Reflection Journal by 06/18/2021 at 6:00 pm – 2025 Students are required to submit weekly reflective narratives throughout the course that

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Reflection Journal by 06/18/2021 at 6:00 pm – 2025

 

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care
  6. Ensuring the integrity of human dignity in the care of all patients
  7. Population health concerns
  8. The role of technology in improving health care outcomes
  9. Health policy
  10. Leadership and economic models
  11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

You are not required to submit this assignment to LopesWrite.

Discussion post: Identifying and Interpreting Descriptive Statistics – 2025 Examine the survey results downloadable from the link below Choose one of

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Discussion post: Identifying and Interpreting Descriptive Statistics – 2025

Examine the survey results downloadable from the link below. Choose one of the items, determine the descriptive statistic that is reported, and indicate what it means. For example, “What is the highest level of education of this group?” (Please do not repeat the same topic as your classmates.)

Hypothetical Results from Survey

I need one full page with two references to support the evidence. 

Use the scholarly articles that are less than 5 years published to support the evidence and another one  from the book we are using in the class.

Thank you.

Discussion: Building a Health History – 2025 PLEASE FOLLOW THE INSTRUCTION BELOW FOLLOW THE RUBRIC DETAILS ATTACHED ZERO 0 PLAGIARISM FIVE RERENCES

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Discussion: Building a Health History – 2025

PLEASE FOLLOW THE INSTRUCTION BELOW 

FOLLOW THE RUBRIC DETAILS  ATTACHED

ZERO (0) PLAGIARISM

FIVE RERENCES  LESS THAN FIVE YEARS OR NOT UP TO FIVE YEARS

PLEASE FOLLOW THE APA 7TH  WRITING FORMAT/STYLE.

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks. 

 For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.

  

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

  • By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
  • How would your communication and interview techniques for building a health history differ with each patient?
  • How might you target your questions for building a health history based on the patient’s social determinants of health?
  • What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
  • Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
  • Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
  • Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

  • Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

Analyze communication techniques used to obtain patients’ health histories based upon social determinants of health

Analyze health-related risk

 Apply concepts, theories, and principles related to patient interviewing, diagnostic reasoning, and recording patient information

 This is case assignment for this week’s Discussion listed below :

  38-year-old Native American pregnant female living on a reservation

Benchmark – Patient’s Spiritual Needs: Case Analysis – 2025 In addition to the topic study materials use the chart you completed and questions you

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Benchmark – Patient’s Spiritual Needs: Case Analysis – 2025

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

  1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
  2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
  3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

Assignment – 2025 HH is a 68 yo M who has been admitted to the medical ward with

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Assignment – 2025

  

HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.

Ht: 5’8” Wt: 89 kg

Allergies: Penicillin (rash)

Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

Scholarly Activities – 2025 Details Throughout the RN to BSN program students are required to participate in scholarly activities outside of clinical practice or professional

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Scholarly Activities – 2025

 Details:
Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are not required to submit this assignment to Turnitin.

Capstone Project: Milestone 1: Practice Issue and Evidence Summary Worksheet – 2025 Capstone Project Milestone 1 Practice Issue and Evidence Summary Guidelines Purpose Clear

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Capstone Project: Milestone 1: Practice Issue and Evidence Summary Worksheet – 2025

Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines

Purpose

Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star Model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

  • CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO4)
  • CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO8)

Due Dates

Milestone 1 consists of the completion of ONE form with two worksheets called the Practice Issue and Evidence Summary Worksheets. (Links to an external site.)Links to an external site. Complete both worksheets 

Practice Issue Worksheet Directions

  1. A tutorial with tips for completing this assignment may be viewed at https://atge.webex.com/atge/ldr.php?RCID=4905b26a67572323c11b839e3251c96a (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.
  2. Choose the ONE systematic review topic that is of most interest to you, or most relevant to your practice situation, from the List of Approved Systematic Reviews (Links to an external site.)Links to an external site..
  3. Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.
  4. Use the worksheet to document the practice issue presented and approved by your instructor in the Week 2 Discussions.
  5. Your practice issue will be the same for all three Milestone assignments in this course.
  6. Please type your answers directly into the worksheet.

