Nursing Homework Assignment

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Nursing Opportunities Assignment:  Total Possible Points = 110

Students will select a Contemporary Nursing Career Opportunity to write about.  Careers should focus on the role that requires education at the Bachelor’s level or higher. You must get approval from the instructor for the topic.  Students are expected to discuss all of the following:

  • expectations and responsibilities of the role itself
  • education requirements for the chosen career path,
  • salary ranges and demand for the role
  • pros/cons of the role
  • impact of the role on nursing or healthcare trends/issues

Career chosen: CERTIFIED NURSE MIDWIFE

Nursing Assignment

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WEEK 5

This paper will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.

Part I

The Advance Health Care Directive 

Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state's Advance Directives here 

http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.Links to an external site.

Complete the advance directive for yourself.  
Do not turn in your AD with your paper. The AD is for your personal use.

In your paper, Part I:

1. Identify where you obtained the AD and explain its compliance with state law.

2. Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.   

3. Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and
 subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.

(Cite/ reference any sources you use to explore these questions, including your texts.)

Part II

Physician Orders for Life-Sustaining Treatment (POLST) Form

1. What is a 

Physician Orders for Life-Sustaining Treatment (POLST) formLinks to an external site.
?

POLST: Portable medical orders for seriously ill or frail individuals

2. When should this form be completed?

3. Who can complete the form?

4. Who needs to sign the form to make it a legal document?

(Cite/reference any sources you use to explore these questions, including your texts.)

Part III

Tie the two first sections together by writing a summary and conclusion.

This section should address:

1. the differences between an Advance Health Care Directive and the POLST,

2. the RN's important role in assuring the patient's right to autonomy in choosing the healthcare interventions the patient does or does not want.

____________________________________________

Use current APA Style.

The paper should be between 3-5 pages in length excluding the title and reference page(s). 

Cite and reference the course text and at least two (2) additional appropriate professional sources.   

NURS_521_DE – Feild Activity Paper

NURS_521_DE – Feild Activity Paper

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeContent

50 to >43.5 pts

Meets Expectations

Content is clear, thorough, and organized effectively. Main points are well supported. Meets all of the criteria of the written assignment.

43.5 to >37.5 pts

Approaches Expectations

Content is somewhat clear, thorough, and organized effectively. Some points are well supported. Meets most of the criteria of the written assignment.

37.5 to >29.5 pts

Below Expectations

Content is generally unclear, not thorough, and organized ineffectively. Main points are not well supported. Meets only a few of the criteria of the written assignment.

29.5 to >0 pts

Does Not Meet Expectations

Content is disconnected, unorganized, and does not meet the criteria of the written assignment.

50 pts

This criterion is linked to a Learning OutcomeClarity and Coherence

50 to >43.5 pts

Meets Expectations

Writing flows smoothly from one idea to another. Writer has taken pains to assist the reader in following the logic of the ideas expressed.

43.5 to >37.5 pts

Approaches Expectations

Sentences are mostly structured to communicate ideas clearly. Transitions between paragraphs make the writer’s points easy to follow.

37.5 to >29.5 pts

Below Expectations

Sentence structure and word choice sometimes interfere with clarity of content and distract the reader.

29.5 to >0 pts

Does Not Meet Expectations

Poor sentence structure, sentences do not make sense; no clarity evident in the paper.

50 pts

This criterion is linked to a Learning OutcomeReferences and Citations Within the Body of the Paper

12.5 to >10.88 pts

Meets Expectations

The required number of scholarly references is used and cited skillfully throughout the paper.

10.88 to >9.38 pts

Approaches Expectations

The required number of scholarly references is used but some may not be cited accurately or skillfully throughout the paper.

9.38 to >7.38 pts

Below Expectations

The required number of scholarly references is not used and most are not cited accurately or skillfully throughout the paper.

7.38 to >0 pts

Does Not Meet Expectations

References or citations are not included in the body of the paper and writing indicates none were used.

12.5 pts

This criterion is linked to a Learning OutcomeMechanics and APA

12.5 to >10.88 pts

Meets Expectations

The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.

10.88 to >9.38 pts

Approaches Expectations

The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly.

9.38 to >7.38 pts

Below Expectations

The assignment generally follows current APA format with several mistakes and grammatical, spelling, or punctuation errors. Most sources are cited and referenced incorrectly.

7.38 to >0 pts

Does Not Meet Expectations

The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Sources are missing.

12.5 pts

Total Points: 125

Mental Health & Social Work Careers

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This week you have viewed lectures on mental health professionals and social workers. Discuss the differences in training and scope of practice by comparing two of these professions, e.g. mental health counseling, psychologist, psychiatrist and social workers. You must discuss at least 3 differences for full credit. The original post should be

1-2 paragraphs in length. In your reply, you should point out something that surprised you or add to the discussion with information from another quality resource.

