Tag: Clinical-Nursing

Cover Letter, Resume, and Portfolio Assignment

NURS 6660: Psychiatric Mental Health Nurse Practitioner Role I:

Child and Adolescent

Cover Letter, Resume, and Portfolio Assignment Guide

Your professional cover letter, resume, and portfolio are due by Day 7 of Week 10. It is highly

recommended that you begin planning and working on this Assignment as soon as it is viable.

The following checklists outline all of the items you should include in your cover letter, resume,

and portfolio. Additionally, the resources below have been provided to assist you in developing

your professional cover letter, resume, and portfolio.

Also, refer to the Walden University Career Center website for resources and develop your

cover letter and resume with the assistance of the Walden University Career Center website

for resources and make your cover letter, resume, and portfolio accessible online to your

faculty and potential employers.

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Checklist for Cover Letter (S/U grade)

Your Cover Letter should be:

 Presented and formatted in professional business manner

 Addressed properly

 Clear and concise and include:

o Content Introduction

o Content Body

o Content Conclusion

 Written in a professional style and include:

o Correct spelling, punctuation, and grammar

o Clear and accurate sentence structure

Checklist for Resume (S/U) Cover Letter, Resume, and Portfolio Assignment

 Your Resume should be clear, concise and well-organized and it should also include

your:

 Name, address, business phone number, and email address (top center of resume)

 Profile: 2-3 sentences describing goal and positive attributes/characteristics

 Certifications & Licensure

 Education

 Professional Experience

 Honors/Awards

 References

© 2016 Laureate Education, Inc. 2 of 3

Checklist for Portfolio (S/U)

 Your Portfolio should be clear, concise and well-organized and it should also include

your:

 Personal Philosophy Statement

 Self-Assessment

 Personal goals (short term and long term)

 Achievements

 Cover Letter

 Resume

 Diplomas for formal education

 Letters of Recommendation

 References (list names, affiliation and contact information)

 Certifications

 Certificates of attendance for continuing education

 Transcripts

 Publications

 Oral Presentations and/or Poster Presentations

Cover Letter, Resume, and Portfolio Assignment Learning Resources

Resume, Portfolio, and Cover Letter Resources:

 Cover Letter Advice (n.d.). Nurse practitioner cover letter sample 1. Retrieved from

http://www.coverletter.us/nurse-practitioner-cover-letter/

 Dahring, R. (2013). Cover letter caveats. Retrieved from http://nurse-practitioners-andphysician-assistants.advanceweb.com/Columns/Career-Coach/Cover-Letter-Caveats.aspx

 NP Career Coach (n.d.). NP career coach resume tip sheet. Retrieved from

http://www.nursepractitionerjobsearch.com/nurse-practitioner-resume-tips.pdf

 Porche, D. J. & Danna, D. (2015). Cover letter & resume preparation: Every detail is

important when applying for a job. Advance healthcare network for NPs & PAs. Retrieved

from http://nurse-practitioners-and-physicianassistants.advanceweb.com/Features/Articles/Cover-Letter-Resume-Preparation.aspx

 Walden University Career Services (n.d.). Resumes & CVs: Home Retrieved from

http://academicguides.waldenu.edu/careerservices/resumesandcvs

© 2016 Laureate Education, Inc. 3 of 3

Portfolio Resources:

 Dennison, R. D. (2007). What goes into your professional portfolio and what you’ll get out of

it: Advance your nursing career with a professional portfolio. American Nurse Today 2(1).

Retrieved from

http://www.americannursetoday.com/assets/0/434/436/440/4352/4354/4368/4376/1b04d64f8cb0-4af6-adb6-7e3474d2603d.pdf

 Ferrara, S. (2013, October 31). Professional portfolio – A must have for NP students. [Blog

message]. Retrieved from http://onlinenursepractitionerprograms.com/2013/professionalportfolio-a-must-have-for-np-students/ Cover Letter, Resume, and Portfolio Assignment

 Hayes, E., Chandler, G., Merriam, D., & King, M. C. (2002). The master’s portfolio:

Validating a career in advanced practice nursing. Journal of the American Academy of

Nurse Practitioners, 14(3), 119.

 Walden University Career Services (2015). Quick start: Getting started with Optimal 2015.

Retrieved from https://youtu.be/Ir-B4MCuAvU

 Walden University Career Services (2015). Quick start: Getting started with Optimal

Resume: Presentation slides. Retrieved from

http://academicguides.waldenu.edu/ld.php?content_id=10634421

 Walden University Career Services (2015). Getting started with Optimal Resume: Tutorial.

Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=10634430

 Walden University Career Services (2015). Getting started with Optimal Resume: Transcript.

Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=10634440

 Weber, S. (2006). Developing nurse practitioner student portfolios. Journal of the American

Academy of Nurse Practitioners, 18(7), 301-302. doi:10.1111/j.1745-7599.2006.00134.x

FIND BELLOW MY CURRENT RESUME. FOR ANY FURTHER QUESTIONS PLEASE EMAIL ME AND I WILL RESPOND. THANKS IN ADVANCE

Victorine A Ngang

9937 whiskey run

Laurel, MD 20723

301-437-9937

05/11/2017

bebenav@yahoo.com

victorine.ngang@waldenu.edu

OBJECTIVE

Team-oriented registered nurse and a psychiatric mental health nurse practitioner student with a strong track record of professional driven ambition is seeking an internship opportunity for psychiatric mental health nurse practitioner role with adult and older adults. This clinical is geared towards medication prescription for adults and older adults Cover Letter, Resume, and Portfolio Assignment.

This clinical starts in February 2018 through May 2018 for a total of 144hours

EDUCATION AND TRAINING

¬¬-Walden University 2016-2018

Minneapolis, MN

Currently in school pursuing a Master in psychiatric nursing

Graduation date, 2018

-American Sentinel University 2015-2016

Denver, Colorado

Bachelors of Science in nursing

Graduation June, 2016

-Prince George’s Community College 2013

Largo, MD, USA

Associate of science in nursing

Graduation: August, 2013

Psychiatric Nurse Practitioner Internship

psychotherapy with individuals

Cumberland, MD

August 2017 – November 2017

Psychiatric Nurse Practitioner Internship

psychotherapy with groups and families

Cumberland, MD

November 2017 – February 2018

Psychiatric mental health NP role 1: Child

Columbia, MD

February 2018 – May 2018

EMPLOYMENT HISTORY

Registered Nurse

-Jessup Correctional institution (JCI): From April 2016 to present

• Provided nursing assessments and interventions including: medical, and psychiatric screening

• Observed and assessed changes and trends in physical or mental condition of the patient as well as planned and implemented therapeutic interventions and evaluate response to such interventions

• Administered medications, collect specimens, monitor and document treatment progress and patient response. Cover Letter, Resume, and Portfolio Assignment.

• Performed medical care for emergencies and prioritized care based on acuity

• Identified behavioral problems to make suitable recommendations.

• Provided therapeutic interactions with patients to assist them while in crisis.

• Administered medications and treatments as ordered by a physician.

-Registered nurse: From December 2013 to 2017

Ridgeway manor nursing and rehabilitation center- Catonsville, MD

• Perform health assessment, talking to patients about their problems and discussing the best way to plan and deliver their care.

• Caring for patients experiencing acute mental distress or who have an enduring mental illness.

• Provide health promotion, counseling and educating patients and families

• Administer medications, wound care, G-Tube care, IV care , tracheostomy care etc

• Interpret patient information and make critical decisions.

• Responsible for maintaining a safe environment through the use of monitoring devices.

• Provide social support for patients by creating and encouraging patients to take advantage of opportunities such as support groups, social activities and other therapeutic measures.

• Coordinate care, in collaboration with a wide array of healthcare professionals

• Direct and supervise care delivered by other healthcare personnel like LPNs,CNA and CMA.

LICENSURE / CERTIFICATION

-Current Registered Nurse Licensure in Maryland (RN)

-Cardio Pulmonary Resuscitation (CPR) Certified through American Heart Association Cover Letter, Resume, and Portfolio Assignment.

GEN103 Annotated Bibliography – Research Topic and Question Worksheet Assignment

Research Topic and Question Worksheet Assignment

Prior to beginning this assignment,

Read Module 1 in your course textbook.

Watch the 
GEN103 Annotated Bibliography
 (Links to an external site.)Links to an external site.
 and 
Picking Your Topic IS Research
  (Links to an external site.)Links to an external site.
videos.

Review the 
Week 5 Annotated Bibliography Example
, and the 
4 Easy Steps to Using the Ashford Library for Background Research
,
 
Possible Topics for Research
, and 
How to Ask an Open-Ended Question  handouts
.

Download and review the 
Week 1 Research Topic and Question worksheet
 that you will complete and turn in for this assignment.

This week, you will develop a research question for your annotated bibliography:

Choose a research topic.

Explore your topic.

Write your research question.

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Choose a Research Topic

Choose a research topic related to your program or major. This topic will be used for all five weeks so choose one that interests you and for which two scholarly articles, one e-book , and two non-scholarly sources are available. Review the 
Possible Topics for Research
 handout if you need ideas. It is recommended that you review the 
GEN103 Week 1 Assignment example
.

Provide a two to three sentence explanation of the research topic and how it is related to your major on the Week 1 Research Topic and Question worksheet.

