Nursing

Major Project: Introduced- Presentation using powerpoint slides topics: The powerpoint should be 10 sides max. Choose one of the topics below  The Importance of the 5 Rights to avoid Medication Errors using medication administration software. Identifying workflow changes when using technology *Voice-over is recommended but not required. Contact the instructor if you have any questions.  Choice is A for presentation

case 1 is our case  Neurological & Male Genitourinary Disorders For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. Case 1 Case 2 Case 3 Chief Complaint (CC)  “It burns when I urinate” “I had a severe headache yesterday with difficulty to speak” “I have been having frequents headaches lately” History of Present Illness (HPI) A 68-year-old Caucasian male who reports to have increase on the frequency of urination with urgency for the last 5 days. He also present dysuria and nocturia. A 64-year-old African American female who reports having a severe pulsatile diffuse headache yesterday with sudden difficulty to talk with last for about two hours. She did not seek medical attention. This morning she woke up with no problems but is here today due her husband advise. A 25-year-old Hispanic female presents to your clinic with a headache located on right temporal area, pulsatile. PMH Benning prostatic hyperplasia diagnosed 3 years ago, UTI 6 months ago, Lithotripsy left kidney 10 years ago. No issues after treatment Atrial Fibrillation, Hypertension. Is allergic to Non-steroidal Anti-inflammatory drugs Aspirin Frequent headaches since I was 15, with menses. Drug Hx Rosuvastatin 20 mg Olmesartan 20 mg Losartan 50 mg Xarelto 15 mg BID Ibuprofen for Headaches Subjective Fever and chills, no changes in vision or hearing, no difficulty chewing or swallowing. No sexually active, nocturia, dysuria. Yellowish urethral secretion. Feels Palpitations, joint pain with yesterday’s episode Light makes headache worst Nausea associated with headaches. No vomiting, Headaches improve usually with rest, ibuprofen, and sleep, but it is annoying to have to sleep all-day Objective Data  VS B/P 150/96; Pulse 89; RR 16; Temp 99.4; Ht 6,1; wt 180; B/P 131/80; temperature 98.2°F;  (RR) 18;  (HR) 84, irregular; oxygen saturation (PO2) 96%; B/P 108/64; Pulse 86; RR 16; Temp 98.6;  General well-developed male, no acute distress well-developed female, no acute distress 25-year-old female appears well developed and well-nourished, healthy appearing, wearing dark glasses in a dim room  HEENT Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous. Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. no injection, anicteric, PERRLA, EOMs intact, without pain to movement; normal vision Lungs CTA AP&L CTA AP&L CTA AP&L Card S1S2 without rub or gallop S4 present Irregular heart beat with normal rate S1S2 without rub or gallop Abd No tenderness normoactive bowel sounds x 4; No tenderness normoactive bowel sounds x 4; benign, normoactive bowel sounds x 4; Rectal exam Warm, swollen and painful prostate gland Non contributory Non contributory Integument good skin turgor noted, moist mucous membranes intact without lesions masses or rashes. intact without lesions masses or rashes. Neuro No obvious deformities, CN grossly intact II-XII No obvious deficits and CN grossly intact II-XII Cranial nerves II to XII intact; sensation intact, DTRs 2+ throughout. Functional neurological exam is WNL Once you received your case number, answer the following questions: What other subjective data would you obtain? What other objective findings would you look for? What diagnostic exams do you want to order? Name 3 differential diagnoses based on this patient presenting symptoms? Give rationales for your each differential diagnosis. What teachings will you provide?

1. Discuss the benefits of SIM to enhance classroom and clinical experiences in nursing education. Be prepared to discuss the future trends in SIM. 2. Discuss the learning methods drill and practice, tutorial, and game. Provide an example of each learning method related to nursing/patient care. Be prepared to explain the connection of each example to Bloom’s Taxonomy of Nursing. 3. Research emerging trends for e-learning. Use the Internet and online library. Create a bullet list of “talking points” for at least 3 emerging trends. 4. Compare different modes of computerized testing. 5. Describe distance learning along with the advantages and disadvantages. Be prepared to describe your experience with distance learning (on-line) and what could be improved.

