Choose a subject (it can be a former patient, a family member, or yourself) and identify modifiable and non modifiable risk factors. Identify methods to prevent Coronary Artery Disease (CAD) in the subject. What can you recommend to your classmates subjects?
Minimum of 250 words.
**Please note, you are to remove all red wording and replace with your own content. Use short bullet points in all boxes. Boxes will expand as you type. Please delete this box prior to submission.
Insert photo, graphic or chart to increase visual appeal
Provide all references for all sources utilized in APA format, though a hanging indent is not needed.
References
Identify the developed and reliable mHealth app that could benefit the patient. Describe the app, including the following: name, purpose, intended audience, mobile device(s) upon which it will operate, where to download or obtain it, and any other applicable information. Be sure to cite all sources you use in APA format. The mHealth app source is a required citation.
mHealth Application
Describe how you would determine the success of the patient's use of this app. For example, include ways to evaluate the effectiveness of the teaching plan that are a good fit for the type of mHealth app and focus on specific ways that this app benefits the patient's health and wellness. Include the 3 evaluation strategies you used in Milestone 2.
Evaluation
This section should contain important points about the mHealth app that you want to teach to the patient. Include the 3 areas from Milestone 2.
Information about the mHealth app
Safety guidelines
How to interpret and act on the information that is provided
Teaching
This section should include the approved patient scenario that includes a disease process, diagnosis, a desire to maintain good health and prevent illness. Include the nurse’s assessment of learning needs and readiness to learn.
Scenario
Name
Course
Session
Insert Title Here
1
Post an explanation of your philosophy of nursing practice that briefly describes your nursing experience and area(s) of expertise (pediatric psychiatric). Be sure to explain your beliefs that inform your philosophy of nursing practice and your goals for expanding your experience and practice as a DNP (e.g., embrace of diversity, global health issues, collaboration). Then, explain the DNP role as a social change agent and recommend at least one way you will advocate for positive social change as a Walden DNP. Be specific and provide examples, with all citations (at least 3 references) in APA 7 style.
2-3 pages APA scholarly articles family disaster plan for a tornado
Ways of learning
·
List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions.
When assessing this patient, it's important to ask questions that will help the provider understand the underlying causes and potential treatment options. Given the patient's recent loss and significant life changes, it's crucial to approach the assessment with sensitivity. Here are three questions I'd like to ask, along with their rationales:
1. Have you observed any changes in your sleep pattern, mood, or feelings since your husband passed away?
Rationale: This question allows the patient to provide insight into the nature and duration of her sleep disturbances and changes in her mood or feelings. Understanding the onset and progression of depression symptoms can related to her recent bereavement following her husband's passing.
2. Could you describe your emotions and have you ever experienced thoughts of self-harm or suicide?
Rationale: This question aims to comprehend a person's emotional state and evaluate the presence of suicidal thoughts or self-harm ideation. It's important to ask such questions without delay in treatment. Since the patient has a history of major depressive disorder (MDD), and her depression has worsened, it's crucial to explore her emotional state.
3. How have you been coping with the loss of your husband, and have you sought support or counseling to help you through this difficult time?
Rationale: Inquiring about coping strategies and support systems is essential for assessing the patient's resilience and identifying potential sources of assistance. Grief counseling or therapy can be invaluable in helping individuals navigate the complex emotions associated with loss. Additionally, it's important to assess whether the patient has been utilizing any resources to manage her depression.
·
Identify people in the patient's life you would need to speak to or get feedback from to further assess the patient's situation. Include specific questions you might ask these people and why.
To gain a more comprehensive understanding of the patient's situation and evaluate her social support network, I would identify individuals in the patient's life, such as family members or close friends. Engaging in conversations with these individuals can be beneficial because they may have insights into the patient's emotional well-being and daily functioning. I would ask Questions like: “Could you please share any observations regarding alterations you may have noticed in the patient's behavior, mood, or sleep patterns following her husband's passing?” Family members and close friends are often the first to detect significant shifts in a person's behavior and emotional state. Their observations can offer valuable insights into the patient's emotional condition and the way the loss of her husband has affected her daily life.
·
Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used.
In evaluating a 75-year-old patient with a chief complaint of insomnia and depression, diabetes (DM), and hypertension (HTN), a thorough assessment should include both physical exams and diagnostic tests: A physical examination should include checking blood pressure, heart rate, heart sounds, peripheral pulses, respiratory rate, and temperature. It should also involve assessing the patient's overall appearance and evaluating their general health. In addition, assessing mental status, cognitive function, and neurological signs can help identify any neurological issues that may be contributing to sleep disturbances. Consider arranging a sleep study, also known as polysomnography (PSG). This medical test monitors various physiological functions while a person sleeps.
