SOAP note HTA

/in /by

Hypertension

Intro to nursing reaearch

/in /by

 Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Provide an overview of the problem and discuss how addressing the problem through nursing research can improve patient outcomes. Provide rationale and support for your answer. 

Nursing nursing assignment

/in /by

APA format

Nursing

/in /by

This week’s discussion is a two-fold discussion. First, explain the role of the Psychiatric Mental Health Nurse Practitioner as it relates to the scope of psychotherapy. Second, explain how this week’s discussion aligns with the following APNA standard:

• Standard 5G: Therapeutic Relationship: Psychiatric-mental health registered nurse uses therapeutic relationship as the basis for interactions and the provision of care.

The student must answer the graded discussion with a substantive reply to the graded discussion question(s)/topic(s) posted by the course instructor by Thursday, 11:59 p.m.

Eastern Time. Two scholarly source references are required unless stated otherwise by your professor. The student provides a substantive response to the discussion question or topic on Thursday day and posts at least two additional responses to peers on another day(s). The answers to classmates must be posted by Sunday, 11:59 p.m. Eastern Time. We expect each student to participate in the discussion board respectfully.

Please review the rubric before posting to ensure a maximum of points. Here are the categories of the new discussion rubric:

Initial Post relevance to the topic of discussion, applicability, and insight. (20%)

Quality of Written Communication Appropriateness of audience and word choice is specific, purposeful, dynamic, and varied. Grammar, spelling, punctuation. (20%)

Inclusion of APNA standards essentials explored in the discussion and the role-specific competencies as applicable. (10%)

Rigor, currency, and relevance of the scholarly references. (Use articles that are below five years old). (20%)

Peer & Professor Responses. The number of responses and quality of response posts.

(20%)

Timeliness of the initial post and the answers to the peers. (10%)

WHERE IN THE WORLD IS EVIDENCE-BASED PRACTICE?

/in /by

To Prepare:

  •  reflect on the definition and goal of EBP (evidence based practice).
  • 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.

The assingment:

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.

please include at least 3 apa references

Clinical Decision Making Discussion

/in /by

Purpose

The purpose of this interactive discussion is to allow for a discovery of the clinical decision-making process that guides the appropriate clinical use of pharmacologic agents used in the treatment of acute disorders across the adult lifespan. The development of evidence-based prescribing practice supports the professional formation of the AGACNP practice role.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

  1. Summarize the clinical utilization of pharmaceutical agents for specific diseases with rationale. (COs 1, 2, 3, 5, 6)
  2. Evaluate alternative perspectives on clinical management of selected diseases with pharmaceutical agents and articulate a substantial rationale that supports further discussion and healthy debate. (COs 1, 2, 3, 5, 6)

Due Date

The initial response to the chosen discussion question is due by Wednesday 11:59 pm MT. Subsequent posts, including substantive responses to peer(s) and faculty questions, must occur by Sunday 11:59 pm MT. A total of 3 substantive posts are required on 3 different days.

A 10% late penalty will be imposed for initial discussions posted after the deadline on Wednesday at 11:59 pm MT, regardless of the number of days late. NOTHING will be accepted after 11:59 pm MT on Sunday (0 points are earned).

A 10% penalty will be imposed for not entering the minimum number of interactive dialogue posts (3) OR not posting on the minimum required number of days (3). NOTHING will be accepted after 11:59 pm MT on Sunday (0 points are earned).

Total Points Possible

This assignment is worth 100 points.

Preparing the Assignment

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

  1. Answer the question that corresponds with the 1st letter of your last name only, do not respond to any other questions in your initial post (see table below).
  2. Post your initial response to the discussion question by the due date.
  3. Post substantial replies to peer and faculty by the due date.
  4. Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion.

If your name begins with the letters…

Answer this question…

A-G

You are working in the Emergency Department and a 20-year-old female with history of intravenous drug abuse presents with concern of septic shock. What are the considerations in choosing the appropriate antibiotic for this patient? Explain your thought process, questions you would need to ask, and what antibiotic you would order, and when.

