Case Study Mr C

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

1. Height: 68 inches; weight 134.5 kg

2. BP: 172/98, HR 88, RR 26

3. 3+ pitting edema bilateral feet and ankles

4. Fasting blood glucose: 146 mg/dL

5. Total cholesterol: 250 mg/dL

6. Triglycerides: 312 mg/dL

7. HDL: 30 mg/dL

8. Serum creatinine 1.8 mg/dL

9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

1. Describe the clinical manifestations present in Mr. C.

2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.

3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)

4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.

5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.

6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite.

References

Whitney, S. GCU. (, 2020). Elimination Complexities. /orders/lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/3

Whitey, S. (2018). Elimination Complexities. In Pathophysiology: Clinical Applications for Client Health. Grand Canyon University (Ed.). /orders/lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/

Read “Estimated Glomerular Filtration Rate Decline and Risk of End-Stage Renal Disease in Type 2 Diabetes,” by Megumi et al., from PLOS ONE (2018).

URL:/orders/lopes.idm.oclc.org/login?url=/orders/search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=131037700&site=eds-live&scope=site

Read “Facts About Chronic Kidney Disease,” from the A to Z Health Guide (2017), located on the National Kidney Foundation website.

URL:  /orders/www.kidney.org/atoz/content/about-chronic-kidney-disease

Read “Acute Kidney Failure,” located on the Mayo Clinic website.

URL:  /orders/www.mayoclinic.org/diseases-conditions/kidney-failure/symptoms-causes/syc-20369048

Read “Kidney Failure (Symptoms, Signs, Stages, Causes, Treatment, and Life Expectancy),” by Wedro, located on the MedicineNet website.

URL:  /orders/www.medicinenet.com/kidney_failure/article.htm

I NEED THREE DIFFERENT ONES

Part B. For this assignment, you will research and prepare a community-level strategic plan that addresses a key public health issue.

Potential topics may include:

• Using prenatal and infancy home visits to prevent child abuse and neglect

• Preventing falls in the elderly

• Reducing population salt intake

• Reducing tobacco use among adults

• Preventing risky sexual behavior among youth and young adults

• Reducing drug experimentation among young adults

Include the following in your paper:

Introduction:

Provide an overview of the community health issue as described in Part A (attached is three documents that are Part A from last week done by you for each assignment) with identified causes and influences, including knowledge gaps.

Detail the prevalence of the issue inside and outside the United States.

Describe potential monetary costs associated with the issue in the United States.

You must include data as part of your introduction (images, charts, graphs, etc., may be included as well as written data).

Describe advance practice roles and management strategies that affect change at the community level.

Identify key community and social resources that negatively and positivelyaffect the selected issue.

Identify changes or enhancements in community-related services for your selected topic.

Develop a strategic plan that could decrease the prevalence of your selected topic.The goals for this plan needs to be specific, measurable, attainable, realistic, and time-bound. Include how your plan takes into consideration health literacy, socioeconomic factors, and cultural differences.

Conclusion:

A summary of the goals and challenges

An assessment of the outlook for action/progress

Appendix A: Include your community assessment from Week 3 as Appendix A.

Your paper should be 5 pages in length (not including the cover or reference pages). Use APA throughout.

Include 2–3 scholarly sources that are carefully selected and appropriate to the topic. References should be current—no more than four years old.

Rubrics:

The writer clearly and effectively responds to the assignment.

There is one clear, well-focused topic. Main ideas are clear and are well supported by detailed and accurate information.

The introduction is inviting, states the main topic, and provides an overview of the paper. Information is relevant and presented in a logical order. The conclusion is strong.

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.

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Scholarly Activities

FOLLOW EVERY REQUIREMENTS..

I send my new Assignment, I also send you everything you need, you must guide yourself through the Scholarly Activity Summary to be able to perform the Assignment of 5 paragraphs, remember that it is a single activity.

Always all the projects you did were based on PROBLEMS OF HYPERTENSION, 

Individual Success Plan (ISP), I send it to you ,if you need it in the last paragraph (Program Competencies Addressed) of the Scholarly Activity Summary

This section consists of a list of program competencies that were addressed in this scholarly activity. Please use the list from the ISP.

LET ME KNOW IF YOU NEED ANYTHING ELSE..THANK YOU

Details:

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity.

