2023 Discussion Alterations in Cellular Processes Photo Credit Getty Images At

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Nursing 2023 Advanced Pathophysiology

Discussion Alterations in Cellular Processes Photo Credit Getty Images At 2023 Assignment

  

· Discussion: Alterations in Cellular Processes

· 

· Photo Credit: Getty Images

· At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells from functioning normally.

· Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis and treatment of many diseases. For the Advanced Practice Registered Nurse (APRN), this understanding can also help educate patients and guide them through their treatment plans.

· For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts. 

A 27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services (EMS) after being called by the patient’s roommate. The roommate states that he does not know how long the patient had been lying there. Patient received naloxone in the field and has become responsive. He complains of burning pain over his left hip and forearm. Evaluation in the ED revealed a large amount of necrotic tissue over the greater trochanter as well as the forearm. EKG demonstrated prolonged PR interval and peaked T waves. Serum potassium level 6.9 mEq/L.

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

The role genetics plays in the disease.

· Why the patient is presenting with the specific symptoms described.

· The physiologic response to the stimulus presented in the scenario and why you think this response occurred.

· The cells that are involved in this process.

· How another characteristic (e.g., gender, genetics) would change your response.

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

· Chapter 1: Cellular Biology; Summary Review

· Chapter 2: Altered Cellular and Tissue Biology: Environmental Agents (pp. 46-61; begin again with Manifestations of Cellular Injury pp. 83-97); Summary Review

· Chapter 3: The Cellular Environment: Fluids and Electrolytes, Acids, and Bases

· Chapter 4: Genes and Genetic Diseases (stop at Elements of formal genetics); Summary Review

· Chapter 5: Genes, Environment-Lifestyle, and Common Diseases (stop at Genetics of common diseases); Summary Review

· Chapter 7: Innate Immunity: Inflammation and Wound Healing

· Chapter 8: Adaptive Immunity (stop at Generation of clonal diversity); Summary Review

· Chapter 9: Alterations in Immunity and Inflammation (stop at Deficiencies in immunity); Summary Review

· Chapter 10: Infection (pp. 289–303; stop at Infectious parasites and protozoans); (start at HIV); Summary Review

· Chapter 11: Stress and Disease (stop at Stress, illness & coping); Summary Review

· Chapter 12: Cancer Biology (stop at Resistance to destruction); Summary Review

· Chapter 13: Cancer Epidemiology (stop at Environmental-Lifestyle factors); Summary Review 

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2023 Assignment Three part APA Paper Part 1 Reflect on how those experiences from the Discussion Post impact

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Nursing 2023 Discussion

Assignment Three part APA Paper Part 1 Reflect on how those experiences from the Discussion Post impact 2023 Assignment

 

Assignment:

Three-part APA Paper….

Part 1: Reflect on how those experiences from the Discussion Post impact your nursing practice now?

Part 2: Discuss what ageing biases you have witnessed &/or perpetrated.

Part 3: Create a community education plan to address ageing bias.

The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials.

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2023 Assignment Prompt Discuss the access cost and quality of quality environments as well as recent quality

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Nursing 2023 NURSING RESEARCH

Assignment Prompt Discuss the access cost and quality of quality environments as well as recent quality 2023 Assignment

  

Assignment Prompt

Discuss the access, cost, and quality of quality environments, as well as recent quality initiatives (See Chapter 24 and Table 24.1). Student is to reflect on the relationship between quality measures and evaluation and role development. In addition, describe this relationship and note how the role of the APN might change without effective quality measures.

  

Expectations

· Due: Sunday 26, 11:59 pm PT

· Length: 1500 words, double-spaced, excluding title and reference pages (required)

· Format:  APA 6th Edition

See USU NUR Research Paper Rubric for additional details and point weighting.

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2023 1 Pick one of the grand nursing theories from chapters 7 9 except Henderson or Peplau

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Nursing 2023 Case Study

1 Pick one of the grand nursing theories from chapters 7 9 except Henderson or Peplau 2023 Assignment

1.  Pick one of the grand nursing theories from chapters 7-9 (except Henderson or Peplau)

2.          Obtain an original work of the theorist (i.e., primary source).  You may not be able to so get a source that exemplifies the theory. Do not use your textbook. Provide the reference in your post.

3.          Read the following case study and think about how your theorist would interpret the assessment information provided and intervene. All of this should be consistent with the grand nursing theory you choose.

Address the following items.

1. State which theory you are using In your initial post. Try to be the theorist and see the case from the theory.  For example if you were Roy  you will write about maintaining infection control for the baby in the NICU since her theory is on adaptation to the environm 

3. Write a nursing diagnosis (see PP in lecture)

4.  Write one intervention for the diagnosis that could be applied to the family in the case study. You may choose either the mother, the infant, or the family as your focus.  THE 

INTERVENTION MUST BE CONGRUENT WITH THE THEORY. 

200-270 words

PLEASE DO NOT CHOOSE A CULTURE THEORY. 

Here are some suggestions for concepts to discuss within your theory – depression, post partum. guilt, stress,  family,  premature,transitions, adaptation. 

Case Study

Mrs. Bedlam gave birth to a premature boy baby 3 weeks ago. The baby is still in the NICU at the major medical center 45 miles away. Mrs. Bedlam has only been able to visit once a week when her husband has a day off and can watch their other children, all girls, ages 1, 3, 4, and 6.

The Bedlam family moved from Saudi Arabia 2 years ago. Prior to this pregnancy, Mrs. Bedlam was taking Prozac for depression. She states she feels so guilty because she can’t come to see the baby more often and can’t breast feed him as her culture demands.

Baby Boy Bedlam has necrotizing entercolitis and at least one intracranial bleed. He now weighs 1800 grams. His ventilator is set to deliver 85% oxygen.

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2023 Learning Objectives Students will Assess clients presenting for psychotherapy Develop genograms for clients

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Nursing 2023 Nursing Assessment.

Learning Objectives Students will Assess clients presenting for psychotherapy Develop genograms for clients 2023 Assignment

Learning Objectives

Students will:
  • Assess clients presenting for psychotherapy
  • Develop genograms for clients presenting for psychotherapy

To prepare:

  • Select a client whom you have observed or counseled at your practicum site.
  • Review pages 137–142 of the Wheeler text and the Hernandez Family Genogram video in this week’s Learning Resources. 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

With this client in mind, address the following in a Comprehensive ClientAssessment (without violating HIPAA regulations):

  • 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/trauma
  • Review of systems
  • Physical assessment
  • Mental status exam
  • Differential diagnosis
  • Case formulation
  • Treatment plan

Part 2: Family Genogram

Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents).

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2023 My initial post End of Life The advancement of elderly case has

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Nursing 2023 Advance Primary Care III

My initial post End of Life The advancement of elderly case has 2023 Assignment

  

My initial post:

End of Life

The advancement of elderly case has been determined to encompass assistance that is able and informed on the diseases prone to such age groups. It is crucial to determine the challenges and expectations required to efficiently perform those duties. This can only be properly accomplished with the right set of information accompanying the act and practice itself. It creates the need for research to accurately as possible find out what proper care can be applied. 

This can be accomplished by integration of the evidence obtained throughout all the sectors and levels concerned with that healthcare plan. This will allow seamless treatment and end of life care as it has properly seen and enforced expected conditions. This will lead to the development of newer methods that may be deemed efficient to handle such circumstances. This will lead to the promotion of the best quality practices across the dimensions and will include the assessment of physical, psychological, spiritual and interpersonal practices. It will ensure the use of the best to provide care.

In regard to decision making, the use of evidence based ethical practices will be used to avoid mistreatment of certain elderly patients. As such research ought to indicate their best interests in ensuring which manner of care being used is deemed ethical or respectable to the senior citizens. Support decision making is also encouraged to ensure their participation in whatever decision that they may come across.

In light of ethics, a measure of best practices should be placed to show quality and effectiveness of the care being provided and whether family is involved in treatment and decision making. It should also indicate the satisfaction rate of the patients, their families in the use of healthcare amenities to provide proper end-of-line care. Such research should be given the maximum support by the various stakeholders and beneficiaries of such programs for proper utilization. 

References:

Floyd J. & Buckle J., (1987), Nursing Care of The Elderly Journal of Gerontological Nursing Vol. 13, No. 2, 20-25 accessed at: https://doi.org/10.3928/0098-9134-19870201-07

PROFESSOR QUESTION

Can you give us an example of a case when evidence base practice and establish end of life ethics helped your team to solve an end of life issue?

Thank you

Note of the professor:

Hello class,

Please refer to your APA format in your postings. The journal name and volume is italicized font. Ex.

…The American Nursing Journal,7(9),,,,

Please update your APA to reflect doi or retrieved point, Refer to your APA manual, include the doi or retrieved from .. 

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2023 Unit 1 What Is Nursing Informatics Discuss ways that nursing informatics could be

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Nursing 2023 Unit 1: What Is Nursing Informatics?

