Nursing
Discussion: Superficial Muscles Quiz
Discussion: Superficial Muscles Quiz
Discussion: Superficial Muscles Quiz
Discussion: Superficial Muscles Quiz
Week 10 Chapter: 21 Musculoskeletal System Superficial muscles of the trunk, anterior view A woman pregnant for the first time tells you that she is in excellent health and asks you why it is necessary to increase her calcium intake during her pregnancy. What should you tell this patient? How is the true bone formed during fetal development? What can help slow the progression of musculoskeletal changes associated with aging? You are observing an examiner take the history of a 70-year-old man as part of the musculoskeletal examination. You notice that the examiner asks the patient about exercise habits in his early years. Is this a relevant question to ask this patient? Why or why not? A young woman is concerned about a 1-cm difference in the length of her legs. What is the best response to give this patient? Which test is used to detect a torn medial or lateral meniscus? A 12-year-old boy has injured his right leg in an automobile accident. If the epiphysis is damaged, what can eventually occur? What does the bulge sign look to detect? A positive Tinel sign is suggestive of which disorder? What are the symptoms of fibromyalgia? What are the risk factors for sports injury? JB is a 43-year-old patient who presents to the office with complaints of back pain. She states that the pain started a few months ago as a dull ache, and now she feels that it has progressed to her hands, feet, and hips. The patient is obese and has a family history of joint pain. You have diagnosed her with osteoarthritis. 1- Describe the etiology of osteoarthritis. 2- Differentiate between signs and symptoms of osteoarthritis and rheumatoid arthritis. 3- Because JB is having pain in her back, describe an indicator of a weakened muscle group.
Discussion: Encounters Into eMedley
Discussion: Encounters Into eMedley
Discussion: Encounters Into eMedley
Discussion: Encounters Into eMedley
Week 10 assignment SOAP Note and CORE Entries Each week, you are required to enter your patient encounters into CORE. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using this template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Submissions Area. When submitting your note, be sure to include the reference number from CORE. Submission Details: By the due date assigned, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided. Name your SOAP note document SU_NSG6320_W10_A4_LastName_FirstInitial.doc. Include the reference number from CORE in your document. Submit your document to the Submissions Area by the due date assigned.Name your SOAP note document SU_NSG6435_W2_A2_LastName_FirstInitial.doc. Include the reference number from eMedley in your document. NSG 6435 Week 3 Assignment 3 Assignment 3: SOAP Note Each week, you are required to enter your patient encounters into eMedley.Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience.You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template.The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox.When submitting your note, be sure to include the reference number from eMedley. Submission Details: enter your patient encounters into eMedley and submit your Pediatric S
Assignment 4: SOAP Note Each week, you are required to enter your patient encounters into eMedley.Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience.You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template.The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox.When submitting your note, be sure to include the reference number from eMedley. Submission Details: enter your patient encounters into eMedley and complete at least one SOAP note in the template provided. Name your SOAP note document SU_NSG6435_W4_A4_LastName_FirstInitial.doc. Include the reference number from eMedley in your document. NSG 6435 Week 5 Assignment 3 Assignment 3: SOAP Note Each week, you are required to enter your patient encounters into eMedley.Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience.You will also need to include a minimum of one complete SOAP note using the
Assessing Care Plan For Patient
Assessing Care Plan For Patient
Assessing Care Plan For Patient
Week 4 assignment 1
Assignment: Practicum Week 3 SOAP Note
In addition to journal entries, SOAP Note submissions are a way to reflect on your practicum experiences and connect these experiences to your classroom experience. SOAP Notes, such as the ones required in this course, are often used in clinical settings to document patient care. Refer to this weeks Learning Resources for guidance on writing SOAP Notes.
Select a geriatric patient that you examined during the last 3 weeks. The patient you select should be currently taking at least five prescription and/or over-the-counter drugs. With this patient in mind, address the following in a SOAP Note:
Subjective: What was the patients subjective complaint? What details did the patient provide regarding his or her personal and medical history? Include a list of prescription and over-the-counter drugs the patient is currently taking. Compare this list with the Beers Criteria and consider alternative drugs if appropriate.
Objective: What observations did you make during the physical assessment? What functional assessments were used?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from top priority to least priority.
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management including alternative therapies? What is your care plan for the patient? How would you offer caregiver support?
Reflection notes: What would you do differently in a similar patient evaluation? How might you improve your assessment, diagnosis, and/or plan through interprofessional collaboration?