Explore your Topic

On the Week 1 Assignment worksheet, fill in the KWHL chart to explore the research topic. Be sure to carefully follow the instructions on the worksheet. The 
4 Easy Steps to Using the Ashford Library for Background Research
 is a helpful resource at this point.

Write Your Research Question

Write the first draft of your research question in the table at the bottom of the Week 1 Assignment worksheet. Your research question will help you focus your research by defining the information you are looking for as you research your topic.

Your research question must be:

Open-ended (should begin with “how,” “why” or “what”)

Clear

Concise

Detailed

The
 
How to Ask an Open-Ended Question
 handout can help you formulate an open-ended question.

Next, it is recommended you use Tutor.com to help you refine your question. If you use the service, ask your tutor to review your draft question with regard to the criteria in the table. Bring your draft research question to the Tutoring on Demand session. When you have completed the worksheet, save it to your computer and then submit it to Waypoint for grading.

To make sure your submission is as strong as it can be, use 
Grammarly (Links to an external site.)Links to an external site.
 to assist you in locating and correcting grammar and punctuation errors.

Week1ResearchTopicandQuestionworksheet.docx

Research Topic and Question Worksheet Assignment

Running head: RESEARCH TOPIC AND QUESTION 1

RESEARCH TOPIC AND QUESTION 5

Research Topic and Question

Student Name

GEN103: Information Literacy

Instructor Name

Month Day, Year

Refer to Module 1.3 of your textbook as you complete this assignment.

In the box below, provide a 2-3 sentence description of your research topic and how it is related to your major. You may refer to the GEN103 Possible Topics for Research handout in the classroom for research topic ideas.

Important: “Prayer in school” is not an acceptable topic for your annotated bibliography because it is used for the assignment examples throughout this class.

Research Topic and its Relation to Your Major:

To help you explore your topic, fill in the KWHL chart below.

1. Write at least three specific thing you know about your topic in the first column, K (K = know).

2. Write at least three specific questions about your topic that you would like to know the answers to in the second column, W (W = what do I want to know).

3. Write at least three specific tools you might use to find out more about your topic in the third column, H (H = how do I find out).

4. At this point, you need to do background research before you can fill out the fourth column. Use the tools you wrote down in H to find out more about your topic. Focus on the questions you wrote in W:

a. When you do background research, it’s fine to do a Google search or to use Wikipedia or other encyclopedias or general reference works; you will not use these sources in your annotated bibliography.

b. The 4 Easy Steps to Using the Ashford Library for Background Research provides directions for using the references sources in the Ashford Library

5. After doing your background research, write at least three specific things you have learned about your topic in the fourth column, L (L = what have I learned).

You must have at least three distinct items listed in each column to get full credit for this portion of the assignment.

K

What do I know?

W

What do I want to know?

H

How do I find out?

L

What have I learned?

Now that you have done some simple background research, it’s time to write a formal research question. Your research question will help you focus your research by defining the information you are looking for as you research your topic for your annotated bibliography.

A quality formal research question must be:

· Open-ended (Review the How to Ask Open-Ended Questions handout)

· Clear

· Concise

· Detailed

Remember that research questions should generate the kind of research that is suitable for an academic paper. Avoid questions that:

· Are yes/no questions (Often begin with “are” or “do”.)

· Ask for number or date (Often begin with “how many” or “when”.)

· Ask for a list

· Ask for an opinion (Often begin with “what do you think”.)

· Can be answered with a brief explanation or by referring to a single source.

Tip: Open-ended questions usually start with “what,” “why” and “how.”

Develop a research question that will allow you room to investigate your topic. Some examples of successful research questions are:

What can we do in the United States to prevent acid rain?

How do oil spills impact the fishing and tourism businesses in affected areas?

What evidence shows that pesticides are significantly harming the bee population?

Why is the Clean Water Act an important law for the welfare of urban populations?

Type the first draft of your research question in the first row of the table below and fill in all of the shaded areas. Write your final, revised question in the last box.

Type the first draft of your research question in the box to the right.

Does the first draft ask a yes/no question?

If the answer is yes, you need to revise your research question.

yes/no

Does the first draft ask for a number, date, or a list?

If the answer is yes, you need to revise your research question.

yes/no

Does the first draft ask for an opinion?

If the answer is yes, you need to revise your research question.

yes/no

Can the first draft be answered with a brief explanation or by consulting a single source?

If the answer is yes, you need to revise your research question.

yes/no

Type the final version of your research question in the box to the right.

When you have completed this worksheet, save the document and submit to Waypoint. Research Topic and Question Worksheet Assignment

Disorders of the Veins and Arteries sample essay

Assignment: Disorders of the Veins and Arteries

Advanced practice nurses often treat patients with vein and artery disorders such as chronic venous insufficiency (CVI) and deep venous thrombosis (DVT). While the symptoms of both disorders are noticeable, these symptoms are sometimes mistaken for signs of other conditions, making the disorders difficult to diagnose. Nurses must examine all symptoms and rule out other potential disorders before diagnosing and prescribing treatment for patients. In this Assignment, you explore the epidemiology, pathophysiology, and clinical presentation of CVI and DVT.

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To Prepare

Review the section “Diseases of the Veins” (pp. 598-599) in Chapter 23 of the Huether and McCance text. Identify the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Consider the similarities and differences between these disorders.

Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of CVI and DVT. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic venous insufficiency and one for venous thrombosis. Consider the epidemiology and clinical presentation of both chronic venous insufficiency and deep venous thrombosis Disorders of the Veins and Arteries sample essay.

To Complete

Write a 2- to 3-page paper that addresses the following:

Compare the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Describe how venous thrombosis is different from arterial thrombosis.

Explain how the patient factor you selected might impact the pathophysiology of CVI and DVT. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

Construct two mind maps—one for chronic venous insufficiency and one for deep venous thrombosis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your Disorders of the Veins and Arteries sample essay paper.

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting Disorders of the Veins and Arteries sample essay.

Introduction

The circulatory system constitutes of three main blood vessels including arteries, veins, and lymphatic. According to Bergan and Bunke, ( (2014), blood in the peripheral veins tends to be passive and under low pressure and since its pumping mechanism relies on muscle contraction in the legs and arms. However, physiological changes in the body lead to hypertension and trigger thrombi formation resulting in diseases of the veins. Notably, the clinical manifestations of common venous diseases may be misdiagnosed for other disorders. This paper provides a review of the pathophysiology of common vein diseases before concluding with mind maps highlighting the epidemiology, pathophysiology, clinical presentation, and treatment of Deep Vein Thrombosis(DVT)  and Chronic  Veins Insufficiency(CVI) Disorders of the Veins and Arteries sample essay.

Pathophysiology of Deep vein insufficiency

Deep vein insufficiency emanates from venous stasis. According to Eberhardt and Raffetto (2014),  the main factors resulting in venous stasis include a dysfunction in the venous valve, inflammation of the venous walls, dysfunctional pump mechanism, and venous hypertension. Notably, venous stasis results in an increase in blood viscosity and subsequent venous hypertension, factors which stimulate the release of vasoactive substances triggering the expression of adhesion molecules and inflammatory mediators. In this regard, the underlying cascade of events results in inflammation and subsequent rapture of peripheral veins walls, a condition imminent in CVI Disorders of the Veins and Arteries sample essay.

Pathophysiology of Deep Vein Thrombosis

Considering that the venous valves are vascular, the formation of microthrombi in the calf veins predisposes the development of DVT. Notably, venous stasis resulting from calf veins microthrombi obstruction and subsequent, endothelial hypoxemia stimulates the release of adhesion molecule and leukocytes (Huether and McCance, 2015). The leukocytes transfer the vasoactive molecules to the endothelial cells where they combine with activated Factor VII and through a cascade of events results to coagulation with the resultant formation of a thrombus. Di Nisio, Van and Büller (2016)) pinpoints that the main components of resultant venous thrombin are fibrin and erythrocytes. In this regard, clot formation results in the destruction of the peripheral veins, a condition imminent in Deep vein thrombosis Disorders of the Veins and Arteries sample essay.

Comparison of the pathophysiology of DVI and DVT

The pathophysiology of DVI and DVT harbor some similarities in the development of the underlying disorder. Notably, the development of both diseases involves three steps including venous stasis, coagulation activation, and subsequent endothelial damage in peripheral veins (Eberhardt and Raffetto, 2014). In this regard, there is a correlation between venous stasis, hemodynamic alterations, and hypertension in both disorders and their subsequent stimulation in the release of blood coagulation factors. Further, blood coagulation results in endometrial cells damage, a clinical manifestation evident in both DVI and DVT. Lastly, the mechanism of origin of venous stasis exhibit similarities with valve incompetence in peripheral veins of the body muscles is common in the progression of venous both venous diseases Disorders of the Veins and Arteries sample essay.