Diagnostic Tests include the following Blood Tests: Complete Blood Count (CBC) will check for anemia or other blood-related issues that can affect sleep and overall health; a Comprehensive Metabolic Panel (CMP), assess kidney and liver function, electrolytes, and glucose levels; The HbA1c (Glycated Hemoglobin) test can monitor her long-term blood glucose control, can provide valuable insights into her diabetes management. The results of these exams and tests will inform a comprehensive treatment plan tailored to the patient's specific needs.
·
List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why.
When assessing a patient with insomnia, along with chronic medical conditions like diabetes and hypertension, this patient likely has Major Depressive Disorder (MDD). She had no history of MDD before her husband's passing, and the current worsening of her depression may be attributed to his death. Although anxiety can cause insomnia problems, MDD with Bereavement seems most likely. However, we need to ensure there aren't other underlying causes, such as sleep problems or medical issues. To do that, we should conduct thorough assessments and laboratory tests. She needs to seek help from both her regular doctor and a mental health professional to find the right treatment and support.
·
List two pharmacologic agents and their dosing that would be appropriate for the patient's antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
When selecting pharmacologic agents for this 75-year-old patient, the choice of antidepressant therapy should consider pharmacokinetics and pharmacodynamics. Reduced kidney and liver function in elderly individuals can potentially affect both pharmacokinetics and pharmacodynamics.
SSRIs, such as sertraline (Zoloft) and escitalopram (Lexapro), are two preferred for elderly patients. They are generally well-tolerated and have a lower risk of certain side effects, such as sedation or anticholinergic effects, which can be problematic for older adults. Sertraline (Zoloft) 150mg once daily or Escitalopram (Lexapro) 20 mg daily would be appropriate for this patient.
The patient has been taking Sertraline (Zoloft), her start dose was 100mg daily; increase slowly, no more than a maximum Dose of 200 mg once daily; sertraline increases serotonin levels and can be effective in treating depression. Escitalopram is considered perhaps the best-tolerated SSRI, with the fewest cytochrome P450 (CYP450)-mediated drug interactions. (Stahl, 2021). Escitalopram (Lexapro) 20 mg daily is also the appropriate choice.
·
For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on ethical prescribing or decision-making. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals based on ethical prescribing guidelines or decision-making?
When prescribing antidepressant therapy, it's important to consider drug contraindications and alterations. For the selected antidepressant, escitalopram (Lexapro), don't use it with MAOIs or within 14 days after stopping an MAOI to prevent serotonin syndrome. This is a contraindication due to the risk of serotonin syndrome, a potentially life-threatening condition characterized by agitation, confusion, rapid heart rate, and other symptoms. Escitalopram is primarily metabolized in the liver; it should be used with caution in patients with severe hepatic impairment or elderly with decreased liver function. In such cases, a lower initial dose and slower titration may be considered, as drug clearance may be reduced.
In all cases, ethical prescribing involves a thorough assessment of the patient's medical history, medication history, and potential contraindications. Dosing adjustments, when necessary, should be made to maximize therapeutic benefits while minimizing risks and adverse effects.
·
Include any “checkpoints” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen.
In depression treatment, scheduled follow-up appointments are vital for assessing progress, managing side effects, and adjusting treatment. Common intervals are every 4 weeks. At the checkpoint, like follow-up data at weeks 4, 8, 12, etc., make treatment decisions based on the patient's response, side effects, and goals. If there's significant improvement with few side effects, stick with the current dose. If there's limited improvement or major side effects, consider increasing the dose (if not already at the maximum) or trying a different antidepressant. In cases of long-term remission with a low risk of recurrence, think about tapering or discontinuing the medication.
At Week 4 (four weeks after initiating treatment), it's the time to evaluate the patient's initial response to medication. Inquire about changes in mood, sleep patterns, energy levels, and any side effects.
At Week 8 (eight weeks after starting treatment), it's time to reassess the patient's mood and overall well-being. Keep an eye on side effects, whether they're taking the medication as prescribed, any changes in their medical conditions, and any suicidal ideation.
At Week 12 (12 weeks after starting treatment), continue monitoring the patient's mood and how they're responding to treatment. Check for any signs that their depression might be coming back or getting worse.
