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    4 discussions – 2 years ago **files (4)** – ## Asthmapatient.docx – ## PTWITHGOUT.docx – ## PTWITHANXIETY.docx – ## pepticulcerunit4.docx **## Asthmapatient.docx** Unit 1 Discussion 2 Asthma pt Instructions It is anticipated that the initial discussion post should be in the range of 250-300 words. R…

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    Assignment Prompt & Instructions

    4 discussions

    – 2 years ago

    **files (4)**

    – ## Asthmapatient.docx

    – ## PTWITHGOUT.docx

    – ## PTWITHANXIETY.docx

    – ## pepticulcerunit4.docx

    **## Asthmapatient.docx**

    Unit 1 Discussion 2 Asthma pt

    Instructions

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

    Classroom Participation

    Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

    All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

    Initial Response

    Instructions:

    You are seeing a 16-year-old patient previously diagnosed with mild persistent asthma for a routine follow-up visit.

    · She is currently taking beclomethasone dipropionate (Qvar) MDI 40mcg/inhalation one puff twice daily for asthma maintenance and using albuterol (ProAir HFA) MDI 90mcg/inhalation 2 puffs every 4 hours as needed for shortness of breath or wheezing.

    · In the last two months she reports using her albuterol inhaler during daytime hours an average of three times per week.

    · She reports awakening at night with asthma symptoms about twice per month.

    · She does not feel that she has any limitations to her activity due to asthma symptoms.

    · Upon examination today her blood pressure is 110/76, heart rate is 68, respiratory rate is 18, O2 saturation is 96% on room air, and temperature is 97.8. Her lung sounds are clear, heart rhythm is regular, and skin is pink and dry.

    Please develop a discussion post that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

    · Provide your diagnosis.

    · Discuss how you would manage the patient’s current asthma regimen and provide a rationale supported by scholarly reference for your treatment plan.

    · Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

    · Describe the patient education you would provide in relation to your treatment plan.

    · Provide your plan for follow-up and/or referral (if indicated)

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

    Your initial response is due by Wednesday at 11:59 pm CT.

    Estimated time to complete: 2 hours

    Peer Response

    Instructions:

    Please read and respond to at least two of your peers' initial responses.

    Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner).  From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan.

    For example:

    · If you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided?

    · If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan.?

    · If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc.

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

    All peer responses are due by Sunday at 11:59 pm CT.

    Estimated time to complete: 1 hour

    **## PTWITHGOUT.docx**

    PT WITH GOUT

    Instructions

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

    Classroom Participation

    Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

    All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

    Initial Response

    Scenario

    You are seeing a 58-year-old male in the clinic today for an acute visit related to joint pain and swelling.

    · He has a past medical history of hypertension and hyperlipidemia and is currently taking hydrochlorothiazide 25mg daily and atorvastatin 20mg daily.

    · He was seen last in your office for a routine physical 6 months ago and had lab work completed showing a normal CBC, CMP and lipid panel while on his current medications.

    · He presents with pain and swelling of the right first metatarsophalangeal joint and he reports the site is red and feels hot to touch. He reports the pain is so bad he can hardly stand to have anything touch the foot and awakens at night with the pain.

    · He reports the symptoms started suddenly about 2 days ago and he denies any injury to the foot

    · He does not have any similar pain or swelling elsewhere.

    · Upon examination today it is observed that the right metatarsophalangeal joint is mildly edematous, erythematous and warm to touch. There is no rash, no bruising, and no laceration on the site. The patient can move the joint through range of motion, but has pain with motion. His physical exam is otherwise unremarkable.

    Please develop a discussion post that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

    · Provide your diagnosis.

    · Discuss how you would manage the patient’s current presentation and provide a rationale supported by scholarly reference for your treatment plan.

    · Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

    · Describe the patient education you would provide in relation to your treatment plan.

    · Provide your plan for follow-up and/or referral (if indicated)

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

    Your initial response is due by Wednesday at 11:59 pm CT.

    Estimated time to complete: 2 hours

    Peer Response

    Instructions:

    Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner).  From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan.

    · For example – if you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided?

    · If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan.?

    · If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc.

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

    All peer responses are due by Sunday at 11:59 pm CT.

    Estimated time to complete: 1 hour

    **## PTWITHANXIETY.docx**

    PT WITH ANXIETY

    Instructions

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

    Classroom Participation

    Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

    All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

    Initial Response

    Scenario

    You are seeing Ms. Clara Johnson, a 32-year-old white female, in the office today with a chief complaint of “I just feel like I can’t get my mind to stop racing, and it’s making It hard to focus on anything.”

