Category: Nursing

Describe and develop a scenario to utilize this method to teach discharge instructions for an illness that a person in care may have. How does the nurse incorporate this method as a part of patient education? Why is this tool important for patient health outcomes? Explain your rationale using evidence you find and best practices.

refrence

and article attached

Please follow/view the task required and continually self assess against the marking ruberic (exemplary section) to ensure suitable completion

-Relate to case scenario provided

• scholarly literture
• up to date literture highly preffered , ideally within last 5-7 years
• New zealand relevant literature and statistics

Reply to this person in 250 words Alethea Clarke Feb 23 11:43pm | Last reply Feb 23 11:44pm Reply from Alethea Clarke The Millers Wheel of Professionalism is a framework developed by Barbara Miller to help nurses understand that behavior is essential to nursing professionalism, aside from simply holding a license. In the center of the wheel is labeled education and a scientific background in nursing, which represents the foundational knowledge of nurses, such as school and clinical learning. Deviating from the center of the wheel are eight spokes representing the activities and characteristics that maintain or expand it nursing. Each spoke of the wheel represents a specific behavior that nurses develop as they gain experience in practice. One important component of professionalism is ethical practice. The first spoke that will be discussed is the code of ethics for nurses. This is represented by nursing ethics, such as patient confidentiality/ HIPAA and advocating for their patients. In a novice nurse, this may look like following the rules and ensuring they uphold HIPAA. In a seasoned nurse, this is understanding why a patient is receiving certain care, making sure the care is appropriate for the condition, and advocating for the patient. In addition to ethical behavior, professionalism also involves clinical reasoning and evaluation of care. Theory: development, use, and evaluation may present in a novice nurse as completing tasks, following care plans exactly, and documenting what happens(Cao, 2023). An experienced nurse, however, evaluates whether the interventions worked, changes the care plan, reflects, and makes appropriate adjustments. For example, if a patient has pressure sores, a novice nurse may follow what was taught in nursing school by turning the patient every two hours and documenting it. An experienced nurse would also turn the patient every two hours but then evaluate if it helped the pressure sore. If skin redness is still present, the nurse would seek alternatives such as a pressure mattress or a nutrition consult to promote healing. Professional nursing also extends beyond the hospital setting and into the community. In the case of community service orientation, this refers to what nurses do for the community and how care extends beyond bedside treatment exhibiting altruism and care (Cao, 2023). For example, a novice nurse may attend a health fair with the hospital to fulfill a requirement. On the other hand, an experienced nurse may actively contribute to the community by volunteering to give vaccines, educating patients about disease prevention, and promoting healthy behaviors among patients. Another part of professionalism is maintaining competence through continued learning. Continuing education and competence describe the transition from learning a skill to mastering and understanding why the skill is performed. A novice nurse may know the step-by-step instructions on how to complete a skill safely but may not know how to respond if complications arise. An experienced nurse is more comfortable in the situation, attends additional training to further competency, responds effectively in emergencies, and recognizes early problems with the patient. Nurses must commit to lifelong learning through continuing education, self-study, and ongoing skill development in order to maintain competence and provide safe, effective patient care(Cao, 2023). As nurses gain competence, they also develop independence in decision-making. I think self-regulation and autonomy show one of the clearest differences between a novice and experienced nurse. A novice nurse often calls the provider for reassurance before making decisions. An experienced nurse uses clinical judgment and acts immediately to stabilize the patient safely. For example, if a patients oxygen saturation is falling below 93%, a novice nurse may call the doctor and ask what to do. An experienced nurse would first place the patient in Fowlers position, apply 2 liters of oxygen in nasal cannula, reassess oxygen saturation, document the interventions, and then notify the provider with an update and recommendations. Professionalism is not limited to bedside care but also involves contributing to the profession itself. Professional organization participation shows a shift from benefiting individually from the profession to contributing to the profession. Novice nurses may join professional organizations for job opportunities, requirements, or personal growth. An experienced nurse actively participates by attending conferences, serving on committees, and mentoring other nurses. Communication skills are another essential part of professional nursing practice. A novice nurse provides necessary discharge instructions and communicates primarily to complete assigned tasks. A seasoned nurse communicates based on understanding and emotional needs. The seasoned nurse educates families, may mentor students, and collaborates with the healthcare team. Finally, professionalism requires nurses to base care on research and proven practices. Research and the use of evaluation reflects evidence-based practice. Evidence-based practice allows nurses to provide care based on the best available research rather than outdated practice. The implementation of evidence-based nursing interventions improves patient safety and clinical outcomes (Cao, 2023). Therefore, engaging in evidence based practice show professional responsibility and supports the nurses role as a healthcare advocate. Cao, H., Song, Y., Wu, Y., Du, Y., He, X., Chen, Y., Wang, Q., & Yang, H. (2023). What is nursing professionalism? a concept analysis. BMC nursing, 22(1), 34. Links to an external site. Reply to post from Alethea ClarkeReply Expand discussion thread from Alethea Clarke 1 Reply, 1 Unread 1 Reply (1)