Differences between venous thrombosis and arterial thrombosis

The pathophysiology of venous and arterial thrombosis display notable differences. Di Nisio, Van and Büller (2016), asserts that despite thrombi formation, being a common manifestation in both disorders, their pathophysiology and outcome differs. Notably, arterial stasis results from plaque formation in the deep arteries and affects the valves in the left chambers of the heart. In contrast, venous stasis emanates from a variety of factors (both intrinsic and extrinsic) such as tissue damage and biochemical imbalance with its associated alterations affecting the soleus sinusoid and cusps valves in the extreme parts of the body Disorders of the Veins and Arteries sample essay. Additionally, the inflammatory response in arterial thrombosis results to coagulation involving the platelets while venous associated coagulation constitutes mainly fibrin and erythrocytes ( Di Nisio, Van  & Büller (2016). Finally, chronic inflammation in arterial thrombosis results in the acute coronary syndrome and ischemic stroke, while on the other hand, the pathogenesis of untreated venous thrombosis results to pulmonary embolism and deep vein thrombosis.

Pregnancy as a patient factor

Previous studies reveal that pregnancy is a risk factor in the development of DVI and DVT. According to (Khan, Vaillancourt, and Bourjeily (2017), the incidence of DVT among pregnant women is approximately 1.1 per 1000 deliveries. Further, risk increases during the last trimester and six weeks after parturition. In this regard, considering misdiagnosis of DVT and CVI may lead to the development asserts that there is a need for nurses and medical practitioners to undertake precautions in the diagnosis of the clinical manifestations of the diseases for effective treatment Disorders of the Veins and Arteries sample essay

Pathophysiology of DVT in pregnancy

Pregnancy results in anatomical and physiological changes in the body. According to Khan, Vaillancourt, and Bourjeily (2017), increased cardiac output resulting to peripheral vasodilation is a common event in pregnancy. Notably, the anatomical and physiological alterations associated with pregnancy result in venous stasis and hypercoagulability in the peripheral veins located in the legs and arms. In this regard, the body increases the production of procoagulant peptides and subsequently, decreases the release of the anticoagulant substances and as such, there is a formation of fibrin-rich thrombi, which initiates vascular damage of the endothelial cells in the peripheral veins located in legs and arms. Further, Khan, Vaillancourt, and Bourjeily (2017), asserts that vascular damage occurs in the pelvis during parturition

Diagnosis of DVT and CVI in pregnancy

Clinical diagnosis of DVT and DVI  should be accompanied with further laboratory tests to prevent misdiagnosis of the underlying disorder. Notably, a consideration of the physiological alterations associated with pregnancy should facilitate the decision-making process during the diagnosis of the disorders clinical manifestation. As such, the first criteria entail a physical examination of symptoms such as pain, tenderness, and swelling of the extremities in the patient with regard to the patient’s medical history (Khan, Vaillancourt, & Bourjeily 2017). However, since the clinical manifestations of DVT and pulmonary embolism in pregnancy are similar, I would recommend the patient to undergo an ultrasound scan analysis of the proximal venous system to confirm if the underlying condition is DVT Disorders of the Veins and Arteries sample essay.

Treatment

Considering that physiological changes in pregnancy result to hypercoagulation, administration of anticoagulants would be the first drugs of choice. In this regard, I would prescribe the patient to take low molecular weight heparin, which suppresses the release of clotting factors in the body. According to Khan, Vaillancourt, and Bourjeily (2017), LMWH has a safety profile since it does not cross the placental barrier and it reduces the risk of hemorrhage. Additionally, it does not affect the breast milk and it can be administered even after parturition.

Conclusion

Despite the fact that Diseases of the veins are common, their clinical manifestations tend to be misdiagnosed for other diseases. In this regard, there is a need for nurses and other medications to understand their pathophysiology for easy their treatment. Notably, understanding of the pathophysiology and clinical manifestations of these disorders will go a long way in facilitating the appropriate treatment for the underlying condition. Further, an understanding of the patient condition such as pregnancy will facilitate the adoption of a treatment option, which bests suits the patients Disorders of the Veins and Arteries sample essay.

Mind Map for Chronic Vein Insufficiency

M
ind Map For Deep Vein Thrombosis

References

Bergan, J. J., & Bunke, N. (Eds.). (2014). The vein book. Oxford University Press.

Di Nisio, M., van Es, N., & Büller, H. R. (2016). Deep vein thrombosis and pulmonary embolism. The Lancet, 388(10063), 3060-3073.

Eberhardt, R. T., & Raffetto, J. D. (2014). Chronic venous insufficiency. Circulation, 130(4), 333-346

Huether, S. E., & McCance, K. L. (2015). Understanding Pathophysiology-E-Book. Elsevier Health Sciences.

Khan, F., Vaillancourt, C., & Bourjeily, G. (2017). Diagnosis and management of deep vein thrombosis in pregnancy. BMJ: British Medical Journal (Online), 357 Disorders of the Veins and Arteries sample essay.

Review the section “Diseases of the Veins” (pp. 598-599) in Chapter 23 of the Huether and McCance text. Identify the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Consider the similarities and differences between these disorders.

Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of CVI and DVT. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic venous insufficiency and one for venous thrombosis. Consider the epidemiology and clinical presentation of both chronic venous insufficiency and deep venous thrombosis.

To Complete

Write a 3 page paper that addresses the following:

Compare the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Describe how venous thrombosis is different from arterial thrombosis.

Explain how the patient factor you selected might impact the pathophysiology of CVI and DVT. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

Construct two mind maps—one for chronic venous insufficiency and one for deep venous thrombosis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

Please references should be within the last five years. All in text quotation should have paragraph number or page number. paper should have introduction and summary Disorders of the Veins and Arteries sample essay. Thank you

Disease of Arteries and veins

One of the conditions affecting the veins is deep venous thrombosis which affects 40% of women and 17 % of men globally and leads to pulmonary embolism, a life threatening condition. Valves are major anatomical and physiological components of the veins and chronic venous insufficiency results from impairment of the valves (Huether, & McCance, 2015). The discussion below will present a comparison of the pathophysiology of deep venous thrombosis, chronic venous insufficiency and arterial thrombosis. Finally, the essay will discuss how gender affects the pathophysiology, diagnosis and treatment of the above specified conditions and mind maps summarizing the conditions.

Pathophysiology

The predisposing factors to the development of the deep venous thrombosis include: female gender, pregnancy, overweight, cancer, immobility, post -partum period and surgical procedures. The predisposing factors in the development of chronic venous insufficiency include: long standing periods and deep venous thrombosis.  Chronic venous insufficiency basically refers to the impairment in the functioning of the valves that facilitate the uni-directional flow of blood through the veins to the heart. In contrast, deep venous thrombosis refers to a condition in which there is formation of a blood clot in the deep veins of the extremities. Chronic venous insufficiency affects both the deep and the superficial veins while the deep venous thrombosis affects the deep veins of the lower extremities in most of the cases. Deep venous thrombosis eventually leads to pulmonary thrombosis as a complication, whereas chronic venous insufficiency leads to ulceration and bacterial eczema following the effect the sequel of the condition on the walls of the affected veins. Deep venous thrombosis presents with tenderness and swelling of the affected lower limb whereas chronic venous insufficiency presents with hyperpigmentation, ulceration and varicose veins on the limb where the valves of the veins function insufficiently. Both the deep venous thrombosis and the chronic venous insufficiency are characterized by the occurrence of blood stasis in the affected veins. In addition, deep venous and chronic venous insufficiency present with pain and swelling of the affected extremities (Gloviczki, & Lawrence, 2017) Disorders of the Veins and Arteries sample essay.

Arterial thrombosis affects the arteries whereas deep venous thrombosis affects veins. In addition, arterial thrombosis affects any of the arteries whereas deep venous thrombosis affects the deep veins of the lower extremities in most cases and specifically is associated with the femoral vein, the popliteal vein or the ilio-femoral vein. The deep venous thrombosis is cause by injury to the endothelial lining of the veins which activates the coagulation pathway that involves conversion of prothrombin to thrombin and fibrinogen to fibrin. Finally a plug that consists of platelets, fibrin and red blood cells is formed (Gujja, Wiley, & Krishnan, 2014). In addition, blood stasis also causes the development of the deep venous thrombosis. Blood stasis is formed as result immobility.  Finally, a state hypercoagulability also leads to frequent and easy activation of the coagulation path way leading to a formation of the blood clot. On the other hand, arterial thrombosis is caused by the presence of thrombus, emboli, air emboli or cancer thrombi. Furthermore, deep venous thrombosis leads to the pulmonary thrombosis as a complication due to the mobility of the thrombi from the extremities, through the inferior vena cava to the heart and eventually to the lungs through the pulmonary artery. In contrast, arterial thrombosis leads to insufficient oxygen supply to the tissues that are supplied within blood by the affected artery. Subsequently, the body forms new collateral arteries to increase blood and oxygen supply to the affected tissues (Martinod, Witsch, Farley, Gallant, Remold‐O’Donnell, & Wagner, 2016).

