Category: Nursing

Please make a reply for the following discussion. Minimun 200 words and 2 references. You already made my discussion
Assigment: Discuss why it is important for Advanced Nurse Practitioners to identify health problems that affect your community and/or in your clinical setting. Why is it important to create change as a APRN when a healthcare issue is identified? Other student discussion:
Advanced Nurse Practitioners (ANPs) play a vital role in health care, acting as primary care providers and promoting wellness in their communities (Kilpatrick et al., 2017). Their extensive clinical experience and training equip them to identify health problems and potential risks in the population they serve.
Identifying health problems within the community or clinical setting allows ANPs to offer effective, tailored interventions, leading to improved health outcomes. This can include addressing chronic diseases, mental health issues, preventive care, and more (Buerhaus, 2018). By understanding the specific health problems prevalent in their communities, they can provide care that is culturally and contextually appropriate (Grossman & Valiga, 2021).
Moreover, ANPs can use this knowledge to influence healthcare policy and advocate for resources and interventions that can address these health problems at a systemic level. This proactive approach to healthcare contributes to better community health, decreased healthcare costs, and reduced health disparities (Hassmiller & Reinhard, 2018).
Creating change when a healthcare issue is identified is a crucial responsibility of an Advanced Practice Registered Nurse (APRN). Firstly, it directly influences patient outcomes. By addressing identified issues, APRNs can implement targeted interventions to manage disease, prevent complications, and improve quality of life (Kilpatrick et al., 2017).
Secondly, APRNs, as leaders in healthcare, have the capability to instigate systemic changes. When a health issue is identified, they can advocate for policy modifications, improved resources, or new programs, thus driving innovations in healthcare delivery (Buerhaus, 2018).
Lastly, it contributes to health equity. Recognizing and addressing disparities allows APRNs to ensure that all populations have access to high-quality care, promoting fairness in health outcomes across different demographic groups (Hassmiller & Reinhard, 2015).
In summary, creating change is central to the role of an APRN. Their proactive efforts can lead to improved patient care, innovation, and health equity (Grossman & Valiga, 2021).
References
Buerhaus, P. I. (2018). Nurse practitioners: A solution to America’s primary care crisis. American Enterprise Institute.
Grossman, S., & Valiga, T. (2021). The new leadership challenge: Creating the future of nursing. FA Davis.
Hassmiller, S. B., & Reinhard, S. C. (2018). A bold new vision for America’s health care system. The American Journal of Nursing, 115(2), 49–55.
Kilpatrick, K., DiCenso, A., Bryant-Lukosius, D., Ritchie, J. A., Martin-Misener, R., & Carter, N. (2017). Practice patterns and perceived impact of clinical nurse specialist roles in Canada: Results of a national survey. International journal of nursing studies, 74, 130-142.

Psychiatric notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Comprehensive psychiatric evaluation notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.
For this Assignment, you will document information about a patient that you examined at your practicum site, using the Comprehensive Psychiatric Evaluation Note Template provided
Review this week’s Learning Resources and consider the insights they provide about impulse-control and conduct disorders.
Select a patient for whom you conducted psychotherapy for an impulse control or conduct disorderduring the last 6 weeks. Create a Comprehensive Psychiatric Evaluation Note on this patient using the template provided in the Learning Resources. There is also a completed template provided as an exemplar and guide. All psychiatric evaluation notes must be signed by your Preceptor. When you submit your note, you should include the complete comprehensive evaluation note as a Word document and pdf/images of the completed assignment signed by your Preceptor. You must submit your note using Turnitin.
Please Note: Electronic signatures are not accepted. If both files are not received by the due date, Faculty will deduct points per the Walden Grading Policy.
Then, based on your evaluation of this patient, develop a video presentation of the case. Plan your presentation using the Assignment rubric and rehearse what you plan to say. Be sure to review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.
Include at least five scholarly resources to support your assessment and diagnostic reasoning.
Ensure that you have the appropriate lighting and equipment to record the presentation.
Present the full complex case study. Be succinct in your presentation, and do not exceed 8 minutes. Include subjective and objective data; assessment from most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; current psychotherapeutic plan (include one health promotion activity and one patient education strategy you provided); and patient progress toward treatment goals.Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What was the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
Objective: What observations did you make during the psychiatric assessment?
Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses in order of highest to lowest priority and explain why you chose them. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5-TR diagnostic criteria and is supported by the patient’s symptoms.
Plan: Describe your treatment modality and your plan for psychotherapy. Explain the principles of psychotherapy that underline your chosen treatment plan to support your rationale for the chosen psychotherapy framework. What were your follow-up plan and parameters? What referrals would you make or recommend as a result of this psychotherapy session?
Reflection notes: What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.

