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2025 This case study will help you practice analyzing a patient record which will assist
by adminCASE FILE WEEK 6 – NEED 1 PAGE 2025
This case study will help you practice analyzing a patient record, which will assist you in preparing for the final project. This case will focus specifically on musculoskeletal and integumentary drug treatment. Prompt: Consider the following scenario: Ms. Craft, age 59, was brought by ambulance to the emergency room because she thought she was dying. She had difficulty breathing, was dizzy if she attempted to sit up, and felt a sense of impending doom. Ms. Craft assumed that she was having a heart attack, and so did the admitting emergency room personnel. But the case was more complicated. Physical examination showed Ms. Craft to have weakness, malaise, warm skin, and hypotension. Ms. Craft said she felt nauseous. A blood glucose value was really high. Cardiac markers did not show that she was having a heart attack, nor did an EKG. When her history was taken, Ms. Craft said she had not seen a doctor in several years and was unaware that she had diabetes. Her respirations were deep and rapid—Kussmaul respirations. In this case, the ER physician diagnosed decompensated diabetes mellitus with metabolic acidosis. These were the medications prescribed: · Oxygen by mask · Hypertonic IV fluids · Insulin orally · Hydrochloric acid solution via IV In a short paper, the following critical elements must be addressed: · Identify the incorrect medication/drug classification/treatment and explain why it is incorrect. · What drug classification would you use instead? Why? · Provide an example of a generic medication from each drug classification. How would each of the medications/treatments in the scenario act on the patient’s body? Support your answer with relevant resources.
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2025 Purpose Discussion Thing to Remember Answer this discussion with opinions ideas creatively and clearly Supports post using several outside peer reviewed sources
by adminClass 1 Unit 4 COMMENT 1 2025
Purpose: Discussion Thing to Remember: Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources. 1 References, try to find resources that are 5 years or less No errors with APA format. ————— Discussion: Opinion Leaders This page automatically marks posts as read as you scroll. Adjust automatic marking as read setting I chose to further my education in hopes of providing better patient care and education. I want to be seen as an influence and a primary healthcare provider. My goal is to provide specialized, high-leveled care to patients with different backgrounds. An opinion leader is someone who has strong influence within a work place, giving of their time and experience, and creates strategies to help change an initiative. An opinion leader earns their role after much experience and expertise. Others look to them for advice and new information (Hamric, Hanson, Tracy, & O’Grady, 2014). When problems arise in a work environment, employees will look towards opinion leaders and others who will lead them through the stressors and crises. In order to be successful as an opinion leader, staff must be committed to serving the organization and devote time for teaching. Patient and staff safety should always be at the forefront. Not one person knows all the answers, but once we live through various experiences our abilities and competence improve and widen (Kai Tiaki, 2014). Communication skills can improve opinion leaders abilities. It is important that communication allows everyone’s voice to be heard, in an open, non-combative manner. In order for piers and other staff to have a positive trusting relationship with the opinion leader, they must feel as though they are being heard and also guided in difficult situations (Pollard & Wild, 2014). By the end of the summer, I am hoping my schedule allows me to become a preceptor for new graduates. I view that role as being an opinion leader for an individual, which would progress to a small group. I would love the opportunity to mold new fellows with everything I have learned so far as a postpartum nurse. When a newer nurse comes to me for advice, I want them to feel safe. My goal is never to talk down to someone making him or her feel inadequate for coming to me for help in the first place. If I do not know how to solve the issue I have been made aware of, I seek guidance from another senior nurse. I feel as though a good opinion leader wants others to seek their guidance instead of possibly making a mistake. References Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Advanced practice nursing: An integrative approach (5 th ed.). St. Louis, MO: Elsevier. Kai Tiaki. (2014) Nursing New Zealand. What nursing leaders are saying, 20(6), 12-13. doi: edsgcl.375815611 Pollard, C., Wild, C. (2014) Nursing leadership competencies: low-fidelity simulation as a teaching strategy. Nurse education in practice, 14(6), 620- 626. doi: 10.1016/j.nepr.2014.06.006
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2025 Purpose Discussion Thing to Remember Answer this discussion with opinions ideas creatively and clearly Supports post
by adminClass 1 Unit 4 COMMENT 2 2025
