2023 Nurses advocate for their patients in many ways and on a daily basis Many do not realize

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Nursing 2023 Comment 150 words

Nurses advocate for their patients in many ways and on a daily basis Many do not realize 2023 Assignment

Nurses advocate for their patients in many ways and on a daily basis. Many do not realize that by providing care and communicating with patients, they are practicing advocacy. Ways the nurses advocate for patients include; through inter and intrapersonal communication, therapeutic communication, collaboration, socialization, implementation, networking with organizations (specifically those that move to influence legislative change), and identifying health care disparities and health care delivery Grand (Canyon University, 2018).

     We are all put in daily situations in which we advocate for our patients. One that jumps out to me, is a patient who came in as an outpatient and was status post op for a laparoscopic cholecystectomy. The patient came over from PACU into second phase recovery after over an hour and a half in the PACU. Bedside report revealed that the patient was thrashing upon arrival to PACU, pain was not manageable, and the patient’s blood pressure decreased while heart rate increased. The patient was still uncomfortable and thrashing around. I immediately contacted the physician who came to assess the patient. He stood there stating he didn’t know what was wrong or could be wrong with the patient. I, alongside my charge nurse, pushed for an order to draw a stat hemoglobin and hematocrit as I felt the patient was bleeding internally. It took convincing, but there were no further interventions we could do at this time to help this patient. When the H&H came back, it had dropped significantly compared to his preoperative levels the day before and below the norms. The patient was rushed back into the operating room where it was discovered he had ripped his internal stitches due to the thrashing around postoperatively. If it wasn’t for us advocating and pushing for the lab draw, the surgeon may have let the patient discharge where he would have bled a significant amount more. He could have potentially died. An Incident Report Form was completed on this situation.

Reference

Grand Canyon University. (2018). Professional Engagement. Retrieved from

     https://lc.gcumedia.com/nrs430v/dynamics-in-nursing-art-and-science-of-professional-

     practice/v1.1/#/chapter/5

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2023 The nursing process is a tool that puts knowledge into practice By utilizing this systematic

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Nursing 2023 Benchmark – Nursing Process: Approach To Care

The nursing process is a tool that puts knowledge into practice By utilizing this systematic 2023 Assignment

The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care.

Write a paper (1,750-2,000 words) on cancer and approach to care based on the utilization of the nursing process. Include the following in your paper:

  1. Describe the diagnosis and staging of cancer.
  2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
  3. Discuss what factors contribute to the yearly incidence and mortality rates of various cancers in Americans.
  4. Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend and why?
  5. Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care.
  6. Discuss how undergraduate education in liberal arts and science studies contributes to the foundation of nursing knowledge and prepares nurses to work with patients utilizing the nursing process. Consider mathematics, social and physical sciences, and science studies as an interdisciplinary research area.

You are required to cite to a minimum of four sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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. 

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN-BSN

2.1: Incorporate liberal arts and science studies into nursing knowledge.

3.1 Utilize the nursing process to provide safe and effective care for patients across the life span.

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2023 More recently this approach has evolved to a Quadruple Aim by including

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Nursing 2023 Essentials Of Evidence-Based Practice 2

More recently this approach has evolved to a Quadruple Aim by including 2023 Assignment

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions. Half page APA format

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2023 Review this week s Learning Resources Consider the insights they provide about assessing and diagnosing mood disorders

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Nursing 2023 Assessing And Diagnosing Patients With Mood Disorders – Depression

Review this week s Learning Resources Consider the insights they provide about assessing and diagnosing mood disorders 2023 Assignment

  • Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing mood disorders.
  • Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document. 
  • By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.
  • Identify at least three possible differential diagnoses for the patient. 
By Day 7 of Week 3

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? 
  • Objective: What observations did you make during the psychiatric assessment?  
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

Video: 

https://video-alexanderstreet-com.ezp.waldenulibrary.org/watch/depressive-disorders/cite?context=channel:diagnosing-mental-disorders-dsm-5-and-icd-10

video citation

Classroom Productions (Producer), & Harrigan, S. (Director). (2015). Depressive Disorders. [Video/DVD] Microtraining Associates. Retrieved from https://video.alexanderstreet.com/watch/depressive-disorders

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2023 Nursing organizations are the backbone of the profession They advocate and lobby to political leaders for change in

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Nursing 2023 (1) I need a comment of this 150 words no plagio references and citation

Nursing organizations are the backbone of the profession They advocate and lobby to political leaders for change in 2023 Assignment

Nursing organizations are the backbone of the profession. They advocate, and lobby to political leaders for change in policies and push for financial resources to carry out various plans and research. Most nursing organizations are specialized to a specific field, but they all have the common goal of promotion of wellness and providing healthcare to those in need when they need it. Speaking to my current role of a Medical Surgical nurse the organization of Academy of Medical surgical Nurses primary goal is to “focus on workplace advocacy; evidence-based practice, research and knowledge; professional development; national leadership and influence; and organizational health.” (AMSN Overview, 2019) Their vision is to have Medical-surgical nurses use their powerful voice and focused action to continuously improve patient care, and believe patients receive better care when medical-surgical nurses engage in ongoing professional development, use evidence-based practices, speak with a unified voice, serve as leaders on healthcare teams, have the necessary resources to deliver excellent care, and practice in a healthy practice environment. (AMSN Overview, 2019)

Nursing organizations have evolved to extensive levels of membership and with more than 3 million nurses these organizations have a massive resource for initiating change, with the largest organization being the American Nurses Association. “These organizations provide the opportunity for nursing as a profession to influence nursing practice, nursing education, health policy, and healthcare standards.” (Halstead, 2018) All nursing organizations advocate for patient care safety, continued education for nurses, allocating resources for those in need, and research with development of new policy.

 

References

AMSN Overview. (2019). Retrieved November 25, 2019, from Academy of Madical Surgical Nurses: https://www.amsn.org/about-amsn/amsn-overview

Halstead, J. A. (2018). Professional Nursing Associations. In G. Roux, & J. A. Halstead, Issues and Trends in Nursing (p. 12).

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2023 Topic Skin Integrity Wound Care Paper must be APA format and at least 750 words

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Nursing 2023 QEP (Quality Enhancement Plan)

Topic Skin Integrity Wound Care Paper must be APA format and at least 750 words 2023 Assignment

Topic: Skin Integrity/ Wound Care 

-Paper must be APA format and at least 750 words not to exceed 1000 words.

 -Double spaced and use Times New Roman standard 12-point font.

 – A minimum of two (2) references must be used. The two references will include the required class textbook(Fundamentals Of Nursing 10th Edition) and at least one outside scholarly source (ex. journal article). APA format must be used citing and referencing sources.

 Textbook Info: Fundamentals of Nursing 10th Edition, Author: Potter Perry, Publisher: Elsevier- Health Sciences Division. 

The topic must be related to the specific given patient. The paper must be written in the 3rd person with the exception of reflection which has to be done in the 1st person. All descriptions analysis, interventions, etc, must be on skin integrity/ wound care topic. 

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2023 Journal your experiences and in addition include the following areas 1 Evaluation of selected goals and objectives

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Nursing 2023 Journal 5

Journal your experiences and in addition include the following areas 1 Evaluation of selected goals and objectives 2023 Assignment

 

Journal your experiences and in addition, include the following areas:
1. Evaluation of selected goals and objectives for Capstone Practicum.

2. Evaluate how the agency integrates best current evidence with clinical expertise and delivery of optimal health care.

3. Agency assessment on its use of information and technology to communicate, manage knowledge, mitigate error, and support decision making.

