Category: Nursing

please read carefully: Instructions: Read Chapter 14 PowerPoint (attachment) AND read “The Future of Nursing….” (2 links) A: Based on the Required and recommended readings, your experiences in nursing and the health care system, has your view of nursing as a profession changed, and in what ways? How can nursing be a force in shaping change in the US health care system? B. Based on the readings, are there any key challenges that require our immediate attention in order to benefit specific vulnerable populations, and our society overall? Discuss at least one (1) recent or current challenge requiring our immediate attention. Describe what you commit to do. What actions will you take to create a (your) desired future for nursing and health? Include citations within the text, and references in APA Format for each post. All posts should be written in complete sentences and paragraphs. Should be 2-3 paragraphs long. Links to 2 of the required readings: The future of Nursing Valuing Community and Public Health Nursing (2 pages): Paying for Equity in Health and Health Care (Chapter 6): Chapter 14 PowerPoint attached is required to include in discussion post, along with the 2 linked articles

Within the Discussion Board area, write 500700 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.In this weeks Discussion Board assignment, your Faculty will assign you one of the following exams to complete:

• Respiratory: Tina Jones

using this info retrieve from Shadow Health interview and physical assessment of:

Tina Jones 28 year old African American Female

Chief complaint: patient presents with chief complaint of recent asthma episodes that is not fully resolved.

Subjective Findings

SOB 2 days ago while at cousins house with cats

symptoms: SOB, coughing (small, dry cough – no phlegm), and chest tightness

per pt, asthma flare worse “at night when lying down, or when moving around too much. Typically, it’s stuff like cats, dust that get to me”

allergic to cats and Penicillin

only other medical condition is diabetes – not on any medications – diagnosed at 24 years old – doesn’t check glucose levels at home – does not currently have primary care provider (PCP)

pt had asthma since she was 2.5 years old

lives with mom in the suburbs

denies smoking – no one smokes at home

drinks alcohol 1-2 weeks with friends who sometimes smoke cigarettes in her presence

only medication is albuterol – pt doesn’t know dose but reports taking it every 4 hours (10 times in the last few days)

Mom has high cholesterol and HTN

brother: obesity

sister: asthma

Vital signs/pertinent info/objective findings

wt: 89kg

BMI: 30.8

Glucose: 224

RR: 20

HR: 89

BP: 140/81

O2: 97%

Temp: 36.9 c

hyperpigmentation around the neck

facial acne

Assessment findings

inspect – chest and back: symmetrical no visible abnormal findings

chest expansion equal bilaterally

chest wall percussed: all areas resonant; no areas of dullness

Tactile fremitus – equally bilaterally, expected fremitus noted

breath sounds clear in all areas (lobes), no adventitious sounds

bronchophony – negative

pulse ox – Left index finger : 97% HR 89

Right index finger: 97% HR 89

spirometer volumes

FVC (forced vital capacity) – 3.91 L

FEV (forced expiratory volume) – 3.15 L

Treatment plan

Reinforce inhaler technique and spacer use

Discuss trigger avoidance: cats, pollen, dust, smoking

Establish care/Follow up with PCP for asthma and diabetes management

Encourage slow controlled breathing

signs and symptoms review that require immediate attention: SOB, wheezing, coughing, can’t speak in clear sentences, chest tightness/pain,

Upon completion of the Shadow Health case, you will be asked to synthesize the clinical findings from your completed assessment and provide a list of differential diagnosis, final diagnosis, and pathophysiology of the selected diagnosis by utilizing the enclosed . Your Faculty member will review the recording of your Shadow Health assessment of your assigned patient prior to Discussion Board grading.Your content should be 500700 words, with a minimum of 2 scholarly references no more than 5 years old. Feel free to use text book Physical Examination and Health Assessment – Jarvis 9th edition (ISBN: 9780323811705). Please review grading rubric to ensure all requirements are met.

