module 5

  1. Course Competency :
    • Design plans for care specific to the older adult.
    • Consider the scenario below, then follow the instructions underneath it to complete the assignment.

      Mrs. Y
      Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.
      Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled.
      The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.
      During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse’s findings were as follows:

    • Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
    • The client is noted to have moderate functional issues and ambulates with a cane.
    • The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
    • Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently.”
    • Consider Mrs. Y’s current health status and functional decline, then address the following:
    • Download the Concept Map and Plan of Care worksheet below. An example is also provided for your reference.
    • Concept Map and Plan of Care worksheet

      Concept Map and Plan of Care example

    • Identify three (3) priority nursing diagnoses for Mrs. Y. Visit the School of Nursing Guide Nursing Reference eBooks section for resources to assist with nursing diagnoses.
    • Create a visual representation of the three (3) priority nursing diagnoses by incorporating them into the Concept Map (template in the worksheet). Be sure each nursing diagnosis includes the following elements:
    • “related to (r/t)” — description of the client’s problem
    • “as evidenced by” — description of the client’s symptoms
    • Complete the Nursing Plan of Care (table in the worksheet) describing what should be implemented for Mrs. Y.
    • Goals: Establish at least one (1) goal for each of the nursing diagnoses you identified (for a total of 3 goals). Goals should be: patient specific, measurable, actionable, realistic, and time limited.
    • Nursing Interventions: Describe at least three (3) nursing interventions for each of the goals (for a total of 9 nursing interventions). Each intervention should be in alignment with the goal it is supporting.
    • Complete the assignment using proper spelling, grammar, and APA.

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Unit 1 Discussion

Screening Guidelines

Pick one women’s health screening guideline, such as mammogram, Pap smear, bone mineral density scan, or colonoscopy, and outline the current screening recommendations alongside the governing body you selected for age and frequency. Discuss any reasons for potential deviations from routine screening frequency. How do you manage the variety of governing bodies that struggle with a consensus for screening? How do you explain these differences to your patient?

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Strategic Plan Summary

Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention. Use this assessment when creating the strategic plan. Discuss with your preceptor the culture of your organizations and what are the potential problems.

Write a  strategic plan (150-250) defining how the nursing practice intervention will be implemented in the capstone project change proposal.

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

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homework

 It is estimated that more almost 7% of the U.S. population will experience posttraumatic stress disorder (PTSD) in their lifetime (National Institute of Mental Health, 2017). This debilitating disorder often interferes with an individual’s ability to function in daily life. Common symptoms of anxiousness and depression frequently lead to behavioral issues, adolescent substance abuse issues, and even physical ailments. For this Assignment, you examine a PTSD video case study and consider how you might assess and treat clients presenting with PTSD.

 

  • Review this week’s Learning Resources and reflect on the insights they provide about diagnosing and treating PTSD.
  • View the media Presentation Example: Posttraumatic Stress Disorder (PTSD) and assess the client in the case study.
  • For guidance on assessing the client, refer to Chapter 3 of the Wheeler text.

Note: To complete this Assignment, you must assess the client, but you are not required to submit a formal comprehensive client assessment.

 

 

Succinctly, in 1–2 pages, address the following:

  • Briefly explain the neurobiological basis for PTSD illness.
  • Discuss the DSM-5-TR diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not?
  • Discuss one other psychotherapy treatment option for the client in this case study. Explain whether your treatment option is considered a “gold standard treatment” from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners.

Support your Assignment with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

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Home Visiting Assignment

For this activity, you will select either an older adult or pregnant/post-partum mom and infant
individual/family to complete your 3 virtual or in-person home visits. To ensure timely completion of
conducting the home visits, it is important to identify an individual and schedule these visits early in the
semester. The three home visits are summarized below:

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Catholicism Written Report

In your readings from the Catechism of the Catholic Church and the Compendium of the Catechism of the Catholic Church, you gleaned a better understanding of what the Catholic Church’s teachings are on specific theological topics.

You will now use the information gleaned in the text to delineate the teachings listed below in a concise manner:

  1. Catholic Understanding of God as Trinity
  2. Salvation is Achieved through the Paschal Mystery of Jesus Christ
  3. Eschatology – Death and the Afterlife
  4. Freedom
  5. Virtues
  6. Sin

Submission Instructions:

When completing this written report, the following guidelines must be followed. Failure to do so will result in points being deducted from your grade: 

  • This report must be typed in a 12 point non-ornamental font.
  • Each section of the report must include a section title on a separate line (ex: Freedom, Virtues, Sin, etc.).
  • Incorporate at least 2 direct quotations with appropriate footnotes.
    • First quotation must come from the specific section of the Catechism of the Catholic Church in the required readings.
    • Second quotation with accompanying footnote must come from the specific section of the Compendium of the Catechism of the Catholic Church in the required readings.

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Nursing homework help

 A 26-year-old woman presented to the clinic after her cleaning rituals had so exhausted her that she had given up and could now enter only two of the five rooms in her home.

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Nursing homework

  • Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating mood disorders.
  • Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.
  • Review the video, Case Study: Petunia Park. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.
  • Consider patient diagnostics missing from the video: Provider Review outside of interview:
    Temp 98.2  Pulse  90 Respiration 18  B/P  138/88
    Laboratory Data Available: Urine drug and alcohol screen negative.  CBC within normal ranges, CMP within normal ranges. Lipid panel within normal ranges. Prolactin Level 8; TSH 6.3 (H)

 

Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomatology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
  • Objective: What observations did you make during the psychiatric assessment?
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
  • Reflection notes: Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

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Nursing Nursing Professional Identity Assignment- Part II

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ePortfolio: Submission of Artifact and Reflection

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