discussion 3 cl
discuss a very brief description (one paragraph for the group session– do NOT include the actual 12-steps) to include the following: Official name of the program or group you observed.
discuss a very brief description (one paragraph for the group session– do NOT include the actual 12-steps) to include the following: Official name of the program or group you observed.
You are admitting a 19-year-old female college student to the hospital for fevers. Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource.
provide further suggestions on how their database search might be improved. Use 2 refrences
In pediatrics, clinicians are constantly searching for ways to refrain from or reduce the amount of pain we inflict on patients. That may involve less frequent lab work or making the choice to leave out a PIV that is lost. Though efforts are made to reduce pain in healthcare settings, we are not able to guarantee painless experiences. One of the most notable examples of unavoidable pain is childhood immunizations. Since I am a current pediatric nurse and in the primary care pediatric NP track, this is and will even more so, become a common practice issue for me. I wanted to figure out what methods of distraction work for infants when receiving immunizations. Using Richardson and colleagues’ concept (1995, as cited by Davies, 2011) I created the PICO question: In infants, do distraction techniques during immunization administration result in lower pain scores when compared to no intervention?
Using the CINAHL and MEDLINE combined database, I searched the terms “distraction + immunization”. 106 articles resulted. After adding the term “infant” and excluding duplicates, reviews, and studies that involve study groups other than infants,10 articles remained. I used search techniques recommended by Stillwell et al. (2010). I searched using relevant keywords from my PICO question and used infant as my final limit on the articles that resulted. To improve my database searches, I could ask a librarian for help, use subject terms, or increase the publication date range on my search (Melnyk & Fineout-Overholt, 2023, pp. 62–87).
How do acute or chronic health conditions impact a healthy individual ?
Submission Instructions:
Present your approved intervention to the patient, family, or group and record a 10–15 minute video reflection on your practicum experience, the development of your capstone project, and your personal and professional growth over the course of your RN-to-BSN program. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
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Introduction
Baccalaureate-prepared nurses have many opportunities to reflect on their contributions to patient care outcomes during clinical experiences. Research suggests that creating and sharing video reflections may enhance learning (Speed, Lucarelli, & Macaulay, 2018).
For this assessment, you'll present your approved intervention to the patient, family, or group and reflect on various aspects of your capstone practicum experience. Such reflection will give you a chance to discuss elements of the project of which you are most proud and aspects of the experience that will help you grow in your personal practice and nursing career.
Reference
Speed, C. J., Lucarelli, G. A., & Macaulay, J. O. (2018). Student produced videos—An innovative and creative approach to assessment.
Sciedu International Journal of Higher Education, 7(4).
Instructions
Complete this assessment in two parts: (a) present your approved intervention to the patient, family, or group and (b) record a video reflection on your practicum experience, the development of your capstone project, and your personal and professional growth over the course of your RN-to-BSN program.
Part 1
Present your approved intervention to the patient, family, or group. Plan to spend at least 3 practicum hours exploring these aspects of the problem with the patient, family, or group. During this time, you may also consult with subject matter and industry experts of your choice. Be sure you've logged all of your practicum hours in Capella Academic Portal.
The BSN Capstone Course (NURS-FPX4900 ) requires the completion and documentation of nine (9) practicum hours. All hours must be recorded in the Capella Academic Portal. Please review the
BSN Practicum Campus page for more information and instructions on how to log your hours.
Use the
Intervention Feedback Form: Assessment 5 [PDF]
Download Intervention Feedback Form: Assessment 5 [PDF]as a guide to capturing patient, family, or group feedback about your intervention. You'll include the feedback as part of your capstone reflection video.
Part 2
Record a 10–15 minute video reflection on your practicum experience, the development of your capstone project, and your personal and professional growth over the course of your RN-to-BSN program. A transcript of your video is not required.
You're welcome to use any tools and software with which you are comfortable, but make sure you're able to submit the deliverable to your faculty. Capella offers Kaltura, a program that records audio and video. Refer to
Using Kaltura for more information about this courseroom tool.
Note: If you require the use of assistive technology or alternative communication methods to participate in these activities, please contact
[email protected] to request accommodations. If you're unable to record a video, please contact your faculty as soon as possible to explore options for completing the assessment.
Requirements
The assessment requirements, outlined below, correspond to the scoring guide criteria, so address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for supporting evidence.
