NSG 550 Discussion 5

NSG 55

A 52-year-old man presents to your office for an acute visit because of coughing and shortness of breath. He is well known to you because of multiple office visits in the past few years for similar reasons. He has a chronic “smoker’s cough,” but reports that in the past 2 days his cough has increased, his sputum has changed from white to green in color, and he has had to increase the frequency with which he uses his albuterol inhaler. He denies having a fever, chest pain, peripheral edema, or other symptoms. His medical history is significant for hypertension, peripheral vascular disease, and two hospitalizations for pneumonia in the past 5 years. He has a 40 year history of smoking and continues to smoke two packs of cigarettes a day.

• What is the probable diagnosis?
• What are other possible diagnoses?
• At this stage of the case study, what diagnostic studies and basic treatments including non pharmacological treatment are most appropriate to order and why?

Please be specific and precise with answers. A table format or bullet points would be beneficial in presenting your information with clarity or organization.

Reference for management of the case study:

From the 2019 Global Strategy for Prevention, Diagnosis, and Management of COPD. Retrieved from /orders/goldcopd.org/gold-reports/

Post your initial response and respond to one student by Sunday at midnight.  Both responses should be a minimum of 250 words, scholarly written, APA formatted, and referenced.  A minimum of 2 references

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Advanced Health Assessment Discussion 11

Advanced Health Assessment Discussion 11

Advanced Health Assessment Discussion 11

Provide examples of how new information learned in this course has impacted you or will impact you professionally in clinical practice.

Post your initial response and respond to one student.  Both responses should be a minimum of 250 words, scholarly written, APA formatted, and referenced.  A minimum of 2 references are required

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NSG 500 Discussion 12

NSG 500 Discussion 12

NSG 500 Discussion 12

Select a population (pediatric, adult, older adult) to describe how an emergency may present differently in the selected population.

Post your initial response and respond to one student.  Both responses should be a minimum of 250 words, scholarly written, APA formatted, and referenced.  A minimum of 2 references

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Practicum Project Methodology And Evaluation

For this assignment, you will go through a process of inquiry as you determine the methodology and evaluation for the Electronic Health Record (EHR) Practicum Project.

To Prepare:

· Review the attached articles and think about which project methodology and model are appropriate for your Practicum Project. How can you best evaluate the success of your project?

· Conduct additional research to facilitate your analysis for your project. Evaluate the who, what, how, where, and when associated with each objective: Who will make what change, by how much, where, and by when? Consider the methods you could use to meet each objective. Devise your methodology in as much detail as possible to identify how you could meet each objective. For example, identify which professional organizations or regulatory bodies you would consult (by viewing their websites or contacting them directly) to gather evidence.

· Review the information on formative and summative evaluation in this week’s Learning Resources, and conduct additional research to facilitate your analysis for your project. How could you evaluate achievement of your Practicum Project objectives using formative and/or summative evaluation? Begin to develop an evaluation plan for your Practicum Project. View the Practicum Project Plan Overview document provided in this week’s Learning Resources. Consider the project planning guidelines included in the document as you prepare for this Discussion.

Assignment details:

Page length – 2 pages

– A description of your proposed Practicum Project.

– Identify a project methodology that is appropriate for your project and explain why it will be valuable to use.

– Then select the model you will use during your project and explain why it is appropriate for your project.

– Next, summarize two theories that relate to your Practicum Project and evaluate their application to your experience.

– Explain how you will evaluate your Practicum Project. Specifically, describe a formative evaluation plan and a summative evaluation plan you will use.

– Detail what the evaluations will measure and what information you can gain from the evaluations.

– Then, describe any potential ethical issues that may occur as you complete your Practicum Project.

– Explain how you will avoid or address these issues.

Possible references attached.

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Healthcare Policy And Delivery Systems

Healthcare Policy And Delivery Systems

Healthcare Policy And Delivery Systems

The discussion must address the topic:  On what policy issues might nurses lobby Congress? What strategies might nurse use to have their voices heard?

Rationale must be provided

400 words

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

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Case Study 3 Adolescent with DM

Case Study 3 Adolescent with DM

Nursing Leadership : Budgets And Staffing

Nursing Leadership : Budgets And Staffing

Nursing Leadership : Budgets And Staffing

• Chapter 10 – Assignment

  Scenario – Staffing is an important part of nursing management as healthcare is very labor intensive. Since nursing is a major expense in any institution it is oftentimes the area where administrators will try to save money, sometimes forsaking quality and increasing the chances that there will be disgruntled nurses after a short time. The following scenarios are for two units in the same hospital so acuity levels will be the same. Acuity levels are as follows: #1=4.0; #2=3.2; #3=2.3; #4=1.4. The first unit is the ICU. The second is a Med-Surg floor. By utilizing 12-hour shifts consider what staffing should look like for each unit.
  ICU Unit

