Real Due

Name: Cara Jett
Age: 34 years
Provider: R. Mcbride NP
Allergies: NKA
Admit weight: 102 Ibs (46.3kg)
BMI: 17.5
Code status: full code

I just can’t eat. Every time I do, I have horrible pain in my stomach. My family keeps
accusing me of having an eating disorder. It’s not that I don't want to eat. It's that I can’t
without pain and diarrhea!

4/12
1345

Nursing Note: Client presents for ongoing stomach pain after eating. Current BMI of
17.5. Last recorded BMI from 3 years ago was 22.2. States pain has been ongoing for
several years, more severe as of late yesterday. Client skipped lunch today. Current
abdominal pain is 2/10. States that she has tried using over-the-counter pain relievers to
help with the abdominal pain, but this has not been successful. Rates 2/10 RLQ
abdominal pain.

4/12
1355

Neuro/Cognitive: Alert and oriented x4.

Cardiovascular: Regular heartbeat with S1 and S2 heard. No edema present. Capillary
refill <3 seconds. Bilateral pedal and radial pulses +3.

Respiratory: Lungs clear bilaterally.

Gastrointestinal: Abdomen flat, firm, hyperactive bowel sounds x 4 quadrants. Tender
in RLQ. Denies nausea. Last bowel movement was 1045 today. Loose, brown, mucous
looking – per client. Three loose stools today so far.

Genitourinary: Continent. No pain or burning when urinating

Musculoskeletal: Muscle atrophy present. +5 strengths for all extremities. Tenting
present on arm and collarbone.

Psychosocial: Anxious. Becomes tearful several times during visit. States her family is
accusing her of having an eating disorder.

5/7
1435

Nursing Note: Follow-Up Appointment with Gastrointestinal Specialist

Diagnosis: New Crohn’s disease.

Follow-up appointment after colonoscopy and upper GI procedure. Had a CT scan of the
abdomen completed after the procedure. Rates 4/10 abdominal pain. Client is taking
prednisone and metronidazole as prescribed by primary care provider for Crohn's
disease.

Date Temp HR RR BP SpO2 O2

4/12 1345 96.8 °F

(36.0 °C)

78 18 102/54 100% RA

5/1 0945 97.2 °F

(36.2 °C)

64 12 94/45 89% RA

5/1 1000 97.2 °F

(36.2 °C)

69 12 104/50 92% RA

5/1 1015 97.2 °F

(36.2 °C)

72 14 110/52 94% RA

5/7 1430 98.6 °F

(37.0 °C)

88 18 138/78 99% RA

Date Diagnostic Test Findings

5/1
1015

Upper GI
Colonoscopy

No abnormal findings.

Small ulcer found in the transverse portion of the large intestine with
evidence of more in the small intestine. Further testing, including an
MRI, is highly suggested.

5/5
1500

CT Scan of
Abdomen

Impression: Thickening of the wall of the small intestine present.
Three small abscesses noted by entrance to the colon correlating with
recent gastric studies. No fistula apparent.

5/1
0945

Endoscopy Center Nursing Note:

Client has completed an upper GI study and a colonoscopy with no noticeable
complications. Vitals stable. Drowsy but easily woken. Oriented x4.

5/1
1000

Endoscopy Center Nursing Note:

Vitals remain stable. Client drank 60mL of clear soda and two bites of graham cracker.
Swallow and gag reflex present. Mild 2/10 throat discomfort present. Driver present and
atbedside.

5/1
1015

Endoscopy Center Nursing Note:

Client discharged to home in care of mother, Nancy. Follow-up appointment made.

HEALTHY EATING FOR A HEALTHY WEIGHT

Write a two page paper on healthy eating for weight loss. Include information on my page. Use resource from only the CDC website

Nursing Assignment

Need to interview a nurse practitioner to answer some questions for an assignment regarding their experiences and educational journey ! Please reach out if willing to assist with this.

