Advanced Patho 5

A pt. reported coughing frequently and shortness of breath at times, had a “cold” with a low grade fever and runny nose about 2 weeks ago and the symptoms seem to appear after the cold.

Pt. appears in moderate respiratory distress, with suprasternal and intercostal retractions. Vital signs include temperature of 100 A°F, a respiratory rate of 32 BPM, HR 120 BPM, and O2 95% RA. Lung is notable for diffuse symmetrical expiratory wheezes, nasal mucosa is erythematous with boggy turbinates and clear mucus. Discuss the differences in the pathophysiology  for asthma vs pneumonia.  Include your thougths as to the diagnosis for this case.  

A minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required 

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Community teaching plan

The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

  1. Primary Prevention/Health Promotion
  2. Secondary Prevention/Screenings for a Vulnerable Population
  3. Bioterrorism/Disaster
  4. Environmental Issues

Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.

  1. After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.
  2. Request feedback (strengths and opportunities for improvement) from the provider.
  3. Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.

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DISCUSSION 4 LIDI-JU-ADI

Discussion # 4 : Challenges of the interview of the ARNP initial post due this week

Listed below are the three most challenging interview questions you may experience during the interview process. To fully prepare the student for his or her future interview, please provide a clear and concise answer as to how you as the APRN will answer each interview question.

1)What is your biggest Weakness?

2)Describe how you resolved conflict with a co-worker or patient?

3)Tell me about yourself?

Please I need 3 SEPARATE AND DIFFERENT ANSWERS FOR THESE 3 QUESTIONS ABOVE .

IN ONE PARAGRAPH THE FIRST RESPONSE AND IN SECOND PARAGRAPH OTHER DIFFERENT RESPONSE AND IN THE THIRD ONE THE LAST RESPONSE TO THE SAME QUESTIONS.

DONT HAVE TO BE LONG. 2 PAGES ARE FINE. FOR ANSWER 3 TIMES THE 3 QUESTIONS.

3 REFERENCE NO OLDER THAN 5 YEARS

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discussion 2 TRO-ANI

Discussion Board

DISCUSSION BOARD

Around 1.1 million people are living with HIV in the United States of America (USA). Nearly one in seven of these people are unaware they have HIV. The size of the epidemic is relatively small compared to the overall population but is heavily concentrated among several key affected populations.

You, as a future FNP should be able to identify populations in US at highest risk and also highest incidence of this disease. Expose in a clear and academic matter what is the actual situation of this Infection in US and compare it with the status of the disease in your community.

-APA STYLE 7TH EDITION

– At least 4 references supporting your posting are needed with less than 10 years of age.

-1 PAGE OF CONTENT MINIMUM

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Reading Reflection .one reference

 

Chapter 12: Ethical Issues and Consent

Chapter 13: Participant Recruitment

Read Chapter 12 & 13 

Reading Reflection 2 Ch 12 & 13

Discussion Board Assignment

This week there are no formal discussion board assignments. However, there is a reading reflection assignment for both chapters 12 and 13.

Write 5-6 sentences regarding your readings.

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REPLY 1 DISC 6NLS

Decision-Making in Nursing Leadership

Nursing leadership requires critical thinking and high cognitive ability as one has to make decisions regarding patient care, nurses’ welfare, and team development. Nurse leaders make decisions regarding nursing practice, evidence-based practice, and points of advocacy in my organization.

While nurse leaders focus on ensuring nurses perform per the organization’s expectations, they also advocate for nurses’ and patients’ welfare. For instance, nurse leaders had to advocate for nurses’ safety, especially as they handle COVID-19 patients, ensuring they get the necessary personal protective equipment (Majers & Warshawsky, 2020). Ensuring nurses have adequate personal protective equipment further guarantees patients’ safety and improves the quality of care as there is no transmission of the virus from one patient to another.

Nurse leadership focuses on issues affecting nurses, patients, and the healthcare organization. As a result, effective leadership among nurse leaders secures their decision-making on healthcare setting issues (Sfantou et al., 2017). Effective leaders identify problems in their space, gather views on how these problems can be solved, and communicate the recommendations with nurses and organizational leaders. As a nurse leader, I can be invited to the table and be an active participant in decision-making by demonstrating effective leadership and being proactive in finding amicable solutions to arising issues.

In summary, my organization makes decisions in a centralized manner where leaders decide on the way forward and communicate the recommendations to team members. While this organizational structure appears inclusive for all leaders, only effective leaders take the lead in making critical decisions regarding practice in their areas of practice.

