Nursing

Assignment:Understanding of Servant Leadership
Assignment:Understanding of Servant Leadership
Week 15 discussion
Summarize your leadership practicum in relation to the seven distinct characteristics outlined in the textbook. How will you change your behavior based on this new understanding of servant leadership? What strategies did you learn that, if implemented, would allow you to actualize the servant-leadership principles in a leadership role?
Week 16 discussion
Looking back on your time with your mentor, would you consider him or her a servant leader as described by in the textbook? Explain your answer. Elaborate on what characteristics your mentor displayed most consistently. Share examples from your experience to support your response.
Week 3 assignment
Leadership Journal: Power
Journaling provides a valuable tool for recording, reflecting on, and reviewing your learning. This approach provides an opportunity for you to “connect the dots” and observe the relationships between and among activities, interactions, and outcomes.
Unlike a personal journal of thoughts and feelings, this Leadership Journal is a record of your activities, assessments, and learning related to this academic experience.
Journal entries should include a record of the number of hours spent with your nurse leader each week.
Write a journal entry of 750-1,500 words on the subject of power, including the following:
Provide observations and thoughts on the activities in Weeks 1-2.
Identify your given “power” at your workplace or in your professional life. What is your greatest contribution in the lives of others?
Find three people with whom you interact professionally and ask them to affirm the influence you bring to their lives. How and why did you choose the individuals? What pearls of wisdom did they share that you had not considered?
Reflect on at least two things you learned from the “Issue of Power” video.
APA format is not required, but solid academic writing is expected.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Week 5 assignment
Leadership Journal: Authority
Journaling provides a valuable tool for recording, reflecting on, and reviewing your learning. This approach provides an opportunity for you to “connect the dots” and observe the relationships between and among activities, interactions, and outcomes.
Unlike a personal journal of thoughts and feelings, this Leadership Journal is a record of your activities, assessments, and learning related to this academic experience.
Journal entries should include a record of the number of hours spent with your nurse leader each week.
Write a journal entry of 750-1,500 words on the subject of authority, including the following:
Provide observations and thoughts on the activities in Weeks 3-4.
Explain your place of influence in your professional life.
Describe any opportunities you have had to help people be successful.
Identify actions you have taken to serve people and your relationship to those individuals.
Reflect on at least two things you learned from the “Issue of Authority” video.
APA format is not required, but solid academic writing is expected.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Week 7 assignment
Leadership Journal: Purpose
Journaling provides a valuable tool for recording, reflecting on, and reviewing your learning. This approach provides an opportunity for you to “connect the dots” and observe the relationships between and among activities, interactions, and outcomes.
Unlike a personal journal of thoughts and feelings, this Leadership Journal is a record of your activities, assessments, and learning related to this academic experience.
Journal entries should include a record of the number of hours spent with your nurse leader each week.
Write a journal entry of 750-1,500 words on the subject of purpose, including the following:
Provide observations and thoughts on the activities in Weeks 5-6.
Describe how your nurse leader’s leadership style affects the people the nurse leads. Do staff members express feelings of support and helpfulness? Are there examples of leading rather than dictating? Did the leader say or do things designed to “build up” staff or were there missed opportunities?
Reflect on at least two things you learned from the “Issue of Rule” video
APA format is not required, but solid academic writing is expected.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Week 8 assignment
Models of Leadership
As a nurse leader, it is important to understand a variety of leadership models and styles. This will help you adapt to different settings and apply strategies to support and inspire others. It may also be necessary to apply models in different professional settings to satisfy certification requirements.
This assignment is composed of two parts, a graphic organizer and a written paper.
Part I: Graphic Organizer
Research five leadership models and styles. One model must be transformational leadership.
Design a graphic organizer to compare servant leadership with the other models. Consider how these models or styles bring about organizational, team, or individual change or growth. How do leaders implement each of the models and how do they fit with your personal beliefs?

