Category: Nursing homework help

Please use the attached assignment instructions to complete the 3 assignments in it.
The attached document has 3 different assignments. Please submit each individually, and use references within the 5 years ONLY
Assignment 1: 3- Discussion Questions
Assignment 2:
Develop a 3,000 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:
Assignment 3:
Professional Capstone and Practicum Reflective Journal

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific illnesses such as cancer, diabetes, and hypertension. Share your opinions about holistic and allopathic care.
Would have any conflicts or concerns supporting a patient who chooses holistic or allopathic medicine?
Instructions:
Word limit 500 words. Please make sure to provide citations and references (in APA, 7th ed. format) for your work.

ANSWER

Safety and Effectiveness of Alternative and Complementary Medicine

Alternative and complementary medicine (CAM) is a broad term that refers to a variety of healing practices that are not considered part of conventional medicine. CAM therapies can be used to treat a wide range of conditions, including cancer, diabetes, and hypertension.

The safety and effectiveness of CAM therapies vary depending on the specific therapy. Some CAM therapies are well-studied and have been shown to be safe and effective for certain conditions. Others have not been well-studied or have been shown to be ineffective or even harmful.

CAM Therapies for Cancer

A number of CAM therapies have been used to treat cancer, including herbal supplements, acupuncture, and massage therapy. Some CAM therapies have been shown to be helpful for managing side effects of cancer treatment, such as pain, nausea, and fatigue. However, there is limited evidence that CAM therapies can cure cancer or extend survival.

Some CAM therapies, such as high-dose vitamin supplements, can be harmful if used in conjunction with conventional cancer treatments. It is important to talk to your doctor before using any CAM therapy, especially if you are also receiving conventional cancer treatment.

CAM Therapies for Diabetes

Some CAM therapies have been shown to be helpful for managing diabetes, such as cinnamon, fenugreek, and berberine. However, it is important to note that these therapies are not a substitute for conventional diabetes treatment, such as insulin or oral medications. It is important to talk to your doctor before using any CAM therapy to manage your diabetes.

CAM Therapies for Hypertension

Some CAM therapies have been shown to be helpful for lowering blood pressure, such as yoga, meditation, and acupuncture. However, it is important to note that these therapies are not a substitute for conventional hypertension treatment, such as medication. It is important to talk to your doctor before using any CAM therapy to manage your hypertension.

Holistic and Allopathic Care

Holistic care is a type of healthcare that focuses on treating the whole person, mind, body, and spirit. Allopathic care is a type of healthcare that focuses on treating the symptoms of disease using conventional medical treatments.

Both holistic and allopathic care can be effective in treating a variety of conditions. However, there are some key differences between the two approaches.

Holistic care emphasizes the importance of prevention and wellness. Holistic practitioners are likely to recommend lifestyle changes, such as diet, exercise, and stress management, in addition to conventional medical treatments.

Allopathic care focuses on treating the symptoms of disease. Allopathic practitioners are likely to prescribe medication and other medical treatments to address the symptoms of disease.

Conflicts or Concerns Supporting a Patient Who Chooses Holistic or Allopathic Medicine

As a healthcare professional, it is important to respect the patient’s right to choose their own healthcare. This means supporting the patient’s decision to choose holistic or allopathic medicine, even if you disagree with their decision.

There are a few potential conflicts or concerns that may arise when supporting a patient who chooses holistic or allopathic medicine. One concern is that the patient may not be receiving the best possible care. For example, a patient may choose to use CAM therapies instead of conventional cancer treatments, which could lead to delays in diagnosis or treatment and decreased survival rates.

Another concern is that the patient may be experiencing harmful side effects from CAM therapies. For example, some CAM therapies, such as high-dose vitamin supplements, can interact with conventional medications and cause serious side effects.

It is important to have a frank and open discussion with the patient about the risks and benefits of their chosen healthcare approach. The patient should be informed of the potential side effects of CAM therapies and the potential consequences of delaying or refusing conventional treatment.

