Category: Nursing homework help

Course Competency:
Identify local, state, and national resources which facilitate safe and effective transitions of care for older adults.
Your supervisor at Rasmussen Home Health Services is satisfied with the resources described in your annotated bibliography and is eager for you to continue your work. As a next step, your supervisor wants you to develop and share the following items with them.
Write an introduction about your in-service presentation topic.
Create an outline that identifies and describes the important content areas for your in-service presentation topic.
Write a conclusion.
Provide an APA formatted References list that contains at least 2 credible references that you intend to cite in your presentation.
Tip: For information about creating an outline and writing an introduction or conclusion, consult the resource below.
What are the essential parts of an introduction?
What does a “good” outline look like? What does a full-sentence outline look like? How do I create one?
How do I write a conclusion?
Tip: Once you receive your graded submission, be sure to review the supervisor’s feedback. You want to make sure that your next submission shows that you made appropriate improvements based on the feedback.

You are preparing to discharge a 43-year-old male patient who has received treatment for a fracture of the right tibia. You provide the patient with a prescription for a narcotic analgesic to be used as needed for pain, along with information about the medication. The patient states, “I don’t need the prescription. My cousin just had surgery and didn’t take all of his pain medicine. I can just use his. That will be cheaper for me, anyway, since I don’t have insurance.” (Learning Objectives 3, 4, and 5)
1. a. Discuss the legal and therapeutic implications related to the patient taking narcotic analgesics that have been prescribed for another person.
b. With these implications in mind, how should you respond to the patient?
2. How should you respond to the patient’s concern about the cost of his medication?
Instructions:
Your discussion post should be at least 140 words and include at least one 100-word response to a classmate. Follow APA guidelines for references. At least one reference is required to support your response. To see the grading rubric, click on the 3-dot menu on the top-right side of screen.

The aim of this homework is to reflect upon your understanding of approaches of philosophy. Hence, you are required to:
1- explain the relevance of areas of philosophy to research in nursing in general.
2- reflect on and articulate your own philosophical position in relation to the research title:The relationship between occupational stress and ways of coping among psychiatric nurses using Q-methodology.
This homework will be:
2 – 5 pages without the reference
and title page
12” font
New Times Roman
Double-spaced

Course Competency :
Design plans for care specific to the older adult.
Consider the scenario below, then follow the instructions underneath it to complete the assignment.
Mrs. Y
Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.
Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled.
The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.
During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse’s findings were as follows:
Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
The client is noted to have moderate functional issues and ambulates with a cane.
The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently.”
Consider Mrs. Y’s current health status and functional decline, then address the following:
Download the Concept Map and Plan of Care worksheet below. An example is also provided for your reference.
Concept Map and Plan of Care worksheet
Concept Map and Plan of Care example
Identify three (3) priority nursing diagnoses for Mrs. Y. Visit the School of Nursing Guide Nursing Reference eBooks section for resources to assist with nursing diagnoses.
Create a visual representation of the three (3) priority nursing diagnoses by incorporating them into the Concept Map (template in the worksheet). Be sure each nursing diagnosis includes the following elements:
“related to (r/t)” — description of the client’s problem
“as evidenced by” — description of the client’s symptoms
Complete the Nursing Plan of Care (table in the worksheet) describing what should be implemented for Mrs. Y.
Goals: Establish at least one (1) goal for each of the nursing diagnoses you identified (for a total of 3 goals). Goals should be: patient specific, measurable, actionable, realistic, and time limited.
Nursing Interventions: Describe at least three (3) nursing interventions for each of the goals (for a total of 9 nursing interventions). Each intervention should be in alignment with the goal it is supporting.
Complete the assignment using proper spelling, grammar, and APA.
For information about creating a concept map, review the FAQ, What is a concept map and how do I create one

I need help responding to the attached 4 peers’ posts in 225 words each, please provide references too.

