Nursing Assignment AI

Category: Nursing

  • Please respond using APA 7th Edition and 2-3 References. Must be at least 150 wo

    Please respond using APA 7th Edition and 2-3 References. Must be at least 150 word reply.
    Please name the potential most common sites for metastasis on J.C and why?In PDA, the liver is the most common site of metastasis (accounting for over 60% of the patients), followed by lung and peritoneum metastasis (around 30%) As evident by research, the formation of metastasis is an extremely complex process that can be conceptually divided into three main phases: which are the intravasation of cancer cells from the primary tumor into circulation, the dissemination and survival of circulating tumor cells in the bloodstream, and the survival and colonization of disseminated cells in the distant site. Being that the liver, lungs, and the peritoneum are bordering organs/tissues, the survival of these cells are likely. (Ayres Pereira & Chio, 2019)
    What are tumor cell markers and why tumor cell markers are ordered for a patient with pancreatic cancer?According to the National Cancer Institute (2021), tumor markers have been traditionally noted as proteins or other substances that are made at higher amounts by cancer cells than normal cells. These can be found in the blood, urine, stool, tumors, or other tissues or bodily fluids of some patients with cancer. Tumor markers are used to determine many things such as staging, prognosis, treatment success or failure, and even if the has been any return of the cancer. (Tumor markers, 2021) For assessing the prognosis of, and therapeutic monitoring for pancreatic cancer patients because tumor marker in these situations are more valuable than other modalities including imaging diagnosis. (Okusaka et al., 2001)
    Based on the case study described, proceed to classify the tumor based on the TNM Stage classification. Why this classification important?The classification of each tumor is important because the use of clinical stage is often a key part of deciding the best treatment options are and determines or becomes a useful tool to what the patient’s prognosis might be. With pathological staging, surgery may be used to determine if there’s a progression in disease. Restaging may happen, but physician’s use the TNM staging classifications to determine the assignment or staging of the cancer. (T) tumor considered the primary, the greater the number the larger in size of tumor/spread into nearby tissue growth, (N) nodes which is used to measure if the cancer has spread into nearby lymph nodes, the greater the number the more nearby lymph nodes are affected. (M) metastasis is the spread of the cancer from its origin. (Cancer staging, 2022) In this case study the staging classification is (T)4, (N)1, (M)1. (Pancreatic Cancer-Stages, 2022)
    Discussed characteristic of malignant tumors regarding it cells, growth and ability to spread.The cell membrane plays an extremely important role in the malignization process. Surface molecular changes the proteins and carbohydrates that act as enzymes go through changes as well and can influence the evolution of a tumors. Cells grow continuously through proliferation, Benign growth is maintained within certain limits, while malignant growth is invasive, with quiet phases, followed by intense and uncontrollable growth phases, which causes the spread of malignant cells. (Baba AI, 2007)
    Describe the carcinogenesis phase when a tumor metastasizes.The phase is the third stage which is called progression. According to the Weston and Harris (2003) in this phase, tumor progression comprises the expression of the malignant phenotype and the tendency of malignant cells to acquire more aggressive characteristics over time. When mentioning metastasis, it may involve the ability of tumor cells to secrete proteases that allow invasion beyond the immediate primary tumor location. During this process, further genetic and epigenetic changes can occur, again including the activation of protooncogenes and the functional loss of tumor suppressor genes. (Weston & Harris, 2003)
    Choose the tissue level that is affected on the patient discussed above: Epithelial, Connective, Muscle or Neural. Support your answer.It seems as if the tissue level that may be affected is the Epithelial. The epithelial tissue refers to groups of cells that cover the exterior surfaces of the body, line internal cavities and passageways, and form certain glands. In this case study the affected/cancerous sites are involved the lining/within the GI tract. (Biga et al., 2019)
    References:
    American Cancer Society. (2022). Cancer staging. American Cancer Society. Retrieved January 10, 2023, from https://www.cancer.org/treatment/understanding-you…
    Ayres Pereira, M., & Chio, C. (2019, December 19). Metastasis in pancreatic ductal adenocarcinoma: Current standing and methodologies. Genes. Retrieved January 10, 2023, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC70166…
    Baba AI, C. C. (2007). Tumor cell morphology – comparative oncology – NCBI bookshelf. National Library of Medicine. Retrieved January 10, 2023, from https://www.ncbi.nlm.nih.gov/books/NBK9553/
    Biga, L. M., Dawson, S., Harwell, A., Hopkins, R., Kaufmann, J., LeMaster, M., Matern, P., Morrison-Graham, K., Quick, D., & Runyeon, J. (2019, September 26). 4.1 types of tissues. Anatomy Physiology. Retrieved January 10, 2023, from https://open.oregonstate.education/aandp/chapter/4…
    Okusaka, T., Yamada, T., & Maekawa, M. (2001, November 30). Open access journals: Peer reviewed journals. Prime Scholars. Retrieved January 10, 2023, from https://www.primescholars.com/articles/serum-tumor-markers-for-pancreatic-cancer-the-dawn-of-new-era-98433.html#:~:text=The%20most%20commonly%20accepted%20uses,other%20modalities%20including%20imaging%20diagnosis.
    Pancreatic cancer – stages. Cancer.Net. (2022, January 5). Retrieved January 10, 2023, from https://www.cancer.net/cancer-types/pancreatic-can…
    Tumor markers. National Cancer Institute. (2021, May). Retrieved January 10, 2023, from https://www.cancer.gov/about-cancer/diagnosis-stag…
    Weston, A., & Harris, C. (2003). Multistage carcinogenesis – Holland-Frei Cancer Medicine – . NCBI bookshelf. Retrieved January 10, 2023, from https://www.ncbi.nlm.nih.gov/books/NBK13982/

