Category: Healthcare and Nursing

topic for admission essay into post master program ” Describe your immediate and long-term goals related specifically to the FNP [family nurse practitioner ] role and meeting the healthcare needs of under-served populations in your career as an FNP.:
i have attached my publish, which i don;t particularly like as it seems to lack congruence and logical flow. i am also attaching a sample for similar topic I fond performing a simple google search

Visit the National Institutes of Health. Use the Search NIH box to search for and click on “list of registries.” Choose any disease you care to explore.
How is this disease presented by national registries? How do you find clinical trials for this disease?
Do you feel registries benefit stakeholders and if so, how?

**Please respond to the post below, do no use Mayo clinic or wiki as references or references more than 5yrs old**
Describe the clinical manifestations, similarities, and differences of the following vitamin deficiencies: niacin, riboflavin (B2), thiamine (B1), folate, vitamin B12, vitamin B6, pantothenic acid (B5), biotin, vitamin C, vitamin K, vitamin E, vitamin A, and vitamin D.

Directions: THIS IS A DISCUSSION POST –
For this discussion, reflect on the content discussed this week related to the history of nursing, theories, caring, and evidence-based practice. How does nursing history, theories, caring, and evidence-based practice assist with developing yourself as a nursing professional?
Use at least one credible resource to support your initial discussion post and response posts. For example, a credible resource could be the State Board of Nursing website, a textbook, or a journal article.
Use in-text citations and list your references in APA format at the end of your initial discussion post and response posts.
* can refer to the book “ nursing now todays issues , tomorrows trends 8th edition author F A DAVIS “ I have attached a copy of the book “ if you can get access to it. Ch 1-3 or you can reference anything credible like says above in description.

Explain how you expect this course will help you move forward in your current or future career.
Describe your experience with electronic health records/electronic medical records (EHR/EMR)

I NEED TO RESPOND TO MY 2 CLASSMATES:
This discussion requires two replies to classmates. In your replies, compare and contrast your classmates’ initial posts with your own. Critique your classmates’ posts by suggesting an area for improvement or something new to add to the discussion.
At least one of your replies must contain a professional reference, published within the past 5 years.

WRITE 2 SEPARATE PARAGRAPHS – 1 FOR CLASSMATE 1 AND 1 FOR CLASSMATE 2.

My discussion post:
In Mrs. Smith’s home, numerous hazards risk her safety and health. These safety hazards include a dimly lit house. Research conducted by Falkenberg (2019) found that improved indoor lighting increases the quality of life for elderly adults at home. Also, lighting is an essential environmental attribute that helps improves visual, physical, and mental health and reduces the risk of falls. The extension cord plugged into an outlet across the room is a hazard that can cause tripping and falls. Also, extension cords cannot be used as permanent wiring and can present a fire hazard if overloaded or damaged. Additionally, medications stored in unlabeled containers pose a risk since Mrs. Smith can take the wrong medication or incorrect dosage, which could lead to adverse effects or drug interactions. Lastly, even though Mrs. Smith does not smoke, the presence of a smoker in the home poses a risk of fire and respiratory issues for Mrs. Smith.

To promote safety, a few nursing actions can be implemented. These actions include labeling Mrs. Smith’s medication containers with the name of the medication, dosage, and frequency of administration. In their research, Tan et al. (2021) found that ensuring the accuracy of prescription medication labels helps reduce medication errors. Improving the house’s lighting is also vital to reduce the risk of falls. It is critical to encourage Mrs. Smith’s daughter to quit smoking or to stop smoking in the home to reduce the risk of fire and respiratory issues. Also, it would be essential to involve Mrs. Smith’s daughter and other family members in the care process. This could include educating them about the safety hazards in the home and how to address them, as well as involving them in the medication management process.

Some teaching points that could be reinforced include the risks associated with smoking for the smoker and anyone exposed to passive smoking. Also, emphasize that Mrs. Smith is at great risk of falls that could lead to fatal injuries and, in severe cases, death.
Reference
Poorchangizi, B., Borhani, F., Abbaszadeh, A., Mirzaee, M., & Farokhzadian, J. (2019). The importance of professional values from nursing students’ perspective. BMC Nursing, 18(1). https://doi.org/10.1186/s12912-019-0351-1