I will give 3 nursing diagnosis and 1 medical diagnosis to develope a care plan and interventions for each nursing diagnosis.
I will upload the concept map to use
NUrsing diagnosis
1. Acute Pain
2. risk for infection
3. activity intolerance
Medical diagnosis is “ileostomy reversal”
Little background about client
16 years old female had a ovarian cyst removal, complication from that surgery led to ileostomy placement. Patient later came back after discharge for ileostomy reversal due to leakage from ostomy causing skin break down.

Discuss the PDSA cycle and provide an example of each step of using each step of the cycle in improving delivery of care and health outcomes. Cite at least two professional references.

1. For the initial discussion; chose one handout (GI/GU System) to analyze and provide a synopsis for your peers.
2. Discuss patient teaching regarding the chosen system, risk factors, health promotion and prevention, medications, treatments and diagnostic studies
3. Describe and compare how the systems interlink with other systems and may cause possible complications (for example how GI/GU systems may cause hepatic complications).
4. Describe how this content can be carried over to clinical & future practice.

In the context of patient education, how can nurse practitioners effectively communicate the importance of recognizing the stages of infection and seeking prompt medical attention in the event of symptoms or potential exposure to infectious agents while also addressing common misconceptions or fears related to infectious disease? Please answer the question in a one page with references using apa format. This is for a discussion post just need one page no intro page or anything

Obstetrical Teaching Plan Outline
I. Patient initials and background data: (Obstetric history)
II. Knowledge deficit related to: (your topic)
III. Goal: (In relation to your teaching)
IV. Method:
What will you teach and how will you accomplish it?
Learning activities in relation to kind or learning you expect to occur (cognitive, psychomotor, affective).
V. Evaluation:
Patient outcome
Did the patient learn what you expected? If not, why not? If so, how did you measure learning?

Include:
Visual Aid used with teaching (May be created however you must cite source(s) of information
on any handouts, etc.)
Journal article abstract
APA Reference

https://ori.hhs.gov/research-clinic
Watch the interactive video on ethical research from the nurse’s perspective. (Detailed directions on accessing the research interactive scenario are included in the course.) Conducting research with strong ethical principles is a critical component of being an effective nurse researcher. What did you learn from participating in the interactive lessons on ethical principles in research? Are ethics in research clear-cut, or do you think there are some gray areas? Explain your answer. How will you ensure that your research is conducted in an ethical manner? What potential challenges might you face?
Jan Klein, RN, a clinical research coordinator, an overworked nurse who works for a PI who pressures her to falsify data and violate study protocols

To Prepare:
• Review the World Health Organization’s (WHO) global health agenda and select one global health issue (Mental Health) to focus on for this Assignment.
• Select at least one additional country to compare to the U.S. for this Assignment.
• Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
• Review and download the Global Health Comparison Matrix provided in the Resources.
The Assignment: Global Health Comparison Matrix (3 pages) Part 1: Global Health Comparison Matrix (See Attached)
Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:
• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. (Mental Health) Compare these policies to the additional country you selected for study.
• Explain the strengths and weaknesses of each policy.
• Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
• Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
• Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
• Explain how the health policy you selected might impact the role of the nurse in each country.
• Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.
Part 2: A Plan for Social Change (1 page)
Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.
In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.
• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

Reply to each post with 1-2 paragraphs , including references Post#1- Juan Data collection for my topic related to how career development opportunities impact the satisfaction and retention of nurses within a period of a year would include a plan for an interview process to gather results that can be taken in a secluded location within the hospital or in the privacy of the participant’s home (Tappen, 2016). Since my sample involves nonprobability convenience sampling that will interview nurses from different hospitals, it is important that there are no limiting factors that may affect the scoring given by the nurse due to outside pressure. In this way, nurses can answer honestly and truthfully to the questions provided with the results populating to a database. Additionally, there should be rater training for the examiners that will provide access to this questionnaire to ensure that there is an understanding of the measures being asked, consent to participate, and confidentiality of the results (Tappen, 2016). With this method of data collection, nurses can answer how they rate satisfaction, availability of learning opportunities, and intent to stay in a relaxing manner that does not necessarily have to be completed in the workplace. Some issues that may arise with this data collection plan are motivations of individual nurses to complete these questions on their own time, especially if it may appear time-consuming to them (Tappen, 2016). The interview should be set to allow for an ample amount of time for staff to be able to answer without compromising their own time.
Post#2-Anna The research topic I am exploring is the impact of dietary supplements on cognitive function in preventing and managing dementia. To collect data, I plan to recruit individuals aged 65 and above with mild cognitive impairment or early-stage dementia. Participants will be randomly assigned to receive either resveratrol supplementation or a placebo. Cognitive assessment tools such as MMSE will be used to measure cognitive function at baseline and during the follow-up period.
Potential ethical issues with research may arise when obtaining informed consent. When working with participants who have dementia, participants’ capacity to understand and make decisions regarding their participation must be assessed. In case of limited capacity, obtaining informed consent may require involvement from the legally authorized representative (Tappen, 2015). Another potential issue in data collection is participants’ non-compliance with the intervention, which can be addressed by providing regular follow-ups.