Ongoing Follow-up (Regularly, every 3-6 months): Continue to monitor the patient's mental health, medication adherence, and any emerging side effects. Evaluate the need for ongoing treatment.
Reference:
Levenson JC, Kay DB, Buysse DJ. The pathophysiology of insomnia. Chest. 2015 Apr;147(4):1179-1192. doi: 10.1378/chest.14-1617. PMID: 25846534; PMCID: PMC4388122.
Stahl, S. M. (2021). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.
Lexapro Labeling-508; Reference ID: 4036381 https://www.fda.gov/media/135185/download
Comparison of Cardiovascular Exemplars
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Acute Myocardial Infarction |
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I have attached the guidelines for this assignment
Introduction:- Interprofessional collaboration is a critical aspect of a nurse’s work. Through interprofessional collaboration, practitioners and patients share information and consider each other’s perspectives to better understand and address the many factors that contribute to health and well-being (Sullivan et al., 2015). Essentially, by collaborating, health care practitioners and patients can have better health outcomes. Nurses, who are often at the frontlines of interacting with various groups and records, are full partners in this approach to health care.
Reflection is a key part of building interprofessional competence, as it allows you to look critically at experiences and actions through specific lenses. From the standpoint of interprofessional collaboration, reflection can help you consider potential reasons for and causes of people's actions and behaviors (Saunders et al., 2016). It also can provide opportunities to examine the roles team members adopted in a given situation as well as how the team could have worked more effectively.
As you begin to prepare this assessment you are encouraged to complete the What is Reflective Practice? activity. The activity consists of five questions that will allow you the opportunity to practice self-reflection. The information gained from completing this formative will help with your success on the Collaboration and Leadership Reflection Video assessment. Completing formatives is also a way to demonstrate course engagement
Note: The Example Kaltura Reflection demonstrates how to cite sources appropriately in an oral presentation/video. The Example Kaltura Reflection video is not a reflection on the Vila Health activity. Your reflection assessment will focus on both your professional experience and the Vila Health activity as described in the scenario.
References
Saunders, R., Singer, R., Dugmore, H., Seaman, K., & Lake, F. (2016). Nursing students' reflections on an interprofessional placement in ambulatory care.
Reflective Practice, 17(4), 393–402.
Sullivan, M., Kiovsky, R., Mason, D., Hill, C., Duke, C. (2015). Interprofessional collaboration and education.
American Journal of Nursing, 115(3), 47–54.
· Demonstration of Proficiency:- Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
· Identify how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature.
· Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
· Reflect on an interdisciplinary collaboration experience noting ways in which it was successful and unsuccessful in achieving desired outcomes.
· Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work more effectively together.
· Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
· Identify best-practice leadership strategies from the literature, which would improve an interdisciplinary team’s ability to achieve its goals.
· Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
· Communicate via video with clear sound and light.
· The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting nearly flawless adherence to APA format.
Professional Context:- This assessment will help you to become a reflective practitioner. By considering your own successes and shortcomings in interprofessional collaboration, you will increase awareness of your problem-solving abilities. You will create a video of your reflections, including a discussion of best practices of interprofessional collaboration and leadership strategies, cited in the literature.
Scenario:- As part of an initiative to build effective collaboration at your Vila Health site, where you are a nurse, you have been asked to reflect on a project or experience in which you collaborated interprofessionally and examine what happened during the collaboration, identifying positive aspects and areas for improvement.
You have also been asked to review a series of events that took place at another Vila Health location and research interprofessional collaboration best practices and use the lessons learned from your experiences to make recommendations for improving interprofessional collaboration among their team. Your task is to create a 5–10 minute video reflection with suggestions for the Vila Health team that can be shared with leadership as well as Vila Health colleagues at your site. Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact
[email protected] to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.
Instructions:- Using Kaltura, record a 5–10 minute video reflection on an interprofessional collaboration experience from your personal practice, proposing suggestions on how to improve the collaboration presented in the
Vila Health: Collaboration for Change
activity.
Be sure that your assessment addresses the following criteria. Please study the scoring guide carefully so you will know what is needed for a distinguished score:
· Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.
· Identify how poor collaboration can result in inefficient management of human and financial resources, citing supporting evidence from the literature.
· Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals, citing at least one author from the literature.
· Identify best-practice interdisciplinary collaboration strategies to help a team achieve its goals and work together, citing the work of at least one author.