Using information provided (Literature review, research topic and research question) on the word document provided write the remaining areas for my research proposal

• Background of the study
• Significance of the study. (Incorporate review of literature in this areas)
• Need for the study. (Why do you want to do this research in your setting)
• Aim of the study
• Statement of the problem
• Objectives of the study
• Operational definitions of the terms used in the statement of the problem
• Assumptions of the study
• Delimitations of the study

References In Vancouver format.

As you continue to learn about psychopharmacology, you will find that medications used to treat mental health conditions are agonists across the spectrum. It will be important for you to recognize some of those medications and how they act on a variety of neurochemicals in different ways to treat the symptoms.

In this Assignment, you will scavenger the literature as you research the agonist spectrum and key neurotransmitters and pathways targeted in psychopharmacology. You will have the opportunity to apply your knowledge as you create a Concept Map exploring each of the agonist spectrum listed below. Support your answers with evidence-based, peer-reviewed scholarly literature. APA style format title page, citations, and references will apply.

Note: You will not set up your Assignment as a paragraph-formatted paper but, instead, as a creative, visually appealing Concept Map.

• Explore the listed agonist spectrum and consider the action and receptor of each:
• Agonist
• Partial agonist
• Antagonist
• Inverse agonist

You will submit a concept map exploring the four agonists on the agonist spectrum (agonist, partial agonist, antagonist, and inverse agonist) in which you:

• Describe the different characteristics of the four agonists and how each mediates distinct biological activities. Include proposed mechanisms and the receptor it is targeting.
• Identify how the P450 enzyme system plays a role in the body’s absorption, distribution, and clearance of medication.
• Scavenge the literature after describing each agonist on the spectrum for research that is based on the medications in the table below.
• Apply the medications to the appropriate agonist on the agonist spectrum in your Concept Map.

MedicationsOxycodone

Brexpiprazole

Haloperidol

Naloxone

Aripiprazole

Amphetamine

Risperidone

Pimavanserin

Rubric:

Concept map explains the four agonists on the agonist spectrum according to different characteristics and mediation of biological activities. Concept map explains the proposed mechanism and receptor it is targeting. Identifies how the P450 enzyme system plays a role in the body’s absorption, distribution, and clearance of medication

The eight (8) medications provided in the Assignment list are applied to the appropriate agonist on the agonist spectrum.

The concept map is correctly designed and includes creative visual aids.

Homework:

How would you describe the difference between background questions (not to be confused with the background of the study) and foreground questions?

Please write 5 background and 5 foreground questions relating to your clinical problem of interest.

My Topic related to the homework:

Thinking of integrating an evidenced based mobile application (mhealth) as a way of promoting better medication adherence. The DNP would educate and empower patients to use the MyTherapy app to eliminate forgetfulness, help patients build better schedules, help them keep notes/diaries of side effects or symptoms, etc. then the DNP would measure total adherence rates and symptom management (i.e., pre intervention phq9 or gad 7 for depression or anxiety). So the goal is to raise medication adherence and improve symptoms management in psychiatric outpatients.

Modules that correlate with the homework question:

Please choose from the questions below and specify in your discussion the question you choose to answer. Address the person to whom you are responding.

Set A

1. Discuss how you would market yourself as a novice APN, nurse manager, or nurse educator, including your nursing experiences and strengths. What are the barriers that you may encounter as a novice APN when marketing yourself?

OR

Set B

2. Compare and contrast the advantages of an APN entrepreneur and an APN intrapreneur. What are the challenges/ barriers to these 2 business models? Which would you prefer and why?

