Kel's case study analysis

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Purpose: Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.

Scenario:

Kel is a 42-year-old certified public accountant (CPA) who dreams each year that she will board a cruise ship the day after Tax Day and go somewhere, anywhere, except Portsmouth, Virginia. Each year the dream, like the ocean, ebbs and flows, but this year she is not even going to think about such a “ridiculous idea.” In fact, she does not even have the energy to dream; getting out of bed and preparing to go to work is simply too labor intensive. 

Each evening Kel retires to bed with a lack of energy to complete her normal tasks such as readying her clothes for work and making a lunch. She lacks the energy to shop in the evening; consequently, she eats mostly crackers and canned soup. She is not hungry, and her scale reflects this. She has lost 15 pounds over the last 2 months. She does not attend to her makeup or clothes; she finds both too taxing. The clothes she selects are drab and not ironed. At work she makes no effort to talk with her co-workers and does not initiate new contacts with clients. The normal work of filing taxes and writing reports, which she used to enjoy, are overwhelming, and she feels too disorganized to complete them. Telephone calls and e-mail messages from friends are ignored. Attendance at work is spotty.

Sue, her sister, becomes alarmed with Kel’s unanswered telephone calls and e-mails. Worried, she decides to visit her sister at home. She finds the apartment unclean and in disarray. Kel is unkempt, disheveled, and looks sad. Her voice is monotone and flat. Kel tells Sue that she feels “sad and hopeless. Nothing is ever going to change. I am a bad person and I can’t even do my work right. Although I sleep for many hours, I am still tired all the time.” Sue is alarmed at the changes in her sister and arranges for Kel to visit a health care worker at the medical clinic.

Questions:

Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers. 

Describe the presenting problems.

Generate a primary and differential diagnosis using the DSM5 and ICD 10 codes.

Formulate and prioritize a treatment plan. 

Identify and discuss appropriate screening instruments for a patient who has suicidal ideation.

WEEK 8 RN CAPSTONE POST REPLY

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Reflecting on Your Nursing Destiny

Discussion post reply

Hello class!

As I approach the culmination of my nursing career, I am excited about the various ways in which I can contribute to service both within my organization and community, while also considering the global impact of my nursing areas of interest and professional development. One area from the Recommendations list in the lesson that I find particularly significant is the emphasis on “Health Promotion and Disease Prevention.”

1. Contribution to Service:

Within my organization:
-Mentorship and Education: I would take on the role of a mentor for new nurses, sharing my experience and knowledge to help them navigate the challenges of healthcare delivery. This would involve providing guidance on patient care, critical thinking, and professional development.
– Process Improvement: Drawing from my years of experience, I could actively participate in quality improvement initiatives. By identifying inefficiencies and suggesting evidence-based changes, I can contribute to enhancing patient outcomes and the overall healthcare delivery process.

Within my community:
– Health Workshops: Collaborating with local community centers and schools, I could conduct workshops on health promotion and disease prevention. Empowering individuals with knowledge about healthy lifestyles, nutrition, and preventive measures can lead to healthier communities.
– Screening Camps: Organizing health screening camps in underserved areas could aid in the early detection of health issues. This proactive approach aligns with the principle of prevention, potentially reducing the burden on healthcare facilities in the long run.

2. Global Impact of Nursing Areas:

Given my interest in telemedicine and healthcare technology:
– Telemedicine Outreach: I envision participating in global telemedicine initiatives, connecting with remote and underserved populations to provide healthcare consultation and guidance. This could bridge the gap in access to medical expertise and improve health outcomes in areas with limited resources.
– Health Tech Advocacy: As technology continues to shape healthcare, I would advocate for the responsible integration of health tech solutions globally. This includes ensuring data privacy, promoting digital literacy among healthcare providers, and making sure technological advancements are accessible and equitable.

3. Expanding Roles of Nurses:

The area from the Recommendation list that resonates with me is “Policy Advocacy and Leadership.” Nurses are uniquely positioned to influence healthcare policy due to their frontline experience and holistic perspective on patient care. As a nurse leader, I would actively engage in advocating for policy changes that improve healthcare delivery, increase patient access to services, and enhance nursing practice. This might involve collaborating with healthcare policymakers, participating in discussions on healthcare reform, and being a voice for the nursing community.

In conclusion, I am committed to contributing to service within my organization, community, and the global healthcare landscape. By focusing on health promotion and disease prevention, embracing telemedicine and healthcare technology, and advocating for policy changes, I aim to make a positive impact on patient outcomes, healthcare accessibility, and nursing practice at large.

( Saundra)

Measures to Prevent Cancere

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due 10- 6-23 @ 10 am

TO PREPARE

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· Refer to the “Population-Focused Nurse Practitioner Competencies” in the Learning Resources, and consider the quality measures or indicators advanced practice nurses must possess in your specialty.

· Refer to your “Clinical Skills Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.

