Category: Nursing homework help

Describe how the nursing profession is viewed by the general public. Discuss factors that influence the public’s perception of nursing. Describe ways to educate the general public on the professional nurse’s role and scope of nursing within a changing health care system.

This week we will be putting it all together to produce a final capstone publish. This will involve steps in designing a quantitative study, abstract, scholarly poster, and the formal research with title page.
Instructions/Steps in designing a Quantitative Clinical Study:
Formulate the study question
Establish the significance of the problem
Search for and critically appraise available evidence
Develop the theoretical/conceptual framework
Generate hypotheses when appropriate
Select the appropriate research design
Identify the population sampling plan
Determine the measures that will be used
Outline the data collection plan
Apply for human subjects approval
Implement the study
Prepare and analyze the data
Interpret the results
Disseminate findings-poster, manuscript
Incorporate the findings in EBP and evaluate outcomes
Formal Research project:
Graduate Level Rigor
Publishing Requirements
Writing an Abstract

Background
Aim
Methods
Expected Results
Anticipated Conclusion
Potential Implications to Practice

Poster – template
Copyright
Manuscript
Title page
1. Background & Significance
2. Literature Review
3. Supporting Evidence
4. Purpose or Aims of the Study
5. Theoretical Model or Framework
6. Methods/Design/Sampling
7. Interventions
8. Expected Results/Outcomes
9. Anticipated Conclusion
10. Possible Limitations
11. Potential Implications to Practice
12. References
13. Poster
14. Appendices

PowerPoint presentation with 10 slides and speaker notes, APA, Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
The purpose of the presentation is for you to educate your colleagues on the drug you have selected. The presentation must include information about the:
Drug pharmacology, pharmacokinetics
Brand name
Generic name
Dosing
Indications for use
Side effects
Contraindications
Pregnancy class
You must also perform a cost analysis of the drug.
Provide a patient case study on a patient in which you would utilize the drug you have selected and include at least two peer-reviewed evidence-based studies related to the drug.
Describe the appropriate patient education.
What is your role as a Nurse Practitioner for prescribing this medication to this patient on your case study presentation?
Describe the monitoring and follow-up.
DRUG for presentation is Amoxicillin

