POSTTRAUMATIC STRESS DISORDER
See attachment for instructions
See attachment for instructions
Chamberlain
Preparing the Discussion
Using the readings from this week as well as reliable outside resources to:
1. Identify and describe practice barriers for all four APNs' roles in your state FLORIDA and discuss these barriers on a state and national level. The four roles include the nurse midwife, nurse anesthetist, nurse practitioner, and clinical nurse specialist.
2. Identify forms of competition on the state and national level that interfere with APNs' ability to practice independently.
3. Identify the specific lawmakers by name at the state level (i.e., key members of the state's legislative branch and executive branch of government)
4. Discuss interest groups that exist at the state and national levels that influence APN policy.
5. Discuss methods used to influence change in policy in forms of competition, state legislative and executive branches of government, and interest groups.
6. A scholarly resource must be used for EACH discussion question each week.
One of the key points of learning from experience is to reflect on what you did. Reflect on the selection of your topic and question. Answer the following questions in a document of between 250 and 500 words. Save your response as a word document and include a 7th edition APA cover page. Upload the document to complete the assignment. Do not cut and paste from any document of quote from any source. This is a reflection on your own experiences, so you should not need to do this.
A. What options do you have for finding literature?
B. How can you judge which literature is most credible?
C. Is your literature search complete? Yes my article search is complete as it has been approved by the Pamela Wright.
Arrange an appropriate time and setting with your volunteer “patient” to perform a skin, hair, and nails examination.
Download and review the Skin, Hair, and Nails Student Checklist and Key Points, provided in this week’s Learning Resources, and review the Seidel’s Guide to Physical Examination online media.
Perform the skin, hair, and nails examination, covering all of the areas listed in the checklist.
Remember to always explain what you’re doing to the patient and ensure they’re comfortable throughout the examination.
Read pages 460-461 of your textbook to learn more about the challenges of long-term care. Based on what you have learned so far (1) Why is important and challenging to offer insurance for long-term care? (2) What kind of solution you can think of to increase value and/or reduce costs in long-term care? (3) Are there any type of organizations (think ACOs, etc) be able to offer these services at a low cost that would allow insurers to participate in this market?
For this assessment, you will create a 5-7 slide PowerPoint presentation about a population health improvement plan. You will then record a video of no more than five minutes presenting your PowerPoint.
Master’s-level nurses need to be able to think critically about the evidence, outcomes data, and other relevant information they encounter throughout their daily practice. Often the evidence or information that a nurse encounters, researches, or studies is not presented in the exact context of that nurse’s practice. A key skill of the master’s-level nurse is to transfer evidence from the context in which it was presented and apply it to a different context in order to maximize the benefit to patients in that new context.
Master’s-level nurses need to be able to think beyond the bedside. It is important to be able to research, synthesize, and apply evidence that will result in improved health outcomes for the communities and populations that are part of your care setting. Improving outcomes at a community or population level, even incrementally, can create noticeably significant, aggregate health improvements for patients across all of a care setting.
Your organization has created an initiative to improve one of the pervasive and chronic health concerns in the community. Some examples of possibilities for health improvement initiatives include type 2 diabetes, HIV, obesity, and communicable diseases. You will need to do your own research to gather and evaluate the relevant data for your chosen issue.
Once you have created a presentation for the initiative, you have been asked to present to a group of community stakeholders. The purpose of your presentation is to inform and enlist support for the initiative from your audience.
The optional Evidence-Based Population Health Improvement Plan Presentation Template [PPTX] is provided to help you prepare your slides. If you choose to work without the template, consider referring to Creating a Presentation: A Guide to Writing and Speaking and Guidelines for Effective PowerPoint Presentations.
The suggested headings for your presentation are:
In your presentation, you will:
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Week 3: Problem-Focused SOAP Note
Criteria Ratings Pts
This criterion is linked to a
Learning Outcomes
(Subjective)
2.5 pts
Accomplished
Symptom analysis is well organized, with C/C,
OLD CART, pertinent negatives, and pertinent
positives. All data needed to support the
diagnosis & differential are present. Is
complete, concise, and relevant with no
extraneous data.