OR

Set C

3. What are the implications for standardizing APN education and practice? How does it affect the future of healthcare?

OR

Set D

4. What are the latest and evolving reimbursement barriers for APNs and how can APNs assist in overcoming these barriers?

For late assignments, 5 points will be deducted for each day an assignment is overdue. No assignment will be accepted after 3 days from the scheduled due date unless prior arrangements have been made with the faculty before the assignment due date.

All responses and succeeding replies should be substantiated by one current peer-reviewed article other than your book and should be within 5 years or less.

Students must complete both elements (original posting AND response to at least two (2) students’ initial postings) to earn credit for that week.

Grading Rubric

Your assignment will be graded according to the grading rubric.

• Proficient
• Initial responses to discussion questions with original thought/contribution (perspective not previously posted), supported by at least 1 current reference (within 5 years or less) other than your book. Follow the policy regarding the timely submission of assignments Summary is complete and thorough, indicating critical thinking and application of course content; supported with outside references using APA 7th edition.
• 0 – 40
• Competent
• Initial response to discussion questions with original thought and contribution, summary complete and thorough, including all requested content. Summary as posted was incomplete, missing important information, not referenced or missing citations
• 0 – 20
• Novice
• Initial response to discussion questions without original thought/contribution, and not supported by supporting evidence/references.
• 0 – 0

Development of Thought

• 20 possible points (20%)
• Proficient
• In the discussion, the development of thought is evidenced (full explanation, detail, and with good critical thinking, this usually requires a couple of paragraphs to accomplish). Responses reflect original comments, insights, and include supportive evidence from professional practice and/or readings.
• 0 – 20
• Competent
• In the discussion, the development of thought is properly evidenced but lacking some critical thinking key elements or application of course content
• 0 – 10
• Novice
• In the discussion, the development of thought is not evidenced at all. Responses are limited to an agreement or disagreement.
• 0 – 0

Response to the Others

• 30 possible points (30%)
• Proficient
• Response to the posting of 2 or more of classmates/peers’ initial postings supported by references (preferably peer-reviewed articles other than your book, which is current or at least 5 years. All discussions/questions initiated by your peers or faculty should be answered and supported with references other than your book (within 5 years or less) by Sunday. Follow the policy regarding the timely submission of assignments
• 0 – 30
• Competent
• Response to the posting of 1 other classmate/peer supported by evidence from readings
• 0 – 15
• Novice
• No Response to the posting of other classmates/peers.
• 0 – 0

APA Style

• 10 possible points (10%)
• Proficient
• APA 7th edition current references/citations (2019 to present) are appropriately used with good writing mechanics, with minor errors. Current references/citations within 5 years) appropriately used. Comments reflect appropriate APA style, grammar, spelling, and punctuation with no more than 2 errors.
• 0 – 10
• Competent
• APA 7th edition references/citations appropriately used but some errors. 3-5 APA, grammar, spelling, and/or punctuation errors.
• 0 – 5
• Novice
• APA 7th edition references/citations not used. Many mistakes noted in grammar, spelling, and punctuation (> 5 errors).
• 0 – 0

Purpose: This project is designed to help students apply psychotherapy theory and clinical reasoning using authentic, externally sourced, or real clinical material rather than fabricated cases. Students will analyze psychotherapy through observation, literature-based cases, or de-identified clinical encounters to demonstrate evidence-based application.

Approved Case Sources: Students may select a case from one of the following:

• A de-identified client from their own clinical practicum
• A published psychotherapy case study from a peer-reviewed journal

Project Components

1) Case Summary & Clinical Context (20%)

Students will summarize the selected care using information provided in the source.

Required Elements:

• Presenting concern(s)
• Relevant psychiatric and psychosocial history
• Key Mental Status Exam findings
• Diagnosis or diagnostic considerations
• Cultural, developmental, and psychosocial factors noted in the source

2) Psychotherapy Modality Analysis (25%)

Students will identify the primary psychotherapy modality used in the case OR propose the most appropriate evidence-based modality if none is specified.

Required Elements:

• Description of the modality
• Rationale for use with this diagnosis/presentation
• Evidence base from current literature
• Indications and limitations
• Appropriateness for this specific client context

3) Treatment Plan Critique or Proposal (25%)

Option A: Critique (if treatment plan is provided):

• Analyze the strengths of the treatment plan
• Identify gaps or areas for improvement
• Discuss alignment with best-practice guidelines
• Comment on feasibility and sequencing of interventions

OR

Option B: Evidence-Based Proposal (if no plan is provided):

• Propose a general treatment approach based on guidelines and literature
• Identify recommended frequency and duration
• Outline phase-based goals (early/middle/termination)
• Discuss how psychotherapy would integrate with medication management

4) Observed Psychotherapy Techniques Analysis (15%)

Students will analyze actual observed interventions from their source.

