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  • [Solved] Weekly experience as a student nurse practitioner in Pediatrics clinic

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Weekly experience as a student nurse practitioner in a Pediatrics clinic – 2 years ago **files (2)** – ## Weeklyexperience.docx – ## WeeklyClinicalExperienc3.docx **## Weeklyexperience.docx** Describe your clinical experience this week as a student family nurse practitioner in the pediatric clinic. …

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    Assignment Prompt & Instructions

    Weekly experience as a student nurse practitioner in a Pediatrics clinic

    – 2 years ago

    **files (2)**

    – ## Weeklyexperience.docx

    – ## WeeklyClinicalExperienc3.docx

    **## Weeklyexperience.docx**

    Describe your clinical experience this week as a student family nurse practitioner in the pediatric clinic.

    · Did you face any challenges, any success? If so, what were they?

    · Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.

    · Mention the health promotion intervention for this patient.

    · What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?

    · Support your plan of care with the current peer-reviewed research guideline.

    **Submission Instructions:**

    · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

    **## WeeklyClinicalExperienc3.docx**

    **Weekly Clinical Experience**

    Tiffany Amaya

    St. Thomas University

    NUR-507CL-AP4.25/SP2

    Dr. Susana Ramirez

    April 10, 2025

    **Clinical Experience in the Pediatric Clinic**

    I learned several essential lessons when I served as a student family nurse practitioner at the pediatric clinic during this week. I provided medical treatment to children ranging from infants to adolescents who had different health conditions. The practice of health assessments was the primary aspect of my responsibilities while I performed physical examinations and administered vaccines. Supervised patient care duties enabled me to improve my clinical judgment skills as well as communication abilities when working with pediatric patients and their parents. Learning the core principle of this week was to provide patients with nutrition education, sleep guidelines, and developmental goals. Through direct patient interaction, I learned efficient communication techniques for different child age ranges which I will need for future pediatric medical practice.

    **Challenges and Success**

    The week created numerous obstacles because it restricted my capacity to use critical thinking and show behavioral adaptability. It became very difficult to carry out the assessment of this non-verbal toddler who experienced developmental delays. I worked with the child's guardian in designing several assessments during which I provided emotional support to the toddler. Through this experience, I understood the importance of flexibility along with patience among medical professionals working in pediatric practice. I provided treatment for depression signs in a patient with moderate symptoms during my clinical practice period. The provider required information for care planning so I used active listening skills with rapport development techniques to obtain it. Research shows that adolescents require secure environments to express their emotions based on what I have personally witnessed.

    **Patient assessment and Differential Diagnoses**

    The patient was a 6-year-old girl who had a sore throat and fever with diminished appetite for two days. The patient showed a 101.8°F temperature while her tonsils revealed white exudate and anterior cervical lymphadenopathy along with tonsillar enlargement. The rapid antigen test detected a strep mark in her system. The patient's clinical symptoms together with test outcomes established streptococcal pharyngitis as their main diagnosis. The three possible alternative diagnoses were, first, viral pharyngitis because it shared sore throat symptoms with strep but lacked white exudate and positive strep test results. The second diagnosis was infectious mononucleosis because it involved fatigue and tonsillar enlargement which typically affects older adolescents and lastly, peritonsillar abscess due to its combination of sore throat and fever symptoms with trismus and muffled voice. The treatment strategy involved giving amoxicillin for 10 days and providing hydration and antipyretic medicine as well as requiring school absence for 24 hours after starting antibiotic therapy.

    **Health Promotion Intervention**

    Teaching the parent about completing antibiotic treatment even when symptoms fade away forms the core of the health promotion strategy to prevent rheumatic fever complications. The nurse provided instruction about hand hygiene and separate eating tools as infection prevention measures which protected both family members and classmates. The nurse explained that regular pediatric appointments combined with appropriate child vaccinations hold great importance. The nursing staff educated the patient about maintaining hydration and energy levels through illness through their guidance on selecting soft foods and electrolyte-rich drinks.

    **Lessons Learned for Advanced Practice**

    The clinical experience this week demonstrated why healthcare providers need to modify their clinical methods and communication approaches when treating children. The assessment strategy for children requires detailed patient interviews along with parent involvement and adaptable clinical examination methods to achieve accurate results. Through pediatric infection management I understood better the practices of evidence-based antibiotic treatment while learning to avoid excessive antibiotic medicine. These advanced clinical skills will help me deliver better pediatric healthcare services to patients along with promoting safety in family-centered care as an advanced practice nurse.

