Category: Health Care and Life Sciences : Nursing

the article is attached below as seen.
I need questions : #4 and number #7 answered only, not all questions to the article .
See article listed as Wolf et, al as the peer reviewed journal
see document : “questions to article ” for SEE some questions already answered but questions 4 & 7 only need to be answered not all of them. see other answers to help answer 4 and 7.

In your reply to your peer, you are to include a synopsis of one scholarly article (within the last 5 years) that addresses the topic, to move the discussion forward.  You are to cite the article in the reply post and reference it at the end of the post.
Peer post:
Some factors that delayed Barbara’s treatment was her job, as well as her not feeling any symptoms, with the knowledge of how long she has until she needed surgery she decided to wait it out while seeing the doctors, also she stated because genetically there was no family history of heart disease. A psychological response Barbara exhibited when told she needed open heart surgery was shock and fear that turned into denial , she stated she went to four different doctors for their opinion before considering doing the surgery. Based on the BIO-PSYCHO-SOCIAL assessment model, two areas that affected Barbara’s journey to make her decision for treatment were physical illness and Social support. The physical illness was when she was on her walk in central park and when going on the flight of stairs she felt pressure in her chest which led her to getting an angiogram, which determined she needed surgery sooner than she thought. The social support comes from her colleagues from “The View” as well as her daughter being there every step of the way; Barbara stated that she did not feel lonely with the support from her daughter.

PICO Question: Nurses taking care of patients in medical surgical units, what are the consequences of working with high patient-nurse vs low patient-nurse ratio, how does it affect nurses’ performance and patient outcomes?
The annotation of a scholarly journal should identify the thesis (or research question, or hypothesis), the methods used, and its discussion or conclusions. Remember that identifying the purpose is a different task than listing the resource’s contents. To be more precise, the annotation should state why the contents are there. While constructing your annotations, be sure to include the following critical elements:
Restate argument or thesis, methods, and conclusions
Evaluate resource for strengths and limitations
Analyze the quality of each study using the appraisal checklist found in the module resources
Evaluate how each resource has a connection to the PICO question
5 primary, evidence-based resources from scholarly, peer-reviewed journals published within the last five years

PLEASE FOLLOW INSTRUTIONS THIS DOES NOT NEED TO BE APA JUST APA REFERENCES AND CITATIONS
ONLY WRITE 1-3 PARAGRAPHS
ATTACHED IS THE PREVIOUS PAPER I’M NEEDING TO ADD ON TO.  PLEASE REVISE WORK PREVIOUSLY DONE.
ALSO THIS IS SUPPOSED TO BE DONE IN LEVELS THE FIRST LEVEL IS ALREADY DONE
During Week Three you created your own nursing philosophy. You will be adding on. Keep the origin philosophy – you will get to see how your education will change in just a few short weeks.
In week three you wrote a personal nursing philosophy write up. Include week threes write up with level headings to differentiate which week is which. The components you will add this week include selecting one from either of the DECs, ANA, & NPA and one from either the IOM report (To Err is Human), and Healthy People 2030, as they relate to health, illness, holism, evidence-based practice, and communication from a BSN-prepared nurse perspective. Adding to your personal philosophy do these organizational missions solidify your personal philosophy or does your philosophy begin to morph in the areas of Health, Illness, Holism, Evidence-Based Practice, and Communication. Keep this assignment to a minimum of one paragraph and a maximum of three paragraphs.
This assignment is not in APA format which means you do not have to have headers with page numbers and title, a title page, one inch margins, and specific fonts (but you must include citations and references) and you may use first person as you are relating to you personally (creating a personal reflection). Please cite your sources (DECs, ANA, NPA, IOM, or Healthy People 2030) and list references for these sources. Do use level headings to help me differentiate between weeks. For example:

instructions attached
Topic drug: Warfarin
one page paper and two page brochure (templates atached)

Two-page personal statement of professional goals and objectives along with a statement of understanding of the practicum requirements.
My professional goals would be to increase my knowledge and become a successful nurse practitioner. I have been in the nursing profession since 2016. Lpn-2016, RN, ADN-2021, RN-BSN-2023. I have 3 children ages 16,10,5.  Became a mother at age 17, graduated in 2011 from EMCC with an associates in Liberal arts, 2014 from MUW with a bachelor in Public Health Education and decided to enter the nursing field in 2015.

