Tag: Nursing

  • [Solved] Case 6

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    **Mrs. P. is an 80-year-old woman recently discharged from a 24-hour observation stay at the hospital after being diagnosed with acute bronchitis. She has a history of heart failure, hypertension, osteoarthritis, GERD, and hyperlipidemia. She has no history of smoking. While in the hospital she was …

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    **Mrs. P. is an 80-year-old woman recently discharged from a 24-hour observation stay at the hospital after being diagnosed with acute bronchitis. She has a history of heart failure, hypertension, osteoarthritis, GERD, and hyperlipidemia. She has no history of smoking. While in the hospital she was prescribed doxycycline, prednisone 15 mg to taper, and a tiotropium inhaler. Her current list of daily medications prior to hospitalization includes metoprolol succinate 12.5 mg, pantoprazole 40 mg, atorvastatin 10 mg, lisinopril 10 mg, furosemide 40 mg, potassium chloride 20 meq bid, acetaminophen 650 mg bid for pain and tramadol 25 mg as needed. She lives alone but will reside temporarily with her daughter while she recovers. Her discharge report indicated resolving bronchitis, no exacerbation of heart failure, and stable arthritic pain. Today she reports 1 week after discharge with her daughter for a primary care appointment, and they both were concerned about the number of medications she was prescribed and wanted her medications reviewed. In further review, she was found to have lost weight over the past 6 months of 5 lbs and her current BMI is 25. She states that the weight loss may be due to a change to a healthier diet and reducing sodium as instructed. She also reports no symptoms of GERD for the past 6 months and minimal arthritic pain because of regular use of acetaminophen and daily walking in the halls of her independent living facility. Upon examination her lungs are clear to auscultation and no evidence of lower extremity edema.**

    **Discuss the following:**

    **1) In reviewing her medication list and current symptoms and clinical signs, which**

    **medication could the nurse practitioner consider de-prescribing.**

    **2) Once the patient has completed the prednisone taper, which medication could the nurse**

    **practitioner begin to reduce given the patient’s reported symptoms.**

    **3) Given the absence of an exacerbation of heart failure and compliance with a reduced**

    **sodium diet, what other medication(s) adjustments could the nurse practitioner consider at**

    **this time.**

    **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.**

    – a year ago

  • [Solved] practical nursing

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  • [Solved] practical nursing

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  • [Solved] Discussion Post

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  • [Solved] Decision Making

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  • [Solved] 514M7A

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  • [Solved] 514clm7d

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  • [Solved] Neurodevelopmental Disorder

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    – a year ago **files (3)** – ## TrainingTitle38.docx – ## NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate.docx – Week9Assignment.docx **## TrainingTitle38.docx** Training Title 38 Name: Mr. Elijah Loman Gender: male Age:18 years old T- 98.3 P- 93 R 22 118/68 Ht 5’7 Wt 149lbs Background: Curre…

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    – a year ago

    **files (3)**

    – ## TrainingTitle38.docx

    – ## NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate.docx

    – Week9Assignment.docx

    **## TrainingTitle38.docx**

    Training Title 38
    Name: Mr. Elijah Loman
    Gender: male
    Age:18 years old
    T- 98.3 P- 93 R 22 118/68 Ht 5’7 Wt 149lbs
    Background: Currently lives with his sister and two parents in Durham, NC. Not currently
    employed. Completed high school, not currently in school. Hx of treatment for mood disorder
    began age 15, previous trials of risperidone, quetiapine off and on, side effects of wt. gain. Has
    hx of a six-day hospitalization one year ago after found wandering at night in the mall parking
    lot without clothes. He refused medication due to previous experiences. Not currently partnered.
    He has been sexually inappropriate with comments to female neighbors; pulled his pants down in
    the mall. Denies any recent alcohol or substance use. Father has history of bipolar disorder. No
    history of self-harm behaviors, no family suicides. Mother reports he has slept 4-5 hours in past
    week, up spending money buying and playing new video games and says he is writing a book on
    how others can be a video game master. Appetite is decreased. No medical hx; Hx of vandalism
    as a juvenile. Has pending court date for indecent exposure. Allergies: latex