    · Johnson appears slightly disheveled, but is quiet and polite. She sits frequently fidgeting with her hands and avoids direct eye contact today.

    · She reports excessive worry over several aspects of her life and feels this has been steadily worsening over the last year.

    · She also reports frequent neck and shoulder pain, fatigue despite sleeping 7 to 8 hours a night, and difficulty concentrating.

    · She has a past medical history of mild seasonal allergic rhinitis and takes cetirizine intermittently for this.

    · She is married and lives with her husband and one child.

    · He does not have any similar pain or swelling elsewhere.

    · Upon examination today her BP is 118/76, HR 82, RR 16, and temp is 98.6F. She is alert and oriented, and auscultation reveals a regular heart rate and rhythm and clear lung sounds in all fields. No neurologic deficits on exam.  No hallucinations or delusions. Thought process is logical but dominated by worries.

    Please develop a discussion post that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

    ·

    · Provide your diagnosis.

    · Discuss how you would manage the patient’s current presentation and provide a rationale supported by scholarly reference for your treatment plan.

    · Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

    · Describe the patient education you would provide in relation to your treatment plan.

    · Provide your plan for follow-up and/or referral (if indicated)

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

    Your initial response is due by Wednesday at 11:59 pm CT.

    Estimated time to complete: 2 hours

    Peer Response

    Instructions:

    Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner).  From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan.

    · For example – if you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided?

    · If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan.?

    · If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc.

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

    All peer responses are due by Sunday at 11:59 pm CT.

    Estimated time to complete: 1 hour

    **## pepticulcerunit4.docx**

    PEPTIC ULCER Unit 4

    Instructions

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

    Classroom Participation

    Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

    All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

    Initial Response

    Scenario

    A 60-year-old white female presents to your office for a follow-up after a recent Urgent Care visit with her daughter.

    · The patient’s daughter reports that the patient has not been eating much for the past few weeks and complains of a gnawing pain in her stomach when she does eat and reports that she seems to be getting “full” very quickly with eating.

    · The patient complains of mild nausea over the last two weeks.

    · The patient has a history of a recent fall from a ladder about 9 months ago in which she shattered multiple teeth and develop and infection. She has been under the care of an oral surgeon for this.

    · Her daughter reports that she has been having an increase in forgetfulness and that the patient’s colleagues have noticed she seems to be “off her game” for the last few weeks.

    · Yesterday she was evaluated at Urgent Care and found to have a hemoglobin of 8.5 and hematocrit of 25, and she was instructed to follow-up in your office today.

    · Upon examination today his lung sounds are clear and heart rhythm is regular. She has mild tenderness on palpation over her upper abdomen, but normal bowel sounds.  Her skin is pale and dry.  No other abnormalities are noticed on exam.

    Please develop a discussion post that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

    · Provide your diagnosis.

    · Discuss how you would treat the patient’s current presentation and provide a rationale supported by scholarly reference for your treatment plan.

    · Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

    · Describe the patient education you would provide in relation to your treatment plan.

    · Provide your plan for follow-up and/or referral (if indicated)

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

    Your initial response is due by Wednesday at 11:59 pm CT.

    Estimated time to complete: 2 hours

    Peer Response

    Collaborative Posts

    Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner).  From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan.

    · For example – if you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided?

    · If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan.?

    · If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc.

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

    All peer responses are due by Sunday at 11:59 pm CT.

    Estimated time to complete: 1 hour

    **## pepticulcerunit4.docx**

    PEPTIC ULCER Unit 4

    Instructions

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

    Classroom Participation

    Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

    All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

    Initial Response

    Scenario

    A 60-year-old white female presents to your office for a follow-up after a recent Urgent Care visit with her daughter.

    · The patient’s daughter reports that the patient has not been eating much for the past few weeks and complains of a gnawing pain in her stomach when she does eat and reports that she seems to be getting “full” very quickly with eating.

    · The patient complains of mild nausea over the last two weeks.

    · The patient has a history of a recent fall from a ladder about 9 months ago in which she shattered multiple teeth and develop and infection. She has been under the care of an oral surgeon for this.

    · Her daughter reports that she has been having an increase in forgetfulness and that the patient’s colleagues have noticed she seems to be “off her game” for the last few weeks.

    · Yesterday she was evaluated at Urgent Care and found to have a hemoglobin of 8.5 and hematocrit of 25, and she was instructed to follow-up in your office today.

    · Upon examination today his lung sounds are clear and heart rhythm is regular. She has mild tenderness on palpation over her upper abdomen, but normal bowel sounds.  Her skin is pale and dry.  No other abnormalities are noticed on exam.

    Please develop a discussion post that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

    · Provide your diagnosis.

