case study cardio

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SCENARIO 1

Why are cytochrome P450 enzymes (CYPs) important in drug metabolism? The majority of medications are metabolized by what CYP enzyme? Utilizing the Medscape pill identifier, enter the following characteristics to identify the medication. What CYP enzyme metabolizes this medication? Write a sample prescription for it.

Imprint (ATO 40)  Shape (Oval)  Color (White)  Form (Tablet)  Scoring (None)

 

Response

 

Cytochrome P450 enzymes (CYPs) are crucial in drug metabolism for several reasons:

 

1. **Drug Metabolism**: CYPs are responsible for the oxidation of many drugs, which is a key step in their metabolism. This process helps convert lipophilic (fat-soluble) drugs into more hydrophilic (water-soluble) compounds that can be easily excreted from the body.

 

2. **Drug Interactions**: CYPs can be inhibited or induced by various substances, leading to significant drug interactions. For example, if a drug inhibits a CYP enzyme that metabolizes another drug, it can lead to increased levels of the second drug in the body, potentially causing toxicity.

 

3. **Genetic Variability**: There is considerable genetic variability in CYP enzymes among individuals, which can affect how different people metabolize the same drug. This variability can influence drug efficacy and the risk of adverse effects.

 

4. **Drug Development**: Understanding the role of CYPs in drug metabolism is essential for drug development. It helps in predicting how a new drug will be metabolized, its potential interactions with other drugs, and its overall safety profile.

 

In essence, CYPs play a pivotal role in determining the pharmacokinetics of drugs, which includes their absorption, distribution, metabolism, and excretion. This makes them a key focus in pharmacology and personalized medicine.

 

 

 

The majority of medications are metabolized by the enzyme **CYP3A4**. This enzyme is responsible for the metabolism of approximately 50% of all drugs that undergo hepatic metabolism. Its broad substrate specificity and high expression in the liver and intestines make it a key player in drug metabolism. Other important CYP enzymes include CYP2D6, CYP2C9, and CYP1A2, but CYP3A4 is the most significant in terms of the number of drugs it metabolizes.

The Medication is Atorvastatin

 

Atorvastatin is primarily metabolized by the enzyme **CYP3A4**. This enzyme plays a significant role in the metabolism of many statins, including atorvastatin. It’s important to be aware of this because drugs that inhibit or induce CYP3A4 can affect the levels of atorvastatin in the body, potentially leading to adverse effects or reduced efficacy.

 

CASE 2

SCENARIO 2

JS is a 56-year-old female presenting with redness, warmth and tingling sensation in her neck and face. Current medications include semaglutide (Ozempic) 0.5 mg SC qWeek and Niacin 1,000 mg BID. She is 5’4” and weighs 175 lbs. Fasting lipid profile shows total cholesterol 200, LDL cholesterol 110, and Triglycerides 150. Blood pressure readings of 139/91 and 140/89. What is the patient’s HDL? BMI? What are goal Total Cholesterol, HDL, LDL, and Triglyceride levels for JS? What treatment plan would you implement (include complete medication orders)? How would you monitor the effectiveness of your treatment plan? How many risk factors for coronary artery disease does she have? Identify them specifically.

 

 

1. HDL Calculation

To calculate HDL, we use the formula:

Total Cholesterol=HDL+LDL+0.2×Triglycerides\text{Total Cholesterol} = \text{HDL} + \text{LDL} + 0.2 \times \text{Triglycerides}

Given:

· Total Cholesterol = 200 mg/dL

· LDL = 110 mg/dL

· Triglycerides = 150 mg/dL

HDL=200−110−(0.2×150)\text{HDL} = 200 – 110 – (0.2 \times 150)

HDL=200−110−30\text{HDL} = 200 – 110 – 30

HDL=60 mg/dL\text{HDL} = 60 \text{ mg/dL}

2. BMI Calculation

BMI is calculated using the formula:

BMI=Weight (lbs)Height (in)2×703\text{BMI} = \frac{\text{Weight (lbs)}}{\text{Height (in)}^2} \times 703

