Therapeutic 2

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Case #1- The patient was admitted 2 days ago with a diagnosis of cancer. She was informed by her doctor that a course of radiation and chemotherapy was her best option. She became very upset and frightened about the proposed treatment and stated that she wasn’t sure if she would go through with it. The nurse approaches her to discuss how she is feeling today.

Nurse: “How are you doing today, Miss Smith. I was wondering how you were feeling about undergoing radiation and chemotherapy?”

Patient: “I don’t know. I’m not as scared as I was when I got here, but I have a lot of questions about it.”

Nurse: “It sounds like you have given it some thought. I’m sure Dr. Jones could talk with you and answer some of your questions. Would you like to do that?” 

Patient: “I guess so. What do you think?”

Think of a few ways the nurse could respond.

Case #2-  An elderly patient is sitting in bed taking a nap. A tray of uneaten food is on the bedside table. The nurse comes into the room.

Think of a few ideas of what the nurse could say to start a therapeutic conversation with this patient.

Nurse: “…………”

Patient: “Oh, don’t bother with me. I don’t have much time left in this world.

And I don’t have much to live for anyway.”

Nurse: Think of a few therapeutic responses.   ( It should be conversation between a nurse and a patient).

Module 02 Written Assignment – Pay for Performance

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As the team lead for your department, you have been asked to create a policy outline that details how pay for performance bonuses will be paid.

Include in your policy the following information: 2 page minimum  Title of the organization (use a company of your choice) Policy number Effective date Next review date  Policy approver Name of the policy List the department, product and function Summary of the policy structure

Gather your research from at least 2 sources, other than your textbook. Cite your sources using APA guidelines. All submitted work should be free of grammatical errors.

project 5

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Instructions

Nursing Theory Analysis Paper

Overview/Description: 

The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below.

Theory/Author Name and Background 

Select a Grand or Mid-Range Theory that is appropriate to your practice setting.

Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.

Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.

Identify the phenomenon of concern or problems addressed by the theory.

Theory Description

Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.

Describe the major concepts of the theory. How are they defined? (theoretically and/or operationally) Is the author consistent in the use of the concepts and other terms in the theory?

Interpret how the concepts are defined. Implicitly or explicitly?

Examine the relationships (propositions) among the major concepts.

Evaluation

Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?

Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?

Discuss the clarity of the theory. Did it have lucidness and consistency?

Application

Examine how the theory would guide nursing actions.

Describe specifically how you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).

Download the Theory Critique Template.

APA Style/Format

Theories that can’t be used:

Jean-watson

Virginia Henderson

Patricia benner 

USE THE ATTACHED TEMPLATE FOR THE ESSAY

How does the answering of call lights in a timely manner in the health care setting prevent patient falls?

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NR449 Evidence Based Practice 

c. Use of APA format (sixth edition)  d. Page length: three pages  PREPARING THE PAPER  1. Please make sure you do not duplicate articles within your group.  2. Paper should include a title page and a reference page.  

  DIRECTIONS AND ASSIGNMENT CRITERIA  Assignment  Criteria  Points  Description  

Clinical Question 

 

 

 

 

 

 

    

1. Problem is described: What is the focus of your group’s work?  2. Significance of the problem is described: What health outcomes result from your problem? Or what statistics document this is a problem? You may find support on websites for government or professional organizations.  3. Purpose of your paper: What will your paper do or describe? “The purpose of this paper is to . . .”  

  

**Please note that although most of these questions are the same as you addressed in paper 1, the purpose of this paper is different. You can use your work from paper 1 for items 1 and 2 above, including any suggestions for improvement provided as feedback. Item 3 above should be specific to this paper.  

Description of Findings: Summary 

   

    Summarize the basics of each article in a matrix table that appears in the appendix.    

Description of  Findings:  Description  

  

   Describe in the body of the paper the following.  • What concepts have been studied?  • What methods have been used?  • Who are the participants or members of the samples?  • What instruments have been used? Did the authors describe the reliability and validity?  • How do you answer your original “purpose of this paper” question? Do the findings of the articles provide evidence for your answers? If so, how? If not, what is still needed to be able to answer your question?  • What is needed for the next step? Identify two questions that can help guide the group’s work.  

Description of Findings: Conclusion  

 Conclusion: Review major findings in your paper in a summary paragraph.  

   

1. Correct grammar and spelling  2. Use headings for each section: Problem, Synthesis of the Literature (Concepts, Methods, Participants, Instruments, Implications for Future Work), Conclusion.  3. APA format (sixth ed.): Appendices follow references.  4. Paper length: Three pages  

    

 

6053 Group Assignment

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   Assignment: Application: Leadership Concept
Analysis Group Paper

This week you will begin a group paper that you will develop over the next few weeks. By Day 3 of this week, you will be placed in a collaborative group and provided with a work area for your group (See the Groups area below Week 11 in the left-hand navigation bar. If you do not see your team area by the end of Day 3, contact your Instructor.)

Before you begin to work with your group, read the information below describing the paper. Then join your group, introduce yourself, and begin work on selecting a topic.

To prepare:

· Review the Peer Evaluation Form for important information on how this assignment is graded.