Unit 1 What Is Nursing Informatics Discuss ways that nursing informatics could be 2023 Assignment

Unit 1: What Is Nursing Informatics?  

Discuss ways that nursing informatics could be applied to all areas of professional nursing practice, including clinical practice, administration, education, and research. Provide examples of each. What do you see as the biggest significance of nursing informatics, and why?

Please use the following reference as the main resource during the discussion:

  

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett.

Assigned Readings:

  • Chapter 1: Nursing Science and the Foundation of Knowledge
  • Chapter 2: Introduction to Information, Information Science, and Information Systems
  • Chapter 5: Ethical Applications of Informatics
  • Chapter 11 The Human-Technology Interface
  • Chapter 16: Patient Engagement and Connected Health
  • Chapter 21: Nursing Research: Data Collection, Processing, and Analysis
  • Chapter 22: Data Mining as a Research Tool

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2023 Peer replies 1 Alberto Polypharmacy is an area of concern for many

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Nursing 2023 Peer replies DB4

Peer replies 1 Alberto Polypharmacy is an area of concern for many 2023 Assignment

Peer replies

1-Alberto :

Polypharmacy is an area of concern for many patients, especially the elderly.  Elderly patients are at a greater risk for adverse drug reactions (ADRs) because of the reduced drug clearance associated with aging and because of metabolic changes (Boris, Cafiero & Smith, 2014).  Some risk factors associated with polypharmacy are potential of drug-drug interactions because it is further increased by use of multiple drugs.  Another risk factor is hip fractures, associated with adverse drug reactions and losing balance or fainting (Boris, Cafiero & Smith, 2014).  Polypharmacy may sometimes lead to “prescribing cascades.”4 Prescribing cascade is said when signs and symptoms (multiple and nonspecific) of an ADR is misinterpreted as a disease and a new treatment/drug therapy is further added to the earlier prescribed treatment to treat the condition (Piere & Farrell, 2012).

       In my practice working with the elderly population, to reduce the incidence of polypharmacy medication, patients are evaluated on a monthly basis.  Additionally, a single drug is be prescribed instead of multiple drugs for the treatment of a single condition, if possible.  Another strategy we use is staring medication with the lower drug dosage and slowly increasing as indicated.

           A strategy that seems to be effective, according to research, is prescribe drugs that can be given once or twice a day instead of prescribing drugs that require to be taken three times a day (Thomas, Liao, & McCliar, 2016).  The reasoning behind this is to lower the risk of forgetting to take the medication or taking the medication together with other drugs.  Another strategy that can be employed is that if the drug taken has no therapeutic beneficial effect or clinical indication it should be eliminated. Unessential drugs should be identified and eliminated prescribed by different health care providers for the same condition/disease (Thomas, Liao, & McCliar, 2016).

2-maceda 

Polypharmacy refers to the effects of taking multiple medications concurrently to manage coexisting health problems, such as diabetes and hypertension (Piere & Farrell, 2014).  Too often, polypharmacy becomes problematic, such as when patients are prescribed too many medications by multiple healthcare providers working independently of each other. Also, drug interactions can occur if no single healthcare provider knows the patient’s complete medication picture. Nurses have a unique opportunity to help identify patients at risk for inappropriate polypharmacy and to educate patients and families about risk reduction. Nurses can use strategies such as patient teaching and consistency in care plan (Piere & Farrell, 2014). 

Some of the risk factors of polypharmacy are age and chronic conditions.  The elderly are more sensitive to the effects of certain drugs, particularly those that affect the central nervous system.  As a consequence, drug classes such as benzodiazepines should be used with caution, and if absolutely necessary, then at a reduced dose to minimize the risk of falls and other adverse events (Thomas, Liao & McCliar, 2016). In addition, age is associated with decreased regulatory functions, therefore anti-hypertensives can more easily result in postural hypotension and opiates in respiratory depression.  Communication barriers often go undetected in health care settings and can have serious effects on the health and safety of patients. Limited literacy skills are one of the strongest predictors of poor health outcomes for patients (Thomas, Liao, & McCliar, 2016).  If the patient is deaf, can’t see or is illiterate there are various strategies the nurse can use for example, advise the patient to bring someone with them to the visit.  Nurses who are responsible for checking patients in should be friendly and helpful. The length and number of forms patients are asked to fill out should be limited.

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2023 Write a 4 5 page evidence based proposal to support the need for a nurse informaticist in an organization who would

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Nursing 2023 Nursing Informatics In Health Care

Write a 4 5 page evidence based proposal to support the need for a nurse informaticist in an organization who would 2023 Assignment

 

Write a 4-5 page evidence-based proposal to support the need for a nurse informaticist in an organization who would focus on improving health care outcomes.

