Parse’s Human Becoming Theory

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Parse’s Human Becoming Theory

Write a 1250-1500 word APA paper addressing each of the following points. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources and your textbook using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Case Study

The hospice nurse sat with Ann’s husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room’s only window. As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann’s bedside, he took her small fragile hand in his. These hands had rocked cradles, burped babies, and groomed the horses she loved to ride.

Gently holding her hand, he turned to the nurse. “She would ride like the wind was chasing her.” Looking back to Ann his voice broke; choking back tears “Ann, Ann I saw Jessie…Jessie is calling.” Ben turned “Jessie was our daughter. She died having a baby that was too big. When she died it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie’s husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night.” Ben turned back as a deep sigh escaped from Ann’s lips. A soft smile remained as she joined Jessie and Abe.

Based on this case study how would the nurse actualize Parse’s theory of Human Becoming?
What are characteristics of a human becoming nurse, are strengths and weaknesses to this theory of nursing challenges exist for healthcare institutions to switch to this nursing approach?
How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?
From the nursing theories we have discussed, what additional theory would you apply to this case study? Develop a plan of care to include both nursing theories (be specific and provide reasons)

Assignment Expectations:

Length: 1250 – 1500 words

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) outside scholarly sources and the textbook are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or PDF document (.pdf)

Mr. Jones is a 65-year-old man whose wife died 6 months ago after a long illness

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Mr. Jones is a 65-year-old man whose wife died 6 months ago after a long illness

CASE STUDY

Mr. Jones is a 65-year-old man whose wife died 6 months ago after a long illness. The couple had been married 45 years, and they were devoted to each other. They had three children who are now in their 30s. Two of the children live several hundred miles away, but one son lives with his wife and two preschool children less than 1 mile from Mr. Jones’s home.

Mr. Jones provided much of the care for his wife during her illness. Although her care was time-consuming and fatiguing and kept him at home much of the time, he was grateful that he could care for her. He now is alone in their home, is very lonely and uninterested in preparing meals or eating, and lacks energy to return to his former community and social activities or even to interact with his son and family.

The hospice nurse contacted Mr. Jones for follow-up bereavement counseling. She told him that although he had “passed” a routine physical examination the week before, she was concerned about his continuing sadness and lack of energy. The nurse reassured him that it was not uncommon to grieve for many months after a major loss. She asked him if he thought his wife would have had a similar experience if he had been the first to die. His response was that his wife would have had an even more difficult time adjusting. The nurse and Mr. Jones then spent some time reflecting on his loss and feelings, and talking about his response. The nurse’s initial question and Mr. Jones’s resulting insight that his grief was not as bad as his wife’s would have been helped him transcend his immediate experience of loss and find some meaning in his grief.

This illustration is an example of an inward expansion of self-boundaries indicative of self-transcendence. Other expressions of self-transcendence might help Mr. Jones facilitate his own healing and regain a measure of well-being.

outward expansion

In terms of outward expansion, Mr. Jones, with some encouragement, might reach out to his son’s family to begin to reconnect to the world outside himself. Walking to and from his home to theirs could expand his sensory world and provide opportunities to interact with other people and with nature along the way. Spending time with his grandchildren could be enlivening through the joy young children can bring to an older person, as could a sense of satisfaction derived from being helpful to his son and daughter-in-law.

Offering at a future time to use the skills he learned while caring for his wife through volunteering with hospice would be an example of transcending temporally. Integrating his memories of Mrs. Jones into his current life would be another example of temporal self-transcendence.

Transpersonal self-transcendence is another important experience for Mr. Jones. Although he was unable to attend church services for several years, he had in the past found worshiping with others a source of comfort. His spiritual life might even be expanded to consider new spiritual dimensions such as that found in the possibility of “being with” his wife again someday or in some way experiencing her presence in the present. Returning to church or to addressing spiritual dimensions outside of organized worship that relates Mr. Jones’s understanding of death to some greater or divine design is another example of transpersonal self-transcendence.

Theory Of Human Caring On APN Role

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Theory Of Human Caring On APN Role

Explore the influence of Jean Watson’s Theory of Human Caring on your future role as an APN. The student will explore the concepts and caritas processes from the Theory of Human Caring and present how these concepts may impact their future APN role.

Directions:

  1. The student will create a PowerPoint and include speaker notes that may be added to the speaker note section on each slide.
  2. The presentation should be limited to no more than 10 slides. See suggested slides below.
  3. If you are unfamiliar with Dr. Watson’s theory see this overview.

A suggested outline for the presentation may include the following slides:

1 – Introduction to yourself and future planned APN role and practice

2 – Previous experience with Watson’s Theory of Human Caring

3 – Core Concepts of the Theory Applicable to the APN role

4 – Core Concepts of the Theory Applicable to the APN role (as needed)

5 – Five Carative Factors or Caritas Processes You Plan to Use in the APN Role

6 – Five Carative Factors or Caritas Processes You Plan to Use in the APN Role (as needed)

7 – What Does the Theory of Human Caring Mean to You

8 – APN Implications of Theory of Human Caring

9 – Summary/Main Points

Slide 10 – Reference

Speak notes are required for this presentation. They are used to help you remember what you will be saying as you give the presentation. You can record the power point or add detailed speaker notes. Do not bog down you slide with cluttered wordy slides use them in the speaker note section. Use images, graphs, pictures on the slides. Remember to add citations to the speaker notes, and add a reference slide.