    **Evidenced-Based Plan of Care Support**

    Streptococcal pharyngitis receives its healthcare plan from protocols established by the American Academy of Pediatrics and Infectious Diseases Society of America. Group A streptococcal pharyngitis requires first-line treatment with Penicillin or amoxicillin as per the recommendations from the American Academy of Pediatrics joined by Infectious Diseases Society of America though laboratory testing must confirm the diagnosis (McGuire et al., 2023). The Centers for Disease Control Prevention (CDC) makes patient education its main priority to reduce antibiotic misuse while fighting antibiotic resistance (Hankins et al., 2025). The guidelines accomplish both therapeutic success and minimal transmission and antimicrobial stewardship promotion for better care.

    **References**

    Hankins, J. D., Johnson, C. L., Sanchez, B. C., Serrano, A. V., Runge, J. K., Spinler, J. K., … & Niles, D. T. (2025). Increased Incidence and Severity of Group A Streptococcal Infections in Children in Southeast Texas From June 2022 to May 2023.
    _The Pediatric Infectious Disease Journal_,
    _44_(2), 118-124.

    McGuire, E., Li, A., Collin, S. M., Decraene, V., Cook, M., Padfield, S., … & Brown, C. S. (2023). Time to negative throat culture following initiation of antibiotics for pharyngeal group A Streptococcus: a systematic review and meta-analysis up to October 2021 to inform public health control measures.
    _Eurosurveillance_,
    _28_(15), 2200573.

    **## WeeklyClinicalExperienc3.docx**

    **Weekly Clinical Experience**

    Tiffany Amaya

    St. Thomas University

    NUR-507CL-AP4.25/SP2

    Dr. Susana Ramirez

    April 10, 2025

    **Clinical Experience in the Pediatric Clinic**

    I learned several essential lessons when I served as a student family nurse practitioner at the pediatric clinic during this week. I provided medical treatment to children ranging from infants to adolescents who had different health conditions. The practice of health assessments was the primary aspect of my responsibilities while I performed physical examinations and administered vaccines. Supervised patient care duties enabled me to improve my clinical judgment skills as well as communication abilities when working with pediatric patients and their parents. Learning the core principle of this week was to provide patients with nutrition education, sleep guidelines, and developmental goals. Through direct patient interaction, I learned efficient communication techniques for different child age ranges which I will need for future pediatric medical practice.

    **Challenges and Success**

    The week created numerous obstacles because it restricted my capacity to use critical thinking and show behavioral adaptability. It became very difficult to carry out the assessment of this non-verbal toddler who experienced developmental delays. I worked with the child's guardian in designing several assessments during which I provided emotional support to the toddler. Through this experience, I understood the importance of flexibility along with patience among medical professionals working in pediatric practice. I provided treatment for depression signs in a patient with moderate symptoms during my clinical practice period. The provider required information for care planning so I used active listening skills with rapport development techniques to obtain it. Research shows that adolescents require secure environments to express their emotions based on what I have personally witnessed.

    **Patient assessment and Differential Diagnoses**

    The patient was a 6-year-old girl who had a sore throat and fever with diminished appetite for two days. The patient showed a 101.8°F temperature while her tonsils revealed white exudate and anterior cervical lymphadenopathy along with tonsillar enlargement. The rapid antigen test detected a strep mark in her system. The patient's clinical symptoms together with test outcomes established streptococcal pharyngitis as their main diagnosis. The three possible alternative diagnoses were, first, viral pharyngitis because it shared sore throat symptoms with strep but lacked white exudate and positive strep test results. The second diagnosis was infectious mononucleosis because it involved fatigue and tonsillar enlargement which typically affects older adolescents and lastly, peritonsillar abscess due to its combination of sore throat and fever symptoms with trismus and muffled voice. The treatment strategy involved giving amoxicillin for 10 days and providing hydration and antipyretic medicine as well as requiring school absence for 24 hours after starting antibiotic therapy.

    **Health Promotion Intervention**

    Teaching the parent about completing antibiotic treatment even when symptoms fade away forms the core of the health promotion strategy to prevent rheumatic fever complications. The nurse provided instruction about hand hygiene and separate eating tools as infection prevention measures which protected both family members and classmates. The nurse explained that regular pediatric appointments combined with appropriate child vaccinations hold great importance. The nursing staff educated the patient about maintaining hydration and energy levels through illness through their guidance on selecting soft foods and electrolyte-rich drinks.

