Discussion 250 words. Make sure you provide 2 references and utilize APA style.. . Discussion Rubric

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Learning Activity Content

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Health Promotion in Practice

Since the time of Florence Nightingale, nurses have recognized that they address the spiritual needs of their patients, but this still remains one of the most nebulous aspects of nursing care. When asked about providing spiritual care, most nurses know that they “do it,” but they have difficulty describing what “it” is. Even though major nursing and health care organizations emphasize the importance of nurses addressing the spiritual needs of patients, assessment questions are usually limited to obtaining information about a patient’s religious affiliation. Similarly, interventions often focus on initiating referrals to chaplains or other spiritual advisors for patients who have a religious affiliation. This approach may be adequate for some patient care situations, but it does not necessarily address the need for a spiritual connectedness that all humans experience. This chapter focuses on relatively simple actions that nurses can incorporate as an integral part of usual nursing care to identify and address the spiritual needs of their patients.

It is important to become comfortable discussing spiritual needs of patients because all humans have spiritual needs even though they may not identify with a religion. 

Let us consider the following scenario: 

You are a nurse manager working in a Catholic hospital, and you have been told by some of your nurses that the 'new hire RN' feels uncomfortable discussing religion with their patient because they do not have any religious affiliation. 

Discuss how you would, as the MANAGER of the unit, address their discomfort, and ensure they still feel a part of the team even if their religious affiliations are not the same as that of the institution. 

Key points to remember in your discussion are that many spiritual practices individuals engage in can be adopted to multiple scenarios and it is important to develop an inquisitive and open-minded approach when you listen to patients and colleagues talk about their religious practices.

Please remember for discussion posts: the initial post must be uploaded by the WEDNESDAY of the week and two replies to your peers by Saturday at 2359.

Please note the grading rubric for the discussion board.

As a reminder, all discussion posts must be a minimum of 250 words, references must be cited in APA format 7th Edition and must include a minimum of 2 scholarly resources published within the past 5 years.

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w8 87

Discuss the five essential qualities of leadership “will” and at least five strategies the nursing leader can implement to foster willingness and hope among team members.

Expectations

Initial Post:

cite at least 2 US sources in apa format

  • Length: 150 – 250 Words

ARE

Patient Data for NR226 RUA Patient:

Patient History:

Ben Smith is a 75-year-old retired farmer from Southern Illinois. He is widowed and has 3 adult children who live
out of state. He is in an LTC for rehab following hospitalization. He has a 60-year history of smoking 2 PPD of
cigarettes. He fell 3 months prior to his hospitalization but did not sustain any injuries.

He was admitted to the hospital for an acute exacerbation of COPD. He also has a history of COVID in 2020,
HTN, and anxiety.

Medications:

• Acetaminophen 325mg PO Q6 hours PRN
• Albuterol inhaler, 2 puffs once daily
• Ipratropium bromide nebulizer Q8 hours PRN
• Lorazepam 5mg PO Q12 hours
• Nicotine patch, change every 72 hours
• Prednisone 30mg PO BID
• Multivitamin daily

Labs:

• Sputum culture and sensitivity- results showed no infection
• UA/UC- WNL
• CMP- WNL, except for potassium of 3.4 mEq/L
• CBC- WNL, except for platelets of 140k/mL

Imaging:

• Chest x-ray: shows focal consolidation in right lower lobe, suggestive of pneumonia
• Hyperinflation of lungs with flattened diaphragm consistent with long-standing COPD
• EKG: normal sinus rhythm with rate of 90 bpm

Assessment Data:

• Please be sure to fill in each system, including normal findings
• I will allow you to “make up” data that you would think would be abnormal in a patient like this, think of

findings especially in the following systems:
o Respiratory, cardiac, musculoskeletal, neuro

• Vital signs:
o Temp: 100.6 F, PO
o RR: 22 breaths/min, shallow
o HR: 90 bpm, regular
o BP: 145/90
o O2: 91% on 2L NC
o Pain: 7/10, intermittent, chest and upper back

Miscellaneous:

• The patient states that he hates hospitals and doesn’t belong in a nursing home. He says he needs to
get back to his farm

• He is impulsive and has tried to get out of bed numerous times, even though he is a stand by assist with
a history of falls

• He is non-compliant with medications and has felt nauseated. He does not want to take any meds and
“does not need that dang breathing thingy- it’s stupid!” (The nebulizer)

• He states he “will not quit smoking, I’ve been smoking since I was 15 and it hasn’t killed me yet!”

OFF-LABEL DRUG USE IN PEDIATRICS

The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.

When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

 To Prepare:

  • Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.
  • Reflect on situations in which children should be prescribed drugs for off-label use.
  • Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.

Write a 1-page narrative in APA format that addresses the following:

  • Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
  • Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.
  • Walden University, LLC. (Producer). (2019i). Therapy for pediatric clients with mood disordersLinks to an external site. [Interactive media file]. Baltimore, MD: Author.

Discuss the components of the Affordable Care Act that you think will have a positive effect on improving health care outcomes and decreasing costs.

Health Po. Discussion W4 

 In 2010, the Affordable Care Act opens up the 45-year-old Medicare program to the biggest changes since its inception. Discuss the components of the Affordable Care Act that you think will have a positive effect on improving health care outcomes and decreasing costs. 

The discussion must address the topic.

Rationale must be provided

500 words in your initial post by Wednesday 23:59 pm

Minimum of two scholarly references in APA format within the last five years published

esw

Respond to the following prompts: 

· How has learning about the history of research ethics impacted your view of biomedical research?

· In looking at the studies you reviewed for your PICOT question, do you feel that today’s researchers adequately protect the rights of human subjects? If not, what additional measures do you recommend?

PSYCHOTHERAPY FOR CLIENTS WITH ADDICTIVE DISORDERS

See attachement for instructions 

Nursing homework help

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?

This assignment is to be completed using APA format. 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. The body of your submission must be at least 350 words.

reply

Professor and class,

 

Collecting, analyzing, interpretating, and presenting data is statistics (Zach, 2022). Understanding your data is key to statistics, not over computing calculations (Holmes et al., 2017). Working on a medical/surgical unit, two different forms of data that I work with are daily blood pressure and temperature checks on my patients to assess their condition and overall health. Temperature checks can alert staff of an indication of infection, and or hypothermia. Blood pressure checks will provide knowledge of hypertension, hypotension, hypervolemia, hypovolemia, and sepsis. The average patient to nurse workload is eight to ten patients per shift. These are both classified as quantitative data related to numerical measurements and values. Blood pressure is usually classified as continuous due to having an infinite number of values within a range with a normal blood pressure of 120/80. Whereas temperatures are discrete due to being measured in finite increments such as tenths of a degree. Temperatures level of measurement is Interval due to being quantitative, can be ordered, meaningful differences between data can be collected and does not have an inherent zero, it is just a position on the scale. Blood pressure is measured on a ratio scale related to the numbers are equal in magnitude and rank on a numerical scale that has an absolute 0. The type of sampling used is cluster due to dividing the population into groups and selecting all the patients in one cluster but not the whole population.

Holmes, A., Illowsky, B., & Dean, S. (2017). 
Introductory Business Statistics. Houston, TX: OpenStax CNX. Retrieved from https://openstax.org/details/books/introductory-business-statistics

Zach. (2022, August 29).
The importance of statistics in Healthcare (with examples). Statology. https://www.statology.org/importance-of-statistics-in-healthcare/

ASSESSING MUSCULOSKELETAL PAIN

  

Case: A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved?

 How would you test for each of them? 

What other symptoms need to be explored? 

What are your differential diagnoses for acute low back pain?

 Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform?

Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected