Category: Nursing

For this assignment there’s mention of a google site in the instructions. It has to be attached to a gmail account so I’ll do that part myself based off of the annotated bibliography you create for me. I chose 10 pages but there is no page amount listed as it will be my site that I turn in. However, the example annotated bibliography that I’ve attached for your reference, used about 10 pages, not including the references pages to outline 3 sites per 4 categories. So if it’s more or less it’s fine as long as there’s a total of 12 sites with annotations. Again, thank you for all your hard work. You’re a life saver.

Questions to ask during the interview:
1. What is your perception of registered nurses?
2. What are the most important actions registered nurses provide?
3. What contact have you had with registered nurses that have affected your perception?
4. What other experiences have influenced your perceptions of nursing?
Part 3: Individual thoughts (Video 2)
Questions to answer post interview:
1. Which of the “historical” image periods of nursing does the interviewee’s perception most correctly match? Why? (Periods as described in the textbook). (Prehistoric Period, Middle Ages, Renaissance and the Reformation Period), The Colonial American Period, The Civil War Period, World War I and the 1920s, the Great Depression, World War II, Post World War II Period, Nursing in the 1960s, Nursing in the 1970s, Nursing in the 1980s, Nursing in the 1990s, Nursing in the 21st Century). (The one who will be interviewed for this is a 31-year-old female).
2. How does the lay individual’s perception match the reality of nursing as you know it?
3. What are the strengths and weaknesses of the lay perception for the nursing profession?
4. After reviewing your assigned readings, what is one way the image of nursing has changed throughout history?
5. How has art, literature and/or social media influenced the public’s view of the image of nursing?
Part 4: Reference Page
Strictly include peer-reviewed references no more than five years old (from 2019 to the present).
One of the references includes Contemporary Nursing by Barbara Cherry and Susan R. Jacob (9th edition), 2023.

Respond to the discussion with the following,
– An additional expectation or role of a DNP-prepared nurse that they did not mention
– An additional difference between the expectations and role of a practice nurse and a research nurse that they did not mention
Note: Your responses to colleagues should be substantial (250 words minimum), supported with scholarly evidence from your research and/or the Learning Resources, and properly cited using APA Style. Personal anecdotes are acceptable as part of a meaningful response but cannot stand alone as a response. Your responses should enrich the initial post by supporting and/or adding a fresh viewpoint and be constructive, enhancing the learning experience for all students.

