Category: Nursing homework help

Briefly, describe the characteristics of qualitative research and identify nursing issues/phenomena that lend themselves to a qualitative research approach.
Compare and contrast three different qualitative research methodologies.

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific illness such as cancer, diabetes, hypertension,. Share your opinions about holistic and allopathic care. Would you have any conflicts or concerns supportinga patient who chooses holistic or allopathic medicine?
Post your post of 500 words with at least 2 scholarly references of less than 5 years old Using APAP 7th format
ANSWER
Title: Safety and Effectiveness of Alternative and Complementary Medicine in the Treatment of Chronic Illnesses
Introduction:
The use of alternative and complementary medicine (CAM) in treating chronic illnesses such as cancer, diabetes, and hypertension has gained popularity in recent years. While conventional allopathic medicine remains the dominant approach, many patients are seeking holistic and CAM therapies to supplement their treatments. This discussion explores the safety and effectiveness of CAM in the context of chronic illnesses, and offers insights into the integration of holistic and allopathic care.
**Effectiveness of Alternative and Complementary Medicine:**
1. **Cancer:** CAM approaches, such as acupuncture, meditation, and dietary supplements, are often used to manage cancer symptoms and side effects of treatments like chemotherapy and radiation. While CAM can improve overall well-being and quality of life, its effectiveness in treating cancer itself remains unproven. CAM should be seen as a complementary, not a primary, treatment for cancer.
2. **Diabetes:** Certain CAM therapies, including herbal supplements and mind-body techniques like yoga and meditation, may help in managing blood sugar levels and reducing stress associated with diabetes. However, CAM should not replace standard diabetes treatments such as insulin or oral medications. It can be used as an adjunct to conventional care.
3. **Hypertension:** CAM modalities like relaxation techniques, acupuncture, and dietary modifications can contribute to managing hypertension. Lifestyle changes, including dietary improvements and stress reduction, can complement allopathic treatments. However, CAM alone may not be sufficient to control hypertension, and medication may still be necessary.
**Safety of Alternative and Complementary Medicine:**
The safety of CAM varies depending on the specific therapy used and individual health conditions. It’s crucial to consider the following:
1. **Herbal Supplements:** Some herbal supplements may interact with medications, have side effects, or lack scientific evidence of safety and efficacy. Patients should consult with healthcare providers before using herbal remedies, especially if they are taking prescription medications.
2. **Mind-Body Techniques:** Mindfulness meditation, yoga, and tai chi are generally considered safe and can improve mental and physical well-being. However, individuals with specific medical conditions or physical limitations should consult healthcare professionals before starting these practices.
3. **Acupuncture:** Acupuncture is considered safe when performed by trained practitioners using sterile needles. The risk of adverse effects is low, but individuals with bleeding disorders or those taking blood-thinning medications should exercise caution.
**Holistic vs. Allopathic Care:**
Holistic care emphasizes treating the whole person, considering physical, mental, emotional, and spiritual aspects of health. Allopathic care, on the other hand, focuses primarily on treating specific diseases or symptoms with medications and procedures.
Opinions about holistic and allopathic care can vary. Holistic care is appreciated for its patient-centered approach and the recognition of the interconnectedness of health factors. Allopathic care is valued for its evidence-based treatments and the ability to address acute medical conditions effectively.
**Supporting Patients’ Choices:**
Healthcare providers should respect patients’ autonomy and choices regarding their treatment preferences. Supporting patients who choose holistic or allopathic medicine involves open communication, education, and shared decision-making. The key is to provide patients with accurate information about the benefits and limitations of both approaches, enabling them to make informed decisions.
However, concerns may arise when patients choose CAM as the sole treatment for severe or life-threatening conditions. In such cases, healthcare providers should engage in a thoughtful discussion about the potential risks and benefits, emphasizing the importance of integrated care and close monitoring.
In conclusion, alternative and complementary medicine can offer benefits in managing chronic illnesses but should be considered as a complementary approach to conventional allopathic medicine. Safety and effectiveness depend on the specific therapy and individual health conditions. Holistic and allopathic care both have their merits, and the key is to support patients’ choices while ensuring their safety and well-being through informed decision-making and integrated care when necessary.

Discussion:
Visit http://www.aha.org/advocacy-issues/communicatingpts/pt-care-partnership.shtml and review the American Hospital Association’s Patients’ Bill of Rights. Discuss how health care professionals can ensure that patients’ rights are upheld and protected.

