2023 Using Evidence Based Health Assessments During your BSN program you have been introduced to the

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Nursing 2023 U1d1

Using Evidence Based Health Assessments During your BSN program you have been introduced to the 2023 Assignment

Using Evidence-Based Health Assessments

During your BSN program, you have been introduced to the importance of using an evidence-based model for practice. In this discussion, you will explore evidence-based techniques and strategies that can be used when conducting health assessments by reflecting on the following elements:

Based on your independent research, identify and discuss existing best practices for conducting a health assessment.

please use where appropriat: Labor and Delivery 

  • Identify and discuss key factors included in an assessment at various levels (community, group, or individual).
  • Analyze the impact of information systems, technology, and telecommunication on direct and indirect patient care and nursing practice in relation to conducting a health assessment.

must be at least 150 words with at least one APA formatted reference in the discussion and final reference.  

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2023 Chief complaint I m here for a medication refill because I ran out of my

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Nursing 2023 Discussion Board

Chief complaint I m here for a medication refill because I ran out of my 2023 Assignment

 

Chief complaint: “I’m here for a medication refill because I ran out of my medicines”.

HPI:  Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.

She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway.

PMH: Primary Hypertension, Previous history of MI 1 year ago

Surgeries:

1 year ago-Left Anterior Descending (LAD) cardiac stent placement

Allergies: Penicillin

Vaccination History:  Up-to-date

Social history:

High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago.

Family history:

Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.

ROS:

Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks.

Psychiatric: Non-contributory.

Physical examination:

Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111,  R 22 and non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH: Normal affect. Cooperative. SKIN: No rashes. Positive for dry skin.

Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

A:

Primary Diagnosis: Congestive Heart Failure (CHF)

Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA)

Differential Diagnosis: Peripheral Vascular Disease (PVD)

Plan:

Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain

Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index.

Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 %

BNP – not available.

As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease).

Questions:

1.     According to the ACC/AHA guidelines, what medications should this patient be prescribed?

2.     Does he need medication(s) given his history of MI?

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2023 Polypharmacy is a frequent and serious health concern that affects individuals and sometimes leads to

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Nursing 2023 Pharmacology

Polypharmacy is a frequent and serious health concern that affects individuals and sometimes leads to 2023 Assignment

 

Polypharmacy is a frequent and serious health concern that affects individuals, and sometimes leads to fatal outcomes.

I. Identify common risk factors for polypharmacy and Explain the reason why each listed item is a risk factor.

II. In your current clinical practice as a Registered nurse, what interventions have you observed to be most effective to prevent polypharmacy?

III. As a nurse practitioner discuss two to three interventions you can take  in your clinical practice to prevent polypharmacy and its complications.

Please answer each question by separate.

 The initial post should be a minimum of 3 paragraphs,  using at least 2 references.  Each paragraph should be supported with evidenced based peer reviewed references.  APA 6th ed is the format adopted by the university.  Citing your paragraphs is a Must. In addition all listed references must be cited.  

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2023 Project 1 week 1 Time Management This assignment is about you It is an

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Nursing 2023 nursing leadership

Project 1 week 1 Time Management This assignment is about you It is an 2023 Assignment

Project 1 week 1

  

Time Management

This assignment is about you. It is an assessment of your abilities and traits.

This assignment will help you figure out what style of leadership you have been following and whether this style works for you.

Through this assignment, you will find the various approaches of leadership that complement each other. There is no one theory that describes the only way to be an effective leader. Each theory focuses on different issues, but they all help you to better understand how to become a successful leader.

use the following link to access the Time Management Assessment: Time Management Assessment This is the web site that needs to be link http://literacynet.org/icans/chapter03/timemgmt.html

Based on your research and understanding, create a paper in a 3- to 4-page Microsoft Word document that:

Incorporates your time management self-assessment information and the concepts learned this week (leadership theories, leadership versus management, professional nursing organizations, and time management.

Includes identification of one leadership theory, which you feel best describes your leadership style.

