Tag: Clinical-Nursing

Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report

The IOM Future of Nursing report calls for an increase in leadership from nurses at all levels. One way nurses demonstrate their role as a leader, is through public policy change.  A leader does not always carry an official title or position, but demonstrates leadership through the work and the stance the leader takes to make a change for the good of others. Nurses have been noted by the Gallop poll year after year as the most trusted professionals.

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This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, health care, or the public.  Policy changes can occur by working with members of your legislature, and state or national nurses associations, to introduce a new bill and/or change to a current law in your state or federal government.

Examples of public policy includes any component of the current legislation governing health care, Medicare Part D, Medicaid, nursing regulation, medication technicians, etc
. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

In 750-1,000 words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that you believe needs to change and why.

The policy must 
not
 be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan.

Include a specific section for the exact wording for the bill or change in wording of the law.

Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage.

Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur? Did you vote for the individual in office that you want to help you make this change?

Resources:

Review different pieces of legislation for ideas on wording.

Visit your state’s legislative governmental affairs website site to understand the process your policy change could take if you wanted to introduce to into legislation.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

 

 

 

Benchmark Assignment – Nursing Leadership Health Policy Paper 

 

1

Unsatisfactory

0.00%

2

Less than Satisfactory

80.00%

3

Satisfactory

88.00%

4

Good

92.00%

5

Excellent

100.00%

75.0 %Content

 

10.0 %Rationale/purpose/overall presentation addresses an analysis of a public policy. Description of a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that student believes needs to be changed and why.

Rationale/purpose lacks any discernible overall purpose or organizing claim, and does not adequately address the policy process that is actually conducted for a public health policy. Rationale for topic selection, purpose, and objectives of presentation is not described. Ideas are not focused.

Rationale/purpose is insufficiently developed and/or vague; purpose is not clear. Rationale for topic selection, purpose, and objectives of presentation is minimally delineated.

Rationale/purpose is appropriate. Rationale for topic selection, purpose, and objectives of presentation is partially delineated. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report

Rationale/purpose is clear, descriptive, and reflective of the arguments and appropriate to the purpose. There are few inconsistencies

Rationale/purpose is comprehensive, supports the purpose of policy process that is actually conducted for a public health policy, and clearly shows logical progression of how development took place. Purpose and objectives of presentation are clearly delineated. At least three learner objectives are stated in behavioral terms.

20.0 %Paper includes a specific section for the exact wording for the bill or change in wording of the law.

Paper lacks the ability to communicate wording for the proposed health policy change.

Paper insufficiently addresses the wording for the proposed health policy change.

Paper appropriately addresses the wording for the proposed health policy change.

Paper is clear and successfully addresses the wording for the proposed health policy change.

Paper completely addresses the beginning wording for the proposed health policy change.

15.0 %Presentation of the legislative process for state to propose new legislation.

Paper lacks the ability to communicate the process.

Paper insufficiently addresses the legislative process.

Paper is appropriate. Minimal information is presented on the legislative process.

Paper is clear and presents substantial information on the legislative process.

Paper completely addresses the key legislative process.

15.0 %Paper implementation plan including who would be the champion for the bill/law change from state legislators/federal legislators/local or national state nursing organizations. Are these individuals also influential in making changes occur?

Paper lacks the ability to communicate the implementation plan.

Paper insufficiently addresses the implementation plan. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report

Paper is appropriate. Minimal information is presented in the implementation plan.

Paper is clear and presents substantial information addressing the implementation plan.

Paper completely addresses the implementation plan Presentation is specific and easily understood.

15.0 %Style

Paper lacks unity and coherence. No connections are apparent between slides. Transitions are inappropriate to purpose and scope. Organization is disjointed.

Some paragraphs may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.

The paper is generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

A logical progression of ideas between the paragraphs is apparent. The paper exhibits a unity, coherence, and cohesiveness.

There is a sophisticated construction of the presentation paper. Ideas universally progress and relate to each other.

10.0 %Organization and Effectiveness

 

5.0 %Mechanics of Writing (includes spelling, punctuation, and grammar)

Paper errors are pervasive enough that they impede communication of meaning.

Frequent and repetitive mechanical errors that distract the reader.

Some mechanical errors or typos are present, but are not overly distracting to the reader.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

Writer is clearly in control of standard, written American English.

10.0 %Organization and Effectiveness

 

5.0 %Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

Inappropriate word choice, lack of variety in language use. Writer appears to be unaware of audience. Use of ?primer prose? indicates writer either does not apply figures of speech or uses them inappropriately.

Some distracting inconsistencies in language choice (register) and/or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.

Language is appropriate to the targeted audience for the most part.

The writer is clearly aware of audience; uses a variety of appropriate vocabulary for the target audience, and uses figures of speech to communicate clearly.

The writer uses a variety of sentence constructions, figures of speech, and word choice in unique and creative ways that are appropriate to purpose, discipline, and scope.

15.0 %APA and Documentation

 

15.0 %valuating and Documenting Sources (includes use of appropriate style, correct citation format in-text and in Reference section related to APA format)

Paper has no title page, no References section, and no correctly cited references within the body of the paper and no reference page. APA format not used.

Title page is incomplete or inaccurate. References section includes sources, but many citation errors. Citations within the body of the paper are included, but with many citation errors including major issues on References section.

Title page has major errors. References section includes sources, but they are not consistently cited correctly. Citations are included within the body of the paper, but References section includes with major errors.

Title page has minor errors. References section includes sources, but they are not consistently cited correctly. Citations are included within the body of the paper, but with some citation errors. References section is mostly free of errors.

Title page is complete. References section includes correctly cited sources. Citations within the body of the paper and in the Reference section are included and correctly cited.

100 %Total Weightage

 

REFERENCES

H.R.2392 – Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2017

 

https://www.congress.gov/bill/115th-congress/house-bill/2392?r=9

Improving Nurse Staffing to Improve Care QualityCongress has enacted many amends in the medical care section to boost the admission to healthcare facilities for the citizens in the United States. The Affordable Care Act introduced these changes and has made the number of patients currently seeking health care to increase drastically. For instance, the increase in the number of patients demands for many nurses and physicians who will handle the influx of patients in the system. Such changes aggravate the problem that already exists and that is the insufficient number of direct health care registered nurses present in the hospital staff. According to Dellefield, research has proven that more direct care registered nurses in the hospital staff makes medical and medication errors to reduce (2015).  Dellefield adds that an increased number of direct care nurses on staff causes the mortality rate to decrease, improves the working environment which in turn enhances the patients’ outcome. However, with the reason best known to them, a number of hospitals ignore scholarly consent, and they do not have sufficient nurse patient ration. As a matter of fact, if a bill can be enacted and passed into a law which demands that all hospitals to employ satisfactory staffing to efficiently care for patients and minimize the impacts of having lower nurse patient ratios then their states will have many health facilities which will comply to such evidence. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

Current Legislation

The current legislation is the Patient Protection and Affordable Care Act (P.L. 111-148) which mandates the hospitals to have sufficient staffing levels and constitute a language that is indistinct. The provision allows for loopholes which the hospitals exploit. According to the American Nurses Association (2016), such gaps formulate mechanisms so that the hospitals can avoid having hospital staff levels that are unsafe. Just to mention, at the state level are only fourteen states which have enacted staffing nurse laws. ANA (2016) indicates the states with the nurse staffing laws which are WA, VT, OH, OR, RI, TX, NY, MN, NV, NJ, CT, MA, CA, and IL. While the step as mentioned earlier may be appealing and a step to the right direction, contrarily, only two states out of the stated fourteen states mentioned herein which have specifically addressed the levels of nurse staffing and have put all the hospital requirements in place. Conversely, California has formulated strict policies over having sufficient RNs on its staff in varied settings and Massachusetts which has constituted several ICU RNs who are on duty. Sadly, there are forty-eight states which require much legislation that can oversee more RNs on hospital staff to deliver best quality care services to patients. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

Change to the Current Legislation

One of the congresswomen Schakowsky Jan supported and sponsored a motion which requires the instigation of a nationwide task for increasing the figures for direct health care nurses registered on duty in any United States’ healthcare institutions which obtain funding from central government and recommends the least number of nurses who should be on duty (ANA, 2016). The enacted bill has a selection of initiatives which serves as an incentive for any healthcare care facility to conform to the new law. The bill also outlines rules which help in subsidizing the hiring of new nursing staff, ensuring long-term return on investments through creating retention programs as well as sponsoring learning progression for nurses who are on staff. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

 

The New Law

The new law which has been passed by the United States of America’s Congress is the H.R 1602 bill: “Improving Nurse Staffing to Improve Quality of Care for Patients Act.” For instance, title XXIV of the Act concerns with direct care nurse staffing ration who are registered. The enacted bill involves The Sovereign Authority; Bill H, R 1602 Improving Nurse Staffing to Improve the Quality of Care for Patients Act. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report. Despite the federal and political subdivisions of the country, the United States of America has successfully constituted a law which requires all healthcare institutions and facilities to have a bare minimum figure of registered nurses to patient ration for the for direct care. The minimum number of nurses on staff will raise the value of health care for the patients, enhance the patient’s contentment as well as improve the working environment for the nurses. The new bill includes:

None of the hospital unit shall function if they do not meet the minimum threshold of direct care registered nurses on their staff.

Hospitals ought to execute their plans of staffing which lessens the burnout and decrease errors. In increased quantity units like intensive healthcare, the direct care registered nurse patient ratio must be 1:2 or 1:1. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

Ensure the patients are assured of receiving high-quality conscription practice who is well outfitted with a way to give feedback about insufficient enrollment strategies.

Whistleblower safeties for healthcare professionals who notice contravention yet operate in the traditions of contentment. The bill safeguards the position of nurses which calls for interest in the violations of guiding principle from reprisal.

 
Implementation Plan

Many resources are required to undertake the massive program of the implementation magnitude successfully. Mainly, it indicates that there will be a time frame for the healthcare institutions to comply with the fresh legislation (Knight, 2016). The time frame is meant to be used for the preparation of enacting and putting into practice measures to attain conformity with the health institutions. However, the American Nurses Association will help the stakeholders understand what the new law means with the lobbying endeavors for the change in the nursing practice. There ought to be proper utilization of dailies, local and state news, social media and blogs to spread the news about the new law. The pre and post measures of implementation will assist in gauging the attitude of the change in the Health Act. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

The champion from my State

The United States of America requires this law urgently. The congresswoman Schakowsky Jan is the key pillar in championing this new legislation in the Congress. Delegate Jan trusts that every patient deserve nothing but the high quality health care. Increasing direct health care nurses on duty raise the health status of the population which Jan believes that it will be the outcome of the new law. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

References

American Nurses Association. (2016). State Legislative Agenda. Online. August 2016. From http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/State/Legislative-Agenda-Reports/State-StaffingPlansRatios

Dellefield, M. E., Castle, N. G., McGilton, K. S., &Spilsbury, K. (2015). The relationship between registered nurses and nursing home quality: An integrative review (2008-2014).
Nursing Economics
,
33
(2), 95.

Knight, L. D. (2016). Staffing Ratios and Patient Outcomes: Looking Beyond Nurses, Doctors, and Survival at ICU Discharge.
Critical care medicine
,
44
(2), e107-e108. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template

You will complete a Comprehensive SOAP note on the approved Pediatric SOAP Note template based on the findings of the iHuman case – then major research and discussion of the disease process are presented.