  • For this assessment you will create an 12 slide PowerPoint presentation for one

    For this assessment you will create an 12 slide PowerPoint presentation for one or more stakeholder or leadership groups to generate interest and buy-in for the plan proposal you developed for the third assessment.As a current or future nurse leader, you may be called upon to present to stakeholders and leadership about projects that you have been involved in or wish to implement. The ability to communicate a plan—and potential implications of not pursuing such a plan—to stakeholders effectively can be critically important in creating awareness and buy-in, as well as building your personal and professional brand in your organization. It is equally important that you know how to create compelling presentations for others’ delivery and ensure that they convey the same content you would deliver if you were the presenter.You are encouraged to complete the Evidence-Based Practice: Basics and Guidelines activity before you develop the presentation. This activity consists of six questions that will create the opportunity to check your understanding of the fundamentals of evidence-based practice as well as ways to identify EBP in practice. The information gained from completing this formative will help promote success in the Stakeholder Presentation and demonstrate courseroom engagement—it requires just a few minutes of your time and is not graded.Demonstration of ProficiencyCompetency 1: Explain strategies for managing human and financial resources to promote organizational health.Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.
    Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.

  • Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.
    Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.
    Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.Slides are easy to read and error free. Detailed speaker notes are provided.
    Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years) with an APA formatted reference list with few errors.
    Professional ContextThis assessment will provide you with an opportunity to sharpen your ability to create a professional presentation to stakeholders. In this presentation, you will explain the Plan-Do-Study-Act cycle and how it can be used to introduce the plan (P), implement the plan (D), study the effectiveness of the plan (S), and act on what is learned (A) to drive continuous improvement. By using this cycle, the stakeholders will have a tool and a proposal to expand on these ideas to drive workplace change and create improved processes to solve an interprofessional collaboration problem.ScenarioIn addition to summarizing the key points of Assessments 2 and 3, you will provide stakeholders and/or leadership with an overview of project specifics as well as how success would be evaluated—you will essentially be presenting a discussion of the Plan, Do, and Study parts of the PDSA cycle. Again, you will not be expected to execute the project, so you will not have any results to study. However, by carefully examining the ways in which your plan could be carried out and evaluated, you will get some of the experience of the thinking required for PDSA.When creating your PowerPoint for this assessment, it is important to keep in mind the target audience: your interviewee’s organizational leadership. The overall goal of this assessment is to create a presentation that your interviewee could potentially give in his or her organization.InstructionsPlease follow the Guidelines for Effective PowerPoint Presentations [PPTX]. If you need technical information on using PowerPoint, refer to University Library: PowerPoint Presentations.Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.
    Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.
    Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.
    Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.
    Communicate the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional manner, with writing that is clear, logically organized, and respectful with correct grammar and spelling using current APA style.
    There are various ways to structure your presentation; following is one example:Part 1: Organizational or Patient Issue.What is the issue that you are trying to solve or improve?
    Why should the audience care about solving it?
    Part 2: Relevance of an Interdisciplinary Team Approach.Why is using an interdisciplinary team relevant, or the best approach, to addressing the issue?
    How will it help to achieve improved outcomes or reach a goal?
    Part 3: Interdisciplinary Plan Summary.What is the objective?
    How likely is it to work?
    What will the interdisciplinary team do?
    Part 4: Implementation and Resource Management.How could the plan be implemented to ensure effective use of resources?
    How could the plan be managed to ensure that resources were not wasted?
    How does the plan justify the resource expenditure?
    Part 5: Evaluation.What would a successful outcome of the project look like?
    What are the criteria that could be used to measure that success?How could this be used to show the degree of success?
    Again, keep in mind that your audience for this presentation is a specific group (or groups) at your interviewee’s organization and tailor your language and messaging accordingly. Remember, also, that another person will ultimately be giving the presentation. Include thorough speaker’s notes that flesh out the bullet points on each slide.Additional RequirementsNumber of slides: Plan on using one or two slides for each part of your presentation as needed, so the content of your presentation will be 8–12 slides in length. Remember that slides should contain concise talking points, and you will use presenter’s notes to go into detail. Be sure to include a reference slide as the last slide of your presentation.
    Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old.
    APA formatting: Make sure that in-text citations on your slides and in your notes pages and reference slide reflect current APA Style and Format.
    Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

