2023 Post a draft of the Agenda Comparison Grid you completed for Part 1

Nursing 2023 Agenda Comparison Grids

Post a draft of the Agenda Comparison Grid you completed for Part 1 2023 Assignment

  Post a draft of the Agenda Comparison Grid you completed for Part 1 of the Agenda Comparison Grid and Fact Sheets or Talking Points Brief Assignment. 

Rubric Detail

Select Grid View or List View to change the rubric’s laDiscussion_Rubric

ExcellentGoodFairPoorMain Posting45 (45%) – 50 (50%)Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.40 (40%) – 44 (44%)Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.35 (35%) – 39 (39%)Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.0 (0%) – 34 (34%)Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.Main Post: Timeliness10 (10%) – 10 (10%)Posts main post by day 3.0 (0%) – 0 (0%)0 (0%) – 0 (0%)0 (0%) – 0 (0%)Does not post by day 3.First Response17 (17%) – 18 (18%)Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.15 (15%) – 16 (16%)Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.13 (13%) – 14 (14%)Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.0 (0%) – 12 (12%)Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.Second Response16 (16%) – 17 (17%)Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.14 (14%) – 15 (15%)Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.12 (12%) – 13 (13%)Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.0 (0%) – 11 (11%)Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.Participation5 (5%) – 5 (5%)Meets requirements for participation by posting on three different days.0 (0%) – 0 (0%)0 (0%) – 0 (0%)0 (0%) – 0 (0%)Does not meet requirements for participation by posting on 3 different days.Total Points: 100

Name: NURS_6050_Module01_Week01_Discussion_Rubric

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2023 Jordan is a 35 year old woman who presents with intermittent diarrhea with cramping

Nursing 2023 Irritable Bowel Syndrome

Jordan is a 35 year old woman who presents with intermittent diarrhea with cramping 2023 Assignment

 

Jordan is a 35-year-old woman who presents with intermittent diarrhea with cramping that is relieved by defecation. The diarrhea is not bloody or accompanied by nausea and vomiting. Review of past medical history includes some childhood “stomach issues”, HTN, and a recent cholecystectomy. She works in the environmental department of a large hotel. . She denies alcohol and cigarette.

Diagnosis: Irritable Bowel Syndrome (IBS)

I.      Discuss the epidemiology of IBS?

II.     What is your treatment goals for this patient?

III.    Discuss First line and second line drug therapy for IBS. Please include pharmacotherapeutic information.

Using APA 6th ed. Work must be supported by peer-reviewed article published within 5 years. 

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2023 In this assignment you will be exploring actual and potential health problems in the childhood years using a

Nursing 2023 Assessment Of The Child: Functional Health Pattern Analysis Worksheet

In this assignment you will be exploring actual and potential health problems in the childhood years using a 2023 Assignment

 

In this assignment, you will be exploring actual and potential health problems in the childhood years using a functional health assessment and Erickson’s Stages of Child Development. To complete this assignment, do the following:

  1. Using the textbook, complete the “Children’s Functional Health Pattern Assessment.” Follow the instructions in the resource for completing the assignment.
  2. Cite and reference any outside sources used in your answers. Include in your assessment a thorough discussion of Erickson’s Stages of Child Development as it pertains to the development age of the child.

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.

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 not required to submit this assignment to Turnitin.

NRS-434VN-R-Childrens-functional-health-pattern-assessment-Student.docx
 

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2023 Submit a summary of six of your articles on the discussion board Discuss

Nursing 2023 discussion post

Submit a summary of six of your articles on the discussion board Discuss 2023 Assignment

  

Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness to each of these six articles on why the article may or may not provide sufficient evidence for your practice change.

PLEASE USE REFERENCES FROM THE DOCUMENT THAT SAYS USE REFERENCES FROM HERE.

350 WORDS. NO PLAGIARISM PLEASE. SAMPLE IS ALSO ATTACHED.

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2023 Assignment Content You have been tasked by your CNO to provide a report and present to the

Nursing 2023 Report On Progress

Assignment Content You have been tasked by your CNO to provide a report and present to the 2023 Assignment

  

Assignment Content

You have been tasked by your CNO to provide a report and present to the board of directors about how your organization is transforming based on Health and Medicine Division (HMD) recommendations in high-profile reports.

Review the HMD reports (To Err is Human, A Bridge to Quality Gap & Crossing the Quality Chasm).

Review the attached grading rubric (criteria) for the assignment

Determine which recommendations directly affect how nurses provide care at the bedside.