Refer to this weeks Learning Resources for guidance on writing SOAP Notes.
By Day 7 of Week 4
This Assignment is due. You will submit this Week 3 SOAP Note along with your Journal Entries (from Weeks 1, 2, and 4) by Day 7 of Week 4.
Assignment: Reflect on geriatric patients
Assignment: Reflect on geriatric patients
Assignment: Reflect on geriatric patients
Week 7 assignment 2
Assignment: Practicum Week 5 Journal Entry
Reflect on atypical presentations of disorders in geriatric patients in your practicum setting. Many disorders manifest themselves in a way that would be considered an atypical presentationmost likely different from the way a textbook would describe the disorders possible presentations. Consider geriatric patients that you have observed with atypical presentations of disorders. Describe a patient case including how the patient was diagnosed and strategies that were used to overcome the atypical presentation. If you did not have an opportunity to evaluate a patient with this background during the last 5 weeks, you can select a related case study or reflect on previous clinical experiences.
By Day 7 of Week 7
This Assignment is due. You will submit this Week 5 Journal Entry along with the Week 6 and the Week 7 SOAP Note by Day 7 of Week 7.
Assignment 2: Practicum Week 6 Journal Entry
Reflect on geriatric patients from your practicum site that you may have assessed for dementia, delirium, or depression. Explain the impact of these types of disorders on frail elders. Then, describe a patient case including the care plan for assessment, diagnoses, treatment, management, and patient education. Explain whether the patients care plan was effective. Include how you might proceed differently in the future. If you did not have an opportunity to evaluate a patient with this background during the last 6 weeks, you can select a related case study or reflect on previous clinical experiences.
By Day 7 of Week 7
This Assignment is due. You will submit this Week 6 Journal Entry along with the Week 5 Journal Entry and the Week 7 SOAP Note by Day 7 of Week 7.
Clinical Placements of Nursing Students
Clinical Placements of Nursing Students
Clinical Placements of Nursing Students
Week 5 project
Select a nursing research article from the list below that includes a theoretical or conceptual framework and the exploration of a clinical problem. Identify the nursing research article components using the Week 5 research template.
(All articles are available in the South University Online Library.)
Emotional Work and Diversity in Clinical Placements of Nursing Students
Nurses Preparedness and Perceived Competence in Managing Disasters
The Lived Experiences of People with Chronic Obstructive Pulmonary Disease: A Phenomenological Study
Effects of Multivitamin Supplements on Cognitive Function, Serum Homocysteine Level, and Depression of Korean Older Adults with Mild Cognitive Impairment in Care Facilities
The template will be evaluated on the effectiveness of the discussion of the following components. If a component is not present in the article, its absence should be discussed.
Identify the research problem.
Identify the research purpose.
Summarize the review of literature.
Identify the nursing framework or theoretical perspective.
Identify the research questions and hypotheses.
Identify the variables.
Identify and discuss the appropriateness of the design.
Discusses the validity and reliability of the instruments, tools, or surveys.
Discuss the significance of the study. Did it resolve the question?
Discuss the legal and ethical issues of the study. Include the use of human subjects and their protection.
Describe any cultural aspects of the study.
Describe the final sample.
Describe the procedures for data collection.
Summarize the results including statistical analysis used or other method of analysis.
Describe how the results of the research may impact future nursing practice.
Apply the research to the students nursing practice.
NOTE: If a component is absent, student receives a zero for that component.
Submission Details:
Cite any resources in APA style and include a copy of the article with the submission.
By the due date assigned, submit your template to the Submissions Area.
Dementia and Delirium Analysis
Dementia and Delirium Analysis
Dementia and Delirium Analysis
Week 6 assignment 1
Assignment 1: Application PICO Analysis of Dementia, Delirium, and Depression
A PICO analysis is used to pose a focused clinical question to which you find appropriate evidence-based answers. The PICO question should include the patient or population (P), anticipated intervention (I), comparison group or current standard (C), and outcome desired (O). In this Assignment, you develop a question related to dementia, delirium, or depression. Through your PICO analysis, you explore various resources and examine current evidence to answer the question you develop.
To prepare:
Select one of the following disorders as your topic: dementia, delirium, or depression.
Review the guidelines in the Literature Review Matrix document in this weeks Learning Resources.
Think about a research question around your issue as indicated in Part I: PICO Analysis of Research Topic.