Requirements:
– Formatted and cited in current APA 7
– The discussion must address the topic
– Rationale must be provided
– Use at least 600 words (no included 1st page or references in the 600 words)
– Use 3 academic sources. Not older than 5 years
– Not Websites are allowed.
– Plagiarism is NOT allowed

Describe the fundamental principles of servant leadership. Present two qualities of servant leadership and explain how they support interprofessional communication in providing patient c

Purpose of Assignment
Utilize the appropriate technology and/or references/resources, demonstrating accurate use, in order to access reliable data and information that support evidence-based practice in the care of diverse clients during pregnancy.
Differentiate the various components of basic physiological needs as it relates to pregnancy and health practices, including but not limited to associated concepts of.
Evaluate data and information gathered during client care, simulated scenarios, and/or case studies related to promoting nutritional health during pregnancy, nursing care strategies to address the common discomforts of pregnancy, essential components and standards of prenatal care, fetal growth and development stages in order to determine knowledge and wisdom gained through critical thought processes to optimize client outcomes and quality improvement.
Demonstrate a basic understanding of communication practices necessary for client-centered care and interdisciplinary collaboration in terms of knowledge, skills, and attitudes.
Competency
Apply appropriate nursing care interventions for clients during pregnancy, labor, and birth.
Scenario
You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows.
Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits
Medical history: Chronic hypertension (HTN) x 5 years;
Allergies: Penicillin
Social history:
(+) tobacco, “occasional” per client (pt), 1 year; (-) alcohol use
Abusive partner with first pregnancy, states she has a new partner x 4 years
Depression, currently not taking meds for treatment (tx)
Medications: Prenatal vitamins; Labetalol 200mg BID;
Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased)
Instructions
Write a two to three-page analysis of this scenario that answers the following questions:
What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases and depression?
Document the considerations of yourself as the professional nurse in regards to self-awareness; be aware of attitudes, values and beliefs that you hold related to clients from different social backgrounds so that care is not affected negatively.
What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?
What concerns should be discussed with Ms. Jones before she leaves her appointment?
Each answer to your question should include the following:
A correct answer with thorough development of the topic
Gives clinical examples
Include evidence from scholarly sources
Appropriate use of medical terminology
Format
Standard American English (correct grammar, punctuation, etc.)
Logical, original and insightful
Professional organization, style, and mechanics in APA format
Submit document through Grammarly to correct errors before submission
Resources
https://guides.rasmussen.edu/apa

Outline- Here is a brief outline of your Key Assignment. Please do not hesitate to reach out to me if you have any questions!Key Assignment publishComplete the following OUTLINE for your Key Assignment publish:
All of the Individual Project assignments that you have completed so far in this course will all be components of the HCM337 Key Assignment, which will be due next week in Unit 5. So far you have discussed corrective action (Unit 1 IP), resolved a management problem with employees showing resistance to change (Unit 2 IP), and developed an organizational chart (Unit 3 IP). For this week’s Unit 4 Individual Project assignment, you will complete the following tasks.
Part 1 – Prepare a summary of each of the 3 tasks mentioned above.
Part 2 -Research and develop a mission and values statement for a facility.
Part 3 – Describe what type of health care this facility will provide.
Summarize their purpose and services provided, such as the type of health care, number of staff, type of staff, size, departments, and so forth.
Part 1 – Prepare a summary of each of the 3 tasks.1- Corrective Action: 1. What is a corrective action 2. Process (steps) of corrective action 3. Motivation or empowerment through corrective action2-Implementing and Motivating Change: 1. How change affects the workplace 2. Best to communicate and motivate change 3. Provide training on the change and what is expected3 Organizational chart: 1. Purpose of chart 2. Workflow within the organization 3. Relationships between employees and their functionsKEEP IN MIND-Your outline is THREE Parts-this is just a same for PART 1 only
Rough publish- Complete the following for your Key Assignment publish:
All of the Individual Project assignments that you have completed so far in this course will all be components of the HCM337 Key Assignment, which will be due next week in Unit 5. So far you have discussed corrective action (Unit 1 IP), resolved a management problem with employees showing resistance to change (Unit 2 IP), and developed an organizational chart (Unit 3 IP). For this week’s Unit 4 Individual Project assignment, you will complete the following tasks.
Part 1 – Prepare a summary of each of the 3 tasks mentioned above.
Part 2 -Research and develop a mission and values statement for a facility.
Part 3 – Describe what type of health care this facility will provide.
Summarize their purpose and services provided, such as the type of health care, number of staff, type of staff, size, departments, and so forth.
Final publish- In Unit 4, you submitted a publish of your Key Assignment. This week, you will put together the final version of this assignment. In Part 1 below, you will review and make any necessary corrections to the publish you submitted in Unit 4. Next, instructions in Part 2 below explain what additional content needs to be added your documentPart 1Revisit your Key Assignment publish from the Unit 4 IP, which should include the following:
In preparation for your Key Assignment, you have discussed corrective action, resolved a management problem with employees showing resistance to change, and developed an organizational chart. Prepare a summary of these tasks.
Research and develop a mission and values statement for a facility.
Describe what types of health care this facility will provide.

