Category: Nursing

screenshot are from the book where we have to review and do the assignment from and the first word document have the insructions on how to complete the assignment. please add 5 references like it mentioned in the insturctions.

250-word peer responses, references must be cited in APA format, 7th Edition, and must include a minimum of 2 scholarly resources published within the past 5 years. Acknowledge my peer’s idea, explain why you agree or disagree, and support your reasoning with scientific evidence. Text: Health has been defined in different ways over time. The World Health Organization (1948) defines health as a state of complete physical, mental and social well being, and not merely the absence of disease. Years later, this concept was expanded by understanding health as the ability of people to develop their potential and respond positively to the challenges of the environment (World Health Organization, 1986).

From the perspective of mental health, health is also related to how people face situations that affect their well-being. This perspective understands health as the integration of the body, the mind, and relationships with others. When people manage to adapt to changes, they discover their abilities and can better face the difficulties of life.

The Uncertainty in Illness Theory (UIT) was developed by Merle Mishel, a nurse with a Masters degree in Psychiatric Nursing, and explains how patients may experience uncertainty about their illness when they do not know the information, do not understand it, or when it has been provided in a confusing or insufficient way. This evidently makes it difficult for the person to understand the meaning of symptoms, diagnosis, or treatment, and may lead to stress and anxiety, but it can also influence the way the patient adapts to the illness.

Later, Mishel expanded this theory and developed the Reconceptualized Uncertainty in Illness Theory (RUIT). In this theory, she explains that this uncertainty does not always have to be negative, but it can help the patient transform their diagnosis into an opportunity to change and contribute to their personal growth, especially in chronic patients who must live with their illness for the rest of their lives.

Uncertainty and the Role of Caring in Nursing Practice

The concept of caring is a central element in nursing practice. In this context, caring does not only refer to performing clinical interventions, but also to emotional support and effective communication that we use when providing education to both the patient and their family about the illness. The two theories proposed by Mishel (1988) show that when a patient faces an illness, especially in situations of uncertainty, the caring relationship with nursing personnel can reduce anxiety, strengthen trust, and facilitate adaptation to changes in health. In this way, caring contributes not only to physical recovery, but also to emotional well-being and to a better overall health experience (Aligood, 2021).

Example of Uncertainty in an Acute Health Situation

A clear example of how uncertainty manifests in an acute situation can be observed in patients who receive a diagnosis of cancer. In many cultures, the word cancer is still associated with death, which generates fear, anxiety, and uncertainty in the patient and their family. Although the physician explains the type of cancer, the stage, and the treatment options, the patient often continues to feel overwhelmed and uncertain about the future. At this moment, the role of nursing becomes fundamental through listening, education, and support, because nurses can help the patient better understand what is happening and express their concerns.

Uncertainty can also arise when a patient presents symptoms and the physician orders diagnostic tests to rule out serious diseases. Even before receiving a definitive diagnosis, the simple fact that tests are ordered can generate anxiety and thoughts related to possible life-threatening illnesses. According to recent studies, uncertainty in illness can affect the patients psychological adaptation and quality of life, which is why nursing interventions aimed at providing clear information and emotional support are essential to help patients manage this experience (Reinken, 2023).

Personal Experience of Uncertainty in a Diagnostic Process

Uncertainty can also arise when a patient presents symptoms and the physician orders diagnostic tests to rule out serious diseases. I speak from a personal experience. Last year I consulted my gynecologist because of abnormal bleeding during one of my cycles, and after evaluating me, he ordered several tests, including an endometrial biopsy to rule out cancer. Although I understand that this type of indication is part of routine medical practice, the way the need for the test was communicated generated in me a strong feeling of uncertainty and anxiety. During those days I constantly found myself thinking about the possibility of having a serious illness. This feeling only ended when I received the negative biopsy result. This experience allowed me to understand how uncertainty can emotionally affect a patient even before having a definitive diagnosis and how more empathetic communication and greater support from health professionals, especially from nursing, could help reduce anxiety while the patient waits for answers about their health condition.

