Tag Archive for: Nursing Assignment Help

2023 Chief complaint I m here for a medication refill because I ran out

Nursing 2023 Discussion Board

Chief complaint I m here for a medication refill because I ran out 2023 Assignment

 

Chief complaint: “I’m here for a medication refill because I ran out of my medicines”.

HPI:  Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.

She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway.

PMH: Primary Hypertension, Previous history of MI 1 year ago

Surgeries:

1 year ago-Left Anterior Descending (LAD) cardiac stent placement

Allergies: Penicillin

Vaccination History:  Up-to-date

Social history:

High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago.

Family history:

Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.

ROS:

Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks.

Psychiatric: Non-contributory.

Physical examination:

Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111,  R 22 and non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH: Normal affect. Cooperative. SKIN: No rashes. Positive for dry skin.

Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

A:

Primary Diagnosis: Congestive Heart Failure (CHF)

Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA)

Differential Diagnosis: Peripheral Vascular Disease (PVD)

Plan:

Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain

Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index.

Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 %

BNP – not available.

As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease).

Questions:

1.     According to the ACC/AHA guidelines, what medications should this patient be prescribed?

2.     Does he need medication(s) given his history of MI?

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2023 ppend Start by reading and following these instructions 1 Quickly skim the questions or assignment below

Nursing 2023 EBP and political research

ppend Start by reading and following these instructions 1 Quickly skim the questions or assignment below 2023 Assignment

ppend.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussions and any insights gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment: This assignment has two parts

Part 1. EBP Research

Locate two research articles on the topic of your choice, but each article needs to use a different research method (quantitative, qualitative, or mixed methods). First, summarize both articles. Then answer the following questions…

  • Which type of research article did you find easier to understand? Explain
  • If you had to complete a research project which style would you choose and why?

This section should include 2 outside references and your book. This section should be at least 1000 words.

Part 2. Political Letter

Identify a current state or national healthcare or nursing issues that impact nurses or healthcare. Possible websites to locate an issue would be…

State Nursing Association

American Nursing Association

Specialized Professional Organizations

Once you have found your issue, write a letter to your governor, senator, or congress person. Your letter should be 500 words, in a block format and addresses should be included. Your first paragraph should state the issue. The second paragraph should state how the issue affects you personally as a nurse (avoid medical jargon). The third paragraph should state how the issue affects the community. Your fourth and final paragraph should restate the importance of the issue and thank the individual for their time and attention to the issue.

Your references for the letter should not be cited in your letter, but should be included on a separate reference page. 

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2023 the test is for my Health Science terminology class it is on chapters 1 8 will be available under

Nursing 2023 HEALTH SCIENCE TEST

the test is for my Health Science terminology class it is on chapters 1 8 will be available under 2023 Assignment

the test is for my Health Science terminology class it is on chapters 1-8. will be available under Content on Monday, July 9, 2018 from 6 AM-7PM. You have one attempt. There will be 50 questions. You will have 90 minutes. i will give you my log in and password. There is only one attempt.

Chapter 1. The Anatomy of Medical Terms

Chapter 2. The Body as a Whole

Chapter 3. The Integumentary System

Chapter 4. The Skeletal System

Chapter 5. Muscles and Tendons

Chapter 6. The Cardiovascular and Circulatory Systems 

Chapter 7. The Blood, Lymphatic, and Immune Systems

Chapter 8. The Respiratory System

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2023 Choose ONE of these re emerging diseases Measles Mumps or Cholera Locate an article in a newspaper in a lay magazine

Nursing 2023 Reemerging Measles Mumps OR Cholera

Choose ONE of these re emerging diseases Measles Mumps or Cholera Locate an article in a newspaper in a lay magazine 2023 Assignment

-Choose ONE of these re-emerging diseases…Measles, Mumps or Cholera

-Locate an article in a newspaper, in a lay magazine, or on an organizational website that discusses an emerging or re-emerging infectious disease that is currently affecting your community. Reflect on the article you selected and think about how the emerging or re-emerging disease might affect nursing practice

-Briefly summarize the article you selected and provide the reference. Then, address the following: 

  • What implications does the disease have for nursing practice? 
  • How does the emergence of this disease affect your personal practice? 
  • Why do you think that this disease is emerging/re-emerging? 
  • What is the nurse’s role in preventing and managing the impact of infectious diseases both from the patient and nurse perspective? 