This case study should be a summative evaluation supported by a minimum of 5 evidence-based articles.

Evaluation of the case study should be no more than 3-4 substantive paragraphs. A minimum of five evidence-based sources (in addition to your text) should be used for your case study.

Course texts will not count as a scholarly source; if using data from websites you must go back to the literature source for the information-no secondary sources are allowed, ie, Medscape, UptoDate, etc. Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

This week, complete the iHuman case titled ”Tommy Acker V3”.

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STUDENT NAME:

DATE OF ASSIGNMENT:

Patient Initials: Tommy Acker

Date of Encounter:

 

Sex: Male

Age/DOB/Place of Birth: 26 months old

2/5/2017

SUBJECTIVE

Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template

Historian: Mother

Present Concerns/CC: “Stomach ache” (abdominal pain)

Child Profile: Listless and ill appearing 26-month-old, male with a history of Downs’s syndrome and …. The mother states … as other children. She states that he is clumsy. He is always tripping, falling, or bumping into things as if he does not see that it is there. None of his … in him requiring medical attention. She states that he is normally … and does not require much else. He does not go to day care and lives at home with his two siblings and mother. His mother works and their neighbors or mother’s boyfriend babysit the children. Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

HPI:

Onset: xx days ago

Location/Radiation: xxx pain

Duration: xxx over 2 days

Character: xxx

Aggravating factors: xxx

Relieving Factors: none

Timing: constant

Severity: severe

Tommy, a 26-month-old male with Down syndrome, was brought into the ED by his mother who reports he has been “complaining” of… days, had emesis x 1, is lethargic, sweati…is grossly distended with significant epigastric bruising, in a distribution that is atypical for a fall. It is firm to Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template… tenderness. A reducible 2.0-cm umbilical hernia is present.

 

Medications: None currently.

PMH: Normal pregnancy and no complications noted at birth.

 

Allergies: None

Medication Intolerances:  None

Chronic Illnesses/Major traumas: Atrioventricular septal defect, tra….

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… thus, meeting more than two criteria for SIRS.

3.       Child Abuse: Act of Commission (T74.12XA): According to the Centers for Disease Control (CDC), physical, … and neglect (CDC, 2019). Neglect is defined as the failure to meet a child’s basic physical and emotional needs, including food, shelter, clothing, education, and access to medical care (CDC, 2019). Physical abuse is intentionally using physical force that may result in injury, such as, hitting, kicking, burning, or shaking of a child (CDC, 2019). Emotional abuse refers to the behaviors that harm a child’s self-worth or emotional well-being, such as shaming, rejection, or withholding love or affection (CDC, 2019). Abuse can come from …factors. In the situation with T.A., the mother was neglecting her children to be able to provide basic needs for them, while depriving them of education and exposing them to physical abuse from her boyfriend. Tommy’s injuries also do not match up to the stories his mother is reporting, and she seemed to take some time to bring him in to be evaluated and became defensive when possible questions that may point toward abuse were asked. Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

4.       Volvulus (K56.2): Volvulus can vary in presentation from vague, recurrent gastrointestinal discomfort to sudden onset of an acute abdomen with associated shock symptoms (Saxena, 2017). It may present in any age group and is not associated with traumatic injury. More often it occurs as a result of a congenital malrotation of the midgut (Saxena, 2017).

PLAN including education

Initial resuscitation and stabilization protocol:

1.       Assess airway, circulation and breathing. Provide oxygen for hypoxia.

2.       Place on …, continuous pulse oximetry, and monitor vital signs.

3.       Place two …. as they are needed.

4.       Complete Primary (airway, breathing, circulation, disability, and exposure) and secondary (head-toe exam) surveys (Kaplan, 2018). Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

T.A. is a child that is critically-ill. He will require further testing such as a … with contrast and an emergent surgical consult. He will also be admitted to the intensive care unit for further management. It is important to contact child protective services, police, and social-work personnel as needed.

 

 

NSG 6435 Week 7 W7 Assignment 1

Assignment 1: Comprehensive Case Study

General Guidelines for Comprehensive Case Study – Week 7 Assignment 1

Your case study should not be just a SOAP note of a patient encounter—it should be a comprehensive evaluation of an iHuman patient case.

You will complete a Comprehensive SOAP note on the approved Pediatric SOAP Note template based on the findings of the iHuman case – then major research and discussion of the disease process are presented.

This case study should be a summative evaluation supported by a minimum of 5 evidence-based articles.

Evaluation of the case study should be no more than 3-4 substantive paragraphs.A minimum of five evidence-based sources (in addition to your text) should be used for your case study.

Course texts will not count as a scholarly source; if using data from websites you must go back to the literature source for the information-no secondary sources are allowed, ie, Medscape, UptoDate, etc.

This week, complete the iHuman case titled “Tommy Acker, Child Abuse”.Click here for information on how to access and navigate Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

Name your SOAP note document SU_NSG6435_W7_A1_lastname_firstinitial.doc

i-Human

i-Human is an interactive cloud based system that provides comprehensive learning that

integrates clinical experience.The i-Human system helps students develop patient assessment

and diagnostic reasoning skills at various levels of education.Students will receive online

guidance, feedback, and coaching during the learning process.

Student Login Instructions for Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template

Logging in to i-Human:

Log on at:

http://toolmanagement.next.ecollege.com/tools/thirdparty/blti.ed?launch=LS:iHuman:Patients

Next Steps:

1) If you were unable to attend a Student Orientation Webinar, please watch this introduction

video: https://vimeo.com/185046053/228aea3fc9

2) Additional tutorial videos can be found on the i-Human home screen under the title “Player

Screencast Tutorials”

3) After attending the webinar or viewing the tutorial you are ready for your first practice

case.

4) The i-Human Student Support Center (link on the home screen under the videos) is a

resource for our most frequently asked questions.The Student Manual is also located here.

5) If you are having any issues that are not answered through the webinars, videos or support

center, you can email: support@i-human.com Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

 

PEDIATRIC FILLABLE SOAP NOTE TEMPLATE

STUDENT NAME:

Patient Initials:

 

Sex:

 

SUBJECTIVE

Historian:

Present Concerns/CC
:

DATE OF ASSIGNMENT:

Date of Encounter:

 

Age/DOB/Place of Birth:

 

Reason given by the patient for seeking medical care “in quotes”

Child Profile
:  (
Sexual History (If appropriate); ADLs (age appropriate); Safety Practices; Changes in daycare/school/after-school care; Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

Sports/physical activity; Developmental Hx)

 

HPI:
(must include all components – OLD CARTS)

 

Medications
:
(List with reason for meds)

 

PMH:

Allergies:

 

Medication Intolerances:

 

Chronic Il nesses/Major traumas:

 

Hospitalizations/Surgeries:

 

Immunizations: Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

 

1 |
P E D I A T R I C   S O A P   N O T E

 

PEDIATRIC FILLABLE SOAP NOTE TEMPLATE

 

Family History
 
(please identify al  immediate family)

 

 

Social History
(Education level, occupational history, current living situation/partner/marital status, substance use/abuse, ETOH, tobacco, Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

and marijuana.  Safety status)

 

Review of Systems (ROS)

 

General

 

Skin

 

Eyes

 

Ears

 

Nose/Mouth/Throat

 

Breast

 

Heme/Lymph/Endo

 

2 |
P E D I A T R I C   S O A P   N O T E

Cardiovascular

 

Respiratory

 

Gastrointestinal

 

Genitourinary/Gynecological

 

Musculoskeletal

 

Neurological

 

Psychiatric

PEDIATRIC FILLABLE SOAP NOTE TEMPLATE

OBJECTIVE  (plot height/weight/head circumference along with noting percentiles)

Attach growth chart

 

Weight

 

Height

Temp

 

Pulse

BP

 

Resp

 

 

OBJECTIVE (Physical Examination)

 

General Appearance and parent
–
child interaction

 

Skin

 

HEENT

 

Cardiovascular

 

Respiratory

 

Gastrointestinal

 

Breast

 

Genitourinary

 

Musculoskeletal

 

3 |
P E D I A T R I C   S O A P   N O T E

 

PEDIATRIC FILLABLE SOAP NOTE TEMPLATE

 

Neurological

 

Psychiatric

 

In-house Lab Tests – document tests (results or pending)

 

Pediatric/Adolescent Assessment Tools (Ages & Stages, etc) with
results and rationale

For adolescents (HEADSSSVG Assessment)

 

ASSESSMENT (Diagnosis – 3 Differentials and Primary)

     Include at least three differential diagnoses with ICD-10 codes.  (Includes Primary dx and 2

differentials) Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template.

    
Document Evidence based Rationale for ROS and each differential with pertinent

positives and negatives

     Primary diagnosis

     Is #1 on list of differentials

     Evidence for primary diagnosis should be supported in the Subjective and Objective

exams.

1)

 

2)

 

3)

 

4 |
P E D I A T R I C   S O A P   N O T E

 

PEDIATRIC FILLABLE SOAP NOTE TEMPLATE

PLAN including education

PLAN including education

     Plan:  Treatment plan should be for the Primary Diagnosis and based on EB literature.

     Include
EB rationale
for all aspects of your treatment plan:

     Vaccines administered this visit

     Vaccine administration forms given

     Medication-amounts and mg/kg for medications

     Laboratory tests ordered

     Diagnostic tests ordered

     Patient education including preventive care and anticipatory guidance

     Non-medication treatments

Fol ow-up appointment with detailed plan of  f/u

 

*ALL references must be
Evidence Based (EB)

 

5 |
P E D I A T R I C   S O A P   N O T E

Pediatric_Fillable_SOAP_Note_Template–

growth_chart

Tommy Acker ihuman case study: Pediatric Fillable Soap Note Template

Your written Fluid Imbalances Essay assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:

Describe what a fluid and electrolyte imbalance is and how this is important to the function of the body?

Pick a fluid or electrolyte imbalance and describe how the patient would present, in addition to the treatment (nursing and expected medical)?

You should include a minimum of 3 scholarly references. Include a title page, in-text citations, and a reference page in APA format.

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Module 08 – Fluid Imbalances

Scoring Rubric:

Criteria

Points

Describe what a fluid and electrolyte imbalance and how this is important to the function of the body? Fluid Imbalances Essay.

3

Pick a fluid or electrolyte imbalance and describe how the patient would present, in addition to the treatment (nursing and expected medical)? Fluid Imbalances Essay.

5

Grammar, APA and Organization

2

Total

10

NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

PET

Your Plan – How Would You Meet this Step in your Project Plan?

Practice Question

 

Step 1
: Recruit interprofessional team

 

Step 2
: Define the problem

 

Step 3
: Develop and refine the EBP question

In
Adolescents with substance abuse
(
P
), how
does cognitive behavioral therapy
(
I
) compared
to no cognitive behavioral therapy
(
C
) affect
reduction of substance use behavior
(
O)

within 6- months post intervention
(
T
)?

