Reflect on a patient who presented with a hematologic or metabolic disorder during your Practicum experience.

QUESTION

nursing

Journal Entry:

Reflect on a patient who presented with a hematologic or metabolic disorder during your Practicum experience. Describe your experience in assessing and managing the patient and his or her family. Include details of your “aha” moment in identifying the patient’s disorder. Then, explain how the experience connected your classroom studies to the real-world clinical setting. If you did not have an opportunity to evaluate a patient with this background during the last 8 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.

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PICOT Question

This paper will have an 8-page narrative (8 pages maximum – 5 point deduction for over page limit) plus a title page, abstract page, and reference list. 

You must use a minimum of four original research articles for your paper.

The purpose is to write a review of the literature on to answer your PICOT question using original research evidence. Discuss how this health problem is applicable in both the United States and a non-USA country, and appraise four original research studies on this topic.

This is a scholarly paper, written as if it was a “Review of the Literature” article published in a nursing journal. Select articles published within the past five years (2014 to present).
Do not use a non-peer review journal. Do not use a literature review article or systematic review article or clinical protocols as one of your articles. At least TWO of the four original research report articles MUST BE authored by nurses and published in a peer-reviewed nursing journal.  At least ONE of the two nursing research studies must address nursing practice in a non-USA country.

  • Page 1: Title page Create a title for your paper. Refer to your APA Manual.
  • Page 2: Abstract The abstract should open with a sentence that will serve as an introduction to and purpose of the paper. Then describe what is in each part of the paper. An abstract is usually a brief outline of the contents of the paper that typically does not exceed 250 words. At the end of the abstract place the phrase Key Words, and denote 3-4 keywords that would describe your paper (as for publication and indexing in CINAHL or PubMed).
  • Pages 3-11: Narrative
    • Heading: Significance and Background: Start the paper with a short paragraph that introduces the health problem in your PICOT question. (Approximately ½-page).
    • Heading: Purpose: Clearly define the global health problem, and discuss why it is important for nursing (why you are discussing this topic).  Discuss what is known about this problem in the United States and in a non-USA country.  For example, if the focus is adult hypertension, discuss guidelines for defining hypertension in the US and in a non-USA country.  (Approximately 1 page).
    • Heading: Methods: Discuss the methods used to select the following research studies.
      Next use the subheading:
      • Sub-headings: Study #1: Nursing research Study in the USA (Approximately 1½ pages)
      • Sub-headings: Study #2: Nursing Research Study Non-USA (Approximately 1½ pages)
      • Sub-headings: Study #3: Nursing Research Study USA or Non-USA (Approximately 1½ pages)
      • Sub-headings: Study #4: Nursing Research Study USA or Non-USA (Approximately 1½ pages)
    • Heading: Conclusion.  Summarize the key points from your discussion. How would you translate (use) the new evidence found from your appraisals to change practice or answer your PICOT question? (Approximately 1 page).
  • Page 12+: Reference page: Refer to your APA Manual.

This review is a scholarly paper in APA format and with at least three APA references (two articles and textbook), cited both in the text and the reference page.

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How many financial managers budget for unforeseen changes and improvements in information technology that require large capital outlays?

HCS 405 Week 5 Complete Discussion 1. How many financial managers budget for unforeseen changes and improvements in information technology that require large capital outlays? Discussion 2. Discuss future trends of health care financial technology. Individual Assignment – Health Care Financial Terms Worksheet Resources: University of Phoenix Material: Week Five Health Care Financial Terms Complete the University of Phoenix Material: Week Five Health Care Financial Terms located on the student website. Individual Paper Budget Changes How might financial managers budget for unforeseen changes and improvements in information technology that require large capital outlays? This is a stand alone paper. Please answer the question in 500-750 words. Learning Team Assignment – Sensitivity Analysis Resources: Patton-Fuller Community Hospital Virtual Organization and University of Phoenix Material: Sensitivity Analysis Grading Criteria Review the financial statements, annual report, and budget issues documents,located in the Patton-Fuller Community Hospital Virtual Organization. Create a8- to 12-slide Microsoft® PowerPoint®presentation that summarizes elements that affect staffing at Patton-Fuller, such as raises in wages and changes in the nurse-to-patient ratio. If you wish, you may use presentation software other than PowerPoint, such as Prezi.Include speaker notes. Include the following in your presentation: · Provide a comparative analysis of the last two years of data. · Explain how the 2010 budget assumptions will positively or negatively affect Patton-Fuller. · Explain how you may use a trend analysis to plan for staffing at Patton-Fuller. Summarize the trend analysis and how comparative data facilitates forecasting at Patton-Fuller.

