Pharmacological-Herbal Management Project

Pharmacological-Herbal Management Project

Student Name

NSG6005

Faculty name

Assigned Herbs & Reported Uses

Herbs: Comfrey

 

 

Herbs: Evening Primrose

Reported Uses: ADHD, Asthma, Atopic Dermatitis, Biliary Disorders, chronic fatigue syndrome, diabetes mellitus

Reported Uses: anti-inflammatory, bronchitis, bruises, cancer, cough, fractures, myalgia

Reported Doses of the Assigned Herbs

Herbs: Comfrey

 

100mcg/day pyrrolizidine alkaloids for up to 10 days; total duration up to 4-6wk/year

Herbs: Evening Primrose

 

2-3 gram PO BID

Cautions of the Assigned Herbs

Herbs: Comfrey

 

Avoid if breastfeeding, broken/damaged skin, pregnancy; caution if hepatic disease

Herbs: Evening Primrose

 

Avoid if surgery within 2 weeks; caution if coagulation disorder, schizophrenic, and seizure disorders

Drug Interactions of the Assigned Herbs

Herbs: Comfrey

 

No significant interactions known or found for this drug. Caution is always advised with multiple medications

Herbs: Evening Primrose

 

Antiplatelet/anticoagulant effects

Adverse Reactions of the Assigned Herbs

Herbs: Comfrey

 

Abdominal distension, abdominal pain, anorexia, hallucinations, hepatotoxicity, lethargy, liver cancer

Herbs: Evening Primrose

 

Abdominal distension, acne, bleeding risk increased, diarrhea, dizziness, dyspepsia, flatulence, headache

Conclusion

Summarize what you learned on this slide – what are the important things to know about the disease, the classifications, drugs and risks

References

Include all the references used following the APA 7th Edition

designated patient population

PICOT Question Paper  

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1. Evidence-based solution

2. Nursing intervention

3. Patient care

4. Health care agency

5. Nursing practice

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

RUBRIC

Attempt Start Date: 02-Aug-2021 at 12:00:00 AM

Due Date: 29-Aug-2021 at 11:59:59 PM

Maximum Points: 50.0

strategic planning and project management processes.

During the NUR-495 course, you will actively engage in strategically planning for. And managing a planned change project within the scope of your current professional role.  For this field-based project, you will identify a specific problem. Or need to serve as the foundation for a faculty-guided capstone experience.  Project-related experiences are integrated throughout the course. And will involve application of strategic planning. And project management processes.

For the purpose of your coursework, application of the strategic planning. And project management processes is broken down into six distinct phases. In order to integrate the assessment components throughout the eight workshops.

In this discussion, you will share the initial strategic plan for your capstone project. And learn more about your role as the project manager.  You will apply concepts learned in NUR-415 and Discussion 1.2 through the identification of a specific problem statement. Or statement of need, along with the background to support the need for change which you are proposing.  You will revisit the work you initiated in Discussion 1.2. And identify a specific outcome for the capstone project as well as activities, a timeline, and a plan for evaluation.

Upon successful completion of the course material, you will be able to:

  • Construct a strategic plan to guide the capstone project.

Resources

  • Textbook: Fundamentals of Project Management
  • File: Strategic Planning Tool.docx
  • File: Strategic Planning Tool Resource.docx

Background Information

As discussed in Discussion 1.2, the planned change process is rather iterative in nature. With dynamics that are organic rather than static.  For this reason, we tend to think of a planned change project as a work in continual process.  With each workshop, you will polish. And fine-tune aspects of your plan as part of the learning process.  Each facet of the planned change process will be unpacked, examined. And critically applied to your capstone project.  As you advance in the course. Each workshop will bring an opportunity to carefully reflect upon and streamline your work.  When the capstone course ends. Your final project documentation will accurately articulate the planned change process. That you have created and managed.