Consider the resources you will use, search terms and criteria, and Boolean search strings as indicated in Part II: Search Strategy.
Using the Walden Library and other appropriate databases, locate five articles related to your PICO question. At least one article must be a systematic review. All of the articles should be primary sources.
Reflect on the five articles you selected as indicated in Part III: Analysis of Literature. Consider the conceptual framework/theory, main finding, research method, strengths of study, weaknesses, and level of evidence for each article.
Consider how to use the summaries in Part III to create an evidence table. Use this evidence table to determine appropriate treatment options for patients who present with the disorder you selected as your topic.
To complete:
Formulate a question around the disorder you selected as indicated in Part I: PICO Analysis of Research Topic.
Identify the resources you will use, search terms and criteria, and Boolean search strings as indicated in Part II: Search Strategy.
Summarize the five articles you selected as indicated in Part III: Analysis of Literature. Describe the conceptual framework/theory, main finding, research method, strengths of study, weaknesses, and level of evidence for each article.
Create an evidence table based on the article summaries in Part III. Describe appropriate treatment options for patients based on this evidence table.
By Day 7 of Week 6
This Assignment is due.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the following naming convention: WK6Assgn1+lastname+first initial.
Click the Week 6 Assignment 1 link.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as WK6Assgn1+last name+first initial.(extension) and click Open. If you are submitting multiple files, repeat until all files are attached.
Click on the Submit button to complete your submission.
Discussion: Areas of Nursing Practice
Discussion: Areas of Nursing Practice
Discussion: Areas of Nursing Practice
Discussion: Areas of Nursing Practice
Midterm Legal Paper Guidelines 1. Identifyone legal issue relevant to your area of nursing practice (or an area you would like to pursue in the future). Describe how this issue is relevant to your day-to-day practice. This is the introduction to your paper and is the first section of your paper and does not need a heading. You may use first person for this section of your paper. As a reminder, the title of your paper should be at the top of this page in normal unbolded font (see sample APA paper). 2. Researchthis issue by reviewing scholarly nursing and related literature. Review this literature and discuss it.Note: If you do not choose high quality recent nursing sources as specified in the Reference criteria, your paper will likely fall short in this section as well. This section should start with the heading, Review of Literature. a. References i. You will need to have at least 5 references, three of which must be references that are not required course textbooks/materials. ii. Five references must be within the past 5 years iii. Additional references may be outside the 5 year time period iv. Wikipedia and other resources (newspapers, non-medical journals) that are used by the general public are not considered high quality references but may be used as additional references if appropriate to your paper. 3. Analyze this issue using the literature you reviewed to support your position and draw conclusions as to how this issue affects day-to-day nursing practice. You must support your stance with literature, rather than opinions. 4. Provide a short conclusion /summary paragraph that summarizes the research and finding with your nursing practice. 5. Be sure paper is in APA format which includes a title page with the correct font, running head, page numbers, the body of the paper should have correct level headings, in-text citations, and a properly formatted reference page is the last page of your paper. An abstract is not needed. 6. This should be a heavily researched paper that includes an introduction that clearly expresses the relevance to your personal work setting/experience especially in the opening paragraph and conclusion. This may include first person in the first and last paragraph but otherwise the paper should be objective and avoid personal pronouns and opinion.
Assignment: Downtime Plan Analysis
Assignment: Downtime Plan Analysis
Assignment: Downtime Plan Analysis
Assignment: Downtime Plan Analysis
Week 5 Downtime Plan Analysis Paper Analyze the current downtime plan for scheduled upgrades that will support workflow, clinical processes, and data recovery in your organization. Utilizing scholarly resources, write a two- to three-page paper that discusses your recommendations for editing or amending the current downtime plan. In addition to course resources, a minimum of two outside resources must be used. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years.Conduct bivariable analyses:
i. Display the data in two-variable tables:
Sometimes the characterization of the population can be extended to
two-variable tables, such as age by sex. For surveys in which the
objective is to estimate prevalence, the data are often analyzed by
population characteristics. For example, you can use two-variable
tables to determine whether the prevalence varies by sex or
education level. For analytic studies in which the objective is to
quantify associations between exposures and outcomes, the twovariable table displays the core result, with rows representing levels
of exposure and columns representing presence or absence of the
outcome.
