Weekly Clinical Experience 5

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Describe your clinical experience for this week. 10 YEAR OLD MALE PEDIATRIC PATIENT

  • Did you face any challenges, any success? If so, what were they?
  • Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
  • Mention the health promotion intervention for this patient.
  • What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
  • Support your plan of care with the current peer-reviewed research guideline.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within 5 years 2020-2025. 

What are the issues for each stage in development?

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A 2-month-old is identified during newborn screening with sickle cell anemia.

  • How would you manage this patient at 2 months, 2 years, 6 years, and at 13 years old?
  • What are the issues for each stage in development?
  • Where would you refer this child?
  • How would you coordinate the care of this child?

.Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within 5 years 2020-2025

Probabilities & Lotteries sta 2023

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If people understood the mathematics involving probabilities and lotteries, as you now do, do you think they would continue to spend hundreds of dollars per year on lottery tickets? Explain your answer and respond to at least 2 of your classmates

*post should be at least 200 words/numbers or a combination of both

**current APA style, reference proper citations

**price firm ** Need Turnit report 

Define osteoarthritis and explain the differences with osteoarthrosis.

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Musculoskeletal Function:
G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed.

Case Study Questions

  1. Define osteoarthritis and explain the differences with osteoarthrosis. List and analyze the risk factors that are presented on the case that contribute to the diagnosis of osteoarthritis.
  2. Specify the main differences between osteoarthritis and rheumatoid arthritis, make sure to include clinical manifestations, major characteristics, joints usually affected and diagnostic methods.
  3. Describe the different treatment alternatives available, including non-pharmacological and pharmacological that you consider are appropriate for this patient and why.
  4. How would you handle the patient concern about osteoporosis? Describe your interventions and education you would provide to her regarding osteoporosis.

Neurological Function:
H.M is a 67-year-old female, who recently retired from being a school teacher for the last 40 years. Her husband died 2 years ago due to complications of a CVA. Past medical history: hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history no contributory. Last annual visits with PCP with normal results. She lives by herself but her children live close to her and usually visit her two or three times a week.
Her daughter start noticing that her mother is having problems focusing when talking to her, she is not keeping things at home as she used to, often is repeating and asking the same question several times and yesterday she has issues remembering her way back home from the grocery store.

Case Study Questions

  1. Name the most common risks factors for Alzheimer’s disease
  2. Name and describe the similarities and the differences between Alzheimer’s disease, Vascular Dementia, Dementia with Lewy bodies, Frontotemporal dementia.
  3. Define and describe explicit and implicit memory.
  4. Describe the diagnosis criteria developed for the Alzheimer’s disease by the National Institute of Aging and the Alzheimer’s Association
  5. What would be the best therapeutic approach on C.J.

Submission Instructions:

  • You must complete both case studies.
  • Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources. 

Scholarship of Application

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tiff week 7

Synthesis Matrix Table Continuation

Instructions

Now that you are moving deeper into the literature surrounding your proposed project, it is imperative for you to stay engaged with review, appraisal, and synthesis activities.

In this unit you have the Scholarship of Application – Part 3 assignment to create a presentation with an overview of the anticipated/desired outcomes from implementing your selected strategy/intervention and the evaluation measure(s) you will utilize to determine if your selected strategy/intervention was effective.

Using the Synthesis Matrix Table, you submitted in week 4, update the table with a minimum of an additional 5 resources of evidence.

For this unit table assignment, the next 5 entries in your table will provide support for the evaluation method/approach you have identified to determine the outcome of implementing the selected intervention.

After completing the table entries for this week, your updated table will now minimally include 15 resources.

Direct access to the article is essential for grading. Either upload all evidence along with your table or be sure an activated link is provided to ensure it leads directly to the article you are presenting.

Table 1 and 2 attached with teacher’s corrections comments on table 1.

Genogram Family Analysis

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i live with my younger brother, please refer to the hand-drawn genogram for my family tree

Discuss the process of Advanced Practice Nurse (APN) business planning from a system approach.

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Based on your textbook reading, discuss the process of Advanced Practice Nurse (APN) business planning from a system approach.

Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

textbook:  Tracy, M.F., O’Grady, E.T., & Phillips, S.J. (2023). Hamric and Hanson’s Advanced practice nursing: An
integrative approach (7th ed.). Elsevier. ISBN: 9780323777117, e-text: 9780323777124 

Head-to-toe assessment tailored for the patient as RUBRIC REQUIRE

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PLEASE SEE THE ATTACHED RUBRIC TO COMPLETE THIS HEAD TO TOE ASSIGNMENT 

NO PLAGIO MORE THAN 10% ALLOWED WILL BE SUBMIT IT BY TURNIN IN

Assignment should be a narrative following the APA 7th edition format and must include:

·      Head-to-toe assessment tailored for the patient as RUBRIC REQUIRE

·      Diagnostic tests with expected findings and patient education about the test (i.e., fasting).

·      References from peer-reviewed resources within the past five years.

CASE:

34-y/o-Male, BMI 17

Dx: Hodgkin lymphoma

Hx: Infectious mononucleosis, seasonal allergies, current hydrocele

DUE DATE APRIL 15, 2025

Reflecting on “meeting goals”

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 SMART Goals Evaluation

Think back to the five SMART goals you created earlier in the term. Reflection type format. Following APA format and needs to be 750-1000 words in length.  

Original SMART goals PPT, attached. See PPT notes and rubric. Reflecting on “meeting goals” and how I have hit goals and improved, where I could improve. 

Middle-Range Theories and their relation to the nursing profession

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Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

Introduction

Throughout the eight weeks in which Middle-Range Theories and their relation to the nursing profession have been discussed and analyzed, I realized a fundamental change of perception over patient care and personal growth. It also enlarged my understanding of the theories that incorporated the connection of the grand theories with practical clinical, or changed my understanding of the importance of having a mentor to develop needed critical thinking and leadership skills. Considering these topics allows one to illustrate how research ideas are put into practice and demonstrate the significance of having a mentor in the process.

Middle-Range Theories in Nursing Practice

Middle-range theories play an important role in translating grand theories into practice carried out in nursing processes. They offer a well-directed approach to the resolution of clinical issues and facilitate the standard practice of evidence-based nursing. In my studies, they pointed out procedures that seem to be practical more often than not in the practice of a clinical setting, from improving clients’ self-care and disease management. For instance, self-efficacy theory has been used effectively in practice in nursing settings; the effects have included increased compliance with treatment schedules by the patients as well as general health status outcomes by Smith & Lee (2023). Middle-range theories are useful in the modern complex organization due to their potential to elaborate concrete solutions for advancing knowledge. In this way, it will be useful for the nurses to incorporate these theories into nursing and thus improve the existing interventions that are delivered to the patients.

Impact of Mentorship

Meanwhile, it is worth stating that the impact of the mentors throughout this course has been highly beneficial. I have received guidance that goes beyond academic tutoring, especially from my mentors who have taught me confidence, critical thinking, and the ability to implement change in clinical practice. It also enabled me to ground knowledge from the text with proficient nursing professionals in a practice environment. Mentors also ensured that the context of middle-range theories was further explained to students and also promoted professionalism by emulating professionalism in staff accountability and patient care. This allowed me to develop my clinical reasoning abilities and improve the approach to the patient care (Brown, 2022). Also, the aspect of mentorship was established by the mentor himself, who encouraged me to explore research-based practices that would improve the patient’s outcome in the future.

Conclusion

It is quite a constructive path that makes one once again determined to finish the whole course, thinking that patient-centered care is the key to the future. Its combination with the middle-range theories and the impactful mentorship during the work on the projects provides strong evidence that being a nurse is the right decision. This connection gives a strategic direction on how potential solutions to clinical issues can be actualized; also, the tutelage that has been offered helps in shaping the aspiration of producing a professional and sensitive nurse. These findings will be helpful as I advance in my career to enhance the quality of care, encourage innovation, and effectively mentor other individuals for their growth as future nurses.

References

Brown, T. (2022). Mentorship in modern nursing: Shaping the future of clinical practice. Journal of Nursing Education and Practice, 12(3), 150–158.

Smith, J., & Lee, A. (2023). Application of self-efficacy theory in nursing practice: Bridging theory and clinical care. Nursing Theory Review, 31(2), 97–105.

Johnson, K. (2024). Translating middle-range theories into nursing interventions. Nursing Praxis, 28(1), 45–53.