  • Write a short (50-100-word) paragraph response for each question. This assignmen

    Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.
    Define negotiation as it applies to patient education.
    Explain how the change in the patient’s status through the years has affected patient education.
    List the pros and cons of negotiation.
    Describe the general conditions that would be included in a patient contract.
    Discuss old age and the baby boomer.
    List several generational, religious, and cultural differences between the 30-year-old health care professional and the elderly patient.
    Explain some of the barriers to patient education of the elderly and discuss their special needs.
    List ways to best approach patient education of the elderly.
    Discuss some cultural and religious beliefs about death that you have encountered.
    Explain why it is important to discuss death and dying with the elderly patient and what the impact is on all involved.
    Explain how to teach a patient with a life-threatening illness.

  • Follow the step-by-step instructions provided in the Instructions: Qualitative C

    Follow the step-by-step instructions provided in the Instructions: Qualitative Coding document in this week’s resources. The document provides detailed instructions on the step-by-step process of conducting the content analysis for this part of the Assignment.
    Access the Challenges of Staying in the Hospital Data document located in this week’s resources that includes the narrative descriptions of 10 students about their challenges in a recent hospital stay. The analytic method you will use to analyze the narrative data for this Assignment is called content analysis. It requires you to read each patient’s narrative and then code its content using thematic categories on a coding sheet.
    Access the Code Sheet document located in this week’s resources to carry out the coding as defined in the instructions.For the written part of this assignment, you will need to describe the most common types of challenges that students had while staying in the hospital.

  • Discussion Question:Why is there increasing emphasis on nutrition and exercise f

    Discussion Question:Why is there increasing emphasis on nutrition and exercise for middle aged and aging families? Why is it more significant than 30 years ago?

