Which learning theories and principles do you think are the most useful to the advanced practice nurse (APN) in providing high quality care to clients, and why?
Category: Nursing
Discussion on Lymphatic System, Thorax and Lungs, and Cardiovascular System
This Discussion has 3 parts:
Lymphatic
Define lymphedema.
What is elephantiasis?
Provide the differential diagnosis of mumps versus cervical adenitis.
Thorax and Lungs
Define and provide an example of a disease/situation where this sign/symptom might be present:
Dyspnea
Orthopnea
Apnea
Paroxysmal nocturnal dyspnea
Tachypnea
Bradypnea
Hyperpnea
Kussmaul breathing
Periodic breathing (Cheyne-Stokes).
Support your answer with a previous experience you have encountered in your career.
Cardiovascular System
Name and write the location of the five traditionally designated auscultatory areas and explain why it is heard there.
A pregnant patient (32 weeks’ gestation) is having difficulty with dependent edema and painful varicosities. What can you suggest to help this patient’s problem and explain rationale?
Critically Analyzing Street-Level Bureaucracy: Policy Making and Implementation
Critically analyse how debates about street level bureaucracy (Lipsky, 1997) provide alternative insight into what policy is and how and where it is made.
Use academic research to help you explain: What bottom-up and implementation approaches to policy are. The role of local human actors, and their power and agency, for resisting, revising and refusing policy. How far and in what ways street-level bureaucrats (Lipsky, 1997) make and influence policy.Lipsky, M. (1997) Street-Level Bureaucracy; A Reader, London, Prentice Hall, pp. 389-392 (first published, 1980)( I have copy and paste above the guidelines of the question ) My tutor told me that the essay need to be around Lipsky reading. I have also attached the file with all the readings from that week when we learn about Lipsky street level burocracy,
External accountability mechanisms and how they can promote diversity, inclusivity, and legitimacy
Create a 6- to 8-slide PowerPoint presentation (excluding the title and reference slides) that discusses external accountability mechanisms and how they can promote diversity, inclusivity, and legitimacy in public safety.Review and summarize one of the following cases to discuss the intersection of race, ethnicity, and culture in interactions with public safety officers: George Floyd, Rayshard Brooks, Andres Guardado, Elijah McClain, Breonna Taylor, Atatiana Jefferson, Philando Castile, or Eric Garner.Discuss the community responses to the case, including community groups, victim advocate groups, and the media.How can community representation in the development of training and education advance diversity and inclusivity in public safety?Discuss ways in which accreditation agencies, independent prosecutors, and civilian review boards can promote impartial investigation into cases of alleged misconduct while also considering public safety and crime reduction goals.Discuss community-oriented and problem-solving strategies that in the future can avoid outcomes similar to those in the selected case
Understanding Ryan’s Behavior: Perspectives from Piaget, Kohlberg, and Erikson
Prompt:
Thirteen-year-old Ryan has begun to challenge many of his parents values and to express his own set of highly idealistic standards. Compare and contrast the explanations for Ryans behavior that would be given by Piaget, Kohlberg, and Erikson. Focus only on scientific research; this is not an opinion or personal experience paper.Requirements: detailed paper and select at least one academic article from PsycARTICLES or Academic Search Complete in the Belhaven Library database for references. APA format is required. You may use the textbook, but do not directly quote the authors; paraphrase into your own words
Educational Handout: Understanding Down Syndrome Risk and Support
Design nursing care strategies which incorporate genetic and genomic risk factors.
Scenario
You are enthusiastic about developing information to share with clients and families with positive genetic testing results. A young couple approaches you and states, We have siblings with Down Syndrome. Could we have a baby with this disorder? You decide to create an educational handout that supports the couple as they search for more information.
Instructions
Create an education handout that contains:
Description of education before birth for a family concerned their baby may have Down Syndrome, including recommended testing and counseling
Discussion of education for a family after the birth of a child with Down Syndrome, including resources this family can access now and, in the future, to support the development of the child across the lifespan
Correct grammar, spelling and APA style and format required
Clinical Experience Reflection
Describe your clinical experience for this week.
Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
Support your plan of care with the current peer-reviewed research guideline.
Importance of Caseloading in Midwifery: Enhancing Maternal Care
Base the paper on MIDWIFERY NOT NURSING What Is caseloading Importance of caseloading for midwives.Benefit of having on going care.Why do midwives have caseloading womenHow do pregnant mums benefit from caseloading.(If i am missing anything else I will message and let you know by today)
Analysis of a Pertinent Healthcare Issue: Transitioning from Disease Management to Health Promotion
ANALYSIS OF A PERTINENT HEALTHCARE ISSUE
The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.
Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.
In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.
To Prepare:
• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.
Analysis of a Pertinent Healthcare Issue
Develop a 2 to 3 page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:
• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.
Case Analysis of an 86-Year-Old Asian Male Patient
Case 1
Chief Complaint ” came for my annual physical , but do not want to be a burden to my daughter.”
History of Present Illness(HPI) At-risk 86-year-old Asian male – who is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs.
Past medical History
Hypertension (HTN), gastroesophageal reflux disease(GERD), b12 deficiency and chronic prostatitis
PSHS/P cholecystectomy
Drug HxCurrent Meds: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and Cipro 100mg daily.
Allergies: none
Family Hx
Review of Systems (ROS)
General
+ weight loss of 25 lbs over the past year; no recent fatigue, fever, or chills.
Head, Eyes, Ears, Nose & Throat(HEENT)
No changes in vision or hearing, no difficulty chewing or swallowing. Neck
No pain or injury Respiratory
CV
GI
GU
no urinary hesitancy or change in urine stream Integument
multiple bruises on his upper arms and back.
MS/Neuro
+ falls x 2 within the last 6 months; no syncopal episodes or dizziness
PE
B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt110; BMI 17.8
General
HEENT
Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.
Lungs
CTA AP&L Card
S152 without rub or gallop
Abd
benign, normoactive bowel sounds x 4 GU
Ext
no cyanosis, clubbing or edema Integument
multiple bruises in different stages of healing – on his upper arms and back. MS
Neuro
No obvious deformities,
CN grossly intact II-XII
answer the following questions:
Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.
Utilizing the five assessment domains, which ones would you utilize on your patients in conducting a comprehensive nutritional assessment.
Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions?