We will be watching the movie “Sound and Fury” in class as part of our cultural awareness of the deaf community.  We will have a special guest speaker that will further discuss the topic of deaf culture as she experiences it.

Your assignment is to create a PowerPoint titled “What nurses need to know about deaf culture in Minnesota.”  You are to use the movie, “Sound and Fury” as well as other online resources provided on Blackboard to address this content.  You are to create a basic PowerPoint that includes your “spoken portion” in the notes section of each slide.  There must be at least 10 slides and 4 references included in the PowerPoint and appropriate citations throughout as required. You will find that the MN Department of Human Services and the National Institute of Deafness and Communications Disorders will lead you to a number of other resources along the way.  Explore these as they will help you to better grasp what is available to individuals in the U.S. and state of MN. Please note that Wikipedia is not a valid reference for any project. You can use all websites as references for this project if you choose but be sure to use solid websites and to cite them correctly on your slides. YOU WILL NOT PRESENT THIS IN CLASS.

 This is the class of Nursing role and scope. 

Here are the instructions from the profesor

 

This week we are going to discuss the future and barriers of nursing professional development. The literature suggests that nurses have several barriers in their professional development (Wilson, 2015). Some of the future interventions to improve those barriers are: remove scope of practice barriers, expand opportunity for nurses to lead on collaborative improvement efforts, and create more nurses’ residency programs (Wilson, 2015).

Wilson, Ch. (2015). The Role of Nursing Professional Development in the Future of Nursing. Journal for nurses in professional development, 31(1), 56-57. doi:10.1097/NND.0000000000000144

Remember to:

All your posting should have three paragraphs with three sentences.  

Submit your first posting to plagiarism ( acceptable similarity rate 20%)

After reading Chapter 6 and reviewing the lecture power point (located in lectures tab),  please answer the following questions.  Each question must have at least 3 paragraphs and you must use at 3 least references (APA) included in your post.

Additionally, you are expected to reply to two other students and include a reference that justifies your post.  Your reply must be at least 3 paragraphs.

Questions:

1. What do you think about the current image of nursing?

2. What factors facilitate professional role development in Nursing?

  

Discussion Question

By the due date assigned, post a response to one of the two discussion topics below, using information from the lectures, reading assignments, library resources, and Internet resources. All responses should be posted to the Discussion Area.

Topic 1

In your view, is access to healthcare a basic right? Why or why not? Should any basic healthcare services be provided to all US citizens? What about to US residents who are not citizens? Who should pay for basic healthcare services? Be prepared to defend your opinions.

Topic 2

Examine the ten recommendations formulated to direct the future of nursing in Assessing Progress on the Institute of Medicine Report the Future of Nursing (pages 4–16). Select one recommendation and discuss its contribution to improving the health of the US population.

Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.

By the end of the week, comment on at least two of your peers’ responses. You can ask questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. All comments should be posted to the Discussion Area.

 

The Evolution of Nursing: Future Perspectives and Challenges

Purpose:

Nurses work together in many environments. Understanding the roles and responsibilities of each type of graduate nurse will foster cooperative relationships.

Directions:

1. Analyze a specialty that has evolved in a different direction from that of nursing advanced practice (e.g., administration, nursing education, health policy, and/or forensic nursing).
2. Appraise key differences in the evolution of this specialty as compared with other nursing advanced practice specialties?
3. Evaluate the future vision and goals of your chosen MSN role and relate to emerging healthcare trends and needs.
4. Investigate unique challenges in your state related to your chosen role that other nursing advanced practice colleagues should know about your role to promote cooperative relationships amongst the healthcare team.

Your paper must be presented in a single Word document. The paper must be between 3 to 4 pages in length, not including the title and reference list pages. The paper must use proper APA formatting as directed in the APA Publication Manual, 6th edition, including title page, running head, and reference list with properly formatted citations in the body of the paper.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA 6th edition format.

Chief complaint:  “ My right great toe has been hurting for about 2 months and now it’s itchy, swollen and yellow. I can’t wear closed shoes and I was fine until I started going to the gym”.

HPI: E.D a 38 -year-old Caucasian female presents to the clinic with complaint of pain, itching, inflammation, and “yellow” right great toe. She noticed that the toe was moderately itching after she took a shower at the gym. She did not pay much attention. About two weeks after the itching became intense and she applied Benadryl cream with only some relief.  She continued going to the gym and noticed that the itching got worse and her toe nail started to change color. She also indicated that the toe got swollen, painful and turned completely yellow 2 weeks ago. She applied lotrimin  AF cream and it did not help relief her symptoms. She has not tried other remedies. Denies associated symptoms of fever and chills. 

PMH:

Diabetes Mellitus, type 2.

Surgeries: None

Allergies: Augmentin

Medication: Metformin 500mg PO BID.

Vaccination History:  Immunization is up to date and she received her flu shot this year.

Social history:

College graduate married and no children. She drinks 1 glass of red wine every night with dinner. She is a former smoker and quit 6 years ago.

Family history:

Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, HTN.

ROS:

Constitutional: Negative for fever. Negative for chills.

Respiratory: No Shortness of breath. No Orthopnea

Cardiovascular: Regular rhythm.

Skin: Right great toe swollen, itchy, painful and discolored.

Psychiatric: No anxiety. No depression.

Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 130/70 T 98.0, P 88 R 22, non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness.

NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.

LUNGS: No Crackles. Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress.

HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. 1+ pitting edema ankle bilaterally.

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.

MUSCULOSKELETAL: Slow gait but steady. No Kyphosis.

SKIN: Right great toe with yellow-brown discoloration in the proximal nail plate. Marked periungual inflammation. + dryness. No pus. No neuro deficit.

PSYCH: Normal affect. Cooperative.

Labs: Hgb 13.2, Hct 38%, K+ 4.2, Na+138, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

A:

Primary Diagnosis: Proximal subungual onychomycosis

Differential Diagnosis:  Irritant Contact Dermatitis, Lichen Planus, Nail Psoriasis

Special Lab: Fungal culture confirms fungal infection.

   Treatment: terbinafine 250 mg daily x 12 weeks or Itraconazole 200 mg daily x 12 weeks

 For follow up and baseline therapy the labs ordered were:   liver blood test and blood count to determine the ALT and the AST levels  

 

 Please address the following:

1. Specify when to refer the patient after therapy and why? Provide rationale.
2. According to the recommended guidelines, what are the non-pharmacological approaches to Onychomycosis?
3. Provide patient education. Keep in mind the past medical history of this patient.

Use APA 6th format