College Nursing Papers

A. Investigate one of the following disease processes: traumatic brain injury, depression, obesity, asthma, or heart disease.
1. Analyze the pathophysiology of the disease process you selected in part A.
2. Discuss the standard of practice for the selected disease process.
a. Discuss the evidence-based pharmacological treatments in your state and how they affect management of the selected disease in your community.
b. Discuss clinical guidelines for assessment, diagnosis, and patient education for the selected disease process.
c. Compare the standard practice for managing the disease within your community with state or national practices.
3. Discuss characteristics of and resources for a patient who manages the selected disease well, including access to care, treatment options, life expectancy, and outcomes.
a. Analyze disparities between management of the selected disease on a national and international level.
4. Discuss three or four factors (e.g., financial resources, access to care, insured/uninsured, Medicare/Medicaid) that contribute to a patient being able to manage the selected disease
a. Explain how a lack of the factors discussed in part A4 leads to an unmanaged disease process.
i. Describe characteristics of a patient with the selected disease that is unmanaged.

B. Analyze how the selected disease process affects patients, families, and populations in your community.

1. Discuss the financial costs associated with the selected disease process for patients, families, and populations from diagnosis to treatment.

C. Discuss how you will promote best practices for managing the selected disease in your current healthcare organization.

1. Discuss three strategies you could use to implement best practices for managing the selected disease in your current healthcare organization.
2. Discuss an appropriate method to evaluate the implementation of each of the strategies from part C1.

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What do you think needs to take precedence in Community Health Nursing in the next five to fifteen years?
Please include the following points in ANSWERING the QUESTION (Please include one or two references using APA Citation and Formatting, preferably citations not from India, because citations from India is a giveaway to instructors that students are receiving outside help for the turned in coursework, and we can be accused of plagiarism, so thank you ahead of time for using other than that type of references. I have include a few references below that you can hopefully use):
• The Intervention Wheel contains three important elements: (1) it is population-based; (2) it contains three levels of practice (community, systems, and individual/family); and (3) it identifies and defines 17 public health interventions. The levels of practice and interventions are directed at improving population health (Nies & McEwen, 2015).
• Public Health Intervention Wheel

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Identify a non-profit organization you would like to know more about in your community 2. Research their website and any other information available on line to become familiar with who they are and what they do. Some might be associated with a national organization. Some questions to guide this work are:

What is their mission?

What is their vision?

What are their main programs?

Are there specific health care issues that they advocate for or against?

What are some of the laws that affect the population being served?

Is there any upcoming legislation with which they are particularly concerning themselves?

How does the organization incorporate the voices of the representative group/ population referred to in (b) in its decision making?

How are they funded?

How are the funds distributed?

1. Submit a 2-3 page double –spaced paper describing the organization and incorporating answers to the above questions. You must cite at least one scholarly article that addresses the health care issue(s) the organization addresses. You must also describe whether or not the organization needs legislative action to assist their population and how you might advocate on their behalf.

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You are a new graduate nurse and part of a small multidisciplinary team in a large 24-hour medical clinic. A young woman has just presented. She is dishevelled, appears nervous, constantly moving about the waiting room looking closely at different objects. She responds warily to any interaction with other patients. She has asked reception several times if a doctor can see her now. The duty doctor asks you to sit in and assist him with the interview.

1. Describe the key communication skills you will use in order to engage with her in the interview. (400 words)

2. There are a number of clinical signs and symptoms in the scenario so far. Identify three significant signs or symptoms and support your clinical opinion with evidence from the scenario. (400 words)

3. Discuss the education you will need to provide to Sarah about her medication. (400 words)

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Discuss the role of the advanced practice nurse in primary care in management of selected acute, episodic, and chronic pathologies. Describe why it is essential for nurse practitioners to focus on primary, secondary, and tertiary prevention in primary care for patients across the lifespan? What impact (if any) does the Affordable Care Act (ACA) have on primary services in the United States?

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Jane Vuong is a 24-year-old single Vietnamese woman living in the United States on an academic visa. She has been attending the local university for two years, studying cellular biology as an undergraduate. She comes from an affluent Vietnamese family. Her parents are paying for her education. They want her to return to Vietnam with her doctorate and take over the research lab owned by her uncle. Jane is a straight-A student who spends much of her time studying. She makes extra money by working part-time in the molecular biology laboratory in the university campus research center. She takes the subway or rides her bicycle to get around.

Jane enjoys working out by doing Quan Khi Dao at the local martial arts school. One day while there, she feels a severe tightness in her chest and says she is having difficulty breathing. Susan, a regular attendee in the class, brings Jane to the emergency department where you work. You note that Jane is having trouble speaking, appears anxious, and her lips are dusky. You are able to hear a wheezing sound when she breathes. She denies a history of asthma but says that she has some allergies which she generally treats with herbs. Susan takes you aside and tells you that she has noticed over the past month that Jane has seemed out of breath after taking the stairs up to the martial arts studio, and that she no longer rides her bike to the studio.

