EXPLORING MIDDLE RANGE THEORIES AND FRAMING PRACTICE ISSUES

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  • Analyze your nursing practice (psychiatric) for issues of particular interest or concern to you. Identify one issue as the focus of your application of theory to practice.
  • Review the Learning Resources to identify specific middle range theories that may apply to your practice issue. (check below)
  • Choose at least two middle range theories that might be most relevant and valuable in addressing your practice issue.
  • Search the Walden University Library for scholarly articles that address application of middle range theories to practice issues.
  • Consider how to frame your focus practice issue in terms of the middle range theories that you have selected.

With these thoughts in mind …

The assingment:

Write an explanation of your practice issue. Then, describe two middle range theories that are most valuable in addressing this issue and explain why. Be specific and provide examples. At least 3 references and citations

learning resources:

McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.  

McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.  

SOAP NOTE week 5

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Soap Note 1 is based on the Case Study # 1

1.Templates used from another classes will not be accepted. Student must use the template provided in this class which must clearly contain the progress note (in the Assessment section) of the encounter with the patient ( this section is clearly mark in bold, highlighted  and underlined). No passing grade will be granted if this section is not completed properly. 
2.Follow the MRU Soap Note Rubric as a guide
3.Use APA format and must include minimum of 2 Scholarly Citations.

4.Check for plagiarism,Turn it in Score must be less than 25% or will not be accepted for credit, must be your own work and in your own words. Copy-paste from websites or textbooks will not be accepted or tolerated.
5.The use of tempates is ok with regards to Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.  

6.The case study does not contain all the information related to the patient, so you must complete each step of the template according to the symptoms, signs, treatment, diagnostic methods, plan, education, etc. according to the patient’s diagnosis.

7. Attached you can find the rubric and SOAP note template. Also you can find one example.

Article statistical findings significant it has on nursing

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Identify an article that is at least five years old. Summarize the statistical findings and discuss the significant it has on nursing.

400 words and one scholarly article.

APA 7 format

Nursing Grand Rounds presentation 2

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Please read carefully the instructions of this week 5 assignment 

Nursing Help with informatics homework

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Question uploaded 

Nursing

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Instructions:

1. APA-7 Format

2. MUST utilize credible data sources such as CINAHL, MEDLINE, Embase, ClinicalKey, The Cochrane Library.

3. Research paper must be 500 – 650 words.

4. Must present your writing double-spaced, in Times New Roman or Arial,with a font size 12.

5. Pay attention to grammar rules (spelling and syntax)

6. 3 or more scholarly sources must be utilized

7. Sources must be within the last 5 years

8. Must have a minimum of 3 Sources

9. All article sources must be cited by including them in the reference sheet (separate).

Topic:

10. Weight Loss Outcomes Associated With Ozempic Treatment for Patients With Overweight or Obesity

pn 2 m6 written

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Complete the comparison table for Inflammatory Diseases.

PRACTICUM EXPERIENCE PLAN (PEP)

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TO PREPARE

  • Review your Clinical Skills Self-Assessment Form you submitted last week and think about areas for which you would like to gain application-level experience and/or continued growth as an advanced practice nurse. How can your experiences in the practicum help you achieve these aims?  
  • Review the information related to developing objectives provided in this week’s Learning Resources. Your practicum learning objectives that you want to achieve during your practicum experience must be: 
    • Specific  
    • Measurable  
    • Attainable  
    • Results-focused  
    • Time-bound
    • Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above)  

Note: Please make sure your objectives are individualized and outlined in your Practicum Experience Plan (PEP). While you may add previous objectives to continue to work toward. You must have 3 new objectives for each class, each quarter. 

  • Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.  
  • Select one nursing theory and one counseling/psychotherapy theory to best guide your clinical practice. Explain why you selected these theories. Support your approach with evidence-based literature.
  • Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements.

ASSIGNMENT

Record the required information in each area of the Practicum Experience Plan template, including 3–4 measurable practicum learning objectives you will use to facilitate your learning during the practicum experience. 

***** I will complete part 1 

CASE STUDY 2

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Case Study #2

DKA 

Mrs. S is a 28-year-old patient, with a 12-year history of type I diabetes mellitus. Her husband states that she has had a “bad cold” for several days. Yesterday she stayed in bed and slept all day. She was “too ill” to check her blood sugar, and since she was not really eating, she did not take her insulin. This morning, she was not able to stand up and vomited twice. A Gram stain of Mrs. S’s blood contains gram-positive cocci in clusters. Her admission vital signs are: BP = 90/60; HR = 118 bpm (sinus tachycardia); RR = 32/min; T = 102.3° F; O2 sat via pulse oximetry = 96%. Her serum glucose is 398 mg/dl, and she is positive for serum ketones. She is admitted with a diagnosis of DKA.

Her baseline ABGs on 2 L of oxygen are: pH = 7.25; PCO2 = 28; HCO3 = 14; PaO2 = 92; O2 sat = 96%. Her respirations are deep, rapid, and labored. She has bronchial breath sounds in the right axillary area. There is bilateral chest expansion and no evidence of cyanosis.

A regular insulin bolus is given, and a regular insulin drip is initiated. Mrs. S’s IV fluids are infusing at 800 ml/hr. Her vital signs after 2 hours in the unit are: BP = 120/70; HR = 78 bpm (normal sinus rhythm); RR = 22/min; O2 sat = 100%. Her serum glucose is 250 mg/dl and serum potassium is 4.0 mEq/L. She is more alert and is feeling hungry.

  1. What is insulin’s function in the body? What is the most significant basic defect in the development of DKA?
  2. What is the cause of Ms. S experiencing DKA?  Describe the pathophysiologic rationale for your answer.
  3. List the classic signs and symptoms of DKA. Which signs and symptoms did Ms. S experience? What are the pathophysiologic causes of these signs and symptoms?
  4. What is an anion gap? Why is the anion gap important to follow in the treatment of DKA?
  5. What acid base disturbance is Ms. S experiencing? What compensatory mechanisms are in effect at this time?
  6. What is the primary nursing diagnosis for Ms. S.? What are the goals for treatment (both independent and collaborative)? What interventions are imperative to initiate immediately? What interventions are important within the next 12-24 hours?
  7. What are potential lab abnormalities for a patient in DKA?
  8. What nursing considerations are important in planning Ms. S’s discharge?
  9. Discuss the American Association of Critical Care Nurses (AACN) Synergy Model and how this concept would be important in this patient’s care.

Ethical Issues Related to Social Media

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 After studying Module 3: Lecture Materials & Resources, discuss at least two potential ethical issues that could be of concern with nursing use of social media.