Write a 1500-1750 word APA paper addressing each of the following points. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources and the textbook using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Case study #1 

Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”

• Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge?
• Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
• Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
• Discuss the strengths and limits to Leininger’s Theory.

Case Study #2

Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.

• Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?
• How is love, as defined by Watson, evident in this caring moment?
• How can the nurse creatively use self to create a healing environment?
• Discuss the strengths and limits to Watson’s Theory.

Assignment Expectations:

Length: 1500 – 1750 words

Structure: Include a title page and reference page in APA format.

 instructions

1.   Create an APA-style Title Page for this assignment (2 points)    

2.   Put each of the following seven Article References in accurate APA format (see below). 

 3.   Create an APA-style References page by alphabetizing the seven Article References. (4 points for each reference).  Note:  Always leave authors within each reference in the order they appear (do not alphabetize the authors in the reference); it is an honor to be primary authors.  Always list last name of author(s), followed by initials.

4.   Use the Alphabetized APA-style REFERENCE PAGE to fill in the In-Text citations on the next page.(5 points for each in-text citation)  

 Article References 

 Author(s): Abela-Dimech, F., & Vuksic, O.

Journal:  Archives of Psychiatric Nursing

Title of article:  Improving the Practice of Handover for Psychiatric Inpatient Nursing Staff

Pages: 729-736

Year published: 2018

Volume: 32

Issue: 5

DOI:https://doi-org.chamberlainuniversity.doi:10.1016/j.apnu.2018.04.004 

 

Author(s): Tobiano, G., Whitty, J. A., Bucknall, T., & Chaboyer, W.

 Journal:  Worldviews on Evidence-Based Nursing

Title of article). Nurses’ perceived barriers to bedside handover and their implication for clinical practice

Pages: 343-349

Year published: 2017

Volume: 14

Issue: 5

DOI: https://doi-org.chamberlainuniversity.idm.oclc.org/10.1111/wvn.12241 

 Author(s): Bressan, V., Cadorin, L., Pellegrinet, D., Bulfone, G., Stevanin, S., & Palese, A.

Journal:  Journal of Nursing Management

Title of article:  Bedside shift handover implementation quantitative evidence: Findings from a scoping review.

 Pages: 815-832

Year published: 2019

Volume: 27

Issue: 4

DOI:https://doi-org.chamberlainuniversity.doi:10.1111/jonm.12746 

 Author(s): Walsh, J., Messmer, P. R., Hetzler, K., O’Brien, D. J., & Winningham, B. A.

Journal:   Journal of Continuing Education in Nursing,

Title of article:  Standardizing the Bedside Report to Promote Nurse Accountability and Work effectiveness

Pages:  460-466

Year: 2018

Volume: 49

Issue: 10

DOI: https://doi-org.chamberlainuniversity.idm.oclc.org/10.3928/00220124-20180918-06 

 Author(s):  Christine Wollenhaup, Eleanor Stevenson, Julie Thompson, Helen Gordon, & Gloria Nunn

Journal: Journal of Nursing Administration 

Title: Implementation of a modified bedside handoff for a postpartum unit

Pages:320-326

Year:2017

Volume:47

Issue:6

Doi: https://doi-org.chamberlainuniversity.doi:10.1097/NNA.0000000000000487 

 Author(s):  Schirm, V., Banz, G., Swartz, C., & Richmond, M.

Journal:  Applied Nursing Research

Title: Evaluation of bedside shift report: A research and evidence-based practice initiative.

Pages: 20-25.

Year: 2018

Volume: 40

Doi: https://doi-org.chamberlainuniversity.doi: 2017.12.004 

 Author:  Forde, M. F., Coffey, A., & Hegarty, J.

 Journal:  Journal of Nursing Management

Title: The factors to be considered when evaluating bedside handover

Pages: 757-768

Year:2018

Volume:26

Issue: 7

DOI: https://doi.org/10.1111/jonm.12598 

 For the Following Sentences: Complete the following in-text and parenthetical citations correctly citing the sources indicated from alphabetized APA-STYLE REFERENCE PAGE YOU CREATED. Do NOT change the contents of the original sentences. (FYI:  BSR=Bedside Report) Carefully follow APA rules for in-text citations (6 points each). 

 

1.   Standardization of handoff practices with a consistent communication framework across the organization can improve the effectiveness of nursing handoff, increase nurse satisfaction, and improve safety of both staff and patients.  (Cite source 1 for the first time ) 

2.   “Nurses’ perceptions revealed agreement with the effectiveness, efficiency, helpfulness, accountability, professionalism, patient involvement, safety, and plan of care information” (Cite source 4 for the first time, p. 22)

3.   Many studies explored nurse perception of communication pre-and post-implementation of BSR utilizing a variety of reliable survey tools. (Cite source 4 for the second time)

4.   According to ______________, this standardized form will help to track progress and observations. Continual feedback and monitoring to make sure behaviors become natural and bedside shift report is implemented consistently is recommended in the literature. (Cite source 1 for the second time)

5.   Similarly, the findings of ________________ are consistent with the literature, where patients involved with BSR have improved outcomes. (Cite source 3 for the first time)

6.   Effective handoff communication in healthcare is essential for quality patient care. Gaps in handoff communication can cause serious breakdowns in the continuity of care, inappropriate treatment, and patient dissatisfaction___________. (Cite source 6 the first time) 

7.   Ineffective handoff communication decreases patient safety and satisfaction, nursing satisfaction, which in turn increases costs for healthcare organizations__________.  (Cite source 6 for the second time) 

 8.   More specifically, patient participation was noted to hinder effective communication and nurses felt they were not communicating all information to the patient. “Nurses were concerned that increased time was an expected outcome of BSR, thus increasing end of shift hours for nursing” ________.   (Cite source 5 for the first time, p. 346).

9.   The financial benefit of BSR can be attributed to decreased nursing overtime hours and a decrease in patient falls__________. (Cite source 5 for second time) 

10. If adopted throughout the psychiatric units, BSR can be incorporated into annual skills competency day for nurses, allowing for refinement and continuous evaluation. Lastly, the literature also supports having BSR educational sessions and training as part of onboarding for new hires. (Cite source 2 for the first time).

11.  Communicating these results can be the reinforcement of practicing BSR daily. (Cite source 2 for second time)

12. Ineffective handoff communication is the most frequently cited root cause of sentinel events. (Cite source 7 for the first time) 

 

Below isthe template you are to follow when developing your managementplan. Also, always be sure to complete the EMR on the case. Usethis template with each case. It is not a SOAP format asthat is not required. Points will be deducted for not utilizingthe template.

THISSECTION IS 30 POINTS!!! Follow the bullet points below. Copy and answer eachbullet point on a word document and cut and paste your responses to themanagement section!

 

•  Primary Diagnosis and ICD-10 code: Also include any procedural codes.
• 3-5 Differential Diagnoses- Why? What made you select each one as a DDX? How did you rule out? This would be a good area to include references.
• Additional laboratory and diagnostic tests: It may be necessary to establish or evaluate a condition. Some tests, such as MRI, may require prior authorization from the patient’s insurance carrier. 
• Consults: referrals to specialists, therapists (physical, occupational), counselors, or other professionals. If you are sending it to the hospital, what orders would you write for a direct admit? 
• Therapeutic modalities: pharmacological and nonpharmacological management. 
• Health Promotion: Address risk factors as appropriate. Consider age-appropriate preventive health screening.
• Patient education: Explanations and advice given to patient and family members. 
• Disposition/follow-up instructions: when the patient is to return sooner, and when to go to another facility such as the emergency department, urgent care center, specialist, or therapist.
• References (minimum of 3, timely, that prove this plan follows the current standard of care

 

 

 

 

 

 

 

Pediatric SOAP Note

Name: P. L	Date: 03/09/2018
Sex: Male	Age/DOB/Place of Birth: 16 y.o/03/01/2001/Cuba
SUBJECTIVE
Historian: Mother and patient Present Concerns/CC: “I’ve been having horrible headaches on and off for the last 2 weeks”
Child Profile: Patient is a high school student with no significant past medical history. He is enrolled in a dual program where he is taking college classes in advance. Described by his mother as an A+ student. He does participate in sports at school being part of the baseball league. Patient goes to school during the day and spends most of his free time studying. He eats a balanced diet including meat, vegetables, and salads. Patient drinks water throughout the day and does not like soda beverages. Denies drinking energetic drinks. He uses seatbelt at all times while in a car.
HPI: Otherwise healthy 16 y/o male seen in the office for complaints of daily headache for 2 weeks. Pain is described as dull and pounding and intermittent. Pain is mainly located in the back of the head but at times radiates to the top and to the sides. Patient can’t say if there are specific triggers for the pain because he experiences it at any time. Pain is alleviated by rest and in other instances he has taken Excedrin Extra Strength with little relief. Denies photophobia, blurred vision, or diplopia. Patient admits to some pressure with the studies as he is trying to get a full scholarship for university. Med

Medications: Benadryl pen for sleep Acetaminophen or Advil pen for headache Excedrin prn

PMHX: Allergies: NKA Medication Intolerances: None Chronic Illnesses/Major traumas: None Hospitalizations/Surgeries: None Immunizations: Up to date

Family History Mother and father alive. Mother has history of GERD and father suffers from HTN. Paternal grandparents are deceased. Both of old age. Maternal grandfather and maternal grandmother are alive, and they only suffer from GERD and OA.

Social History Patient is only child and lives with his parents. He is currently on high school. He is enrolled in a dual program where he is taking college classes in advance. He spends most of his time studying. He has applied to various universities and expects to obtain full scholarship. Mother denies guns at home or exposure to second hand smoking. Patient does not work because his school requires him to spend a great amount of time to it. Both parents are very supportive of patient. Patient denies being sexually active and denies having a girlfriend. He has a group of close friends.

 3 paprgraph of at least 5 sentences with 2 cited sources of not older than 2015

Developing Effective Leaders to Meet 21st-Century Health Care Challenges

1. Is there a model of leadership that better supports leadership at the point of service? Why? Why not?
2. How could formal leadership training for nurse managers and leaders impact hospitals in terms of saving money related to recruitment, nursing satisfaction, nurse wellness, and retention?
3. How do traditional attributes associated with the nursing profession promote effective leadership in the 21 st century?

 

It is necessary for an nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

1. Describe the clinical manifestations present in Mr. M.
2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
5. Discuss what interventions can be put into place to support Mr. M. and his family.
6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide,