Has anyone given thought to which AACN Essential has the most appeal to you as a developing advanced practice nurse? Please explain why? (AACN Essentials I, II, IV, V, VI, and VIII) 

I’m asking for 150 words. APA 7th ed. Plagiarism free. Due date: January 22, @10:00am. please based your answer according to the book. (AACN Essentials I, II, IV, V, VI, and VIII)

Shool requirements:

Turn it in Score must be less than 50%, must be your own work and in your own words,APA format, 

 Copy paste from websites or textbooks will not be accepted or tolerated. 

Please see College Handbook with reference to Academic Misconduct Statement.

Pick any Chronic Disease from Weeks 6-10: you can pick any of this condition,but have to be chonic not acute, cistic fibrosis,influenza,pleural effsuin,pulmonary embolism,tubercolosis,celiac disease,cirrhosis,divertiulitis,hepatitis encephalopathy,,hepatitis,pancreatic cancer,bladder cancer,prostate cancer,bph,prostatitis,cushing disease,addison disease,myasthemia gravis,priapis.ANY OF THAT CONDITIONS,JUST ONE,BUT CHONIC.

Sample:

SOAP NOTE SAMPLE FORMAT FOR MRC 

Name:  LP Date: Time: 1315   Age: 30 Sex: F SUBJECTIVE CC:   “I am having vaginal itching and pain in my lower abdomen.”  HPI:   Pt is a 30y/o AA female, who is a new patient that has recently moved to Miami.  She seeks treatment today after unsuccessful self-treatment of vaginal itching, burning upon urination, and lower abdominal pain.  She is concerned for the presence of a vaginal or bladder infection, or an STD.  Pt denies fever.  She reports the itching and burning with urination has been present for 3 weeks, and the abdominal pain has been intermittent since months ago.  Pt has tried OTC products for the itching, including Monistat and Vagisil.  She denies any other urinary symptoms, including urgency or frequency.  She describes the abdominal pain as either sharp or dull.  The pain level goes as high as 8 out of 10 at times.  200mg of PO Advil PRN reduces the pain to a 7/10.  Pt denies any aggravating factors for the pain.  Pt reports that she did start her menstrual cycle this morning, but denies any other discharge other that light bleeding beginning today.  Pt denies douching or the use of any vaginal irritants.  She reports that she is in a stable sexual relationship, and denies any new sexual partners in the last 90 days.  She denies any recent or historic known exposure to STDs.  She reports the use of condoms with every coital experience, as well as this being her only form of contraceptive.  She reports normal monthly menstrual cycles that last 3-4 days.  She reports dysmenorrhea, which she also takes Advil for.  She reports her last PAP smear was in 7/2016, was normal, and reports never having an abnormal PAP smear result.  Pt denies any hx of pregnancies.  Other medical hx includes GERD.  She reports that she has an Rx for Protonix, but she does not take it every day.  Her family hx includes the presence of DM and HTN.                 

Current Medications:  Protonix 40mg PO Daily for GERD MTV OTC PO Daily Advil 200mg OTC PO PRN for pain   

PMHx: Allergies:    NKA & NKDA 

Medication Intolerances:   Denies Chronic Illnesses/Major traumas  GERD Hospitalizations/Surgeries : Denies   

Family History :Father- DM & HTN; Mother- HTN; Older sister- DM & HTN; Maternal and paternal grandparents without known medical issues; 1 brother and 3 other sisters without known medical issues; No children.   

Social History:Lives alone.  Currently in a stable sexual relationship with one man.  Works for DEFACS.  Reports occasional alcohol use, but denies tobacco or illicit drug use.   

ROS General:  Denies weight change, fatigue, fever, night sweats Cardiovascular Denies chest pain and edema. Reports rare palpitations that are relieved by drinking water   

Skin:Denies any wounds, rashes, bruising, bleeding or skin discolorations, any changes in lesions  

Respiratory Denies cough. Reports dyspnea that accompanies the rare palpitations and is also relieved by drinking water   

Eyes Denies corrective lenses, blurring, visual changes of any kind  Gastrointestinal Abdominal pain (see HPI) and Hx of GERD.  Denies N/V/D, constipation, appetite changes   

Ears Denies Ear pain, hearing loss, ringing in ears  

Genitourinary/Gynecological Reports burning with urination, but denies frequency or urgency.  Contraceptive and STD prevention includes condoms with every coital event.  Current stable sexual relationship with one man.  Denies known historic or recent STD exposure. Last PAP was 7/2016 and normal. Regular monthly menstrual cycle lasting 3-4 days.    Nose/Mouth/Throat Denies sinus problems, dysphagia, nose bleeds or discharge  

Musculoskeletal Denies back pain, joint swelling, stiffness or pain 

Breast Denies SBE

Neurological Denies syncope, seizures, paralysis, weakness Heme/Lymph/Endo Denies bruising, night sweats, swollen glands

Psychiatric Denies depression, anxiety, sleeping difficulties 

OBJECTIVE Weight   140lb      Temp -97.7 BP 123/82 Height  5’4” Pulse 74

Respiration: 18 General Appearance Healthy appearing adult female in no acute distress. Alert and oriented; 

answers questions appropriately.  

