Category: Nursing

You have been asked by management to create a PowerPoint for the nursing staff that discusses the classifications of shock: hypovolemic, cardiogenic, obstructive, and distributive, which includes anaphylactic, neurogenic, and septic shock. Include signs, symptoms, and nursing and medical interventions for each type of shock. Speaker notes (minimum of 50 words per slide) and reference slides must included.
Organize your presentation as follows:
Title (1 slide)
Introduction (1 slide)
What is shock? (3 slides)
Hypovolemic shock (3 slides).
Cardiogenic shock (3 slides).
Obstructive shock (3 slides).
Distributive shock (3 slides).
References (1 slide)
Assignment Expectations
Length: Minimum of 16 slides, which includes title, and reference slide. Each slide should follow the 6×6 rule (6 bullet points no longer than 6 words). Add any pictures, graphs, videos, etc. to enhance your presentation.
Structure: Include a title slide and reference slide in APA format.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly resources to support your claims.

Compose a written comprehensive psychiatric evaluation of a patient you have seen in the clinic. Please follow rubric and use template. use depression for the dsm 5 diagnosis

Attached Template: Each item in the template must be filled out. This assignment will help you understand the sign and symptoms of the disease and their treatment options. The template will be at least 6 and no more than 12 pages long, not including the title page and reference page (8-14 total). Use APA format in the template as much as possible. A minimum of 2 scholarly sources are required. However, to earn exemplary in the decision-making and clinical reasoning category, 3 or more scholarly sources are required. Sources need to be less than 5 years old. Follow the guidelines below:
Use double spacing for your introduction and conclusion—double spacing is not required in the table.
12-point Times New Roman font.
Include an introduction.
Spelling, grammar, and organization are appropriate, professional, and correct.
Include a conclusion.
Use in-text citations throughout.
Include a reference list.
For the conditions listed below, the description, symptoms, treatment, complication, medications, and patient goals/outcomes must be provided.
Stable angina
Unstable angina
Variant angina
STEMI
NSTEMI
Heart Failure
Inflammatory heart disease
Pericarditis
Endocarditis
Aneurysm
For the treatments listed below, the description, what it treats, complications, and patient goals/outcomes must be provided.
Primary angioplasty
Thrombolytic therapy
PTCA
Intracoronary stenting
CABG
Transmyocardial revascularization
Ablation
Permanent pacemaker
Implantable cardioverter-defibrillator

This assignment will address the differences between advanced nursing practice and advanced practice nursing.
Analyze the differences between advanced nursing practice and advanced practice registered nursing.
Appraise the population served through your advanced nursing practice role.
Evaluate certification opportunities for your chosen role.
Develop your licensure, accreditation, certification, and education plan based on your chosen advanced nursing practice role.
Investigate state-specific implications for your chosen role.
USE FOR ROLE: FAMILY NURSE PRACTITIONER
USE FOR STATE: FLORIDA
Your paper must be presented in a single Microsoft Word document. The paper must be between 4–5 pages in length, not including the title and reference pages. The paper must use proper APA formatting as directed in the APA Publication Manual, 7th edition, including the title page and reference page, with properly formatted citations in the body of the paper.
You are encouraged to consult the Academic Success Center prior to submitting your paper. To view the grading rubric for this assignment, please visit the Grading Rubrics section of the Course Resources.
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the assignment description carefully (as displayed above);
consult the grading rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar checks to minimize errors.
Your writing assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 7th edition format.
REFERENCES
Advanced Practice Nursing: Essential Knowledge for the Profession
Chapter 4: “Emerging Roles for the
DNP”

For this paper, you will choose a specific technology that could be implemented in your current/future workplace or area of interest. You will expand this topic every week.
Topic areas should be in the domains of:
Patient Care Delivery
Information Technology and Education
Consumer Health Promotion
Nursing Research and Informatics
Examples might include a web-based education portal, a computer charting system, simulation technologies, social media, eHealth/ePatient, data storage/collection devices, telehealth, medication administration systems, and more.
This Unit 1 written paper will introduce your chosen topic. It should include:
An explanation of the technology, its history and integration into the healthcare system presently
The benefits of this technology to organizations and to patient care
The paper should use correct APA formatting and will include 3 professional references, be 6-7 pages long (excluding the title and references pages), contain an introduction and conclusion, in-text citations, a title page, and a reference page.

