Monthly Archives: May 2023

Task

Patient Education

a. Create a lesson pertaining to caring for a patient with COPD who is from another culture.

b. Discuss potential barriers and solutions

c. Address learning evaluation methods.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

Discussion Question 1

Consider a 12-year-old and 75-year-old have one of the following illnesses:

·  COPD

·  Asthma

·  Heart Failure

·  Cancer

·  Describe the chronic illness trajectory for the selected illness based on the patient’s age.

·  How does the chronically ill patient’s illness trajectory influence the nursing plan of care?

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the  University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

Topic: Nursing and Non-Nursing Theory        

The future of healthcare is focused upon improving patient outcomes and patient satisfaction. Through the application of research studies and theory, evidence based practice development will lead the profession of nursing into the future whereby knowledge and skills support the practice of providing quality care.

Locate one nursing theory and one non-nursing theory. Describe how two practitioners can bring these separate theories together to provide meaningful patient care.

Translation Models

Diabetes is an international crisis and considered to be one of the Global Burden Diseases (The U.S. Burden of Disease Collaborators, 2018). In the primary care setting, translating the evidence of preventing Diabetic Foot Ulcers is done by introducing self-care education to primary care patients with a transitional Model. Almost 1/3 of people with diabetes acquire foot ulcers, and of these ulcers, 3/4 are avoidable (Bus & Van Netten, 2016). Therefore, it is incredibly essential to translate this evidence into action to prevent foot loss by amputation and, ultimately, early mortality. The Knowledge to Action Model (KTA) is used to translate all the evidence-based research knowledge on diabetic foot care into action in the clinic setting. KTA has two main components, “Knowledge Creation” and the “Action Cycle.” Using KTA, we already have numerous research available on diabetic foot care, funneled to identify a knowledge gap or problem. Knowing the problem, we must implement the second phase, which has seven stages called the Action Cycle. It can be continuous and go in either direction if necessary.

Stage One: The problem of poor diabetic foot care education on one-third of diabetics has been identified, and a knowledge gap exists between patients and caregivers.

Stage Two: The local setting of primary care with a high population of Hispanic patients with diabetes.

Stage Three: One of the possible barriers to this self-care program will be staffing and proper nurses’ training as educators. Also, the time it takes to teach patients. Another obstacle will be the patient’s willingness to learn and perform appropriate foot care daily.  This project’s facilitators will be the primary care providers and management at a micro, meso, and macro-level. The facilitators would help ensure proper staffing and more time allotted in the clinic for foot care sessions during diabetic visits.

Stage Four: Implement the project by educating nurses on diabetes and its effect on the body. The second part of implementation would be having the nurses teach foot care to Hispanic Diabetic patients at every visit. Using a transtheoretical Change Model at this stage would be appropriate.

Stage Five: In this stage, we would monitor the nurses’ knowledge using surveys and observation. We would measure the patients learning with a teach-back method and questionnaire.

Stage Six: Evaluating the outcomes might take a little longer to see results. Still, we should assess feedback from the nurses, podiatrist providers, and patients on the knowledge and care provided through surveys and questionnaires.

Stage Seven: This stage is not a final step but rather a step where knowledge is sustained with continuous updates and reassessments. This stage would keep the program fresh, and the key stakeholders would play the role of being receptive to the new norm and not become disengaged.

The resources needed for this project would be a clinical educator to train nurses on the effects and care of diabetic patients, mostly on foot self-care: foot care literature, handouts, and a small foot care kit for patients.  The kit would consist of a lotion, liquid soap, Emory boards, monofilament, and a mirror. This kit would cost about 12-15 dollars per unit. Key stakeholders such as pharmaceutical companies or diabetic organizations and community leaders would be instrumental in funding each diabetic patient with a self-care kit.

References

Bus, S. A., & van Netten, J. J. (2016). A shift in priority in diabetic foot care and research: 75% of foot ulcers are preventable. Diabetes/metabolism research and reviews, 32 Suppl 1, 195–200. https://doi.org/10.1002/dmrr.2738

The U.S. Burden of Disease Collaborators. (2018). The state of U.S. health, 1990–2016 burden of diseases, injuries, and risk factors among U.S. states. JAMA, 319(14), 1444–1472. https://doi.org/10.1001/jama.2018.0158 (Links to an external site.)

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

 Using the attached worksheet (Study Identification worksheet), 

• Using  the knowledge gained during your preparation and the flowchart at the  bottom of the Worksheet, you will review the pdfs of the 10 studies  linked below.
• Identify each study as follows by highlighting your choice on the document: 
• Is it a primary study, a secondary study, or “other” (neither)?
• If a primary study, is it quantitative or qualitative? (If it is not a primary study, leave the last two columns blank.)

 Give a narrative about what you are doing in the body from the pathogen’s( amoeba) point of view. How did you get into the body? In other words, how did the body inherit you? How do you move through the body? What path of destruction are you on? How will you wage battle against the body? How do you plan to win that battle? What will the body try to do to stop you? How will you fight back? Who wins? 