    Symptom Media. (Producer). (2016). Training title 38 [Video].
    https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/wa
    tch/training-title-38

    **## NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate.docx**

    **NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template**

    **Week (enter week #): (Enter assignment title)**

    Student Name

    College of Nursing-PMHNP, Walden University

    NRNP 6635: Psychopathology and Diagnostic Reasoning

    Faculty Name

    Assignment Due Date

    **Subjective:**

    **CC** (chief complaint):

    **HPI**:

    **Past Psychiatric History**:

    ·
    **G** eneral Statement:

    ·
    **C** aregivers (if applicable):

    ·
    **H** ospitalizations:

    ·
    **M** edication trials:

    ·
    **P** sychotherapy or
    **P** revious Psychiatric Diagnosis:

    **Substance Current Use and History:**

    **Family Psychiatric/Substance Use History:**

    **Psychosocial History:**

    **Medical History:**

    ·
    **Current Medications**:

    ·
    **Allergies**:

    ·
    **Reproductive Hx**:

    **ROS**:

    · GENERAL:

    · HEENT:

    · SKIN:

    · CARDIOVASCULAR:

    · RESPIRATORY:

    · GASTROINTESTINAL:

    · GENITOURINARY:

    · NEUROLOGICAL:

    · MUSCULOSKELETAL:

    · HEMATOLOGIC:

    · LYMPHATICS:

    · ENDOCRINOLOGIC:

    **Objective:**

    **Physical exam:** if applicable

    **Diagnostic results**:

    **Assessment:**

    Mental Status Examination:

    Differential Diagnoses:

    Reflections:

    **References**

    © 2021 Walden University Page 1 of 3

    **Week9Assignment.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/week9assignment-docx-10279387)

    **Week9Assignment.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/week9assignment-docx-10279387)

    **## TrainingTitle38.docx**

    Training Title 38
    Name: Mr. Elijah Loman
    Gender: male
    Age:18 years old
    T- 98.3 P- 93 R 22 118/68 Ht 5’7 Wt 149lbs
    Background: Currently lives with his sister and two parents in Durham, NC. Not currently
    employed. Completed high school, not currently in school. Hx of treatment for mood disorder
    began age 15, previous trials of risperidone, quetiapine off and on, side effects of wt. gain. Has
    hx of a six-day hospitalization one year ago after found wandering at night in the mall parking
    lot without clothes. He refused medication due to previous experiences. Not currently partnered.
    He has been sexually inappropriate with comments to female neighbors; pulled his pants down in
    the mall. Denies any recent alcohol or substance use. Father has history of bipolar disorder. No
    history of self-harm behaviors, no family suicides. Mother reports he has slept 4-5 hours in past
    week, up spending money buying and playing new video games and says he is writing a book on
    how others can be a video game master. Appetite is decreased. No medical hx; Hx of vandalism
    as a juvenile. Has pending court date for indecent exposure. Allergies: latex

    Symptom Media. (Producer). (2016). Training title 38 [Video].
    https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/wa
    tch/training-title-38

    **## NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate.docx**

    **NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template**

    **Week (enter week #): (Enter assignment title)**

    Student Name

    College of Nursing-PMHNP, Walden University

    NRNP 6635: Psychopathology and Diagnostic Reasoning

    Faculty Name

    Assignment Due Date

    **Subjective:**

    **CC** (chief complaint):

    **HPI**:

    **Past Psychiatric History**:

    ·
    **G** eneral Statement:

    ·
    **C** aregivers (if applicable):

    ·
    **H** ospitalizations:

    ·
    **M** edication trials:

    ·
    **P** sychotherapy or
    **P** revious Psychiatric Diagnosis:

