As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis.
Consider the following scenarios:
Scenario 1:
Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.
Scenario 2:
Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.
Scenario 3:
Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.
To Prepare
· Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.
· Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.
· Construct a mind map for the disorder described on the Scenario 1: Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
To Complete
Write a 2- to 3-page paper excluding the title page, reference page and Mind Map that addresses the following:
· For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes. You are required to discuss all three scenarios within the paper component of this assignment.
· Construct one mind map on the disorder described on Scenario 1. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
Instructor Requirements
As advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in Up to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:
- Up to Date (must use original articles from Up to Date as a resource)
- Wikipedia
- Cdc.gov- non healthcare professionals section
- Webmd.com
- Mayoclinic.com
Has your workplace prepared for an active shooter? What is the protocol? What preparations has your hospital taken?
UncategorizedAPA paper. This assignment should be between 750 and 1250 words in length and contain all four scholarly sources provided plus the textbook and one more scholarly source of your choice. Read the following 4 articles:
(from the ProQuest Library already in APA format for the Reference section)
Security InfoWatch. (2013). Responding to active shooters in hospitals. SecurityInfoWatch.Com. Retrieved from http://search.proquest.com/docview/1434488744?accountid=34574
Balingit, M. (2012, March 9). Hospital shootings shock Oakland 2 dead, 7 injured at Western Psych; Police kill gunman in exchange of fire. Pittsburgh Post – Gazette. Retrieved from http://search.proquest.com/docview/926869011?accountid=34574
Hospital Employee Health. (2013). Most hospital shootings are not preventable. Retrieved from http://search.proquest.com/docview/1282083457?accountid=34574
(from the World wide web already in APA format for the Reference section)
The Joint Commission. (2014, July). Preparing for active shooter situations. Quick Safety. Retrieved from https://www.jointcommission.org/issues/article.aspx?Article=h1wY0qOAjXjKMD9Np15aXCoh6JDFt4iaFxb%2f%2fTKfNWE%3d
Part 1: Active Shooters
First: Compare and discuss the information in the 4 articles above (any similarities, differences, surprises).
Next: Answer these questions on your personal experience, you can use 1st person on this part:
Has your workplace prepared for an active shooter? What is the protocol? What preparations has your hospital taken?
What is your responsibility as a nurse caring for patients?
Do you feel a live active shooter drill should take place, with live gunfire? Why or why not?
Part 2. Bullying in the nursing workforce has become an increasing topic of concern. Research this topic.
Describe reasons why bullying is a problem in nursing.
Provide suggestions for a new nurse who is being bullied by coworkers.
What is your responsibility if you see a fellow nurse being bullied?
WHAT WOULD THE IMPLICATIONS OF DIVERSITY-BASED POLICY DEVELOPMENT BE IN RELATION TO HEALTHCARE NEEDS?
UncategorizedWomen and Healthcare
Women have healthcare requirements in addition to those of men because of their biology and gender roles. Due to their gender roles, they are frequently responsible for the health and healthcare of others. The resources they need to care for others may create constraints on their ability to care for themselves.
Also, it is important to consider the workplace when considering women’s health issues because the position of women in the workforce has great impact on the healthcare they receive. Many businesses have recognized the need to create a more diverse workforce by selective hiring based on the need to increase selected groups in their workforce. Some businesses have been more proactive than others. For example, let’s consider that a business workforce’s diversity plan includes the following benchmarks:
On the basis of what you have learned so far, answer the following questions:
article:
Sutton, M. (2000). Cultural competence: It’s not just
political correctness, it’s good medicine.
Family Practice Management, 7(9), 58–60.
conduct system analysis. System analysis is a process of collecting, organizing, and evaluating data about the information systems and the environment in which the system operates.
UncategorizedThis week, you will conduct system analysis. System analysis is a process of collecting, organizing, and evaluating data about the information systems and the environment in which the system operates. For this section, you need to answer the following questions:
Q2
Prepare a 5- to 7-slide Microsoft® PowerPoint® presentation with speaker notes totaling 50 words per slide that includes the following:
Elements of a Good Course of Action
Nursing HomeworksElements of a Good Course of Action
2/8/12 2:40 PM
One of the final steps of the multidisciplinary approach to problem solving is to arrive at a course of action, including a set of specific recommendations that will address the identified problem and move the individual, group, agency, community, or society, toward positive change. In addition, as a leader, you will be called upon to communicate recommendations and to lead a group through the course of action. What do Public Service leaders need to understand about this important component of the change process?