· Assess the contribution of your intervention to patient or family satisfaction and quality of life.
· Describe feedback received from the patient, family, or group on your intervention as a solution to the problem.
· Explain how your intervention enhances the patient, family, or group experience.
· Describe your use of evidence and peer-reviewed literature to plan and implement your capstone project.
· Explain how the principles of evidence-based practice informed this aspect of your project.
· Assess the degree to which you successfully leveraged health care technology in your capstone project to improve outcomes or communication with the patient, family, or group.
· Identify opportunities to improve health care technology use in future practice.
· Explain how health policy influenced the planning and implementation of your capstone project, as well as any contributions your project made to policy development.
· Note specific observations related to the baccalaureate-prepared nurse's role in policy implementation and development.
· Explain whether capstone project outcomes matched your initial predictions.
· Discuss the aspects of the project that met, exceeded, or fell short of your expectations.
· Discuss whether your intervention can, or will be, adopted as a best practice.
· Describe the generalizability of your intervention outside this particular setting.
· Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
· Assess your personal and professional growth throughout your capstone project and the RN-to-BSN program.
· Address your provision of ethical care and demonstration of professional standards.
· Identify specific growth areas of which you are most proud or in which you have taken particular satisfaction.
· Communicate professionally in a clear, audible, and well-organized video.
Additional Requirements
Cite at least three scholarly or authoritative sources to support your assertions. In addition to your reflection video, submit a separate APA-formatted reference list of your sources.
this is due by 8/30 at 12 pm EST
APA format to include 3 scholarly sources for references
Scenario: An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition.
Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:
· The role genetics plays in the disease.
· Why the patient is presenting with the specific symptoms described.
· The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
· The cells that are involved in this process.
· How another characteristic (e.g., gender, genetics) would change your response.
After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:
Case Study: Prescribed Drugs with CAMs
Mr. X, a 42-year-old male presents to your primary care practice today complaining of low back pain.
History – Mr. X states that he has had chronic low back pain since he had a skiing accident about 10 years ago. Three days ago, he felt a pulling sensation in his lower back after moving some boxes. The pain intensity increased over the subsequent 24 hours and is now steady, aching in nature, at 3-4 out of 10. Mr. X also has Type2 diabetes, which is well controlled on metformin with a HGA1c of 5.6. He has a history of DVT 4 months ago for which he takes Coumadin, INR is WNL. He is followed by a specialist for this problem. He recently started taking two OTC products; kava kava for what he describes as “anxiety” and CoEnzyme Q10 on the advice of a friend.
Social – Mr. X is a smoker, 1 pack per week for 15 years. No alcohol or drug use. He is employed as an accountant and has medical insurance. He is divorced.
PE/ROS – Complains of low back stiffness and pain on movement with occasional spasms related to moving in certain directions. You note he has mild difficulty getting onto the exam table but gait is normal. He denies weakness/numbness/tingling of legs, no radiation, no change in bowel or bladder habits. BMI 27. All range of motion of the back is decreased by 25%. Straight leg lift is negative bilaterally, DTR intact. All other systems WNL.
Medications:
Metformin 1000mg ER one tab daily – Type II Diabetes controlled
Coumadin 5 mg. daily – Hx of DVT – Controlled
Kava Kava 50 mg. tid – Self-medication for anxiety
CoQ10 – 200 mg. daily. – Self-medication for unknown reason
1. Provide a diagnosis for the patient and your rationale for the diagnosis
2. Provide a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.
3. Comment on the use of OTC products in relation to Mr. X’s current chronic and acute disease diagnoses and medications. Include drug-drug interactions and side effect profiles.
4. Provide an education plan for Mr. X
5. Present this Assignment as a PowerPoint presentation with between 12 and 16 slides (not including opening slide and resource slide).
6. You will use the Narrative notes section of the presentation to include the majority of your evidentiary support of your treatment choices and education of family complete with in-text citations using APA formatting,
Due by the last day of Unit 9 at 11:59 p.m.
Assignment Requirements:
Before finalizing your work, you should:
· be sure to read the Assignment description carefully (as displayed above);
· consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and
· utilize spelling and grammar check to minimize errors.
· Submit to and review results of Turnitin. Purdue University Global Student Conduct policy as it relates to plagiarism will be adhered to in this course.