H-M

How does the empiric pharmacological therapy differ in a patient with healthcare-associated meningitis (such as a neurosurgical patient with an external ventricular drain) as compared to a healthy adult with community-acquired bacterial meningitis? Explain your rationale.

N-S

You are admitting a 78-year-old male smoker with hx of asthma into the intensive care unit for a diagnosis of hospital acquired pneumonia. He was admitted three weeks ago with pneumonia and discharged to home on azithromycin after a 2-day hospitalization. What antimicrobial treatment will you order on his ICU admission now? Explain your rationale.

T-Z

What would be the alternative empiric pharmacological therapy for a 50-year-old male with a history of anaphylaxis to cephalosporins? Explain your rationale.

**To see view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric. 

Last name initial is P.

References can’t be no more than 5 years old, unless it’s a recent CPG.

Nursing homework

/in /by

I need brief and concise answers to the assignment attached below. 

I will like to have it done in 24 hours.

Unit 1 551

/in /by

A 23-year-old woman presents to the OB-GYN office you work at. She was recently surprised to learn that she is pregnant. She estimates that she is about 8 weeks along. The woman tells you that she regularly drinks on the weekends with her friends. She asks you “Is that a problem? As long as I don’t drink very much, I can still have a drink occasionally while I’m pregnant, right?”

  1. How would you answer her questions?
  2. What types of abnormalities can be caused by alcohol, and how does genetics influence this?

Instructions: This is a discussion post, 1 page to 1 page and a half of content is enough. APA style references. 3 of them. 

Unit 2Weekly Clinical Communication and Documentation Requirements. 600w. 3 references. Due 11-11-22

/in /by

1

1

Clinical Decision-Making NU671

Unit 2Weekly Clinical Communication and Documentation Requirements. 600w. 3 references. Due 11-11-22

For this assignment the focus is a 50y/o male patient. construction worker. Came in for follow up after a 2024 ICD-10-CM Diagnosis Code M75. 102: Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic. The injury occurred 1 month prior. The patient has not returned to work since his injury and is suffering from chronic pain, anxiety and depression related to his financial obligations at home. Patient is the head of his household; his wife does not work. He came in for a follow-up with his primary care provider. His blood pressure was also elevated due his stress. He was placed on fluoxetine (Prozac) 20 milligrams (mg) once a day in the morning and Carvedilol 6.25 milligrams (mg) 2 times a day. Over the counter Tylenol and ibuprofen recommended for pain. Patient education was provided regarding medication management and stress management.

1. Clinical Highlights.

· On your journey to become a psychiatric mental health nurse practitioner discuss a patient encounter that was particularly interesting and what you learned from it?

· Identify a personal learning need you discovered while assessing or managing a specific diagnosis. What steps will you take to improve your understanding or skills?

2. Looking Ahead

· What clinical goal would you like to tackle next week?

· What is your proposed clinical schedule (date/time/total hours) for next week?

Old assignment-paper
This is the assignment that was completed previous semester. I am retaking this class. The assignments are the same but I cannot submit the same work, the instructor runs all papers through the plagiarism checker. Please redo this assignment so I can resubmit it the content will be the same. Thanks

Unit 3 Weekly Clinical Preceptee Communication And Documentation

Name

Student’s Number

Course Title and Number

Professor’s Name

Institution

Date

Unit 3 Weekly Clinical Preceptee Communication And Documentation

Clinical Highlights

I had a patient interaction that was especially intriguing and taught me essential lessons throughout my training to become a psychiatric mental health nurse practitioner. A session was held with a young adult experiencing acute anxiety and depression. The patient's background of childhood trauma had a significant effect on how she felt mentally. It was challenging to develop a therapeutic connection with her when we first started our session because she looked reserved and guarded. I eventually won her trust through attentive listening and compassionate conversation. I discovered the extent of the patient's emotional suffering as she opened up and the survival skills she had developed. The experience showed me the value of being persistent and patient while establishing a connection with people who have undergone trauma. It reaffirmed how crucial it is to give people a secure, judgment-free area to express their emotions.