CLASSMATE 1 RESPONSE:
Mrs. Smith is an 85 y/o woman who lives with her small dog. She has an unlabeled medication dispenser, an extension cord running across the room, and a daughter who has been smoking inside the home. To begin The Nurse Should collect the medication bottles with the patient’s most recent medication list and “Establish order in medication lists by disambiguating prescriptions” (Kollerup, Schantz, 2018 pg.227), then assist the patient with organizing and labeling medications. The nurse should then asses the extension cord and advise the patient that dim lighting can cause visual impairment leading to falling. If there is no outlet closer to the patient chair for the extension cord then the nurse can “ Tape them down or move them out of sight,”(Sussman Ch. 24 pg. 26). Finally inform the patient that “tobacco smoke is the leading cause of preventable death worldwide. Unfortunately, the risk is not limited to smokers. It is dangerous for non‐smokers, particularly women, kids and elderly”(Zamani, Golshiri, Moqtader 2013 pg 1) and advise the patient that the ashtray, as well as any smoking, should be conducted outside the home.

Kollerup, M. G., Curtis, T., & Schantz Laursen, B. (2018). Visiting nurses’ posthospital medication management in home health care: an ethnographic study. Scandinavian Journal of Caring Sciences, 32(1), 222-232. https://doi.org/10.1111/scs.12451

SUSSMAN, H. (2022). Safety for the Elderly Population during the Holidays and throughout the Year. Exceptional Parent, 52(12), 24-26.

Zamani A, Golshiri P, Moqtader B. The study protocol of women’s education to create smoke- free home on the basis of family ties in Isfahan, Iran. Int J Prev Med 2013;4:1312-17.

CLASSMATE 2 RESPONSE POST:
The Safety hazards observed in the client’s home include dim lighting, a table side lamp, an extension cord, the daughter, the daughter’s ashtray, unlabeled medications, and the small dog. Dim lighting increases the chance of a fall risk and medication error. Mrs. Smith not using proper lighting could result in her falling over the extension cord she has plugged up across the room or possibly tripping on her small dog. Also, the cord plugged across the room to a table side lamp can increase the chances of a fire. Mrs. Smith could trip over the cord; the lamp could fall and start a fire. The patient has also been prescribed oxygen, which poses a fire hazard. The ashy tray is on the patient’s table, which could indicate that the daughter is smoking inside the home near Mrs. Smith. The unlabeled medication is dangerous. Seven unlabeled medications could result in an error. One medication could look similar to another in the eyes of Mrs. Smith, or she could not correctly see due to the dim lighting in the home, which increases her chances of taking the incorrect medication.

The actions that would promote safety for Mrs. Smith and her family would be to label and organize medication. Consider discussing a pill box the daughter could organize since she visits every Sunday. Moving the lamp or finding a closer electrical outlet that would remove the extension cord from across the room helps lower patient fall risk. Encouraging the patient to open a curtain to allow in natural lighting or speak to her daughter about purchasing an appropriate color temperature light bulb that would be more comfortable for her eyes but also enough to light the home area to decrease risks. Lastly, remove the ashtray from Mrs. Smith’s table.

Teaching points to be reinforced to the patient and family include medication, oxygen, fire and fall hazards, and safety precautions. Understanding that Mrs. Smith may be comfortable and familiar with her home environment, recognize it still presents several hazards. Discussing the actions to limit home hazards could decrease falls and other risks. Several studies have found that home modification interventions are effective at reducing the rate of falls among community-dwelling older adults (NACCO, 2021). Sharing informative information, answering any patient or family questions, and asking questions to ensure the patient and family comprehend the information could help prevent accidents. Patient safety in-home care is a multifaceted concept, which encompasses physical, mental, social, and practical dimensions. Evaluation, prevention, participation, and commitment to the safety culture are the core features of this concept. The patient care concept depends on the commitment of the involved participants, adequate resources, environmental conditions, support of the involved centres (home care agency, hospital, and the insurance), self-efficacy and the ability of the caregivers (nurses). Patient safety at home will not only result in a better and safer care but will also enable the patient, their family and all the people involved (patient, family and the caregivers) to remain calm during the care (Keyvanloo Shahrestanaki et al., 2022).

