Category: Nursing

  • D159 E portfolio

    I just need the Data Management Plan and template and the project report template completed. I also need 2 written reflections completed. One is on how you came up with the Data Management Plan and the other is how you came up with project report template. I do not need any references. the reflections can also just talk about the information in both the templates. they do need to be separated. You can put both templates and written reflections in the e portfolio template. I have attached everything needed. Please do not worry about the CPE record or the Videos in the template has I will complete that myself. Thank you

    Attached Files (PDF/DOCX): E-Portfolio Template (2).docx, Data Management Plan Template and Example (D159).docx, Project Report Template (D159).docx, WGU Performance Assessment D159 ep.pdf

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  • Information technology

    A. Identify a healthcare setting and an electronic health record system (EHRS) that could be used in this setting (e.g., EPIC, Cerner, Meditech, etc.). Writ About point click care

    Attached Files (PDF/DOCX): WGU Performance Assessment 1.pdf

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  • Histogram

    Attached. Must use to log Histogram

    Attached Files (PDF/DOCX): cf_histograms_descriptive_statistics.pdf, cf_7864_data_set_instructions.pdf, 7864 Assessment 1.docx

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  • Week 7: Specific Disease among special Populations (Asian an…

    Find two separate articles related to Special Populations including the 2 articles please. Please upload the articles in the file for me

    Each entry must consist of the following elements at a minimum:

    1. Title with the resource title
    2. Your name
    3. Description of why you selected the resource (8 sentences in your own words)
    4. Cite the resource in APA format. Use sources that are less than five years old, unless there is a justifiable reason for using an older source.
  • medical reconcilation

    Attached Files (PDF/DOCX): MedicationReconciliationCaseStudy.pdf, Pharm assignment.docx

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  • Response to professor

    Hi Stephanie,

    Thank you for your contribution to the Week 1 discussion. You did a wonderful job explaining your leadership strengths and opportunities for growth, the difference between leadership and management, and how you plan to integrate emotional intelligence into your leadership identity. You mentioned delegation as being an opportunity for growth. There are a lot of leaders who struggle with delegation. Delegating to others was difficult for me as well. I soon learned that to be a transformational leader it was crucial to delegate to others to cultivate that sense of trust and collaboration. Would you please identify leader-based barriers to delegation and what strategies could you use to overcome your challenge with delegation? Thank you! I am looking forward to your response.

    Attached Files (PDF/DOCX): DNP_Discussion_Guidelines and Rubric 11224.docx

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  • Response to Lillia NR717

    My topic of interest throughout this course is Caucasian population in Martin County, Kentucky. There are several social determinants of health that have a strong influence on health disparities among the Caucasian population in Martin County, Kentucky. One of the underlying factors is poverty as there are a sufficient number of locals in this rural Appalachian region who possess little resources. Such economic burden can lead to inability of some individuals to purchase healthy diet, good means of transport and frequent medical services. Routine health care and check-ins are typically delayed or avoided when people struggle with the ability to meet their most fundamental needs (Hash et al., 2024). The restricted access to health care is regarded as another important determinant. Martin County is a rural region, and this implies that there are limited primary health services providers, specialists, as well as emergency services available to the local. Geographical isolation can result in a late diagnosis and poor management of chronic diseases. Besides, the lower education levels in the community make the locality health literate and this issue may pose a challenge in making a person decipher health information and interact with healthcare systems and participate in preventive care.

    Telehealth services that intersect with the community health worker (CHW) program is a successful evidence-based intervention to address these disparities. The community health workers are trusted members of the community who intermediary the association between the residents and health care resources and also provide community education on prevention and management of diseases. The CHWs in Martin County can also be able to spend time with the patients in their respective homes or even community where the patients can be educated to cope with the illnesses such as diabetes, hypertension and substance use diseases. Another benefit of telehealth is the increased accessibility since patients are able to communicate with the healthcare providers in a remote area. This would be employed to overcome the transportation and health care provider shortage that is usually witnessed in rural areas. According to the research, telehealth is capable of being utilized alongside community-based support in order to gain a higher number of people to access care and enhance chronic disease management (Hash et al., 2024).

    The Intervention is also associated to fulfilling the Culturally and Linguistically Appropriate Services (CLAS) Standards including Standard 5. This standard promotes culturally responsive, comprehensive and respectful care. The community health workers understand the cultural values of the Appalachian people and this makes them be in a position to convey health information in a way that people can relate with them such as respectfully (Lang-Lindsey, 2024). By offering culturally sensitive education and incorporating readily accessible telehealth services, healthcare providers can receive an opportunity to develop a trust relationship with the patient population, increase the adherence rate to the treatment department, and play a role in reducing the number of health disparities at Martin County.

    Attached Files (PDF/DOCX): DNP_Discussion_Guidelines and Rubric 11224.docx

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  • 7111dp2

    please respond to the following dission post. Please read and respond to at least two of your peers’ initial postings. You may want to consider the following questions in your responses to your peers:

    • Compare and contrast your initial posting with those of your peers.
    • How are they similar or how are they different?
    • What information can you add that would help support the responses of your peers?
    • Ask your peers a question for clarification about their post.
    • What most interests you about their responses? please use peer reviewed articles.

    Please be sure to validate your opinions and ideas with citations and references in APA format.

    Identify one strength you observed from the collaborative meeting.

