Professional Capstone and Practicum Reflective Journal

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Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care
  6. Ensuring the integrity of human dignity in the care of all patients
  7. Population health concerns
  8. The role of technology in improving health care outcomes
  9. Health policy
  10. Leadership and economic models
  11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

week 5 so is number 5

Discuss the neurobiology and neurotransmitters, patient presentation, and evidence-based treatment plan associated with the condition.

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Select one of the following neurotransmitters:

· Social anxiety disorder

· Posttraumatic stress disorder

· Panic disorder

· Generalized anxiety disorder

Discuss the neurobiology and neurotransmitters, patient presentation, and evidence-based treatment plan associated with the condition. Include a minimum of 2 evidence-based articles to support your presentation that are 5 years old or less. Paper should be of 500 words.

Is theory used in practice, or is there a theory practice gap that needs to be addressed?

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Study daily 004

Topic: Theory – Practice Gap

Think back to the beginning of the course and consider your thoughts on learning about nursing theory. Did you question the usefulness of spending a term learning about theory? Next, consider your current practice environment now that you know more about theory. Is theory used in practice, or is there a theory practice gap that needs to be addressed?

If you think theory is known and used in practice, support your view with evidence.

If you think a theory-practice gap exists, support your view with evidence.

If you were planning to run a marathon, give an example of a day’s food intake on one of your 21 mile training days. 

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Quest. #1: If you were planning to run a marathon, give an example of a day’s food intake on one of your 21 mile training days.

Let’s say you were going to do this training run around 5:30 p.m. at the end of your work day.

Include DETAILED protein, carbohydrate, fat and fluid recommendations and timing of meal/snacks. 

Base these recommendations on your current height and weight.  Explain the nutritional rationale for all your suggestions.

Question #2:

What do you think are some of the reasons for the high incidence of eating disorders…bulimia, anorexia, binge-eating disorder, purging disorder, night time eating syndrome?

Can the CCCR model be used in managing this patient’s care?

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Begin by identifying a patient from your clinicals who has a chronic health condition such as diabetes, COPD, hypertension, mental health diagnosis, and post stroke care. Discuss all aspects of healthcare coordination with the chosen diagnosis. Your paper should include the following information:

1. Description of the patient’s health issues, diagnoses, and treatment plan.

2. Description of the interdisciplinary team that will participate in this care.

3. Can the CCCR model be used in managing this patient’s care? How so? If not, can you name another model to help in managing this patient’s care?

4. What is the cost of managing this disease? Are there resources available for the patient and family to help with costs and other factors such as commute and etc?

5. What is your role as the APRN in this team?

6. As the APRN, how can you evaluate if the care management is successful?

7. As the APRN, how can you evaluate if this patient needs a higher level of care?

8. Are there any barriers or challenges that you foresee for this patient? How can you overcome these barriers?

· The body of your paper should be a three to four pages long. This does not include the title page and reference page. Papers that are more than four pages long will not be accepted. Incorporate information from the course text plus a minimum of three (3) scholarly references published within the last five (5) years. Textbooks are not to be considered scholarly references.

· Use current APA Style to write your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas.

· Headings are required.

· Be sure to allow time for editing and proofreading. Paper will be submitted through turnitin.com to check for plagiarism.

Review the rubric for more information on how the assignment will be graded. Rubric will be submitted once bit is accepted. Thank you

Search and locate an existing instrument that will be used to address your research question.

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Please begin by responding to the following questions.

Search and locate an existing instrument that will be used to address your research question. Post the title of the instrument selected and the level of measurement on the tool. Next, post a description of the type of scale used in the instrument. Include a brief discussion of data collection procedures that will be presented in your proposal.

What are the risks of foley catheter placement?

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Case Study: Jimmy, ten years old, was admitted to the pediatric intensive care unit after a fall from the second-story townhome were sustained a fractured left femur and mild head injury. Currently, Jimmy is two days post open reduction internal fixation of the left femur. Orders were updated to transfer Jimmy out of Intensive Care Unit (ICU) after being cleared by the neurologist. He has a long leg cast, indwelling foley catheter and will require neuro checks every two hours.

  • What are two priority nursing diagnoses for this child?
  • What are the priority nursing interventions for this patient after being transferred from the ICU?
  • What are the risks of foley catheter placement?
  • Does the patient still require an indwelling foley catheter? Provide a rationale to support your answer.

Discuss how epidemiologic methods are used to evaluate Healthy People 2030 objectives.

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Visit the Healthy People 2030 website, Topics and Objectives page (Links to an external site.)  (Links to an external site.) and explore some topics of interest to you. Discuss how epidemiologic methods are used to evaluate Healthy People 2030 objectives. Give an example. The example can be one you created or one from an actual study. Include the primary goal/purpose of the descriptive or analytical study, design type in the category chosen, uses of analytic or descriptive type, at least one advantage and disadvantage of the design type.

 

What teaching would you reinforce to prevent the recurrence of otitis media?

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An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had a respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.

Answer the following questions:

  1. What else should you ask the client?
  2. What teaching would you reinforce to prevent the recurrence of otitis media?
  3. What expected outcomes would be specific to this situation?

Needs at least one citation and reference

Interventions should have at LEAST:

3 things you would monitor/reassess,

3 things you would do or action

3 things you would teach your patient

The medication you would administer

What would make obtaining fruits and vegetables so difficult for the average American to eat in adequate quantities?

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Diet Analysis Project

 

 

Download the MyFitnessPal app to your smartphone (you will not need the Premium

membership).

