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Write 1-2 paragraphs reflecting on theories used as a nurse practitioner. Then save the reflection as a Word Document for submission later in the course. In week 8, you will submit all reflections as a single document.

This reflection is worth 5 points and the final reflection document in week 8 is worth 15 points.

You will need to post your reflection here before you are able to see other students’ posts.

As you contemplate your future NP practice, how do you view your role in using theory in practice?

Which of the theories “spoke” to you? What are some barriers you see to implementing theory in practice?

resources:

Butts, B. J. & Rich, L. K. (2018). Philosophies and theories for advanced nursing practice (3rd ed.). Jones & Bartlett Learning. Chapters 11, 24

Kaakinen, J. R., Coehlo, D. P., Steele, R., & Robinson, M. (2018). Family health care nursing: Theory, practice, and research (Links to an external site.). FA Davis. pp. 119-123. 

Recommended:

Barbdtm B. S. (2018). Death in trauma: The role of the ACNP in patient advocacy and familial support in end-of-life care decision-making (Links to an external site.). Journal of Trauma Nursing, 25(3) 171-176. https://doi.org/10.1097/JTN.0000000000000363. 

Duhamel, F. (2017). Translating knowledge from a family systems approach to clinical practice: Insights from knowledge translation research experiences (Links to an external site.). Journal of Family Nursing, 23(4), 461-487. https://doi.org/10.1177/1074840717739030. 

Friederichs, A> H. S., Oenema, A., Bolman, C. & Lechner, L. (2016). Motivational interviewing and self-determination theory is a web-based computer tailored physical activity intervention:  A randomized controlled trial (Links to an external site.).  Psychology & Health, 31(8), 907-930. https://doi.org/10.1177/1074840717739030. 

Mercer, J. C. (2015). The impact of non-motor manifestations of Parkinson’s disease on partners: Understanding and application of chronic sorrow theory. (Links to an external site.) Journal of Primary Health Care, 7(3), 221-227. https://doi.org/10.1071/hc15221. 

Ostlund, U., & Backstrom, B., Saveman, B. I., Lindh, V. & Sundin, L. (2016). A Family Systems nursing approach for families following a stroke: Family health conversations. (Links to an external site.) Journal of Family Nursing, 22(2), 148-171. https://doi.org/10.1177/1074840716642790. 

Osltund, U., Backstrom, B., Lindh, V., Sundin, K., & Saveman, B.I. (2015). Nurses’ fidelity to theory-based core components when implementing family health conversations – a qualitative inquiry (Links to an external site.). Scandinavian Journal of Caring Sciences, 29, 582-590. https://doi.org/10.1177/1074840716642790. 

Podlog, W. L. & Brown, J. W. (2016). Self-determination theory:  A framework for enhancing patient-centered care (Links to an external site.)The Journal for Nurse Practitioners, 12(8), e359-e362.  https://doi.org/10.1016/j.nurpra.2016.04.022.%C2%A0  

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Medica Ethics

Who can write a scenario for me? 8 bucks!!!

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nrs 434 dq2

 Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement. 

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Nursing Care

 How does the nursing metaparadigm impact the implementation of culturally proficient nursing care? 

 

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

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Med surgical

 Your staff development PPT presentation will include the information from your written  in 1-12 slides (including a title and reference slide in APA format). Make sure to include speaker notes at the bottom of your slide to explain the content of your slide. 

 save your assignment as a Microsoft Word document 

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Findings on middle adulthood

 Summarize the findings from your developmental chart for this week on middle adulthood. Explain your new learnings and how they may impact your career choices as a nurse. 

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Anatomy hormones

UNIT 3 Communication, Control, and Integration.

Chapter 25 Endocrine Regulation.

Chapter 26 Endocrine Glands.

Compose 400 words or more discussion to respond the following:

What is meant by the term target cells?

How are steroid hormones able to pass through the cell’s plasma membrane easily?

Name some of the different general types of Non steroid hormones. Give an example of each.