Instructions

  1. Review the rubric to make sure you understand the criteria for earning your grade.
  2. In the textbook, Fundamentals of Project Management, review chapters 3,18, 28, & 30.
  3. Revisit your Strategic Plan assignment from the NUR-415 course. Or your new plan under development in Discussion 1.2.  Your project must be patient-focused and include a goal to improve patient outcomes.  Your assessment of the problem  and feasibility of a solution must include direct input from patients or recipients of care (survey results, comments, interviews, patient data, etc).  Review chapter 22 in the textbook, Leading and Managing in Nursing (Yoder-Wise, 2019) regarding patient-centered care.
  4. Download the Strategic Planning Tool Resource.docx file.  Review this document before completing your Strategic Planning Tool document.
  5. Download the Strategic Planning Tool.docx file.
  6. Complete your strategic plan according to the following instructions.
    1. Using the Strategic Planning Tool.docx. Update/adapt your strategic plan from NUR-415, or your new plan under development in Discussion 1.2 that meets the criteria listed above, to reflect the following components in a succinct manner:
      1. Clearly defined need or problem statement to be addressed through the planned change process
      2. Background support to validate the need (minimum of three scholarly sources current within the last five years)
      3. Desired SMART patient care focused outcome for the planned change capstone project
      4. Specific activities/action plan (to correspond with the outcome) that will facilitate achieving the outcome, along with a time frame for implementation (project scope of eight weeks)
      5. Evaluation plan corresponding with the SMART, patient care focused outcome to define specifically how achievement of the outcome will be determined
  7. Navigate to the threaded discussion.

    1. Post your completed tool and share a succinct one paragraph summary of the impetus. For your proposed project by the end of the fifth day of the workshop.  Be sure to await feedback from your instructor regarding your strategic planning tool. Modify your strategic planning tool as recommended by your instructor before submitting your final draft to the 1.4 Assignment submission page.
    2. Read and respond to at least one of your classmates’ postings. As well as all follow-up instructor questions directed to you, by the end of the workshop.  You are expected to choose a classmate’s posting that has not received peer feedback.  If all classmates have received feedback, respond to a classmate of your choice.
    3. Your postings should be at least six sentences in length. And be well developed by providing substantive feedback. Specific suggestions, with evidence of critical thinking.

 

Medical Ethics

Agree or disagree..100 min word

 

I really had to take 3 days to formulate my thoughts around these scenarios. I couldn’t find a conclusive answer/approach. I wouldn’t want to turn someone in need of medical attention away because they are unable to pay for the services. However, I do realize that the office is a small one. But small offices build better relations with their consumers/patients, right? And in regard to the rude mother, I don’t think it would be the right thing to do to turn the kids down because of their mother’s behavior. I also don’t think it would be right to try to discipline the mother for her previous behaviors through health-related situations.

1. In both of these scenarios, I am certain I wouldn’t make the call solely by myself. I would enlist the recommendation of a senior administrator, who may have had a similar situation. If not, just exchanging ideas might help solve the problem. I would also discuss these matters with my doctor(s). I think having their approval would be the safest route to take.

2. While regular check-ups are important for a developing child, it does seem the scenario with the 86 year old widow requires immediate and continuous attention.

3. If we absolutely must discharge them, I would advise them to contact the federal and/or their State’s assistance program. I might even have to find the contact information to pass it on to the 86 year old widow.

the role of information technology in improving patient care outcomes and creating a safe care environment

  1. Purpose of Assignment:

    According to the American Association of Colleges of Nursing (2008), “Scholarship for the baccalaureate graduate involves recognizing the role of information technology in improving patient care outcomes and creating a safe care environment.”

    American Association of College of Nursing. (2008). The Essentials of Baccalaureate Education for Professional Nursing Practice. Retrieved from: https://www.aacnnursing.org/Education-Resources/AACN-Essentials

  2. Course Competency:
    Evaluate the role and scope of practice for nursing informatics.
  3. Content:
    Scenario
    You are a registered nurse employed at the local hospital working in the education department and have been asked to prepare a digital poster presentation for the local University’s Nursing Student Association’s Annual Conference next week. They have asked you to showcase a specialty in the nursing profession that has changed healthcare delivery and patient outcomes. Your supervisor suggested showcasing the various roles and scope of practice for nursing informatics as it is often not as prevalent to student nurses, as other specialties.

    Instructions

    You have started your digital poster presentation. And sifting through the multitude of resources to support this specialty. You are carefully showcasing this profession geared for students at the baccalaureate level since that is the intended audience. You have chosen to create an infographic (i.e. Visme, Snappa, Google charts, Piktochart) as it leverages the NI profession perfectly. Specifically, the presentation guidelines require the infographic to include the following elements:

    • Identify various roles of nursing informatics.
    • Describe specific settings within your community that nursing informatics could be used
    • Identify two Nursing Informatics organizations or journals to provide attendees with more information.
    • Explain how the building blocks of Nursing Informatics prepare nurses for practice
    • Examine defining characteristics from the scope of practice for nursing informatics
    • Describe educational requirements for the role
    • Analyze the impact nurse informatics has had on healthcare delivery.
    • How has it specifically impacted patient outcomes?
    • Describe the future of Nursing Informatics and its impact on healthcare delivery

Abdominal Pain case study

Complete the following discussion question using the DxR website:

  1. Access the DxR Clinician website at https://gcu.dxrclinician.com/.
  2. Select the folder labeled: gcu_npstudents_patients.
  3. Select the Sam Green – Abdominal Pain case study.
  4. Upon clicking on the case, you will see the “Enter Case” button at the top of the page. Select “Enter Page.” Under “Name,” enter First Initial, Last Name, all in lower case. Leave password blank. This will give you entry into the case study.
  5. Complete the Sam Green – Abdominal Pain case.
  6. Discuss possible differential diagnoses and the strategies that you used to assess this patient. Synthesize this information and explain what you learned and how you will improve in the future.
  7. Support your answer with two or three peer-reviewed resources.

DNA replication

Describe the DNA

Define and describe briefly the following processes:

DNA replication

– Transcription

– Translation

If gene probes, profiling. And mapping could make it possible for you to know of future genetic diseases in you or one of your children

Discuss whether. Or not you would wish to use this technology to find out.

Explain the risks and benefits if these technologies were used to gather information on you or your children.
Include how genetic technology can impact your future profession as a Nurse
Discussion Expectations:

The minimum requirements for class discussions are to respond directly to the discussion prompt and to respond to at least two other posts. By other students or the instructor, by the end of the week. The discussion will close on the due date. And will NOT be reopened for a late submission.

Submit one main post responding directly to each part of the discussion prompt(s) by Wednesday at 11:59 PM ET.
This should be a substantive response (between 75 -150 words minimum) to the topic(s) in your own words, referencing (using APA format) what you have discovered in your required reading and other learning activities.
You may use resources in addition to your textbook that supports your post(s); however, you must mention the source(s) that you used in your post(s) using APA format in-text citations and reference lists. You can review APA formatting here: https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html

ethnic minority group

  1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
  2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
  3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
  4. What health promotion activities are often practiced by this group?
  5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
  6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Assessment Needs

Review the SMART resources in this topic prior to completing this assignment. A SMART design is important to the success of a project. This design allows a project manager to structure a project. And track its performance as it is implemented.

For this assignment, you will develop a goal, process objectives. And outcome objectives that apply SMART criteria for an evidence-based intervention to address the health issue. Affecting the target population identified in your community needs assessment. Review the “SMART Objectives” video in your Topic Resources to help you complete this worksheet. Use the “SMART Plan: Project Goal and Objectives” worksheet to complete this assignment.

You are required to cite to three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and public health content.

While APA style is not required for the body of this assignment, solid academic writing is expected. And documentation of sources should be presented using APA formatting guidelines. Which can be found in the APA Style Guide. Located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required  to submit this assignment to LopesWrite.