Purpose: Discussion Thing to Remember: Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources. 1 References, try to find resources that are 5 years or less No errors with APA format. ________________________ DISCUSSION: Opinion Leader Hamric, Hanson, Tracy, and O’Grady (2014) describes opinion leaders as those who are well respected by their colleagues and can make change happen through mentoring other clinicians. Hamric et al. (2014) states characteristics of opinion leaders are “likeable, trustworthy, and influential.” Opinion leaders do not have to be just clinicians but can be anyone who is influential to the patient’s health (Heijmans, van Lieshout, and Wensing, 2017). Heijman et al. (2017) conducted a study on health care providers and delivery of evidence based care for cardiovascular risk management, which found most opinion leaders were primary care providers and delivery of evidenced based care is associated with the presence of an opinion leader directing care. Another study on chiropractic care done by Bussieres, Maiers, Grondin, and Brockhusen (2017) found utilizing opinion leaders would ultimately improve patient care through evidenced based research when presented by respected and influential clinicians. I am an opinion leader in my current role as a worker’s compensation case manager. Hamric, Hanson, Tracy, and O’Grady (2014) describes opinion leaders as those who are well respected by their colleagues and can make change happen through mentoring other clinicians. Hamric et al. (2014) states characteristics of opinion leaders are “likeable, trustworthy, and influential.” I am the first case manager for the company I work for and have helped develop the standard of practice and train other case managers nationwide. I took my role to the next level and became certified as a case manager on my own to ensure I was doing the best I could for the company and my patients. I am well respected by community physicians in regards to awareness of current laws in the state regarding workers’ compensation, treatment practices, and work requirements. I am eager to share my expertise and knowledge with new case managers in the company as well as staff nurses. In the future, I see myself being an opinion leader for preventative health. In my current role, I am not able to address the patient in a holistic fashion due to barriers with workers’ compensation I am only able to address the work issue at hand which is what has led me to return to school and pursue my NP. I want myself, my family and my patients to take charge of their own health and prevent disease. I will accomplish through relationship building, motivational interviewing, and clinical education. I will be positive and energetic regarding preventative health motivating everyone around me including myself to be a better version of themselves. I will be approachable and continue to be eager in sharing my knowledge with others. Opinion leaders can be very influential in patient outcomes and I strive to practice as such as a NP. References Bussières, A. E., Maiers, M., Grondin, D., & Brockhusen, S. (2017). Selecting and training opinion leaders and best practice collaborators: experience from the Canadian Chiropractic Guideline Initiative. Journal Of The Canadian Chiropractic Association , 61(1), 53-64. Hamric, A.B., Hanson, C.M., Tracy, M. F., & O’Grady, E. T. (2014). Advanced practice nursing: An integrative approach (5th ed.). St. Louis, MO: Elsevier Heijmans, N., van Lieshout, J., & Wensing, M. (2017). Information exchange networks of health care providers and evidence-based cardiovascular risk management: an observational study . Implementation Science , 121-12. doi:10.1186/s13012-016-0532-1
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2025 The McGill Model of Nursing is a theory that looks at the patient as a whole
by adminclass 2 unit 4 comment 2 2025
The McGill Model of Nursing is a theory that looks at the patient as a whole person and not just through the eyes of disease and sickness. This theory helps identify the patient with loving family members involved in the care, as an individual person, and as a person with desires and goals in life (Wright & Gross, 2012). A study conducted on the end of life care on patients using the McGill Model, focused the study on family members of dying patients and how the transition from palliative to hospice care affected them. Furthermore, the study revealed the APN’s transition with the family from having hope of saving the patient to finding peace in the dying patient (Wright & Gross, 2012). The APN walks through this transition with the patient and family constantly observing the needs of the patient and family while making sure all the medical needs are meant as well. The Gestalt Theory is based on a person’s perception of a situation or event. This theory focuses on an event that people experience together but how differently each person can perceive the event (Butts & Rich, 2013, p 210). People tend to filter what they see and experience differently from one another much like when a family goes through the death of a loved one. Each family member shows different emotions or has different perspectives for example, one person may be angry and resentful of the situation while another might be the one at peace with it (Shaha, et el., 2011). Even though these two theories are unrelated they both can be utilized by the APN. The McGill Model looks at the patient and the family members involved in patients care as if they are all the same whereas, the Gestalt Theory focuses on individuals perception of the same situation but appreciates the different views of each person. These theories demonstrate a holistic approach on caring for the patient and can provide more meaningful care when combined. (Butts, J. B., & Rich, K. L. (2013). Philosophies and Theories for Advanced Nursing Practice (2nd ed). Burlington, MA: Jones & Bartlett Publishers. Shaha, M., Cox, C. L., Belcher, A., & Cohen, M. Z. (2011). Transitoriness: patients’ perception of life after a diagnosis of cancer: Maya Shaha and colleagues discuss the importance of understanding how people come to terms with the finality of life in the context of evidence-based care. Cancer Nursing Practice, (4), 24. Wright, D. K., & Gros, C. P. (2012). Theory inspired practice for end-of-life cancer care: An exploration of the McGill Model of Nursing. Canadian Oncology Nursing Journal, 22(3), 175-181.
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