Summarize their purpose and services provided, such as the type of health care, number of staff, type of staff, size, departments, and so forth.

Update your Key Assignment publish with any peer review feedback from the discussion board and from faculty grading feedback.Part 2Add the following in 2-3 pages (not including title page and reference page) of new information and content to your Unit 4 IP publish to your Key Assignment:

Develop 5 ethical standards to implement at your chosen facility.

Research 2 companies with ethical standards, and develop standards in your own words.
2 APA references are required.

How would you present this information to staff during orientation or training?

Describe this training.

choose a case or disorder and Create a Focused SOAP Note/case presentation of a child or Adolescent. Use the attached template.

Week (enter week #): (Enter assignment title)
Student Name
College of Nursing-PMHNP, Walden University
PRAC 6665: PMHNP Care Across the Lifespan I
Faculty Name
Assignment Due Date
Subjective:
CC (chief complaint):
HPI:
Substance Current Use:
Medical History:
· Current Medications:
· Allergies:
Reproductive Hx:
ROS:
· GENERAL:
· HEENT:
· SKIN:
· CARDIOVASCULAR:
· RESPIRATORY:
· GASTROINTESTINAL:
· GENITOURINARY:
· NEUROLOGICAL:
· MUSCULOSKELETAL:
· HEMATOLOGIC:
· LYMPHATICS:
· ENDOCRINOLOGIC:
Objective:
Diagnostic results:
Assessment:
Mental Status Examination:
Diagnostic Impression:
PRIMARY DIAGNOSIS
3 DIFFERENTIAL DIAGNOSIS
Reflections:
Case Formulation and Treatment Plan:

Assessment Role-Play
Instructions
Read the following scenario:
Mr. Robert McClelland, an 81-year-old man, is a new admission from the local hospital to your long-term care facility. After Mr. McClelland’s last bout with pneumonia and congestive heart failure, his wife of 59 years has decided she is no longer able to care for him alone. Mrs. McClelland states, “He has just gotten too weak and can’t help me care for him. I am so afraid he will fall and hurt himself. I am so worn out trying to care for him myself. I have to bathe him and remind him to eat; sometimes, I’ve had to feed him myself, or he won’t eat. He can be so forgetful.”
Given this information, there are two options that Mrs. McClelland is considering.
Hire an in-home nurse to care for her husband.
Place her husband in a nursing home.
Write 200–250 words arguing for the option you think will be best. Use the discussion prompts to guide the content for your initial post. Then, respond to at least two of your peers’ posts.
Discussion Prompts
You are Mr. McClelland’s nurse. You are tasked with providing the information for both assisted health care options. Based on your assessment of Mr. McClelland’s symptoms and his wife’s concerns, publish a response to help them make the best decision for their situation.
Find at least one resource to support your argument. Be sure to use APA (7th ed.) when citing this resource.
Additionally, share your opinion about which option you believe is the best for Mr. and Mrs. McClelland’s situation, and explain why.

