Category: Nursing

Choose a global health issue. For this assignment, you will introduce the health issue and discuss the interventions necessary to prevent the issue and promote health.
Some topics to consider may include:
Anthrax
Bioterrorism
Cholera
Clostridium botulinum infection
Community-associated methicillin-resistant Staphylococcus
Ebola virus disease
Escherichia coli
Human immunodeficiency virus disease
Malaria
Plague
Severe respiratory distress syndrome
Small pox
Suicide
Tuberculosis
Vancomycin-resistant enterococcus infection
West Nile virus
Include the following in your paper:
Introduction/overview of the health issue and the prevalence in the United States and worldwide
Contributing factors
Prevention strategies
Signs and symptoms
Diagnostic tests (if applicable)
Advanced practice nursing role and management strategies
Medical/pharmacological management (if applicable)
Follow-up care
Conclusion
Write a 3–4 page paper following APA format. You must include 2–3 scholarly sources in your citations and references.
Review the rubric for further information on how your assignment will be graded.

Locate a specific practice guideline or best practice that supports the intervention formulated in the Week 1 PICOT question and post the link to the practice guideline.
PICOT question :In reducing post-operative pain during the perioperative and recovery period in adult patients who have total hip replacements, how helpful is pain medication in comparison to aerobic stretching 7 days post op?
Summarize why the selected practice guideline or best practice supports the chosen intervention.
Provide the name of the chosen practice guideline or best practice.
The initial posting will require the link to the selected practice guideline or best practice as a reference

A 62-year-old man arrived at the emergency room with his wife who reported that his husband felt his right arm and leg become weak and numb, making it difficult for him to move them properly. The wife also noticed that the right side of his facial muscles seemed to be drooping. He also started having trouble speaking, slurring his words, and having trouble coming
up with the right words. He occasionally spoke comprehensibly. John’s vision also started to become hazy, especially in his right eye. He also admitted that he had trouble seeing things on the right side. The patient also developed a sudden onset, severe headache. He’d never had such bad headaches before according to the wife.
He has a medical history of diabetes mellitus, elevated levels of cholesterol, and hypertension.
He has been taking medications for his condition, but he has been non-adherent to treatment. The
wife also reports that the patient smokes sporadically and leads a sedentary lifestyle. When the patient arrived at the emergency room, his vitals were examined and his blood pressure was noted to be elevated. Computed tomography revealed hyper dense areas that were an indication of active bleeding in the brain.
Overview and risk factors
Stroke also known as cerebrovascular accident is characterized by an abrupt interruption of blood flow to the brain which may cause brain cell death or damage. Hemorrhagic and ischemic strokes are the two main types. Ischemic stroke occurs when a blood clot blocks a blood vessel supplying blood to the brain. Hemorrhagic stroke occurs when there is bleeding within the brain tissue (Magid-Bernstein et al., 2022).
EXPECTATIONS: 1. Once you have had an in depth discussion of your diagnosis overall, be sure to connect your case discussion back to the patient you have presented. example, if your patient has hypertension and DM, be sure to include a discussion of thé symptoms that your patient is exhibiting and discuss treatments specifically aimed for your patient. 2. Length: 2-3 slides Powerpoint slides (Include some graphics to support your presentation and to make it more visually engaging) – please include script for each slide. 3. Format: APA Format (Support your case discussion with current (in the past 5 years) high level evidence.)

Please read a new article (I will send the link in chat).
Essay Prompt:
1. What is Parkinson’s Disease? What are the causes? Is this Genetic?
2. How can it diagnose it? Are there any new treatments, new technology, and/or diagnostic tools to detect Parkinson’s Disease?
3. How can it be treated?
This writing assignment should include all proper APA (7th ed.) rules for a scientific paper, which include a title page, text, and sources page.
You can use at least one source/article; however, you are welcome to add additional sources to include introductory information if you need it.
Please don’t use quotes from the article unless it’s necessary. Instead, could you paraphrase because quotes will not be included in your word count?

