wk3691B

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This assignment and the following two months' work should be written related to your

previous writing. You should not change the stories. Then I will lose the points(scores). If

you talked about improvement of patient flow in the urgent care setting, your next

writing should be something similar with the previous style. I mean you should not write

about totally different topics like cancer patient management or something like that. If

you have any questions, you can ask me. I can give you enough time to complete it. One

week for this job.

Pls read your previous writings. Keep these links unless you remember about your

previous writings.

https://www.sweetstudy.com/thread/473292317

https://www.sweetstudy.com/thread/473883197

https://www.sweetstudy.com/thread/473172845

https://www.sweetstudy.com/thread/473003787

https://www.sweetstudy.com/thread/472667933

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Week 3: Recommendations and Conclusions

This part of your paper includes the summary of the project, main points and findings,
the significance of the project to the advanced practice nursing profession, and
recommendations for future research. Address the following:

1. Address your recommendations and implications for clinical practice.
2. Provide a summary of study and discuss any limitations of the study.
• Suggest directions for future research.
• Consider changes in theoretical constructs
• Provide suggestions for public policy and/or changes in practice.
3. Tie the theoretical framework to the overall product.
4. Conclude with an overall wrap-up to the paper.

Your paper should be 4–5 pages in length, not including the cover or reference pages.
You must reference a minimum of two scholarly sources in your paper.

NURS_691B_DE – NURS 691-B Recommendations and Conclusions

NURS_691B_DE – NURS 691-B Recommendations and Conclusions

Criteria Ratings Pts

This criterion is linked to a

Learning Outcome Content
59.5 to >48.79 pts

Meets Expectations

Provides an insightful and thorough summary of

the project, main points, and findings, and details

the significance of the project to the advanced

practice nursing profession. Provides detailed

and creative recommendations for future

research and implications for clinical practice.

Discusses limitations of the study in detail.

Suggests specific directions for future research.

Insightfully considers changes in theoretical

construct and provides reasonable and creative

suggestions for public policy and/or changes in

educational practice. Expertly ties the theoretical

framework to the overall product. Meets all of

the criteria of the written assignment.

59.5 pts

3

This criterion is linked to a

Learning Outcome

Organization

7 to >5.74 pts

Meets Expectations

Content is well written throughout. Information

is well organized and clearly communicated.

7 pts

This criterion is linked to a

Learning Outcome APA Format

and Mechanics

3.5 to >2.87 pts

Meets Expectations

All the requirements related to format, length,

source citations, and layout are followed. The

assignment is free of spelling and grammatical

errors.

3.5 pts

Total Points: 70

PreviousNext

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  • Week 3: Recommendations and Conclusions

ARE

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Patient Data for NR226 RUA Patient:

Patient History:

Ben Smith is a 75-year-old retired farmer from Southern Illinois. He is widowed and has 3 adult children who live
out of state. He is in an LTC for rehab following hospitalization. He has a 60-year history of smoking 2 PPD of
cigarettes. He fell 3 months prior to his hospitalization but did not sustain any injuries.

He was admitted to the hospital for an acute exacerbation of COPD. He also has a history of COVID in 2020,
HTN, and anxiety.

Medications:

• Acetaminophen 325mg PO Q6 hours PRN
• Albuterol inhaler, 2 puffs once daily
• Ipratropium bromide nebulizer Q8 hours PRN
• Lorazepam 5mg PO Q12 hours
• Nicotine patch, change every 72 hours
• Prednisone 30mg PO BID
• Multivitamin daily

Labs:

• Sputum culture and sensitivity- results showed no infection
• UA/UC- WNL
• CMP- WNL, except for potassium of 3.4 mEq/L
• CBC- WNL, except for platelets of 140k/mL

Imaging:

• Chest x-ray: shows focal consolidation in right lower lobe, suggestive of pneumonia
• Hyperinflation of lungs with flattened diaphragm consistent with long-standing COPD
• EKG: normal sinus rhythm with rate of 90 bpm

Assessment Data:

• Please be sure to fill in each system, including normal findings
• I will allow you to “make up” data that you would think would be abnormal in a patient like this, think of

findings especially in the following systems:
o Respiratory, cardiac, musculoskeletal, neuro

• Vital signs:
o Temp: 100.6 F, PO
o RR: 22 breaths/min, shallow
o HR: 90 bpm, regular
o BP: 145/90
o O2: 91% on 2L NC
o Pain: 7/10, intermittent, chest and upper back

Miscellaneous:

• The patient states that he hates hospitals and doesn’t belong in a nursing home. He says he needs to
get back to his farm

• He is impulsive and has tried to get out of bed numerous times, even though he is a stand by assist with
a history of falls

• He is non-compliant with medications and has felt nauseated. He does not want to take any meds and
“does not need that dang breathing thingy- it’s stupid!” (The nebulizer)

• He states he “will not quit smoking, I’ve been smoking since I was 15 and it hasn’t killed me yet!”

the components of Gordon’s functional health patterns as it applies to toddlers.

