Sandra, a 47-year-old divorced woman, received a diagnosis of stage 3 ovarian cancer 4 years ago, for which she had a total hysterectomy, bilateral salpingo- oophorectomy, omentectomy, lymphadenectomy, and tumor debulking followed by chemotherapy, consisting of cisplatin (Platinol), paclitaxel (Taxol), and doxorubicin (Adriamycin). She did well for 2 years and then moved back to her hometown near her family and underwent three more rounds of secondline chemotherapy. She accepted a less stressful job, bought a house, renewed old friendships, and became more involved with her two sisters and their families. Sandra developed several complications, including metastasis to the lungs. Then she could no longer work, drive, or care for herself. She had been told by her oncologist that there was nothing else that could be done and that she should consider entering a hospice. She met her attorney and prepared an advance directive and completed her will. She decided to have hospice care at home and, with the help of her family, set up her first floor as a living and sleeping area. She was cared for by family members around the clock for approximately 3 days. Sandra observed that she was tiring everyone out so much that they could not really enjoy each other’s company. At this time, she contacted the Visiting Nurse Association (VNA) to seek assistance. Her plan was to try to enjoy her family and friend’s visits. After assessment, the VNA nurse prioritized her problems to include fatigue and caregiver role strain. Other potential problem areas that may need to be incorporated into the care plan include anticipatory grieving and impaired comfort.

 Reflective Questions 1. What are some of the stresses on Sandra’s middle-aged sisters and their families? 2. What resources are available to manage these stresses and support the sisters while caring for their dying sister Sandra? 3. Describe Sandra’s feelings about dependency and loss of autonomy because she is unable to do her own activities of daily living any longer 

The effective nurse educator reflects on their practice through analysis of feedback from preceptors/mentors, peers, and learners. Feedback from all stakeholders within education guide a nurse educator towards effective instruction, the realization of career goals, and success in learning.

The purpose of this assignment is to analyze the lesson plan feedback provided by your preceptor/mentor and learners in the practicum setting. Write a 500-800 word analysis with the following information:

1. A description of the lesson plan feedback from your preceptor/mentor.
2. A description of the instructor feedback from your learners.
3. A comparison of preceptor/mentor feedback, learner feedback, and your own reflection.
4. An explanation of how you will use the feedback from stakeholders to engage in the professional role of the nurse educator through systematic self-reflection, reflective teaching practice, and exploring opportunities for scholarship. 
5. Plan for continuing professional development and refinement of practice.   

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. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competency:

MSN Nursing with Emphasis in Nursing Education

6.4: Engage in the professional role of the nurse educator through systematic self-reflection, reflective teaching practice, and exploring opportunities for scholarship.

PLEASE FOLLOW THE INSTRUCTIONS BELOW

4 REFERENCES

ZERO PLAGIARISM

TOPIC: Narcolepsy

The power of sleep to heal the body cannot be underestimated. Most research indicates that 7–8 hours of sleep are a minimum that people need to stay healthy. Clients who come to the PMHNP’s office frequently complain of sleep problems. It is estimated that 10–20% of patients report some type of sleeping problem.

In this Discussion, you will analyze the diagnostic criteria and evidence-based psychotherapy and psychopharmacologic treatment for sleep/wake disorders.

Learning Objectives

Students will:

Analyze diagnostic criteria for sleep/wake disorders

Analyze evidence-based psychotherapy and psychopharmacologic treatment for sleep/wake disorders

Analyze criteria for referring clients to primary care physicians for treatment of sleep/wake disorders

Compare differential diagnostic features of sleep/wake disorders

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!

To prepare for this Discussion:

By Day 5 of Week 9, your Instructor will have assigned you a sleep/wake disorder, which will be the focus of your original post for this Discussion.

Review the Learning Resources.

Post:

Explain the diagnostic criteria for your assigned sleep/wake disorder.

Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned sleep/wake disorder.

Describe at what point you would refer the client to their primary care physician for an additional referral to a neurologist, pulmonologist, or physician specializing in sleep disorders and explain why.

Support your rationale with references to the Learning Resources or other academic resource.

1. Choose a legislator at the state or federal level (united states) who is also a nurse and discuss the importance of the legislator/nurse’s role as an advocate for improving health care delivery. What specific bills have the legislator/nurse sponsored or supported that have influenced health care?

2. Research legislation that has occurred within the last 5 years at the state or federal level (united states) as a result of nurse advocacy. Describe the legislation and what was accomplished. What additional steps need to be taken to continue advocacy for this issue?