Because of the severity of Jane’s symptoms, the doctor decides to admit Jane for evaluation and observation. The physician orders supplemental oxygen, a chest X-ray, blood tests, and a regular diet. Jane’s anticipated stay is two days.

Once on supplemental oxygen, she is better able to communicate, and you begin to do a general assessment and take a history. Here are some of your findings:

• Diet: Jane states that she is proud that she only eats a traditional Vietnamese diet of fresh vegetables, chicken, rice, and noodles. Much of the food she eats is prepared with nuoc mam (fish sauce), soy sauce, sour lemons, bean sprouts, and scallions. She prefers to eat banh khuc (rice ball), banh cuon (rolled rice pancake), and pho bo (beef and noodle soup). You note that she is very slender, verging on being underweight.

• Religion: Jane states she is a Mahayana Buddhist. She goes to the Buddhist temple early each morning for meditation and communion with her dead ancestors. She says her meditation brings blessings from her ancestors, and they watch over her and help her succeed and stay healthy.

• Health history: Jane admits she has had a dry cough for several months, which she attributes to allergies. She says her allergies have kept her from riding her bike to work. She continues to smoke one pack of cigarettes daily and says smoking does not bother her. She laughs during your assessment and says she could never quit because her roommate smokes too.

Six months earlier she tested positive for hepatitis B. The diagnosis surprised her because she did not show any symptoms. She denies drug use but admits to being sexually active. She reports having five sexual partners in the past six months. She states, “I meet guys at the college bar and we have weekend flings. I like it this way, so I don’t have to be involved in any type of long-term relationship, which can make life really complicated.” When asked if she uses protection, she shrugs and says, “Sometimes.” She claims that no one told her that hepatitis B was sexually transmitted, but she is not worried because she says she is over it now.

During her examination, red circular burns were found on Jane’s chest. On Jane’s back, there are reddened abrasions. When asked about these strange marks, Jane explains that she was having difficulty breathing earlier in the week, and went to a Vietnamese medicine man who treated her with “coining” on her back and “cupping” on her chest to remove the bad air. He also gave her an herbal mixture and told her to boil it and breathe the steam from the mixture three times daily. She says it really helped her.

Requirements:

A. Create a care plan for each of the following nursing diagnoses, using the attached templates:

• knowledge deficit

• activity intolerance

1. Complete a nursing diagnoses chart for each of the diagnoses, using the attached “Nursing Care Plan: Activity Tolerance” and “Nursing Care Plan: Knowledge Deficit,” with the following information:

a. subjective data that support the diagnosis

b. objective data that support the diagnosis

c. etiology

d. signs and symptoms

e. two short-term patient outcomes (goals) that are to be achieved before discharge

f. one long-term patient outcome (goal) to be achieved two weeks to six months after discharge

g. two nursing interventions that describe what you should do to help the client meet each short-term and long-term outcome

Note: Interventions should be culturally and developmentally appropriate when applicable.

h. rationale for each nursing intervention, including how the nursing intervention will help the patient achieve the corresponding goal.

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Review these articles already provided in the study section of this unit in preparation for this discussion:
◾Read Furst, Finto, Malouf-Todaro, Moore, Orr, Santos, Sutton, and Tipton’s 2013 article, “Changing Times: Enhancing Clinical Practice Through Evolving Technology,” from Medsurg Nursing, volume 22, issue 2, pages 131–134. This article will be used in the first discussion in this unit.
◾Read Murphy’s 2010 article, “Nursing and Technology: A Love/Hate Relationship,” from Nursing Economics, volume 28, issue 6, pages 405–408. This article will be used in the first discussion of this unit.
◾Read Schwartz’s 2012 article, “Helping Drive Health Care’s Fast-Moving Technology Train,” from Science of Caring, volume 24, issue 1, pages 14–20. This article will be used in the first and second discussion of this unit.

•Select two examples of current technology used in the delivery of patient care. Use Electronic health record and Bar-code technology. One technology should be used for data management and one for direct care.
•Discuss how the technology contributes to safety and quality in the care of patients.
•Discuss how specific data is tracked, monitored, stored, or trended.
•Discuss how the technology could be enhanced for the future.

Your initial post should be about 150 words. Use at least one APA-formatted reference and that can be a text, any assigned readings, or a reference you find on your own through the Capella Library.

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explain how The Bosnia List relates to course material. You must integrate material from all four segments of the course into your reflection (life-span perspective/theories, physical/cognitive development, emotional development, and development in the social world/death/grieving. Course terminology and concepts must be used throughout the essay.

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Mrs. Jones, a widow, is no longer able to live independently and is requiring more and more help with her self-care. Her daughter, Susie, who is married with three school-aged children, agrees to let her mother move in with her. Susie is concerned with balancing the demands of her career and the needs of her family, especially now that her elderly and chronically ill mother will need assistance. She is also unsure about how she feels with the reversal of roles, having to now be the primary caregiver of her mother. How can the nurse, caring for this family, assist with the changes they are about to undergo? How can both the family structural theory and the family developmental theory be applied to this scenario? How can health education enhance health promotion for this family?

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