Medical Conditions and Treatments Assignment

Nursing Assignment 1

Assume that you are the manager of a local clinic. Based upon your understanding of the cost of services, what measures could you put in place in order to reduce the cost of services delivered? What impact, if any, would cost reductions have on service.

Nursing Assignment 2

The PLUS Ethical Decision-Making Model (and format for paper)

• An introductory paragraph (following the title of the paper)

  Introduce the ethical issue in nursing informatics and why you chose the topic.

• PLUS Ethical Decision-Making Model (use headings for organization and readability)

  Define the problem (refer to the PLUS filters)

• What is the ethical issue? (Provide more detail about the issue)
• Describe the background of this ethical issue related to technology

  Seek out relevant assistance, guidance and support

• What are some solutions? You may need to think of 3-4 solutions as 2 gives a choice of this or that type of thought. S
• Search the literature for possible solutions.

  Identify alternatives

• Discuss the literature review and provide a summary identifying at least 2 alternatives of the ethical issue related to technology

  Evaluate the alternatives (refer to the PLUS filters)

• What are the pros and cons of each alternative?
• Search the literature for information o Make the decision
• Which option do you think is best for the ethical issue?
• Why did you choose this alternative?

  Implement the decision

• How would you implement your alternative that you chose?
• Hypothetically, what would be the plan to implement the alternative?

  Evaluate the decision

• How would you evaluate the outcome of your decision and the implementation plan?
• Self-Reflection o In your role, how would this PLUS Ethical Decision-Making Model be used in your nursing practice? Describe 1 key take-away from this assignment.
• Conclusion

  Provide a brief summary of the content of the assignment

Nursing Assignment 3

Please answer the following questions:

What is malpractice? Give a practice example.

How long do individuals have to make a claim in Florida? Are there any exceptions?

What is tort law?

Nursing Assignment 4

In addition to the influence of academic institutions on nurse practitioner practice, your actual scope of practice will be directly influenced by the scope of practice for nurse practitioners in your respective states of practice as well as the institution in which you practice (some institutions do not allow NPs to practice consistent with the full scope of practice in their states). With this in mind, research scope of practice for NPs in your respective states and answer the following:

What is the prescriptive authority for NP’s in your state?

Ability to practice independently [versus with a collaborating or supervising physician] for NP’s in your state?

Ability to attend patients in hospitals or serve as a primary care provider [versus with a collaborating or supervising physician versus independently] in your state?

After you have discovered the answers to these questions, please answer the following:

Are the policies governing the scope of practice for NPs in your facility consistent with state law, or are more restrictive?

Please describe the differences and similarities between what your state law allows and what your facility permits?

Nursing Assignment 5

Orthopaedic surgery patient aftercare:

This could relate to a procedure being undertaken, a medical condition of a patient in your care, a skill you have developed or a case review. Please use a minimum of 3 references for each reflective account which will demonstrate your ability to apply theory to practice at this level which will support a deeper learning for you.

Nursing Assignment 6

The advanced practice nurse is updating the plan of care of nursing home patients with hypertension.

Briefly describe the therapeutic actions of drugs affecting blood pressure (diuretics, ACE inhibitors, ARBs, CCB, sympathetic nervous system drugs).

What important teaching points should be addressed for patients receiving antihypertensive drugs?

Nursing Assignment 7

Discussion Topic:

Consider how clinical judgment, critical thinking and decision making are similar and different and describe these in your own words. How do these processes differ in relation to bedside nursing when compared to that of an advanced practice nurse? Provide an example of how decision making is used by the bedside nurse and that of an advanced practice nurse to illustrate this point. After reading the information on emotional intelligence how would you describe this to someone who has never heard of the term. Can you apply emotional intelligence to a situation in care as an advanced practice nurse in a clinic or hospital?

Nursing Assignment 8

Being able to articulate your personal worldview can help you formulate a personal philosophy of practice and enhance your influence on patients and the industry. In this assignment, you will have an opportunity to reflect on your current and future practice and the ways worldview and nursing theory influence that practice.
Describe your personal worldview, including the religious, spiritual, and cultural elements that you think most influence your personal philosophy of practice and attitude towards patient care.

