Nursing homework
Can you help me with my assignement.
hello
- Based on your readings, current literature within 5 years, scholarly peer-reviewed journals, and research on the topic of nursing leadership development specific to your program.
- Clearly demonstrate the integration of evidence into nursing practice as it relates to nursing leadership in your program.
- Clearly demonstrate the concepts of nursing leadership and ethical decision-making as they relate to nursing leadership development in your program.
- this should include;
a. Introduction
i. Define leadership
ii. Explain how leadership is developed
iii. Why is leadership development important for nursing today?
b. Compare and contrast theoretical leadership theories as they relate to leadership development
c. Discuss how leadership is an integral component of the advanced generalist masters prepared Nurse
d. Examine empowerment as it relates to the development of Nursing leaders
e. Analyze the process of leading through mentoring as it relates to the creation of future caring followers
f. Explain effective communication and collaboration strategies that lead to healthy, safe interdisciplinary teams
g. Guided by Dr. Jean Watson’s (2012) theory of human caring science critically evaluate how caring can be integrated in all levels of Nursing practices
h. Create your own personal definition of nursing leadership examining concepts you can adopt in your practice setting leading to improved outcomes for patients, families, colleagues, and self.
- 5 pages (not including title page or reference page) using the required title page with your major clearly labeled
- Minimum of 5 scholarly sources not including the textbook to support your facts
- Clear and logically written with proper grammar, spelling, and punctuation
- Proper APA format on citations and sources
ARE
Patient Data for NR226 RUA Patient:
Patient History:
Ben Smith is a 75-year-old retired farmer from Southern Illinois. He is widowed and has 3 adult children who live
out of state. He is in an LTC for rehab following hospitalization. He has a 60-year history of smoking 2 PPD of
cigarettes. He fell 3 months prior to his hospitalization but did not sustain any injuries.
He was admitted to the hospital for an acute exacerbation of COPD. He also has a history of COVID in 2020,
HTN, and anxiety.
Medications:
• Acetaminophen 325mg PO Q6 hours PRN
• Albuterol inhaler, 2 puffs once daily
• Ipratropium bromide nebulizer Q8 hours PRN
• Lorazepam 5mg PO Q12 hours
• Nicotine patch, change every 72 hours
• Prednisone 30mg PO BID
• Multivitamin daily
Labs:
• Sputum culture and sensitivity- results showed no infection
• UA/UC- WNL
• CMP- WNL, except for potassium of 3.4 mEq/L
• CBC- WNL, except for platelets of 140k/mL
Imaging:
• Chest x-ray: shows focal consolidation in right lower lobe, suggestive of pneumonia
• Hyperinflation of lungs with flattened diaphragm consistent with long-standing COPD
• EKG: normal sinus rhythm with rate of 90 bpm
Assessment Data:
• Please be sure to fill in each system, including normal findings
• I will allow you to “make up” data that you would think would be abnormal in a patient like this, think of
findings especially in the following systems:
o Respiratory, cardiac, musculoskeletal, neuro
• Vital signs:
o Temp: 100.6 F, PO
o RR: 22 breaths/min, shallow
o HR: 90 bpm, regular
o BP: 145/90
o O2: 91% on 2L NC
o Pain: 7/10, intermittent, chest and upper back
Miscellaneous:
• The patient states that he hates hospitals and doesn’t belong in a nursing home. He says he needs to
get back to his farm
• He is impulsive and has tried to get out of bed numerous times, even though he is a stand by assist with
a history of falls
• He is non-compliant with medications and has felt nauseated. He does not want to take any meds and
“does not need that dang breathing thingy- it’s stupid!” (The nebulizer)
• He states he “will not quit smoking, I’ve been smoking since I was 15 and it hasn’t killed me yet!”
Nursing Assignment
Week 6 Organizational Ethics Presentation
This week, you will submit a video presentation. (I will doing the video presenting the power point you will be doing for me ) Your presentation must include both audio and visual components and be professional in nature.