Effect of Gender on DVT and DCI

Notably, the prevalence of the above mentioned conditions is higher among the women as compared to men.  In addition, pregnancy, post-partum period and the female gender are risk factors for the development of the deep venous thrombosis. During pregnancy the production of the clotting factors increases and thus, their concentration in the blood of the pregnant patient. Therefore, a state of hypercoagulability is created. Subsequently, following an injury to the endothelial lining of the blood vessel, the coagulation cascade is easily activated. In addition, reduced mobility is common among the pregnant women. Immobility contributes to the pathophysiological development of deep venous thrombosis and chronic venous insufficiency Disorders of the Veins and Arteries sample essay. Prolonged immobility reduces the contractility of the cuff muscles.  Therefore the propulsive force and effect of the muscles to the venous return through the major veins is affected. The diagnosis of deep venous thrombosis and chronic venous insufficiency should be guided by biographic data, medical and obstetric history of the patient. In cases of female patients, the clinician should be keen to take the obstetric history so as to elicit pregnancy and post -partum period as risks towards to the development of DVT and CVI. The treatment of DVT and CVI is universal regardless of the gender, and therefore anticoagulants and surgery are the treatment approaches (Aggarwal, Fullam, Brownstein, Maynard, Ansell, Varga, & Rickles, 2015).

                  
Mind Map

 
 
In conclusion, DVT and CVI are the most common conditions affecting the blood vessels. The two conditions differ widely in terms of the pathophysiology. However the conditions hare similarities. Gender affects the pathophysiology, prevalence and the diagnosis of DVT and CVI.

References

Aggarwal, A., Fullam, L., Brownstein, A. P., Maynard, G. A., Ansell, J., Varga, E. A., … & Rickles, F. R. (2015). Deep vein thrombosis (DVT) and pulmonary embolism (PE): awareness and prophylaxis practices reported by patients with cancer.
Cancer investigation
,
33
(9), 405-410.

Gloviczki, P., & Lawrence, P. F. (2017). Iliac vein stenting and contralateral deep vein thrombosis.
Journal of Vascular Surgery: Venous and Lymphatic Disorders
,
5
(1), 5-6.

Gujja, K., Wiley, J., & Krishnan, P. (2014). Chronic Venous Insufficiency.
Interventional cardiology clinics
,
3
(4), 5 Disorders of the Veins and Arteries sample essay93-605.

Huether, S. E., & McCance, K. L. (2015).
Understanding Pathophysiology-E-Book
. Elsevier Health Sciences.

Martinod, K., Witsch, T., Farley, K., Gallant, M., Remold‐O’Donnell, E., & Wagner, D. D. (2016). Neutrophil elastase‐deficient mice form neutrophil extracellular traps in an experimental model of deep vein thrombosis.
Journal of Thrombosis and Haemostasis
,
14
(3), 551-558 Disorders of the Veins and Arteries sample essay.

Asthma sample essay assignment

Assignment: Asthma

Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms Asthma sample essay assignment. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.

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To Prepare

Review “Asthma” in Chapter 27 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.

Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation Asthma sample essay assignment.

To Complete

Write a 2- to 3-page paper that addresses the following:

Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.

Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.

Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting Asthma sample essay assignment.

Notes

Paper must include a purpose statement.

References must be 5 years or less

Please follow the rubric that will be uploaded.

Introduction

Asthma is a chronic inflammatory disease of the airway that is characterized by bronchial hypersensitivity and hyper-responsiveness to otherwise innocuous stimuli, resulting in reversible narrowing of the airway. Worldwide, it is estimated to occur in 334 million people (Asher, I, 2014). Asher’s study also lists Asthma as one of the top 10 causes of mortality in mid-childhood children.

Purpose

In this paper I will elucidate the pathophysiological mechanisms of chronic asthma and severe acute asthma and outline the management of these conditions with emphasis on symptomatic relief, preventing future attacks, and improving survival rates among asthmatics

Pathophysiology

Chronic asthma

The primary event that underlies the restructuring of the airway in chronic asthma is inflammation of the airway in response to commonly inhaled allergens such as those in dust, house mites, pollen or excrement from insects (Kudo, M, 2013.) This inflammation occurs in childhood and triggers type 2 T helper cells to secrete cytokines that mediate the inflammation. There is resultant mucosal edema, bronchial smooth muscle hypertrophy and mucous gland hypertrophy. These changes in the structure of the airway make it very responsive to subsequent stimuli with an exaggerated response.

The diagnosis of asthma is pegged on a high index of suspicion after taking a comprehensive history and physical examination. A history of cough, wheezing and chest tightness that are often triggered by cold, dust or exercise is very characteristic for asthma. These symptoms are usually reversible and the patient experiences period of normal respiration in between the attacks. Typically there is no fever accompanying the symptoms. The physical exam is often unremarkable unless there is an ongoing attack. A polyphonic wheeze may be heard on auscultation. The test of choice is assessment of lung function by spirometry Asthma sample essay assignment. A bronchial challenge test is used to diagnose asthma in a patient with normal lung function. The patient breathes increasing doses of nebulized methacholine with FEV
1
measurement. A normal subject is not expected to show significant dip in their FEV
1
unlike a patient with asthma. Lung inflation can also be demonstrated on a chest radiograph.

Acute asthma exacerbation

Severe acute asthma exacerbation, also referred to as status asthmaticus or near-fatal asthma, refers to the occurrence of bronchial obstruction that does not respond to the institution of standard bronchodilator therapy causing life threatening respiratory failure with marked hypoxemia and hypercapnia due to hampered ventilation (Nievas, I, 2013).

During the attack, there is marked mucosal edema. The remodeled airway has a relatively higher number of mucous producing cells and hypertrophied smooth muscles. The production of a lot of mucous and exaggerated active bronchoconstriction by the hypertrophied smooth muscles results in a very narrow airway that is plugged by mucous. A lot of energy is expended in an attempt to sustain adequate respiration. Air is trapped within the respiratory system with each inspiration. The patient will present with profound breathlessness, unable to complete sentences. On physical examination there will be tachypnea of more than 25 breaths per minute, tachycardia of more than 110 beats per minute and a pulmonary ejection fraction of less than 50%. The patient may have bradycardia, hypotension, cyanosis, confusion and may even go into a coma. Prompt reversal of this condition is necessary to prevent respiratory failure. Arterial blood gas analysis will demonstrate profound hypoxemia with hypocapnia because there is hyperventilation early on. After fatigue sets in, the PaC02 normalizes heralding impending respiratory failure (Nievas, I, 2013) Asthma sample essay assignment.

Treatment

Patient behavior is a critical predisposing factor to the development of acute asthma exacerbation. Asthmatic patients on follow up are usually put on both steroid and beta 2 agonist inhalers. The steroid component is prescribed to be taken on a daily basis to prevent airway remodeling by reducing the inflammatory response that goes on in the hypersensitive airway of the asthmatic patient. Lack of adherence to this management by patients allows the airway to remodel and ‘ready itself’ for an acute exacerbation (Taylor, A, 2014).

Emergency management of acute asthma exacerbation involves the administration of high flow oxygen if the saturation is below 92% and nebulization with a Beta 2 agonist. This is followed by the administration of intravenous then oral steroids. The patients are also often dehydrated therefore fluid resuscitation is necessary. There is a role for intravenous magnesium sulphate, ipratropium bromide, xanthines and antibiotics where there is concomitant infection. If the patient is still unresponsive to the treatment or develops a silent chest, ICU care will be necessary to provide ventilatory support Asthma sample essay assignment. In a patient with poor adherent behaviour, I will include a counselling session to their management to sensitize them on the need to be compliant with their medication so as to prevent future attacks.

Mind maps

Summary

The management of asthma remains to be a big challenge to nurse practitioners and physicians all over the world. Patient behavior compounds this problem when the patients show poor compliance to their preventive medication. It is imperative that patients become part of the management team by being adherent to their preventive medication hence reducing the incidence of acute asthma exacerbation. Asthma sample essay assignment.

References

Asher, I
. Pearce, N. (2014) Global burden of asthma among children
.
The       International Journal of Tuberculosis and Lung Disease
, Volume 18, Number 11, 1 November 2014, pp.
1269-1278(10)

Kudo, M., Ishigatsubo, Y., & Aoki, I. (2013). Pathology of asthma.
Frontiers in Microbiology
,
4
, 263.
http://doi.org/10.3389/fmicb.2013.00263

Nievas, I. F. F., & Anand, K. J. S. (2013). Severe Acute Asthma Exacerbation in Children: A Stepwise Approach for Escalating Therapy in a Pediatric Intensive Care Unit.
The Journal of Pediatric Pharmacology and Therapeutics : JPPT
,
18
(2), 88–104.
http://doi.org/10.5863/1551-6776-18.2.88

Taylor, A., Chen, L.-C., & Smith, M. D. (2014). Adherence to inhaled corticosteroids by asthmatic patients: measurement and modelling.
International Journal of Clinical Pharmacy
,
36
(1), 112–119. http://doi.org/10.1007/s11096-013-9862-0 Asthma sample essay assignment.

Gastrointestinal Tract: Disorders of Motility Essay example

Assignment 1: Gastrointestinal Tract: Disorders of Motility

Jamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned.

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Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms Gastrointestinal Tract: Disorders of Motility Essay example. This same issue also arises with adults—adults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis.

To Prepare

Review this week’s media presentation on the gastrointestinal system.

Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.

Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.

Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.

Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis. Consider the epidemiology and clinical presentation of gastritis.

To Complete

Write a 2- to 3-page Gastrointestinal Tract: Disorders of Motility Essay example paper that addresses the following:

Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.

Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

Notes

Please include a purpose statement

References must be 5 years or less

Please follow the rubric that will be uploaded.