References

Majers, J., & Warshawsky, N. (2020). Evidence-based decision-making for nurse leaders. Nurse Leader, 18(5), 471-475. https://doi.org/10.1016/j.mnl.2020.06.006

Sfantou, D., Laliotis, A., Patelarou, A., Sifaki- Pistolla, D., Matalliotakis, M., & Patelarou, E. (2017). Importance of leadership style towards quality of care measures in 

healthcare settings: A systematic review. Healthcare, 5(4), 73. https://doi.org/10.3390/healthcare5040073

REPLY 2

In nursing, proper decision-making is essential because it aids in the collection, storage, and processing of data and the provision of knowledge and information. In carrying out and managing their activities and when working with patients, nurses depend on decisions made across all managerial levels (Namnabati et al., 2017). As one becomes more knowledgeable of the profession’s decision-making process, new responsibilities and tasks emerge in the nursing sector. As a result, nurses will have to choose the right decision that best suits their needs (Ellis, 2017).Because of the scope and variety of nature programs in health care, nursing leaders must first consider the underlying conditions before making any decisions. According to Nammabati et al., (2017) the ability to acquire decision-making skills that are valuable to the profession is dependent on their knowledge of hospital information networks. Decision-makers who play a role in enacting different positions in the hospital hierarchy, such as charge nurses, directors of nursing, and managers, would be able to engage in successful critical decision-making if they are equipped with a thorough understanding of all healthcare processes and structures.Another essential role in nursing is mobilizing the best participants to address sensitive topics in a group setting. In research from Ellis (2017), this role is critical in coordinating data processing and other decision-making in nursing unit communication. Political considerations often influence decisions, and as a result, they may be tainted. Namnabati et al., (2017) found that when employees participate in the decision-making process, a successful method is more likely to develop. For efficient planning and execution, adequate resources such as skills, people, and time must be allocated.Nurses play a critical role in the decision-making process and the appropriate order for communications systems to monitor patient data from the moment of admission until they are discharged by streamlining data processing at each stage of the patient’s hospitalization. Namnabati et al., (2017) argued that the connection between the clinical groups, patients, pharmacists, and physicians, nurses play an essential role in the healthcare setting to collaborate to increase patient outcomes. As members of the hospital’s committee, the nurses are responsible for conducting an audit and making recommendations on the procurement of clinical tools, systems, and essential services (Ellis, 2017). Nurses, in particular, communicate with other practitioners and work with multiple teams of professionals within a hospital. Nurse educators can raise questions about how nurses can gain knowledge and assist in implementing training by supplying valuable resources.In conclusion, decision-making is critical in the area of nursing. By involving nurses in the decision-making process, which are essential resources in streamlining the workflow, some significant opportunities for improving patient safety and patient outcomes improve. As a result, nurses play a crucial role in the executive teams by providing practical options during decision making, which help the healthcare systems efficiently conduct clinical processes and, most importantly, support the nursing staff. They must discuss all of the system’s clinical elements, with a clear understanding of how the system will impact the nurses’ workflow and how the system will improve patient safety while still optimizing the nurses’ productivity.

References Ellis, N. (2017). Decision making in practice: influences, management and reflection. British Journal of Nursing, 26(2), 109–112. https://doi.org/10.12968/bjon.2017.26.2.109 (Links to an external site.).Nambabati, M., Taleghani, F., Varzeshnejad, M., Yousefi, A., Karjoo, Z., & Safiri, S. (2017). Nursing Care and Documentation Assistant with an Electronic Nursing Management System in Neonatal Intensive Care Unit. Iranian Journal of Neonatology, 8(2), 5–12. https://doi.org/10.22038/IJN.2016.7854 (Links to an external site.).

200 WORD EACH

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Treatment of Substance-Related and Addictive Disorders

 PLEASE FOLLOW THE INSTRUCTIONS BELOW

4 REFERENCES 

ZERO PLAGIARISM

 TOPIC: Personality Disorders & Treatment of Personality Disorders 

“2018 data shows that every day, 128 people in the United States die after overdosing on opioids. The misuse of and addiction to opioids—including prescription pain relievers, heroin, and synthetic opioids such as fentanyl—is a serious national crisis that affects public health as well as social and economic welfare” (National Institute of Drug Abuse, 2020). Treatment can be challenging as they do not see their symptoms as painful to themselves or others.