Assignment: Endocrine and Musculoskeletal Conditions
Assignment: Endocrine and Musculoskeletal Conditions
Week 11 discussion
Discussion: Diagnosing and Managing Common Endocrine and Musculoskeletal Conditions
Endocrine and musculoskeletal conditions, especially when left untreated, can have a significant impact on women’s health. Many of these conditions present unique challenges for women, making risk assessments and routine screenings an important part of primary care. As an advanced practice nurse, you must identify signs and symptoms of these conditions and educate at-risk patients so they can also monitor themselves. For this Discussion, consider how you would diagnose, treat, and educate the patients in the following three case studies:
Case Study 1
A 33-year-old Caucasian female presents with concerns about a four-month history of diffuse musculoskeletal pain and stiffness associated with fatigue and dry eyes. The pain varies with the weather and is worse in the morning. Her menstrual periods are irregular and she has frequent dyspareunia. Physical exam is remarkable for pain at different points all over the body, including neck, back, chest, elbows, hips, buttocks, and knees
Case Study 2
A 28-year-old Latina obese female presents to the clinic with increasing body hair and irregular menses. She now has coarse body hair on her chest and upper back. Her menstrual periods used to be fairly regular, but now she can skip three or four months before her next menstrual cycle. She has never been pregnant. She has one male sex partner.
Case Study 3
A 28-year-old Caucasian female comes to clinic concerned about three episodes of urinary incontinence associated with difficulty walking. The first two episodes resolved spontaneously after a couple of days without residuals, but this current episode has lasted a week. Today she began to have some blurred vision. Physical exam is remarkable for mild edema of the optic disc and difficulty with heel-to-toe walking. Deep tendon reflexes are 2+ and there is no extremity weakness.
To prepare:
Review Chapter 8 of the Tharpe et al. text and the McSweeney et al. article in this week’s Learning Resources.
Review and select one of the three provided case studies. Analyze the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.
317 × 421

Assignment: Organizational Culture and Readiness
Assignment: Organizational Culture and Readiness
Week 2 assignment
Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment
Before making a case for an evidence-based project, it is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization’s readiness.
Develop an analysis of 250 words from the results, addressing your organization’s readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry.
Make sure to include the rationale for the survey categories scores that were significantly high and low, incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing strategies that strengthen the organizations weaker areas.
Submit a summary of your results. The actual survey results do not need to be included.
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 rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, revise “Section A: Organizational Culture and Readiness Assessment” for your final paper submission. This will be a continuous process throughout the course for each section.
Week 2 assignment
Evidence-Based Practice Proposal – Section B: Problem Description
Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:
Describe the background of the problem. Tell the story of the issue and why it deserves attention.
Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.
Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.
State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.
5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.
Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.
7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.
Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.
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 rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, refine “Section B: Problem Description” for your final submission. This will be a continuous process throughout the course for each section.

Assignment: Bariatric Surgery Patient
Assignment: Bariatric Surgery Patient
odule 10 discussion
Bariatric Surgery Patient
EJ is a 28-year-old female. She is being admitted for Gastric Bypass Surgery. She is 5’6” and 265 pounds. She has a history of Diabetes and hypertension, she is not on medications at the time.
What client education topics are important to reinforce for this client?
How will this client’s diet be advanced?
What complications can occur after this surgery?
What is Dumping Syndrome and what are some interventions to help prevent its development?
Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.
Question 2
The Older Adult
A nurse at the local Senior Center made the following notation about a client: A 74-year-old female client wearing eyeglasses with bifocal lenses and hearing aid in her left ear. Walks with a shuffling gait, using a cane for support. Wearing house slippers and housedress. States, “My other doctor says I should have my eyes looked at by an expert. It’s been a while, and my eyes seem to be acting up lately. I can’t see so good anymore.” The client states that she takes medication for “sugar” and her blood pressure and has worn glasses for years with the last prescription changed about 3 years ago. “I was a seamstress for many years and quit when I couldn’t see to thread the needles anymore-just in time too. These new materials are too hard to work with!” Denies using any eye drops. Describes vision changes as difficulty seeing well at night, especially if trying to read. Uses a magnifying glass to help when reading. No eye pain or discharge, although eyes sometimes feel “dry and scratchy,” with the left eye being worse than the right. Admits to rubbing eyes but without relief.
Develop a Plan of Care for this patient that includes:
2 Nursing Diagnosis
2 goals for each Nursing Diagnosis
Interventions with rationales
Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Discussion: Assessing Foundational Neuroscience
Discussion: Assessing Foundational Neuroscience
As a psychiatric mental health nurse practitioner, it is essential for you to have a strong background in foundational neuroscience. In order to diagnose and treat clients, you must not only understand the pathophysiology of psychiatric disorders, but also how medications for these disorders impact the central nervous system. These concepts of foundational neuroscience can be challenging to understand. Therefore, this Discussion is designed to encourage you to think through these concepts, develop a rationale for your thinking, and deepen your understanding by interacting with your colleagues.
