Rationale The aim of this assessment is to demonstrate your ability to relate and apply the theory presented in this course as you prepare to transition from a student nurse to a graduate registered nurse.

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Rationale
The aim of this assessment is to demonstrate your ability to relate and apply the theory presented in
this course as you prepare to transition from a student nurse to a graduate registered nurse. 

A theoretical framework describing theory to practice is Judy Boychuk Duchscher’s stages of
transition: doing, being and knowing (Duchscher & Windey 2018). The focus of this framework is to
describe the different physical, intellectual, emotional, developmental and sociocultural changes
that newly graduate registered nurses experience. In this assessment you will investigate how the
four concepts of belongingness, resilience, emotional intelligence and communication will assist you
in the three stages of transition to professional practice as a newly graduate registered nurse. 

This assessment consists of two parts. Part A requires you to develop a concept map linking the four
concepts of belongingness, resilience, emotional intelligence and effective communication to doing,
being and knowing (Duchscher & Windey 2018). Part B is a written assessment asking you to apply
the concepts you have presented in your concept map to a case study.

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In what ways could an understanding of systems theory and complexity science impact the role of the NP?

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Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week. 

  • In what ways could an understanding of systems theory and complexity science impact the role of the NP?

  • Take a few minutes to reflect on the NP practice model that is most predominant in advanced practice environments you have observed. Are you satisfied with the demonstrated level of interprofessional collaboration?

  • Briefly consider what appears to be the driving practice model for advanced practice nursing in Ohio  state. If your state lags behind in its practice model language, what might you do to facilitate change?

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A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence.

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A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

PICOT question: In pediatric patients and their families, does increasing health literacy through education and providing additional resources compared to standard care, reduce medical noncompliance as measured by no show rates for scheduled pediatric medical appointments over a 6-week period. 

  1. Title page
  2. Introduction section
  3. A comparison of research questions
  4. A comparison of sample populations
  5. A comparison of the limitations of the study
  6. A conclusion section, incorporating recommendations for further research

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.


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The motivation behind this contextual analysis is to survey abstract and target data on a patient and set up an essential and auxiliary conclusion.

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Case
Study

The
motivation behind this contextual analysis is to survey abstract and target
data on a patient and set up an essential and auxiliary conclusion. After the
patient was evaluated and I gathered the required data from the appraisal, an
arrangement of care will be set up for the patient.

Assessment

In the wake of looking at the patient and evaluating
the test results for Mrs. G., I have closed this present patient’s essential
analysis to be Type II diabetes, ICD-10: E11. With type II diabetes, your
pancreas will create insulin, yet it doesn’t utilize the insulin suitably, and
this causes the insulin levels to rise. At the point when your blood glucose
levels rise you may experience:

1)         excessive thirst (polydipsia)

 

2)         excessive pee (polyuria)

 

3)         excessive yearning (polyphagia)

 

These are usually
alluded to as the 3 P’s (CDC.gov). Some positive discoveries in the wake of
looking at Mrs. G. are that Mrs. G. reports that she has felt exhausted, she
has had polyuria, polydipsia and polyphagia, and reports a weight gain. Mrs. G.
reports side effects for a quarter of a year. Subsequent to surveying Mrs. G’s
labs, it is found that she has a blood glucose perusing of 126, her A1C is
6.9%, and she has 1+ glucose in her pee. These outcomes are for the most part
positive discoveries for a Type II diabetes conclusion (ADA, 2020). Mrs. G.
doesn’t report having a parent with diabetes, negative for weight reduction
(ADA, 2020). I chose type II diabetes as Mrs.G’s essential determination due to
the patients revealed side effects of feeling exhausted, having polyuria,
polydipsia, and polyphagia, her weight of 185 pounds thinks of her as obese,
her lab discoveries of having 1+ glucose in her UA, and a Hgb A1C of 6.9%.
Typical discoveries should be negative for glucose in UA, an ordinary Hgb A1C
is 5.7 or lower, Mrs. G has a BMI of 33.83, which is viewed as obese, ordinary
BMI ought to be up to 24.99 for ordinary weight. These discoveries put Mrs. G
at a higher hazard for type II diabetes (ADA, 2020).