The incident also highlighted the challenges of treating coexisting mental health disorders. Her depression and anxiety were linked and exacerbated each other, which posed special difficulties in creating an all-encompassing treatment strategy. I saw the significance of providing mental health treatment using a holistic approach that considers all facets of a patient's life, particularly their social network, way of life, and coping mechanisms.

Personal Learning Need

I discovered a personal learning needs for treating individuals with personality disorders throughout my evaluations and management of various conditions. I found that there was room for development in the areas of understanding and treating borderline personality disorder (BPD). I felt the need to improve my knowledge and abilities since BPD is a complicated and sometimes misunderstood disorder. Acquiring evidence-based clinical knowledge is important in ensuring that people with BPD have better treatment (Iliakis et al., 2019). I have various actions I want to take to increase my knowledge about and management abilities for BPD. I will first do an in-depth study and analyze recent BPD literature to understand the underlying causes, symptoms, and evidence-based treatment options for BPD. This study will help me stay current on the most recent developments and suggestions for treating personality disorders.

I intend to seek mentoring or supervision from seasoned mental health practitioners knowledgeable about treating people with personality problems. Mentoring often provides mental health practitioners with insightful advice that will make them handle challenging situations easier (Zajac et al., 2021). I will look for chances for continuing education relevant to BPD and similar personality disorders. I will be able to communicate with professionals, gain knowledge from practical examples, and have conversations with others with similar learning interests by participating in these educational activities. Ultimately, I want to use my clinical rotations to put my newfound understanding of BPD and its treatment into practice. I may use evidence-based therapies and assess their efficacy while getting feedback from seasoned preceptors by actively interacting with BPD patients.

Looking Ahead

My clinical objective for the coming week is to improve my capacity for performing thorough mental health evaluations. A comprehensive assessment is crucial to psychological mental health practice since it is the basis for a precise diagnosis and efficient treatment planning (Maruish, 2019). The following is the proposed clinical schedule for next week.

Day

Activity

Monday

Shadow an experienced psychiatric mental health nurse practitioner during patient assessments in the morning. In the afternoon, review assessment tools and protocols.

Tuesday

Conduct mental health assessments under the supervision of a preceptor, focusing on gathering patient history, current symptoms, and potential risk factors.

Wednesday

Attend a workshop on the importance of cultural competence in mental health assessments, exploring techniques for conducting culturally sensitive interviews.

Thursday

Discuss assessment findings with preceptors, receive feedback, and participate in case discussions with fellow students to learn from their experiences.

Friday

Engage in self-directed study, reviewing assessment guidelines and practicing documentation skills to ensure accurate and thorough recording of patient information.

I intend to spend 30 hours on clinical work, education, and independent study during the week. I plan to considerably enhance my assessment abilities as a psychiatric mental health nurse practitioner by devoting time and effort to this clinical objective and offering better treatment to my future patients.

References

Iliakis, E. A., Sonley, A. K., Ilagan, G. S., & Choi-Kain, L. W. (2019). Treatment of borderline personality disorder: is supply adequate to meet public health needs?.
Psychiatric Services,
70(9), 772-781.

Maruish, M. E. (2019).
Essentials of treatment planning. John Wiley & Sons.

Zajac, S., Woods, A., Tannenbaum, S., Salas, E., & Holladay, C. L. (2021). Overcoming challenges to teamwork in healthcare: a team effectiveness framework and evidence-based guidance.
Frontiers in Communication,
6, 606445.

Part 1: Identifying Research Methodologies

/in /by

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

  • The full citation of each peer-reviewed article in APA format.
  • A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
  • A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
  • A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
  • A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.