question

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 thank you for your detailed posting. As I read your posting, the one thought that keep coming to me was the importance of communication and detailed assessment.  Was it ever asked how often Patricia was taking the narcotic and how long ago did she take it?  Perhaps she has not needed a strong narcotic every day and has found other alternatives to pain relief. Perhaps she only needs it occasionally. It would be helpful if people monitored on narcotics would have an electronic sign in and out system whereby they could only get x number of doses in one day. Of course this would be expensive but may in the end save not only money but lives as well. What do you think? This way, the practitioner would have access to each patient’s pattern of use. 

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Patient’s History

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PA is a 48 years old African American female client veteran who presented to the clinic with concern on her drinking habit and substance abuse use. The client is alert and oriented to all spheres but pleasantly confused. She reported that she has an addiction to ETOH: drinks daily (1-3 25 oz. beer), last use yesterday; she has been drinking continuously for a year now. Also crack cocaine: daily use, unknown amount, previous use yesterday, for three years. THC: daily use, unknown amount, last use yesterday, since she was 14 years old. Reported that she has a diagnosis of PTSD due to sexual abuse during the Afghanistan war and throughout her life; also, she is on no medication to treat her PTSD. Her medical HX includes Hep C, HTN, Asthma, and six herniated discs in her back. The client reported that she takes Neurontin, Meloxicam, but she is non-compliant. The client indicated that she would like to join a detox program. Reported being homeless and had nowhere to go. Client denies Suicidal/homicidal Ideations or psychosis (Substance Abuse and Mental Health Services Administration, 2014).

The DSM-5 Diagnosis

309.81(F43.10) Posttraumatic Stress Disorder

303.90(F0.20) Alcohol Use Disorder; Moderate

304.30 (F12.20) Cannabis Use Disorder; Moderate

304.20 (F14.20) Stimulant Use Disorder; Cocaine, Moderate (American Psychiatric Association, 2013).

This client diagnosis was based on DSM-5 criteria, individual interaction with the patient, coupled with counselor assessment (American Psychiatric Association, 2013). It was then concluded that the client could be associated with the above-stated diagnosis. Prescribed medications seemed to be working well if the client remained compliant and seemed to lend a clue to diagnosis as well (Hayes, Strosahl, & Wilson, 2011).

Therapeutic Approaches

The use of Exposure therapy (ET) has been recommended as a first-line treatment for PTSD symptoms in treatment guidelines from several organizations including the National Institute for Clinical Excellence and the International Society for Traumatic Stress Studies (Bruce, & Jongsma, 2010b). Exposure therapy involves helping patients learn to tolerate their arousal long enough to extinguish the emotional trauma associated stimuli (Sharpless & Barber, 2011). If extinction to trauma-related stimuli gets achieved, patients will evidence little or no anxiety in response to traumatic memories or objectively safe trauma cues (Varcarolis, 2016). Thus, by addressing the patient’s avoidance strategies, the normal process of healing gets fostered (Wilson, 2012). The clinical procedures for exposure therapy used in this case remain similar to the evidence-based prolonged exposure protocol for PTSD (Varcarolis, 2016).

Ethical or Legal Implications

The legal or moral issue in this type of therapy will be to carefully assess whether if the treatment provided will be harmful or beneficial to the client (Corey, Corey, & Corey, 2013).

© 2012 Laureate Education Inc. 2

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My Sister’s Keeper. Movie presentation.

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In this assignment, you will be creating a PowerPoint presentation based on the application of the functional health assessment of a movie character. To complete this assignment, choose a movie from the following list and identify a character from the movie on whom you would like to do a health assessment. If you wish to use a character from a movie not included on the following list, get the approval of your instructor.

Films:

  1. Away From Her
  2. Lorenzo’s Oil
  3. Mask
  4. My Sister’s Keeper
  5. Philadelphia
  6. Rain Man
  7. Steel Magnolias
  8. Stepmom
  9. The Elephant Man
  10. The Mighty
  11. The Tic Code

Directions:

  1. Create a PowerPoint presentation of 10-12 slides using the template “Movie Character Presentation.”
  2. Provide an introduction and background overview of the movie character (client).
  3. Assess the client using the “Functional Health Pattern Assessment.”
  4. Based on your “observations” and thoughts, document your assessment, providing examples from the movie.
  5. Describe any observed or potential cultural, geographic, religious, ethnic, or spiritual considerations of this client.
  6. Describe two normal health patterns of the client as well as two abnormal health patterns that you observe, and provide examples.
  7. Develop an appropriate nursing diagnosis for the client based on your assessment.
  8. Identify and describe three interventions for the client: health promotion, health prevention, and maintenance.
  9. Identify at least two possible resources or community services to which you would refer this client and provide rationale for your choices.

In addition to submitting the presentation to the instructor, post your assignment to the Movie Character Health Assessment Presentation Main Forum as directed by instructor. Respond to other students’ posts in a manner that initiates or contributes to discussion. Each person should make at least three substantive comments.

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.

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 not required to submit this assignment to LopesWrite.

NRS-434VN-R-MovieCharacterPresentationSamplePPT-Student.pptx

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Med

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Discussion:

Your first patient has a musculoskeletal complaint. Using the chart of musculoskeletal medical word elements from your textbook, construct 10 medical terms that would reasonably be involved in a complaint dealing with the muscles and/or bones. Each term should include its meaning in parentheses. Then list 3 tests or procedures that would reasonably be involved in evaluating a patient like this.

NOTE: I am asking that you either bold or underline each term, which will be a benefit to both you and me.

Your second patient has a gastrointestinal complaint. Using the chart of digestive medical word elements from your textbook, construct 10 medical terms that would reasonably be involved in a complaint dealing with the digestive tract. Each term should include its meaning in parentheses. Then list 3 tests or procedures that would reasonably be involved in evaluating a patient like this.

Your final patient has a respiratory problem, so something having to do with her breathing or lungs needs to be described. Again, use at least 10 terms from the reading, especially using the respiratory medical word elements from your textbook. Also, you need to include 3 tests or procedures that will help you to discover what the problem with your patient is.

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Ultimate_Writer 200 word discussion response APA format

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I believe Jean Watson’s Theory of Caring has the greatest impact in my area of pediatrics. Nursing and caring have become synonymous in our culture and I believe caring is the essence of nursing. Professional nurses have an obligation to provide the best environment for healing to take place. The theory’s carative factors outlines principles and ideas that should be used by the professional nurse to create the best environment for healing of the patient and of the nurse.

Watson’s Caring Theory and the Care of a Pediatric Cancer Patient by Rachel M. Parker and Crystal Lane-Tillerson was a great article to read and internalize.  The article presents an overview of Watson’s Caring Theory and applies it to the care of a pediatric cancer patient. A specific emphasis is placed on describing the nurse’s role in caring and presenting the expected outcomes of caring. Caring is essential to nursing practice and it can improve patient outcomes and experiences.  Not only does Watson argue that the theory describes caring within nursing practice, she maintains that her theory is unique in that it also captures the spiritual essence of nursing (Watson, 2012). I believe this to be true in my practice as a pediatric nurse. Caring creates valuable physical, mental, and spiritual connections between the nurse and the patient. This in turn can create meaningful relationships and positive patient outcomes. Watson’s theory is very applicable to present day nursing whether caring for a pediatric cancer patient or any other patient. All patients are in need of caring and Watson’s framework instructs the nurse on how to care (Parker & Lane-Tillerson, 2014).

Nursing theory and leadership was a challenging unit discussion. Several attempts have been made over the years to explain the characteristics of an effective leader. Leaders can be managers but not all managers can be effective leaders, making leadership an important aspect of effective management. In my personal experience, great management was something I did not experience until recently, thus finding it difficult to write about. By discussing nursing theory, leadership, and management in week 4, I was able to learn what qualities great leaders/managers have and what ways management incorporates theory into the nursing profession.  I also learned that by incorporating nursing theory into leadership, I will have a stronger knowledge base and develop a firm discipline whereby to provide quality of care through skills learned, and knowledge gained.

The discussion that I found most useful to understand nursing theory and its application to my area of practice in pediatrics was the discussion on nursing theory and practice in unit 1. I was able to research multiple theories and discuss the value of theory to the profession of nursing. I was also able to identify ways in which I could use theory to improve my practice in my present role and future role as a pediatric nurse.

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Major Assignment.Please Do Your Best, Follow Instruction And Use RUBRIC.

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Rate yourself using the results from the “Nurse Manager Skills Inventory”:

http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

  1. Personal and professional accountability
  2. Career planning
  3. Personal journey disciplines
  4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

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.

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. Please refer to the directions in the Student Success Center.