ii. Compute and interpret measures of association:
Determine the magnitude of association between an exposure
variable and an outcome variable. If there are two or more
populations, consider comparing their demographic data to determine
whether they were different before the study/analysis was conducted.
iii. Calculate confidence intervals and/or statistical significance:
Utilize confidence intervals to quantify the variability of the data in
your analysis. Use t-tests for continuous data, chi-square tests for
categorical data, and other statistical tests as appropriate for the data
to determine whether the results are statistically significant.
iv. Assess for effect measure modifcation:
Effect measure modification (also known as effect modification) is
present when an effect measure such as sex, age or geographic
location is different at several levels in an exposure-disease
relationship. This is evaluated through statistical assessment of
interaction between variables.
v. Assess the effect of potential confounders:
CREATING AN ANALYSIS PLAN
PARTICIPANT WORKBOOK |8
Confounding is an apparent association between disease and
exposure resulting from a third factor that was not considered. A
confounder is an independent risk factor for the disease that also
happens to be associated with the exposure variable under
consideration.
3. Conduct multivariable analyses:
Use your literature review and previous experience to decide on a
multivariable analysis and modeling technique to address the
hypotheses presented. Utilize the results of the bivariable analysis in
implementing your modeling strategy to determine a final model or set of
models that best explain your data.
TYPES OF STATISTICAL DATA
Before learning how to create an analysis plan, let us review common types
of statistical data by completing the exercise below.
Activ
Discussion: Pediatric and Women Health
Discussion: Pediatric and Women Health
Discussion: Pediatric and Women Health
Discussion: Pediatric and Women Health
Grand Rounds Guidelines with Scoring Rubric Purpose The purpose of this assignment is to enhance the students clinical reasoning, confidence and learning of various pediatric and women health topics through facilitated discussion. Description In Weeks 2 and 6, you will create a Grand Rounds presentation on the topic assigned to you by the faculty member. Course Outcomes Through this assignment, the student will demonstrate the ability to: 1. Describe the most commonly prescribed drugs use in primary care for the chose condition. 2. Utilize clinical guidelines, research articles or other materials to support your findings. 3. Identify any practice barriers, issues, or problems (including cultural diversity and healthcare literacy). 4. Discuss best practices for optimal outcomes. Due Dates: Pediatric Grand Rounds due Week 2 (please see specific days/times below) Womens Health Grand Rounds due Week 6 (please see specific days/times below) Total Points Possible: Week 2 150 points Week 6 150 points Requirements: Keep in mind the following guidelines and grading criteria while taking part in this assignment: The Grand Rounds presentation will consist of a patient scenario that is assigned to you by your faculty in week one. The presentation is a video recording in Kaltura. Recording of the presentation should be interesting, professional, and focused to the topic. Wear your lab coat and name tag/badge during the recording. Record and upload presentation by Wednesday, 11:59 p.m. MT. Begin facilitating discussion and continue to lead it throughout the week. Participate in ongoing interactive dialogue by responding to a minimal of two (2) of your peers discussion questions by Friday, 11:59 p.m. MT. Participate in all faculty directed questions to your presentation by Sunday, 11:59 p.m. MT. Utilize a minimal of three peer reviewed scholarly articles from Chamberlain Online Library and a minimal of 2 current (within last 5 years) evidence based clinical guidelines to support your findings. Discuss Pathophysiology, epidemiology, risk factors, clinical physical assessment findings of the assigned topic. List and discuss a minimal of three (3) differential diagnoses. Discuss any diagnostic studies to confirm diagnosis of assigned topic Discuss prevention (if not applicable, discuss why). Discuss Treatment including nonpharmacologic management and pharmacologic management Discuss patient and/or family education. Discuss best practices for optimal outcomes. By Wednesday, 11:59 p.m. MT In addition to submitting your presentation, you will also need to lead a discussion on your topic in the discussion thread. The initial post and Kaltura presentation are both due by Wednesday 11:59 p.m. MT. NOTE: By Wednesday, you will also initiate a discussion to lead. Discussion Lead Requirement: Develop three (3) questions on your topic you can ask to initiate the discussion and keep it going. By Friday, 11:59 p.m. MT, respond substantively to a minimal of two (2) peers presentation questions **If all students have a response, then choose the student with the least responses to their posting. By Sunday, 11:59 p.m. MT, summarize your grand rounds presentation by posting a summary reply to your initial post in the discussion thread. Summarize the discussion as well as conclusions from the collective group discussion. Include evidence based references at the bottom of the summary AND respond to ALL faculty questions