pn 11 m2 clinical question

 

Clinical Question – Formulate a clinical question using the PICOT format.

P: Patient Population

I: Intervention or area on Interest

C: Comparison intervention or group

O: Outcome

T: Time

Ex: “In acute care hospitals (patient population), how does having a rapid response team (intervention) compared with not having a response team (comparison) affect the number of cardiac arrests (outcome) during a three-month period (time)?”

Nursing

Omaha System Case Study for Home Visiting Rubric.html

banner

Omaha System Case Study for Home Visiting Rubric

Criterion

(Questions should be answered specifically for the chosen case study)

Points

1. What key criteria will the PHN need to consider for a successful first visit with this client? 

2

2. How will the PHN establish professional boundaries with this client?

2

3. How will the PHN communicate confidentiality with the client?

2

4. What may some ethical challenges be during this home visit with the client? 

2

5. How does the ANA Scope and Standards of Public Health (2013) nursing practice guide the responsibilities of the public health nurse in this case study? Cite this resource within your answer.

2

6. Identify key communication skills to assure respectful interaction with this client.

1

7. Describe the components of the nursing process in the planned home visit with this client. 

1

8. Identify priority problems for this individual/family.

1

9. Identify plan and nursing interventions for this individual/family. Expand on what was written in the case study.

1

10. Identify plan to evaluate problem outcome.

.5

11. Professionally written using APA formatting and writing mechanics.

.5

Total Points

15 points

fundamentals M 3

Delegation Guidelines

 

Discussion Topic

Top of Form

Activity Time:

2 hours; Additional Time for Study, Research, and Reflection: 1 hour

Directions:

After viewing the video, “Delegation” and reading in your textbook, post your answers to the following questions.

1. Briefly explain the Rights of Delegation and the potential error(s) that can occur with each when delegating a task.

2. Discuss how these delegation errors be prevented?

Please make your initial post by midweek, and respond to at least two other student's post by the end of the week.

Bottom of Form

Skin & Breast

 

This discussion contains 2 parts:

  1. KM is a 38-year-old white woman with a 6-year history of psoriasis. Her family history includes allergies and asthma and her mother with psoriasis. KM returns today for an increase in symptoms, and she wants to improve the appearance of her skin. Please discuss the following:
    • What is the underlying cause of psoriasis?
    • What are the common signs and symptoms of this disease?
  2. Define, Compare and Contrast the following conditions:
    • Fibrocystic breast disease
    • Fibroadenoma
    • Malignant breast tumor

Cancer Symptoms and their Management

Cancer treatment is very aggressive in nature. The treatment can lead to symptoms that range from uncomfortable to life-threatening. Complete the Cancer Symptoms Management Table

NUR2870_Module 01_Cancer Symptoms Management Table_v2.docx

Do not forget to include complementary alternative therapy that may help in symptom management.

NC

Over the course of the next eight weeks, we will be examining concepts related to nursing research and the translation of evidence to practice. To help you better understand the process, you will be identifying a practice issue for nurse practitioners. You will develop a PICOT question associated with the issue, find evidence to support a change in practice, and present your recommendations for change to your peers. This week, we will work on helping you refine your area of interest so that you will be able to develop a concise question for next week’s assignment. You are encouraged to use the area of interest you chose for the project in previous class.

Select an issue in nurse practitioner (NP) practice that is of interest to you and in which you would like to see a practice change occur. Conduct a review of literature to see what is currently known about the topic. In 1-2 paragraphs, describe the scope and relevance of the issue and your recommended change. Provide reference support from at least two outside scholarly sources to support your ideas. Please pick something you can do as a NP in your practice that is patient focused. Your intervention needs to relate to a measurable patient health outcome. Please avoid anything that would require a policy or law change, such as full-practice authority. Burnout and satisfaction surveys also are not appropriate topics as they are not patient centered. 

LAST DISCUSSION

Go back to the discussion topic in Week 1 and review your discussion posts.

Have any of your thoughts or concepts of trends in nursing have changed since week 1.  Please share specific examples.

THIS IS WHAT I POSTED IN WEEK 1:

In my opinion when I think of nursing issues and trends, I think of the nursing staff shortages, increase in patient ratios, nursing advocacy, growth of telehealth, and advances in technology in the field.  In this present time, things are changing rapidly and with that comes change in the field as well.  An example is telehealth, which allows patients to have consults via phone/video with a medical professional.  Nurses are also exploring IT nursing with all these new technical advances.  Which brings to nurses also leaving the clinical setting for a nonclinical nursing career which leads to shortages in the hospitals with this growth of nonclinical nursing careers.

PHARMACOTHERAPY FOR CARDIOVASCULAR DISORDERS

 

..heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease…

—Murphy et al., 2018

Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm

module 5

 

Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with the father of Robby, her firstborn. She indicates “pretty serious partying” with the likely father of the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per week, plus intermittent methamphetamine use.Which clinical information would be most critical for you to collect in the first visit?What are the greatest risk factors for substance use disorder for this patient?Which harm reduction strategies would you recommend?Identify your city. Then refer this patient to three agencies near you that would support positive health outcomes for this patient.   (These agencies must not have been used in past discussion posts). What was your rationale for choosing these three agencies? 

chapt 6

1. Read the 

Article – Essentials of Advocacy in Case Management


 Download Article – Essentials of Advocacy in Case Management
, and then, answer the following questions:

a. Case Managers have four duties as described in the article. What are they?

b. What dilemma are Case Managers presented with everyday they practice?

c. What is the relationship between advocacy and provider-driven ?

d. Give four examples of case manager advocacy that are mentioned in the article.

e. Name four Four Basic Perspectives on Advocacy in Case Management Practice.

f. Case management advocacy consists of seven areas of focus. What are they?

2. Your paper should be:

3. One (1) page

. Typed according to 

APA Writing StyleLinks to an external site.
 for margins, formatting and spacing standards.

. Typed your paper in a Microsoft Word document, save the file, and then upload the file.