Name some ways in which hormones can work together to regulate a tissue.

Why are Prostaglandins (PGs ) sometimes called tissue hormones?

Why are PGs considered to be an important in Clinical application?

What are the two main divisions of the Pituitary Gland called?

Name three hormones produced by adenohypophysis, and give their main functions.

What is a tropic Hormone? A releasing hormone?

Name the two hormones of the neurohypophysis.

Where is the thyroid located?

How calcitonin and parathyroid hormone act together to regulate the homeostasis of blood calcium concentration?

Name some effects of Cortisol in the body.

Name two of the four principal hormones secreted by the pancreatic islets.

In what way do insulin and glucagon exert antagonistic influences on the concentration of Glucose in the blood?

What are the major hormones secreted by reproductive tissues (Gonads and placenta)?

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Educational Program on Risk Management – Part One: Outline of Topic

The purpose of this assignment is to create an educational program that supports the implementation of risk management strategies in a health care organization.

In this assignment, you will develop an outline for an “in‐service”‐style educational risk management program for employees of a particular health care organization that will then form the basis for a PowerPoint presentation in Topic 5. Select your topic for this educational session from one of the proposed recommendations or changes you suggested in the Risk Management Program Analysis – Part One assignment to enhance, improve, or secure compliance standards in your chosen risk management plan example.

Create a 500‐750-word comprehensive outline that communicates the following about your chosen topic:

1-Introduction: Identify the risk management topic you have chosen to address and why it is important within your health care sector.

2-Rationale: Illustrate how this risk management strategy is lacking within your selected organization’s current risk management plan and explain how its implementation will better meet local, state, and federal compliance standards.

3-Support: Provide data that indicate the need for this proposed risk management initiative and demonstrate how it falls under the organization’s legal responsibility to provide a safe health care facility and work environment.

4-Implementation: Describe the steps to implement the proposed strategy in your selected health care organization.

5-Challenges: Predict obstacles the health care organization may face in executing this risk management strategy and propose solutions to navigate or preempt these potentially difficult outcomes.

6-Evaluation: Outline your plan to evaluate the success of the proposed risk management program and how well it meets the organization’s short-term, long-term, and end goals.

7-Opportunities: Recommend additional risk management improvements in adjacent areas of influence that the organization could or should address moving forward.

You are required to support your statements with a minimum of six citations from appropriate credible sources.

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.

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Discussion week 2

The Psychiatric Evaluation and Evidence-Based Rating Scales 

Assessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy.

Assessment tool assigned is: Brief Psychiatric Rating Scale.

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Death, Dying, and Grief

 4 DQ 1

Death can be unavoidable and also uncontrollable (Grand Canyon University, 2018). Death plays an important role and raises a lot of ethical questions. I personally have worked in many different health care settings including TCU and long term care units. At these health care centers, death would happen expectedly and unexpectedly. I currently work in a LTAC, so I work with chronically critically ill patients. Most of our patients have tracheostomies and are on the ventilator. Considering the fragility of the patients in this kind of health care setting, death is seen. Prior to being a nurse, my view of death was way different than my view of death today. I have done chest compressions on many, and I have watched the LUCAS CPR machine be attached to many individuals.

Every single time I witness death occur, it is very difficult and, in most cases, very traumatic. Every case is different and unique, and there are different variables and circumstances surrounding each situation. However, being surrounded in this type of environment has helped me decide on certain things. I have made it very clear to my loved ones, exactly what I want and what I do not want done in emergency situations. The subject of death and dying I have come to learn is very difficult for most people in the general public to talk about. As a health care provider, I have found that talking about death and dying makes it easier and less emotional and distressing and has been very helpful for me. For the Christian believer the death and resurrection of Jesus Christ transforms the significance of death and provides a new perspective with end of life (Grand Canyon University, 2018).

  How often do you engage with or witness death in your work? How has this experience or the lack of it shaped your view of death? Has it gotten easier or harder for you to accept the fact of death? As you explain, include your clinical specialty. 

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years.

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