Evidence Summary Worksheet Directions

  1. Develop an evidence summary by following the grading criteria below.
  2. Document this on the evidence summary portion of the worksheet.
  3. You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.
  4. Please type your answers directly into the worksheet.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately 

References

Krogstad, J. M. (2015). Reflecting a racial shift, 78 counties turned majority-minority since 2000. Pew Research Center. Retrieved from http://www.pewresearch.org/fact-tank/2015/04/08/reflecting-a-racial-shift-78-counties-turned-majority-minority-since-2000/

O’Daniel, M., & Rosenstein, A. H. (2008). Professional communication and team collaboration. In R. G. Hughes (Ed.). Patient safety and quality: An evidence-based handbook for nurses. Rockville: MD: Agency for Healthcare Research and Quality.

Rogers, E. M. (1995). Diffusion of innovations (4th ed.). New York, NY: Free Press.

Sanson-Fisher, R. W. (2004). Diffusion of innovation theory for clinical change. Medical Journal of Australia, 180, 55-56.

The Joint Commission. (2009). The Joint Commission guide to improving staff communication(2nd ed.). Oakbrook Terrace, IL: Joint Commission Resources.

The Joint Commission. (2015). Quick safety: Overcoming the challenges of providing care to LEP patients. Retrieved from https://www.jointcommission.org/issues/article.aspx?Article=07L7HYJFF9ixfyUPFpDzwohKEfieQSJZAT2%2bhFsYXm0%3d

Vardaman, J. M., Cornell, P., Gondo, M. B., Amis, J. M., Townsend-Gervis, M., & Thetford, C. (2012). Beyond communication: The role of standardized protocols in a changing health care environment. Health Care Management Review, 37(1), 8897. doi:10.1097/HMR.0b013e31821fa503

Rubric

NR451_Milestone1
NR451_Milestone1
Criteria  

Diabetes and Drug Treatments – 2025 Diabetes is an endocrine system disorder that affects millions of children and adults ADA 2011 If left untreated

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Diabetes and Drug Treatments – 2025

  

Diabetes is an endocrine system disorder that affects millions of children and adults (ADA, 2011). If left untreated, diabetic patients are at risk for several alterations including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations. In this Assignment, you compare types of diabetes including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

To prepare:

· Review this week’s media presentation on the endocrine system and diabetes, as well as Chapter 46 of the Arcangelo and Peterson text and the Peterson et al. article in the Learning Resources.

· Reflect on differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.

· Select one type of diabetes.

· Consider one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.

· Think about the short-term and long-term impact of the diabetes you selected on patients including effects of drug treatments.

Write a 2- to 3- page paper that addresses the following:

· Explain the differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.

· Describe one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Include dietary considerations related to treatment.

· Explain the short-term and long-term impact of this diabetes on patients including effects of drugs treatments.

– This work should have Introduction and conclusion

– This work should have at 4 to 6 current references (Year 2012 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Required Readings

**Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

  • Chapter 36, “Osteoarthritis      and Rheumatoid Arthritis” (pp. 591-609)
         This chapter examines the causes, pathophysiology, and diagnostic criteria      of osteoarthritis and rheumatoid arthritis. It then outlines the process      of selecting, administering, and managing drug therapy for both disorders.
  • Chapter 46, “Diabetes      Mellitus” (pp. 785-806)
         This chapter begins by identifying the causes, pathophysiology, and      diagnostic criteria of diabetes mellitus. It then examines the process of      selecting, administering, and managing drug therapy for patients with      diabetes mellitus.
  • Chapter 47, “Thyroid Disorders” (pp.      809-822)
         This chapter explores the causes, pathophysiology, diagnostic criteria,      and administration of drug therapy for patients with thyroid disorders,      including hypothyroidism, hyperthyroidism, thyroid nodules, subclinical thyroid      disease, and thyroiditis. It also discusses the mechanisms of prescribed      drugs, as well as proper dosages and potential adverse reactions.