Includes a comparison between leadership and management

Includes a suggestion on how to apply this week’s concepts to the work environment

APA format need references too.

· Leadership Theories 

  • Autocratic (Authoritarian): The      autocratic leader dictates to the group the task to be accomplished, and      the method to be followed. This style is used when time is short and the      leader is the most knowledgeable person on the team with regards to the      task at hand.
  • Participative (Democratic):      Participative leaders include the group in the decision−making process.      This style is most appropriate when everyone in the group has knowledge      about the subject, like when working with a group of experts. The leader,      however, retains the ability to make the final decision.

Delegative (Free Reign): Also known as laissez faire, meaning—to not get involved in the affairs of others, a delegative leader allows the individuals in the group to make independent decisions, although the leader will be held responsible for the decisions made. It is best to not supervise educated people,  

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2023 Pick two diseases from each of the following systems HEENT 1 Glaucoma 2 Conjunctivitis Pulmonary 1 Asthma 2

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Nursing 2023 Nursing paper Help.

Pick two diseases from each of the following systems HEENT 1 Glaucoma 2 Conjunctivitis Pulmonary 1 Asthma 2 2023 Assignment

Pick two diseases from each of the following systems: 

HEENT : 1.Glaucoma  2. Conjunctivitis

Pulmonary: 1.Asthma  2. Pneumonia 

Hematology: 1.Anemia.  2. Sickle Cell Anemia 

Neurology: 1.Epilepsy   2. Migraines 

Gastroenterology: 1.Gastroesophageal reflux   2. irritable bowel disease

Cardiovascular: 1.Coronary artery disease  2.  Atrial Fibrillation

Orthopedics: 1. Carpal Tunnel Syndrome   2. Arthritis 

Endocrinology: 1. Hypothyroidism   2. Hyperthyroidism

Dermatology: 1.Eczema   2.Rosacea

Urology and STD’s: 1.Hematuria    2. prostatitis

Pregnancy: 1. Gestational diabetes    2.preeclampsia

men’s health: 1. Erectile dysfunction   2. Low testosterone 

psychiatry: 1.Anxiety    2.depression

and pediatric growth and development topics are required: 1.Giantism  2. pubertal delay

……………………………………………………………………………………………………..

From each of the diseases listed above include: 

·  Information on the disease/Condition

·  What causes it

·  Signs and symptoms

·  How it is diagnosed

·  Common treatment

Each disease is individual, this is NOT a compare between the diseases under the body systems. 

………………………………………………………………………………………………

REQUIREMENTS

APA format 

15-18 pages 

Scholarly articles for sources ONLY!! From years 2015 -2020 only.

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2023 Complete The VARK Questionnaire How Do I Learn Best http vark learn com the vark questionnaire Click OK to receive your questionnaire scores

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Nursing 2023 VARK questionnaire

Complete The VARK Questionnaire How Do I Learn Best http vark learn com the vark questionnaire Click OK to receive your questionnaire scores 2023 Assignment

 

Complete “The VARK Questionnaire: How Do I Learn Best?”

http://vark-learn.com/the-vark-questionnaire/

  1. Click “OK” to receive your questionnaire scores.
  2. Once you have determined your preferred learning style, review the corresponding link to view your learning preference.
  3. Review the other learning styles: visual, aural, read/write, kinesthetic, and multimodal (listed on the VARK Questionnaire Results page).
  4. Compare your preferred learning strategies to the identified strategies for your preferred learning style.
  5. Appraise how this awareness of learning attributes influences your perceptions of teaching and learning.

In a paper (750-1,000 words), summarize your analysis of this exercise. Include the following:

  1. Provide a summary of your learning style.
  2. List your preferred learning strategies.
  3. Compare your preferred learning strategies to the identified strategies for your preferred learning style.
  4. Discuss how the awareness of individual learning styles, preferences and strategies influence teaching (those who are in a position to teach) and learning (those who are in a position to learn).
  5. Cite a minimum of three references in the paper.

