Category: Nursing homework help

Course Competency:
Compare the care models for nursing practice specific to the older adult.
Transferable Skill:
Information Literacy: Discovering information reflectively, understanding how information is produced and valued, and using information to create new knowledge and participate ethically in communities of learning.
Your nursing supervisor likes the topic you chose for the in-service presentation and wants you to start researching! To make sure you get the project on the right track, your supervisor has asked you to do the following:
Using the Rasmussen Library, identify at least 2 resources pertaining to your topic.
Prepare an annotated bibliography for the resources you identified. Each entry will include:
the full APA formatted reference
an annotation consisting of the following elements:
2 to 4 sentences to summarize the main idea(s) of the source
1 or 2 sentences to assess and evaluate the source
1 or 2 sentences to reflect on the source
For information about making a research appointment with a Rasmussen librarian, evaluating the credibility of a source, or creating an annotated bibliography, consult the resources below.
What is an annotated bibliography and how do I do one? Do you have a sample I can see?
How can I make a research appointment with a Rasmussen College Librarian?
How do I know if a source is credible?

Response to the discussion below with insightful information asking 2 questions to continue the discussion and it would need 1 reliable citation.

13. Discuss one of Healthy People 2030’s five overarching goals related to SDOH.
The United States Department of Health and Human Services formed the Healthy People initiative to set 10-year national objectives of improving the health and well-being of Americans. Healthy People 2030 is the fifth version of this initiative and has great emphasis on the social determinants of health (SDOH). SDOH is further divided into five categories: economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context.
For health care access and quality, specifically, Healthy People 2030 outlines the goal of “improving health by helping people get timely, high-quality health care services” (Office of Disease Prevention and Health Promotion, n.d.). One of the data points for this objective is to increase the number of adults and adolescents that obtain preventative health care. In 2020, there were delays in medical care because of the COVID-19 pandemic, which was more prevalent among persons with underlying medical conditions, Black adults, Hispanic adults, and persons with disabilities (Czeisler et al., 2020). Similarly, Becker et al. (2021) outlines in their article how the pandemic worsened racial and income inequality in access to women’s preventative health services. Reviewing the information from both articles, it may be helpful to create measurable goals that interconnect with other SDOH initiatives to contribute to the greater goal of health equity and access.
It may be beneficial for organizations to review the different domains of SDOH in Healthy People 2030 in line with their specific patient population. By doing so, health care providers can actively participate in making progress towards the national goal of improving the health and well-being of Americans. Personally, after reviewing some of the objectives in Healthy People 2030, I would like to work with my leadership and unit council to assess the discharge education data in postpartum patients. Through this inspection, I hope to work on initiatives that can improve the health communication between the clinicians and patients that adheres to the goals outlined in Healthy People 2030.
References
Becker, N., Moniz, M., Tipirneni, R., Dalton, V., & Ayanian, J. (2021). Utilization of women’s preventative health services during the Covid-19 pandemic. JAMA Health Forum, 2(7), https://doi.org/10.1001/jamahealthforum.2021.1408Links to an external site.
Czeisler, M., Marynak, K., Clarke, K., Salah, Z., Shakya, I., Thierry, J., Ali, N., McMillan, H., Wiley, J., Weaver, M., Czeisler, C., Rajaratnam, S., & Howard, M. (2020). Delay or avoidance of medical care because of COVID-19 related concerns. Morbidity and Mortality Weekly Report, 69(36), 1250-1257. http://doi.org/10.15585/mmwr.mm6936a4Links to an external site.
Office of Disease Prevention and Health Promotion. (n.d.). Health care access and quality. https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-care-access-and-qualityLinks to an external site.
Office of Disease Prevention and Health Promotion. (n.d.). Healthy people. https://health.gov/our-work/national-health-initiatives/healthy-peopleLinks to an external site.