 

You can also visit the website: MyFitnessPal.com. There are many resources to the website including blogs, community, recipes, goal setting and is useful for determining calorie needs, managing weight, tracking physical activity, assessing nutrient intake. Included on the website are many suggestions and useful tips for eating a healthier diet. This project will help reinforce the nutrition concepts taught in this class and are a great resource to share with your clients and family.

 

The purpose of this paper is to display what you have learned throughout the course and it should include references. I’m looking to see that you understand what nutrients and/or foods are found in each category and why they are important to our health.

 

You WILL NEED REFERENCES to complete this paper.

 

To Get Started :

 

1. Download the MyFitnessPal to your smartphone.

2. Create a profile and log-in. You’ll need to supply at a minimum a username, password, ht, wt, and activity level. There are many other options such as goal setting, weight loss, etc.

 

Food and Exercise Records:

 

Record everything you eat and drink for 6 days. The accuracy of your diet analysis will greatly depend on how well you enter your food intake information into the MyFitnessPal food diary. In order for the analysis to be of any value to you, it is extremely important to be as accurate and as truthful as possible when keeping track of the foods/beverages you consume on these days. The following are some things to note when keeping your food records.

· Record what you eat at the time you ate it. Remember to include things such as snacks, beverages, alcohol, etc.

· Make sure you record portion sizes accurately. Become familiar with what 1 cup, 1 tablespoon, 4 oz, etc., looks like on a plate or in a glass so you can visually estimate when you don’t have measuring cups or spoons available

· While you are keeping your records do not change your eating habits. The main objective of this project is to analyze your current daily eating pattern, so do not try to avoid eating something just because it may be inconvenient to write down or remember

· Record 5 weekdays and 1 weekend days to get a better assessment of your weekly intake

 

Pay careful attention to portion size, time of day the food was eaten, and additional condiments used in the preparation of the food. If you are having difficulty finding a match for the food eaten, try the best you can to select a food with the closest nutrient profile.

 

Note: If you take a multivitamin- it is recommended to leave it out of your food record as this project is meant to analyze your food intake.

 

Activity Record: Enter the time you spend doing exercise every day. Include running, aerobics, weight lifting, walking, or any other activity that you engage in outside of the activities of daily living.

 

 

 

 

 

TO DO:

 

1) Once you have entered your full day’s intake and exercise click on “Complete This Entry” and then “View Full Report” (Printable). This should provide your food records. Make sure you have checked all the boxes for “Printable Diary”

 

2) Make note of your totals for each day for each category, divide by 6 to get your average intake for calories, carbohydrates, fat, protein, cholesterol, sodium, sugar, and fiber.

 

You will report on the following items: carbohydrates, fiber, fat, trans fat, protein, potassium,

vitamin C, vitamin A, calcium and physical activity.

 

Answer the following:

 

1. What are your estimated calorie needs, according to your goal? (1 pt.)

 

 

2. What is your average (for 6 days) calorie intake? (1 pt.)

 

 

3. Compare your average caloric intake to your estimated calorie needs, will the difference or similarity have any effect in helping you achieve or maintain a healthy body weight? Why or why not? (3 pt.)

 

 

4. What are your average daily intakes of calories, carbohydrates, fat, protein, potassium, vitamin C, vitamin A, calcium and fiber? Include an actual number, not just “below” or “above” (5 pts.)

 

 

5. Average Daily Calorie Intake (10 pts.)

 

 

Carbohydrate (daily average): ___________g/day x ______ calories/g = _____________ calories/day

 

Protein (daily average): ____________g/day x ______ calories/g = ______________calories/day

 

Fat (daily average): ____________g/day x ______ calories/g = ______________calories/day

If you consumed an alcoholic beverage, include the calories here

Alcohol ________________calories/day

 

Total kcal/day (add up all of the above calories) ________________calories/day

Percentage of kcal from macronutrients:

 

Carbohydrate calories total average calories x 100 = _________________% of total calories

 

Protein calories total average calories x 100 = ____________________% of total calories

 

Fat calories total average calories x 100 = ______________% of total calories

 

 

 

 

 

 

To analyze the health benefits and harms from each category, please use the National Institutes of Health (https://ods.od.nih.gov/Health_Information/Dietary_Reference_Intakes), recommendations for carbohydrate, fiber, protein, fats, vitamin C, vitamin A, potassium and calcium to find the data representing your individual requirements.

 

 

6. If your average intake is higher/lower than recommended, why is this a proble? What are the possible consequences of continuing to eat this way? If you are on target with the recommendations, why is this beneficial? Make sure to discuss the health benefits or harms within each category. For example, if you are averaging 5 grams of

fiber/day what effect might this have on your health? If you are on target for

fiber, why is this beneficial? You must report on all categories even if you are

meeting the recommendations and discuss the benefits or harms of continuing

to eat this way. This question is worth 20 points so make it count! (20 pts.)

 

 

 

7. What role does physical activity play in health? (5 pts.)

 

 

 

8. What would make obtaining fruits and vegetables so difficult for the average American to eat in adequate quantities? (5 pts.)

 

 

9. What are some suggestions that would help you or others obtain their recommended daily intake of fruits and vegetables? (5 pts.)

 

 

 

10. In general, how do you think your diet fairs? What, if any, changes will you make to your diet after completing this project? This question is worth 20 points and deserves at least 2 good paragraphs and with attention to detail and specifics. (20 pts.)

 

 

 

 

TO BE PASSED IN:

 

· Include all 6 days of your food intake and exercise as entered into MyFitnessPal. Click on “View Full Report” (Printable) OR either take a screen shot OR save as a .pdf. Attach all 6 reports to your project. (20 points).

 

· Answers to the questions (points indicated for each answer)

 

· Include references