DB 6

 

Family APRN certification application in state of FLORID

Answer the following five questions to be submitted in a word documents. APA format reference required 

1.) Which are the Family Advanced Partitioner Register Nurses (APRN) certification bodies in USA.? ( AANP www.aanpcert.org,  and ANCC [email protected])

2.) According to the certification body you selects, which are the application requirement?

3.) When can you apply?

4.) What is the passing test score?

5.) How much does the certification exam cost?

nursing multidimensional care2

 

Competency

Explain principles of care for clients with oncological disorders.

Scenario

Anna is a 45-year-old female that presented to her physician’s office for her annual check-up. Anna has a history of diabetes, obesity, and noncompliance with diet and medications to control her diabetes. She a single mother of three teenagers and smokes regularly. During the history review, Anna shares with you that she has not been feeling like herself for the past six months, she has been unusually tired and thought that she felt a lump in her right breast during a self-breast exam around that same time. She stated, “I am very busy with my children; I haven’t had time to get it checked out.” She has recently been experiencing right nipple pain. Anna has a positive family history of breast cancer; both her mother and grandmother have been treated for breast cancer. Anna has never had a mammogram. During the breast examination, the practitioner palpated a lump in Anna’s right breast. No discharge from the nipple was observed. Anna’s right breast was tender upon palpation. No abnormalities were found in the left breast. Based on the physical findings Anna will undergo a diagnostic mammogram.

Instructions

In a 2-page paper, describe the care that Anna would require and address the questions below.

  1. What risk factors does Anna have that could predispose her to the development of cancer?
  2. What signs and symptoms could indicate that Anna has developed cancer?
  3. Based on Anna’s risk factors and presenting problems, identify three care strategies that you would use to provide quality care to Anna. Provide rationale to explain why you chose these strategies.

Resources

For assistance with citations, refer to the APA Guide.

For assistance with research, refer to the Nursing Research Guide.

pain

With the realization that pain is highly prevalent among older adults, please answer the following questions.

Questions:
1. What are some ways you as the nurse can utilize to determine pain in the older adult?
2. What are some of the potential barriers related to self-reporting of pain in the older adult?
3. What is the prevalence of pain in the older adult?
4. Describe and compare your findings for each of the following:
a. Numeric rating scale
b. Visual analog scale
c. McGill pain questionnaire
d. Pain in dementia patients

nursing

 

NURSING CARE PLAN

Formulate a nursing care plan for a patient with Cushing’s Disease.

Format:

Assessment, Nursing Diagnosis, Planning, Implimentation, Rational, Evaluation.

1.NCP must be presented in Columns format: Not essays format.

2. No sentences: only bullet points/phrases.

3. Only one Nursing Diagnosis (ND).

4. Maximum of 2 pages: No more.

5. Only one submission chance; no resubmissions.

Note:

Please follow instructions very strictly. This is absolutely necessary since as a nurse you MUST ALWAYS FOLLOW INSTRUCTIONS STRICTLY EG. MEDICATION DOSAGES.

Please read Cushing’s Disease. Read

 

4 DQ 2

 

The Occupational Safety and Health Administration (OSHA), the Centers for Medicaid and Medicare Services (CMS), and the Joint Commission (JC) require that health care organizations maintain risk management programs to address infection control. Detail three measures that your health care organization (or any health care organization) could implement, beyond what is currently in practice, to support the delivery of safe health care services and avoid the spread of infection (e.g., placing hand washing devices at all of the public entrances of the health care facility). Support your response with a minimum of two peer-reviewed references.

Clinical Case Presentation (PowerPoint 12 SLIDES)

Topic: UTIs Urinary Tract infections. 

Case presentation. 

PowerPoint: 12 slides INCLUDING TITLE AND REFERENCES.

APA STYLE.  

Clinical Standard of Practice Presentation 

Students are expected to expand their use of resources for evidence-based practice beyond the required text and explore nursing and related literature to improve their understanding and application of advanced interventions. 

The focus of the presentation must reflect current treatment recommendations from accepted professional organizations. 

Presentations will be evaluated related to the criteria listed. Presentations must be no less than 8 or more than twelve slides in a PowerPoint format with a Reference List in APA format

Criteria Points

 1 Presents the case including CC, HPI, Hx, ROS, and PE findings concisely 

 2 List possible differential diagnosis with supporting/excluding criteria. 10 

 3 -What labs or tests are typically ordered concerning this condition? 

4- What results should the Does NP expect to see with this diagnosis? 

5 What medications are typically prescribed for this condition? List specific drugs, starting doses, dose ranges, precautions to keep in mind when prescribing these drugs.  

6-What are the outcomes expected or unexpected for this specific condition?  Moreover, What patient outcomes will trigger a referral? 

7- Provide patient teaching materials specific to their condition. 

Topic 1 DQ 2

The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020.  According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.

clinical based decision-making model

 

Describe  components of a clinical based decision-making model impacted by  clinical expertise and explain how clinical expertise informs  evidence-based practice.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. 

MHD421 Module 1-4 SLP and Final Paper

Module 1 – SLP

INTRODUCTION TO COMMUNITY HEALTH

Using MAP-IT to Help Build a Healthy Community

Please read the following: Healthy People in Healthy Communities, or A Strategy for Creating a Healthy Community: MAP-IT, so that you will understand the MAP-IT program before you start this SLP. Also please read this article: Melany Mack, Ron Uken, Jane Powers (2006) People Improving the Community’s Health: Community Health Workers as Agents of Change, Journal of Health Care for the Poor and Underserved. Nashville: Feb 2006. Vol. 17, Iss. 1; p. 16 (10 pages) This article is also listed on the Background page and can be found in ProQuest. To begin to achieve the goal of improving health, a community must develop a strategy. That strategy, to be successful, must be supported by many individuals who are working together.

