Create a Reflection document

Please read carefully the instructions.

You need to create a Reflection documen following the instructions and answering of the attached document.

complete a Reflection Document analyzing how the assignment (attached Artifact: ConcofPathophys w5

PowerPoint) demonstrates achievement of the identified

PSLO/GEC/Essential.

SEARCHING DATABASES

To Prepare:

  • Review the Resources below and identify a psychiatric clinical issue of interest that can form the basis of a clinical inquiry.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden university Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course. 

the assignment: Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples and at least 3 references.

Resources:

Due 9/26/2023….please complete comprehensive SOAP….NO PLAGARISM

  Patient: 17-year-old male with a diagnosis of testicular torsion

******Please use OLDCARTS  for the history of the present illness*****

answer everything and remove all instructions on the template

DB

due 10-11-23 at 1800 EST

APA, 3 pages, at least 3 scholarly references…. Article attached for review

Post

 a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

nursing

 Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each. 

Evidence-Based Patient-Centered Needs Assessment

Scenario

The purpose of a needs assessment is to identify priorities of a community or patient population. The findings of a needs assessment can be an extremely useful tool to help organize and plan care decisions for a specific patient or group. By conducting a needs assessment, a nurse can then use the best evidence to guide the interventions selected to meet the identified needs and improve patient engagement. 

Full instructions in attachment “Assessment 1 Instructions_Evidence-Based Patient-Centered”

professional identity

how best to define professional identity

Neurological

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

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

 

  • 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.