Purpose: This assignment is designed to integrate principles of clinical pharmacotherapeutics, nursing assessment, patient education, safety, and evidence-based practice in the evaluation of commonly used over-the-counter (OTC) herbal supplements. Assignment Instructions Herbal and dietary supplements are widely used across the lifespan for health promotion and symptom management. Nurses must understand their pharmacologic properties, safety considerations, cultural influences, and patient education needs. Step 1: Choose ONE of the following supplements Glucosamine and Chondroitin Turmeric (Curcumin) Ginkgo biloba St. Johns Wort Echinacea Part 1: Pharmacologic and Evidence-Based Overview Provide a concise but thorough pharmacotherapeutic overview of your selected supplement: Proposed mechanism of action (pharmacodynamics) Basic pharmacokinetics (absorption, metabolism, elimination if known) Intended therapeutic use(s) Summary of current research regarding efficacy (consistent findings? conflicting evidence?) Known adverse effects Contraindications and precautions Drugherb interactions (include high-risk interactions) Regulatory considerations (dietary supplement vs FDA-approved medication) Connect your discussion to principles of clinical pharmacotherapeutics. Part 2: Retail Comparison and Cost Analysis Visit three retail websites or physical retail locations where your selected supplement is sold. Compare: Brand names Formulations (standardized extracts, combinations, dosage forms) Strength per dose Label claims (e.g., immune boosting, clinically studied, standardized extract) Quantity per container Cost per bottle Cost per dose (calculate this) Third-party testing or certifications (USP, NSF, etc.) Summarize: The price range across products Variables influencing cost (branding, formulation, extract standardization, combination products, marketing claims, quality certifications, quantity) Any conflicting or potentially misleading claims on labels Differences between evidence-based indications and marketing claims Include website links in your post. Part 3: Nursing Implications and Patient Teaching Using the nursing process (assessment, planning, implementation, evaluation), discuss: Why patients may choose to use this supplement (biological, psychological, social, or cultural factors) How you would assess a patient taking this supplement Safety considerations across the lifespan (older adults, pregnancy, pediatric, polypharmacy) Cultural or socioeconomic factors influencing use Teaching points you would provide, including: Realistic expectations Potential side effects Drug interactions When to notify a healthcare provider Importance of medication reconciliation Safe administration considerations Initial Post Requirements Minimum 400 words. Post in Discussion Board and Dropbox. Use at least two scholarly sources (in addition to retail websites)- follow course content on scholarly sources. Do not use any textbook other than the textbook for this course. Cite sources in APA format.

The purpose of this assignment is to assess how interprofessional education and collaboration is vital throughout a treatment plan and how the health care environment can better support a more team-based approach to patient-centered health care.

Read “Case Study: Recovery and Rehabilitation of Mrs. Vega,” located in the Topic 1 Resources. In a paper of 1,0001,250 words, address the following points:

1. Discuss how interprofessional education and collaboration would benefit Mrs. Vega from the beginning of her rehabilitative journey.
2. Discuss how Mrs. Vega’s culture, health literacy, and familial involvement may assist or hinder her rehabilitative outcomes.
3. Write a script of what you would say to Mrs. Vega and her family to communicate the proposed treatment plan keeping in mind patient-centered care.
4. Compose a report to Dr. Miller using both subjective and objective information to convey your concerns as to Mrs. Vega’s progress.

Support your ideas using two scholarly resources

Share differences in values, norms, religion, and health beliefs. Discuss how these factors influence health practices and how they might affect health care delivery. Explore how students and nurses can develop sensitivity to others beliefs.

Integrating Instructions: Physical Examination IV

In this section, you will integrate your knowledge of physical examinations and apply it to a case study focused on the female genitourinary system. This practical exercise will help you connect theoretical concepts with real-world patient care. Follow the instructions below to complete this assignment:

Assignment Instructions:

Assignment #1 Case Study: Female Genitourinary System

1. CASE STUDY Female Genitourinary system CHAPTER 27M.L. is a 20-year-old female nursing student who is being seen in the OB-GYN clinic for a yearly physical.
2. Subjective Data
3. Patient asks about birth control options
4. States she feels fine physically, no complaints at this time
5. Enrolled in college for nursing
6. Has steady boyfriend, 1-year relationship
7. Sexually active
8. Lives on campus
9. Nonsmoker
10. Exercises 3 times a week
11. Objective Data
12. Vital signs: T 37 P64 R 12 BP 104/64
13. Weight: 135
14. Height: 5 feet, 3 inches
15. Last menstrual cycle = 10 days ago
16. Current birth control method = condoms
17. Questions
18. What patient care equipment does the nurse need for this visit?
19. What personal protective equipment does the nurse or provider need to prepare for this
20. visit?
21. Describe proper hand hygiene.
22. What other information needs to be gathered for this patient?
23. What techniques of physical assessment might be used in this visit?
24. 6. What teaching should the nurse consider from the information gathered?

