ARTICLE

/in /by

Check the file

Discussion week 5

/in /by

Week 5 Discussion: Gastrointestinal Alterations (USLOs 1, 2, 3, 4)

You are caring for 39-year-old Kali Kim-Collins who arrived for follow-up care at her primary physician's office after being discharged from the emergency department with peptic ulcer disease. Mrs. Collins went to the emergency department after experiencing severe gastric pain for three days. She reported the pain was relieved after eating.

Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of peptic ulcer disease, respond to the following prompts:

1. Thoroughly explain the pathophysiology of peptic ulcer disease. Use a 
scholarly or 
authoritative source to support your answer.

2. Examine each of the following three factors related to this disease process. 
Support all three with a scholarly source.

1. cultural

2. financial

3. environmental implications

3. Identify 3-5 priority nursing interventions for the client after discharge home.

4. Describe labs and diagnostic testing you would anticipate monitoring for the client upon follow-up with her PCP. What are critical indicators? 
Support with a scholarly source.

5. What members of the interdisciplinary team need to be included for holistic patient-centered care? 
Provide a rationale and support with a scholarly source.

ASSESSING THE GENITALIA AND RECTUM

/in /by

 

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

  • Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  • Analyze the objective portion of the note. List additional information that should be included in the documentation.
  • Is the assessment supported by the subjective and objective information? Why or why not?
  • Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
  • Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

Gas Exchange

/in /by

 

Mr. Nguyen is a 58-year-old patient that had septic shock and developed Acute Respiratory Distress Syndrome. He is orally intubated and on a mechanical ventilator. He is paralyzed and sedated.

  • What manifestations might you observe for a patient with ARDS?
  • What complications can Mr. Nguyen develop from being mechanically ventilated?
  • List priority nursing interventions to prevent complications associated with ventilatory support.
  • What interventions can be implemented specifically to prevent the development of Ventilator Acquired Pneumonia (VAP)?
  • You are orienting in the ICU, the nurse you are working with is not implementing the VAP interventions. What would you do?

SOAP note iron deficiency Anemia

/in /by

Please see the attachment for the instructions

Discussion Post

/in /by

 What do you think nursing contributes to health care? How can a robotic system incorporate the clinical judgment that nurses use? Be as creative as you wish! 

If you can, listen to the following audio clip from National Nurses United’s “Insist on a Registered Nurse” campaign:

https://soundcloud.com/national-nurses-united/radio-ad-robocare

While this is an attempt at humor about a serious situation, it drives a fundamental question: What would health care be without nurses?

Minimum of 250 words. 

Discussion/Conclusion

/in /by

 

The discussion section is a place to highlight the successes and the challenges that may be experienced through the process of implementing the proposed intervention and the results of the anticipated and unanticipated outcomes. Should end with clear and data-driven conclusions and implications. You should highlight the lessons learned, including next steps for future investigations and challenges to the proposed intervention. Include implications of policy, education, practice, research and/or management as applicable.

Cite any sources in APA format.

WEEK 8 MSN 5300

/in /by

 

An important part of building evidence-based practice is the development, refinement, and use of quality diagnostic tests and measures in research and practice. Discuss the role of sensitivity and specificity in accuracy of a screening test?

Please include 400 words in your initial post with two scholarly references .

Attached you can find the rubric to following 

REGULATION FOR NURSING PRACTICE

/in /by

REGULATION FOR NURSING PRACTICE STAFF DEVELOPMENT MEETING

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

Resources:

· Milstead, J. A., & Short, N. M. (2019). 
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.

· Chapter 4, “Government Response: Regulation” (pp. 57–84)

· American Nurses Association. (n.d.). 


ANA enterprise

Links to an external site.
. Retrieved September 20, 2018, from http://www.nursingworld.org

· Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). 

Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary careLinks to an external site.
. 
Nursing Outlook, 65(6), 761–765.

· Halm, M. A. (2018). 

Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing


 Download Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing
. 
Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291

·

National Council of State Boards of Nursing (NCSBN)Links to an external site.
. (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm

· Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). 

The impact of nurse practitioner regulations on population access to careLinks to an external site.
. 
Nursing Outlook, 66(4), 379–385.

· Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). 

mHealth: Don’t forget all the stakeholders in the business caseLinks to an external site.
. 
Medicine 2.0, 4(2), e4.

To Prepare:

· Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.

· Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

· Describe the differences between a board of nursing and a professional nurse association.

· Describe the board for your specific region/area.

· Who is on the board?

· How does one become a member of the board?

· Describe at least one state regulation related to general nurse scope of practice.

· How does this regulation influence the nurse’s role?

· How does this regulation influence delivery, cost, and access to healthcare?

· If a patient is from another culture, how would this regulation impact the nurse's care/education?

· Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).

· How does this regulation influence the nurse’s role?

· How does this regulation influence delivery, cost, and access to healthcare?

· Has there been any change to the regulation within the past 5 years? Explain.  

· Include Speaker Notes on Each Slide (except on the title page and reference page)

Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.