Support your response with references from the professional nursing literature. 3-paragraph (at least 350 words) 

 Be sure to use evidence from the readings and include in-text citations. A reference list is required. Use the most current evidence (usually ≤ 5 years old)

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2023 The purpose of this paper is to complete a comparative ethical analysis of George s situation and

Nursing 2023 DEATH AND DYING CASE STUDY

The purpose of this paper is to complete a comparative ethical analysis of George s situation and 2023 Assignment

  

The purpose of this paper is to complete a comparative ethical analysis of George’s situation and decision from the perspective of two worldviews or religions: Christianity and a second religion of your choosing. For the second faith, choose a faith that is unfamiliar to you. Examples of faiths to choose from include Sikh, Baha’i, Buddhism, Shintoism, etc.

In your comparative analysis, address all of the worldview questions in detail for Christianity and your selected faith. Refer to Chapter 2 of Called to Care for the list of questions. Once you have outlined the worldview of each religion, begin your ethical analysis from each perspective.

In a minimum of 1,500-2,000 words, provide an ethical analysis based upon the different belief systems, reinforcing major themes with insights gained from your research, and answering the following questions based on the research:

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2023 After reading Chapter 7 in Nurse Educator Competencies Creating an Evidence Based Practice for Nurse

Nursing 2023 Competency

After reading Chapter 7 in Nurse Educator Competencies Creating an Evidence Based Practice for Nurse 2023 Assignment

After reading Chapter 7 in Nurse Educator Competencies: Creating an Evidence-Based Practice for Nurse Educators, reflect on Competency 6 -Pursue Continuous Quality Improvement in the Nurse Educator Role and the associated behaviors as related to your practicum experience. How will you meet this competency or what do you need to do to meet, this competency during your Practicum or how might you meet it if you have a position as an educator in any setting?
400-500 words and 2-3 references

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2023 Understanding family structure and style is essential to patient and family care Conducting a family interview

Nursing 2023 Family Health Assessment Part I

Understanding family structure and style is essential to patient and family care Conducting a family interview 2023 Assignment

Understanding family structure and style is essential to patient and  family care. Conducting a family interview and needs assessment  gathers information to identify strengths, as well as potential  barriers to health. This information ultimately helps develop  family-centered strategies for support and guidance.

This family health assessment is a two-part assignment. The  information you gather in this initial assignment will be utilized for  the second assignment (Family Assessment Part II).

Develop an interview questionnaire to be used in a family-focused  functional assessment. The questionnaire must include three  open-ended, family-focused questions to assess functional health  patterns for each of the following:

  1. Values/Health Perception
  2. Nutrition
  3. Sleep/Rest
  4. Elimination
  5. Activity/Exercise
  6. Cognitive
  7. Sensory-Perception
  8. Self-Perception
  9. Role Relationship
  10. Sexuality
  11. Coping

Select a family, other than your own, and seek permission from the  family to conduct an interview. Utilize the interview questions  complied in your interview questionnaire to conduct a family-focused  functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750-1,000-word paper.  Analyze your assessment findings. Submit your questionnaire as an  appendix with your assignment.

Include the following in your paper:

  1. Describe the family structure. Include individuals and any    relevant attributes defining the family composition, race/ethnicity,    social class, spirituality, and environment.
  2. Summarize the    overall health behaviors of the family. Describe the current health    of the family.
  3. Based on your findings, describe at least    two of the functional health pattern strengths noted in the    findings. Discuss three areas in which health problems or barriers    to health were identified.
  4. Describe how family systems    theory can be applied to solicit changes in family members that, in    turn, initiate positive changes to the overall family functions over  time.

Cite at least three peer-reviewed or scholarly sources to complete  this assignment. Sources should be published within the last 5 years  and appropriate for the assignment criteria.

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 Select an age group infant toddler child adolescent young adult middle age adult or older adult What

Nursing 2023 db

Select an age group infant toddler child adolescent young adult middle age adult or older adult What 2023 Assignment

 

Select an age group (infant, toddler, child, adolescent, young adult, middle age adult or older adult). What physical changes is this group experiencing? What are some pathological risks? Are there social factors affecting their ability to achieve wellness? What can advanced practice nurses do to promote health in this group?   

