Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.

/in /by

At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.

 

Consider the following scenario:

A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.

To Prepare

Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.

Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.

 

Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.

Required Readings

** Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

Chapter 23, “Structure and Function of the Cardiovascular and Lymphatic Systems”

This chapter examines the circulatory system, heart, systemic circulation, and lymphatic system to establish a foundation for normal cardiovascular function. It focuses on the structure and function of various parts of the circulatory system to illustrate normal blood flow.

Chapter 24, “Alterations of Cardiovascular Function”

This chapter presents the pathophysiology, clinical manifestations, evaluation, and treatment of various cardiovascular disorders. It focuses on diseases of the veins and arteries, disorders of the heart wall, heart disease, and shock.

Chapter 25, “Alterations of Cardiovascular Function in Children”

This chapter examines cardiovascular disorders that affect children. It distinguishes congenital heart disease from acquired cardiovascular disorders.

** Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

Chapter 11, “Cardiovascular Disorders: Vascular Disease”

This chapter begins with an overview of the vascular component of the cardiovascular system and how the cardiovascular system is normally regulated. It then describes three common vascular disorders: atherosclerosis, hypertension, and shock.

**American Heart Association. (2012). Retrieved from http://www.heart.org/HEARTORG/

**Million Hearts. (2012). Retrieved from http://millionhearts.hhs.gov/index.html

**National Heart, Lung, and Blood Institute. (2012). Retrieved from http://www.nhlbi.nih.gov/

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:

1. Up to Date (must use original articles from Up to Date as a resource)

2. Wikipedia

3. Cdc.gov- non healthcare professionals section

4. Webmd.com

5. Mayoclinic.com

– This work should have Introduction and Conclusion

– It should have at least 3 current references

– APA format

– At least 2 pages, references page not include

1.      How was the form of the American Republic different under Jackson than it was under Jefferson?

/in /by

Create a 500-750-word essay depicting the evolution of democracy from the time of President Jefferson to President Jackson. Be sure to include the following:

1.      How was the form of the American Republic different under Jackson than it was under Jefferson?

2.      What caused these changes?

3.      Why were these changes significant to the future development of the American Republic?

Use a minimum of three of the sources provided to support your assignment and be sure to cite the sources.HIS-144 Week 3 The Evolution of Democracy in the Early Republic

Professionalism and Social Media 

/in /by

Professionalism and Social Media

Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.

Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field.

In 500-750 words, summarize the findings of your review. Include the following:

  1. Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.
  2. Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.
  3. Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.

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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

RUBRICDue Date: 04-Aug-2019 at 11:59:59 PM

Maximum Points: 74.0

. Identify formal and informal methods for communicating health information to children and adults (See Case Scenario below, research the definition of formal and informal communication).

/in /by

Subsystem: Communication

Use Your Selected Community from the Physical Environment assignment.

Overview

Communication as a subsystem can influence personal health choices among all ages. This subsystem is often used to promote health by sharing information about community health fairs and health education opportunities. Health professional students will gain an understanding about communication influences on determinants of health and explore ways communication systems can be used to promote and support health. Mayor Franklin Hill is available to share insight about communication in Sentinel City® (SC).

Assignment Instructions

1. Review the following resources:

a. Course textbook and/or other assigned readings

b. Review social determinants of health

c. Review CDC website: E.coli (Escherichia coli) at https://www.cdc.gov/ecoli/

d. Meet with Mayor Hill to learn about communication in SC®

2. Enter SC® and begin the bus tour of your selected neighborhood within SC®.

3. Tour the neighborhood, explore all types of communication efforts within the neighborhood. What types of advertisements and billboards do you observe? Are there indications of mass communication? If signs or billboards are present, what issues are addressed? Compare to the rest of Sentinel City.

4. Identify formal and informal methods for communicating health information to children and adults (See Case Scenario below, research the definition of formal and informal communication).

5. Using an evidence-based approach, develop a newspaper, poster, billboard or radio public service announcement.

6. Contact your Academic Coach if you require clarification.

Subsystem: Communication

Local politics and government policies impact conditions that influence the health status of people. For this assignment, identify two conditions you observed that can have a negative influence on health that can be addressed by the local government. Develop two policy recommendations to present to Mayor Hill that address conditions you identified that can negatively affect a community’s overall health.

Formal forms of communication observed

Informal forms of communication noted

What should be added to strengthen communication within and across neighborhoods in Sentinel City®?

What do signs, billboards, or posters tell about the life of residents in this community?

What is the relationship of the subsystem: communication to determinants of health?