Secondary
Diagnosis

Obesity. ICD-10: E66.9.
While figuring the patient’s stature of 5’2.5 and weight of 185 her BMI is
33.83. The World Health Organization reports, on the off chance that you have a
BMI more than 30, this determines you obese (WHO.int). Obesity can put you at
higher hazard for creating other wellbeing related issues (WHO.int)

Left knee joint pain.
ICD-10: M17.12. Mrs. G. reports joint inflammation in her left knee and reports
taking Tylenol every day for the torment. It is conceivable that patient could
have torment in her left knee because of her weight issues or she could have
osteoarthritis, which is the most well-known kind of joint pain in the knee
(Arthritis.org).

Blended hyperlipidemia.
ICD-10: E78.2. Mrs. G states her dad had a past dx with elevated cholesterol.
Subsequent to exploring patient’s lab results it is discovered that she has a
high total cholesterol of 230, LDL is 144, VLDL is 36, and fatty lipids are
132.

 

Prehypertension ICD-10:
R03.0. Mrs. G’s. pulse was 129/80. Patient reports her mom has a past filled
with hypertension. As indicated by CDC.gov, patient’s pulse put’s her in a
prehypertension state. Mrs. G doesn’t report cerebral pains, dizziness, or lightheadedness,
which are basic side effects of hypertension (CDC.org).

Plan

Diagnostics: Lab test (#1) It was not expressed
clear concerning whether the patient’s labs where

fasting labs, so I would have the patient revisit
her labs while fasting. To get an

exact A1C result, the
patient should fast for 8 hours (ADA, 2020).

Lab test (#2) As
recently expressed, it was muddled with regards to whether patient’s labs were
fasting so I would have a lipid board while fasting. Patient ought to fast for
9 to 12 hours (Heart.org). Subsequent to fasting labs are come about, a statin
can be started if clinically shown necessary.

Medications

Mrs. G has an A1C of
6.9%. In the wake of affirming Mrs. G’s A1C with a fasting blood test, the
patient will be started on Metformin. Metformin is taken orally and is viewed
as a first line treatment drug for patient’s determined to have type II
diabetes (ADA, 2020).

Metformin 500mg day by day

Sig: 1 tab PO day by day

Disp# 30

RF: 0

Patient’s lipid board
is raised. Patient will be prescribed a statin to help forestall a coronary
failure or stroke (Heart.org).

Lovastatin 20mg

Sig: 1 tab PO at HS

Disp# 30

RF: 0

Mrs. G is taking
Tylenol for her left knee pain. Tylenol will be proceeded for the patient for
her knee pain.

Tylenol 500mg

Sig: 2 tabs at regular intervals varying
for left knee pain

Disp# 120

RF:3

Mrs. G reports taking
an everyday Multivitamin. This prescription will be proceeded for the patient.

Multivitamin

Sig: 1 tab PO every day

Disp# 30

RF: 3 

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The purpose of this assignment is to enhance your understanding and consideration of concepts and knowledge introduced in Units 1 and 2 during an initial health assessment.

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All written assignments in this course must

  • use
    correct spelling and grammar;
  • include
    scholarly references;
  • adhere
    to APA format, as outlined in the Publication Manual of the American
    Psychological Association (APA) (6th ed.);
  • be
    your own work and be free of evidence of plagiarism;
  • use
    Microsoft Word .doc (or .rtf) format; and
  • be
    submitted via the Assessment section of the course home page.

Assignment 1 Scholarly Paper (30%
of total grade)

Assignment due at the end of Unit 2.

The
purpose of this assignment is to enhance your understanding and consideration
of concepts and knowledge introduced in Units 1 and 2 during an initial health
assessment. This assignment is focused on these elements: the concepts of
critical thinking, cultural and social considerations, determinants of health,
health history, the interview and communication techniques, a general survey of
the whole person, and health promotion. The assignment does not include the
actual physical assessment of the client. You are required to demonstrate
critical thinking as you assess, reflect, and apply the concepts to an initial
meeting between you and a specific client.