RUBRIC:

Identification of strengths and weaknesses related to the four content areas listed.

Lists and analyzes strengths and weaknesses based on each of the listed content areas, and draws on evidence from the given Web site.

Discussion of use of current leadership skills to advocate change in the workplace.

Discusses specific changes that can be made in the workplace are discussed, while giving clear and relevant examples for why changes are necessary. Evaluates how personal skill set can be used to effect change in workplace.

Reflection on personal goal for leadership growth and development of implementation plan to reach goal.

Provides a thoughtful reflection on areas for growth. Pinpoints at least one specific goal for leadership growth, and outlines a well-organized and realistic implementation plan to meet the goal.

Thesis Development and Purpose

Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.

Paragraph Development and Transitions

There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in command of standard, written, academic English.

Paper Format (1- inch margins; 12-point-font; double-spaced; Times New Roman, Arial, or Courier)

All format elements are correct.

Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)

In-text citations and a reference page are complete. The documentation of cited sources is free of error.

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Essay

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Process Essay Outline

 

Introductory Paragraph

 

Hook: An interesting fact or statistic, or a short anecdote (emotion-evoking anecdote; a rhetorical question)________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Bridge: Definition and Background information about my condition…why my topic is important

____________________________________________________________________________________________________________________________________________________________________________________________

______________________________________________________________________________________________

3. Thesis– overview of the stages I will be explaining

 

__________________________________________________________________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________

 

 

 

 

 

 

 

II. BODY PARAGRAPH (this is where I will describe AND explain the steps in the process I chose)

 

A. Step one/stage one, explanation and example ___________________________________________________________________

 

___________________________________________________________________

 

___________________________________________________________________

 

B. Step two/stage two, explanation and example ___________________________________________________________________

 

___________________________________________________________________

 

___________________________________________________________________

 

 

C. Step three/ stage three, explanation and example ___________________________________________________________________

 

___________________________________________________________________

 

___________________________________________________________________

 

 

D. Step four/stage, explanation and example ___________________________________________________________________

 

 

 

 

 

 

 

E. Step five/stage five, explanation and example ___________________________________________________________________

 

 

 

 

 

 

CONCLUSION PARAGRAPH

 

A. Restate my thesis statement

 

_________________________________________________________________________

 

 

B. Summarize (review ) the process (be brief!) ___________________________________________________________________

 

 

C. What final thought do I want to share with my reader. What do I want my reader to think about? Based on what I have learner, can I share a recommendations?

D. ___________________________________________________________________________

 

___________________________________________________________________________

 

 

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Benchmark – Community Teaching Plan: Community Presentation

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Note: This is an individual assignment. Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation to accompany the teaching plan and present the information to your community. Select one of the following options for delivery of the presentation:

  1. PowerPoint presentation – no more than 30 minutes
  2. Pamphlet presentation – 1 to 2 pages
  3. Poster presentation

Appropriate community settings include:

  1. Public health clinic
  2. Community health center
  3. Long-term care facility
  4. Transitional care facility
  5. Home health center
  6. University/School health center
  7. Church community
  8. Adult/Child care center

Before presenting information to the community, seek approval from an agency administrator or representative.

Upon receiving approval from the agency, include the “Community Teaching Experience Form” as part of your assignment submission.

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

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

NRS-427V-RS-CommunityTeachingExperienceForm.doc

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LET

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In nursing practice, accurate identification and application of   research is essential to achieving successful outcomes. Being able to   articulate the information and successfully summarize relevant   peer-reviewed articles in a scholarly fashion helps to support the   student’s ability and confidence to further develop and synthesize the   progressively more complex assignments that constitute the components   of the course change proposal capstone project.

For this assignment, the student will provide a synopsis of eight   peer-reviewed articles from nursing journals using an evaluation table   that determines the level and strength of evidence for each of the   eight articles. The articles should be current within the last 5 years   and closely relate to the PICOT statement developed earlier in this   course. The articles may include quantitative research, descriptive   analyses, longitudinal studies, or meta-analysis articles. A   systematic review may be used to provide background information for   the purpose or problem identified in the proposed capstone project.   Use the “Literature Evaluation Table” resource to complete   this assignment.

While APA style 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.

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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patient portal

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  1. What are the benefits of patient portals?  Discuss two benefits of patient portal usage to the patient and two benefits to the provider.
  2. Why do some patients fail to participate in the use of the patient portal?  List at least two different valid reasons

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