Common Causes of Constipation

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Write three important things that is associated with the various topics.

1). Alzheimer’s Disease: Teaching About Donepezil

a.

b.

c.

2). Bowel Elimination: Common Causes of Constipation

a.

b.

c.

3). Chronic Obstructive Pulmonary Disease: Developing a Plan of Care

a.

b.

c.

4). Chronic Obstructive Pulmonary Disease: Priority Action for Dyspnea

a.

b.

c.

5). Cognitive Disorders: Interventions for a Client who has Alzheimer’s Disease

a.

b.

c.

6). Eye and Ear Disorders: Teaching for Timolol Eye Drops

a.

b.

c.

7). Fluid Imbalances: Manifestations of Dehydration

a.

b.

c.

8). Hypertension: Blood Pressure Categories

a.

b.

c.

9). Medications Affecting Blood Pressure: Client Teaching for Captopril

a.

b.

c.

10). Pain Management: Evaluating Pain Level for Client Who has Aphasia

a.

b.

c.

11). Pharmacokinetics and Routes of Administration: Administering Ophthalmic Medications

a.

b.

c.

12). Stroke: Complications of Immobility

a.

b.

c.

Attribute Control Charts

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Attribute Control Charts

  1. A hospital is      analyzing nosocomial infections and wants to reduce their infection rate      below the national average of 2.0%. They have sampled 40 cases every week      for the last 20 weeks. The data are shown below. Create p and np control      charts. Interpret the graphs. How is the hospital performing in relation      to its stated goal?
  2. Walter      Shewhart ([1931] 1980) presented the following data in his classic      Economic Control of Quality of Manufactured Product. Create a p chart for      each machine. Does either of the two machines show evidence of special      cause variation?
  3. From January      1846 through December 1848 Semmelweis ([1860] 1983) recorded births and      the number that resulted in the death of the mother at his hospital. The      data is available in the Chapter07.xls file, in the Problem07–03 tab.      Create a p chart to analyze performance. Interpret the chart. Was the      system stable?
  4. Postsurgical      infections have been reported to affect 2% to 5% of the 16 million      patients who undergo surgery in U.S. hospitals. Infections increase the      chance of complications and death. Antibiotics given one hour prior to      surgery have been shown to reduce the probability of infection. The      director of quality improvement has sampled 20 patients per week over the      preceding 25 weeks. The data is available in the Chapter07.xls file in the      Problem07–04 tab. The data collected records whether a patient contracted      an infection after surgery. Create a p chart to analyze performance.      Interpret the hospital’s performance based on your control chart and      identify any issues that should be investigated. Assuming the aver- age      rate of infection is 3.5%, is the hospital doing a good job?
  5. Readmission      rates within one year for congestive heart failure have been documented at      35%. A local heart program wants to assess its performance against this      standard. The pro- gram has randomly selected ten patients per month over      a 24-month period for review. The data is available in the Chapter07.xls      file, in the Problem07–05 tab. Some of the patients were deleted from the      sample due to death, relocation, or other reasons that preclude follow-up.      Create a p chart. Is the process stable? How is the program performing      relative to the documented standard? Since not all months have 10      observations, either use 10 as the sample size or use the average sample      size to calculate the control limits.

Health Information Scenario

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Health Information Scenario

1.”Data quality is one of the principles of fair information practice. Identify three ways in which data quality is an ethical consideration. Possible responses include: (a) Poor data quality puts patients at risk of harm because needed data is not available when needed or not” “accurate. (b) Correcting poor data is more costly than designing systems to facilitate its accurate capture in the first place. (c) Poor decisions may be made based on data quality problems that may not be fully understood by decision makers.”

2. How would you make the case for establishing an EHR data integrity unit for a hospital? Possible responses include: (a) Track the incidence of and types of data quality problems identified using the current ad hoc approaches and estimate the true exposure and associated costs. (b) Align political support for creating the team from clinical leaders, legal, and IS. (c) Secure approval to conduct a pilot test of a coordinated error correction system and pilot test it to build support for expanding it to the entire health system.

3.In addition to the EHR, what other critical health system information systems require a high level of data quality and robust data quality management? Possible responses include: (a) The personal health record or patient portal. (b) The health information exchange protocols including initial exchange and the process for correcting previously exchanged information later found to contain an error. (c)  Coded data submitted on claims for healthcare payment. “Write 2-3 pages following the APA style, including a cover page, an introduction, headers (Questions), and a conclusion. Do not exceed the length criteria. Write precisely and concisely using at least three high-quality resources from CDC, AHIMA, and other medical journals only.

Nursing services

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Nursing services 

Nursing services are an important part in caring for the patients and providing them the relief they need. From patients with chronic health conditions to patients who need elder care, nursing has proved itself as an important aspect. People now prefer sending their elder parents to a daycare nurses for nursing services.

  • How often have you come across the terms public health nursing, community health nursing, and community based nursing in your environment? Do you think it is a good idea to distinguish between them? Justify your answer. https://yourassignmenthelpers.com/2021/04/15/read-the-below-scenario-and-answer-the-questions-that-follow/
  • Compare the nursing codes of ethics for your specialty practice, national, and international practice areas. How do they differ? Does it make sense to have more than one code of ethics for nurses? Give reasons for your point of view.

Role of the Community Health Nurse

Obtain a job description for a community health nurse or interview a public health nurse to answer the following questions:

  • Which concept of public health nursing does their practice reflect?
  • Which concept is emphasized in their job description?
  • Does a correlation exist between their job description and their practice?
  • Are the nurses involved in policy formulation that affects client services?
  • In the settings you have observed, which concept (in your opinion) is the most effective for implementation? What is your rationale?For a custom paper on the above topic, place your order now!

nursing theory for evidence-based practice

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Foundations of Advanced Practice Nursing

Ethical and Legal Considerations for APN Practice

Synthesize the following aspects of the APRN:

1.  Describe the core concepts of ethical considerations that APNs must know to be effective in their healthcare practice.

2.  Demonstrate how those ethical considerations can affect the decision making process. Include examples.

3.  At the conclusion of your paper, create an original scenario of an ethical dilemma that you have experienced or had knowledge of within your local nursing community. This scenario will form the basis for week 7 discussions.

Submit a 4-5-page paper in APA format. Support your paper with evidence found using 2-3 citations from 2-3 nursing articles written within the last 5 years, from scholarly and peer reviewed online journals of nursing.

Madeleine Leininger: Cultural Care Diversity & Universality Theory

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Goal:

Identify the tenets and application of a nursing theory. Discuss the impact of the identified nursing theory on evidence-based practice.

Your presentation should include the following:

– Identify the nurse theory selected.
– Provide an overview of the concepts of the nursing theory.
– Analyze the application of the selected nursing theory for evidence-based practice.
– Provide recommendations for application of selected nursing theory

Requirements: APA 7 ed

  • Presentation is original work and logically organized in current APA style. Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
  • Power point presentation with 8 -10 slides, excluding the tile slide and the reference slide.
  • The presentation is clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • Speaker notes expanded upon and clarified content on the slides.

neurodegenerative disorder affecting 1% of >65 years of age (Abyad, 2020)

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neurodegenerative disorder affecting 1% of >65 years of age (Abyad, 2020)

Q-1

Parkinson’s disease (PD) is a progressive, chronic, and incurable neurodegenerative disorder affecting 1% of >65 years of age (Abyad, 2020). Two main neuropathological findings in PD include the loss of neurons in the substantia nigra pars compacta and basal ganglia resulting in decreased dopamine production and the development and accumulation of Lewy bodies. An earlier feature of PD is resting tremor also described as “pill-rolling”. Other primary motor symptoms of parkinsonism include bradykinesia which can be evaluated by hand movements including pronation-supination and toe/foot tapping, and rigidity or stiffness in the limbs and trunk which is also known as cogwheeling (Levin et al., 2016).

A combination of rigidity and bradykinesia results in secondary motor symptoms, in which patients may present with dysarthria, dysphagia, gait freezing, hypersalivation, and mask-like expression. Additionally, nonmotor symptoms include orthostatic hypotension, urinary retention, constipation, erectile dysfunction, depression, anxiety, apathy, obsessive-compulsive disorder, and Lewy body dementia (Levin et al., 2016). Risk factors include family history and environmental risks such as well water, pesticides, industrial chemicals, and farming. Also, toxins and certain medications, such as antipsychotics, can lead to extrapyramidal side effects and motor manifestations resulting in secondary parkinsonism. Therefore, patients should decrease exposure to environmental risks and limit the use the drugs.

Movement Disorder

If a patient presents with tremor at rest, rigidity, and/or bradykinesia, Parkinson’s disease should be suspected and a neurologist should be consulted. Clinical diagnosis is based on neurological exam and assessment findings. The Movement Disorder Society-Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) can be utilized which evaluates various aspects of PD including non-motor and motor symptoms and complications. Thus, a thorough history and physical examination are essential for PD diagnosis as specific labs and imaging studies are typically unremarkable. An MRI can be useful in narrowing the differential and excluding other conditions, such as hydrocephalus or mass/lesions. However, to help confirm the diagnosis of PD is a therapeutic response to Levodopa treatment as it decreases side effects and improves CNS (Abyad, 2020).

Symptoms typically occur between ages 60-80 years and most prevalent in geriatrics; therefore, symptoms and disease may be overlooked resulting in undiagnosed/misdiagnosed in adults. Adults may have symptoms of dystonia, dyskinesia, tremors, and rigidity whereas geriatrics will also experience problems with balance and coordination, confusion, and memory loss. In later stages of PD, patients are at risk for aspiration pneumonia, falls, and cognitive decline as 80% of patients will typically develop dementia increasing morality (Abyad, 2020). Therefore, depending on symptoms, PT/OT should be consulted to increase mobility, speech therapy to maximize communication and swallow therapy to prevent aspiration.