2.5 pts
This criterion is linked to a
Learning Outcome
(Objective)
2.5 pts
Accomplished
Complete, concise, well organized, well
written, and includes pertinent positive and
pertinent negative physical findings. Organized
by body system in list format. No extraneous
data.
2.5 pts
This criterion is linked to a
Learning Outcome A
(Assessment)
2.5 pts
Accomplished
Diagnosis and differential dx are correct,
include ICD code, and are supported by
subjective and objective data.
2.5 pts
This criterion is linked to a
Learning Outcome (Plan)
2.5 pts
Accomplished
The plan is organized, complete and supported
with 2 evidence-based references. Addresses
each diagnosis and is individualized to the
specific patient and includes medication
teaching and all 5 components: (Dx plan, Tx
plan, patient education, referral/follow-up,
health maintenance).
2.5 pts
Total Points: 10
Use the template that I gave you before. The first page needs blank for cover sheet.
Diagnoses is R300; Dysuria. Needs ICD 10 codes for differential dx,
CPT codes for labs and procedures such as UA, Urine culture and sensitivity, physical
examination etc Do not paste and copy all (it needs paraphrasing). Research a lot for
patient education, pertinent positive and pertinent negative, non-pharmacologic
treatment etc. APA 7 format. I can give you five days to complete it.
Patient initial: J. V.
Patient DOB: 1963 Sex: F
SUBJECTIVE:
Chief Complaint:
History Of Present Illness:
-Patient is seen today for flank pain and dysuria
Medical History:
COVID pos 5/7/22
anemia
UTI, pyelonephritis s/p hospitalization w/sepsis
Mx kidney stones
Varicose Veis
Scoliosis
Surgical History:
Lithotripsy 2020
Gynecological History:
G5P5A0
denies h/o abnormal pap or mammo
Family History:
M: dementia, lupus, hypothyroid
F: varicose veins
Social History:
-single
-lives with children
-works as food service worker HMH
-denies tobacco
-denies ETOH
-denies recreational drugs
Smoking Status: Never Smoked
Allergies:
Macrobid; ; Dizziness
Morphine; ;
Current Medications:
Currently not taking medications
Review of System:
Constitutional: #fatigue#
Patients deny weight change, fever, chills, weakness, sleep changes, appetite changes.
Head: Patient denies headache.
Neck: Patient denies abnormal masses, neck stiffness.
Eyes: Patient denies vision loss, blurring, discharge, excessive tearing, dryness.
Ears: Patient denies hearing loss, tinnitus, vertigo, discharge, pain
Nose: Patient denies rhinorrhea, stuffiness, sneezing, itching.
Mouth: Patient denies ulcers, bleeding gums, taste problems.
Throat: Patient denies throat pain, difficulty swallowing,
Cardiovascular: Patient denies chest pain, chest pressure, palpitations, DOE,
orthopnea.
Respiratory: Patient denies shortness of breath, cough, increased sputum, hemoptysis.
Gastrointestinal: Patient denies nausea, vomiting, heartburn, dysphagia, diarrhea,
constipation, melena, abdominal pain, jaundice, hemorrhoids.
Genitourinary: #R flank pain, dysuria, increased frequency#
Patient denies abnormal urgency, hesitancy, incontinence, hematuria, nocturia, stones.
Musculoskeletal: Patient denies arthralgias, joint stiffness, myalgias, muscle weakness,
instability and abnormal range of motion
Integumentary (Skin and/or Breast): Patient denies rash, changes in hair, changes in
nail, pruritus
Neurological: Patient denies headache, syncope, seizures, vertigo, ataxia, diplopia,
tremor, numbness, tingling.
Psychiatric: #insomnia#
Patient denies depression, mood abnormalities, anxiety, memory loss, appetite
changes
Endocrine: Patient denies sensitivity to cold or heat, polyuria, polydipsia.
Hematologic/Lymphatic: Patient denies bleeding, bruising, lymphadenopathy.
GYN: Patient denies abnormal bleeding, changes in menstrual cycle, hot flashes.
