Category: Nursing

Respond to and expand on the students discussion post

respond to Elizabeth from her response the following with 175 or more words On Monday, while working with my preceptor, we saw an 8-year-old male patient presenting with developmental delays and comorbid conditions. He had autism and ADHD. According to Canals et al. (2024), autism and ADHD frequently co-occur and present unique challenges related to social communication, attention, and regulation, which can intensify functional impairment and require nuanced assessment, These diagnosis were made by reviewing his developmental history, behavior patterns across settings (home, school), sensory processing, communication skills, adaptive functioning, and medical history. We also paid attention to symptoms like inattention, social disengagement, language or cognitive delays, seizure history, sleep issues, and family stressors. When my preceptor spoke to the child and his mother, he used clear, empathetic language. He asked the child specific questions about his experiences at school, with his family, and with his friends. Open-ended questions were also used to identify the mother’s fears and concerns. The mother was concerned about her son’s schooling, peer relationships, and the medication regimen by asking open-ended questions. Her main fear was her son’s future academic success and social acceptance. My preceptor answered her with empathy and clearly offered support . Our textbook states that early detection and treatment of child and adolescent disorders are associated with the best outcomes, which highlights the importance of thorough assessment (Yearwood et al., 2021). Canals, J., MoralesHidalgo, P., Voltas, N., & HernndezMartnez, C. (2024). Prevalence of comorbidity of autism and ADHD and associated characteristics in school population: EPINED study. Autism Research, 17(6), 12761286. Yearwood, E. L., Pearson, G. S., & Newland, J. A. (2021). Child and Adolescent Behavioral Health (2nd ed.). Wiley Blakwell. books/9781119487562/epub/OPS/cover.html#page_1

Assessment Preparation The purpose of the pediatric initial intake is to assess emotional, behavioral, and cognitive functioning; screen for any abnormalities; and identify strengths, challenges, and level of resilience. Review Ch. 3 and 4 of Child and Adolescent Behavioral Health, which you read last week. Select a child or adolescent from your clinical practice for whom you or your preceptor conducted an initial intake that included a detailed assessment. Assessment Deliverable Complete the Subjective, Objective, and Assessment sections of the Pediatric Initial Neuropsychiatric Intake Form. Be sure to include an assessment for adverse childhood experiences (ACEs), and identify the patients stage in Eriksons psychosocial development. Do not include any identifying information about your patient. Include a title page and a reference page. Format all citations and references according to current APA guidelines. Submit your completed intake form. Assessment Support Review the grading rubric for guidance on deliverable expectations. Review the following resources for writing guidelines and APA information: Center for Writing Excellence Reference and Citation Generator Grammar Assistance Use the following resources to research evidence-based care for any disease, disorder, or condition: Medscape UpToDate

For this assignment, you will complete and submit Part 1 of your Professional Nursing Issues Paper [Annotated Bibliography, Research Paper Outline, Introduction Paragraph]. The components of the paper are spread throughout the semester, culminating in the final paper due at the end. (Refer to the Course Schedule for specific due dates.)

The American Nurses Association (ANA) has identified important issues facing Nurses today – Workforce, Nursing excellence, Workplace violence, Health Information Technology, Home Health, Scope of Practice for APRN, Nursing Home Staffing, Health Reform, Safe Patient Handling and Mobility, Veterans Health Administration to name a few. The ANA also actively writes and disseminates position statements on current issues and trends in nursing practice. These position statements guide the profession, amplify the views of nursing, and educate consumers and decision makers (ANA, n.d.a). They also provide “an explanation, a justification, or a recommendation for a course of action in particular situations” (ANA, n.d.b).

Visit the sites below to review current nursing issues.

Tasks

1. If you have not done so already, choose one of the issues critical to the nursing profession today.

• Read about the issue on the ANA website and find other reliable sources for advocacy and nursing issues.
• You may choose an issue not listed on the website, but this must be an issue related to professional nursing.

1. Complete Part 1 by composing an annotated bibliography, outline, and introduction :

• Annotated bibliography is a list of citations to books, articles, and documents. Identify at least (4) four sources, with permalinks. Each citation is followed by a brief (usually about 150 words) descriptive and evaluative paragraph, the annotation. The purpose of the annotation is to inform the reader of the relevance, accuracy, and quality of the sources cited.
• Structured Draft Research Paper Outline ensure your paper includes the contents and matches the writing considerations outlined in the NUR428 Professional Nursing Issues Paper Assignment Description.
• Include all headings of paper Parts 1, 2,3,4.
• Part 1 needs to meet the rubric requirements for this submission.
• All other parts (2,3,4) you must Include brief description of potential content for each particular heading.
• This should be a brainstorming session of what your paper will discuss
• Introduction and defines the issue,
• Briefly describe its importance and/or impact on professional nursing, and
• Discusses related legislation or the need for legislation regarding the chosen issue.
• Organize your paper with headings in APA format.

