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Looking for a Walden University HE007 paper

Benchmark – Nursing Process: Approach to Care

The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care.

Write a paper (1,750-2,000 words) on cancer and approach to care based on the utilization of the nursing process. Include the following in your paper:

1. Describe the diagnosis and staging of cancer.
2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
3. Discuss what factors contribute to the yearly incidence and mortality rates of various cancers in Americans.
4. Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend and why?
5. Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care.
6. Discuss how undergraduate education in liberal arts and science studies contributes to the foundation of nursing knowledge and prepares nurses to work with patients utilizing the nursing process. Consider mathematics, social and physical sciences, and science studies as an interdisciplinary research area.

You are required to cite to a minimum of four sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

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

1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 3 pages

              Part 2: minimum 1 page

              Part 3: minimum 3 pages

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

               Part 1: Minimum 5 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Pathopisyology

Topic:  CVA 

2 pages:

1.A discussion of the pathophysiology of the disease, including signs and symptoms.

2. An explanation of diagnostic testing and rationales for each.

3. A review of different evidence-based treatment modalities for the disorder obtained from guideline.gov or a professional organization.

1 page:

4.How does the information in this case inform the practice of a master’s prepared nurse?

5. How should the master’s prepared nurse use this information to design a patient education session for someone with this condition?

6. What was the most important information presented in this case?

7. What was the most confusing or challenging information presented in this case?

8. Discuss a patient safety issue that can be addressed for a patient with the condition presented in this case.

Part 2: Policy Organization and Financing Healthcare

1. Demonstrate your AGAINST position about the the promise of guaranteed health care coverage for all 

2. Explain why you are AGAINST

Part 3: Policy Organization and Financing Healthcare 2

  Maternal Health and Mortality 

Topic: “The House Ways and Means Committee convened a hearing to discuss the high rate of mothers dying due to causes related to pregnancy or childbirth in the U.S. Olympian and gold medalist track and field athlete Allyson Felix testified about the need to address the racial disparities with maternal health care” (“House Committee Examines Racial Disparities in Maternal Mortality Rates”, n.d.).

Location: May 16th, 2019 @ C-Span.org

Link: https://www.c-span.org/video/?460809-1/house-committee-examines-racial-disparities-maternal-mortality-rates&start=1692&transcriptQuery=nicu

1. The purpose of the meeting, key participants, key agenda items, and meeting logistics

2. Background information and a description about the committee

3. One specific topic that was discussed at the meeting and an explanation of the committee process

4. An analysis of the key stakeholder positions related to the topic discussed

5. Key interactions that occurred at the meeting

6. Outcomes of the meeting including the specific topic focus

Mrs. J is repeatedly asking for a nurse; other patients are complaining, and you simply cannot be available to Mrs. J for long periods.  Considering the setting and the OBRA guidelines, what would you do to manage the situation?

Reply to this discussion post 

Understanding the health care system at a local level is important when researching evidence-based practice. Determining the needs and perceptions of a population that are being studied and attempted to change is an important factor. If the local area that is being researched is rural, resources will be limited to health care. If urban areas are being researched, there are more resources and populations to consider. If the health care system issues are not of interest or don’t apply to areas, then they are less likely to be supported for change. The United States health care system continues to struggle and “our nation struggles with persistent health disparities and rising health care costs, nurses have a moral obligation to shape health and social policy in ways that will advance the health and well-being of the public” (Mason, 2016). Nurses can continue to bring crucial perspectives to promote safety and healthy well being to our communities and neighborhoods. 

     Working with my preceptor, one of Adventist Health Sonora uses redesign projects that call for a pre-op nurse navigator to coordinate evidence-based practices for optimization of the pre-op patients like BMI, smoking, diabetes. The position is not held so working on ways to accomplish pre-op optimization in a way that patients are still getting these practices. A care redesign example is for care of patients with cellulitis/soft tissue injury and the algorithm includes consulting with an on-call podiatrist and/or limb salvage center and that position is not held so this has been adapted by the Wound care team for consults. 

     Increasing one’s knowledge about communities and health disparities can be accomplished in many ways. Understanding the needs of the local levels can increase the ability to care for patients of these populations.