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Compare and contrast the growth and developmental patterns of two toddlers of different ages using Gordon’s functional health patterns. Describe and apply the components of Gordon’s functional health patterns as it applies to toddlers.  

500 words discusion

2 APA 7 citation  and references

Oncologic emergencies

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Instructions

Read the article, “Oncologic emergencies in a cancer center emergency department and in general emergency departments countywide and nationwide”.  You may access the article in the resource folder. 

Thoroughly review the complete research article exploring the management of oncologic emergencies in critically ill patients visiting the Emergency Department (ED). Focus on patient characteristics, diagnoses, and factors influencing hospitalization.

Your case study should demonstrate a thorough grasp of the entire article, using specific details to support your points. This assignment aims to assess your ability to distill complex medical information into a focused case study, highlighting essential strategies for managing oncologic emergencies in critically ill patients. 

Please make sure to provide citations and references (in APA, 7th ed. format) for your work.  

Case Study Focus:

Based on your comprehensive reading, create a Case study highlighting key strategies for effectively managing oncologic emergencies in critically ill patients.

Key Points

Resource Optimization: Explain how increased resource utilization and hospitalization rates among cancer patients impact healthcare delivery. Discuss strategies to optimize resources while maintaining high quality care.

Timely Diagnosis: Emphasize the importance of timely diagnosis and intervention. Provide examples from the article illustrating the benefits of early recognition and swift treatment.

Tailored Interventions: Explore the concept of tailoring treatments to individual oncologic conditions. Share insights on customizing interventions based on diagnoses outlined in the article.

Multidisciplinary Collaboration: Discuss the value of multidisciplinary collaboration in managing critically ill patients. Describe how different specialties can work together for comprehensive patient care.

Risk Stratification: Explain the role of risk assessment in identifying high-risk patients and the significance of early interventions to prevent complications.

Education and Training: Address the impact of education and training on enhancing oncologic emergencies management. Highlight the benefits of well informed healthcare professionals.

Conclusion: Summarize key insights from the article and emphasize the patient centered approach to managing oncologic emergencies in critically ill patients.

discussion 6 div

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Hyde Pfiefer, a retired 70-year-old German American, has lived in the United States for the last 50 years. A widower of 5 years, Mr. Pfiefer prepares his own meals following his wife’s recipes from the old country. Nine months ago, Mr. Pfiefer was told that his cholesterol is elevated, and he was instructed about a low-fat diet. His most recent test results show his values to be unchanged.

  1. Discuss the meaning of food in the German culture.
  2. Using the predominant health beliefs of people of German ancestry, how might you help Mr. Pfiefer reduce his cholesterol level?

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.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. 

Patho

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 Risk factors among your top two or three priorities for a hypertensive patient, and what interventions or recommendations 

Assessment Description

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Describe the contemporary issue and explain what external stressors are associated with this issue.

  1. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.
  2. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented. 

week 4

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Your patient is a 23-year-old female. She presents with coughing and wheezing which she stated started about three weeks ago. She is currently 25 weeks pregnant. Her last prenatal visit was one month ago in another state. She has an appointment with the prenatal care provider next week, however her respiratory symptoms brought her to your office today.

History – Chickenpox as a child. Asthma as a child, diagnosed at age 8 for which she used a SABA when needed. She has not had the need to use an inhaler since she was 19. She takes only her prenatal vitamin. No other acute or chronic problems. She advises you that she is up to date on all immunizations except she has not had a flu shot (it is October).
Social – Non-smoker, no drug use. She relocated to your state two weeks ago to get away from an abusive domestic situation. She has no support network in this area and has not yet found employment. She has no medical insurance.

HPA – Non-productive cough x 3 weeks. Wheezing audible from across the room. She states it is like this all day and wakes her from sleep every night. She reports that she is fatigued even in the morning. No other complaints.

PE/ROS – Pt appears disheveled but clean. Wheezing in all lung fields. T 98, P 82 regular, R 28 no stridor. FH 130 regular. The remainder of the exam is WNL.

02 98% and FEV 70%

Directions:

1. Construct a narrative document of 4-5 pages (not including cover page or reference page)

2. Diagnose the patient based on the above findings and provide your rationale for how you arrived at the diagnosis.

3. Develop a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.

4. Describe community resources (using your own community) currently available in your state/city to support this patient.

5. Provide a communication plan that you will use to ensure the patient is an active participant in the treatment plan. Refer to therapeutic communication concepts.

6. Utilize national standards, your pharm and/or patho book, and medical or advanced practice professional sources. Do not use patient-facing sources or general nursing texts.

7. Use references to support your concepts. Utilize correct APA formatting (7th edition) and mechanics of professional communication.

Before finalizing your work, you should:

·
Read the Assignment description carefully (as displayed above);

·
Consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary.