1. Choose a topic below. – same topic you have to select from Discussion Board 1.
· Taken from the assigned reading in Butts chapter 12, page 401, “EthicalReflection: Typical Unethical or Illegal Behaviors in Organizations” ( list bellow and also attached in instructions on discussion Board 1)
2. Create a presentation (Power Point ) of 12-15 slides or screens
excluding the title and references. ( Total about 17 slides with title and references )
· Your slides/screen should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc.
3. In your presentation:
· Describe an ethical situation, based on the chosen topic, that can get in the nurse's way of practicing ethically. Describe the situation clearly and concisely.
· Identify how this situation relates to one provision within the Code of Ethics for Nurses.
· Identify two ethical principles that may arise when facing this situation.
· Discuss how a nurse might lessen the impact of the situation on the nurse's practice.
· In addition to the course texts, cite and reference a minimum of two (2) additional scholarly sources to support your work.( same references you have to mention on discussion Board 1)
· Close with a summary of your topic, and APA formatted reference slide(s).
Review the rubric for further information on how your assignment will be graded.
URS_521_DE – Presentation Rubric NURS 512
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NURS_521_DE – Presentation Rubric NURS 512 |
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Criteria |
Ratings |
Pts |
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This criterion is linked to a Learning OutcomeContent |
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105 pts |
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This criterion is linked to a Learning OutcomeOrganization |
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105 pts |
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This criterion is linked to a Learning OutcomeSlide Presentation |
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60 pts |
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This criterion is linked to a Learning OutcomeMechanics and APA |
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30 pts |
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Total Points: 300 |
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Health Assessment
Analyze the subjective portion of the note. List additional information that should be included in the documentation.
Analyze the objective portion of the note. List additional information that should be included in the documentation.
Is the assessment supported by the subjective and objective information? Why or why not?What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.
ethical decision
Eleanor Thompson, a 72-year-old woman, has been battling an aggressive form of ovarian cancer for the past three years. Despite undergoing multiple rounds of chemotherapy and radiation, her condition has deteriorated, and she is now experiencing severe pain and suffering. Eleanor’s oncologist, Dr. Samuel Martinez, has presented the family with the option of another experimental treatment, but he has also suggested considering transitioning to palliative care. Eleanor’s family is deeply divided on the decision. Her eldest daughter, Maria, believes that every possible treatment should be pursued, holding onto hope for a miracle. She argues that her mother has always been a fighter and would want to continue the battle against her illness. On the other hand, Eleanor’s son, Michael, feels that his mother has suffered enough. He believes that transitioning to palliative care would allow her to spend her remaining days in comfort and peace. Caught in the middle is Eleanor’s husband of 50 years, Robert. He is torn between wanting to honor his wife’s fighting spirit, desiring to ease her pain, and the painful finality of either decision. The healthcare team must navigate a complex ethical landscape. Beneficence, the principle of doing good, pushes the team to consider what would truly benefit Eleanor in terms of quality of life. Non-maleficence, or “do no harm,” raises questions about the potential suffering Eleanor might endure with further aggressive treatments. Lastly, the principle of justice requires the team to treat Eleanor fairly and equitably, ensuring her needs are met regardless of family disagreements.
Using the case study above, answer the questions below.
- Summarize the facts in the selected case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
- Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
- Identify who is involved or affected by the ethical problem or issue.
- Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
- Apply the three components outlined in the Ethical Decision-Making Model media.
- Analyze the factors that contributed to the ethical problem or issue identified in the case study.
- Describe the factors that contributed to the problem or issue and explain how they contributed.
- Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
- In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references.
- Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
- Review the Think Critically About Source Quality resource.
- Assess the credibility of the information source.
- Assess the relevance of the information source.
- In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references.
- Discuss the effectiveness of the communication approaches present in a case study.
- Describe how the health care professional in the case study communicated with others.
- Assess instances where the professional communicated effectively or ineffectively.
- Explain which communication approaches should be used and which ones should be avoided.
- Describe the consequences of using effective and non-effective communication approaches.
- Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
- Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
- Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
- Discuss the key lessons this case provides for health care professionals.
- Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
- Describe the proposed solution.
- Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
- Discuss how likely it is the proposed solution will foster professional collaboration.
- Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
- Apply the principles of effective composition.
- Determine the proper application of the rules of grammar and mechanics.
- Write using APA style for in-text citations, quotes, and references.
- Determine the proper application of APA formatting requirements and scholarly writing standards.
- Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
nursing
What is your definition of spiritual care? How does it differ or accord with the description given in the topic readings? Explain.
Nutrition & Hydration/Persistent Vegetative State (PVS)
After studying the course materials located on Module 7: Lecture Materials & Resources page, answer the following:
- Cure / care: compare and contrast.
- Basic care: Nutrition, hydration, shelter, human interaction.
- Are we morally obliged to this? Why? Example
- Swallow test, describe; when is it indicated?
- When is medically assisted N/H indicated?
- Briefly describe Enteral Nutrition (EN), including:
- NJ tube
- NG tube
- PEG
- Briefly describe Parenteral Nutrition (PN), including:
- a. Total parenteral nutrition
- b. Partial parenteral nutrition
- Briefly describe Enteral Nutrition (EN), including:
- Bioethical analysis of N/H; state the basic principle and briefly describe the two exceptions.
- Case Study: Terry Schiavo (EXCEL FILE on Module 7: Lecture Materials & Resources page). Provide a bioethical analysis of her case; should we continue with the PEG or not? Why yes or why not?
- Read and summarize ERD paragraphs #: 32, 33, 34, 56, 57, 58.
Submission Instructions:
- is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
- If references are used, please cite properly according to the current APA style.
Week 6 ion channel —2 Peer Response 600w. due 10-12-23
Week 6 ion channel —2 Peer Response 600w. due 10-12-23
Please read and respond to at least two of your peers' initial postings. You may want to consider the following questions in your responses to your peers:
· Compare and contrast your initial posting with those of your peers.
· How are they similar or how are they different?
· What information can you add that would help support the responses of your peers?
· Ask your peers a question for clarification about their post.
· What most interests you about their responses?
Please be sure to validate your opinions and ideas with citations and references in APA format.
IA
This is a very interesting case since Sam is only 19 years old and has a history of major depressive disorder (MDD) and also generalized anxiety disorder (GAD). At a glance, I noticed that his behavior has highs and lows since he has gone from being violent by throwing a chair at a store window to having a “resounding moment” where everything makes sense. Among many other clues, this leads me to believe Sam can be newly diagnosed with bipolar disorder with manic episodes.
After consulting our DSM-5-TR book on page 140, I also realized Sam presents multiple symptoms that represent the diagnosis of bipolar disorder. To start Sam preceded a “psychotic breakdown” along with a history of MDD. He has also presented physiologic changes like diminished sleep, and other signs, and symptoms of a manic episode (Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR 2022). It also appears he is more talkative than usual by engaging his colleagues for long hours in conversation. Adding on to his symptoms it also appears he has engaged in high-risk behaviors such as drinking and sexual relations which was not his norm before. He has thought of himself as being better than the professors which match the ideas of grandiosity.
At first, I wasn’t sure which medication to prescribe, but it seems he would benefit from lithium since lithium is an antimanic medication primarily used to treat bipolar disorder(Lithium, 2022). Sources such as MedlinePlus indicate lithium is a mood stabilizer and works by releasing dopamine and serotonin in the brain (Lithium: MedlinePlus Drug Information 2023). Just like this case, I have seen many but now I see things differently since I know more in-depth the signs and symptoms as well as researching the proper medication.
References:
Diagnostic and statistical manual of mental disorders: DSM-5-TR (5th ed.). (2022). . American Psychiatric Association Publishing.
Stahl, S. M. (2021). Stahl’s essential psychopharmacology: The Prescriber’s Guide (7th ed.). Cambridge University Press.
Townsend., K. I. M., Mary C. (2020). Essentials of Psychiatric Mental Health Nursing, 8th edition. F.A. Davis.