· Communicate in a professional manner, is easily audible, and uses proper grammar. Format reference list in current APA style.
You will need to relate an experience that you have had collaborating on a project. This could be at your current or former place of practice, or another relevant project that will enable you to address the requirements. In addition to describing your experience, you should explain aspects of the collaboration that helped the team make progress toward relevant goals or outcomes, as well as aspects of the collaboration that could have been improved.
A simplified gap-analysis approach may be useful:
· What happened?
· What went well?
· What did not go well?
· What should have happened?
After your personal reflection, examine the scenario in the Vila Health activity and discuss the ways in which the interdisciplinary team did not collaborate effectively and the negative implications for the human and financial resources of the interdisciplinary team and the organization as a whole.
Building on this investigation, identify at least one leadership best practice or strategy that you believe would improve the team’s ability to achieve their goals. Be sure to identify the strategy and its source or author and provide a brief rationale for your choice of strategy.
Additionally, identify at least one interdisciplinary collaboration best practice or strategy to help the team achieve its goals and work more effectively together. Again, identify the strategy, its source, and reasons why you think it will be effective.
You are encouraged to integrate lessons learned from your self-reflection to support and enrich your discussion of the Vila Health activity.
You are required to submit an APA-formatted reference list for any sources that you cited specifically in your video or used to inform your presentation. The
Example Kaltura Reflection
will show you how to cite scholarly sources in the context of an oral presentation.
Refer to the Campus tutorial
Using Kaltura [PDF]
as needed to record and upload your reflection.
· Additional requirements:-
References: Cite at least 3 professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.
·
APA Reference Page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video.
· You may wish to refer to the Campus
APA Module
for more information on applying APA style.
Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.
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CRITERIA |
NON-PERFORMANCE |
BASIC |
PROFICIENT |
DISTINGUISHED |
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Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes. |
Does not describe an interdisciplinary collaboration experience. |
Describes an interdisciplinary collaboration experience, but the reflection on the success or failure to achieve desired outcomes is missing or unclear. |
Reflects on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes. |
Reflects on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes. Includes ways in which reflective nursing practice can help build a better understanding of past experiences to improve future practice decisions. |
|
Identify ways poor collaboration can result in inefficient management of human and financial resources, supported by evidence from the literature. |
Does not Identify ways poor collaboration can result in inefficient management of human and financial resources. |
Identifies poor collaboration, but does not address how it can result in inefficient management of human and financial resources or does not provide supporting evidence from the literature. |
Identifies how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature. |
Identifies how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature. Multiple authors from the literature are discussed. |
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Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals. |
Does not identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals. |
Identifies leadership strategies, but it is unclear how they would improve an interdisciplinary team’s ability to achieve its goals, or does not provide supporting evidence from the literature. |
Identifies best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals. |
Identifies best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals. Multiple authors from the literature are discussed. |
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Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work together more effectively. |
Does not identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work together more effectively. |
Identifies interdisciplinary collaboration strategies, but it is unclear how they would help a team to achieve its goals and work together more effectively together. |
Identifies best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work together more effectively. |
Identifies best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work together more effectively. Multiple authors from the literature are discussed. |
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Communicate via video with clear sound and light. |
Does not communicate professionally in a well-organized presentation. |
Does not communicate via video or video is difficult to hear and see. |
Communicates via video with clear sound and light. |
Communicates via video with clear sound and light. Content delivery is focused, smooth, and well-rehearsed. |
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The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting nearly flawless adherence to APA format. |
Does not provide a reference list of relevant and/or evidence-based sources (published within 5 years). |
A majority of reference list sources are relevant and/or evidence-based (published within 5 years) submitted with few APA errors. |
The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting nearly flawless adherence to APA format. |
The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting flawless adherence to APA format. |
Assignment Guide: The Persuasive Letter
Assignment Prompt
For this assignment, you will be writing a letter compelling a friend or family member to change either a behavior or a belief with which you disagree. Choose your own topic, but for example, this letter could petition an enthusiastic neighbor to scale down his blinding Christmas decorations, an immature cousin to take a gap year between high school and college, a grandparent to vote to pass the new school district budget, a friend to stop drinking, or a spouse to reconcile with an estranged sibling. Because the letter will be written to an individual of your choosing, you must tailor your
language and
logic to the person to whom you are writing.
Assignment-Specific Requirements:
Length: This assignment should be at least 750 words.
Thesis
: Underline your
thesis statement or the main
claim of your letter.
