Pancreatic Cancer case study

  

Case Study: 

A 51 year old male presents to the emergency department for epigastric pain that has lasted for 1 week. On a scale of 1 to 10, patient describes pain as a 10. The pain is constant, sharp and radiate to the right upper quadrant. It is associated with nausea, vomiting, and fatty stools with liquid consistency. It is also associated with severe puritus (itching). He denies melena or hematochezia. He has jaundice. He has no other medical problems and takes no medications. Patient’s father died of pancreatic cancer. He has weight loss of 40 lbs in 4 weeks. He denies drinking of alcohol and illicit drug use. He smokes 1-2 packs of cigarette every day for the past twenty years.

Medical diagnosis: Pancreatic cancer stage IV.

Using APA format style (6th edition): Write 3-5 pages on:

1. Treatment options for the disease process (pancreatic cancer)

2. Dedicate 2 of the pages to pathophysiology of pancreatic cancer. (Pathophysiology, 2 pages)

3. Patient’s education

Dq

Reply to this discussion post (site sources if applicable)

Professional presentations are a part of educating and implementing new projects in a variety of different settings. One personal strength that I have regarding presenting a topic or idea is that I am prepared, know and understand my topic in order to give a clear and informative presentation. One weakness I have with presenting is that I get nervous speaking in front of large groups of people. I have worked on this throughout my previous college education and I still get some nerves every time I have to speak in front of a large crowd.

One method I would think would assist with nerves regarding formal presentations includes preparation; however I always feel that I am prepared. In turn, I must just ensure that I have confidence in myself to present effectively and demonstrate the time I have taken to research and prepare for the topic being presented. Confidence in oneself can take time and I feel practicing the presentation, asking for feedback and knowing the material will all assist with ensuring that I have a positive presentation. It is important to work on confidence when presenting so that the message is presented in a clear way that will benefit the target audience.

Discussion Board Chapter 11

1. Why is the subject of workplace health and safety of concern to nurses? 

How are these concepts related to patient safety and patient outcomes? 

2. What action is suggested when you are faced with an angry or hostile coworker?

3. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse?

4. What is the most common physical injury experienced by LPNs and nursing assistants? How can a nurse manager help staff avoid physical injury at work? 

5. Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances.

6. Review the policies and procedures on the following safety issues in your current clinical rotation. Compare with other students in the class. What are the similarities and differences? What might this mean in terms of workplace safety? 

• Latex allergies

• Needlestick injuries

• Violence 

3. Go to the ANA website and explore the sections on workplace and patient safety under the heading “Professional Nursing Practice.” 

Which concepts discussed in these sections are particularly important to the beginning RN? Why? 

4. Interview one of the staff nurses on your unit. Explore his or her feelings and concerns related to the following topics. Based on the comments, develop strategies to address the concerns.

• Substance abuse among nurses

• Emergency preparation 

• Quality of work life within the organization

250 words or more

3 references 

APA citation

Instructions

Instructions

For this assignment, please identify an ethnically or culturally diverse restaurant, business (market, shop, or store), or place of worship in their community that serves a group of people different from their own upbringing and heritage.

  • Engage respectfully with the organization—for example, you could eat a meal, shop for goods, or attend a worship/religious activity.
  • Informally talk to the business owner/religious leader, employees, and/or people at the location to find out more about the group of people the organization typically serves. For example, if you choose a restaurant, ask the server about the food being served, how the food is prepared, how to eat it, to what extent is the real authentic/traditional to the culture, and what mealtime is like for that culture; seek to understand more about this group that is different from you. Consider a visit to a restaurant during non-peak meal times for the least disruption. If you choose a business or place of worship, proceed in a similar, respectful manner. Consider carrying out this activity with classmates or with family/friends.
  • After completing this part of the assignment, develop a 2-page reflection paper (approximately 500 words) on your experiences. The paper should include the following:
    • A description of your initial reactions/feelings about the setting
    • A description of what you learned about members of your community who are different from you
    • Then identify 1-2 additional things you would like to know about this community/population
    • A description of what you learned about yourself during the experience
    • A discussion of what you learned and experienced in this activity relates to public health nurses and public health nursing practice
  • Submit the completed paper to this assignment dropbox.

Rubric

Health Care utilization and Finance

COMPETENCIES

734.3.4 : Healthcare Utilization and Finance

The graduate analyzes financial implications related to healthcare delivery, reimbursement, access, and national initiatives.

INTRODUCTION

It is essential that nurses understand the issues related to healthcare financing, including local, state, and national healthcare policies and initiatives that affect healthcare delivery. As a patient advocate, the professional nurse is in a position to work with patients and families to access available resources to meet their healthcare needs.

REQUIREMENTS

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

A. Compare the U.S. healthcare system with the healthcare system of Great Britain, Japan, Germany, or Switzerland, by doing the following:

1. Identify one country from the following list whose healthcare system you will compare to the U.S. healthcare system: Great Britain, Japan, Germany, or Switzerland.

2. Compare access between the two healthcare systems for children, people who are unemployed, and people who are retired.

a. Discuss coverage for medications in the two healthcare systems.

b. Determine the requirements to get a referral to see a specialist in the two healthcare systems.

c. Discuss coverage for preexisting conditions in the two healthcare systems.

3. Explain two financial implications for patients with regard to the healthcare delivery differences between the two countries (i.e.; how are the patients financially impacted).

B. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

C. Demonstrate professional communication in the content and presentation of your submission.

File Restrictions

File name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( )

File size limit: 200 MB

File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z

practicum

  

Activity 5: Lesson Plan and Teaching Methods

Choose a comprehensive educational topic (examples: care of patients with asthma, stroke, diabetes, etc.) for pre-licensure nursing students, orientation for new nurses in a health care organization, or staff development of seasoned nurses. 

