2023 Select a patient population young adult adult or geriatric and briefly analyze a c

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Nursing 2023 clinical case Study

Select a patient population young adult adult or geriatric and briefly analyze a c 2023 Assignment

  Select a patient population (young adult, adult or geriatric), and briefly analyze a common STDs & urological disorder (ex – UTI, Hematuria, Urolithiasis, Urinary Incontinence, Ac. Pyelonephritis, HIV, Bacterial vaginosis, Chlamydia, Gonorrhea, Trichomoniasis, Syphilis) that may affect this population. Briefly tell how it impacts the patient’s quality of life and analyze the current research evidence on this topic and gold standard of care if any for your chosen population. (You may use an example from your clinical rotation (past or present) that you have encountered). Describe how you, the FNP, can/or have made a difference in the care of patients with this specific condition and tell of one specific patient care teaching the patient can benefit from.  

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Case Study expectations, what I am looking for:

1. Your chosen disease/condition

2. Population affected

3. Impact on QOL

4. Current/new/recent research/EBP that will benefit/support this patients with the specific disease (If there are none please state so)

5. Recommendation for treatment or Gold standards for treatment if any (can be tied into the current research as above) (If there are no gold standards then please state so, but there should be some recommendations)

6. Please tell what/how you  (speak in the first person), as the FNP caring for this patient with this specific disease can make a difference in his/her care and incorporate patient care/self help teaching that can help him/her minimize disease symptoms.

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Only one page

Reference less tham 5 years

APA style

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2023 In this week s Discussion you shared your experiences with health care practice problems as

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Nursing 2023 Identifying A Practice Problem In Need Of Improvement

In this week s Discussion you shared your experiences with health care practice problems as 2023 Assignment

  In this week’s Discussion, you shared your experiences with health care practice problems as a consumer and/or as a practitioner. Now, consider your current practice setting and think about something specific and relevant to your practice setting that you would like to see improved or changed. Interview a key leader in your practice setting who can confirm that your practice problem is one that should be addressed to enhance delivery or performance in the field. It is important to remember from the beginning that your practice problem must be measurable, and that you identify data that suggests a problem exists.

Identify a measurable patient-centered practice problem related to quality or safety and relevant to your practice setting.

Post a brief description of the problem and an explanation of why you selected it. 

Explain how the conversation you had with the key leader in your practice setting impacted your decision to address this particular practice problem.

Be sure to support your practice problem with the literature that indicates the relevance of this problem for nursing practice. 

Provide evidence from your practice area and describe the data that is available.

You will not be collecting any data during the practice experience project; you will use data already available to you in your workplace or other practice setting. 

Think about the different kinds of data that is shared with you in your work area.

For example, data may include patient satisfaction scores, medication error rates, fall, CLABSI or CAUTI rates. Analyzing the data available to you is how you will identify that a quality problem exists. Data identifies potential areas for improvement, and monitors the effectiveness of any changes.

 It is important to obtain baseline data before beginning a quality improvement project and to analyze results during and at the end of a project.

Note: The practice problem must be related to patient outcomes. (Staffing cannot be your main practice problem for the completion of the Practice Experience Project and Capstone Paper.)

Note:  Discussion must be specific in this post and explain how it is relevant to your setting and nursing practice.

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.

  • Chapter 1, “Focus on      Quality” (pp. 1–12)
  • Chapter 2, “Quality      Management Building Blocks” (pp. 13–34)
  • Preview Chapter 3, “Measuring Performance”      (pp. 43–46)

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.

  • Chapter 1, “Leading,      Managing, and Following” (pp. 1-18)
  • Chapter 2, “Clinical Safety: The Core of      Leading, Managing and Following” (pp. 19-31)

QP staff. (2010). Guru guide: Six thought leaders who changed the quality world forever. Quality Progress, 43(11), 14–21.

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2023 Student s should research their state s law and then describe the following topics Living Will DNR Power of Attorney

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Nursing 2023 state laws

Student s should research their state s law and then describe the following topics Living Will DNR Power of Attorney 2023 Assignment

 

Student’s should research their state’s law and then describe the following topics :  Living Will, DNR, Power of Attorney, Spouse/Partner Rights, Euthanasia, Patient Self-Determination.  Use the following guideline for the presentation.

  1. Title page (1 slide)
  2. Living Will (1-2 slides)
  3. DNR (1-2 slides)
  4. Power of Attorney (1-2 slides)
  5. Spouse or Partner’s Rights in decision making (1-2 slides)
  6. Euthanasia: Active, Passive, Voluntary, and Involuntary (4-6 slides)
  7. Patient Self-Determination Act of 1990 (1-2 slides)

For the above, students must address: who needs to sign, is a medical evaluation needed, does the document expire, what rights does the person have, what treatment options does the document cover.