    · Discuss how you would treat the patient’s current presentation and provide a rationale supported by scholarly reference for your treatment plan.

    · Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

    · Describe the patient education you would provide in relation to your treatment plan.

    · Provide your plan for follow-up and/or referral (if indicated)

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

    Your initial response is due by Wednesday at 11:59 pm CT.

    Estimated time to complete: 2 hours

    Peer Response

    Collaborative Posts

    Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner).  From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan.

    · For example – if you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided?

    · If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan.?

    · If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc.

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

    All peer responses are due by Sunday at 11:59 pm CT.

    Estimated time to complete: 1 hour

    **## Asthmapatient.docx**

    Unit 1 Discussion 2 Asthma pt

    Instructions

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

    Classroom Participation

    Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

    All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

    Initial Response

    Instructions:

    You are seeing a 16-year-old patient previously diagnosed with mild persistent asthma for a routine follow-up visit.

    · She is currently taking beclomethasone dipropionate (Qvar) MDI 40mcg/inhalation one puff twice daily for asthma maintenance and using albuterol (ProAir HFA) MDI 90mcg/inhalation 2 puffs every 4 hours as needed for shortness of breath or wheezing.

    · In the last two months she reports using her albuterol inhaler during daytime hours an average of three times per week.

    · She reports awakening at night with asthma symptoms about twice per month.

    · She does not feel that she has any limitations to her activity due to asthma symptoms.

    · Upon examination today her blood pressure is 110/76, heart rate is 68, respiratory rate is 18, O2 saturation is 96% on room air, and temperature is 97.8. Her lung sounds are clear, heart rhythm is regular, and skin is pink and dry.

    Please develop a discussion post that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

    · Provide your diagnosis.

    · Discuss how you would manage the patient’s current asthma regimen and provide a rationale supported by scholarly reference for your treatment plan.

    · Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

    · Describe the patient education you would provide in relation to your treatment plan.

    · Provide your plan for follow-up and/or referral (if indicated)

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

    Your initial response is due by Wednesday at 11:59 pm CT.

    Estimated time to complete: 2 hours

    Peer Response

    Instructions:

    Please read and respond to at least two of your peers' initial responses.

    Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner).  From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan.

    For example:

    · If you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided?

    · If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan.?

    · If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc.

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

    All peer responses are due by Sunday at 11:59 pm CT.

    Estimated time to complete: 1 hour

    **## PTWITHGOUT.docx**

    PT WITH GOUT

    Instructions

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

    Classroom Participation

    Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

    All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

    Initial Response

    Scenario

    You are seeing a 58-year-old male in the clinic today for an acute visit related to joint pain and swelling.

    · He has a past medical history of hypertension and hyperlipidemia and is currently taking hydrochlorothiazide 25mg daily and atorvastatin 20mg daily.

    · He was seen last in your office for a routine physical 6 months ago and had lab work completed showing a normal CBC, CMP and lipid panel while on his current medications.

    · He presents with pain and swelling of the right first metatarsophalangeal joint and he reports the site is red and feels hot to touch. He reports the pain is so bad he can hardly stand to have anything touch the foot and awakens at night with the pain.

    · He reports the symptoms started suddenly about 2 days ago and he denies any injury to the foot

    · He does not have any similar pain or swelling elsewhere.

    · Upon examination today it is observed that the right metatarsophalangeal joint is mildly edematous, erythematous and warm to touch. There is no rash, no bruising, and no laceration on the site. The patient can move the joint through range of motion, but has pain with motion. His physical exam is otherwise unremarkable.

    Please develop a discussion post that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

    · Provide your diagnosis.

    · Discuss how you would manage the patient’s current presentation and provide a rationale supported by scholarly reference for your treatment plan.

    · Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

    · Describe the patient education you would provide in relation to your treatment plan.

    · Provide your plan for follow-up and/or referral (if indicated)

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

    Your initial response is due by Wednesday at 11:59 pm CT.

    Estimated time to complete: 2 hours

    Peer Response

    Instructions:

    Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner).  From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan.

    · For example – if you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided?

    · If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan.?

    · If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc.

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

    All peer responses are due by Sunday at 11:59 pm CT.

    Estimated time to complete: 1 hour

    **## PTWITHANXIETY.docx**

    PT WITH ANXIETY

    Instructions

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

    Classroom Participation

    Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

    All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

    Initial Response

    Scenario

    You are seeing Ms. Clara Johnson, a 32-year-old white female, in the office today with a chief complaint of “I just feel like I can’t get my mind to stop racing, and it’s making It hard to focus on anything.”