Gastro-Intestinal Motility Disorders

Gastric acid is one of the common hormones that aid digestion and is produced in the stomach. Alteration in the stimulation and the production of gastric acid initiate a cascade of event that finally leads to disorders of gastro-intestinal motility.  Notably, some of the common disorders related to alteration in the production of gastric acid are: “gastro esophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis” (Zatorski, 2017). The following  paper will present a discussion of the normal physiology of gastric acid production, development of the mentioned diseases based on gastric acid stimulation and production and impact of genetics on the development of the above three specified disorders. Finally, the paper will present a mind map of gastritis based on the epidemiological features, pathophysiological development, presentation, and management Gastrointestinal Tract: Disorders of Motility Essay example.

Gastric Acid Stimulation and Production

Gastric acid production is stimulated by endocrine and the nervous inputs. Gastric acid production is initiated in response to the presence of food in the stomach. When food enters the stomach, the G cells of pyloric mucosa produce gastrin hormone and is released into the stomach. Subsequently, through the process of churning in the stomach, the gastrin hormone comes into contact with the enterochromaffin-like cells of the gastric gland.  Upon activation by the hormone gastrin, enterochromaffin-like cells secrete histamine which, in turn, prompts the secretion of the acid by parietal cells. In addition to the hormonal stimulation, nervous stimulation leads to the production of gastric acid. The smell, taste or the sight of food causes the release of nerve impulses from the hypothalamus, the amygdala, and the cerebral cortex through the vagus nerve to the enterochromaffin-like cells in the stomach, causing the release of histamine which subsequently stimulates the secretion of gastric acid (Waldum, Kleveland, & Fossmark, 2015).

The histamine binds to H2 receptors on the enterochromaffin-like cells, activating the H+/ K+ ATPase proton pump. Chloride ions are actively transported from the cell’s cytoplasm into the canaliculi whereas sodium ions are pumped into the cell. As a result, the positively charged sodium and potassium ions bind to the negatively charged chloride ions, forming sodium chloride and potassium chloride in the cell’s canaliculi. In addition, within the cell’s cytoplasm, water is broken down into hydrogen and hydroxyl ions. The H+/ K+ ATPase proton pump transports the hydrogen ions from the cytoplasm of the parietal cells into the canaliculi of the cells by active transport. In turn, the negatively charged chloride ions bind with the positively charged chloride ions, forming gastric acid. Thereafter, the gastric acid flows into the lumen of the stomach, to aid in the activation of other digestive hormones (Schubert, 2017). Gastrointestinal Tract: Disorders of Motility Essay example.

Pathophysiology of GERD, Gastritis and PUD.

Notably, the level of gastric acid production is inhibited by several nervous and hormonal mechanisms. Therefore, the failure of the control mechanism initiates a cascade of events that lead to the development disorders such as GERD, PUD, and gastritis. Overproduction of gastric acid leads to the erosion of the mucosa of the lower end of that small intestine, a condition referred to as peptic ulcer disease. Additionally, in the event of the dysfunction of the pyrolic sphincter or a hiatal hernia, the reflux of gastric contents occurs. Particularly, in cases of overproduction of gastric acid, stomach contents with high levels of gastric acid flow to the esophagus, in a condition called gastro esophageal reflux disease. The high acidic contents cause irritation of the gastric and esophageal mucosa, causing gastritis and its complications (Schubert, 2017).

Genetics and Pathophysiology of GERD, PUD, and Gastritis

The genetic makeup of an individual determines the integrity of the pyloric sphincter and therefore plays a role in the development of gastro esophageal reflux disease. Subsequently, genetics play a role in the irritation of the mucosa of the stomach and esophagus. The presence of human leucocyte antigen (HLA) is genetically associated with the occurrence of peptic ulcer disease.  In general, genetics play a role in the occurrence and the prevalence of peptic ulcer disease, gastritis, and gastro-esophageal reflux disease Gastrointestinal Tract: Disorders of Motility Essay example. The association of genetics to the development of disorders of gastric motility, therefore, dictates on the treatment of the disorders. Particularly, during clinical management, it is imperative to take detailed family history concerning the occurrence of such conditions affecting family members so as to determine the causative factor and therefore the treatment. In addition, screening through genetic mapping to identify genetic markers associated with the development of any of the three disorders of gastric motility (Rugge, Fassan, & Graham, 2015).

In conclusion, the physiology of the stimulation and production of gastric acid is multifactorial and takes place through several stages. The alteration of the physiology of gastric acid initiates the pathophysiology of PUD, GERD and gastritis. Genetics play an important role in the development of gastritis and therefore the epidemiology, diagnosis, and treatment is significantly affected by the influence of genetics on gastritis. Gastrointestinal Tract: Disorders of Motility Essay example.

References

Rugge, M., Fassan, M., & Graham, D. Y. (2015). Epidemiology of gastric cancer. In
Gastric Cancer
Springer, Cham.

Schubert, M. L. (2017). Physiologic, pathophysiologic, and pharmacologic regulation of gastric acid secretion.
Current opinion in gastroenterology
,
33
(6), 430-438.

Waldum, H. L., Kleveland, P. M., & Fossmark, R. (2015). Upper gastrointestinal physiology and diseases.
Scandinavian journal of gastroenterology
,
50
(6), 649-656.

Zatorski, H. (2017). Pathophysiology and Risk Factors in Peptic Ulcer Disease. In
Introduction to Gastrointestinal Diseases Vol. 2
(pp. 7-20). Springer, Cham. Gastrointestinal Tract: Disorders of Motility Essay example.

Geriatric Care Teams Sample Essay

NURS 6540: ADVANCED PRACTICE CARE OF FRAIL ELDERS

Week 3

Introduction Resources Discussion Assignment Week in Review Looking Ahead

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NURS 6540: ADVANCED PRACTICE CARE OF FRAIL ELDERS

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Introduction Resources Discussion Assignment Week in Review Looking Ahead Geriatric Care Teams Sample Essay

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NURS 6540: Advanced Practice Care of Frail Elders

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Syllabus

Course Calendar

Course Overview

Course Information

Resource List

Week 1

Week 2

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Week 4

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Week 7

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A female caretaker assisting senior women in knitting while man reading book in background at nursing home.

Week 3: Geriatric Care Teams Geriatric Care Teams Sample Essay

Interdisciplinary geriatric care teams are a critical component of geriatrics, and I truly believe that geriatrics really does interdisciplinary care probably better than most other areas of health care because we have to—because we need to. Older adults have care needs that require the expertise of a community. No single provider can do it all well. The needs are just so vast.

—Dr. Barbara Resnick, CRNP, FAAN, FAANP, AGSF, President of the American Geriatrics Society

Dr. Resnick emphasizes the importance of interdisciplinary geriatric care teams, as geriatric patients often have complex health needs Geriatric Care Teams Sample Essay. This was the case for 90-year-old Gus Snare. A diagnosis of bile duct cancer resulted in the need for surgery to remove parts of his stomach, duodenum, pancreas, bile duct, and gallbladder. Snare’s care team included a geriatrician, surgical oncologist, and a team of nurses, including an advanced practice nurse. Together, they determined his eligibility for surgery, performed the surgery, and developed a treatment and management plan post-surgery (The University of Chicago Medicine, 2011). As an advanced practice nurse, you must identify your role within care teams for patients like Snare to ensure patients receive comprehensive care.

This week you explore models of interdisciplinary geriatric care teams and compare the roles of advanced practice nurses at various sites of care. Then, as you complete your first SOAP Note, you examine the assessment, diagnosis, and treatment of a geriatric patient from your practicum site Geriatric Care Teams Sample Essay.

Learning Objectives

By the end of this week, students will:

Compare models of interdisciplinary geriatric care teams

Analyze models of interdisciplinary geriatric care teams used in various sites

Analyze the roles of advanced practice nurses in different clinical sites

Evaluate diagnoses for patients*

Evaluate treatment and management plans*

*These Learning Objectives support assignments that are assigned this week, but due in Week 4.

Photo Credit: Maskot/ Maskot/Getty Images

Learning 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. Geriatric Care Teams Sample Essay.

Required Readings

Resnick, B. (Ed.). (2016). Geriatric nursing review syllabus: A core curriculum in advanced practice geriatric nursing (5th ed.). New York, NY: American Geriatrics Society.

Chapter 18, “Hospital Care” (pp. 134-145)

This chapter explores systems of care for assessing and managing hospitalized older patients. It also examines alternatives to hospital care and transitions from hospital care.

Chapter 20, “Rehabilitation” (pp. 152-166)

This chapter describes essential components of geriatric rehabilitation, including sites of rehabilitation, roles of core health care providers on rehabilitation teams, and disease-specific care plans for older adults. It also explores mobility aids, orthotics, adaptive methods, and environmental modifications for older adults with disabilities Geriatric Care Teams Sample Essay..

Chapter 21, “Nursing-Home Care” (pp. 167-174)

This chapter identifies the demographic and functional characteristics of older adults living in nursing homes as well as the availability of nursing homes in the United States. It also describes staffing patterns, quality issues, and legislation related to nursing home care.

Chapter 22, “Community-Based Care” (pp. 175-180)

This chapter explores characteristics of care in communities, including home care, community-based services not requiring a change in residence, and community-based services requiring a change in residence Geriatric Care Teams Sample Essay. It examines older adult populations, health care issues, and the primary provider’s role in these sites of care.