REPLY1

Being that Ms. Alma Faulkenberger is 85 years old, she has most likely had many interactions with healthcare staff that may have led to her this non-compliant, difficult way of thinking. “A participatory relationship between patient and physician appears to be the most important factor promoting medication adherence” and that “the more actively the patient is involved, the higher the level of adherence and the greater the chance that the patient engages in healthy diet and exercise behaviors” (Kleinsinger, 2010). Research has shown that open communication, quick responses and creating a trustworthy relationship will help the patient remain compliant with their plan of care.

I would start my interaction by introducing myself, apologizing and asking her how to pronounce her name. Then to develop a plan for Ms. Alma to be compliant with the procedure and post-treatment, it is important to assess her needs, and include her in the planning. Opening the floor with open ended questions and allowing her to voice her opinions and needs/wants is a method that enables her to feel included in the plan of care. I would use this time to discover any barriers in learning such as difficulty hearing, unable to read, living situations and needs at home. I would ask how she learns best, reading, written or demonstration. After assessing her and asking her questions, I would then use what I discovered to implement education. I would ask her to teach back what she has learned. It would be best if this teaching were done with a family member to help with coherence to the plan.

Kleinsinger F. (2010). Working with the noncompliant patient. The Permanente journal, 14(1), 5

REPLY2

To help Alma be compliant with the invasive pelvic procedure and post-treatment medication, the health care professional must develop a plan. The first step is providing therapeutic communication. Explaining the logic behind the plan, understanding the patient perceptions of the treatment and procedure, and talking about any problems with the post-treatment plan is important to have an effective plan (Falvo, 2011). Asking her about her family and other significant people can help aid in the education efforts as well. Being specific and providing printed handouts can help with the higher level of education needed for an extensive procedure and treatment. Being a positive influence on patient adherence is a great skill of health providers to have. Building a relationship should also be part of the health professionals plan to assist in Alma being successful in procedure and post-op treatment. 

Then, another step in the plan should be to meet the patients individual needs, if that patient wants to go biking again, we can work with her to ensure she can do that in 6 weeks after post-op for example and maybe collaborate with PT/OT to get here there. Same with finding out a medication regimen that works best for her every day life, if she has a book club at 10am every Wednesday, but you ask her to take it at 10am she may skip doses. The plan should be holistic and use communication and creating a relationship with the patient for it to be successful. Meeting the individuals needs with their strengths and being aware of weaknesses is also important. In patient education, the health professional should talk calmly, clearly, and slowly. Providing follow up questions and really taking the time to listen to Alma is very important. Using all of this into the plan of care, Alma’s pelvic procedure and post-treatment medication should be successful. 

Falvo, D. R. (2011). Effective Patient Education: A Guide to Increased Adherence. Retrieved from https://viewer.gcu.edu/RQBKXW

Please do the following in its entirety: 

Answer all question please. 

Please  sure to use a cover sheet and please submit a reference page with  your assignment. Late assignments will not be accepted. NO EXCEPTIONS PLEASE!!!!

1.Apatient is having cardiac enzymes drawn to rule out a Myocardial Infarction.

  a) What are the clinical indication and nursing implications for the following enzymes and their importance as a marker for Myocardial Infarction?

    CK 

    CK-MB 

     Myoglobin and Troponin 1.

2.A patient has chest pains and is worried of having a second Myocardial Infarction.

     a) What are the discriminating differences between chest pains from angina pectoris  versus the pain associated with Myocardial Infarction.

 COMPETENCIES

1013.1.1 : Self-Discovery and Mindfulness

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

1013.1.3 : Effective Communication

The graduate demonstrates appropriate patterns of effective communication.

INTRODUCTION

Communication requires both parties to make choices. These choices determine if the conversation will create value or create waste. These choices mostly consist of recognizing when a bioreaction occurs, how it impacts listening, and being aware of listening differently.

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. 

Select a conversation where you had a disagreement that had an impact on you and triggered a bioreaction. The conversation could have been a long time ago or recently.

A.  Explain what happened during the disagreement by answering the following questions:

•  Describe the situation that led to the conversation.

•  When did you realize that there was a disagreement during the conversation?

•  Describe a bioreaction(s) that was experienced during the disagreement.

•  How did the conversation end?
 

B.  Analyze the conversation by answering the following questions:

•  Using the four levels of the conversation meter, what level were you listening at, and what level was the other person listening at?