Case Scenario

There has been a recent multi-neighborhood foodborne outbreak involving E.coli (Escherichia coli) in Sentinel City®. Sixty elementary school age children were out sick this week. A number of adults and children from all four neighborhoods have presented at local clinics and the emergency room with complaints of abdominal pain, sudden severe diarrhea, nausea, and fatigue. What form of formal mass communication would be most effective for educating the public about the causes, symptoms, and prevention of E.coli in the city? Use government websites or scholarly literature to support your rationale for the mass communication method you select. In 150 words or less, develop a newspaper script, poster, or billboard appropriate for adults and teens as well as one specifically for elementary school age children. How would you communicate the same information informally? When preparing information to share with the community, consider demographics of each neighborhood and health literacy.

Formal Communication method:

Informal Communication method:

Rationale for using this method:

(cite your resource and add create reference list per APA).

Rationale for using this method:

(cite your resource and add create reference list per APA).

150 words or less newspaper script, poster, or billboard for adults and teens

If you opt for a Poster (in the form of a 1 slide PowerPoint) must be attached as an appendix After the reference page.

150 words or less newspaper script, poster, or billboard for elementary school age children

If you opt for a Poster (in the form of a 1 slide PowerPoint) must be attached as an appendix After the reference page.

References

Appendix or Appendices

the Conceptual – Theoretical – Empirical (CTE) structure translates into nursing practice based on one of the middle range theories that has been formulated or derived from your preferred conceptual model of nursing.

/in /by

Details:

Conceptual models, theories, and empirical indicators are linked and provide a nursing knowledge system to apply the model or theory to nursing practice, research, and education. Advanced-practice nurses are required to understand the linkages as applied to nursing and translate the components into practice.  To continue development of nursing knowledge, advanced practice nurses can create structure to test theory.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Directions:

Write a 1,000-1,250 word paper examining how the Conceptual – Theoretical – Empirical (CTE) structure translates into nursing practice based on one of the middle range theories that has been formulated or derived from your preferred conceptual model of nursing. Translate and apply the selected theory to nursing practice using actual examples. Evaluate the theory using the CTE steps below:

  1. Evaluation of the conceptual-theoretical-empirical linkages.
  2. Evaluation of the selected theory.
  3. Evaluation of the empirical indicators.
  4. Evaluation of research findings.
  5. Evaluation of the utility and soundness of the practice theory.

Therapy for Pediatric Clients With Mood Disorders

/in /by

Therapy for Pediatric Clients With Mood Disorders

 

Mood disorders can impact every facet of a child’s life, making the most basic activities difficult for clients and their families. This was the case for 13-year-old Kara, who was struggling at home and at school. For more than 8 years, Kara suffered from temper tantrums, impulsiveness, inappropriate behavior, difficulty in judgment, and sleep issues. As a psychiatric mental health nurse practitioner working with pediatric clients, you must be able to assess whether these symptoms are caused by psychological, social, or underlying growth and development issues. You must then be able recommend appropriate therapies.

 

This week, as you examine antidepressant therapies, you explore the assessment and treatment of pediatric clients with mood disorders. You also consider ethical and legal implications of these therapies.

 

Photo Credit: GettyLicense_185239711.jpg

 

Assignment: Assessing and Treating Pediatric Clients With Mood Disorders

 

When pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders.

 

Note: This Assignment is the first of 10 assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the “right” decision every time; in fact, some scenarios may not have a “right” decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.

 

Learning Objectives

 

Students will:

 

Assess client factors and history to develop personalized plans of antidepressant therapy for pediatric clients

 

Analyze factors that influence pharmacokinetic and pharmacodynamic processes in pediatric clients requiring antidepressant therapy

 

Evaluate efficacy of treatment plans

 

Analyze ethical and legal implications related to prescribing antidepressant therapy to pediatric clients

 

Learning Resources

 

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

 

Required Readings

 

Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.

 

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

 

 

 

Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

 

Chapter 6, “Mood Disorders”

 

Chapter 7, “Antidepressants”

 

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.

 

 

 

Note: To access the following medications, click on the The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

 

 

 

Review the following medications:

 

amitriptyline

 

bupropion

 

citalopram

 

clomipramine

 

desipramine

 

desvenlafaxine

 

doxepin

 

The purpose of the iCARE Paper assignment is to explore the concept of interprofessional teams and patient outcomes.

/in /by

Purpose

The purpose of the iCARE Paper assignment is to explore the concept of interprofessional teams and patient outcomes. Nursing supportive actions of compassion, advocacy, resilience, and evidence-based practice will serve as a way to apply care concepts.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO1: Applies principles of nursing, theories, and the care philosophies to self, colleagues, individuals, families, aggregates and communities throughout the healthcare system. (PO#1)

CO6: Plans clinical practice activities that integrate professional nursing standards in accordance with the Nursing Code of Ethics and the American Nurses’ Association (ANA) standards of practice. (PO#6)

Points

The assignment is worth 200 points.

Due Date

Submit your completed assignment by Sunday end of Week 5 by 11:59 p.m. MT.

Directions

Getting Started: Interprofessional teams are part of practice trends we see developing in all aspects of care delivery. Consider you own work environment (or recent clinical setting).