Given:

· Weight = 175 lbs

· Height = 5’4″ (64 inches)

BMI=175642×703\text{BMI} = \frac{175}{64^2} \times 703

BMI=1754096×703\text{BMI} = \frac{175}{4096} \times 703

BMI≈29.9\text{BMI} \approx 29.9

3. Goal Cholesterol Levels

· Total Cholesterol: Less than 200 mg/dL

· HDL: 50 mg/dL or higher (for women)

· LDL: Less than 100 mg/dL

· Triglycerides: Less than 150 mg/dL2

4. Treatment Plan

Given JS’s current medications and lipid profile, here is a potential treatment plan:

· Continue Semaglutide (Ozempic): 0.5 mg SC qWeek

· Adjust Niacin: Consider reducing the dose to 500 mg BID to minimize side effects like flushing, or switch to an extended-release formulation.

· Add a Statin: Atorvastatin 20 mg PO daily to further lower LDL cholesterol.

· Lifestyle Modifications: Encourage a heart-healthy diet, regular physical activity, and smoking cessation if applicable.

5. Monitoring Effectiveness

· Lipid Profile: Recheck fasting lipid profile in 6-8 weeks to assess response to therapy.

· Blood Pressure: Monitor regularly to ensure it remains controlled.

· Side Effects: Monitor for any adverse effects from medications, especially niacin and statins.

6. Risk Factors for Coronary Artery Disease

JS has several risk factors for coronary artery disease:

1. Age: 56 years old

2. Hypertension: Blood pressure readings of 139/91 and 140/89

3. Dyslipidemia: Elevated total cholesterol and LDL cholesterol

4. Obesity: BMI of 29.9

These factors increase her risk for coronary artery disease4.

Given JS’s current condition and medication profile, here’s a comprehensive treatment plan:

Treatment Plan

1. Continue Semaglutide (Ozempic):

· Dose: 0.5 mg

· Route: Subcutaneous (SC)

· Frequency: Once a week (qWeek)

2. Adjust Niacin:

· Dose: 500 mg

· Route: Oral (PO)

· Frequency: Twice daily (BID)

· Note: Consider switching to an extended-release formulation to minimize side effects like flushing.

3. Add Atorvastatin:

· Dose: 20 mg

· Route: Oral (PO)

· Frequency: Once daily (QD)

· Purpose: To further lower LDL cholesterol.

4. Lifestyle Modifications:

· Diet: Encourage a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins. Limit saturated fats, trans fats, and cholesterol.

· Exercise: Recommend at least 150 minutes of moderate-intensity aerobic activity per week, such as brisk walking.

· Smoking Cessation: If applicable, provide resources and support for quitting smoking.

Monitoring Effectiveness

1. Lipid Profile: Recheck fasting lipid profile in 6-8 weeks to assess response to therapy.

2. Blood Pressure: Monitor regularly to ensure it remains controlled.

3. Side Effects: Monitor for any adverse effects from medications, especially niacin and statins.

Risk Factors for Coronary Artery Disease

JS has several risk factors for coronary artery disease:

1. Age: 56 years old

2. Hypertension: Blood pressure readings of 139/91 and 140/89

3. Dyslipidemia: Elevated total cholesterol and LDL cholesterol

4. Obesity: BMI of 29.9

These factors increase her risk for coronary artery disease.

 

Monitoring the effectiveness of the treatment plan for JS involves several key steps:

1. Lipid Profile

· Frequency: Recheck fasting lipid profile in 6-8 weeks after initiating or adjusting therapy.

· Parameters: Total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides.

· Goal: Ensure that lipid levels are moving towards the target ranges:

· Total Cholesterol: Less than 200 mg/dL

· LDL: Less than 100 mg/dL

· HDL: 50 mg/dL or higher (for women)

· Triglycerides: Less than 150 mg/dL

2. Blood Pressure

· Frequency: Regular monitoring, at least once a month.