Attachments

PUB-620-RS4-SMARTPlanProjectGoalObjectives.Review the SMART resources in this topic prior to completing this assignment. A SMART design is important to the success of a project. This design allows a project manager to structure a project and track its performance as it is implemented.

For this assignment, you will develop a goal, process objectives. And outcome objectives that apply SMART criteria for an evidence-based intervention to address the health issue. Affecting the target population identified in your community needs assessment. Review the “SMART Objectives” video in your Topic Resources to help you complete this worksheet. Use the “SMART Plan: Project Goal. And Objectives” worksheet to complete this assignment.

You are required to cite to three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and public health content.

While APA style is not required for the body of this assignment, solid academic writing is expected. And documentation of sources should be presented using APA formatting guidelines. Which can be found in the APA Style Guide. Located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

this assignment to LopesWrite.

PUB-620-RS4-SMARTPlanProjectGoalObjectives.docx

Attachments

pretravel assessment

Part A: In the paragraph below there are 3 direct quotes and/or paraphrases, rewrite the paragraph in correct APA format.

The day has come for the patient to see the nurse practitioner prior to his trip abroad. By having a “pretravel assessment at least 6 weeks before departure, the provider may assess the timing, duration, and circumstances of travel. Michelle Zappas Candice Whitely and Sarah Carter p. 548 2019.” When the patient is traveling abroad it depends on what country or countries the patient is visiting as to what if any vaccinations are required. It is necessary for the nurse practitioner to remain current with regards to the latest recommendation from the CDC and WHO for travel advisories. (JNP, 2019, p. 548). The primary care NP’s are uniquely positioned to protect the health and well-being of the patient and local community Zappas, Whitely, & Carter.

Part B: Write the following references in correct APA format:

  1. Hosein Karimi and Negin Masoudi Alavi; Nurse Midwifery Study June 2015 volume 4 issue 2 Doi: 10.17795/nmsjournal29475 Florence Nightingale: The Mother of Nursing
  2. Jean Watson: Theory of Human Caring. Angelo Gonzalo, BSN, RN updated September 12, 2019. Retrieved March 20, 2020, from https://nurseslabs.com/jean-watsons-philosophy-theory-transpersonal-caring
  3. Michael B. A. Oldstone. Viruses, Plagues, & History. Published 11/2/2009. Oxford University Press. revised and updated edition 2010. New York, New York. ISBN 978-0-19-532731-1
  4. American journal of respiratory and critical care medicine. January 1, 2020. Volume 201 number 1. Clinical fingerprinting: a way to address the complexity and heterogeneity of bronchiectasis in practice. Miguel Angel Martinez-Garcia, Timothy R. Aksamit, and Alvar Agusti. Pages 14-19.
  5. Taber’s Cyclopedic Medical Dictionary. Edition 17. F.A. Davis company. Philadelphia, PA. copyright 1993. Page 679.
  6. Nurses and the use of computer technology. RNAO. No date. Retrieved November 19, 2019 from https://rnao.ca/sites/rnao-ca/files/Nurses_and_the_use_of_computer_technology.pdf
  7. Arabi. F. Rafii. M. A. Cheraghi and Ghiyasvandian, S. (2014). Nurses’ policy influence: A concept analysis. Iranian journal of nursing and midwifery research, (issue 3) volume 19, pp 315–322.
  8. Burke, S. (2016). Influence through policy: Nurses have a unique role. Reflections on Nursing Leadership. Retrieved from https://www.reflectionsonnursingleadership.org/commentary/more-commentary/Vol42_2_nurses-have-a-unique-role.
  9. Davoodvand, S., Abbaszadeh, A., & Ahmadi, F. 2016 Journal of medical ethics and history of medicine Patient advocacy from the clinical nurses’ viewpoint: a qualitative study volume 5 number 9
  10. Volume 6 issue3. Pages 1124-1132. Nsiah, C., Siakwa, M., & Ninnoni, J. P. 2019. Registered Nurses’ description of patient advocacy in the clinical setting. Nursing Open

Submission Instructions:

  • Submit both A and B parts together in one Word document.