HM01

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HIT 1550 MOD 4 DB

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Instructions:

This discussion will be completed in two parts and will give you an opportunity to reflect upon this week’s content and to interact with your classmates.

  • Part 1 – Post your initial response to the discussion questions by Thursday at 11:59 pm
  • Part 2 – Post substantive feedback to two (2) classmates by Sunday at 11:59 pm

Create a scenario that includes a procedure from the measurement and monitoring section of the ICD-10-PCS book. Then provide the procedure code that would be used for the procedure and describe the process for finding the code in the ICD-10-PCS book.

Bar scanning

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c. Impact on Healthcare and Nursing 

• Discuss the impact on professional nursing practice related to:

Patient safety

Quality of care measures/monitoring

Risk management

 Effect on population within the region

Organizational infrastructure and operations

Support discussions with examples & data from current evidence-based resources.

Please discuss how you can use mindfulness in your role as a DNP student.

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 Please discuss how you can use mindfulness in your role as a DNP student. USE APA 7 format and at least 2 minimun scholarly references no oolder than 5 years old

Advanced Pathophysiology Analysis

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Evaluate the concepts of cellular biology and altered cellular and  tissue biology for their implications to disease management (EOPSLO# 1).       Distinguish knowledge of normal physiology and pathologic  alterations across the lifespan that are expressed as diseases of organs  and systems (EOPSLO# 1, 9).      Analyze current research findings with evidence-based guidelines for  the management of selected diseases (EOPSLO# 4, 9).

Asssigment

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case study 2

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Brian is a previously healthy 56-year-old white man who presents with progressive neuropathy and declining mental status over several months. The patient initially developed numbness of his fingertips and the balls of his feet and began to lose motor control of his hands, which manifested as dropping objects or flinging them as he tried to pick them up. As symptoms progressed, he had visual tracking problems that were severe enough to interfere with driving a car, and he developed short-term memory loss and slowing of cognitive function. His current vital signs are 117/70, 72, 98.6, 12, Ht 5’9” Wt 193 lbs. 

case study

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Tim is a 22 y/o male who is complaining of lethargy, cold sensitivity, weight gain of 10 lbs over the last 3 months with an unnoticeable change in appetite, brain fog, constipation, and muscle weakness that he feels has become progressively more noticeable over the last several months. Tim is a heterosexual, single, full-time college student and works part-time at a coffee shop. His last annual physical examination was 2 years ago and was WNL. His current vital signs are 110/70, 62, 98.6, 12, Ht 5’9” Wt 190 lbs. 

Discussion NT W6 Reply to Peer 2

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Two middle-range theories that could be used to analyze a phenomenon of interest in nursing are Merle Mishel’s Theory of Uncertainty in Illness and Barbara Riegel’s Theory of Self-Care in Chronic Illness. Both offer complementary perspectives to address phenomena related to the patient’s experience of chronic or uncertain conditions.

The Theory of Uncertainty in Illness focuses on how patients perceive and manage uncertainty associated with events related to their illness. It proposes that uncertainty arises when individuals cannot adequately structure or categorize events due to a lack of information or ambiguous cues (FAAN et al., 2023). This theory is particularly useful for exploring emotional and cognitive aspects, such as stress or coping strategies, and how these influence patient adaptation. For example, in patients with chronic diseases, this theory could analyze how uncertainty about the course of the disease affects their psychological well-being and their ability to make informed decisions.

On the other hand, the Theory of Self-Care in Chronic Illness addresses the process by which patients maintain their health and manage their illness through self-care. Its key concepts include self-care maintenance, self-care monitoring, and self-care management (Curcio et al., 2024). This theory emphasizes the practical skills and behaviors needed to manage symptoms, adhere to treatments, and respond to changes in their condition. It is particularly valuable in assessing how factors such as motivation, social support, or personal skills influence health outcomes.

When comparing the two theories, it is observed that while Mishel’s Theory focuses more on the psychological and emotional aspects related to the perception of uncertainty, Riegel’s Theory emphasizes the concrete actions and practical processes that patients use to manage their illness. However, the two can complement each other: for example, a patient experiencing high levels of uncertainty (according to Mishel) may have difficulty implementing effective self-care strategies (according to Riegel). Taken together, these theories allow for a holistic understanding of the phenomenon by integrating both the emotional and behavioral dimensions of chronic disease management.

References

Curcio, F., Lommi, M., Zambrano Bermeo, R. N., Esteban-Burgos, A. A., Pucciarelli, G., & Avilés González, C. I. (2024). Identifying and Exploring Jean Watson’s Theory of Human Caring in Nursing Approaches for Patients with Psychoactive Substance Dependence in Medical and Surgical Acute Wards. Nursing Reports, 14(3), Article 3. https://doi.org/10.3390/nursrep14030162

FAAN, M. J. S., PhD, RN, RN, P. R. L., PhD, & CNE, R. D. C., PhD, RN, NE-BC. (2023). Middle Range Theory for Nursing. Springer Publishing Company.

Discussion NT W6 Reply to Peer 1

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Middel range theories have been applied to nursing and psychology fields, for example in Nursing: A middle-range theory like Leininger’s Cultural Care Theory could be used to explore how cultural factors impact patient care and in In Psychology: Bandura’s Social Cognitive Theory might be used to study how individuals learn behaviors through observing others, which could be applied to phenomena like aggression or educational achievement. Middle-range theories in nursing and physiology connect big ideas with real-world use, helping nurses understand patient behavior and improve care (Smith et al., 2024). Liehr and Smith’s concept building process is a 10-phase process which allows one to reflect on and delineate an area of interest, formulate abstract ideas through reflection, then formulate a concrete concept with its conceptual definition. Children and adolescents are faced with multiple stressors that will lead to insecurities and fears, often both groups will recover from such stressors through resilience that promotes positive outcomes and positive mental health outcomes.

           The purpose of building the concept of nurturing resilience is to clarify the meaning of this concept in children and adolescents, develop a conceptual definition of nurturing resilience, and provide a conceptual model of nurturing resilience based on the building process. The concept was formulated utilizing Liehr and Smith’s practice-based approach to concept building (Martinez, & Opalinski, 2019). It is imperative that nurses use the resilience theory to promote balance and a positive outcome. Resilience is a protective mechanism which keeps youth balanced while promoting positive mental health when faced with adversities by allowing one to bounce back after adversity to an original, fundamental state (Martinez & Opalinski, 2019). Nurses need to be able to be resilient in order to promote it and achieve positive outcomes in children and adolescents. Nurturing resilience provides adolescents and children the ability to change in response to difficult circumstances; in turn, mental distress is reduced, and mental health of youth are optimized.

References

Smith, M. J., Liehr, P. R., & Carpenter, R. (2024). Middle range theory for nursing. Springer Publishing.

S; M. W. (2020, July 8). Taking on enduring distress: Building a concept to lead a program of Research. Nursing forum. https://pubmed.ncbi.nlm.nih.gov/32643164/

Martinez, L. A., & Opalinski, A. S. (2019). Home Page: Journal of Pediatric Nursing: Nursing Care of children and families. Building the Concept of Nurturing Resilience. https://www.pediatricnursing.org/