Follow the link to Healthy People Environmental Health site (http://www.phf.org.) What agencies are supporting the National Health Promotion Agenda for environmental health? Present one agency and its role.

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2023 choose a family in your community and conduct a family health assessment using the following questions below 1

Nursing 2023 nursing homework

choose a family in your community and conduct a family health assessment using the following questions below 1 2023 Assignment

  

choose a family in your community and conduct a family health assessment using the following questions below.

1. Family composition. 

Type of family, age, gender and racial/ethnic composition of the family.

2. Roles of each family member. Who is the leader in the family? Who is the primary provider? Is there any other provider?

3. Do family members have any existing physical or psychological conditions that are affecting family function?

4. Home (physical condition) and external environment; living situation (this must include financial information). How the family support itself. 

 For example; working parents, children or any other member

5. How adequately have individual family members accomplished age-appropriate developmental tasks?

6. Do individual family member’s developmental states create stress in the family?

7. What developmental stage is the family in? How well has the family achieve the task of this and previous developmental stages? 

8. Any family history of genetic predisposition to disease?

9. Immunization status of the family?

10. Any child or adolescent experiencing problems

11. Hospital admission of any family member and how it is handle by the other members?

12. What are the typical modes of family communication? It is affective? Why?

13. How are decision make in the family?

14. Is there evidence of violence within the family? What forms of discipline are use?

15. How well the family deals with crisis?

16. What cultural and religious factors influence the family health and social status?

17. What are the family goals?

18. Identify any external or internal sources of support that are available?

19. Is there evidence of role conflict? Role overload?

20. Does the family have an emergency plan to deal with family crisis, disasters?

Identify 3 nursing diagnosis and develop a short plan of care using the nursing process.

Please use at least 3 scholarly evidence-based practice references besides the class textbook to sustain your assessment. A minimum of 1000 words are required, excluding the first and reference page (Websites can be used but will not count toward grading). 

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2023 Respond The medical center where I work is a large teaching institution in New York City is

Nursing 2023 NR 533 Week 7.1

Respond The medical center where I work is a large teaching institution in New York City is 2023 Assignment

Respond 

 

The medical center where I work  is a large teaching institution in New York City is made up of 7 hospitals. They believe in educating the next generation of health care professionals, developing groundbreaking research, advancing innovative, patient-centered clinical care and serving the needs of our local, national and global community. The vision of the institution  is to be the #1 academic health system in the nation in high-quality patient centered care, education and research. The culture is based on respect, teamwork, innovation, empathy, excellence and responsibility. 

     The mission and vision is reflected in the organizational culture and leadership through their behaviors. How  leadership chooses to do their job everyday demonstrates the core values of the organization. My personal philosophy of nursing is based on respect. Patient care suffers when nurses are not respected (Stievano, Bellass, Rocco, Olsen, Sabatino, & Johnson, 2018). It is crucial that nurses operate in a moral work environment that involves respect to improve patient outcomes (Stievano, et al., 2018). The hospital’s Credo is based on respect. This is how my project aligns with the core values of the institution. 

One theoretical approach to understanding how change may be achieved is Rogers’ diffusion model. He argues that certain characteristics of the innovation itself may facilitate its adoption. Factors influencing acceptance include promotion by influential role models, the degree of complexity of the change, compatibility with existing values and needs, and the ability to test and modify the new procedure before adopting it (Mohammadi, Poursaberi, & Salahshoor, 2018).

Current research suggests that the most effective communication strategy is face-to-face exchange  (Mohammadi, Poursaberi, & Salahshoor, 2018). It provides an opportunity to tailor information to recipients and allows the advocate of the change to explore and, if necessary, modify the reasons why a shift in clinical behaviour should occur. Interpersonal communication is usually more effective when there is a high degree of professional resemblance between the individual attempting to introduce the innovation and the recipient  (Mohammadi, Poursaberi, & Salahshoor, 2018). 

Luckily, I think it will be relatively easy to implement changes related to a healthy work environment. I believe the majority of people want to work in an environment that is positive, supportive and frowns on bullying and incivility. Through communication as well as role modeling proper behaviors, Rogers’s diffusion of innovation framework will assist in the transformation. 

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