Week 7 Discussion

This week you have learned about common Dermatology disorders in the Adult and Geriatric patient. For the purpose of this discussion please answer the following questions on herpes zoster. 

  • Common Signs and symptoms seen
  • Screening assessment tools
  • Recommended diagnostic tests (if any)
  • Treatment plans both pharmacologic and non-pharmacologic based on current clinical practice guidelines

Please use spa style reference and use articles no later then five years ago 

Skills 6552

Using the Clinical Skills and Procedures Self-Assessment Form:

    • Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form.
    • Based on your ratings, summarize your strengths and opportunities for improvement.
    • Based on your self-assessment and theory of nursing practice, develop 3–4 goals and objectives for this practicum experience. Include them on the designated area of the form. Note: You will refer to these goals and objectives in your Practicum Experience Plan (PEP) in which you will refine and finalize them for submission.
    • Review your FNP or AGPCNP Clinical Skills and Procedures Self-Assessment Form you submitted for your Week 1 Assignment 2 and think about areas for which you would like to gain application-level experience and/or continued growth as a nurse educator. How can your experiences in the practicum help you achieve these aims?  This is your opportunity to refine and finalize your goals and objectives for your practicum experience.
    • Review the information related to developing objectives provided in this week’s Learning Resources.  Your practicum learning objectives that you want to achieve during your practicum experience must be:
      • Specific
      • Measurable
      • Attainable
      • Results focused
      • Time bound
      • Reflective of the higher order domains of Bloom’s taxonomy (i.e., Application level and above)

Note: Please make sure your objectives are outlined in your Professional Experience Plan (PEP).

      • Discuss your professional aims and your proposed practicum objectives with your Practicum Preceptor to ascertain if the necessary resources are available at your practicum site.

Assignment:

Record the required information in each area of the Practicum Experience Plan, including 3-4 practicum learning objectives you will use to facilitate your learning during the Practicum experience.

Organization

  • One thing in life we cannot control is nature….
    • What would your organization do if there was a natural disaster that destroyed electrical lines and internet servers?
    • How would you take care of your patients if you could not access the EMR (Electronic medical record) for a week or more?
    • What recommendations can you make for improvement?
    • Initial is 400 words

** make up Reply to at least two of your peers with additional evidence-based recommendations for improvement. Reply 2 students, 200 words each

MATERNAL_CONCPET MAP_Gastroenteritis.

[Type here]

 

Rasmussen College

 

 

 

Be sure all outside sources are cited using current APA style.

Write from nursing perspective

In text citation

Three references

Used the medical diagnosis ( Gastroenteritis) by giving their pathophysiology, causes, risk factors, signs and symptom/clinical, complication, and treatment and fill all the concept map below

 

 

 

Medications: List all medications, dosages, classifications and the rational for the medications prescribed for this patient include major considerations for administration and the possible negative outcomes associated with this medication.

DEFINE 1: What the medications does to the body to the cellular level AND 2: Why the patient is taking the medication?

Medication/dose Classification Indication/ Rationale SE’s/Nursing Considerations Client Education Text Reference

 

Normal Saline 400 mL (20mL/kg)

         
 

D5½ NS IV at 62mL/hr

         
 

 

         
 

 

         
 

 

         
 

 

         

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CON CEPT MAP

Pathophysiology – (to the cellular level)

Medical Diagnosis

Gastroenteritis

Signs & Symptoms/Clinical Manifestations (all data subjective and objective: labs, radiology, all diagnostic studies) (What symptoms does your client present with?)

Complications

Treatment (Medical, medications, intervention and supportive)

Causes/Risk Factors (chemical, environmental, psychological, physiological and genetic)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nursing Diagnosis

Problem statement: (NANDA)

 

Related to: (What is happening in the body to cause the issue?)

 

Manifested by: (Specific symptoms)

 

 

 

 

 

 

. Fill out LAB Chart in its entirety

LAB Normal

Range

Critical

Value

Value Clinical Significance: Nursing Assessments/Interventions Required:
HEMATOLOGY

 

         
CBC          
WB          
RBC          
HGB          
HCT          
PLATLETS          
DIFF:          
Polys          
Bands          
Lymphs          
Mono’s          
Eosin          
CHEM 7

 

         
Glucose          
Chloride          
Sodium          
Potassium          
BUN          
Creatinine          
CO2          
 

URINALYSIS

 

 

 

 

 

 

 

 

 
Color          
Clarity          
Sp. Gravity          
pH          
Protein          
Glucose          
Ketones          
Bilirubin          
Occ. Blood          
Urobilogen          
WBC          
RBC          
Epithelia          
WBC          
RBC          
Epith Cell          
Bacteria          
Hyal Cast          
Gran Cast          
Leukocytes          
Nitrite          
STOOL O+P+

Culture

         
Giardia          
Cryptosporidium          
Entamoeba histolytica          

 

 

 

 

 

 

 

 

 

REMEMBER THAT THE EXPECTED OUTCOMES MUST BE MEASURABLE. THE INTERVENTIONS ARE WHAT YOU DO TO ASSURE THE OUTCOME AND THE CLIENT’S RESPONSE IS SPECIFICALLY HIS RESPONSE.

PLAN OF CARE: Use your top two priorities

NANDA NURSING DIAGNOSIS use NANDA definition Expected outcomes of care (Goals) Interventions Patient response Goal evaluation
NRS DX:

Problem Statement:

 

 

 

 

 

 

 

 

R/T: (What is the cause of the symptom)

 

 

 

 

 

 

 

 

Manifested by: (Specific symptoms)

 

 

 

 

 

 

 

 

 

Short term goal : Create a SMART goal that relates to hospital stay/shift/day.

 

 

 

 

 

 

 

 

 

 

 

 

Long term goal : Create a SMART goal that is appropriate for discharge.

 

This is specific to the patient that you are caring for. A list of planned actions that will assist the patient to achieve the desired goal. (i.e. obtain foods that the patient can eat/ likes)

 

Interventions for short-term goal:

1.

2.

3.

 

 

 

 

Interventions for longterm goal:

1.

2.

3.

 

 

Identify what the patients response or “outcome is to the goal or care that you have provided. i.e. patient ate 45% of lunch)

 

 

 

Reassess for short-term goal:

1.

2.

3.

 

 

 

 

 

Reassess for long-term goal:

1.

2.

3.

 

Was it met or not met there is no partially met.
NANDA NURSING DIAGNOSIS use NANDA definition Expected outcomes of care (Goals) Interventions Patient response Goal evaluation
NRS DX:

Problem Statement:

 

 

 

 

 

 

 

 

R/T: (What is the cause of the symptom?)

 

 

 

 

 

 

 

 

 

 

Manifested by: (specific symptoms)

 

 

 

 

 

Short term goal: Create a SMART goal that relates to hospital stay.

Long term goal: Create a SMART goal that is appropriate for discharge.

 

This is specific to the patient that you are caring for. A list of planned actions that will assist the patient to achieve the desired goal. (i.e. obtain foods that the patient can eat/ likes)

 

 

Identify what the patients response or “outcome is to the goal or care that you have provided. i.e. patient ate 45% of lunch) Was it met or not met there is no partially met.

 

 

 

 

Pilot Summer 2016 KC 9

CBT Techniques For Panic Disorder

You see a client who has the diagnosis, Panic disorder. The client exhibits the following emotional responses: anxiety, fear, and terror, as well as the following behavioral responses: hypervigilance and avoidance. Describe the various  Cognitive-behavioral therapy (CBT) techniques you can employ to address both the client’s emotional and behavioral responses.

Instructions:

Use an APA 7 style and a minimum of 250 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. Include the Doi or URL link.

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used

Constipation In Children

Create a PowerPoint on the follow topic below

Provide speaker notes on each PowerPoint and pictures

Write from nursing perspective

Three references with index citation

Topic: constipation in children

· Include signs and symptoms

· What causes it

· Management of symptoms

· Medication that may be used

· Prevention

· Assessment findings

· What risk factors associated with disease process: (dehydration, electrolyte imbalance, .

· What questions the nurse should ask the patient/family presenting with this illness

· Education to family

Neurobiological Of Major Depressive Disorder

do you have a 26 year old patient with MDD, you will initiate the patient on sertraline 25 mg PO daily.

1- What are the parameters or considerations for diagnosing MDD?

2- Describe the neurobiological of major depressive disorder (MDD). Include genetics,
neurotransmitters, neuroanatomical changes, current  theories of the cause of the disease, and cultural factors if it’s involved.)

3- There is any medical condition that can mimic MDD?

4- What laboratories do you need to monitor?

5-  what is the first line of treatment for (MDD). what is the neurochemistry action of sertraline, (SSRI),  side effects to monitor, expected benefits for the patient, and contraindications?

6- Describe the benefit of behavior therapy in the treatment of a major depressive disorder.

Use APA and Include references from at least 3 sources  including the article
from a journal, no older than 5 years.

Strategic Management And Leader Innovation

Discussion: Strategic Management and Leader Innovation

Purpose

The purpose of this discussion is to explore strategic management strategies and successful leadership skills. The U.S. healthcare delivery system is complex and rapidly changing. The DNP-prepared nurse faces many challenges and opportunities to impact positive change in healthcare organizations.

Reflect upon your readings and professional experience regarding strategic management and innovation and address the following.

  1. Examine ways that a DNP-prepared nurse can be more involved in strategic management decisions.
  2. Explore initiatives and/or strategies that the DNP-prepared nurse can employ to build a culture of quality and safety.

Instructions:

Use an APA 7 style and a minimum of 250 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. Include the Doi or URL link.

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used

*attached week lecture.***

Journal

  • Refer to your FNP Clinical Skills and Procedures Self-Assessment Form from your previous assignment in this week and consider your strengths and opportunities for improvement.

Journal Entry (450–500 words):

  • Explain what most excites and/or concerns you about pediatric clinical experiences. Include a description of your strengths and weaknesses in terms of working with children and how these strengths and weaknesses might impact your Practicum experience.
  • Discuss your personal definition of family and family roles that might impact the assessment of a child and his or her family. Also expand your discussion on the challenges of working with families. Explain how you would handle parents that do not want to vaccinate children.
  • Then, explain how culture (both the culture of the provider and that of the child and his or her family) may further influence the assessment.
  • Select and explain a nursing theory to guide your practice with pediatric patients.

By Day 7

Complete your Journal Entry #1 Assignment

HUMAN GROWTH

This module introduces the topic of puberty and explores how children develop physically, psychosocially, and cognitively during this time. Often, parents/caregivers are not comfortable talking with children about the changes they experience during puberty and, consequently, leave children to figure things out on their own.

As a parent/guardian, what do you think would be important to tell a child about puberty? Describe at least one thing you would explain from each of the following categories:

  1. physical changes
  2. psychosocial changes
  3. cognitive changes