Category: Nursing Assignment Help

Nursing Community Discussion Board Questions

Nursing Community Discussion Board Questions

Discussion Board 

Please respond to my Discussion Board Question included below. Please follow the Rubric for Discussion Board to maximize your points. You will have four (4) days to post your answers to the question(s),

Questions to answers

  1. How many accessible mental health facilities are in your community, near the hospital you work or have clinical?
  2. What is the distance from your nearest emergency room to the mental health facility (Hint: think about transportation)?
  3. What issues have you and the case managers identified as concerns/issues for placement? What strategies could you implement? (Provide rationale).

Rubric for Discussion Board

CRITERION Exemplary (5 pts.) Competent (3 pts.) Novice (1 pts.) SCORE
Critical Thinking Incorporates new concepts and formulates evidence-base conclusions. Evaluates concepts. Thorough discussion of topic. Applies clinical knowledge, and utilizes literature and research to formulate response. Understand and evaluates basic concepts related to the topic. Applies basic clinical knowledge with minimal use of existing literature and research. Gathers and understands simple concepts related to the topic. Difficult to follow and/or superficial discussion of topic. Inability to demonstrate basic clinical knowledge or evidence-based literature/research.  
Content Key issues fully identified and answered. Clear discussion of topic. Provides evidence-based literature/research to enrich topic and enhance discussion. Work cited. Most key issues addressed adequate with superficial thought and preparation. Provides limited evidence-based literature/research and cited. Key issues missing and not answered. Minimal evidence-based literature/research and not cited. Posts information that is off-topic, incorrect, or irrelevant to discussion.  
Follow-up Posting (respond to two) Posts well developed assignment that fully addresses and develops all aspects of the task. Demonstrates analysis of others’ posts; extends meaningful discussion by building on previous posts. Adequate feedback provided to others’ posts. Demonstrates analysis of others’ posts but limited motivation for the group discussion to build on previous posts. Posts shallow contribution to discussion (e.g., agrees or disagrees); basic key issues identified but does not enrich discussion.  
Supporting Resources Uses references to literature, readings, or personal experience to support comments. Uses personal experience, but no references to readings or literature/research. Includes no references or supporting experience.  
Clarity and Mechanics Contributes to discussion with clear, concise comments formatted in an easy to read style that is free of grammatical or spelling errors. Communicates in friendly, courteous and helpful manner with some errors in clarity or mechanics. Posts long, unorganized content that may contain multiple errors or may be inappropriate.  
Total Possible Points 25 15 5  

 

IS THIS CORRECT

Please respond to my Discussion Board Question. Do not create another question. Please follow the Rubric for Discussion Board to maximize your points.

Once you have answered the question(s), please respond to one of your peers answer(s) to the question(s).

 

 

 

 

 

 

 

