Neurological

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Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities, and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with 7th edition APA format. 

Neuro Case Study

You are consulted to visit a 72 year old male client who had a stroke last year which left both his upper and lower right sided extremities weakened. He is obese and has a history of smoking for 57 years. His history also includes being diagnosed with type 2 diabetic, high blood pressure, coronary artery disease, polycythemia, and atrial fibrillation. His father died of an MI at age 53. Both of his parents had type 2 diabetes. His mother dies of cancer. His paternal grandfather had 2 strokes, 0neyear apart, dying two weeks after the second stroke.

1. What types of extremity paralysis ( weaknesses) can occur in strokes and how do they differ? What type of weakness does this patient exhibit?

2. The lesion that caused the motor function problem in this patient is located on which side of the brain? Why does it occur in this manner?

3. Given the history of this patient, what type of stroke did this patient have,

ischemic, or hemorrhagic? Please provide your rationale.

4. What is the relationship between atrial fibrillation, and the stroke

5. What other risk factors are identified for this patient and what is the relationship of these to a stroke?

6. Your patient’s wife tells you “My husband’s grandfather had a stroke and could not talk, but he could talk> My husband can not walk, but can talk. I do not understand Why?” The APN would address this issue in what manner? What information is shared?

7. The patient’s wife adds, the doctor said to call him if he suffered a TIA. I thought TIA’s go away. Why is this important and how will I know it is happening? The APN addresses this situation in what manner. What information will be shared?

8. How do adult strokes differ from pediatric strokes?

Cover Letter

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Charmine asseng

 

Contact

[email protected]

 

Professional Summary

A highly motivated student for strengths in MS office suite, Telephone Etiquette, CPR and first aid certified and a quick learner. Also, an analytical critical thinking professional with experience at Asbury Methodist Village. A deadline-driven individual that is a fast learner and uses critical analysis skills to make informed decisions.

 

Skills

· Quick Leaner

· CPR and first aid certified.

· MS Office Suite

· Determined Team Player

· Clear Communication Skills

· Telephone Etiquette

· Detail Oriented

· Strong Interpersonal Skills

· Adaptability

· Quick decision making

· Ability to work under pressure.

 

Experience

InternShip –
July 10 -July 28th, 2017

Asbury Methodist Village, Gaithersburg MD

· I updated patient files, took them to their various daily activities, and photocopied and typed information.

· greeting patients, handling phone calls, preparing medical documents.

· scheduling appointments ensure that appropriate medical forms are signed.

· verify patient’s information and health insurance.

· Served victors by greeting, welcoming, and directing them appropriately.

David’s Bridal- Sep 9th, 2017 ‐ present

Bridal stylist, Rockville MD

· Consistently honor all service and selling vows, outfitting each customer head to toe.

· Sell the gown, headpiece, foundations, shoes, jewelry, etc.; outfit and accessorize the bridal party.

· Educate customers on the David’s Differences; attributes that make David’s Bridal unique.

· Maximize sales and customer satisfaction by providing superior service with every customer visit.

· Maintain David’s Bridal hourly sales productivity.

· Prepare for all upcoming appointments by printing the customers' profile and favorites.

· Know David's Bridal merchandise and build on product knowledge on an ongoing basis.

· Follow up and communicate with customers, following Relationship Management standards.

· Explain services provided by the alterations department to the customer and the importance.

· Support store management in performing responsibilities, including maintaining responsibility, inventory counts, merchandising the sales floor, and completing markdowns.

· Provide an efficient and friendly checkout experience for customers, as needed.

· Maintain housekeeping standards in the store.

· Answer multi-line business phone using the correct David's Bridal greeting and provide information in a professional manner.

Smart brand online- June 2015‐ July 2017

Assistant, Gaithersburg MD

· Helped with time and daily management.

· Scheduling of meetings, correspondence, and note-taking.

· Shipping out items to customers

· Assist customers with any questions they might have.

· Updating paperwork, maintaining documents, and word processing.

· Helping organize and maintain common office areas.

· Maintaining supply inventory

Clinical Experience Shady grove Adventist- January -May 2023

· Help take patient vital signs. 

· Help give patient medications with nurse supervision. 

· Assist patient in using the bathroom and eating. 

· Assist nurse in caring for the patient. 

Nurse Externship Program Adventist Healthcare Shady Grove– June 2023-up till date (Extended)

· A student nurse who is receiving training and following a nurse to develop clinical and critical thinking skills, and how to provide patient care.

· Working alongside the nurse assistant to take vital signs and assist with bedside skills.

· Acquired knowledge in the Peds ed and Med Surg unit by assisting in nursing tasks, helping patients with hygiene and dressing.

· Acquired nursing knowledge and the ability to follow instructions, as well as time management, and communication skills.

 

Education

High school Diploma- Gaithersburg High school

Gaithersburg, MD

Associate DEGREE
GENERAL STUDIES – MONTGOMERY college (expected may 2021)
Rockville, MD

AWARDS

Honor roll, Dean’s List

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Opportunities & Challenges with Patient Safety Goals

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  • Select one of the 2021 National Patient Safety Goals.
  • Share your thoughts about the opportunities and challenges related to achieving the goal in your work environment.

Informatics in healthcare

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IM3001A Module 3 Pre-Assessment (PDF)

Module Pre-Assessments are your opportunity to practice applying module content before final submission of your Competency Assessment. For your final Competency Assessment, you will address scenarios related to the importance of nursing informatics in healthcare.

For your Module 3 Pre-Assessment, respond to the following prompts. These prompts match those in your final Assessment. Be sure to support your responses with evidence from scholarly literature.