Your writing Assignment should:
· follow the conventions of Standard English (correct grammar, punctuation, etc.);
· be well ordered, logical, and unified, as well as original and insightful;
· display superior content, organization, style, and mechanics; and
· utilize APA 7th edition formatting.
Rubric Title: MN553 Unit 9 Assignment Rubric
Assignment Criteria |
Level III |
Level II |
Level I |
Not Present |
Criteria 1 |
Level III Max Points Points: 8 |
Level II Max Points Points: 6.4 |
Level I Max Points Points: 4.8 |
Not Present 0 Points |
Correctly diagnosing the patient |
· A correct diagnosis is provided with supportive rationale from literature |
· A correct diagnosis is provided without rationale |
· Does not meet the Criteria |
· Does not meet the criteria |
Criteria 2 |
Level III Max Points Points: 12 |
Level II Max Points Points: 9.6 |
Level I Max Points Points: 7.2 |
Not Present 0 Points |
Prescribing a treatment plan |
· An appropriate and specific treatment plan for the case study patient is provided with rationale from literature for treatment choices. |
· A specific treatment plan is provided for the case study patient but is missing less than 50% of pharmacologic and non-pharmacologic treatment with rationale from literature for treatment choices |
· A specific treatment plan is provided for the case study patient but is missing more than 50% of pharmacologic and non-pharmacologic treatment with rationale from literature for treatment choices; Or · Rationale for treatment choices from literature are not provided |
· Does not meet the criteria |
Criteria 3 |
Level III Max Points Points: 11 |
Level II Max Points Points: 8.8 |
Level I Max Points Points: 6.6 |
Not Present 0 Points |
Over-the-counter medication use discussion |
A thorough discussion of the kinetics and dynamics of OTC products is provided and a rationale for including or excluding them from the treatment plan is provided. |
· Kinetics and dynamics of OTC products are discussed and are related to the patient's current meds/conditions but specific direction regarding continued use is not included |
· Kinetics and dynamics of OTC products are discussed but not related to the patient's current meds/conditions. |
· Does not meet the criteria |
Criteria 4 |
Level III Max Points Points: 8 |
Level II Max Points Points: 6.4 |
Level I Max Points Points: 4.8 |
Not Present 0 Points |
Education plan |
· A thorough education plan for the treatment plan is provided which includes principles of therapeutic communication. |
· An education plan is provided which provides more than 50% of necessary information for the treatment plan and includes principles of therapeutic communication |
· An education plan is provided but contains less than 50% of necessary information and includes principles or therapeutic communication OR · Principles of therapeutic communication are not included |
· Does not meet the criteria |
Criteria 5 |
Level III Max Points Points: 8 |
Level II Max Points Points: 6.4 |
Level I Max Points Points: 4.8 |
Not Present 0 Points |
College-level academic writing |
· Professional, peer-reviewed, advanced practice references are used · Grammar and mechanics of writing demonstrate graduate level work · Adheres to page number requirements |
· The majority of references used are professional, peer-reviewed and advanced practice · Errors in grammar or mechanics of writing are present but do not interfere with readability · Adheres to page number requirements |
· The minority of references used are professional, peer-reviewed and advanced practice · Errors in grammar or mechanics of writing are present Which interferes with readability · Does not adhere to page number |
· Does not meet the criteria |
Criteria 6 |
Level III Max Points Points: 8 |
Level II Max Points Points: 6.4 |
Level I Max Points Points: 4.8 |
Not Present 0 Points |
Citations and Formatting |
· There is a strong attempt to cite all sources using APA style. · Minor paper formatting errors may occur. · Minor in-text citation errors may occur. · All authorship is clear and retrievable. |
· There is an overall attempt at APA formatting and citation style. · Errors in formatting of citation or sources are present. · All sources have some form of citation and all citations have a matching source. · Citations generally make authorship clear. |
· Major errors in citations or source formatting are present. · Citation or source information may be missing or incorrect. · Authorship may be unclear. |
· Does not meet the criteria |
Maximum Total Points |
55 |
44 |
33 |
0 |
Minimum Total Points |
45 points minimum |
34 points minimum |
1 point minimum |
0 |
Instructions included in the file below its about kids from 3rd-5th grade that’s age 8-11. We did a presentation on basic first aid (stop the bleed).
APA FORMAT
NOTHING LESS THAN 1 1/2 PA G ES.
PLEASE READ THE INSTUCTIONS IN THE FILE.
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