Wound Assignment

Wound Assignment
Assignments must use APA formatting
▪ Formal introduction and conclusion
▪ Consistent colour, style and size of font: Times New Roman, 12 pt.
All Tables should be inserted in landscape orientation (unless otherwise directed)
▪ Tables must be single spaced and point form
▪ Blank spaces related to changing orientation will be considered when
calculating page length
Presentation: Grammar, spelling, APA format (cover page, introduction,
conclusion, reference list) worth 5% of total mark.
Question 1:
Two case studies are provided with a photo.
Students are to analyze BOTH case studies and present in table format:
▪ Comprehensive patient assessment identifying factors affecting an
individuals ability to heal, focusing on 8 critical co-factors (provided in
assignment)
▪ Determine goal for wound (healable, maintenance or non-healable)
▪ Select and explain best way to assess individual’s pain based on case
study
▪ Identify general management strategies
40 Marks (20 per case)
Example: Please note, the blue writing in the Assessment Parameter Column is
merely an explanation of how the Supporting Evidence was derived. It is NOT
required in your assignments!!!!
Comprehensive Assessment: Patient Judy White
Assessment Parameter Supporting Evidence
Critical Cofactors
Based on Judy’s Case Study info, I
have calculated her BMI and know
she is morbidly obese. She has an
abdominal surgical wound. I need
Obesity:
• Client’s BMI=34
• Morbidly obese
• Adipose tissue poorly perfused
ASSIGNMENT 1 TIPS
to explain how obesity will impact
her healing.
I also know she has a history of
depression—I need to explain how
this could impact her healing
potential.
• Results in….
• Creates tension on surgical wound
• Places client at risk for….
Psychosocial:
• History of depression
• can lead to poor self care behaviours i.e.
substance abuse
o impacts healing…..
Goal for wound
Based on my analysis of her case, I
feel her wound is healable, and
here I explain why (include cofactors where appropriate).
Healable
• adequate blood flow
• adequate nutrition/hydration
• physical stress on incision could be
mediated by….
• Psychosocial needs currently addressed
by psychologist
Pain Assessment Tool
Based on my analysis of Judy’s
case, I feel the visual analog scale
would work best for her because….
I have explained what the VAS
looks like, how Judy would use it
and when I would assess her pain.
Visual Analog Scale
• Patient able to self report pain
• No visual impairment
• VAS is used by showing client 10 cm long
line
• 0 marked at one end=no pain
• 10 marked at other end=worst pain
• Client will…
• Pain assess q…..
Management Considerations
I had determined that Judy’s
wound was healable. Based on this
goal and the photo, I need to
provide GENERAL considerations
for managing a healable wound.
• Remove necrotic debris
• Moist wound healing
• Monitor for signs of infection
ASSIGNMENT 1 TIPS
Part 2: Knowledge Acquisition
Question 1:
Discuss the differences between a partial thickness and a full thickness wound
• What are the characteristics of each (what tissue is involved, what do they
look like)
• Explain how both heal
• Provide an example of each type of wound
Question 2:
Discuss how exudate varies between a healthy acute wound, a chronic wound and
an infected wound.
• What are the characteristics of the exudate (appearance, amount etc.)
• What is the composition of the exudate (what components are in it?)
• How/why does the exudate impact healing
Question 3:
Assess 5 different photos that show different periwound skin conditions/colours
• Identify the condition shown
• Describe what it looks/feels like
• Explain what clues this condition could give the clinician about wound
progression/management
• Provide management considerations specific to the condition
Example:
Photo Periwound Assessment
X Epithelial Tissue
• Avascular, pink and dry (regardless of skin tone)
• Very fragile, susceptible to breakdown from adhesive
• Epithelial migration is indicator of healthy wound
• Foretells wound closure
ASSIGNMENT 1 TIPS
• Wound susceptible to infection until completely re-epithelialized
Management:
• Low tensile strength—must be protected
o Skin protectants
o Gentle silicone adhesives
Part 3: Knowledge to Practice
Question 1:
There are four photos provided that have a location, measurements and previous
PWAT score assigned to them.
Students are to analyze two photos using the PWAT
• For each parameter of the PWAT students must:
o Provide rationale based on the photo (0.5 marks)
o Score based on assessment (0.5 marks)
• Compare the total PWAT score you obtained with the previous PWAT score
(provided on photo).
o What does the score tell you?
o i.e. You scored the wound at 11. The previous score was 15.
▪ Answer: The score has decreased from 15 to 11, indicating
wound progressing toward healing, supports continuing
current protocol
Example:
Item Rationale score
Depth Full thickness—walls to
wound & granulation tissue
present
Evidence of exposed bone
4
Necrotic
Tissue Type
Yellow slough, thick and thin,
moist
2
Necrotic
tissue amount
Approx. 40% yellow slough 2

Nursing Reflective Report Outcome and Analysis Planning

Nursing Reflective Report Outcome and Analysis Planning

Students must submit a scholarly reflective narrative that demonstrates how all of the artifacts/exemplars (old graded school work) submitted, and the course in which the artifacts were produced, meet each MSN program outcome.
This Narrative Analysis format should use APA format, to include a cover page, running head, headings, and a reference list. Other elements, such as an APA formatted table, may also be included. Strict adherence to APA format is required. Examples of references that would support this Narrative Analysis might include a required journal reading from a course, material from a nurse practitioner professional web site to include a board of nursing site, or other peer-reviewed scholarly articles. Course textbooks may be used.
CCN FNP MSN Program Outcomes
1. Provide high quality, safe, patient, centered care grounded in holistic health principles.
2. Create a caring environment for achieving quality health outcomes.
3. Engage in lifelong personal and professional growth through reflective practice and appreciation of cultural diversity.
4. Integrate professional values through scholarship and service in health care.
5. Advocates for positive health outcomes through compassionate, evidence-based, collaborative advanced nursing practice.

Creating a Professional Development Plan

Creating a Professional Development Plan

Write a 6–8-page professional development plan for your career as an MSN-prepared nurse. The professional development plan should include the following:
Introduction: A brief introductory paragraph that clearly states the purpose of the paper.
Area of focus: A description of your specific area of focus in nursing education, the position that you wish to obtain, and the educator competencies that you will need as an MSN-prepared nurse.
Professional goals: A statement of your specific professional goals (a minimum of three) and discussion of their relationship to your nurse educator philosophy.
Influences: A brief description of any additional forces (social, economic, political, or institutional) that may influence your nursing education role.
Analysis: An analysis of how you will carry out scholarship activities as an MSN-prepared nurse and a specific plan for scholarship based on a model.
Leadership role: A discussion of specific ways (a minimum of two) that you will develop a leadership role in your chosen area of focus.
Development plan: Specific plans for professional growth and any additional education, certifications, or training to be acquired.
Reflection: A reflection in a concluding paragraph on your abilities to meet goals and achieve your professional development plan and ethical
practice. As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
What are some approaches that nurse educators can use when encountering resistance to change?
How might effective leadership styles be the same or different for the following roles?
BSN nursing faculty.
-Community health educator.
-Staff development educator.
What are some ways that scholarship fits with nursing practice?
How do you or would you view the following evaluation processes as an educator? What can be most useful to faculty from student
evaluations?
-Regular evaluation of nurse educators by students and administrators.
-Peer evaluations of teaching skills.

Evidence-Based Practice and the Quadruple Aim

Evidence-Based Practice and the Quadruple Aim

To Prepare:
• Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the
Resources. THESE ARTICLES ARE ATTATCHED IN A WORD DOCUMENT
• Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
• Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.
To Complete:
Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.
Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:
• Patient experience
• Population health
• Costs
• Work life of healthcare providers

Nursing Informatics

Nursing Informatics

Purpose
The self-assessment is completed using the TIGER-based Assessment of Nursing Informatics Competencies (TANIC) tool. TIGER refers to the
Technology Informatics Guiding Education Reform Initiative which identified a list of the minimum informatics competencies for all nurses and students graduating from pre- and post-licensure programs. The graded self evaluation of your informatics competencies is required in order to increase one’s own u nderstanding of competencies in nursing informatics which will enable the planning of strategies to enhance knowledge
and skills.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
Apply knowledge of nursing informatics and non-nursing science (CO 1 and 2)
Assess nursing informatics competencies (CO2)
Evaluate progress in enhancing nursing informatics competencies (CO4)
Foster professional and personal development with planning strategies to enhance these competencies (CO4)
Examine ethical decision making in relation to these competencies (CO3)

Reflection Questions:
Reflect upon your current or most recent clinical practice and answer the following:
How is informatics used?
Regarding the Pre-TANIC Self-Assessment for this week, how did your perceived competency level prior to the self-assessment compared to after the self-assessment? Explain in detail.
What TWO competencies do you use in your current clinical role? Provide examples.
Identify TWO resources to develop a strategic plan to enhance your competency skills.
Which resources are suited to your needs and why?
How do you intend to enact this improvement plan?