Step 4
: Identify stakeholders

 

Step 5
: Determine responsibility for project leadership

 

Step 6
: Schedule team meetings

 

Evidence

 

Step 7
: Conduct internal and external search for evidence

NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

Step 8
: Appraise the level and quality of each piece of evidence

 

Step 9
: Summarize the individual evidence

 

Step 10
: Synthesize overall strength and quality of evidence

 

Step 11
: Develop recommendations for change based on evidence synthesis

·      Strong, compelling evidence, consistent results

·      Good evidence, consistent results

·      Good evidence, conflicting results

·      Insufficient or absent evidence

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Translation

 

Step 12
: Determine fit, feasibility, and appropriateness of recommendation(s) for translation path

 

Step 13
: Create action plan

 

Step 14
: Secure support and resources to implement action plan

 

Step 15
: Implement action plan

NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

Step 16
: Evaluate outcomes

 

Step 17
: Report outcomes to stakeholders

 

Step 18
: Identify next steps

 

Step 19: 
Disseminate findings

John_Hopkins_PET_Worksheet

 

 

NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

The John Hopkins Hospital/John Hopkins University School of Nursing (2017)

The value of the PET worksheet is to help you practice implementation of an evidencebased practice (EBP) project using an EBP implementation model. The PET Worksheet begins

with planning and goes through dissemination (compare to Melnyk’s EBP Process Step 0 – Step

6 that we have been working with). To answer the questions, you can use your textbook as a

guide as the concepts are discussed, but you are developing an individualized plan. The website

for the John Hopkins model is also valuable: https://www.hopkinsmedicine.org/evidence-basedpractice/ijhn_2017_ebp.html

You want to think about how you would implement your proposed intervention at an

organization using the implementation model. This should not be a lengthy document as it is a

plan/outline. You can bullet or write a few sentences/short paragraph if needed. Question 13

may require more detail.

PET Your Plan – How Would You Meet this

Step in your Project Plan?

Practice Question

Step 1: Recruit interprofessional team List other professionals that will be involved

in your project implementation.

Step 2: Define the problem Discuss your problem – if you give specifics

from the literature you will need to cite and

reference.

Step 3: Develop and refine the EBP question List your PICOT.

Step 4: Identify stakeholders Who are the stakeholders in the project – who

has a stake in the problem, intervention, and

outcome? NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

See p. 536 in Melnyk for discussion on

stakeholders.

Step 5: Determine responsibility for project

leadership

Who is the leader of the project? Will other

professionals have assigned roles?

Step 6: Schedule team meetings How often will the team meet?

Evidence

Step 7: Conduct internal and external search

for evidence

Discuss your literature search. Is there

internal data that should also be considered?

Step 8: Appraise the level and quality of each

piece of evidence

List the levels of evidence used to support the

intervention.

Step 9: Summarize the individual evidence What is the synthesis of the evidence? If you

give specifics from the literature you will

need to cite and reference.

Step 10: Synthesize overall strength and

quality of evidence

Is the supporting evidence strong? See Step

11 below.

Step 11: Develop recommendations for

change based on evidence synthesis

 Strong, compelling evidence, consistent results

 Good evidence, consistent results

 Good evidence, conflicting results

 Insufficient or absent evidence

Would you recommend a change based on the

evidence? NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

The John Hopkins Hospital/John Hopkins University School of Nursing (2017)

Translation

Step 12: Determine fit, feasibility, and

appropriateness of recommendation(s) for

translation path

Consider fit of intervention, appropriateness

of intervention, and feasibility of intervention

for patient and organization

Step 13: Create action plan List or bullet a step by step plan for project

implementation beginning with

identification/recruitment of patient through

measurement of outcomes.

Step 14: Secure support and resources to

implement action plan

What resources will be needed? Consider

cost of staff and supplies.

Step 15: Implement action plan Consider timeline.

Step 16: Evaluate outcomes How/when will you measure outcomes?

Step 17: Report outcomes to stakeholders How/when will you report outcomes to

stakeholders? NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

Step 18: Identify next steps Consider sustainability of project.

Step 19: Disseminate findings How will you disseminate findings of project

so that others may benefit?
John_Hopkins_PET_Worksheet_Guide_2019

NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

Emergency Plan For The Older Adult Assignment Description

Emergency Plan for the Older Adult

Locate the American Red Cross in your area:
http://www.redcross.org/
or in person.

Identify what is necessary for emergency supplies to have on hand for a healthy older adult. Consider visiting with an older family member or friend to identify specific needs for this older adult (reasonable for this person)

Assist the older adult (OA) in creating their Personal Emergency Plan and contacts

Describe what the OA was surprised to need or what they seemed to predict on their own

Why is this important for OA singles or couples who live independently without services?

Complete at least two slides for each bullet point with a total of 10 slides

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Assignment Expectations:

Length: Minimum of 10 content slides

Structure: Include a title slide, objective slide, content slides, and reference slide in APA format. The title/objective/reference slides do not count towards the minimum slide count for this assignment. lots of pictures to compliments.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this Emergency Plan For The Older Adult assignment.

Asthma and Stepwise Management Essay Week 4

assignment

Asthma and Stepwise Management

Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening symptoms. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options Asthma and Stepwise Management Essay. Like many other disorders, there are various approaches to treating and managing care for

asthmatic patients depending on individual patient factors. One method that supports the clinical decision-making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To prepare:

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Consider drugs used to treat asthmatic patients including

long-term control and quick relief treatment options for patients. Think about

the impact these drugs might have on patients including adults and children.

Review Chapter 25 of the Arcangelo and Peterson text.

Reflect on using the stepwise approach to asthma treatment and management.

Consider how stepwise management assists health care

providers and patients in gaining and maintaining control of the disease.

By Day 7

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

Describe long-term control and quick relief treatment

options for asthma patients, as well as the impact these drugs might have on

patients.

Explain the stepwise approach to asthma treatment and

management.

Explain how stepwise management assists health care

providers and patients in gaining and maintaining control of the disease.

Asthma and Stepwise Management Essay

nur 2092 Health History Essay

Module

03 Written Assignment – Health History

Conduct a health history on a family member

or friend. Be sure they give you permission. Using the interviewing techniques

learned in Module 2, gather the following information. Use your textbook as

your guide.

Individual Health Assessment Form

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A response is required for EACH item in

EACH category.

Copy this document & record your responses in a text document (e.g.: Word or WordPerfect). That way you can just add the information without retyping the entire document. Please reformat and

delete things as appropriate.

Health History

Biographical data: (2 points)

Initals:____________

Age:

______________ Marital

status: ____M _____ S _____Sep. ____Cohab.

Birth date: _____________________ Number of dependents: ___________________

Educational level: ________________________ Gender: _____F _____ M _____Other

Occupation:

___________________________________¬¬¬¬_________________________

Ethnicity/nationality:

_____________________ Health insurance

____Yes _____No

Source of

history/reliability:________________________________________________

Present health history: (2 points)

Current medical conditions/chronic nur 2092 Health History Essay

illnesses:

Current medications:

Medication/food/environmental allergies:

Past health history: (8 points)

Childhood illnesses: Ask about mumps,

chickenpox, rubella, ear infections, throat infections, pertussis, and asthma.

Hospitalizations/Surgeries: Include reason

for hospitalization, year, and surgical procedures.

Accidents/injuries: Include head injuries

with loss of consciousness, fractures, motor vehicle accidents, burns, and

severe lacerations.

Major diseases or illnesses: Include heart

problems, cancer, seizures, and any significant adult illnesses.

Immunizations (dates of known):

Tetanus _______ Diphtheria ________ Pertussis ________ Mumps ________

Rubella _______ Polio _____________ Hepatitis B ______ Influenza _______

Varicella ______ Other

____________________________________________

Recent travel/military services: Include

travel within past year and recent and past military service.

Date of last examinations:

Physical examination _________ Vision ___________ Dental ___________

Family History (1 point)

Mother/Father/Siblings/Grandparents: include age (date of birth, if known), any

major health issues, and, if indicated, cause and age of death (date of death,

if known). nur 2092 Health History Essay.

Now answer the questions below: (25 points)

1. Was

the person willing to share the information? If they were not, what did you do

to encourage them?

2. Was

there any part of the interview that was more challenging? If so, what part and

how did you deal with it?

3. How

comfortable were you taking a health history?

4. What

interviewing techniques did you use? Were there any that were difficult and if

so, how did you overcome the difficulty?

5. Now

that you have taken a health history discuss how this information can assist

the nurse in determining the health status of a client. nur 2092 Health History Essay.

Pharmacokinetics and Pharmacodynamics Essay Discussion Week 1

discussion

Discussion: Pharmacokinetics and Pharmacodynamics

As an advanced practice nurse assisting physicians in the

diagnosis and treatment of disorders, it is important to not only understand

the impact of disorders on the body, but also the impact of drug treatments on

the body. The relationships between drugs and the body can be described by

pharmacokinetics and pharmacodynamics. Pharmacokinetics describes what the body

does to the drug through absorption, distribution, metabolism, and excretion,

whereas pharmacodynamics describes what the drug does to the body. When

selecting drugs and determining dosages for patients, it is essential to

consider individual patient factors that might impact the patient’s

pharmacokinetic and pharamcodynamic processes. These patient factors include

genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking,

alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.

In this Discussion, you reflect on a case from your past clinical experiences

and consider how a particular patient’s pharmacokinetic and pharmacodynamic

processes altered his or her response to a drug. Pharmacokinetics and Pharmacodynamics Essay Discussion.

To prepare:

ORDER A PLAGIARISM-FREE PAPER HERE

Review this week’s media presentation with Dr. Terry

Buttaro, as well as Chapter 2 of the Arcangelo and Peterson text, and the Scott

article in the Learning Resources. Consider the principles of pharmacokinetics

and pharmacodynamics.

Reflect on your experiences, observations, and/or clinical

practices from the last five years. Select a case from the last five years that

involves a patient whose individual differences in pharmacokinetic and

pharmacodynamic factors altered his or her anticipated response to a drug. When

referring to your patient, make sure to use a pseudonym or other false form of

identification. This is to ensure the privacy and protection of the patient. Pharmacokinetics and Pharmacodynamics Essay Discussion.

Consider factors that might have influenced the patient’s

pharmacokinetic and pharmacodynamic processes such as genetics (including

pharmacogenetics), gender, ethnicity, age, behavior, and/or possible

pathophysiological changes due to disease.

Think about a personalized plan of care based on these

influencing factors and patient history in your case study.

With these thoughts in mind:

By Day 3

Post a description of the case you selected. Then, describe

factors that might have influenced pharmacokinetic and pharmacodynamic

processes of the patient from the case you selected. Finally, explain details

of the personalized plan of care that you would develop based on influencing

factors and patient history in your case. Pharmacokinetics and Pharmacodynamics Essay Discussion.

By Day 6

Read a selection of your colleagues’ responses and respond

to at least two of your colleagues on two different days by suggesting

additional patient factors that might have interfered with the pharmacokinetic

and pharmadynamic processes of the patients in their case studies. In addition,

suggest how the personal care plan might change if the age of the patient were

different and if the patient had a comorbid condition such as renal failure,

heart failure, or liver failure.

Week 2

discussion

Discussion: Ethical and Legal Implications of Prescribing

Drugs

What type of drug should you prescribe based on your

patient’s diagnosis? How much of the drug should the patient receive? How often

should the drug be administered? When should the drug not be prescribed? Are

there individual patient factors that could create complications when taking

the drug? Should you be prescribing drugs to this patient?