    · Johnson appears slightly disheveled, but is quiet and polite. She sits frequently fidgeting with her hands and avoids direct eye contact today.

    · She reports excessive worry over several aspects of her life and feels this has been steadily worsening over the last year.

    · She also reports frequent neck and shoulder pain, fatigue despite sleeping 7 to 8 hours a night, and difficulty concentrating.

    · She has a past medical history of mild seasonal allergic rhinitis and takes cetirizine intermittently for this.

    · She is married and lives with her husband and one child.

    · He does not have any similar pain or swelling elsewhere.

    · Upon examination today her BP is 118/76, HR 82, RR 16, and temp is 98.6F. She is alert and oriented, and auscultation reveals a regular heart rate and rhythm and clear lung sounds in all fields. No neurologic deficits on exam.  No hallucinations or delusions. Thought process is logical but dominated by worries.

    Please develop a discussion post that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

    ·

    · Provide your diagnosis.

    · Discuss how you would manage the patient’s current presentation and provide a rationale supported by scholarly reference for your treatment plan.

    · Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

    · Describe the patient education you would provide in relation to your treatment plan.

    · Provide your plan for follow-up and/or referral (if indicated)

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

    Your initial response is due by Wednesday at 11:59 pm CT.

    Estimated time to complete: 2 hours

    Peer Response

    Instructions:

    Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner).  From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan.

    · For example – if you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided?

    · If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan.?

    · If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc.

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

    All peer responses are due by Sunday at 11:59 pm CT.

    Estimated time to complete: 1 hour

    **## pepticulcerunit4.docx**

    PEPTIC ULCER Unit 4

    Instructions

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

    Classroom Participation

    Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

    All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

    Initial Response

    Scenario

    A 60-year-old white female presents to your office for a follow-up after a recent Urgent Care visit with her daughter.

    · The patient’s daughter reports that the patient has not been eating much for the past few weeks and complains of a gnawing pain in her stomach when she does eat and reports that she seems to be getting “full” very quickly with eating.

    · The patient complains of mild nausea over the last two weeks.

    · The patient has a history of a recent fall from a ladder about 9 months ago in which she shattered multiple teeth and develop and infection. She has been under the care of an oral surgeon for this.

    · Her daughter reports that she has been having an increase in forgetfulness and that the patient’s colleagues have noticed she seems to be “off her game” for the last few weeks.

    · Yesterday she was evaluated at Urgent Care and found to have a hemoglobin of 8.5 and hematocrit of 25, and she was instructed to follow-up in your office today.

    · Upon examination today his lung sounds are clear and heart rhythm is regular. She has mild tenderness on palpation over her upper abdomen, but normal bowel sounds.  Her skin is pale and dry.  No other abnormalities are noticed on exam.

    Please develop a discussion post that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

    · Provide your diagnosis.

    · Discuss how you would treat the patient’s current presentation and provide a rationale supported by scholarly reference for your treatment plan.

    · Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

    · Describe the patient education you would provide in relation to your treatment plan.

    · Provide your plan for follow-up and/or referral (if indicated)

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

    Your initial response is due by Wednesday at 11:59 pm CT.

    Estimated time to complete: 2 hours

    Peer Response

    Collaborative Posts

    Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner).  From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan.

    · For example – if you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided?

    · If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan.?

    · If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc.

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

    All peer responses are due by Sunday at 11:59 pm CT.

    Estimated time to complete: 1 hour

    **## Asthmapatient.docx**

    Unit 1 Discussion 2 Asthma pt

    Instructions

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

    Classroom Participation

    Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

    All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

    Initial Response

    Instructions:

    You are seeing a 16-year-old patient previously diagnosed with mild persistent asthma for a routine follow-up visit.

    · She is currently taking beclomethasone dipropionate (Qvar) MDI 40mcg/inhalation one puff twice daily for asthma maintenance and using albuterol (ProAir HFA) MDI 90mcg/inhalation 2 puffs every 4 hours as needed for shortness of breath or wheezing.

    · In the last two months she reports using her albuterol inhaler during daytime hours an average of three times per week.

    · She reports awakening at night with asthma symptoms about twice per month.

    · She does not feel that she has any limitations to her activity due to asthma symptoms.

    · Upon examination today her blood pressure is 110/76, heart rate is 68, respiratory rate is 18, O2 saturation is 96% on room air, and temperature is 97.8. Her lung sounds are clear, heart rhythm is regular, and skin is pink and dry.

    Please develop a discussion post that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

    · Provide your diagnosis.

    · Discuss how you would manage the patient’s current asthma regimen and provide a rationale supported by scholarly reference for your treatment plan.

    · Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

    · Describe the patient education you would provide in relation to your treatment plan.

