2025 Case Study Chapter 12 Pain Management 1 Mr Will a 67 year old patient

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case study 12 2025

Case Study, Chapter 12, Pain Management 1. Mr. Will, a 67-year-old patient, is postoperative day 2 after a coronary artery bypass graft operation to revascularize his coronary arteries that were significantly blocked. He has a midline incision of his chest and a 7-inch incision on the inner aspect of his right thigh where a saphenous vein graft was harvested and used to vascularize the blocked coronary artery. The surgeon ordered Oxycodone 5 mg every 4 hours PRN for moderate pain and Oxycodone 10 mg every 4 hours PRN for severe pain. Considering the patient’s age, what medication administration considerations should the nurse incorporate into the pain management plan and why? What measures should the nurse provide the patient to prevent adverse effects of analgesic agents from occurring? What nonpharmacologic pain management methods should the nurse teach to Mr. Will to assist with pain management? 2. Mr. Rogers is 2 days postoperative of a thoracotomy for removal of a malignant mass in his left chest. His pain is being managed via an epidural catheter with morphine (an opioid analgesic). As the nurse assumes care of Mr. Rogers, he is alert and fully oriented, and states that his current pain is 2 on a 1-to-10 scale. His vital signs are 37.8 – 92 – 12, 138/82. What are benefits of epidural versus systemic administration of opioids? The nurse monitors Mr. Rogers’ respiratory status and vital signs every 2 hours. What is the rationale for these frequent assessments? The nurse monitors Mr. Rogers for what other complications of epidural analgesia? Mr. Rogers complains of a severe headache. What should the nurse do? Mr. Rogers’ epidural morphine and decreased mobility increase his chances of constipation. What interventions should be included in his plan of care to minimize constipation?

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2025 Read your text Finkelman 2016 pp 111 116 You are required to complete

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Nursing Care Models Worksheet 2025

Read your text, Finkelman (2016), pp- 111-116. You are required to complete the assignment using the template. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability. Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model Review and summarize one scholarly resource (not your textbook) related to the nursing care model you observed in the practice setting. Review and summarize one scholarly resource (not including your text) related to a nursing care model that is different from the one you observed in the practice setting. Discuss a different nursing care model from step #3, and how it could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific. Summarize this experience/assignment and what you learned about the two nursing care models. Submit your completed worksheet no later than 11:59 p.m. MT on Sunday by the end of Week 5.

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2025 No Plegarism please assignment will be checked with Turnitin Will need minimum of 5

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MN569 Advanced Practice Nursing: Written patient consult and referral 2025

No Plegarism please, assignment will be checked with Turnitin. Will need minimum of 5 full pages, title, and reference page APA Style, double spaced, times new roman, font 12, and and (3 references within 5 years 2014-2018) with intext citations). Patient care hinges in part on adequate and timely information exchange between treating providers. Referral and reply letters are common means by which doctors and nurse practitioners exchange information pertinent to patient care. Ensuring that letters meet the needs of letter recipients saves time for clinicians and patients, reduces unnecessary repetition of diagnostic investigations, and helps to avoid patient dissatisfaction and loss of confidence in medical practitioners. As a Nurse Practitioner (NP) you will need to know the difference between a consultation and a referral for treatment, when ordering and when carrying out consultations or referrals. Consultations A consultation is a request for opinion or advice, so that the requestor can manage the patient. A consultation is billed under one of the consultation codes listed in Physicians’ Current Procedural Terminology (CPT) (99241-99245 for outpatient of office consultations). If the NP is the consultant, the NP should document the request for a consultation, the reason for the consult, and the NP’s evaluation and recommendations. When an NP requests a consultation from another provider, the N P should request “consultation” on the referral form, rather than “referring.” Referrals: A referral is made when the referring provider wants to turn the management of the patient over to the referred-to provider, at least for the current complaint. When a NP refers a patient, the NP should state on the referral form that the NP is “referring the patient for evaluation and treatment.” The referred-to provider will bill an evaluation and management code, rather than a consultation code. Writing Assignment: Consult: Write up a consult request and include all key elements. Ms. Perez has been referred to Ms. Wilson FNP-C,APRN, MSN for consultation regarding eczema unresponsive to treatment in the past six months. Document the evaluation and recommendations for how Ms. Wilson FNP-C,APRN,MSN should deal with the consultation request and bill a consultation code. Writing Assignment: Referral: Write up a referral request and include all key elements. As an NP and Ms. Perez primary care provider, you decide to refer her to Dr. Owens a dermatologist for evaluation and treatment regarding eczema unresponsive to treatment in the past six months. 1. Document your referral to Dr. Owens 2. Document the evaluation and recommendations for how Dr. Owens should deal with the referral and bill a referral code. Written Paper (Microsoft Word doc): minimum 5 FULL PAGES , doubled spaced, words using 6th edition APA formatting Please review the grading rubric under Course Resources in the Grading Rubric section.