    **Lessons Learned for Advanced Practice**

    The clinical experience this week demonstrated why healthcare providers need to modify their clinical methods and communication approaches when treating children. The assessment strategy for children requires detailed patient interviews along with parent involvement and adaptable clinical examination methods to achieve accurate results. Through pediatric infection management I understood better the practices of evidence-based antibiotic treatment while learning to avoid excessive antibiotic medicine. These advanced clinical skills will help me deliver better pediatric healthcare services to patients along with promoting safety in family-centered care as an advanced practice nurse.

    **Evidenced-Based Plan of Care Support**

    Streptococcal pharyngitis receives its healthcare plan from protocols established by the American Academy of Pediatrics and Infectious Diseases Society of America. Group A streptococcal pharyngitis requires first-line treatment with Penicillin or amoxicillin as per the recommendations from the American Academy of Pediatrics joined by Infectious Diseases Society of America though laboratory testing must confirm the diagnosis (McGuire et al., 2023). The Centers for Disease Control Prevention (CDC) makes patient education its main priority to reduce antibiotic misuse while fighting antibiotic resistance (Hankins et al., 2025). The guidelines accomplish both therapeutic success and minimal transmission and antimicrobial stewardship promotion for better care.

    **References**

    Hankins, J. D., Johnson, C. L., Sanchez, B. C., Serrano, A. V., Runge, J. K., Spinler, J. K., … & Niles, D. T. (2025). Increased Incidence and Severity of Group A Streptococcal Infections in Children in Southeast Texas From June 2022 to May 2023.
    _The Pediatric Infectious Disease Journal_,
    _44_(2), 118-124.

    McGuire, E., Li, A., Collin, S. M., Decraene, V., Cook, M., Padfield, S., … & Brown, C. S. (2023). Time to negative throat culture following initiation of antibiotics for pharyngeal group A Streptococcus: a systematic review and meta-analysis up to October 2021 to inform public health control measures.
    _Eurosurveillance_,
    _28_(15), 2200573.

    **## Weeklyexperience.docx**

    Describe your clinical experience this week as a student family nurse practitioner in the pediatric clinic.

    · Did you face any challenges, any success? If so, what were they?

    · Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.

    · Mention the health promotion intervention for this patient.

    · What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?

    · Support your plan of care with the current peer-reviewed research guideline.

    **Submission Instructions:**

    · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

    **## WeeklyClinicalExperienc3.docx**

    **Weekly Clinical Experience**

    Tiffany Amaya

    St. Thomas University

    NUR-507CL-AP4.25/SP2

    Dr. Susana Ramirez

    April 10, 2025

    **Clinical Experience in the Pediatric Clinic**

    I learned several essential lessons when I served as a student family nurse practitioner at the pediatric clinic during this week. I provided medical treatment to children ranging from infants to adolescents who had different health conditions. The practice of health assessments was the primary aspect of my responsibilities while I performed physical examinations and administered vaccines. Supervised patient care duties enabled me to improve my clinical judgment skills as well as communication abilities when working with pediatric patients and their parents. Learning the core principle of this week was to provide patients with nutrition education, sleep guidelines, and developmental goals. Through direct patient interaction, I learned efficient communication techniques for different child age ranges which I will need for future pediatric medical practice.

    **Challenges and Success**

    The week created numerous obstacles because it restricted my capacity to use critical thinking and show behavioral adaptability. It became very difficult to carry out the assessment of this non-verbal toddler who experienced developmental delays. I worked with the child's guardian in designing several assessments during which I provided emotional support to the toddler. Through this experience, I understood the importance of flexibility along with patience among medical professionals working in pediatric practice. I provided treatment for depression signs in a patient with moderate symptoms during my clinical practice period. The provider required information for care planning so I used active listening skills with rapport development techniques to obtain it. Research shows that adolescents require secure environments to express their emotions based on what I have personally witnessed.