1. Observe rules of grammar, spelling, and punctuation and demonstrate a good writing style and flow as established by the APA Style Manual.
2. Before finalizing your work for submission, you should:

• Be sure to read the assignment description carefully.
• Consult the grading rubric to make sure you have included everything necessary (see Grades & Rubrics).

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

• Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
• Consider the role of the nurse informaticist in relation to a healthcare organizations compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
• Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page not including the title and reference page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

• Briefly and generally explain the policy or regulation you selected.
• Address the impact of the policy or regulation you selected on system implementation.
• Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
• Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.
• Use APA format and include a title page, in-text citations, and reference page.
• Use the Turnitin Drafts to check your match percentage before submitting your work.

Rubric

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following: Briefly and generally explain the policy or regulation you selected. Address the impact of the policy or regulation you selected on system implementation.

Address the impact of the policy or regulation you selected on system implementation. Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.

Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

Discussion Topic: Describe the structure and function of the Gastrointestinal tract. Identify one disorder of the GI system and explain your role as a nurse related to: a) Your assessments b) Interventions c) Patient teaching Instructions: Write your response in 150-250 words using APA format.

1. Describe the goals of drug therapy for hypertension and the different antihypertensive treatment.
2. Describe types of arrhythmias and their treatment
3. Discuss Atrial Fibrillation
4. Discuss types of anemia, causes, symptoms, and treatment options

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources.
• Each question must be answered individually as in bullet points. Not in an essay format.
• Example: Question 1, followed by the answer to question 1; Question 2, followed by the answer to question 2; and so forth.

Please follow exact discussion guidelines as well as rubric. Please follow discussion questions as well.

The purpose of this assignment is to enable students to recognize and address potential safety risks they may encounter while working in a community health setting. By critically analyzing their environment and implementing safety measures, students will develop the skills necessary to protect themselves and others during their community health nursing practice.

Part 1: Risk Assessment

1. Identify Potential Risks: List at least five potential safety risks that community health nurses may face while working in a community setting. Provide a brief explanation for each identified risk.
2. Vulnerable Populations: Identify specific vulnerable populations that may pose unique safety challenges for community health nurses. Explain why each population is considered vulnerable and what additional safety precautions may be necessary.
3. Environmental Factors: Analyze the environmental factors that may contribute to safety risks in a community health setting (e.g., neighborhood safety, access to resources, etc.). Discuss strategies to mitigate these environmental risks.

Part 2: Safety Plan

1. Personal Safety Measures: Develop a comprehensive plan outlining specific personal safety measures that community health nurses should adopt. Include strategies for maintaining situational awareness, personal protective equipment (PPE) utilization, and communication protocols.
2. Communication and Collaboration: Identify key stakeholders within the community (e.g., local law enforcement, community leaders, support organizations) and discuss how collaboration with these entities can enhance personal safety. Describe effective communication strategies to establish trust and rapport with both clients and community partners.
3. Emergency Response Plan: Outline a step-by-step emergency response plan for situations where personal safety is at risk. Include procedures for seeking immediate assistance, evacuation, and documentation of incidents.
4. Provide a minimum of 2 references to support your information.

Part 3: Reflection and Self-Assessment

1. Personal Safety Reflection: Reflect on your own feelings and concerns regarding personal safety in a community health setting. Discuss any previous experiences, if applicable, and how they have influenced your perception of safety.
2. Self-Assessment: Assess your own readiness and preparedness to implement the personal safety measures and plans outlined in Part 2. Identify areas for improvement and create an action plan to address these areas.

Note: This assignment is designed to encourage critical thinking, research, and practical application of personal safety measures in a community health nursing context. Students are encouraged to consult relevant literature, guidelines, and resources to support their responses.

Submission Guidelines:

• Ensure that your reflection is well-structured, supported by evidence, and demonstrates critical thinking.
• Remember to adhere to academic writing standards and cite your sources according to APA format appropriately.

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

• Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
• Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at
• .
• Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.
• After you have chosen a topic (or condition) and a decision aid, consider if
• were considered in the treatment plan Social determinants of health can affect a patient’s decision as these are conditions in the patient’s environment, such as economic stability, education access, health care access and quality, neighborhood, and social and community context.
• NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences,

, and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences, social determinants of health, and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

(Please Note: The underlined “social determinants of health” in the above content is meant to hotlink to the following Walden webpage and content:

University)