    **Substance Current Use and History:**

    **Family Psychiatric/Substance Use History:**

    **Psychosocial History:**

    **Medical History:**

    ·
    **Current Medications**:

    ·
    **Allergies**:

    ·
    **Reproductive Hx**:

    **ROS**:

    · GENERAL:

    · HEENT:

    · SKIN:

    · CARDIOVASCULAR:

    · RESPIRATORY:

    · GASTROINTESTINAL:

    · GENITOURINARY:

    · NEUROLOGICAL:

    · MUSCULOSKELETAL:

    · HEMATOLOGIC:

    · LYMPHATICS:

    · ENDOCRINOLOGIC:

    **Objective:**

    **Physical exam:** if applicable

    **Diagnostic results**:

    **Assessment:**

    Mental Status Examination:

    Differential Diagnoses:

    Reflections:

    **References**

    © 2021 Walden University Page 1 of 3

    **Week9Assignment.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/week9assignment-docx-10279387)

    **## TrainingTitle38.docx**

    Training Title 38
    Name: Mr. Elijah Loman
    Gender: male
    Age:18 years old
    T- 98.3 P- 93 R 22 118/68 Ht 5’7 Wt 149lbs
    Background: Currently lives with his sister and two parents in Durham, NC. Not currently
    employed. Completed high school, not currently in school. Hx of treatment for mood disorder
    began age 15, previous trials of risperidone, quetiapine off and on, side effects of wt. gain. Has
    hx of a six-day hospitalization one year ago after found wandering at night in the mall parking
    lot without clothes. He refused medication due to previous experiences. Not currently partnered.
    He has been sexually inappropriate with comments to female neighbors; pulled his pants down in
    the mall. Denies any recent alcohol or substance use. Father has history of bipolar disorder. No
    history of self-harm behaviors, no family suicides. Mother reports he has slept 4-5 hours in past
    week, up spending money buying and playing new video games and says he is writing a book on
    how others can be a video game master. Appetite is decreased. No medical hx; Hx of vandalism
    as a juvenile. Has pending court date for indecent exposure. Allergies: latex

    Symptom Media. (Producer). (2016). Training title 38 [Video].
    https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/wa
    tch/training-title-38

    **## NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate.docx**

    **NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template**

    **Week (enter week #): (Enter assignment title)**

    Student Name

    College of Nursing-PMHNP, Walden University

    NRNP 6635: Psychopathology and Diagnostic Reasoning

    Faculty Name

    Assignment Due Date

    **Subjective:**

    **CC** (chief complaint):

    **HPI**:

    **Past Psychiatric History**:

    ·
    **G** eneral Statement:

    ·
    **C** aregivers (if applicable):

    ·
    **H** ospitalizations:

    ·
    **M** edication trials:

    ·
    **P** sychotherapy or
    **P** revious Psychiatric Diagnosis:

    **Substance Current Use and History:**

    **Family Psychiatric/Substance Use History:**

    **Psychosocial History:**

    **Medical History:**

    ·
    **Current Medications**:

    ·
    **Allergies**:

    ·
    **Reproductive Hx**:

    **ROS**:

    · GENERAL:

    · HEENT:

    · SKIN:

    · CARDIOVASCULAR:

    · RESPIRATORY:

    · GASTROINTESTINAL:

    · GENITOURINARY:

    · NEUROLOGICAL:

    · MUSCULOSKELETAL:

    · HEMATOLOGIC:

    · LYMPHATICS:

    · ENDOCRINOLOGIC:

    **Objective:**

    **Physical exam:** if applicable

    **Diagnostic results**:

    **Assessment:**

    Mental Status Examination:

    Differential Diagnoses:

    Reflections:

    **References**

    © 2021 Walden University Page 1 of 3

    **Week9Assignment.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/week9assignment-docx-10279387)

  • [Solved] Assessment 1

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    See attached file for question – a year ago **files (1)** – ## Instructions.Assessment1.docx **## Instructions.Assessment1.docx** Develop a 3–5-page paper that examines a safety quality issue in a health care setting. You will analyze the issue and examine potential evidence-based and best-practice …