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2025 I need a minimum of 100 words for each of the assignments on both A and B assignments

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NURSING: ORGANIZATIONAL DEVELOPMENT AND CHANGE 2025

I need a minimum of 100 words for each of the assignments on both A and B assignments UNIT 1 A Describe the role of organizational development in contemporary organizations. How does organizational development help organizations prepare for or implement change? Provide an example from your organization. B What environmental forces drive organization development in your field or industry? What are the steps successful organizations take when responding to change? Have you experienced forces of change in your work environment? How did the changes affect your organization? RESOURCES Textbook 1. The Heart of Change: Real-Life Stories of How People Change Their Organizations Read the Introduction and Chapter/Step 1 in The Heart of Change: Real-Life Stories of How People Change Their Organizations . http://gcumedia.com/digital-resources/harvard-business-school-press/2012/the-heart-of-change_real-life-stories-of-how-people-change-their-organizations_ebook_1e.php e-Library Resource 1. Chapter 2: Successful Change and the Force That Drives It Read “Chapter 2: Successful Change and the Force That Drives It,” by Kotter, from the online eBook, Leading Change (1996). https://lopes.idm.oclc.org/login?url=http://library.books24x7.com.lopes.idm.oclc.org/library.asp?^B&bookid=3479&chunkid=338027656&rowid=17 2. Chapter Twenty Two: Managing Change Read “Chapter Twenty Two: Managing Change,” by Lewthwaite, from the online eBook, Everything You Need for an NVQ in Management (2000). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=22385904&site=eds-live&scope=site 3. Empirical Development of a Model of Performance Drivers in Organizational Change Projects Read, “Empirical Development of a Model of Performance Drivers in Organizational Change Projects,” by Parry et al., from Journal of Change Management (2014). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=95211294&site=ehost-live&scope=site UNIT 2 A Why is vision essential to facilitating successful change in an organization? What is the correlation between a leader’s role/vision and a successful change initiative? Describe a vision that you have seen/heard/read/viewed that you felt inspired successful change. How did this vision influence people’s behavior and attitudes toward a major change initiative? B According to the textbook, people are more motivated when “they are shown a truth that influences their feelings” than they are by analysis. Discuss the relevance of this statement for organizations growing and responding to change. What responsibility does a leader have to honor stakeholder concerns when “feelings” are the primary basis for the concerns? Resources Textbook 1. The Heart of Change: Real-Life Stories of How People Change Their Organizations Read Chapters/Steps 2 and 3 in The Heart of Change: Real-Life Stories of How People Change Their Organizations . http://gcumedia.com/digital-resources/harvard-business-school-press/2012/the-heart-of-change_real-life-stories-of-how-people-change-their-organizations_ebook_1e.php e-Library Resource 1. Change Management: The Secret Sauce of Successful Program Building Read “Change Management: The Secret Sauce of Successful Program Building,” by Periyakoil, from Journal of Palliative Medicine (2009). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=19327068&site=ehost-live&scope=site 2. Leading Change Through Vision Read “Leading Change Through Vision,” by Huyer, from Leadership Excellence Essentials (2014). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=96583824&site=ehost-live&scope=site UNIT 3 A Compare and contrast two different change models. What leadership approach would you use to implement your preferred model? Why? B What is “disruptive change,” and how is this different from “incremental change?” How does disruptive change affect an organization? Provide an example. RESOURCES Electronic Resource 1. Change Management Models Read “Change Management Models” page of the Change Management Coach website. http://www.change-management-coach.com/change-management-models.html 2. Change Management Models Read “Change Management Models,” by Ramakrishnan (2014), on the Scrum Alliance website. https://www.scrumalliance.org/community/articles/2014/march/change-management-models 3. Which Change Model Should You Pick? Read “Which Change Model Should You Pick?” by McCarthy, on the Great Leadership website (2011). http://www.greatleadershipbydan.com/2011/07/which-change-model-should-you-pick.html e-Library Resource 1. A Study of Role of McKinsey’s 7S Framework in Achieving Organizational Excellence Read “A Study of Role of McKinsey’s 7S Framework in Achieving Organizational Excellence,” by Singh, from Organization Development Journal (2013). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=94502348&site=ehost-live&scope=site 2. Building Agility, Resilience and Performance in Turbulent Environments Read “Building Agility, Resilience and Performance in Turbulent Environments,” by McCann, Selsky, and Lee, from People & Strategy (2009). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=44934964&site=eds-live&scope=site 3. Habits as Change Levers Read “Habits as Change Levers,” by Denison and Nieminen, from People & Strategy (2014). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ofs&AN=97590294&site=eds-live&scope=site 4. It Is Possible to Manage Disruptive Change and Take Staff With You Read “It Is Possible to Manage Disruptive Change and Take Staff With You,” by Smedley, from People Management (2010). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=51861268&site=ehost-live&scope=site UNIT 4 A Discuss the importance of a change agent and a guiding team. What is the purpose of each, and what traits make them successful? B Discuss two strategies that can be used for leading change. How do these strategies increase stakeholder support and create momentum for a change initiative to be successful? Why might you want to consider including the most vocal critic of the change initiative in your guiding team? RESOURCES Textbook 1. The Heart of Change: Real-Life Stories of How People Change Their Organizations Read the Introduction and Chapter/Step 5 in The Heart of Change: Real-Life Stories of How People Change Their Organizations . http://gcumedia.com/digital-resources/harvard-business-school-press/2012/the-heart-of-change_real-life-stories-of-how-people-change-their-organizations_ebook_1e.php e-Library Resource 1. Evaluating the Success of Strategic Change Against Kotter’s Eight Steps Read “Evaluating the Success of Strategic Change Against Kotter’s Eight Steps,” by Spencer and Winn, from Planning for Higher Education (2004/2005). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ofs&AN=507948373&site=ehost-live&scope=site 2. Integrating Organizational Change Management and Customer Relationship Management in a Casino Read “Integrating Organizational Change Management and Customer Relationship Management in a Casino,” by Chi Cong Mai, Perry, and Loh, from UNLV Gaming Research and Review Journal (2014). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=100270149&site=ehost-live&scope=site 3. Mastering the Art of Change Read “Mastering the Art of Change,” by Blanchard, from Training Journal (2010). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=47573877&site=ehost-live&scope=site 4. Navigating Change Read “Navigating Change,” by Bisoux, from BizEd (2015). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ehh&AN=100345843&site=ehost-live&scope=site 5. Team-Building and Change Management in Respiratory Care: Description of a Process and Outcomes Read “Team-Building and Change Management in Respiratory Care: Description of a Process and Outcomes,” by Stoller et al., from Respiratory Care (2010). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105031465&site=ehost-live&scope=site 6. The Meaning and Measurement of Implementation Climate Read “The Meaning and Measurement of Implementation Climate,” by Weiner et al., from Implementation Science (2011). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=64074912&site=ehost-live&scope=site 7. Transformational Change Read, “Transformational Change,” by Hannon, from Training Journal (2014). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2004-18411-009&site=ehost-live&scope=site UNIT 5 A Explain how successful communication is used throughout a change process to convey vision and strategies to stakeholders. What may be occurring with the communication process if the change process begins to fail? B Why is effective and frequent communication so critical to a successful change effort? Describe either a good or a bad example of this from your organization or one that you have studied. Describe how the communication affected the various stakeholders affected by the change effort. RESOURCES Textbook 1. The Heart of Change: Real-Life Stories of How People Change Their Organizations Read Chapter/Step 4 in The Heart of Change: Real-Life Stories of How People Change Their Organizations . http://gcumedia.com/digital-resources/harvard-business-school-press/2012/the-heart-of-change_real-life-stories-of-how-people-change-their-organizations_ebook_1e.php e-Library Resource 1. Chapter 5: Communication Approaches and Strategies Read “Chapter 5: Communication Approaches and Strategies,” by Lewis, from the online eBook, Organizational Change: Creating Change through Strategic Communication (2011). https://lopes.idm.oclc.org/login?url=http://library.books24x7.com.lopes.idm.oclc.org/library.asp?^B&bookid=41650&chunkid=724090605&rowid=223 2. Chapter 9: Talking to People Affected by Change Read “Chapter 9: Talking to People Affected by Change,” by Karten, from the online eBook, Changing How You Manage and Communicate Change (2009). http://site.ebrary.com.lopes.idm.oclc.org/lib/GrandCanyon/reader.action?docID=10438088&ppg=127 3. Effective Change Management: The Simple Truth Read “Effective Change Management: The Simple Truth,” by Merrell, from Management Services (2012). https://lopes.idm.oclc.org/login?url=http://search.proquest.com.lopes.idm.oclc.org/docview/1027234230?accountid=7374 UNIT 6 A What types of obstacles/objections do leaders face from stakeholders when implementing change within an organization? What strategies can leaders use to work with stakeholders, remove obstacles, and address objections? B Describe an ethical dilemma that you experienced, or have witnessed in a change leader, when attempting to initiate change. How was the ethical dilemma resolved? What can a change leader use to guide decision making when faced with an ethical dilemma? RESOURCES Textbook 1. The Heart of Change: Real-Life Stories of How People Change Their Organizations Read Chapter/Step 6 in The Heart of Change: Real-Life Stories of How People Change Their Organizations . http://gcumedia.com/digital-resources/harvard-business-school-press/2012/the-heart-of-change_real-life-stories-of-how-people-change-their-organizations_ebook_1e.php e-Library Resource 1. Backseat Leaders Read “Backseat Leaders,” by Schlachter and Hildebrandt, from Leadership Excellence Essentials (2012). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=82953867&site=ehost-live&scope=site 2. Change Management: Leadership, Values and Ethics Read “Change Management: Leadership, Values and Ethics,” by By, Burnes, and Oswick, from Journal of Change Management (2012). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=73326520&site=ehost-live&scope=site 3. Group Imago and Group Development: Two Theoretical Additions and Some Ensuing Adjustments Read “Group Imago and Group Development: Two Theoretical Additions and Some Ensuing Adjustments,” by Tudor, from Transactional Analysis Journal (2013). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2014-04423-008&site=ehost-live&scope=site 4. May I Have Your Attention Please? A Review of Change Blindness Read “May I Have Your Attention Please? A Review of Change Blindness,” by Ellis, from Organization Development Journal (2012). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=94475438&site=ehost-live&scope=site UNIT 7 A Discuss the importance of identifying and acknowledging short-term wins during change. What types of short-term wins are most meaningful? Why? B During a change initiative, what can organizations use to identify or verify truly objective and measureable success? What does your organization utilize to measure its level of success? RESOURCES Textbook 1. The Heart of Change: Real-Life Stories of How People Change Their Organizations Read Chapter/Step 7 in The Heart of Change: Real-Life Stories of How People Change Their Organizations . http://gcumedia.com/digital-resources/harvard-business-school-press/2012/the-heart-of-change_real-life-stories-of-how-people-change-their-organizations_ebook_1e.php e-Library Resource 1. A Graphic Tour of Success and Failure in Corporate Renewal Read “A Graphic Tour of Success and Failure in Corporate Renewal,” by Hass, Pryor, and Broders, from Journal of Private Equity (2006). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=20826519&site=ehost-live&scope=site 2. Achieving Breakthrough Performance Read “Achieving Breakthrough Performance,” by Gottfredson, Schaubert, and Babcock, from Stanford Social Innovation Review (2008). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=32613081&site=ehost-live&scope=site 3. Chapter 8 – Generating Short-Term Wins Read “Chapter 8 – Generating Short-Term Wins,” by Kotter, from the online eBook, Leading Change (1996). https://lopes.idm.oclc.org/login?url=http://library.books24x7.com.lopes.idm.oclc.org/library.asp?^B&bookid=3479&chunkid=750986081&rowid=85 4. Do 70 Per Cent of All Organizational Change Initiatives Really Fail Read “Do 70 Per Cent of All Organizational Change Initiatives Really Fail?” by Hughes, from Journal of Change Management (2011). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=69733274&site=ehost-live&scope=site 5. Error 6: Not Systematically Planning, and Creating, Short-Term Wins Read “Error 6: Not Systematically Planning, and Creating, Short-Term Wins,” from “Leading Change—Why Transformation Efforts Fail,” by Kotter, included in the online eBook, HBR’s 10 Must-Reads: The Essentials (2011). https://lopes.idm.oclc.org/login?url=http://library.books24x7.com.lopes.idm.oclc.org/library.asp?^B&bookid=40535&chunkid=511313899&rowid=258¬eMenuToggle=0&leftMenuState=1 UNIT 8 A Consider an organization in your field or industry. Describe the essential systems necessary to facilitate continuous change without compromising quality or causing burnout among employees. Describe three factors to consider when making sure that the changes made become permanently imbedded in the organization’s culture. B What is your reaction to change in your personal history? What personal tools do you implement to help yourself navigate change? RESOURCES Textbook 1. The Heart of Change: Real-Life Stories of How People Change Their Organizations Read Chapter/Step 8 and the Conclusion in The Heart of Change: Real-Life Stories of How People Change Their Organizations . http://gcumedia.com/digital-resources/harvard-business-school-press/2012/the-heart-of-change_real-life-stories-of-how-people-change-their-organizations_ebook_1e.php e-Library Resource 1. A Proposed Model for Evaluating the Sustainability of Continuous Change Programmes Read “A Proposed Model for Evaluating the Sustainability of Continuous Change Programmes,” by Brännmark and Benn, from Journal of Change Management (2012). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=76170999&site=ehost-live&scope=site 2. Complex Adaptive Systems and Improvisation Theory: Toward Framing a Model to Enable Continuous Change Read “Complex Adaptive Systems and Improvisation Theory: Toward Framing a Model to Enable Continuous Change,” by Ford, from Journal of Change Management (2008). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=35582014&site=ehost-live&scope=site 3. Managing Change Through Employee Empowerment Read “Managing Change Through Employee Empowerment,” by Rothermel and LaMarsh, from Global Business and Organizational Excellence (2012). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=67697925&site=ehost-live&scope=site 4. Plan Do Stablise Repeat: How to Lead Change Successfully Read “Plan Do Stablise Repeat: How to Lead Change Successfully,” by Andre, from Management Services (2013). https://lopes.idm.oclc.org/login?url=http://search.proquest.com.lopes.idm.oclc.org/docview/1348695756?accountid=7374 5. Transformational Leadership, Relationship Quality, and Employee Performance During Continuous Incremental Organizational Change Read “Transformational Leadership, Relationship Quality, and Employee Performance During Continuous Incremental Organizational Change,” by Carter, Armenakis, Field, and Mossholder, from Journal of Organizational Behavior (2013). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=90469965&site=ehost-live&scope=site

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2025 Wellness visits are an important part of pediatric primary care During these visits patient growth and

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Discussion: Developmental Red Flags 2025

Wellness visits are an important part of pediatric primary care. During these visits, patient growth and development are assessed. As an advanced practice nurse who performs these assessments, you must be able to distinguish between normal and abnormal growth and development to recognize red flags. While some patients may not meet milestones due to differences in rates of development, abnormal development might also be a red flag of an underlying problem. In this Discussion, you examine the following case studies and consider potential developmental red flags: Case Study 1 A mother brings in her 16-month-old, Brittany, for treatment of an acute illness. During the history, the mother reports that her mother-in-law is concerned about the toddler’s development. Further questioning reveals the following: Brittany was a term infant born vaginally with no intrapartum complications. Birth weight was 8 pounds 1 ounce and current weight is 26 pounds 9 ounces. She was breastfed until 12 months of age and now drinks 24 ounces of whole milk and eats table foods daily. Physical milestones are as follows: Rolled front to back at 6 months, developed pincer grasp at 11 months, crawled at 8 months, and began cruising at 10 months. She does not walk independently. Social development includes mimicking adult behavior, four-word vocabulary (mama, dada, baba, and no), follows one-step commands, and quiets easily when comforted. Case Study 2: You see a 30-month-old named Brian for a well-child visit. His mother reports the following development: Physical: Walks independently, runs, able to climb stairs alternating feet, makes a tower of nine cubes, and is able to button his pants. Social: Follows one-step commands, uses one-word sentences, and has a vocabulary of approximately six words. He is resistant to nighttime and feeding routines, he has marked temper tantrums, and Mom states he does not calm when she tries to comfort him. Case Study 3 Jose is a 36-month-old who presents for a preschool evaluation. His father reports the following development: Physical: Walks, runs, and jumps independently, walks up stairs alternating feet, pedals a three-wheeler, scribbles, copies circles and squares, and is able to balance on one foot for 2 to 3 seconds. Social: Recognizes three colors; speech is 75% understandable; uses three- to four-word sentences; talks about friends, favorite activities, and family; frequently engages in imitative play; has an imaginary friend; does stutter on occasion when excited or when intent on getting something said. Will typically repeat the first word in a sentence three to four times, but does not repeat syllables or consonants. This happens three to four times a week. To prepare: Review this week’s media presentations, as well as “Developmental Management of Infants” and “Developmental Management of Toddlers and Preschoolers” in the Burns et al. text. Think about how physical, social, and cognitive development vary during infancy, toddlerhood, and the preschool years. Reflect on normal versus abnormal growth and development and consider the decision-making process of identifying and managing red flags of abnormal development. Select one of the three case studies provided. Reflect on the patient information included in the case study and consider any developmental red flags. Reflect on standardized screening tools, clinical guidelines, and management strategies that would be used to assess and manage the patient in your selected case study. By Day 3 Post an explanation of any developmental red flags that presented in the case study you selected based on the stages of normal physical, social, and cognitive development for infants, toddlers, and preschoolers. Explain how you differentiated between normal and abnormal growth and development for this patient and identify which standardized screening tools, clinical guidelines, and management strategies you might use to assess and manage this patient and why.

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2025 Reaching out a Solution This assignment is designed to assist you in developing

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Reaching out a Solution 2025

Reaching out a Solution This assignment is designed to assist you in developing a thoughtful process for advocating about an issue as a nurse, from identifying a problem that needs to be solved through articulating a process for doing so. This assignment consists of answering each of the questions listed below from the “Political Analysis and Strategies” chapter of your course textbook. Write each question as a new topic area; then follow with a paragraph or two to answer the question. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources, if any used. This project should be no longer than 4 pages. Let us assume that you are a school nurse in a high school. At a recent school athletic event, a spectator suffered a cardiac arrest in the stands. A coach of the home team went into the high school to fetch the automatic emergency defibrillator (AED) only to find out that it was not readily available. In the meantime, an emergency squad arrived and resuscitated the spectator. On Monday morning, you learn of the absence of the AED only to find out that it had been locked in the custodian’s closet. Reflect on the following questions outlined in the “Political Analysis and Strategies” chapter: What is the issue? Is it my issue, and can I solve it? Is this the real issue or merely a symptom of a larger one? Does it need an immediate solution, or can it wait? Is it likely to go away by itself? Can I risk ignoring it? What are the possible solutions? Are there risks to these solutions? What steps would you need to take in order to solve the issue? Does anyone else at the school need to be involved in the solution? Where is the power leverage in the school to reach the preferred solution? Reaching a solution requires the use of power vested in the nurse. Review Box 9-1 (Sources of Power) and determine which type(s) of power the school nurse has in this situation. State your reasons for your answer.

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2025 Practicum Assessing Client Families To prepare Select a client family

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Assgn 4 – WK4 (G) 2025

Practicum – Assessing Client Families To prepare : · Select a client family that you have observed or counseled at your practicum site. · Review pages 137–142 of Wheeler (2014) and the Hernandez Family Genogram video in this week’s Learning Resources. (SEE ATTACHED VIDEO TRANSCRIPT) · Reflect on elements of writing a comprehensive client assessment and creating a genogram for the client you selected. The Assignment Part 1: Comprehensive Client Family Assessment Create a comprehensive client assessment for your selected client family that addresses (without violating HIPAA regulations) the following: · Demographic information · Presenting problem · History or present illness · Past psychiatric history · Medical history · Substance use history · Developmental history · Family psychiatric history · Psychosocial history · History of abuse and/or trauma · Review of systems · Physical assessment · Mental status exam · Differential diagnosis · Case formulation · Treatment plan Part 2: Family Genogram Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents). N:B. (1) PLEASE THIS ASSIGNMENT HAS 2 PARTS, AND I HAVE ATTACHED A SAMPLE OF THE ASSIGNMENT, BUT THE SAMPLE TALKS ONLY ABOUT HERNANDEZ, BUT THIS ASSIGNMENT IS FOCUS ON HERNANDEZ FAMILY. (2). HERNANDEZ FAMILY GENOGRAM VIDEO TRANSCRIPT IS ATTACHED INCASE YOU CAN NOT VIEW THE VIDEO Learning Resources Required Readings Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson. Chapter 8, “Experiential Family Therapy” (pp. 129–147) Chapter 13, “Narrative Therapy” (pp. 243–258) Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer. “Genograms” pp. 137-142 Cohn, A. S. (2014). Romeo and Julius: A narrative therapy intervention for sexual-minority couples. Journal of Family Psychotherapy, 25 (1), 73–77. doi:10.1080/08975353.2014.881696 Escudero, V., Boogmans, E., Loots, G., & Friedlander, M. L. (2012). Alliance rupture and repair in conjoint family therapy: An exploratory study. Psychotherapy, 49 (1), 26–37. doi:10.1037/a0026747 Freedman, J. (2014). Witnessing and positioning: Structuring narrative therapy with families and couples. Australian & New Zealand Journal of Family Therapy, 35 (1), 20–30. doi:10.1002/anzf.1043 Phipps, W. D., & Vorster, C. (2011). Narrative therapy: A return to the intrapsychic perspective. Journal of Family Psychotherapy, 22 (2), 128–147. doi:10.1080/08975353.2011.578036 Saltzman, W. R., Pynoos, R. S., Lester, P., Layne, C. M., & Beardslee, W. R. (2013). Enhancing family resilience through family narrative co-construction. Clinical Child and Family Psychology Review, 16 (3), 294–310. doi:10.1007/s10567-013-0142-2 Required Media Governors State University (Producer). (2009). Emotionally focused couples therapy [Video file]. Chicago, IL: Author. Laureate Education (Producer). (2013b). Hernandez family genogram [Video file]. Baltimore, MD: Author. (SEE ATTACHED VIDEO TRANSCRIPT) Psychotherapy.net (Producer). (1998). Narrative family therapy [Video file]. San Francisco, CA: Author.

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2025 Due date 11 23 2016 Please see instructions below Assignment 3 Concept Synthesis Paper on Personal

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Assignment 3: Concept Synthesis Paper on Personal Nursing Philosophy 2025

Due date 11/23/2016? Please see instructions below: Assignment 3: Concept Synthesis Paper on Personal Nursing Philosophy Overview You are required to submit a scholarly paper in which you will identify, describe, research, and apply the concepts that underlie your personal philosophy for professional nursing practice. This will help you identify your own values and beliefs about the established metaparadigms and metatheories of the discipline. It will also help you identify and articulate concepts relevant to your specific practice. This paper is intended to be an exercise in clarification and organization of your professional foundation. You are also required to provide a list of assumptions from personal nursing practice that illustrate the concepts and framework of your theory. Your paper should follow a format that includes: Nursing Autobiography: A brief (1 page) discussion of your background in nursing. my background : In regards to the professional field, I received my BSN degree in Habana Cuba in 1996 and received my RN license in the State of Florida on October 13, 2014. My nursing practice was as emergency care nursing and internal medicine unit at “Calixto Garcia Hospital”, Cuba for three years, where provide care for patients with life-threatening medical conditions and look after patients who have experienced invasive surgery, accidents and/or trauma. Careful assessment and monitoring of patient progress in order to watch for sudden or subtle changes in a patient’s medical condition that might require emergency intervention and heart monitoring as well as treatment adjustments. Moreover, I have been in the medical field in United State for more than 13 years working in Home Health Service and Rehabilitation Center in Miami. In my work experience I have been required to demonstrate many of the skills for the Family Nurse Practitioner. I have also undertaken leadership role during my career monitoring nursing students. I have done so successfully and have enjoyed this experience . The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment. Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice. List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described. Consider the following questions as you complete your various tasks related to this assignment. 1. How do I define and employ the four basic metaparadigms of nursing theory in my professional practice? 2. What are the major concepts I employ that are unique to my professional practice? 3. What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts? 4. How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into my philosophy and practice? 5. What research supports these theories and concepts? 6. How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice? The paper is to be thoroughly researched and well documented , with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 9 pages . Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately. References have to be peer review less than 5 years old Due date 11/23/2016 Your philosophy/framework is to be given a title that is appropriate to its content and emphasis. Grading of the paper will be based on the following: Grading Criteria: Maximum Points Nursing Autobiography The nursing autobiography included personal experiences in the field of nursing. 8 Provided an account of the current professional role of the student. 8 Included factors that guided decision making. 8 Quality of Essay Enlisted the four metaparadigms. 8 The essay included a definition of the four metaparadigms of nursing with reference to professional practice. 8 The essay mentioned how the metapardigms were employed in nursing practice. 8 The essay enlisted two practice-specific concepts. 8 The essay included clinical examples for each of the chosen concepts. 8 The clinical examples illustrated the concepts in a manner, which further clarified the students’ use of the conceptual material. 8 The essay demonstrated consistency between concepts, assumptions, and clinical application. 8 The essay identified and discussed students’ perspective on two other concepts specific to their practice. 8 The essay included a numbered list of at least 5 propositions or assumptions. 8 The concepts were connected and integrated to reveal a meaningful sequence. 8 The essay demonstrated clarification and organization of the students’ professional foundation. 8 The essay demonstrated evidence of critical thinking in analysis and response. 8 The essay demonstrated understanding and integration of lecture material, reading assignments, and sources consulted. 8 Essay was well written, well organized, and articulate. 8 Presentation Criteria The paper clearly demonstrated understanding of theoretical principles (i.e., concept development, definitions, assumptions, etc.) 3 The paper revealed clarity, organization, and articulation of ideas. 3 The paper showed that ideas were well-documented. 3 The paper revealed the breadth of research effort. 2 The paper demonstrated appropriate use of APA format in references and citations. 3 Total 150 Format

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2025 1 Question What demographic variables were measured at the nominal level of measurement in the Oh et al 2014 study Answer

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i want the answers to have the same meaning but written differently 2025