These are some of the questions you might consider when

selecting a treatment plan for a patient. As an advanced practice nurse

prescribing drugs, you are held accountable for people’s lives on a daily

basis. Patients and their families will often place trust in you because of

your position. With this trust comes power and responsibility, as well as an

ethical and legal obligation to “do no harm.” It is important that you are

aware of current professional, legal, and ethical standards for advanced

practice nurses with prescriptive authority. In this Discussion, you explore

ethical and legal implications of scenarios and consider how to appropriately respond.

Scenario 1:

As a nurse practitioner, you prescribe medications for your

patients. You make an error when prescribing medication to a 5-year-old

patient. Rather than dosing him appropriately, you prescribe a dose suitable

for an adult. Pharmacokinetics and Pharmacodynamics Essay Discussion.

Scenario 2:

A friend calls and asks you to prescribe a medication for

her. You have this autonomy, but you don’t have your friend’s medical history.

You write the prescription anyway.

Scenario 3:

You see another nurse practitioner writing a prescription

for her husband who is not a patient of the nurse practitioner. The

prescription is for a narcotic. You can’t decide whether or not to report the

incident.

Scenario 4:

During your lunch break at the hospital, you read a journal

article on pharmacoeconomics. You think of a couple of patients who have

recently mentioned their financial difficulties. You wonder if some of the

expensive drugs you have prescribed are sufficiently managing the patients’

health conditions and improving their quality of life.

To prepare:

Review Chapter 1 of the Arcangelo and Peterson text, as well

as articles from the American Nurses Association, Anderson and Townsend, the

Drug Enforcement Administration, and Philipsend and Soeken.

Select one of the four scenarios listed above.

Consider the ethical and legal implications of the scenario

for all stakeholders involved such as the prescriber, pharmacist, patient, and

the patient’s family.

Think about two strategies that you, as an advanced practice

nurse, would use to guide your ethically and legally responsible

decision-making in this scenario. Pharmacokinetics and Pharmacodynamics Essay Discussion.

With these thoughts in mind:

By Day 3

Post an explanation of the ethical and legal implications of

the scenario you selected on all stakeholders involved such as the prescriber,

pharmacist, patient, and the patient’s family. Describe two strategies that

you, as an advanced practice nurse, would use to guide your decision making in

this scenario.

By Day 6

Read a selection of your colleagues’ responses and respond

to at least two of your colleagues on two different days who selected a

different scenario than you did, in one or more of the following ways:

Suggest additional ethical and legal implications for all

stakeholders in your colleagues’ scenarios.

Offer and support an alternative perspective using readings

from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional

research.

Week 3

discussion

Discussion: Pharmacotherapy for Cardiovascular Disorders

As the leading cause of death in the United States for both

men and women, cardiovascular disorders account for 7 million hospitalizations

per year (NCSL, 2012). This is the result of the extensive treatment and care

that is often required for patients with these disorders. While the incidences

of hospitalizations and death are still high, the mortality rate of

cardiovascular disorders has been declining since the 1960s (CDC, 2011).

Improved treatment options have contributed to this decline, as well as more

knowledge on patient risk factors. As an advanced practice nurse, it is your

responsibility to recommend appropriate treatment options for patients with

cardiovascular disorders. To ensure the safety and effectiveness of drug

therapy, advanced practice nurses must consider aspects that might influence

pharmacokinetic and pharmacodynamic processes such as medical history, other

drugs currently prescribed, and individual patient factors. Pharmacokinetics and Pharmacodynamics Essay Discussion.

Consider the following case studies:

Case Study 1:

Patient AO has a history of obesity and has recently gained

9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia.

Drugs currently prescribed include the following:

Atenolol 12.5 mg daily

Doxazosin 8 mg daily

Hydralazine 10 mg qid

Sertraline 25 mg daily

Simvastatin 80 mg daily

Case Study 2:

Patient HM has a history of atrial fibrillation and a

transient ischemic attack (TIA). The patient has been diagnosed with type 2

diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs

currently prescribed include the following:

Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun

Aspirin 81 mg daily

Metformin 1000 mg po bid

Glyburide 10 mg bid

Atenolol 100 mg po daily

Motrin 200 mg 1–3 tablets every 6 hours as needed for pain

Case Study 3:

Patient CB has a history of strokes. The patient has been

diagnosed with type 2 diabetes, hypertension, and hyperlipidemia. Drugs

currently prescribed include the following:

Glipizide 10 mg po daily

HCTZ 25 mg daily

Atenolol 25 mg po daily

Hydralazine 25 mg qid

Simvastatin 80 mg daily

Verapamil 180 mg CD daily

To prepare:

Review this week’s media presentation on hypertension and

hyperlipidemia, as well as Chapters 19 and 20 of the Arcangelo and Peterson

text.

Select one of the three case studies, as well as one the

following factors: genetics, gender, ethnicity, age, or behavior factors.

Reflect on how the factor you selected might influence the

patient’s pharmacokinetic and pharmacodynamic processes.

Consider how changes in the pharmacokinetic and

pharmacodynamic processes might impact the patient’s recommended drug therapy.

Think about how you might improve the patient’s drug therapy

plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on

whether you would modify the current drug treatment or provide an alternative treatment

option for the patient.

With these thoughts in mind:

By Day 3

Post an explanation of how the factor you selected might

influence the pharmacokinetic and pharmacodynamic processes in the patient from

the case study you selected. Then, describe how changes in the processes might

impact the patient’s recommended drug therapy. Finally, explain how you might

improve the patient’s drug therapy plan. Pharmacokinetics and Pharmacodynamics Essay Discussion.

By Day 6

Read a selection of your colleagues’ responses and respond

to at least two of your colleagues on two different days who selected a

different case study than you did, in one or more of the following ways:

Provide alternative recommendations for drug treatments.

Offer and support an alternative perspective using readings

from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional

research.

Week 4

discussion

Discussion: Pharmacotherapy for Respiratory Disorders

To the untrained ear, most coughs sound the same. However,

as you might recall from past clinical experiences, a simple cough can lead to

a patient diagnosis of a common cold, pneumonia, or even a chronic obstructive

pulmonary disease (COPD). Although it can sometimes be challenging to diagnose

a patient based on common respiratory symptoms such as congestion, coughing,

and wheezing, it is important to be able to distinguish minor differences as

even mild symptoms might require intervention with drug treatments. When

recommending potential treatment options, advanced practice nurses must

consider how individual patient factors might impact the effects of prescribed

drugs.

To prepare:

Review Chapter 26 and Chapter 27 of the Arcangelo and

Peterson text.

Select and research one of the following respiratory

disorders: the common cold, pneumonia, or a chronic obstructive pulmonary

disease (COPD) such as emphysema or chronic bronchitis. Consider types of drugs

that would be prescribed to patients to treat symptoms associated with this

disorder.

Select one of the following factors: genetics, gender,

ethnicity, age, or behavior. Reflect on how this factor might impact effects of

prescribed drugs, as well as any measures you might take to help reduce

negative side effects.

With these thoughts in mind:

By Day 3

Post a description of the respiratory disorder you selected

including types of drugs that would be prescribed to patients to treat

associated symptoms. Then, explain how the factor you selected might impact

effects of prescribed drugs, as well as any measures you might take to help

reduce negative side effects.

By Day 6

Read a selection of your colleagues’ responses and respond

to at least two of your colleagues on two different days who selected a

different respiratory disorder than you did. If the disorder you selected is

primarily associated with the upper respiratory system, respond to colleagues

who selected disorders primarily associated with the lower respiratory system.

Provide alternative recommendations for drug treatments. Pharmacokinetics and Pharmacodynamics Essay Discussion.

Week 5

discussion

Discussion: Pharmacotherapy for Cardiovascular Disorders

Neurological disorders, such as headaches, seizure

disorders, sleep disorders, depression, and dementia can present several

complications for patients of all ages. These disorders affect patients

physically and emotionally, impacting judgment, school and/or job performance,

and relationships with family and friends. Since these disorders may have

drastic effects on patients’ lives, it is important for advanced practice

nurses to effectively manage patient care. With patient factors and medical

history in mind, it is the advanced practice nurse’s responsibility to manage

the diagnosis, treatment, and education of patients with neurological

disorders.

To prepare:

Review this week’s media presentation on pharmacology for

the nervous system.

Select one of the following neurological disorders:

headaches, seizure disorders, sleep disorders, depression, or dementia.

Consider the types of drugs that would be prescribed to patients to treat

symptoms associated with this disorder.

Select one of the following factors: genetics, gender,

ethnicity, age, or behavior. Reflect on how this factor might impact the

effects of prescribed drugs, as well as any measures you might take to help

reduce negative side effects.

With these thoughts in mind:

By Day 3

Post a description of the neurological disorder you selected

including types of drugs that would be prescribed to patients to treat

associated symptoms. Then, explain how the factor you selected might impact the

effects of prescribed drugs, as well as any measures you might take to help

reduce negative side effects.

By Day 6

Read a selection of your colleagues’ responses and respond

to at least two of your colleagues on two different days who selected a

different neurological disorder than you did. Provide recommendations for

alternative drug treatments and patient education strategies for treatment and

management. Pharmacokinetics and Pharmacodynamics Essay Discussion.

Week 6

discussion

Discussion: Pharmacotherapy for Endocrine and

Musculoskeletal Disorders

Patients with endocrine and musculoskeletal disorders often

require long-term treatment and care resulting in the need for extensive

patient education. By appropriately educating patients, advanced practice

nurses can assist patients with the management of their disorders. In clinical

settings, patients with endocrine and musculoskeletal disorders typically seek

treatment for symptoms that pose problems to their everyday lives as ordinary

tasks may become difficult to complete. For instance, patients might have

difficulty walking short distances, preparing meals, or even running errands.

To reduce these symptoms and additional health risks, it is essential to

develop drug therapy plans with individual patient factors in mind.

To prepare:

Select one of the following endocrine or musculoskeletal

disorders: thyroid disease, osteoarthritis, rheumatic arthritis, gout, multiple

sclerosis, or fibromyalgia. Consider the types of drugs that would be

prescribed to patients to treat symptoms associated with this disorder.

Select one of the following factors: genetics, gender,

ethnicity, age, or behavior. Reflect on how this factor might impact the

effects of prescribed drugs, as well as any measures you might take to help

reduce negative side effects.

With these thoughts in mind:

By Day 3

Post a description of the endocrine or musculoskeletal

disorder you selected including types of drugs that would be prescribed to

patients to treat associated symptoms. Then, explain how the factor you

selected might impact the effects of prescribed drugs, as well as any measures

you might take to help reduce negative side effects.

By Day 6

Read a selection of your colleagues’ responses and respond

to at least two of your colleagues on two different days who selected a

different endocrine or musculoskeletal disorder than you did. Provide

recommendations for alternative drug treatments and patient education

strategies for treatment and management.

Week 7

discussion

Discussion: Pharmacotherapy for Gastrointestinal and

Hepatobiliary Disorders

Gastrointestinal (GI) and hepatobiliary disorders affect the

structure and function of the GI tract. Many of these disorders often have

similar symptoms such as abdominal pain, cramping, constipation, nausea,

bloating, and fatigue. Since multiple disorders can be tied to the same

symptoms, it is important for advanced practice nurses to carefully evaluate

patients and prescribe treatment that targets the cause rather than the

symptom. Once the underlying cause is identified, an appropriate drug therapy

plan can be recommended based on medical history and individual patient

factors. In this Discussion, you examine a case study of a patient who presents

with symptoms of a possible GI/hepatobiliary disorder, and you design an

appropriate drug therapy plan. Pharmacokinetics and Pharmacodynamics Essay Discussion.

Consider the following case study:

Patient HL comes into the clinic with the following

symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug

abuse and possible Hepatitis C. HL is currently taking the following

prescription drugs:

Synthroid 100 mcg daily

Nifedipine 30 mg daily

Prednisone 10 mg daily

To prepare:

Review this week’s media presentation on pharmacology for

the gastrointestinal system.

Review the provided case study. Reflect on the patient’s

symptoms, medical history, and drugs currently prescribed.

Think about a possible diagnosis for the patient. Consider

whether the patient has a disorder related to the gastrointestinal and

hepatobiliary system or whether the symptoms are the result of a disorder from

another system or other factors such as pregnancy, drugs, or a psychological

disorder.

Consider an appropriate drug therapy plan based on the

patient’s history, diagnosis, and drugs currently prescribed.

With these thoughts in mind:

By Day 3

Post an explanation of your diagnosis for the patient

including your rationale for the diagnosis. Then, describe an appropriate drug

therapy plan based on the patient’s history, diagnosis, and drugs currently

prescribed.

By Day 6

Read a selection of your colleagues’ responses and respond

to at least two of your colleagues on two different days who diagnosed the

patient differently than you did, in one or more of the following ways:

Provide alternative recommendations for drug treatments.

Offer and support an alternative perspective using readings

from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional

research.

Week 8

discussion

Discussion: Drug Treatments for HIV/AIDS

While HIV/AIDS is still currently incurable, the prognosis for

patients with this infectious disease has improved due to advancements in drug

treatments. Consider the case of Kristy Aney. Kristy was diagnosed with HIV in

1992 and was told she would survive, at most, 10 more years. Despite

unfavorable odds, Kristy is still alive 20 years later. Since her diagnosis,

she has witnessed tremendous improvements in HIV/AIDS treatments which have

helped patients live longer with fewer side effects. While she acknowledges

that these drug treatments have kept her alive, she fears that improvements in

drug therapy have led to more people becoming complacent about the disease

(Idaho Statesmen, 2012). In fact, the number of people living with HIV/AIDS in

the United States is higher than it has ever been (CDC, 2012). This poses the

question: Is there a relationship between drug advancements, societal

complacency, and infection? Pharmacokinetics and Pharmacodynamics Essay Discussion.

To prepare:

Review Chapter 49 of the Arcangelo and Peterson text, as

well as the Krummenacher et al. and Scourfield articles in the Learning

Resources.

Reflect on whether or not the prevalence of HIV cases might

be attributed to increased complacency due to more advanced drug treatment

options for HIV/AIDS.

Consider how health care professionals can help to change

perceptions and make people more aware of the realities of the disease.

Think about strategies to educate HIV positive patients on

medication adherence, as well as safe practices to reduce the risk of infecting

others.

With these thoughts in mind:

By Day 3

Post an explanation of whether or not you think the

prevalence of HIV cases might be attributed to increased complacency due to

more advanced drug treatment options.Then, explain how health care

professionals can help to change perceptions and increase awareness of the

realities of the disease. Finally, describe strategies to educate HIV positive

patients on medication adherence, as well as safe practices to reduce the risk

of infecting others.

By Day 6

Read a selection of your colleagues’ responses and respond

to at least two of your colleagues on two different days who provided a

different rationale than you did, in one or more of the following ways:

Offer and support an alternative perspective using readings

from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional

research.

Week 9

discussion

Discussion: Pharmacotherapy for Hematologic Disorders

In the 1970s, the average lifespan for patients diagnosed

with sickle cell disease was 14 years. Today, the average lifespan has increased

to 50 years and beyond (TriHealth, 2012). The patient prognosis for many other

hematologic disorders such as hemophilia and cancer continue to improve as

well. This can be attributed to advancements in medical care—specifically drug

therapy and treatment. When managing drug therapies for patients, it is

essential to continuously examine current treatments and evaluate the impact of

patient factors on drug effectiveness. To prepare for your role as an advanced

practice nurse, you must become familiar with common drug treatments for

various hematologic disorders seen in clinical settings. Pharmacokinetics and Pharmacodynamics Essay Discussion.

To prepare:

Select one of the following hematologic disorders: anemia,

hemophilia, cancer, sickle cell anemia, thalassemia, thrombolytic disorders, or

white blood cell disorders. Consider the types of drugs that would be

prescribed to patients to treat symptoms associated with this disorder.

Select one of the following factors: genetics, gender,

ethnicity, age, or behavior. Reflect on how this factor might impact the

effects of prescribed drugs, as well as any measures you might take to help

reduce negative side effects.

With these thoughts in mind:

By Day 3

Post a description of the hematologic disorder you selected

including types of drugs that would be prescribed to patients to treat

associated symptoms Pharmacokinetics and Pharmacodynamics Essay Discussion. Then, explain how the factor you selected might impact the

effects of prescribed drugs, as well as any measures you might take to help

reduce negative side effects.

By Day 6

Read a selection of your colleagues’ responses and respond

to at least two of your colleagues on two different days who selected a

different hematologic disorder than you did. Provide recommendations for

alternative drug treatments and patient education strategies for treatment and

management.

Week 10

discussion

Discussion: Hormone Replacement Therapy

In recent years, hormone replacement therapy has become a

controversial issue. When prescribing therapies, advanced practice nurses must

weigh the strengths and limitations of the prescribed supplemental hormones. If

advanced practice nurses determine that the limitations outweigh the strengths,

then they might suggest alternative treatment options such as herbs or other

natural remedies, changes in diet, and increase in exercise.

Consider the following scenario:

As an advanced practice nurse at a community health clinic,

you often treat female (and sometimes male patients) with hormone deficiencies.

One of your patients requests that you prescribe supplemental hormones. This

poses the questions: How will you determine what kind of treatment to suggest?

What patient factors should you consider? Are supplemental hormones the best

option for the patient, or would they benefit from alternative treatments?

To prepare:

Review Chapter 56 of the Arcangelo and Peterson text, as

well as the Holloway and Makinen and Huhtaniemi articles in the Learning

Resources. Pharmacokinetics and Pharmacodynamics Essay Discussion.

Review the provided scenario and reflect on whether or not

you would support hormone replacement therapy.

Locate and review additional articles about research on

hormone replacement therapy for women and/or men. Consider the strengths and

limitations of hormone replacement therapy.

Based on your research of the strengths and limitations,

again reflect on whether or not you would support hormone replacement therapy.

Consider whether you would prescribe supplemental hormones

or recommend alternative treatments to patients with hormone deficiencies.

With these thoughts in mind:

By Day 3

Post a description of the strengths and limitations of

hormone replacement therapy. Based on these strengths and limitations, explain

why you would or why you would not support hormone replacement therapy. Explain

whether you would prescribe supplemental hormones or recommend alternative

treatments to patients with hormone deficiencies and why.

By Day 6

Read a selection of your colleagues’ responses and respond

to at least two of your colleagues on two different days who provided a

different rationale than you did, in one or more of the following ways:

Offer and support an alternative perspective using readings

from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional

research.

Week 11

discussion

Discussion: Off-Label Drug Use in Pediatrics

The unapproved use of approved drugs, also called off-label

use, with children is quite common. This is because pediatric dosage guidelines

are typically unavailable since very few drugs have been specifically

researched and tested with children.

When treating children, prescribers often adjust dosages

approved for adults to accommodate a child’s weight. However, children are not

just “smaller” adults. Adults and children process and respond to drugs

differently in their absorption, distribution, metabolism, and excretion.

Children even respond differently during stages from infancy to adolescence.

This poses potential safety concerns when prescribing drugs to pediatric

patients. As an advanced practice nurse, you have to be aware of safety

implications of the off-label use of drugs with this patient group. Pharmacokinetics and Pharmacodynamics Essay Discussion.

To prepare:

Review the Bazzano et al. and Mayhew articles in the

Learning Resources. Reflect on situations in which children should be

prescribed drugs for off-label use.

Think about strategies to make the off-label use and dosage

of drugs safer for children from infancy to adolescence. Consider specific

off-label drugs that you think require extra care and attention when used in

pediatrics.

With these thoughts in mind:

By Day 3

Post an explanation of circumstances under which children

should be prescribed drugs for off-label use. Then, describe strategies to make

the off-label use and dosage of drugs safer for children from infancy to

adolescence. Include descriptions and names of off-label drugs that require extra

care and attention when used in pediatrics.

By Day 6

Read a selection of your colleagues’ responses and respond

to at least two of your colleagues on two different days who provided a

different rationale than you did, in one or more of the following ways:

Offer and support an alternative perspective using readings

from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional

research. Pharmacokinetics and Pharmacodynamics Essay Discussion.

Genetic Family History – evidence-based teaching plan

GENERAL DIRECTIONS & PROJECT GUIDELINES

Application: Use Microsoft Word 2010™ or later to create this assignment.

This paper is to be written in APA format. Please use the recommended assignment specific .courselearn.net/lms/content/1520/51804/NR305/NR305_W6_Teaching%20Plan_APA_Template_MAR18.docx”>APA Template (Links to an external site.)Links to an external site.linked here to type on. The SSPRNBSN resource has a great section on writing scholarly papers and APA formatting (to find resource

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watch:.brainshark.com/devry/Student_Success_Strategies/zHszgnQAKzBXqbz0″>http://www.brainshark.
com/devry/Student_Success_
Strategies/zHszgnQAKzBXqbz0 (
Links to an external site.)Links to an external site.)

APA formatting helps you to format your paper in a professional manner and provides consistent methods for citing your sources within the paper and providing the complete reference on the reference page. See the documents in the APA category in Course Resources for assistance with APA formatting. Genetic Family History – evidence-based teaching plan.

This paper is expected to be
no more than four pages
in length (not including the title page and reference list).

Please use the categories listed below as the first level headings for each section of your paper
(Exception: Instead of “Introduction” please use the title of your paper).

CONTENT GUIDELINES

Using the information gathered in your Genetic Family History and Milestone 1 assignments, you will identify and research one modifiable risk factor. You will develop an evidence-based teaching plan that promotes health, with the aim of improving patient outcomes related to this modifiable risk factor.

Introduction (1 paragraph):
The introduction should be interesting and capture the reader’s attention.

State
one preventable disease
your adult participant is at risk for developing (obesity, Type 2 Diabetes, etc.), based on the information you have gathered during this course.

Introduce
one
modifiable risk factor
(diet, smoking, sedentary lifestyle, etc.) associated with the preventable disease you described.

Clearly state the purpose of your paper. The purpose statement should relate to developing a patient teaching plan.

Preventable Disease Overview (1-2 paragraphs)
: Please use course materials and scholarly sources to complete this section. Be sure to paraphrase and include citations as needed!

Describe briefly the
preventable disease
you identified in the introduction.

What are the signs and symptoms associated with this disease?

How is it diagnosed? Notable information from Health History and General Survey? Signs and symptoms? Risk assessments? Lab values? Genetic Family History – evidence-based teaching plan.