1) Minimum 6 pages (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page ( minimum 300 words per page)
You must strictly comply with the number of paragraphs requested per page.
The number of words in each paragraph should be similar
Part 1: minimum 3 pages
Part 2: minimum 3 pages
2)¨******APA norms
The number of words in each paragraph should be similar
Must be written in the third person
All paragraphs must be narrative and cited in the text- each paragraph
The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information.
Bulleted responses are not accepted
Don’t write in the first person
Do not use subtitles or titles
Don’t copy and paste the questions.
Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
Submit 1 document per part
3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)
********************************It will be verified by the AI writing Detector (Identify the percentage of AI writing)
4) Minimum 4 references (APA format) per part not older than 5 years (Journals, books) (No websites)
All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed
5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
Q3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to
6) You must name the files according to the part you are answering:
Example:
Part 1.doc
Part 2.doc
_______________________________________________________________________________
Part 1: Evaluation and Evidence-Based Practice in Recreational Therapy
Case:
Margaret Mae is a 70-year-old retired therapeutic recreation university professor. She has no siblings or family members but maintains a close relationship with her best friend and colleague, Cheryl. She has two dogs that she loves deeply and has kept horses and an array of pets for years. Cheryl is her primary caregiver and support. She lived on a ranch in a rural community and was recently relocated to the assisted living facility. She enjoyed walks, visits to old friends, church, and concerts while able to travel. Margaret was highly respected in the field of recreation and very social. Cheryl first noticed Margaret showing signs of memory lapses; for example, losing reader glasses, poor driving judgment and position on the road, difficulty with checkbook calculations, forgetfulness, changes in reasoning capabilities, unnecessary purchases including a second home approximately two years prior to diagnosis. Cheryl voiced concerns to her primary care physician, but no testing was done until much later. Diagnostic MRI confirmed Cheryl’s suspicion of senior vascular dementia and Alzheimer’s dementia. Margaret became unable to care for herself and was placed in an assisted living facility. She was moved to your facility after an incident of elopement. You are a CTRS at the assisted living facility where Margaret now resides. You review
Significant past medical history:
– Family history of Alzheimer’s dementia, father and maternal grandmother.
– Mild hypothyroid treated with medication.
-Rheumatoid arthritis with minimal impact to mobility.
– Client had an incident of being overmedicated with psychotropic drugs, which led to a period of severe reduction in her overall function and ability to communicate and ambulate and masked a stroke that occurred; stroke induced aphasia.
– Once taken off these drugs, she began a 6-month period of regaining better overall functioning but never fully recovering
Medications: Levothyroxine (Synthroid) once daily.
Cognition/perception:
-Alzheimer’s dementia. Client has been admitted nonverbal but is alert and aware of environment.
– She reacts with head nods and smiles.
-She communicates with body language and occasionally will speak a few simple words.
Aphasia is present.
Physical examination:
-Client was examined upon entrance to the assisted living facility all physical functions with in normal limits.
-Stroke affected her left side minimally and she can ambulate without assistance.
Client Goals
1- Opportunities to socialize without pressure of speaking
2- Meaningful and safe activities to pass the time
3- Physical activity to assist with balance and coordination
1. Create a treatment plan for Margaret Mae, using evidence-based practice to guide your decision on appropriate interventions following the DENT problem solving method.
a. Define the problem: Clearly identify and articulate the specific problem or challenge that needs to be addressed. This involves understanding the current situation, desired outcomes, and any constraints or limitations (1 paragraph)
b.Explore possible solutions: Generate a range of potential solutions or approaches to solving the problem. Encourage creative thinking and consider different perspectives or alternative options.(1 paragraph)
c. Narrow down options: Evaluate the potential solutions and select the most feasible and effective ones. Consider the advantages, disadvantages, and potential risks associated with each option.(1 paragraph)
d. Take action: Implement the chosen solution or solutions. Develop a plan, allocate resources, and set specific goals and timelines for execution. (1 paragraph)
2. What assessment would be most appropriate for you to give to Margaret? (1 paragraph: Question 2 and Question 3)
3. What factors must be considered when planning Margaret’s treatment 3. What is your PICO question?
4. “What outcomes do you anticipate from your treatment plan? (1 paragraph: Question 4 and Question 5)
5. How will you evaluate the outcomes of your treatment plan?
6. How will you evaluate the outcomes of your treatment plan? (1 paragraph: Question 6 and Question 7)
7. What contraindications should you consider in Margaret’s treatment?
8. What recreational activities would be appropriate considering Margaret’s interests, goals, and current functioning level? (1 paragraph)
9. How would you communicate your recommendations to Margaret? (1 paragraph: Question 9 and Question 10)
10. How will you include Cheryl, Margaret’s caregiver, in your intervention plan?

