Monthly Archives: May 2023

personal goal  statement

instructions from my professor:

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

 Case Study 4: S Inflammatory Bowel Disease 

The answers must be in your own words with reference to journal or book where you found the evidence to your answer. Do not copy paste or use a past students work as all files submitted in this course are registered and saved in turn it in program.

Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.  

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.

All answers to case studies must have reference cited in text for each answer and minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

Note: case study is attached

          Use APA 7th edition.

Zero plagiarism

4 references

It is estimated that more than 6% of the U.S. population will experience posttraumatic stress disorder (PTSD) in their lifetime (National Center for PTSD, 2010). This debilitating disorder often interferes with an individual’s ability to function in daily life. Common symptoms of anxiousness and depression frequently lead to substance abuse issues and even physical ailments. For this Discussion, as you examine the Thompson Family Case Study in this week’s Learning Resources, consider how you might assess and treat clients presenting with PTSD.

Learning Objectives

Students will:

• Assess clients presenting with posttraumatic stress disorder
• Analyze therapeutic approaches for treating clients presenting with posttraumatic stress disorder
• Evaluate outcomes for clients with posttraumatic stress disorder

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide.
• View the media Academic Year in Residence: Thompson Family Case Study, and assess the client in the case study.
• For guidance on assessing the client, refer to pages 137–142 of the Wheeler text in this week’s Learning Resources.

Post on or before Day 3 an explanation of your observations of the client William in Thompson Family Case Study, including behaviors that align to the PTSD criteria in DSM-5. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support your approach with evidence-based literature.

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

• Describe the project you propose.
• Identify the stakeholders impacted by this project.
• Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
• Identify the technologies required to implement this project and explain why.
• Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
• Use APA format and include a title page and reference page.
• Use the Safe Assign Drafts to check your match percentage before submitting your work.

Do you believe that a government mandate for certain issues such as prices and healthier products for low income families can eliminate these issues that the low income families are facing?

Please review the substantive posting requirements posted in the forum and announcements: When you post responses to your peers the response needs to be “substantive” to receive credit. Substantive posting criteria includes: Acknowledge what your peer stated (agree or disagree). Include additional information. End the post with an open-ended follow up question. This is important to encourage further discussion. If your post is substantive it will be marked with a badge icon. Six substantive posts are required each week to earn full participation credit. Please post twice on at least three different days of the week.

Please make up a substantive questionnaire along with this assignment

The purpose of this assignment is to make explicit to yourself (primarily) and the reader, your developing and evolving identity as a professional nurse, at this point in time. To do this you will write a personal story that is focused on your development and exemplifies your self-authorship of becoming a baccalaureate-prepared nurse. Use this assignment as a time for self-reflection as a practitioner in nursing and tell your story based on your socialization and professional development in nursing.

Criteria for the Philosophy and Vision for Nursing assignment: 

I. Journey through your development of nursing ideals, and discuss prior notions and beliefs about nursing.

• Describe where you were when you started and became socialized into nursing.
• Reflect upon what you have learned and “unlearned” regarding your notions or beliefs about nursing.
• Describe your core values, such as: moral courage, compassion, respect, integrity and how these may have changed as you moved through your journey as a baccalaureate student.

II. Looking through a new lens as a baccalaureate prepared nurse, write a personal statement that describes your philosophy and vision for nursing. This is an opportunity to craft a clear picture of your thinking with regard to your newly earned designation as a BS prepared RN:

• Identify the major values, attributes, and concepts you now embody as critical to your development as a professional in nursing.
• Examine how your philosophy of nursing either changed or strengthened as you progressed throughout the baccalaureate nursing program. Explain how these embodied values have now changed your views of nursing.
• Identify specific principles or concepts of selected nursing theories, standards of practice and/or IOM recommendations that provide a framework for your personal philosophy of nursing and clearly state what draws you to choosing and embracing them.
• Discuss your vision for the future of nursing and where you envision nursing evolving.

This assignment is approximately 3-4 pages in length. Title page, 2-level headings, citations in text, and reference list must be in APA format.

Assignment: Pharmacotherapy for Cardiovascular Disorders

…heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease…

—Murphy et al., 2018

Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.  

Photo Credit: Getty Images/Science Photo Library RF

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm

To Prepare

• Review the Resources for this module and consider the      impact of potential pharmacotherapeutics for cardiovascular disorders      introduced in the media piece.
• Review the case study assigned by your Instructor for      this Assignment.
• Select one the following factors: genetics, gender,      ethnicity, age, or behavior factors.
• Reflect on how the factor you selected might influence      the patient’s pharmacokinetic and pharmacodynamic processes.
• Consider how changes in the pharmacokinetic and      pharmacodynamic processes might impact the patient’s recommended drug      therapy.
• Think about how you might improve the patient’s drug      therapy plan based on the pharmacokinetic and pharmacodynamic changes.      Reflect on whether you would modify the current drug treatment or provide      an alternative treatment option for the patient.