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2023 Comment 1 Based on Meilaender s 2013 perspective of suicide it is morally wrong because

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Nursing 2023 Please Do A Comment Base In This Answers. Write At Least 140 Words In Each Answer, Take Reference From (2013-2018) If Is Possible, Academic References Please Because The Teacher Check It Out One By One. SUSTANTIVE POST NEEDED

Comment 1 Based on Meilaender s 2013 perspective of suicide it is morally wrong because 2023 Assignment

Comment 1

Based on Meilaender’s (2013) perspective of suicide, it is morally wrong because there is an unwillingness to receive the life given, by our creator, moment by moment.  Suicide
is not God’s will, it is the irrational desire of a man to be in control and a repercussion of sin with man acting as the creator, instead of the created.  Meilanender (2013) contends that life is not “our” possession, nor ours to take whether by suicide or euthanasia.  I appreciate his comparison of our lives to being characters in a story that God created while God gives us the freedom to act according to the nature he provided.  However, I don’t believe that it was ever God’s intent to allow us the freedom to rationally take a life by suicide.

I have a personal experience with suicide, so I have struggled with the morality, or lack thereof.  Where Meilaender (2013) states that the sin of suicide dies with the
person and they are not necessarily damned is relevant for all suicides and euthanasia because God judges the person, not the individual deeds.  Meilaender (2013) also pointedly asserts that the autonomous decision to end a life, whether it be a “right to die with dignity” state or not, there is an inherent risk that it is still morally wrong
and judged by God as a “lordship” over another human’s life, which is biblically wrong.  

I am not a hospice nurse for a reason.  I know that I would struggle with the person begging me to give them an additional dose of morphine to end their pain and
misery.  This is a terrible predicament for a nurse who is caring for their patients and family members both physically and emotionally.  Meilaender (2013) claims that hastening one’s inevitable death is a form of abandonment.   I know I would struggle with temptation to bring relief to someone who is severely suffering, so I choose to not put myself in that position.  My compassion would cause an internal struggle that I can avoid and a judgement that I, as a sinful human being, do not want to make, even if God does not judge me for individual deeds.

Comment 2

Suicide and euthanasia are extremely sensitive topics for the majority of individuals including health care workers. According to the Christian belief, it is considered a sinful act and therefore goes against Christian beliefs. Meilaender (2013) states that “Christians have held that suicide is morally wrong because they have seen it in a contradiction of our nature as creatures, an unwillingness to receive life moment by moment from the hand of God without ever regarding it as simply “our” possession” (Meilaender, 2013). He goes on to say that our life is not something we own and that by committing suicide we are essentially playing the role of creator. We need to remember that life is a gift from God and to take one’s own life is a selfish act and disrespectful to God for the gift of life he gave to us.

Suicide and euthanasia are controversial topics. I don’t whole heartedly agree with Meilaender. I believe that if a patient has a chronic illness that is causing them to have a very poor quality of life and/or chronic pain, then that person should be allowed to decide if they want to carry on with life living that way. What a bleak existence it would be. My husband and I have had numerous discussions about this very topic. We both agree that if either one of us were extremely ill, we should find a way to put that person out of their misery. On the flip side, if a healthy person were to take their own life, then I totally agree with Meilaender and that person is selfish and not following in the footsteps of God

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2023 Write a paper of 3 4 pages not including the title page and reference page that discusses the following 3 elements

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Nursing 2023 Unit 1

Write a paper of 3 4 pages not including the title page and reference page that discusses the following 3 elements 2023 Assignment

Write a paper of 3-4 pages, not including the title page and reference page, that discusses the following 3 elements:

  • Provide an overview of how health care in the United States has evolved since the postindustrial period. 
  • How has the evolution of medical technology, graduate medical education, and the professionalization of medical and nursing staff affected the delivery of care? 
  • Why has the United States been unsuccessful in evolving the current health care system into a national health care system? 