Being culturally competent as you provide care is essential for providing high quality patient care for patients coming from different cultural backgrounds. This concept is defined as a the knowledge and unique set of skills and attitudes that is applied in the clinical practice in a transcultural context (Cerveny et al., 2022). In addition, to provide culturally competent care, providers must be sensitive to the patient’s heritage, sexual orientation, socioeconomic situation, ethnicity, and cultural background. As future APRNs, it is important to note that culturally competent care is achieved when we recognize one’s own culture, values, and biases so we can use effective, patient-centered communication skills (Ball et al., 2018).
The case study that was assigned was that of Paloma Hernandez who is a 26 year-old, Spanish speaking patient who presents to the clinic for the last 2 days in a row complaining of abdominal pain that is getting worse. The first visit the staff relied on her younger bilingual daughter to translate. She was treated with Omeprazole and encouraged to take OTC medication. Today she presents with the same problem. Her daughter states it is the same problem but worse today. This discussion will provide an explanation of socioeconomic, spiritual, lifestyle, and other cultural factors that are associated with the patient described in the scenario. In addition, it will explain issues that would need to be sensitive when interacting with the patient. Finally, this discussion post will provide five targeted questions I would ask to build the patient’s health history and assess her health risks.
Cultural Factors Associated with the Scenario
As healthcare providers, it is important to be cognizant of cultural practices when it comes to caring for Hispanic patients, as many the health care beliefs and practices differ from those of Western medicine (Showstack et al., 2019). Proper communication with differing cultures is important, as there are a variety of cultural variations in communication. Recognizing differences and taking about them earlier rather than later can result in a positive experience for both the patient and the provider (Ball et al., 2018).
According to Showstack et al. (2019), Hispanics who are monolingual in Spanish are reported to experience poor health care outcomes in comparison to individuals that are monolingual in English or bilingual in English and Spanish with the authors citing language to be undoubtedly a key component. Often, untrained interpreters, such as family members and office staff, often take place of trained professionals. Untrained interpreters may not be familiar with key medical terminology and lack the proper training and experience necessary. Doing so, could like to unnecessary and potentially dangerous errors in communication and emotional difficulties (Showstack et al., 2019). In this case, Ms. Hernandez’s young daughter was tasked with interpreting for her mother. Although she may have tried her best, she was not properly trained and may have lacked key medical terminology meaning specific details could have been lost in translation, leading to potential misdiagnosis or inaccurate communication of discharge instructions. When we encounter language barriers when communicating with our patients, its important that we are aware of the resources available and know how to effectively use interpreters (Ball et al., 2018).
In addition, it has been well established that Hispanic women potentially face barriers to healthcare due to lower incomes, lower education, and lack of health insurance. This can lead to unfamiliarity in navigating the medical system which as the potential to influence medical adherence to the treatment plan (Roncancio et al., 2022). Although Hispanic women desire to adhere to exercise, a healthy controlled diet, and medication regimen, a strong barrier to a healthy lifestyle for them is cited to include long work days, cost of healthy food being more expensive, cost of medications, and lack of time for exercise (Titus & Quiles-Pollard, 2022).
It is important as healthcare providers that we understand the complexity of family impact on Hispanic women’s health. Although strong, multi-generational family relationships are known to reflect high levels of social support, it also can lead to family obligation stress, which is associated with worse health and greater unmet healthcare needs. Often, Hispanic women prioritize family relationships above one’s self (Molina et al., 2020).
Targeted Questions
In conclusion, five targeted questions would specifically ask the patient are directed toward details listed in the case study.
Are you comfortable with an interpreter assisting with this visit to ensure open communication?
What is the nature of your abdominal pain? Does anything intensify the pain or improve it?
Have you ever had this type of pain before? If so, what was the cause of it and what improved it?
What is your support system like at home?
Do you have any barriers to making steps toward a healthy lifestyle?
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2018). Seidel’s Guide to Physical Examination: An Interprofessional Approach (9th ed.). Mosby.
Molina, Y., Henderson, V., Ornelas, I. J., Scheel, J. R., Bishop, S. J., Doty, S. L., Patrick, D. L., Beresford, S. A., & Coronado, G. D. (2019). Understanding Complex Roles of Family for Latina Health. Family & Community Health, 42(4), 254–260. https://doi.org/10.1097/fch.0000000000000232
Roncancio, A. M., Ward, K. K., & Berenson, A. B. (2011). Hispanic Women’s Health Care Provider Control Expectations: The Influence of Fatalism and Acculturation. Journal of Health Care for the Poor and Underserved, 22(2), 482–490. https://doi.org/10.1353/hpu.2011.0038
Showstack, R. E., Guzman, K., Chesser, A. K., & Woods, N. K. (2019). Improving Latino Health Equity Through Spanish Language Interpreter Advocacy in Kansas. Hispanic Health Care International, 17(1), 18–22. https://doi.org/10.1177/1540415318818706
Titus, S. K. F., & Quiles–Pollard, G. (2022). A Study of Immigrant Latinas Perspectives of Caring for their Diabetes. Journal of Racial and Ethnic Health Disparities. https://doi.org/10.1007/s40615-022-01404-5

Hematopoietic:
J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately, there have been 6 days of heavy flow and cramping. She denies abdominal distension, backache, and constipation. She has not had her usual energy levels since before her last pregnancy.
Past Medical History (PMH):
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5 with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.
Case Study 1 Questions:
Name the contributing factors on J.D. that might put her at risk to develop iron deficiency anemia.
Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
Why Vitamin B12 and folic acid are important for erythropoiesis? What abnormalities their deficiency might cause in the red blood cells?
The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
Lab results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe appropriate recommendations and treatments for J.D.

post should be at least 500 words for each case study, formatted and cited in the current APA style with support from at least 2 academic sources.

In 2010, the Affordable Care Act opens up the 45-year-old Medicare program to the biggest changes since its inception. Discuss the components of the Affordable Care Act that you think will have a positive effect on improving health care outcomes and decreasing costs.
The discussion must address the topic.
Rationale must be provided
400 words

