Tag: Nursing

Paragraph One: Briefly describe the type(s) of nursing health assessments you commonly perform.Explain how your nursing health assessments are focused or comprehensive.
Provide examples of key subjective and objective data collected by nurses in this setting.

Paragraph Two: Describe the typical patient population in your practice setting.What are some special considerations that you have used for obtaining an accurate health history and physical assessment in this patient population?Examples may include age, lifestyle, financial status, health status, culture, religion, or spiritual practices.
(FYI I WORK AT TCU AS A NURSE MANAGER. THANK YOU)

Select one verbal component of therapeutic communication. Discuss the importance of the component in relation to the overall goal of a therapeutic alliance.
Select one nonverbal component of therapeutic communication. Discuss the importance of the component in relation to the overall goal of a therapeutic alliance.
Discuss one pitfall to avoid when establishing a therapeutic alliance. Identify strategies the PMHNP can use to avoid this pitfall.

Step 2: Each student will create a focused SOAP note PowerPoint presentation. SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The comprehensive psychiatric SOAP note is to be written using the attached template below. Graduate Psychiatric SOAP NOTE TEMPLATE (1) (3)-1.docx
S =
Subjective data: Patient’s Chief Complaint (CC); History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem (OLDCARTS or PQRST); Review of Systems (ROS)
O =
Objective data: Medications; Allergies; Past medical history; Family psychiatric history; Past surgical history; Psychiatric history, Social history; Labs and screening tools; Vital signs; Physical exam, (Focused), and Mental Status Exam
A =
Assessment: Primary Diagnosis and two differential diagnoses including ICD-10 and DSM5 codes
P =
Plan: Pharmacologic and Non-pharmacologic treatment plan; diagnostic testing/screening tools, patient/family teaching, referral, and follow up
Other: Incorporate current clinical guidelines NIH Clinical Guidelines
Links to an external site.or APA Clinical GuidelinesLinks to an external site., research articles, and the role of the PMHNP in your presentation.
Psychiatric Assessment of Infants and ToddlersLinks to an external site.
Psychiatric Assessment of Children and AdolescentsLinks to an external site.
Reminder: It is important that you complete this assessment using your critical thinking skills. You are expected to synthesis your clinical assessment, formulate a psychiatric diagnosis, and develop a treatment plan independently. It is not acceptable to document “my preceptor made this diagnosis.” An example of the appropriate descriptors of the clinical evaluation is listed below. It is not acceptable to document “within normal limits.”
Graduate Mental Status Exam GuideDownload Graduate Mental Status Exam Guide

Externalizing Disorders
Reflect on your experience interviewing a toddler, school-aged child, or adolescent with attention deficit hyperactivity disorder

Describe the clinical situation in detail. (Who was it, when did it happen, what happened, what caused it to happen, where did it happen, how did it happen). What feelings, prejudices, and biases did you experience during your clinical experience?
How did you manage your anxieties, feelings, prejudices, and biases?
What assumptions did you make about people with mental illness?
What awareness did you develop during your clinical experience?
Describe how you changed because of your clinical experience?
Describe how this clinical situation will impact your advanced nursing practice?
should be more than 500 words

Find a scholarly article about Postpartum Depression or Psychosis.
Provide a summary of your scholarly article and state how nurses are able to use the information in your selected article to identify and care for women and their families who are affected by this condition.
INSTRUCTIONS:
-must be written in Microsoft Words
-must have a cover sheet and a reference sheet
-must have in-paper citations
-be no fewer than one and no more than two pages in length
-be written in a scholarly APA format, double space, 12 font, and New Times Roman throughout the entire paper, including front and reference pages
-be without spelling and or grammatical errors
-references must be scholarly (no online/web references please)and be no older than ten years

Only each points question below you need to write 6 points learning
A. ET suctioning – hypoxemia management:
B. Nasogastric Intubation: Troubleshooting NGT not working:
C. Planning Care for a Child Who Has Diabetic Ketoacidosis:
D. Signs oxygenation status improving:
E. Anticipating Provider Prescriptions for a Client Who Has Type I Diabetes Mellitus

Tips – Completing a Case Study Assignment – Advanced Pathophysiology
Start by reading the Case Study Assignment posted in the Module for the week the assignment is due. You can also access the Case Study Assignment in the Assignments tab.