Skin Skin is normal color for ethnicity, warm, dry, clean and intact. No rashes or lesions noted. HEENT Head is norm cephalic, hair evenly distributed. Neck: Supple. Full ROM. Teeth are in good repair. Cardiovascular S1, S2 with regular rate and rhythm. No extra heart sounds.  Respiratory Symmetric chest walls. Respirations regular and easy; lungs clear to auscultation bilaterally. Gastrointestinal Abdomen flat; BS active in all 4 quadrants. Abdomen soft, suprapubic tender. No hepatosplenomegaly.    Genitourinary Suprapubic tenderness noted.  Skin color normal for ethnicity.  Irritation noted at labia majora, minora, and perineum. No ulcerated lesions noted. Lymph nodes not palpable.  Vagina pink and moist without lesions.  Discharge minimal, thick, dark red, no odor.  Cervix pink without lesions. No CMT. Uterus normal size, shape, and consistency.         Musculoskeletal Full ROM seen in all 4 extremities as patient moved about the exam room. Neurological  Speech clear. Good tone. Posture erect. Balance stable; gait normal. Psychiatric Alert and oriented. Dressed in clean clothes. Maintains eye contact. Answers questions appropriately. 

Lab Tests Urinalysis – blood noted (pt. on menstrual period), but results negative for infection Urine culture testing unavailable Wet prep – inconclusive  STD testing pending for gonorrhea, chlamydia, syphilis, HIV, HSV 1 & 2, Hep B & C    Special Tests- No ordered at this time.    

Diagnosis   Differential Diagnoses :

1-Bacterial Vaginosis (N76.0) o

2- Malignant neoplasm of female genital organ, unspecified. (C57.9) 

3-Gonococcal infection, unspecified. (A54.9) Diagnosis o Urinary tract infection, site not specified. (N39.0) Candidiasis of vulva and vagina. (B37.3) secondary to presenting symptoms (Colgan & Williams, 2011) & (Hainer & Gibson, 2011).   Plan/Therapeutics •

Plan:   o Medication : Terconazole cream 1 vaginal application QHS for 7 days for Vulvovaginal Candidiasis;   Sulfamethoxazole/TMP DS 1 tablet PO twice daily for 3 days for UTI (Woo & Wynne, 2012) o Education –  Medications prescribed:UTI and Candidiasis symptoms, causes, risks, treatment, prevention. Reasons to seek emergent care, including N/V, fever, or back pain.    STD risks and preventions.   Ulcer prevention, including taking Protonix as prescribed, not exceeding the recommended dose limit of NSAIDs, and not taking NSAIDs on an empty stomach.   o Follow-up –   Pt will be contacted with results of STD studies.    Return to clinic when finished the period for perform pap-smear or if symptoms do not resolve with prescribed TX.     

                         References 

Colgan, R. & Williams, M. (2011). Diagnosis and Treatment of Acute Uncomplicated Cystitis. American Family Physician, 84(7), 771-776. Hainer, B. & Gibson, M. (2011). Vaginitis: Diagnosis and Treatment. American Family Physician, 83(7), 807-815.  Woo, T. M., & Wynne, A. L. (2012). Pharmacotherapeutics for Nurse Practitioner Prescribers (3rd ed.). Philadelphia, PA: F.A. Davis Company.

Based on the required topic study materials, write a reflection about worldview and respond to the following:

1. In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.
2. In 250-300 words, explain what scientism is and describe two of the main arguments against it.
3. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview:
   1. What is ultimate reality?
   2. What is the nature of the universe?
   3. What is a human being?
   4. What is knowledge?
   5. What is your basis of ethics?
   6. What is the purpose of your existence?

Remember to support your reflection with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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.

 Follow 3×3 Rule. THREE PARAGRAPHS OF AT LEAST THREE SENTENCES EACH ONE, WITH AT LEAST TWO  CITATIONS AND TWO REFERENCES NOT OLDER THAN 2015. 

APA STYLE. NO PLAGIARISM PLEASE.

Answer the following two  questions:

 You are a school nurse in a middle school when Jamal comes to the nurse’s office requesting medication for a headache. You notice that his eyes are red, and it appears as if he has been crying. You ask if he is hurt, but he denies it. The phone rings in the office, and a teacher tells you that a female student has approached her concerned about Jamal. The teacher tells you that Jamal sent her a text message saying that he flunked his biology examination and wished he was dead.

1. If Jamal shared with you a suicide plan that includes harming himself with a weapon, what would be your first nursing intervention?

2. What educational program would you develop for the middle school to educate students about ways to cope with stress and how to respond if a friend needs support?