WK 1 NUR 800 2025

NURS DNP: Professional Opportunities for Doctorally Prepared Nurses Discussion: The Doctoral Degree and Professional Nursing Practice Why did you decide to enroll in graduate school? What informed your decision to pursue your chosen degree? How will earning this degree influence your career? This week, you consider the characteristics of various programs, including the DNP and the PhD. The focus of the DNP degree is on clinical practice, whereas the focus of the PhD is on research. In conjunction with other professional colleagues, DNP- and PhD-prepared nurses often collaborate to analyze critical issues and find appropriate ways to address them. This first Discussion provides an opportunity for you to examine what it means to earn a doctorate and how your selected degree program relates to your professional goals. To prepare: Consider the reasons you have chosen to pursue an advanced degree. How do you anticipate that earning this degree will support your professional goals? Reflect on the comments shared by the experts in this week’s media regarding the value of a DNP degree and the various roles available to DNP-prepared nurses, as well as the characteristics of the PhD program and opportunities for PhD-prepared nurses. Based on the information presented this week, have you developed any new ideas or goals for your future? If so, what are they? Post a cohesive response that addresses the following:( 1TO 2 PAGES ) What does it mean to be a nurse with a practice or research doctorate? What are the expectations associated with this degree? How might this be different for a nurse who holds a different degree? How do these considerations relate to your motivation to pursue a doctoral degree right now? References to follow Required Readings Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett. [Vital Source e-reader] (DNP STUDENT ONLY) “Imagining the DNP Role” (pp. xvii–xxviii) Houser, J. (2015). Nursing research: Reading, using, and creating evidence (3rd ed.). Burlington, MA: Jones & Bartlett. [For PhD students ONLY] Chapter 1, “The Importance of Research as Evidence in Nursing” American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC: Author. Retrieved from http://www.aacn.nche.edu/DNP/pdf/Essentials.pdf [For DNP students ONLY] “Introduction” (pp. 3–7) Cleary, M., Hunt, G. E., & Jackson, D. (2011). Demystifying PhDs: A review of doctorate programs designed to fulfill the needs of the next generation of nursing professionals. Contemporary Nurse: A Journal for the Australian Nursing Profession, 39(2), 273–280. Note: You will access this article from the Walden Library databases. [For PhD students ONLY] Conn, V. S. (2014). Prepare to launch: Optimizing doctoral education to ensure career success. Western Journal of Nursing Research, 36(1), 3–5. Note: You will access this article from the Walden Library databases. Conn, V. S., Zerwic, J., Rawl, S., Wyman, J. F., Larson, J. L., Anderson, C. M., Markis, N. E. (2014). Strategies for a successful PhD program: Words of wisdom from the WJNR editorial board. Western Journal of Nursing Research, 36(1), 6–30. Note: You will access this article from the Walden Library databases. [For PhD students ONLY] Foster, R. L. (2012). Doctoral education and the future of nursing. Journal for Specialists in Pediatric Nursing, 17(2), 77–78. Note: You will access this article from the Walden Library databases. Sperhac, A. M., & Clinton, P. (2008). Doctorate of nursing practice: Blueprint for excellence. Journal of Pediatric Health Care, 22(3), 146–151. Note: You will access this article from the Walden Library databases. [For DNP students ONLY] Laureate Education (Producer). (2012g). Welcome to Walden [Video file]. Retrieved from https://class.waldenu.edu Laureate Education (Producer). (2011b). Introduction: The doctor of nursing practice [Video file]. Retrieved from https://class.waldenu.edu Note: The approximate length of this media piece is 2 minutes.

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During this week, you will identify a population at risk in your community. This population will be the basis for your Practicum Discussions and your individual presentations over the next 6 weeks, as well as the focus of your final PowerPoint presentati 2025