APA format
1) Minimum 7 pages (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs 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 2 pages
Part 2: minimum 2 pages
Part 3: minimum 1 page
Part 4: minimum 1 page
Part 5: minimum 1 page
Submit 1 document per part
2)¨******APA norms
The number of words in each paragraph should be similar
Must be written in the 3 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)
4) Minimum 3 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
__________________________________________________________________________________
The number of words in each paragraph should be similar
Part 1: Advanced Pharmacology
Sally is a 50-year-old female who has been a jogger for several years. She has recently been diagnosed with osteoarthritis. She has been taking ibuprofen for 3 months but states that “it does not help” and hurts her stomach. The health care provider prescribes celecoxib (Celebrex) 100 mg orally twice a day.
1. Describe the first-line therapy for osteoarthritis and (One paragraph)
a. Explain the mechanism of action (One paragraph)
Sally expresses concern about all the recent news about heart problems and celecoxib (Celebrex).
2. What information should be included in a teaching plan to help her understand about taking celecoxib and the benefits and risks? (Two paragraphs)
Ibuprofen and celecoxib are both nonsteroidal anti-inflammatory drugs.
3. Explain how they are similar and different (Two paragraphs)
The number of words in each paragraph should be similar
Part 2: Theoretical and nursing
Topic: Theory Development and Evaluation
1. Explain the science and art of theory development and evaluation (Six paragraphs)
The number of words in each paragraph should be similar
Part 3: Capstone
PICOT question: Is it possible that the rate of errors due to incompatibility of intravenous medications is reduced by implementing a training program for nurses for 8 weeks, compared to the rate of errors before training?
1. Which measurement tools are available for evaluation of your research? (Three paragraphs)
Part 4: Capstone
PICOT question: Can the implementation of a 2-month program on sexually transmitted diseases in adolescents aged 14 to 17 years improve their knowledge about the prevention of sexually transmitted diseases compared to their knowledge before the program’s implementation?
1. Which measurement tools are available for evaluation of your research? (Three paragraphs)
Part 5: Capstone
Picot question: Is it possible that the turnover rate due to burnout is reduced after implementing a mental health program for 10 weeks, compared to the nurses’ turnover rate before the program?
1. Which measurement tools are available for evaluation of your research? (Three paragraphs)

Discuss
1. Euthanasia
o Medical / Generic definition
o Bioethical definition.
2. Describe pain and suffering within context of faith
3. Physician Assisted Suicide / Death ( PAS / PAD)
o Definition
o Is it ethical?
o Should we have the right to end our lives? Why yes or why not?
4. Better alternatives to PAS; compare and contrast each:
o Hospice
o Palliative care / Terminal sedation
5. Case studies. Brief summary of:
o Hemlock Society
o Jacob Kevorkian
o Britanny Maynard
6. Read and summarize ERD paragraphs #: 59, 60, 61.

A variety of models for making decisions are available. Three of these models are paternalistic, informative, and shared decision making.
Discuss the pros and cons of each of these models and the problems that are best suited for the various methods.
Determine which method has the strongest possibility of resulting in permanent change.
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.

What are the goals of a patient interview?
Name and described each component of the Patient History (Chief Complaint, History of Present Illness, etc.).
Describe an incident where you had used improper technique on measuring blood pressure, what did you learn from that incident?
What are the goals of a patient interview?
Name and described each component of the Patient History (Chief Complaint, History of Present Illness, etc.).
Describe a barrier when you had assess a patient from a different culture.
500 words, formatted and cited in proper current APA style with support from at least 2 academic sources.

Overview
Responsibility refers to specific accountability or liability associated with the performance of duties. Nurses must not engage in practices prohibited by law or delegate activities to others that are prohibited by the practice acts of other health care providers.
Instructions
Choose one of the following case studies to complete. Read the selected case study and answer the questions using a Microsoft Word document. Each response should be 2–4 sentences in length, clear and concise, and use correct grammar. You only need to complete one of the following case studies.

Meet Bill.
Mr. William Boggs (aka Bill) is a nurse manager for a busy ICU. He cannot cover all three shifts with the nurses he has available. He knows that if he does not have additional nurses, the RN working nights would not be able to leave the unit for breaks or any other reason. Bill has repeatedly voiced concerns to the Vice President of Nursing over the ongoing issue of short staffing but is simply told to deal with it. So, Bill institutes a change in the night shift patient to staff ratio. The RN on the unit will need to work without relief and have one CNA instead of another RN. Following a serious incident on the night shift, a disgruntled staff nurse anonymously reports Bill’s actions as unsafe to the State Board of Nursing. As a result of the investigation by the Board, Bill talks to the state hospital licensing agency and the local newspaper about the staffing patterns at the hospital. Consequently, the hospital receives bad press and is contacted by the hospital licensing agency. Bill is fired.
What values, virtues, or obligations are at stake in this case?
How would you assess this situation morally?
What are the clinical and medical dimensions of this situation?
What are the patient’s needs or desires?
What relationships are being affected?
What institutional factors are being affected?
What elements of the Code of Ethics for Nurses pertain?
If you were the nurse, how would you reason, ethically, about this?
What arguments would you make for this position (evidence-based, scholarly)?

Using the theory of unpleasant symptoms as a guide, what would you look for in an assessment tool for patient symptoms?
Note: attached you can find the rubric by which the work should be done and the reference will be less than five years old, and relevant scholarly references (at least two).

I need replies for those word with 200 words each one.