    **Patient assessment and Differential Diagnoses**

    The patient was a 6-year-old girl who had a sore throat and fever with diminished appetite for two days. The patient showed a 101.8°F temperature while her tonsils revealed white exudate and anterior cervical lymphadenopathy along with tonsillar enlargement. The rapid antigen test detected a strep mark in her system. The patient's clinical symptoms together with test outcomes established streptococcal pharyngitis as their main diagnosis. The three possible alternative diagnoses were, first, viral pharyngitis because it shared sore throat symptoms with strep but lacked white exudate and positive strep test results. The second diagnosis was infectious mononucleosis because it involved fatigue and tonsillar enlargement which typically affects older adolescents and lastly, peritonsillar abscess due to its combination of sore throat and fever symptoms with trismus and muffled voice. The treatment strategy involved giving amoxicillin for 10 days and providing hydration and antipyretic medicine as well as requiring school absence for 24 hours after starting antibiotic therapy.

    **Health Promotion Intervention**

    Teaching the parent about completing antibiotic treatment even when symptoms fade away forms the core of the health promotion strategy to prevent rheumatic fever complications. The nurse provided instruction about hand hygiene and separate eating tools as infection prevention measures which protected both family members and classmates. The nurse explained that regular pediatric appointments combined with appropriate child vaccinations hold great importance. The nursing staff educated the patient about maintaining hydration and energy levels through illness through their guidance on selecting soft foods and electrolyte-rich drinks.

    **Lessons Learned for Advanced Practice**

    The clinical experience this week demonstrated why healthcare providers need to modify their clinical methods and communication approaches when treating children. The assessment strategy for children requires detailed patient interviews along with parent involvement and adaptable clinical examination methods to achieve accurate results. Through pediatric infection management I understood better the practices of evidence-based antibiotic treatment while learning to avoid excessive antibiotic medicine. These advanced clinical skills will help me deliver better pediatric healthcare services to patients along with promoting safety in family-centered care as an advanced practice nurse.

    **Evidenced-Based Plan of Care Support**

    Streptococcal pharyngitis receives its healthcare plan from protocols established by the American Academy of Pediatrics and Infectious Diseases Society of America. Group A streptococcal pharyngitis requires first-line treatment with Penicillin or amoxicillin as per the recommendations from the American Academy of Pediatrics joined by Infectious Diseases Society of America though laboratory testing must confirm the diagnosis (McGuire et al., 2023). The Centers for Disease Control Prevention (CDC) makes patient education its main priority to reduce antibiotic misuse while fighting antibiotic resistance (Hankins et al., 2025). The guidelines accomplish both therapeutic success and minimal transmission and antimicrobial stewardship promotion for better care.

    **References**

    Hankins, J. D., Johnson, C. L., Sanchez, B. C., Serrano, A. V., Runge, J. K., Spinler, J. K., … & Niles, D. T. (2025). Increased Incidence and Severity of Group A Streptococcal Infections in Children in Southeast Texas From June 2022 to May 2023.
    _The Pediatric Infectious Disease Journal_,
    _44_(2), 118-124.

    McGuire, E., Li, A., Collin, S. M., Decraene, V., Cook, M., Padfield, S., … & Brown, C. S. (2023). Time to negative throat culture following initiation of antibiotics for pharyngeal group A Streptococcus: a systematic review and meta-analysis up to October 2021 to inform public health control measures.
    _Eurosurveillance_,
    _28_(15), 2200573.

    **## Weeklyexperience.docx**

    Describe your clinical experience this week as a student family nurse practitioner in the pediatric clinic.

    · Did you face any challenges, any success? If so, what were they?

    · Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.

    · Mention the health promotion intervention for this patient.

    · What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?

    · Support your plan of care with the current peer-reviewed research guideline.

    **Submission Instructions:**

    · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

    **## WeeklyClinicalExperienc3.docx**

    **Weekly Clinical Experience**

    Tiffany Amaya

    St. Thomas University

    NUR-507CL-AP4.25/SP2

    Dr. Susana Ramirez

    April 10, 2025

    **Clinical Experience in the Pediatric Clinic**

    I learned several essential lessons when I served as a student family nurse practitioner at the pediatric clinic during this week. I provided medical treatment to children ranging from infants to adolescents who had different health conditions. The practice of health assessments was the primary aspect of my responsibilities while I performed physical examinations and administered vaccines. Supervised patient care duties enabled me to improve my clinical judgment skills as well as communication abilities when working with pediatric patients and their parents. Learning the core principle of this week was to provide patients with nutrition education, sleep guidelines, and developmental goals. Through direct patient interaction, I learned efficient communication techniques for different child age ranges which I will need for future pediatric medical practice.