What physical assessment findings would be associated with this disease?

How did you identify your adult participant’s risk for this disease?

Specific information gathered in the Genetic Family History?

Specific information gathered in the Milestone 1 assignment?

Evidence Based Intervention (1-2 paragraphs):

Choose and describe
one
evidence based intervention
related to the modifiable risk factor
you have chosen. (One that has been shown to be effective at reducing an individual’s risk for developing the preventable disease.)

Describe this intervention in detail, and provide rationale for your intervention utilizing:

At least
one scholarly peer-reviewed journal article
. Go to the Chamberlain library at.chamberlain.edu/”>http:/library.chamberlain.
edu (Links to an external site.)Links to an external site..
Search peer reviewed journals
to find a scholarly article that discusses interventions associated with the modifiable risk factor you have chosen as the focus of your paper. Summarize what you learned from this article and cite the source in the text and reference page (Author, year). The article must be less than 10 years old. You may include and cite your textbook or other scholarly sources as well, but they
do not
count as the scholarly journal article. Genetic Family History – evidence-based teaching plan.

You must summarize and analyze the information from your sources in your own words. Avoid direct quotations. If you do include a short quotation, be sure to cite it properly.

List
short and long term goals
you have for your participant related to this intervention.

Implementation: Teaching Plan (1-2 paragraphs):

Discuss in this section what methods you will use to teach your participant how to implement the intervention.

What is it that you are asking them to do? (For example, if your intervention is “quit smoking”, what specific steps will you recommend your participant take to achieve this goal?)

Describe any resources you would provide to the participant to help them understand and be successful (websites, community services, handouts, etc.).

Evaluation (1 paragraph):

Describe at least one method (weight, lab values, etc.) you would use to evaluate whether your intervention was effective.

How would you revise you plan if it proved to be unsuccessful?

Summary (1 paragraph):

Summarize the main points of your paper.

Reiterate what you hope to accomplish by implementing this intervention.

End with a concluding statement.

Reference Page
:

The Reference Page should start on a new page (insert a page break).

All references should be cited within the body of the paper as (Author, year) and the full reference should be included in APA format on the reference page.

A URL link alone is not an adequate reference. Genetic Family History – evidence-based teaching plan.

See the Chamberlain Guidelines for Writing Professional Papers in Course Resources for examples of properly formatted references.

BEST PRACTICES – TIPS FOR WRITING A GREAT PAPER!

Review the directions, guidelines, and grading rubric thoroughly.

Use the APA template provided.

Be clear. Write about one preventable disease, one modifiable risk factor, and one related intervention.

Proofread prior to final submission. Having another person review your work is often helpful to catch grammar and spelling errors. (Spell check is not perfect!)

Abide by the CCN academic integrity policy –use the Turnitin Draft Submission link found in the Introduction & Resources Module to ensure that your similarity index is less than 24%, if not, revise and resubmit prior to the deadline. Please review the documents related to TurnItIn in Course Resources. Genetic Family History – evidence-based teaching plan.

NUR 3516 Week 1 discussion

DQ1

How is stress different than a crisis? What makes a person

“crisis-prone”?

How did the introduction of psychotropic medication and the

deinstitutionalization of the mentally ill influence current crisis

intervention and the provision of mental health services?

DQ2

When MUST a counselor, nurse, or other health care provider

(HCP) breech confidentiality? When MAY a counselor, nurse, or HCP breech

confidentiality? Give an example -maybe even one where you were directly

involved. (Do not use real names or breech confidentiality.)

Explain the assigned readings from the ANA Scope and

Standards, ANA Social Policy Statement, and ANA Code of Ethics state in

relation to confidentiality

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Week 2 discussion

DQ1

Read the case study on page 862 in Clark 6th edition*

entitled Caring for a Client with Depression. Consider you are the nurse caring

for Donna. Describe the type of crisis or crises Donna is experiencing. How

might you assess her risk for suicide or harm to others such as her baby? What

interventions might you implement in Donna’s plan of care? Who else might need

to be involved in Donna’s care? Provide rationales for all responses. NUR 3516.

*If you have Clark 5th edition, the case study is on page

926.

DQ2

Describe the 4 stages for successful mourning.

What are some special needs of a parent who has lost a child

to death?

Relate the assigned readings from the ANA Scope and

Standards, and the ANA Code of Ethics to the needs of the parent and stages of

mourning.

Week 3 discussion

DQ1

What is a need of most adolescents that often is thwarted

and leads to acting out through self-destructive behaviors?

Discuss a developmental crisis or special situational crises

of adolescence and possible intervention strategies to deal with it.

DQ2

Nurses assess patients’ use of alcohol and drugs upon

admission. Many times those under the influence present to emergency rooms for

medical crisis situations. Explain how you would go about assessing for

substance abuse and crises. What type of interventions might be appropriate for

alcoholics or substance abusers? Describe 5 defense mechanisms that are often

utilized by enablers and co-dependents.

Week 4 discussion

DQ1

Tessa was ready to deploy with her unit, until her doctor

told her she’d have to stay behind. Returning to her previous life turned out

to be more difficult than she planned. Hear how Tessa was able to find

solutions—for herself and for her family.

From a self-described “happy kid” to a determined

Marine – Bryan returned home thinking he’d forever lost the ability to feel.

Hear him tell how he overcame IEDs, posttraumatic stress, and the unique

challenges of a long-distance romance. Bryan got his life on a better track

with help from VA.

After you view the videos discuss why it’s important to have

innovative approaches to preparing nurses to care for service members and

veterans. Discuss what resources are available to veterans in your community.

(View all the videos located under week 4 Video Animations).

DQ2

Describe the phases of community disaster as discussed in

Kanel pages 158-159. How do these compare to the Stages of Disaster Response as

described in Clark Chapter 25 pages 703-706? What interventions would be

appropriate for nurses to assist people involved in a natural disaster? Choose

and explain two of the assessment considerations from Clark Chapter 25 and why

it is important for nurses to be aware of.

Week 2

Handout Assignment

NUR3516 Handout Assignment Guideline

DUE DATE: Sunday of Week 2

Summary: Patient handouts have been used by nurses for many

years as a teaching tool. A good patient handout can be an effective teaching

strategy for additional patient education. For this assignment, you will create

a two-page only patient handout or brochure outlining specific criteria and

based on your readings and literature searches.

http://www.advancecustomcommunications.com/education/

Who

you will What you

will write about How

you will write How

you will evaluate and

write

for support

Primary Topic: Crisis Intervention Format:

Create your Write in

your own words by

Audience:

The Education assignment in a paraphrasing content from other

primary

audience Microsoft

Word sources and cite

according to

is the

general For this

assignment, you will document.

There are APA

standards. Citations can be

population

of create a two-page

only patient templates

you can use in a smaller

font following any

patients

in your handout or

brochure. Consider within

Microsoft paraphrased

content.

community. the use of variety,

balance, text Word if you

wish.

and

images placed Save

it in a location It

is important to present your

Tone:

This asymmetrically

and with on

your computer and ideas

about the subject matter

assignment

is to simplicity. with a name that through your

reflection and

be

written in follows

this analysis.

Present the information

third

person as it You

will address all of the format:

Last name, to

your audience in terms they

reflects

your following criteria on your First name, can understand. Write as if you

professional handout/brochure: NUR3516, Crisis are telling the information to

the

insight

and • Discuss the definition of a Brochure. person who is

reading the

research

findings. “crisis” Organization: Your brochure.

• Describe how a crisis can

be

both an opportunity handout/brochure References: Include a

minimum

Secondary and a

danger should have a

balance of three (3)

references; one (1)

Audience:

As • Analyze how someone of informational being a nursing

journal article

your

instructor, I becomes

“crisis prone” content

and images. (no more

than 5 years old). Use

will

read and • Provide suggestions for Images should not proper

APA paraphrasing, in-

evaluate

how assistance constitute large text citations, and

corresponding

effectively

you portions

of your reference

for all sources.

have

addressed Consider your

audience, handout/brochure.

your

primary There

should not be References

should be found

varying

cultures, and literacy

audience. large

amounts of somewhere

on the two pages.

levels

as you create your

white

space nor DO NOT move to a

third page.

brochure.

The elderly may not

should

there be so Your

references can be in a text

be

able to read typeface that is

many

things on it that box

with smaller font.

too

small. Too large typeface

it

is confusing to the

will

not allow you enough room

eye. Additional sources can be

from

for

all the content you need.

the

ANA Essential texts or the

Same

for too many or too large

Length:

Two pages, course

textbook. Professional

images.

Images should relate

front

and back only websites

can be included, but

explicitly

to the content near it

for

a handout. A must

be in proper APA format.

and

help make you point or

brochure

template The use

of web sites such as

gain

attention to your content.

will

only be two Wikipedia or a non-discipline

pages

and can be a supportive website

are not

trifold

type brochure. allowed.

Submission:

Submit *Please use the Keiser

University

your

handout or Online Library

for professional

brochure

to the week nursing journal articles.

Sites such

2

Assignment area. as the OJIN

Online Journal of

Issues

in Nursing are also

SafeAssign:

N/A acceptable.

Title:

Crisis Intervention Patient Education Due

Date: Sunday of Week 2

Audience:

General Patient Population

Tone:

Third Person

Format:

APA Microsoft Word Handout or Brochure

Length: Two (2) pages ONLY

References: Minimum three (3) scholarly sources; One (1)

being a current, nursing journal article

Assignment Rubric:

Criteria Allowed Points Comments

Points earned

Two-page ONLY handout/brochure 5

SEQUENCING 25

Covers all information completely.

Good sequencing of material with

clear and concise content reflecting

education of the general population.

APPLICATION: 25

Demonstrates synthesis, analysis, and

evaluation of topic. Presented

succinct and relevant information in

consideration of a diverse population.

VISUAL APPEAL 15

Handout/Brochure demonstrates

good visual appeal. Graphics are

appropriate for space and relate well

to message. Font is appropriate for

population.

REFERENCES: 20

Minimum of 3 references (1 reference

from a nursing peer reviewed journal

within the last 5 years) included on

the two pages and in

APA

format and style.

GRAMMAR: 5

No spelling errors. Excellent

grammar/spelling/punctuation.

Proper APA Format, Citations, and 5

References

Total points 100

To ensure that you get the most benefit from your BSN

education and meet learning/program outcomes, this assignment is NOT optional.

All students must complete the assignment in order to pass the course. Failure

to submit the assignment will result in an F in the course regardless of the

numeric grade without the assignment.

Week 4

assignment

NUR3516 Self Care Assignment Guideline

DUE DATE: Saturday of Week 4

Summary: Your assignment is to write an APA formatted

reflection paper based on taking one hour a week to do something for yourself,

reflecting on the experience, and answering some final questions. You will also

present findings from a scholarly, nursing journal article.

