Care Of A Patient With HIV

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Each student must post a discussion with a minimum of 250 words, all posts and replies must contain at least (2) professional references, one may be the course textbook, properly cited in the current APA format. Discussion Topic

Care of a patient with HIV

Kathy Michaels, a 37-year-old female, is talking with her gynecologist about concerns of sexually transmitted diseases (STDs). She asks to be tested for STDs. Later, the nurse calls to discuss the results with Ms. Michaels, which indicates she is positive for HIV. Ms. Michaels states, “Oh no, I have AIDS!”

1. How should the nurse respond to Ms. Michaels’ statement?

“Ms. Michaels seems relieved with the explanation and states “I am so glad it’s not AIDS. It’s just like an infection.” She then asks the nurse, “Can I take some antibiotics to kill the infection, then?

2. How should the nurse respond to Ms. Michaels’ question?

Again, Ms. Michaels indicates an understanding of the nurse’s explanation. She then asks “Does this virus just remain the same in my body and nothing will happen, or will I be getting sick?”

3.  How should the nurse respond to Ms. Michaels’ question?

A Culture of Patient Safety

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A Culture of Patient Safety

Read this article:

Sammer, C. & James, B. (2011, September 30). Patient safety culture: The nursing unit leader’s role. OJIN: The Online Journal of Issues in Nursing,16(3), Manuscript 3.

In the Hospital Hope scenario, what do you think was the most important factor that led to the change in practice in the SICU?

If you worked in a facility that needed a practice change, what framework would you use and why?

Assignment Expectations:

Length:1000 to 1250 in length

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

Holistic Assessment of the Older Adult

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Holistic Assessment of the Older Adult

For the PowerPoint and recorded presentation, create a presentation that addresses each of the following points/questions. Be sure to completely answer all the prompts or questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) scholarly sources throughout your presentation, referencing in APA style. Include title and references slides in the presentation. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Ensure that you have permission from your older adult to conduct the health assessment and ensure that they are not identified on the PPT. Review the Signature Assignment rubric criteria for this assignment.

Part 1: Assessment: Choose an adult (65 years or older) friend or relative and perform a holistic health assessment. Clearly discuss your discovered holistic health assessment data. Your assessment should include the following parts for the holistic assessment:

  • General Health History
  • Physiological Assessment
  • Psychological Assessment
  • Social Assessment
  • Cultural Assessment
  • Developmental Assessment
  • Spiritual Assessment

Part 2: Interpretation (Abnormality and Coping)

  • Choose one abnormality from the data gained in the assessments and discuss possible reasons/causes for the abnormality.
  • How does this abnormality impact the other areas of the patient’s life?
  • Discuss the client’s stress and coping mechanisms.
    • Are they healthy?
    • What recommendations and improvements could be made that are individualized for this person?

Part 3: Teaching Plan: Create a teaching plan that addresses the client holistically by applying the assessment data you have analyzed.

  • Describe at least one client goal for each of the six categories (each category should have a goal) (physical, psychological, social, cultural, developmental, and spiritual).
  • Discuss one strategy per goal you would use to teach your client about each individual goal
  • Explain how you will evaluate if your teaching was effective
    • Title Slide (1 slide)
    • Objective Slide (1 slide)
    • Assessment
      • General Health History (1slide)
      • Physical (1 slide)
      • Psychological (1 slide)
      • Social (1 slide)
      • Cultural (1 slide)
      • Developmental (1 slide)
      • Spiritual (1 slide)
    • Interpretation (Abnormality and Coping)
      • Abnormality, Reasons/Causes, Impact on Life (1 slide)
      • Stress, Coping, Recommendations (1 slide)
    • Teaching Plan
      • Physical Goal and Teaching Strategy (1 slide)
      • Psychological Goal and Teaching Strategy (1 slide)
      • Social Goal and Teaching Strategy (1 slide)
      • Cultural Goal and Teaching Strategy (1 slide)
      • Developmental Goal and Teaching Strategy (1 slide)
      • Spiritual Goal and Teaching Strategy (1 slide)
      • Evaluation Plan (1 slide)
    • References (1 slide)

Assignment Expectations:

Length: PPT of 19-21 slides; Recording 13-15 min

Structure: Include a title slide, objective slide, content slides, and reference slide in APA format.

Nursing Delegation

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Nursing Delegation

 Case Study

You are working the night shift on a medical unit and have been assigned charge nurse responsibilities. You are working with four RNs, one LPN, and two UAPs. A client becomes pulseless and is not breathing, and the nurse assigned to the client’s care calls a code. The nurse is occupied at this client’s bedside for 1.5 hours until the resuscitation effort is completed, and the client is transferred to the intensive care unit. This nurse also has four other assigned clients. In addition to the nurse assigned to care for the client requiring resuscitation, two of the other nurses working on your unit are assisting in the code.

Thyroid Disorder

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Maria is a 29-year-old woman with a seven-month history of heavy, irregular menses, a 5-lb weight gain, constipation, and decreased energy. Her past history is unremarkable. She takes no prescription medications but uses iron and calcium supplements. She has a family history of thyroid disease. On examination, her weight is 152 lbs, her heart rate is 64 bpm, and her blood pressure is 138/86. Her thyroid gland is mildly enlarged, without nodularity. She has trace edema in her lower extremities, and her reflexes are slow.

Laboratory studies are as follows:

TSH is 15.3 mIU/mL (elevated), free T4 is 0.3 mIU/mL (decreased), and total cholesterol is 276 mg/mL.