Illness Narrative Paper: Total possible points: 20
The purpose of the illness narrative is to interview a person living with a chronic illness, research the illness, and compare the individual’s perspective of living with their chronic illness to research of the pathophysiology.
Paper Directions & Requirements:
Section 1: Introduction (1 paragraph)
• Introduce the client with basic demographics, i.e. age, gender, race. (Use initials to protect the identity of the client.)
• Identify the chronic disease the client is living with.
• Include a purpose statement that explains what the paper will cover.
Section 2: Research
• Succinctly and accurately describe the following topics related to the chronic illness using research: pathophysiology of your client’s chronic illness (1 page or less.) Etiology, pathogenesis, morphologic changes, clinical manifestations, diagnosis, and clinical course of their illness (approximately 1 paragraph each).
• Cite and paraphrase all research. Paraphrasing means rephrasing the words of an author, putting their thoughts in your own words. Paraphrased material must be cited.
! Choose a person to interview: Each student will interview a person of their choosing, who has a chronic illness, such a genetic disorder, cancer, diabetes, chronic obstructive pulmonary disease, chronic kidney disease, or heart problems. The client you chose to interview may NOT be a client in your clinical practicum or a classmate. You are expected to interview consenting adult friends, relatives, or neighbors.
! Answer the prompt completely:
Section 3: Compare/Contrast client illness to pathophysiology research
• Using information from your interview, compare/contrast the individual’s perspective of living with their chronic illness with your descriiption of the pathophysiology from your research.
• The narrative should seek to capture the individual’s perspective of living with their illness, with all of its emotional, psychological, spiritual, and physical components
Paper Directions & Requirements:
! Language Use: Good writing is important. APA style values writing that is clear and concise. Choose your words deliberately and precisely, construct your sentences carefully to eliminate unneeded words, and use grammar properly.
! References/Sources: Use two to three references which include your textbook as well as medical and/or nursing articles. Make sure to included ALL the sources that you cite within your paper on your reference page, but only sources that you have cited in the text of the paper.
! APA Formatting: Paper should be formatted in APA 7 Student edition. (See APA basics handout for detailed formatting information)
o BasicFormatting:Double-spacedocument,useTimesNewRoman12,place page numbers in the upper right corner indent the first line of each paragraph .5 inch
o Headings:Includethefollowinglevel1headingscenteredinbold: Pathophysiology, Etiology, Pathogenesis, Morphologic changes, Clinical manifestations, Diagnosis, Clinical course, Narrative Comparison
o IntextCitations:Citesourceswithinthebodyofyourpaper.
o Titlepage:Includeatitlepagewithalltherequiredinformation
o ReferencePage:Includeareferencepagewiththearticlereference
! Paper length: The paper should be 4-5 full pages (not including the title or reference pages).
! Submit your final paper: Submit hard copy of the paper stapled (do not use a binder clip) and also upload a copy to Blackboard. Due Date See syllabus
Resources for Support:
Grading:
! Tutoring: Utilize the tutors from the Writing House online (WHO) to review your draft prior to final submission as needed. Schedule a live tutoring session or request asynchronous written feedback on your paper via WHO’s scheduling system: www.mywco.com/WHO
! APA Formatting: Link to APA formatting on the WHO homepage. https://www.umb.edu/editor_uploads/files/cnhs_files/APA_7_Student_Edition.pdf
Papers will be graded on the quality of the writing, the salience of the interviewee’s story, accurate descriiptions of the pathophysiology of the interviewee’s chronic disease, your analysis of the interviewee’s story compared to what you expected it to be, and the scientific integrity of the content. Please see rubric on next page.
Illness Narrative Rubric
Section/ Points Criteria/ Points
Score Comments
Introduction
0-2 pts
Introduction of the patient and the illness
o Introduces client with clear and complete demographic information.
o Identifies and defines the illness the client is living with
o Presents clear purpose statement
Research
0-9 pts
Research topic areas
Research is accurate and succinct; paraphrased cited correctly in APA; and covers all the following topic areas:
o Pathophysiology
o Etiology
o Morphological changes o Clinical manifestations o Diagnosis
o Clinical course
o Pathogenesis
Narrative
0-5 pts
Descriiption of the individual’s perspective and comparison of pathophysiology
o Narrative compare/contrasts the individual’s perspective of living with their chronic illness to the descriiption of the pathophysiology from your research.
o The narrative captures the individual’s perspective of living with their illness, with all of its emotional, psychological, spiritual, and physical components
APA/Language
0-4
Grammar, sentence structure, and language use. APA formatting use.
o Sentences are clear, concise and error free.
o Information is paraphrased.
o APA format is followed.
o Uses designated headings.
o Title and references pages included
Total Points

Purpose:
This assignment focuses on the state of nursing education in the United States and the influence technology is having on nursing education and staff development. In Module 1 you will read about nursing education in the US; a variety of nursing competencies and standards; and the regulations and performance standards that influence nursing education at the federal, regional, and local levels. Since didactic education is not usually looked at separately, you can focus on nursing education in general. The goal is for you to illustrate the connections/relationships among the regulations, competencies, and standards of nursing education in higher education as well as the influence of technology on nursing education and staff development. You will be building a concept map or an infographic to illustrate these concepts and relationships.
Steps for Completion:
First, read all the required reading assignments in Module 1. Considering all of this information, create a concept map or infographic illustrating the relationships among regulations and standards, and the variables influencing didactic education in nursing education and staff development. Your concept map or infographic should illustrate connections/relationships among the following:
How nursing education can be impacted by federal regulators, and regional and program-level accreditors, and the applicable nursing competencies and standards.
How organizations that accredit higher education institutions and nursing education programs (CCNE and NLN CNEA) apply accreditation standards. In staff development, you may want to look at the impact of The Joint Commission or health care accreditors on nursing education.
How the current state of higher education positively and/or negatively influences nursing education and staff development, the development of evidence-based practices, and the need for resources (such as the need for qualified nurse educators).
You can differentiate the connections/relationships among the various concepts with different connectors, and/or illustrate different concepts with a variety of colors or shapes.
You may use one of the following programs to create your concept map:
https://www.mindmeister.comLinks to an external site.
https://www.mindmup.com/Links to an external site.
https://bubbl.us/Links to an external site.
http://popplet.com/Links to an external site.
https://www.easel.ly/Links to an external site.
PowerPoint (create a concept map on 1 PPT slide). You can revise/alter a PP poster template to create your concept map. You can download free templates at:
https://www.postersession.com/Links to an external site.
http://www.makesigns.com/Links to an external site.
https://www.genigraphics.com/Links to an external site.
You may use one of the following programs (or others) to create your infographic:
https://piktochart.com/Links to an external site.
https://venngage.com/Links to an external site.
https://infogram.com/Links to an external site.
PowerPoint – there are a number of templates available in the software