**Ben-Zacharia, A. (2011). Therapeutics for multiple sclerosis symptoms. The Mount Sinai Journal of Medicine, 78(2), 176–191. 

Note: Retrieved from the Walden Library databases.

This article covers the diagnosis, treatment, and management of multiple sclerosis and explores methods for treating other health issues that arise from multiple sclerosis.

**Kargiotis, O., Paschali, A., Messinis, L., & Papathanasopoulos, P. (2010). Quality of life in multiple sclerosis: Effects of current treatment options. International Review of Psychiatry, 22(1), 67–82.

Note: Retrieved from the Walden Library databases.

This article examines the process of evaluating and diagnosing patients who present with symptoms of multiple sclerosis and explores treatment and rehabilitation methods.

**Peterson, K., Silverstein, J., Kaufman, F., & Warren-Boulton, E. (2007). Management of type 2 diabetes in youth: An update. American Family Physician, 76(5), 658–664. 

Note: Retrieved from the Walden Library databases.

This article outlines the process of diagnosing, treating, and managing youths with or at risk of type 2 diabetes. It also suggests methods for body weight management and reducing cardiovascular disease risks.

**Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

Required Media

**Laureate Education, Inc. (Executive Producer). (2012). The endocrine system and diabetes. Baltimore, MD: Author. https://class.waldenu.edu/bbcswebdav/institution/USW1/201870_27/MS_NURS/NURS_6521/adobePresenter/Week06/index.htm

This media presentation explores the endocrine system and diabetes including diagnosis and treatment of the disease.

Note: The approximate length of this media piece is 5 minutes.

**Laureate Education, Inc. (Executive Producer). (2012). Advanced pharmacology – Mid-course review. Baltimore, MD: Author.

Micro Mod 4 Discussion – 2025 Question 1 Media Split On Kaci Hickox s Quarantine Newsy Accessed at

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Micro Mod 4 Discussion – 2025

Question 1 :

Media Split On Kaci Hickox’s Quarantine . Newsy. Accessed at https://www.youtube.com/watch?v=Sc2Eb9ksrFk on September 14, 2016.

The Ebola outbreak in Western Africa has already claimed thousands of lives and health organizations around the world fear that the number will only continue to rise. Kaci Hickox, a U.S. nurse who worked for Doctors Without Borders treated Ebola patients in Sierra Leone for several days in 2014. When she returned to the US, she was detained and quarantined, despite showing no symptoms of Ebola.

Research the effects and symptoms of Ebola, then address the following questions in your initial post:

  1. Do you think the restrictive measures imposed on Ms. Hickox were justified?
  2. What are some of the advantages and disadvantages of imposing these measures to guard against spreading potentially contagious diseases?

What ethical considerations should be taken into account in making decisions about when to impose these kinds of restrictive measures?

Question 2 :

  • Which topics and concepts in this course have been most interesting to you?
  • Which class activities or assignments helped you learn the most?
  • Which activities did you find the most challenging?
  • Describe how you improved your knowledge, skills, abilities, and yourself through this course.
  • Evaluate the work you did during the session for the class and explain ways you could have performed better.
  • Identify topics you did not understand or successfully implemented and suggest how to improve the course material on those topics.
  • Do you feel you achieved the course outcomes? Why or why not?

QUESTION 2: The Patient Protection and Affordable Care Act (PPACA) of 2010 – 2025 This is a discussion post about 250 WORDS tittle page not require In

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QUESTION 2: The Patient Protection and Affordable Care Act (PPACA) of 2010 – 2025

  

This is a discussion post, about 250 WORDS, tittle page not require In- text citation is required original work please, scholarly references are required for this assignment, website source strongly preferred.

QUESTION 2: The Patient Protection and Affordable Care Act (PPACA) of 2010

The Patient Protection and Affordable Care Act (PPACA) of 2010 (section titled “Subtitle D”) identifies requirements relating to provider compliance with fraud, waste, and abuse laws. Identify three measures that your health care organization ((or health care organizations in general) has initiated, or could initiate, to comply with these measures. Support your analysis with a minimum of two peer-reviewed articles. Support your response with a minimum of three peer-reviewed references.