Chapter 23, “Outpatient Care Systems” (pp. 181-185)

This chapter describes current approaches that maximize patient outcomes in geriatric outpatient care systems. It also examines new approaches that may benefit older adults in outpatient care systems.

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Mosby.

Chapter 26, “Recording Information” (pp. 792–813)

This chapter outlines the components of SOAP notes and provides guidelines for writing SOAP notes after patient examinations.

Note: You should have this textbook in your personal library, as it was the required text in NURS 6512: Advanced Health Assessment and Diagnostic Reasoning. Geriatric Care Teams Sample Essay

Arbaje, A., Maron, D., Yu, Q., Wendel, V., Tanner, E., Boult, C., & … Durso, S. (2010). The geriatric floating interdisciplinary transition team. Journal of the American Geriatrics Society, 58(2), 364–370.

This article examines the Geriatric Floating Interdisciplinary Transition Team, a geriatric transitional care model. It describes the roles of health care providers on this care team and identifies potential benefits of this model Geriatric Care Teams Sample Essay.

The geriatric floating interdisciplinary transition team. Journal of the American Geriatrics Society, 58(2), by Arbaje, A., Maron, D., Yu, Q., Wendel, V., Tanner, E., Boult, C., & … Durso, S. Copyright 2010 by John Wiley& Sons, Inc. Journals. Reprinted by permission John Wiley & Sons, Inc. Journals via the Copyright Clearance Center.

Gagan, M. (2009). The SOAP format enhances communication. Nursing New Zealand, 15(5), 15.

Note: Retrieved from the Walden Library databases.

This article outlines the four parts of SOAP notes and examines the importance and effectiveness of SOAP notes in clinical settings. Geriatric Care Teams Sample Essay.

American Geriatrics Society. (2011). The principles of geriatric care. Retrieved from http://www.americangeriatrics.org/files/documents/Adv_Resources/PayReform_fact3.pdf

This article identifies the principles of geriatric care, focusing on the geriatric care team, geriatric assessment, and care coordination. It also presents three models of care that encompass geriatric assessment and care coordination: the GRACE (Geriatric Resources for Assessment and Care of Elders) model, PACE (Program of All-inclusive Care for the Elderly) model, and the Guided Care model.

American Geriatrics Society. (2012). American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults. Retrieved from http://www.guideline.gov/content.aspx?id=49933

This article examines three categories of medications that impact older adults: those that are potentially inappropriate and must be avoided, those that are potentially inappropriate and must be avoided in older adults with certain diseases, and those that must be used with caution.

Document: Geriatric Care Teams Sample Essay Comprehensive SOAP Note Template (Word document)

Required Media

Laureate Education (Producer). (2013b). Care team models [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 16:29 minutes.

In this video program, Dr. Kristen Mauk and Dr. Barbara Resnick discuss the importance of interdisciplinary geriatric care teams, as well as the role of the advanced practice nurse within these teams.

Accessible player

Discussion: Models of Interdisciplinary Geriatric Care Teams

With the growing population of frail elders, there is an increase of geriatric patients requiring ongoing care for multiple medical conditions. This creates the need for interdisciplinary geriatric care teams. Often, the dynamics and culture of these teams differ across various sites of care, such as assisted living, home care, hospitals, long-term care, and rehabilitation facilities. As an advanced practice nurse, it is important to understand your role in the care team as well as your potential impact on patient care Geriatric Care Teams Sample Essay. In this Discussion, you explore models of interdisciplinary geriatric care teams for different sites of care and the varying roles of the advanced practice nurse.

Consider the following three case studies:

Case Study 1

Mrs. Martinez is an 83-year-old Mexican American widow who lives in her own home and is cared for by her adult daughter. Mrs. Martinez owns the home, and her daughter lives with her and provides the care. Her daughter brought her mother to the clinic today to ask to speak to the social worker. She requests that her mother be placed in a nursing home. The daughter states that her mother has nothing to do during the day. The television is on The Weather Channel most of the day because Mrs. Martinez has limited English capability and is unable to read closed-captioning. Mrs. Martinez also has two sons who do not live in the local area, but they do call regularly and check in with their mother and sister. Geriatric Care Teams Sample Essay. The two sons are opposed to moving their mother to a nursing home because they had promised her that they would “never put her away.”

Case Study 2

Mr. Williams, a 79-year-old African American widower, resides in a foster care home. He has lived there for 4 years since his wife died. He is a former minister. His medical history includes long-term diabetes, high blood pressure, and benign prostatic hypertrophy. The home care provider has requested a home visit to evaluate Mr. Williams’s ability to remain in the home. The provider states that because Mr. Williams’s vision is seriously compromised (he is nearly blind), and because he has been unable to get to the toilet as quickly as necessary (he is very unsteady on his feet), his care is becoming burdensome Geriatric Care Teams Sample Essay. According to the home care provider, for safety reasons, Mr. Williams may not fit the criteria for remaining in the foster care home.

Case Study 3

Mrs. Randall is a 77-year-old female who resides in a long-term care facility. She has a history of frequent falls and is severely cognitively impaired. The nursing staff at the long-term care facility called the nurse practitioner at the medical home office to report the recent development of productive cough and high fever. There have been cases of flu in the facility; however, Mrs. Randall has had a flu shot. The nurse practitioner in the office requests a chest x-ray in the long-term care facility. The nurse on duty in the facility states that there is no portable chest x-ray equipment available. She further requests that Mrs. Randall be transferred to the emergency room of the local hospital. Mrs. Randall’s daughter has durable power of attorney for health care decisions for her mother. The long-term care facility has notified the daughter of the change in her mother’s condition. The daughter says whatever the nursing home wants is fine with her Geriatric Care Teams Sample Essay.

To prepare:

Review this week’s media presentation, as well as the American Geriatrics Society and Arbaje et al. articles in the Learning Resources.

Research models of interdisciplinary geriatric care teams that are used at various sites, such as assisted living, home care, hospitals, long-term care, and rehabilitation facilities.

Consider the model used for the interdisciplinary geriatric care teams at your current practicum site. Geriatric Care Teams Sample Essay Compare this model to models used at other sites.

Reflect on how the role of the advanced practice nurse differs according to the site of care.

Select one of the three case studies. Consider how care should be facilitated for the patient in the case you selected based on the model used for the interdisciplinary geriatric care teams at your practicum site Geriatric Care Teams Sample Essay.

By Day 3

Post a comparison of the model used for the interdisciplinary geriatric teams at your current practicum site to models used at other sites. Then, explain how the role of the advanced practice nurse differs according to the site of care. Finally, explain how care should be facilitated for the patient in the case you selected based on the model used for the interdisciplinary geriatric teams at your practicum site.

Geriatrics Care Team

Post a comparison of the model used for the interdisciplinary geriatric teams at your current practicum site to models used at other sites.

My facility applies the co-managed model and this will be compared to the orthopedic model. The co-managed model entails having a geriatrician-led medical team attending to the patients and taking care of all management issues. On the other hand, the orthopedic model entails engaging an orthopedic surgical team to assume responsibility for the patients’ surgical and medical care and using referral support from the acute care team. Although the two models are intended to take care of the medical needs of geriatrics, they produce comparable results. Firstly, the co-managed model results in shorter length of stay in the facility when compared to the orthopedic model. That is because the co-managed model includes a wider range of medical professions such as sub-acute and rehabilitative services that allow patients to recover faster and in the right way (Coventry, Nguyen & Karahalios, 2017). Geriatric Care Teams Sample Essay. Secondly, the co-managed model presented more comprehensive medical care since input was from a wider range of medical professions as opposed to the orthopedic model that engages the surgical team to provide primary care and only uses other professions in the acute care team for referrals. Thirdly, the co-managed model offers care recommendations at a faster speed. For instance, patients are reviewed and scheduled for surgery earlier than when the orthopedic model is used. That is because co-managed model engages different medical professions who offer continuous high level medical care that includes ongoing access to consultants so that the correct care decision is arrived at much faster. Finally, the orthopedic model appears unreliable since it will typically continue the care plan recommended by the patient’s local doctor without consideration of its appropriateness or effectiveness. On the other hand, the geriatric model makes use of its capacity to evaluate the patient’s biochemical workup thus allowing the team to recommend the more appropriate and effective care plan (Coventry, Nguyen & Karahalios, 2017). This means that the co-managed model is optimized for patient care irrespective of when the patient visits the facility. Geriatric Care Teams Sample Essay.

Then, explain how the role of the advanced practice nurse differs according to the site of care.

Advanced practice nurses are in prime position to meet the needs of the society they serve through clinical inquiry and by bridging scientific information to clinical practice. Today’s advanced practice nurses are capable of integrating knowledge from diverse sources and across disciplines, by cultivating the spirit of inquiry, formulate a clinical question in PICOT format, explore and amass the more pertinent proof, critically review the proof, assimilate the proof into clinical practice for change, and appraise the results while creating opportunities for future research (Catalano, 2015). Advanced practice nurses, irrespective of their role as direct or indirect care providers, have seven principal competencies Firstly, they direct medical services delivery to include public forums and health discussions. Secondly, offering mentoring, education, and coaching services for other medical personnel and patients. Thirdly, consultants who use their extensive expertise and experience Geriatric Care Teams Sample Essay. Fourthly, conducting research and applying evidence-based practice. Fifthly, contribute to decision-making as leaders and influence clinical care systems. Finally, facilitate collaborations within the care team (Harrington & Terry, 2013; Thomas et al., 2014). As such, advanced practice nurses will apply the competency that best serves their particular environment.