  • Case Study Assignment #1 Scenario Options – Due 3/2: Please select one of the

    Case Study Assignment #1 Scenario Options – Due 3/2:
    Please select one of the below scenario options and prepare a 2-3 page (500-750 words) APA formatted written response incorporating the Six Sigma and Lean tools explored in our course.
    Scenario 1: Patient Experience in a Federally Qualified Health Center (FQHC) outpatient clinic: You are the Chief Operating Office of a federally qualified health center serving an underserved population of individuals and families in a rural MUA (medically underserved area). Resources have been strained during the COVID-19 pandemic leading to the closure of 1 of your 2 sites. With twice the patient volume funneling through 1 outpatient location, your internal patient experience/satisfaction scores have plummeted. Patients are dissatisfied with the timeliness, quality, and accessibility of their care at higher levels.
    Scenario 2: Inpatient Critical Results Timeliness: You are a Director of Quality working in a large 480-bed general acute care medical center (hospital) facility. As a hospital facility, you are required to meet Joint Commission and CMS requirements for timely reporting of critical laboratory results (see NPSG 02.03.01). Your facility currently is not meeting the facility timeliness requirements (lab reporting the critical result to physicians within 60 minutes) potentially endangering patients who need treatment or medication changes in response to out of range lab values.
    Scenario 3: Fall Prevention in a Skilled Nursing Facility: You are the nursing home administrator in a 140-bed skilled nursing facility. Over the last six months, attention has been diverted to COVID prevention and creating safe socially distanced activities and quality therapy for residents. Your fall rate has doubled over the last year with patients experiencing higher rates of falls and falls with injury. For this scenario, you may want to consider recommending an evidence based tool or approach such as this one from AHRQ.
    Instructions/Your Charge: Respond to each of the below questions. Include a minimum of 3 outside sources in your submission to substantiate your recommendations and provide an evidence basis for your approach.
    Describe the quality improvement issue or opportunity (feel free to add additional detail) and what team members or stakeholders you would engage to form a Performance Improvement (PI) team to address the issue.
    What tools and approaches will be utilized to define and understand the problem (the Define phase in DMAIC)? Hint: The Lighter text contains a review of each set of tools by phase and the first few slides of each chapter PowerPoint list those tools as well.
    What tools and approaches will be utilized to measure the current process(es) and efficiencies of the organization as it relates to this issue (the Measure phase in DMAIC)?
    What data/numbers will you collect? How will you measure the Voice of the Customer (VOC) and capture a baseline of the current situation?
    What analysis tools or approaches would you recommend the team use to review the data and create an action plan?

  • Reflect on your first experience treating a toddler, school-aged child, or adole

    Reflect on your first experience treating a toddler, school-aged child, or adolescent with a mood or anxiety disorder.(major depressive disorder ) (adolescent) (outpatient clinic) ( the mother brought her in )
    Describe a clinical situation, in detail. (Who was it, when did it happen, what happened, what caused it to happen, where did it happen, how did it happen)
    What feelings, prejudices, and biases did you experience during the interview? 
    How did you manage these anxieties, feelings, prejudices, and biases? 
    What assumptions did you make about children or families with mental illness? 
    What awareness did you develop during your clinical experience? 
    Describe how you changed as a result of your clinical experience? 
    Describe how will this clinical situation impact your advanced nursing practice?

  • Review the Standards of Practice for Culturally Competent Nursing Care mentioned

    Review the Standards of Practice for Culturally Competent Nursing Care mentioned in the module. Choose four of them, describe them, and exemplify them with experiences in your clinical area.
    Contribute a minimum of 2 pages. It should include at least 3 academic sources, formatted and cited in APA.
    Submission Instructions:
    Your assignment will be run through Turnitin to check for plagiarism.

  • For this paper you must cite and reference 2 sources. The paper should be 3 page

    For this paper you must cite and reference 2 sources. The paper should be 3 pages and written using current APA format. Your paper should address the following:
    a. How would you prepare for the following situation? (provide realistic examples and details for safety and survival)
    (Scenario) At this moment, you are sitting at home working on your WCU class. Suddenly, the National Weather Bureau sends an alert across your cell phone—a tornado is headed your way. You have 15 minutes before touchdown in your neighborhood. What is your plan? This is a ‘shelter in place’ scenario, you cannot outrun the tornado. Identify a safe place in your home to take shelter.
    You must include research. Cite and reference two sources and explain the recommended safety measures in a tornado emergency and how you would apply them to your specific living arrangements.
    b. How prepared are you in the event of a disaster? Describe your level of disaster preparedness using specific examples and references to your “go-bag” and preparedness checklist assignments.
    Example: “I am more prepared for a water-related disaster than a fire-related disaster even though I live in a highly secluded, forested area. I have a boat as transportation in the event of flooding, but I do not have rain barrels or fire barrier supplies on hand.”
    Example: “There were many missing items on my preparedness checklist. I realized that I do not own a flashlight. If I had to use my phone as a light it would drain the battery very quickly.
    c. Reflect on how prepared you were before this class and compare it with how prepared you are now.
    Have you acquired any new emergency items?
    Do you plan to take any additional trainings or certification courses?
    Have you shared your knowledge with friends and family?

  • Discuss the major lymphatic groups Discuss the importance of assessing the lymp

    Discuss the major lymphatic groups
    Discuss the importance of assessing the lymphatic groups
    Briefly discuss two disease processes that can occur with the lymphatic system and give a brief overview of the pathophysiology and clinical manifestations.