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2023 Discussion Discussing End of Life Care There is a human tendency to postpone uncomfortable or unpleasant

Nursing 2023 Discussion: Discussing End-of-Life Care

Discussion Discussing End of Life Care There is a human tendency to postpone uncomfortable or unpleasant 2023 Assignment

Discussion: Discussing End-of-Life Care

There is a human tendency to postpone uncomfortable or unpleasant tasks.

—Nancy Kummer, geriatric patient

This human tendency to avoid the unpleasant makes end-of-life care and hospice decisions difficult for many patients to discuss with their families. Kummer is a former social worker who used to counsel patients with terminal illnesses, yet she avoided discussing her own end-of-life wishes with her children. While many Americans, like Kummer, agree that these discussions need to take place, few have actually had these conversations with their families (Lazar, 2012). Although initiating conversations about end-of-life care and hospice might be difficult for patients, as an advanced practice nurse, facilitating these conversations is an integral part of your geriatric nursing practice. For this Discussion, consider how you would facilitate care conversations with the patients and families in the following case studies:

Case Study 1

Mrs. Sloan, a 69-year-old widow, is about to enter the hospital for an elective cholecystectomy; she is being medically cleared by her primary care provider. During the discussion, she requests to be placed on a no code status during her hospitalization. Mrs. Sloan claims that besides her gallbladder problem, her general health status is good. She wishes to have the surgery to avoid any further attacks, which have been very painful. She states, however, that if during surgery or her postoperative period, she undergoes a cardiac arrest, she would prefer not to be resuscitated. She has read about the chances of successful resuscitation, and has determined that the risk of brain damage is too high. For this reason, she is requesting a no code status.

Case Study 2

Ms. Stearns is an 83-year-old nursing home resident with hypertension, coronary artery disease, arthritis, renal insufficiency, hearing impairment, and a previous history of stroke. She also has a foot deformity from childhood polio. She is disoriented at times. She has lived in the nursing home for 10 years and rarely leaves the chair beside her bed. She has recently developed urinary incontinence, but has refused a bladder catheterization to determine postvoid residual urine or possible bladder infection. She does not have a diagnosis of dementia; however, current testing reveals that she performs poorly on a standardized mental status examination. She can, however, identify all the staff in the nursing home, and she can describe each patient who has been in the bed next to hers over the past 10 years. When asked to explain why she does not want bladder catheterization, she gives several reasons. She states that the incontinence does not bother her, and that she has always been a very private person. She particularly dislikes and objects to any examination of her pelvic organs; in fact, she has never had a pelvic examination nor has she ever had sexual intercourse. She realizes that she has a number of medical problems and that any one of them could worsen at any time. She states she is not willing to undergo any treatment for any of her current problems should they become worse.

Case Study 3

Mr. Marley, age 91, is admitted to the intensive care unit following a stroke. The stroke progressed from mild hemiparesis and difficulty speaking to complete unresponsiveness and an inability to swallow. His daughter feels certain, based on prior explicit conversations with her father, that he would not want to have any treatment that would prolong his life and leave him in a severely disabled state. Mr. Marley’s oldest son disagrees with his sister’s assessment of their father. The son claims that their father still has a strong desire to live, and that he has been very active in his church until this stroke. Because Mr. Marley cannot swallow, he cannot be fed. The family is asked about insertion of a feeding tube. It is explained to the family that without food and fluids, their father will die fairly quickly. There are no existing advance directives or a designated health care decision maker noted for Mr. Marley.

To prepare:

  • Review Chapter 14 of the Holroyd-Leduc and Reddy text.
  • Reflect on the role of the advanced practice nurse in facilitating the discussion of end-of-life care with patients and their families.
  • Think about how you, as an advanced practice nurse, would approach a family who wants “everything” done for a patient with only a limited time to live.
  • Consider when it is appropriate to involve hospice and how to approach patients and/or families who refuse hospice services.
  • Select one of the three provided case studies related to the end-of-life care of the frail elderly. Reflect on potential patient outcomes and how you would facilitate the discussion of care with this patient’s family.
By Day 3

Post an explanation of the role of the advanced practice nurse in facilitating the discussion of end-of-life care with patients and their families. Explain how you would approach a family who wants “everything” done for a patient with only a limited time to live. Then, explain when it is appropriate to involve hospice and how to approach patients and/or families who refuse hospice services. Finally, explain potential outcomes of the patient in the case study you selected and how you would facilitate the discussion of end-of-life care with this patient’s family.

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2023 Please provide proper citation with page numbers of the material you are

Nursing 2023 medsurg 1

Please provide proper citation with page numbers of the material you are 2023 Assignment

Please provide proper citation with page numbers of the material you are referencing in your Main Post.

Please write 1 paragraph for each of the following (total 3 paragraphs) and each paragraph shall be no less than 3 sentences and no more than 6 sentences.

