SOAP NOTE

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 Soap Note 1 “ADULT”  Wellness check up (10 points) 

discussion 4 diversity

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After studying Module 4: Lecture Materials & Resources, discuss the following:

The St. Fleur family is well respected in the Haitian community because they are religious with great moral values. They moved to the United States because of political issues in Haiti. Ronald, the youngest son of this family, is 27 years old and lives at home with his mother and father. Recently, he began having fevers and subsequently developed pneumonia. He was admitted to the hospital, where laboratory tests were HIV positive. Ronald was in shock when the doctor informed him that he was HIV positive. He confessed to the doctor that he was gay, but he could not tell his family. He said that he did not want to bring shame to the family. Because he couldn’t be in a formal relationship disowning to his family and the Haitian community’s view of homosexuality, he has been very promiscuous over the years.

  1. What are Haitians’ views of homosexuality?
  2. If Ronald’s parents were to learn of his positive HIV status, how might they react if they are religious and traditional?
  3. Identify three major culturally congruent strategies a healthcare provider can implement to address HIV prevention practices in the Haitian community?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. 

REGULATION FOR NURSING PRACTICE

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REGULATION FOR NURSING PRACTICE STAFF DEVELOPMENT MEETING

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

Resources:

· Milstead, J. A., & Short, N. M. (2019). 
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.

· Chapter 4, “Government Response: Regulation” (pp. 57–84)

· American Nurses Association. (n.d.). 


ANA enterprise

Links to an external site.
. Retrieved September 20, 2018, from http://www.nursingworld.org

· Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). 

Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary careLinks to an external site.
. 
Nursing Outlook, 65(6), 761–765.

· Halm, M. A. (2018). 

Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing


 Download Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing
. 
Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291

·

National Council of State Boards of Nursing (NCSBN)Links to an external site.
. (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm

· Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). 

The impact of nurse practitioner regulations on population access to careLinks to an external site.
. 
Nursing Outlook, 66(4), 379–385.

· Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). 

mHealth: Don’t forget all the stakeholders in the business caseLinks to an external site.
. 
Medicine 2.0, 4(2), e4.

To Prepare:

· Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.

· Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

· Describe the differences between a board of nursing and a professional nurse association.

· Describe the board for your specific region/area.

· Who is on the board?

· How does one become a member of the board?

· Describe at least one state regulation related to general nurse scope of practice.

· How does this regulation influence the nurse’s role?

· How does this regulation influence delivery, cost, and access to healthcare?

· If a patient is from another culture, how would this regulation impact the nurse's care/education?

· Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).

· How does this regulation influence the nurse’s role?

· How does this regulation influence delivery, cost, and access to healthcare?

· Has there been any change to the regulation within the past 5 years? Explain.  

· Include Speaker Notes on Each Slide (except on the title page and reference page)

Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.

week 2 discussion answers

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Please respond to each discussion post with 4 to 5 sentences with apa references for each 

political

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The Roles of Congress and The Presidency

Discussion

Required Resources

Read/review the following resources for this activity:

· Textbook: Chapters 4 and 10

· Lesson: Read this Week's Lesson which is located in the Modules tab

· Initial Post: minimum of 2 scholarly sources (must include your textbook for one of the sources). Follow-Up Post: minimum of 1 scholarly source for your Follow-Up Post.

· Your Initial Post and your Follow-Up Post must be based on the same Option that you chose in order to receive credit for both posts. 

Initial Post Instructions

For the initial post, respond to one of the following options, and label the beginning of your post indicating either Option 1 or Option 2:

·
Option 1: Political scientists disagree on the exact causes of low representation of women in Congress. Why do you think there are so few women in Congress in comparison to men? How likely is it that these patterns of representation will dramatically change over your lifetime? For this discussion question, you will have to do some research online.

·
Option 2: What characteristics do you think voters look for when choosing a president? Do you think voters choose the characteristics they are looking for depending on the socioeconomic and political environment – lack of jobs, riots, COVID-19, environmental concerns and other issues etc.? Explain your answer.

Be sure to make connections between your ideas and conclusions and the research, concepts, terms, and theory we are discussing this week.

Follow-Up Post Instructions

Respond to the same Option you chose for your Initial Post (i.e., if you chose Option 1 for your Initial Post, your Follow-Up Pst should also be for Option 1). Respond to at least one peer. Further the dialogue by providing more information and clarification. Minimum of 1 scholarly source which can include your textbook or assigned readings or may be from your additional scholarly research.