You may use the “Scholarly Activity Summary” resource to help guide this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are not required to submit this assignment to Turnitin.

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Nursing Theory (Case Study-1)

Callista Roy and Betty Neuman’s theories view the person (individual, group, or community) as a holistic adaptive system that constantly interacts with the internal and external environments. Both theories view the person as being the center of nursing and present health/wellness and illness as parts of the same continuum, however there are some key assumptions that are different. As such, select one of the theories and identify 1 assumption of the theory and discuss how the care rendered for this patient by an advanced practice nurse would be structured (assessment, diagnosis, planning, intervention, evaluation) according to the theory. Give 2 specific examples of interventions that you anticipate will be included in the patient’s care. 

Mr. Reynolds is a 32 year-old male patient hospitalized on the orthopedic unit of the hospital. He is status-post motorcycle accident and right leg below the knee amputation. He has a history of Depression and Schizophrenia. He is currently separated from his wife and estranged from his family. He is awaiting social work for placement in a rehabilitation facility, where he will continue his recovery.

use: APA formate and pictures added

I need at least 2-3 references

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Assessment Tools And Diagnostics Test In Adults And Children

When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.

Not only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process.

For this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.

To Prepare

· Review this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.

· Search the Library and credible sources for resources explaining the tool or test you were assigned. What is its purpose, how is it conducted, and what information does it gather?

· Also, as you search the library and credible sources, consider what the literature discusses regarding the validity, reliability, sensitivity, specificity, predictive values, ethical dilemmas, and controversies related to the test or tool.

Assignment (3–4 pages, not including title and reference pages):

For the Adult Assessment Tools or Diagnostic Tests:
Include the following:

· A description of how the assessment tool or diagnostic test you were assigned is used in healthcare.

o What is its purpose?

o How is it conducted?

o What information does it gather?

· Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.

For the Child :
Include the following:

· An explanation of the health issues and risks that are relevant to the child you were assigned.

· Describe additional information you would need in order to further assess his or her weight-related health.

· Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.

· Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.

· Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

Resources for references : Need 3+ references

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

• Chapter 3, “Examination      Techniques and Equipment”

This chapter explains the physical examination techniques of inspection, palpation, percussion, and auscultation. This chapter also explores special issues and equipment relevant to the physical exam process.

• Chapter 8, “Growth and      Nutrition”

In this chapter, the authors explain examinations for growth, gestational age, and pubertal development. The authors also differentiate growth among the organ systems.

• Chapter 5, “Recording      Information”  (Previously read in Week 1)

This chapter provides rationale and methods for maintaining clear and accurate records. The text also explores the legal aspects of patient records.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Student checklist: Health history guide. In Seidel’s guide to physical examination (9th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line:  Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.

Centers for Disease Control and Prevention. (2018). Childhood overweight and obesity. Retrieved from http://www.cdc.gov/obesity/childhood

This website provides information about overweight and obese children. Additionally, the website provides basic facts about obesity and strategies to counteracting obesity.

Chaudhry, M. A. I., & Nisar, A. (2017). Escalating health care cost due to unnecessary diagnostic testing. Mehran University Research Journal of Engineering and Technology, (3), 569.

This study explores the escalating healthcare cost due the unnecessary use of diagnostic testing. Consider the impact of health insurance coverage in each state and how nursing professionals must be cognizant when ordering diagnostics for different individuals.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.

• Chapter 1,      “Clinical Reasoning, Evidence-Based Practice, and Symptom Analysis”

This chapter introduces the diagnostic process, which includes performing an analysis of the symptoms and then formulating and testing a hypothesis. The authors discuss how becoming an expert clinician takes time and practice in developing clinical judgment.

Gibbs , H., & Chapman-Novakofski, K. (2012). Exploring nutrition literacy: Attention to assessment and the skills clients need. Health, 4(3), 120–124.

This study explores nutrition literacy. The authors examine the level of attention paid to health literacy among nutrition professionals and the skills and knowledge needed to understand nutrition education.

