Client Questions

This is to be a 4-5 page paper (not including the title and reference page) in APA format (6th ed) answering the following questions.  You do not need an abstract. 3 to 4References 1.  Identify a patient problem you have had in the clinical setting. What formal structures were in place to help address the problem? How did you or could you use evidence to investigate the problem? Did you have time to search for evidence?  If not what were the barriers you faced? What databases did you access for evidence and why? (be specific). 2. Find a clinical practice guideline from the National Guideline Clearinghouse archives or any other site that produces guidelines such as the American College of Cardiology CHF guidelines,  that would be suitable for the patient problem you identified.  Critically appraise the guideline using the AGREE II Instrument in your textbook, p 207 box 7.1.

By the due date assigned, write a 1-page paper addressing the sections below of the research proposal. Theoretical Framework  Overview and Guiding Propositions(s) Described in Theory  Application of Theory to Your Study’s/Project’s Focus

Respond in the following ways: (POSITIVE COMMENT) Share insights on how the factor you selected( THE FACTOR I SELECTED IS ATTACHED BELLOW IN A DOCUMENT) impacts the pathophysiology of the disorder your colleague selected. Expand on your colleague’s posting by providing additional insights or contrasting perspectives based on readings and evidence.                                                                      Main Post To provide excellent patient care, practitioners must understand information at the cellular level.  A good history and physical are essential for proper diagnosing. Useful learning tips might be weekly outlines, reading resources, completion of available exercises, and taking notes on topics one might not understand.  Pertinent information to include when evaluating a patient is the complaint, the assessment, the diagnostics, treatment plan, and educating the patient (Laureate Education, 2012). Cystic Fibrosis and the White Population      Huether & McCance (2017) state 1:3000 cases of CF among the white population and Hammer & McPhee (2019) state 1:2000 cases of CF among the white population.  CF is very rare in Asians (Hammer & McPhee, 2019). 1 in every 29 whites in the United States is a carrier of CF (Huether & McCance, 2017). Pathophysiology of Cystic Fibrosis      Cystic Fibrosis (CF) is caused by an abnormal expression of the cystic fibrosis transmembrane conductance regulator (CFTCR) gene.  CF is considered an obstructive lung disease.  The defective chloride transporter gene is housed in the exocrine gland.  This faulty gene leads to water flow abnormality and results in viscous secretions primarily affecting the lungs but can also affect the reproductive organs and digestive tract as well (Huether & McCance, 2017).  Symptoms or signs that may present to aid in the diagnosis of CF might be a delayed passing of meconium in the infancy stage.  Foul-smelling, floating stool due to the malabsorption of fats could be a symptom.  A cough, pulmonary infections, failure to thrive, and dyspnea are additional signs (Berkowitz, 2007).  Intracellular change related to CF is the defective CFTCR gene.   References Berkowitz, A. (2007).  Clinical pathophysiology made ridiculously simple. Miami, FL:  MedMaster, Inc. Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th  ed.). New York, NY: McGraw-Hill Education.   Huether, S. E., & McCance, K. L. (2017). Understanding  pathophysiology (6th ed.). St. Louis, MO: Mosby. Laureate Education, Inc. (Executive Producer). (2012). Introduction to advanced pathophysiology. Baltimore, MD: Author.

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following: Describe the healthcare program or policy outcomes. How was the success of the program or policy measured? How many people were reached by the program or policy selected?  How much of an impact was realized with the program or policy selected? At what point in program implementation was the program or policy evaluation conducted? What data was used to conduct the program or policy evaluation? What specific information on unintended consequences was identified? What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples. Did the program or policy meet the original intent and objectives? Why or why not? Would you recommend implementing this program or policy in your place of work? Why or why not? Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

Write a paper (1,250-1,750 words) describing the approach to care of cancer. In addition, include the following in your paper: Describe the diagnosis and staging of cancer. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects. 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. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each. Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing. To Prepare: Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency. Review the NCSBN and ANA websites to prepare for your presentation. The Assignment: (9- to 10-slide PowerPoint presentation) Develop a 9- to 10-slide Voice-Over PowerPoint Presentation that addresses the following: Describe the differences between a board of nursing and a professional nurse association. Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area. Who is on the board? How does one become a member of the board? Describe at least one federal regulation for healthcare. How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)? Has there been any change to the regulation within the past 5 years? Explain. Describe at least one state regulation related to general nurse scope of practice. How does this regulation influence the nurse’s role? How does this regulation influence delivery, cost, and access to healthcare? Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs). How does this regulation influence the nurse’s role? How does this regulation influence delivery, cost, and access to healthcare?

Discussion Board  2: End of Life Care. Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice. Practice  1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.  2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.  3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.  4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.  Education  1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.  2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.  3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.  4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.  Research  1. Increase the integration of evidence-based care across the dimensions of end-of-life care.  2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.  3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.  4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.  5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.  Administration  1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.  2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.  3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.  4. Support the development and integration of palliative care services for all in- and outpatients and their families.

Being the President of the United States is a very powerful and influential position. This week we will discuss education reform and welfare reform.  Identify one (1) President of the United States and write a two (2) page paper discussing the following. Each section of your paper should have a section header. 1- Explain why you selected the President?   2- Give some historical background about the President.  3- Identify and discuss an initiative accomplished by the President which relates to

Assignment: Academic Success and Professional Development Plan Part 3: Strategies to Promote Academic Integrity and Professional Ethics Nurse-scholars have a significant obligation to their community as well. Their work must have academic and professional integrity. Their efforts are designed to add to the body of knowledge, advance the profession, and ultimately help in the care of patients. Work that lacks integrity is subject to quickly erode…or worse. Fortunately, there are strategies and tools that can help ensure integrity in academic and professional work. This Assignments asks you to consider these and how you might apply them to your own work. · Reflect on the connection between academic and professional integrity. The Assignment: Part 3, Section 1: Writing Sample: The Connection Between Academic and Professional Integrity Write a 2- 3-paragraph analysis that includes the following: · Clearly and accurately explains in detail the relationship between academic integrity and writing. · Clearly and accurately explains in detail the relationship between professional practices and scholarly ethics. · Accurately cite at least 2 resources that fully support your arguments, being sure to use proper APA formatting. · Use Grammarly and SafeAssign to improve the productivity Clearly and accurately describe in detail how Grammarly, SafeAssign, and paraphrasing contributes to academic integrity. Include sufficient evidence that Grammarly and SafeAssign were utilized to improve responses. Part 3, Section 2: Strategies for Maintaining Integrity of Work Expand on your thoughts from Section 1 by: · Clearly identifying and accurately describing strategies you intend to pursue to maintain integrity and ethics of your:  · 1) a   Assignment: Academic Success and Professional Development Plan Part 3: Strategies to Promote Academic Integrity and Professional Ethics Nurse-scholars have a significant obligation to their community as well. Their work must have academic and professional integrity. Their efforts are designed to add to the body of knowledge, advance the profession, and ultimately help in the care of patients. Work that lacks integrity is subject to quickly erode…or worse. Fortunately, there are strategies and tools that can help ensure integrity in academic and professional work. This Assignments asks you to consider these and how you might apply them to your own work. · Reflect on the connection between academic and professional integrity.

Write the first paragraph of your research paper. Include an outline of topic sentences to go with your essay. See the attached examples in the following links. Please must be in APA format.