2023 Review the Institute of Medicine s 2010 report The Future of Nursing Leading Change Advancing Health Write a 750 1 000 word paper

Nursing 2023 NRS-430V Professional Dynamics

Review the Institute of Medicine s 2010 report The Future of Nursing Leading Change Advancing Health Write a 750 1 000 word paper 2023 Assignment

Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750-1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:

  1. Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
  2. Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN-prepared nurses.
  3. Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.
  4. Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health-illness continuum.
  5. Discuss how nurses can assist in effectively managing patient care within an evolving health care system.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

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2023 Sabrina is a 26 year old female who has just been diagnosed with multiple

Nursing 2023 Nursing

Sabrina is a 26 year old female who has just been diagnosed with multiple 2023 Assignment

  

Sabrina is a 26 year old female who has just been diagnosed with multiple sclerosis. She has scheduled an appointment for a follow up with her physician but has several questions about her diagnosis and is calling the Nurse Helpline for her hospital network. As she talks with the advanced practice nurse, she learns that her diagnosis also impacts her neurologic and musculoskeletal systems. Although multiple sclerosis is an autoimmune disorder, both the neurologic and musculoskeletal systems will be affected by adverse symptoms that Sabrina needs to be aware of and for which specific drug therapy plans and other treatment options need to be decided on.

As an advanced practice nurse, what types of drugs will best address potential neurologic and musculoskeletal symptoms Sabrina might experience?

 evaluate patients for the treatment of neurologic and musculoskeletal disorders by focusing on specific patient case studies through a decision tree exercise. You will analyze the decisions you will make in the decision tree exercise and reflect on your experiences in proposing the recommended actions to address the health needs in the patient case study.

  • Evaluate      patients for treatment of neurologic and musculoskeletal disorders
  • Analyze      decisions made throughout the diagnosis and treatment of patients with      neurologic and musculoskeletal disorders
  • Justify      decisions made throughout the diagnosis and treatment of patients with      neurologic and musculoskeletal disorders
  • For      your Assignment, your Instructor will assign you one of the decision tree      interactive media pieces provided in the Resources. As you examine the      patient case studies in this module’s Resources, consider how you might      assess and treat patients presenting symptoms of neurological and      musculoskeletal disorders.
  • Photo      Credit: Getty Images/Science Photo Library RF
  • To      Prepare
  • Review      the interactive media piece assigned by your Instructor. 
  • Reflect      on the patient’s symptoms and aspects of the disorder presented in the      interactive media piece.
  • Consider      how you might assess and treat patients presenting with the symptoms of      the patient case study you were assigned.
  • You      will be asked to make three decisions concerning the diagnosis and      treatment for this patient. Reflect on potential co-morbid physical as      well as patient factors that might impact the patient’s diagnosis and      treatment.
  • Write      a 1- to 2-page summary paper that addresses the following:
  • Briefly      summarize the patient case study you were assigned, including each of the      three decisions you took for the patient presented.
  • Based      on the decisions you recommended for the patient case study, explain      whether you believe the decisions provided were supported by the      evidence-based literature. Be specific and provide examples. Be sure to      support your response with evidence and references from outside resources.
  • What      were you hoping to achieve with the decisions you recommended for the      patient case study you were assigned? Support your response with evidence      and references from outside resources.
  • Explain      any difference between what you expected to achieve with each of the      decisions and the results of the decision in the exercise. Describe      whether they were different. Be specific and provide examples.

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2023 Answer and submit Ethical Issue questions on p 64 in no less than

Nursing 2023 Effective communication assignment one

Answer and submit Ethical Issue questions on p 64 in no less than 2023 Assignment

  

Answer and submit “Ethical Issue” questions on p. 64 in no less than 350 words.

Consider situation in which imposing an identity onto some one might be considered unethical. Is it unethical to tell people that they are strong when attempting to get their assistance with lifting a heavy object? Is that situation unethical if you really do not believe they are strong? Is encouraging your classmate by telling them that they are smart and will do well on an upcoming exam unethical. If you really do not believe either to be true are saying to help

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2023 In preparation for the capstone change project proposal compile a list of three to five possible topics for

Nursing 2023 project topic

In preparation for the capstone change project proposal compile a list of three to five possible topics for 2023 Assignment

  

In preparation for the capstone change project proposal, compile a list of three to five possible topics for your project and submit to the assignment instructor.

