Nursing

Personal statement of a newly qualified nurse applying for a permanent position  in Renal Ward where she has worked on placement for six months. Previous placements; 1. Acute medical ward at Queens Hospital –  2.  Adult  Day care unit – King Georges 3, Urology Diagnostic Unit – King Georges Hospital 4. Renal & Urology Ward – Royal London Hospital 5. Mental Health – Goodmayes Hospital

V.G. is a 47 year old African American male with type 2 diabetes diagnosed two years ago. He is for a follow up and complaining of increased tingling to the lower extremities. PMH: obesity, dyslipidemia, HTN. He quit smoking smoking two years ago. Denies any alcohol use. SH: lives with alone in a subsidized housing. He is a veteran and relies on food stamps and welfare. Works occasionally. MEDS: he lost his medications and hasn’t taken any in about a week. His chart indicates his is on Lisinopril 20mg, Januvia 50mg QD, Lipitor 40mg QD, PE: 5’9, BP: 160/100 RBG: 415. Review the patient case study and reflect on the information provided about the patient. Think about the personal, medical, and family history you need to obtain from the patient in the case study. Reflect on what questions you might ask during an evaluation. Consider types of physical exams and diagnostics that might be appropriate for evaluation of the patient in the study. Reflect on a possible diagnosis for the patient. Think about potential treatment options for the patient. Post a an explanation of the primary diagnosis, as well as 3 differential diagnoses, for the patient in the case study that you selected or were assigned. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis.

The goal for this assignment is to develop a quick-reference tool or visual aid (for example, table, diagram, or chart) that you could use in actual practice that compares and contrasts the four main types of acid-base imbalances. This is your opportunity to let your creativity shine! Instructions Think about what is most important for you to know about the four main types of acid-base imbalances—metabolic acidosis, metabolic alkalosis, respiratory acidosis, and respiratory alkalosis. Summarize your findings into a quick-reference tool or visual aid resource (for example, table, diagram, or chart) that you can carry with you that you could use in actual practice. Examples include: A reference card you can attach to your nursing ID. An image you can save on your phone for quick access. A “cheat sheet” that can be attached to a clipboard or other work-related tool. Think about what type of resource will work best for you as you move along in your studies and nursing practice. Include the following for each type of imbalance in your quick-reference tool or visual aid: Common causes How the body compensates Expected laboratory findings Expected patient signs (subjective) Expected patient symptoms (objective)

PowerPoint Presentation: Capital Budget Proposal  Identify the capital budget item. Identify the need and consequences if it is not purchased. Identify the cost of the piece of equipment and if there are any alternative funding sources. Presents a compelling argument for the purchase of the capital item.   Submission Instructions: The PowerPoint presentation is original work and logically organized. It should consist of 10-15 slides excluding the title and reference. The PowerPoint presentation should be clear and easy to read. Speaker notes expanded upon and clarified content on the slides. The PowerPoint presentation should be formatted per APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).

On the Healthy People 2020 website, the 2020 LHI topic, Social Determinants, explains that a national indicator of health is measured by “Students who graduate with a regular diploma 4 years after starting 9th grade” (para. 11). According to the data, as a nation, are we improving or declining, and why is this important to our health as a country?

Was there a time when you were awakened by the differences in race, cultural background, or sexual identity (gender identity) between you and your patient? How did this cultural encounter change your practice? Your patient gave you a wake-up call (verbally and/or nonverbally). If you are an educator, you can use an example from your interaction with a student. If you are an administrator, you can use an example from your encounter with a staff person  It is expected that all posts will be scholarly in nature and that comments and responses will include supporting references with citations. APA format with 2-3 references

Discussion Question: In general, what findings in the physical assessment of a healthy older adult do you expect to be different than that of a healthy 35-year-old? You should research your answer and cite at least two scholarly source when appropriate, and always use quality writing.

One important application of epidemiology is to identify factors that could increase the likelihood of a certain health problem occurring within a specific population. Epidemiologists use measures of effect to examine the association or linkage in the relationship between risk factors and emergence of disease or ill health. For instance, they may use measures of effect to better understand the relationships between poverty and lead poisoning in children, smoking and heart disease, or low birth weight and future motor skills. What is the significance of measures of effect for nursing practice? In this Discussion, you will consider this pivotal question. To prepare: Consider how measures of effect strengthen and support nursing practice. What would be the risk of not using measures of effect in nursing practice? Conduct additional research in the Walden Library and other credible resources, and locate two examples in the scholarly literature that support your insights. By Day 3 Post a cohesive scholarly response that addresses the following: Analyze how measures of effect strengthen and support nursing practice. Provide at least two specific examples from the literature to substantiate your insights. Assess dangers of not using measures of effect in nursing practice.

What are some of the advantages to using an electronic health care record (EHR)? How has the HER affected research and quality improvement within nursing. Textbook & Peer- reviewed journals only

Assignment 2: As the Health IT Director at Trident Hospital, you have been asked to create a mobile Health (mHealth) app for patients at the hospital. The app is to be designed to engage patients about their visit to Trident Hospital, how they can access relevant health information through the patient portal, and how they use the mHealth to retrieve relevant educational material about their health condition. Prior to developing the mHealth app, you need to create a table that contains a list of all the standards that are required. This mHealth application will have connectivity to the Trident Hospital as well. Utilize the following websites to help you understand the type of data elements (standards) that you will need for your table. Please don’t copy and paste the standards from the websites into your paper. Mobile Health Standards and Architecture https://www.openmhealth.org/ Device Software Functions Including Mobile Medical Applications https://www.fda.gov/medical-devices/digital-health/device-software-functions-including-mobile-medical-applications Provide a paper that includes your mHealth app standards table. In addition, you must provide an introduction and conclusion paragraph. Your references and citations should be consistent with a particular formatting style such as APA. Provide references from at least 2 scholarly articles (peer-reviewed). Do not include information from non-scholarly materials such as wikis, encyclopedias, or www.freearticles.com (or similar websites). Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php. For additional information on reliability of sources, review the following source: Georgetown University Library. (n.d.). Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content Assignment 3: Continuing with the same cultural group and health issue for the Session Long Project that you began in Module 1, write a paper to address the following: Describe the Cultural Empowerment of the group you chose. Specifically address how each of the PEN-3 model’s three factors within the dimension of cultural empowerment applies to your group, and provide examples. Use subheadings to clearly show that you have addressed each of the three factors. Support your discussion with references from scholarly and professional references (not just your opinion). Length: 2-3 pages, excluding the cover page and the reference list. Those are the two previous papers I wrote that are referenced in assignment number 3 Assignment 4: Watch the videos on hour 3 from https://www.pbs.org/unnaturalcauses/hour_03.htm. It is made up of two segments. “Bad Sugar” which explores the causes and effects of diabetes within two Native American communities, and “Place Matters” which connects the dots between health, wealth, and zip codes. Based on the video, discuss how the factors listed below can influence health behaviors and health status. Support your discourse with examples from the video. a) Culture b) Ethnicity c) Race d) Socioeconomic status What can communities do to change the narrative and reduce health inequalities using the examples of “Bad sugar” and “Place matters” videos? Assignment Expectations Length: 2–3 pages (excluding the cover page and the reference list). Those are the 4 assignments and the instructions for each.