    · Provide your plan for follow-up and/or referral (if indicated)

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

    Your initial response is due by Wednesday at 11:59 pm CT.

    Estimated time to complete: 2 hours

    Peer Response

    Instructions:

    Please read and respond to at least two of your peers' initial responses.

    Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner).  From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan.

    For example:

    · If you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided?

    · If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan.?

    · If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc.

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

    All peer responses are due by Sunday at 11:59 pm CT.

    Estimated time to complete: 1 hour

    **## PTWITHGOUT.docx**

    PT WITH GOUT

    Instructions

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

    Classroom Participation

    Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

    All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

    Initial Response

    Scenario

    You are seeing a 58-year-old male in the clinic today for an acute visit related to joint pain and swelling.

    · He has a past medical history of hypertension and hyperlipidemia and is currently taking hydrochlorothiazide 25mg daily and atorvastatin 20mg daily.

    · He was seen last in your office for a routine physical 6 months ago and had lab work completed showing a normal CBC, CMP and lipid panel while on his current medications.

    · He presents with pain and swelling of the right first metatarsophalangeal joint and he reports the site is red and feels hot to touch. He reports the pain is so bad he can hardly stand to have anything touch the foot and awakens at night with the pain.

    · He reports the symptoms started suddenly about 2 days ago and he denies any injury to the foot

    · He does not have any similar pain or swelling elsewhere.

    · Upon examination today it is observed that the right metatarsophalangeal joint is mildly edematous, erythematous and warm to touch. There is no rash, no bruising, and no laceration on the site. The patient can move the joint through range of motion, but has pain with motion. His physical exam is otherwise unremarkable.

    Please develop a discussion post that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

    · Provide your diagnosis.

    · Discuss how you would manage the patient’s current presentation and provide a rationale supported by scholarly reference for your treatment plan.

    · Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

    · Describe the patient education you would provide in relation to your treatment plan.

    · Provide your plan for follow-up and/or referral (if indicated)

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

    Your initial response is due by Wednesday at 11:59 pm CT.

    Estimated time to complete: 2 hours

    Peer Response

    Instructions:

    Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner).  From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan.

    · For example – if you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided?

    · If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan.?

    · If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc.

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

    All peer responses are due by Sunday at 11:59 pm CT.

    Estimated time to complete: 1 hour

    **## PTWITHANXIETY.docx**

    PT WITH ANXIETY

    Instructions

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

    Classroom Participation

    Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

    All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

    Initial Response

    Scenario

    You are seeing Ms. Clara Johnson, a 32-year-old white female, in the office today with a chief complaint of “I just feel like I can’t get my mind to stop racing, and it’s making It hard to focus on anything.”

    · Johnson appears slightly disheveled, but is quiet and polite. She sits frequently fidgeting with her hands and avoids direct eye contact today.

    · She reports excessive worry over several aspects of her life and feels this has been steadily worsening over the last year.

    · She also reports frequent neck and shoulder pain, fatigue despite sleeping 7 to 8 hours a night, and difficulty concentrating.

    · She has a past medical history of mild seasonal allergic rhinitis and takes cetirizine intermittently for this.

    · She is married and lives with her husband and one child.

    · He does not have any similar pain or swelling elsewhere.

    · Upon examination today her BP is 118/76, HR 82, RR 16, and temp is 98.6F. She is alert and oriented, and auscultation reveals a regular heart rate and rhythm and clear lung sounds in all fields. No neurologic deficits on exam.  No hallucinations or delusions. Thought process is logical but dominated by worries.

    Please develop a discussion post that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

    ·

    · Provide your diagnosis.

    · Discuss how you would manage the patient’s current presentation and provide a rationale supported by scholarly reference for your treatment plan.

    · Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

    · Describe the patient education you would provide in relation to your treatment plan.

    · Provide your plan for follow-up and/or referral (if indicated)

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

    Your initial response is due by Wednesday at 11:59 pm CT.

    Estimated time to complete: 2 hours

    Peer Response

    Instructions:

    Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner).  From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan.

    · For example – if you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided?

    · If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan.?

    · If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc.

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

    All peer responses are due by Sunday at 11:59 pm CT.

    Estimated time to complete: 1 hour

    **## pepticulcerunit4.docx**

    PEPTIC ULCER Unit 4

    Instructions

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

    Classroom Participation

    Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

    All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

    Initial Response

    Scenario

    A 60-year-old white female presents to your office for a follow-up after a recent Urgent Care visit with her daughter.

    · The patient’s daughter reports that the patient has not been eating much for the past few weeks and complains of a gnawing pain in her stomach when she does eat and reports that she seems to be getting “full” very quickly with eating.