1.The surrogate role, as defined by psychologist and nurse theorist Hildegard Peplau, refers to the nurse temporarily taking on the part of a significant other, such as a family member or friend, to help a patient cope with their illness or hospitalization. This role involves providing emotional support, fostering communication, and acting as a bridge between the patient and their healthcare team.
The surrogate role may be discussed in recent nursing practice literature, but it remains relevant in several ways. Firstly, the surrogate role enhances patient-centered care. As healthcare continues to shift towards a patient-centered approach, the nurse’s ability to act as a surrogate ensures that the patient’s emotional and psychosocial needs are met alongside their physical health needs. By empathetically understanding the patient’s experience and standing in as a proxy for their support system, nurses can facilitate a more holistic and individualized approach to care.
Secondly, the surrogate role is invaluable in improving patient outcomes. Multiple studies highlight the impact of psychosocial support on patients’ recovery, coping mechanisms, and overall well-being. One such study by Riegel et al. (2018) examined the effectiveness of surrogate nursing in improving patient outcomes for individuals with heart failure. The findings revealed that surrogate support patients had better coping skills, reduced depression and anxiety, and improved self-care behaviors.
Additionally, the surrogate role is particularly relevant when patients lack a support system or face difficulty expressing their needs. For instance, patients with cognitive impairments, language barriers, or limited social connections may benefit significantly from a nurse adopting the surrogate role. By establishing trust, providing emotional support, and advocating for the patient’s needs, nurses can bridge communication gaps, facilitate understanding, and ensure continuity of care.
While some may argue that advances in medical technology and a focus on evidence-based practice have overshadowed the importance of the surrogate role, it is crucial to acknowledge that holistic care encompasses emotional, social, and spiritual aspects. Nursing is not limited to physical interventions but involves building therapeutic relationships and meeting patients’ psychological and emotional needs. The surrogate role aligns with these principles and contributes to enhanced patient satisfaction, improved outcomes, and a more humanistic approach to care delivery.
In conclusion, although the surrogate role may receive less attention in recent nursing practice literature, it remains relevant and essential in contemporary nursing. Nurses can provide patient-centered care, improve patient outcomes, and bridge communication gaps by incorporating the surrogate role into their practice. The surrogate role is crucial in meeting patients’ emotional and psychosocial needs, particularly when they lack a support system or face communication barriers. Emphasizing the importance of the surrogate role enhances nursing practice and ensures a more holistic and comprehensive approach to patient care.
2.One of the most significant indicators of the quality of care that patients receive from healthcare facilities is patient experience in hospital settings. Patient experience determines the kind of perceived comfort and safety during hospital stays and the effectiveness of the care process until a patient is discharged. Since patients are mostly with the nurses, the role of nurses, therefore, comes into the picture, creating the need to examine specific roles as defined by nurse theorists of the past. In regard to nursing roles and with the aim of addressing the week’s learning outcomes, the discussion evaluates the historical background of Peplau’s interpersonal theory, describes the theory, and presents the domains of the theory by determining whether Peplau’s surrogate role is relevant in today’s nursing practice.
The theory of interpersonal relations defines specific roles of nurses to their patients, including being a stranger who should create a calm environment, a resource person, a leader, a teacher, a surrogate, and a counselor (Vogelsang, 2022). For the purpose of this discussion, the role of a surrogate, which defines nurses as advocates, shall be discussed. As advocates, Peplau documented that nurses should create environments that encourage the development of feelings of dependence, independence, and interdependence that normally exist between the patient and the individuals represented by the nurse (Petiprin, 2023). To do so, nurses thus have to familiarize themselves with the past experiences between the client and the essential other to be able to teach the client new reaction strategies.
The definition of the surrogate role, as suggested by Peplau, is still relevant in the nursing sector, even to date. Contemporary nursing is now characterized by challenges that mostly come from increased cases of chronic diseases as compared to the past. People are now more exposed to diseases due to increased exposure to harmful substances that trigger the onset and/or rapid progression of diseases. With such issues, it becomes essential for nurses to assume the roles of being friends, family members, or any other entity that is important to the client and act as their advocates at that time. Patients with chronic illnesses need constant attention so that one can be able to respond to their needs, and nurses have been excellent in that role.
Though Peplau developed the concept of nurses playing the role of surrogates a long time ago, the role is still relevant because the clause can apply in any clinical setup, provided a patient has needs and/or wants.

ONLY NEED APA SOURCE REFENCE FOR EACH HEALTH PROBLEM and expand on the health problem rationale.
Case study and the 3 health problems are given.
The patient is at risk with these 3 health problems. Please provide a reliable source within 5 years of being published as a detailed and rational explanation to support the health risks mentioned