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Case Scenario on Diabetes

 The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data

  • Complains of pain and heaviness in her leg.
  • States she cannot bear weight on her leg and has been in bed for 3 days.
  • Lives alone and has not had anyone to help her with meals.

Objective Data

  • Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
  • Left leg red from knee to ankle
  • Calf measurement on left 3 in > than right
  • Temperature: 38.9 degrees C
  • Height: 160 cm; Weight: 83.7 kg

Laboratory Results

  • WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
  • Wound culture: Staphylococcus aureus

Critical Thinking Questions

  1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
  2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
  3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
  4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.
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DEVELOP A TRAINING MODEL FOR A LOCAL COMPANY THAT PROVIDES MENTAL HEALTH SERVICE

Develop a training model for a local company that provides mental health services.Consider the topics and models covered on attachment, cognition, moral reasoning, developmental models, language, attention, sensation, and perception. I want to see how these concepts help these mental health employees do their jobs.Create a ppt that provides this organization with scenarios that would help them to identify when cultural aspects should be considered. Each slide should list the model or theory addressed and a scenario to help the organization grasp the key concepts. One of the key elements in this assignment is to highlight cultural distinctions that help in the training model.I specifically need Sensation and 1 scenario and Perception and 1 scenario.

Q2

Case Assignment The health care reform debate is not a new one. The plan for a national system was a Hillary Clinton platform when she was First Lady. The notion lost steam and was placed on the back shelf until the election of President Obama. During President Obama’s presidency, the debate for the need of a national plan has heated up considerably. It is incumbent on us all to become as informed about health care reform as possible because it affects us, our family, and loved ones.List and briefly describe 3 of the recommendations for health care reform from experts, interest groups, etc.Discuss how the Patient Protection and Affordable Care Act (PPACA) fits (or does not fit) with the recommendations.Length: Submit a 3-page paper.I need 3 pages, 3-4 in-text citations, APA, 3-4 References

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Describe the legal and ethical dilemma discussed in the case study. Analyze the key ways in which a patient’s right to die relates to this specific case.

Question Description

Deciding to place a loved one into a long-term care facility can be extremely difficult. Even more difficult is the thought of your loved one’s rights being violated while in long-term care. Patient healthcare rights are not as clearly defined as one would expect, and there are long-term care and other healthcare facilities that create their own sets of patient rights. However, there are also certain indisputable rights afforded to patients across the board.

Read the case study titled “A Legal and Ethical Dilemma”, located on pages 463-465 of your text. Next, use the Internet or Strayer Library to research information on a patient’s right to die.

Write a four to six (4-6) page paper in which you:

  1. Describe the legal and ethical dilemma discussed in the case study. Analyze the key ways in which a patient’s right to die relates to this specific case.
  2. From your research, specify the potential repercussions for failure to comply with the wishes of a patient who has requested to withhold a life-sustaining procedure. Next, take a position on whether the patient’s right to die or the patient’s right to be protected from harm should take precedence in this case. Provide a rationale for your position.
  3. Imagine that you are a part of the ethics committee investigating this case. Determine the main facts pertaining to the issue that the committee should consider. Suggest one (1) step that the facility should take next in order to resolve the dilemma. Provide a rationale for your response.
  4. Use at least three (3) quality academic resources. Note: Wikipedia and other similar websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Identify the factors that have led to the current realities of long-term care in the United States.
  • Assess the various stakeholder groups of long-term care along with the nature of the relationship(s).
  • Evaluate the impact of litigation on long-term care providers and practices.
  • Use technology and information resources to research issues in long-term care management.
  • Write clearly and concisely about long-term care management using proper writing mechanics.
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Contemporary Nursing Practice

Details:
 

The field of nursing has changed over time. In a 750-1,000 word   paper, discuss nursing practice today by addressing the following:

  1. Explain how nursing practice has changed over time and how     this evolution has changed the scope of practice and the approach to     treating the individual.
  2. Compare and contrast the     differentiated practice competencies between an associate and     baccalaureate education in nursing. Explain how scope of practice     changes between an associate and baccalaureate nurse.
  3. Identify a patient care situation and describe how nursing care,     or approaches to decision-making, differ between the BSN-prepared     nurse and the ADN nurse.
  4. Discuss the significance of     applying evidence-based practice to nursing care and explain how the     academic preparation of the RN-BSN nurse supports its   application.
  5. Discuss how nurses today communicate and collaborate with     interdisciplinary teams and how this supports safer and more     effective patient outcomes.

