Describe whether the patient presented with any growth and development or psychosocial issues.

Select a patient who you examined during the last 4 weeks. With this patient in mind, address the following in a SOAP Note:

Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies.
Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?

Identify and explain any legal implications that exist for failure to adhere to a standard of care

Recognizing the Role of Adhering to the Standard of Care

When providing health care, there are standards of care which a reasonably prudent provider should follow. Providers at all levels are held to these standards of care. Failure to provide competent care to your patients will put you at risk for malpractice. Remaining current with the evidenced-based guidelines and providing optimal care will minimize the risk of liability.

For this Assignment, you will create a PowerPoint presentation that explains any legal implications that exist for failure to adhere to a standard of care, the key elements of malpractice, and compare the differences in malpractice policy options.

To prepare:

Consider the importance of using professional resources such as the National Guideline Clearinghouse to guide care delivered
Create a PowerPoint presentation no more than 15 slides in length that addresses the following:

Identify and explain any legal implications that exist for failure to adhere to a standard of care
Identify and explain the key elements of malpractice
Compare the differences in malpractice policy options
One slide to show references

Compare patient discharge surveys before change and after initiation of change. Variables:

methods to evaluate the effectiveness of your proposed solution
Order Description
Using 800-1000 words discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.
Example: If you are proposing a new staffing matrix that is intended to reduce nurse turnover improve nursing staff satisfaction and positively impact overall delivery of care you may decide the following methods and variables are necessary to evaluate the effectiveness of your proposed solution:
Methods:
1. Survey of staff attitudes and contributors to job satisfaction and dissatisfaction before and after initiating change.
2. Obtain turnover rates before and after initiating change.
3. Compare patient discharge surveys before change and after initiation of change.
Variables:
1. Staff attitudes and perceptions.
2. Patient attitudes and perceptions.
3. Rate of nursing staff turnover.
Develop the tools necessary to educate project participants and to evaluate project outcomes (surveys questionnaires teaching materials PowerPoint slides etc.).
Prepare this assignment according to the APA guidelines found in the APA Style Guide located in the Student Success Center. An abstract is not required.

Compare patient discharge surveys before change and after initiation of change.

methods to evaluate the effectiveness of your proposed solution
Order Description
Using 800-1000 words discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.
Example: If you are proposing a new staffing matrix that is intended to reduce nurse turnover improve nursing staff satisfaction and positively impact overall delivery of care you may decide the following methods and variables are necessary to evaluate the effectiveness of your proposed solution:
Methods:
1. Survey of staff attitudes and contributors to job satisfaction and dissatisfaction before and after initiating change.
2. Obtain turnover rates before and after initiating change.
3. Compare patient discharge surveys before change and after initiation of change.
Variables:
1. Staff attitudes and perceptions.
2. Patient attitudes and perceptions.
3. Rate of nursing staff turnover.
Develop the tools necessary to educate project participants and to evaluate project outcomes (surveys questionnaires teaching materials PowerPoint slides etc.).
Prepare this assignment according to the APA guidelines found in the APA Style Guide located in the Student Success Center. An abstract is not required.

Discuss your observations about how the current nursing care model is being implemented.

https://online.vitalsource.com/#/books/9781323605547/cfi/6/2

1. Read your text, Finkelman (2016), pp- 111-116.

2. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.

3. Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular
model.

4. Write a 5-7 page paper that includes the following:

5. Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.

6. Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice
setting.

7. Discuss your observations about how the current nursing care model is being implemented. Be specific.

8. Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.

9. Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.

10. Write your paper using APA format.

In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease.

In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease.

Communicable Disease Selection

Choose one communicable disease from the following list:

Chickenpox

Tuberculosis

Influenza

Mononucleosis

Hepatitis B

HIV

Epidemiology Paper Requirements

Include the following in your assignment:

Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence).

Describe the determinants of health and explain how those factors contribute to the development of this disease.

Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle).

Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).

Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.

A minimum of three references is required.

Refer to “Communicable Disease Chain” and “Chain of Infection” for assistance completing this assignment.

What additional questions would you ask to learn more about her headaches?

A 35-year-old woman comes to your office to discuss her “bad headaches,” which started after having her first child 2 years ago. The headaches sometimes awaken her from sleep and at times can be disabling and occasionally require her to take Tylenol and rest in a dark room. Sometimes she vomits during an attack. Over the past 6 months, her headaches have become more severe and frequent, prompting her visit today.

What additional questions would you ask to learn more about her headaches?
How do you classify headaches?
How can you determine if this is an old headache or a new headache/s? Is this a chronic or episodic condition?
Can you make a definite diagnosis through an open-ended history followed by focused questions?
How can you use the patient history to distinguish between benign headaches and serious ones that require urgent attention?
What diagnostic tests do you want to include to help you with your diagnosis?
Create a differential diagnosis flow sheet for this patient for this patient and include the diagnostics related to the differentials.

What are some prevalent medical conditions that can also be accompanied by psychiatric symptoms or complications?

In completing the case study students will be addressing the following learning objectives:
Identify common medical conditions that can have accompanying psychiatric complications or symptoms. Describe general nursing implications for clients experiencing psychiatric disorders that are intertwined with other nonpsychiatric illnesses.
1. Carla a 27-year-old white single mother of two preschool-age children is in the psychiatric hospital for treatment of anxiety and depression. Carla has a cardiac condition that requires surgery. Carla is concerned over the financial cost of the surgery and caretakers for her children while she is in the hospital and undergoing rehabilitation. Carla is also worried that she may be unable to continue in her present employment as a salesperson due to the physical demands of this position. Carlas case is representative of many patients with medical conditions who develop psychiatric symptoms.
(Learning Objectives: 1 2)
a. What are some prevalent medical conditions that can also be accompanied by psychiatric symptoms or complications?
b.What are some nursing implications for Carla that address both the psychiatric and nonpsychiatric illnesses?

How will increasing your level of education affect your role in the future of nursing?

In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations:

1. Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.

2. Recommendation 5: Double the number of nurses with a doctorate by 2020.

3. Recommendation 6: Ensure that nurses engage in lifelong learning.

Identify your options in the job market based on your educational level.

1. How will increasing your level of education affect how you compete in the current job market?

2. How will increasing your level of education affect your role in the future of nursing?

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

Describe any and all variables that could be contributing to his symptoms.

TJ is a fifty-five-year-old police officer who presents to the clinic with complaints of epigastric pain for two weeks. He has been taking over-the-counter (OTC) Zantac without relief. He was diagnosed about a year ago with a bleeding ulcer, and he expresses concerns that the current symptoms remind him of that event. At that time, he was given “multiple prescriptions” for his stomach, but he did not complete the course of therapy because he began to feel better. He also has osteoarthritis in his wrists and hips, for which he takes OTC NSAIDs. He smokes one to two packs per week and drinks an average of one alcoholic beverage daily. His vital signs and blood work are all within normal limits. Answer the following questions:

What additional testing would you suggest at this point?
Describe any and all variables that could be contributing to his symptoms.
What alterations would you suggest in his treatment? Be sure to consider additional diagnoses and whether prophylaxis would be appropriate for NSAID-induced ulcers.