Discussion board

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Need help and ideas to write a discussion board.

Weekly Clinical Experience 4

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Describe the Electronical Medical Record system that is used on your clinical practice site.  

  1. What are the Pros and cons you have found.
  2. Is E-prescription incorporated on the EMH?
  3. Does it have adaptive learning?
  4. Does it have Incorporated patient doorway?
  5. Is there Flexibility with the absence of internet connectivity?
  6. Does it have effective documentation and Image management capability.

Support and share your personal experience so all of us can learn.

Submission Instructions:

  • Your initial response should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

Female Patient Cases 2

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O.R. is a 42-year-old female patient that was evaluated by you at the office today. After your evaluation you concluded that she has Toxic Shock Syndrome. 

  • Discuss and described the pathophysiology and symptomology/clinical manifestations of TSS.
  • Discuss three differential diagnoses for AUB with ICD 10 numbers for each.
  • Discuss patient education.
  • Develop the management plan (pharmacological and nonpharmacological). 
     

Then, continue to discuss the 3 topics listed below for your case:

  1. An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.
  2. Name the different family developmental stages and give examples of each one.
  3. Describe family structure and function and the relationship with health care.

Submission Instructions:

  • initial response should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources published within the last five years.

Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals

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The purpose of this response is to better understand gynecological health care for lesbian, bisexual and transgender individuals.

  • Define and describe for lesbian, bisexual and transgender individuals.
    • Gender and sexuality concepts.
    • Social and political context.
    • Social determinants of health affecting lesbian, bisexual and transgender individuals.
    • Barriers to health care.
    • Health care disparities.

Submission Instructions:

  • The response is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • The response is to be no shorter than 3-4 pages in length, excluding the title and references page.
  • Your response should be formatted per APA.
  • Your submission will be reviewed for plagiarism through Turnitin.
  • Incorporate current practice guidelines for diagnosis and treatment and a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).

SOAP Note 2

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A SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhance their clinical skills, and prepare them for their roles as competent healthcare providers.

Instructions:

SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.

For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:

S =Subjective data: Patient’s Chief Complaint (CC).

O =Objective data: Including client behavior, physical assessment, vital signs, and meds.

A =Assessment: Diagnosis of the patient’s condition. Include differential diagnosis.

P =Plan: Treatment, diagnostic testing, and follow up

Submission Instructions:

  • Your SOAP note should be clear and concise and students will lose points for improper grammar, punctuation, and misspellings.
  • You must use the template provided. Turnitin will recognize the template and not score against it.
  • Your submission will be reviewed for plagiarism through Turnitin.

week 5 re

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#1

 

Refer to the assigned readings and identify one nursing theory that might be a foundation for your nursing practice. Explain how theory can be used in research.

The nursing theory that I have chosen is by Ida Jean Orlando, the Nursing process theory. The Nursing Process Theory provides a structured approach to patient care by focusing on assessment, diagnosis, planning, implementation, and evaluation. It emphasizes the importance of understanding each patient’s unique perspective, encouraging nurses to validate their feelings with patients before making any decisions. I feel this reflects my nursing practice because in the NICU care plans are always changing daily based on the patient’s progression, setbacks, etc. and it is very important to speak and communicate with the patient’s parents. This ensures that care plans are tailored to individual needs, which helps in offering effective and compassionate care. Additionally, I feel this nursing theory reflects how nursing is flexible and adaptable. This adaptability makes the Nursing Process a solid foundation for high-quality nursing practice (Gonzalo, 2023).

Select one article from the assigned reading under Articles for Discussion and

  • State which article you have selected and discuss the
    ethical principle that was violated.

Article selected: Fake TV Game Show ‘Tortures’ Man, Shocks France

The major ethical principle that was violated in this experiment is Autonomy. The participants were not fully aware of the true nature of the experiment, as they were misled into believing it was a real game show where they had to deliver electric shocks to a man in an electric chair. This deception violated their right to make informed decisions about their participation. Additionally, the ongoing psychological harm caused to the contestants, who were coerced into continuing despite their distress, raises concerns about psychological harm and exploitation in the name of research or entertainment (Beardsley, 2010).

  • Explain the role of the nurse in protecting human
    research participants based on the identified ethical
    principle.

Nurses play a crucial role in protecting human research participants by ensuring that they fully understand the study and are giving informed consent. This means making sure participants know the risks, benefits, and their right to withdraw at any time without penalty. Nurses must also advocate for the well-being of participants, ensuring that they are not exposed to unnecessary harm or distress during the study. By upholding these ethical principles, nurses help maintain the integrity of the research process while safeguarding participants’ rights and safety.

Gonzalo, Angelo. “Ida Jean Orlando – Deliberative Nursing Process Theory.” Nurseslabs, 2023, nurseslabs.com/ida-jean-orlandos-deliberative-nursing-process-theory/.

Beardsley, Eleanor. “Fake TV Game Show “Tortures” Man, Shocks France.” NPR, NPR, 18 Mar. 2010, www.npr.org/2010/03/18/124838091/fake-tv-game-show-tortures-man-shocks-france. Accessed 5 Feb. 2025.

#2

 

.    Refer to the assigned readings and identify one nursing theory that might be a foundation for your nursing practice. Explain how this theory could be used in research.

    The theory that best describes the foundation of my nursing practice is the philosophy and theory of transpersonal caring by Jean Watson. This theory focuses on health promotion and caring(Micah et al., 2024). As ER nurses, many patients in these settings have complications that can be treated and prevented with better health promotion and education. As an ER nurse, I promote better health and education to educate my patients on the autonomy they need to be successful and to help them keep from repeat visits to the ER that will burden them further financially. This theory can be applied to research using  Jean Watson’s ten carative factors to help develop a research question on how nurses’ caring behaviors can affect patient outcomes. 
2.    Select one article from the assigned reading under Articles for Discussion and
o    State which article you have selected and discuss the ethical principle that was violated.
    I have selected example 18, questioning a physician’s order(Faubion, 2025). The ethical principle that would apply to this scenario is Nonmaleficence. Nonmaleficence is about providing safe care and harm reduction. In this scenario, the nurse was given a medication order that may cause harm to the patient due to a potential allergy(Faubion, 2025). The nurse must question this order as it may harm the patient. 
o    Explain the role of the nurse in protecting human research participants based on the identified ethical principle.
    The ethical principle identified is Nonmaleficence; as stated in Why Ethics in Nursing Matters & Examples of Ethical Situations, “Nonmaleficence in nursing requires safe, effective, high-quality care(Galen College of Nursing, 2024). Nonmaleficence focuses on harm prevention, patient safety, and a safe working environment, all of which are key principles in protecting human research participants by ensuring the research being conducted in a manner in which patient safety is a priority. 

Reference
Faubion, D. (2025). 20 common examples of ethical dilemmas in nursing + how to deal with them. 20 Most-Common Examples of Ethical Dilemmas in Nursing. https://www.nursingprocess.org/ethical-dilemma-in-nursing-examples.html 

Galen College of Nursing.2024. Why ethics in nursing matters & examples of ethical situations. https://classroom.galencollege.edu/courses/7097019/pages/unit-5-faculty-added-content-k-hostetter?module_item_id=118071860

Micah, A., Lita, Affedzie, E. O., Kel, Vera, M., Maame, Yaa, Marva, Roland, B., Johnson, E. J., Vachirawit, W., Ackah, V. A., Maganizo, Quin, C. E., Isik, Sherise, Frank, PAPO, G., M., … BSN, G. W. (2024, August 8). Nursing theories and theorists: The Definitive Guide for Nurses. Nurseslabs. https://nurseslabs.com/nursing-theories/#h-florence-nightingale 

OPIOIDSPP

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 Use of the current APA format for PowerPoint (PPT) presentations.  Provide a 10-12 PPT .  

Other: Incorporate current clinical guidelines NIH Clinical GuidelinesLinks to an external site. research articles, and the role of the PMHNP in your presentation.   

 

  • formatted, and cited in the current APA style, including citation of references.  
  • The presentation should consist of 10-15 slides   
  • Incorporate a minimum of four current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style, 7th Edition (the library has a concise copy of the APA Manual).  

WK 11 BLOG RESp

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case study

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Week 5 Discussion Board Prompts – Musculoskeletal 

  1. Susan is a 30-year-old registered nurse who works in transitional care. She presents to employee health stating, “My back is killing me. I was helping to transfer a patient and he moved. I thought he was going to fall, so I twisted around to grab onto him and wrenched my back. The pain is terrible, and I can barely walk.” Susan is a healthy young adult, married with a 5-year old. daughter. She has no significant family history. Susan has a past medical history of fractured coccyx as a teenager when she fell during cheerleading practice; no sequelae. She has smoked one-half pack of cigarettes a day since age 15 but is trying to quit. Current medicines include medroxyprogesterone acetate (Depo Provera) injection for birth control every 13 weeks. She is supposed to take calcium, but states that she “always forgets, and it constipates me anyway.” Susan denies any change in bowel/bladder habits.
     
  2. Mary is a 70-year-old widow with a history of osteoarthritis. She has been self-medicating with over-the-counter acetaminophen, either extra strength (500 mg/tablet) or arthritis strength (650mg/tablet) for over a year now. In addition to osteoarthritis, she also has osteoporosis and gastroesophageal reflux. She presents with the complaint of backache and right knee pain, aggravated by climbing stairs. She describes her knee pain as 8 on a scale of 1 to 10: “I can stand the back pain, but the knee is awful.” She lives alone but has two supportive daughters nearby. They take her shopping and help with housework. On good days, she goes to the senior center for lunch and socialization. She was doing exercises at the Senior Center but stopped due to her knee pain. She does not smoke or drink alcohol, except at birthday parties and celebrations. She denies any medication, food, or environmental allergies. In addition to the acetaminophen, medications include calcium with vitamin D, Protonix (pantoprazole), and an annual intravenous infusion of Reclast (zoledronic acid). She also has been taking a dietary supplement of glucosamine/chondroitin for 3 months. She recently had a complete physical examination with electrocardiogram and laboratory tests and was told that everything was “normal.”
  3. Linda is a 45-year-old female who returns to the office four weeks after a slip and fall at home. Initially, she had some mild-to-moderate soreness that was alleviated with heat and occasional Aleve. She now presents with pain across her lower back, pain with sitting and standing, and radiation of pain and numbness through her right buttock and down through her right thigh. She is taking Aleve twice daily and Tylenol every eight hours with moderate relief of pain, but it doesn’t help with the numbness. The pain wakes her at night. There has been no change in her bladder or bowel habits.  

Asssigment

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