Using PICOT formulate five original project topic from the following;

1. Bipolar

2. Metabolism syndrome

3.  Depression

4. Hypothyroidism

5. Hyperthyroidism

Sample of PICOT questions: 

In adult cardiac surgery patient  experiencing post-operative pain (P) immediately following surgery (P), is morphine (I) or fentanyl (C), administered intravenously,

more effective in reducing postoperative(T) pain (O)?

For immune-compromised patients, 50 years and older (P),

does the use of pneumonia vaccine (I) reduce the future risk (T) of pneumonia (O) compared with patients who have not received the vaccine (C)?

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2023 Describe any assumptions that you may have about what the research based evidence will reveal to be true

Nursing 2023 Unit 6 Discussion 2

Describe any assumptions that you may have about what the research based evidence will reveal to be true 2023 Assignment

  • Describe any assumptions that you may have about what the research-based evidence will reveal to be true.
  • Are you receptive to research findings that do not agree with your assumptions? Please explain.
  • Have you already formed your own conclusions and are you looking for evidence to support your claims? Please explain.

Please be sure to validate your opinions and ideas with citations and references in APA format.

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2023 To prepare Access the Fierce Healthcare website Enter your e mail address

Nursing 2023 Subscribing to a Newsletter

To prepare Access the Fierce Healthcare website Enter your e mail address 2023 Assignment

  

To prepare:

· Access the Fierce Healthcare website.

· Enter your e-mail address into the “sign up for our newsletter” section of the website. You will receive a confirmation e-mail shortly after signing up. Copy and paste this confirmation into a Word document. If you are having trouble copying the e-mail in its entirety, you may also utilize the “print screen” button on your keyboard and then paste the copy of your screen into your Word document. Save this confirmation document, as you will submit this with your final paper.

· Over the next weeks, make time to regularly browse the newsletters that you receive, selecting two informatics articles that are of particular interest to you. Each of the articles that you select must come from a different newsletter.

To complete:

Submit a 3-page paper that addresses the following:

· Summarize the key points of each article you have selected (2 INFORMATICS ARTICLES). In your summary, include how the informatics topic, trend, initiative, etc. is impacting nursing practice and/or health care settings. In addition, explain how nursing practices, the needs of patient populations, and society in general are influencing the informatics topics being discussed.

· Explain how (or if) you found the Fierce Healthcare newsletters to be beneficial to your studies and/or your professional growth as a scholar practitioner. In your explanation, include whether or not you intend to continue your subscription and whether or not you are considering signing up for any other digital communications from professional organizations. Explain your rationale.

· Provide a copy of your confirmation e-mail at the end of your paper. (Note that this does not contribute towards your page count.

The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

APA Style, 3 pages of information. Master Degree quality.

Is a NURSING INFORMATICS assignment.  

Due date 5/6/2018 10am Eastern Time. 

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2023 Respond of your colleagues who were assigned to a different case than you Explain how you might

Nursing 2023 Post Samatha

Respond of your colleagues who were assigned to a different case than you Explain how you might 2023 Assignment

 

Respond  of your colleagues who were assigned to a   different case than you. Explain how you might apply knowledge gained   from your colleagues’ case studies to you own practice in clinical   settings as a Psychiatric Nurse Practitioner.

NOTE: Positive comment

                                            Main Post

The three questions this writer would as the patient are: 

Did your depressive symptoms worsen after the death of your husband? 

How many hours per night do you sleep on average? 

Do you sleep throughout those hours of sleep or do you wake constantly? 

Do you ingest any stimulants like coffee or chocolate before bed? 

Do you sleep during the daytime? 

The rationale behind question one is to gauge the timeline of the  patient’s depression. She appears to have been suffering with untreated  depression for a long time, however the additional symptoms of insomnia  and tearfulness seemed to worsen after his death. With this information  the nurse practitioner will know if her depression is in an acute state  and the severity of her illness.The patient is reporting sleeplessness;  however the nurse practitioner needs to gauge if the patient is  participating in restful sleep. Sleep of two hours or less may only  consist of REM sleep (Boland et al., 2020). If the patient is not  getting restful sleep, she is not benefiting from the bodily repair that  takes place during sleep (Fitzgerald et al., 2017).  This can place her  at an increased risk for other illnesses and heighten depressive  symptoms (Uchmanowicz et al., 2019).Knowing if the patient sleeps  consistently throughout those hours of sleep will provide information to  the nurse about the kind and amount of sleep the patient is getting.  Ingesting certain stimulants like caffeinated drinks, coffee or  chocolate can affects the client’s sleep by providing wakefulness (Ulke  et al., 2017).  If the patient is sleeping during the daytime, her  circadian rhythm could have been reversed where she will need less sleep  during the night time hours (Fitzgerald et al., 2017).