This assignment must include the following:

Select a
client case example for this assignment. This can be a client that you have
worked with in the past or a fictitious client (e.g., a homeless person, a
recent immigrant who speaks limited English, an older adult who lives alone at
home, an individual with COPD who continues to smoke, a child with impetigo ~
just to name a few).   

  • Describe
    your client, including general survey (physical appearance, body
    structure, mobility, and behaviour) and the reason they have sought
    healthcare. 
  • Analyze
    and reflect on the following as applied to your specific client: cultural
    and social considerations, determinants of health, health history, the
    interview and communication techniques, and health promotion strategies.
  • Refer
    to a minimum of 4 scholarly references.
  • Keep
    your paper to a maximum of 7 pages in length, excluding title page,
    references, and/or appendices.
  • Meet
    the following assignment criteria.  

Assignment Criteria

Scholarly Content 70%

  • Provide
    a description of the client including the reason they have sought health
    care, and a general survey (physical appearance, body structure, mobility,
    and behaviour). 15 marks
  • Examine,
    discuss, and analyze the initial interview process with the client in
    terms of the relational approach, communication barriers, and/or
    developmental considerations. 15 marks
  • Analyze
    the importance of obtaining a complete health history for this client
    (biographical date, reason for seeking care, current health/history of
    current illness, past health history, family history, and functional
    assessment). 15 marks
  • Explore
    the importance of cultural and social considerations, and determinants of
    health for this client. Provide three priority questions you would ask
    your client to elicit this information. Provide rationale as to why these
    questions have priority. 15 marks
  • Identify
    one specific evidence-based priority health promotion activity for your
    client. Provide rationale for this activity. 10 marks

Scholarly Format 30%

The
following presentation elements are evident as per 6th ed. APA (refer to the
Student Guide: Rubric BN program):

  • A
    minimum of 4 references
  • A
    maximum of 7 pages in length, excluding title page, references, and/or
    appendice s
  • Title
    page, headings and subheadings at the appropriate level
  • Introduction
    clearly defines topic and context.
  • Organization
    of the paper content is logical and sequential
  • Conclusion
    of summary with main ideas
  • Correct
    grammar and spelling
  • The
    paper is informative, well evidenced, and succinct
  • A
    scholarly tone is maintained throughout the paper
  • Citations
    are correct, relevant, and accurately integrated
  • Reference
    list

 

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What are some barriers you see to implementing evidence-based practice?

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  • As you contemplate your future NP practice, how do you view your role in the implementation of EBP?
  • What thoughts do you have about how you will engage in scholarship in your NP role?
  • What are some barriers you see to implementing evidence-based practice?

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There are people in our lives that play a big role on our growth and success. Most of the time, we have a mentor who influences us on our lives.

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   Mentor Review

            There are people in our lives that
play a big role on our growth and success. Most of the time, we have a mentor
who influences us on our lives. These mentors are often knowledgeable and
insightful, and they intend to guide and teach us on our life or chosen career.
I would like to share a few mentors in my life and how they helped me achieve
my success right now.

            First, my family is a big part of
who I am now. My parents never pressured me in choosing the career that I want.
    They had always reminded me that in
choosing a career, I should always choose what I want to do, so that I will end
up enjoying what I do and will not have regrets later on. After I have decided
on pursuing nursing, I remember my mother telling me that it suits me because I
am a very gentle and caring person. She never fails to motivate me. My mother
will make sure I have a conducive environment to focus on my studies. My father
had been a big influence on my career as well. I have seen him working hard to
support my studies. He made sure I am not forced to work and provided me with
the means to finish my studies. Each time there is a conflict, they made sure to
support me in facing these conflicts. After I have graduated with honors, I
have seen my parents full of joy and proud of me and it made me happy. They
have not thought me intellectually, but they have a very big part on who I am
today and what I have become.