General Instructions
Some clients present specific challenges during the interview and physical examination. Nurse practitioners (NPs) must be able to identify behaviors that impede the assessment and consider strategies to communicate effectively with these clients. This week, you will create a scenario that could occur in NP practice in which a client displays a challenging behavior as assigned below.
Your topic is assigned based on the first letter of your first name. For example, if your first name is Grant then your assigned topic is communicating with a flirtatious client. 
(My name starts with O So it will be the Client who displays racist or discriminatory behavior)
Include the following sections (detailed criteria listed below and in the grading rubric):
Application of Course Knowledge: Answer all questions/criteria with explanations and detail.Create a scenario depicting an interaction between an NP and a client. Describe the setting and type of encounter.
Describe the client’s challenging behaviors related to the topic assigned.
Examine the potential impact of the client’s behavior on the client-provider relationship.
Analyze techniques to enhance communication with the client and address the client’s behavior.
Create sample documentation for the encounter.
Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations.Cite a scholarly source in the initial post.
Cite a scholarly source in one faculty response post.
Cite a scholarly source in one peer post.
Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week. 
Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
Reference Citation: Use current APA format to format citations and references and is free of errors.   

Write a 4-6 page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications. IntroductionIn your health care career, you will be confronted with many problems that demand a solution. By using research skills, you can learn what others are doing and saying about similar problems. Then, you can analyze the problem and the people and systems it affects. You can also examine potential solutions and their ramifications. This assessment allows you to practice this approach with a real-world problem.InstructionsNote: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.Describe the health care problem or issue you selected for use in Assessment 2 (from the Assessment Topic Areas media piece) and provide details about it. Explore your chosen topic. For this, you should use the first four steps of the Socratic Problem-Solving Approach to aid your critical thinking. This approach was introduced in Assessment 2.
Identify possible causes for the problem or issue.
Use scholarly information to describe and explain the health care problem or issue and identify possible causes for it. Identify at least three scholarly or academic peer-reviewed journal articles about the topic. You may find the How Do I Find Peer-Reviewed Articles? library guide helpful in locating appropriate references.
You may use articles you found while working on Assessment 2 or you may search the Capella library for other articles.
You may find the applicable Undergraduate Library Research Guide helpful in your search.
Review the Think Critically About Source Quality to help you complete the following: Assess the credibility of the information sources.
Assess the relevance of the information sources.
Analyze the health care problem or issue. Describe the setting or context for the problem or issue.
Describe why the problem or issue is important to you.
Identify groups of people affected by the problem or issue.
Provide examples that support your analysis of the problem or issue.
Discuss potential solutions for the health care problem or issue. Describe what would be required to implement a solution.
Describe potential consequences of ignoring the problem or issue.
Provide the pros and cons for one of the solutions you are proposing.
Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented. Describe what would be necessary to implement the proposed solution.
Explain the ethical principles that need to be considered (Beneficence, Nonmaleficence, Autonomy, and Justice) if the potential solution was implemented.
Provide examples from the literature to support the points you are making.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:Assessment 4 Example [PDF].
Additional RequirementsYour assessment should also meet the following requirements:Length: 4–6 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 point.
APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper.
APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.
Organize your paper using the following structure and headings:Title page. A separate page.
Introduction. A brief one-paragraph statement about the purpose of the paper.
Elements of the problem/issue. Identify the elements of the problem or issue or question.
Analysis. Analyze, define, and frame the problem or issue.
Considering options. Consider solutions, responses, or answers.
Solution. Choose a solution, response, or answer.
Ethical implications. Ethical implications of implementing the solution.
Implementation. Implementation of the potential solution.
Conclusion. One paragraph.
Competencies Measured:By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care. Use scholarly information to describe and explain a health care problem or issue and identify possible causes for it.
Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care. Analyze a health care problem or issue by describing the context, explaining why it is important and identifying populations affected by it.
Discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution.
Competency 3: Apply ethical principles and academic standards to the study of health care. Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented
Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Write following APA style for in-text citations, quotes, and references.Resources: Evidence-Based Practice
Arli, S. K., Bakan, A. B., Ozturk, S., Erisik, E., & Yildirim, Z. (2017). Critical thinking and caring in nursing students. International Journal of Caring Sciences, 10(1), 471-478.
Building Skills for Critical Thinking.
Critical Thinking.
How do you approach a situation within your organization and apply critical thinking skills to analyze it? What are the important skills you need for critical thinking?The following resources provide insights into critical thinking:Arli, S. K., Bakan, A. B., Ozturk, S., Erisik, E., & Yildirim, Z. (2017). Critical thinking and caring in nursing students. International Journal of Caring Sciences, 10(1), 471-478.
Building Skills for Critical Thinking.
Critical Thinking.
In health care, research is important. It helps you see what has worked and what has not worked effectively for wellness and patient care. It is important for you to explore research about evidenced-based practices in your areas of interest. This research will help you develop and demonstrate a professional health care perspective and expand your organizational, critical thinking, and problem-solving skills.The following resources provide information about evidence-based practice:Macias, C. G., Loveless, J. N., Jackson, A. N., & Srinivasan, S. (2017). Delivering value through evidence-based practice. Clinical Pediatric Emergency Medicine, 18(2), 89-97.
Thomas, S. J. (2016). Does evidence-based health care have room for the self? Journal of Evaluation in Clinical Practice, 22(4), 502-508.
Agency for Healthcare Research and Quality. (n.d.). EPC evidence-based reports. http://www.ahrq.gov/research/findings/evidence-bas…