In much the same way you might map out a trip to a new place, you can use the MAP-IT technique to ‘map out’ the path toward the change you want to see in your community.

For the Session Long Project (SLP) of this course, you will follow one of the following families:

  • A non-English speaking immigrant family. The parents (35-year-old father and a 31-year-old mother) have a 1-year-old son. They (the parents) are obese, smokers, alcoholics and have only a high school education. Due to their weight, the mother has diabetes and high blood pressure, and the father has high blood pressure and kidney disease. The parents are a low income family with no insurance. You will guide the parents on how to achieve the minimum state health requirements for both the child and themselves (i.e., vaccinations, good nutrition, a safe and healthy home environment, etc.).

    OR

  • An English-speaking American family. The parents (42-year-old father and a 40-year-old mother) have two children, a 14-year-old son and an 18-year-old daughter. They (the parents) are obese, smokers, and have a history of heavy drug use in their late teen and early adult years. The father has only a high school education while the mother has a BA in English Literature. Due to their weight, the mother has diabetes and high blood pressure, and the father has high blood pressure and liver aliments. The son suffers from asthma while the daughter has had two previous abortions. She may be drug dependent. The parents are a moderate-low income family with minimal insurance. You will guide the parents on how to achieve the minimum state health requirements for both the children and themselves (i.e., vaccinations, good nutrition, a safe and healthy home environment, etc.).

SLP Module Requirements

You are to use MAP-IT: Mobilize, Assess, Plan, Implement, and Track to respond to this SLP.

Before you begin the SLP please review: Choosing the Right Approach for Health

Steps in MAP-IT are:

  • Mobilize individuals and organizations that care about the health of your community into a coalition.
  • Assess the areas of greatest need in your community, in this case, assisting new immigrants to access health care], as well as the resources and other strengths that you can tap into in order to address those areas.
  • Plan your approach: start with a vision of where you want to be as a community, then add strategies and action steps to help you achieve that vision: you can be a health educator, a health care provider, a nutritionist, a social worker etc.
  • Implement your plan using concrete action steps that can be monitored and will make a difference.
  • Track your progress over time.

KEY Criteria for grading this SLP

In addition to demonstrating that you are applying the MAP-IT steps, you must demonstrate personal development or competency in developing appropriate objectives for your targeted family based on needs and the ability to appraise the appropriateness of resources and materials required to meet their needs. You should also incorporate the results of the needs assessment of your targeted family into the planning process within MAP-IT. This is why it is so important to identify an actual community that your targeted family resides. You will find that almost all of the resources found or available in a community can be identified online.

Using this MAP-IT approach, a step-by-step, structured plan can be devised to tailor one’s community needs.

The first step in building a healthier community is to mobilize key individuals and organizations to form a community-wide coalition. Most communities already have health departments and other governmental agencies that are responsible for public health services. Many communities also have coalitions of key individuals and organizations that are organized to address specific issues, for example, block associations or neighborhood watch groups. These groups often represent diverse interests and resources for addressing issues that are vital to building and maintaining the health and stability of the entire community. A coalition will often, of course, work with the health department and other health organizations in the community. However, it can also help mobilize a wider range of other resources to address health issues.

SLP Assignment Expectations

Your task for Module 1 is to:

  1. Select which family for which you will use the MAP-IT Approach for the SLP.
  2. Discuss how you will Mobilize individuals and organizations that care about the health of your community into a coalition. Identify the individuals and organizations which will form the basis of your coalition. Discuss how each member of your coalition can assist each member of your target family.
  3. Briefly discuss the problems that underserved populations are confronted with when seeking care in the community.

Module 2: For this module you will assess the areas of greatest need in your community, in this case, assisting your target family to access health care, as well as the resources and other strengths that you can tap into in order to address those areas.

Module 3: For this module you will discuss how you will plan your approach. Start with a vision of where you want the community to be, and then add strategies and action steps to help you achieve that vision. You can be a health educator, a health care provider, a nutritionist, a social worker, etc. However, base your vision and approach on your targeted family. Additionally, be sure to focus on the health issues related to your targeted family.

Module 4: Discuss how you will implement your plan using concrete action steps that can be monitored and will make a difference. Discuss how you will track your progress over time. Present any tables or charts if you believe they will assist you in effectively tracking your progress (and of course, the progress of the target family). Provide sufficient detail.

Submit the module SLP before end of the specific module. Each SLP should be from 3 to 5 pages (600 to 1,200 words) unless otherwise specified and include 3-5 peer-reviewed reference citations. You will submit the SLP as a complete paper at the end of this session as a cumulative project. Be sure to upload all assignments when they are completed. The completed SLP should be approximately 25 pages (plus/minus 3 pages) and double-spaced.

answer a questions

  • Explain the difference between ordinary, capital and Sec 1231.
  • Compare and contrast Sec 1245 and Sec 1250 recapture. 

Note:Please post what you view as the appropriate responses to the above prompts. Your initial post should be 250-300 words. Please provide response with a clear, well-formulated thesis; sentence structure, grammar, punctuation, and spelling count. Support ALL posts with appropriate rationale and citations from readings; document sources using APA format.