Week 6 Case Study III
Patient With Fatigue
EM is a 74-year-old male with a history of rheumatoid arthritis (RA) who presents in the clinic with a complaint of fatigue. EM is ambulatory with a walker and recently has had intermittent flare-ups of his rheumatoid arthritis (RA) disease activity, with increasing pain and swelling in his affected joints. His energy has been declining over the past few months, so he thought it was a good time to come in for follow-up laboratory testing and reassessment of his medications. Most troublesome, he has fainted twice in the past 2 weeks, which resulted in falls onto his carpeted floor. He is afraid to go out into public and even more afraid to drive his car. He has also had some chest pains with exertion. He is eating and sleeping okay, although he does sleep better if his head is elevated on a few extra pillows. He lives alone and gets meals delivered by a local organization.
Past Medical History
RA for 35 years, affecting hands, feet, knees, hips, and cervical spine
Systolic hypertension
Presbycusis
Medications
Ibuprofen, 600 mg three to four times per day as needed
Methotrexate, 7.5 mg weekly
Atenolol, 25 mg daily
Hydrocodone/acetaminophen, 5 mg/500 mg every 6 hours as needed for pain
Physical Examination
Height: 71 inches; weight: 160 lbs.; BMI: 22.3; blood pressure: 162/60; pulse: 84; respiration rate: 16; temperature: 98.6 °F
Well-developed, well-nourished elderly male in no distress; pale
Lungs: bibasilar rales
Heart: regular rate and rhythm, grade 3/6 systolic murmur, audible S3; positive carotid bruit on the left
Abdomen: no masses, nontender
Rectal: prostate 3+ enlarged, hemoccult negative brown stool
Extremities: marked ulnar deviation of MCP and IP joints in both hands
Labs and Imaging
Hemoglobin: 8.9 g/dL
Mean corpuscular volume (MCV): 80 fL
White blood cell count: 10.7 × 109/L
Platelets: 250,000/L
Reticulocyte count: 0.8%
Ferritin: 415 mcg/L
Electrocardiogram: no acute findings; some evidence of left ventricular hypertrophy
Discussion Questions
1.What is EM’s diagnosis?
2.What is the underlying pathophysiology of EM’s condition?
3.What is the best therapeutic approach to the treatment of EM’s condition?

Policy change, just like change in other contemporary fields is crucial because it is the only way that assures movement from a point of discomfort to where individuals, groups or organizations can feel comfortable. One of the strategies that nurses could use to assure policy change is through formation and/or joining organizations. As an organization, nurses would become a force that bears the potential to make their voices heard by policymakers as compared to when the organization did not exist (Paradiso & Sweeney, 2019). If nurses addressed issues affecting them as a group, the benefits would be viewed to benefit them as a group, hence increasing the chances of affecting the provisions/clauses of a policy as compared to if the policy was considered to be geared by self-interests of a specific individual or a small group of nurses.
Nurses could also strategize to function as advocates for their patients in the quest to bring about policy changes in the healthcare sector. As it is always reported, nurses are trained to attend to the needs of patients, and they actually engage the most with the patients and their families. As a result, they get to know the problems facing patients at a deeper level, which makes them the most appropriate professionals to present the needs of their patients to policymakers (Paradiso & Sweeney, 2019). Nurses can hence identify policies that affect the care delivery strategies that directly and/or indirectly and negatively affect patients and suggest changes to those policies.
Addressing Workforce Shortage
The Affordable Care Act, under the sections that tackles healthcare workforce has four major provisions. Among the provisions which are all aimed at improving the access to care as well as delivery of services among individuals in rural areas include gathering comprehensive information on demand and supply, diversity, skills and distribution of healthcare workers (Chotchoungchatchai et al., 2020). The ACA also aims at increasing the number of healthcare workers who are qualified to provide almost all healthcare services, increase and enhance training and education to increase the number of people who would henceforth be trained healthcare workers, and supporting existing workers so that they continue serving in those areas (Walsh et al., 2020). The above-mentioned provisions of the Affordable Care Act are all geared towards increasing workforce shortages in the rural communities, and possibly maintaining the levels that would be achieved. If the four provisions of the ACA are addressed on point, it will be possible to provide a lasting solution to the problem of workforce shortages in the rural communities.

200 words and two (2) scholarly references APA style

Select a child/adolescent patient from your clinical experience that presents with a significant concern. Create a focused SOAP note for this patient using the template in the Resources. All SOAP notes must be . When you submit your SOAP note, you should include the complete SOAP note as a Word document and PDF/images of each page

Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).
(Note: The citations below are provided for your research convenience. Students should always cross reference the current APA guide for correct styling of citations and references in their academic work.)
Read
Ritter, L.A., Graham, D.H. (2017). Multicultural Health (2nd ed.). Burlington, MA: Jones and Bartlett Learning.
ISBN: 9781284021028
Chapter 10

Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).
(Note: The citations below are provided for your research convenience. Students should always cross reference the current APA guide for correct styling of citations and references in their academic work.)
Read
Ritter, L.A., Graham, D.H. (2017). Multicultural Health (2nd ed.). Burlington, MA: Jones and Bartlett Learning.
ISBN: 9781284021028
Chapter 10