Choose a topic: Paths To Becoming An Obgyn Nurse
APA 7th edition PowerPoint Presentation
Research the following information regarding the chosen nursing specialty:
Is a degree necessary for the position (ie: RN, BSN, MSN)
Is profession experience necessary for the position ( ? # yrs experience, critical care experience needed?, etc)
Is there a professional association specific to the chosen specialty?
Provide the address and contact information for association.
Are there any professional journals specific to the specialty?
Is there a necessary specialized certification exam for the specialty?
Are there any national/international conferences?
Are there any renowned speakers/experts in this nursing specialty field? If so, name them.
4. Research and present the position as it relates to the following:
work environment
daily activities/functions
population served
salary
degree of autonomy
demands/rewards specific to the specialty
What personal/professional attributes would be necessary to be successful in this specialty?
What other members of the health care team collaborate closely with this specialty of nursing?
Find three articles in recent nursing/health care journals that are associated with this nursing specialty.
Requirements
Your presentation cannot take longer than 5 minutes & must address each item on the rubric below. Remember, this is a professional assignment therefore you may dress in professional attire. You may utilize any teaching aide(s) to present your topic (power point counts as teaching aid).

Create a discussion post discussing your thoughts, taking into consideration the following topic or by adding your own perspective based on personal experiences. In the process of discussion, formalize practice management strategies that you will use with your patients who report Intimate Partner Violence. Do not over complicate, and keep focused on a central idea. How would you approach a patient who confessed they were experiencing Intimate Partner Violence?)
* Discuss early warning signs of an unsafe partner and step-wise development of the abuser into the violence cycle.
Reference source throughout essay! PRIMARY Sources in APA format. CDC, American College of Gynecology, International Association of Forensic Nurses are good resources.