The people this writer would interview are:

The patient’s aide 

The patient’s son 

The patient aide may be able to provide more information about  observed sleepiness during the daytime. In addition, she will be able to  provide information on the patient’s dietary patterns and physical  activity. The questions to the aide would be:    

Does she easily nod off during the daytime? 

Does she easily become fatigued? 

Does she consume a well-balanced diet? 

Question one would illicit answers about her getting sleep. 

It appears that she in fact getting sleep but because of a revered  circadian rhythm she is not able to get the sleep at the night which is  the desired time.  Question two will help the nurse practitioner gauge  the extent of the effects that non sleep has taken on the patient’s  life. The patient, if constantly fatigued throughout the day has a life  that has been highly impacted by the lack of sleep. The aide would be  able to provide a clear, picture of the patient’s diet. The aide would  be able to reveal if the patient consumes a vast amount of sugar or  caffeine which could interrupt sleep.

Questions to the son would surround the family’s psychiatric history.   These questions will help the nurse practitioner construct the family  history of the patient and rule out or consider familial history as a  cause for her symptoms.

Can you recall any maternal family members with psychiatric disorders including depression and insomnia? 

Did the symptoms start after the death of the client’s husband?  

This would help the nurse practitioner rule out depressive symptoms as the cause of her insomnia.

Physical Examinations and Tests

Sleep Study:

Polysomnogram – The sleep study or polysomnogram  measures the brain waves, blood oxygen, leg movements and breathing  during sleep (Meghdadi et al., 2019). The Nurse Practitioner would be  able to rule out physiological reason’s ad the cause for the patient’s  insomnia.

Actigraphy: This is where a small device is worn on  the wrist and it measures the person’s sleep wake cycle for a specified  period (Meghdadi et al., 2019). This is convenient for this client and  the Nurse Practitioner would be able to monitor the client’s sleep  health and gauge the severity of the disruption of her sleep.The nurse  practitioner could also physically examine the patient’s nares for  septal occlusion.

Septal occlusion or deviation could lead to problems  with sleeping even during sleep, this would be important for the nurse  practitioner to evaluate as this could be interfering with the patient’s  sleep.

Epworth sleepiness scale – assesses the patient’s  tendency to nod off in various situations (Meghdadi et al., 2019).  For  this client it would be necessary for the nurse practitioner to assess  the severity of her nodding off during the day time especially at  unexpected times like during eating and other activities that would put  her safety at risk. 

Differential Diagnosis

G47.00 Unspecified Insomnia Disorder– The patient is  experiencing insomnia at nighttime that could be related to several  factors. She reports staying up late to watch T.V., depressive symptoms,  restless leg syndrome, sleep apnea and sleeping during the daytime.  Some of these factors have not been ruled out yet as the cause of her  anxiety. 

G47.23 Persistent Irregular Sleep Wake type severe 

F32.9 Unspecified Depressive Disorder 

G25.81 Restless legs syndrome 

Medications:

Trazodone 50 mg – This medication would be the first choice as it  offers antidepressant properties as well as promotes sleep in those  diagnoses with insomnia. It is generally safe for the elderly population  at low doses (Pagel et al., 2018). The Nurse Practitioner should  monitor the patient and evaluate the needs to slowly increase or in some  cases decrease the dose. 

Rozerem 8 mg- Is a nonbenzodiazepine hypnotic that promotes sleep.  The patient would benefit from his, but an added benefit would be that  she would be at a diminished risk of falls as this is a concern  following the use of hypnotics in the elderly. This drug is reported as  one that would prevent less falls from over sedation (Pagel et al.,  2018).

Lessons Learned            

This writer has learned that it is important to conduct a complete  evaluation of the patient and not just focus on the presenting symptoms.  There are additional environmental and physiological symptoms that  could be attributed to the patient’s insomnia. In this case the patient  had several factors that could be contributing her insomnia and they  needed to be ruled out. The cause of her insomnia could have been  physiological from the sleep apnea or from her habits of staying up tool  late at nights and sleeping during the daytime. It is also important to  evaluate medications, social and economic factors before the resorting  to pharmacological interventions. 