As you begin to prepare this assessment, you are encouraged to complete the Team Perspectives of the Nurse Informaticist activity. Completion of this will help you succeed with the assessment as you explore the nurse informaticist’s role from the different perspectives of the health care team. Completing activities is also a way to demonstrate engagement.

Nurses at the baccalaureate level in all practice areas are involved in nursing informatics through interaction with information management and patient care technologies. Nurses must not only demonstrate knowledge of and skills in health information and patient care technologies, but also how to use these tools at the bedside and organizational levels. Moreover, nurses need to recognize how information gathered from various health information sources can impact decision making at the national and state regulatory levels.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
    • Define nursing informatics and the role of the nurse informaticist.
    • Explain how the nurse collaborates with the interdisciplinary team, including technologists, to improve the quality of patient care.
    • Justify the need for a nurse informaticist in a health care organization.
  • Competency 2: Implement evidence-based strategies to effectively manage protected health information.
    • Explain evidence-based strategies that the nurse and interdisciplinary team can use to effectively manage patients’ protected health information (privacy, security, and confidentiality).
  • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
    • Follow APA style and formatting guidelines for citations and references.
    • Create a clear, well-organized, and professional proposal that is generally free from errors in grammar, punctuation, and spelling.

Scenario

For this assessment, assume you are a nurse attending a meeting of your state’s nurses’ association. A nurse informaticist conducted a presentation on her role and its impact on positive patient and organizational outcomes in her workplace. You realize that your organization is undergoing many technological changes. You believe this type of role could provide many benefits to your organization.

You decide to pursue proposing a nurse informaticist role in your organization. You speak to your chief nursing officer (CNO) and human resources (HR) manager. These individuals ask you to prepare a 4–5 page evidence-based proposal to support the new role. In this way, they can make an informed decision as to whether the addition of such a role could justify the return on investment (ROI). They need your proposal before an upcoming fiscal meeting.

Preparation

To successfully prepare for this assessment, you will need to complete these preparatory activities:

  • Review assessment resources and activities.
  • Conduct independent research on the nursing knowledge and skills necessary to interact with health information and patient care technology.
    • Focus your research on current resources available through peer-reviewed articles, professional websites, government websites, professional blogs, wiki pages, job boards, et cetera.
    • Consult the BSN Program Library Research Guide for help in identifying scholarly and authoritative sources.
  • Interview peers in your network who are considered information technology experts.
    • Ask them about how information technology advances are impacting patient care at the bedside, at the organizational level, and beyond.

Proposal Format

The Chief Nursing Officer (CNO) and Human Resources (HR) manager have asked you to include the following headings in your proposal and to be sure to address the bullets underneath each heading:

Nursing Informatics and the Nurse Informaticist
  • What is nursing informatics?
  • What is the role of the nurse informaticist?
Nurse Informaticists and Other Health Care Organizations
  • What is the experience of other health care organizations with nurse informaticists?
  • How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team?
Impact of Full Nurse Engagement in Health Care Technology
  • How does fully engaging nurses in health care technology impact:
    • Patient care?
    • Protected health information (security, privacy, and confidentiality)?
    • Workflow?
    • Costs and return on investment?
Opportunities and Challenges
  • What are the opportunities and challenges for nurses and the interdisciplinary team with the addition of a nurse informaticist role?
    • How can the interdisciplinary team collaborate to improve quality care outcomes through technology?
Summary of Recommendations
  • What are 3–4 key takeaways from your proposal about the recommended nurse informaticist role that you want the CNO and the HR manager to remember?
Additional Requirements
  • Written communication: Ensure written communication is free of errors that detract from the overall message.
  • Submission length: 4–5 double-spaced pages, in addition to a title page and references page.
  • Font: Times New Roman, 12 point.
  • Citations and References: Cite a minimum of 3 current scholarly and/or authoritative sources to support your ideas. In addition, cite a minimum of 1 current professional blog or website to support your central ideas. Current means no more than five years old.
  • APA formatting: Be sure to follow APA formatting and style guidelines for citations and references. For an APA refresher, consult the APA Style and Format page on Campus.

Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final capstone course.

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2023 1 Compare vulnerable populations Describe an example of one of these groups in the

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Nursing 2023 dq3

1 Compare vulnerable populations Describe an example of one of these groups in the 2023 Assignment

1. Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial. 

2. 

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue. Cite and reference the article in APA format.  

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