1.Question What demographic variables were measured at the nominal level of measurement in the Oh et al.(2014)study? Answer: The demographic variabless measured at the nominal level include non-smoker,non-drinker,history of fracture,regular exercise and are considered nominal because can be describe by precentages, and mode. 2.Question What statistic were calculated to describe body mass index(MBI) in this study?Were these appropiate? Answer: Mean and standard deviation were the statistic used to calculated BMI.Because BMI is an interval-ratio variable,mean and stadard deviation are appropiate. 3.Question Were the distributions of scores for BMI similar for the intervention and control groups? Answer: The distribution of scores for BMI was similar for intervention and control groups because the mean and standard deviation were very similar. 4.Question Was there a significant difference in BMI between the intervention and control groups? Answer: There was not a significant difference in BMI between the intervention group and the control group. 5.Question Bssed on the sample size of N=41,what frequency and percentage of the sample smoked?What frequency and percentage of the sample were non-drinkers(alcohol)?Show your calculations and round to the nearest whole percent. Answer: Frequency of participants who smoked=0+0=0 Percentage of participants who smoked=0% Frequency of participants who were non-drinkers=20+20=40 6.Question What measurement method was used to measure the bone mineral density(BMD) for the study participants?Discuss the quality of this measurement method and document your response. Answer: The bone mineral density (BMD) was measurement by ratio/interval level.The mean and standard deviation equal central location and dispersion gives us the shape of the graph. 7.Question What statics was calculated to determine differences between the intervention and control groups for the lumbar and femur neck BMDs?Were the groups significantly different for BMDs? Answer: The statistic used to to determined the difference between the intervention and control groups for the lumbar and femur neck BMDs was the mean.The value between lumbar and femur neck does not show us a significant difference. 8.Question The researchers stated that there were no significant differences in the baseline characteristics of the intervention and control groups(see Table 2).Are these groups heterogeneous or homogeneous at the beginning of the study?Why is this important in testing the effectiveness of the therapeutic lifestyle modification(TLM)program? Answer: These groups are homogeneous,homogeneous scores are similar,and heterogeneous scores are diferent having a wide variation.This was a key factor because if the groups were heterogeneous the the data results would have been broader and more detailed.I feel as if if we compared the groups with similarities in the beggining, then this allows the results to be more profound when all is concluded. 9.Question Oh ET AL.(2014,P.296)stared that adherence rate to the TLM program was 99.6%.Discuss the importance of intervention adherence,and document your response. Answer: The adherence rate was almost at 100% during the 2 week time period.If the adherence rate would have ben less then the significance and importance of the results would have declined significantlly.I would not put in question the data results as they 99.6% for adherence and the group showed increase.I believe the TLM program is effective. 10.Question Was the sample for this study adequately described? Answer: Yes, the sample was adequate, the group showed that the program worked, the program consisted of a mix of individuals and even though it functioned well, I believe if the study was done with more individuals and done at longer intervals, then it would indicate and show more accurate results.

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2025 Case Study 4 A middle aged female presents to the office complaining of strep throat She states she

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6531 WK 2 DISCU 2025

Case Study 4: A middle-aged female presents to the office complaining of strep throat. She states she suddenly developed a sore throat yesterday afternoon, and it has gotten worse since then. During the night she felt like she was chilled and feverish. She denies known recent contact with anyone else who had strep throat, but states she has had strep before and it feels like she has strep now. She takes no medications, but is allergic to penicillin. The physical examination reveals a slender female lying on the examination table. She has a temperature of 101 degrees Fahrenheit, heart rate of 112, respiratory rate of 22, and blood pressure of 96/64. The head, eyes, ears, nose, and throat evaluation is positive for bilateral tonsillar swelling without exudates. Her neck is supple with bilateral, tender, enlarged anterior cervical nodes. To prepare: •Review this week’s media presentations and Parts 5–8 of the Buttaro et al. text. •Reflect on the provided patient information including history and physical exams. •Think about a differential diagnosis. Consider the role the patient history and physical exam played in your diagnosis. •Reflect on potential treatment options based on your diagnosis. POST 1 TO 2 PAGES ON : Explanation of the differential diagnosis for the patient in the case study that you selected. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis. REFERENCES/ MEDIA Institute for Safe Medication Practices. (n.d.). Retrieved November 28, 2012, from http://www.ismp.org/ Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: A collaborative practice (4th ed.). St. Louis, MO: Mosby . ◦Part 5, “Evaluation and Management of Skin Disorders” (pp. 227–312) ◦Part 6, “Evaluation and Management of Eye Disorders” (pp. 313–344) ◦Part 7, “Evaluation and Management of Ear Disorders” (pp. 345–364) ◦Part 8, “Evaluation and Management of Nose Disorders” (pp. 365–384) Media •Laureate Education, Inc. (Executive Producer). (2013a). Case studies: Ear disorder. Baltimore, MD: Author. Laureate Education, Inc. (Executive Producer). (2013e). Case study: Throat disorder. Baltimore, MD: Author

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