Case Study

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A 60-year-old male patient is admitted with chest pain to the telemetry unit where you work. While having a bowel movement on the bedside commode, the patient becomes short of breath and diaphoretic. The ECG waveform shows bradycardia.

  • What other assessment findings should you anticipate?
  • Why does this patient probably have bradycardia?
  • Does this dysrhythmia need treatment? Why or why not? What intervention would you implement first?
  • What is the drug treatment and dosage of choice for symptomatic bradycardia? How does this drug increase heart rate?

Please use complete sentences to answer the questions. Ensure that you are using correct grammar. In additions, support your answers by using your textbooks, scholarly journals, and credible Internet sources. All citations must be in APA format.

Nursing

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Reflection 6

Purpose

Often, after a class is done for the week, we drop it and move on. The goal of reflection assignments is to encourage you to reflect on what we did in class that week, after the class to consolidate your learning. There will be specific prompts for you to answer; sometimes this is a reflective assignment, and other times it is more of an application assignment (e.g., given a case example and having to apply something from class). The hope is that this will help you to use what you have learned to ensure concepts “stick” or to think critically about your response to what was learned.

Task

Respond to the following prompt and upload your Word document. It should be 1-2 pages and will be due
11:59 p.m. Friday.


Reflection #6

Sometimes it is helpful to provide information about the brain and neurobiology during psychoeducation with clients. Some clients are more or less interested in this, but for those who are interested, it can often be quite validating to know there may be physiological differences they are experiencing in response to stress.

Imagine that you wanted to provide psychoeducation to your client about some aspects of neurobiology as it relates to PTSD. Write out what you might say: (1) to an adult, and (2) to a child. If you would accompany visual images with this, you do not need to draw them, but could describe what they would include. Be sure to provide a bridge to what this information tells us about how we might work with them or what we might need to do to help them.

They would not need to know the level of detail we have covered, of course, so do not feel a need to explain everything!

Grading Criteria

I'm really not looking to take off points for the reflection assignments. I don't have specific rubrics for them, but if you do not seem to be engaging with the prompt or answering the questions, I may take off points. Each reflection assignment is worth
5 points.

Impact of health literacy

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What is an impact of health literacy on health outcome?

Week 5 Discussion: Evidence-Based Teaching in Nursing & Becoming a Scholar in Nursing Education

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There are two parts to this discussion.  The first is to consider scholarship in nursing. The second is to reflect on your MSN education to date.

Initial Post:

Part 1: Briefly discuss what is described in Chapter 20 as ” the scholarship of teaching in nursing.”  What is the difference between scholarship in teaching in nursing and scholarly teaching? How will you demonstrate scholarship in your nursing practice and future career in education? How can you best prepare for it?

For your references, review Teaching in Nursing and the Role of the Nurse Educator, Chapters 19 and 20 and find an additional professional nursing source. 

Part 2: You will soon be taking the capstone course and graduating with a master’s degree in nursing. Reflect on what you have learned in your education and leadership courses thus far. How has your understanding of the educator and leadership roles in nursing changed?  What has impacted you the most?  How do you envision using this information and/or degree in your career? What would you like to learn more about through additional formal or informal learning?

see below

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see below

HUMANITIES

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Competency

Develop a vocabulary for criticizing, evaluating, and describing works of art.

Instructions

For this competency, you will assume the role of a critic. View each piece of work listed below and analyze it as a piece of art, identifying key elements of the work and using terminology common to the discipline. Using a few concise paragraphs for each piece, your analysis should discuss each work as a critic would and include, using the proper vocabulary, what you think the work is about.


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Case Study #1

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 A 72-year-old woman presents to her regular primary care physician (PCP) with a 2-day history of fatigue, malaise 

Disseminating EBP within your organization

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 In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.  I x page only no title page and include 2 to 3 References.

  1. List two dissemination strategies you would be most inclined to use and explain why. 

2.Explain which dissemination strategies you would be least inclined to use and explain why. 

3. Identify at least two barriers you might encounter when using the dissemination strategies, you are most inclined to use. Be specific and provide examples. 

4.Explain how you might overcome the barriers you identified. 

Response

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PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:

2. Nursing‐sensitive indicators are the criteria for changes in health status that nursing care can directly affect. Nursing‐sensitive indicators have been increasingly adopted as valid and reliable tools due to their features such as objective assessment, improvement of clinical practice, evaluation of nursing care quality and performance, and informed decision‐making capability for patients in selecting a hospital to receive care. The use of nursing‐sensitive indicators affects the outcomes of nursing care by defining the structure and processes of nursing care. Indicators can be used for quality improvement purposes in applied settings to monitor performance and progress and to support evidence-based decision making, to support informed policy analysis related to regulatory or accreditation requirements, workforce development, and reimbursement, and to research the role of nursing care in determining patient safety outcomes by examining structure-outcome, process-outcome, and structure-process-outcome relationships. I believe that no one nursing sensitive indicator is sufficient on its own for measuring the profession’s impact on patient care and outcomes. Rather, several elements must be considered together to provide a comprehensive view of nursing practices and results, such as patient falls with and without injuries, RN satisfaction survey, nosocomial infections, nursing hours per patient day. Indicators not included in the database statistics, but which professional nurses should consider, nonetheless are patient satisfaction with pain management, patient satisfaction with nursing care. For example, assessment and treatment of pain is complex, and optimal pain care remains elusive. Only 63-74% of patients report that their pain was well-controlled. Personal biases may interfere with healthcare’s ability to accurately assess pain management needs, but nurses who keep in mind the ethical principles of autonomy, beneficence, non-maleficence, and justice will be better equipped to make sound judgments. 

Reference:

Oner, B., Zengul, F. D., Oner, N., Ivankova, N. V., Karadag, A., & Patrician, P. A. (2021). Nursing-sensitive indicators for nursing care: A systematic review (1997-2017). Nursing open, 8(3), 1005–1022. https://doi.org/10.1002/nop2.654

Hypertension in a 15 years old adolescent

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Discusion topic: SOAP note about hypertension in a 15 years old adolescent

Requirements

Ø The discussion must address the topic

Ø Rationale must be provided

Ø Use at least 600 words (no included 1st page or references in the 600 words)

Ø May use examples from your nursing practice

Ø Formatted and cited in current APA 7

Ø Use 3 academic sources, not older than 5 years. Not Websites are allowed.

Ø Plagiarism is NOT permitted

I have attached the template, the rubric and a sample.