Prompts:

Scenario:

A patient approaches you after her consultation with her physician. Her physician had reviewed her electronic health record with her during the consultation. The patient realized that some of the information in her EHR was incorrect. The patient asks you to make changes to this information. Is this possible? Why or why not? Write a 1-page response that includes the following:

  • Describe what you would tell the patient in this scenario regarding making changes to her electronic health record (EHR).
  • Explain your reasons for responding to the patient in the way you describe.
  • Be sure to reference any legal requirements related to EHRs.

Trans to Baccalaurate

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Trans to Baccalaureate

In this course wrap-up discussion, please review the following Course Student Learning Outcomes (CSLOs), and choose 

one outcome:

1. Examine the role of the baccalaureate-prepared nurse within the healthcare delivery system. (PSLO 1, 3).

2. Analyze characteristics, skills, and ethical principles which shape professional-level nursing practice. (PSLO 3)

3. Demonstrate the use of technology and scholarly resources to develop professional communication skills. (PSLO 6)

4. Apply select models and theories to guide professional-level nursing practice. (PSLO 3)

5. Outline a plan towards lifelong learning and professional development. (PSLO 3)

· Reflect on how you feel you have achieved the selected outcome based on the work completed in this course.

· Discuss how you will apply what you learned in this course to your current or future nursing practice.

Supportive evidence is 
not required.

Nursing

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To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
  • Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

Nursing Nursing Dropbox assignment APA format

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HUM 1050 – Introduction to Literature

Assignment #2: Two Mediums – Evaluative Essay – Initial Submission

For this assignment, students will write an evaluative essay comparing two media. You'll use the short story “The bear came over the mountain” (Munro, 2013) and the film 
Away from Her (Egoyan et al., 2006). You will begin working on this assignment with reading, viewing, drafting.

For this essay, the short story is the source material. You are going to evaluate how well the film stands up to the short story. First, you must establish the criteria. What makes the short story successful?  You want to think about this very carefully as you read and make notes. Notice elements of plot, structure, character, and point of view. You'll write about these in the first section of your paper. 

This essay should:

· have specific criteria, using the short story as source material

· use that criterion to make judgments about the film

· support the judgment with evidence from the text and film

· be 1000 words long

· have an explicit thesis statement, with the main idea (the topic of the paper) and a controlling idea (what you, as the author, is saying about the topic)

· In this case, we're making a judgment, and that should be included in the thesis.  Remember — this judgment is not about the film or text is good or bad. It's about whether or not the film lives up to the criteria established in the short story. 

· include an integrated, direct quote from the text/film to support the thesis in each of the body paragraphs

· be written using APA formatting

· use APA guidelines for citation, both in-text and on a References page

· avoid using 1st- or 2nd-person references (focus on objective 3rd-person references instead)

· be submitted as a MS Word .docx file

 

References and Citations:

Citation: (Munro, 2013).

Add paragraph numbers with direct quotes (Munro, 2013, para. 4).

All citations should be: (Egoyan et al., 2006).

Add timestamp number with direct quotes.

Reference

Egoyan, A. Hirst, V., Iron, D. Mankoff, D. Urdl, S. Weiss, J. (Producers), & Polley, S. (Director). (2006). 
Away from her. [Motion

picture]. Canada: Foundry Film.

Munro, A. (2013, Oct 21).
 The bear came over the mountain
. The New Yorker.

https://www.newyorker.com/magazine/2013/10/21/the-bear-came-over-the-mountain-2

Criteria

Ratings

This criterion is linked to a Learning OutcomeThesis statement (20) Main idea; controlling idea; compelling CSLO 4

20 pts

Highly Proficient

Precise, succinct thesis statement with obvious main idea and controlling idea; original and compelling.

Body paragraphs (20) Unified; coherent; related to thesis; topic sentences; supporting sentences CSLO 6

20 pts

Highly Proficient

All body paragraphs are unified and coherent; each body paragraph contains one distinct point; each body paragraph has a topic sentence that is directly related to the thesis; supporting sentences all relate to the topic sentence.

Grammar, Spelling, and Mechanics (10) CSLO 6

10 pts

Highly Proficient

Minimal grammar, spelling, or mechanical errors (at most 2).

Length and Originality (10) CSLO 5

10 pts

Highly Proficient

Paper meets required word count. AND/OR Less than 10% direct quotes.

Style (20) Introductory and concluding paragraphs; sentence structure; transitional phrases; word choice; tone CSLO 6

20 pts

Highly Proficient

Introductory and concluding paragraphs are compelling and creative; sentence structure is widely varied (simple sentences, compound sentences, complex sentences), exceptional use of transitional phrases, academic/elevated/creative word choice; appropriate tone; no slang or informal language.

Formatting (20) APA formatting guidelines CSLO 6

20 pts

Highly Proficient

No errors in formatting.

The Value of a Master's-Prepared Nurse

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Consider the current healthcare delivery models and practice settings. Reflect on how nursing practice is transforming in response to the current demands of the healthcare system and answer one of the following questions:

  1. What differentiates the practice of a master’s-prepared nurse compared to that of a baccalaureate-prepared nurse?
  2. What is the value of a master’s degree in nursing?
  3. What do you consider to be the most essential professional competency for a master’s-prepared nurse practicing in the 21st century?

Refer to AACN Essentials, Chamberlain University Nursing Conceptual Framework and other scholarly sources. Use at least one outside scholarly article to support your position. Provide an example to illustrate an application to professional practice.

Nursing

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