Category: Health Care and Life Sciences : Nursing

Please follow template provided to answer questions. All information can be made u and BUT real medical terms must be used as well as correct medication for the stated disorder.

Diabetes Teaching Project
1) Review the assignment grading rubric
2) Create a teaching document for diabetic patients recently discharged from the hospital and to be managed in the primary care setting. The document must be written at the 5th-grade reading level.
The topic of the teaching is “Type II Diabetes Mellitus.”
2) Components of the teaching should include:
What is diabetes? 
Describe the pathophysiologic process (keep it simple for the patient to understand)
How is diabetes diagnosed?
What does your patient need to know when going home from the hospital?
Diet: What can the patient eat and drink?
Management options: Oral Hypoglycemics vs. Insulin (how do they work in the body? instructions for use?)
When should the patient seek additional evaluation and treatment? 
3) The document should be creative, using graphics or illustrations and an educational resource for the patient. 
 3 REFERANCES

Length of paper 4 pages including the following information
1.  Page 1 must be mind mapping.  You are to read the case scenario and brainstorm possible diagnosis, diagnostics, treatments, concerns, as well as nursing interventions.
2.  Additional pages will include the following
   – Expected medication the patient would already be taking
   – Diagnosis’s your scenerio may have several so please think them through.
   – The diagnosis must be researched and explained along with concerns or expected outcomes.  
   – Head to toe assessment.  Include a full assessment including expected findings
   – Planned lab work and diagnostic testing needed.  What are the expected outcomes.
   – Treatment for the patient.  List all nursing, medical, pharmacological and environmental treatment
   – Medications please list the classification of the medications necessary to treat.  Please select one drug and go in depth explaining 
      the mechanism of the medication, contraindications, and side effects.
   – Nursing considerations and treatment
   – Expected outcomes

Mrs. A is a 71 year old widow with CHF and osteoarthritis who has recently been exhibiting quite unusual behavior. Her daughter is concerned about her mother’s ability to remain independent and wishes to pursue nursing home admission arrangements. She fears the development of a dementing illness. Over the last two to three months Mrs. A has become confused, easily fatigued and very irritable. She has developed disturbing obsessive/compulsive behavior constantly complaining that her lace curtains were dirty and required frequent washing. Detailed questioning revealed that she thought they were yellow-green and possibly moldy. Her prescribed medications are:
Furosemide 40 mg daily in the morning
Digoxin 250 micrograms daily
Acetaminophen 500mg, 1 to 2 tablets every 4 hours PRN
Piroxicam 20 mg at night
Mylanta suspension, 20 ml PRN
Colace 100mg, 1 to 2 capsules at night
Assignment Questions and Instructions
Critically discuss this case study in terms of the problematic nature of this patient’s pharmacological management.
Outline some pharmacokinetic changes in the geriatric population that may affect drug disposition.
Outline how changes in renal and hepatic function may affect treatment strategies.
In the drug regimen presented above – discuss potential side effects and potential interactions, if any?
Your response should include a discussion of the problems of polypharmacy as it is related to this case study and the assessment/management and educational strategies which could have been implemented to improve the outcome of Mrs. A.

Employee Attributions
Instructions:
Read the Case Studies of Managing Employees’ Attributions.
>Take one of the questions and discuss your answer as it applies to your organization. Please see Borowski & Meese text. Chapter 8, pg. 155 – 156.
>>Please see case study attached<< >>For reference I work in oncology at the cancer institute<< Textbook: Pages 155-156 https://www.homeworkforyou.com/static_media/uploadedfiles/1664208771_661553__030..pdf  

Describe a time where you have witnessed effective conflict resolution.  1. After reading, what do you see as the relation between the materials in the text and in the video?
2. Referencing the video, what was the root of the conflict?
3. How does conflict resolution relate to other topics we’ve read such as group identity, motivation, and emotional intelligence? 
4. What strategies were employed to diffuse the situation?
Link to reading is here-
https://pressbooks.usnh.edu/leadingleadingteams/chapter/10/
Link to video is here-

scenario should be nursing related

Consider your own personal motivation and a current or previous work situation. It may be helpful to discuss your True Colors Assessment.  Provide background about your work and how you define how you are motivated for instance:
1. Are you intrinsically or extrinsically motivated?
2. How does your culture influence your motivation?
3. Is empowerment important to you?
4. Does belonging matter to you? Has it always? If yes, or no, how has that changed over the years?
5. Do you resonate with Theory X and Y or Herzberg’s Two-Factor Principles?
6.Have your motivations changed overtime? 
-work background is Elementary School Nurse currently and previous worked in hospital as staff nurse from 2018-2022

A 28-year-old female veteran presents for complaints of fatigue, increased sleeping, and weight gain. She states she has had depression off and on since she was discharged from the Army four years ago but denies any other health problems. She is not currently on any prescription medication and has never been hospitalized. She tells you that she is between jobs and currently doesn’t have a home, so she ‘couch-surfs’ with friends and relatives or sometimes sleeps in her car.
What are your differentials? What diagnostics should you perform? Discuss and name the specific veteran resources in your clinic’s community for referral. Include these specific resources in your treatment plan, as well as diagnostics, treatment, education, and follow-up. Use high-level scholarly journals and clinical practice guidelines. Avoid point-of-care references for this discussion. 

Assign DSM-5-TR diagnoses, ICD-10, and reimbursement codes to services based on the patient case scenario. 
Then, in 2-3 pages, address the following. You will add your narrative answers to these questions to the bottom of the case scenario document and submit them altogether as one document.
What reimbursement billing code would you use for this session? Provide your justification for using this billing code.
Explain what pertinent information is required in documentation to support your chosen DSM-5-TR diagnoses, ICD-10 coding, and billing code.  
Explain what pertinent documentation is missing from the case scenario and what other information would be helpful to narrow your coding and billing options. (There are at least 12 missing pertinent components of documentation).
Discuss legal and ethical dilemmas related to overbilling, upcoding, and fraudulent practices. Propose 2 strategies for promoting legal and ethical coding and billing practices within your future clinical roles.
Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.
For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?
In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.
To Prepare:
Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.
Required reading
American Nurses Association. (2015). Code of ethics for nurses with interpretive statementsLinks to an external site.. Silver Spring, MD: Author. Retrieved fromhttps://www.nursingworld.org/coe-view-onlyNote: Review all, with special attention to “Provision 6” (pp. 23–26).
Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practiceLinks to an external site.. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06. Retrieved fromhttp://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html  
Milliken, A. (2018). Ethical awareness: What it is and why it mattersLinks to an external site.. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01. Retrieved fromhttp://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html