Read the Instructions carefully. The instructions have specific information about how to submit (word document) as well as format (bullet points for responses vs complete sentences).
Go to the Assignments folder and look at the Grading Criteria/Rubric for the assignment. There’s a lot of detail in the Grading Criteria – and will provide additional guidance as you complete your assignment responses. For example, in the APA section, you will see added info re: citation/references you may use (no direct quotes, may not cite lecture notes, references should be within 6 years)

Complete the Case Study questions.
Submit your final assignment in the submission folder as noted in the Instructions.
Be sure to include a title page for the assignment.
Submit it as a word document.
BE SURE to upload the correct document (e.g. don’t submit a draft as your final document. Label your documents clearly as you work so that you avoid an upload error).

Common errors
Missing the due date. Please note that the assignment is due at noon on the due date.
Incorrect citation format. The one I see the most is incorrectly citing (and referencing) a chapter from an edited text. Your course text is an edited text with individual chapter authors. Cite (and reference) the chapter author(s). See APA Manual 10.3 – Edited Book Chapters and Entries in Reference Works.
Grammar – be sure subjects and verbs agree (singular and plural). If you are unsure, have another individual read the sentence out loud, that helps pick up errors.
Typos – proof your submission. Spell check doesn’t pick up everything.
Lack of explanation in Question #5– be sure to go beyond the basic and explain the how and why of the patho.
This is a scholarly writing assignment. The intended audience = other health care professionals, not patients or family members.

Responses should be respectful, and also have some substance to them (minimum of 150 words) for each one.
1-
Someone who believes that a cross-sectional design may work best to interpret the perception of pain severity and quality of life in cancer patients would mostly design their research based off of one point in time. This data is collected on only one occasion with the same subjects rather than the same subjects at several different time points. I feel that this type of study would work well if focusing on the pain severity of comparing medications to another, but in this case I feel that the pain severity and quality of life would need to be measured at different points of the day and throughout their cancer treatment. Focusing on only one set of data at a specific time only allows for so much information which wouldn’t be enough to interpret the pain severity and quality of life per each patient. I also think that the cross-sectional study would be narrowed to data and doesn’t include enough cancer patients to fully grasp the answers to the research question.
A quasi-expiremental design would work well based on what data is being needed for the research question. Because the question is focusing on the pain severity and quality of life, this design allows for several different hypothesis to be utilized. This would allow for the max amount of data to be researched and applied to the question. Although each group has great reasoning for their choice in an experimental design, its important to know what type of research is being needed and how they are going to go about grabbing this set of data in each study. I believe that it is very important to have a set of members reviewing and being part of the study because it offers multiple different perspectives of what is going good in the study or what should be improved. Without the several perspectives from team members, there can be a lack of information or several errors that go unnoticed if performed by one person.
2-
A cross sectional case study examines the data one time and on one occasion with the same subjects. This type of case study looks at the relationships and differences of the design. A cross sectional case study can have multiple hypothesis, however, all of their variables will be related to the outcome. This study would be tested one time with one specific group. With this study, I feel like you would get the outcome of this study and just go based off of that data and nothing else. Yes, this could be helpful for this specific situation but not all patients have the same pain tolerance or quality of life, so I feel like this study would have to be done multiple times with different groups.
A quasi experimental design is to look for a cause and effect of a relationship. The groups of this design are not randomly picked. If the interprofessional team was using the quasi experimental design, the groups would be pulled by selecting a group of advanced cancer patients, because that is who we are dealing with. This group would not be picked randomly, the participants would be selected, to test the hypothesis. I feel like this group has more to come out of this study because this study can be tested again and again with different groups of cancer patients to test their pain severity and quality of life. This will give a broad outcome of different groups.
It will be important to have an interprofessional team to review and be apart of the study for different perspectives. I think it would be very beneficial to have people go back and forth on their ideas and opinions. Being able to hear what others have to say about the studies, whether which would be beneficial or not, would be a good step in the right direction on getting the most accurate answers.

done
Seen

Oct 28th, 2022

To Prepare:
Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
Select a healthcare program within your practice and consider the design and implementation of this program.
Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.
The Assignment: (2–4 pages)
In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:
Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
Who is your target population?
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

MY PRACTICE IS NURSE PRACTITIONER

done
Seen

Oct 24th, 2022

Freud viewed dreams as the “royal road to the unconscious.”
Discuss a memorable dream from your childhood. Provide as much detail about the dream as possible.
Interpret the dream of two peers using the psychodynamic dream of Freud or Jung
Submission Instructions:
Your initial post should be at least 700 words, formatted, and cited in current APA style with support from at least 2 academic sources.