Developing PICOT Question

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Assistance with developing PICOT question

Patho

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Integrate your knowledge of advanced pathophysiology across the lifespan with the clinical implications for the advanced practice nurse 

Nursing NUR 435 – Week 6 Assignment: Planning for Professinal Development, Part 1

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In a two-part assignment, submitted in weeks 6 and 8, you will create a job portfolio that highlights your exemplary nursing career. In Week 6, you will focus on creating a cover letter and personal statement.

Planning for Professional Development Part 1 due this week:

Step 1 Create a cover letter for your portfolio.

Imagine that you are interviewing for a nurse manager position in your institution. Write a cover letter, containing at least two-paragraphs, explaining why you want to be a nurse manager and why you are the best candidate for the position.

Review how to prepare an effective cover letter  There are many online resources to help you.  You may find GCF Learn FreeLinks to an external site. particularly useful.  You may use one of the following templates for your cover letter or develop one of your own.

Step 2 State your nursing beliefs.

Some employers ask you to include a personal statement.  To complete this section, create a separate document with the following three main headings:

  • Why I Became a Nurse
  • My Nursing Philosophy
  • My Vision for the Next Five to Ten Years

Each section should be at least one paragraph long.

Step 3 Save and submit your assignment.  You will upload two documents (a cover letter and your personal statement).

When you have completed your assignment, save a copy for yourself in an easily accessible place and submit a copy to your instructor.

Gastrointestinal

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Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. 

GASTROINTESTINAL TRACT BLEEDING

Patient Profile

Maria, a 48 year-old woman was transferred from emergency department (ED) to transitional care unit (TCU) with a diagnosis of probable gastrointestinal (GI) tract bleeding and abdominal pain. Patient c/o nausea and vomiting blood x2 weeks.

Subjective Data:

-Has a history of alcohol abuse

-Has a history of poorly controlled peptic ulcer disease due to non-compliance with treatment

-Is overweight, but recently lost 10 pounds

-Work as an admission coordinator at local junior college

-Live with her spouse, who was recently diagnosis with prostate cancer

-Recently experienced the death of a her mother from cardiac arrest

  Physical Examination:

                        B/P = 77/41 HR 49 RR 16 T (tympanic) 37.9 (100.2) O2 Sats 98% RA

                        Lungs clear to auscultation, S-3 heart sound to auscultation

Diaphoretic, short of breath, anxious

  
Laboratory Studies

NA 157 Serum K (potassium (3.0)

Hgb 7.6 HCT: 22.8 PLTs 138

RBC 3.32 WBC 11.6

Critical Thinking Questions:

1. Briefly explain the pathophysiology of the development of GI tract bleeding. What is the etiology associated with acute GI tract bleeding?

2. Identify common causes of GI tract bleeding and list predisposing factors specific to Maria.

3. Discriminate between the characteristics of upper and lower GI tract bleeding.

4. What complications did Maria experience?

5. Which factors determine whether blood products will be administered to a patient with GI tract bleeding?

6. Maria Hgb and Hct values dropped. Discuss the drop in Hgb and Hct values in relation to Maria blood loss.

7. If Maria continues to have active bleeding from the GI tract despite conservative management, what other medical procedures might be implement and why?

 

Prioritize

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You have been assigned 4 patients on an Intermediate Medical Care Unit. Two of the patients are post myocardial infarctions at various stages of their infarctions with multiple types of arrhythmias, the third patient is having drastic blood sugar fluctuations 218 down to 50 within minutes and its rebounds back up with changes in mentation and the fourth is reported to be having frequent TIA’s. One of the MI patients is having some dizziness and your TIA patient is presenting signs of impending stroke.

How would you prioritize your assessments and activities? How would you describe your critical thinking process and how do you organize and prioritize implementation of care?

At least one full page with proper APA formatting

FOCUSED SOAP NOTE AND PATIENT CASE PRESENTATION, 21

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Respond at least 2 times each . The goal is for the discussion forum to function as robust clinical conferences on the patients. Provide a response to 1 of the 3 discussion prompts that your colleagues provided in their video presentations. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.

pn 2 m7 project

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describes the clinical problem and the following:

  • Reason for choosing this topic
  • The PICOT question
  • Possible integration of the evidenced that you found in clinical practice
  • Methods to evaluate the effectiveness of implementation

Week 4 Reflection on Learning

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  • Reflect on connective leadership styles. Which style most closely aligns with your personal leadership characteristics?
  • How might you use power to influence change in your NP role?

nursing

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 What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) say about the nature of God and of reality in relation to the reality of sickness and disease? From where would one find comfort and hope in the light of illness according to this narrative? Explain in detail each part of the narrative above and analyze the implications.