Concept Analysis Paper
Purpose: A concept analysis is an exercise designed for the student/researcher to become as familiar as possible with a concept (variable). A concept is usually one or two words that convey meaning, understanding, or feelings between or among individuals within a discipline. Some concepts relevant to nursing are health, nursing, managed care, coping, and parenting. A concept analysis is the first step in communicating meanings, understandings, and feelings.

Directions: For this assignment, you will choose a concept that you would like to define and analyze more precisely for use in your clinical practice, or a health care interest you have. This can be a term you encounter with your work or one with which you would like to research and more precisely define. Look for the measurable quality in your topic of interest, problem, or question.
Write down all of the words you can think of which relate to or express your concept.
Ask colleagues to share their understandings of your concept.
Look up the concept in large unabridged dictionaries/medical encyclopedias and list the definitions you feel most closely describe your feelings or thoughts on the concept.
Search the literature for journal articles and books related to the concept to get a sense of the beliefs and thoughts of others in the discipline regarding the concept.
Begin the analysis paper with a short introductory paragraph expressing what the concept is and why it is significant to you and nursing.
Develop your own definition of the concept from dictionary definitions and literature support, including criteria for measurement of your concept in the real world. Example: Table (concept)-a four-legged platform used to place objects on.
Formulate a list of characteristics or criteria that describe the concept in measurable terms so the concept can be measured in the empirical world. Use your definition, your clinical and theoretical experience, research and literature articles, and books to make the list complete.
Example: Concept-Table Characteristics-
Four legs of the same length.
A flat or platform surface horizontal to the floor.
Used to place objects on.
A minimum of 10 quality references will be used in this 5 page paper, exclusive of title and reference pages. Use the following outline to guide the development of your paper.

Introduction (10 points)
Include the aims and purposes of the analysis
Justify the concept and its significance to nursing knowledge
Defining the Concept (20 points)
Describe the general derivation of the concept and its definition from common usage and nursing usage
Synthesize and evaluate a variety of appropriate authoritative sources from the literature most relevant to defining your  concept
Discuss how well the concept is addressed in the literature
Major Attributes of the Concept (30 points)
Clearly identify each major attribute of the concept as succinctly as possible 
Attributes should be an essential, logical element of the concept as defined 
Each attribute is stated in as measurable a form as the abstractness of the concept allows 
The listed attributes comprise all essential attributes of the concept as defined
Discuss any unexpected findings regarding attributes/uses of your concept. Include uses of your concept that you rejected
Discuss major issues you learned about this concept that changed or expanded your prior understanding of the concept 
The Model Case (30 points)
Provide a model case study which included all attributes of your concept.
Include antecedent(s) and follow-up/outcome
Scholarly Writing (10 points)
Include a variety of quality resources that are evidence-based
Precise APA 7th ed format
Grammar, spelling, and clarity of expression at professional scholarly level

An Exercise in the Clinical Application of Logic Theory
This paper is meant to be a short (5-page limit) logical, philosophical argument about a healthcare issue for which you have a strong opinion.  This issue could be drawn from health policy, advanced nursing practice healthcare delivery, a need for quality improvement or access to care within health care systems, health care reform, inter-professional collaboration, etc. You will begin with a powerful statement comprised of one sentence.  You will search the literature to identify how this topic has been theoretically and conceptually presented in the nursing and healthcare literature, including empirical evidence that supports both the pros and cons of your position.  An adapted version of The Toulmin Model of Argument (2003) developed by British philosopher Stephen Toulmin, will be used as a guideline for the process of constructing your argument.
The following are some examples of argument statements:
“All pregnant patients receiving federally funded health care should be given the option of a Nurse Midwife as their provider for prenatal care, because maternal patient outcomes have shown improvement when care is provided using this model of delivery”
“Medicare health insurance system should be available to all adults over 50 years, because patients over 50 but younger than 65 cannot afford to meet their health care needs”
Required Outline for paper:
Part one:
1. Clearly provide your argument statement in the one sentence format as described above and in module material.
2. Correctly label all parts of the argument statement with the correct parts of the Toulmin model (Claim, Data, Warrants, Backing,) after your research add rebuttals, qualifiers
3. Why did you choose this argument/issue?
Part two:
Identify/group your evidence, be sure to identify which “type” of evidence (warrants or backing) then use a subheading of pros-and discuss the evidence -based (literature) especially how it supports your argument.
Then use a subheading of cons- review the evidence (again identify which are warrants or backing) and discuss how it argues against your issues. Also offer rebuttals to these cons, which should also come from literature.  Add Warrants (culturally held values, beliefs, societal held norms) and backing (evidence-based facts from reliable sources such as: national organizations such as CDC, AHA, NIH, etc.)
Part three:   
Summarize be sure to address all aspects listed on the grading rubric.  What did you learn from this exercise?

NB: The next page in the module has an example of this assignment for your reference.

TO PREPARE
Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment.
Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?
Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
Consider which of the conditions is most likely to be the correct diagnosis, and why.
Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.
Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.
Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.
THE LAB ASSIGNMENT
Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.
Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.
Outcome Using the SOAP (Subjective, Objective, Assessment, and Plan) note format: ·  Create documentation, following SOAP format, of your assignment to choose one skin condition graphic (identify by number in your Chief Complaint). ·  Use clinical terminologies to explain the physical characteristics featured in the graphic. –The response clearly, accurately, and thoroughly follows the SOAP format to document one skin condition graphic and accurately identifies the graphic by number in the Chief Complaint. The response clearly and thoroughly explains all physical characteristics featured in the graphic using accurate terminologies.
Formulate a different diagnosis of three to five possible considerations for the skin graphic.    ·  Determine which is most likely to be the correct diagnosis, and explain your reasoning using at least three different references from current evidence-based literature. — The response clearly, thoroughly, and accurately formulates a different diagnosis of five possible considerations for the skin graphic. The response determines the most likely correct diagnosis with reasoning that is explained clearly, accurately, and thoroughly using three or more different references from current evidence-based literature.
Use Picture 3/Page 3– the photo of the Caucasian man’s face with a wound on his cheek
Differential Diagnosis–
1)severe eczema
2) folliclitis
3)Basel cell carcinoma
Primary suspected diagnosis- severe excess
Attachment 1 — example of how to complete a soap note, you can make up the information, it does not have a case study to gather this information from
Attachment 2– the photo that I selected for this assignment is on page 3
Attachment 3– is the template to use to complete this assignment
PLEASE follow the rubric and the assignment— she is a tough grader

4 year old overweight female with normal weight parents who are living with elderly grandparents in their home
TO PREPARE
Review this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.
Based on the risks you might identify consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
Consider how you could encourage parents or caregivers to be proactive toward the child’s health.
THE ASSIGNMENT (BE SURE TO FOLLOW THESE INSTRUCTIONS TO WRITE THE PAPER PLEASE)
Assignment (3–4 pages, not including title and reference pages):
Assignment: Child Health Case:
Include the following:
An explanation of the health issues and risks that are relevant to the child you were assigned.
Describe additional information you would need in order to further assess his or her weight-related health.
Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.
Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.
RUBRIC PLEASE USE!!
In 3 pages, address the following: An explanation of the health issues and risks that are relevant to the child you were assigned. — The response clearly, accurately, and in detail explains the relevant health issues and risks for the assigned child.
Describe additional information you would need in order to further assess his or her weight-related health. —  The response clearly and accurately describes detailed additional information needed to further assess the child’s weight-related health.
Identify and describe any risks, and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion. —  The response clearly and accurately identifies and describes in detail any risks to the child’s health. The response clearly and accurately identifies and describes in detail further information needed to gain a full understanding of the child’s health, with a detailed explanation of how to gather that information in a way that is sensitive to the child.
Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information. — The response clearly and accurately lists three or more specific questions that would gather more information about the child. Specific questions are carefully worded to clearly demonstrate sensitivity to the parent(s) or caregiver(s) of the child.
Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.–  The response clearly describes two or more detailed strategies to encourage the parent(s) or caregiver(s) to be proactive about the child’s health and weight.