MAM
Week 6, Medication for Bipolar Disorders
What diagnosis do you believe may apply to this individual?
The patient is a young boy presenting with a 'psychotic break,' characterized by reckless behaviors, sudden and unconventional decision-making (such as changing his major in university), distractibility, reduced need for sleep, a heightened sense of knowledge and grandiosity (believing he can teach courses in the university), and unusual beliefs regarding the nature of reality and his newfound appreciation for life. He is also engaging in high-risk behaviors, including excessive drinking, sexual activity, violence, increased spending, and initiating numerous projects without completing any. These symptoms are indicative of a manic episode (if they present more than a week).
Considering the patient's history of Major Depressive Disorder (MDD) and anxiety disorder, the diagnosis of Bipolar I Disorder (BPD) has been established. It is crucial to first rule out any medical problems, brain trauma, substance abuse, and other mental disorders that may be included in the differential diagnosis of BPD. The primary distinction between bipolar I and II lies in the nature of the manic or hypomanic episodes. In bipolar I disorder, individuals experience full manic episodes that typically last for at least one week. On the other hand, bipolar II disorder is characterized by hypomanic episodes, which are milder in intensity and shorter in duration, lasting no more than four days (Stahl, 2021).
Beyond this key difference, there are also variations in the clinical course and family history associated with these two subtypes. Individuals with bipolar II disorder tend to receive their diagnosis later in life, and their first experience of hypomania occurs at an older age compared to those with bipolar I disorder. These distinctions in age of onset and diagnostic patterns contribute to the differentiation between bipolar I and II disorders (Brancati et al., 2023).
Manic often presents with the feeling of being extremely important and having a very high opinion of oneself, sometimes to the point of having false beliefs about one's capabilities (Howse et al., 2023). In this case, the patient believes he is capable of teaching at the university. An experienced Psychiatric Mental Health Nurse Practitioner (PMHNP) can conduct a thorough history assessment to determine whether the psychosis is linked to brain traumas, substance use, schizoaffective disorders, or BPD.
What classifications of medications can be used to treat this disorder? Which medication do you recommend and why?
When the patient is diagnosed with Bipolar disorder, it indicates the need for mood stabilizers. Various mood stabilizers are available, including Lithium, Lamotrigine, Valproic Acid, and Carbamazepine. According to Stahl (2021), Lithium is considered the foundational and standard treatment for bipolar disorder and acute mania. However, this medication comes with several potential side effects, such as tremors, nephrotoxicity (Diabetes Insipidus), hypothyroidism, dyspepsia, nausea, vomiting, diarrhea, weight gain, hair loss, acne, sedation, decreased cognition, and incoordination. It can also lead to EB Stain anomalies in the fetus if taken during pregnancy.
Lithium additionally has a very low therapeutic index, signifying that the lethal dose of this medication is very close to the therapeutic level in the blood. Therefore, monitoring of blood levels of this medication is crucial throughout the treatment process. Regular assessments of kidney function, thyroid hormone levels, and electrolytes are also necessary. Lithium effectively stabilizes mood and reduces the severity of manic episodes (Stahl, 2021). Alongside medication, psychotherapy, such as cognitive-behavioral therapy or family-focused therapy, plays an essential role in treatment. It is equally important to educate the patient's family members about the disease and the treatment process.
References
Brancati, G. E., Nunes, A., Scott, K., O’Donovan, C., Cervantes, P., Grof, P., & Alda, M. (2023). Differential characteristics of bipolar I and II disorders: a retrospective, cross-sectional evaluation of clinical features, illness course, and response to treatment. International Journal of Bipolar Disorders, 11(1), 25. https://doi.org/10.1186/s40345-023-00304-9
Howse, J., Kanter, J., Muhammad, Q. C., & Wojcik, K. D. (2023). Mood disorders with psychotic features: Diagnostic considerations and treatment challenges. Psychiatric Annals, 53(4), 160-165. https://doi.org/10.3928/00485713-20230313-01Links to an external site.
Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical application (5th ed.).
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