    · The patient complains of mild nausea over the last two weeks.

    · The patient has a history of a recent fall from a ladder about 9 months ago in which she shattered multiple teeth and develop and infection. She has been under the care of an oral surgeon for this.

    · Her daughter reports that she has been having an increase in forgetfulness and that the patient’s colleagues have noticed she seems to be “off her game” for the last few weeks.

    · Yesterday she was evaluated at Urgent Care and found to have a hemoglobin of 8.5 and hematocrit of 25, and she was instructed to follow-up in your office today.

    · Upon examination today his lung sounds are clear and heart rhythm is regular. She has mild tenderness on palpation over her upper abdomen, but normal bowel sounds.  Her skin is pale and dry.  No other abnormalities are noticed on exam.

    Please develop a discussion post that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

    · Provide your diagnosis.

    · Discuss how you would treat the patient’s current presentation and provide a rationale supported by scholarly reference for your treatment plan.

    · Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

    · Describe the patient education you would provide in relation to your treatment plan.

    · Provide your plan for follow-up and/or referral (if indicated)

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

    Your initial response is due by Wednesday at 11:59 pm CT.

    Estimated time to complete: 2 hours

    Peer Response

    Collaborative Posts

    Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner).  From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan.

    · For example – if you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided?

    · If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan.?

    · If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc.

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

    All peer responses are due by Sunday at 11:59 pm CT.

    Estimated time to complete: 1 hour

  • [Solved] EBP question

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Two to three page Details: 1. Selecting EBP Model for your EBP Question Select one of the common EBP models that you think it best fits your PICOT question and then explain/justify your selection considering the following: – The clarity and conciseness of the model’s concepts and organization – The …

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    Assignment Prompt & Instructions

    Two to three page

    Details:

    1. Selecting EBP Model for your EBP Question

    Select one of the common EBP models that you think it best fits your PICOT question and then explain/justify your selection considering the following:

    – The clarity and conciseness of the model’s concepts and organization
    – The diagrammatic representation of the model and the ability to assimilate the concepts and organizes the step of the desired EBP changes
    – The comprehensiveness of the model from the beginning stages to implementation and evaluation of outcomes
    – The easiness of the use when concepts are applied to direct EBP changes and practice issues in clinical settings
    – The flexibility of the model to be applied to various populations of patients, EBP projects, initiatives, and programs
    – The use and popularity of the model in the published literature
    – This assignment should be no more than 2-3 pages (not including the title or references pages).

    Common EBP Models:

    1. _The Stetler Model of Evidence-Based Practice_
    2. _The Iowa Model of Evidence-Based Practice to promote quality care_
    3. _The Model for Evidence-Based Practice Change_
    4. _The Advancing Research and Clinical practice through close Collaboration (ARCC) model for implementation and sustainability of EBP_
    5. _The Promoting Action on Research Implementation in Health Services (PARIHS) framework_
    6. _The Clinical Scholar model_
    7. _The Johns Hopkins Nursing Evidence-Based Practice model_
    8. _The ACE Star Model of Knowledge Transformation_

    – [\
    \
    PICOTQuestions.docx](https://www.sweetstudy.com/files/picotquestions-docx-10262767 "PICOTQuestions.docx")

    – 2 years ago

  • [Solved] Power Point

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Introduction (1 slide) 1. Reflect on the **ethics of the workplace** (2-3 slides) – What ethics theory was mainly followed: utilitarianism, duty, deontology, egalitarianism, right, and virtues? – What ethical principle (justice, beneficence, non-maleficence, autonomy) influenced the practice? – How …

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    Assignment Prompt & Instructions

    Introduction (1 slide)

    1. Reflect on the **ethics of the workplace** (2-3 slides)

    – What ethics theory was mainly followed: utilitarianism, duty, deontology, egalitarianism, right, and virtues?
    – What ethical principle (justice, beneficence, non-maleficence, autonomy) influenced the practice?
    – How did the practiced ethics affect the patient's outcomes?
    – How would you handle the scenario ethically? Similarly or differently?

    1. Reflect on the **financial management** (2-3 slides)

    – How did the finances affect the healthcare decision in the scenario?
    – What financial, billing, or reimbursement practices would you support or disagree with, and why?

    1. Reflect on the **politics and policies**  (2-3 slides)

    – Identify a practice you would want to change and describe how you would propose and lead collaborative/interprofessional effort using one of the leadership models to create the desired change.

    1. References (1 slide)- Include 2–3 scholarly resources in APA Style. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations published within the last five years.

    _Be succinct._ Your presentation should be 8-10 slides

    – 2 years ago

  • [Solved] Nichole

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    B. Discuss the impact of a clinical practice problem on the patient or patients and the organization it affects. 1. Identify _each_ of the following PICO components of the clinical practice problem: • _P_: patient, population, or problem • _I_: intervention • _C_: comparison • _O_: outcome 2. Deve…

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    Assignment Prompt & Instructions

    B.  Discuss the impact of a clinical practice problem on the patient or patients and the organization it affects.

    1.  Identify _each_ of the following PICO components of the clinical practice problem:

    •   _P_: patient, population, or problem

    •  _I_: intervention

    •   _C_: comparison

    •   _O_: outcome

    2.  Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part B and the PICO components identified in part B1.

    _Note: Refer to the “Appendix B: Question Development Tool” web link for information on the creation of an EBP question._

    C.  Select a research-based article that answers your EBP question from part B2 to conduct an evidence appraisal.

    _Note: The article you select should not be more than five years old._

    1.  Discuss the background or introduction (i.e., the purpose) of the research-based article.

    2.  Describe the research methodology used in the research-based article.

    3.  Identify the level of evidence for the research-based article using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.

    _Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to level a research-based article._

    4.  Summarize how the researcher analyzed the data in the research-based article.

    5.  Summarize the ethical considerations of the research-based article. If none are present, explain why.

    6.  Identify the quality rating of the research-based article according to the JHNEBP model.

    _Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to establish the quality rating._

    7.  Analyze the results or conclusions of the research-based article.

    a.  Explain how the article helps answer your EBP question.

    D.  Select a non-research-based article from a peer-reviewed journal that helps to answer your EBP question from part B2 to conduct an evidence appraisal.

    _Note: The article you select should not be more than five years old._

    1.  Discuss the background or introduction (i.e., the purpose) of the non-research-based article.

    2.  Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline) used in the non-research-based article.

    3.  Identify the level of evidence in the non-research-based article using the JHNEBP model.

    _Note: Refer to the “Appendix F: Non-Research Evidence Appraisal Tool” web link for information on how to level the non-research-based article._

    4.  Identify the quality rating of the non-research-based article according to the JHNEBP model.

    5.  Discuss how the author’s recommendations in the non-research-based article help answer your EBP question.

    E.  Recommend a practice change that addresses your EBP question using _both_ the research-based and non-research-based articles you selected for part C and part D.

    1.  Explain how you would involve **three** key stakeholders in supporting the practice change recommendation.

    2.  Discuss **one** specific barrier you may encounter when implementing the practice change recommendation.

    3.  Identify **one** strategy that could be used to overcome the barrier discussed in part E2.

    4.  Identify **one** outcome (the _O_ component in PICO) from your EBP question that can be used to measure the recommended practice change.

    F.   Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

    – 2 years ago

  • [Solved] Create a Reply for a discussion using APA 7 format, and scholarly references no older than 5 years.

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    **Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.** **Introduction** Throughout the eight weeks in which Middle-Range Theories and their relation to the nursing profession have been discussed and analyzed, I realized …

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    **Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.**

    **Introduction**

    Throughout the eight weeks in which Middle-Range Theories and their relation to the nursing profession have been discussed and analyzed, I realized a fundamental change of perception over patient care and personal growth. It also enlarged my understanding of the theories that incorporated the connection of the grand theories with practical clinical, or changed my understanding of the importance of having a mentor to develop needed critical thinking and leadership skills. Considering these topics allows one to illustrate how research ideas are put into practice and demonstrate the significance of having a mentor in the process.

    **Middle-Range Theories in Nursing Practice**

    Middle-range theories play an important role in translating grand theories into practice carried out in nursing processes. They offer a well-directed approach to the resolution of clinical issues and facilitate the standard practice of evidence-based nursing. In my studies, they pointed out procedures that seem to be practical more often than not in the practice of a clinical setting, from improving clients' self-care and disease management. For instance, self-efficacy theory has been used effectively in practice in nursing settings; the effects have included increased compliance with treatment schedules by the patients as well as general health status outcomes by Smith & Lee (2023). Middle-range theories are useful in the modern complex organization due to their potential to elaborate concrete solutions for advancing knowledge. In this way, it will be useful for the nurses to incorporate these theories into nursing and thus improve the existing interventions that are delivered to the patients.