· Goal: Maintain blood pressure below 130/80 mmHg.

3. Blood Glucose Levels

· Frequency: Regular monitoring, especially since JS is on semaglutide (Ozempic).

· Goal: Maintain blood glucose levels within the target range as advised by her healthcare provider.

4. Side Effects

· Frequency: Continuous monitoring for any adverse effects from medications.

· Parameters: Look out for symptoms such as muscle pain or weakness (from statins), flushing (from niacin), and gastrointestinal issues (from semaglutide).

5. Lifestyle Modifications

· Frequency: Regular follow-ups to assess adherence to lifestyle changes.

· Parameters: Diet, exercise, and smoking cessation (if applicable).

6. Patient Feedback

· Frequency: Regular consultations to discuss how JS is feeling and any concerns she may have.

· Parameters: Overall well-being, medication adherence, and any new symptoms.

By closely monitoring these factors, we can ensure that JS’s treatment plan is effective and make any necessary adjustments to optimize her health outcomes.

 

 

CASE 3

CL is a 48-year-old African American male with blood pressure readings today of 159/91 and 165/95. He states he is taking Advil Cold & Sinus for a cold x 1 week. Additional medications include adalimumab 40 mg subcutaneous injection every other week, Wellbutrin XL 300 mg daily and pantoprazole 40 mg daily 30 minutes before breakfast. How would you treat CL? What would you prescribe (include complete medication order)? What is his goal blood pressure per JNC 8?

 

Goal Blood Pressure

According to the JNC 8 guidelines, the goal blood pressure for an African American male younger than 60 years old is less than 140/90 mm Hg2.

Current Medications and Interactions

1. Advil Cold & Sinus (ibuprofen/pseudoephedrine): This medication can increase blood pressure and may interact with other medications.

2. Adalimumab: No significant interactions with the current medications.

3. Wellbutrin XL (bupropion): No significant interactions with the current medications.

4. Pantoprazole: No significant interactions with the current medications.

Treatment Plan

Given CL’s elevated blood pressure readings and the potential impact of Advil Cold & Sinus, the first step would be to discontinue the Advil Cold & Sinus and monitor his blood pressure. If his blood pressure remains elevated, initiating antihypertensive therapy would be appropriate.

Medication Order

1. Amlodipine 5 mg PO daily: A calcium channel blocker, which is recommended for African American patients.

2. Hydrochlorothiazide 25 mg PO daily: A thiazide diuretic, also recommended for African American patients.

Complete Medication Order

· Amlodipine 5 mg PO daily

· Hydrochlorothiazide 25 mg PO daily

Monitoring and Follow-Up

· Recheck blood pressure in 1-2 weeks.

· Monitor for any side effects or adverse reactions.

· Adjust medications as needed based on blood pressure readings.

Would you like more details on any specific aspect of this treatment plan?

 

SCENARIO 4

 

Does nitroglycerin have a high or low first pass effect? Please discuss why this is important to know and how it relates to bioavailability. What route has 100% bioavailability? In addition to parenterally, how can this medication be given to counter the first pass effect? Write a sample prescription for this medication.

Nitroglycerin and First Pass Effect

Nitroglycerin has a high first pass effect. This means that when taken orally, a significant portion of the drug is metabolized by the liver before it reaches systemic circulation, resulting in very low oral bioavailability2.

Importance of First Pass Effect and Bioavailability

Understanding the first pass effect is crucial because it directly impacts the bioavailability of a drug. Bioavailability refers to the fraction of an administered dose that reaches the systemic circulation in its active form. For drugs with a high first pass effect, alternative routes of administration are often necessary to achieve therapeutic levels in the bloodstream.

Routes with 100% Bioavailability

The intravenous (IV) route has 100% bioavailability because the drug is administered directly into the bloodstream, bypassing the liver and other metabolizing tissues4.

Alternative Routes to Counter First Pass Effect

To counter the first pass effect, nitroglycerin can be administered via:

· Sublingual tablets: Placed under the tongue, allowing the drug to be absorbed directly into the bloodstream through the mucous membranes2.