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    Assignment Prompt & Instructions

    See attached file for question

    – a year ago

    **files (1)**

    – ## Instructions.Assessment1.docx

    **## Instructions.Assessment1.docx**

    Develop a 3–5-page paper that examines a safety quality issue in

    a health care setting. You will analyze the issue and examine potential evidence-based and

    best-practice solutions from the literature as well as the role of nurses and other stakeholders in

    **Issue:**
    **Inadequate Patient Education in Healthcare:** Ensuring that patients understand their
    condition, treatment options, and care plan is crucial for optimal outcomes. Here’s why
    recognizing the significance of patient education is essential:
    o Patient Safety and Well-being: Without proper understanding, patients might
    misuse medications, misinterpret symptoms, or fail to recognize warning signs of
    complications. This can lead to preventable adverse events, exacerbation of their
    condition, or even life-threatening situations.
    o Empowerment and Autonomy: Adequate patient education empowers
    individuals to take an active role in their healthcare. When patients understand
    their condition and treatment, they can make informed decisions, advocate for
    themselves, and participate actively in their care.
    o Adherence to Treatment: A clear understanding of the reasons behind a
    particular treatment or medication increases the likelihood that patients will
    adhere to their care plan. Non-adherence, often stemming from a lack of
    understanding, can compromise treatment effectiveness and lead to poorer
    outcomes.
    o Reduced Hospital Readmissions: As you've noted, when patients don't follow
    their care plans correctly, they are more likely to experience complications or
    relapses, leading to hospital readmissions. These readmissions are costly for
    healthcare systems and can be distressing for patients.
    o Healthcare Costs: Inadequate patient education can result in increased
    healthcare costs due to unnecessary tests, treatments, and hospital stays. By
    ensuring patients understand and follow their care plans, healthcare systems can
    reduce these avoidable expenses.
    o Patient Satisfaction: Patients who feel informed and understood are more likely
    to be satisfied with their care. This satisfaction can lead to better patient-provider
    relationships, increased trust, and higher ratings for healthcare facilities.
    o Legal Implications: Informed consent is a legal and ethical requirement in
    healthcare. Without proper patient education, informed consent can be compromised, potentially leading to legal actions against healthcare providers or
    institutions.

    For this assessment, you will analyze a safety quality issue in a health care setting and identify a quality improvement (QI) initiative.

    Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you know what is needed for a distinguished score.

    · Explain factors leading to a specific patient-safety risk in a health care setting.

    · Explain evidence-based and best-practice solutions to improve patient safety and reduce costs.

    · Explain how nurses can help coordinate care to increase patient safety and reduce costs.

    · Identify stakeholders with whom nurses would coordinate to drive safety enhancements with a specific safety quality issue.

    · Communicate using writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.

    ·
    **Length of submission:** 3–5 pages, plus title and reference pages.

    ·
    **Number of references:** Cite a minimum of 4 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.

    ·
    **APA formatting:** References and citations are formatted according to current APA style.

    **DO NOT USE AI**

    By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

    · Competency 1: Analyze the elements of a successful quality improvement initiative.

    · Explain evidence-based and best-practice solutions to improve patient safety and reduce costs.

    · Competency 2: Analyze factors that lead to patient safety risks.

    · Explain factors leading to a specific patient-safety risk in a health care setting.

    · Competency 4: Explain the nurse's role in coordinating care to enhance quality and reduce costs.

    · Explain how nurses can help coordinate care to increase patient safety and reduce costs.

    · Identify stakeholders with whom nurses would coordinate to drive safety enhancements with a specific safety quality issue.

    · Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.

    · Organize content so ideas flow logically with smooth transitions; contains few errors in grammar or punctuation, word choice, and spelling.

    · Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

    **## Instructions.Assessment1.docx**

    Develop a 3–5-page paper that examines a safety quality issue in

    a health care setting. You will analyze the issue and examine potential evidence-based and

    best-practice solutions from the literature as well as the role of nurses and other stakeholders in

    **Issue:**
    **Inadequate Patient Education in Healthcare:** Ensuring that patients understand their
    condition, treatment options, and care plan is crucial for optimal outcomes. Here’s why
    recognizing the significance of patient education is essential:
    o Patient Safety and Well-being: Without proper understanding, patients might
    misuse medications, misinterpret symptoms, or fail to recognize warning signs of
    complications. This can lead to preventable adverse events, exacerbation of their
    condition, or even life-threatening situations.
    o Empowerment and Autonomy: Adequate patient education empowers
    individuals to take an active role in their healthcare. When patients understand
    their condition and treatment, they can make informed decisions, advocate for
    themselves, and participate actively in their care.
    o Adherence to Treatment: A clear understanding of the reasons behind a
    particular treatment or medication increases the likelihood that patients will
    adhere to their care plan. Non-adherence, often stemming from a lack of
    understanding, can compromise treatment effectiveness and lead to poorer
    outcomes.
    o Reduced Hospital Readmissions: As you've noted, when patients don't follow
    their care plans correctly, they are more likely to experience complications or
    relapses, leading to hospital readmissions. These readmissions are costly for
    healthcare systems and can be distressing for patients.
    o Healthcare Costs: Inadequate patient education can result in increased
    healthcare costs due to unnecessary tests, treatments, and hospital stays. By
    ensuring patients understand and follow their care plans, healthcare systems can
    reduce these avoidable expenses.
    o Patient Satisfaction: Patients who feel informed and understood are more likely
    to be satisfied with their care. This satisfaction can lead to better patient-provider
    relationships, increased trust, and higher ratings for healthcare facilities.
    o Legal Implications: Informed consent is a legal and ethical requirement in
    healthcare. Without proper patient education, informed consent can be compromised, potentially leading to legal actions against healthcare providers or
    institutions.

    For this assessment, you will analyze a safety quality issue in a health care setting and identify a quality improvement (QI) initiative.

    Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you know what is needed for a distinguished score.

    · Explain factors leading to a specific patient-safety risk in a health care setting.

    · Explain evidence-based and best-practice solutions to improve patient safety and reduce costs.

    · Explain how nurses can help coordinate care to increase patient safety and reduce costs.

    · Identify stakeholders with whom nurses would coordinate to drive safety enhancements with a specific safety quality issue.

    · Communicate using writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.

    ·
    **Length of submission:** 3–5 pages, plus title and reference pages.

    ·
    **Number of references:** Cite a minimum of 4 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.

    ·
    **APA formatting:** References and citations are formatted according to current APA style.

    **DO NOT USE AI**

    By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

    · Competency 1: Analyze the elements of a successful quality improvement initiative.

    · Explain evidence-based and best-practice solutions to improve patient safety and reduce costs.

    · Competency 2: Analyze factors that lead to patient safety risks.

    · Explain factors leading to a specific patient-safety risk in a health care setting.

    · Competency 4: Explain the nurse's role in coordinating care to enhance quality and reduce costs.

    · Explain how nurses can help coordinate care to increase patient safety and reduce costs.

    · Identify stakeholders with whom nurses would coordinate to drive safety enhancements with a specific safety quality issue.

    · Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.

    · Organize content so ideas flow logically with smooth transitions; contains few errors in grammar or punctuation, word choice, and spelling.

    · Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

  • [Solved] Future Applications 2023

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    How do you plan to use what you have learned in this class in the future? ( static ) *200 words numbers or a combination of both cited and formatted in the current APA style. turnitin report needed – a year ago

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    Assignment Prompt & Instructions

    How do you plan to use what you have learned in this class in the future?   ( static )

    *200 words numbers or a combination of both

    cited and formatted in the current APA style.

    turnitin report needed

    – a year ago