Note: Use APA style and cite at least 3 scholarly references published within the last 5 years.

Please submit your assignment.

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2023 Please provide one paragraph response for the discussion below which requires one reference from peer reviewed nursing

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Nursing 2023 response to d4

Please provide one paragraph response for the discussion below which requires one reference from peer reviewed nursing 2023 Assignment

 Please, provide one paragraph response for the discussion below, which requires one reference from peer-reviewed nursing journal from database not the internet not older than 5 years old. APA format required.

Autonomy is something that should be respected. When a person is going to get any invasive medical procedure or treatment done it is the responsibility of the healthcare provider to explain and make sure the patient is aware of the risks of the procedure. The healthcare provider should answer any questions that patient may have. Once there has been understanding of the procedure including the pros and cons, the patient is to sign an informed consent. When the patient signs the consent they are giving authority to accept medical treatment (Rock & Hoebeke, 2014).

            There may be barriers that can interfere with the rights of a patient when it comes to informed consents. If a patient does not speak English it can interfere with understanding of the procedures and they may not fully comprehend why they are signing a consent (Chesnay & Anderson, 2016). When situations like these arise, hospitals can provide a professional translator to assist. There can also be cultural barriers where patient’s culture or beliefs does not allow them to go forth with a procedure that may improve their quality of life. However, the healthcare provide should respect that patient’s culture and beliefs. It is crucial that consents are understood and signed by the patient before any treatment is given or else the healthcare provider can be charged with assault. Physicians need to explain the treatments and nurses should be able to confirm the patient understands. It is very important to protect the right of the patient which is the right of self-determination. That is why the patient should have full understanding of what treatments consists of, the pros and cons, and the risks of not doing the treatment. Once that is done they need to sign a consent to confirm that they understood and made a conscious decision to accept treatment.

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2023 Comment1 As our lecture describes death is a particularly traumatic and difficult experience for both family and caregivers

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Nursing 2023 Comment

Comment1 As our lecture describes death is a particularly traumatic and difficult experience for both family and caregivers 2023 Assignment

Comment1

As our lecture describes, “death is a particularly traumatic and difficult experience for both family and caregivers” (Grand Canyon, 2015). A rather interesting distinction I observed while working on both of these units and witnessing death in different underlying situations/stages: death on the oncology unit usually came after a long, hard fight with cancer. As such, patient’s families were often understandably distraught and through their grief expressed feeling “robbed” of time with their loved one. When death occurred on the geriatric unit however, family members would sometimes express feelings of gratitude that their loved one lived to a ripe age and felt at peace that their time had come, as it was expected. In witnessing these experiences, it made me understand that death is easier to swallow/digest for some when it occurs from natural age process versus caused by disease.

The acceptance of death and the grieving process is experienced differently by everyone. Personally, I feel my bedside experience as a nurse has helped me understand this process a great deal and I empathize greatly with the patients/families I have encountered.

Comment2

I have only witnessed death a couple of times at work. I have worked with hospice patients that visit the doctor’s office and these have been about comfort. Since I am a float in the clinic setting, I do not come across much death. I did when I worked on the medical floor; there, acceptance of the death depended more on if it was expected or not. I think that when we know death is going to occur it is easier to accept and come to terms with. When death is not expected it can be harder because of the sudden loss. I do not think that the lack of experience at work has shaped my view on death because I have dealt with it personally.

I think that I handle death fairly well because I grew up with death being a natural part of life. As we grew up on the farm it was normal to lose animals. We also have a very large extended family and we went to funerals fairly regularly. While others have viewed that as wrong or depressing to have children go to funerals, it was never viewed that way by my family because it was a part of life and we celebrated that life. I have not shielded my children from death either. My sister-in-law and I have different views on this; I accept her decision, she does accept not mine. She was upset when we brought our children to the first funeral on my husband’s side of the family but it was very natural to me. Death is only one step in life and should not be feared.

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