Monthly Archives: May 2023

Go to the link https://www.thinkculturalhealth.hhs.gov/clas/standards (Links to an external site.).

View the National Culturally and Linguistically Appropriate Services Standards (CLAS) categories aimed at equity and quality care (HHS, n.d.). Notice how these standards overlap with many of the expectations and standards in professional nursing practice!

• In what ways are you and your peers using these standards in your areas of nursing practice?
• Discuss one nursing action you might incorporate to improve cultural competence in your organization.

Reply to this discussion post…

An issue in my organization in addressing a solution to evidence based practice is time constraints. he hospital I am employed at has been having problems with nurse retention. There is a high turn over of nurses. This makes it difficult to look into evidence based practice  that are continuing to be introduced within the organization. Lack of enough staff leads high nurse-patient ratio the work load does not allow nurse the time to access the research available. Heavy work loads leads to fatigue, frustration and even resistance to changes. By the end of a long work day the nurses just want to go home relax and prepare to return the next day and start all over again. 

The first step in addressing nurse shortage is hiring and offering competitive compensation packages that will help retain staff. Once this is achieved the organization will increase employee satisfaction and improved patient outcomes.

WEEK 6

This week discussion involves a 68 -year-old Caucasian male who complained of burning when urinating.  He admits to the pain increasing with the more he urinates and it has been going on for the past 5 days.  His past medical history includes prostatic hyperplasia, high cholesterol and hypertension. The medications he is prescribes are Olmesartan 20mg and Crestor 20 mg. He has been diagnosed with nocturia and dysuria. The subjective data I would inquire is his diet. How much water does he consumes daily? Was there an odor present when urinating?  Due to your history of UTI’s, are you taking any probiotics as needed and were you prescribed with antibiotics, if so, how long? With his systolic Blood pressure in the 150’s, when is the last time you took the Olmesartan. Did the fever occur before or after the Burning started, and did you take any acetaminophen or Motrin to break it?

             The Labs that I would order is a urine culture with sensitive, CBC, BMP and lipid panel. A kidney, ureter, and bladder (KUB) X-ray may be performed to assess the abdominal area for causes of abdominal pain, or to assess the organs and structures of the urinary and/or gastrointestinal (GI) system. A KUB X-ray may be the first diagnostic procedure used to assess the urinary system.

           A few diagnoses that can relate to the symptoms will include Bladder infection. They are the most common type of urinary tract infection caused by bacteria and can lead to problems like pain in your lower belly and having to pee way more often than usual (Rhoads, 2021). Symptoms may include Pain in the bladder, groin, lower abdomen, or pelvis that can occur during urination or during sexual intercourse.  The body may experience fatigue, fever, or malaise. Chronic Kidney Disease is a condition in which the kidneys are damaged and cannot filter blood as well as they should. Because of this, excess fluid and waste from blood remain in the body and may cause other health problems, such as heart disease and stroke (CDC,2019) CKD can cause Anemia, increased infections, abnormal electrolytes, loss of appetite or depression.

         A Kidney infection (pyelonephritis) is a type of urinary tract infection (UTI) that generally begins in your urethra or bladder and travels to one or both of your kidney. Symptoms observed in a kidney infection are Fever, Chills, Back, side (flank) or groin pain, Abdominal pain, Frequent urination, Strong, persistent urge to urinate and Burning sensation or pain when urinating.

                    Furthermore, patient teaching would include increasing intake of water and/or cranberry juice. Fluids can help remove bacteria from your body when you urinate. Kidney scarring can lead to chronic kidney disease, high blood pressure and kidney failure. When the infection remains in the blood, septicemia can occur.  Your kidneys filter waste from your blood and return your filtered blood to the rest of your body.  Urinate as soon as you need to. Avoid delaying urination when you feel the urge to urinate. It is important to empty the bladder after intercourse. Urinating as soon as possible after intercourse helps clear bacteria from the urethra, reducing your risk of infection (CDC, 2019).

References: 

Centers for Disease Control and Prevention. Chronic Kidney Disease Surveillance System website. https://nccd.cdc.gov/CKD. Accessed January 7, 2019.

Rhoads, J., & Wiggins Petersen, S. (2021). Advanced Health Assessment and Diagnostic Reasoning. Burlington, MA: Jones and Bartlett Learning. ISBN: 9781284105377

I would like to recheck 15 multiple choice questions on my study worksheet to make sure the answers are correct.  

Instructions:
Develop a teaching plan based on an assigned scenario or case. Determine what elements you would include in your assessment of the learner. Identify anticipated or expected learner needs. Select and prioritize evidence-based teaching strategies that would best meet the needs of the learner. Describe the resources you would provide to enhance learning. Explain methods that would be used to evaluate learning outcomes. Provide rationales for elements of your teaching plan supported by references from the required course reading assignments. Use the teaching plan format assigned. The competencies contained in the Teaching Plan Rubric will be assessed through this assignment.

Teaching plan paper format Total 4-6 pages 1-Title Page (APA format) 2-SBAR report on the patient(Brief and concise) 3- Begin the actual paper to include all parts on the rubric, including a conclusion. (APA format) 4- Reference page (APA format) Minimal 2-3 references including a professional organization for the illness/condition.

• Prepare a PowerPoint presentation explaining the role of the  Family Nurse Practitioner as Health Promoter based on the Health Promoter and Disease Prevention Theoretical Model. No less than 12-15 slice – cover and reference not counted to a total of slides count. Avoid plagiarism.

12-15 SLICE MORE RESUME THAN THE EXAMPLE.

I NEED ON 6 HS

I ADD AND EXAMPLE

Assignments turned in late will have 1 point taken off for every day assignment is late, after 7 days assignment will get grade of 0. No exceptions Follow the MRU Soap Note Rubric as a guide
Use APA format and must include minimum of 2 Scholarly Citations.
Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)
Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.The use of tempates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.  

1 page max discussion, please follow the guidelines from the document uploaded to answer all questions and please make sure is 100% plagiarism free, apa 7th ed., at least 2 in text citations. I need it fast the latest by Monday morning. 

A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team.

1. Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes.

2. Consider what adaptations would be necessary in each of the following four adaptive modes: (1) physiological, (2) self-concept, (3) interdependence, and (4) role function.

3. Create a nursing intervention for each of the adaptive modes to promote adaptation.

Your presentation must include the following components:

• Your Preferred/desired specialty (nurse PractitionerNurse)
• Description of the specialty
• The education required for the specialty
• Professional organizations that are available in your specialty
• The target population for the specialty, their needs, and comorbidities
• The availability of your specialty in your community and the mission of the organizations (I live in Minnesota)
• Describe and discuss culturally competent care and/or developmental competence within the client population
• Explain how each of the QSEN competencies (patient-centered care, teamwork and collaboration, evidence-based practice, informatics, quality improvement, and safety) are utilized throughout your specialty or with the target population
• Create a scenario within your specialty, include 2-3 questions for the class to answer
• Create a SMART goal related to your specialty’s main  goal

include APA reference citation as indicated

my specialty of interest is Nurse Practitioner, and live in Minnesota