Submission: Compile your responses into a clear and well-structured document. Ensure that your assignment is formatted in APA style, and submit it as per your instructors guidelines.

Integrating Instructions: Assignment #1 Abdomen Case Study

In this assignment, you will be tasked with completing a case study focused on abdominal issues. You will need to assess the patients condition, develop a problem list based on your findings, and propose a plan of care. Please follow the instructions below:

CASE STUDY ABDOMEN

J.P. is a 50-year-old man who presents to the gastroenterologist with cramping and diarrhea.

Subjective Data

Pain level is a 6/10 location = right and left lower abdomen

Works as a union construction worker, has missed 1 day of work

States he has been going to the bathroom about 8 to 10 times a day for past 2 days

Appetite is decreased

PMH: Crohn disease, depression, anxiety

Objective Data

Vital signs: T 37 P 80 R 14 BP 120/68

Bowel sounds hyperactive in all four quadrants

Medications: Infliximab (Remicade) infusions every 6 weeks, fluoxetine (Prozac) 25 mg per day

Weight = 145, last visit weight = 152

Questions:

1. What other assessments should be included for this patient?
2. What questions should the nurse ask with regard to the abdominal pain?
3. From the readings, subjective data, and objective data, what is the most probable cause

of the abdominal pain?

1. Develop a problems list from the subjective and objective findings.
2. What should be included in the plan of care?
3. What interventions should be included in the plan of care for this patient?

Submission:

1. Compile your assessment, problem list, plan of care, and interventions into a coherent response. This can be submitted to your instructor.

Note: Ensure that your response is well-organized and adheres to any specific formatting or citation requirements provided by your instructor.

Demonstrating Instructions: Assignment Breast Self Examination (BSE) Video Presentation

In this assignment, you will create a 3-5 minute video presentation or a 5-10 slides PowerPoint presentation focusing on Breast Self Examination (BSE). BSE is a vital skill for early breast cancer detection. Follow these instructions carefully:

Presentation Content: Your presentation should cover the following key points:

1. Introduction (30 seconds):

• Briefly introduce yourself and the purpose of your presentation.

1. Purpose and Benefits of BSE (1 minute):

• Explain why BSE is essential for breast health.
• Discuss the benefits of regular BSE, such as early cancer detection.

1. Methods of BSE (1-2 minutes):

• Describe the step-by-step process of performing BSE.
• Use visuals or demonstrations to clarify the procedure.
• Emphasize the importance of consistency in performing BSE.

1. Barriers to BSE (1 minute):

• Identify common barriers that prevent individuals from conducting regular BSE.
• Provide suggestions or solutions to overcome these barriers.

1. Breast and Lymph Node Health (1-2 minutes):

• Mention two types of breast cancer (e.g., ductal carcinoma, lobular carcinoma).
• Explain the causes, risk factors, and potential treatments for each type.
• Include health teaching related to maintaining breast and lymph node health.

Creativity and Engagement: Be creative in your presentation. You can use props, graphics, or demonstrations to make your content engaging and memorable.

Video Presentation: If you choose to create a video, ensure it is 3-5 minutes long. Use your phone or any suitable recording device. Speak clearly and confidently.

PowerPoint Presentation: If you prefer a PowerPoint presentation, use 5-10 slides with concise content. Include visuals and bullet points to convey your message effectively.

Submission: Submit your video presentation or PowerPoint slides to your instructor through the designated submission method provided by your course.

Feel free to add any additional information or personal insights that you believe will enhance your presentation. Good luck!

for the internal reference add the one I have attach to the file. please follow rubric