“ANA defines a healthy nurse as one who actively focuses on

creating and maintaining a balance and synergy of physical, intellectual,

emotional, social, spiritual, personal and professional wellbeing. A healthy

nurse lives life to the fullest capacity, across the wellness/illness

continuum, as they become stronger role models, advocates, and educators,

personally, for their families, their communities and work environments, and

ultimately for their patients.” (American Nurses Association [ANA], 2017)

Explore the Healthy Nurse Healthy Nation website and take

the challenge! NUR 3516.

http://nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Nurse

Who

you will What you

will write about How you will

write How you will

write

for evaluate

and

support

Primary Topic: Self Care Reflection and Format: Your paper Write in your own

Audience:

The Personal crisis

prevention will be written in

APA words and paraphrase

primary

audience /intervention 6th edition format content from other

is the

general including

a Title and sources and cite

nursing Each week, you ARE REQUIRED to Reference page. No according to APA

community take ONE HOUR and do

something that abstract is needed. standards, as

including

your YOU ENJOY, just for

yourself! No kids applicable.

It is

peers

and nursing or

family/friends allowed! It is time just Write

your paper in a important to present

leaders. for you to relax and reflect. It

can be Microsoft Word your ideas about the

anything that

helps you regroup and put document.

Save it in a subject matter through

Tone:

This balance

back in your life like horse- location

on your your reflection and

assignment

is to be backing

riding, swimming, yoga, computer and with

a analysis. Present a

written

in first reading

(something other than a name

that follows this paraphrased summary

person

as it textbook),

and going to the park or a format:

Last name, of the article you

reflects

your own spa.

It must NOT be anything related to First

name, NUR3516, present from the

personal

beliefs school coursework

or your job. You will Reflection Paper. literature to support or

and

values. then

journal each week about the argue

your ideas.

NUR 3516 However,

you will experience

(reflection) and how it Organization:

also

correlate the relates

to what you are learning about Include a

brief References: Include

values,

beliefs, and stress,

crisis, coping skills, self-care, and introduction

and one (1) nursing journal

ethical

standards supporting

a “Healthy Nurse, Healthy conclusion

to your article summary. Use

Nation™”. paper. Each journal proper APA

of the nursing

profession. Within

your reflection paper, you will

address

all of the following questions

using

APA level 1 headings:

Secondary

Audience: As 1. Present the activity you

your instructor, I selected

each week, why you

will read and chose

it, and how it made you

evaluate how feel.

effectively you 2. Reflect on how you handle

have addressed daily

stresses, the resources

your primary (material,

personal, and social)

audience. you

use to cope, and how your

perception

of events affects

how you

cope.

3. How might this activity prevent

burn-out

in your daily

professional

nursing practice?

4. What changes have you made

in your

life that support a

Healthy

Nurse, Healthy

Nation™”

lifestyle?

5. How does the crisis

intervention

course better

prepare

you to assist those in

crisis?

Include

a summary of one nursing

journal

article on self-care or burn-out

and how

you benefited by reading it.

You may

use the Keiser University

Online

Library or a nursing related

professional

website to obtain your

article.

The

goal of this assignment is to assist

you to

reflect and understand the

importance

of caring for yourself as a

first

line to caring for others and to

incorporate

self-care activities into your

daily

lives.

entry (4) must be a minimum of 250 words. Use of Level One

APA Headings are required.

Length: A minimum of three (3) full double-spaced pages are

required excluding the title and reference page.

Submission: Submit as one completed paper in one Word

document to the week 4 Assignment area.

SafeAssign: Your paper will automatically be submitted

through SafeAssign, a plagiarism software program

Please review the SafeAssign information under the Student

Resources Tab, Writing and Library link within the course.

paraphrasing, in-text citations, and corresponding reference

for all sources (if additional sources are used).

Additional sources can be from the ANA Essential texts or

the course textbook. Professional websites can be included, but must be in

proper APA format. NUR 3516. The use of web sites such as Wikipedia or a non-discipline

supportive website are not allowed.

*Please use the Keiser University Online Library for

professional nursing journal articles. Sites such as the OJIN Online Journal of

Issues in Nursing are also acceptable.

Title: Self Care Personal Crisis Prevention/Intervention Due Date: Saturday of Week 4

Audience: General Nursing Community

Tone: First Person

Format: APA and Level 1 Headings

Length: Three (3) full double-spaced pages are required

excluding the title and reference page.

References: One summarized nursing journal article

Assignment Rubric:

Criteria Allowed Points Comments

Points earned

Submitted

reflections for each week 40

(4).

Each with a minimum of 250

words.

Demonstrates

synthesis, analysis, and 20

evaluation

of topics.

Brief

introduction and conclusion 10

included

Included

a summary of a nursing 20

journal

article related to topic with

reference.

Minimum

of three pages not 5

including

title and reference

page.

Grammar/Spelling/Punctuation

are .