Please use this an EXAMPLE of how to frame your statement of appeal incorporating the required explanations: (i) verifiable documentation of circumstances that contributed to the withdrawal/dismissal, (ii) an explanation of how these circumstances have been resolved and (iii) provision of a reasonable plan for meeting the academic requirements for good standing. The statement and your supporting documents are the only documents you have to state your case for returning to your program of study.  EXAMPLE: Re: Readmission into Name of Program  Dear Academic Standards Committee:  My name is  and I was a student in the  program at Jersey College from  to  . I was withdrawn from the program due to my academic grades in  .  Throughout my time in the program, I faced a number of challenges in meeting my own goals for success as a student. One major issue that impacted my ability to be successful at Jersey College was  . A second issue that challenged my ability to study was  . [In this paragraph, explain how you got into this situation. Be detailed, but also concise. Please note that this is a place to indicate if you have evidence that can be attached for support]  Since I left the college, my life has improved significantly to allow me to position myself to again become a successful student at Jersey College. The changes in my life include  . [In this paragraph explain what has changed in your life. Where possible provide specific examples and evidence of the changes. Be concise, but thorough. This is your opportunity to present why you should be given another chance.]  My plan for meeting the academic requirements of the program includes   ____  . [In this paragraph explain how you will meet the academic requirements – i.e., I have reduced my workload and can now devote an additional x hours to studying each night; I plan on joining study groups; I was successful in the following subjects as a result of interest, etc. Be concrete about the plan].  I sincerely hope that this request for readmission shows that I am dedicated to being a successful student at Jersey College. I understand that if I am readmitted that I may not fail any additional subjects. I am confident that the steps I have undertaken and will undertake will ensure my success.

Case Study: A 65-year-old woman was just been diagnosed with Stage 3 non-Hodgkin’s lymphoma. She was informed of this diagnosis in her primary care physician’s office. She leaves her physician’s office and goes home to review all of her tests and lab results with her family. She goes home and logs into her personal health record (PHR). She is only able to pull up a portion of her test results. She calls her physician’s office with this concern. The office staff discussed that she had part of her lab work completed at a lab not connected to the organization, part was completed at the emergency room, and part was completed in the lab that is part of the doctor’s office organization. As you review this scenario, reflect and answer these questions for this discussion. What are the pros and cons of the situation in the case study? What safeguards are included in patient portals and PHRs to help patients and healthcare professionals ensure safety? Do you agree or disagree with the way that a patient obtains Personal Health Records (PHRs)? What are challenges for patients that do not have access to all of the PHRs? Remember, only portions of the electronic health records (EHR) are typically included in the PHRs.

Describe what would be important to remember while interviewing a 19-year old Chinese female college student who is admitted to the hospital for fevers

Identify disparities in health among populations for a Healthy People 2020 (Sexually Transmitted Diseases) health issue.  Describe the chosen Healthy People 2020 topic area and specific health issue. Contrast causes of disparities related to this health issue within populations. Propose a public health communication strategy to reduce disparity and promote health. Outline a plan for the communication. Describe an evaluation plan for the communication. Create targeted communication for each population. Reflect on learning through this project.   Submission Instructions: The paper is to be formatted per current APA. The paper is to be 5 pages in length, excluding the title, abstract and references page. Incorporate a minimum of 3 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 current APA style

Discuss the potential controversy when considering a patient’s right to know whether a caregiver has AIDS, and the caregiver’s right to privacy and confidentiality. Consider the following: A physician cut his hand with a scalpel while he was assisting another physician. Because of the uncertainty that blood had been transferred from the physician’s hand wound to the patient through an open surgical incision, he agreed to have a blood test for HIV. His blood tested positive for HIV and he withdrew himself from participation in further surgical procedures. Discuss the ethical and legal issues.

Topic 2: Guiding Your Women’s Health Exam Discuss how the age of the female patient, demographics, race, and lifestyle will drive your exam and plan of care. Give examples and support with evidence based practice.

Choose a case from the AMA Journal of Ethics Case Index (https://journalofethics.ama-assn.org/cases) and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation. In your 2-3 page paper: Identify the issue and state your ethical position. How might this scenario play out or impact you in your role as a nurse practitioner?  Defend your position with legal, ethical, and professional evidence. As part of your position, propose strategies and solutions for addressing the issues. What other ethical issues does this case bring to light, if any? Support your position with at least one scholarly source (it may be your text).  Be sure to cite the article you choose, use APA format, and include a title page and reference page.