Diagnosis: Primary Hypothyroidism

1. List specific goals of treatment for Maria.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Discuss specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What over-the-counter and/or alternative medications would be appropriate for Maria?

8. What lifestyle changes would you recommend to Maria?

9. Describe one or two drug–drug or drug–food interactions for the selected agent.

Use 3 evidence based articles and write inn APA format.

Kants Ethics And Our Duty

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Introduction
Kant’s famous First Formulation of the Categorical Imperative reads, “Act only according to that maxim whereby you can at the same time will that it should become a universal law.” Kant taught morality as a matter of following maxims of living that reflect absolute laws. “Universal” is a term that allows for no exceptions, and what is universal applies always and everywhere. Don’t forget about the second formulation of the categorical imperative which states, “Act in such a way that you treat humanity, whether in your own person or in the person of another, always at the same time as an end and never simply as a means.” It is just as important.

Initial Post Instructions
For the initial post, address one of the following sets of questions:

  1. What are the personal and/or communal ethical factors that may be involved in determining the moral position of either side given a contemporary debate, such as those concerning animal rights, stem cell research, abortion, the death penalty, and so forth?
  2. Elaborate in detail the ethical positions arrived at by using the Kantian categorical imperative relative to the long standing debate surrounding the death penalty or abortion. Argue the ethics from the point of view of the prisoner or from the fetus
  3. Evaluate the ethical positions in part two. You will want to detail whether they are convincing, logical, correct, consistent, etc.

Writing Requirements

  • Minimum of 2 sources cited (assigned readings/online lessons and an outside scholarly source)
  • APA format for in-text citations and list of references

Addressing Diversity

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This assignment is to identify and define the various electronic or technological tools and measurements that can be used to improve the effectiveness of patient-centered outcomes in diversity programs established by an organization.

Providers must learn new tools to eliminate disparities, build trust with patients, and understand how international biases and pre-established stereotypes affect quality of care..

National health goals

Socioeconomic pressures.

Stakeholder ethical considerations of organizational strategies, marketing, and operations.

Potential conflicts or influence between personal standards and the goals of an organization.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

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

This benchmark assignment assesses the following programmatic competencies:

MS Health Care Administration

Identify the characteristics of a health care technology infrastructure that supports patient-centered organizational strategies, marketing, operations, and outcomes

Maternity Nursing Care

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1. You are a nurse working in a labor and delivery unit in a small town near a Native American reservation. Charity, your patient, is about to give birth to her sixth child. Her family does not have health insurance. Normally she would give birth at home; however, her blood pressure is high. Her family is doing a dance to scare away the evil spirits that brought about this medical condition. She is in a lot of pain but refuses an epidural. She believes that pain is something that should be tolerated. There are also about 20 family members present to watch the birth, including all of her children. After the baby is born, she hand-expresses colostrum from her breasts and disposes of it. Additional family members arrive with all sorts of food to celebrate the birth of the baby. (Learning Objectives 5 and 6)
A. What are the cultural traits with Charity and her baby that are specific to her Native American culture?
B. How would you provide culturally sensitive nursing care to Charity and her baby?

Family Disaster Plan Summative

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For this paper you must cite and reference 2 sources. The paper should be 2–3 pages and written using current APA format. Your paper should address the following:

a. How would you prepare for the following situation?  (provide realistic examples and details for safety and survival) 

(Scenario) At this moment, you are sitting at home working on your WCU class. Suddenly, the National Weather Bureau sends an alert across your cell phone—a tornado is headed your way. You have 15 minutes before touchdown in your neighborhood. What is your plan? This is a ‘shelter in place’ scenario, you cannot outrun the tornado. Identify a safe place in your home to take shelter. 

You must include research. Cite and reference two sources and explain the recommended safety measures in a tornado emergency and how you would apply them to your specific living arrangements. 

b. How prepared are you in the event of a disaster? Describe your level of disaster preparedness using specific examples and references to your “go-bag” and preparedness checklist assignments.

water-related disaster

Example: “I am more prepared for a water-related disaster than a fire-related disaster even though I live in a highly secluded, forested area. I have a boat as transportation in the event of flooding, but I do not have rain barrels or fire barrier supplies on hand.”

Example:  “There were many missing items on my preparedness checklist. I realized that I do not own a flashlight. If I had to use my phone as a light it would drain the battery very quickly.  

c. Reflect on how prepared you were before this class and compare it with how prepared you are now.

· Have you acquired any new emergency items?

· Do you plan to take any additional trainings or certification courses? Have you shared your knowledge with friends and family?

Review the rubric for more information on how the assignment will be graded.

 Need help with APA Style?  Visit the  Student Resources page .

Movie Review

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Movie Review

Due on:

The threaded discussion will provide the student with the opportunity to explore different topics, share what he/she is learning with classmates, and gain clarity about the content. This assignment reflects student centered independent learning.

The student will:
• Apply critical thinking through participation of selected topics
• Engage in thoughtful discourse with peers
• Incorporate topic discussion into clinical judgment and decision making within the setting

Directions: Movie Review

Part 1:
• The original post must be at least 200 – 300 words in length
• Give a summary of the movie
• How was the older person and aging portrayed?
• Would you want the life that the movie projected of the older adult?
• What were your overall feelings after watching the movie?

Groups and Movies:
• Group 1: The Notebook
• Group 2: The Bucket List
• Group 3: UP
• Group 4: The Curious Case of Benjamin Buttons
• Group 5: The Intern