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

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IDENTIFY KEY ACTIVITIES AND TERMINOLOGY RELATED TO BIOSTATISTICS IN PUBLIC HEALTH AND MEDICAL RESEARCH.

In this assignment, you will write a paper based on Chapters I – IV (SEE BELOW). It is important that we establish a solid foundation related to our knowledge and understanding of biostatics. The purpose of this paper is to reinforce comprehension of the core methods. Write a six page APA formatted paper not including the title page and reference page. Please use a minimum of six APA formatted references. Incorporate your approved topic, outline, and references from your Unit I Assignment into this research paper. o Chapter 1: Overview of Biostatistics o Chapter 2: Quantifying the Extent of Disease o Chapter 3: Quantifying the Extent of Disease o Chapter 4: Summarizing Data Collected in the Sample Be sure to include the following within your paper: Based on your readings and understanding of statistics, identify key activities and terminology related to biostatistics in public health and medical research. How have you applied biological statistical procedures related to your course units? Please list specific examples and be sure to cite accordingly. List examples of how you have computed and interpreted the measures to compare the extent of a disease. Give specific data that has been used within a sample. How do we ensure the validity of this data? What methods have you used to compute and interpret probability for biostatical analysis? Please discuss. How have you proposed solutions to public health problems based on biostatistical methods? Give examples of how you would define point estimate, standard error, confidence level, and margin of error. How would you compare and contrast standard error and margin of error?

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Professional and Ethical Practice within the context of Health and Caring.

Create a 14 page essay paper that discusses Professional and Ethical Practice within the context of Health and Caring.From this study it is clear that in UK, nurses are trained for either diploma or degree certificates. Post graduate courses are also available for nursing graduates. The nursing profession has a multitude of specializations in various branches of medical care including in mental health, learning disabilities, adult and child care branches. They are classified into two levels. The first level nurses are trained for three to four years. The second category is called state enrolled nurses who are imparted training for two years. The Nursing and Midwifery Council (NMC) register and regulate their services. In order to discuss the autonomy of nurses who are working with patients suffering from learning disabilities, it is paramount that one should understand major responsibilities.This paper outlines that nurses are basically responsible for the care of the patients during their hospitalisation. Some other responsibilities of the nurses envisage making nursing assessment which includes risk assessment and mental state examination, collection of collateral history of the patient by gathering information, etc.The autonomy aspect of nursing professionals in a hospital environment would involve the decision making on their part, regarding matters affecting the degree of care, comfort and convenience of the patients in line with their free will and consent.&nbsp.An understanding of autonomy is required to tackle situations in which the autonomy of the nursing professionals infringes the rights of patients and clients.

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Describe the changing role of the nurse today and how they are influenced by the organizational nursing theory.

Choose a contemporary school of nursing, hospital, nursing home,
or other facility in the healthcare arena and research the nursing
theory used there. Describe the changing role of the nurse today
and how they are influenced by the organizational nursing
theory.
Your presentation should include (60 pts.):
How the nursing theory enhances professional nursing practice in
the roles of advocate, provider, teacher, manager, researcher, and
leader. (20 pts.)
How using nursing theory and theory from other disciplines as a
basis for the nursing process helps promote health and healing. (10
pts.)
How we can use nursing theory to challenge professional and
organizational assumptions, explore alternatives, and guide nursing
actions. (30 pts.)
This assignment is a PowerPoint presentation only. (40 pts.) The
presentation should include no more than 20 slides. If you use
graphics be sure they are small in size, so your presentation can
be loaded quickly.
When you have completed this assignments, you will be able to
differentiate the concepts of person, environment, health, and
nursing, as they relate to select nursing theories by: (Competency
1)
identifying and defining the nursing metaparadigms. (10 pts.)
analyzing the philosophical bases of the concepts as they relate to
specific theorists. (10 pts.) differentiating the concepts as they
relate to selected nursing theories. (10 pts.) constructing a
personal nursing philosophy by integrating the metaparadigms and
the his/her individual values. (10 pts.)

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