Martin, B. C., Dalton, W. T., Williams, S. L., Slawson, D. L., Dunn, M. S., & Johns-Wommack, R. (2014). Weight status misperception as related to selected health risk behaviors among middle school students. Journal of School Health, 84(2), 116–123. doi:10.1111/josh.12128

Credit Line: Weight status misperception as related to selected health risk behaviors among middle school students by Martin, B. C., Dalton, W. T., Williams, S. L., Slawson, D. L., Dunn, M. S., & Johns-Wommack, R., in Journal of School Health, Vol. 84/Issue 2. Copyright 2014 by Blackwell Publishing. Reprinted by permission of Blackwell Publishing via the Copyright Clearance Center.

Noble, H., & Smith, J. (2015) Issues of validity and reliability in qualitative research . Evidence Based Nursing, 18(2), pp. 34–35.

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). History subjective data checklist. In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Mosby’s Guide to Physical Examination, 7th Edition by Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2011 by Elsevier. Reprinted by permission of Elsevier via the Copyright Clearance Center.

This History Subjective Data Checklist was published as a companion to Seidel’s Guide to Physical Examination (8th ed.) by Ball, J. W., Dains, J. E., & Flynn, J.A. Copyright Elsevier (2015). From /orders/evolve.elsevier.com

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.

• Chapter 2, “The      Comprehensive History and Physical Exam” (Previously read in Week 1)
• Chapter 5, “Pediatric Preventative Care      Visits” (pp. 91 101)

OBSERVING BIOREACTIONS

INTRODUCTION

Bioreactions (i.e., fight, flight, freeze, or appease) include quick responses to stimuli or threats that are dangerous and fearful experiences, many of which are caused by social interactions. Bioreactions help the brain reinforce certain pathways. This is one way to learn. Some pathways then associate that past reaction with similar events. The fear response may then become associated with other non-fearful events. Because the brain is so good at making these associations, we are not even aware of the miscue.

Bioreactions are automatic responses that happen within 11–14 milliseconds. In most cases, they are not under your control. However, you can learn to become aware of when you are experiencing a bioreaction by paying attention to what is going on in your body.

To become aware of your bioreactions, it may be helpful to ask yourself the following questions:

• What event/experience led to the bioreaction?
• What emotions did you feel?
• How did your body react?
• What, if anything, did you do differently when you noticed you were having a bioreaction?
• Why is it important for you to be aware of your bioreactions?

REQUIREMENTS

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Note: Complete the Learning Brains and bioreaction material found in module 1 in your course of study before completing this task.

A.  Describe a time when you were in a social situation that triggered a bioreaction(s) by doing the following:

1.  Describe the environment around you before and during the bioreaction(s).

2.  Describe the stimulus (which the amygdala interprets as a threat) that triggered the bioreaction.

3.  Describe the bioreaction(s) (i.e., fight, flight, freeze, and appease) you experienced.

4.  Describe the physical sensations (e.g., sweaty palms, tight muscles) you experienced in your body when you became aware of the bioreaction(s).

5.  Describe the feeling(s) you experienced in the social situation before, during, and after the bioreaction(s).

6.  Describe what you would do differently to successfully navigate this type of reaction the next time you experience a similar social situation.

a.  Reflect on why it is important to react differently when you experience this bioreaction.

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REPLY 1 TP OF N

The nursing metaparadigm offers insights concerning the nature in which the nursing profession should be set up and properly functioning. From the nursing perspective, the concept of the metaparadigms consists of four attributes including the patient as an entity, the patient’s environment, the well-being and health of the patient, and the responsibilities of the nurse (Alimohammadi et al., 2014). These four metaparadigms have a direct impact on the implementation of culturally proficient nursing care. With the advancement in technology and ease of patient access to quality care, there is an increased number of nurse-patient relations. The nurse has to ensure the provision of patient-centered care while focusing on the nursing metaparadigms.

