Trans wk8assign

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  • Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
  • Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
  • Identify and select 4 peer-reviewed research articles from your research.

NUR 507 Lecture Discussion 5

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A 2-month-old is identified during newborn screening with sickle cell anemia.

  • How would you manage this patient at 2 months, 2 years, 6 years, and at 13 years old?
  • What are the issues for each stage in development?
  • Where would you refer this child?
  • How would you coordinate the care of this child?

.Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

Approaches to Disease Management: Sickle Cell Anemia

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A 2-month-old is identified during newborn screening with sickle cell anemia.

  • How would you manage this patient at 2 months, 2 years, 6 years, and at 13 years old?
  • What are the issues for each stage in development?
  • Where would you refer this child?
  • How would you coordinate the care of this child?

.Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources published within the last five years.
  • in paragraph form, no bullet points or numbering.

nur500

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I need your expertise with a question

Weekly Clinical Experience 5

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Describe your clinical experience for this week.

must be in geriatric patient

  • Did you face any challenges, any success? If so, what were they?
  • Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
  • Mention the health promotion intervention for this patient.
  • What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
  • Support your plan of care with the current peer-reviewed research guideline.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

Case 4

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An 82-year-old man recently returned to the long-term care facility after hospitalization for open reduction internal fixation of the right hip. He has been divorced for over 50 years and has two adult children who visit him frequently in the nursing home. He has a 5-year history of mild to moderate dementia and known urinary tract infections. His last recorded mini mental state examination (MMSE) registered 18, which was 3 months ago. While in the hospital, he did have an indwelling catheter for 4 days. He has been incontinent since his return to the hospital but the staff their attributes this to the catheter and his deconditioned state following hospitalization. His medications include donepezil, memantine, and acetaminophen for pain and fever as needed. He has no other known medical problems except a history of multiple urinary tract infections throughout his lifetime that, according to his son, have required extensive antibiotic treatment. He enjoys drinking regular coffee throughout the day, says it is a habit he has had since his days in the service years ago. His family members and the nursing staff report that he has been very restless and has been unable to use the urinal on time the past couple of days.

Vital signs: T 99°F, HR 80, RR 18, BP 128/78, BMI 22. 

Chief Complaint: Foul smelling urine, incontinence, restless

Discuss the following:

1) What additional subjective data are you seeking to include past medical history, social, and relevant family history?
2) What additional objective data will you be assessing for?
3) What are the differential diagnoses that you are considering?
4) What laboratory tests will help you rule out some of the differential diagnoses?
5) What radiological examinations or additional diagnostic studies would you order?
6) What treatment and specific information about the prescription that you will give this patient?
7) What are the potential complications from the treatment ordered?
8) What additional laboratory tests might you consider ordering?
9) What additional patient teaching may be needed?
10) Will you be looking for a consult?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

Tiff week 7

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Tiff week 7

Responses

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Speak first person

In response to your peers, offer any advice and feedback to address your peers’ progress and concerns. 

Reply 2

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 Reply to the following discussion, APA style, 200 words or more, 2 references or more, Turnitin less than 20 %, No AI

Throughout the current eight-week course, the main area of discussion has to do with enhancing my understanding of middle-range theories and their application in nursing practice, as well as the role of mentorship in clinical practice. This reflective discussion looks at how the middle-range theories, which are practical, help one to dissect patient care challenges and how the process of being mentored has helped me in the learning process, hence promoting critical thinking and professionalism.

Many consider the middle-range theories to be significant in linking the broad grand theories with the day-to-day practice. The former are sufficiently specific to provide tangible orientation yet general enough to be useful in a wide range of situations and contexts, which has helped me a lot when treating patients. For example, when using self-efficacy theory, I have understood how to evaluate and facilitate the patient as a way of enhancing his/her confidence when dealing with chronic illnesses. This incorporation leads to the formulation of plans that meet patients’ physical and psychological needs, hence attaining theoretical promotion. Current studies have indicated that the use of middle-range theories has had positive results, and there has been improvement in compliance with the recommended treatment plans and hospital readmissions (Garcia & Brown, 2023). This EB acquires high values in clinical decision making and helps in implementing a patient-centered care model for recovery.

The second wave of transformation has been gained through the mentorship throughout this course. In addition, different mentors have supplemented formal teaching and shared their experience with me, as the process of clinical reasoning has expanded my knowledge and understanding of clinical decisions. Their constructive criticism has made me find the positive side of any hurdle faced on the course and has motivated me to embrace creativity in the delivery of medical care to patients. For instance, through the concept of mentorship, I have learned how to apply middle-range theories within the various forms of nursing practice, including clinical nursing, which would have increased my competency, especially in critical care units. Another key value that has been rooted in me by the mentors is that of working as a member of the multidisciplinary team and utilizing the evidence-based practice while continuing lifelong learning in a constantly changing healthcare setting (Chen & Patel, 2025). I would also like to express my gratitude to all the people whose support helped in developing my professional persona and creating a strong, patient-centered attitude.

As such, the congruence of middle-range theories and mentorship has been crucial in improving my practice of nursing. Through the implementation of these theories in the clinical areas, I have gained a fair understanding of patient care with a clear touch of the realities based on research and experience, for the uniqueness of individual patients. Also, the suggestions and advice given by the mentors have given me the strength and solidity in clinical decision making that is crucial for an advanced nurse practitioner. These experiences together have made it clear about the importance of theoretical knowledge and the worth of a mentor in enhancing the nursing practice and preparing for what lies ahead in the future.