Writing Requirements

· Minimum of 2 posts (1 initial & 1 follow-up)

· Minimum of 2 sources cited (assigned readings/online lessons and an outside source) for your Initial Post, and 1 scholarly source for your Follow-Up Post.

· APA format for in-text citations and list of references

EBOOK: The Struggle for Democracy, 2018 Elections and Updates Edition

https://bookshelf.vitalsource.com/reader/books/9780135246849/pageid/227 or

· email:
[email protected]

· pwd: Bryanthierry@09

Health History Form

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Assistance with completing a Health History Form today before 9pm

literature review

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Write a detailed, 2-page description of an appropriate literature search strategy and execute that strategy by locating a minimum of 20 scholarly publications. Then, analyze each source and identify main themes. Also, complete steps 2 and 3

Step 1: Develop and Execute an Appropriate Search Strategy.

Write a detailed, 2-page description of an appropriate literature search strategy. Then, use that strategy to locate a minimum of 20 scholarly sources, published within the last five years (unless seminal, practice guideline, or consensus statement), addressing your PICOT question. You may need to find additional sources if you do not have at least two sources that address the same main theme (see Step 3).

Step 2: Document and Analyze the Evidence.

Analyzing the evidence you have gathered in a literature search is necessary to develop a coherent synthesis of your findings. Use the 

Evidence Table [XLSX]


 Download Evidence Table [XLSX]
template to help you document and analyze the source materials you have located for this assessment.

Step 3: Identify Main Themes in the Literature.

Organizing your evidence by main themes or ideas addressed in each source will help you identify commonalities and differences in research questions, methodologies, and findings, and gaps in the research. Sort your evidence using the 

Main Themes Table [XLSX]


 Download Main Themes Table [XLSX]
and locate additional sources if you do not have at least two sources that address the same main theme.

intra vs entre 586 w1p1

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What is the difference between a nurse intrapreneur and a nurse entrepreneur?

Define a target industry and potential customers who could benefit from your nursing expertise.

Expectations

Initial Post:

  • Due: Thursday, 11:59 pm PT
  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

Week 3 Learning Exercise Analysis: Organizational, Political, and Personal Power/Organizing Patient Care

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Solve one of the following Learning Exercises from Huston’s Leadership Roles and Management Functions in Nursing, 11th edition.

  • Learning Exercise 13.3 (page 321)
  • Learning Exercise 13.8 (pages 334-335)
  • Learning Exercise 13.10 (page 336)

List which Learning Exercise you are solving at the start of your analysis and provide a brief summary of the case. Be sure to apply an appropriate problem-solving/decision-making model (Traditional Problem-Solving Process, Managerial Decision-Making Model, The Nursing Process, or the Integrated Ethical Problem-Solving Model) in determining what you should do. Justify your decision with supporting evidence

Case study: Family member with alzheimer's disease

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Mark and Jacqueline have been married for 30 years. They have grown children who live in another state. Jacqueline’s mother has moved in with the couple because she has Alzheimer’s disease. Jacqueline is an only child and always promised her mother that she would care for her in her old age. Her mother is unaware of her surroundings and often calls out for her daughter Jackie when Jacqueline is in the room. Jacqueline reassures her mother that she is there to help, but to no avail. 

Jacqueline is unable to visit her children on holidays because she must attend to her mother’s daily needs. She is reluctant to visit friends or even go out to a movie because of her mother’s care needs or because she is too tired. Even though she has eliminated most leisure activities with Mark, Jacqueline goes to bed at night with many of her caregiving tasks unfinished. She tries to visit with her mother during the day, but her mother rejects any contact with her daughter. Planning for the upcoming holidays seems impossible to Mark, because of his wife’s inability to focus on anything except her mother’s care. 

Jacqueline has difficulty sleeping at night and is unable to discuss plans even a few days in advance. She is unable to visit friends and is reluctant to have friends visit because of the unpredictable behavior of her mother and her need to attend to the daily care. 

Reflective Questions 

1. How do you think this situation reflects Jacqueline’s sense of role performance? 

2. How do you think that Jacqueline may be contributing to her own health?

Please provide rationales for your answers. Please provide a citation for your answers.