•  Give examples of two factors that describe how you and they were listening in at these levels in the conversation meter: feelings, behaviors, language, or tone.

•  What were your points of alignment or disagreement?
 

C.  Reflect on how the conversation encouraged you to listen differently by answering the following questions:

•  How could you have listened differently moving up the conversation meter, and what effect would that have had on the disagreement?

•  How could you incorporate listening for needs, purpose, or concern to create value in the conversation (including describing what that would look like)?

•  What have you learned about accuracy and authenticity that could be used to improve the conversation?
 

D.  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
RUBRICA. DESCRIPTION OF CONVERSATION:

NOT EVIDENT

An explanation of what happened during the disagreement is not provided.

APPROACHING COMPETENCE

The explanation is missing or unclear details of what occurred during the disagreement. Or the description of the situation or bioreaction(s) is unclear or includes minimal details of when the disagreement occurred. Or the explanation is missing the conclusion of the conversation.

COMPETENT

The explanation includes contextual details of what occurred during the disagreement, including a clear description of the situation and bioreaction(s) experienced, the realization that there was disagreement, and the conclusion of the conversation.

B. ANALYSIS OF CONVERSATION:

NOT EVIDENT

An analysis of the conversation is not provided.

APPROACHING COMPETENCE

An analysis of the conversation includes an unclear description of the listening levels of both parties, or it does not reference the four levels of conversation meter. Examples of specific behaviors, language, and tone are poorly detailed or insufficiently support the listening levels identified for either parties; or the analysis includes an unspecific or missing discussion of point(s) of alignment or disagreement.

COMPETENT

The analysis of the conversation includes a description of the listening levels of both parties, according to the four levels of conversation meter. Examples of specific feelings, behaviors, language, or tone are well detailed and support the level of listening identified for both parties. The analysis also includes an appropriate discussion of point(s) of alignment or disagreement.

C. IMPACT OF CONVERSATION:

NOT EVIDENT

A reflection on how the conversation encouraged the candidate to listen differently is not provided.

APPROACHING COMPETENCE

The reflection demonstrates a lack of, or unclear, understanding of the effect of listening differently during the disagreement, including an impractical explanation of how accuracy and authenticity can be used to improve the conversation. The reflection includes unclear insights of how incorporating listening for needs, purpose, and concern can create value in a conversation, or it does not address how that would look in practice.

COMPETENT

The reflection on how the conversation encouraged the candidate to listen differently demonstrates a thorough understanding of the effect of listening differently during the disagreement, including a feasible explanation of how accuracy and authenticity could be used to improve the conversation. The reflection includes insights on how incorporating listening for needs, purpose, or concern create value in a conversation and what that looks like in practice.

D. 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.

 Zero plagiarism

5 references

Learning Objectives

Students will:

• Analyze nursing and counseling theories to guide practice in psychotherapy
• Develop goals and objectives for personal practicum experiences
• Create timelines for practicum activities
• Develop diagnoses for clients receiving psychotherapy
• Analyze legal and ethical implications of counseling clients with psychiatric disorders
• Develop diagnoses for clients receiving psychotherapy
• Evaluate the efficacy of cognitive behavioral therapy for clients
• Analyze legal and ethical implications of counseling clients with psychiatric disorders

The Learning Objectives are related to the Practicum Journal Assignments presented in Weeks 1, 2, and 4.

Week 4 Journal Entry
Select a client that you observed or counseled this week. Then, address the following in your Practicum Journal:

• Describe the 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 this client.
• Explain whether cognitive behavioral therapy would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.
• Explain any legal and/or ethical implications related to counseling this client.

Community Health Assessment and Health Promotion-1000 words-due 9/23/2020

In 1000 words respond to each question below. Use the textbook and source to support statements 

1. Elaborate on the effectiveness of children immunization program as a primary community health diseases prevention method within the Peoria Illinois  community. 

2. Identify at least 2 immunization health promotion program and initiatives within the Peoria Illinois community. 

3. What are current population trends and attitudes regarding immunization? 

4. Elaborate on the obesity epidemic and its public health impact. 

5. Speak on at least two programs or initiative/programs that community and  public health officials have taken to reduce the prevalence of obesity within the Peoria Illinois community. 

Cite all source with credible scholarly articles. Use at least 3 reference.  Sources must be 5 years old or less. Use APA format 7th edition. Use statistical data to support each question.