At some point in every construction project, efforts turn from design, and the focus moves to actual construction. With the vision in place and the tools secured, the blueprint can be finalized and approved. Then it is time to put on hard hats and begin work.

Throughout the course, you have developed aspects of your Academic and Professional Development Plan. You have thought a great deal about your vision and goals, your academic and professional network of support, research strategies and other tools you will need, the integrity of your work, and the value of consulting the work of others. With your portfolio in place, it is now time to finalize your blueprint for success.

Much as builders remain cognizant of the building standards as they plan and begin construction, nurses must remain mindful of the formal standards of practice that govern their specialties. A good understanding of these standards can help ensure that your success plan includes any steps necessary to excel within your chosen specialty.

In this Assignment, you will continue developing your Academic Success and Professional Development Plan by developing the final component–a review of your specialty standards of practice. You will also submit your final version of the document, including Parts 1–5.

To Prepare:

• Review the scope and standards of practice or competencies related to your chosen specialty in the resources for this module.
• Review the MSN specializations offered at the school website by viewing the module resource, Master of Science in Nursing (MSN)      
• Examine professional organizations related to the specialization you have chosen and identify at least one to focus on for this Assignment.
• Reflect on the thoughts you shared in the Discussion forum regarding your choice of a specialty, any challenges you have encountered in making this choice, and any feedback you have received from colleagues in the Discussion.

The Assignment:

 

Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan.

• With the resources specific to your MSN specialization (Psychiatric Mental Health Nurse Practitioner) and other Master of Science in Nursing (MSN) specializations shared in this module, write a paragraph or make a Nursing Specialty Comparison table, comparing at least two nursing specialties that include your selected specialization and second-preferred specialization.
• Write a 2- to 3-paragraph justification statement identifying your reasons for choosing your MSN specialization. Incorporate feedback you received from colleagues in this Module’s Discussion forum.

Identify the professional organization related to your chosen specialization for this Assignment and explain how you can become an active member of this organization. 

 

Instructions: Carefully read, summarize, and appraise your group’s assigned article.  The discussion board for this week should cover the following concepts in order to have a complete draft by the end of the week. As you provide input to your peers, be sure to state a rationale for your claims. 

1. Identify and discuss the broader importance of the topic of the study as it applies to patients and organizations.
2. Discuss the nursing implications of the findings of the research.  Consider the following questions:
   • Were the results statistically significant, if reported?   
   • What is the clinical significance of the findings? 
   • What are the risks vs. benefits to practice of the findings?  
   • Are the findings feasible to implement?

PLEASE FOLLOW THE FOLLOWING INSTRUCTIONS BELOW:

ZERO (0) Plagiarism, 5 References no more than 5 years, follow the APA style/format.

See attached rubric and follow it, please.

Gastrointestinal (GI) and hepatobiliary disorders affect the structure and function of the GI tract. Many of these disorders often have similar symptoms, such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe a treatment that targets the cause rather than the symptom.   

 

Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. In this Assignment, you examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.

To Prepare

• Review the case study assigned
• Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.
• Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.
• Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

  

For this week’s assignment.   

To Prepare 

Review the case study:  

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs: 

· Synthroid 100 mcg daily 

· Nifedipine 30 mg daily 

· Prednisone 10 mg daily 

Reflect on the patient’s symptoms, medical history, and drugs currently prescribed. 

Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder. 

Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. 

Write a 1-page paper that addresses the following: 

· Explain your diagnosis for the patient, including your rationale for the diagnosis. 

· Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. 

· Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples. 

Write a 1-page paper that addresses the following:

• Explain your diagnosis for the patient, including your rationale for the diagnosis.
• Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
• Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

  

  

Purpose: The purpose of this assignment is to stimulate thinking about how specific care might be approached using the King Theory of Goal Attainment as a framework for practice.

Instructions:

1. After reading the assigned scenario in the discussion board, identify 1 more problem or potential problem along with interventions to the plan of care for Mr. B. based on those typical for a patient with his medical problems or symptoms and demographics (in other words, you can assume that he may have other problems such as anxiety or pain or may be at risk for other problems). 

2. Develop plan of care and interventions for nursing problem using King’s Theory of Goal Attainment as the basis for practice.

3. Be sure that you include a title page and reference page as appropriate.

Scenario

Mr. B. is a 78-year-old African American, married male who was referred to the home health nurse after his discharge from the local hospital. He has been prescribed a low-sodium diet due to fluid volume over-load secondary to congestive heart failure.

During the initial visit, the nursing assessment focuses on the perceptions of the nurse and the client, communication of the nurse and the client, and interaction of the nurse and the client. The nurse begins by asking Mr. B. questions about his perception of the situation and his conclusions related to the situation. The nurse also asks the same questions of herself. Communication includes the nurse gathering additional information, validating her perceptions of Mr. B., validating the concerns f Mr. B., and establishing mutual trust. Nursing functions during assessment include viewing, recognizing, observing, and measuring; they reveal that Mr. B. consumes a diet high in sodium.

Planning for the care of Mr. B. will involve decisions about goals and agreement as to how to attain goals. These decisions are made by the nurse asking questions such as the following: (1) Which goals will serve Mr. B’s best interest? (2) What are Mr. B.’s goals? (3) Are Mr. B.’s goals and the nurse’s goals for Mr. B, congruent? (4) If the goals are not congruent, what further communication and interaction are needed to achieve congruence? (5) What are the priority goals? (6) What does Mr. B. perceive to be the best way to attain goals? (7) Is Mr. B. willing to work toward attainment of goals? (8) What does the nurse perceive as the best way to attain the goals?

There is agreement that Mr. B. needs to adhere to the prescribed low-sodium diet. To achieve that goal as well as his ultimate goal of not being hospitalized again for fluid retention, Mr. B. will require some additional information related to his dietary restrictions.

The next step of the process results in the occurrence of transactions. During this phase of the process, the nurse and Mr. B. participate in teaching sessions related to his low-sodium diet. The nurse will need to ask questions to evaluate whether she is doing what she and Mr. B. agreed upon as well as questions related to the feasibility of meeting the goals based on the transaction.

The primary aim of the evaluation phase is to assess if the goals set by the nurse and Mr. B. have been attained and, if goals were not attained, then to determine why they were not attained. Throughout this model of transactions process, the nurse continues to assess and intervene to apply the model simultaneously to problems other than the low-sodium diet as indicated by the condition of Mr. B. and current best clinical practices.