DUE REAL 2

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Name: Cara Jett
Age: 34 years
Provider: R. Mcbride NP
Allergies: NKA
Admit weight: 102 Ibs (46.3kg)
BMI: 17.5
Code status: full code

I just can’t eat. Every time I do, I have horrible pain in my stomach. My family keeps
accusing me of having an eating disorder. It’s not that I don't want to eat. It's that I can’t
without pain and diarrhea!

4/12
1345

Nursing Note: Client presents for ongoing stomach pain after eating. Current BMI of
17.5. Last recorded BMI from 3 years ago was 22.2. States pain has been ongoing for
several years, more severe as of late yesterday. Client skipped lunch today. Current
abdominal pain is 2/10. States that she has tried using over-the-counter pain relievers to
help with the abdominal pain, but this has not been successful. Rates 2/10 RLQ
abdominal pain.

4/12
1355

Neuro/Cognitive: Alert and oriented x4.

Cardiovascular: Regular heartbeat with S1 and S2 heard. No edema present. Capillary
refill <3 seconds. Bilateral pedal and radial pulses +3.

Respiratory: Lungs clear bilaterally.

Gastrointestinal: Abdomen flat, firm, hyperactive bowel sounds x 4 quadrants. Tender
in RLQ. Denies nausea. Last bowel movement was 1045 today. Loose, brown, mucous
looking – per client. Three loose stools today so far.

Genitourinary: Continent. No pain or burning when urinating

Musculoskeletal: Muscle atrophy present. +5 strengths for all extremities. Tenting
present on arm and collarbone.

Psychosocial: Anxious. Becomes tearful several times during visit. States her family is
accusing her of having an eating disorder.

5/7
1435

Nursing Note: Follow-Up Appointment with Gastrointestinal Specialist

Diagnosis: New Crohn’s disease.

Follow-up appointment after colonoscopy and upper GI procedure. Had a CT scan of the
abdomen completed after the procedure. Rates 4/10 abdominal pain. Client is taking
prednisone and metronidazole as prescribed by primary care provider for Crohn's
disease.

Date Temp HR RR BP SpO2 O2

4/12 1345 96.8 °F

(36.0 °C)

78 18 102/54 100% RA

5/1 0945 97.2 °F

(36.2 °C)

64 12 94/45 89% RA

5/1 1000 97.2 °F

(36.2 °C)

69 12 104/50 92% RA

5/1 1015 97.2 °F

(36.2 °C)

72 14 110/52 94% RA

5/7 1430 98.6 °F

(37.0 °C)

88 18 138/78 99% RA

Date Diagnostic Test Findings

5/1
1015

Upper GI
Colonoscopy

No abnormal findings.

Small ulcer found in the transverse portion of the large intestine with
evidence of more in the small intestine. Further testing, including an
MRI, is highly suggested.

5/5
1500

CT Scan of
Abdomen

Impression: Thickening of the wall of the small intestine present.
Three small abscesses noted by entrance to the colon correlating with
recent gastric studies. No fistula apparent.

5/1
0945

Endoscopy Center Nursing Note:

Client has completed an upper GI study and a colonoscopy with no noticeable
complications. Vitals stable. Drowsy but easily woken. Oriented x4.

5/1
1000

Endoscopy Center Nursing Note:

Vitals remain stable. Client drank 60mL of clear soda and two bites of graham cracker.
Swallow and gag reflex present. Mild 2/10 throat discomfort present. Driver present and
atbedside.

5/1
1015

Endoscopy Center Nursing Note:

Client discharged to home in care of mother, Nancy. Follow-up appointment made.

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

SOAP note asthma

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SOAP note asthma attack

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. 

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

informatics

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During the course, you have done a thorough analysis of a company and the health care subsector in which the company operates now is the time to look at all your findings and insights and be bold and make at least three predictions of what will happen to this organization or industry. Think in terms of the forces that affect your organization, its infrastructure and workforce challenges, if there are any reforms that may have a major impact? Be bold but NOT too bold. Think of a future that is plausible. 

case study

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 APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document t 

m10 discussion

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follow all directions

WEEK 1

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 Discuss the outcomes of their cultural assessment evaluation. 

Please document your outcomes (written in Microsoft Word) and think of strategies you will employ to enhance your cultural knowledge as you prepare for Cultural Health Issues. No less than 500 words.

Thank you.

I HAVE UPLOADED THE ASSESSMENT TOOL WITH MY ANSWERS AND SCORE.

NURS-6050N

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ADVOCATING FOR THE NURSING ROLE IN PROGRAM DESIGN AND IMPLEMENTATION

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.

In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 



WEEKLY RESOURCES

To Prepare:

· Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.

· Select a healthcare program within your practice and consider the design and implementation of this program.

· Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

The Assignment: (2–4 pages)

In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

·
Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?

·
Who is your target population?

·
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?

·
What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?

·
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?

·
Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

BY DAY 7 OF WEEK 8

LEARNING RESOURCES


Required Readings

· Milstead, J. A., & Short, N. M. (2019). 
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.

· Chapter 5, “Public Policy Design” (pp. 87–95 only)

· Chapter 8, “The Impact of EHRs, Big Data, and Evidence-Informed Practice” (pp. 137–146)

· Chapter 9, “Interprofessional Practice” (pp. 152–160 only)

· Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 183–191 only)

· American Nurses Association (ANA). (n.d.). 


Advocacy

Links to an external site.
. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/

· Centers for Disease Control and Prevention (CDC). (n.d.). 


Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementation

Links to an external site.
. Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf

·

Congress.govLinks to an external site.
. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/

· Klein, K. J., & Sorra, J. S. (1996). 

The challenge of innovation implementationLinks to an external site.
. 
Academy of Management Review, 21(4), 1055–1080.

· Sacristán, J., & Dilla, T. D. (2015). 

No big data without small data: Learning health care systems begin and end with the individual patientLinks to an external site.
. 
Journal of Evaluation in Clinical Practice, 21(6), 1014–1017.

· Tummers, L., & Bekkers, V. (2014). 

Policy implementation, street level bureaucracy, and the importance of discretionLinks to an external site.
. 
Public Management Review, 16(4), 527–547.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the 
Turnitin Drafts from the 
Start Here area. 

1. To submit your completed assignment, save your Assignment as 
WK8Assgn+LastName+Firstinitial

2. Then, click on 
Start Assignment near the top of the page.

3. Next, click on 
Upload File and select 
Submit Assignment for review.