· What are the characteristics of a good course of action?
· With regard to the recommendation process, what types of information should and should not be included?
· What does the research say regarding best practices?
8/16/12 6:39 PM as a reply to Melissa Binns.
Greetings Milissa! One concurs with your sentiments in that many participants do enter the collaboration process not knowing what to expect, or even how to collaborate, and as such, the best way to manage this is to have explicit (rather than implicit) goals and a structure for the group in its proceedings. Hence the reason, it is one’s belief that the team leader should be an individual who understands the notion of, according to Malhi and colleagues (2009), the Care model, i.e. possessing an in-depth knowledge of: 1) continuing collaborative partnership, 2) rules which governs alliance an adherence to treatment, 3) customer service, e.g. relationship with clients, as well as, their families, and 4) client education and identification of warning signs. Moreover, in addition to understanding the above mentioned concepts, this leader should also possess assessment skills, in that, she/he must be able to 1) consider risk to others, which includes risk to children or other family members, 2) evaluate situation, e.g. giving consideration to social, occupational and cognitive functioning, 3) determine necessary treatment, or have some knowledge of it, e.g. if treated in the community, consulting with family ¿ carer to assist in taking steps to minimize risks and document these measures in a risk plan, and 4) exhibit degree of medical knowledge, in that, some medications can have significant adverse effects and require ongoing medical monitoring, thus, as the leader of the patient care team, being able to recognize changes in the client’s body/behavior is crucial. Thus, one would recommend that when selecting, electing or appointing team leaders, one should be mindful of the responsibilities that are characteristic of this position, taking into active thought that it is the obligation of the team’s leader to guide its members towards a solution which is based on best practices, as well as, the most ethical principles. Reference: Malhi, G. S., Adams, D. D., Lampe, L. L., Paton, M. M., O’Connor, N. N., Newton, L. A., & … Berk, M. M. (2009). Clinical practice recommendations for bipolar disorder. Acta Psychiatrica Scandinavica, 11927-46. doi:10.1111/j.1600-0447.2009.01383.x Nubia Roberts
Nubia, The enumerated steps are very enlightening and one cannot agree more with the contents of this post. The process of selecting members of the collaborating team is a very crucial one as you highlighted and this could very well determine the success or otherwise of the entire process and outcomes thereof. Laura Bronstein (2003) in prescribing a model for interdisciplinary collaboration between social workers and other professionals recommended highlighted the following five key components: ¿ Interdependence- which emphasizes teamwork. Here, there is the merging of expertise from different disciplines to achieve a common goal; ¿ Newly created professional activities-which refer to the creation of new processes which allow each professional achieve more within the collaborative effort than would have been achievable if the professionals were working independently, and helps evolve enduring structures; ¿ Flexibility- which refers to the deliberate blurring of roles that allows for constructive compromise that enhances team spirit and efficiency; ¿ Collective ownership of goals- which emphasizes shared responsibility in the process among the collaborating professionals; and ¿ Reflection on process- which refers to collaborators¿ continuous reference and commitment to the collaborative effort which goes on to enhance information sharing and feedback which strengthens the relationship Teamwork helps the professionals to merge their respective expertise to maximize creativity and also helps each professional to concentrate in their respective areas of expertise thereby improving the overall outcomes. The spirit of reciprocity and interdependence creates greater efficiency for the team and each individual. Reference: Bronstein, L.R. (2003). A model for interdisciplinary collaboration. Social Work. 48(3): 297-306
Assignment: Adaptive Response
UncategorizedAs an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis.
Consider the following scenarios:
Scenario 1:
Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.
Scenario 2:
Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.
Scenario 3:
Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.
To Prepare
· Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.
· Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.
· Construct a mind map for the disorder described on the Scenario 1: Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
To Complete
Write a 2- to 3-page paper excluding the title page, reference page and Mind Map that addresses the following:
· For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes. You are required to discuss all three scenarios within the paper component of this assignment.
· Construct one mind map on the disorder described on Scenario 1. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
Instructor Requirements
As advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in Up to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:
>Marketing homework help
UncategorizedWrite a 1,050 to 1,250 word paper addressing marketing and branding a heath care related product or service. Select an existing health care related product or service and include the following in your paper:
Cite 3 peer-reviewed, scholarly, or similar references to support your paper.
Format your assignment according to APA guidelines. This format includes an introduction, conclusion and reference page.
Group Therapy
UncategorizedIn your role, you must understand group processes and stages of formation, as this will help you develop groups and determine an individual’s appropriateness for group therapy. Whether you are at the beginning stages of group formation or facilitating a session for a developed group, it is important to consider factors that may influence individual client progress. For this Assignment, as you examine the video Group Therapy: A Live Demonstration in this week’s Learning Resources, consider the group’s processes, stages of formation, and other factors that might impact the effectiveness of group therapy for clients.
The Assignment
In a 2- to 3-page paper, address the following:
The success of the medical field is centered around research.
UncategorizedQuestion Description
Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”
References:
Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.
Words Limits
Discussion 1
The success of the medical field is centered around research. The use of research and evidence-based practice in medicine usually results in improved patient outcomes. However, research usually requires a lot of time and resources. The end goal is to ensure advancements and improvements in nursing and health care in general. The purpose of this discussion is to define research and evidence-based practice in nursing and provide a sample research and clinical question.
Nursing research refers to a process of inquiry and examination in order to find answers related to nursing practice and occurrences within nursing (LoBiondo-Wood & Haber, 2014). An example of a research question would be what are the effects of immobility for elderly residents in nursing homes? In such a scenario, the nurse aims to find out the impact that arise from lack of movement for these residents.
Evidence based practice refers to gathering of information from various reputable sources like scientists, nurse researchers and doctors to make informed health decisions (LoBiondo-Wood & Haber, 2014). In other words, there should be proof and corroboration that a certain practice yielded positive patient outcomes. The main challenge for nurses using evidenced based practice is ensuring that the practice is highly effective, but also bears minimal cost to patients (Hain, 2017). One common example of evidence-based practice is the importance of hand washing in the prevention of spread of diseases and germs.
Research usually leads to maintaining or improving nursing practices. One of the various examples of a research question is, “What is the relationship between low income level and poor health outcomes? On the other hand, a clinical question involves studying a population of interest, a nursing intervention, a comparison intervention and a desired outcome (PICO) (LoBiondo-Wood & Haber, 2014).. One example of a clinical question is. How does exercise compare to diet in decreasing obesity in Mexican American adolescents? Such a question looks at adolescents as the population of interest and exercise as the nursing intervention while diet is the comparison intervention while the outcome is reducing obesity.
Research and evidence-based practice are part of nursing practice. It is important to incorporate these two aspects in nursing care to create efficient and effective practices. Even with challenges associated with research, the benefit outweighs the risk in the long run. The goal of nursing is to ensure that safe and effective care is provided to our patients.
References
Hain, D. J. (2017). Exploring the evidence. Focusing on the fundamentals: Comparing and contrasting nursing research and quality improvement. Nephrology Nursing Journal, 44(6), 541-544.
Relationship to ANA Scope and Standards of Practice.
UncategorizedCreate a PowerPoint presentation of 12slides in which you compare the pros and cons of continuing nursing education related to the following:
Should continuing nursing education be mandatory for all nurses? Support your position with rationale.
A minimum of three scholarly sources are required for this assignment.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines.
NO PLAGIARISM PLEASE
Academic Portfolio
UncategorizedIn this Module’s Discussion, you were introduced to the concept of an academic portfolio to begin building your own brand. However, portfolios have value that goes beyond brand building. An academic and professional portfolio can also help you to build your own vision and mission and establish your development goals. In this regard, a portfolio becomes yet another tool in your toolbox as you build your success.
In this Assignment you will continue developing your Academic Success and Professional Development Plan by developing the fifth component–a portfolio for your academic and professional efforts.
To Prepare:
The Assignment: