NRS-440-VN0502 Trends and Issues 2025

Advocacy Through Legislation Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system. For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment. You are required to cite to a minimum of three 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. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Nursing Assignment Help 2025

Discussion: Using the Walden Library 2025

Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use research literature to explore ideas, guide your thinking, and gain new insights. As you search the research literature, it is important to use resources that are peer-reviewed and from scholarly journals. You may already have some favorite online resources and databases that you use or have found useful in the past. For this Discussion, you explore databases available through the Walden Library. To Prepare: Review the information presented in the Learning Resources for using the Walden Library, searching the databases, and evaluating online resources. Begin searching for a peer-reviewed article that pertains to your practice area and interests you. By Day 3 of Week 6 Post the following: Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not. By Day 6 of Week 6 Respond to at least two of your colleagues’ posts by offering suggestions/strategies for working with this database from your own experience, or offering ideas for using alternative resources. Discussion for reply one The article I selected that pertains to my practice area and is of great interest to me is: Men, Depression, and Coping: are we on the Right Patch? The citation of the article is as followed: Whittle, E. L., Fogarty, A. S., Tugendrajch, S., Player, M. J., Christensen, H., Wilhelm, K., . . . Proudfoot, J. (2015). Men, depression, and coping: Are we on the right path? Psychology of Men & Masculinity, 16 (4), 426-438. doi:10.1037/a0039024 I use the Walden University Library database for the article search using CINAHL Plus with Full Text, peer-reviewed article, evidence-based, full text within five years. I did not find any difficulties searching for this article. The database I believe would be useful to all my colleagues. It would be useful to my colleagues because it is trusted and well organized. The database is user friendly giving multiple options and resources for help. I would recommend this database, because of the integrity of the information sources. As a professional, and new to scholar writing, finding unbiased information for research is important to provide evidence-based research to my academic audience. This database is not open to everyone, it is private to Walden University students and faculty members. So, this database is secure with credible information. That is why I would recommend it. References JavaScript required. (n.d.). Retrieved October 06, 2020, from https://web-b-ebscohost-com.ezp.waldenulibrary.org/ehost/detail/detail?vid=15 Laureate Education (Producer). (2018). Introduction to Scholarly Writing: Purpose, Audience, and Evidence [Video file]. Baltimore, MD: Author. Discussion for reply two Initial Discussion Post Suarez, L., Dunlay, S. M., Schettle, S. D., Stulak, J. M., & Staab, J. P. (2020). Associations of depressive symptoms of outcomes in patients implanted with left ventricular assist devices. General Hospital Psychiatry, 64 , 93-98. https://doi.org/.ezp.waldenulibrary.org/10.1016/j.genhosppsych.2019.12.005 As a left ventricular assist device (LVAD) coordinator, I am always interested in providing my patients with the best options for holistic care, specifically focused on their perception of health. Implantation of these devices is to alleviate symptoms of end stage heart failure and improve patients’ quality of life (Lee, 2018). Therefore, this article really stood out to me as a beneficial study that could be used to shape my practice. I was able to access the Walden University Library Fundamentals of Library Research page and I watched the online tutorial of accessing databases ( Instructional media: Fundamentals of library research, 2020). After that, I followed the link to the Nursing Databases page in the Library and saw the list of databases offered. I opted for one that included full text articles from the list of ‘Best Bets’ ( Databases: A-Z, 2020). I chose CINAHL and typed in my subject, left ventricular assist device and quality of life, in the search bars ( Databases: A-Z , 2020). I was easily brought to a results page of articles to choose from. I didn’t have much issue accessing these articles and finding one that met my intended need. I would definitely recommend the use of CINAHL as it was easy to use, filtered results appropriately, and provided full text articles with citation. My only hesitation is that I’m not sure how easy it would have been to find the list of nursing databases if I hadn’t followed the exact link that was provided in the recommended reading. I will need to do some navigation myself from the main Walden University webpage to find the best way to navigate to the databases home page. Once I am able to find the way there, I think I will be using this database a lot for future referencing. It is really great that Walden gives us access to all these articles at our fingertips. It is so much easier than having to go to the library and thumb through text. I will most definitely recommend this way to everyone that needs to do research going forward! References Databases A-Z: Nursing . (2020). Walden University Library. Retrieved September 27, 2020, from https://academicguides.waldenu.edu/az.php?s=19981 Instructional Media: Fundamentals of library research . (2020). Walden University Library. Retrieved September 27, 2020, from https://academicguides.waldenu.edu/library/instructionalmedia/researchfundamentals Lee, C. S., Gelow, J. M., Chien, C. V., Hiatt, S. O., Bidwell, J. T., Denfeld, Q. E., Grady, K. L., & Mudd, J. O. (2018). Implant Strategy-Specific Changes in Symptoms in Response to Left Ventricular Assist Devices. Journal of Cardiovascular Nursing , 33 (2), 144–151. https://doi-org.ezp.waldenulibrary.org/10.1097/JCN.0000000000000430 Suarez, L., Dunlay, S. M., Schettle, S. D., Stulak, J. M., & Staab, J. P. (2020). Associations of depressive symptoms of outcomes in patients implanted with left ventricular assist devices. General Hospital Psychiatry , 64 , 93–98. https://doi.org/.ezp.waldenulibrary.org/10.1016/j.genhosppsych.2019.12.005 Please label the replies and use the rubric

Nursing Assignment Help 2025

Week 10 Assignment: Special Examinations—Breast, Genital, Prostate, and Rectal/Genitalia assessment 2025