· Identify a group facilitator.

· Within your group, select a topic relevant to interprofessional leadership and the health care field on which to focus your group paper. The following are some potential topics for your group to consider: 

o Matrix organizations

o Accountable care organizations

o Horizontal and vertical organizations

o Role conflict and ambiguity

o Employee recruitment and selection

o Interpersonal relationships in the C-suite of organizations (the relationships between the CEO, CFO, and CNO)

o Resistance to change

o Succession planning

o Whistle blowing

o “Just” culture

o Team Stepps

· When your group has selected a topic, the group facilitator will submit the topic to the Instructor for approval on the Discussion Board in the Week 5 Group Project Topic Forum.

· Conduct research on your topic using the Walden Library and other credible sources.

To complete:

As a group, write a 3- to 5 (page count does not include title and reference page) page paper that includes the following:

· Section 1: Introduction

· Section 2: Significance of the topic (based on literature that speaks to the relevancy of the concept selected in terms of interprofessional leadership)

· Section 3: Review of the literature related to the concept that the group selects (current best practices, positive or negative impact on leadership or health care organizations, etc.)

· Section 4: Application to nursing (e.g., implications or consequences for nursing leaders)

· Section 5: Conclusion

All group members are expected to collaborate fully on this project, and your group paper should demonstrate an original and thoughtful application of the ideas presented in the Learning Resources and the research literature.

Describe the levels of evidence and provide an example of the type of practice change that could result from each.

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Describe the levels of evidence and provide an example of the type of practice change that could result from each.

Irish and pregnancy

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Conduct a literature search to locate a journal article related to the health or health care practices of Irish people and childbirth. Present a summary of the journal article, and examine how the information presented may impact your nursing practice. Please provide a copy of the journal article (or hyperlink) if possible: 400 words 

Hunter, A., Devane, D., Houghton, C., Grealish, A., Tully, A., & Smith, V. (2017). Woman-centred care during pregnancy and birth in Ireland: thematic analysis of women’s and clinicians’ experiences. BMC pregnancy and childbirth, 17(1), 322. https://doi.org/10.1186/s12884-017-1521-3

Please Answer According The Comments. Thanks. Remember,Ber 100 Words For Each.

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Comment 1You correctly stated that Mr. C is a candidate for bariatric surgery based on his poor health history including high cholesterol, an elevated BMI level of 45, OSA, high fasting blood glucose (FBG) of 146 mg/dl, has a high respiratory rate of 26 which can point to pulmonary disease.  Good candidates for weight-loss surgery are obese adults who also have an obesity-related health condition, who are aware of the risks and benefits of surgery, and are willing to make lifestyle changes after surgery, especially in regard to eating habits. Following bariatric surgery many patients show improvement in obesity-related conditions, such as diabetes, high blood pressure, obstructive sleep apnea and arthritis.

Comment 2

Nice post! You bring up very good points when speaking about the functional health patterns and problems the patient has. I particularly liked how you brought up assessing for sleep apnea. People don’t really understand the implications of having sleep apnea and energy levels throughout the day. People can also suffer from headaches/migraines if they have obstructive sleep apnea. It’s so important for our body to recharge while sleeping and part of that recharging has to do with proper oxygenation. Many people who are obese are unaware that they may have this problem and need to have a sleep study. Many of my patients don’t know they have it until I or another nurse notices they are snoring and desaturated while sleeping. This can be a scary finding. 

Comment 3

Hi Diona, one specific thing that caught my attention from reading Mr. C’s case study was that this patient takes multiple medications at different times throughout the day because of multiple diseases that are present. This requires the patient to place a lot of attention and plan accordingly. The patient also has to make sure to manage their medications in order to decrease their chances of overdosing, missing a medication, or drug contraindications. Some strategies that can be used are: fill the prescriptions at one pharmacy, use a pill dispenser, and make a list.

Health Screening and History of an Adolescent or Young Adult Client

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Complete the assignment as outlined on the worksheet, including: Biographical data Past health history Family history: Obstetrics history (if applicable) and well young adult behavioral health history screening Review of systems All components of the health history Three nursing diagnoses for this client based on the health history and screening (one actual nursing diagnosis, one wellness nursing diagnosis, and one “risk for” nursing diagnosis) Rationale for the choice of each nursing diagnosis. A wellness plan for the adolescent/young adult client, using the three nursing diagnoses you have identified.

Ethics2

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Chief executive officer (CEO) Beranger wants to ensure that the current regulations and requirements under the Health Insurance Portability and Accountability Act (HIPAA) and the Security and Privacy Rules will be met as she continues to move Silver Creek Hospital towards a culture of e-Health beyond the implementation of an electronic health record system to the integration of telemedicine and data mining. She asks that you compose a report of 3–4 pages that includes the following information:  Describe the objectives of the HIPAA Security and Privacy Rules.Discuss how HIPAA attempts to safeguard protected health information (PHI).Explain how abiding by HIPAA rules and regulations may challenge the ethics of health care professionals.Discuss the limitation of HIPAA and the ethical issues related to the use of electronic health data for research and development of evidence-based practice guidelines.