After reading Chapter 1 and reviewing the lecture power point (located in lectures tab),  please answer the following questions.  Each question must have at least 3 paragraphs and you must use at 3 least references included in your post.

Additionally, you are expected to reply  to two other students and include a reference that justifies your post.  Your reply must be at least 3 paragraphs.

Chapter 1

1.  After reading Chapter 1,  do you think Florence Nightingale is relevant in the 21 st century to the nursing profession?  Why or why not?

2.  What do you think would be the response of historical nursing leaders such as Florence Nightingale, Lillian Wald, and Mary Breckenridge if they could see what the profession of nursing looks like today?

The max points awarded for a discussion board are 10 points. 

The breakdown is as follows:

5 points are awarded for two complete replies to other students that include 3 full paragraphs and a APA style reference

5 points are awarded for full answering all questions posted, 3 full paragraphs for each question and 3 APA style references on the post

Meeting above expectations totals 10 points.  Points will be deducted for grammatical errors and APA deviations.

Here is another student post that a have to replay. 

 Nursing Role 1. Is Florence Nightingale r elevant in the 21 st century nursing p rofession? Florence Nightingale is noted as the first theorists of nursing as well as the founder of contemporary nursing thus her concepts are applicable to date. Nightingale affirmed that nursing is distinct from medicine as it is entirely based on care. Similarly, modern nurses are exposed to specific t raining and education that is different from physicians. Apart from this, today ’s nurses view nursing as a science and a n art. This was one of Nightingale’s assumption in her environmental theory. Further, the theor ist’s documents has her philosophical beliefs and assumptions concerning all elements in the vast nursing paradigms such as the essential role of nurses, importance of personal hygiene , cleanliness of the household environment , and general sanitary . Most o f her canons are cherished across the globe by modern nurses of today . 2. What would be the response of historical nursing leaders if they could see how the profession of nursing looks like today? Historical nursing leaders would be overwhelmed with the modern nursing profes sion. There were a few notable nursing schools in the past but more institutions have mushroomed since. Relatively, there are numerous extensive nursing training programs today which play a pivotal role in enhancing the skills of conte mporary care give rs. Also, modern institutions 

 

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 1.Discuss the difference between a DNP and a PhD in nursing. Discuss which of these you would choose to pursue if you decide to continue your education to the doctoral level and explain why (1-2 paragraph)

2. Discuss how functional patterns help a nurse understand the current and past state of health for a patient. Using a condition or disease associated with an elimination complexity, provide an example (1-2 paragraph)

Want to be completed in the next 6-12 hours. Thank you

 

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Part 1 – Assignment Brief:

1. Produce a critical and evaluative essay on service user involvement. 

2. Reference should be made to theoretical concepts of service user involvement, with a critical evaluation of its impact on delivery/development of care services.

3. Articulate the person-centred approach in health and social care and critically appraise its importance for service providers. 

4. Make links with and critically analyse themes/theory of power and empowerment throughout this essay.

In addition, the marking tutor will be looking for evidence of the following:

· Does the essay cover the main points of the topic logically?

· Is the essay presented in an appropriate context?

· Is the essay coherent and well-structured?

· Is there evidence of personal research in relation to the topic beyond material covered in class?

· Is there evidence of understanding of the topic?

Part 2:

  

Assessment Number 

2

 

Assessment Type (and weighting)

15-20 mins Oral assessment –   Presentation (30%)

 

Assessment Name

Person Centred Approach – A Case Study

 

Assessment Submission Date

Printed and   electronic copy of presentation submitted to tutor on day

Learning Outcomes Assessed: 

  

LO4: Recommend, justify and   discuss appropriate strategies to implement a 

person centred approach with reference to a specific experience / case    

study

Part 2 – Assignment Brief:

Please use the oral assessment format provided for the development of your case study 

Presentation

1. You are required to deliver a presentation using a specific experience or case

study

2. You are required to collate and analyse information from scholarly and non

scholarly materials

Your presentation will address the following criteria:

• Introduce your case study

• Justify why it is important to implement a person centred approach in case of interest interest

• Discuss approach service user involvement strategies that relate and underpin the identified case study

• Consider the recommendations for practice, for a person centred approach, relevant to case study

• Draw some conclusions

 

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In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

Abdominal Assessment

SUBJECTIVE:

· CC: “My stomach hurts, I have diarrhea and nothing seems to help.”

· HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.

· PMH: HTN, Diabetes, hx of GI bleed 4 years ago

· Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs

· Allergies: NKDA

· FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD

· Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

OBJECTIVE:

· VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs

· Heart: RRR, no murmurs

· Lungs: CTA, chest wall symmetrical

· Skin: Intact without lesions, no urticaria

· Abd: soft, hyperctive bowel sounds, pos pain in the LLQ

· Diagnostics: None

ASSESSMENT:

· Left lower quadrant pain

· Gastroenteritis

· PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

To prepare:

With regard to the SOAP note case study provided:

· Review this week’s Learning Resources, and consider the insights they provide about the case study.

· Consider what history would be necessary to collect from the patient in the case study.

· Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

· Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

To complete:

1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.

2. Analyze the objective portion of the note. List additional information that should be included in the documentation.

3. Is the assessment supported by the subjective and objective information? Why or Why not?

4. What diagnostic tests would be appropriate for this case and how would the results be used to make a diagnosis?

Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature 

 

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Please In 2-3 paragraph respond to this post : 

A Walk Through The Steps of a Nursing Research Study-2.docx 

What have you learned and will it make a difference?

In my welcome letter to you, I indicated that every class should change your thinking about the focus of the class. Again read the provided ” A Walk Through The Steps of a Nursing Research Study”.  This is the same document you were provided during Week 1. Has your ability to read with understanding changed? Briefly share your thoughts regarding this experience. In this discussion forum  from a “qualitative approach” briefly reflect on what you have learned about nursing research, evidence based nursing and its impact on you as a professional nurse earning a baccalaureate degree in nursing.  From a “quantitative approach”, reflect on your response to the scale of your reading and understanding of nursing research you identified in week 1. How has it changed? What activities most contributed to your enhanced knowledge base?  

Additionally, I would like you to discuss your preparedness to respond to the Institute of Medicine’s mandate that “Participants have set a goal that, by the year 2020, 90 percent of clinical decisions will be supported by accurate, timely, and up-to-date clinical information, and will reflect the best available evidence* (IOM, 2007).   What strategies can you personally implement to address this mandate on a personal/professional level beyond obtaining your baccalaureate degree in nursing? What is the state of your employing institution (no need to name your institution-just identify if it is an acute care setting, long term setting etc) in addressing this mandate since it was initiated in 2007 and with only 1 year left?  Will your employing institution meet the mandate? Initiate a discussion regarding this mandate with a managerial/administrative/ person in your employing institution to gain their perspective on evidence based practice. Here is a website that you can select to review to gain information on this directive. If possible, informally ask some of your nursing colleagues if they are aware of the mandate. What challenges do you foresee to the implementation of evidence-based nursing practice in your workplace?

http://www.ncbi.nlm.nih.gov/books/NBK52821/

Lastly, discuss how you would identify the “best available evidence” and what is the  significance of “Level of Evidence” as it relates to evidence that informs your nursing practice. 

It is expected in this forum that you use/implement the appropriate nursing research terminology. Hint: consider your words like research, prove etc. 

Also my initial respond about level of understanding of  article”A Walk Through The Steps of a Nursing Research Study-“from week 1 was: 

“I read the document ” A Walk Through The Steps of a Nursing Research Study”, my comfort level in reading and understanding this document was satisfying me since I got all explanation very organized and well formated that made it easy to read and get the idea.My knowledge base of nursing and all types of researches was my effective tool to understand most of the document. From quantitative approach I can rate my comfort level 8 out of 10, which I am still happy to this level of understanding.”

Now by the end of this course is expected that my level of understanding increased, so you know how to answer this question compare to my initial post from first week.

 

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