Main Post

  1. Discuss one male reproductive system disorder and relate how you would plan and intervene
  2. Discuss one diagnosis related to transgender care and how you would plan and intervene
  3. Discuss one sexually transmitted disease in men or women and related few possible treatments

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2023 Diagnosis and Management of Hematologic and Metabolic Disorders Case Study 2 Jimmy is a 3 year old picky eater according to

Nursing 2023 WK 8 DISCUSSION

Diagnosis and Management of Hematologic and Metabolic Disorders Case Study 2 Jimmy is a 3 year old picky eater according to 2023 Assignment

 

Diagnosis and Management of Hematologic and Metabolic Disorders

 

 

Case Study 2:

 

 Jimmy is a 3-year-old “picky” eater according to his mother. He refuses to eat anything but waffles for breakfast and macaroni and cheese or chicken nuggets for lunch and dinner. He will eat apples and bananas but refuses all vegetables except corn. After a normal physical examination, you obtained blood testing that revealed the hemoglobin is 11.4 mg/dl and his hematocrit is 30% (both obtained by venipuncture). The CBC revealed microcytic hypochromic RBCs.

 

To prepare:

 

•Review “Endocrine and Metabolic Disorders” and “Hematologic Disorders” in the Burns et al. text.

 

•Review and select one of the three provided case studies. Analyze the patient information.

 

•Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.

 

•Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.

 

•Consider strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.

 

 

 

POST   1 TO 2 PAGES DISCUSSION PAPER ON :  1.An explanation of the differential diagnosis for the patient in the case study you selected.

 

2. Explain which is the most likely diagnosis for the patient and why.

 

3. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis.

 

4. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments.

 

5. Finally, explain strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.

 

 

 

 

 

References

 

•Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

 

◦Chapter 25, “Endocrine and Metabolic Disorders” (pp. 529–556)

 

◦Chapter 26, “Hematologic Disorders” (pp. 557–584)

 

•Hyperbilirubinemia: current guidelines and emerging therapies by Schwartz,H.P., Haberman, B.E., & Ruddy, R.M. in  Pediatric Emergency Care, 27(9), 884-889.

 

 

 

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2023 Using resources such as the CDC state and county health department websites and various local resources identify an opportunity

Nursing 2023 Individualized Health Promotion

Using resources such as the CDC state and county health department websites and various local resources identify an opportunity 2023 Assignment

 

Using resources such as the CDC, state and county health department websites, and various local resources, identify an opportunity for improved health behavior in an individual client. Your paper should be 1 – 2 pages in length in addition to the cover page and reference page. You should use a minimum of three references to support your work.

Be sure to cover the following:

  • Identify an opportunity to for improved health behavior in an individualized client.
  • Identify short and long term goals for the achievement of the overall health goal.
  • Using Healthy People 2020, identify which problem you are working on improving.
  • Recognize local resources to aid in the resolution of the identified problem.
  • Assist in the evaluation in the response to interventions.

     

Spelling, grammar, APA format, and minimum   of 3 references

1

 

Identify an opportunity for improved health   behavior in an individualized client.

1

 

Using Health People 2020, identify which   problem you are working on improving.

2

 

Identify short and long term goals for the   achievement of the overall health goal.

2

 

Recognize local resources to aid in the   resolution of the identified problem.

2

 

Discuss measurements that can be used to   determine the responses to interventions.

2

 

10

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2023 Select one of the below listed topics to use for your final project

Nursing 2023 Week 3 Final Project Topic And Literature Review Related To Topic

Select one of the below listed topics to use for your final project 2023 Assignment

Select one of the below-listed topics to use for your final project. Submit topic choice and a minimum of three references related to your topic to your instructor for approval. References should be five years or less since publication and be listed in the current APA Style. No Blog sites, WIKI, or another school of nursing references, please.

  1. Nurse managers must work with staff to foster respect of different lifestyles. As a future manager, how can you provide culture-centered leadership to influence your team members and care for a culturally diverse patient population? Please incorporate concepts of cultural humility, sensitivity, or competence and one cultural theory into your response.  
  2. Use Kouzes and Posner model to show how the nurse manager on a 30-bed rehabilitation unit would decide the best approach to finding out the cause of increasing urinary tract infections (UTIs) on her unit over the past 6 months. 
  3. Quadruple Aim of Healthcare
    1. What are the guidelines for the quadruple aim?
    2. What is the importance of achieving the quadruple aim?
    3. What outcomes may be seen from promoting the leader-follower relationship?
  4. The Chief Nursing Officer (CNO) of an acute care hospital is interested in becoming a Magnet-designated hospital. The CNO would like to create a strategic plan for nursing excellence. If you were the CNO, what would the mission statement for nursing say? What would the vision statement for nursing say? What would be the core values of the nursing department? Create an Incivility Statement/Policy. 
  5. You are assigned some risk management activities in the nursing facility where you work. In investigating incident reports filed by staff, you discover that this is the third incident this week in which a patient has fallen while attempting to get out of bed and sit in a chair. How would you begin to address this issue? Decide how you would start a more complete investigation of this issue. For example, is it a facility-wide issue or one that is confined to one unit? Does it affect all shifts or only one? What safety issues are you going to discuss with your staff, and how are you going to discuss these issues? Do these falls involve the same staff member? 
  6. Analyze differences among research, evidence-based practice, practice-based evidence, comparative effectiveness research, outcomes research, and quality improvement. How do these practices affect nursing and patient outcomes? 
  7. Review the educational program TeamSTEPPS. Identify two strategies you can incorporate into your practice. Present your rationale for selecting those and create an action plan to incorporate those strategies into your practice. 

