Category: Nursing homework help

Practice – Healthcare Accreditation
Healthcare systems and patients benefit from accreditation standards. Many accrediting bodies are represented in various practice settings. This activity is designed to expose you to some of the major aspects of accreditation and see how it affects quality and safety.
Explore The Joint Commission and the Commission on Accreditation of Rehabilitation Facilities (CARF) sites to understand what standards these accreditors require participants to meet. Consider:
History and original purpose for creation
Purpose for existence now—how has it evolved?
Where the requirements for each agency are publicly reported
Why public reporting of metrics is important
How each body operates
Although we focused on CARF and The Joint Commission in this activity, there are many other accrediting bodies to consider:
Accreditation Association for Ambulatory Health Care (AAAHC)
Accreditation Commission for Health Care, Inc. (ACHC)
American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF)
American Osteopathic Association Healthcare Facilities Accreditation Program (AOA/HFAP)
Center for Improvement in Healthcare Quality (CIHQ)
Community Health Accreditation Program (CHAP)
Det Norske Veritas Healthcare (DNV Healthcare)
Review the prompts above and summarize your notes in 525 words for future reference.

Write a 1 paragraph summary about what you learned about Typhon and the most important skills you will use in clinical rotation. No plagiarism please.

– Identify major highlights of the 2010 Institute of Medicine Report: Future of Nursing: Leading Change, Advancing Health. Discuss the primary recommendations posed by the report. – Discuss strategies to implement the recommendations to advance the profession of nursing. – Share your own perspective on the recommendations
current APA and 3-5 pages in length, excluding the title, and references page. Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work

Spirituality is much valued in the profession of nursing. As such, this means that nurses must be able to recognize and evaluate the spiritual needs of their patients. To accomplish this goal, nurses must be familiar with various tools used to evaluate patients’ spiritual needs. The first tool can be interviewing the patient is the first step in determining their spiritual needs. Also the nurse can gain a deeper understanding of the patient’s spiritual beliefs, practices, and values by conversing with the patient (Demmrich & Huber, 2019). The patient’s understanding on what is their relationship with God and their participation in spiritual practices such as prayer, meditation, and rituals, are some possible questions to address. As a result, the nurse can in a better way understand the patient’s spiritual needs thus aiding them.
The second most commonly used tool is an assessment questionnaire for the patient’s spiritual needs. According to Bussing (2021) questionnaire inquiries aim to ascertain the patient’s spiritual beliefs and the guiding principles and actions that reflect those beliefs. The purpose of the questions is to determine the patient’s sense of purpose and direction in life with their views regards to the existence of a higher power, the afterlife, and spiritual pursuits. These questions can give the nurses important information on the patient’s spiritual well-being, enabling them to offer the patient the necessary treatment possible. The spiritual care plan is the third method for assessing a patient’s spiritual requirements. These requirements and goals are laid out in writing in this plan, along with a procedure for meeting those needs. Nissen et al. (2021) states that the method involves a plan that patients can use to accomplish their spiritual goals. Also the plan should contain a list of the patient’s spiritual assets and weaknesses which increases the possibility that the patient’s spiritual needs will be met, making monitoring the patient’s spiritual well-being simple. The final approach that can be used to determine whether a patient has any spiritual needs is spiritual treatment. Counseling and assistance are required to understand and treat the patient’s spiritual issues effectively. Through the counseling session, the nurse can assist the patient in developing resilience and coping mechanisms and acquiring an understanding of their spiritual beliefs, values, and practices.
In conclusion, various techniques can be applied to assess a patient’s spiritual needs, including spiritual care plans, spiritual treatment, spiritual evaluation surveys or the use of questionnaire, and interviews. By utilizing these resources, nurses may get a deeper understanding of their patient’s spiritual health and ensure that their patients’ spiritual requirements are met.

Post a total of 3 substantive responses over 2 separate days for full participation. This includes your initial post and 2 replies to classmates or your faculty member.
Due Thursday
Watch “Cholera Transmission” from the University Library.
Respond to the following in a minimum of 175 words:
What epidemiological tools and processes are currently in use that originated from John Snow’s work?
What advancements have been made?
As digital epidemiology becomes more prevalent, what are some of the ethical considerations of using big data in public health surveillance?
How did the discovery of bacteria transmission in water change public health practices that are still evident today?
Due Monday
Post 2 replies to classmates or your faculty member. Be constructive and professional.

Answer the questions below based on the following case study.
A 20-year-old woman is brought to the local emergency department (ED) by her family. She appears restless, pacing around the waiting room, and her parents say that she has recently been asked to leave her job as a tattoo artist. She has not slept for four nights, and her speech is rapid and quickly wanders off the point. She had recently purchased a $20,000 car and a $40,000 van to jump-start her mobile tattoo business in Naples, Florida. She is very reluctant to remain in the ED department because she has far too much to do and considers it a waste of everyone’s time. She believes that she is far too important to be held back by minions.
Summarize the clinical case.
What is the DSM 5-TR diagnosis based on the information provided in the case?
Which pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment.
Which non-pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment excluding a psychotherapeutic modality.
Include an assessment of the treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence to the chosen medication. Use a local pharmacy to research the cost of the medication and provide the most cost-effective choice for the patient. Use great detail when answering questions 3-5.
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. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

ANSWER
Summarize the clinical case.

A 20-year-old woman was brought to the emergency department by her family due to concerns about her behavior. She had been asked to leave her job as a tattoo artist, had not slept for four nights, and her speech was rapid and quickly wandered off the point. She had recently purchased expensive vehicles to start a mobile tattoo business and was very reluctant to stay in the ED, believing she had too much to do.