OBJECTIVE:
Vital Signs:
Height: 64.50 in
Weight: 139.40 lbs
BMI: 23.56
Blood Pressure: 135/78 mmHg
Temperature: 98.60 F
Pulse: 86 beats/min
Physical Exam:
Constitutional:
WD, WN, Alert, Oriented X3 in NAD. Affect appropriate. Gait normal.
Eye: PERRLA, EOMI, nl conjunctiva
Ear: No pinnea/tragal tenderness. Drums are visualized, no wax in canals
Nose: N1 mucosa. N1 Nasal septal walls and turbinates.
Mouth: N1 bucal mucosa, no lesions noted.
Throat: Clear, no erythema or exudates.
Neck: supple, no masses. No thyromegaly. Trachea is midline. N1 carotid auscultation.
No JVD
Cardiovascular: RRR, N1 S1 and S2, No cardiac murmurs, rubs or gallops.
Lungs: ctab, no wheezes, rhonchi or crackles
Chest/Breasts: 4/12/22: #L breast 3 o clock lumpiness, ttp#
Gastrointestinal (Abdomen): soft, nt, nd, bs(+). No palpable masses.
Genitourinary: #R flank CVAT#
Lymphatic: -No LAN noted
Musculoskeletal: #ttp over medial aspect of L knee with preserved ROM with small
healed 1 x1 cm scar from abrasion#
strength symmetrical and wnl. No muscle weakness or stiffness. No joint effusion
Skin: #callus noted between 4th and 5th metatarsal on L foot#
Normal color and texture.
Extremities: #varicose veins R greater than L#
Warm, no clubbing, cyanosis or edema. N1 DP/PT pulses bilaterally
Neurological/Psychiatric: CN I-XII intact, neurosensory wnl, strength (5/5), (2+) DTR
UE/LE bilaterally
-Judgment and insight intact
Imaging: 9/21/22 arterial u/s neg
ASSESSMENT:
Diagnosis:
ICD-10 Codes:
1)M545; Low back pain
2)R300; Dysuria
3)R946; THYROID ABNORMAL RESULT
4)D649; Anemia, unspecified
5)R5383; Fatigue
PLAN:
Procedures:
1) 99215; Comprehensive
2) 99401; 15 min
3) 99000; Handling of specimen from doctor to lab
4) 81002; Urinalysis/Dip
Orders:
1) 5463; UA complete (lab order)
2) 395; UCX (lab order)
Medications:
Augmentin 500-125 MG Oral Tablet; Take 1 tablet orally every 12 hours; Qty: 14;
Refills: 0
Care Plan:
.
***recurrent UTI, h/o pyelo and sepsis- last UCx 4/12/22 showed 100K E coli resistant to
cipro and levaquin. Pt reports 2 day h/o R flank pain, dysuria, frequency and fatigue.
Tried Macrobid in the past which caused severe dizziness.
-UA 12/23/22 pos for leukocytes
-send out Ucx 12/23/22
-Rx Augmentin 500/125mg bid x7 days, r/b d/w pt
-ER precautions over holiday weekend
-referred to uro given recurrent UTI and high-risk history
***abnormal TSH- noted on labs 4/19/22. TSH 0.266 unsure if ever discuss
-reordered TSH 12/23/22
**fatigue- h/o anemia. pt reports hgb dropped to 9 once, donates blood occasionally. per
pt took iron in the past. no overt bleeding 4/19/22 cbc and irons normal. Pt requesting
again to check
-ordered iron panel, ferritin 12/23/22 per pt request
***elevated B12- 4/19/22 B12 level over 1500
-discuss nv, but will need to stop any supplementation
***L knee pain- fell and landed on L knee. worsen with prolonged standing. Reports she
had same pain on R knee and had steriod injection, which resolved it. On PEX, ttp over
medial aspect of L knee with preserved ROM with small healed 1 x1 cm scar.
-on 8/8/22 spoke to pt regrading her L knee x ray. MRI is recommended given that she
sustained a trauma to her knee and has radiologic findings of possible soft tissue injury.