Required Elements:

• Identify at least 5 specific psychotherapy techniques used
• Name and define each technique
• Describe how each technique supports treatment goals
• Evaluate appropriateness and timing of interventions

5) Professional & Ethical Reflection (15%)

Students will complete a reflective analysis focused on professional development rather than fictional dialogue.

Required Elements:

• Ethical considerations related to the case
• Cultural humility and patient-centered care considerations
• Scope of practice issues for PMHNPs
• What the student learned about psychotherapy practice
• How this case informs their future clinical approach

Format & Submission

• 10-15 pages total
• APA 7th edition
• Minimum of 8 scholarly references
• Clear citation of case source
• No fabricated dialogue, transcripts, or invented patient data permitted

Overview

This week our focus is on health history, assessment and the respiratory system. Respiratory health encompasses a broad spectrum of conditions that nurses encounter across all clinical settings and patient populations. From the adolescent experimenting with tobacco to the elderly patient managing end-stage emphysema, nurses play a pivotal role in assessing respiratory status, identifying risk factors, and implementing evidence-based health promotion strategies. As Jarvis and Eckhardt (2024) emphasize, a thorough respiratory assessment goes far beyond auscultating breath sounds it requires a comprehensive health history that integrates the patient’s occupational exposures, lifestyle behaviors, family history, functional status, cultural context, and psychosocial well-being.

For this discussion, you will apply your knowledge of respiratory assessment, pathophysiology, and health promotion to a real-world clinical scenario while connecting your analysis to evidence-based practice and your own nursing experiences.

Instructions

Step 1: Select one of the following case studies.

Case Study 1: A 17-year-old male presents to the clinic with a persistent cough. During the interview, he admits to smoking cigarettes regularly and using marijuana occasionally.

Case Study 2: A 29-year-old female lives near and works in sugar cane fields. She reports occasional shortness of breath and has a family history of asthma.

Case Study 3: An 80-year-old male has a documented diagnosis of COPD (emphysema). He presents for a routine follow-up appointment reporting increased dyspnea with minimal exertion.

Step 2: Compose a substantive initial discussion post that addresses ALL of the following prompts.

Discussion Questions

1. Respiratory Health History and Assessment

Using Jarvis framework for health history and respiratory assessment as your foundation, identify at least three specific, open-ended questions you would ask this patient during the interview. Your questions should be purposeful and targeted explain briefly why each question is clinically relevant to this particular patient and how the answers would help you develop an individualized health promotion plan. Consider exploring symptom characteristics, exposure history, functional status, lifestyle factors, psychosocial context, and the patient’s own health beliefs and goals.

1. Evidence-Based Health Promotion Nursing Interventions

Identify and discuss at least three evidence-based health promotion strategies appropriate for this patient. Your interventions should reflect current clinical guidelines and be grounded in content from your course textbooks. For each intervention, explain the physiological or theoretical rationale, describe how you would implement it in your nursing practice, and identify any potential barriers this specific patient might face in engaging with the intervention.

1. Self-Management Resources and Technology

Identify at least one, currently available resources or technology applications such as a named app, website, or digital health platform that you would recommend to this patient to support self-management of their condition. Do not speak in generalities; provide the actual name and web address of each resource. Explain how each resource directly addresses the needs of your chosen patient, and discuss any considerations related to health literacy, age-appropriateness, language access, or technological barriers that may influence whether this patient can realistically use the resource.

1. Reflection from Your Own Clinical Practice

Drawing from your own nursing experience, describe a specific patient encounter in which you assessed or cared for a patient with a respiratory condition or a significant respiratory risk factor. You do not need to share identifying information focus instead on the clinical situation and your nursing response. Reflect on the following:

• What assessment findings or patient history elements stood out to you, and how did they guide your care?
• In hindsight, what health promotion intervention or patient education strategy do you wish you had implemented or done differently?
• How does the content from Jarvis and Eckhardt (2024) or your medical-surgical nursing textbook either validate or challenge the approach that was taken in that clinical situation?