Develop a lesson plan (Use the Teaching Plan Template )

Create and include each of the following teaching methods for the chosen comprehensive education topic. 

Develop each activity in a Microsoft Word or PowerPoint format and submit with the Teaching Plan.

Teaching Methods:

a) Concept map

b) Mnemonic 

c) Case study

d) Game

No title need it 5 to 6 paragraph, it is a Reflection Paper!!!!! It is important to add my working style is Examine extreme, explore deliberate, excite deliberate and execute deliberate, My report is attach,

 COMPETENCIES

1013.1.1 : Self-Discovery and Mindfulness

The graduate evaluates and displays behaviors consistent with the process of self-discovery and mindfulness.

1013.1.2 : Working Styles and Leadership Skills

The graduate demonstrates the ability to apply the concept of working styles to leadership skills.

1013.1.3 : Effective Communication

The graduate demonstrates appropriate patterns of effective communication.

1013.1.4 : Communicating in a Community of Peers

The graduate identifies and applies appropriate communication strategies to develop a supportive community of peers.

INTRODUCTION

At the end of the Leadership and Communication course, you will write a four-part reflection paper. This paper will help you focus on your experience and insights from the course. This includes what you have experienced about your working style; how you work with others; insights you have gained regarding conversations and interactions you have with friends, family, coworkers, and others; and strategies you will use to improve your chances for success.

REQUIREMENTS

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course. 

A.  Reflect on your experience in the Leadership and Communication course by doing the following:

1. Provide a brief overview of your understanding of your Energy Graph from the Learning Report, including two personal strengths and two personal challenges that relate to your working style.
 

Note: Consider discussing your intensity level (Extreme, Effortless, Deliberate, Stress) in your main dynamics—Explore, Excite, Examine, and Execute—and how they relate to your strengths and challenges.
 

2.  Describe your experience(s) of conversations as they relate to the laws of conversation and the four levels of the conversation meter.

3.  Discuss your strategies for being a successful student, including how you will incorporate your strengths and address your challenges.

4.  Reflect on your overall experience in the course and how it applies to two of the following: academic activities, professional career, or personal life.
 

B.  Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
 

C.  Demonstrate professional communication in the content and presentation of your submission.

File RestrictionsFile name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( )
File size limit: 200 MB
File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z
RUBRICA1. WORKING STYLE:

NOT EVIDENT

A discussion of 2 personal strengths and 2 personal challenges is not provided.

APPROACHING COMPETENCE

The response includes an impractical or poorly detailed overview of the candidate’s understanding of the Energy Graph, or the response is missing or provides unclear descriptions of 2 personal strengths and 2 personal challenges that relate to the candidate’s working style.

COMPETENT

The response includes a brief overview of the candidate’s understanding of the Energy Graph, including a description of 2 personal strengths and 2 personal challenges as they relate to the candidate’s working style.

A2. COMMUNICATION:

NOT EVIDENT

A description of the candidate’s experiences as they relate to the laws of conversation and the four levels of the conversation meter is not provided.

APPROACHING COMPETENCE

The description of the candidate’s experience(s) is missing a connection or includes an unclear connection to the laws of conversation and the four levels of the conversation meter.

COMPETENT

The description of the candidate’s conversation experience(s) demonstrates a thoughtful, reflective, and detailed connection to the laws of conversation and the four levels of the conversation meter.

A3. STRATEGIES:

NOT EVIDENT

A discussion of the strategies for being a successful student is not provided.

APPROACHING COMPETENCE

The discussion includes unfeasible strategies for being a successful student, or the discussion includes a missing or unclear understanding of how to incorporate personal strengths and address challenges to support success.

COMPETENT

The discussion includes feasible, applicable strategies for being a successful student. The discussion includes a thorough understanding of how to incorporate personal strengths and address challenges to support success.

A4. REFLECTION:

NOT EVIDENT

A reflection of the candidate’s overall experience in the course or how the candidate’s experience applies to academic activities, professional career, or personal life is not provided.

APPROACHING COMPETENCE

The reflection on the candidate’s overall experience in the course does not identify how specific course concepts apply to 2 of the following: academic activities, professional career, or personal life.

COMPETENT

The reflection on the candidate’s overall experience in the course is thoughtful, insightful, and identifies how specific course concepts apply to 2 of the following: academic activities, professional career, and personal life.

B. SOURCES:

NOT EVIDENT

The submission does not include both in-text citations and a reference list for sources that are quoted, paraphrased, or summarized.

APPROACHING COMPETENCE

The submission includes in-text citations for sources that are quoted, paraphrased, or summarized and a reference list; however, the citations or reference list is incomplete or inaccurate.

COMPETENT

The submission includes in-text citations for sources that are properly quoted, paraphrased, or summarized and a reference list that accurately identifies the author, date, title, and source location as available.

C. PROFESSIONAL COMMUNICATION:

NOT EVIDENT

Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.

APPROACHING COMPETENCE

Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.

COMPETENT

Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.

SOAP NOTE- mENTAL hEALTH rELATED

  • Students will be required to complete one SOAP (psych) note on a patient seen in the practicum setting each week.
  • These need to follow the guidelines for writing SOAP notes (S = Subjective, O = Objective, A = Assessment, P = Plan) and include relevant history, physical findings, assessment, and interventions.
  • Student is required to submit 2 different cases on the assigned patients in order to receive grade.
  • Find Template for SOAP Note in the syllabus OR under TEMPLATES on the left hand navigator of blackboard.