Use a scholarly article and cite APA format.

CASE STUDY #2 

Chief Complaint: “I have pain in my belly”

History of Present Illness (HPI): A 25-year-old female presents to the emergency room (ER) with complaints of severe abdominal pain for 2 weeks . The pain is sharp and crampy It hurts if I run, sit down hard, or if I have sex

PMH: Patient denies

Drug Hx: Birth control

Allergies: NKA

Subjective: Nausea and vomiting, Last menstrual period 5 days ago, New sexual partner about 2 months ago, No condoms, he hates them No pain, blood or difficulty with urination

Objective Data:

PE: B/P 138/90; temperature 99°F;  (RR) 20; (HR) 110, regular; oxygen saturation (PO2) 96%; pain 5/10 

General: acute distress and severe pain

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

Lungs: CTA AP&L

Card:S1S2 without rub or gallop

Abd: INSPECTION: no masses or thrills noted; no discoloration and skin is warm to; no tattoos or piercings; abdomen is nondistended and round
• AUSCULTATION: bowel sounds (BS) are normal in all four quadrants, no bruits noted
• PALPATION: on palpation, abdomen is tender to touch in four quadrants; tenderness noted on light palpation, deep palpation reveals no masses, spleen and liver unremarkable
• PERCUSSION: tympany heard in all quadrants, no dullness noted in abdominal area

GU: • EXTERNAL: mature hair distribution; no external lesions on labia
• INTROITUS: slight green-gray discharge, no lesions
• VAGINAL: normal rugae; moderate amount of green discharge on vaginal walls
• CERVIX: nulliparous os with small amount of purulent discharge from os with positive cervical motion tenderness (CMT)
• UTERUS: ante-flexed, normal size, shape, and position
• ADNEXA: bilateral tenderness with fullness; both ovaries without masses
• RECTAL: deferred
• VAGINAL DISCHARGE: green in color

Ext: no cyanosis, clubbing or edema

Integument: intact without lesions masses or rashes

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.

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

This assignment should only be completed after you have posted the video: SEE ATTACHED VIDEO LINK: Substance Seeking Behavior therapy video

VIDEO LINK: https://youtu.be/whKPtou5rgI

Your reflection should address all of the following questions between 750 to 950 words. Appropriate spelling, grammar, and punctuation required. Complete sentences are expected. All writing should be in your own words. Use APA references as needed to support your ideas; there is no requirement on number of references to include. Be sure to use APA format.

SEE VIDEO in order to complete this assignment, and also See the attached assignment example for references.

1. Which skills did you use in the section? How?
2. How did the assigned Corey readings, PowerPoints, Handouts, and videos inform your therapy session? Please explain in detail.
3. What were your strengths in the interview?
4. What were your weaknesses/areas in need of further development in the interview?
5. How could you improve your interviewing skills? Are there steps you plan on taking? What are those steps?
6. Was there any time when you felt stuck or uncertain how to respond? Describe what was happening then. Were there times you felt more confident in your responses with the client? Times you were less confident? How? Does this come through in the session?
7. How were you impacted by the client…your emotions, thoughts, physical reactions, transference, and countertransference, body language?
8. What was your overall response to the interview? Did you feel connected to the client? Distracted? Disengaged?
9. What was the quality of your engagement, your empathy?
10. If you were to continue seeing this particular client, what future directions would you take? How would you conceptualize the case and what would be some of your treatment goals? How would you pursue these goals?

In relation to your partner:

1. What were the partners strengths in the interview?
2. What were the partners weaknesses/areas in need of further development in the interview?
3. How could your partner improve his/her interviewing skills?

Please, see also the attached assignment example for references.

Background: I live in South Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.

Prepare a two to three page written assignment that includes the following:

Content:

Prepare a two to three page written assignment that includes the following:

• Introduction to the assignment (sections of the assignment)
• Describe the importance of the code of ethics in nursing
• Identify the American Nurses Association Standards of Practice for the licensure you are obtaining (LPN or RN)
• Conclusion (reflect on the criteria of the assignment)
• Use at least two credible resources to support your findings. For example, one of the resources could be the ANA Standards of Practice, and another resource could be the ANA Code of Ethics. These resources must be integrated into the body of your paper using at least two in-text citations. Be sure to use proper APA format and style.

Format:

• Two to three page written assignment
• Standard American English (correct grammar, punctuation, etc.)
• Logical, original, and insightful
• Professional organization, style, and mechanics in APA format

Select two clients you observed or counseled this week during a group therapy session for CHILDREN AND ADOLESCENT Note: The two clients you select must have attended the same group session. 

Then, address in your Practicum Journal the following:

• Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session.
• Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for each client.
• Explain any legal and/or ethical implications related to counseling each client.
• Support your approach with evidence-based literature.