Week 10 Discussion Comment

Comment using your own words but please provide at least one reference for each comment.

Do a half page for discussion #1 and another half page for discussion #2 for a total of one page.

Provide the comment for each discussion separate.

 
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Week 10 Discussion Comment 19478379

Comment using your own words but please provide at least one reference for each comment.

Do a half page for discussion #1 and another half page for discussion #2 for a total of one page.

Provide the comment for each discussion separate.

 
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Week 10 Discussion 19474479

The patient present to the clinic complaining of a headache that started 10 years ago but has gotten worse in the past month. Explain why it is important that the nurse practitioner DO NOT missed to ask the patient these two questions.

One missed question is whether the patient has been having headaches and the related warning symptoms prior to the headaches?

A second missed question was asking whether the patient had had any medication change, a change that could result in headaches.

Provide references

 
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Week 2 1 Nr 532

respond 

 

As the nurse executive in an acute care hospital, I welcome collaboration among advanced practice nurses (APN) and the clinical staff for many reasons. Advanced practice nurses can take on acute services, be readily available and in all honesty are far more approachable, accessible and can provide a sense of trust into our patient population when being compared to a PGYI or newer medical student. Often times our medical residents or surgical residents lack empathy and lack a collaborative effort that makes our admissions and discharges flow in less than desired manner. As a whole, the unit gravitates toward reaching out to the APRN for effective communication when placed in a position to communicate between families, patients and our medical teams.

         An organizational chart could absolutely be utilized to enhance and improve collaborative communication and facilitate trust among different departments through reflexivity. From the article Margaret Archer, Modes of Reflexivity: The Structured Agency of Nursing Action, communicative reflexivity is said to be our inner conversations which required confirmation and communication with others before we act. A nurse who predominantly uses communicative reflexivity will consider what their peers are thinking and will want to act in such a way as to fit in (Goodman, 2017). Although the nursing profession especially as a clinical provider we tend to use our professional critical thinking skills and act on our best nursing judgement, we tend to disconnect from our peers and resources such as the APNs to confirm our actions before we act. Although working together as a team is essential for the unit to function properly in crisis situations, I often times see nurses perform on “auto-pilot”, working independently without collaborative efforts that could be in the best interest of our patient population. Facilitating collaboration between available APNs and clinical staff is essential to improving patient outcomes and building a higher self-esteem among staff. Being validated that our critical thinking, assumptions and interventions are correct from someone with higher level education can be very empowering.

 
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Week 12

Read chapter 26 and 27 review the attached Power Point presentations.  Read content of chapter 26 and 27 in Davis Plus Online Website.  Once done answer the following questions;

1.  Mention and discuss the health care beliefs of the Baltic and Brazilian heritage.

2.  Discuss and give at least 2 examples of the care beliefs of these two culture.

Present your assignment in an APA format 12 Arial font word document. A minimum of 3 evidence based references NO OLDER THAN 5 years are required. A minimum of 500 words without count the first and last page are required.

 
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Week 2 1 505

  

This assignment provides the opportunity for the student to continue work on a previously identified area or phenomenon of interest related to their MSN specialty track. Week Two’s assignment builds upon the identified area of interest by developing an overview of the evidence-based practice (EBP) project and the PCIOT/PICo question.  This assignment initiates the evidence-based practice proposal that is continued throughout the entire course with each assignment adding components of the research process. 

 
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Week 12 Chapter 44

  

A group of student nurses have been asked to do a conference on the importance of the gastrointestinal system. They open their presentation with the following statement: “As nurses, we spend every day, as part of our routine assessment, asking patients whether they have moved their bowels today. We are not asking just for the sake of asking, as this normal bodily function hinges on many factors.”

a.            What concepts of gastrointestinal function do you believe the students are trying to portray in relation to this statement?

 
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Week 2 1 2

Comment in this .

 

For this assignment I have chosen to use a qualitative research analysis. This approach is best for my area of interest because the PICo question will be answered with patient’s personal life experiences, views, and opinions. The PICo question I have created asks, “In sickle cell patient’s experiences(P) how effective are non-opioid medications and non-pharmacological interventions compared to opioid medications (I) in decreasing sickle cell disease pain (Co)?” My practice questions seeks to find best practices for managing pain in patients with sickle cell disease. Currently in the 

 
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Week 2 1 1 505

Comment in this : 

 

I will be using a quantitative approach for my evidence-based proposal. I believe that this approach will  best choice in identifying the needed information and measuring the strengths and preferences of my research that may suggest a result or will need further investigation. It will allow me to measure and explore the relationship between the variables in my study.

P- patients with renal disease

I- patient teaching and education

C- renal patients with no education on self-management and lifestyle change versus no education

O- improved renal associated laboratory levels over a 6-month period

 
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Week 16

Select 1 scholarly practice-based articles related to nursing theory and dated within the past 5 years, 2014 until current. Do not select a non-practice based article. Then analyze the article, be sure to address the following for the selected article: 

PART 1:  

Summarize purpose of the article/research study                          

Description of theoretical concepts identified in article                   

Description of how are concepts measured in article                    

Describe implications of findings in support of the theory             

PART 2: Complete only after addressing the above Part 1

Write a 1 paragraph description (minimum 300 words) analyzing how the selected theory can be used in advanced nursing practice. Be specific, including what outcomes (for patient as well as the nurse practitioner) you might expect. 

 
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