· Transdermal patches: Applied to the skin, providing a controlled release of the drug into the bloodstream.

· Intravenous (IV) administration: Directly into the bloodstream, bypassing the liver.

Sample Prescription for Nitroglycerin

Here is a sample prescription for sublingual nitroglycerin:

Nitroglycerin 0.4 mg sublingual tablets

Take 1 tablet under the tongue at the onset of chest pain.

May repeat every 5 minutes as needed for a total of 3 doses in 15 minutes.

If pain persists after 3 doses, seek immediate medical attention.

 

Grading Criteria

Scenario 1: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

 

 

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WRITING PRESCRIPTIONS

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**PLEASE FOLLOW THE RUBRIC ATTACHED IN FILES!!**

**EXAMPLE OF HOW THIS ASSIGNMENT SHOULD BE COMPLETED IN SHARED FILES!!**

Electronic medical records systems are not always available, so the importance of knowing how to write an accurate prescription on a prescription pad is imperative. Writing prescription medications is something you will be doing day after day, patient after patient. There are special considerations depending on the DEA schedule of controlled medication you are writing. This Assignment will start preparing you for this task and understanding.

Note: Written prescriptions for pharmacies may differ from chart orders for hospitalizations. For this Assignment, you are writing outpatient prescriptions for pharmacies.

Create prescriptions using the patient information, medications, and indications listed below. Your goal is to demonstrate the accurate way to write a prescription that a patient would present to a pharmacy. The prescription should be written and signed. You will develop your mock prescriptions in a word document to include everything one might find on a printed prescription pad. You will write one prescription per page.

To write your prescriptions, please use the following patient information:

  • Patient Name: Jane Doe
  • DOB 1/1/2001
  • Duration: 3 months

Write a prescription for each of the following medications:

  • Sertraline, 100mg each day (depression)
  • Lorazepam, 1mg twice each day, if needed (panic attacks)
  • Aripiprazole, 2mg before bedtime (depression)
  • Methylphenidate ER, 54mg every morning before school (ADHD)

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abstracting medical record

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Directions:
For this medical record abstracting assignment, first click the following link to access the medical record for a patient with a respiratory system concern. MEdical record attached below

 

 

When you have examined the entire medical record document, click the link below to download the list of questions related to that record. Save your answers in this document and submit them for this module’s assignment. worksheet is attached below as well

 

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planning data collection

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Data collection is an important part of both quantitative and qualitative research. Although the actual approach to gathering information may vary, for either research design, researchers need to plan in advance how the data will be gathered, reported, and stored, and they need to ensure that their methods are both reliable and valid. As nurses review research when considering a new evidence-based practice, it is important to be familiar with sound collection practices in order to ascertain the credibility of the data presented.

Consider the following scenario:

Nurses and other health care professionals are often interested in assessing patient satisfaction with health care services. Imagine that you are a nurse working in a suburban primary care setting that serves 10,000 patients annually. Your organization is very interested in understanding the patient’s point of view to help determine areas of care that can be improved. With this focus in mind, consider how you would create a survey to assess patient satisfaction with the services your organization provides. You may wish to consider variables such as the ease of accessing care, patient wait time, friendliness of the staff, or the likelihood that a patient would recommend your organization to others.

For this Discussion, you generate questions and an overall plan for data collection that would be appropriate for a patient satisfaction survey in relation to the above scenario.

To prepare:

·         Consider the guidelines for generating questions presented in this week’s Learning Resources.

·         Review the scenario and formulate at least five questions that you could use to evaluate patient satisfaction.

·         Reflect on the different methods or instruments that can be used for gathering data described in Chapter 13 and Chapter 22 of the course text. Which methods or instruments would work well for the scenario?

·         Determine an appropriate sample size for the scenario.