Week 10 Discussion Question(s)
Compare/contrast Probable Major Neurocognitive Disorder due to Alzheimer’s Disease with Probable Major Neurocognitive Disorder Due to Frontotemporal Lobar Degeneration; include the questions below in your discussion post.
Age-appropriate, culturally responsive, comprehensive assessment.
Description of postulated pathophysiologic mechanisms of the disorder- these should be linked to common symptoms observed in clients who present with this illness.
What behaviors on the client’s part (with either condition) would lead you to believe that they may be experiencing a psychiatric emergency?
Develop a general treatment plan for either disorder- what evidence-based psychotherapies would you plan to include? What evidence-based psychopharmacologic approaches (if any) would be appropriate?
Discuss any legal/ethical issues inherent in the care of the individual with this condition.
How would you know if the care of this client (either in an acute episode or chronic care) exceeded your clinical competence? How would you proceed with the client’s care in this case?
What other professionals would you consider including in the care/treatment of this client, and why?
Note: This discussion requires you to complete your initial post before you can see your classmates’ posts. If you are having trouble getting started, please contact your instructor.

the SOAP note assingment is a case study but with different guideline
please note that the file I provide as an example is just to help you know how to write, not to copy the same information,
HPI needs to be in the old carts way, and others need to be filled depending on the Diagnosis. also, there is 2 books as references i for diagnosis and differential diagnosis and medication also in patient teaching, in Harvard style.
the patient has uncontrolled hypertension and has been a heavy smoker for 36 years and has decided to start a cessation smoking program he is also on a special diet and exercise to lose weight while working in a telecom company married for 5 years and has 2 daughters.

It is the information for this care plan you will write and also, there is a file write on this paper
1. **Lab results and abnormalities**:
– There are several abnormal lab values, including elevated **troponin levels**, which are notable for potential cardiac issues, possibly indicating myocardial injury. Elevated troponin should be closely monitored.
– **Comprehensive chemistry panel** shows elevated glucose (125), elevated urea nitrogen (24), and other abnormal values like creatinine and sodium, which could suggest kidney involvement or dehydration.
– Elevated **white blood cell count** (12.5) indicating an inflammatory or infection process.
2. **Imaging and Physical Exam Findings**:
– The presence of a **fat-containing umbilical hernia** with fat necrosis is noted. This hernia is tender to the touch and non-reducible, which might require surgical consultation or urgent attention.
– There is also mention of **severe atherosclerotic disease** in the abdominal aorta and iliac arteries with stenosis, suggesting vascular involvement that needs ongoing cardiovascular monitoring.
3. **Risk Factors and Recommendations**:
– The patient is at risk for both **cardiac** (elevated troponin) and **vascular complications** (severe atherosclerosis).
– There is low suspicion for bowel obstruction but concern for **leukocytosis** likely tied to infection or inflammatory causes.
4. **Next steps**:
– Continuous monitoring of the elevated **troponin levels**.
– Referral to a vascular or general surgeon regarding the **umbilical hernia** with necrosis.
– Potential for further imaging to monitor the **atherosclerosis** and stenosis.
– Consideration of managing the elevated white cell count, possibly with antibiotics if an infection is suspected.
The care plan seems focused on addressing both the acute concerns related to troponin and the potential chronic issues with the hernia and atherosclerosis.
5. **Review of Systems and Physical Exam**:
– The patient has **periumbilical abdominal pain** noted in the gastrointestinal system, but denies any fever, chest pain, shortness of breath, or genitourinary symptoms.
– Vitals are stable, with temperature at 97.1°F, heart rate 73 bpm, blood pressure 128/75 mmHg, and oxygen saturation at 96%.
– The physical exam highlights a soft abdomen with tenderness, specifically around the area of the hernia. Cardiovascular and respiratory exams are unremarkable.
6. **Medical History**:
– This is a 90-year-old female patient who presented with abdominal pain, possibly related to a **ventral hernia** with potential incarceration or strangulation. She has a history of small bowel obstruction (SBO).
– The patient reports that the current episode of pain is different from previous experiences, indicating a change in her condition.
7. **Imaging and Lab Findings**:
– The results indicate **troponin I elevation** (seen in previous images), which suggests cardiac monitoring is necessary due to the potential for myocardial injury. However, her cardiac and pulmonary assessments in this visit are normal.
– **White blood cell count** (WBC) is elevated at 12.5, consistent with infection or inflammation. However, the trend of WBC over time should be monitored to assess whether an active infection or ongoing inflammation is present.
8. **Surgical Consultation and Hernia Management**:
– The patient has a **fat-containing umbilical hernia**, and there is a concern about potential strangulation or incarceration given her presentation of pain and tenderness.
– There is a note that the patient will be assessed for surgical intervention if necessary. Given her advanced age and other comorbidities, the surgical team will likely weigh risks and benefits carefully.
9. **Sepsis Risk**:
– The patient has a SOFA score of 1.9, which is low, indicating that she does not meet the criteria for sepsis but should still be monitored for signs of infection given her elevated WBC and history.
10. **Care Plan**:
– **Observation and monitoring**: Continuous monitoring of vital signs, abdominal pain, and hernia status, with possible imaging or intervention if her condition worsens.
– **Cardiac monitoring** due to elevated troponin levels, despite the lack of current chest pain.
– **Surgical evaluation** for the hernia if it becomes more concerning, or if signs of obstruction or strangulation appear.
– **Laboratory monitoring** to assess for changes in WBC count or other markers that might indicate an infection or worsening condition.
This care plan revolves around addressing the risks of the hernia, cardiac health, and ensuring that any potential infection is caught early. Given the patient’s age and complexity, the team is likely managing the balance between aggressive intervention and comfort measures.
11. **Functional and Mobility Assessments**:
– **Occupational Therapy (OT)** progress notes detail a focus on activities of daily living (ADLs) and mobility improvement. The patient requires minimal assistance (1 person assist) with transfers and bed mobility, using a walker for safety.
– **Balance and Strengthening**: The patient’s progress in standing balance and dynamic standing is being closely monitored. OT aims to increase her independence in performing grooming tasks and toileting with minimal assistance.
– The patient has shown progress, as her **balance and standing tolerance** have improved.
12. **Discharge Planning**:
– The patient’s care team is working towards placement in an **Assisted Living Facility (ALF)** due to her current functional needs.
– Discharge planning is evolving, with **case management** working on getting the required medical forms completed and submitted for placement. There’s active communication with facilities and the patient’s family about this transition.
– The patient is concerned about missing bills, indicating ongoing social and financial concerns that the team is addressing.
13. **Goals and Outcomes**:
– The patient’s **goals** include achieving independence in toileting, grooming, and mobility over the next 7 days. There is a specific goal for her to be able to stand and transfer with minimal assistance, and to use her walker with increased safety.
– Some goals have already been met, like performing standing activities for 3-8 minutes and standing balance with supervision.
14. **Continued Monitoring and Safety**:
– **Fall risk** remains a significant concern, with safety measures such as assisted walking and bed alarms in place.
– Ongoing monitoring of her hernia, pain management, and cardiac status are also part of her care.
In conclusion, the care plan is comprehensive, focusing on increasing the patient’s independence through therapy, while managing her hernia and other health concerns. Discharge to an ALF is the goal once she achieves enough functional improvement.

The purpose of this assignment is to examine health care data on hospital-associated infections and determine the best methods for presenting the data to stakeholders. Use the scenario below and the “Hospital Associated Infections Data” Excel spreadsheet to complete the assignment.
Scenario
You have been tasked with displaying Centers for Medicare and Medicaid Services (CMS) hospital quality measures data for a 5-year period on four quality measures at your site. After examining the data, identify trends and determine the best way to present the actionable information to stakeholders.
Assignment
Create a 12-15-slide PowerPoint (not including title and reference slides) presenting the data to the stakeholders. Address the following in your PowerPoint:
What conclusions can be drawn for each quality measure over the 5-year period?
What trends do you see for each quality measure over the 5-year period?
When comparing each quality measure, is the quality measure better than, worse than, or no different from the national benchmark over time?
Based on your examination of the data, which of the quality measures should you prioritize and why?
Develop a quality improvement metric and related measures to improve care processes, outcomes, and the patient experience relating to the identified area of opportunity.
Explain how you would monitor the metric and use collected data for improvement.
Include a title slide, references slide, and comprehensive speaker notes.
Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.
Use a minimum of two peer-reviewed, scholarly sources as evidence.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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 not required to submit this assignment to LopesWrite.
Benchmark Information
This benchmark assignment assesses the following programmatic competency:
MSN Leadership in Health Care Systems
6.6: Develop and monitor continuous quality improvement metrics and measures to improve care processes, outcomes, and the patient experience.

1st Assignment with at least 100 words and 3 Reference
Identify at least two stakeholder agency reporting sources. How do these external reporting groups contribute to or hinder CQI?
2nd assignment with at least 100 words and 3 Reference
You are going to present data that have been collected to your administrative group. The focus is on outcome measures and the data collected are unplanned readmission rates at two different hospitals. What format would you choose to display your data and why? What information would you include with the data?