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2023 Applying Current Literature to Clinical Practice Students will Evaluate the application of current literature to clinical practice To prepare

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Nursing 2023 Applying Current Literature To Clinical Practice

Applying Current Literature to Clinical Practice Students will Evaluate the application of current literature to clinical practice To prepare 2023 Assignment

  

Applying Current Literature to Clinical Practice

Students will:

· Evaluate the application of current literature to clinical practice

To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide on group work and group therapy.

· Select one of the articles from the Learning Resources to evaluate for this Assignment.

Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues.

The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

· Provide an overview of the article you selected, including answers to the following questions. ( see Articles Below)

o What type of group was discussed?

o Who were the participants in the group? Why were they selected?

o What was the setting of the group?

o How often did the group meet?

o What was the duration of the group therapy?

o What curative factors might be important for this group and why?

o What “exclusion criteria” did the authors mention?

· Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own client groups. If so, how? If not, why?

· Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article.

Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than a half page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your presentation with evidence-based literature.

Learning Resources

Required Readings

You will select one of the following articles on group therapy to evaluate for this week’s Assignment. ( below)

Bélanger, C., Laporte, L., Sabourin, S., & Wright, J. (2015). The effect of cognitive-behavioral group marital therapy on marital happiness and problem solving self-appraisal. American Journal of Family Therapy, 43(2), 103-118. doi:10.1080/01926187.2014.956614

Himelhoch, S., Medoff, D., & Oyeniyi, G. (2007). Efficacy of group psychotherapy to reduce depressive symptoms among HIV-infected individuals: A systematic review and meta-analysis. AIDS Patient Care & Stds, 21(10), 732-739. doi:10.1089/apc.2007.0012

Pessagno, R. A., & Hunker, D. (2013). Using short-term group psychotherapy as an evidence-based intervention for first-time mothers at risk for postpartum depression. Perspectives in Psychiatric Care, 49(3), 202-209. doi:10.1111/j.1744-6163.2012.00350.x

Sayın, A., Candansayar, S., & Welkin, L. (2013). Group psychotherapy in women with a history of sexual abuse: What did they find helpful? Journal of Clinical Nursing, 22(23/24), 3249-3258. doi:10.1111/jocn.12168 

Yildiran, H., & Holt, R. R. (2015). Thematic analysis of the effectiveness of an inpatient mindfulness group for adults with intellectual disabilities. British Journal of Learning Disabilities, 43(1), 49-54. doi:10.1111/bld.12085

Reference ( Need 3 refrences).

Leszcz, M., & Kobos, J. C. (2008). Evidence-based group psychotherapy: Using AGPA’s practice guidelines to enhance clinical effectiveness. Journal of Clinical Psychology, 64(11), 1238-1260. doi:10.1002/jclp.20531

Marmarosh, C. L. (2014). Empirical research on attachment in group psychotherapy: Moving the field forward. Psychotherapy, 51(1), 88-92. doi:10.1037/a0032523

Microsoft. (2017). Basic tasks for creating a PowerPoint presentation. Retrieved from https://support.office.com/en-us/article/Basic-tasks-for-creating-a-PowerPoint-2013-presentation-efbbc1cd-c5f1-4264-b48e-c8a7b0334e36

Tasca, G. A. (2014). Attachment and group psychotherapy: Introduction to a special section. Psychotherapy, 51(1), 53-56. doi:10.1037/a0033015 

Tasca, G. A., Francis, K., & Balfour, L. (2014). Group psychotherapy levels of interventions: A clinical process commentary. Psychotherapy, 51(1), 25-29. doi:10.1037/a0032520 

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

  • Chapter 11, “Group Therapy” (Review pp.      407–428.)

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

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2023 1 Ischemic ulcer or arterial ulcer occurs when the artery is blocked Anthony

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Nursing 2023 1-Please answer based on these answers as they are listed, each one must be answered in APAform and not less than 150 words

1 Ischemic ulcer or arterial ulcer occurs when the artery is blocked Anthony 2023 Assignment

  

1-Ischemic ulcer or arterial ulcer occurs when the artery is blocked (Anthony, 2018). Arteries carry oxygenated blood to the tissue and If this artery is blocked, then the supply of oxygen and nutrients to that body part or tissue will be deprived. Finally, this tissue dies and develop to an ulcer. Some potential causes of the arterial ulcer are diabetes, smoking and atherosclerosis whereas venous ulcer is caused by damage to the vein and when a vein is damaged there is deficiency blood flow to the heart and this can result in accumulation of blood in one body part and results in fluid shift to cause edema (Caprini, Partsch, & Simman, 2013). Then this edema halts circulation and eventually the tissue dies to cause an ulcer. Some potential causes are varicose veins, DVT.