Please answer these as your outline for my assignment:

1.   The questions that you created for gathering information about patient satisfaction based on the above scenario.

2.   Explain which method or instrument you would use to gather data.

3.    Describe the sample size appropriate for the population and how you would select participants.

4.    Provide a rationale for your choices, and explain how you can ensure high standard of reliability and validity.

All articles/references must be from the period of 2011 to 2016. Make 2-3 pages… Thank you.

*This is for Masters of Science in Nursing.

 

Required Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Readings

·         Polit, D. F., & Beck, C. T. (2012).  Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

o    Chapter 12, “Sampling in Quantitative Research”

This chapter introduces key concepts concerning sampling in quantitative research. This includes such concepts as a description of populations, different types of sampling and their uses, and how to determine a manageable, yet sufficient number to be included in a sample. The chapter also includes suggestions for implementing a sampling plan.

o    Chapter 13, “Data Collection in Quantitative Research”

Once a sampling design is complete, the next step is to collect the data, and this is the focus of Chapter 13. The chapter describes how to develop a data collection plan, and provides information about the different types of instruments that can be used, such as structured observation and biophysiologic measures.

o    Chapter 21, “Sampling in Qualitative Research”

The focus of this chapter is on the sampling process in qualitative research. The chapter describes the different types of sampling and when they are commonly used. Sampling techniques in the three main qualitative traditions (ethnography, phenomenological studies and grounded theory studies) are highlighted.

o    Chapter 22, “Data Collection in Qualitative Research”

This chapter examines the process of data collection in qualitative research as well as key issues surrounding data collection. This includes such methods as self-reporting, surveys, interviews, and personal journal keeping. The chapter also highlights important considerations when utilizing unstructured observations to gather data and how to record field notes.

·         Keough, V. A., & Tanabe, P. (2011). Survey research: An effective design for conducting nursing research. Journal of Nursing Regulation, 1(4), 37–44.

Retrieved from the Walden Library databases.

This text emphasizes the advantages of survey research. The authors describe the nuances of survey research projects, including their design, methods, analysis, and limitations.

·         Walden University. (n.d.a). Paper templates. Retrieved July 23, 2012, fromhttp://writingcenter.waldenu.edu/57.htm

This website provides you access to the School of Nursing Sample Paper, which will serve as a template for formatting your papers.

Media

 

·         Laureate Education, Inc. (Executive Producer). (2012b). Data collection. Baltimore, MD: Author.

Note: The approximate length of this media piece is 4 minutes.

Dr. Kristen Mauk discusses how she collected data for her DNP project in this video. She describes the details of her pre- and post-tests used to track nurses’ knowledge in a rehabilitation unit

 

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Consider the following scenario:

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Progress Healthcare, a local hospital in South Carolina, recently installed a nurse tracking system. This Real Time Locating System (RTLS) from Stanley Healthcare is an expansion of the commonly known Aeroscout, which is used for asset tracking. The goal is to understand workflow streams and utilize the data to streamline the workflows through a LEAN event. Data is captured from the employee badges and sent wirelessly to a local server and then sent to an online database for business intelligence analysis and reporting. Progress Healthcare also sends patient monitoring information to the floor monitoring server and then to the electronic medical record (EMR). The monitoring data is also stripped of personal health information (PHI) and sent to the same Internet server to correlate tracking information with each room. Understanding staff movement is seen by leadership and management as efficient. It is also a way to justify chargers and to validate the level of care a patient receives. Many of the staff nurses and assistants see it as a distraction and as another time consuming measure that diminishes patient care.

Write a 350-to-700-word summary in which you address the following:

  • Analyze the impact of using the Internet to communicate consumer information.
  • Assess the impact of organizational research and the use of IT to collect data.
  • Discuss the ethical implications of clinical efficiency research with monitoring and tracking data.

Use a minimum of 3 peer-reviewed references, not counting the textbook, that directly support your analysis.

Format your reference page according to APA guidelines.

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Comprehensive Health Insurance Questions

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Need the Correct answers for questions 1-10.
1.   Officer Browner is an active member of the Air Force. He visited the emergency room for treatment of a wrist fracture. The coder is billing for the emergency room visit and the treatment of the fracture. The coder will most likely submit the claim to
 

 
2.   Medicare Part B is classified as
 

3.   Which one of the following statements is true according to the “gatekeeper” concept?
4.   What is the purpose of the National Committee for Quality Assurance (NCQA)?
 

 

5.   An insurer’s responsibilities include
 

 

6.   The term active duty would apply to
 

 

7.   Medicare Part D covers
 

 

8.   What does Medicaid provide?
 

9.   Healthcare providers who organize to treat Medicare patients are called _______ organizations.
 

 

10.   If you have 80-20 policy coverage, it means

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Nursing homework help

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  • Tabular reports, sometimes called data tables, are used to display numeric data gathered at a snapshot of time. Give us an example of a tabular report  and tell us for whom is this report is intended?

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Characteristics of an Organization

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Discussion: Characteristics of an Organization

Large…small…
Urban…rural…
For profit…non–profit…
Acute care…primary care
Teaching organization…research facility

Myriad characteristics influence the experiences of patients, nurses, and others in any health care setting. In addition to the factors noted above, the mission, vision, and values that guide an organization, as well as an institution’s commitments to patient care, teaching, and/or research, warrant significant consideration.

As a nurse leader–manager, it is helpful to look at all of these aspects, especially as they relate to strategic planning and the sustainability of the organization. To that end, for this Discussion you compare multiple aspects of two organizations and consider the implications for nursing. In addition, you will apply a Strategic Planning tool, such as SWOT or Balanced Scorecard, or Six Sigma principles to establish one realistic goal or objective consistent with the mission of the organization.

To Prepare

  • Review the information in the Learning Resources regarding strategic planning; types of organizations; organizational commitments to patient care, teaching, and/or research; and the mission, vision, and values of organizations.
  • Using the Internet, research various health care organizations (including those with which you are already familiar) that differ in focus, commitment, and mission, vision, and values. For the purposes of this Discussion, select two organizations with significant differences.
  • Compare information about the two organizations. Based on the information presented in the Learning Resources, how do they differ?
  • What are some possible implications of these differences for various stakeholders (e.g., nursing administration, patients, and community)? What does this mean for nursing’s role within each organization?
  • Identify a goal or objective based on a strategic planning tool, such as SWOT or Balanced Scorecard, or Six Sigma consistent with the mission of the organization.
By Day 3

Post and Contrast two differing health care organization’s mission, vision, and values, and describe at least two potential implications of these distinctions for stakeholders of each organization. Explain how this informs the focus for nursing, noting the role that nursing administration plays in supporting and fulfilling the mission, vision, and values, and organizational strategies. Write a goal or objective, based on a strategic planning tool, such as SWOT, Balanced Scorecard, or Six Sigma consistent with the mission of one of the organizations.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

  • Ask a probing question, substantiated with additional background information and evidence.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Validate an idea with your own experience and additional sources.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings

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Power Point Presentation

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Plan

CLC Group Member’s Name Task to be Completed by This Team Member (This section will change for each CLC Project.) Due Date for Completing the Task for the CLC to Review
Everyone Select a conceptual model. 10/19/16 18:00 ET DONE
Patricia Aparicio Outlining the CLC project. 10/19/16 21:00 ET DONE
Patricia Aparicio Assigning tasks to CLC members. 10/19/16 22:00 ET DONE
Patricia Aparicio 2 slides – A brief overview of the nursing conceptual model selected. 10/25/16 20:00 ET
Patricia Aparicio 1 slide – title, which includes: (a) title of the presentation, (b) names of the CLC group members, and (c) date 10/25/16 20:00 ET
Tania Gonzalez Diaz 3 slides – Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts. 10/25/16 20:00 ET
Idalmis Espinosa 3 slides – Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice. Elaborate, explain, or defend each point mentioned. 10/25/16 20:00 ET
Tiffany Flesses 2 slides – Provide current reliable sources to establish credibility for the presentation. 10/25/16 20:00 ET
Tiffany Flesses 1 slide – references 10/25/16 20:00 ET
Tiffany Flesses Collect and combine sections, making sure everyone meets their assigned deadlines for tasks. 10/25/16 20:00 ET
Patricia Aparicio Proofreading and editing the paper. 10/26/16 20:00 ET
Everyone Group peer review, two days 10/28/16 20:00ET
Patricia Aparicio Submitting the paper via the Assignments feature by the due date deadline. 10/30/16 20:00 ET