References

Keyvanloo Shahrestanaki, S., Rafii, F., Najafi Ghezeljeh, T., Ashghali Farahani, M., & Amrollah Majdabadi Kohne, Z. (2022). Concept analysis of patient safety in home care: A hybrid model. BMJ Open Quality, 11(4). https://doi.org/10.1136/bmjoq-2022-002077

National Association of County & City Officials. (2021, February). Older adult fall prevention – NACCHO. Issue Brief: Older Adult Fall Prevention. Retrieved January 8, 2023, from https://www.naccho.org/uploads/downloadable-resources/Fall-Prevention-Issue-Brief-February-2021-Final_210212_161639.pdf

Directions
Select at least two (2) academic resources (articles/online literature) that describe the health, social, and economic benefits related to PMHNP practice in the United States.
Use the information from your sources and your own personal and professional preparation to answer the following questions in your application essay for the PMHNP program: 
How have your life and professional experiences prepared you for the PMHNP program?
How can the PMHNP program prepare you to deliver mental health care to the community in which you live?
Please describe the type of clinical practice you will pursue upon graduation from the PMHNP program ( outpatient psychiatric practice).
How can your future clinical practice as a PMHNP affect the quality and cost of care for patients and their families?
As you answer the questions above, we will examine your application essay to ensure your writing meets the following criteria:
Plagiarism will result in an automatic decline during the competitive selection process.
Originality and uniqueness are expected. Writing is self-reflective, creative, innovative, and diverse.
Writing directly addresses all four application essay questions.
Writing is clear and appropriate for the purpose of the assignment. 
All evidence and examples are used effectively and are specific and relevant.
Ideas are coherently and logically organized with well‐developed paragraphs and effective transitions.
All sentences are well written with varied sentence structure and are free of errors in grammar, punctuation, and spelling.
Maintains appropriate tone, diction, and vocabulary for various modes of writing.
Work demonstrates clear understanding of the target audience. 
All sources are critically reviewed, documented, and formatted following standard practices of the field (APA 7th Edition) and are within a 5-year time frame of the application date. Note: Online blogs are not an acceptable source.
Formatting:
Title Page, Abstract, Main Body, and References
Include header/page numbers
3-4 pages (main body), double-spaced, 12-point Times New Roman font
APA 7TH Edition
FYI my professional experience Ive work in behavioral health facility as an RN working with child and adults patients and as a LVN correctional nurse for the state prisons

Construct 3-5 evaluation criteria for your planning project in the SMART format. Submit a title page and the criteria on 1-1 pages. No references or citations are required.
THE BELOW INFORMATION IS WHAT I AM WRITING MY STRATEGIC PLAN ON AND THE ATTACHED FILES WILL SHOW YOU THE INFORMATION I HAVE GATHERED SO FAR: Scenario B Goal: Plan for a full-service cafeteria and catering service in the medical center Objectives: • Design a 300-seat food court with 12 bays • Market food services to customers in medical center and surrounding area • Develop menu items based on diverse ethnic populations of community Deliverables: • Healthy menus for 14-day period for the full-service cafeteria • Develop a list of catering items available • Supply marketing materials for Food Court vending area

Concisely define evidenced based practice (EBP), the evolution of EBP and how barriers to EBP can be overcome. Briefly give an example of a compelling clinical question that piques your interest. I will attach a sample paper on how this should be done please only use as reference
Expectations
1 page paper, not including references
Citations: At least one high-level scholarly reference in APA format from within the last 5 years

Discussion post
You are a home health nurse visiting an 85-year-old client, Mrs. Smith, in her home. Mrs. Smith lives alone and has a small dog for companionship. Her daughter comes to visit every Sunday. Mrs. Smith takes a total of seven different medications and keeps them in unlabeled containers. She is also prescribed home oxygen therapy. Upon observing the client’s environment, you notice that the living room is dimly lit. Mrs. Smith tells you, “I don’t like a lot of lights, but I use this lamp here next to my chair.” You notice the lamp is plugged into an extension cord attached to an outlet across the room. You also see an ash tray on the client’s table. You inquire if the client smokes. Mrs. Smith replies, “Oh, no. I don’t smoke, but my daughter does.”
* Discuss the safety hazards observed in the client’s home.
* Describe any nursing actions you would take to promote safety.
* Explain the teaching points you would reinforce to the client and family.
Responses to Peers
Your initial post must contain at least two professional references, published within the past 5 years
APA FORMAT 7th edition
WRITE IN A LPN’s view
** please include as much information as you can***.
These are the safety issues I see – if you can find anymore please attach and follow directions
Oxygen and smoking is a no, no
Plugged- into – fire hazard
Extension cord, tripping hazard
Barely lit, no labels = she doesn’t know what she could be taking
Patient safety, about tripping hazard,
Prescription medication safety