Learning Objectives
Students will:
Analyze the agonist-to-antagonist spectrum of action of psychopharmacologic agents
Compare the actions of g couple proteins to ion gated channels
Analyze the role of epigenetics in pharmacologic action
Analyze the impact of foundational neuroscience on the prescription of medications
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press *Preface, pp. ix–x
Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Chapter 1, “Chemical Neurotransmission”
Chapter 2, “Transporters, Receptors, and Enzymes as Targets of Psychopharmacologic Drug Action”
Chapter 3, “Ion Channels as Targets of Psychopharmacologic Drug Action”
Document: Midterm Exam Study Guide (PDF)
Document: Final Exam Study Guide (PDF)
Required Media
Laureate Education (Producer). (2016i). Introduction to psychopharmacology [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 3 minutes.
Accessible player
Optional Resources
Laureate Education (Producer). (2009). Pathopharmacology: Disorders of the nervous system: Exploring the human brain [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 15 minutes.
Dr. Myslinski reviews the structure and function of the human brain. Using human brains, he examines and illustrates the development of the brain and areas impacted by disorders associated with the brain.
Accessible player
Laureate Education (Producer). (2012). Introduction to advanced pharmacology [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 8 minutes.
In this media presentation, Dr. Terry Buttaro, associate professor of practice at Simmons School of Nursing and Health Sciences, discusses the importance of pharmacology for the advanced practice nurse.
Accessible player
To prepare for this Discussion:
Review this week’s Learning Resources.
Reflect on concepts of foundational neuroscience.

Assignment: Healthcare Leadership Quality
Assignment: Healthcare Leadership Quality
Week 5 discussion
Leadership to Improve Quality in Diverse Situations
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO 1)
CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO 2)
CO7 Compare and contrast the professional nursing roles for ADN/diploma through PhD/DNP prepared nurses in providing cost-effective, quality healthcare in structured and unstructured systems. (PO 7)
Nurses demonstrate leadership in many situations. For this discussion, identify only one situation from the choices below that you have not previously experienced, and tell us how the nurse could improve quality through demonstrating leadership.
Communicating with legislators to influence health policy
Clinical leadership at the bedside
Nursing management of units or facilities
Impact of systems-based practice on leadership
Week 6 discussion
Use of Informatics in Professional Nursing
This week’s graded discussion topic relates to the following Course Outcome (CO).
CO3 Demonstrate effective verbal, written, and technological communication using legal and ethical standards for transferring knowledge using success resources provided to Chamberlain students. (PO 3)
How do you use informatics and technology in your nursing practice? How do you see that use changing in the future? What ethical issues have arisen or might arise from use of technology and informatics in professional nursing?
Week 7 discussion
Application of Nursing Theory to Practice
This week’s graded discussion topic relates to the following Course Outcome (CO).
CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO 1)
You are a professional nurse caring for Mr. R, a 58-year-old patient who recently underwent surgery for colon cancer that resulted in a temporary colostomy. Select one of the nursing theories from our textbook and address the following:
How you would provide professional nursing care for Mr. R. using the theory you have selected? Be sure to use terminology from the selected nursing theory to explain your interventions.
How can patient-centered care and the patient’s cultural preferences be enhanced by use of this theory?
Relate applications of legal and/or ethical standards to this case study.
Week 8 discussion
AACN BSN Essentials and Your Future Practice
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO 2)
CO7 Compare and contrast the professional nursing roles for ADN/diploma through PhD/DNP prepared nurses in providing cost-effective, quality healthcare in structured and unstructured systems. (PO 7)
Select one of the AACN BSN Essentials and elaborate on its meaning and importance in your own future professional nursing practice.
In your post (intended to provide a clear and thorough answer), be sure to
identify the AACN BSN Essential that you have selected by name and number.
explain why you selected this Essential.
explain how this Essential will be used to improve quality in your future professional nursing career.
For your response to a classmate to further develop that person’s ideas, select at least one classmate who has written about a different AACN BSN Essential from the one you selected.

Discuss: Managing Endocrine Conditions
Discuss: Managing Endocrine Conditions
Week 11 discussion
Discussion: Diagnosing and Managing Common Endocrine and Musculoskeletal Conditions
Endocrine and musculoskeletal conditions, especially when left untreated, can have a significant impact on women’s health. Many of these conditions present unique challenges for women, making risk assessments and routine screenings an important part of primary care. As an advanced practice nurse, you must identify signs and symptoms of these conditions and educate at-risk patients so they can also monitor themselves. For this Discussion, consider how you would diagnose, treat, and educate the patients in the following three case studies:
Case Study 1
A 33-year-old Caucasian female presents with concerns about a four-month history of diffuse musculoskeletal pain and stiffness associated with fatigue and dry eyes. The pain varies with the weather and is worse in the morning. Her menstrual periods are irregular and she has frequent dyspareunia. Physical exam is remarkable for pain at different points all over the body, including neck, back, chest, elbows, hips, buttocks, and knees
Case Study 2
A 28-year-old Latina obese female presents to the clinic with increasing body hair and irregular menses. She now has coarse body hair on her chest and upper back. Her menstrual periods used to be fairly regular, but now she can skip three or four months before her next menstrual cycle. She has never been pregnant. She has one male sex partner.
Case Study 3
A 28-year-old Caucasian female comes to clinic concerned about three episodes of urinary incontinence associated with difficulty walking. The first two episodes resolved spontaneously after a couple of days without residuals, but this current episode has lasted a week. Today she began to have some blurred vision. Physical exam is remarkable for mild edema of the optic disc and difficulty with heel-to-toe walking. Deep tendon reflexes are 2+ and there is no extremity weakness.
To prepare:
Review Chapter 8 of the Tharpe et al. text and the McSweeney et al. article in this week’s Learning Resources.
Review and select one of the three provided case studies. Analyze the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.

Assignment: Discuss Common Hazards
Assignment: Discuss Common Hazards
Week 1 discussion
Common Hazards
Take some time to research the many hazards that you will face as you take care of your patient. Describe one hazard that could harm you and/or you patient in the healthcare setting. What actions can nurses take to prevent harm to your patient or self?
Week 2 discussion
Mobility that Promotes a Healthy Lifestyle
Mobility can have either a positive or negative impact on our patient’s lives. You are the nurse of an older adult who is being discharged and need to provide education for the promotion of safe ambulation. How can mobility promote a healthy lifestyle?
Week 3 discussion
Elimination Patterns
The elimination patterns of our patients are very important to know as we continue to assess and do our care plans. How can impaired elimination affect the integumentary system?
Week 4 discussion
Daily Routine
Clinical judgment in our daily practice can influence how we (nurses) take care of our patients. Our everyday care of our patients also incorporate ethical care and charting. Why should nursing include evidence-based practice into their daily routine?
Week 5 discussion
Elective Surgery
Why is surgical integrity important when dealing with patient care?
Week 6 discussion
High Stress
What role does immunity play when caring for a patient that is experiencing a high amount of stress due to a loss?
Week 7 discussion
Sterile Precautions
When would you use standard precautions over sterile precautions while taking care of your patient and why?
Week 8 discussion
Gas Exchange
You have had the opportunity to learn about gas exchange and the impact it can have on the body. With this discussion you will need to think about fluid imbalances and how this imbalance can affect the gas exchange of your patient?
Week 9 discussion
High Tolerance due to Chronic Pain
You are caring for a patient that has a high pain tolerance due to chronic pain and does not look like they are in pain. What would you do if they asked for more pain medication?
Week 10 discussion
Importance of Thermoregulation
You have had the opportunity to review thermoregulation as is pertains to the human body. With this discussion, you will need to explain what thermoregulation is and why is it important?
Week 11 discussion
Develop Care Plans
Throughout this course, you have had the opportunity to develop care plans and concept maps on the main topics. How has the development of care plans and concept maps helped you understand the material and what resources did you find most helpful?
Module 01 Written Assignment – Patient Falls Worksheet
Your written assignment for this module is a worksheet that describes the following:
Common causes of patient falls
Actions to prevent falls from occurring
You should be using complete sentences to answer the questions. Ensure that you are using correct grammar. In addition, support your answers using your textbook, course materials, credible internet resources, and scholarly journals. All citations must be in APA format.
Please click here to download the Patient Falls Worksheet.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Name:
Date:
Complete all of your lesson materials and assigned readings. Make sure that you are focusing on:
• Common Causes of Patient Falls
• Actions to Prevent Falls from Occurring
You should be using complete sentences to answer the questions. Ensure that you are using correct grammar. In addition, support your answers using your textbook, course materials, credible internet resources, and scholarly journals. SkyScape is a great suggestion for assistance in completion of this assignment. All citations must be in APA format. 1 Point
1. Identify the common causes of patient falls. 2 Points
2. Define and describe actions to prevent falls from occurring. 2 Points

Culture of Safety in Healthcare
Culture of Safety in Healthcare
In this discussion, emphasis is on awareness of client quality and safety and in particular what is a “culture of safety.”
Based on the review of the following websites at the Institute of Healthcare Improvement and Agency for Healthcare Research and Quality answer the following questions.
What values ensure a culture of safety?
How can healthcare facilities establish a culture of safety?
What is the nurse’s role in maintaining a culture of safety?
Module 01 Written Assignment – Legacy of Nursing’s History
Select a nurse that historically contributed to the advancement of the profession. Write a 2-3 page paper that responds to the following questions. Identify the nurse and his/her background and complete the following:
Provide a brief description of the major social issues occurring at the time this nurse lived
Describe two contributions made to nursing
Discuss how these two unique contributions influenced nursing as we know it today
Minimum length 2-3 pages not including cover or referencing. APA formatting with referencing and in text citation.
You may use your textbook, readings and the following for background information.
ANA Hall of Fame
American Association for the History of Nursing
Museum of Nursing History – Slide Show Gallery
Strout, K. (2012). Wellness promotion and the Institute of Medicine’s future of nursing report: Are nurses ready? Holistic Nursing Practice 26(3), 129-136.
This assignments must have accurate spelling and grammar and use APA Editorial Format for sources and reference.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Module 02 Project Assignment – Getting Started
Part 1 – Getting Started
Balancing School and Life – My Quality of Life Self-Care Plan. The purpose of developing this Plan is to set a framework and a plan to maintain wellness and to stay motivated and engaged throughout your Program. Doing this will help you achieve success during your coursework and as a professional nurse.
The goal of the Project is to help you become self-aware and reflective as a means of identifying personal self-care strategies that will increase your energy and help you manage your stress. The Project will give you a chance to learn how this is accomplished as you will be doing similar work with clients during the Program and as a professional nurse to assist them in the same way.
Use the Quality of Life Self-Care Wheel to assess your current state. After you determine your scores, in a 2-3 page paper complete the following:
Discuss those areas that are strengths (higher scores) and those areas that need further development (lower scores).
Identify two strategies you can use to maintain or maximize each identified strength.
Identify two strategies you can use to strengthen each area needing development. Explain how you will put these strategies into action. Be specific. For example, instead of stating, “I need to exercise,” your action should state “I will begin to walk 20 minutes a day, 3 days a week.” The action should be SMART- Specific, Measurable, Attainable, Realistic, Timeframe
Also attach your completed form
Minimum length 2-3 pages not including cover or referencing. APA formattingSubmit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Quality of Life Self Care Wheel – Assessment
Passion
Health
Career/School
Rest/
Recreation
Personal
Environment
Development/
Relationships
Finances
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Instructions: Review each Dimension. Think about how each one relates to you. Then select a number from 10 High to 1 Low which best reflects your level of realizing the Dimension.
DIMENSION
Quality of Life Scale – Please Circle
10 = High to 1 = Low
Health
10
9
8
7
6
5
4
3
2
1
Rest/ Recreation
10
9
8
7
6
5
4
3
2
1
Personal
Development/Relationships
10
9
8
7
6
5
4
3
2
1
Finances
10
9
8
7
6
5
4
3
2
1
Environment
10
9
8
7
6
5
4
3
2
1
Career/School
10
9
8
7
6
5
4
3
2
1
Passion
10
9
8
7
6
5
4
3
2
1
What Does Your Score Mean:
10-9:Fantastic Balance/Wellness
8-7:Good Job
6:
Doing Okay
5 and Below:Needs Adjustment
Quality of Life Self Care Wheel
Source: Napoli, M., & Roe, S. (2011). Life by personal design: Limitless horizons. Dubuque, IA: Kendall Hunt.
Dimensions – Some Examples
Health: Healthful eating, exercising, maintaining an appropriate weight, regular physical exams, and using effective stress reduction strategies.
Rest/Recreation: Adequate sleep and rest periods, interspersing work with play, pursuing hobbies, realizing happiness, and having fun.
Personal Development/Relationships: Fulfilling and rewarding relationships with others in your life, needed emotional support systems, developing personal goals such as improving listening, and having meaning and purpose through a desired spiritual life.
Finances: Sufficient resources to support self and those responsible for, aligning needed resources with daily requirements, and adequate discretionary income to purchase wanted items.
Environment: Awareness and being respectful of the environment in which you live in and those around you, having sensitivity to the impact you have on the environment, being chemical/pollutant free, recycling, and using natural products.
Career/School: Regularly improving your knowledge and skill base, setting professional goals and achieving them, having a satisfying and meaningful profession/occupation, being content with your work life, and pursuing work life balance.
Passion: Understanding, defining, and living your life based on your inner feelings, desires, and dreams.

Discuss: Lifestyle Changes During Pregnancy
Discuss: Lifestyle Changes During Pregnancy
Week 9 discussion
Discussion: Nonadherence to Lifestyle Changes During Pregnancy
After identifying potential health risks for pregnant patients, providers often recommend behavior changes in lifestyle choices such as drug use, alcohol consumption, dietary habits, and environmental exposures. Even with provider recommendations and patient education programs, some patients still struggle to adhere to recommended lifestyle changes during pregnancy, posing health risks for both the mother and child. In your role as the provider, you must be able to recognize signs of nonadherence to recommended lifestyle changes because not all patients will be forthcoming with the struggles they may be experiencing. Management plans are only successful if patients’ individual needs are recognized and met, so provider-patient collaboration is essential for mitigating nonadherence issues. For this Discussion, consider implications of nonadherence to recommended lifestyle changes and potential management strategies for pregnant patients.
To prepare:
Review the “During Pregnancy” article in this week’s Learning Resources.
Think about the health promotion topic that you selected for the Week 8 Discussion (i.e., smoking, drinking, taking drugs, eating habits, and caring for pets).
With the topic you selected in mind, consider early signs and symptoms that might indicate a patient’s nonadherence to recommended lifestyle changes during pregnancy. Think about the impact of nonadherence on the fetus and the patient.
Reflect on treatment and management strategies for patients presenting with signs and symptoms of nonadherence to recommended lifestyle changes.
Question 2
Week 6 discussion
Discussion: Breast Conditions
Throughout a woman’s life, her breasts go through many normal, healthy changes. However, patients do not always understand these changes and often visit health care providers for treatment. When examining these patients, you must be able to identify when a breast condition is the result of a safe and normal physiological change and when it is the result of an abnormal change requiring treatment and management. A diagnosis of a breast condition resulting from an abnormal change can be devastating for women, making emotional support as vital to women’s well-being as proper assessment, diagnosis, and management. For this Discussion, consider how you might diagnose, manage, and support the following two patients presenting with breast conditions:
Case Study 1:
You are seeing a 60-year-old Latina female, Gravida 4 Para 3104, who is concerned about a thick greenish discharge from her left breast for the past month. The discharge is spontaneous and associated with dull pain and burning. Upon questioning, she also tells you that she breastfed all her children and is currently not on any medications except for occasional Tylenol for arthritis. Her last mammogram, 14 months ago, was within normal limits. On exam, her left breast around the areola is slightly reddened and edematous. Upon palpation of the right quadrant, a greenish-black discharge exudes from the nipple. You note an ovoid, smooth, very mobile, non-tender 1 cm nodule in the RUIQ at 11:00 5 cm from the nipple. No adenopathy, dimpling, nipple discharge, or other associated findings. Her right breast is unremarkable. The patient expresses her desire to proactively decrease her risk for developing breast cancer.
Case Study 2:
You are seeing a 53-year-old African American female for a lump she found in her right breast two weeks ago in the shower. Her last mammogram was three years ago and she was told it was “benign.” She had two breast biopsies at ages 32 and 34 in her right and left breasts, respectively. At both times she had surgery for removal of fibroadenomas. She does not routinely do breast self-exams. Her mother had a mastectomy for breast cancer at age 63, and she heard that a paternal aunt had a breast removed for cancer when she was in her forties. Both mother and aunt are alive and well today. It was discovered on postmortem exam that her grandfather had prostate cancer. Menarche was at age 15 and she is still having monthly menses. She is Gravida 4 Para 3104 with her first childbirth at age 31. She was on oral contraception for 10 years, has no history of fertility treatments, and had a bilateral tubal ligation after the birth of her last child at age 35. Past medical history is noncontributory. She wants to know how likely it is that she will get breast cancer. Physical exam reveals breasts are symmetrical with no dimpling, retractions, or rash. Her right breast has a 2 cm non-tender, hard, fixed mass at 3:00 6 cm from her nipple. Left breast is non-tender without masses. No nipple discharge bilaterally. No anterior cervical, infra- or supraclavicular, or axillary adenopathy.
To prepare:
Review Chapter 15 of the Schuiling and Likis text.
Review and select one of the two provided case studies. Analyze the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.