By Day 7 of Week 2

• Case Study: Case:

Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:

Write a 2- to 3-page paper that addresses the following:

• Explain how the factor you selected might influence the      pharmacokinetic and pharmacodynamic processes in the patient from the case      study you were assigned.
• Describe how changes in the processes might impact the      patient’s recommended drug therapy. Be specific and provide examples.
• Explain how you might improve the patient’s drug      therapy plan and explain why you would make these recommended      improvements.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The College of Nursing Writing Template with Instructions provided at the Walden Writing Center offers an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.

Define human-made and natural disasters.  Describe the nurse leader’s role in emergency disaster planning and disaster response.

What is involved in the activation of the emergency response system? 

How will you prioritize nursing actions?

Write 200 words, and reference a professional nursing journal article within the last 5 years.  Upload your article with your post.

The U.S. Preventive Services Task Force (USPSTF) is an independent, volunteer group of national experts in prevention and evidence-based medicine that makes recommendations about clinical preventive services such as screening tests, counseling services, and preventive medications.The U.S. Preventive Services Task Force (USPSTF) is an independent, volunteer group of national experts in prevention and evidence-based medicine that makes recommendations about clinical preventive services such as screening tests, counseling services, and preventive medications. The USPSTF is made up of 16 volunteer members who come from the fields of preventive medicine and primary care, including internal medicine, family medicine, pediatrics, behavioral health, obstetrics/gynecology, and nursing. All members volunteer their time to serve on the USPSTF, and most are practicing clinicians (Oyola, 2020).

Cervical cancer screening recommendations by the USPSTF: The USPSTF recommends screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years. For women aged 30 to 65 years, the USPSTF recommends screening every 3 years with cervical cytology alone, every 5 years with high-risk human papillomavirus (hrHPV) testing alone, or every 5 years with hrHPV testing in combination with cytology (cotesting). The USPSTF found convincing evidence that screening with cervical cytology alone, primary testing for high-risk HPV types (hrHPV testing) alone, or in combination at the same time (cotesting) can detect high-grade precancerous cervical lesions and cervical cancer (Curry, 2018).

References:

Curry SJ, Krist AH, Owens DK, Barry MJ, Caughey AB, Davidson KW, Doubeni CA, Epling JW Jr, Kemper AR, Kubik M, Landefeld CS, Mangione CM, Phipps MG, Silverstein M, Simon MA, Tseng CW, Wong JB. Screening for Cervical Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2018 Aug 21;320(7):674-686. doi: 10.1001/jama.2018.10897. PMID: 30140884.

You will take on the role of a clinician who is building a health history:

CASE #2

Chief Complaint: “I have pain during intercourse and urination”

History of Present Illness (HPI): A 19-year-old female reports to you that she has “sores” on and in her vagina for the last three months.

Drug Hx: She tries to practice safe sex but has a steady boyfriend and figures she doesn’t need to be so careful since she is on the birth control pill

Subjective: states “I have sores and bumps on the inner creases of my thighs and pelvic area”. “There is yellowish discharge from the sores that comes and goes”

Objective Data: VS temperature: 100.2°F; pulse 92; respirations 18; BP 122/78; weight 156 lbs, 25 lbs overweight; height 5′3″

 General: patient appears to have good hygiene; minimal makeup, pierced ears, no tattoos; well nourished (slightly overweight); no obvious distress noted

HEENT: Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.

Lungs: within normal limits, appropriate lung sounds auscultated, clear and equal bilaterally

Card: S1S2 without rub or gallop

Breast: • INSPECTION: no dimpling or abnormalities noted upon inspection
• PALPATION: Left breast no abnormalities noted. Right breast: denies tenderness, pain, no abnormalities noted.

Lymph: Inguinal Lymph nodes: tenderness bilaterally, numerous, 1 cm in size

Abd: tender during palpation; the left lower quadrant was very tender during palpation; patient denies nausea or vomiting

GU: labia major and minor: numerous ulcerations, too many to count; some ulcerations enter the vaginal introitus; no ulcerations in the vagina mucosa; cervix is clear, some greenish discharge; bimanual exam reveals tenderness in left lower quadrant; able to palpate the left ovary; unable to palpate the right ovary; no tenderness; uterus is normal in size, slight tenderness with cervical mobility

MS: Muscles are smooth, firm, symmetrical. Full ROM. No pain or tenderness on palpation.

Neuro: No obvious deficits and CN grossly intact II-XII

THEN, answer the following questions:

1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms?
5. Give rationales for your each differential diagnosis.
6. What teachings will you provide?

*Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources