Nursing Theories Assignment

Nursing theories are tested and systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Prepare a 10?15 slide PowerPoint in which you describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:

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1. Present an overview of the nursing theory. Provide evidence that demonstrates support for the model’s efficacy in nursing practice. Explain how the theory proves the conceptual model.
2. Explain how the nursing theory incorporates the four metaparadigm concepts.
3. Provide three evidence? based examples that demonstrate how the nursing theory supports nursing practice. Provide support and rationale for each. Nursing Theories Assignment

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Discussion #1

 

Discuss the questions that would be important to include when interviewing a patient with this issue.

• Describe the clinical findings that may be present in a patient with this issue.

Clinical findings that may be present in a patient with abdominal pain can vary greatly depending on what the origin of the abdominal pain is. It is common for individuals with abdominal pain to experience intermittent epigastric pain aggravated by stress and food, achy pelvic pain that is worsened by sexual intercourse as well as activity, as well as nausea and vomiting. Abdominal pain is sometimes difficult to initially diagnose and assess because there are many differential diagnoses for someone experiencing abdominal pain. Therefore, it is important during the physical and history to gather all of the clinical findings the patient is experiencing to come to the appropriate diagnosis (Schuiling & Likis, (2016). Nursing homework help

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• Are there any diagnostic studies that should be ordered on this patient? Why?

Diagnostic studies that should be ordered for this patient would include a pelvic exam with a pap, as we know this patient had a history of an abnormal pap smear. After the abnormal pap resulted, the patient failed to follow up with the office for further evaluation and continuous assessment of her abnormal pap results to check for HPV. A vaginal wet mount should also be ordered for the patient as vaginal discharge is present in the vaginal cavity. The wet mount is used to assess vaginal discharge for  bacteria, yeast cells, trichomoniasis (trichomonads), white blood cells that show an infection, or clue cells that show bacterial vaginosis. If an infection is present, this could attribute to the pelvic and abdominal pain the patient is experiencing. The patient should also be tested for other STDs such as chlamydia and gonorrhea. Lastly, a urinalysis should be done to determine if there is an infection of the urinary tract, as well as a pregnancy test if HCG is detected in the patient’s urine. If necessary, a pelvic ultrasound can always be ordered in order to visualize the internal structures of the pelvic area. This would depict if there are any abnormal masses such as tumors or cysts (Hawkins, Roberto-Nicholas, & Stanley-Haney,  (2016).  Nursing homework help

• List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

The primary diagnosis for this patient is a trichomonas infection, which is a sexually transmitted disease. Trichomonas parasite was found after microscopic examination of the patient’s vaginal discharge. Most women who experience this type of infection have foul smelling vaginal discharge with pain in the pelvic area. Vaginal irritation, inflammation, and odor is quite common.

One differential diagnosis for the patient is an ectopic pregnancy. When a woman is experiencing an ectopic pregnancy, she may have abdominal pain that comes and goes, as well as an abnormal pelvic exam. Bloating, nausea and cramping are all symptoms that are also experienced.

Another differential diagnosis is trauma. As the provider in this case study gathered more information regarding the patient’s exposure to domestic violence, the diagnosis of trauma becomes validated. Present on this patient’s abdomen were bruises sustained after her husband hit her when she mentioned that she might be pregnant. The patient’s abdominal pain in part can also be a somatization of stress due to the trauma endured.

The last differential diagnosis for this patient is normal pregnancy. We know this patient has not used any sort of birth control in a few years and has had nausea and vomiting. Vaginal discharge of leukorrhea is normal throughout pregnancy. This is why a wet mount is important for evaluation of the vaginal discharge.

• Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups. Nursing homework help

Management for this patient would first involve testing the patient in order to determine the cause of her pelvic pain. A pelvic exam and pap must be completed on the patient to assess for any abnormalities. A urinalysis and wet mount of the patient’s vaginal discharge must also be completed. Once we have ruled out pregnancy and determined the patient’s discharge is coming from a trichomonas infection.  We must proceed with treatment of the patient’s STD infection with an antibiotic, metronidazole. It is important to educate the patient that both she and her husband need to take these medications. Next, we must have ongoing management of this patient’s feeling of safety in her home, as there are many indicators that her husband has been abusive to her and potentially her son as well, especially while he is drinking. The provider must educate the patient on all of the resources available to her and provide reassurance, console and empower the patient to get out of her dangerous situation. We should give her the number to the domestic violence hotline, as well as get the patient a counselor with regard to her situation.

 

Discussion #2

 

A patient who presents with bilateral upper and lower quadrant abdominal pain as well as painful intercourse, nausea, vomiting, loose stools and constipation, the provider should take a thorough history and interview to start to rule out many high risk diagnoses. Nursing homework help.It is important to ask about her pain using OLDCARTSS to gather information. Asking the patient when the pain started, to describe the pain, location, asking whether it radiates or travels anywhere else, any associated symptoms such as nausea or cramping and asking whether she has tried anything for pain relief. It is also important to ask if the patient has had this pain before in the past, and if she knows anything that changed in her life/diet in the time frame that the symptoms began. Because she also complains of pelvic pain and pain during intercourse, it is important to take a thorough gynecological history as well. Does the patient have a history of abnormal PAPs, any history of STDs, or any gynecological surgeries? How are her cycles; are they regular, when was her last menstrual cycle, has there been any vaginal discharge, odor, burning or itching noted? Is the patient sexually active, and if so, does she use protection or is there any risk of STDs? Has the patient been pregnant, and if so were there any complications?(Schuiling & Likis, 2017).

 

When the patient began mentioning stress repeatedly to the provider, it then became equally important to discuss her mental health as well as her overall safety and well-being. If as the provider you are concerned there may be any form of abuse, it is imperative to ask the patient about any safety concerns. Based on her delay in treatment after having an irregular PAP, her diffuse abdominal pain, bruising noted to her abdomen, repeated mention of stress, history of STD and now painful intercourse, as the provider it is important to expand upon these safety concerns with the patient as these are all red flags for IPV or Intimate Partner Violence. Women who are victims of IPV are more likely to have known red flags such as migraines, painful intercourse, chronic pain syndrome, GI upset such as abdominal pain, nausea, vomiting, diarrhea, constipation, PID, depression, anxiety and PTSD (Schuiling & Likis, 2017). Nursing homework help

 

Because the typical discussion of IPV is led by interview and discussion of the patient’s current situation, because she presents with symptoms that could also be related a serious diagnosis, it is important to perform/order any tests that may be needed to rule out those other diagnoses. Because the patient has had an abnormal PAP in the past with no follow-up, as well as pelvic pain, it is important to perform a pelvic exam with a PAP smear. It is important to also swab for any bacteria or STDs that the patient may have at this time, as well as the blood work for any STDs. A KOH/saline wet prep slide will allow the provider to look at the cells to see if there is any bacterial Vaginosis or yeast that may be growing. Because of the diffuse abdominal pain and pelvic pain, I would also want to order a pelvic and abdominal ultrasound. The ultrasound will help to rule out any ovarian cysts, fibroids, PID, kidney issues. A urine should be collected for Hcg, as well as urinalysis and culture to see if there is any blood, leukocytes, protein etc in the urine, as well as any bacteria growing that could be causing an infection that has then caused the pain she is currently having (Schuiling & Likis, 2017).

 

Abdominal pain can encompass many diseases, acute and chronic in nature, and as many of them are serious in nature, it is important to keep them on the list of possible diagnoses until ruled out. PID, ectopic pregnancy, appendicitis and trauma are all diagnoses that should be ruled out based on the symptoms she is presenting with. Because the patient has a history of STDs in the past as well as an abnormal PAP, painful intercourse and abdominal pain, PID should be ruled out. Because the pain has been in the lower abdomen for a couple weeks now, and because she is sexually active, it is important to rule out any pregnancy, especially a tubal pregnancy that could be potentially very dangerous for her if not discovered early on. Although there is a low suspicion for appendicitis in this patient based on the timing and location and severity of her pain, it is still important to rule it out so as not to cause any more harm to the patient. Typically appendicitis will present with pain in the right lower quadrant, typically sever and acute in nature. Lastly, because the patient has stated multiple times that she is under a lot of stress, has not answered the question about her safety at home, and has bruises in multiple stages of healing in areas of the body that are not typically known for bruises to be found, it is important to discuss potential abuse/trauma (Schuiling & Likis, 2017). Nursing homework help

 

Based on the interview with the patient and her answers when discussing how safe she feels at home with her partner, it is important to discuss safety plans with the patient. Although the patient may not be open to leaving an abusive situation at this time, the provider needs to respect the decisions of the patient. The patient should be provided with resources to call or go to when needed or at times she may not feel safe. Concerns about her child and his safety should be discussed to ensure the child is in a safe environment. Making sure as the provider you understand the laws for mandated reporting for both the patient and her child is crucial. Performing a safety assessment should be included in the exam, including asking about any weapons in the home, asking about drug and alcohol use for both the patient and her partner, as well as asking if the patient has ever wanted to escape or get help. Making sure the patient understands there are resources for her if and when she chooses to get help in this situation will allow the patient to understand that she is not alone in this situation and that she has someone who cares for her well being (Schuiling & Likis, 2017). Nursing homework help

Nursing homework help

For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage.

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Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature. Nursing homework help

Due DATE: September 3

Nursing homework help

Describe the risks inherent with online websites and/or social media. Identify opportunities for effective use of online health information websites and/or social media.

Your presentation should include the following:

1. One social media in health care or public online health information site.
2. An overview of the use.
3. Their benefits and risks of use.
4. Your recommendations for nursing regarding appropriate use. Nursing homework help

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Submission Instructions:

  • Presentation is original work and logically organized in current APA style including citation of references.
  • Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
  • PowerPoint presentation with 7-8 slides, excluding the tile slide and the reference slide.
  • The presentation is clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • Speaker notes expanded upon and clarified content on the slides.

Your assignment will be graded according to the grading rubric. Nursing homework help

Nursing homework help

Perform a history of a head, ear, or eye problem provided you or one that you have experienced and perform an assessment including head, ears, and eyes. Document your findings, identify actual or potential risks. Submit this as a Word document. Nursing homework help

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Title:

Documentation of problem based assessment of the head, ears, and eyes.

Purpose of Assignment:

Learning the required components of documenting a problem based subjective and objective assessment of a head, ears, and eyes. Identify abnormal findings.

Course Competency:

Demonstrate physical examination skills of the head, ears, and eyes, nose, mouth, neck, and regional lymphatics.

Instructions:

Content: Use of three sections:

· Subjective

· Objective

· Actual or potential risk factors for the client based on the assessment findings with description or reason for selection of them. Nursing homework help

Format:

· Standard American English (correct grammar, punctuation, etc.)

Resources:

Levels of Achievement

Criteria

Emerging

Competence

Proficiency

Mastery

Subjective

(4 Pts)

Missing components such as biographic data, medications, or allergies. Symptoms analysis is incomplete. May contain objective data.

Basic biographic data provided. Medications and allergies included. Symptoms analysis incomplete. Lacking detail. No objective data.

Basic biographic data provided. Included list of medications and allergies. Symptoms analysis: PQRSTU completed. Lacking detail. No objective data. Information is solely what “client” provided. Nursing homework help

Basic biographic data provided. Included list of medications and allergies. Symptoms analysis: PQRSTU completed. Detailed. No objective data. Information is solely what “client” provided.

Points: 1

Objective

Missing components of assessment for particular system. May contain subjective data. May have signs of bias or explanation of findings. May have included words such as “normal”, “appropriate”, “okay”, and “good”.

Includes all components of assessment for particular system. Lacks detail. Uses words such as “normal”, “appropriate”, or “good”. Contains all objective information. May have signs of bias or explanation of findings.

Includes all components of assessment for particular system. Avoided use of words such as “normal”, “appropriate”, or “good”. No bias or explanation for findings evident Contains all objective information

Includes all components of assessment for particular system. Detailed information provided. Avoided use of words such as “normal”, “appropriate”, or “good”. No bias or explanation for findings evident. All objective information

Actual or Potential Risk Factors

Lists one to two actual or potential risk factors for the client based on the assessment findings with no description or reason for selection of them. Failure to provide any potential or actual risk factors will result in zero points for this criterion. Nursing homework help

Brief description of one or two actual or potential risk factors for the client based on assessment findings with description or reason for selection of them.

Limited description of two actual or potential risk factors for the client based on the assessment findings with description or reason for selection of them.

Comprehensive, detailed description of two actual or potential risk factors for the client based on the assessment findings with description or reason for selection of them.

Four References using APA format 7 editio

Write from nursing prospective

No consideration for plagiarism. Nursing homework help

3 Pages

Psychotherapy For Clients With Addictive Disorders Assignment

To prepare:

  •  Watch the 187 Models of Treatment for Addiction video, consider what treatment model you may use the most with clients presenting with addiction.
  • Search School Library databases and choose a research article that discusses a therapeutic approach for treating clients, families, or groups with addictive disorders. Psychotherapy For Clients With Addictive Disorders Assignment

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The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following. Your title and references slides do not count toward the 5- to 10-slide limit.

  • Provide an overview of the article you selected.
    • What population (individual, group, or family) is under consideration?
    • What was the specific intervention that was used? Is this a new intervention or one that was already studied?
    • What were the author’s claims?
  • Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why? Psychotherapy For Clients With Addictive Disorders Assignment
  • Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article.
  • Use the Notes function of PowerPoint to craft presenter notes to expand upon the content of your slides.
  • Support your response with at least three other peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Provide references to your sources on your last slide. Be sure to include the article you used as the basis for this Assignment. Psychotherapy For Clients With Addictive Disorders Assignment

Acute Bacterial Meningitis Nursing homework help

The purpose of the case study is to have you expand on the pathophysiological disease process by searching for evidence-based practice treatment and advanced practice nursing role implications related to the disease.

Case Study Topic:

Acute bacterial meningitis.

Identify current evidence-based treatment modalities for the selected syndrome or disease and discuss how the treatment impacts the disease process.

Conduct an evidence-based literature search to identify the most recent standards of care/treatment modalities from peer-reviewed articles and professional association guide. (https://www.ahrq.gov/gam/index.html) These articles and guidelines can be referenced, but not directly copied into the clinical case presentation. Cite a minimum of three resources. Acute Bacterial Meningitis Nursing homework help

Include the following in your clinical case presentation:

1. A discussion of the pathophysiology of the disease, including signs and symptoms.

2. An explanation of diagnostic testing and rationales for each.

3. A review of different evidence-based treatment modalities for the disorder obtained from guideline.gov or a professional organization.

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Next, address the following questions:

1. How does the information in this case inform the practice of a master’s prepared nurse?

2. How should the master’s prepared nurse use this information to design a patient education session for someone with this condition? Acute Bacterial Meningitis Nursing homework help

3. What was the most important information presented in this case?

4. What was the most confusing or challenging information presented in this case?

5. Discuss a patient safety issue that can be addressed for a patient with the condition presented in this case.

The use of medical terminology and appropriate graduate level writing is expected.

Your paper should be 4 pages (excluding cover page and reference page). Acute Bacterial Meningitis Nursing homework help

Your resources must include research articles as well as reference to non-research evidence-based guidelines.

Use APA format to style your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. You will need to include a reference page listing those sources. Cite a minimum of three resources.

Nursing homework help

DQ1.

Two registered professional nurses are attending a meeting where the focus is examining teaching methods that enable them to share information with newly diagnosed diabetic patients. One nurse initiates a discussion on the use of social media in teaching patients and the use of social media for all health care providers.

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1. Discuss actions the nurse should take before using social media as a teaching tool.

2. What types of social media could benefit health care providers and patients? Nursing homework help

3. What are the pitfalls to utilizing social media for both patients and health care providers?

DQ2.

  1. Is a Six Sigma failure rate a reasonable goal for all health care organizations?
  2. Should the health care industry be willing to accept higher error rates than the banking or airline industries?
  3. Do you believe the majority of error rates are reported?

DQ3.

With the realization that pain is highly prevalent among older adults, please answer the following questions:

  • What are some ways you as the nurse can utilize to determine pain in the older adult?
  • What are some of the potential barriers related   to self-reporting of pain in the older adult? Nursing homework help

DQ4. 

With the realization that pain is highly prevalent among older adults, please answer the following questions:

  • What is the prevalence of pain in older adults?
  • How will you, as a nurse, be more aware of pain issues related to older adults and what will the nurse incorporate into practice? Nursing homework help

Healthcare Ethics Powerpoint Paper

Choose an issue that interests you. Be sure to include related healthcare ethics and laws involved. Assignment should be a minimum of 10 PowerPoint slides (not including the title slide and reference slides) and provide an overview of the following:

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  • Define the ethical dilemma (selected health issue) Healthcare Ethics Powerpoint Paper
  • History of ethics behind the issue
  • Overview of the impact health/ethics issue is      having (has had) on target population (summary of statistics and      descriptive data)
  • Explain the local, state, and/or federal      governments’ role in impacting access to healthcare, related to your      topic.
  • Summary of law/policy development recommendations. Healthcare Ethics Powerpoint Paper
  • Summary of recommendations needed to better      address health/ethics issues within the target population
  • Conclusion

Pharmacology Discussion 4 Paper

  1. Describe causes of Upper respiratory infections and drug therapy 
  2. Discuss triggers of asthma and treatment options
  3. Discuss corticosteroids 
  4. Describe chronic bronchitis and treatment options. Pharmacology Discussion 4 Paper

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Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
    • Each question must be answered individually as in bullet points.
    • Example: Question 1, followed by the answer to question 1; Question 2, followed by the answer to question 2; and so forth.  Pharmacology Discussion 4 Paper