In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. To Prepare Review the Episodic note case study for this week’s Assignment. Based on the Episodic note case study: Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment. Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided. Consider what history would be necessary to collect from the patient in the case study. Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. The Lab Assignment Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature. Analyze the subjective portion of the note. List additional information that should be included in the documentation. Analyze the objective portion of the note. List additional information that should be included in the documentation. Is the assessment supported by the subjective and objective information? Why or why not? Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis? Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature. Week 10 Assignment: Special Examinations—Breast, Genital, Prostate, and Rectal/Genitalia assessment Subjective: CC: “I have bumps on my bottom that I want to have checked out.” HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed. PMH: Asthma Medications: Symbicort 160/4.5mcg Allergies: NKDA FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys) Objective: VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs Heart: RRR, no murmurs Lungs: CTA, chest wall symmetrical Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia Abd: soft, normoactive bowel sounds, neg rebound, neg Murphy’s, neg McBurney Diagnostics: HSV specimen obtained Assessment: Chancre PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. By Day 7 of Week 10

Nursing Assignment Help 2025

Analysis of a Pertinent Healthcare Issue Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. 2025

Be sure to address the following: · Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization). · Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.

Nursing Assignment Help 2025

Assessing and Treating Pediatric Clients With Mood Disorders 2025

Nursing Week 2: Therapy for Pediatric Clients With Mood Disorders Mood disorders can impact every facet of a child’s life, making the most basic activities difficult for clients and their families. This was the case for 13-year-old Kara, who was struggling at home and at school. For more than 8 years, Kara suffered from temper tantrums, impulsiveness, inappropriate behavior, difficulty in judgment, and sleep issues. As a psychiatric mental health nurse practitioner working with pediatric clients, you must be able to assess whether these symptoms are caused by psychological, social, or underlying growth and development issues. You must then be able recommend appropriate therapies. This week, as you examine antidepressant therapies, you explore the assessment and treatment of pediatric clients with mood disorders. You also consider ethical and legal implications of these therapies. Photo Credit: GettyLicense_185239711.jpg Assignment: Assessing and Treating Pediatric Clients With Mood Disorders When pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders. Note: This Assignment is the first of 10 assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the “right” decision every time; in fact, some scenarios may not have a “right” decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients. Learning Objectives Students will: · Assess client factors and history to develop personalized plans of antidepressant therapy for pediatric clients · Analyze factors that influence pharmacokinetic and pharmacodynamic processes in pediatric clients requiring antidepressant therapy · Evaluate efficacy of treatment plans · Analyze ethical and legal implications related to prescribing antidepressant therapy to pediatric clients Learning Resources Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Required Readings Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear. Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press. Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter. Chapter 6, “Mood Disorders” Chapter 7, “Antidepressants” Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press. Note: To access the following medications, click on the The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter. Review the following medications: amitriptyline bupropion citalopram clomipramine desipramine desvenlafaxine doxepin duloxetine escitalopram fluoxetine fluvoxamine imipramine ketamine mirtazapine nortriptyline paroxetine selegiline sertraline trazodone venlafaxine vilazodone vortioxetine Magellan Health, Inc. (2013). Appropriate use of psychotropic drugs in children and adolescents: A clinical monograph. Retrieved from http://www.magellanhealth.com/media/445492/magellan-psychotropicdrugs-0203141.pdf Rao, U. (2013). Biomarkers in pediatric depression. Depression & Anxiety, 30(9), 787–791. doi:10.1002/da.22171 Note: Retrieved from Walden Library databases. Vitiello, B. (2012). Principles in using psychotropic medication in children and adolescents. In J. M. Rey (Ed.), IACAPAP e-Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions. Retrieved from http://iacapap.org/wp-content/uploads/A.7-PSYCHOPHARMACOLOGY-072012.pdf Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services. Note: Retrieved from Walden Library databases. Required Media Laureate Education (2016e). Case study: An African American child suffering from depression [Interactive media file]. Baltimore, MD: Author. Note: This case study will serve as the foundation for this week’s Assignment. Optional Resources El Marroun, H., White, T., Verhulst, F., & Tiemeier, H. (2014). Maternal use of antidepressant or anxiolytic medication during pregnancy and childhood neurodevelopmental outcomes: A systematic review. European Child & Adolescent Psychiatry, 23 (10), 973–992. doi:10.1007/s00787-014-0558-3 Gordon, M. S., & Melvin, G. A. (2014). Do antidepressants make children and adolescents suicidal? Journal of Pediatrics and Child Health, 50 (11), 847–854. doi:10.1111/jpc.12655 Seedat, S. (2014). Controversies in the use of antidepressants in children and adolescents: A decade since the storm and where do we stand now? Journal of Child & Adolescent Mental Health, 26 (2), iii–v. doi:10.2989/17280583.2014.938497 To prepare for this Assignment: · Review this week’s Learning Resources. Consider how to assess and treat pediatric clients requiring antidepressant therapy. The Assignment Examine Case Study: An African American Child Suffering From Depression . You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. · At each decision point stop to complete the following: o Decision #1 § Which decision did you select? § Why did you select this decision? Support your response with evidence and references to the Learning Resources. § What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. § Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? o Decision #2 § Why did you select this decision? Support your response with evidence and references to the Learning Resources. § What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. § Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? o Decision #3 § Why did you select this decision? Support your response with evidence and references to the Learning Resources. § What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. § Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? · Also include how ethical considerations might impact your treatment plan and communication with clients. Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

Nursing Assignment Help 2025