    **Challenges and Success**

    The week created numerous obstacles because it restricted my capacity to use critical thinking and show behavioral adaptability. It became very difficult to carry out the assessment of this non-verbal toddler who experienced developmental delays. I worked with the child's guardian in designing several assessments during which I provided emotional support to the toddler. Through this experience, I understood the importance of flexibility along with patience among medical professionals working in pediatric practice. I provided treatment for depression signs in a patient with moderate symptoms during my clinical practice period. The provider required information for care planning so I used active listening skills with rapport development techniques to obtain it. Research shows that adolescents require secure environments to express their emotions based on what I have personally witnessed.

    **Patient assessment and Differential Diagnoses**

    The patient was a 6-year-old girl who had a sore throat and fever with diminished appetite for two days. The patient showed a 101.8°F temperature while her tonsils revealed white exudate and anterior cervical lymphadenopathy along with tonsillar enlargement. The rapid antigen test detected a strep mark in her system. The patient's clinical symptoms together with test outcomes established streptococcal pharyngitis as their main diagnosis. The three possible alternative diagnoses were, first, viral pharyngitis because it shared sore throat symptoms with strep but lacked white exudate and positive strep test results. The second diagnosis was infectious mononucleosis because it involved fatigue and tonsillar enlargement which typically affects older adolescents and lastly, peritonsillar abscess due to its combination of sore throat and fever symptoms with trismus and muffled voice. The treatment strategy involved giving amoxicillin for 10 days and providing hydration and antipyretic medicine as well as requiring school absence for 24 hours after starting antibiotic therapy.

    **Health Promotion Intervention**

    Teaching the parent about completing antibiotic treatment even when symptoms fade away forms the core of the health promotion strategy to prevent rheumatic fever complications. The nurse provided instruction about hand hygiene and separate eating tools as infection prevention measures which protected both family members and classmates. The nurse explained that regular pediatric appointments combined with appropriate child vaccinations hold great importance. The nursing staff educated the patient about maintaining hydration and energy levels through illness through their guidance on selecting soft foods and electrolyte-rich drinks.

    **Lessons Learned for Advanced Practice**

    The clinical experience this week demonstrated why healthcare providers need to modify their clinical methods and communication approaches when treating children. The assessment strategy for children requires detailed patient interviews along with parent involvement and adaptable clinical examination methods to achieve accurate results. Through pediatric infection management I understood better the practices of evidence-based antibiotic treatment while learning to avoid excessive antibiotic medicine. These advanced clinical skills will help me deliver better pediatric healthcare services to patients along with promoting safety in family-centered care as an advanced practice nurse.

    **Evidenced-Based Plan of Care Support**

    Streptococcal pharyngitis receives its healthcare plan from protocols established by the American Academy of Pediatrics and Infectious Diseases Society of America. Group A streptococcal pharyngitis requires first-line treatment with Penicillin or amoxicillin as per the recommendations from the American Academy of Pediatrics joined by Infectious Diseases Society of America though laboratory testing must confirm the diagnosis (McGuire et al., 2023). The Centers for Disease Control Prevention (CDC) makes patient education its main priority to reduce antibiotic misuse while fighting antibiotic resistance (Hankins et al., 2025). The guidelines accomplish both therapeutic success and minimal transmission and antimicrobial stewardship promotion for better care.

    **References**

    Hankins, J. D., Johnson, C. L., Sanchez, B. C., Serrano, A. V., Runge, J. K., Spinler, J. K., … & Niles, D. T. (2025). Increased Incidence and Severity of Group A Streptococcal Infections in Children in Southeast Texas From June 2022 to May 2023.
    _The Pediatric Infectious Disease Journal_,
    _44_(2), 118-124.

    McGuire, E., Li, A., Collin, S. M., Decraene, V., Cook, M., Padfield, S., … & Brown, C. S. (2023). Time to negative throat culture following initiation of antibiotics for pharyngeal group A Streptococcus: a systematic review and meta-analysis up to October 2021 to inform public health control measures.
    _Eurosurveillance_,
    _28_(15), 2200573.

  • [Solved] tsal

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – 2 years ago **files (1)** – ## tsal.pdf **## tsal.pdf** In this paper, the student will provide a detailed description of the relationship between the Health promotion and maintenance of health and the Coordination and management of care 1) Write a 4-page paper (excluding the title page or referen…

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    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## tsal.pdf

    **## tsal.pdf**

    In this paper, the student will provide a detailed description of the relationship between the Health
    promotion and maintenance of health and the Coordination and management of care

    1) Write a 4-page paper (excluding the title page or reference page) using APA format.
    2) Include the following sections:

    a. Introduction –
    • Offer a detailed description of the purpose statement for the paper.
    • Priority topic (Coordination and managing care) and align to the NCLEX-RN®

    examination blueprint:
    a. Health promotion and maintenance of health

    • Provide a detailed description of the relationship between the category from the
    NCLEX-RN® examination blueprint and the priority concept (topic).

    • This section should not exceed two (2) paragraphs. A paragraph is 3-5 sentences.
    b. Importance –

    • Describe the primary importance of the priority concept (topic) to professional practice.
    • Describe the importance of the priority concept (topic) to the health status of a patient

    population.
    • Include 2 potential negative effect(s) to professional practice if the priority concept

    (topic) is unresolved.
    • Include 2 potential negative effect(s) to the patient population if the priority concept

    (topic) is unresolved.
    • Provide appropriate, adequate, and relevant scholarly support for this section.

    c. Healthcare Disparities, Inequalities, and Interventions –
    • Identify a primary patient population that may be negatively influenced by the priority

    concept (topic) if unresolved.
    • Identify a healthcare resource to support evidence-based professional practice related to

    the priority concept (topic).
    • Summarize potential priority concept (topic) healthcare disparities and inequalities related

    to diverse populations.
    • Propose an evidence-based solution for the priority concept (topic) related to healthcare

    disparities.
    • Identify an evidence-based practice intervention.
    • Discuss patient education considerations related to the priority concept (topic).
    • Provide appropriate, adequate, and relevant scholarly support for this section.

    d. Legal & Ethical Considerations and Intervention Challenges –
    • Identify one (1) ethical and one (1) legal implication for addressing the priority concept

    (topic) in professional practice.
    • Discuss one (1) strategy in prevention of an ethical dilemma related to the priority concept

    (topic) in professional practice.
    • Discuss one (1) strategy in prevention of legal consequences related to the priority concept

    (topic) in professional practice.
    • Identify one (1) anticipated challenge to the success of preventing the priority concept

    (topic) in professional practice.
    • Identify one (1) anticipated challenge to the success of resolving the priority concept (topic)

    in professional practice.
    • Provide appropriate, adequate, and relevant scholarly support for this section.

    e. Participants and Interdisciplinary Approach –
    • Identify three (3) parties (identify two (2) members of a discipline outside of nursing) who

    will be involved in the implementation of the priority concept (topic) interventions.

    • Discuss the role of these member in the intervention implementation for the priority
    concept (topic).

    • Discuss the benefit of including the identified interdisciplinary members from disciplines
    outside nursing to promote evidence-based professional practice.

    • Provide appropriate, adequate, and relevant scholarly support for this section.
    f. Quality Improvement –

    • Provide at least one (1) benefit in patient outcomes from addressing the priority concept
    (topic) within the clinical environment.

    • Provide at least one (1) benefit to the nursing profession that will result from addressing
    this priority concept (topic) in clinical professional practice.

    • Discuss at least one (1) resource utilized to promote improved patient outcomes in the
    clinical environment.

    • Discuss at least one (1) resource utilized to increase professional nurse knowledge
    promoting improved clinical professional practice.

    • Provide appropriate, adequate, and relevant scholarly support for this section.
    g. Conclusion –

    • Provide a thorough recap of the purpose to promote increased evidence-based
    professional practice knowledge related to the priority concept (topic) deficiency.

    • Summarize resources identified to support improved evidence-based professional practice
    related to the priority concept (topic).

    • Include a complete statement describing why addressing the priority concept (topic)
    matters for patient outcomes and evidence-based professional practice.

    • This section should provide no new information and should be limited to 1-2 paragraphs.
    h. APA Style and Organization

    • References are submitted with the paper.
    • Uses the current APA format and is free of errors.
    • Grammar and mechanics are free of errors.
    • The paper is 4 pages, excluding the title and reference pages.
    • A minimum of three (3) scholarly, peer-reviewed, primary sources from the last 5 years,

    excluding the textbook, are provided.
    • Each section should have a cited source to support the information provided.