regarding your presentation. Grand Rounds Presentation Criteria Category Points Description Introduction 20 Introduction of topic that include pathophysiology, epidemiology, and risk factors. Clinical Assessment 5 Discussed typical clinical assessment findings for chosen topic. Differential Diagnoses 20 List AND discuss of a minimal of three (3) differential diagnoses with scholarly support. Diagnostic Studies/Labs 10 Discuss diagnostic studies and labs that can be used to confirm diagnosis. Prevention and Treatment Options 10 Discuss prevention and treatment options for chosen topic. Education 10 Discuss patient and family education. Identify Outcomes 10 Discuss best practices for optimal outcomes. Lead Discussion 10 Facilitate discussion relevant to the presentation topic by incorporating three (3) discussion question for peers. Interactive Dialogue with Student Peers 10 By Friday, 11:59 p.m. MT, Interactive dialogue with at least two peers initial presentation by responding substantively to all questions posed and citing related research to support. Summary Requirement 10 By Sunday 11:59 p.m. MT, add summary post to own grand rounds presentation that summarizes the discussion. Include conclusions from the collective group discussion on the topic. Evidence Based Research/Articles 10 Include minimal of three (3) evidence based research and/or Peer Reviewed articles from Chamberlain Online Library. Evidence Based Practice Clinical Guidelines 10 Include a minimal of two (2) current (within last 5 years) EBP clinical guidelines. Interactive Dialogue with Faculty 10 Responds to ALL faculty directed questions on initial presentation. Includes scholarly support from EBP clinical guidelines and/or peer reviewed journal articles obtained from Chamberlain Online Library. Presentation Development 5 Overall Presentation is clear, concise, and organized; demonstrated ethical scholarship in accurate representation and attribution of sources; recorded in Kaltura. Labcoat and name badge are present. Total 150 A quality assignment will meet or exceed all of the above requirements.
Case Study: Differential Diagnoses
Case Study: Differential Diagnoses
Case Study: Differential Diagnoses
Week 7 assignment 1
Assignment: Practicum Week 7 SOAP Note
Select a geriatric patient that you examined during the last 4 weeks. The patient you select should be currently taking at least five prescription and/or over-the-counter drugs. With this patient in mind, address the following in a SOAP Note:
Subjective: What was the patients subjective complaint? What details did the patient provide regarding his or her personal and medical history? Include a list of prescription and over-the-counter drugs the patient is currently taking. Compare this list to the Beers Criteria and consider alternative drugs if appropriate.
Objective: What observations did you make during the physical assessment? What functional assessments were used?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from top priority to least priority.
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management including alternative therapies? What is your care plan for the patient? How would you offer caregiver support?
Reflection notes: What would you do differently in a similar patient evaluation? How might you improve your assessment, diagnosis, and/or plan through interprofessional collaboration?
Refer to the Week 3 Learning Resources for guidance on writing SOAP Notes.
By Day 7 of Week 7
This Assignment is due. You will submit this Week 7 SOAP Note along with your Journal Entries (from Weeks 5 and 6) by Day 7 of Week 7 (this week).
Note: Be sure to submit your Assignment to the appropriate submission link below.
Submissions should match the following:
Week 7 SOAP Note: Submit to the Week 7 Assignment Part 1 submission link.
Weeks 5 and 6 Journal Entry: Submit to the Week 7 Assignment Part 2 submission link.
For the Journal Entrieswhich are assessed with a Satisfactory (S) or Unsatisfactory (U) scorethe numerical grade will show as 0 points and the S or U will be posted in the Feedback area by your Instructor. These scores of 0 points do not affect your grade; they simply allow for a placeholder to place the S or U scoring. This concept also applies to Weeks 4 and 10.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the following naming convention: WK7AssgnPX+lastname+first initial.
Click the Assignment Week 7 Part X link.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as WK7AssgnPX+last name+first initial.(extension) and click Open. If you are submitting multiple files, repeat until all files are attached.
Click on the Submit button to complete your submission.
Week 7 assignment 2
Assignment: Practicum Week 5 Journal Entry
Reflect on atypical presentations of disorders in geriatric patients in your practicum setting. Many disorders manifest themselves in a way that would be considered an atypical presentationmost likely different from the way a textbook would describe the disorders possible presentations. Consider geriatric patients that you have observed with atypical presentations of disorders. Describe a patient case including how the patient was diagnosed and strategies that were used to overcome the atypical presentation. If you did not have an opportunity to evaluate a patient with this background during the last 5 weeks, you can select a related case study or reflect on previous clinical experiences.