Another difference is based on their symptoms. Arterial ulcer has a symptom of pain at night, feeling cold to touch due to poor circulation, deep wound where, as venous ulcer has a sign of swelling, aching or flaking sensation on the body part. Most of the time both tend to affect the extremity but are not restricted to any part of the body (Anthony, 2018).

Reference

Caprini, J. A., Partsch, H., & Simman, R. (2013). Venous Ulcers. The journal of the American College of Clinical Wound Specialists, 4(3), 54-60. Doi: 10.1016/j.jccw.2013.11.001

Anthony K. (2018) Arterial and Venous Ulcers: What’s the Difference? Retrieved [online] from: https://www.healthline.com/health/arterial-vs-venous-ulcers

 
 

2-Ms. G. will definitely need outpatient wound care. For healthy people wounds will heal relatively quickly with treatment. Ms. G. has many risk factors to delay the healing process as previously noted with her obesity, sedentary lifestyle, diabetes and poor nutrition. I worked as a homecare nurse for about 5 years and did a lot of wound care and teaching during those years. I worked with a physical therapist who was also certified in wound care. He would provide consultations and recommendations for treatment. These wounds can take weeks to months sometimes to heal or become chronic in nature. Ms. G. would likely need aquacel on the wound base to help debride the wound and absorb the drainage. These dressings don’t need to be changed daily which is nice. We still see people coming out of the hospital with daily dressings or BID dressings and we usually can change that around pretty quickly. I am now in Hospice care and so the goals of care are comfort, but we still care for the wounds even though they aren’t likely to heal for most of our patients.

 
 

3-There are various differences between venous and arterial ulcers. Venous ulcers can vary in size, they are generally irregularly shaped, shallow, and seen on lower extremities. Some risk factors for venous ulcers are lack of mobility, malnutrition, heart failure, and obesity. Arterial ulcers have smoother edges. The skin around them tends to be pale and shiny. They have less drainage than venous ulcers. Some risk factors for arterial ulcers are uncontrolled diabetes, poor footwear, vascular insufficiency, and foot structure defects (London Health Sciences Centre, 2018). The area surrounding arterial ulcers is generally cool in temperature. Treatment for both ulcers includes restoring blood flow and oxygenation to the affected area. For arterial ulcers this sometimes requires angioplasty. In order to promote healing, arterial ulcers should be kept clean and dry. For treatment of venous ulcers, dressing changes and compression would likely be indicated (Anthony, 2018).

References:

Anthony, K. (2018, February). Arterial and venous ulcers: What’s the difference? Retrieved from https://www.healthline.com/health/arterial-vs-venous-ulcers#causes

London Health Sciences Centre. (2018). Venous stasis & arterial ulcer comparison. Retrieved from https://www.lhsc.on.ca/wound-care-management/venous-stasis-arterial-ulcer-comparison

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2023 This presentation builds upon and utilizes information gathered and reported in the first two assignments

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Nursing 2023 Power Point Presentation Evidence Base

This presentation builds upon and utilizes information gathered and reported in the first two assignments 2023 Assignment

  

This presentation builds upon and utilizes information gathered and reported in the first two assignments (RUA). Suggestions for implementation of outcomes on preventing (HAIs) should clearly and delineate the following.

A) Measurable outcome 1 slide

B) Feasibility issues  1 slide

Strategies for the  implementation of measurable outcomes

2 slides with speaker notes including in-text citations 

1 Reference slide of both articles used.

Articles to be used are attached  

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2023 The FierceEMR and FierceHealthIT Current Popular Topic of the Week assignment must be

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Nursing 2023 health IT topic

The FierceEMR and FierceHealthIT Current Popular Topic of the Week assignment must be 2023 Assignment

  

The FierceEMR and FierceHealthIT Current/Popular Topic of the Week assignment must be a professional, scholarly prepared paper. See the guidelines for writing a professional, scholarly paper in the Course Resources. The professional paper will have an introduction, body of paper to explain what you are doing, summary/conclusion, and at least three scholarly references.

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2023 Maintenance of the professional relationship with physicians in the network recently has assumed a far greater role in in

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Nursing 2023 Module 2 Discussion

Maintenance of the professional relationship with physicians in the network recently has assumed a far greater role in in 2023 Assignment

 

Maintenance of the professional relationship with physicians in the network recently has assumed a far greater role in in the industry’s history.” – Peter R. Kongstvedt

This quote assumes that professional relationships and networking somehow impacts healthcare services and provider relationships. Discuss your position on this assumption. Do you agree? Disagree? Explain your answers, based on your reading for the week. In your discussion, include why you feel this is an important issue in maintaining managed care.