Using the video from Episode 2 on Samantha, answer the following prompts:
Prompt 1: Explain in detail the pathogenesis of a DVT (Deep Vein Thrombosis) and how it can lead to a PE (Pulmonary Embolism).
Prompt 2: Research and list all the possible treatment options for a DVT.
Please correlate your responses to Samantha’s case. Also, note that content in this case scenario incorporates topics from Chapters 14 and 15.
Requirements:
1-2 references to support your responses
1-2 full paragraph responses
Initial post due within two days after initial class
Minimum 2 peer responses due before the next class

Write a 1000-word reflective essay about your learning, based on the chosen activity from the module. This reflective essay should follow the NMC reflective account template and be structured accordingly. -Instructions for Essay in the Attachment . there are more journal articles mentioned in the Instructions for the essay file I am going to send in the chat. not necessary to bring in case studies just the principles from them so basically we write an essay using 3 key aspects and how we as nurses use them to aide and assist patients with their health change i would discuss how i have learned what brief intervention is and then explain what it is then say in the activity i have furthered that learning and then how i would use this in practice..
only using UK based references 10 references requierd

INITIAL POST
Answer the following questions and provide rationales with supporting evidence for your choices using APA formatting. Integrate two evidence-based resources to include clinical practice guidelines as well as the course textbook.
Jason Ferguson is a 15-year-old boy who weighs 110 pounds. Jason is seeking treatment for a very itchy rash consisting of linear streaks of papules, vesicles, as well as blisters on his arms, legs, and face. He tells you he was hiking in the woods two days ago on trails that were lined with patches of shiny weeds that had three leaves. He tried using calamine lotion and over-the-counter hydrocortisone cream but has had no relief from the itching.
Diagnosis: Contact Dermatitis (Poison Ivy)
List specific goals of treatment for J. F.
What drug therapy would you prescribe? Why?
What are the parameters for monitoring the success of the therapy?
Discuss specific patient education based on the prescribed therapy.
List one or two adverse reactions for the selected agent that would cause you to change therapy.
What would be the choice for second-line therapy?
What over-the-counter and alternative medications would be appropriate for J. F.?
What lifestyle changes would you recommend to J. F.?
Describe one or two drug–drug or drug–food interactions for the selected.
R
REPLY POSTS
Reply to at least two of your classmates, in a well-developed paragraph (300–350 words) to each peer integrating an evidence-based resource that is different than the one you used for the initial post.
Respectfully agree and disagree with your peers’ responses and explain your reasoning by including your rationales in your explanation.
classmate 1: Samantha
The case scenario describes a 15-year-old boy who is experiencing the symptoms of allergic contact dermatitis (ACD), which involves skin contact with an allergen producing redness, papules, and/or vesicles (Woo & Robinson, 2020, pp. 984). Common causes of ACD are exposure to metals, topical medications, cosmetics, personal care products, preservatives, and some plants (Brod, 2023). Plants of certain species, such as anacardiaceae, compositae, alliaceae, and myrtaceae, all which contain resins and oils can cause symptoms in sensitized individuals (Brod, 2023). J.F. states that he may have had contact with a three-leaved shiny plant in the woods two days ago. This plant sounds like a description of poison ivy and if J.F. is having a reaction to it 2 days after exposure, this would be a subsequent exposure to the plant as a reaction can only occur after an initial exposure creating sensitization (Prok & McGovern, 2022, Woo & Robinson, 2020). Treatment goals for J.F. should include decrease of inflammation and discomfort including pruritis, treatment of papules, vesicles, and blisters, prevention of secondary bacterial infection, and restoration of skin barrier (Prok & McGovern, 2022). Since J.F’s case of ACD has extended to his arms, legs, and face, and first-line pharmacological treatment for face and flexural areas is low-medium potency topical corticosteroids 1-2 times daily for 1-2 weeks then tapered dosing over the following two weeks (Brod, 2023). Seeing as J.F. has already used over-the-counter hydrocortisone cream without relief from itching, prescription of a 0.025% topical triamcinolone cream used on affected areas 1-2 times daily for 1-2 weeks is warranted and should be tapered to application every other day for 2 weeks after the first 1-2 weeks os use (Brod, 2023, Lexicomp, n.d.b). An oral antihistamines like Benadryl is not proven to help J.F. as poison ivy ACD is not caused by a histamine response (Brod, 2023). The parameters to monitor success of first-line therapy are resolution of papules, vesicles, and blisters on J.F.’s arms, legs, and face, relief from itching, no signs of secondary bacterial infection, and restoration of skin barrier (Prok & McGovern, 2022). Some education that should be shared with J.F. regarding this therapy should include use of therapy as prescribed, avoidance of re-exposure to the allergen poison ivy, avoid scratching, utilization of cold, wet cloths on affected areas, notify provider is rash spreads or severity of rash increases, avoid use of antihistamine creams, numbing products, and antibiotic ointments, as they all can cause an increase in skin or rash irritation (Lexicomp, n.d.b, UpToDate Doctors and Editors, n.d.). Possible drug-drug and drug-food interactions for triamcinolone mainly occur with concurrent use of CYPD4A3 inhibitors including many antifungals, antivirals, macrolides, and grapefruit, all which will increase the serum concentration of triamcinolone (Lexicomp, n.d.b). If J.F. experienced an adverse reaction to the 0.023% triamcinolone cream such as application site burning, application site irritation, or application site pruritus I would change treatment therapy (Lexicomp, n.d.b). Topical tacrolimus is an alternative therapy to topical corticosteroids and 0.03% tacrolimus ointment can be applied as a thin layer to the affected areas twice daily for ACD (Lexicomp, n.d.a). A systemic corticosteroid can also be prescribed, especially if J.F.’s case of ACD worsens (Brod, 2023). An oral prednisone of 50 mg/day should be taken for 5 days, then decreased to 25 mg/day for 5 days, then decreased to 10 mg/day, then discontinued (Prok & McGovern, 2022). Some over-the-counter and alternative treatment options for J.F. include oatmeal baths, cool, wet compresses applied to affected areas, aluminum acetate solution and menthol and phenol containing lotions, however J.F. has already stated that calamine lotion was not helpful for him (Prok & McGovern, 2022). Some lifestyle changes for J.F. include avoidance of poison ivy plants, wearing gloves, long sleeves and pants to avoid risk of contact when working near allergens, washing these clothes and any exposed areas as soon as possible, do not burn poison ivy plants, and use of emollients to maintain skin hydration (Prok & McGovern, 2022). Classmate 2: Sara 1. List specific goals of treatment for J. F.
From the description of the plant Jason came into contact with recently, it sounds as though he is suffering from contact dermatitis from poison ivy. Poison ivy is a type IV hypersensitivity allergic reaction caused by penetration of the epidermis by the plant’s oleoresin urushiol that causes symptoms within 12-18 hours after contact (Prok et al., 2022). Specific goals for Jason’s treatment would be quick reduction of symptoms including the severe pruritis. Itching the rash puts Jason at a higher risk for infection so appropriate and effective treatment options should be initiated in a timely manner. Treatment goals also include resolution of the papules, vesicles, and blisters, no signs of a secondary infection, and complete restoration of the skin barrier. 2. What drug therapy would you prescribe? Why?
An oral corticosteroid is recommended for widespread cases of dermatitis especially when involving the face or genital area. Dermatitis that covers 20 percent or more of the skin surface and/or involving the face, oral steroids are preferred (Levy et al., 2022). To treat Jason’s contact dermatitis related to poison ivy exposure, I would prescribe prednisone which should be initiated at 1mg/kg/day then tapered over 2-3 weeks (Prok et al., 2022). Jason weights 110 pounds which means his dosage of prednisone should be 50mg po daily; however, 40mg/day is the maximum amount recommended for children (Woo & Robinson, 2020). Jason would be prescribed 40mg po daily x5 days, then 20mg po daily x5 days, then 10mg po daily x5 days, then discontinue the medication. Patients placed on short courses of oral steroids, such as a week or less, have a higher risk of rebound dermatitis; therefore, treatment over 2-3 weeks is suggested. 3. What are the parameters for monitoring the success of the therapy?
Parameters for monitoring the success of the therapy include assessing the effectiveness of the medical treatment. Lessening of symptoms, healing of the lesions, and absence of secondary infection are signs of successful therapy (Prok et al., 2022). Jason’s ability to tolerate the prednisone, lessening of a need for adjunctive treatments, and a lack of adverse side effects are also signs of successful treatment (Levy et al., 2022). 4. Discuss specific patient education based on the prescribed therapy.
Jason and his guardian(s) should be educated on the treatment plan concerning prednisone and the importance of adhering to the prescription as directed. Jason should not stop the medication abruptly even if symptoms and the rash have resolved before finishing the medication course. This could result in rebound dermatitis (Lexicomp, n.d.). It should be explained that prednisone needs to be taken with food or milk to decrease gastrointestinal disturbances. Side effects including behavioral changes, weight gain, gastrointestinal disturbances, infections, or visual disturbances warrants contact of the health care provider.
5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
One adverse reaction of prednisone that may cause a change in therapy for Jason would be psychiatric disturbances such as anxiety, agitation, fear, insomnia, mania, restlessness, or tearfulness (Lexicomp, n.d.). If these mood changes are severe and interfering with Jason’s daily activities, a change in therapy would be recommended. Most cases of adverse behavioral reactions occur early on in treatment (usually within the first week), with an average of 11.5 days.
6. What would be the choice for second-line therapy?
Second-line therapy for Jason would include a low-mid potency topical corticosteroid. Triamcinolone acetonide ointment 0.025% applied 3-4 times a day until healing is complete would be another option for Jason if he is unable to take oral prednisone (Lexicomp, n.d.). This ointment will allow for enhanced medication absorption and is semi-occlusive; however, adherence to this treatment may be low as the ointments are greasy and sticky. Jason’s rash is on his arms, legs, and face so using the ointment on larger surface areas could be difficult and should be used with caution on the face. 7. What over-the-counter and alternative medications would be appropriate for J. F.?
Over-the-counter and alternative medications that would be appropriate for Jason would include the topical astringent aluminum acetate (Burow’s solution) which can be used to dry up the lesions caused by the poison ivy exposure (Prok et al., 2022). Utilization of an oral antihistamine at night, such as Benadryl 25 to 50mg po qhs, can be beneficial for increased pruritis in the evening and can be helpful allowing for sleep to occur undisturbed. Application of cool, wet dressings can help soothe the itching, decrease the erythema, debride the dried discharge from weeping lesions, and provide a skin barrier (Levy et al., 2022). Oatmeal baths can also provide soothing relief for pruritis. 8. What lifestyle changes would you recommend to J. F.?
Lifestyle change for Jason would include identification of poisonous plants to avoid while hiking (Prok et al., 2022). Wearing protective clothing while hiking such as long sleeve tops, pants, and boots. Minimizing skin exposure while in areas of toxic plants is a smart decision to avoid allergy potential. Jason should also know that urushiol can be on clothing and pets for days; therefore, washing clothing and giving pets a bath should be performed as soon as possible after hiking. If there is a known exposure, washing of contaminated clothing with hot water should be done as soon as possible, and showering the entire body with mild soap and hot water while wiping in one direction should be done immediately. 9. Describe one or two drug–drug or drug–food interactions for the selected agent.
Triamcinolone and CYP3A4 inhibitors may cause the concentration of the steroid to be increased (Lexicomp, n.d.). Therefore, avoidance of CYP3A4 inhibitors such as many antifungals, antivirals, and macrolides should be considered. Systemic effects of steroids such as Cushing syndrome or adrenal suppression can be initiated through coadministration of CYP3A4 inhibitors and triamcinolone. Alternative corticosteroids should be considered if long-term use of triamcinolone is expected. Requirements: 3-4 pages

You will create a full-sentence outline of your special occasion speech. This means everything will be written out in complete sentences with punctuation. Think in terms of how you will say something during your speech.
Make sure you have everything written out, such as your introduction, verbal citation of the inspirational quote, and conclusion.
Writing Mechanics: Submission is free from spelling, grammar, and punctuation errors.
Formatting: Use 12-point font, such as Times New Roman or Helvetica; double-spaced; 1″ margins all around; the text is aligned only on the left side of the page.

Explore the influence of Jean Watson’s Theory of Human Caring on your future role as an APN. The student will explore the concepts and caritas processes from the Theory of Human Caring and present how these concepts may impact their future APN role.
Directions:
The student will create a PowerPoint and include speaker notes that may be added to the speaker note section on each slide.
The presentation should be limited to no more than 10 slides. See suggested slides below.
If you are unfamiliar with Dr. Watson’s theory see this overview.
A suggested outline for the presentation may include the following slides:
Slide 1 – Introduction to yourself and future planned APN role and practice
Slide 2 – Previous experience with Watson’s Theory of Human Caring
Slide 3 – Core Concepts of the Theory Applicable to the APN role
Slide 4 – Core Concepts of the Theory Applicable to the APN role (as needed)
Slide 5 – Five Carative Factors or Caritas Processes You Plan to Use in the APN Role
Slide 6 – Five Carative Factors or Caritas Processes You Plan to Use in the APN Role (as needed)
Slide 7 – What Does the Theory of Human Caring Mean to You
Slide 8 – APN Implications of Theory of Human Caring
Slide 9 – Summary/Main Points
Slide 10 – Reference
Format: PPT Presentation with Speaker Notes
Length: 10 Slides, maximum

ANSWER

Slide 1: Introduction

Speaker notes:

My name is [your name] and I am a student in the [APN program name] program at [university name]. I am passionate about providing compassionate and holistic care to my patients, and I believe that Jean Watson’s Theory of Human Caring provides a valuable framework for doing so.