    **## tsal.pdf**

    In this paper, the student will provide a detailed description of the relationship between the Health
    promotion and maintenance of health and the Coordination and management of care

    1) Write a 4-page paper (excluding the title page or reference page) using APA format.
    2) Include the following sections:

    a. Introduction –
    • Offer a detailed description of the purpose statement for the paper.
    • Priority topic (Coordination and managing care) and align to the NCLEX-RN®

    examination blueprint:
    a. Health promotion and maintenance of health

    • Provide a detailed description of the relationship between the category from the
    NCLEX-RN® examination blueprint and the priority concept (topic).

    • This section should not exceed two (2) paragraphs. A paragraph is 3-5 sentences.
    b. Importance –

    • Describe the primary importance of the priority concept (topic) to professional practice.
    • Describe the importance of the priority concept (topic) to the health status of a patient

    population.
    • Include 2 potential negative effect(s) to professional practice if the priority concept

    (topic) is unresolved.
    • Include 2 potential negative effect(s) to the patient population if the priority concept

    (topic) is unresolved.
    • Provide appropriate, adequate, and relevant scholarly support for this section.

    c. Healthcare Disparities, Inequalities, and Interventions –
    • Identify a primary patient population that may be negatively influenced by the priority

    concept (topic) if unresolved.
    • Identify a healthcare resource to support evidence-based professional practice related to

    the priority concept (topic).
    • Summarize potential priority concept (topic) healthcare disparities and inequalities related

    to diverse populations.
    • Propose an evidence-based solution for the priority concept (topic) related to healthcare

    disparities.
    • Identify an evidence-based practice intervention.
    • Discuss patient education considerations related to the priority concept (topic).
    • Provide appropriate, adequate, and relevant scholarly support for this section.

    d. Legal & Ethical Considerations and Intervention Challenges –
    • Identify one (1) ethical and one (1) legal implication for addressing the priority concept

    (topic) in professional practice.
    • Discuss one (1) strategy in prevention of an ethical dilemma related to the priority concept

    (topic) in professional practice.
    • Discuss one (1) strategy in prevention of legal consequences related to the priority concept

    (topic) in professional practice.
    • Identify one (1) anticipated challenge to the success of preventing the priority concept

    (topic) in professional practice.
    • Identify one (1) anticipated challenge to the success of resolving the priority concept (topic)

    in professional practice.
    • Provide appropriate, adequate, and relevant scholarly support for this section.

    e. Participants and Interdisciplinary Approach –
    • Identify three (3) parties (identify two (2) members of a discipline outside of nursing) who

    will be involved in the implementation of the priority concept (topic) interventions.

    • Discuss the role of these member in the intervention implementation for the priority
    concept (topic).

    • Discuss the benefit of including the identified interdisciplinary members from disciplines
    outside nursing to promote evidence-based professional practice.

    • Provide appropriate, adequate, and relevant scholarly support for this section.
    f. Quality Improvement –

    • Provide at least one (1) benefit in patient outcomes from addressing the priority concept
    (topic) within the clinical environment.

    • Provide at least one (1) benefit to the nursing profession that will result from addressing
    this priority concept (topic) in clinical professional practice.

    • Discuss at least one (1) resource utilized to promote improved patient outcomes in the
    clinical environment.

    • Discuss at least one (1) resource utilized to increase professional nurse knowledge
    promoting improved clinical professional practice.

    • Provide appropriate, adequate, and relevant scholarly support for this section.
    g. Conclusion –

    • Provide a thorough recap of the purpose to promote increased evidence-based
    professional practice knowledge related to the priority concept (topic) deficiency.

    • Summarize resources identified to support improved evidence-based professional practice
    related to the priority concept (topic).

    • Include a complete statement describing why addressing the priority concept (topic)
    matters for patient outcomes and evidence-based professional practice.

    • This section should provide no new information and should be limited to 1-2 paragraphs.
    h. APA Style and Organization

    • References are submitted with the paper.
    • Uses the current APA format and is free of errors.
    • Grammar and mechanics are free of errors.
    • The paper is 4 pages, excluding the title and reference pages.
    • A minimum of three (3) scholarly, peer-reviewed, primary sources from the last 5 years,

    excluding the textbook, are provided.
    • Each section should have a cited source to support the information provided.

  • [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** 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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    In-depth study guidance and analytical solution covering Nursing help with homework.