References

Boland, E. M., Vittengl, J. R., Clark, L. A., Thase, M. E., &  Jarrett, R. B. (2020). Is sleep disturbance linked to short- and  long-term outcomes following treatments for recurrent depression? Journal of Affective Disorders262, 323–332. 

FitzGerald, J. M., O’Regan, N., Adamis, D., Timmons, S., Dunne, C. P., Trzepacz, P. T., & 

Meagher, D. J. (2017). Sleep-wake cycle disturbances in elderly acute  general medical inpatients: Longitudinal relationship to delirium and  dementia. Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring7, 61–68. 

Meghdadi, A. H., Popovic, D., Rupp, G., Smith, S., Berka, C., &  Verma, A. (2019). Transcranial Impedance Changes during Sleep: A  Rheoencephalography Study. IEEE Journal of Translational Engineering  in Health and Medicine, Translational Engineering in Health and  Medicine, IEEE Journal of, IEEE J. Transl. Eng. Health Med7, 1–7.  

Pagel, T., Seithikurippu R. Pandi-Perumal, & Jaime M. Monti. (2018). Treating insomnia with medications. Sleep Science and Practice, (1), 1. Uchmanowicz I, Markiewicz K, 

Uchmanowicz B, Kołtuniuk A, & Rosińczuk J. (2019). The  relationship between sleep disturbances and quality of life in elderly  patients with hypertension. Clinical Interventions in Aging, 155. 

Ulke, C., Sander, C., Jawinski, P., Mauche, N., Huang, J., Spada, J.,  Hegerl, U. (2017). Sleep disturbances and upregulation of brain arousal  during daytime in depressed versus non-depressed elderly subjects. World Journal of Biological Psychiatry18(8), 633–640.    

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2023 Planning is the key to the successful completion of this course and program related objectives

Nursing 2023 Individual Success Plan (ISP)

Planning is the key to the successful completion of this course and program related objectives 2023 Assignment

         

Planning is the key to the successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course preceptor. Students must establish a plan for successful completion of

  1. The required 50 community direct clinical practice experience hours, 50 leadership direct clinical practice hours, and 25 indirect clinical experience hours.
  2. Completion of work associated with program competencies.
  3. Work associated with the completion of the student’s capstone project change proposal.

Students will use the “Individual Success Plan” to develop an individual plan for completing practice hours and course objectives. As a part of this process, students will identify the number of hours set aside to meet course goals.

Student expectations and instructions for completing the ISP document are provided in the “NRS-493 Individual Success Plan” resource, located in the Study Materials and in the assignment instructions.

Students should apply concepts from prior courses to critically examine and improve their current practice. Students are expected to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.

After the ISP has been developed by the student and approved by the course faculty, students will initiate a pre-conference with the faculty and preceptor to review the ISP.

You are not required to submit this assignment to LopesWrite.

Attachments NRS-493-RS1-IndividualSuccessPlan.docx

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2023 Your comments will be graded on how well they meet the Discussion Requirements posted under Before You Begin Make

Nursing 2023 Healthcare Discussion 3

Your comments will be graded on how well they meet the Discussion Requirements posted under Before You Begin Make 2023 Assignment

Your comments will be graded on how well they meet the Discussion Requirements posted under “Before You Begin.”

Make sure to review the E-learning course – Introduction to public health surveillance presentation.

  1. The Introduction to public health surveillance presentation identified 7 uses of public health surveillance. Identify two uses that relate to epidemiology of diseases.
  2. Discuss descriptive epidemiology aspect of disease surveillance.
  3. Discuss the three main observational study designs, if you are to conduct an observational study of a population grouped into smokers and non-smokers. Which of the three main study designs would you use and why? Please provide in-text citation(s) to support your point of view.

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2023 Minimum of 250 words with at least 2 peer review reference in

Nursing 2023 NUR621-D3Q1R2

Minimum of 250 words with at least 2 peer review reference in 2023 Assignment

 

Minimum of 250 words with at least 2 peer review reference in 6th edition APA format.

 Identify two quality metrics used in your clinical workplace. How are these measured and are the results shared with the nursing staff? If not, do you think they should be? What would be the benefit? 

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