Florence Nightingale’s Environmental Theory

Yellow Group:

Tania Gonzalez

Idalmis Espinosa

Patricia Aparicio

Tiffany Flesses

October 30, 2016

2

Speaker notes

 

2

A brief overview of the nursing conceptual model selected

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 

3

Accompanying speaker notes elaborating on the information contained in each slide.

 

3

A brief overview of the nursing conceptual model selected

2

 

4

Accompanying speaker notes elaborating on the information contained in each slide.

 

4

Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts

1

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 

5

Accompanying speaker notes elaborating on the information contained in each slide.

 

5

Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts

2

 

6

Accompanying speaker notes elaborating on the information contained in each slide.

 

6

Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts

3

7

Accompanying speaker notes elaborating on the information contained in each slide.

 

7

Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice.

Elaborate, explain, or defend each point mentioned

1

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 

8

Accompanying speaker notes elaborating on the information contained in each slide.

 

8

Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice.

2

9

Accompanying speaker notes elaborating on the information contained in each slide.

 

9

Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice.

3

10

Accompanying speaker notes elaborating on the information contained in each slide.

 

10

Provide current reliable sources to establish credibility for the presentation

1

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 

11

Accompanying speaker notes elaborating on the information contained in each slide.

 

11

Provide current reliable sources to establish credibility for the presentation

2

12

Accompanying speaker notes elaborating on the information contained in each slide.

 

12

References

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 

13

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COMMENT TANA

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The text “Called to Care a Christian Worldview for Nursing”, discusses how, as nurses, we have arrived at the point we are at now in terms of modern philosophies. “The spirit of service and compassion that once motivated nurses has evolved into a professionalism that demands power, status and appropriate compensation” (Shelly & Miller, 2006, p. 16).  This topic is the most interesting to me due to the fact that over the six short years I have been a nurse I have seen the population of nursing change.  I have been involved in a peer interview group on my unit for the past five years and have recently moved into a management position wear I actually hire employees.  I remember in the beginning of my experiences of interviewing new nurses, most had a story behind the interview question, “Why did you become a nurse?” I remember one new graduate nurse explaining that her mother and grandmother were both nurses and she aspired to be like them, caring, respected, smart, and making a difference with their work.  Another nurse explained that her husband had died of alcoholism and she watched as his nurses judged him and did not treat him with respect.  It was her goal to do better as a nurse and provide her patients with respect and the care they deserved no matter what their background.  Most recently I have seen a change in the reasons why nurses are choosing the profession.  The last interviewee discussed how the hours were great; “3 12s” and it works out great for her family life.  I have noticed an increase in the theme of the convenience nursing allows for people and less of the compassion or calling.

The analysis of disease and healing presents interesting insight into the role of healthcare providers and spirituality. “They stand beside us, but they have not voluntarily shared our fate” (Meilaender, 2013, p. 9). The text describes the contradictory relationship between God working through doctors to treat disease and treating the disease may enable a false hope of invulnerability, therefore creating the inability to comprehend suffering.  I understand the reading to mean that there must be a balance between God (Health) and healthcare (health).  I agree with this inference for the fact that I believe that one’s mind, or relationship with God, must be as strong as the belief in the doctors to provide relief.  If one’s mind is not in the right place, the therapies will not assist in healing. “Spirituality enables the direct experience of connection between the individual and God, and can exist with or without an intermediary such as a religious institution” (Grossman, 2013, p. 1150).

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