    **Impact of Mentorship**

    Meanwhile, it is worth stating that the impact of the mentors throughout this course has been highly beneficial. I have received guidance that goes beyond academic tutoring, especially from my mentors who have taught me confidence, critical thinking, and the ability to implement change in clinical practice. It also enabled me to ground knowledge from the text with proficient nursing professionals in a practice environment. Mentors also ensured that the context of middle-range theories was further explained to students and also promoted professionalism by emulating professionalism in staff accountability and patient care. This allowed me to develop my clinical reasoning abilities and improve the approach to the patient care (Brown, 2022). Also, the aspect of mentorship was established by the mentor himself, who encouraged me to explore research-based practices that would improve the patient’s outcome in the future.

    **Conclusion**

    It is quite a constructive path that makes one once again determined to finish the whole course, thinking that patient-centered care is the key to the future. Its combination with the middle-range theories and the impactful mentorship during the work on the projects provides strong evidence that being a nurse is the right decision. This connection gives a strategic direction on how potential solutions to clinical issues can be actualized; also, the tutelage that has been offered helps in shaping the aspiration of producing a professional and sensitive nurse. These findings will be helpful as I advance in my career to enhance the quality of care, encourage innovation, and effectively mentor other individuals for their growth as future nurses.

    **References**

    Brown, T. (2022). Mentorship in modern nursing: Shaping the future of clinical practice. Journal of Nursing Education and Practice, 12(3), 150–158.

    Smith, J., & Lee, A. (2023). Application of self-efficacy theory in nursing practice: Bridging theory and clinical care. Nursing Theory Review, 31(2), 97–105.

    Johnson, K. (2024). Translating middle-range theories into nursing interventions. Nursing Praxis, 28(1), 45–53.

    – 2 years ago

  • [Solved] Create a Reply for a discussion using APA 7 format, and scholarly references no older than 5 years.

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    Executive Solution Overview

    **Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.** **Introduction** Over the period of eight weeks, I have engaged in analysis of several areas that has enhanced my perception of nursing practice and theory utilizati…

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    Assignment Prompt & Instructions

    **Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.**

    **Introduction**

    Over the period of eight weeks, I have engaged in analysis of several areas that has enhanced my perception of nursing practice and theory utilization considerably. For instance, the middle-range theories have helped in establishment of a linkage between clinical events and realistic practice, as well as the direction from achievers in the field has enhanced mastery and personal development.

    **Middle-Range Theories in Nursing Practice**

    Middle-range theories have gradually gained appreciation due to their effectiveness in converting theoretical ideas into practice, prescribing practices. These theories become valuable resources that are used in clinical reasoning, patient evaluation, and the formulation of actions to be made in treatment. The literature points out that middle-range theories also have a great utility in the theory-practice Nurses' Clinical context as they offer specific but generic guidelines to solve the real-life patient care issues. In this course, I have come to understand the role of these theories about EBPF in the ways that research information can be applied to the provision of care. The use of middle-range theories contributes to proceduralizing of the processes, thus improving the outcomes of a patient and the overall organization of cooperation between the teams, as well as providing a high level of systematicity to the nursing practice.

    **Impact of Mentors During the Course**

    Equally important to mention is the significance of the constant guidance during the course. I have gained significant guidance from different individuals through the theoretical and practical parts of nursing practices. They have guided scholars towards making better use of middle-range theories in practice and focusing on the reflective issues in clinical practice. Mentors have also created a more learning-focused learning atmosphere where feedback and practical solutions to problems matter. According to the literature, proper mentorship has a proper participation in the training of nursing students and enhances critical thinking and practice of resilience in clinical practice (Johnson & Cooper, 2023). By the provision of ongoing discussions, practice, and journaling as encouraged by my mentors, I have gained improved competencies that have helped me review the theories learnt in this course.

    **Conclusion**

    In conclusion, it can be said that the use of the middle-range theories in practice and the significance of the mentor role can be critical for the practical learning of a nurse during the eight weeks. The combination of theory with practice means that there is a clear guideline on how the nursing practice will be conducted, and the mentors make sure that these practices are relevant and can be practiced in a real-world setting. This approach has helped me not only in enhancing my knowledge in the practice of nursing but also in preparing me to become a more reflective practitioner. It can be said that future interaction with both of such theories and a mentor surely will be the foundation of further professional activity.

    **References**

    Chen, M., Garcia, N., & Roberts, L. (2022). Integrating middle‐range theories into clinical practice: Bridging theory and patient care. Nursing Science Quarterly, 35(1), 45–56.

    Johnson, L., & Cooper, S. (2023). The role of mentorship in advancing clinical competencies among nursing students. Journal of Nursing Education, 62(2), 112–119.

    Smith, T., Martinez, D., & Nguyen, H. (2024). Reflective practices in nursing: The impact of educational mentorship on clinical outcomes. Journal of Advanced Nursing Practice, 39(3), 205–218.

    – 2 years ago

  • [Solved] Nursing help with homework

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