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2025 Benchmark Capstone Project Change Proposal In this assignment students will pull together the change
by adminBenchmark – Capstone Project Change Proposal 2025
Benchmark – Capstone Project Change Proposal In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice. Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal: Background Problem statement Purpose of the change proposal PICOT Literature search strategy employed Evaluation of the literature Applicable change or nursing theory utilized Proposed implementation plan with outcome measures Identification of potential barriers to plan implementation, and a discussion of how these could be overcome Appendix section, if tables, graphs, surveys, educational materials, etc. are created Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 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 required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
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2025 opic 3 DQ 2 Adolescence is a period of growth and development that occurs between childhood
by adminDescribe two external stressors that are unique to adolescents 2025
opic 3 DQ 2 Adolescence is a period of growth and development that occurs between childhood and adulthood. As they continue to form an identity, they face many difficulties in integrating themselves into society; they do not belong to either the childhood or adult groups. Any transition that upsets the balance of our lives and forces us to adapt is referred to as a stressor. Stress may be described as physical or mental tension experienced as a result of life events. They don’t stress factors affecting adolescents are here or social stressor and self-esteem and sexual stressor. Rejections when they begin to form intimate relationships, teasing or being teased, as this is the moment that teenage bodies are undergoing physical changes such as weight gain, awkwardness, acne growth, and so on, are all possible peer or social stressors. Other sources of tension during this time include education and the need to excel, dealing with a family crisis, and online social lives. Self-esteem and sexual stressors are normal in puberty as their bodies shift, they continue to develop sexual identities, and self-esteem may be low. An adolescent’s life revolves around fitting in, and identifying sexually outside of what is considered normal (i.e., bisexual, homosexual, transgender/gender neutral) can be stressful. Society does not often tolerate these kinds of sexual identities, and their bullying, teasing, gossip, and family rejection of their decisions contribute to a poor sense of self-esteem. As a result, when puberty is confronted by stressors like these, they feel depressed and resort to action to cope. Social avoidance, behaving violently against others, or self-abuse, as well as consuming alcohol or using drugs, are examples of those behaviors. When these fails to properly relive the stress experienced by the teenager, they may consider or attempt suicide. Any of the reinforcement or coping mechanisms that may be used are mentioned below. Since nurses’ assessments are critical for understanding stressor signs and symptoms, this would help nurses to understand how the teenager is feeling and speak about it when their adult is not present. As a result, they would feel more at ease debating those topics. We will teach them to talk about their feelings by giving them things to talk about that they are comfortable with. When it comes to suicidal thoughts or acts, ask them simple questions. To ease tension, encourage healthy coping skills such as sports or exercise, listening to music, or praying. If they don’t feel comfortable talking about their emotions, they can write them down in a diary as a stress reliever. Giving them information about support groups where they can go on their own and get assistance is another informative opportunity. Some of the support groups- self-esteem: Teens Health.org, gender identity question or stress associated with the subject: gay, lesbian and straight education Network (www.gisen.org), Bullying: www.bullying.org or kidshealth.org. Depression and suicide are complex issues and get torn on the flesh for adolescents. It is important for nurses to use communication and sensitivity in education for this group. Respond using 200-300 words APA format with references supporting the discussion. Describe two external stressors that are unique to adolescents. Discuss what risk-taking behaviors may result from the external stressors and what support or coping mechanism can be introduced.