In this Discussion, you will explore personality disorders in greater detail and discuss treatment options using evidence-based research.

Reference:

National Institute of Drug Abuse. (2020). Opioid overdose crisis. Retrieved from https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis

Learning Objectives

Students will:
  • Analyze diagnostic criteria for substance-related and addictive disorders
  • Analyze evidence-based psychotherapy and psychopharmacologic treatments for substance-related and addictive disorders
  • Analyze clinical features of clients with substance-related and addictive disorders
  • Align clinical features with DSM-5 criteria
  • Compare differential diagnostic features of substance-related and addictive disorders

FOCUS

  • Explain the diagnostic criteria for your assigned substance-related and addictive disorder.
  • Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned substance-related and addictive disorder.
  • Describe clinical features that you would expect to observe in a client that may have the substance-related and addictive disorder you were assigned. Align the clinical features with the DSM-5 criteria.
  • Support your rationale with references to the Learning Resources or other academic resources.

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Health Policy

 

Select Health Policy on a local, state, or federal policy that you have explored along with recommendations based upon the analysis.

 • Analyze and evaluate the Health Policy 

• Identify application of health policy into clinical practice.

 ➢ Your pper must have an Introduction and a Conclusion 

➢ Maximum of 6 pages (not including Title and Reference page).

 ➢ APA format 

➢ At least 5 references within 5 years. 

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Health Care Policy, Teaching Plan, Culminating Experience in Nursing and Nursing Research (Due 24 hours)

 

1) Minimum 6 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per part.

             Part 1: Minimum 1 page

             Part 2: minimum 1 page 

             Part 3: Minimum 1 page

             Part 4: minimum 1 page

             Part 5: Minimum 1 page

             Part 6: Minimum 1 page

Submit 1 document per part

2)¨******APA norms

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

          Bulleted responses are not accepted

          Don’t write in the first person 

          Don’t copy and paste 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

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.do

__________________________________________________________________________________

Part 1: Health Care  Policy 

As an advanced practice nurse, one can engage in activism in order to achieve desired policy changes at various levels including their own organization.

1. Should nurses be unionized? and why?

2. How does being unionized impact a workforce culture of safety?

3 . Explain how MSN essential  VI: Health policy and advocacy relates to this topic.

Part 2: Teaching Plan

 

Purpose:  Successfully teach your group of students. 

Your Role: Educator

Population: Expertise Nurses in ICU

Topic: Perception and response capacity of nurses to alarm fatigue in the Pediatric Intensive Care Unit

When you are a nurse educator, you will possibly take on your preceptor’s or your faculty’s role for a student just like you. Consider what your preceptor or faculty will observe during your SIM lesson and what type of feedback he/she will provide for you. 

1. What will he/she be looking for or expecting? 

2. How will you be coached? 

3. Describe what you think you would do in his/her role before, during, and after your lesson.

Part 3: Culminating Experience Research

See File attached

Although we know you did not complete a full research project, you completed the research proposal with an idea of what your actual results could be. If you ever do complete a full research project, an important step is making sure your research is published/disseminated so that other nurse educator professionals can benefit from your hard work. There are many ways to disseminate information in nursing as seen in your text, including many different nursing journals. 

As a nurse educator, you will engage in professional development and find peer-reviewed information to share with your students.

1. According to your research, describe a proposal-

2. Where it might fit if it were published and why.

3. Describe how you would disseminate your work and the reasons for your choice.

Part 4: Nursing Research

1. Compare independent variables, dependent variables, and extraneous variables. 

2. Describe two ways that researchers attempt to control extraneous variables. 

Part 5: Nursing Research

1. Describe the “levels of evidence” 

2. Provide an example of the type of practice change that could result from each.

 

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: Prevention of Disease

 Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide citations/references for your answers in APA format.

   CASE STUDY: Active Labor: Susan Wong Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect or Down syndrome, but never followed through. Mrs. Wong and her husband disagreed about what to do (keep or terminate the pregnancy) if the ultrasonography indicated a spinal problem, so they felt they did not want this information.

 Reflective Questions

 1. As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs?

 2. How can you help this couple if they experience a negative outcome in the birthing suite? What are your personal views on terminating or continuing a pregnancy with a risk of a potential anomaly? What factors may influence your views? 

3. With the influence of the recent Human Genome Project and the possibility of predicting open spinal defects earlier in pregnancy, how will maternity care change in the future? 

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