Research quality indicators at the organization where you practice, one in your community, or one of interest.

Cite evidence (statistical data) from the organization’s quality measures that demonstrate they are carrying out the HMD’s vision.

Provide specific examples from the organization in the form of changes in care, governance, training, communication, and partnerships.

Write a 260-word executive summary and create a 10- to 12-slide presentation about your findings, with detailed speaker notes. The executive summary should be a slide in the presentation (the title and reference slides are not included in the slide count)

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2023 Purpose This week s graded topic relates to the following Course Outcome CO CO3 Demonstrates effective communication with patients colleagues and

Nursing 2023 Communication And Influence-the Power Of Evidence

Purpose This week s graded topic relates to the following Course Outcome CO CO3 Demonstrates effective communication with patients colleagues and 2023 Assignment

Purpose

This week’s graded topic relates to the following Course Outcome (CO).

CO3: Demonstrates effective communication with patients, colleagues, and other healthcare providers in managing safe/quality healthcare processes using evidence-based practices. (PO#3)

Discussion

Effective communication is a staple of our healthcare culture.  Working with patients, peers, and interprofessional teams requires that nurses manage information and evidence toward influencing safe and positive patient outcomes.

Please address the following:

  • Describe caring attributes of the culture where you currently practice. Which attributes stand out as having significant influence on patients, nurses, and other healthcare professionals?
  • How do you see effective communication relating to patient outcomes in this setting? What is the evidence for this?

Professor’s comment: Class, please discuss effective communication related to patient outcomes.

Thanks

References: American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

American Nursing Association [ANA]. (2015). Nursing: Scope and standards of practice (3rd ed.). Silver Spring, MD: American Nurses Publishing.

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2023 Module 5 discussion Therapeutic interventions for client with severe Anxiety or Panic In this discussion we ll discuss anxiety effective

Nursing 2023 Module 5 Discussion Therapeutic Interventions For Client With Severe Anxiety Or Panic

Module 5 discussion Therapeutic interventions for client with severe Anxiety or Panic In this discussion we ll discuss anxiety effective 2023 Assignment

  

Module 5 discussion Therapeutic interventions for client with severe Anxiety or Panic

In this discussion, we’ll discuss anxiety, effective and ineffective interventions, and stress management. Please include the following in your initial posting:

Describe a client from your clinical setting or work who experienced severe anxiety or panic. Include a brief history and three most pertinent medications.

Describe the assessment process for this patient.

Identify at least one effective and one non-effective nursing intervention. Why did they work? What didn’t work?

Name and describe two stress reduction techniques you have used and whether they were helpful or not in reducing stress.

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2023 When you critically evaluate a study you must decide whether you agree or disagree with the researcher s

Nursing 2023 Research in Nursing

When you critically evaluate a study you must decide whether you agree or disagree with the researcher s 2023 Assignment

When you critically evaluate a study, you must decide whether you agree or disagree with the researcher’s theoretical framework (the underlying assumption or theory that supported the formation of the hypothesis and the development of the research design). The following scenarios have two possible hypotheses, each driven by a different theory. Choose one scenario and one hypothesis from that scenario. Identify your personal assumptions about this hypothesis and choose a nursing theory to support your assumptions. You may use information from http://www.nursing-theory.org/theories-and-models/ to help you. Defend your answer. 

Scenario 1: A patient with chronic back pain requests a narcotic prescription.

1. Hypothesis: In patients with chronic back pain not caused by injury, what is the effect of eight weeks of physical therapy compared to oral narcotic medication on the patients’ perception of pain?

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2023 Strategic Thinking Map Recommendations The next component of your Project is evaluating alternatives and

Nursing 2023 CT 6 Strategic Healthcare

Strategic Thinking Map Recommendations The next component of your Project is evaluating alternatives and 2023 Assignment

 Strategic Thinking Map: Recommendations

The next component of your Project is evaluating alternatives and strategic choice as part of the Recommendations section for your analysis. Using the Project Case Study provided conduct an evaluation of alternatives and strategic choice pertaining to your recommendations for this project. Your recommendations should be based directly on what you outlined in your assessment and include the following:

  • Strategies for intervening in potential weaknesses and threats discovered in your market and SWOT analyses
  • Strategies for attracting healthcare professionals and staff
  • Feasibility for development satellite clinic
  • Value-adding strategies, support, and resources (e.g., equipment, technology, etc.)
  • Development of strategic initiatives

Consider the use of corporate-level, divisional-level, organizational-level, and unit-level strategies in your recommendations section and include a summary of key points.