Proper

APA Format, Citations, and 5

References

SafeAssign

Score <15% SafeAssign Score/Feedback: similarity with no plagiarism Total points 100 To ensure that you get the most benefit from your BSN education and meet learning/program outcomes, this assignment is NOT optional. All students must complete the assignment in order to pass the course. Failure to submit the assignment will result in an F in the course regardless of the numeric grade without the assignment. Week 1 quiz Question 1 Crisis intervention has its beginnings during the time of Freud. Answers: True False Question 2 Suicide prevention and community mental health services became widespread in the Answers: 1800’s. 1960’s. 1980’s. 1990’s. Question 3 The role of nurses in the Gay, Lesbian, Bisexual, and Transgender (GLBT) community is to: Answers: Provide access to public health care Allow free expression of sexuality in the community Provide direct care and advocate for healthcare services Establish their basic human needs in society Question 4 Countertransference refers to the unresolved feelings that the client feels toward the counselor. Answers: True False Question 5 Battered woman syndrome is a form post traumatic stress disorder (PTSD). Answers: True False Question 6 Which of the following options is not a characteristic of effective coping behavior as presented by Caplan? Answers: Actively exploring reality issues. Trusting in oneself. Freely expressing feelings. Handling it alone. Question 7 All of the following are characteristics of a batterer except Answers: jealousy. controlling. crying. criticizing. Question 8 Community mental health centers have just about dissolved the crisis intervention model. Answers: True False Question 9 The term sexual orientation is more closely defined by: Answers: Attraction Culture Heterosexuality Sexual Behavior Question 10 The use of the paraprofessional in providing crisis intervention Answers: has always been considered appropriate. is accepted by all mental health professionals. is costly, therefore avoided. is controversial due to level of training. Question 11 Ego strength refers to Answers: how proud and self-centered the person is. the amount of energy available to overcome post-traumatic stress disorder. the ability to understand the world realistically and act upon it to get one’s needs met. what the crisis worker feels is the root of all problems. Question 12 Informed consent is when the client is told of his rights and the nature of therapy. Answers: True False Question 13 Crisis and stress mean exactly the same thing. Answers: True False Question 14 It is possible to grow after effective resolution of a crisis. Answers: True False Question 15 A healthy way to manage the stress that emergency workers often experience on the job is to Answers: keep quiet and focus on their work. drink a glass of wine after work. talk with co-workers about their feelings. Talk with their patients about their concerns. Question 16 The ANA Nursing Social Policy Statement is a document about the relationship between individual nurses and society. Answers: True False Question 17 Duty to Warn refers to disclosure of a client’s intention to harm another. Answers: True False Question 18 The process of critical Incident debriefing Answers: is similar to crisis intervention. is a specialized approach to dealing with schizophrenia. is the oldest form of crisis intervention. none of the above. Question 19 The outcome of a person’s crisis is determined by his/her Answers: material resources. personal resources. social resources. all of the above. Question 20 A crisis can be an opportunity because Answers: the person can grow from the challenge of dealing with the precipitating event. the person can seek financial opportunity by winning malpractice lawsuits or workman’s compensation. the person may learn to use ego defense mechanism. none of the above. Question 21 Crisis intervention is popular with HMO’s and managed care. Answers: True False Question 22 The original population with which Lindemann developed his crisis intervention model was WWII veterans. True False Question 23 A crisis worker must break confidentiality in cases of. Answers: elder abuse. child abuse. intent to murder someone. all of the above. Question 24 Confidentiality and privacy are major patient rights that nurses have an ethical and legal responsibility to protect. Answers: True False Question 25 Most crises lead to psychosis. Answers: True False Week 2 quiz Question 1 Parents who lose a child to death often benefit from support groups. Answers: True False Question 2 What is the purpose of basic attending skills? Answers: To find the precipitating event. To develop rapport with the client. To provide coping skills. To practice effective communication. Question 3 Which of the following is an example of a support or validation statement? Answers: “More than 30% of woman live in abusive households.“ “You have the choices now that you didn’t have before. Let’s explore them.“ “Your feelings are normal and other people would feel the same in your situation.“ “When life gives you lemons, make lemonade!” Question 4 NUR 3516 Suicidal people rarely leave hints that they are thinking of suicide. Answers: True False Question 5 Death of a loved one is much worse than divorce. Answers: True False Question 6 A community health nurse has made available a list of trained volunteers to assist families with members who have chronic mental health problems, including dementia and Alzheimer’s disease. These volunteers are available to provide primary caregivers opportunities for respite services. This is an example of what level of care for chronic mental illness? Answers: Maintenance Secondary Prevention Treatment Question 7 The ANA Code of Ethics for Nurses states that a nurse: Answers: is responsible for advancing the paraprofessionals. is not responsible for health needs and concerns. should advocate to protect the health, safety and rights of all patients. should not promote intraprofessional integrity. Question 8 About what percentage of marriages end in divorce? Answers: 25% 50% 75% 90% Question 9 Suicide is always an insane act. Answers: True False Question 10 People who are divorcing are at risk for increased alcohol use. Answers: True False Question 11 Reflection of feelings is contraindicated for clients in crisis due to the risk for suicide. Answers: True False Question 12 According to the ANA Code of Ethics for Nurses, nurses must respect the worth, dignity and rights of all human beings unless the nature of the health problem is against the beliefs of the nurse. Answers: True False Question 13 People who lose someone to death should never learn to adjust to life without them. Answers: True False Question 14 The most important part of the coping phase of crisis intervention is to Answers: make sure the client reads self-help books. help the client develop new coping ideas. give the client solid financial advice. determine the level of subjective distress. Question 15 The ANA Scope and Standards of Practice (2nd edition) states that a nurse Answers: promotes informed decision-making when ordered by a physician. maintains professional role boundaries while engaging in a dual relationship. does not need to use the Code of Ethics for Nurses to guide practice. delivers care that protects patients autonomy, dignity, rights, values, and beliefs. NUR 3516. Question 16 A problem-focused coping strategy is best to help people with mental illness deal with their symptoms. Answers: True False Question 17 Hospitalizing a high risk client is avoided at all costs. Answers: True False Question 18 The ANA Code of Ethics for Nurses states the nurse supports the health, wellness, and decision-making of patients even if the patient choices are self destructive. Answers: True False Question 19 According to the ANA Code of Ethics for Nurses, each nurse has an obligation to be knowledgeable about the moral and legal rights of all patients to self-determination. Answers: True False Question 20 Which is considered the most effective way to invite a client to talk? Answers: Close ended questions Interpretations Open ended questions None of the above Question 21 A client who says “I’m going to kill myself and you can’t stop me” is probably in what category of suicide risk? Answers: No Risk Low Risk Middle Risk High Risk Question 22 Most people will experience grief in the same way. Answers: True False Question 23 People who are divorcing should be encouraged to tell their parents and in-laws the details of the break-up. Answers: True False Question 24 People with a mental disorder such as schizophrenia are at an increased risk for suicide. Answers: True False Question 25 Which is an example of a 12-step group that can be suggested as an alternative coping behavior? Answers: Cocaine Anonymous Scared Straight Phoenix House All of the above Week 3 quiz Question 1 While interviewing the spouse of a client who is being treated for substance abuse, the population health nurse suspects codependence exists between the client and the spouse. What characteristic of codependence did the nurse assess? Answers: Evidence of high self-esteem. The ability to freely express feelings. Control of others. The ability to stand up for one’s own desires. Question 2 Which statement is true about teen pregnancy? Answers: Teen birth rates are decreasing yearly. Teen pregnancy does not present a crisis situation. It is rare and not a major problem in the U. S. The majority of teen pregnancies end in abortion. Question 3 Which of the following is the fastest growing drug problem and accounts for the second most commonly abused category of drugs? Answers: Alcohol Marijuana Prescription drugs Illicit drugs Question 4 In dealing with developmental or evolutional crises, which approach would yield the best results? Answers: Psychoanalysis Darwinism Theory Family Systems Theory Humanistic Approach Question 5 During middle childhood, the major role changes going on for the child deal with Answers: bonding. stagnation. success and failures. all of the above. Question 6 The main goal of crisis intervention for victims of sexual assault is to Answers: confront the abuse head on and aggressively. allow them to experience the associated depression and guilt. move them from victim role to survivor role. simply be there as a supportive role model. Question 7 What types of crises usually bring in a drug addict or alcoholic? Question 8 Cyberbullying reflects abuse that is committed through texting or social media sites. Answers: True False Question 9 Women in the military may be at risk of being raped because they make poor decisions in social and training activitites. Answers: True False Question 10 A geriatric nurse specialist has been visiting a senior community center and would like to screen the senior clients who visit for substance abuse. The nurse realizes this is an important intervention in the care of the elderly client because Answers: there are several community resources available for elderly client use. while prevalence of abuse is low in this population, consequences are more severe. physicians prefer others address this concern. substance abuse is a huge problem in this age group. Question 11 Define Situational Crisis and give an example. Question 12 The empty nest syndrome is part of the crisis of which stage? Answers: Infancy Middle adult Childhood Maturity Question 13 Many elderly struggle with issues of Answers: integrity vs. despair. intimacy vs. isolation. generativity vs. stagnation. none of the above. Question 14 Engagement is the term used to describe situations when everyone in the family are overly involved in each other’s lives. Answers: True False Question 15 The ANA Code of Ethics for Nurses states the needs for health care does not justify unwanted intrusion into the patient’s life. Answers: True False Question 16 The ABC Model of Crisis Intervention is not applicable to victims of rape. Answers: True False Question 17 An eating disorder in which a teenage girl starves herself and refuses to maintain adequate nutrition is called Answers: bulimia nervosa. anorexia nervosa. food abstinence syndrome. none of the above. Question 18 High school students should be educated on date rape because it is highest in the 16-19-year-old age group. Answers: True False Question 19 When working with a bully and their parents, it is important to Answers: evaluate the family dynamics. help the bully understand it is not their fault. bring the victim to the meetings for an apology. encourage empowerment. Question 20 During which stage or stages of development might a crisis worker teach parents how to deal with power struggles? Answers: Toddlerhood Adolescence Maturity Toddlerhood and adolescence Question 21 One competency of the ANA Scope and Standards of Practice is that the RN employs strategies to promote a healthy lifestyle and preventative self-care for patients. Answers: True False Question 22 A major task in the development of family subsystems is Answers: establishing new roles. strongly maintaining set boundaries. helping family members maintain homeostasis by counteracting changes. All of the above. Question 23 A major emotional cause of teen runaways is Answers: to live with supportive friends who don’t bully. due to feelings of abandonment by parents. due to the glamour of living on the streets. All of the above. Question 24 Which drug is usually injected and highly addictive? Heroin Answers: LSD Heroin Marijuana All of the above Question 25 Define “Crises of old age” and provide an example. Week 4 final quiz Question 1 A person in crisis may be in danger of Answers: becoming psychotic. attempting suicide. coming through the crisis at a lower level of functioning. all of the above. Question 2 The ANA Scope and Standards of Practice states a nurse is not required to provide healthcare consumers with information about intended effects and potential adverse effects of proposed therapies. Answers: True False Question 3 Mr and Mrs. Collins’ children have all moved out and the couple is feeling disconnected and depressed. This is an example of a crisis in which stage of development according to Erikson? Answers: Trust versus Mistrust Generativity versus Stagnation Intimacy versus Isolation Ego Intergrity versus Despair Question 4 Death of a loved one is much worse than a divorce. Answers: True False Question 5 Enmeshment is typical of Mexican-American families. Answers: True False Question 6 A client who says “I’m going to kill myself and you can’t stop me” is probably Answers: high suicide risk. middle suicide risk. low suicide risk. not a suicide risk. Question 7 Paraphrasing is Answers: a way to help clients feel their emotions. a clarifying technique. is a way to give advice. all of the above. Question 8 Briefly describe a crisis (situational, developmental, or evolutional) in which you observed as a nurse and how you were able to cope or how you helped the person in crisis to cope. This can be a hypothetical situation. Question 9 Typical warning signs of suicide include all of the following except Answers: giving things away. putting things in order. continuing usual activities. increased drug use. Question 10 Who may waive privileged communication by signing a waiver for purposes of continuity of care? Answers: The therapist The client The courts The patients family Question 11 Crisis intervention is popular with HMO’s and managed care. Answers: True False Question 12 The overall goal when intervening with someone going through a divorce is Answers: to help the client grieve. to ensure the better spouse gets the best deal. to ensure that in-laws are well aware of the details of the divorce. to help them get their finances in order. Question 13 Children whose parents go through divorce may suffer from Answers: loyalty issues. blended family issues. depression. all of the above. Question 14 The majority of rape victims do not know who their assailant is. Answers: True False Question 15 The ANA Code of Ethics for Nurses states that the nurse owes the same duty to self as others. Answers: True False Question 16 Dual relationship is legal if the patient is legally insane. Answers: True False Question 17 People who are divorcing can avoid a crisis when they have resources in place to support them. Answers: True False Question 18 The ANA Scope and Standards of Practice states that a nurse commits to lifelong learning to strengthen their individual practice within varied settings. Answers: True False Question 19 What is the biggest difference between Post-Traumatic Stress Disorder (PTSD) and Acute Stress Disorder (ASD)? Selected Answer: Answers: The seriousness of the trauma levels of anxiety Duration of time None of above Question 20 Crisis and stress differ in their meaning. Answers: True False Question 21 The most important part of the coping phase of crisis intervention is to Answers: reads books as a coping mechanism. develop new coping ideas. educate and give solid advice. understand the perception of the event. Question 22 The use of the paraprofessional in providing crisis intervention Answers: has always been considered inappropriate. is accepted by all mental health professionals. is costly, therefore avoided. none of the above. Question 23 What types of crises usually bring in a drug addict or alcoholic? Question 24 The ANA Code of Ethics for Nurses states the nurse provides nursing services according to need while respecting the rights and dignity of all patients. Answers: True False Question 25 Paraprofessionals are not qualified to conduct crisis intervention sessions. Answers: True False Question 26 What might be a sign that a caretaker of someone with Alzheimer’s disease may need intervention? Answers: They are socializing too much. Their own health problems are exacerbated. They are sleeping 6-8 hours a night. all of the above. Question 27 The Battering Cycle – match the stage to the definition Question Match Selected Match Love and dependency are key characteristics. Honeymoon Stage All Answer Choices A. Tension-Building Stage B. Return to Honeymoon Stage C. Honeymoon Stage D. Explosion Stage Question 28 Post-Traumatic Stress Disorder (PTSD) was first recognized as a medical condition after which military event? Answers: Vietnam War World War II Persian Gulf War Veteran’s Day Question 29 The purpose of the American with Disabilities Act (ADA) of 1990 was to Answers: broadly challenge discrimination against disabled people. provide funding for retirement homes. provide testing for Alzheimer’s disease. prevent discrimination against other races. Question 30 The Department of Social Services primary role in regards to veterans is to Answers: ensure they use services entitled to them. provide direct primary health care services. maintian mental health counseling appointments. None of the above. Question 31 The ANA Code of Ethics for Nurses states the standard of nursing practice and the nurse’s responsibility to provide quality care require that relevant data not be shared with those members of the healthcare team who have a need to know. Answers: True False Question 32 Critical incident debriefing includes Answers: support and assurance. encouraging functioning. empathy and information. all of the above. Question 33 It is best not to encourage a client to speak about a loved one’s death. Answers: True False Question 34 A major task in the development of family subsystems is Answers: establishing new roles. strongly maintaining set boundaries. Helping family members maintain homeostasis by counteracting changes. All of the above Question 35 Which is probably the most important development in intervening with the disabled? Answers: Psychoanalysis Eye-Movement Desensitization and Reprocessing (EMDR) Case management Person centered therapy Question 36 All of the following signs or behaviors indicate probable child abuse except: Answers: Genital bruises The absence of a hymen Venereal disease Child report of abuse Question 37 During which stage of development might a crisis worker teach parents how to deal with power struggles? Answers: Toddlerhood Adolescence Maturity Toddlerhood and adolescence Question 38 Which statement is most true regarding Rape Trauma Syndrome (RTS)? Answers: RTS has four distinct stages. Victims self-esteem is increased in the reorganization stage. Counselors can have the biggest impact in the first stage. RTS is not a form of PTSD Question 39 Parents who lose a child to death often prefer support groups. Answers: True False Question 40 A nurse is assessing a patient who appears euphoric, is slow to answer questions, has bloodshot eyes, and asks if “there is anything to munch on around here”. The patient is most likely under the influence of Answers: LSD. marijuana. heroin. alcohol. Question 41 Duty to Warn refers to disclosure of a client’s intention to harm another. Answers: True False Question 42 A crisis can be an opportunity because Answers: the person can grow from the challenge of dealing with the precipitating event. the person can seek financial opportunity by winning malpractice lawsuits or workman’s compensation. the person may learn to use ego defense mechanism. None of the above. Question 43 A person who is considering suicide will typically hold onto possessions dear to them. Answers: True False Question 44 In which stage of cultural sensitivity does the therapist consider culture as distracting from clinical effectiveness? Answers: Unawareness of cultural issues Heightened awareness of culture Burden of considering culture Toward cultural sensitivity Question 45 Shame and obligation issues are of utmost importance when dealing with Mexican-Americans. Answers: True False Question 46 The best technique for a counselor to use when working with a battering parent is Answers: educating. reframing. empowering. validation. Question 47 Ego strength refers to one’s capacity to deal with the demands of reality. Answers: True False Question 48 A patient tells a nurse that he was a member of OIF. The nurse knows that the patient served in the military operation known as Answers: Operation Intelligence Forensics. Operation Iraqi Freedom. Operation Iraqi Fighters. Operation Intelligence Finder. Question 49 A young soldier returning home from duty in a war zone tells the nurse at the state-side army base that sometimes he felt the media was a bigger enemy than the terrorists he was fighting. The nurse, understanding the considerations to assess in this situation, believes this soldier is reacting to: Answers: Behavioral factors. Physical environmental factors. Psychological factors. Sociocultural factors. Question 50 Crisis intervention has its beginnings during the time of the Wellesley project. Answers: True False