Describe your clinical experience for this week

must be on Geriatrics patient 

• 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.

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 science is a multidisciplinary enterprise, one in which contributions from diverse fields are synthesized into a broad framework whereby human health is understood and addressed. The discipline of nursing is founded on the principles of ethics. Nurses can use ethical theories and frameworks to resolve complex moral dilemmas while providing patient care that is consistent with values like autonomy, beneficence, non-maleficence, and justice (Wong et al., 2024). Grounding nursing practice in ethical reasoning allows nurses to advance patients’ rights, support professional integrity, and develop the trust that is essential to the therapeutic relationship. Not only do these ethical underpinnings provide boundaries for acceptable practice, but they also inspire a commitment to compassionate care, where there is an organic connection to the psychosocial dimensions of nursing.

The psychosocial sciences play a significant role in nursing science by highlighting mental, emotional, and social aspects of health and healing. By understanding psychological theories, behavioral patterns, and interpersonal dynamics, nurses can offer holistic care that, apart from physical symptoms, can address the emotional and social needs of patients. For example, nurses are able to adjust interventions to build resilience and coping skills by recognizing the influence of stress, anxiety, or the patient’s cultural background on their wellbeing (Wald, 2020). The emphasis here on the psychosocial aspects of care highlights the importance of good communication and empathy to help establish rapport and create healing environments. On this basis, it is worth exploring also biophysical sciences framed in a complementarity with the psychosocial perspective, aimed to deepen the understanding of the physiological mechanisms that make possible health and disease.

Biophysical sciences are fundamental to a baseline of nursing, as they provide an objective understanding of the human body and its reaction to the disease. Anatomy, physiology, pharmacology, and pathophysiology knowledge enable a nurse to evaluate, identify, and intervene in patients’ health problems. For instance, knowing biochemical changes in chronic diseases such as diabetes or hypertension helps the nurses to explain to patients about lifestyle changes and medications (Seah et al., 2020). Additionally, the fabricating of biophysical understanding with psychosocial concepts enables the nurse to operate from a more encompassing paradigm, where cognition is understood to influence physical health and vice versa. It is this integration of the disciplines that emphasizes the need for organizational structures that enable the provision of high-quality patient-centered care, an area of practice that draws significantly on organizational sciences.

Organizational sciences enhance nursing science by focusing on the effects of structures of organizations, management, and staff cooperation on patient care and the practice of nurses. In this case, it will be essential to note that organizational structures need to be flexible enough to have a capacious understanding of this particular organizational need in different contexts while still being specific enough to ensure that resources, policies, and workflow in ways that will benefit both the patient and the healthcare provider. For instance, research in this field has shown the significance of collaboration with other disciplines, communication of practical ideas and protocols, and evidence-based practices to decrease the occurrence of medical errors and enhance patients’ quality of life. Finally, organizational sciences are also about the organizational climate, the engagement of employees, and the preservation of their health and well-being, all of them being essential when it comes to nursing care. 

Moreover, this discussion aligns with the role-specific competency of knowledge of the healthcare environment. This competency recognizes the intricacies of the interplay of systems, policies, and practices in healthcare settings, which translates directly to the contributions of organizational sciences in maximizing care delivery.

References

DeNisco, S. M. (2023). Advanced practice nursing: Essential knowledge for the profession. Jones & Bartlett Learning.

Seah, S. J., Zheng, H., & Lim, R. B. T. (2020). Efficacy of community-based self-care interventions to improve biophysical, psychosocial or behavioral outcomes among community-dwelling older adults with type 2 diabetes: A systematic review and meta-analysis. Diabetes Research and Clinical Practice, 169, 108411.

Wald, H. S. (2020). Optimizing resilience and well-being for healthcare professions trainees and healthcare professionals during public health crises–Practical tips for an ‘integrative resilience’ approach. Medical Teacher, 42(7), 744-755. https://doi.org/10.1080/0142159X.2020.1768230

Wong, V., Hassan, N., Wong, Y. P., Chua, S. Y. N., Abdul Rahman, S., Mohamad, M. L., & Lim, S. (2024). Nurses’ adherence to ethical principles–A qualitative study. Nursing Ethics, 09697330241291159. https://doi.org/10.1177/09697330241291159

Answer the following items using your own words. Be objective and concise while being professional.

1. During a case presentation at your clinic, you review four women with predisposing factors for osteoporosis. Which patient is least likely to be at risk for osteoporosis?

A. Nehineza, an overweight African American female with a family history of uterine cancer
B. Cristina, a Hispanic woman living a sedentary life
C. Park-Gim-Ka, an underweight Asian woman with a history of tobacco use
D. Skylar, a Caucasian woman experiencing early onset of menopause.

2. Densitometry results are given as T-scores. Which values would be considered osteopenia?

3. After prompt analysis of your patient, you decide to institute treatment for osteoporosis. Which class of medication is considered the first-line treatment? Are there any considerations to be made prior to starting therapy? Which recommendations would you provide to the patient regarding this treatment?

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APA 7TH EDITION FORMAT

DUE DARTE MARCH 31, 2025

PLEASE SEE THE ATTACHED CASE STUDY WITH THE RUBRIC

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DUE DATE MARCH 30, 2025