· Refer to your Patient Log in Meditrek; consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.

discussion

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Part 1

Choose a drug that is used for the GI system. Write a legal prescription for the drug for a fictitious patient. You are the provider. Be sure your prescription includes all legally correct patient information, provider information, medication information as well as any special instructions to the pharmacist. Your writing Assignment should include all the legal elements of a prescription.

Part 2

Write a 250-300 word paper to describe the pharmacokinetics and pharmacodynamics of the drug as well as specific patient education about the chosen drug. Reference your work using correct APA formatting. Utilize correct professional writing including grammar, punctuation, and mechanics.Directions

Before finalizing your work, you should:

· be sure to read the Assignment description carefully (as displayed above);

· consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and

· adhere to correct grammar and spelling

Rubric Title: MN553 Unit 3 Assignment Rubric

Assignment Criteria

Level III

Level II

Level I

Not Present

Criteria 1

Level III Max Points

Points:10

Level II Max Points

Points: 8

Level I Max Points

Points: 6

Not Present

0 Points

Part 1 –Patient/provider information

· All legally required patient and provider information is provided

· More than 50% of patient or provider information is provided

· Less than 50% of provider or patient information is provided

· Does not meet the criteria

Criteria 2

Level III Max Points

Points:10

Level II Max Points

Points: 8

Level I Max Points

Points: 6

Not Present

0 Points

Part 1 – Legal attributes of a written prescription for medication

· All required information to prescribe a drug is present

· More than 50% of the information necessary to prescribe a drug is present

· Less than 50% of the information necessary to prescribe a drug is present

· Does not meet the criteria

Criteria 3

Level III Max Points

Points: 10

Level II Max Points

Points: 8

Level I Max Points

Points: 6

Not Present

0 Points

Part 2 –drug kinetics, dynamics and education for a chosen medication

· Displays complete understanding of the kinetics, dynamics and education of the chosen drug

· More than 50% of the kinetic, dynamics and education information is present

· Less than 50% of the kinetic, dynamics and education information is provided

· Does not meet the criteria

Criteria 4

Level III Max Points

Points: 5

Level II Max Points

Points: 4

Level I Max Points

Points: 3

Not Present

0 Points

College-level academic writing

· Professional, peer-reviewed, advanced practice references are used

· Grammar and mechanics of writing demonstrate graduate level work

· The majority of references used are professional, peer-reviewed and advanced practice focused

· Errors in grammar or mechanics of writing are present but do not interfere with readability

· The minority of references are peer-reviewed or advanced practice focused

· Errors in grammar or mechanics of writing interfere with readability.

· Does not meet the criteria

discussion

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PROFESSIONAL NURSING AND STATE-LEVEL REGULATIONS

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.



WEEKLY RESOURCES

To Prepare:

· Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.

· Consider how key regulations may impact nursing practice.

· Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion.

BY DAY 3 OF WEEK 5

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

BY DAY 6 OF WEEK 5

Respond to at least 
two of your colleagues
* on two different days and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples.

·
Required readings

· Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

· I live in California please write about California

· Milstead, J. A., & Short, N. M. (2019). 
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.

· Chapter 4, “Government Response: Regulation” (pp. 57–84)

· American Nurses Association. (n.d.). 


ANA enterprise

Links to an external site.
. Retrieved September 20, 2018, from http://www.nursingworld.org

· Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). 

Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary careLinks to an external site.
. 
Nursing Outlook, 65(6), 761–765.

· Halm, M. A. (2018). 

Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing

 Download Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing. 
Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291

·

National Council of State Boards of Nursing (NCSBN)Links to an external site.
. (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm

· Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). 

The impact of nurse practitioner regulations on population access to careLinks to an external site.
. 
Nursing Outlook, 66(4), 379–385.

· Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). 

mHealth: Don’t forget all the stakeholders in the business caseLinks to an external site.
. 
Medicine 2.0, 4(2), e4.

SOAP note HTA

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Hypertension

DB

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  • Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
  • Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
  • Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

** the national healthcare issue/ stressor I selected is : mental health and substance abuse

** this summary should be 3 pages long 

** APA format

PN 3

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You have learned a lot during your training to become a Registered Nurse. At this point in your education, where do you see yourself as a nurse? What unit would you like to work in and why?

To be able to care for patients, you must be able to care for yourself. What are some practices you plan to implement to help you care for yourself and why?

Discussion

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Students,

1. Go to Week #3, Chapter 9 Lesson (Culturally Competent Nursing Care); and Chapter 15 Lesson (Critical Thinking in Nursing Practice). 

2. After read and study those lessons, write a publication with your arguments or point of view, or simply what you understand about those topics. 

3. Your contribution post must have two (2) paragraphs (at least one for each topic), with a minimum of 250 word each.

4. You are free to cite in-text to support your arguments. Follow APA 7th edition writing style. Resources available in “General Information Module”.

5. After publishing your post, reply at least one of your classmates. Your reply must contains 75 words or more. 

6. No documents attached are allowed. Post directly on the discussion forum text box. No Copy & Paste.