For this assignment, develop a written report of your recommendations section and use the example strategic thinking maps from previous modules as a tool to assist with the different facets of the strategic planning process.

The map is to be used only as a supplement for your written recommendations.

Your well-written recommendations should meet the following requirements:

  • Be 3-4 pages in length, not including the cover, abstract (optional), or reference pages.
  • Utilize headings to organize the content in your work.
  • Include the strategic thinking map in addition to/or as a part of the 3-4 pages of content.
  • Include a minimum of four references with associated in-text citations. 
  • Be formatted according to the APA writing requirements.

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2023 Respond of your colleagues who were assigned to a different case than

Nursing 2023 Post- Lynae

Respond of your colleagues who were assigned to a different case than 2023 Assignment

Respond  of your colleagues who were assigned to a different case than you. Explain how you might apply knowledge gained from your colleagues’ case studies to you own practice in clinical settings.

                                               Main Post

                                  Sleep/Wake Disorders

The patient is an obese 70-year-old female with a chief complaint of “being sad.” Her husband passed away several years ago due to coronary artery disease (CAD). She lives at home alone and has a home health aide help her. Her son comes to visit her often. She was feeling well until her hearing began to diminish in both ears. Her mobility has declined, so she has not been able to get out as much. She is often lonely at home. She has daily crying spells, is often very tired, has good insight to her illness, and wants to get better. 

Three Questions to Ask the Patient and Why            

The case study mentioned that the patient is a candidate for cochlear implants, but it is a long way off. Thus, my first question to ask the patient is what is preventing her from getting cochlear implants?  

She began experiencing sadness when she began to lose her hearing and mobility. Therefore, regaining her hearing may help decrease the depression. If its financial reasons, maybe there are resources that can help her. Finding out the reason the patient isn’t getting the implants can help the provider and patient find solutions.             

The patient also mentioned that her sleep was “awful”, stating her legs “ache and jump”, she takes frequent naps during the day, and admits to snoring frequently. Thus, the second question I would ask is what are her sleeping habits like? 

Individuals who have good sleep habits sleep better. Getting better sleep can be obtained by being consistent by going to bed at the same time each night and waking up the same time each day (Centers for Disease Control and Prevention, [CDC], 2016).  Individuals can make sure the room is dark, quiet, and cool (CDC, 2016). Additionally, remove electronic devices, avoid large meals, caffeine, and alcohol can help with getting better sleep (CDC, 2016).              My third question would be what do you do when you are sad? Individuals who are depressed often have a negative view of the world and often think of themselves as worthless (This Way Up, n.d.). They often blame themselves when something bad happens and feel like they are unlucky (This Way Up, n.d.). Thus, helping individuals identify negative thinking and reframe the way they think about life can help improve depressive symptoms (This Way Up, n.d.). 

People to Speak to with Specific Questions to Ask 

The first person I would want to speak to is the patient’s son. The case study states the son visits her often so he should know the patient’s habits. First, I would ask him the same questions I asked the patient such as what is preventing the patient from getting cochlear implants, what are her sleep habits, and what does she do when she is sad? By asking the son the same questions, insight can be shown on how the son views things and how the patient views things. I would also him when he began to notice her depressive symptoms because that will help provide a timeline as to when it all began.             

The second person I would talk to is her home health aide because she is familiar with the patient. I would ask her what the patient’s home life is like such as how is she maintaining her house? Is she able to clean up after herself? How is she doing with activities of daily living? 

These questions can provide insight on the severity of the patient’s depressive symptoms. 

Physical Exams and Diagnostic Tests and How Results Would Be Used            

The first diagnostic test I would want to perform on the patient is the 9-item Patient Health Questionnaire (PHQ-9). The PHQ-9 is a screening tool for major depression (Na et al., 2018). The test is a reliable and valid measurement of depressive symptoms that also asks about the individual’s thoughts of death or self-injury within the last two weeks (Na et al., 2018). The results would be used to determine the severity of her depression. Another diagnostic test that can be performed on this patient is a polysomnography. A polysomnography is a sleep study that helps providers diagnose sleep apnea, periodic limb movement disorder, restless leg syndrome (RLS), insomnia, and nighttime behaviors (National Sleep Foundation, n.d.). The results would be used to can help determine the cause of her daytime sleepiness such as sleep apnea or RLS. I would also want to run a complete blood count (CBC) with differential on the patient. I would specifically want to obtain a red blood cell count (RBC) and white blood cell count (WBC). Thus, a CBC with differential would help determine if the patient is fatigued due to anemia or an underlying infection.