Conclusion

CAM therapies can be a helpful addition to conventional medical treatment for some conditions. However, it is important to talk to your doctor before using any CAM therapy, especially if you are also receiving conventional medical treatment. It is also important to be aware of the potential risks and benefits of CAM therapies.

Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.
Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.
Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.
The Assignment (Evidence-Based Project)
Part 3A: Critical Appraisal of Research
Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.
Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.
Part 3B: Critical Appraisal of Research
Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

The Comprehensive Assessment provides a fresh start with Tina Jones where you can demonstrate mastery of a head-to-toe examination and assessment.
As part of this assignment, you will then submit a typed write-up of your physical assessment of Tina. Make sure to follow the proper sequencing order in your physical assessment write up and use correct terminology.

The Write-Up is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
The Write-Up should be formatted per current APA and 1 page in length, excluding the cover page. No references required.

explain approaches to community intervention and evaluation. Implement a teaching and evaluation plan.

Respond with at least 150 words (each) to a classmates’ post
Question
Leonard works in the agriculture industry and raises beef cattle. At 60 years of age, he has spent most of his life working outdoors harvesting hay and tending to his herds. His wife was the first to notice a change in his skin. One day, after taking off his shirt, she noticed a significant change in the mole he had on his right shoulder. It not only was darker but was moist and appeared to have been bleeding at one point. Surrounding the mole, his skin was red. His wife remembered hearing stories of Leonard working on his father’s farm, spending long hours out in the hot sun even though his father had gone into the barn to work during the hottest part of the day. She insisted him go to the family physician to have it examined (Chapter 52, Learning Objectives 10 and 11).
Leonard’s physician performed a biopsy on the lesion and told Leonard he suspected the growth may be malignant melanoma. What cells are affected in this form of skin cancer? How might his childhood exposures to the sun predispose him to this form of cancer?
How do UVA and UVB rays contribute to the process of oncogenesis in skin cells?
The mole on Leonard’s shoulder was a nevocellular nevus. What are the cellular composition and appearance of this type of mole before it underwent malignant change?
classmate
Leonard’s physician performed a biopsy on the lesion and told Leonard he suspected the growth may be malignant melanoma. What cells are affected in this form of skin cancer? How might his childhood exposures to the sun predispose him to this form of cancer?
The melanocytes cells are affected by malignant melanoma, which is a tumor. Exposure to the sun for extended periods of time pose a serious danger for developing this kind of melanoma. Young and middle-aged individuals are more susceptible to developing melanoma as a result of early childhood severe sunburns and sporadic excessive sun exposure. In white people, skin exposed to the sun is where around 90% of malignant melanomas develop (Norris, (2019).
How do UVA and UVB rays contribute to the process of oncogenesis in skin cells?
Sunburn is brought on by ultraviolet light, which also raises the risk of skin cancer. Both the DNA and the skin can be harmed by UV radiation. inhibits the skin’s immune defenses. Depending on the UV type and exposure level, it can impair skin immunity, raising the likelihood of skin cell oncogenesis (Norris, (2019). The longer wavelength UVA reaches well into the dermis and penetrates there. Contrarily, only a little amount of UVB exposure reaches the dermis since it is virtually entirely absorbed by the epidermis. Reactive oxygen species can harm DNA by indirect photosensitizing processes, and UVA is effective at producing these species. Direct UVB absorption by DNA leads to molecular rearrangements that result in the formation of certain photoproducts, such cyclobutane dimers and 6-4 photoproducts. Many of these DNA changes have the potential to cause mutations and cancer (D’Orazio et al. (2013).
The mole on Leonard’s shoulder was a nevocellular nevus. What are the cellular composition and appearance of this type of mole before it underwent malignant change?
The multiplication of melanocytes in the epidermis or dermis causes pigmented skin lesions known as nevocellular nevi. Small papules with well-defined, rounded margins, ranging in color from tan to deep brown, are neocellular nevi. Initially, they are created by melanocytes, which are basal keratinocytes that have lengthy dendritic extensions. Along the dermal-epidermal junction, the melanocytes undergo transformation into ovoid or spherical cells that contain melanin and develop in nests or clusters. The name “junctional nevi” or “active nevi” refers to the location of these lesions. Most junctional nevi eventually form nests or cords of cells that blend into the dermis around them. The epidennal and dermal layers of compound nevi are present (Norris, (2019).