should be at least 200 words each, formatted and in-text cited in current APA style with support from at least 1cacademic sources per question Question 1:
Hypertension, commonly referred to as high blood pressure, causes the blood vessels’ pressure to remain elevated. Hypertension is common is a significant risk factor for the development of other cardiovascular diseases and should be adequately controlled, and the patient is given the necessary education. Antihypertensives lower blood pressure and come in a wide variety of forms with a different mechanisms of action. Some drugs remove surplus salt and fluid from their bodies, while others lower the heartbeat or relax and broaden the blood vessels. This essay will focus on the therapeutic actions of drugs affecting blood pressure and discuss essential teaching points for patients receiving antihypertensive drugs.
According to the Joint National Committee on High Blood Pressure, there are different categories of high blood pressure drugs. Diuretics work primarily by inhibiting sodium reabsorption at four key locations in the nephron. Three types of diuretics is thiazides, loop, and potassium-sparing diuretics. In the ascending limb of Henle’s loop, furosemide, ethacrynic acid, and potentially organomercurial drugs are helpful. The main substances influencing the early distal tubule are thiazides. Spironolactone and triamterene are effective in the late distal tubule and collecting duct, particularly when combined with diuretics that act more proximally. Angiotensin-converting enzyme (ACE) inhibitors aid in blood pressure reduction by relaxing the veins and arteries (Llorens-Cortes, 2020). An enzyme in the body that produces angiotensin II, a chemical that constricts blood arteries, is prevented from doing so by ACE inhibitors.
Angiotensin receptor blockers (ARBs) obstruct the hormone receptors, specifically the AT1 receptors in the kidneys, blood arteries, and heart. Angiotensin II blockade lowers blood pressure and helps to protect the heart and kidneys from harm. They include irbesartan, valsartan, losartan and candesartan. Calcium channel blockers reduce blood pressure by inhibiting the entry of calcium into the heart and artery cells allowing blood vessels to open and relax (Bain, 2019). Some calcium channel blockers can also lower blood pressure by lowering heart rate. There are short-acting and long-acting calcium channel blockers. They include amlodipine, diltiazem, felodipine and isradipine. The sympathetic nervous system drugs act centrally or peripherally. The two alpha-blockers now available, prazosin and terazosin, successfully lower blood pressure when taken alone or in conjunction with other antihypertensive medications. The alpha-blockers reduce total peripheral resistance at rest and do not inhibit the normal vasodilatory responses to exercise since they specifically block peripheral alpha-receptor-mediated vasoconstriction.
Patients receiving antihypertensive require extensive education on the medications and lifestyle changes necessary to lead a healthy lifestyle. In order to maximize the effects of antihypertensive therapy, the patient should know about the necessity of making healthy lifestyle choices, such as regular exercise, weight loss, quitting smoking, and a low-sodium diet (Bain, 2019). To achieve optimal drug absorption, the patient should take the medication on an empty stomach one hour before or two hours after a meal. Patients on antihypertensive medications should be reminded to keep appointments with the doctor even if they feel fine because renal function needs to be checked. The patient should understand that the medication cannot be stopped abruptly and that they need evaluation.
In conclusion, hypertension is a common major risk factor for developing other cardiovascular diseases and should be adequately controlled, and the patient should be given the necessary education. According to the Joint National Committee on High Blood Pressure, there are different categories of high blood pressure drugs. These categories are Diuretics, Beta-blockers, ACE inhibitors, Angiotensin II receptor blockers, Calcium channel blockers, and sympathetic nervous system drugs. Proper patient assessment and monitoring are crucial.
References
Bain, A. (2019). Use of calcium channel blockers in cardiovascular disease. British Journal of Cardiac Nursing, 14(2), 64–70. https://doi.org/10.12968/bjca.2019.14.2.64 Links to an external site.;
Llorens-Cortes, C., & Touyz, R. M. (2020). Evolution of a new class of antihypertensive drugs: targeting the brain renin-angiotensin system. Hypertension, 75(1), 6-15. https://doi.org/10.1161/HYPERTENSIONAHA.119.12675Links to an external site.
Question 2: Diuretics are used to decrease blood pressure by causing diuresis, which results in decreased plasma volume, stroke volume, and cardiac output, causing the blood pressure to decrease. Diuretics are grouped into the following 5 classes: carbonic anhydrase inhibitors, thiazides, thiazide-like diuretics, loop diuretics, and potassium-sparing diuretics (Arcange et al., 2017). Diuretics reduce peripheral vascular resistance. Due to the diuretic effects that these drugs produce, they can also cause adverse effects such as hypokalemia and hypomagnesemia, which can lead to cardiac arrhythmia. Angiotensin-Converting Enzyme Inhibitors (ACEIs) are antihypertensives that prevent the conversion of angiotensin 1 to the potent vasoconstrictor angiotensin 2. In addition, ACEIs prevent the waste of bradykinin and increase the synthesis of vasodilating prostaglandins. ACEIs decrease morbidity and mortality in patients with congestive heart failure (CHF), systolic function, and post-myocardial infarction (MI). Angiotensin II Receptor Blockers (ARBs) block the vasoconstriction and aldosterone-secreting effects of angiotensin II by blocking the binding effects of angiotensin II to the angiotensin II receptor found in tissues, causing a reduction of end-organ responses to angiotensin II, and decreased afterload and preload. Calcium Channel Blockers (CCBs) inhibit the movement of calcium ions across the cell membrane. CCBs relax the cardiovascular muscle, causing vasodilation, decreased heart rate, and slow cardiac conduction in the AV node. Sympathetic nervous system drugs are that stimulate presynaptic alphas-2 androgenic receptors in the central nervous system by dilating peripheral blood vessels, decreasing sympathetic outflow, which lowers peripheral resistance and reduces blood pressure, decreases cardiac output.