Conclusion

In conclusion, each person faces and adapts to the environment in a unique and particular way. According to the uncertainty in illness theory proposed by Mishel, the need to adopt healthy behaviors that allow us to face situations of stress and anxiety through appropriate self-care and coping strategies contributes to the process of improvement and adaptability in situations of uncertainty caused by adverse health circumstances.

Chronic diseases are increasingly becoming important indicators of morbidity and mortality. This becomes a challenge for health professionals, who must seek to implement new strategies and programs that allow a comprehensive approach to individuals.

The uncertainty experienced by a person with cancer may lead them to perceive the stressful situation they are facing in an inadequate way. The nursing professional, with the objective of helping the patient face the diagnosis in a positive manner, can support them in adapting positively to the experience they are living and especially in strengthening their desire to continue living despite having an oncological disease.

The nursing professional must become a representative figure for the person who is going through the illness process. This means not only being responsible for medical orders, medication administration, or administrative aspects, but above all being capable of establishing a therapeutic relationship from the beginning of the illness, becoming an interpreter and advocate for the patients rights and needs.

References

World Health Organization. (1948). Constitution of the World Health Organization.

World Health Organization. (1986). Ottawa charter for health promotion.

Mishel, M. H. (1988). Uncertainty in illness. Image: The Journal of Nursing Scholarship, 20(4), 225232.

Aligood, M. R. (2021). Nursing theorists and their work (10th ed.). Elsevier.

Reinken, D. N. (2023). Mishel’s uncertainty in illness theory: Informing nursing diagnoses and care planning. NANDA International Journal.

I am reaching out to ask if you could please create an 8-slide PowerPoint presentation based on the following theme: STARD: National Institute of Mental Health Research Study on Treatment for Depression (STARD).

This presentation is for a psychiatric program, so I would appreciate it if the slides could be professional, clear, well organized, and academically appropriate. Please make sure the content reflects a strong understanding of the study and its relevance to mental health treatment.

Please also follow the provided prompt and rubric when creating the slides.

Thank you very much for your help. Please let me know if you need me to resend the instructions or any additional details.

Generate a Sketch Note or Visual Study Guide to capture the essential information and clinical pearls for the focused objectives below. Use a combination of words, images, diagrams, and anything else to help you remember these concepts. Focused Objectives: Review neurologic problems that require ICU-level car Define the altered level of consciousnes Compare and contrast encephalopathy and delirium. Define increased intracranial pressure (IICP). Discuss the relationship between cerebral perfusion pressure (CPP), mean arterial pressure (MAP), and intracranial pressure (ICP). Review signs and symptoms of IICP. Review neurologic exam techniques to recognize increased intracranial pressure. Implement ICP monitoring techniques and contrast methodologies. Synthesize management actions to optimize care in patients with IICP. Compare and contrast: Syndrome of inappropriate antidiuretic hormone (SIADH) with diabetes insipidus (DI) and cerebral salt wasting (CSW) Synthesize actions to manage sodium in a patient with neurologic disease. Identify status epilepticus and outline management strategies. Review brain death criteria and NP role in determination of brain death.

1. Assess your patient for pain and submit the assessment here and document on the EHR under pain assessment. (use a patient with pain)

2. Create a SBAR note related to calling the doctor about the pain and submit here

3. Complete a pathophysiological sheet about one of your clients medical conditions (found on ATI under resources for students – systems disorder template). You may use the medical/surgical books in the library or online journal articles to help you with this assignment.

• Cite your sources used for the patho sheet using APA format.

module 1, part 1- write a blog post addressing the following points using the template module 2, part 2- campaign letter (1-2) pages in template

Choose ONE of the following prompts and then reply to one of your classmates:

1. Select at least two theories from this module (other than the caring theories) and describe how they related/could have related to incidents in your clinical practice

or

2. Find a current article (within the past 5 years) that discusses caring as a science. Summarize the article and describe how this could influence your clinical practice.

I would like for you to do question #1 with these chosen theories: Ch 10 (self efficacy) and Ch 7 (self-transcendence)

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.

• Do you recommend criminalizing healthcare errors as an effective approach to holding healthcare providers accountable for their mistakes? Why or why not?
• How can healthcare providers balance the goal of high-quality care with the potential risks and consequences of errors?
• Are current legal and regulatory frameworks adequate to address healthcare errors? If so, why? If not, what changes are necessary to ensure the regulations best serve clients and providers?

When using sources, ensure it’s a scholarly source dated no later than 5 years ago.

MY SELECTED TOPIC – SCHIZOPHRENIA Introduction

For this assignment, you will examine the role of the nurse in caring for clients with cognitive and/or mental health issues. You will identify your target audience (such as staff nurses, pre-licensure nursing students, etc.) and create an educational PowerPoint presentation (instructions below). This final assignment will reflect ability and achievement in the following areas:

• Intentional Learning, Reflection, and Clinical Judgment
• Decision Making and Evidence Based Practice
• Organization and Presentation
• Writing and APA Formatting

Objectives

• Demonstrate collaborative standardization of safe practices through health promotion.
• Integrate course concepts within management of a cognitive alteration.

Instructions

You are the nurse educator preparing an orientation on cognitive or mental health illness. There is a need to address the many clients with cognitive issues that seek healthcare services and how to better understand their needs. Choose a cognitive/mental health illness that you feel less knowledgeable about and address the following prompts by including two to three examples of each bullet point:

• Choose a cognitive or mental health illness.
• What is it? How is it diagnosed? How is it treated?
• How does it differ from a physical or “visible” illness?
• Address the following for your chosen diagnosis.
• Historical
• Socioeconomic impact
• Political issues or impact
• Educational needs
• Topographical findings
• Geographical impact
• Cultural impact
• Include interdisciplinary interventions for this disease.
• Discuss the impact of a patient’s value systems on management of this disease.
• Address the following health-care practices:
• Acute versus preventive care
• Barriers to health care
• Impact of pain and the sick role
• Cultural practices
• Identify challenges related to:
• Learning styles
• Autonomy
• Educational preparation
• Disease management

Your presentation should be 15-20 slides (not including title, objectives, and references slides) with detailed presenter notes with in-text citations for each slide. Include at least four (4) scholarly sources. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment. Audio recording is required. Be sure to completely answer all the prompts/questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with in-text citations throughout your presentation. Make sure to reference the citations using the APA 7th Edition writing style for the presentation. Include at least one slide for your references at the end.

Assignment Expectations

• Length: 15-20 slides; answers must thoroughly address the questions in a clear, concise manner. Include at least four (4) scholarly sources. Below is a recommended breakdown for the assignment.
• Title: 1 slide
• Objectives/Introduction: 1 slide
• What is the cognitive/mental health disease?: at least 2 slides
• Address historical, socioeconomic, political issues, educational needs, topographical findings, geographical impact, and cultural impact: at least 4 slides
• Interdisciplinary interventions: at least 3 slides
• Address health care practices: at least 4 slides
• Identify any challenges such as learning styles, autonomy, educational preparation, or disease management: at least 3 slides
• Conclusion: 1 slide
• References: 1 slide (PLEASE BE SURE ITS WITHIN 5 YEARS FROM 2021 TO CURRENT 2026).
• Audio recording narration

How to create an APA 7th edition formatted PowerPoint presentation:

• In-text citations are required just as with any professional writing.
• Utilize detailed presenters notes.
• To open presenters notes, click on ‘notes’ in the bottom right-hand corner of PowerPoint.
• Detailed presenters notes should be a minimum of 75 words per body slide.
• These notes will help guide you during the audio recording.