Category: Nursing

You are a new FNP in a restricted state and have your DEA license, and state furnishing for schedule II-V controlled substances. You are working at a busy family practice group, and you have a patient, SP, that is establishing care for the first time with your practice and comes to you with the following scenario:
• SP is a 54 y.o. Hispanic female with hx of chronic shoulder and back pain that began 10 years ago when she was in a boating accident.
• She lives in both US and Mexico, making regular visits across the border. Lately, she has stayed in the US due to Covid border crossing constraints, living with her daughter’s family.
• She had rotator cuff surgery in 2011 and reports to you that due to a long operation and poor positioning, she has suffered from not only pain, but also chronic numbness and tingling in her R shoulder.
• As “la abuela” (grandma), she is the primary caregiver of the children and homemaker for her family. Her pain is exacerbated with housework, and especially with the prolonged carrying of her grandchildren; one of which is 10 month.
• Currently, her med list is as follows
o Losartan 50 mg BID for HTN
o Gabapentin 300 mg po BID for pain
o Atorvastatin 40 mg daily for cholesterol
o Diazepam 5 mg po up to TID prn pain
o Norco 5/325 mg – takes up to two, sometimes up to 4-5x a day, prn pain
• She is a smoker, only smokes outside the house, and drinks 2-3 cans of beer on the weekends, but more on family celebrations.
• She denies recreational drugs and denies past overdoses.
• She has recently moved to CA more permanently to stay to take care of children during Covid/school closures.
• She asks you to refill all her meds for 6 months, like her doctor in Mexico did, so she doesn’t have to make another co-pay and come back and see you so often. It’s hard for her to get an appointment, and with Covid, her daughter has to take off of work to watch the kids so that she can come to you by bus (since there is only one family car).
• Here VS are 135/75, 80, 97.5, 20 and PE unremarkable other than R shoulder exam with pain with ROM, but full ROM, no tenderness, otherwise normal, back exam including SLR are normal/neg
Describe your approach with this patient. In your response, include the following:
• What concerns do you have about her current regimen, and what alternatives will you discuss and offer? What other screenings might you apply? What are your own ethical standards on this case that you might consider in addition to legal standards?
• Provide a sample of an appropriate pain contract that would suit this patient and address her specific safety concerns (cite it and attach the actual contract you found – you do not have to make your own – there are plenty online).
• Include your steps to ensure safe prescribing. Include the registry you will search prior to any prescribing; name the CA registry, and also NJ registry.
• If you were to keep her current list, what are the laws surrounding refills and the amounts you are allowed to dispense with the schedule II and III medications in the state of CA and NJ.
• Which medications on her list may you call into the pharmacy, and which would you need a written scriipt or electronic order? What are some elements required to include on the prescriiption form (paper or electronic signature) for the scheduled medications?
• After you prescribe, how, when, and where would you (or your staff) go about making a report of your scheduled prescriiption in the state registry so that other prescribers and pharmacies could be aware?
• In restricted states, APRN prescribers must follow a standardized procedure or protocol for furnishing schedule II and III controlled substances with a patient-specific approach. Please outline the minimum required components of a protocol. You may outline this in bullet form. Alternatively, you may find an appropriate protocol, clinical guideline, or standardized procedure from a literature search and attach it in lieu of outlining your own protocol.
References should be APA format and within 5 years.

In your PowerPoint you must include information about the disorder, including the inheritance pattern, etiology, pathophysiology, signs and symptoms, treatment, prognosis and references.

I attached the documents. You can used as many references as needed, no older than 5 years.
thank you

Prepare a 2 page interprofessional staff update on HIPAA and appropriate social media use in health care.
Important:
Citations and references: Provide a separate reference page that includes 2–3 current, peer-reviewed and 1–2 current, non-peer-reviewed in-text citations and references (total of 3–5 resources) that support the staff update’s content. Current means no older than 5 years.
Please see attached instructions.
Scenario
In this assessment, imagine you are a nurse in one of the health care settings described in the following resource:
• Assessment 02 Supplement: Protected Health Information [PDF]Download Assessment 02 Supplement: Protected Health Information [PDF]
Before your shift begins, you scroll through Facebook and notice that a coworker has posted a photo of herself and a patient on Facebook and described how happy she is that her patient is making great progress. You have recently completed your annual continuing education requirements at work and realize this is a breach of your organization’s social media policy. Your organization requires employees to immediately report such breaches to the privacy officer to ensure the post is removed immediately and that the nurse responsible receives appropriate corrective action.
You follow appropriate organizational protocols and report the breach to the privacy officer. The privacy officer takes swift action to remove the post. Due to the severity of the breach, the organization terminates the nurse.
Based on this incident’s severity, your organization has established a task force with two main goals:
• Educate staff on HIPAA and appropriate social media use in health care.
• Prevent confidentiality, security, and privacy breaches.
The task force has been charged with creating a series of interprofessional staff updates on the following topics:
• Social media best practices.
• What not to do: Social media.
• Social media risks to patient information.
• Steps to take if a breach occurs.
Instructions
First, select one of the health care settings described in the following resource:
• Assessment 02 Supplement: Protected Health Information [PDF]Download Assessment 02 Supplement: Protected Health Information [PDF]
As a nurse in this setting, you are asked to create the content for a staff update containing a maximum of two content pages that address one or more of these topics:
• Social media best practices.
• What not to do: social media.
• Social media risks to patient information.
• Steps to take if a breach occurs.
This assessment is not a traditional essay. It is a staff educational update about PHI. Consider creating a flyer, pamphlet, or one PowerPoint slide (not an entire presentation). Remember it should not be more than two pages (excluding a title and a reference page).
The task force has asked team members assigned to the topics to include the following content in their updates in addition to content on their selected topics:
• What is protected health information (PHI)?
o Be sure to include essential HIPAA information.
• What are privacy, security, and confidentiality?
o Define and provide examples of privacy, security, and confidentiality concerns related to the use of technology in health care.
o Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.
• What evidence relating to social media usage and PHI do interprofessional team members need to be aware of? For example:
o What are some examples of nurses being terminated for inappropriate social media use in the United States?
o What types of sanctions have health care organizations imposed on interdisciplinary team members who have violated social media policies?
o What have been the financial penalties assessed against health care organizations for inappropriate social media use?
o What evidence-based strategies have health care organizations employed to prevent or reduce confidentiality, privacy, and security breaches, particularly related to social media usage?
Notes
• Your staff update is limited to two double-spaced content pages. Be selective about the content you choose to include in your update so you can meet the page length requirement. Include need-to-know information. Omit nice-to-know information.
• Many times people do not read staff updates, do not read them carefully, or do not read them to the end. Ensure your staff update piques staff members’ interest, highlights key points, and is easy to read. Avoid overcrowding the update with too much content.
• Also, supply a separate reference page that includes two or three peer-reviewed and one or two non-peer-reviewed resources (for a total of 3–5 resources) to support the staff update content.

Select ONE electrolyte from the list. Using references that you may already have identified, indicate conditions caused by too much or too little of that electrolyte. List: PotassiumSodiumCalciumMagnesiumPhosphorusUSE BRIEF BULLET POINTS.Include:•An APA style title page,•The Electrolyte Form (provided) •Including at least 1 in-text citation (authors last name, publication year) For example (Story, 2020)•an APA style Reference page.Alphabetical order No more than 5 years oldScholarly references- no .org, .com, .gov, or .eduComplete the attached table, with the following information for the electrolyte you selected.•Normal range of the lab value •Causes of excess (hyper) and deficiency (hypo)•Signs and symptoms of excess (hyper) and deficiency (hypo)Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a Reference page using APA format.You can find useful reference materials for this assignment, such as a lab values book, in the School of Nursing guide: https://guides.rasmussen.edu/nursing/referenceebooksHave questions about APA? Visit the online APA guide: https://guides.rasmussen.edu/apa

For this assignment, please review the Case Scenario on page 112 and Case Scenario 1 on page 131 (Kersey-Matusiak, 2019). Reflect on your attitudes, beliefs, and practices as they apply to each case scenario. This assignment requires you to address your personal feelings about culturally and linguistically appropriate service and care for the terminally ill. Remember, answer these questions from your unique perspective, so there is no right or wrong response. You must address each problem.
For this assignment, create a 1250-1500-word essay based on the following case studies.
Read the following two Case Studies and answer the questions presented below.
1. Case Scenario: Mrs. Garcia is located in Chapter 6 on page 112.
Questions:
• Where are you on the Cultural Competency Staircase regarding this patient’s language and culture? How will you progress to the next level? (Review Chapter 1 and the Staircase Model).
• What knowledge do you need to have about this patient, including cultural/language needs, to provide this patient with culturally sensitive care?
• What would you personally do to address the needs of this patient?
• What resources do you need, and how would you obtain them?
• What cultural assessment model would you plan to use to assess this patient?
2. Case Scenario 1: Ms. Vera Talsford located in Chapter 7 page 131
Questions:
• Have you considered the significance of your death?
• Do you believe in life after death?
• Where are you on the Cultural Competency Staircase when caring for patients who are terminally ill? How will you progress to the next level?
• How comfortable are you caring for this patient and discussing issues related to her and her family’s death and dying process?
• What cultural information about the patient will you need to obtain culturally sensitive care during the EOL?
• What kinds of psychological, emotional, and spiritual support would you need if given a similar diagnosis?

Non-Research Article Summary
Provide a comprehensive summary of the article. For non-research, the summary should provide a summary of the type of article. Include the purpose of the non-research article and summarize the content and information provided in the published literature. Also, include how this particular article answers your PICO question. Do NOT use direct quotations from references.
PICO Question
In hospitalized adults with COPD, how does the implementation of an additional discharge intervention, such as an action plan or care bundle effect emergency room visits compared to the usual standard of care?

Provide a comprehensive summary of the article. For research, this would include the type of article, sample information, methods, data collected, and results. Also, include how this particular article answers your PICO question. Do NOT use direct quotations from references.
PICO Question
In hospitalized adults with COPD, how does the implementation of an additional discharge intervention, such as an action plan or care bundle effect emergency room visits compared to the usual standard of care?
Note: pls. avoid Plagiarism

You are a new FNP in a restricted state and have your DEA license, and state furnishing for schedule II-V controlled substances. You are working at a busy family practice group, and you have a patient, SP, that is establishing care for the first time with your practice and comes to you with the following scenario:
• SP is a 54 y.o. Hispanic female with hx of chronic shoulder and back pain that began 10 years ago when she was in a boating accident.
• She lives in both US and Mexico, making regular visits across the border. Lately, she has stayed in the US due to Covid border crossing constraints, living with her daughter’s family.
• She had rotator cuff surgery in 2011 and reports to you that due to a long operation and poor positioning, she has suffered from not only pain, but also chronic numbness and tingling in her R shoulder.
• As “la abuela” (grandma), she is the primary caregiver of the children and homemaker for her family. Her pain is exacerbated with housework, and especially with the prolonged carrying of her grandchildren; one of which is 10 month.
• Currently, her med list is as follows
o Losartan 50 mg BID for HTN
o Gabapentin 300 mg po BID for pain
o Atorvastatin 40 mg daily for cholesterol
o Diazepam 5 mg po up to TID prn pain
o Norco 5/325 mg – takes up to two, sometimes up to 4-5x a day, prn pain
• She is a smoker, only smokes outside the house, and drinks 2-3 cans of beer on the weekends, but more on family celebrations.
• She denies recreational drugs and denies past overdoses.
• She has recently moved to CA more permanently to stay to take care of children during Covid/school closures.
• She asks you to refill all her meds for 6 months, like her doctor in Mexico did, so she doesn’t have to make another co-pay and come back and see you so often. It’s hard for her to get an appointment, and with Covid, her daughter has to take off of work to watch the kids so that she can come to you by bus (since there is only one family car).
• Here VS are 135/75, 80, 97.5, 20 and PE unremarkable other than R shoulder exam with pain with ROM, but full ROM, no tenderness, otherwise normal, back exam including SLR are normal/neg
Describe your approach with this patient. In your response, include the following:
• What concerns do you have about her current regimen, and what alternatives will you discuss and offer? What other screenings might you apply? What are your own ethical standards on this case that you might consider in addition to legal standards?
• Provide a sample of an appropriate pain contract that would suit this patient and address her specific safety concerns (cite it and attach the actual contract you found – you do not have to make your own – there are plenty online).
• Include your steps to ensure safe prescribing. Include the registry you will search prior to any prescribing; name the CA registry, and also NJ registry.
• If you were to keep her current list, what are the laws surrounding refills and the amounts you are allowed to dispense with the schedule II and III medications in the state of CA and NJ.
• Which medications on her list may you call into the pharmacy, and which would you need a written scriipt or electronic order? What are some elements required to include on the prescriiption form (paper or electronic signature) for the scheduled medications?
• After you prescribe, how, when, and where would you (or your staff) go about making a report of your scheduled prescriiption in the state registry so that other prescribers and pharmacies could be aware?
• In restricted states, APRN prescribers must follow a standardized procedure or protocol for furnishing schedule II and III controlled substances with a patient-specific approach. Please outline the minimum required components of a protocol. You may outline this in bullet form. Alternatively, you may find an appropriate protocol, clinical guideline, or standardized procedure from a literature search and attach it in lieu of outlining your own protocol.
References should be APA format and within 5 years.

I attached the documents. You can used as many references as needed, no older than 5 years.
thank you