Finally, explain how care should be facilitated for the patient in the case you selected based on the model used for the interdisciplinary geriatric teams at your practicum site

Care should be facilitated for the patient by adopting a patient-centered care approach. This would entail informing, educating and consulting the patient at every step of the care process. At its core is the need for medical personnel to be responsive to and respectful of the values, needs and preferences expressed by the patient so that the patient’s values help guide medical decisions (Catalano, 2015). In this respect, applying a patient-centered approach to care would allow for the care to be facilitated for the patient. Geriatric Care Teams Sample Essay.

References

Catalano, J. (2015).
Nursing Now! Today’s issues, tomorrow’s trends
. (7
th
ed.). Philadelphia, PA: FA Davis Company.

Coventry, L., Nguyen, A. & Karahalios, A. (2017). Comparison of 3 Different Perioperative Care Models for Patients With Hip Fractures Within 1 Health Service.
Geriatric Orthopaedic Surgery & Rehabilitation
, 8(2), 87-93. Geriatric Care Teams Sample Essay.

Harrington, N. & Terry, C. (2013).
LPN to RN Transitions: Achieving success in your new role
. (4
th
ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

Thomas, A., Crabtree, K., Delaney, K., Dumas, M., Kleinpell, R. … & Wolf, A. (2014).
Nurse Practitioner Core Competencies Content: A delineation of suggested content specific to the NP core competencies
. Retrieved from http://c.ymcdn.com/sites/nonpf.site-ym.com/resource/resmgr/Competencies/NPCoreCompsContentFinalNov20.pdf Geriatric Care Teams Sample Essay.

Write a Health Policy Values Sample Essay paper of 750-1,000 words examining your personal values and beliefs. Include the following:

1. Describe your personal values and spiritual beliefs.

2. Using the elements of cost, quality, and social issues to frame your description, differentiate your beliefs and opinions about health care policy. Give examples of relevant ethical principles, supported by your values.

3. Analyze how factors such as your upbringing, spiritual or religious beliefs/doctrine, personal and professional experiences, and political ideology affect your current perspective on health care policy Health Policy Values Sample Essay.

4. Examine any inconsistencies you discovered relative to the alignment of your personal values and beliefs with those concerning health policy. Discuss what insights this has given you.

Health Policy Values

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Personal values and Spiritual beliefs

Spiritual beliefs and personal values play a significant role in the nursing profession. In particular, spirituality forms part of the holistic care when attending to mental, physical, emotional and spiritual needs of a patient. I acquired my religious beliefs from the Catholic family which mentored me through teaching me the traditions of the faith. Personal values are comprehensive and are essential trusting in one’s capability and self-determination to demonstrate who they are without impacting negatively on others. With attention to this, accountability is critical to me. The value teaches me to be responsible for my behavior which makes the patients and my colleagues develop trust in me. By the same token, authenticity and being genuine helps me show my true self and restricts me from compromising my values for reception of others. Additionally, I am self-reliable hence making me not to lean on others for my success. Reliability makes patients develop trust and also count on me. Health Policy Values Sample Essay.

Differentiate your beliefs and opinions about health care policy using the elements of cost, quality, and social issues

Boessel argues that the cost of health care in the United States is astronomical since it has treated a significant number of patients with multiple co-morbidities (2016). The patients can request the care which comforts them as they pay bills basing on how happy the patient is with the services  Health Policy Values Sample Essay. However, United States spends billion dollars on health problems such as cardiovascular disease, stroke and diabetes which could have been prevented if individuals lived a healthy lifestyle with regular exercises.

A survey of Kaiser Family Foundation of 2015 on employer health benefit revealed that the cost of healthcare premium rose by four percent between 2014 and 2015 whereas the wages only increased by one point nine percent (Boessel, 2016). Equally important, other than raising the premiums, the employers were subject to reaching deductibles before taking over any coverage hence leaving a lot of out-of-pocket expenses unaccounted for (Dimick & Ryan, 2014). Health Policy Values Sample Essay. Correspondingly, the mortality rate for infants in the United States is alarming, the chronic conditions of patients are controlled poorly, and the mistakes in the health care are four percent above the average of other countries. In my opinion, these elements discourage my dependence on our health care giving me a feeling that I can trust only my individual care. My inside skills of health care systems give me the privilege to make educated decisions on where I can seek health care.

There exist ethical and social issues which relate to the delivery of fair health care to all citizens. My opinion as a practicing nurse is that health upkeep is a mandatory and a right to all individuals irrespective of the republic of their origin or race. Identically, the cost of the healthcare in the United States will decrease if there will be annual checkups, diagnostic testing and also preventive screening which improves health care (Glen, 2013). The patients should be given the autonomy to decline or accept the service care provided to them Health Policy Values Sample Essay.

How does your religious, spiritual, personal /professional experience affect your current health care policy?

Taking care of patients and attending to family illness issues gave me the experience to develop a new perspective on life. The experience has made me more considerate to patients and their relatives when I consider the extent of my profession. Moreover, the experience has taught me how to communicate effectively as most of the families and patients are often scared of the outcome of the illness hence proper communication erases any fear. Not to mention, I have learnt not to be judgmental while giving care to patients with diverse religious and spiritual beliefs than my own. My professional experience has given me an opportunity to interconnect efficiently with patients irrespective of their dialectal since I am capable of delivering assurance using non-verbal cues, and being therapeutic to patients undergoing anxiety caused by their illness. The idea of thinking about appropriate health care for all regardless of their wages is essential.

Inconsistencies in Healthcare Policy and my insight

Even though America gives her citizens free press and freedom of speech, however, the country lacks health care for all Health Policy Values Sample Essay. Health care is a human right which should, therefore, be made available to all people. In contrast, there are inconsistencies in health care policies. For instance, Medicare is only available for persons with over sixty years old and the disabled individuals whereas Medicaid is only offered to low salaried individuals and those living in dearth. Such inconsistencies make me fail to understand whether health care in the United States is a privilege or a right. High premiums discourage middle class and low class families to take health insurance since they find it unaffordable. My insight is that the lawmakers, insurance, and pharmaceutical companies should make it easier for health professionals to keep their values. The healthcare policies must undergo revision and access to health care granted to all people regardless of who they are. Such measures will improve the quality of healthcare in the United States.

 

Reference

Boessel, B. (2016). The Cost of Healthcare in America. Small Business Employee Benefits and HR Blog. Retrieved from http://Small Business Employee Benefits and HR Blog 97-236.

Dimick, J. B., & Ryan, A. M. (2014). Methods for evaluating changes in health care policy: the difference-in-differences approach. 
Jama
, 
312
(22), 2401-2402.

Glen, P. (2013). Health care and the illegal immigrant. 
Health Matrix (Cleveland, Ohio
: 1991), 23(1), 1 Health Policy Values Sample Essay.

Nursing Informatics Scholarly Writing Sample essay

This criterion is linked to a Learning Outcome Description of criterion

Provide an overview of the background and historical influences of Nursing Informatics (NI)

10.0 pts

This criterion is linked to a Learning Outcome Description of criterion

Describe facts about the history of the United States (US) nursing informatics, NI scope and at least two standards of practice Nursing Informatics Scholarly Writing Sample essay.

15.0 pts

This criterion is linked to a Learning Outcome Description of criterion

Explain the significance of nursing informatics in healthcare and exemplify how it has changed the healthcare system.

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20.0 pts

This criterion is linked to a Learning Outcome Description of criterion

Discuss how informatics create new roles for nurses within the healthcare system.

10.0 pts

This criterion is linked to a Learning Outcome Description of criterion

Discuss and explain implication of Nursing Informatics for nursing science, including the are of: Clinical practice, Education, Research, and Public/Health policy.

25.0 pts Nursing Informatics Scholarly Writing Sample essay.

This criterion is linked to a Learning Outcome Description of criterion

Discuss future trends in Nursing Informatics in clinical practice, academic, and administrative settings.

10.0 pts

This criterion is linked to a Learning Outcome Description of criterion

APA format (title page, headers, heading, in-text citations, reference page)

Background and Historical Influences

Nursing Informatics is the integration of data and information systems and methods with nursing science to manage and utilize data in nursing practice. Since the inception of nursing practice, patient records were solely used as sources of information. Notably, all through the 20th century, nursing did not have a common language and standards of data management. Therefore, nurses developed specific standards recognized globally regarding data collection, analysis, and information dissemination. The advancement of information and communication technology has led to the adoption of new data and information systems in nursing informatics that has enabled handling of enormous volumes of data and widespread sharing of data and information in nursing practice (Quail, 2015) Nursing Informatics Scholarly Writing Sample essay.