Ssdcsd

  • Explain how research has evolved since the Florence Nightingale era.
  • Discuss how research and EBP are different; include how you believe research supports EBP for nursing.
  • Describe one past/historical unethical breach of research conduct; then, share how you would ensure care of a study participant using one ethical or legal research consideration (guideline/principle).

RESPONSE TO THE MEANING OF LIFE 2

 PLEASE RESPOND TO THE FOLLOWING POST IN 50 WORDS:

After reading these three theories I believe the best theory is a ¨virtue Ethics¨ This theory focuses more on being and not doing what I mean by this?  Well, I believe our decisions come from our beliefs and personality think about it a person who cares for others, is honest and compassionate is more likely to help someone than a person who only thinks about themselves and how they can benefit from an action. Aristotle’s said that the right thing to do is what a virtuous person would do and I agree with him. Let’s start by defining what a virtuous person is. A virtuous person is honest, kind, respectful, brave, and wise. I believe that if people develop this trait the world will become a better place to live this is because if we were all to act as virtuous people society would become a better place to live where instead of judging others we would help them to be a virtuoso person.

Do you think we live under the rules of this theory now?

I believe we do live under this theory not because we follow it but because if we were to follow the theory society would become a better place. As a right, some people are virtuous but others are not for example when there is a natural disaster majority of the people only think to themselves about how they are going to prepare or evacuate and sometimes people even get more than what they need because they are not thinking in the rest if we were all virtuous people we would just get what we need and would try to help our community to get prepare or evacuate.

why it would be beneficial as ‘the’ ethical theory for all of us to follow. 

Well as I said before I believe that if we follow this theory the world will become a safer and healthier place to live, I believe if we all were virtuous people we would pick moral decisions that benefit the world and society

Create a 2-4 page report on an interview you have conducted with a health care professional. Identify an issue from the interview that could be improved with an interdisciplinary approach, and review best practices and evidence to address the issue.

 

For this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently being used. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from the literature. Additionally, you will start laying the foundation for your Interdisciplinary Plan Proposal (Assessment 3) by researching potential change theories, leadership strategies, and collaboration approaches that could be relevant to issue you have identified. Please be certain to review the scoring guide to confirm specific required elements of this assessment. Note that there are differences between basic, proficient and distinguished scores.

When submitting your plan, use the Interview and Issue Identification Template [DOCX],  Download Interview and Issue Identification Template [DOCX],which will help you to stay organized and concise. As you complete the template, make sure you use APA format for in-text citations for the evidence and best practices that are informing your plan, as well as for the reference list at the end.

Additionally, be sure to address the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

  • Summarize an interview focused on past or current issues at a health care organization.
  • Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
  • Describe potential change theories and leadership strategies that could inform an interdisciplinary solution to an organizational issue.
  • Describe collaboration approaches from the literature that could facilitate establishing or improving an interdisciplinary team to address an organizational issue.
  • Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, and using current APA style.
  • Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
  • APA formatting: Make sure that in-text citations and reference list follow current APA style.

Health equity

Define and describe Health equity. What are some of the problems and Risks factors associated with health equity. please do this in about 4 -5  bullet points.  

see below

see below

Kel's case study analysis

  

Purpose: Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.

Scenario:

Kel is a 42-year-old certified public accountant (CPA) who dreams each year that she will board a cruise ship the day after Tax Day and go somewhere, anywhere, except Portsmouth, Virginia. Each year the dream, like the ocean, ebbs and flows, but this year she is not even going to think about such a “ridiculous idea.” In fact, she does not even have the energy to dream; getting out of bed and preparing to go to work is simply too labor intensive. 

Each evening Kel retires to bed with a lack of energy to complete her normal tasks such as readying her clothes for work and making a lunch. She lacks the energy to shop in the evening; consequently, she eats mostly crackers and canned soup. She is not hungry, and her scale reflects this. She has lost 15 pounds over the last 2 months. She does not attend to her makeup or clothes; she finds both too taxing. The clothes she selects are drab and not ironed. At work she makes no effort to talk with her co-workers and does not initiate new contacts with clients. The normal work of filing taxes and writing reports, which she used to enjoy, are overwhelming, and she feels too disorganized to complete them. Telephone calls and e-mail messages from friends are ignored. Attendance at work is spotty.

Sue, her sister, becomes alarmed with Kel’s unanswered telephone calls and e-mails. Worried, she decides to visit her sister at home. She finds the apartment unclean and in disarray. Kel is unkempt, disheveled, and looks sad. Her voice is monotone and flat. Kel tells Sue that she feels “sad and hopeless. Nothing is ever going to change. I am a bad person and I can’t even do my work right. Although I sleep for many hours, I am still tired all the time.” Sue is alarmed at the changes in her sister and arranges for Kel to visit a health care worker at the medical clinic.

Questions:

Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers. 

Describe the presenting problems.

Generate a primary and differential diagnosis using the DSM5 and ICD 10 codes.

Formulate and prioritize a treatment plan. 

Identify and discuss appropriate screening instruments for a patient who has suicidal ideation.

wk5

Week 5: The Theoretical/Conceptual Framework

The theoretical framework is a critical element of your work. A theoretical framework is

the general representation of relationships in your problem and is based on existing

theory. The conceptual framework is your idea on how the problem should be

explored, and it is generally based on a theory. The difference between the two is the

scope. Theory is broad; concept is narrow.

In most research studies, your framework can be either theoretical or conceptual in

nature. For the purposes of this project, you will most likely follow a conceptual

framework, which is your idea on how the research problem will be explored (although

you could have both).

For example:

• Theoretical framework: Stimulus is applied to elicit a response

• Conceptual framework: A new teaching method is applied to elicit improvement

in midterm test scores.

In this section of your change project paper, state the perspective through which the

problem and/or phenomenon may be explored, and include the following:

1. Select a minimum of two theories.

2. Identify the process and logic in selecting these theoretical frameworks or

conceptual frameworks for your study.

3. Discuss how each theory or model applies to the individual project.

4. Present the framework guiding your study.

• Describe the assumptions of the framework.

• Describe each key component of the framework.

5. Discuss how each element of the phenomenon applies to the framework.

• Apply each element of the theory to the elements of the phenomenon under

study.

• Develop the rationale for the sample selection criteria.

6. Discuss, analyze, and critique pertinent research that uses the framework.

Remember that research never proves theory. Your research project can only support

or refute the theoretical propositions you are using as your framework. But if you do not

use theory or conceptual frameworks in your research, you may not be able to put your

findings in a context that could strengthen the nursing education profession!

This section should be 3–4 pages in length, not including the cover or reference page.
You must reference a minimum of 3 scholarly articles.

Use current APA format to style your paper and to cite your sources. Review the rubric for more information on

how the assignment will be graded.

NURS_691A_DE – NURS 691-A Rubric Week 5: Theoretical Framework

NURS_691A_DE – NURS 691-A Rubric Week 5: Theoretical Framework

Criteria Ratings Pts

This criterion is linked to a
Learning Outcome Content 60 to >49.2 pts

Meets Expectations

Identifies independent theories or conceptual

models that relate to the change project topic and

describes how they will be applied to the change

project. Thoroughly discusses how each element of

the phenomenon applies to the framework. Clearly

applies each element of the theory to the

elements of the phenomenon under study.

Develops the rationale for the sample selection

criteria, and expertly discusses, analyzes, and

critiques pertinent research that uses the

framework.

60 pts

This criterion is linked to a
Learning Outcome Organization

7.5 to >6.15 pts
Meets Expectations

Content is well written throughout. Information is

well organized and clearly communicated.

7.5 pts

This criterion is linked to a
Learning Outcome APA
Format/Mechanics

7.5 to >6.15 pts
Meets Expectations

Follows all the requirements related to format,

length, source citations, and layout. Assignment is

free of spelling and grammatical errors.

7.5 pts

Total Points: 75

  • Week 5: The Theoretical/Conceptual Framework