Sources Needed: None required.
Cite if used, following
MLA guidelines.
Page Formatting: Use
MLA guidelines. Also add an opening salutation (e.g. Dear Sarah, or Hello, Jon.), and a closing salutation & signature (Best regards, Tom or Sincerely, Liza)
MLA
Requirements: See
Formatting your Essay: MLA 8th Edition
The goal of
persuasive writing is to get a
reader (your
audience) to agree with your
point of view.
Persuasive writing blends facts and emotion to convince the
reader that the writer is right. This
genre relies on opinion and emotion to a greater extent than argumentative writing, but in moving a
reader, the successful persuasive letter also deploys logically sound
argumentation and quite often researched support and fact.
Purpose:
The purpose of
drafting a persuasive letter is to move your
reader to agree with your
point of view.
Persuasion is single-minded; it is based on a conviction that a particular way of thinking or acting is the only way to go; all of the energy of the letter works toward this end. As a writer, you will present one side–your side. While an
opposing point should be mentioned, it is only mentioned to be refuted or dismissed in the service of your position.
Persuasive writing is almost always written with a particular
audience in mind. For this piece of writing, you will direct your persuasive letter to one person. Thus, your
audience is not imagined, but rather very real, and that person and their characteristics will inform many of the choices you make as a writer. The persuasive letter requires constant negotiation with another person’s mind. At every phase of the writing process, as you prewrite, draft, and
revise, this assignment will ask you to imagine and anticipate how your
reader feels, responds, and thinks.
Form:
This piece of writing will be presented using a letter format. Thus, while you still need an
MLA–
style heading to format your work for submission, you will address your letter directly to your
reader with a formal letter salutation.
Five Features of a Persuasive Letter
1.
Rhetorical Situation:
Persuasive Writing vs. Argumentative Writing:
Persuasive writing, in a way, is a form of argumentative writing; however, the goal of
persuasive writing is to get a
reader or group of readers to agree with you/your
point of view on a particular topic, and the goal of argumentative writing is to get the
reader to acknowledge that your side is valid and is worth considering.
Persuasive writing blends facts with emotion in an attempt to convince the
reader that the writer is “right,” while in argumentative writing, the writer cites relevant reasons, credible facts, and sufficient
evidence in order to convince the
reader to consider a particular perspective. The nuances are subtle but important to consider. (Later in this course you will be crafting an argument and will see the differences in these genres of writing with greater clarity. The letter makes balanced use of the three rhetorical appeals to persuade a
reader to change a behavior or belief. The three appeals, which come to us from that consequential deceased Greek, Aristotle, are:
1.
1.
Ethos
: a writer’s or speaker’s credibility. In your letter, therefore,
ethos is you, sort of. It’s the “you” that your writing transmits to your
reader, the sum total of your
tone and
language choices, and also the values and intelligence that your writing communicates. Therefore, be vigilant with your work because
ethos is the appeal that’s most immediately harmed by faulty word choices, punctuation mistakes, and lapses in
tone.
2.
Pathos
: the appeal to a
reader’s emotions and values. Get your
reader to feel. Play (in a non-evil way) on their emotions–their compassion, their fears, their sense of community.
2.
Logos
: the appeal to a
reader’s
logic or reason. Ensure your
claims are logical, free of fallacies, and backed with specific support.
3.
Organization
: Organize using argumentative structure: an
introduction with a
thesis/main
claim, body paragraphs that advance points in support of the
thesis/main
claim, and a
conclusion.
2.
Transition
s: Uses
transitional phrases to connect your ideas and move the
reader forward smoothly and logically between sentences.
3.
Known
Audience
: The letter’s appeals are personalized to the
reader’s characteristics–their professional role and its obligations, as well as their values and emotions.
4.
Formal or Informal Writing? The
tone of the letter depends upon the recipient and your relationship and also upon
subject matter. The
tone should enhance the letter’s persuasive efforts, not undermine them. Always strive for a respectful approach.
Mini-Lesson on
ETHOS
–
PATHOS
–
LOGOS
Plan to use these appeals heavily throughout your Persuasive Letter.
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This is an |
· Includes · Is written from an unbiased perspective · Shows the writer’s expertise through the presentation of careful insight and research |
|
This is an |
· Includes the writer’s values and beliefs · Uses stories or examples that convey emotion · Contains broader appeal and |
|
This is an appeal to |
· Relies on fact and opinion · Focuses on reasonable |