In my future role as an APN, I plan to use the principles of Watson’s theory to create a caring environment for my patients and their families. I will strive to understand their unique needs and experiences, and I will partner with them to develop individualized care plans. I will also focus on promoting their health and well-being, and I will support their self-healing abilities.

Slide 2: Previous experience with Watson’s Theory of Human Caring

Speaker notes:

I was first introduced to Watson’s Theory of Human Caring during my undergraduate nursing education. I was immediately drawn to the theory’s emphasis on the importance of caring in nursing. I have continued to learn about the theory throughout my nursing career, and I have found it to be a valuable guide for my practice.

In my previous roles as a registered nurse, I have used Watson’s theory to inform my care of patients with a variety of conditions. I have found that by focusing on the caring relationship, I am able to build trust and rapport with my patients, which can lead to better outcomes.

Slide 3: Core Concepts of the Theory Applicable to the APN role

Speaker notes:

Watson’s Theory of Human Caring is based on a number of core concepts, including:

Human caring: Watson defines human caring as a transpersonal relationship between the nurse and the patient. It is a process of mutual engagement that promotes growth and development in both the nurse and the patient.
Transpersonal caring: Watson believes that caring is not just about providing physical care. It is also about connecting with patients on a spiritual and emotional level.
Caritas processes: Watson identifies five caritas processes, or ways of expressing caring:
Presencing: Being fully present with the patient and listening to their story.
Appreciating: Recognizing and valuing the patient’s unique individuality and worth.
Caring-knowing: Using one’s knowledge and skills to provide the best possible care for the patient.
Helping-trusting: Empowering the patient to participate in their own care and to make informed decisions about their health.
Acceptance: Accepting the patient for who they are, without judgment.
These core concepts and caritas processes are all applicable to the APN role. By using these principles, APNs can provide their patients with compassionate and holistic care.

Slide 4: Core Concepts of the Theory Applicable to the APN role (as needed)

Speaker notes:

[Add additional slides on core concepts of the theory applicable to the APN role, as needed.]

Slide 5: Five Carative Factors or Caritas Processes You Plan to Use in the APN Role

Speaker notes:

The five caritas processes that I plan to use in my future APN role are:

Presencing: I will take the time to get to know my patients and their stories. I will listen to them with empathy and understanding.
Appreciating: I will recognize and value the unique individuality and worth of each patient. I will treat them with respect and compassion.
Caring-knowing: I will use my knowledge and skills to provide the best possible care for my patients. I will stay up-to-date on the latest research and evidence-based practices.
Helping-trusting: I will empower my patients to participate in their own care and to make informed decisions about their health. I will provide them with the information and support they need to make their own choices.
Acceptance: I will accept my patients for who they are, without judgment. I will create a safe and supportive environment where they feel comfortable sharing their stories and concerns.
Slide 6: Five Carative Factors or Caritas Processes You Plan to Use in the APN Role (as needed)

Speaker notes:

[Add additional slides on the five carative factors or caritas processes you plan to use in the APN role, as needed.]

Slide 7: What Does the Theory of Human Caring Mean to You

Speaker notes:

To me, the Theory of Human Caring means that nursing is more than just providing physical care. It is about connecting with patients on a human level and providing them with the support they need to heal. It is also about creating a caring environment where patients feel safe and respected.

Slide 8: APN Implications of Theory of Human Caring

Speaker notes:

The Theory of Human Caring has a number of implications for the AP

Sources
thehomeworkwritings.com/theory-of-human-caring-on-apn-role-student-presentation/

It is critical to synthesize all of the knowledge, skills, and abilities of nursing into an integrated whole that moves nurses from task completers to an overall demonstration of compassion and caring.
Thinking of nursing first as a job of caring and making a difference, as well as the work of giving medications on time, checking an X-ray to see if the doctor needs to be called, or taking an admission at 2:00 a.m. with a smile on our faces, reminds us of the synthesized whole of nursing work.
Write a reflection about this thought. Incorporate elements from this module’s objectives, as well as what you have learned in this course about leadership. You may include personal experiences and professional opinions if you wish.