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
Michele Seibler
Yesterday Oct 11 at 8:42am
Option 1
I was a bit unclear on what a bureaucracy was until this week's lesson and readings. From what I understand and according to the text, a bureaucracy is a complex and hierarchal organization where several offices, each with a specific task, have a clear chain of command, and appointment and advancement of personnel are based on merit. A bureaucrat is someone who works for a bureaucracy (Greenberg & Page 2019, pg. 366). Bureaucracies are all around us – the DMV, financial organizations and insurance companies are a few examples. After understanding what a bureaucracy is, I think they can both help and hinder my life. Bureaucracies are something that we need to live as citizens of the United States, but often they have rules and regulations that can be a hinderance in many aspects of our lives. The rules and decisions of bureaucracies seem to be made without the public's best interest in mind, and the public often isn't involved in decision making. They all revolve around money. They are often unclear with the public, leaving people confused and overwhelmed with things they don't understand. It can take months to resolve certain issues or get question answered. Processes that should be simple can be very stressful. John Launer wrote an article titled “Battling Bureaucracy,” which is what it feels like sometimes. He explains how he jumped through hoops with bureaucracies trying to help a friend get money back. One of the things he said a couple of times in the article was “money problems figure more in peoples' lives than medical problems, especially now that we're in a serious cost of living crisis” (Launer 2023). One thing that is a large issue in bureaucracies is communication. These organizations are not good at communicating with the public; it often feels as if you're trying to talk through a wall. You could talk to one representative and have them tell you one thing, then speak to another and find out something completely different. This makes everyday things, like dealing with insurance companies, very stressful and difficult. If these bureaucracies can become more transparent with the public, it would help tremendously and there would be less confusion and frustration.
References
Greenberg, E. S., & Page, B. I. (2019).
The Struggle for Democracy, 2018 Elections and Updates Edition (12th ed.). Pearson Education.
https://ambassadored.vitalsource.com/books/9780135246863
Launer, J. (2023). John Launer: Battling Bureaucracy.
BMJ: British Medical Journal (Online).
https://doi.org/10.1136/bmj.p206
Due 9/25 12pm EST
250 WORDS not including title and reference APA
As you complete the gathering and evaluation of the evidence, it’s important to review the significance and next steps related to EBP.
Consider the following questions in your discussion post:
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with citations and references in APA format.
All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.
Original Work, No Plagiarism, Cite and Reference
In a brief response (no more than 1-2 paragraphs), describe why research collaborations are important and provide an example of how collaborative research impacts responsible conduct of research. You may include an example from something you have experienced in an academic, professional or organizational setting, or an example from the readings.
Instructions: Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers. APA, 7th ed. must be followed.
CASE STUDY: An Older Immigrant Couple: Mr. and Mrs. Arahan Mr. and Mrs. Arahan, an older couple in their seventies, have been living with their oldest daughter, her husband of 15 years, and their two children, ages 12 and 14. They all live in a middle-income neighborhood in a suburb of a metropolitan city. Mr. and Mrs. Arahan are both college educated and worked full-time while they were in their native country. In addition, Mr. Arahan, the only offspring of wealthy parents, inherited a substantial amount of money and real estate. Their daughter came to the United States as a registered nurse and met her husband, a drug company representative. The older couple moved to the United States when their daughter became a U.S. citizen and petitioned them as immigrants. Since the couple was facing retirement, they welcomed the opportunity to come to the United States. The Arahans found life in the United States different from that in their home country, but their adjustment was not as difficult because both were healthy and spoke English fluently. Most of their time was spent taking care of their two grandchildren and the house. As the grandchildren grew older, the older couple found that they had more spare time. The daughter and her husband advanced in their careers and spent a great deal more time at their jobs. There were few family dinners during the week. On weekends, the daughter, her husband, and their children socialized with their own friends. The couple began to feel isolated and longed for a more active life. Mr. and Mrs. Arahan began to think that perhaps they should return to the home country, where they still had relatives and friends. However, political and economic issues would have made it difficult for them to live there. Besides, they had become accustomed to the way of life in the United States with all the modern conveniences and abundance of goods that were difficult to obtain in their country. However, they also became concerned that they might not be able to tolerate the winter months and that minor health problems might worsen as they aged. They wondered who would take care of them if they became very frail and where they would live, knowing that their daughter had only saved money for their grandchildren’s college education. They expressed their sentiments to their daughter, who became very concerned about how her parents were feeling. This older couple had been attending church on a regular basis, but had never been active in other church-related activities. The church bulletin announced the establishment of parish nursing with two retired registered nurses as volunteers. The couple attended the first opening of the parish clinic. Here, they met one of the registered nurses, who had a short discussion with them about the services offered. The registered nurse had spent a great deal of her working years as a community health nurse. She informed Mr. and Mrs. Arahan of her availability to help them resolve any health-related issues.
Reflective Questions
1. What strategies could be suggested for this older adult couple to enhance their quality of life?
2. What community resources can they utilize?
3. What can the daughter and her family do to address the feelings of isolation of the older couple?
4. What health promotion activities can ensure a healthy lifestyle for them?
tep 1 Consider a change in practice that took place at your workplace.
Step 2 Answer the Prompts:
· What was the involvement of team members in the change process? Did “rank and file” members of the team participate on the team planning for change?
· What steps were taken to prepare for change?
· How were the goals and outcomes communicated to team members? Was the communication clear or could it have been improved?
· What was the outcome of the change?
· In your opinion, what elements are required in order to have a culture that is open to change?
please see the attached files for the detailed poster template required to be complete with answers based on your proposal you have done or a new one.
EVIDENCE-BASED PROJECT, PART 1: IDENTIFYING RESEARCH METHODOLOGIES
Is there a difference between “common practice” and “best practice”?
When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.
Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.
Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?
In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.
To Prepare:
· Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
· Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
· Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
· Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.
Part 1: Identifying Research Methodologies
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:
· The full citation of each peer-reviewed article in APA format.
· A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
· A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
· A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
· A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.
Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next class
First, let’s differentiate all the detailed vocabulary about all these cells we learned this week. When looking under microscope what structural differences would you see between two types of cells.
Now choose ONE cellular component (e.g. a part of a cell) that is found only in bacteria. Discuss what its role is.
-OR-
Choose ONE cellular component that is only found in eukaryotes. Discuss what its role is.
For your second post, comment on a peer’s post. If they chose a prokaryotic cellular structure, please share whether or not you think that structure would be a good target for antibiotics and why?
If your peer chose an eukaryotic cellular target, I want you to think about evolution and the endosymbiotic theory. The endosymbiotic theory states that mitochondria and chloroplasts were initially free living organisms that entered larger cells through endocytosis, but were not digested. What is the evidence, and are you convinced? Why or why not?
Nursinghomeworkdesk.com is a unique service that provides guidance with different types of content. Please rest assured that the service is absolutely legal and doesn’t violate any regulations.
Home
Writing Services
About Us
Pricing
Email:
[email protected]
Phone:
+1 (231)-518-0303