            Second, all my instructors in my
nursing career helped a lot to help me achieve my goal of becoming a good
nurse. Even though sometimes, we have our favorite instructors, I will forever
be grateful to all of them who helped me to be a better nurse. All the
knowledge that have been imparted on the classroom and lab settings have helped
me in improving my knowledge and applying in in the real setting. Furthermore,
all the trainings and duties as a nursing student with our clinical instructors
have been memorable to me. All the teachings, hands-on procedures, and even the
constructive criticisms are all part of who I became. I appreciate my
instructor’s patience in teaching us. After I have became a nurse and started
to train new nurses, have I fully understood the compassion and patience that
my previous instructors possessed.

            Third, I have been working in the
Neurology Unit for almost 10 years. I will forever be grateful to my head nurse
for almost 8 years before she left our unit. She has been very welcoming and
supportive since the day I had my interview to start on the unit. I have seen
my head nurse resolve conflicts on the unit and be considerate on everyone’s
needs. She is a leader who is very approachable and who always finds time to
listen to us no matter how busy we are. She is also a leader who shares her
experiences and motivates us whenever there is an unpleasant situation. Even
though we have an assistant head nurse, she keeps herself updated on the unit’s
status and made sure to ask us everyday if our assignment is okay. Lastly, she
was very family oriented. She will always ask us to make a request if we need a
day off for any important family event. She would always say that the important
events in our lives should not be missed. Since I am doing my continuing
education, there is a possibility of becoming a leader in the future, and I would
like to be a good leader like she is.

            Being able to appreciate the people
around us who have helped us become who we are today is a great feeling. We all
owe it to the people around us who influenced us. In return, we should always
aim for continuous improvement and we should always strive to be better. At one
point in our lives, we will also become a mentor and we should always remember
that someone’s future could depend on us. The way we influence and guide other
people right now will have a big impact of what they will become in the future.
We should always ensure that we express our gratitude to the people who helped
us. I am proud to be a nurse and I am proud to say that I did not reach my
status right now by myself. I had the right persons around me and they made me
a better person. 

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This document provides students with information about the requirements for assessment. Detailed instructions and resources are included to help you to complete and submit the task.

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This document provides students with information about the requirements for assessment. Detailed
instructions and resources are included to help you to complete and submit the task. The Criterion Reference
Assessment (CRA) Rubric that markers use to grade the assessment task is included and should be used as a
guide when working on the assessment task.

Your group is required to select one of two patient case studies, available in
the group assignment folder on blackboard.
You will research and identify any actual/potential medication issues and
create a plan to solve these issues using the ASE-C-POP framework. It is
suggested you read the following article, as it will assist you in understanding
the aspects of this framework.

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Nearly every student in the course was able to think of a time when they had personally been impacted by or had observed incivility in the workplace.

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  • Nearly every student in the course was able to think of a time when they had personally been impacted by or had observed incivility in the workplace. In what ways does this impact your view of the nursing profession? If those outside of healthcare were aware, how might it impact their view?
  • As you move towards your role as an NP, what will you do to support healthful work environments for yourself and your colleagues?
  • Think about your personal use of social media. Are there changes you would like to make in how you use social media?
  • What self-care practices do you engage in to promote personal holistic health?

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The purpose of this assessment is for students to demonstrate the capacity to develop an ethical argument/s based on the four ethical principles

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Purpose: The purpose of this assessment is for students to demonstrate the capacity
to develop an ethical argument/s based on the four ethical principles: autonomy,
justice, beneficence, and non-maleficence. Students will use their allocated topic to
develop a sound ethical argumentative opinion piece. 

Assignment details: During the 1st week of lectures your tutor will allocate a topic for
discussion from the prescribed four options. Using the allocated topic given to you
construct an argumentative essay. 

How to submit: Electronically via ‘Turnitin’ week 6 Tuesday 1st September 2359 hours.
Late submission will attract a penalty as per ACU assessment policy 

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