Choose a case from the https://journalofethics.ama-assn.org/cases and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.
Identify the issue and state your ethical position.
How might this scenario play out or impact you in your role as a nurse practitioner?
Defend your position with legal, ethical, and professional evidence.
As part of your position, propose strategies and solutions for addressing the issues.
What other ethical issues does this case bring to light, if any?
Support your position with at least one scholarly source. Be sure to cite the article you choose, use APA format, and include a title page and reference page.
HOW TO ANSWER
I have chosen the case titled “Physician Assisted Suicide: When Is It Ethical?” from the Journal of Ethics by the American Medical Association. The issue revolves around whether it is ethical for physicians to assist patients in dying by prescribing lethal medication. My ethical position is that physician-assisted suicide can be ethical in certain situations when stringent criteria are met.
As a nurse practitioner, this scenario could impact me by challenging my personal beliefs and professional obligations. I may encounter patients who express a desire for physician-assisted suicide due to unbearable suffering from terminal illnesses. Balancing my ethical duty to relieve suffering with legal and professional obligations will be crucial.
Supporting my position, I argue that physician-assisted suicide can be ethically justified when strict criteria, such as a terminal illness with no chance of recovery, unbearable suffering, informed consent, and psychiatric evaluation, are met. This approach aligns with patient autonomy and the relief of suffering, which are core principles of medical ethics.
From a legal perspective, the legality of physician-assisted suicide varies by state in the United States. In states where it is legal, healthcare providers must follow the established legal guidelines and protocols. However, the legal landscape is constantly evolving.
Professionally, the case highlights potential conflicts with the American Nurses Association (ANA) Code of Ethics. While the ANA emphasizes the importance of patient autonomy and the relief of suffering, it also underscores the nurse’s duty to preserve life. Nurse practitioners must navigate this ethical dilemma by adhering to state laws and guidelines.
To address these issues, healthcare organizations should provide clear policies and protocols for physician-assisted suicide, ensuring that healthcare providers understand their legal and ethical obligations. Interdisciplinary discussions involving physicians, nurse practitioners, ethicists, and legal experts can help develop comprehensive guidelines.
This case also brings to light broader ethical issues, such as the limits of patient autonomy, the role of healthcare providers in end-of-life decisions, and the societal implications of legalizing physician-assisted suicide. These complex ethical considerations require ongoing discussions and research to inform policies and practices.
Reference:
American Medical Association. (2021). Physician assisted suicide: When is it ethical? Journal of Ethics, American Medical Association. https://journalofethics.ama-assn.org/article/physician-assisted-suicide-when-it-ethical/2021-05

The great management thinker, W. Edward Deming, once said, “Any manager can do well in an expanding market.”
This point is absolutely still appropriate. The first impulse most managers have when faced with a challenge is to spend more money to address what they believe to be the problem. This may mean a new training program or a new technology system. Invariably, the solutions posed by most consultants are tied with some kind of expensive product or system. Too often, these suggestions are shot down by a Board of Directors or C-Suite that are concerned with, “throwing good money after bad” or spending more capital with increasingly smaller returns.
In his excellent book, “Antifragile,” Nassim Taleb challenges us to think of this state as, “fragility.” Then, he presents two other potential states. One is referred to as a “robust” organization and the other is, “antifragile.” Both of these are organizations that are not so negatively impacted by market forces. This week’s video by Dr. Alan Barnard does a great job of explaining these ideas at a memorable talk at the 2015 TOCICO conference in South Africa.
Considering this challenge that we all face as managers and would-by leaders, what can we do to prepare ourselves for when the market delivers a challenging event? Is your healthcare organization fragile, robust, or antifragile?
Most importantly, please identify 1 idea gleaned from this class that could be adapted into your professional context that would assist you in making your organization less fragile. Take that idea and make a workable plan (2 or 3 action items). Finally, conclude your discussion post with a question soliciting some additional specific ideas from your colleagues.
Expectations
Initial Post:
Due: Thursday Midnight
Length: 150 – 250 Words

