Monthly Archives: May 2023

  https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cdc.gov_coronavirus_2019-2Dncov_prevent-2Dgetting-2Dsick_about-2Dface-2Dcoverings.html-23-3A-7E-3Atext-3D-252D-2520Wear-2520masks-2520with-2520two-2Ctwo-2520years-2520and-2520older&d=DwMFaQ&c=LCloy78TmpONghrKKBl0Vj9frHQhDBneab3Hhpt543I&r=xotNLk1HmkMeS0WabDG6aCpPOAmkopEvLZnEi9rZBiY&m=f5Fr9zIqCiBU_y6yM6co0PAxrYwTBqzA6WJSjqASlF0&s=RqtcwrO8aW5iZVT3Gnp52rmrX4mD_m2Wq-No28unVCo&e=

https://urldefense.proofpoint.com/v2/url?u=https-3A__www.nj.gov_health_cd_topics_ncov.shtml-23-3A-7E-3Atext-3DAs-2520cold-2520weather-2520moves-2520in-2Cand-2520wash-2520your-2520hands-2520often&d=DwMFaQ&c=LCloy78TmpONghrKKBl0Vj9frHQhDBneab3Hhpt543I&r=xotNLk1HmkMeS0WabDG6aCpPOAmkopEvLZnEi9rZBiY&m=f5Fr9zIqCiBU_y6yM6co0PAxrYwTBqzA6WJSjqASlF0&s=WQs5kvuI6o5Trh5diSh-dh_4_SgcaF07DyekXuYXQ2Y&e=

Use the two links above to complete this paper.

Health Promotion Program Analysis: Review the guidelines for mask-wearing published by the Center for Disease Control (CDC) and the NJ Department of Health. Target a specific segment/culture of the population to create a program regarding mask-wearing behavior. When considering a culture or subculture, be sure to remember this could include communities like an age group, an ethnic community, a group of athletics, or a specific group of professionals.

In short, create a targeted program or campaign to address mask-wearing upon the culture/sub-culture you selected. Write a 5-page minimum paper analyzing the program by answering the following questions:

· Why was this a relevant health behavior issue? What studies support its relevance? (1 page minimum) 

· What structures would be implemented to educate and drive behavior changes in this area? (2 page minimum)

· In which setting (i.e., community, in-office, education sites) would you implement the health promotion/prevention program? What is the rationale for the selection of the setting when considering the population selected? (½ page minimum)

· What theory drove the program or study created? Why was this selected over the other theories? (1 page minimum)

· What would be your ideal ending to this program in terms of outcomes? (½ page minimum)

• Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.
• Explain why you selected these theories. Support your approach with evidence-based literature.
• Develop at least three goals and at least three objectives for the practicum experience in this course.
• Create a timeline of practicum activities based on your practicum requirements.

Module 11 Discussion – Reflection

Initial Post

Areas for reflection:

• Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency
• Describe how you achieved the transferable skill, Communication, including at least one example of new knowledge gained related to the transferable skill
• Describe how this new knowledge will impact your nursing practice.

Course Competencies

• Describe the foundations of mental health nursing.
• Explain current legal issues and social concerns in mental healthcare.
• Select appropriate nursing interventions for clients with certain cognitive, addictive and psychotic conditions.
• Evaluate nursing care strategies for clients with certain mental health/mood/personality and eating disorders.
• Assemble nursing care interventions for clients with mental health/stress related disorders.
• Identify factors that impact mental health in special populations.

Transferable Skills

Communication: Displaying capability in writing, reading and oral communication; understanding of non-verbal language.

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

1. Provide an overview of the problem and the setting in which the problem or issue occurs.
2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

Case Study

Heart Failure

Patient Profile

M.G. is a 77 year old woman who saw her health care provider for dyspnea. She is now being admitted to the hospital for acute heart failure. She was diagnosed once before with heart failure 6 years ago. She is currently taking the following medications:

Furosemide 40mg po daily

Potassium chloride 20meq po daily

Enalapril 10mg po BID

Subjective data

Was taking furosemide at home but ran out two days ago and has not been able to refill her prescription

Complains of difficulty breathing; had to “sleep in the chair” last night

Has some swelling in her feet that is worse than usual

Objective Data

Physical examination

· Temp 98.4 F, pulse 92 irreg., resp. 24 labored, blood pressure 144/86, oxygen saturation 89% on Room air

· Ht. 5’5”, wt. 170 lbs.

· Alert and oriented to person, place, and time

· Fine crackles bilateral lower lobes

· Shortness of breath with minimal exertion

· S1 and S2 without murmur or extra heart sounds

· Capillary refill sluggish in lower extremities, normal in upper extremities

· 2+ pitting edema bilateral lower extremities

Interprofessional Care

Admission orders include: 

· Oxygen 2L/ nasal cannula

· Furosemide 40mg intravenous BID

· Enalapril 10mg po BID

· ECG now

· Vital signs with SPO2 q 4 hrs

· 2 gm sodium diet

· Strict I&O

· Daily weight

Answer the following questions thoroughly and cite resources appropriately in APA format.

Describe a plan for implementing these orders. 

Based on M.G.’s clinical manifestations, what type of heart failure do you suspect? Support your answer

What assessment data will you use to determine the effectiveness of the provider’s orders?

What is the rationale for the oxygen, IV furosemide, and enalapril?

What are the priority nursing diagnoses for this patient? (list at least 3)

What other orders might you anticipate for this patient?

Think about plans for discharge, what are your primary concerns for this patient?

Any other information you need or would like about this patient?

Week 3 Contemporary Issue Position Essay

Choose a case from the AMA Journal of Ethics Case Index and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.

In your 2-3 page paper:

• Identify the issue and state your ethical position.
• How might this scenario play out or impact you in your role as a nurse practitioner? 
• Defend your position with legal, ethical, and professional evidence.
• As part of your position, propose strategies and solutions for addressing the issues.
• What other ethical issues does this case bring to light, if any?

Support your position with at least one scholarly source (it may be your text).  Be sure to cite the article you choose, use APA format, and include a title page and reference page.

Review the rubric for further information on how your assignment will be graded.

Due: Sunday, 11:59 p.m. (Pacific time)

Points: 60

video and answer 

Nursing Case study and pamphlet due 10/30/2020 

Case study

A few weeks ago you were hired as Director of Patient Education for a regional medical center

located in the Midwest. The medical center includes three community hospitals ranging from 175 to

321 beds, four outpatient clinics, and five centers of excellence. The five centers of excellence are

located at two of the hospitals and focus on heart disease, cancer care, care of the aging,

neuromuscular disorders, and women’s health.

In your position you are responsible for coordinating patient education across the medical

center, including all programs and print materials. Your staff includes three BSN-prepared nurses,

one located at each of the hospitals. As one of your initial steps in this new position, you have

completed an assessment of the current educational offerings and staff satisfaction with the quality

of the current programs. One area of need stands out: The professional staff report that a growing

number of patients have been joining online social networking sites. One staff member said, “I think

they are all helping each other get online.” These patients are now raising new and sometimes

difficult questions about treatment options. None of the staff has explored any of the online sites,

and they are afraid to join for fear that they could become involved in some sort of violation of the

Health Insurance Portability and Accountability Act (HIPAA).

Discussion Questions

1. 400 words. Describe how you would develop a staff education program and create an outline of key points that you would include.

2. 200 words Develop a patient handout that the staff can use to educate patients on the effective use of

online social media materials. Within the pamphlet speak on key information regarding the program and the benefits of various form of social media in health promotion and disease prevention. Include pictures in the pamphlet to appeal to your customers. 

A template is provided as an attachment. 

4 discussion

APA

References

Free plagiarism 

Due date 11/23/2020

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

• Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
• Consider how key regulations may impact nursing practice.
• Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..

 Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected. 

APA format

3 resources  at least in the recent 5 years

1 page