What is the DSM-5-TR diagnosis based on the information provided in the case?

Based on the information provided, the woman appears to be experiencing a manic episode characterized by elevated mood, increased energy, decreased need for sleep, racing thoughts, and grandiosity. These symptoms align with the diagnostic criteria for bipolar I disorder, manic episode, as outlined in the DSM-5-TR.

Which pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment.

Considering the woman’s manic episode, a mood stabilizer would be the primary pharmacological treatment. Mood stabilizers are effective in regulating mood and preventing future episodes of mania or depression. Lithium is a commonly prescribed mood stabilizer, and it has a strong evidence base for treating bipolar disorder.

Rationale for lithium:

Lithium has a well-established track record of efficacy in treating bipolar disorder, particularly in preventing manic episodes.

Lithium is relatively safe and well-tolerated with minimal side effects.

Lithium has a long half-life, allowing for once-daily dosing and improved patient compliance.

Which non-pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment excluding a psychotherapeutic modality.

In addition to medication, non-pharmacological treatments play a crucial role in managing bipolar disorder. Psychoeducation, which involves providing the patient with information about their condition, treatment options, and self-management strategies, is an essential non-pharmacological intervention.

Rationale for psychoeducation:

Psychoeducation empowers patients to understand their condition, make informed decisions about treatment, and recognize early warning signs of potential episodes.

Psychoeducation improves treatment adherence and overall outcomes.

Psychoeducation promotes self-management strategies such as maintaining a regular sleep schedule, engaging in regular exercise, and avoiding substance use.

Assessment of the treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence to the chosen medication.

Appropriateness: Lithium is an appropriate pharmacological treatment for bipolar I disorder, particularly in the context of a manic episode. It has demonstrated efficacy and safety in numerous clinical trials.

Cost: Lithium is a relatively inexpensive medication, with generic formulations available at a lower cost than brand-name versions.

Effectiveness: Lithium is highly effective in preventing future manic episodes and reducing the severity of symptoms during manic episodes.

Safety: Lithium is generally well-tolerated, although it can cause side effects such as tremor, weight gain, and kidney problems. Regular monitoring of lithium levels is essential to minimize potential side effects.

Adherence: Lithium requires ongoing monitoring, which can be a barrier to adherence. However, psychoeducation and close collaboration with healthcare providers can significantly improve adherence rates.

Comparison of medication costs

Using a local pharmacy’s website, I found that the cost of 300 mg lithium carbonate tablets (generic) ranges from $6.99 to $24.99 per bottle. The brand-name equivalent, Lithobid, costs approximately $100 for a bottle of 300 mg tablets. Therefore, the generic formulation of lithium carbonate is the more cost-effective option for this patient.

Conclusion

The patient’s presentation suggests a manic episode of bipolar I disorder. Lithium is an appropriate and effective pharmacological treatment for this condition. Psychoeducation is an essential non-pharmacological intervention that can improve treatment outcomes and patient well-being. By combining pharmacological and non-pharmacological approaches, we can effectively manage the patient’s symptoms and promote long-term stability.

Post a response to the discussion board. In your post, address the following prompts:
Define a systems-based perspective in relationship to health inequalities/disparities.
Describe the potential nursing role in addressing health inequalities/disparities at the system level.
Provide an example from your geographic area about which inequities could most benefit from a systems-based approach.
In your response, identify one aspect of your peers’ explanation of the nurse’s role in addressing health inequalities/disparities at the system level with which you agree and one aspect with which you have a different opinion. Share the aspect with which you agree with your peer and explain why. Then, share the different opinion you have and explain the reason behind your different opinion, using an example.
Use your personal experience, if it’s relevant, to support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support opinions.
Cite any sources in APA format.

The development of nursing knowledge is an ongoing process. Discuss the case for the ongoing development and use of nursing grand theories and conversely, make a case for the obsolescence of nursing grand theories for today’s practice and research.

THE ASSIGNMENT (2–3 PAGES)
Explain the controversy that surrounds dissociative disorders.
Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature.
Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.
Finally, explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important.
Locate at least three scholarly articles that you can use to support your Assignment.

COVID Teaching Discussion
An integral part of nursing is teaching and there are always opportunities to teach your clients, patients, family, and friends. As nurses we often need to put our personal opinions aside and teach our patients about the science and facts of controversial topics such as Covid so they can make informed health choices. In this discussion, you will explore either the CDC.gov or NIH.gov national websites to review the known facts about Covid and format a teaching plan to educate your audience on one aspect of Covid that you have learned.
Examples of topics could be about handwashing, mask usage, Covid vaccines etc.
You will include your Topic, a Rationale with citation/reference, an Intended Audience, a Teaching Method, List 3 facts that you have learned about your topic, List 3 SMART Learner Objectives (can be short or long term), and how you will Evaluate objective achievement. For each of these 7 areas you will respond with 3-4 well written sentences. Your in-text citation AND corresponding reference should be in APA 7th edition format.
Post your original post and respond to 2 peer posts in order to receive credit.
TOPIC: What will you teach about?
RATIONALE (include an in-text citation here and list your reference below your post): Why is this topic important to health and wellness?
AUDIENCE: Who will you be teaching and why?
TEACHING METHOD: Would you use a Power Point, poster, handouts, or a video? Why?
List 3 FACTS that you learned from the CDC or NIH website about your topic (include an in-text citation here and list your reference below your post).
List 3 LEARNER OBJECTIVES (use SMART format and each objective counts as a sentence): ex) By the end of the presentation, the learner will be able to….
PLAN FOR EVALUATION: How will you measure if your audience reached the objectives?