Part 2: Evaluation and Evidence-Based Practice in Recreational Therapy
Case:
“The ClientDan Brown is a 47-year-old Mexican American who holds a master’s degree in recreation/sports management as well as a bronze medal in quad rugby from the Paralympic games. He lives independently with his wife and works for the facility. He has also written a book, co-starred in a movie, and is a disability advocate and public speaker. He enjoys participating in sports activities in addition to volunteering at his church and being an advocate in adaptive and competitive wheelchair sports. At the age of 9, Bob contracted a rare form of meningitis. To save his life, all four limbs had to be amputated. Dan uses prosthetic upper limbs to assist with dressing, driving, and activities as needed. He competes all ADLs independently.Dan comes to you, the intern at the training facility, to generate new ideas. Dan shares the following information from his background so you can begin brainstorming
Significant past medical history:
-Childhood meningitis resulting in amputation of four limbs.
-After amputations, Dan has had over 20 surgeries for skin grafts and plastic surgeries to reshape face and residual limb damage from the illness.
-Dan had a car accident, which resulted in the further amputation of the left residual limb.
-He also had a broken collarbone and minor hip fraction from this accident.
Medications: Claritin and multivitamin for men over 40.3.
Cognition/perception:
WNL4.
Physical examination
a. Sensation: Light touch pain at the end of all residual limbs. Phantom pain in amputated legs periodically.
b.ROM: WNL
c.Strength: Above normal limits. Can bench press 150 lbs.
d.Balance: WNL
e.Pain: Phantom pain lower limbs”
Mobility
a.Uses a Performax manual wheelchair, drives independently with hand controls.
Uses prosthetic arms for fine motor skills.
b.Transfers: Independently, including placing chair in car for driving
Client Goals
1.Continue playing competitive wheelchair sports: wheelchair rugby and tennis
2.Travel to places I’ve wanted to go; to Miami and Rome, Italy
3.To stay active in community and church community
4.Travel for book promotion
1. Create an inclusion plan for Dan Brown, using evidence-based practice to guide your decision on appropriate interventions following the DENT problem-solving method.
a. Define the problem: Clearly identify and articulate the specific problem or challenge that needs to be addressed. This involves understanding the current situation, desired outcomes, and any constraints or limitations (1 paragraph)
b.Explore possible solutions: Generate a range of potential solutions or approaches to solving the problem. Encourage creative thinking and consider different perspectives or alternative options.(1 paragraph)
c. Narrow down options: Evaluate the potential solutions and select the most feasible and effective ones. Consider the advantages, disadvantages, and potential risks associated with each option.(1 paragraph)
d. Take action: Implement the chosen solution or solutions. Develop a plan, allocate resources, and set specific goals and timelines for execution. (1 paragraph)
2. What assessment would be most appropriate for you to give to Dan (1 paragraph: Question 2 and Question 3)
3. What factors must be considered when planning Dan’s intervention?
4. What is your PICO question?(1 paragraph: Question 4 and Question 5)
5.What outcomes do you anticipate from your treatment plan?
6.How will you evaluate the outcomes of your treatment plan?(1 paragraph: Question 6 and Question 7)
7.What contraindications should you consider in Dan’s treatment?
8.What recreational activities would be appropriate considering Dan’s interests, goals, and current functioning level? (1 paragraph)
9.How would you communicate your recommendations to Dan?” (1 paragraph)

Private, nongovernmental healthcare organizations may be either for profit (FP) or not for profit (NFP).
Discuss the difference between not-for-profit and for-profit organizations.
What happens if an NFP organization makes a profit?
What are the advantages and disadvantages of each type of organization?
Describe two specific examples of how risk management has influenced nursing documentation.

Discuss examples of internal and external factors that impact an organization and its ability to change
Describe the characteristics of S.M.A.R.T. goals
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.
All replies must be constructive and use literature where possible.

Antidepressant Agents
Instructions: Case Discussion on Depression:
A 28-year-old female presents to your office stating that she is troubled by headaches and fatigue. She says that she always feels tired and can’t sleep well, often waking up early if she gets to sleep at all. She describes her headaches as dull, aching, and generalized. These symptoms began about three weeks ago and have been getting worse. She reports a lack of interest in her usual activities, even the ones that she used to enjoy. She also reports that she is missing work due to fatigue and inability to concentrate. Although both her children are in school, she is concerned that she is “losing them”. She is worried that she might have “something bad” because she has difficulty concentrating and is having frequent crying spells. She reports a loss of appetite, with a weight loss of 10 pounds in the last month.
The patient has no significant past medical or psychiatric history and takes no regular medications. However, she takes ibuprofen for headaches. She denies using alcohol or drugs. The patient is married, with two elementary school-age children.
Summarize the clinical case.
Create a list of the patient’s problems and prioritize them.
Which diagnosis should be considered
What is your rationale for the diagnosis
What differential diagnosis should be considered
What test or screening tools should be considered to help identify the correct diagnosis
What treatment would you prescribe and what is the rationale (consider psychopharmacology, diagnostics tests, referrals, psychotherapy, psychoeducation)
What standard guidelines would you use to assess or treat this patient
Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.
Submission Instructions
Your initial post should be at least 500 words,formatted and cited in current APA style with support from at least 2 evidence-based sources.

Describe your clinical experience for this week at a pediatric office.
Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
Support your plan of care with the current peer-reviewed research guideline.
Submission Instructions:
Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.