She is in significant pain, takes Ibuprofen, reports difficulty with ambulation. Pt states
that she tried to make appt with ortho and radiology, but no slots were available anytime
soon.
-Needs MRI. Can either order or she can see ortho and do it with them. I was able to
arrange an appt for her to see Dr Panosyan tomorrow at 1:30.
***varicose veins, bil leg pain- to b/l LEX, R greater than L, chronic. c/o occasional
aching. prolonged standing and walking at work. 9/21/22 arterial duplex neg
-Ordered venous u/s 8/3/22
-referred to vein specialist 4/12/22 and 8/3/23
Plan Notes Continued: .
***Tinea cruris bilaterally – noted on PEX on 10/26/22
-Rx ketoconazole 2% cream top bid x 2wks, r/b, d/w pt
***Callus- Pt reports painful, itchy lesion in between 4th and 5th metatarsal. Works long
hours on her feet. Pt reports she has new shoes and tried OTC counter products with
no relief. Admits to trying her son's salicylic acid acne med on lesion. On PEX, small,
hardened callus is noted.
-Referred to podiatry on 10/26/22
***insomnia- chronic. has failed melatonin and hydroxyzine 50 mg. also took Ambien
5mg prn in past
-cont w/caution
Patient Instructions: .
-Pt has been instructed to take medications as prescribed
-Pt received education on compliance with medications and recommendations
-Pt received counseling regarding Medication Side Effects
-Pt received counseling on following a well-balanced healthy diet with veg, fruit and
fiber.
-Pt was instructed to do CV exercise at least 3-4 times every week for 30 minutes.
-Pt received counseling regarding stress management
PHCM: .
58 yo F:
-annual PEX: done 4/12/22–next due 4/12/23
-annual labs: done 4/19/22 unsure if ever discussed
-cervical CA screening: referred to gyn 4/12/22
-breast CA screening: dx mammo L breast u/s ordered 4/12/22
-colon CA screening: referred to GI 4/12/22
-skin CA screening: referred to derm 4/12/22
Immunizations:
-influenza: fall 2021
-tetanus: unsure, rec 4/12/22
-shingrix: rec 4/12/22
-COVID: Pfizer 5/2021, 6/2021, booster 3/2022
Do you believe you have the traits to be an effective leader? Perhaps you are already in a supervisory role, but as has been discussed previously, appointment does not guarantee leadership skills.
How can you evaluate your own leadership skills and behaviors? You can start by analyzing your performance in specific areas of leadership. In this Discussion, you will complete Gallup’s StrengthsFinder assessment. This assessment will identify your personal strengths, which have been shown to improve motivation, engagement, and academic self-conference. Through this assessment, you will discover your top five themes—which you can reflect upon and use to leverage your talents for optimal success and examine how the results relate to your leadership traits.
To Prepare:
Complete the StrengthsFinder assessment instrument, per the instructions found in this Module’s Learning Resources.
Please Note: This Assessment will take roughly 30 minutes to complete.
Post a brief description of your results from the StrengthsFinder assessment. Then, briefly describe two core values, two strengths, and two characteristics that you would like to strengthen based on the results of your StrengthsFinder assessment. Be specific. Note: Be sure to attach your Signature Theme Report to your Discussion post.
Week 4
Skin Comprehensive SOAP Note Template
Patient Initials: _______ Age: _______ Gender: _______
SUBJECTIVE DATA:
Chief Complaint (CC):
History of Present Illness (HPI):
Medications:
Allergies:
Past Medical History (PMH):
Past Surgical History (PSH):
Sexual/Reproductive History:
Personal/Social History:
Health Maintenance:
Immunization History:
Significant Family History:
Review of Systems:
General:
HEENT:
Respiratory:
Cardiovascular/Peripheral Vascular:
Gastrointestinal:
Genitourinary:
Musculoskeletal:
Neurological:
Psychiatric:
Skin/hair/nails:
OBJECTIVE DATA:
Physical Exam:
Vital signs:
General:
HEENT:
Neck:
Chest/Lungs:.