Identification of a Population in Your Community During this week, you will identify a population at risk in your community. This population will be the basis for your Practicum Discussions and your individual presentations over the next 6 weeks, as well as the focus of your final PowerPoint presentation in Week 6. To review, a population is a group of individuals who share a common environmental or personal characteristic, such as obese individuals who are at risk for diabetes or cardiovascular disease (populations at risk) or those individuals who are otherwise healthy and could stay healthy if they do not develop risky behaviors (populations of interest). An example of this is teenagers who don’t yet smoke but might consider it due to peer pressure (Stanhope & Lancaster, 2016). Some of the topics you might consider are vaccination compliance, obesity rates among children and adults, teenage pregnancy, or infectious diseases such as Norwalk virus, genital warts, or sexually transmitted diseases/infections. You might look also at emerging public health problems such as Chagas or the Zika virus. Some of the places you might consider looking for information to substantiate and support your ideas about populations at risk in your communities are your local health department, the CDC, and the many evidence-based websites that the CDC supports, such as the CDC Wonder (http://wonder.cdc.gov/). You may also review the work of other community groups that focus on improving health care outcomes for your community. You should begin to support your selection of population and ideas about their health care problems through the use of health data and scholarly literature. Please address the following points in your Practicum Discussion: Briefly describe your community and then describe your practice setting. What are the determinants of health in your community? (https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health) What are the most prevalent health problems in your community or in your practice? Choose a population at risk and describe the health problem specific to that population. Remember that you will have to define the population’s age, culture, religious beliefs, foods, and traditions eventually as your project progresses. As a community of practice your task for this week is to collaborate with professionals across the health care system and with your community of practice in the discussion in order to find a gap in care or social determinant that often results in poor health care outcomes. You will begin to take the lead in advocating for and collaborating with others to improve the health care outcomes for populations at risk. What health issue, problem, or disparity in health outcomes is of concern to you as a scholar practitioner in your community? What gaps in knowledge and care do you see as possible causes for the health issue? What does the health data tell you about the health issue? What does the literature tell you about the health issue? How can you learn about the health issue and about possible solutions from the viewpoint of families, community as a whole, and health professionals in your community? What evidence is there to support your proposal? What is one avenue you could advocate for improved health outcomes and know when a change has taken place? Develop an intervention plan in collaboration with other professionals that takes into account determinants of health, available resources, and activities that contribute to health and the prevention of illness or injury Provide culturally competent care, i.e., health promotion, disease and injury prevention interventions in collaboration with other health care professionals in a community health care setting Analyze data pertaining to a specific community health issue Evaluate how cultural competence improves nursing practice and health outcomes Evaluate current evidence-based practices for your selected population Analyze evidence-based practices Evaluate programs aimed at solving health problems Evaluate local disaster plans and contemplate collaborative efforts in problem solving Analyze effectiveness of practicum proposal through practice presentations Present practicum presentation to colleagues

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comment karan 2025

I NEED APOSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 120-150 WORDS What health risks associated with obesity does Mr. C. have? Nearly one third of the adult population of the United States is overweight or obese (Centers of Disease Control and Prevention, 2015). Obesity and diabetes are major health problems that are rapidly getting worse in the United States. In addition, obese people have an increased risk for the development of cardiovascular disease because obesity is often accompanied by elevated serum lipid levels. Obesity is also associated with hypertension. Obesity places an increased workload on the heart, which increases oxygen demand. According to the Centers of Disease Control and Prevention “the estimated cost of obesity in the United States was 147 billion in 2008 and the medical costs of people who are obese were $1,429 higher than those of normal weight” (Centers of Disease Control and Prevention, 2015). Obese people are also more likely to have delayed wound healing and wound infection because adipose tissue impedes blood circulation and its delivery of nutrients, antibodies, and enzymes required for wound healing. Obese clients also have difficulty breathing when sedated (Orlando Sentinel, 2012). Is bariatric surgery an appropriate intervention? Why or why not? According to the American Nurses Association “bariatric surgery provides dramatic improvement” to obese people that suffer from chronic diseases such as heart disease, hypertension, sleep apnea, degenerative joint disease, gastroesophageal reflux disease, asthma, and depression (American Nurses Association, 2009). Bariatric surgery can be very effective when combined with a comprehensive treatment plan according to the American Society for Metabolic and Bariatric Surgery (American Society for Metabolic and Bariatric Surgery, 2015). The combined treatment can be an effective tool to provide a client with a long term weight-loss and help the client increase the quality of their health. Bariatric surgery has shown to help improve or resolve many obesity-related conditions, such as type 2 diabetes, hypertension, and heart disease it also helps in reducing the need to continue taking so many medications for these co-morbidities. According to the US National Library of Medicine National Institutes of Health the following are some pros and cons of bariatric surgery (US National Library of Medicine National Institutes of Health, 2012): Pros Cons Initial and sustained weight loss Initial failure to lose weight Resolution of obesity-related comorbidities Potential complication: preoperative, surgical, gastrointestinal, nutritional, and psychological Improved mortality Initial costs Reduction in obesity-related health risks Weight regain Improved quality of life Permanency Psychosocial benefit Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: (a) Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime; (b) Ranitidine (Zantac) 300 mg PO at bedtime; and (c) Sucralfate / Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime. The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient. Carafate Mylanta Zantac 0600 1000 1100 1500 1700 2100 2300 2300 Assess each of Mr. C.’s functional health patterns using the information given (Hint: Functional health patterns include : Health-perception – health management – Based on the information provided in the case study Mr. C has always been heavy since he was a child but has gained 100 pounds in the last 2-3 years. With the limited information and the increase weight in the last 2-3 years I can only presume that Mr. C might live a sedentary lifestyle that might be related to lack of motivation or lack of education or readiness. Nutritional – metabolic – Mr. C is 5 feet 5 inches and weighs 295.9 pounds. According to Premier Health, Mr. C has a BMI of 47.6 and is considered morbidly obese (Premier Health, 2015). He also claims that he has gain 100 pounds in the last 2-3 years. Based on the information he falls under Nutrition, Imbalanced, More Than Body Requirements as evidenced by reported higher baseline weight. Elimination – Mr. C has a peptic ulcer and symptoms include passing of bloody stools or black tarry stools. Possible nursing diagnoses can be constipation/diarrhea related to effects of medications on bowel function. Activity-exercise – Mr. C has an office job and based on his increased weight of 100 pounds in the last 2-3 years lives a sedentary lifestyle. The case study does not specify if Mr. C performs any type of exercise activities but we can assume that he is able to perform activities of daily living. Sleep-rest – Mr. C is morbidly obese and suffers from sleep apnea due to his overweight. Cognitive-perceptual – Mr. C appears alert and oriented and able to make his needs known. Self-perception – self-concept – Mr. C claims that he has been heavy all his life and has gained 100 pounds in the last 2-3 pounds. Mr. C is looking into bariatric surgery as a solution to his morbid weight. Role-relationship – Based on the case study Mr. C is a single man not involved in a relationship. Sexuality – reproductive – is a young man but the case study doesn’t offer any other information. Coping – stress tolerance – Mr. C is able to identify that he has a problem with his weight. He is taking initiative by reducing salt intake to control his hypertension and he is looking into bariatric surgery to reduce his weight problem. What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each. 1) Health maintenance ineffective related to sedentary lifestyle (Ackley & Ladwig, 2011). 2) Imbalanced nutrition more than body requirements related to lack of basic nutritional knowledge (Ackley & Ladwig, 2011). 3) Disturbed sleep pattern related to sleep apnea (Ackley & Ladwig, 2011). 4) Deficient knowledge related to his obesity, disturbed body image by verbalization of his weight gain (Ackley & Ladwig, 2011). 5) Ineffective coping related to lack of knowledge of weight gain resources (Ackley & Ladwig, 2011). References Ackley, B., & Ladwig, G. (2011). Nursing diagnosis handbook: An evidence-based guide to planning care (9 th ed.) . St. Louis: Mosby, Elsevier American Nurses Association. (2009). Weight-loss surgery. Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TasbleofContents/Vol142009/No1Jan09/Weight-Loss-Surgery.html American Society for Metabolic and Bariatric Surgery. (2015). Benefits of bariatric surgery. Retrieved from https://asmbs.org/patients/benefits-of-bariatric-surgery Centers of Disease Control and Prevention. (2015). Adult Obesity Facts. Retrieved from http://www.cdc.gov/obesity/data/adult.html Orlando Sentinel. (2012). Obese patients create big problems for surgeons. Retrieved from http://articles.orlandosentinel.com/2012-07-25/news/os-obese-patients-20120724_1_obese-patients-normal-weight-person-bmi Premier Health. (2015). BMI calculator. Retrieved from http://www.premierhealthspecialists.org/phspractice.aspx?id=64848 US National Liberty of Medicine National Institutes of Health. (2012). Quick fix or long-term cure? Pros and cons of bariatric surgery. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3470459/

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class 501 unit 5 assignment 2025

Conflict Resolution Including the Twelve Skills Summary Directions: What challenges do you anticipate in negotiating conflicts? Review the Conflict Resolution Network site (retrieved from http://www.crnhq.org/ ). Describe a situation or conversation in which there was a conflict between a nurse or advanced practice nurse and another healthcare provider or administrator. Write a 2 to 3 page paper on how you would apply the Twelve Skills to have a positive communication outcome. Your paper must be presented in a single Word document. The paper must be between 2 to 3 pages in length, not including the title and reference list pages. The paper must use proper APA Publication Manual, 6th Edition formatting, including title page, running head, and reference list with properly formatted citations in the body of the paper. Clearly compared and contrasted a nurse or advanced practice nurse and another healthcare provider or administrator.Described how you would apply each of the 12 Conflict Resolution Skills to achieve a positive communication outcome.

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Need someone to do a discussion post Advanced Pharmacology class. Reference should be 5 years or younger. 2025

Reflect on your experiences, observations, and/or clinical practices from the last five years. Select a case from the last five years that involves a patient whose individual differences in pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug. When referring to your patient, make sure to use a pseudonym or other false form of identification. This is to ensure the privacy and protection of the patient. Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease. Think about a personalized plan of care based on these influencing factors and patient history in your case study. Post a description of the case you selected. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient from the case you selected. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case.

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