 Three Differential Diagnosis and Why

The three potential differential diagnoses include:Major Depressive DisorderPersistent Insomnia Disorder Obstructive Sleep Apnea Hypopnea The most likely differential diagnosis is major depressive disorder (MDD). The diagnostic criteria for MDD is five or more symptoms during the same 2-week period and a change from previous functioning (American Psychiatric Association, 2013).  The symptoms include: depressed mood most of the day, marked diminished interest or pleasure in all or almost all activities most of the day, significant weight loss or weight gain, insomnia or hypersomnia neatly every day, psychomotor agitation or retardation nearly every day, fatigue or loss of energy nearly every day, feelings of worthlessness or excessive or inappropriate guilt nearly every day, diminished ability to concentrate, and recurrent thoughts of death (American Psychiatric Association, 2013). The patient fits this diagnosis as evidence by depressed mood, diminished interest in activities she used to enjoy, fatigue, diminished ability to concentrate, and psychomotor retardation.

Two Pharmacological Agents and Dosing and Why 

One pharmacologic agent that can be tried is doxepin 3 mg at bedtime for insomnia. Doxepin works by boosting serotonin and norepinephrine by blocking the serotonin reuptake pump and norepinephrine reuptake pump (Stahl, 2017). At hypnotic doses, doxepin blocks histamine-1 receptors, which promotes sleep (Stahl, 2017). Doxepin is a substrate for CYP450 2D6 and has a half-life of 8-24 hours (Stahl, 2017). In the elderly, the recommended dose for insomnia is 3 mg per day (Stahl, 2017).             Another pharmacologic agent that I would like to start the patient on is bupropion (extended release) XL 150 mg daily in the morning. Bupropion is used to treat MDD and works by boosting norepinephrine and dopamine by blocking the norepinephrine reuptake pump and dopamine reuptake pump (Stahl, 2017). Bupropion inhibits CYP450 2D6, has a parent half-life of 10-14 hours, and a metabolite half-life of 20-27 hours (Stahl, 2017). Thus, since bupropion blocks the dopamine reuptake pump and norepinephrine reuptake pump, this medication is beneficial in improving symptoms of loss of happiness, joy, interest, pleasure, energy, enthusiasm, alertness, and self-confidence (Stahl, 2013). Thus, because of bupropion’s mechanism of action and the patient’s symptoms, I would want this patient to try this medication. 

Lessons Learned  

Lessons learned during this case study is that geriatric depression can be difficult to treat. They often have multiple comorbidities with the possibility of more pronounced side-effects (Stahl, 2008). Additionally, medications can have contraindications that do not previously exist prior to the patient being put on medication. Thus, providers must be aware of new and old warnings on medications in the event there are changes made to medications. I will apply this information when I am in practice by paying close attention to dosages, side effects, and potential contraindications when providing medication to the geriatric population. 

                                                  References

American Psychiatric Association. (2013). Diagnostic and statistical manual od mental disorders (5th ed.). Washington, DC: Author. Centers for Disease Control and Prevention. (2016). Tips for better sleep. Retrieved from https://www.cdc.gov/sleep/about_sleep/sleep_hygiene.htmlNa, P. J., Yaramala, S. R., Kim, J. A., Kim, H., Goes, F. S., Zandi, P. P.,…Bobo, W. V. (2018). The PHQ-9 item 9 based screening for suicide risk: a validation study of the Patient Health Questionnaire (PHQ-9)-9 item 9 with the Columbia Suicide Severity Rating Scale (C-SSRS). Journal of Affective Disorders, 232, 34-40. doi: https://doi.org/10.1016/j.jad.2018.02.045National Sleep Foundation. (n.d.). Sleep apnea. Retrieved from https://www.sleepfoundation.org/sleep-apneaThis Way Up. (n.d.). How do you feel? Retrieved from https://thiswayup.org.au/how-do-you-feel/sad/Stahl, S. M. (2008). Essential psychopharmacology online. Retrieved from https://stahlonline-cambridge-org.ezp.waldenulibrary.org/viewPdf?page=csEP_16.pdf&vol=2Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical    applications (4th ed.). New York, NY: Cambridge University Press. Stahl, S. (2017). Stahl’s essential psychopharmacology: Prescriber’s guide (6th ed.). San Diego,  CA: Cambridge University Press. 

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