Heart/Peripheral Vascular:
Abdomen:
Genital/Rectal:
Musculoskeletal:
Neurological:
Skin:
Diagnostic results:
ASSESSMENT:
PLAN:
This section is not required for the assignments in this course (NURS 6512), but will be required for future courses.
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***This assignment utilizes TurnItIn. When you submit this assignment to the assignment drop box, it will automatically be submitted to TurnItIn. You will receive an Originality Score along with an Originality Report that should be carefully reviewed. If revisions need to be made to your assignment, you will be able to make additional submissions, and you will quickly receive updated Originally feedback. It is important to plan ahead so that you have enough time to review your originality feedback and make any revisions to your assignment
before the final due date. Please see instructions for using TurnItIn in the Course Welcome module under Useful Resources.
How many submissions to TurnItIn are allowed?
· For 3000 level courses, you will be allowed a total of three (3) submissions to TII (original plus 2 additional)
· For 4000 level courses, you will be allowed a total of two (2) submissions to TII (original plus 1 additional) (excluding elective courses LDR 4400, NSG 4310, NSG 4410, NSG 4430)
· For elective courses, you will be allowed a total of three (3) submissions to TII (original plus 2 additional)
NOTE: If you must submit your assignment
AFTER the due date, please refer to the RN to BSN Late Assignment Policy in the Syllabus for questions related to a request to submit a late assignment.
Assignment Instructions:
· Review the case study scenario below and the client's family history and medical profile information from unit 1.
· Next, write a 6-8-page paper analysis of the client (including title and reference page) according to the assignment specifications, outline, and grading rubric.
Case Study 2 Scenario:
Client, William Collins, arrived to the emergency room for an exacerbation of Chronic Obstructive Pulmonary Disease (COPD). The emergency department nurse enters the triage room to find Mr. Collins sitting at the side of the bed leaning forward with both arms on the bedside tray. He complains he is having shortness of breath that he is unable to control with his usual medications. His son is with him at the bedside because his wife is unable to come with him due to dialysis.
Case Study Analysis Assignment Outline:
The case study analysis paper should include the following sections with responses and rationales for all the prompts.
Introduction (3-5 paragraphs)
Provide an overview of the pathophysiology of the disease exhibited by the client. Include:
· What additional assessment findings would you look for?
· What lab abnormalities would you expect to see?
· What diagnostics would you anticipate the healthcare team ordering?
· Provide a rationale for your answers.
Implications for Self-Care (2 paragraphs)
· Consider Maslow’s hierarchy of needs and describe where the client falls in that hierarchy and how this will impact care and healing.
· How does this disease process impact the client’s and/or their care provider’s ability to care for themselves?
Patient Education Strategy (2-3 paragraphs)
· Identify 3-5 appropriate nursing interventions and teaching points for your client based on the pathophysiology and assessment findings.
· Describe the educational strategies that should be incorporated when building a plan of care for your client.
· Support with rationale.
Interdisciplinary Collaboration (2-3 paragraphs)
· Identify 2-4 interdisciplinary team members who need to be included in the care of the client. Include rationale.
· Consider the care the client will need while inpatient and upon discharge.
· Consider nutrition, community services, and financial implications.
Conclusion
· Summarize the key concepts of this disease process and client case study scenario.
References
· A minimum of three references should be used in this paper.
· References should be no more than five years old.
Exceptions include seminal works, such as original publications by nurse theorists.
· One reference must be your textbook,
· One reference must be from a peer-reviewed journal,
· One reference must be from an authoritative website such as the CDC, NIH or Healthy People 2030.
Assignment Specifications:
· Name the paper with a File Naming Protocol: When you save the paper, name it: LastName_NSG 3300_CaseStudyAnalysis_1.docx
· Paper reflects clinical and professional client/cases, and no references to personal or family issues.
APA Formatting
· All papers should be written in APA formatting. This paper should include:
· Formal components, such as a title page, and APA formatting with an introductory and conclusion paragraph that summarizes the key concepts
· APA-formatted
level headings
· APA margin, font, and paragraph spacing
· Include page numbers
· Appropriate in-text reference citations
· A reference page, in correct APA format
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