Students maintained and submitted weekly reflective narratives throughout the course to explore the personal knowledge and skills gained throughout this course. This assignment combines those entries into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

This final submission should also outline what students have discovered about their professional practice, personal strengths and weaknesses that surfaced during the process, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and, finally, how the student met the competencies aligned to this course.

The final journal should address a variable combination of the following, while incorporating your specific clinical practice experiences:

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

2.3:     Understand and value the processes of critical thinking, ethical reasoning, and decision making.

4.1:     Utilize patient care technology and information management systems.

4.3:     Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

5.3:     Provide culturally sensitive care.

5.4:     Preserve the integrity and human dignity in the care of all patients.

Rubrics:

 New practice approaches are present, complete, and incorporate additional relevant details and critical thinking to engage the reader. 

 Interprofessional collaboration information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Health care delivery and clinical systems information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Information regarding ethical considerations in health care is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Information regarding the practice of culturally sensitive care is present and complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Information regarding the preservation of integrity and human dignity in the care of all patients is present and complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Information regarding population health concerns is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Information on the role of technology in improving health care outcomes is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Health policy information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Information on leadership and economic models is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Information on health disparities is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is present and complete, and incorporates additional relevant details and critical thinking to engage the reader. 

  

Describe the patient safety problem you identified, its causes, and the impact you think it has on patient outcomes. For this problem, describe a specific change in practice that could help improve patient outcomes.

Develop a research question that tests the effectiveness of your practice change in the improvement of one or more patient outcomes. What type of research would you use to answer this question? Describe the reasons why you think this is the best approach and why you would not use the other three types of research.

Note: Post a five paragraph (at least 550 words) response. Be sure to use evidence, in-text citations, and essay-level writing skills, including the use of transitional material and organizational frames. Use the writing resources to develop your post.

  

The American Cancer Society estimates that by the end of 2012, more than 226,000 women will be diagnosed with breast cancer and more than 241,000 men will be diagnosed with prostate cancer (American Cancer Society, 2012a; American Cancer Society 2012b). With such prevalence of women’s and men’s cancers, patient education and preventive services are essential. In clinical settings, advanced practice nurses must assist physicians in educating patients on risk factors, preventive services, and for patients diagnosed with cancer, on potential drug treatments. The clinical implications of women’s and men’s cancer greatly depend on early detection, which is primarily achieved through preventive services. In this Assignment, you consider the short-term and long-term implications of cancer and drug treatments associated with women’s and men’s health, as well as appropriate preventive services.

To prepare:

• Select a type of cancer associated      with women’s or men’s health such as breast, cervical, or ovarian cancer      in women and prostate cancer in men.
• Locate and review articles examining      the type of cancer you selected.
• Review the U.S. Preventive Services      Task Force article in the Learning Resources. Think about available      preventive services that providers might recommend for patients at risk of      this type of cancer.
• Select two of the following factors:      genetics, gender, ethnicity, age, or behavior. Reflect on how these      factors might impact decisions related to preventive services.
• Consider drug treatment options for      patients diagnosed with the type of cancer you selected including      short-term and long-term implications of the treatments.

Write a 2- to 3- page paper that addresses the following:

• Describe available preventive      services that providers might recommend for patients at risk of the type      of cancer you selected.
• Explain how the factors you selected      might impact decisions related to preventive services.
• Describe drug treatment options for      patients diagnosed with the type of cancer you selected. Explain the short-term      and long-term implications of these treatments.

– This work should have Introduction and conclusion

– This work should have at 4 to 6 current references (Year 2012 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Required Readings

 Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

• Chapter 33, “Prostatic           Disorders and Erectile Dysfunction” (pp.      527-544)
            This chapter examines the causes,      pathophysiology, and drug treatment of      four      disorders: prostatitis, benign prostatic hyperplasia, prostate           cancer, and erectile dysfunction. It also      explores the importance of      monitoring      patient response and patient education.
• Chapter 34, “Overactive           Bladder” (pp. 545-564)
            This chapter describes the causes, pathophysiology,      diagnostic criteria,      and evaluation of      overactive bladder. It also outlines the process of           initiating, administering, and managing drug      treatment for this disorder.
• Chapter 55, “Contraception”           (pp. 959-970)
            This chapter examines various methods of      contraception and covers drug      interactions,      selecting the most appropriate agent, and monitoring patient           response to contraceptions.
• Chapter 56, “Menopause” (pp.           971-994)
            This chapter presents various options for      menopausal hormone therapy and      examines the      strengths and limitations of each form of therapy.
• Chapter 57, “Osteoporosis” (pp.           985-994)
            This chapter covers various options for      treating osteoporosis. It also      describes      proper dosages, potential adverse reactions, and special           considerations of each drug.
• Chapter 58, “Vaginitis” (pp.      995-1006)
            This chapter examines various causes of      vaginitis and explores the      diagnostic      criteria and methods of treatment for the disorder.

Holloway, D. (2010). Clinical update on hormone replacement therapy. British Journal of Nursing, 19(8), 496–504

This article examines the purpose, components, and administration of hormone replacement therapy (HRT). It also presents benefits, risks, potential side effects, and alternative treatment options of HRT.

Mäkinen, J. I., & Huhtaniemi, I. (2011). Androgen replacement therapy in late-onset hypogonadism: Current concepts and controversies—A mini-review. Gerontology, 57(3), 193–202. 

This article examines the role of testosterone levels in the development of hypogonadism. It also explores health issues that are impacted by testosterone levels and the role of testosterone replacement therapy.

Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

U.S. Preventive Services Task Force. (2014). The Guide to Clinical Preventive Services: Section 2. Recommendations for Adults. Retrieved from http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/section2.html

This website lists various preventive services available for men and women and provides information about available screenings, tests, preventive medication, 

 

 The following is another student DQ post to wish a have to reply adding some other information related to the post. Remember APA and less than 20 % similarity. 

Professor instructions:

All your postings should have references and citations

All your postings should have three paragraphs with three sentences

Student Post:

 

Question 1

Boundaries exist in every context whether it is professional or personal. As stated by Masters, professional boundaries draw a line between the nurse’s power and the patient’s vulnerability (2020). A nurse has power because of the knowledge and the role she plays in the patient’s care and the amount of information she has access to regarding their health. The balance must be maintained for the integrity of nurse-patient relationship to be intact (Masters, 2020).

A violation of a professional boundary occurs when said balance is altered from either part. This creates a lack of trust and puts in jeopardy the relationship. There are many ways in which a nurse can cross or violate professional boundary such as lying, disrespecting, altering information and more serious ones include sexual misconduct or exploitation (Masters, 2020).

Patients are often extremely grateful for the hard work nurses do. In their effort to show this they can engage in gift giving. However, nurses allowing or receiving compensation of some sort such as monetary for the services given constitutes a violation of boundary (Masters, 2020). Also sharing personal information, intimate details or behaviors such as flirting can be considered a violation or crossing of boundaries (NCSBN, 2018).

Question 2

Terminal sedation is usually considered for terminal patients. As the term implies, these patients have reached a stage in their disease where relief of symptoms such as pain and agitation are not obtained despite attempts (van Delden, 2007). Along with other decisions, the decision to artificially feed or provide fluids has ben also withheld. Terminal sedation refers to a sedation that precedes an expected death (van Delden, 2007). Terminal sedation is another way of ensuring compassionate end-of-life care and not just hastening death (Masters, 2020).

Rational suicide differs from suicide in the sense that the person involved in it is not emotionally disturbed, understand the magnitude of the situation and would seem logical to anyone not related to her (Masters, 2020). This continues to be an ethical issue because the idea of encouraging suicide despite circumstances goes against a nurse’s oath. In understanding the situation as a nurse, we are honoring a patient’s right to decide what to do at the end of life.

Assisted suicide brings many negative connotations and outrage. Assisted suicide means to facilitate a patient’s death by providing a doe of medication that is lethal. In this case the patient administers the medication provided by a physician. The Oregon Death with Dignity Act was the first law that allowed for this method of dying to be used (Masters, 2020).

Question 3

End of life care can be conflictive for many disciplines in the health care field. Personal philosophies and beliefs often seem to influence the way it is viewed. One of the many moral dilemmas experienced by nurses during end-of-life care is their perception that by sharing the truth they are taking hopes of recovery away from the patient (Masters, 2020). This affects how information is relayed.

A fundamental concern during end of life is pain relief. Many people die without proper relief because practitioners fear they are contributing to their death or aiding an addiction. Adequate doses are not provided in many cases because it is thought to contribute to a rapid decline and death (Masters, 2020).

Another moral dilemma and perhaps a very heavy one is the fact that nurses feel their moral integrity is at stake when these modalities contradict their own views (Masters, 2020). There needs to be a thorough assessment of one’s personal beliefs and ideas as to not have them impair or shape the experience of caring for a patient at the end of their life. However, if this becomes distressful for the nurse and alternative could be to have another nurse provide the care for the patient while assisting in other aspects that can benefit the patient.

Reference

A Nurse’s Guide to Professional Boundaries (2018). National Council of State Boards of Nursing, Inc. Retrieved from https://www.ncsbn.org/ProfessionalBoundaries_Complete.pdf

van Delden J. J. (2007). Terminal sedation: source of a restless ethical debate. Journal of medical ethics, 33(4), 187–188. https://doi.org/10.1136/jme.2007.020446

Masters, K. (2020). Role development in professional nursing practice (5th ed.) Burlington, MA: Jones & Bartlett Learning