The aspect of culturally proficient nursing care makes use of the attitudes, knowledge, and skills that are in support of the caring of patients that originate from various cultures and ethnic backgrounds. In this accord, culture is able to directly influence the nature of the health care practice and the manner in which the healthcare provider, as well as the patient, perceives the diseases or illness (Lee, & Fawcett, 2013). Based on the theoretical frameworks that the nursing metaparadigm offers together with the assumptions, conceptual models, and propositions, the nurses can be in a position to comprehend the cultural aspect of patient care and act accordingly.
The Person Component

The patient, as the receiver of the care, makes up the person component aspect of the nursing metaparadigm. Other connections with the person component include close friends, family, and other social groups that are important to the patients and their overall well-being (Bahramnezhad et al., 2015). In this metaparadigm, nurses are able to comprehend the patient as and individuals and how they relate with others in society. The nurses are also able to understand the cultural aspects of the patient through an inquiry from the patient and close relatives in the event of patients who are not in a position to speak for themselves or make sound decisions.
The Environment Component

This concept of the nursing metaparadigm is focused on the natural and physical surrounding that impacts the day to day life of the patient. in order to offer culturally proficient care, it is important for the nurses to have a deep understanding of the patient’s environment, climatic condition, cultures, and other societal elements (Bahramnezhad et al., 2015). Be that as it may, the environment constitutes both internal and external influences that depict the nature in which the patient directly interacts with the surrounding which may or may not affect their health and wellness.
Health Component

While there is easy access to quality health care with the Affordable Care Act, the health component still focuses on the aspect of health care wellness and ease of access. The health component also focuses on the genetic makeup of the patient, social or spiritual standpoints, lifespan, and the various ways in which the emotional, social and intellectual can all be integrated into the patient’s care.

Nursing Component

This component of the nursing paradigm is involved with the provision of optimal health outcomes of the patient by creating a safe and caring environment. The nurse components make use of knowledge, skill, and technology to offer quality services and interprofessional collaboration towards the attainment of positive patient outcomes (Bahramnezhad et al., 2015). In this regard, nurses have the capacity to make use of professional judgment and efficient communication strategies to understand the various patient attributes required to conduct their duties and responsibilities.

References

Alimohammadi, N., Taleghani, F., Mohammadi, E., & Akbarian, R. (2014). The nursing metaparadigm concept of human being in Islamic thought. Nursing Inquiry, 21(2), 121- 129.

Bahramnezhad, F., Shiri, M., Asgari, P., & Afshar, P. F. (2015). A review of the nursing paradigm. Open Journal of Nursing, 5(01), 17.

Lee, R. C., & Fawcett, J. (2013). The influence of the metaparadigm of nursing on professional identity development among RN-BSN students. Nursing Science Quarterly, 26(1), 96-98.

REPLY 2

Nursing Metaparadigm Impact on Nursing Care

Metaparadigm is the patient’s quality and wellness, which includes the access which the patient has to the health care. Additionally, through metaparadigms, nurses can exercise their skills when caring for patients to address patient care at large (Nikfarid, et al., 2018). Besides, four concepts of metaparadigm usually make up the overall metaparadigm of nursing. Those concepts of metaparadigm include the following, nursing, person, environment, and health.

Starting with the first concept, nursing has a lot to impact nursing care. Under the nursing concept, some domains go hand in hand to ensure that quality care is provided to the patients deserving of the care. Such domains include professional values like patience (Nikfarid, et al., 2018). If a nurse goes all-around angry with a frowning face, it cannot be an example of a good nurse. Patience helps nurses to confront their daily stress.

Moreover, responsiveness also qualifies to be the value of a profession that defines nurses. Responsiveness helps nurses attend to most patients in emergency states and are worried about their lives (Nikfarid, et al., 2018). By providing them with a sense of comfort. Besides, good communication and interpersonal skills also stand to be an important domain in nursing since it helps nurses communicate with their colleagues and patients. Furthermore, other domains include nursing leadership, which has a crucial role in impacting nursing care since it ensures the entire team’s success, where qualities such as encouraging, inspirational, and supportive are considered.

Additionally, there is a concept of the person in the metaparadigm. A person is the one who usually receives nursing care. Nurses ensure that the person’s health is cared for by giving all the necessary support to enhance the well-being of the person (Nikfarid, et al., 2018). Through the person concept, it determines the care nurses are to give to the recipients. Health concept also plays a crucial role in the metaparadigm in nursing care and its relative to the person since it depends on the patient perspective.

On the other hand, health can be defined as the wellness of the person (Nikfarid, et al., 2018). If the person gets unhealthy, it’s the nurses’ responsibility to ensure proper care is given to them. Florence Nightingale, one of the pioneers of nursing, described the nursing job to be all about putting patients in their best conditions of nature as possible (de Florence Nightingale & Crítica, 2015). Furthermore, for one to be in a healthy state, some aspects are associated with health and are biological, psychological, social, and spiritual aspects. Through professional values of nursing, nurses can offer teaching to the patients and offer psychomotor teachings, which helps keep the patients moving by getting empowered with hope by the nurses.