    One strength that I observed from the collaborative meeting was the mutual respect that was given to every member of the team. Each member of the team provided input in the care of the patient and areas that posed a risk to the patients health. The members individual observations were discussed from the perspective of making the patients health better. Hejazi et al. (2026) reports that mutual respect was one of three essential components for collaborative practice among interdisciplinary staff. Collaborative practice that is effective can reduce errors and enhance patient care (Hejazi et al., 2026). Fostering effective collaborative practices using the strength of all members of the team, helps to improve teamwork and patient care.

    Identify one opportunity for improvement that you observed from the collaborative meeting.

    One opportunity for improvement that I observed during the collaborative meeting was not being prepared on the one patients labs. As that was an important part of the patients care and progression from IV to oral anticoagulants. This was an area that could have been better. Also, I found that leaving the meeting early was not ideal. This could be improved by having a set time every day or week, to meet so that the team members do not schedule other meetings during the collaborative meeting time.

    Briefly describe your current practice setting, including your role and practice population.

    Currently, I work at an outpatient hematology/oncology clinic as a nurse practitioner. Our population of patients include cancers and hematological disorders that are 18 and older. I am responsible for the care of patients on chemotherapy treatment, new diagnosis workup, and hematological issues. I am currently the only provider in my clinic who provides outpatient bone marrow biopsy.

    Provide one example of a collaborative care process you have observed in your practice setting OR describe an example of an opportunity where a collaborative care strategy could be implemented to improve outcomes.

    The best example of collaborative care at my practice is tumor board. Tumor board is a multidisciplinary meeting that typically is comprised of radiologist, pathologists, medical oncologist, radiation oncologists, surgeons, nurse navigator, and trial managers. The make up of this collaborative care meeting is different from facility to facility depending on the size and available specialties that treat cancer (Specchia et al., 2020). Tumor boards can be conducted in prospective or retrospective approach, each has their own benefit to the care of cancer patients (Specchia et al., 2020). The tumor board at our facility is most often completed retrospectively, as it occurs typically after the patient has started treatment but before they are finished with treatment. Occasionally, we will have a patient that is presented prior to receiving treatment. This multidisciplinary approach and collaboration helps to improve patient outcomes and healthcare processes (Specchia et al., 2020). Collaboration in this manner helps to ensure that all specialties involved in the patients care understand the course of treatment from prospective surgery date, expected start or completion date of chemotherapy or radiation, open trials, logistically issues such as transportation, and other potential problems. The patient is allowed to come to the tumor board while their case if being discussed, however, I have not seen a patient attend our meetings. This collaboration is an important part of cancer care.

    References

    Hejazi, M. E., Alizadeh-dizaj, G., Khoshsirat, S., Raoofi, S., & Akbar, J. B. (2026). Exploring collaborative strategies to improve patient safety in healthcare organizations: A qualitative study. PLoS One, 21(1), 12.

    Specchia, M. L., Frisicale, E. M., Carini, E., Di Pilla, A., Cappa, D., Barbara, A., Ricciardi, W., & Damiani, G. (2020). The impact of tumor board on cancer care: Evidence from an umbrella review. BMC Health Services Research, 20(1), Article 73.

  • Personal Aim Statement

    Use the following handout (i attached the handout)

    as a guide to develop your personal aim statement.

    Develop a personal Aim statement for something in your own life (work, school, or personal).

    The statement should include what, for whom, when, how much, and a full statement.

    In a 1- to 2-page paper, elaborate on each component of the statement. You will be tracking your progress throughout this course for a final assignment related to your Aim statement.

    i attached two files that you can use as a guide. please do something about time management/study consistency goal.

    Attached Files (PDF/DOCX): mica.pdf, Creating Your Personal Aim Statement Handout 22025 v1 1 (1).pdf, april.pdf

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  • Focused SOAP Note for Anxiety, PTSD, and OCD

    In assessing patients with anxiety, obsessive-compulsive, and trauma and stressor-related disorders, you will continue the practice of looking to understand chief symptomology in order to develop a diagnosis. With a differential diagnosis in mind, you can then move to a treatment and follow-up plan that may involve both psychopharmacologic and psychotherapeutic approaches.

    In this Assignment, you use a case study to develop a focused SOAP note based on evidence-based approaches.

    • Review this weeks Learning Resources. Consider the insights they provide about assessing and diagnosing anxiety, obsessive compulsive, and trauma-related disorders.
    • Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.
    • Review the video, Case Study: Dev Cordoba . You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.
    • Consider what history would be necessary to collect from this patient.
    • Consider what interview questions you would need to ask this patient.

    Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

    • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
    • Objective: What observations did you make during the psychiatric assessment?
    • Assessment: Discuss the patients mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 -TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
    • Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
    • Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you could follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
    • Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).
    • Centers for Disease Control and Prevention. (2020, April 3).
    • [Video].
    • https://www.cdc.gov/violenceprevention/aces/index.html
    • Dartmouth Films. (2018, September 25).
    • [Video]. YouTube.
    • https://www.youtube.com/watch?v=bAXZVYDNURY
    • NCTSN. (2007).
    • Links to an external site.
    • [Video].
    • https://www.nctsn.org/resources/promise-trauma-focused-therapy-childhood-sexual-abuse-video
    • Walden University. (2021). Case study: Dev Cordoba . Walden University Canvas. https://waldenu.instructure.com

    Attached Files (PDF/DOCX): NRNP_PRAC_6665_6675_FocusedSOAP_Note_Exemplar_rev42022 (3).docx

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