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2023 Understanding the health care system is very important for EBP research And knowing

Nursing 2023 dq response

Understanding the health care system is very important for EBP research And knowing 2023 Assignment

Understanding the health care system is very important for EBP research.  And knowing your stakeholders is also important.  However, In the health care system and in health care research, stakeholders are more than financial supporters.  Stakeholders are customers, the general public, suppliers, and any other group that might be affected by the decisions being made.  Stakeholder engagement is a process where input and ideas from those who are named as stakeholders are incorporated into the decision making process.  The attitude is that when organizations involve these stakeholders, the overall effectiveness of their change process will be enhanced.  Stakeholder engagement helps to drive long-term sustainability of change a align research with societal needs and expectations (Pandi-Perumal, et al., 2015). 

References:

Pandi-Perumal, S. R., Akhter, S., Zizi, F., Jean-Louis, G., Ramasubramanian, C., Freeman, R. E., & Narasimhan,

M. (2015). Project Stakeholder Management in the Clinical Research Environment: How to Do it Right.

Frontiers in Psychiatry, 6.Retrieved from 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434843/#__ffn_sectitle

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2023 This week s first assignment is Part 3 Literature Review and Critical Appraisal complete the following items and submit a

Nursing 2023 72

This week s first assignment is Part 3 Literature Review and Critical Appraisal complete the following items and submit a 2023 Assignment

This week’s first assignment is Part 3 – Literature Review and Critical Appraisal.

complete the following items and submit a Word doc to the assignment link. 

  1. Provide a title that conveys or describes the assignment.
  2. Introduction (carry over from Part 2)
  3. Overview of the Problem/Problem Statement (carry over from Part 2)
  4. Background and Significance (carry over from Part 2)
  5. Literature Review – Provide the key terms used to guide the search for the evidence and provide at least five (5) summaries of research studies to support the evidence.
  6. Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and any gaps in knowledge from the research evidence.
  7. Conclusion
  8. References – Cite a minimum of five scholarly references in APA 6th ed format.

Expectations

  • Format: Completed with references in APA 7th ed. format

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2023 Using the format outlined on the PICO reference page in the Nursing

Nursing 2023 mathil 8

Using the format outlined on the PICO reference page in the Nursing 2023 Assignment

 

  • Using the format outlined on the PICO reference page in the Nursing Reference Center design your own question. (This may be related to something you are familiar with, or something you imagine to be an issue in nursing. It is BEST if you keep it simple!)
  • Next research reliable data bases or websites and find three articles that are related to your PICO (these MUST BE referenced on your reference page).
  • Analyze the articles – write one paragraph about the similarities and/or differences in the articles related to your PICO.

Your Essay should be outlined by using steps 1-3 of the EBP process. 

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

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2023 Assessment Description Journaling provides a valuable tool for recording reflecting on and reviewing your learning This approach provides

Nursing 2023 Leadership Journal: Power

Assessment Description Journaling provides a valuable tool for recording reflecting on and reviewing your learning This approach provides 2023 Assignment

 Assessment Description

Journaling provides a valuable tool for recording, reflecting on, and reviewing your learning. This approach provides an opportunity for you to “connect the dots” and observe the relationships between and among activities, interactions, and outcomes.

Unlike a personal journal of thoughts and feelings, this leadership journal is a record of your activities, assessments, and learning related to this academic experience.

Journal entries should include a record of the number of hours spent with your nurse leader each week.

Write a journal entry of 750-1,500 words on the subject of power, including the following:

  1. Practicum Activities Reflection: Provide observations and thoughts on the activities in your practicum setting during Topics 1 and 2.
  2. Application of Leadership: Identify your given “power” at your workplace or in your professional life. What is your greatest contribution in the lives of others?
  3. Practicum Project Preparation: What are your ideas for you practicum project? How does this project refine and build skills related to your career goals?
  4. Leadership Video Reflection: Reflect on at least two things you learned from the “Servant Leadership – Issue of Power” video.

Use the “Leadership Journal Template” to complete this assignment.

APA format is not required, but solid academic writing is expected. Please use the provided Leadership Journal template.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Attachments 

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2023 End of life care becomes an issue at some point for elderly clients Even with the emergence

Nursing 2023 End-Of-Life Care

End of life care becomes an issue at some point for elderly clients Even with the emergence 2023 Assignment

End-of-life care becomes an issue at some point for elderly clients.   Even with the emergence of palliative care programs and hospice   programs, most elderly people do not die in their own home as is their   preference. What are the reasons for this trend? Discuss what you can   do as a nurse to support your clients regarding end-of-life care in   accordance with their wishes. Support your response with   evidence-based literature.

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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