Lectures: Careers in Mental Health and Social…

Lecture on clinical mental health counseling (including an overview of the other licensed mental health professions)

Aaron Norton, a Licensed Mental Health Counselor, Licensed Marriage and Family Therapist, and Adjunct Instructor at the University of South Florida’s Rehabilitation and Mental Health Counseling program, provides an overview of the clinical mental health counseling profession for undergraduate students in a pre-recorded guest lecture for the Health Sciences program at USF.

The lecture covers the following:

1. Overview and Comparison of Licensed Mental Health Professions

2. Counseling: Definition, Education, Scope of Practice, Licensure Requirements, Work Settings, Certifications/Specializations, Salaries, Efficacy, Work Values

3. Overview of USF’s Rehabilitation & Mental Health Counseling Program

4. My Career Path: An Example

5. A Typical Day in Counseling

6. Counselor/Health Professional Self-Care

WATCH YOUTUBE VIDEO: https://youtu.be/Rjsz_JgpToo?si=axH8zJMjOOJJxv27

PHARMACOTHERAPY FOR GASTROINTESTINAL AND HEPATOBILIARY DISORDERS

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Week 4
Nathan Scott Wende

All Sec�ons

Hi everyone-

I hope everything is going well. This week we will be working on the GI system. There is an
assignment this week as you will be writing a paper on a scenario. I will say that there could be a
few different diagnoses that this could be, however, I am looking more for signs that you choose a
diagnosis and can support that based on your research. And as always, I will be looking for solid
medication recommendations.

Please use the following case for your paper:

DC is a 46-year-old female who presents with a 24-hour history of RUQ pain. She states the pain
started about 1 hour after a large dinner she had with her family. She has had nausea and on
instance of vomiting before presentation.

PMH: Vitals:

HTN Temp: 98.8oF

Type II DM Wt: 202 lbs

Gout Ht: 5’8”

DVT – Caused by oral BCPs BP: 136/82

HR: 82 bpm

Current Medications: Notable Labs:

Lisinopril 10 mg daily WBC: 13,000/mm3

HCTZ 25 mg daily Total bilirubin: 0.8 mg/dL

Allopurinol 100 mg daily Direct bilirubin: 0.6 mg/dL

Multivitamin daily Alk Phos: 100 U/L

AST: 45 U/L

ALT: 30 U/L

Allergies:

This announcement is closed for comments

Search entries or author

Latex

Codeine

Amoxicillin

PE:

Eyes: EOMI

HENT: Normal

GI:bNondistended, minimal tenderness

Skin:bWarm and dry

Neuro: Alert and Oriented

Psych:bAppropriate mood

Talk to you all soon!

Nathan

Unread  

In the realm of marketing, a successful branding strategy is one of the most important contributors to organizational success. A solid branding strategy can help add visibility and credibility to a company’s products.

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 In the realm of marketing, a successful branding strategy is one of the most important contributors to organizational success. A solid branding strategy can help add visibility and credibility to a company’s products. 

For Profit vs. Not For Profit

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Private, nongovernmental healthcare organizations may be either for profit (FP) or not for profit (NFP).

  • Discuss the difference between not-for-profit and for-profit organizations.
  • What happens if an NFP organization makes a profit?
  • What are the advantages and disadvantages of each type of organization?
  • Describe two specific examples of how risk management has influenced nursing documentation.

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. 

soap for brilliant

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Week 6: Problem-Focused SOAP Note

USE the template that I gave you before. Needs the 1st blank paper for cover sheet.

Some Rubric

Some Rubric

Criteria Ratings Pts

This criterion is linked to a
Learning Outcomes (Subjective)

10 pts
Accomplished

Symptom analysis is well organized, with C/C, OLD

CART, pertinent negatives, and pertinent positives. All

data needed to support the diagnosis & differential

are present. Is complete, concise, and relevant with

no extraneous data.

10 pts

This criterion is linked to a
Learning Outcome (Objective)

10 pts
Accomplished

Complete, concise, well organized, well written, and

includes pertinent positive and pertinent negative

physical findings. Organized by body system in list

format. No extraneous data.

10 pts

This criterion is linked to a
Learning Outcome
(Assessment)

10 pts
Accomplished

Diagnosis and differential dx are correct, include ICD

code, and are supported by subjective and objective

data.

10 pts

This criterion is linked to a
Learning Outcome (Plan) 10 pts

Accomplished

Plan is organized, complete and supported with 2

evidence-based references. Addresses each diagnosis

and is individualized to the specific patient and

includes medication teaching and all 5 components:

(Dx plan, Tx plan, patient education, referral/follow-

up, health maintenance).

10 pts

Total Points: 40

Patient initial: R. R

DOB: June/1991 Sex: F

Encounter Date: 08/08/2023

SUBJECTIVE:

Chief Complaint:

History Of Present Illness:

appt is requested for URI

Medical History:

#. COVID 1/2022

#. hemorrhoids

#. Postpartum Depression, Anxiety, panic attacks

#. ADD

#. Insomnia

#. Allergic rhinitis

#. Psoriasis

#. Onychymycosis

Surgical History:

none

Gynecological History:

G2 P2 A0

Family History:

M: living, arrhythmia, palpitations

F: living, healthy

S: asthma

Social History:

-Married

-Lives with husband, 2 kids, and grandparents

-Authorization coordiinator at USC Keck, also student in digital marketing

-Denies tobacco use

-etoh use: Socially

-Denies illicit drug use

Smoking Status: Never Smoked

Allergies:

No known allergies

Current Medications:

———————————-

Paxil 10 mg po qd

xanax 0.25 mg prn panic attacks

Adderall 20mg bid prn

———————————

Review of System:

Constitutional: Patient denies weight change, fever, chills, weakness, fatigue, sleep

changes, appetite changes.

Head: Patient denies headache.

Neck: Patient denies abnormal masses, neck stiffness.

Eyes: Patient denies vision loss, blurring, discharge, excessive tearing, dryness.

Ears: Patient denies hearing loss, tinnitus, vertigo, discharge, pain

Nose: #sinus congestion#

Mouth: Patient denies ulcers, bleeding gums, taste problems.

Throat: #sore throat#

Cardiovascular: Patient denies chest pain, chest pressure, palpitations, DOE,

orthopnea.

Respiratory: #dry cough#

Patient denies shortness of breath, increased sputum, hemoptysis.

Gastrointestinal: #looser stools, frequency, occ incontinence#

Patient denies nausea, vomiting, heartburn, dysphagia, constipation, melena,

abdominal pain, jaundice, hemorrhoids.

Genitourinary: #urinary urgency and frequency, occasional incontinence#

Patient denies abnormal hesitancy, hematuria, dysuria, nocturia, stones.

Musculoskeletal: Patient denies arthralgias, joint stiffness, myalgias, muscle

weakness, instability and abnormal range of motion

Integumentary (Skin and/or Breast): Patient denies rash, lesions, changes in hair,

changes in nail, pruritus

Neurological: Patient denies headache, syncope, seizures, vertigo, ataxia, diplopia,

tremor, numbness, tingling.

Psychiatric: #depression, anxiety, ADD#

Patient denies mood abnormalities, memory loss, difficulty sleeping, appetite

changes

Endocrine: Patient denies sensitivity to cold or heat, polyuria, polydipsia.

Hematologic/Lymphatic: Patient denies bleeding, bruising, lymphadenopathy.

GYN: #menorrhagia#

Patient denies changes in menstrual cycle, hot flashes.

OBJECTIVE:

Physical Exam:

Constitutional: #last exam done on 7/10/23 showed#

WD, WN, Alert, Oriented X3 in NAD. Affect appropriate. Gait normal.

Eye: PERRLA, EOMI, nl conjunctiva

Ear: No pinnea/tragal tenderness. Drums are visualized, no wax in canals

Nose: N1 mucosa. N1 Nasal septal walls and turbinates.

Mouth: N1 bucal mucosa, no lesions noted.

Throat: Clear, no erythema or exudates.

Neck: #thyroid fullness R#

supple, no masses. Trachea is midline. N1 carotid auscultation. No JVD

Cardiovascular: RRR, N1 S1 and S2, No cardiac murmurs, rubs or gallops.

Lungs: ctab, no wheezes, rhonchi or crackles

Chest/Breasts: deferred

Gastrointestinal (Abdomen): soft, nt, nd, bs(+). No palpable masses.

Genitourinary: #negative CVAT#

deferred

Lymphatic: -No LAN noted

Musculoskeletal: good ROM. Strength symmetrical and wnl. No muscle weakness or

stiffness. No joint effusion or ttp.

Skin: Normal color and texture. No lesions seen.