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2025 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT BETWEEN 100 120 WORDS Compare and contrast two change
by adminCOMMENT THOMAS DQ2 2025
I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS Compare and contrast two change theories, and determine which theory makes the most sense for implementing your specific EBP project. Why? Has your mentor used either theory, and to what result? The first change theory is Lewin’s Change Theory. This theory is very widely used in nursing. This theory has three stages the unfreezing stage, moving stage, and refreezing stage. The theory has driving and resistant forces and for the theory to be successful the driving forces have to overcome the resistant forces. The other change theory is Rogers’ Change Theory. This theory has 5 stages and they are awareness, interest, evaluation, implementation and adoption.(Oguejiofo,2017) It is successful when nurses who ignored the proposed change earlier adopt it because of what they hear from nurses who adopted it initially. Both of these theory’s are widely used in nursing and both require nurses that want the change or who are willing to make the change. My mentor has used the Lewin’s change theory recently. The hospital already has hourly rounding but she just introduced new paperwork that has to be signed every hour. The unfreezing period she just explained how the new way will be better and she showed the nurses how it will be easier because the techs can also sign the sheet. The moving stage she let the nurses tell her how they feel about the whole situation and letting them express what they think will work. The final stage is refreezing and during this stage she went around for the first week making sure the nurses get this in their daily habit. I believe this theory makes more sense to my EBP because there are a lot of nurses that will be the driving force to make this happen and less people being the resistant force. So, it will be more likely to succeed. References: Oguejiofo,N. September 26, 2017. Change Theories in Nursing. https://bizfluent.com/about-5544426-change-theories-nursing.html
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2025 Lat Week 3 discussion An anxious patient is having rapid and shallow breathing
by adminnursing assessment 2025
Lat…. Week 3 discussion An anxious patient is having rapid and shallow breathing. After a few moments, he complains of a tingling sensation. What could be the causes of this tingling sensation? What are the various patterns of respiration and their significance? Ethnicity and culture influence risk factors for heart disease. Do you agree? Why or why not? What is the technique of percussion and palpation of the chest wall for tenderness, symmetry, bulges, fremitus, and thoracic expansion? Explain. Would you anticipate hearing hyper-resonance on a patient with a history of tobacco use? Why or why not? What are the mechanics of breathing with reference to lung borders and the anatomical structure of the lungs and diaphragm? The patient is having rapid and shallow breathing because of a decrease in Co2 in the blood to the extremities. The patient is experiencing hyperventilation. This could be a result of a panic attack or cardiac related. Norml respirations between 12-20 breaths/min. The chest expands and falls with a normal and even rate and rhythm Tachypnea: Respiratory rate that is above 20 breath/min. Some things that can cause this change is fever, pain, anxiety, respiratory issues. Bradypnea: Respiratory rate below 12 breaths per/min. Some causes of this could be certain medications such as narcotics or sedatives. Cheyene Stokes: Deep shallow breathing with periods of apnea. This could be in relation to renal faluire or drug overdose. African Americans are at a higher risk for devoloping heart disease due to genetics. Yes, I do agree because African Americans consume alot of sodium in their diet, and are geneticly sensitive to salt consumption which causes an increase in blood volume and raises blood pressure. Palpitation: Stand behind the patient and place your thumbs at the 10 th rib. Your hands will be out with thumbs touching. You can ask your patient to take a deep breath and you would watch for symmetry movement on your thumbs. During this point in the examination you will ask the patient to say ninety-nine as you bring your hands down along the sides of chest. You should have the same type of vibration throughout as you make your way down. To feel for bulges you would assess both posteriorly and anteriorly. You would use the tips of your fingers and gently palpate the area below the breast tissue. Percussion: You can perform the anterior assessment this way with your patient lying down. Then, strike the finger placed on the patient’s skin with the end of the middle finger of your dominant hand. You are listening and feeling for differences. For someone that has a history of tobacco use, I would anticipate hyper resonance because tobacco use can cause emphysema or COPD. The action of breathing in and out is due to changes of pressure within the thorax, in comparison with the outside. This action is also known as external respiration . When we inhale the intercostal muscles (between the ribs) and diaphragm contract to expand the chest cavity. The diaphragm flattens and moves downwards and the intercostal muscles move the rib cage upwards and out. This increase in size decreases the internal air pressure and air from the outside (at a now higher pressure that inside the thorax) rushes into the lungs to equalise the pressures. When we exhale the diaphragm and intercostal muscles relax and return to their resting positions. This reduces the size of the thoracic cavity, thereby increasing the pressure and forcing air out of the lungs
Nursing Assignment Help 2025