Community Assessment Utilizing Evidence-Based Practice and Nursing Process Approach

Community Assessment Utilizing Evidence-Based Practice and Nursing Process Approach

Community Assessment Utilizing

Evidence-Based Practice and Nursing Process Approach

(30% of course grade)

STEP 1: DEFINING THE COMMUNITY (5% of profile grade)

  1. Choose a community; give name, location, and geographic boundaries. Include brief history. Obtain and prepare a map as a visual representation and define boundaries.
  2. With nursing and community theory definitions provided as a basis, define the community chosen in terms of nursing and community theory.

STEP 2: DATA GATHERING (collecting information that already exists) (5% of profile grade)

  1. Discuss the most distinguishable population characteristics (at least three) of the community population. Document discussion with both statistics and reference citations.
  2. Discuss at least three environmental characteristics of the community population that could be indicators of health. Ex: housing; type and condition, sanitation: adequacy of sewage and garbage disposal, air and water quality. Animals: presence of rats, rodents, or unleashed dogs and cats, adverse weather effects, traffic and transportation patterns. Document discussion with both statistics and reference citations.
  3. Identify at least four health care, social service, and nursing resources available to families or individuals who might require them in the community. This should include the available nursing service resources.

My goal for the Oradell Community is to educate teenagers about XXX. I expect to accomplish this via an outreach program I will be holding at the local high school.

Then, write your “learning objective.”

After participating in the outreach program, the teenagers in the community of Oradell will be able to XXX . . .

Then, describe your overall program (who, what, where, when) and any aspects of planning that you have considered to get your program off the ground (ie. approvals, recruiting participants, recruiting other health providers (if needed), funding, permissions, etc.)

IMPLEMENTATION:

  1. Make at least two measurable interventions about the role you should assume in improving this community as a responsible nurse leader/consumer and member of the professional healthcare team. Interventions should be realistic and directly related to diagnosis. Attention should be focused on health promotion, lifestyle factors and disease prevention.

Discuss the nursing interventions that are specific to your goal/program. They must be measurable.

Discuss your nursing interventions specific to your goal/program. At least two must be “measurable.”

For example,

Training about signs & symptoms of head lice infestation will be given to school nurses, parents & staff at the Washington Middle School November PTA meeting. A pre and posttest will be administered (Appendix A).

STEP 7: EVALUATION (5% of profile grade)

  1. Describe how you will determine whether or not the outcomes will be met. What do you anticipate could impede or enhance progress?

Describe what indicators you will be following to evaluate whether you have achieved your program goal. Discuss what variables may impede and/or enhance your program’s progress.

For example,

A five question pre- and post test will be administered to XXX on XXXX to assess for learning (include example of each test). Results will be analyzed and compared. A score ofXXX will be considered a successful outcome.

STEP 3: DATA GENERATION (developing information that does not already exist) (5% of profile grade)

  1. Conduct a Windshield Survey.

With the use of public transportation or by driving a vehicle around the community, one can observe common characteristics of the community. Discuss in detail your windshield survey. Survey your community in the A.M. and P.M. Provide photos.

  1. Conduct Informant Interviews:

Informants are people who are familiar with and interact with the population on a regular basis; i.e., mayor, director, police officer, school-nurse, etc. Interview at least two informants. Discuss in detail and analyze the interviews.

STEP 4: DATA INTERPRETATION (analysis) (5% of profile grade)

  1. Define the 3 levels of prevention and give examples of each level of prevention that are available to community residents.

STEP 5: DIAGNOSIS (5% of profile grade)

  1. Formulate a community diagnosis citing Healthy People 2020 Focus Area. Analyze and discuss how data gathered (Steps 1 -4) supports this diagnosis.
  2. Analyze and discuss your HP 2020 topic using current literature and research. Explain why this topic is important and establish why interventions are needed on a community level.

STEP 6: PLANNING & IMPLEMENTA TION (5% of profile grade)

  1. Establish at least one goal; i.e., what do you and the community expect to accomplish? Detail specific aspects of planning present or needed because of this goal.

Discuss your goal for the community, what you plan to achieve/accomplish.

Include a formal learning objective. Describe your overall program (who, what, where, when) and any aspects of planning that you have considered.

Discuss your own goal for yourself and the Community. For example:

Discuss what variables may impede or enhance your program’s progress.

PROFESSIONAL PRESENTATION (5% of profile grade)

Narrative, reference citations, research, and bibliography use APA style. Introduction and conclusion paragraphs. Professional presentation: i.e. free of grammatical and spelling errors.

ORAL PRESENTATION (5% of profile grade)

Grades will be allocated on the basis of quality, not quantity. 20 pages maximum. Papers must be APA format, typed and double-spaced. Correct APA citation and reference/bibliography format must be used. Remember that a scholarly submission must include reference citations for most areas. Tables and graphs must be labeled and source (if any) included.

 

 

Best College Admission Essay and Personal Statement

Best College Admission Essay and Personal Statement

Writing services available for:

  • Undergraduate Admission Essay
  • Collge Admission Essay
  • Masters Admission Essay
  • PhD Admission Essay
  • Undergraduate Personal Statement
  • Collge Personal Statement
  • Masters Personal Statement
  • PhD Personal Statement

34-Year-Old Patient Evaluation & Management Plan

34-Year-Old Patient Evaluation & Management Plan

A 34-y.o. female presents with the complaint of a sudden excruciating pain in her back and points to her flank area on the right side. She rates the pain as 10 on a scale of 1 to 10, with 10 being the worst. She also complains of nausea with the pain. She states that she has never had anything like this before, and the pain is subsiding a little now. What additional questions should you ask the patient and why? What should be included in the physical examination at this visit? What are the possible differential diagnoses at this time? What tests should you order and
why? How should this patient be managed?

Submission Instructions:

Your initial post should be at least 550 words, formatted and cited in current APA style with support from at least 2 academic sources.

Please use the class book with the information i will give you. let me know if you have difficulty accessing the book. Also, i will provide the book info if unable to access maybe you can find it online somewhere. Link:
https://www.fadavis.com/home book information: • Dunphy, M. L, Winland-Brown, E. J, Porter, O. B, & Thomas, J. D. (2019). Primary Care: Art
and Science of Advanced Practice. (5th ed.). Philadelphia, PA: F.A. Davis Company. ISBN: 978-0-8036-6718-1

34-Year-Old Patient Evaluation and Management Plan

34-Year-Old Patient Evaluation and Management Plan

Paper Instructions
A 34-y.o. female presents with the complaint of a sudden excruciating pain in her back and points to her flank area on the right side. She rates
the pain as 10 on a scale of 1 to 10, with 10 being the worst. She also complains of nausea with the pain. She states that she has never had
anything like this before, and the pain is subsiding a little now.
What additional questions should you ask the patient and why?
What should be included in the physical examination at this visit?
What are the possible differential diagnoses at this time?
What tests should you order and why?
How should this patient be managed?
Submission Instructions:
Your initial post should be at least 550 words, formatted and cited in current APA style with support from at least 2 academic sources.
Please use the class book with the information i will give you. let me know if you have difficulty accessing the book. Also, i will provide the book
info if unable to access maybe you can find it online somewhere.
Link: https://www.fadavis.com/home
book information: • Dunphy, M. L, Winland-Brown, E. J, Porter, O. B, & Thomas, J. D. (2019). Primary Care: Art and Science of Advanced
Practice. (5th ed.). Philadelphia, PA: F.A. Davis Company.
ISBN: 978-0-8036-6718-1

Disorders of Hemostasis Atherosclerosis Platelet Function

Disorders of Hemostasis Atherosclerosis Platelet Function

Select one of the case studies below for your assignment.

 In your discussion, be sure to apply knowledge of the physiologic alterations in bodily systems in response to disease processes

Case Study Assignment Requirements

  1. Make sure all of the topics in the case study have been addressed.
  2. Cite at least three references in your case study paper; this may include peer-reviewed journal articles, textbooks, or evidence-based practice websites to support the content.
  3. All reference sources must be within 5 years.
  4. Do not use sources such as Wikipedia or UpToDate as a reference.
  5. Assignments must have at least four full pages of analytic content, double-spaced (the cover and reference pages do not count in the page count, but must be included with the assignment), and follow APA 7th edition format.

Case Study 1: Disorders of Hemostasis

Leona is 52 years old and smokes. She is also overweight and has atherosclerosis. When she was given a 2-week vacation from work, she packed up her bags and flew from Minnesota to Sydney, Australia, for the trip she always wanted to take. Unfortunately, just 3 days after she arrived, she was hospitalized when her left calf became inflamed, causing her considerable pain. The physician attending to her told her she developed a deep vein thrombosis.

  1. Explain, using your knowledge of hypercoagulability, why the trip to Australia contributed to Leona’s DVT? Why was Leona already at risk for thrombus development?
  2. How does Leona’s atherosclerosis affect platelet function? Conversely, what is the effect of increased platelet activity on the development of atherosclerosis?
  3. How do atherosclerosis and immobility promote changes in blood coagulation?
  4. When Leona was in hospital, she received heparin therapy. Explain why this course of action was taken to treat her DVT. Why was she not given heparin tablets to take back to the hotel with her?

 

Nursing Life Span and Development

Nursing Life Span and Development

Minimum of 1 scholarly source (in addition to the textbook)

Initial Post Instructions

Option 1

In our readings this week there is an extensive discussion on educating children in their early childhood years. Based on what you know about Piaget’s stages of cognitive development, what type of early childhood education program would you want your child to attend? Why?

Option 2

A young man was sentenced to serve 10 years for selling a small amount of marijuana when he was 15 years old. He escaped from prison six months after his sentencing and moved to a different state. The authorities located him when he went to vote, 30 years later. He is a professional carpenter and a model citizen. Should he be sent back to prison to serve the remainder of his 9.5-year sentence? Why or why not? Is your answer to this question based in the preconventional, conventional or postconventional level of moral reasoning? Should the level of moral reasoning be based on the stage of development that the man was in when he escaped from prison, or when he was located by authorities? Explain.

Risk Management Nurses and Medical Malpractice

Risk Management Nurses and Medical Malpractice

You must have an initial post (covering your analysis of the case) by the end of Unit 2. This post must be at least 2-3 full paragraphs and include at least 1 journal article and citation. Acceptable scholarly journals must use one: *MGMA Connection

*Journal of Healthcare Compliance

*Journal of Health Care Law and Policy

*The Journal of Law, Medicine, & Ethics

*Journal of Healthcare Management

*International Journal of Healthcare Management

*BMC Medical Ethics

*Risk Management and Healthcare Policy

Types of the Muscular Dystrophy

Types of the Muscular Dystrophy

Muscular Dystrophies Discussion Instructions

Muscular Dystrophy

MD – what is it? (3 min) https://www.youtube.com/watch?v=8ZT2ExPium0

Brody story (2min 48 sec)  https://www.youtube.com/watch?v=NroFmNY3bm0

View the YouTube videos as examples of the developmental alterations. Use the YouTube video and the attached file “Muscular Dystrophies (copied from textbook)” for your references in your discussion. Discuss the following aspects of the of the Muscular Dystrophy.

  1. Causes of the Muscular Dystrophy
  2. Types of the Muscular Dystrophy