History, Scope, and Standards in the United States

In the United States, the practice of nursing informatics began in the 1950s with the increase in the use of computers and led to the computation of nursing informatics. Nursing informatics was recognized as a specialty in the 1970s by the American Nurses Association Nursing Informatics Scholarly Writing Sample essay. In the 1990s, the development of internet led information sharing and was boosted in 2000 by the wireless network. The scope of nursing informatics includes the preparation of information, ethics, and quality of standards in nursing informatics. The standards of practicing include application of nursing informatics in the nursing process, nursing education, health promotion, leadership and evidence-based research (Weaver, Delaney, Weber, & Carr, 2016). Nursing Informatics Scholarly Writing Sample essay.
 

The Significance of Nursing Informatics in Healthcare

To begin with, nursing informatics provides data that is necessary for the assessment phase of the nursing care. Through the data collected from the patient, nurses can make diagnoses and therefore plan and implement patient care plans. In addition, nursing informatics enables evidence-based research in nursing. Nursing informatics provides systems for managing data during research whose findings improve quality of patient care. Nursing informatics has significantly influenced healthcare delivery through efficient information dissemination, therefore, standardizing and positively influencing nursing research globally. Additionally, nursing informatics has promoted home-based care since information can be shared between nurses and to the patients through advanced information technology Nursing Informatics Scholarly Writing Sample essay.  Moreover, nursing informatics has led to easy and efficient data and information access. Nursing informatics positively contributed to nursing personnel management since nursing managers can track staffing, communication and nurses’ workflow (Quail, 2015).

Informatics and New Nursing Roles

Nursing informatics has created the role of data and records management for nurses. Since information technology is efficient, nurses can enter and retrieve data and information for the patient management and other purposes. In addition, informatics has increased the role of nurses in healthcare research. Through current information systems, nurses can collect and analyze data independently and therefore, complete research in healthcare. Furthermore, nurses have become key contributors in the healthcare system since large and reliable data and the information is easily accessible and forms the basis for healthcare policymaking (Peltonen, AlHuwail, Ali, Badger, Eler, Georgsson, & Lewis, 2016) Nursing Informatics Scholarly Writing Sample essay.

The implication of Nursing Informatics

Clinical practice
. Nursing informatics requires nurses to adopt evidence-based clinical practice since informatics has increased access to nurses, therefore, the quality of patient care is supposed to meet the patient’s expectations. In addition, through nursing informatics and thus efficient documentation should promote patient safety (Weaver, Delaney, Weber, & Carr, 2016).

Education.
Nursing informatics should guide the development of nursing education programmes such that they are tailored towards preparing nursing students for the current healthcare issues in practice (Weaver et al., 2016) Nursing Informatics Scholarly Writing Sample essay.

Research
. Remarkably, research should be more accurate since informatics provides efficient methods of data management including data collection and analysis (Weaver et al., 2016).

Health policy
. Nursing informatics has provided reliable data which has been relied on which developing healthcare policy. The policies aimed at addressing current and community-based health care concerns (Peltonen et al., 2016). Nursing Informatics Scholarly Writing Sample essay.

Future Trends

Clinical practice
. The nursing care is expected to shift to the patient based on adequate data will be available in patient management and promotion of home-based care with increased information dissemination methods (Peltonen et al., 2016). .

Academic.
Nursing training programs are expected to be more community based on the availability of information regarding various conditions and healthcare issues (Peltonen et al., 2016) Nursing Informatics Scholarly Writing Sample essay.

Administration
. The cost of nursing administration is projected to reduce significantly since data concerning the staffing and performance will be more easily (Weaver et al., 2016).

References

Peltonen, L. M., AlHuwail, D., Ali, S., Badger, M. K., Eler, G. J., Georgsson, M., & Lewis, A. (2016). Current trends in nursing informatics: Results of an international survey.

Quail, M. T.(2015). Technology in Health Care: Forensic Implications.
Critical care nursing quarterly
,
38
(1), 49-80 Nursing Informatics Scholarly Writing Sample essay.

Weaver, C., Delaney, C., Weber, P., & Carr, R. (2016).
Nursing and informatics for the 21st century: an international look at practice, education and EHR trends
. CRC Press. Nursing Informatics Scholarly Writing Sample essay.

Balancing School life Sample Essay

Balancing School and Life – My Quality of Life Self-Care Plan. The purpose of developing this Plan is to set a framework and a plan to maintain wellness and to stay motivated and engaged throughout your Program. Doing this will help you achieve success during your coursework and as a professional nurse.

The goal of the Project is to help you become self-aware and reflective as a means of identifying personal self-care strategies that will increase your energy and help you manage your stress Balancing School life Sample Essay. The Project will give you a chance to learn how this is accomplished as you will be doing similar work with clients during the Program and as a professional nurse to assist them in the same way.

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Share in a 2 – 3 page paper, the following (also attach the completed form):

Note: When you are finished besides submitting your plan, be sure to put the Plan where you can see it to remind you to continue to reflect on how you are doing and to motivate you to use the self-care strategies Balancing School life Sample Essay.

Use the Quality of Life Self-Care Wheel Plan for Intention and Action to make your intention (commitments) to take action throughout your Program to stay balanced. Re-assess your scores and write them into this Plan. Then make your intention and identify at least one action for each that you know you can maintain throughout your Program and even as a practicing nurse. Identify any new strategies that you think will ”fit” better than what you have been doing and describe why Balancing School life Sample Essay.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the ’.docx’ extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below: Balancing School life Sample Essay.

Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health Essay

Suppose you want to initiate a policy of taxing sugared sodas/pop/beverages in your community. Use the Longest’s policy cycle model to ponder the following questions:

What arguments would you use to make the case for the policy?

What argument(s) would your opponents make?

How would you go about getting buy-in for your proposed policy?

What stakeholder groups need to be involved in promoting your policy?

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Submission Details:

Submit your response in a 2-page Microsoft Word document (500 words).

Name your document SU_NSG4068_W1_Project_LastName_FirstInitial.doc.

Submit your document to the Submissions Area by the due date assigned.

Cite sources in the APA format on a separate page.

Health Policy Model

Suppose you want to initiate a policy of taxing sugared sodas/pop/beverages in your community. Use the Longest’s policy cycle model to ponder the following questions:

What arguments would you use to make the case for the policy?

The policy would argue that sugared beverages have a negative effect on health and place a burden on public health systems. In fact, sugared beverages are linked with obesity and weight gain. The government spends considerable resources on obesity prevention and management programs to include school feeding programs and health forum that warn the public on causes and detriments. By taxing sugared beverages, the government is able to serve two functions. Firstly, it gets to collect resources that are used to fund anti-obesity programs so that money is not divert from other health programs Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health Essay. Secondly, the increased taxes are passed on to buyers who reduce their consumption when the prices go higher (Hamric et al., 2014; Mason et al., 2016). As such, a taxation policy on sugared beverages collects funds for programs to counter the negative effects of these beverages and discourages purchases through high prices.

What argument(s) would your opponents make?

The opponents would make three arguments. Firstly, the business community is driven by supply and demand forces. The presence of a market for sugared drinks creates a market. By increasing taxes, the government is deliberately interfering with the market forces and pushing this businesses out, causing them to fail. Secondly, the public is aware of the detriments of sugared beverages and has made a deliberate choice as a market. It is not for the government to make unilateral decisions for the public by trying to discourage them from making purchases through high prices since this interferes with the market’s right to make their choices. Finally, sugared beverages are simply a risk factor for obesity and weight gain, and not a definite cause. That is because sugared drinks must interact with other factors that include the environment and genetics to cause obesity (Hamric et al., 2014; Mason et al., 2016). As a result, it is not right to use the pretext of improving obesity management as justification for taxing sugared beverages.

How would you go about getting buy-in for your proposed policy?

Getting buy-in for the proposed policy would first entail seeking aid from the nine groups of stakeholders who influence legislation. The aid takes the form of setting the desired agenda and developing the agenda into legislation. Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health Essay. These nine groups include constituents, fiscal pressures, market forces, special interest groups, research findings (experts), personal experiences, political ideology, media, and crisis. Getting their help and support would begin by informing them about the proposed policy and its justification, allowing them to understand what it is about. This would be followed by discussions in which they express their support, reservations and objections to aspects within the policy. Next, the policy would be revised to ensure that it receives support from the most number of stakeholders while achieving the desired aim. This is based on the anticipation that having their concerns addressed will allow them to support the policy (Hamric et al., 2014; Mason et al., 2016). As such, getting buy-in for the proposed policy would entail discussing its aspects with the nine groups of stakeholders who influence legislation and revising it based on their comments to guarantee support.

What stakeholder groups need to be involved in promoting your policy?

There are nine groups of stakeholders who should be involved in promoting the proposed policy. That is because they influence the legislation process. These nine groups include constituents, fiscal pressures, market forces, special interest groups, research findings, personal experiences, political ideology, media, and crisis (Hamric et al., 2014; Mason et al., 2016). Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health Essay.

References

Hamric, A., Hanson, C., Tracy, M. & O’Grady, E. (2014).
Advanced Practice Nursing: An integrative approach
(5
th
ed.). St. Louis, MO: Elsevier Saunders.

Mason, D., Gardner, D., Outlaw, F. & O’Grady, E. (2016).
Policy & Politics in Nursing and Health Care
(7
th
ed.). St. Louis, MO: Elsevier Saunders Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health Essay.