The fourth concept that makes up the nursing metaparadigm, an environment, also impacts nursing care as follows. Florence Nightingale described different environments to give back healthy or unhealthy conditions (de Florence Nightingale & Crítica, 2015). In her implications, she concluded that low environments give chances of poor health and the rise of diseases where friendly environments sum up to good health, which comes with little or no diseases. Both environments dictate the kind and type of care offered by the nurse and at what specific period. Through all discussed points of view contributes to the culturally skilled nursing care.

References

de Florence Nightingale, T. A., & Crítica, U. A. (2015). The Florence Nightingale’s environmental

theory: a critical analysis. Escola Anna Nery Revista de Enfermagem, 19, 3.

Nikfarid, L., Hekmat, N., Vedad, A., & Rajabi, A. (2018). The main nursing metaparadigm

concepts in human caring theory and Persian mysticism: a comparative study. Journal of medical ethics and history of medicine, 11.

Edited by Perez, Gilberto O on Sep 8 at 8:51pm

All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.

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Simulation: Pathways To Safer Opioid Use

Link for pathways to safer opioid use simulation /orders/health.gov/hcq/trainings/pathways/index.html

Character: James Parker

(Previous paper attached)

These are the decisions used in the previous Simulation, please pick different answer from the ones below.

1. Tell him is an 8 explain why

2. Ask about alternative treatment options

3. Risk having to stay longer

4.Yes ask why it is necessary

5.Do Both

6.Go see a pyschologist

• You will proceed through the simulation as James Parker again, but make different decisions to see the different effects they cause.
• You will then write a 3 page paper describing the process you went through and the results in comparison to last week that you got based on the different decisions you made as James. State how James became addicted and what both the patient and the caregivers could have done to prevent this.
• Provide and integrate at least two scholarly resources within your paper that support prevention of opioid addiction.
•  This paper must be written in APA format, typed in Times New Roman with 12-point font, double-spaced with 1-inch margins.

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Nursing Paper- Career Planning

Hello,

I am a nursing student, i have a career planning paper due. It is an APA paper, the body must be atleast 4 pages (excluding reference and title page). I can attach a sample paper and a rubric. Below are the instructions and what should be included.

serious inquiries only please

Required Uniform Assignment: Career Planning

PURPOSE Having a clear vision for the future, setting reasonable goals, and developing strategies for meeting those goals are important steps in ensuring control of one’s professional future. This assignment provides the student with the opportunity to demonstrate a commitment to ongoing personal and professional development through the creation of a one‐year and five‐year professional career plan in nursing.

REQUIREMENTS In this assignment, the student will be producing a 4‐5 page essay that includes the following components:

• Transition into the Professional Nursing Role:  Identify actions to be considered in the transition from student to BSN graduate nurse including:

o Identify the state in which the student is seeking employment.

o Detail a minimum of three (3) criteria set forth by the Board of Nursing for obtaining an RN license in that state.

o Conduct a new BSN graduate job search in a 30 mile radius of where the student lives or plans to relocate.

§ Provide the details of what is required to submit an application for hire for the top two choices of employment.

• Holistic Life Balance:  Provide a description of the ways in which the student intends to maintain holistic balance in their personal life as well as in the role of professional nurse within the first year and at five years.

• Stressors and Challenges:  Identify known stressors and anticipated challenges as well as plans for managing each of them within the first year and at five years.

• Lifelong Learning:  Determine a plan for lifelong learning and educational development anticipated within the first year and at five years.

o This plan can include, but is not limited to, specialty certification, advanced nursing education, and the pursuit of formal education outside of the nursing discipline.

• Professional Contributions:  Summarize plans for contributing to at least one professional nursing community as well as the student’s general community in the healthcare professional role within the first year and at five years

• Scholarly Resources:

o A minimum of three (3) peer‐reviewed scholarly sources are required in support of this assignment.

o A minimum of one (1) professional nursing organization website or Board of Nursing website is required in support of this assignment.

PREPARING THE ASSIGNMENT

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