· For this assignment, consider the concept of interprofessional teamwork and patient outcomes.

· Look to your current workplace as an example. (If you are not currently employed, look to a past workplace or clinical practice area.)

· Apply the components of the iCARE concept to interprofessional teams in a short paper. (Body of the paper to be 3 pages, excluding the title page and references page)

· iCARE components are:

C ompassion

A dvocacy

R esilience

E vidence-Based Practice (EBP)

· How could you contribute to an interprofessional team and patient outcomes through nursing actions of: compassion, advocacy, resilience, and evidence-based practice?

· Select one scholarly nursing article from CINAHL as a resource for your paper. Additional scholarly sources can be used but are optional.

· Use APA format throughout, particularly in citations and on the References page.

· Please paraphrase throughout. One short quote is permitted.

· The prepared paper template is RECOMMENDED for this assignment.

Download the assignment template here: iCare Assignment Template (Links to an external site.)Links to an external site.

A short tutorial with tips for completing this assignment may be viewed here: iCARE Paper (Links to an external site.)Links to an external site.

Elements of iCARE paper

· Title page

· Below are the headings to be used for this assignment.

· Introduction: (No heading needed here in APA) Explain the type of work setting you are discussing and whether interprofessional teams are currently present. If interprofessional teams are present, indicate a team function that could be improved. If interprofessional teams are NOT present, indicate what type of team you think might be possible in the setting.

Describe a nursing action item for each component below that could contribute to: interprofessional team support; how this might impact the culture of your unit or organization; and possible impact on patient outcomes.

· Compassion

· Advocacy

· Resilience

· Evidence-Based Practice

· Summary: Include a summary statement of how iCARE components can support interprofessional teams and patient outcomes. Address how you may be able to influence this process of support for interprofessional teams overall in your unit or organization.

· References page: List any references used in APA format.

**Academic Integrity Reminder**

College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on this page.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

 

Describe how you would collaborate with a nurse leader to reach consensus on the best strategy to employ to deal with the conflict.

/in /by

Directions

 

To Prepare:

 

· Read Finkelman (2016), Chapter 13: Improving Teamwork: Collaboration, Coordination, and Conflict Resolution, section on Negotiation and Conflict Resolution, pp. 324-333 (see attached chapter 13 in word document).

 

· Observe nurses in a care delivery setting. Identify a recurring conflict with the potential to negatively impact patient care. Decide if delegation was an issue in the conflict. This should be from your practice setting or prelicensure experiences.

 

· Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved.

 

· Identify the type of conflict. Explain your rationale for selecting this type.

 

· Outline the four stages of conflict, as described in our text, and how they relate to your example.

 

· Propose strategies to resolve the conflict. Search scholarly sources in the library and the Internet for evidence on what may be effective.

 

· Discuss if delegation was an issue in the conflict. Be specific.

 

· Describe how you would collaborate with a nurse leader to reach consensus on the best strategy to employ to deal with the conflict.

 

· Describe the rationale for selecting the best strategy.

 

· Provide a summary or conclusion about this experience or assignment and how you may deal with conflict more effectively in the future.

 

· Type your paper using Microsoft Word 2010 or later.

 

 

Write a 5-7-page paper (not including the title or References pages) using APA format and at least four scholarly references no older than 5 years that includes the following level one headings:

 

1) Start your paper with an introduction ending with a purpose statement (e.g. “the purpose of this paper is…”)

 

2) Describe an unresolved (recurring) conflict that you experienced or observed. Identify the type of conflict.

 

3) Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved.

 

4) Outline the four stages of conflict, as described in Finkelman, and how the stages relate to your example. Decide if delegation was an issue in the conflict. Be specific.

 

5) Describe the strategies for conflict resolution and how you would collaborate with a nurse leader to resolve the conflict. Cites the course textbook and three scholarly sources.

 

6) Provide a conclusion or summary about this experience and how you may deal with conflict more effectively in the future.

l, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

/in /by

Assignment: Evidence-Based Project, Part 4: Critical Appraisal of Research

Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use appraisal tools to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

· Review the Resources and consider the importance of critically appraising research evidence.

· Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

· 1.Client Retention: Caul,M. (2008). Treatment Improvement Protocol

· 2.Relapse and Continued Substance Use: Irvin,A. (1999). Treatment Improvement Protocol

· 3. Substance Use by Family Members: Johnson,M (1999)

· 4.Group Work Issues: CSAT (2005)

· Review and download the Critical Appraisal Tools document provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research ATTACHED

Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Critical Appraisal Tools document. Be sure to include:

· An evaluation table

· A levels of evidence table

· An outcomes synthesis table

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

Resources

Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

/in /by
  • Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
  • Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
  • Identify and select 5 peer-reviewed articles from your research.

 

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

  • Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.
  • Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.