Julie has been the executive director of the Maternal-Newborn Service for 5 years and reports to the chief nursing officer (CNO). The four other executive directors of service-lines include Tim, who is the executive director of Medical-Surgical Services; Janice, who is the executive director of Critical and Emergency Services; Fred, who is the executive director of Surgical Services; and Gabriella, who is the executive director of Rehabilitation and Outpatient Services. All of the executive directors with the exception of one are about the same age (mid-to late 30s or early 40s), educated at the master’s in nursing (MSN) level (except for Julie, who has a PhD in nursing leadership), and have significant clinical experience in their service-line areas. Janice is in her late 20s, has a master’s in business administration (MBA), and is also quite experienced in critical care services.
The five executive directors work well together as a team, but do not respect the opinion, direction, and leadership of the CNO, who has been in her position for 30 years. The team perceives her to be out of date, although the physicians at the hospital are quite supportive of her. They often meet to determine ways they can work around her to accomplish their individual and collective goals. The CNO reports to the CEO, along with the chief financial officer (CFO) and the chief operations officer (COO). The CNO, CEO, CFO, and COO have all worked together for approximately 7 years. The rest of the executive team has little interaction with the executive directors, with the exception of the budget season when the executive directors work closely with the CFO and COO to develop and negotiate the budgets and approved number of full-time equivalents (FTEs) for each clinical area.
One summer, Julie goes on vacation, and while away she receives a call from Gabriella, who informs her that huge changes have taken place. The president of the healthcare system has terminated the CEO and the CNO and has fired a new CEO. The new CEO was a CFO and COO in his previous employment, but has no experience as a CEO. He has a master’s degree in hospital administration.
The reporting structure has also been changed. All of the executive directors, the CFO, and the COO will all now report directly to the new CEO. There will not be a designated CNO because all of the executive directors will fill that role. The new changes will take place immediately. The communication to the organization and the public indicates, “Changes were needed to position the organization for growth in current and future service-lines and expansion into new markets. The CEO and CNO have decided to pursue other career opportunities.”
At first Julie is very impressed with the new CEO, who is young, enthusiastic, and very financially savvy. He meets with the executive team every Monday morning to review the previous week’s performance in each service-line and to share plans for the upcoming week, He meets with each of his direct reports once per month and reviews the budget, productivity, patient outcome indicators, and satisfaction levels of staff and physicians. Julie seems to appreciate the direct communication style of the new CEO.
After a few months, Julie detects a change. As budget constraints become more apparent, the executive team is requested to tighten the belt. The proposed budget for the next year must be cut 10% across the board, and the capital budget requests become very competitive. Although Julie’s area has the greatest percentage of admission and discharges as compared to the other service areas, the reimbursement rates for her patients are significantly less than that of patient in her colleague’s service areas. Due to the way contracts have been negotiated for Medicaid and Medicare patients, Julie’s area actually loses money-the cost to provide the services for 48% of the patient is more than the reimbursement rate. When this issue is discussed week after week at the Monday report, Julie begins to see a change in the group dynamics among her colleagues. Janice is emerging as the most powerful of the executive directors, and her areas contribute the most of the hospital’s revenue picture. Janice often “hangs out” with the CEO and the two of them meet daily at the end of the day. The other executive directors notice the change as well, but no one feels it as much as Julie.
Julie never knows what to expect from the CEO. At one meeting he can be very kind and supportive, but at the next meeting he can be accusatory, belittling, and angry that her area is losing money-not because of productivity, but because of the revenue levels. He demands that she decrease staffing levels to cut expenses, and Julie tries to explain that doing so would out the areas out of compliance with required nurse-to-patient ratios. This rationale is not received well, and more pressure is placed on Julie to reduce staffing expenses. The CEO wants her to change the staff mix, using fewer RNs and adding more nursing assistants to cut expenses. Some of the meetings are brutal, and Julie often leaves feeling “beaten: and humiliated.
Julie is upset with the CEO, but after a few hours of reflective thinking after meetings with the CEO, she blames herself, thinking she should be more prepared, better able to articulate the area’s needs, and better able to manage the CEO’s aggressive nature. She dreads meetings with him, but then when the next meeting comes, he is either absolutely supportive and understanding or absolutely unsupportive and aggressive. She never knows what to expect. When she spoke with her colleagues about their relationship with the CEO, they all expressed that he was fine with them. She also met with the CFO to discuss her area’s revenue, expenses, and productivity levels. The CFO was helpful and explained that the biggest problem is the way the contracts have been negotiated and that the revenue level is not in Julie’s control. He indicated that the hospital decided to negotiate a low rate for maternity and newborn services in order to get a higher rate for critical care patients.
The situation begins to escalate for Julie beyond the one-on-one meetings with the CEO. He begins to attack and belittle her in the Monday meetings in front of her peers, laugh at comments she makes on any subject, and makes a point of reminding her peer that Julie’s area is a revenue loser. At one meeting, the CEO distributed an article that he liked from the Harvard Business Review but did not give one to Julie. When she asked if he had another copy for her, he answered, “What, little Miss PhD, I assumed you’d already know all about this.” Her peers said nothing, but Julie noticed they simply hung their heads, except for Janice who was chuckling with her hand over her mouth.
Julie, at wit’s end, finally confided to Gabriella that she was considering leaving the organization. She felt absolutely defeated and could never predict what to expect from the CEO. Gabriella listened carefully and then said, “Julie, don’t you see what is going on here? You are the classic abused woman. The CEO beats you up and you go away blaming yourself and promising to be better, He then feels guilty and treats you better the next time, but the cycle continues over and over. Now he is becoming more aggressive and humiliating to you in public. You have a choice. You can leave, but you will never see this issue to closure and it might affect your work in the future…of you can choose to break the cycle.”
Question 1:
Gabriella indicates that Julie is functioning in a way similar to “abused woman syndrome.” Considering the 10 principles discussed in this chapter (attached), what do you think are the dynamics among the executive directors and CEO in this case?
Question 2:
When working in such a dysfunctional relationship and organization, what do you think are Julie’s best options to heal herself and mange her professional career?
Question 3:
What leadership theory/theories is/are in use here?

How long have you taken each these medications?
Do you know why you are taking these medications?
Who told you about the medications and why you need to take them? Were you able to ask any questions about the medications and if so were they answered so you understood what was said?