By Day 7 of Week 7
This Assignment is due. You will submit this Week 5 Journal Entry along with the Week 6 and the Week 7 SOAP Note by Day 7 of Week 7.
Assignment 2: Practicum Week 6 Journal Entry
Reflect on geriatric patients from your practicum site that you may have assessed for dementia, delirium, or depression. Explain the impact of these types of disorders on frail elders. Then, describe a patient case including the care plan for assessment, diagnoses, treatment, management, and patient education. Explain whether the patients care plan was effective. Include how you might proceed differently in the future. If you did not have an opportunity to evaluate a patient with this background during the last 6 weeks, you can select a related case study or reflect on previous clinical experiences.
By Day 7 of Week 7
This Assignment is due. You will submit this Week 6 Journal Entry along with the Week 5 Journal Entry and the Week 7 SOAP Note by Day 7 of Week 7.
Week 8 assignment
Assignment 1: Application Diagnosing and Treating Skin Wounds
Skin wounds are sometimes challenging for health care providers to diagnose and treat as many have similar presentations. For advanced practice nurses, being able to identify various types of skin wounds, including whether a wound is a colonization or an infection, is critical because it impacts recommended patient care. In your role, you must be able to evaluate skin wounds, determine the diagnosis, and develop an appropriate treatment and management plan according to current evidence-based guidelines.
To prepare:
Review Chapter 46 of the Resnick text, as well as the Burr article in this weeks Learning Resources.
Consider how to properly diagnose skin wounds in frail elders, including how to distinguish between a colonization and infection.
Select a type of skin wound, such as bumps, bruises, shingles, herpes, bullous pemphigoid, Stevens-Johnson syndrome, etc. Research the guidelines for treatment of the skin wound you selected. Reflect on how you would treat and/or dress this wound.
Think about factors that might contribute to the development of the skin wound you selected. Consider strategies for the prevention and improvement of this type of wound.
To complete:
Write a 2- to 3-page paper that addresses the following:
Explain how to properly diagnose skin wounds in frail elders, including how to distinguish between a colonization and infection.
Describe the type of skin wound you selected.
Explain how you would treat and/or dress this wound based on guidelines for treatment.
Explain factors that might contribute to the development of the skin wound you selected. Include strategies for the prevention and improvement of this type of wound.
By Day 7
This Assignment is due.
Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the following naming convention: WK8Assgn1+lastname+first initial.
Click the Week 8 Assignment 1 link.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as WK8Assgn1+last name+first initial.(extension) and click Open. If you are submitting multiple files, repeat until all files are attached.
Click on the Submit button to complete your submission.
Week 10 assignment
Assignment 2: Practicum Week 8 Journal Entry
Reflect on geriatric patients from your practicum site. Consider frail elder patients that you have assessed for skin wounds such as bumps, bruises, shingles, herpes, bullous pemphigoid, Stevens-Johnson syndrome, etc. Explain the consequences of these types of wounds for frail elders. Then, describe a patient case including the care plan for assessment, diagnoses, treatment, management, and patient education. Explain whether the patients care plan was effective. Include how you might proceed differently in the future. If you did not have an opportunity to evaluate a patient with this background during the last 8 weeks, you can select a related case study or reflect on previous clinical experiences.
By Day 7 of Week 10
This Assignment is due. Please submit the Journal Entries (Weeks 8, 9 and 10) by Day 7 of Week 10.
Assignment: Practicum Week 9 Journal Entry
An advance directive is a legal document that defines a patients wishes for medical care. This document is a way for patients to share their wishes with family members and health care providers when their illness or mental capacity prevents them from making decisions. As an advanced practice nurse who has care discussions with patients and their families, you need to not only be familiar with the process of completing an advance directive, but also understand how this document might impact your role in patient care and treatment.
Journal Entry Part 1
For the first part of your journal entry, reflect on the Five Wishes presented on the Five Wishes website and PDF and complete your Five Wishes. Explain your states requirements for advance directives, including whether your Five Wishes can be turned into a formal document. Then, explain how your experience of completing your Five Wishes advance directive will help you guide discussions with patients and their families. Finally, explain how you might apply the Five Wishes advance directives to your nursing practice. Include how this advance directive might benefit patients in decision making for specialized areas of care.
Journal Entry Part 2
For the second part of your journal entry, reflect on geriatric patients from your practicum site with disorders related to specialized areas of care, such as oncology, nephrology, urology, gynecology, and neurology. Describe a case of a frail elder patient who must make decisions related to specialized areas of care. Then, explain potential patient outcomes and include whether treatments would be beneficial and how they would impact the patients quality of life. Finally, describe the patients wishes in terms of treatments and interventions for the disorder (Was there an advanced directive?) and how the patient might want to spend any remaining time. Include how environmental factors, such as family, caregivers, ethnicity, culture, religion, and/or personal values, might impact decision making for treatments and interventions. If you did not have an opportunity to evaluate a patient with this background during the last 9 weeks, you can select a related case study or reflect on previous clinical experiences.
By Day 7 of Week 10
This Assignment is due. You will submit this Week 9 Journal Entry, Week 8 Journal Entry and the Week 10 Journal Entry by Day 7 of Week 10.
Assignment: Practicum Week 10 Journal Entry
Elder abuse is any intentional or negligent behavior that results in physical, sexual, emotional, pharmacological, and/or financial abuse. Unfortunately, abuse is sometimes difficult to identify, and elders are often hesitant or unable to report abuse themselves (Administration on Aging, n.d.). This makes it important for health care providers to regularly monitor for signs of abuse and react according to local and state laws.
Journal Entry Part 1
For the first part of your journal entry, select and describe one of the following types of elder abuse: physical, sexual, mental/emotional/verbal, pharmacological, or financial. Explain strategies for identifying this abuse. Then, explain how you would proceed based on your local and state laws once you have identified this abuse in a patient. Describe resources in your community that assist victims of this type of abuse and explain how you, as the advanced practice nurse, might apply these resources for abused elders who are identified in the clinical setting.
Journal Entry Part 2
For the second part of your journal entry, reflect on the different culturesethnic, religious, regional, or generationalof the elder patient population at your practicum site. Describe the cultures you have observed and explain the influence of these cultures on the prevalence and detection of elder abuse. Then, explain how culture might impact the way you would implement resources for preventing or addressing abuse.
By Day 7 of Week 10
This Assignment is due. You will submit this Week 10 Journal Entry, Week 8 Journal Entry and the Week 9 Journal Entry by Day 7 of Week 10.
For the Journal Entries which are assessed with a Satisfactory (S) or Unsatisfactory (U) scorethe numerical grade will show as 0 points and the S or U will be posted in the Feedback area by your Instructor. These scores of 0 points do not affect your grade; they simply allow for a placeholder to place the S or U scoring. This concept also applies to Weeks 4 and 7.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the following naming convention: WK10Assgn+lastname+first initial.
Click the Assignment Week 10 link.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as WK10Assgn+last name+first initial.(extension) and click Open. If you are submitting multiple files, repeat until all files are attached.
Click on the Submit button to complete your submission.
Week 11 assignment
Assignment: Practicum Week 11 SOAP Note
Select a geriatric patient that you examined during the last 3 weeks. The patient you select should be currently taking at least five prescription and/or over-the-counter drugs. With this patient in mind, address the following in a SOAP Note:
Subjective: What was the patients subjective complaint? What details did the patient provide regarding his or her personal and medical history? Include a list of prescription and over-the-counter drugs the patient is currently taking. Compare this list to the Beers Criteria and consider alternative drugs if appropriate.
Objective: What observations did you make during the physical assessment? What functional assessments were used?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from top priority to least priority.
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management including alternative therapies? What is your care plan for patient? How would you offer caregiver support?
Reflection notes: What would you do differently in a similar patient evaluation? How might you improve your assessment, diagnosis, and/or plan through interprofessional collaboration?
Please refer to the Learning Resources in Week 3 for guidance on writing SOAP Notes.
By Day 7 of Week 11
This Assignment is due.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the following naming convention: WK11AssgnPX+lastname+first initial.
Click the Week 11 Assignment Part X link.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as WK11AssgnPX+last name+first initial.(extension) and click Open. If you are submitting multiple files, repeat until all files are attached.
Click on the Submit button to complete your submission.
Case Study: Differential Diagnoses
Case Study: Differential Diagnoses
Case Study: Differential Diagnoses
Case Study: Differential Diagnoses
Case Study: Differential Diagnoses
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