Choose a specific nursing theory that is most in line with your personal philosophy of practice and approach to patient care and discuss the similarities. Explain how the nursing theory reinforces your approach to care.

Include in your explanation a specific example of a past or current practice and how your worldview and the nursing theory could assist you in resolving this issue.

Finally, explain how your worldview and the nursing theory will assist you in further developing your future practice.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the past 5 years and appropriate for the assignment criteria and nursing content.

Nursing Assignment 9

Consider how you have developed the knowledge, skills, abilities, and attitudes that enable your achievement of the RN-BSN Program Learning Goals. This is an opportunity for the student to describe how they accomplished and addressed each of the AACN’s The Essentials of Baccalaureate Education for Professional Nursing Practice throughout the program.

Please provide at least one slide per Essential:

Essential I – Liberal Education for Baccalaureate Generalist Nursing Practice]

Essential II – Basic Organizational and Systems Leadership for Quality Care and Patient Safety

Essential III – Scholarship for Evidence­-Based Practice

Essential IV – Information Management and Application of Patient Care Technology

Essential V – Healthcare Policy, Finance, and Regulatory Environments

Essential VI – Interprofessional Communication and Collaboration for Improving Patient Health Outcomes

Essential VII – Clinical Prevention and Population Health

Essential VIII – Professionalism and Professional Values

Essential IX – Baccalaureate Generalist Nursing Practice

Nursing Assignment 10

As nurses you have all learned the importance of clinical decision making, critical thinking and clinical judgement to making effective and safe patient care decisions in practice. As you move into your role of advanced practice nurse whether that is leadership and management or NP, how does this change? Does it?

Is there a difference between the skills required by the bedside nurse and those needed by APN? Support the discussion with rationale and readings.

As you transition to your role as an APN what clinical decision-making skills do you feel are needed for nurses planning to be NP? Nurse leaders? Are these different, if so why or why not?

What standardized decision-making tool has been created to guide nurses at all levels to make practice decisions? Why was this created, what is the purpose of the tool? How would this be used in your role as an APN; be specific and describe how to apply this tool. Are there other standardized clinical decision-making tools to guide NP/APN to make decisions in practice? Should these be employed and/or are they employed in all care setting for NP? Provide a rationale.

Explain your rationale. Describe the role of the Consensus Model for APRN.

Follow the discussion questions participation and submission guidelines.

• Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.
• All answers or discussions comments submitted must be in APA format.
• Minimum of three references, within the past 5 years.

Nursing Assignment 11

Explain your personal nursing philosophy, your view of health, your growth in critical thinking, and your future role as a nurse. Include your view of health and your thoughts on your future role as a nurse.

Nursing Assignment 12

Research the American Association of Nurse Practitioners (AANP). Discuss the specific policies and candidates that the organization supports. Discuss any policies that the organization is currently working on. Discuss any policy that they oppose. Show evidence that you have joined or that you belong to one of these organizations.

Nursing Assignment 13

The manager of a local hospital is making a decision between two different investments. Both investments have the same projected return on investment. However, one investment assumes a three-year time horizon, whereas a second investment involves a five-year time horizon. If you were advising the hospital, which would you recommend based upon the limited facts available? Explain your rationale for the selection.

Nursing Assignment 14

As you go forth and practice, you will run into a number of constraints on practice, from regulations and policy, CMS requirements, and insurance. Such constraints are often unavoidable. They will certainly influence your daily practice.

Answer one or more of the following questions. You made also contribute with an interesting relevant topic. Please keep the responses relevant to the United States, Florida, or wherever you plan to practice. Explore, teach and inform one another.

How have formulary constraints affected care provider choice of medications?

Do insurance company formularies really follow evidence-based practice? If not, what are influences them?

How do provider characteristics influence prescribing decisions?

Do restrictive formularies influence medication adherence?

How do various insurance formularies impact care?

How do insurance reimbursements impact how providers select or treat patients?

How do Medicaid or Medicare reimbursements impact providers’ or practices’ choice of patient mix?

Nursing Assignment 15

Discuss the nurse’s role in the policy development model. Additionally, talk about the policy meeting you have attended or will be attending. What key points could a nurse bring to this meeting and subject?

Nursing Assignment 16

Evaluate and discuss clinical and business solutions for hospital improvement. Include in your discussion improvement of outcomes, reduction in costs, optimization of payment, and improvement in the overall patient experience.

Nursing Assignment 17

Explain at least one barrier to policy or program implementation. Include an example of a policy or program that was affected by this type of barrier. (in relation to nursing or nurse practitioners)

Nursing Assignment 18

Explain the statement, “What may be an ethical dilemma for one registered nurse may not be an ethical dilemma for another registered nurse.” Be sure to define an ethical dilemma in the course of your discussion. Describe a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. (Be sure to respect and maintain patient and colleague confidentiality.)

Nursing Assignment 19

What is the effect of a school-based physical activity program on the reduction in the incidence of childhood obesity.

Nursing Assignment 20

Anna (age 35; she, her, hers; White woman) and Tom (age 36; he, him, his; Black man) Jones have an appointment with you for an evaluation of their older son, Joshua. They bring all their children to the appointment, including Tommie (6 months; he, him, his; biracial boy), Joshua (5; he, him, his; biracial boy), Sally (7; she, her, hers; White girl), Mari (11; she, her, hers; Black girl), and Janey (15; she, her, hers; Black girl). You quickly recognize that the entire family needs assistance, not just Joshua.

Joshua was recently diagnosed with acute myeloid leukemia, and he is not expected to live more than a few months. He has been withdrawn and irritable, is crying a lot, and has not been interested in playing or doing the things he used to enjoy before his diagnosis.

Since the diagnosis, his siblings have been fighting a lot at home with each other and their parents and refusing to do their chores. Mari and Janey, the two oldest, are refusing to go to school.

In your initial post, answer the following questions from your perspective as their psychiatric nurse practitioner.

Based on Joshua’s presentation, how would you relate his developmental milestones to his clinical presentation and perception of death and dying? When providing grief therapy, what information would you provide Joshua and his parents regarding Joshua’s perception of his terminal illness?

Select one of the Jones’ children (except Joshua) and identify the normal developmental milestones you would expect based on that child’s current age. Identify an age-appropriate national or community resource related to grief for a sibling with cancer and explain the benefit of the resource you provided.

What, if any, cultural considerations should you apply when working with the Jones family?

Approaches to Treatment

For this assignment, you will write a 5–pages paper on the topic of bipolar and bipolar and related disorders. You will create this guide as an assignment; therefore, a title page, introduction, conclusion, and reference page are required. You must include a minimum of 3 scholarly supporting resources outside of your course provided resources.

In your paper, you will choose one of the following diagnoses: Bipolar I, Bipolar II, Cyclothymic Disorder, Substance/Medication-Induced Bipolar and Related Disorder, Bipolar and Related Disorder Due to Another Medical Condition. Your paper will include discussion for your chosen diagnosis of bipolar and related disorder on the following:

Prevalence and Neurobiology of your chosen disorder

Discuss the differences between your chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria including presentation of symptoms according to DSM 5 TR criteria

Discuss special populations and considerations (children, adolescents, pregnancy/post-partum, older adult, emergency care) for your chosen bipolar and related disorder; demonstrating critical thinking beyond basics of HIPPA and informed consent with discussion of at least one for EACH category: legal considerations, ethical considerations, cultural considerations, social determinants of health

Discuss FDA and/or clinical practice guidelines approved pharmacological treatment options in relation to acute and mixed episodes vs maintenance pharmacological treatment for your chosen bipolar and related disorder

Of the medication treatment options for your chosen disorder discuss side effects, FDA approvals and warnings. What is important to monitor in terms of labs, comorbid medical issues with why important for monitoring

Provide 3 examples of how to write a proper prescription that you would provide to the patient or transmit to the pharmacy.

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