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2023 Task View this topic Description Points 300 Due Date Week 7 Day 7 CLO 5 6 Grade

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Nursing 2023 Signature Assignment: Policy Advocacy Presentation

Task View this topic Description Points 300 Due Date Week 7 Day 7 CLO 5 6 Grade 2023 Assignment

Task: View this topic 

Description

Points: 300 | Due Date: Week 7, Day 7 | CLO: 5, 6 | Grade Category: Assignments

Assignment Prompt

Applying the principles from the Nursing Leadership and Health Policy learning modules students will explore the role of the Registered Nurse Leader in policy advocacy.  Groups of two to three students will create a policy challenge presentation with a focus on collaboration. All members must participate to earn points. Each group member will receive an individual grade for the assignment and will participate in a rated peer evaluation of each group member. The final grade for each student will be based upon the presentation and peer evaluations and determined by the course professor.  The course professor will randomly assign students to a group and post the assigned groups and student names in a course announcement in week one. Contact peers in your assigned group by university email in week one to begin planning and collaborating on the project between weeks one and seven.

Directions:

  1. Interview a nurse leader from a professional nursing organization to collect ideas for the project. 
  2. Utilize your readings, research and resources to build the content. This should be a collaborative team process. Divide the workload for the project in an equitable manner among team members. 
  3. Each group will design a voice- narrated Powerpoint or Prezi  to create a presentation and provide an overview of a grassroots policy challenge (present or past) that the identified organization supports. The policy challenge can  be a local, state or federal policy issue. Create a title slide or page with the full names of each group member. Include a final slide or page with key references cited in APA 6th ed. format.
  4. Each presentation should be between 5-10 minutes in length. Rehearse and time the presentation in advance to ensure that the 10-min. time limit is not exceeded. 
  5. One person from each assigned group will post the group signature assignment for his/her group as an attachment in the week seven discussion forum on or before Day 3, Week 7. 
  6. Each team member will submit his or her group powerpoint presentation individually in the D2L assignment upload box for grading. 

Each presentation will need to include (but is not limited to):

  • Brief description of the policy challenge the team has chosen and the nursing association that was identified.
  • Describe the “Agenda” for the identified policy challenge. Include how the policy issue was identified, (Did the organization complete a review of the literature, an environmental scan and/or a SWOT analysis, etc.?)
  • Brief description of key stakeholders (those who will be affected and those who can effect change), ie, interest groups, opposition groups/individuals or coalitions.
  • List the different strategies that the organization plans to or has already used to inform/lobby legislators, ie, e-mail campaign, in-person visit, testimony, protest, etc.
  • List and describe any non-legislative strategies that were used or plan to be used to support the initiative.
  • Describe where this policy challenge is in the legislative process and its implications for the future.

Expectations

  • Due: Monday, 11:59 pm PT
  • Length: 5-10 minutes
  • Format: APA Style

See USU NUR Presentation Rubric for additional details and point weighting.

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2023 The Pulse Check Where are you in your journey and how are you doing DQ2 of Week 5 is an

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Nursing 2023 WEEK 5 DISCUSSION 2

The Pulse Check Where are you in your journey and how are you doing DQ2 of Week 5 is an 2023 Assignment

 

The “Pulse” Check.  Where are you in your journey and how are you doing?

DQ2 of Week 5 is an opportunity for you to self-assess and reflect on your journey. You can write about it or you can share a created video (you-tube) expressing your navigation through the Role course. Model from the scripts in this week, but be specific to your experience.

Evaluate how you have achieved course competencies and your plans to develop further in these areas. The course competencies for this course are as follows:

  1. Explore the historical evolution of the advance practice nurse.
  2. Differentiate the roles and scope of practice for nurses working in advanced clinical, education, administration, informatics, research, and health policy arenas.
  3. Analyze attributes of the practice arena such as access and availability, degree of consumer choice, competition, and financing that impact advanced practice nurses and their ability to effectively collaborate with other health professionals.
  4. Integrate evidence from research and theory into discussions of practice competencies, health promotion and disease prevention strategies, quality improvement, and safety standards.
  5. Identify collaborative, organizational, communication, and leadership skills in working with other professionals in healthcare facilities and/or academic institutions.
  6. Synthesize knowledge from values theory, ethics, and legal/regulatory statutes in the development of a personal philosophy for a career as an advanced practice nurse.

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2023 One page with intext citation reference from the resources provided Step 1 Read attached article entitled Advance Directives and Health

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Nursing 2023 Initial Discussion On End-of-Life Decisions And Advanced Directives

One page with intext citation reference from the resources provided Step 1 Read attached article entitled Advance Directives and Health 2023 Assignment

One page with intext citation reference from the resources provided 

 

Step 1: Read attached article entitled, Advance Directives and Health Care Planning-Are all the pieces in place.pdfPreview the document 

Step 2: Read the following article: Effect of Living wills on End of Life Care.pdfPreview the document

Step 3: Watch the video, “Advanced Directives: Important Healthcare Tools for Supporting You and Your Family”https://www.youtube.com/watch?v=GOIrnjqP5_M (Links to an external site.)

Step 4: Watch the video, “How to Have an End of Life Discussion”https://www.youtube.com/watch?v=JtkgTzCSzqk (Links to an external site.)

An Advanced Directive is a document in which a client who is competent is able to express wishes regarding future acceptable health care. The document may include decisions including the desire for extraordinary lifesaving measures, such as resuscitation, intubation, and artificial hydration, and nutrition. The advanced directive may also be used to designate another person to make decisions when the client becomes physically or mentally unable to do so. The Patient-Determination Act requires all clients admitted to a health care facility be asked if they have advanced directives.

Planning guides for seriously ill clients includes:

  1. Living will: Legal document that instructs health care providers and family members about what, if any, life-sustaining treatment an individual wants if at some time the individual is unable to make decisions.
  2. Durable power of attorney for health care: Legal document that designates another person to make health care decisions for the client when the client becomes unable to make decisions independently.

Nursing intervention in these types of situations is to ensure to communicate to the interdisciplinary health care team that the client has provided and advanced directive and that it has been placed in the client’s medical record. Clients who do not have advanced directives must be given written information outlining rights related to health care decisions.

Initial Discussion scenario:

Mr. Gomez is a 73-year-old man who is estranged from his wife. Since he prefers that she doesn’t make any medical decisions for him should the need arise, he has filled out an advance directive naming his daughter Elena as his health care proxy. He has suffered from diabetes for many years and is adamant that he does not want dialysis, even if it would sustain his life. He does, however, wish to have tube feeding for however long it will sustain him.

One evening while at home with his daughter, Mr. Suarez has a seizure. He is taken to the hospital immediately, but never regains consciousness and doctors do not expect him to do so. Elena contacts her mother Mr. Gomez’s estranged wife and she quickly joins her daughter at the hospital. They want to put him on dialysis (as his diabetes is worsening) and a feeding tube (as there is no other way for him to receive nutrients). His daughter informs the doctors of her father’s end-of-life wishes. The doctors warn her that without dialysis her father will pass away more quickly, even with the feeding tube. Mr. Gomez’s estranged wife informs Elena that she needs to follow the advice received from the doctors in order to save her father’s life. Elena says that although she is aware of the consequences, she wants them to carry out her father’s wishes.

The clients estranged wife immediately has her attorney file an order to stop Elena from following her father’s wishes that are in his advanced directive. She feels that even though they are estranged, she still should have the right to make decisions regarding Mr. Gomez’s care. This action delays Elena’s ability to honor her father’s wishes and the doctors feel that it is necessary to inform the hospital’s ethics committee about the ongoing issue.

Assignment: Discuss the following questions

  1. What is the role of the doctors in deciding whether or not to respect Mr. Gomez’s advanced directive?
  2. Does Mr. Gomez’s estranged wife have the authority to step in and ignore Mr. Gomez’s advanced directive. Explain your reasoning while providing evidence-based solutions in your conclusion.
  3. Gomez’s estranged wife has filed temporary order to ignore the advanced directive. If you were Elena, how would you handle this dilemma? What rights does Elena have that allow her to honor her father’s wishes?
  4. What is the role of the ethics committee and how can they best support the client and his family?

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