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  • [Solved] quality of healthcare

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    You are the nurse executive of Ocracoke Regional Healthcare System. Due to increasing healthcare costs over the past two years, the board and stakeholders have determined the total-patient-care nursing model is no longer sustainable and must be changed. In addition, Joint Commission has just complet…

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    You are the nurse executive of Ocracoke Regional Healthcare System. Due to increasing healthcare costs over the past two years, the board and stakeholders have determined the total-patient-care nursing model is no longer sustainable and must be changed. In addition, Joint Commission has just completed their visit. Ocracoke received two recommendations for improvement in two of the most current National Patient Safety Goals found at the link below.

    [National Patient Safety Goals-The Joint CommissionLinks to an external site.](https://www.jointcommission.org/standards/national-patient-safety-goals)

    You must address these recommendations using a new nursing care delivery model. Senior leadership expects to see increased cost savings through the use of this new model and improved outcomes related to two patient safety goals (you may choose any two patient safety goals you want to improve on by the time of the Joint Commission's revisit in six(6) months.

    – [\
    \
    Quality_of_Healthcare_guidelines.docx](https://www.sweetstudy.com/files/quality-of-healthcare-guidelines-docx "Quality_of_Healthcare_guidelines.docx")

    – 2 years ago

  • [Solved] executive summary

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    One of the most important skills for a nurse executive to have is the ability to write an executive summary. An executive summary is a concise yet thorough accounting of a larger report or proposal for change. For example, when an institution has an accreditation visit, many criteria must be met. Th…

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    One of the most important skills for a nurse executive to have is the ability to write an executive summary. An executive summary is a concise yet thorough accounting of a larger report or proposal for change. For example, when an institution has an accreditation visit, many criteria must be met. Therefore, the report received from the accreditors will be lengthy. The stakeholders, i. e., higher-level leaders, will need to be given a report that contains key areas of concern, the impact of the issue on organizational operations and the quality of health care delivery, what is proposed for correcting the issue and the organizational impact of the intervention. The executive summary is based on the evidence found in the report and other factors.

    **Case Scenario**

    As the chief quality and safety officer, you have been leading the initiative for the healthcare system to obtain MagnetT status from the American Nurses Credentialing Center (ANCC). The facility applied, was visited, and has received the report. The report identifies a deficiency (or deficiencies) in one of the **Five Magnet Model*** components. A solution must be implemented that shows improvement in the area within the next six months, at which time another visit will be scheduled.

    For this assignment, you will create an executive summary of the report addressed to the board of directors of the healthcare facility. You will choose a **Force of Magnetism** within one of the **MagnetT** model components for your focus. The executive summary will include all the following: (1) a description of one of the five Magnet components within which a deficiency (or deficiencies) exists, (2) the **specific “Force of Magnetism” that is deficient**, (3) the criterion used by the examiners to the indicate the deficiency and the **evidence/metric used**, (4) an analysis of their findings and possible solutions to resolve the issue, and (5) the impact of the deficiency and recommended solutions on the organization.

    The **Five Magnet Model Components*** are listed below. Choose one of these upon which to focus your…… The link to the ANCC website where these components are described is provided at the beginning of the assignment. Within each component, the **“Forces of Magnetism”** are listed. The description of how these are measured, or the evidence examined to determine compliance, is also generally described on the web page. Choose one of the **Forces** to explore more deeply and describe how your facility was deficient. From this, you will be able to propose two potential solutions to address the deficiency found by the examiners. In your description of criteria/findings, you will need to identify the specific criteria used and the evidence of the deficiency.

    **Magnet Model Components:**

    – Transformational Leadership

        Force #1: Quality of Nursing Leadership

        Force #3: Management Style
    – Structural Empowerment

        Force #2: Organizational Structure

        Force #4: Personnel Policies and Programs

        Force #10: Community and Healthcare Organization

        Force #12: Image of Nursing

        Force #14: Professional Development
    – Exemplary Professional Practice

        Force #5: Professional Models of Care

        Force #8: Consultation and Resources

        Force #9: Autonomy

        Force #11: Nurses as Teachers

        Force #13: Interdisciplinary Relationships
    – New Knowledge, Innovations & Improvements

        Force #7: Quality Improvement
    – Empirical Quality Results

        Force #6: Quality of Care

    – [\
    \
    Executive_Summary_Guidelines.docx](https://www.sweetstudy.com/files/executive-summary-guidelines-docx "Executive_Summary_Guidelines.docx")

    – 2 years ago

  • [Solved] Discussion Post

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  • [Solved] 4 discussions

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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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    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

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    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

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    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