Extremities: Warm, no clubbing, cyanosis or edema. N1 DP/PT pulses bilaterally

Neurological/Psychiatric: CN I-XII intact, neurosensory wnl, strength (5/5), (2+) DTR

UE/LE bilaterally -Judgment and insight intact

ASSESSMENT:

Diagnosis:

ICD-10 Codes:

1)J069; Upper respiratory infection, unspecified

PLAN:

Procedures (CPT code):

1) 99213; Detailed

2) 99401; 15 min

Medications:

Promethazine-DM 6.25-15 MG/5ML Oral Syrup; Take 5 ml orally every 4 hours Take

as needed for dry cough; Qty: 120; Refills: 0

Care Plan:

.***URI- x4 days, sore throat, sinus congestion, dry cough, headache. took

tylenol/cough syrup, claritin with not much relief. sent home today from work, COVID

test today from work pending results. sisters also similar sxs, but has tested

negative for COVID.

-off work this week

-Rx promethazine/DM 5mL prn cough, r/b d/w pt

-sudafed and tylenol prn

-f/u 1 week, if no improvement and covid neg, come back in office for exam

***urinary incontinence- h/o occasional stress incontinence, however over last 1 mo,

c/o increasing urengency, frequency and 2 episodes of incontinence, which occured

with only minimal alcohol use. denies hematuria, dysuria. c/o menorrhagia

worsening after delivering her 2 yo. denies LBP/trauma/saddle paresthesia

-pelvic floor PT ordered

-UA/UCx ordered

-referred to uro gyn

-ordered transvaginal u/s r/o uterine fibroids

-counseled on wt loss. keep voiding journal

-avoid irritants such as caffeine/ETOH

***diarrhea- c/o looser stools, 4-5xd and few episodes of incontinence. c/o abd

cramping after bm, othewise no abd pain, fever, melena, wt loss. has had h/o abd

pain and cramping which we ordered stool studies, CRP, ESR but pt never did.

denies LBP/trauma/saddle paresthesia. abd exam normal today

-ordered stool studies, ESR, CRP

-referred to GI

-ER precautions

***Hyperlipidemia, lipoprotein deficiency- On 1/16/23, FLP showed 237/47/182/156.

Has lost 6 lbs intentionally since last visit.

-Rec low fat, low carb diet

-FLP with next annual

***obesity- BMI 31.37, wt 221 lbs, Has lost 6 lbs intentionally since last visit.

-counseled

***thyroid fullness- noted on exam. 1/16/23, TSH wnl.

-ordered thyroid u/s 11/8/22, pt has not done yet

Plan Notes Continued: .

***trigger finger- unsure of duration, ono/off. R ring finger locks. Pt has seen hand

specialist in the past for another issue

-Rx ibuprofen as noted above, r/b d/w pt

-pt rec to f/u with hand specialist

***Vitamin D deficiency- On 1/16/23, Vitamin D level was 24. not supplementing.

-Rec Vitamin D 4000 IU qd

-Vitamin D level with next annual

***Onychymycosis- b/l feet on PEX on 2/1/23. pt is interested in tx.

-given the interactions between terbinafine and her psychiatric meds, I rec she

checked with them first before we start

***Depression, Anxiety- F/b psychiatrist, Dr. Askins and psychologist, Dr. Tricia

Duncan Hassle. Takes Paxil 10 mg po qd and xanax 0.25 mg prn panic attacks.

Denies SI/HI.

-mgmt per psych

***ADD- F/b psychiatrist, Dr. Askins. Takes Adderall 20mg bid prn.

-mgmt per psych

Patient Instructions: .

.

-Pt has been instructed to take medications as prescribed

-Pt received education on compliance with medications and recommendations

-Pt received counseling regarding Medication Side Effects

-Pt received counseling on following a well-balanced healthy diet with veg, fruit and

fiber.

-Pt was instructed to do CV exercise at least 3-4 times every week for 30 minutes.

PHCM: .

.

31 y/o F:

-Annual physical: done 2/1/23- next due 2/1/24

-Annual labs: done 1/16/23- next due 1/16/24

-Cervical CA screening: managed by GYN

-Skin CA screening; Referred to derm on 3/30/22

Immunizations:

Tetanus: doen 2021- next due 2031

Influenza: Fall 2022

COVID19: Pfizer in 7/1/21, bivalent booster Pfizer 1/14/23

HPV: will check records

  • Week 6: Problem-Focused SOAP Note

WHERE IN THE WORLD IS EVIDENCE-BASED PRACTICE?

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WHERE IN THE WORLD IS EVIDENCE-BASED PRACTICE?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

· Review the Resources and reflect on the definition and goal of EBP.

· Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).

· Explore the website to determine where and to what extent EBP is evident.

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

spiritual considerations

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What spiritual considerations surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or human caused disaster. How can a community health nurse apply the Christian worldview to the care of the individual, community, self, and colleagues during disaster management?