• 6 patients = #1 acuity
• 2 pts = #2 acuity
• 0 pts = #3 acuity
• 0 pts = #4 acuity
• Med-Surg Unit
• 0 pts. = #1 acuity
• 2 pts. = #2 acuity
• 7 pts. = #3 acuity
• 12 pts. = #4 acuity
• Instructions:

1. Please calculate the proper staffing for each unit along with the hours for a unit secretary.
   • Be sure to show each step in your calculation with an explanation for each of the steps

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Comprehensive Psychiatric Evaluation Note And Patient Case Presentation

Evaluation Note And Patient Case Presentation

Evaluation Note And Patient Case Presentation

Evaluation Note And Patient Case Presentation

Psychiatric notes are a way to reflect on your practicum experiences and connect them to the didactic learning you gain from your NRNP courses. Comprehensive psychiatric evaluation notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.

For this Assignment, you will document information about a patient that you examined in a group setting during the last 4 weeks, using the Comprehensive Psychiatric Evaluation Note Template provided. You will then use this note to develop and record a case presentation for this patient.

Psychiatric notes are a way to reflect on your practicum experiences and connect them to the didactic learning you gain from your NRNP courses. Comprehensive psychiatric evaluation notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.

For this Assignment, you will document information about a patient that you examined in a group setting during the last 4 weeks, using the Comprehensive Psychiatric Evaluation Note Template provided. You will then use this note to develop and record a case presentation for this patient.

Select a group patient for whom you conducted psychotherapy for a mood disorder during the last 4 weeks. Create a Comprehensive Psychiatric Evaluation Note on this patient using the template provided in the Learning Resources. There is also a completed template provided as an exemplar and guide. When you submit your note, you should include the complete comprehensive psychiatric evaluation note as a Word document and pdf/images of each page that is initialed and signed by your Preceptor. You must submit your note using SafeAssign.

Then, based on your evaluation of this patient, develop a video presentation of the case. Plan your presentation using the Assignment rubric and rehearse what you plan to say. Be sure to review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.

Include at least five scholarly resources to support your assessment and diagnostic reasoning.

The Assignment

Record yourself presenting the complex case for your clinical patient.

Present the full complex case study. Be succinct in your presentation, and do not exceed 8 minutes. Include subjective and objective data; assessment from most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; current psychotherapeutic plan (include one health promotion activity and one patient education strategy you provided); and patient progress toward treatment goals.

Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What was the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?

Objective: What observations did you make during the psychiatric assessment?

Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses in order of highest to lowest priority and explain why you chose them. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5-TR diagnostic criteria and is supported by the patient’s symptoms.

Plan: Describe your treatment modality and your plan for psychotherapy. Explain the principles of psychotherapy that underline your chosen treatment plan to support your rationale for the chosen psychotherapy framework. What were your follow-up plan and parameters? What referrals would you make or recommend as a result of this psychotherapy session?

Reflection notes: What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.

Please provide five scholarly references. I appreciate you

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CASE STUDY 4

CASE STUDY 4

CASE STUDY 4

CASE STUDY 4

CASE STUDY 4

45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields.

Develop a 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following:

1. Explain both the cardiovascular and cardiopulmonary pathophysiologic processes of why the patient presents these symptoms.

2. Explain how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.

3. Explain any racial/ethnic variables that may impact physiological functioning.

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Organization And System

Organization And System

Organization And System

Organization And System

25% -Fully evaluate factors that influence the quality, safe, patient-centered care, including technology, communication, collaboration, shared decision making, and laws, regulations, and policies.

25% – Fully analyze changes in technology and their effect on quality patient care.

20% – Fully explain the roles of communication, collaboration, and shared decision.

25% – Fully analyze the communication and collaboration between healthcare team members, between the patient and staff, and involving insurance companies.

This assessment is aimed at evaluating the skills you acquired in patient care, big data and technology, decision making, ethics, and leadership in nursing practice.

For this assessment, you are asked to conduct a critical review of 5 factors and how they affect quality patient care. You are providing this information in a report that will be shared with executives who are seeking ways of understanding how to build a culture that supports patient safety and provides the needed tools (technology).

Evaluate factors that influence quality, safe, patient-centered care.

Consider:

• Technology
• Communication
• Collaboration
• Shared decision making
• Laws, regulations, and policies

Analyze changes in technology and their effect on quality patient care.

Explain the roles of communication, collaboration, and shared decision-making.

Consider communication and collaboration between healthcare team members, between the patient and staff, and involving insurance companies.

Cite a minimum of 2 peer-reviewed sources in an APA-formatted reference page.

Format your assignment as a 1,050 to 1,400-word report.

APA format and 4-5 references.

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