Your writing assignment should:

· Follow the conventions of 
Standard American English (correct grammar, punctuation, mechanics, etc.);

· Be 
well organized, logical, and 
unified, as well as 
original and insightful;

· Utilize correct APA formatting, 7th edition.

· Submit to, and review results of Turnitin. Purdue University Global Student Conduct policy as it relates to plagiarism will be adhered to in this course.

Rubric Title: MN553 Unit 4 Assignment Rubric

Assignment Criteria

Level III

Level II

Level I

Not Present

Criteria 1

Level III Max Points

Points: 10

Level II Max Points

Points: 8

Level I Max Points

Points: 6

Not Present

0 Points

Diagnosing the patient

· An accurate diagnosis with correct staging is provided

· Rationale for arrival at the diagnosis with support from national guidelines is provided

· An accurate diagnosis is provided with staging that may not be correct

· Rationale for the diagnosis is provided without support

· An accurate diagnosis is provided with staging that may not be correct

· Rationale for the diagnosis is provided without support

· Does not meet the criteria

Criteria 2

Level III Max Points

Points: 10

Level II Max Points

Points: 8

Level I Max Points

Points: 6

Not Present

0 Points

Providing pharmacologic intervention

· Correct medications are prescribed to treat the diagnosis

· Rational for medications prescribed adheres to national guidelines

·

· 50% of correct medications are prescribed

· Rational to support prescribed medications is provided and adheres to national guidelines

· Less than 50% of the correct medications are prescribed

· Rational to support the prescribed medications is not present or does not adhere to national guidelines

· Does not meet the criteria

Criteria 3

Level III Max Points

Points: 5

Level II Max Points

Points:

Level I Max Points

Points:

Not Present

0 Points

Providing non-pharmacologic interventions

· Five or more non-pharmacologic interventions are provided

· Three or four non-pharmacologic interventions are noted

One or two non-pharmacologic interventions

· Does not meet the criteria

Criteria 4

Level III Max Points

Points: 10

Level II Max Points

Points: 7

Level I Max Points

Points: 0

Not Present

0 Points

Writing a communication plan

· A communication plan which includes principles of therapeutic communication is developed

· A communication plan that does not include principles of therapeutic communication is developed

· Does not meet the criteria

· Does not meet the criteria

Criteria 5

Level III Max Points

Points: 10

Level II Max Points

Points: 7

Level I Max Points

Points: 4

Not Present

0 Points

Community Resources

· Three or more local community resources are provided

· Two local community resources are provided

· One local community resource is provided or:

· Resources are provided but they are not local to the community

· Does not meet the criteria

Criteria 6

Level III Max Points

Points: 10

Level II Max Points

Points: 8

Level I Max Points

Points: 6

Not Present

0 Points

College-level academic writing

· Professional, peer-reviewed, advanced practice references are used

· Grammar and mechanics of writing demonstrate graduate level work

· Adheres to page number requirements

· The majority of references used are professional, peer-reviewed and advanced practice

· Errors in grammar or mechanics of writing are present but do not interfere with readability

· Adheres to page number requirements

· The majority of references used are professional, peer-reviewed and advanced practice

· Errors in grammar or mechanics of writing are present but do not interfere with readability

· Does not adhere to page number requirements

· Does not meet the criteria

Maximum Total Points

55

44

33

0

Minimum Total Points

45 points minimum

34 points minimum

1 point minimum

0

social determinants of health

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What are social determinants of health? Explain how social determinants of health contribute to the development of disease. Describe the fundamental idea that the communicable disease chain model is designed to represent. Evaluate the steps a nurse can take to break the link within the communicable disease chain.

Resources within your text covering international/global health, and the websites in the topic Resources, will assist you in answering this discussion question.

Week 7 Discussion

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NSG 3200 – Health Promotion

Week 7 – Discussion


Please note there are two parts to this week's discussion.

Part 1 – This week as we explore current legislative efforts, health care policies, and the need for health promotion in our communities, please visit the ANA webpage related to advocacy issues in nursing practice today 
(See the pdf with the links attached) When entering the web page, you will need to scroll down the page and choose one of the following issues highlighted: Health Care Reform, Safe Staffing, Nurse Workforce Development, or Home Health. Based on your selection of topics, address the following in your discussion post:

· How does this issue affect your practice and the health promotion topic of your choice?

· From what you learned at the site, name a minimum of two actions that are currently in place to address this issue.

· Provide a minimum of two ways you as a professional nurse can become involved with this issue.

· Be sure you have referenced the ANA website in APA format and provided in-text citations where you used the information from ANA in your post.

Part 2 – Many of the advocacy issues in nursing practice impact the work environment of nurses. It is important for nurses to care for themselves so that they can best care for their patients. Consider the information covered in this unit regarding self-care and respond to the following questions:

· What are the signs that someone is experiencing burnout?

· What are some evidence-based strategies you can implement to help prevent burnout and build resilience?

Support your response with in-text citations and APA-formatted scholarly references.