Patients that are receiving antihypertensive therapy should be educated on their proper usage. Patient education is a key factor in enhancing medication adherence in hypertensive patients. Several factors are attributed to poor adherence to antihypertensive medication regimes. Poor knowledge of the disease and ignorance of long-term treatment, the prohibitive cost of medications, adverse drug reactions, cultural beliefs, and lack of access to medical care and facilities, can all contribute to poor adherence to a medication regime. The reported high incidence of complications even among those on treatment is attributable to poor adherence (Ayodapo, AO et al., 2020). Patient education aims to train patients in the skill and self-management of their chronic disease by adapting to the treatment or lifestyle changes, and healthcare providers have the responsibility to provide such information (Tan, 2020). Providing patients with information and educating them about the treatment could enhance their empowerment and medication adherence.
As a practitioner, the first step in educating a hypertensive patient is to explain what hypertension is, on the patient’s level of understanding. Some of the important teaching points would include explaining hypertension. Hypertension is also referred to as high blood pressure, and when the force of blood that presses against the walls of the arteries is too strong, it causes the heart to work harder to pump blood from the heart throughout the body, and this may cause the arteries to become hard and stiff. Managing hypertension is important, because, over time, uncontrolled hypertension can damage the arteries, and decrease blood flow to body parts, including the brain, heart, and kidneys. Having untreated or uncontrolled hypertension can lead to a heart attack, stroke, weakened blood vessels, heart failure, kidney damage, eye damage, memory and concentration problems, and vascular dementia.
Diet, exercise, and maintaining a healthy body weight are important in controlling blood pressure. A diet high in fiber, and potassium, low in salt- less than 1500 mg per day, and low in added sugar, and fat, along with plenty of fresh fruits and vegetables, whole grains, beans, eggs, low-fat dairy products fish, and skinless chicken. Fatty meats and processed foods should be avoided. The patient should be instructed on smoking cessation, and to limit alcohol if they use tobacco products or drink alcohol. The patient can be offered the Dietary Approaches to Stop Hypertension (DASH) eating plan diet. Sources of stress should be identified and the practitioner should encourage the patient to find ways to manage stress. This may include meditation, deep breathing, or being available for fun activities. Hypertension can be managed by lifestyle changes, like exercising for 30 minutes 3 times per week. Patients should also be taught how to take and record their blood pressure. The blood pressure reading includes a higher number over a lower number. The top number is called the systolic pressure and represents the pressure in your arteries as your heart beats. The diastolic pressure is represented by the bottom number and is the pressure in your arteries as the heart relaxes. The patient should be instructed not to smoke, drink caffeinated beverages, or exercise within 30 minutes of taking their blood pressure. They should also use the bathroom and empty their bladder, as well as sit quietly for at least 5 minutes before taking measurements. Patients should be instructed not to cross their legs while taking their blood pressure. Sitting with your back straight and supported, with feet flat on the floor, with the arm supported on a flat surface, such as a table, ensures that the upper arm is at heart level. The patient should be taught to take two or three readings one minute apart and record the results. The practitioner should give the patient their target blood pressure.
Before prescribing any medications, the practitioner should review all the patient’s current medications, because there may be side effects or interactions with the new medications. Instruct the patient to take all medicines as instructed. Medication does not work as well when doses are skipped. Skipping doses also puts you at risk of problems. The patient needs to be instructed to keep all follow-up visits. The patient should be instructed to contact their practitioner if they think they are reacting to the medication(s), for example, repeated headaches, dizziness, ankle swelling, or vision disturbance. They should be instructed to call 911 if they develop a severe headache or confusion, have unusual weakness or numbness, severe pain in their chest or abdomen, frequent vomiting, or difficulty breathing.
References
Arcangelo, V. P., Peterson, A. M., & Wilbur, V. (2017). Pharmacotherapeutics for advanced practice: A practical approach (5th ed.). LWW.
Ayodapo AO, Elegbede OT, Omosanya OE, & Monsudi KF. (2020). Patient education and medication adherence among hypertensives in a tertiary hospital, south western Nigeria. Ethiopian Journal of Health Sciences, 30(2). https://doi.org/10.4314/ejhs.v30i2.12Links to an external site.
Tan, >. S. (2020). The-need-of-patient-education-to-improve-medication-adherence-among-hypertensive-patients. Malaysian Journal of Pharmacy, 6(1), 1-5. https://doi.org/10.52494/moel1486Links to an external site.