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2023 Bronchitis A cough is a common symptom of many conditions One condition where we see a

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Nursing 2023 reply to vivian

Bronchitis A cough is a common symptom of many conditions One condition where we see a 2023 Assignment

 

Bronchitis 

       A cough is a common symptom of many conditions. One condition where we see a cough is with bronchitis. This illness results from inflammation of the bronchial tubes and the cough commonly expels mucus (MedlinePlus, 2017). This mucus is usually think and may have a discoloration (Mayoclinic, 2018). Other symptoms associated with bronchitis include shortness of breath, wheezing, a low-grade fever, and tightness of the chest (MedlinePlus, 2017). This condition could be chronic or acute.  
                                        Diagnosis and Treatment
Determining what type of bronchitis is necessary. Acute bronchitis may present more like a cold while chronic bronchitis has a cough that brings up mucus and lasts for three months or longer. Getting proper patient history is helpful in diagnosis which type of bronchitis the patient has. Acute bronchitis is related to a viral infection and medication is not effective. This type may also occur as a result from a previously acquired cold or another type of respiratory infection.  
       Chronic bronchitis is related to cigarette smoke and other environmental factors. This type is also considered if the patient has multiple episodes of acute bronchitis. Chronic bronchitis is more serious than acute since it is related to a constant irritation and inflammation of the bronchial tubes. Other diagnostic tests that may be used include exam, x-ray, sputum tests, and a lung function test (Mayoclinic, 2018).Treatment for bronchitis may include medication related to coughing or other medication if another underlying condition like asthma or allergies exist. Using lifestyle modifications is also beneficial. Avoiding irritants, using a humidifier, and using protection are all great options (Mayoclinic, 2018).  

                                          Reference

Mayoclinic. (2018). Bronchitis. Retrieved from https://www.mayoclinic.org/diseases-conditions/bronchitis/symptoms-causes/syc-20355566

 (Links to an external site.)Links to an external site.MedlinePlus. (2017). Acute bronchitis. Retrieved from  https://medlineplus.gov/acutebronchitis.html (Links to an external site.)Links to an external site.

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2023 Therapy for Clients With Personality Disorders Clients with personality disorders often find it difficult to overcome their problems and function

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Nursing 2023 Therapy For Clients With Personality Disorders

Therapy for Clients With Personality Disorders Clients with personality disorders often find it difficult to overcome their problems and function 2023 Assignment

  

Therapy for Clients With Personality Disorders

Clients with personality disorders often find it difficult to overcome their problems and function in daily life. Even when these clients are aware that they have a dysfunction with their personality and are open to counseling, treatment can be challenging for both the client and the therapist. For this Discussion, as you examine personality disorders, consider therapeutic approaches you might use with clients.

Learning Objectives

Students will:

· Analyze therapeutic approaches to treating clients with personality disorders.

To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide.

· Select one of the personality disorders from the DSM-5. EX Paranoid, schizoid, borderline, narcissistic, avoidant, OCD.

Post a description of the personality disorder you selected. Explain a therapeutic approach (including psychotropic medications if appropriate) you might use to treat a client presenting with this disorder, including how you would share your diagnosis of this disorder to the client in order to avoid damaging the therapeutic relationship. Support your approach with evidence-based literature.

Learning Resources( Need 3 references).

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

  • Standard 5H “Psychotherapy” (pages 63-64)

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

  • Chapter 20, “Termination and Outcome      Evaluation” (Review pp. 693–712)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Dixon-Gordon, K. L., Turner, B. J., & Chapman, A. L. (2011). Psychotherapy for personality disorders. International Review Of Psychiatry, 23(3), 282-302. doi:10.3109/09540261.2011.586992

Lorentzen, S., Ruud, T., Fjeldstad, A., & Høglend, P. A. (2015). Personality disorder moderates outcome in short- and long-term group analytic psychotherapy: A randomized clinical trial. British Journal of Clinical Psychology, 54(2), 129-146. doi:10.1111/bjc.12065

Paris, J. (2004). Personality disorders over time: implications for psychotherapy. American Journal Of Psychotherapy, 58(4), 420-429.

Swift, J. K., & Greenberg, R. P. (2015). What is premature termination, and why does it occur? In Premature termination in psychotherapy: Strategies for engaging clients and improving outcomes (pp. 11–31). Washington, DC: American Psychological Association. doi:10.1037/14469-002

Optional Resources

Dorr, D. (1999). Approaching psychotherapy of the personality disorders from the Millon perspective. Journal of Personality Assessment, 72(3), 407–425. PMID: 10491846 

Bach, B., Lee, C., Mortensen, E. L., & Simonsen, E. (2016). How do DSM-5 personality traits align with schema therapy constructs? Journal of Personality Disorders, 30(4), 502–529. doi:10.1521/pedi_2015_29_212 

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