Create a discussion based on this question. Use 2 reliable citations.
13. Efforts to standardize the definition of advanced practice nursing have been ongoing since the 1990s. Why are there still discrepancies?
The community may mean county, state, region, etc. Access the Worksheet through the following link and follow the instructions on the form. You will explore and compare data concerning the roles, education, certification, and salaries of advanced practice nurses, PAs, and physicians. You will need to research demographic and legislative data. All sources must be credible scholarly resources.
· Questions addressing education should reflect overall national standards, not FNU requirements.
· You can find the information using credible sources, scholarly sources only. (.gov, .org)
· School of Nursing websites (.edu) are not credible resources, nor are sites advertising for nursing jobs.
· Ideally, cited studies should have been published less than five years ago.
· Use the FNU file naming standard.

Module 7 Discussion
Female Patient Cases 5

For this Discussion, your instructor will assign you three case numbers.

Case 1
Case 2
Case 3
Case 4
Case 5
Case 6

Cases
Define preconception period and discuss why this is an important time for women who are planning to get pregnant.
The American College of Obstetricians and Gynecologist (ACOG) recommends in its guideline’s aspirin 81 mg daily.
G.P is a 32 primigravida patient who blood type is B Rh negative. She is on her first trimester and have a vaginal bleeding episode.
The Diagnosis criteria for Pre-eclampsia based on the ACOG guidelines and the maternal and fetal complications related.
C.C is a 36-year-old female patient known in the office who came to consult you because she has been feeling left breast tenderness, low grade fever and malaise for about four days. She delivered her baby 3 months ago and is breastfeeding. You found the left breast warm and painful when examined. Fissures on nipples presented.
Discuss three fetal screening and include:

Questions for the case
· Why folate supplement is important.
· Following the guidelines of the United States Preventive Service Taskforce (USPSTF) how you would recommend the folate to be taken. by women who plan to get pregnant?
· Name dietary sources for folate.
· Name patients with higher risk who indicate a need for folate. supplementation is recommended.
· To which group of pregnant women do the American College of Obstetricians and Gynecologist (ACOG) recommend in its guideline’s aspirin 81 mg daily? Explain.
· Following ACOG what would be the appropriate management for this patient?
· Discuss the Diagnosis criteria for Pre-eclampsia based on the ACOG guidelines and the maternal and fetal complications related.
· List your diagnosis and support.
· If infection is suspected which bacteria are usually involve in this process.
· Discuss a management plan for C.C (pharmacologic and non-pharmacologic treatment).
· List patient’s education and recommendations.
· Screening test name.
· Screening test components.
· Gestational age to perform the test, what d. Defect (s) will be screening.
Once you received your three case numbers; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:
1. An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.
2. Name the different family developmental stages and give examples of each one.
3. Describe family structure and function and the relationship with health care.
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.
· All replies must be constructive and use literature where possible.
· Please post your initial response by 11:59 PM ET Thursday
Grading Rubric

Your assignment will be graded according to the grading rubric.

Discussion Rubric

Criteria
Ratings
Points

Identification of Main Issues, Problems, and Concepts
Distinguished – 5 points
Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.
Excellent – 4 points
Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.
Fair – 2 points
Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.
Poor – 1 point
Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.
5 points

Use of Citations, Writing Mechanics and APA Formatting Guidelines
Distinguished – 3 points
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.
Excellent – 2 points
Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.
Fair – 1 point
Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.
Poor – 0 points
Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.
3 points