarrhea for 3 days. Her history is unremarkable except hypertension for which she takes hydrochlorothiazide. She relates feeling exhausted and having leg cramps which interfere with her sleeping. Notable assessment findings include:

Temp: 38.6C. AP 102 and irregular, BP 90/50; absent bowel tones, dry skin and poor turgor, and poor muscle tone. As the causes

Labs: K 2.0mEq/L; NA 137 mEq/L; CL 97 mEq/L; and WBC 20,000/ul.

MD orders:

I V D50 .9%Nacl with 20mEq KCL/L to infuse @ 90cc/hr.

40mEq of KCL IV over the next 2 ho0urs

K level 30 minutes after the 40mEq IV KCL has infused.

Bedrest: May use Bathroom

NPO

Questions

1. What fluid and electrolyte disturbances does this client have?

2. What electrolyte disturbance is o0f most concern with this client and why?

3. What signs and symptoms that the patient exhibits can result from this electrolyte disturbance?

4. What do you suspect as the cause(s) of this electrolyte disturbance?

5. What type of solution is D50NS + 20 mEq KCL?

6. Would you question any of these orders? Why or why not?

7. Would you expect to see any changes on an EKG if one is taken?

Reply to your classmate



Virginia Workman

Hello class,

I chose interface to discuss. The interface in the electronic medical record system is truly remarkable. When the monitor displaying vital signs and other patient data seamlessly transfers that information to the patient's chart on the computer without the need for manual data entry, it significantly streamlines our workflow. As a nurse, you simply click to confirm that the vital signs are accurate while entering them, saving you a significant amount of time. The advantages of using an interface have proven to be incredibly beneficial in my daily nursing duties.

Liz Workman

Response TO WEEK 8 DISC 2

PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:

Since Week 1, I have learned a lot. My perspective on the concepts of trends in nursing has changed to say the least. This class has helped me build and evolve the way of thinking that nurses have to deal with low pay, lateral violence, long hours, not being heard etc, just because it’s part of our job. There are ways for us to use our voice and join different groups to help us be heard in the healthcare field. Discussion 6 I thought was especially important because it shows different ways for nurses to get involve and advocate for nurses. Trends and issues in nursing is something we can overcome with time and effort. Providing the right care and education in all aspects of nursing will help change the view people have of nursing and the believe that nursing is a just a job and not a profession.