Category: Nursing

The assignment is to appraise the evidence found in 3 articles that I will provide and also summarize . You have to fill in the chart with the information after reading the articles. You have to use all of the templates I provide. I will also attach the rubrics and all of the directions needed to be followed.

Advocacy is a critical skill for APNs to have for promoting solutions to health concerns within a community. Identify a health issue in your community or state. Discuss a systems-level advocacy strategy to address the concern. In the strategy, students should identify specific groups or individuals that they would target as well as how they would target these individuals. For example, a student may choose to contact a legislator with a letter-writing campaign and would describe strategies for implementing that campaign.

Health Conditions:
1. The patient in this case study is a 46-year-old female who complains of hot flushing, night sweats, and genitourinary symptoms, which suggest menopausal symptoms (Bansal & Aggarwal, 2019). These symptoms may significantly impact the patient’s quality of life, and proper management is necessary.
2. The patient has a history of hypertension (HTN), and her current blood pressure reading is 150/90, which is above the target range. Effective control of blood pressure is crucial to reduce the risk of cardiovascular complications (Fuchs & Whelton, 2019).
3. The patient had an ASCUS result of her pap smear about five years ago. Regular follow-up and monitoring of her pap smears is necessary to detect any changes or abnormalities in cervical cells (Perkins et al., 2021).
Treatment Regimen:
1. Considering the patient’s age and symptoms, hormone replacement therapy (HRT) can be considered. Estrogen therapy, either alone or in combination with progesterone, can help alleviate hot flashes, night sweats, and genitourinary symptoms (Mehta et al., 2021).
2. Emphasize the importance of blood pressure control in reducing the risk of cardiovascular complications. Educate the patient about lifestyle modifications that can help lower blood pressure, such as maintaining a healthy weight, following a low-sodium diet, regular exercise, and stress management (Rippe, 2019). Explain the need for regular blood pressure monitoring and adherence to prescribed medications.
3. Given the patient’s history of ASCUS, it is essential to continue regular pap smears for cervical cancer screening (American College of Obstetricians and Gynecologists, 2021). Schedule a follow-up pap smear based on the current guidelines, which typically involve repeating the test every 3 to 5 years, depending on the patient’s age and previous results.
Education Strategy:
1. Educate the patient about the potential benefits and risks of hormone replacement therapy (HRT) (Harper-Harrison & Shanahan, 2019). Discuss the treatment options, including non-hormonal alternatives, and involve the patient in decision-making. Provide information about lifestyle modifications that may help alleviate symptoms, such as regular exercise, a balanced diet, and stress reduction techniques.
2. Emphasize the importance of blood pressure control in reducing the risk of cardiovascular complications. Educate the patient about lifestyle modifications that can help lower blood pressure, such as maintaining a healthy weight, following a low-sodium diet, regular exercise, and stress management (Rippe, 2018). Explain the need for regular blood pressure monitoring and adherence to prescribed medications.
3. Explain the significance of regular pap smears for cervical cancer screening and the importance of following the recommended schedule. Provide patient information about the procedure, its purpose, and the potential implications of abnormal results (Fontham et al., 2020). Address any concerns or misconceptions the patient may have regarding pap smears and cervical cancer.
References
American College of Obstetricians and Gynecologists. (2021). Updated cervical cancer screening guidelines. Www.acog.org. https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2021/04/updated-cervical-cancer-screening-guidelines
Bansal, R., & Aggarwal, N. (2019). Menopausal hot flashes: A concise review. Journal of Mid-Life Health, 10(1), 6–13. https://doi.org/10.4103/jmh.JMH_7_19
Fontham, E. T. H., Wolf, A. M. D., Church, T. R., Etzioni, R., Flowers, C. R., Herzig, A., Guerra, C. E., Oeffinger, K. C., Shih, Y. T., Walter, L. C., Kim, J. J., Andrews, K. S., DeSantis, C. E., Fedewa, S. A., Manassaram‐Baptiste, D., Saslow, D., Wender, R. C., & Smith, R. A. (2020). Cervical cancer screening for individuals at average risk: 2020 guideline update from the American Cancer Society. CA: A Cancer Journal for Clinicians, 70(5). https://doi.org/10.3322/caac.21628
Fuchs, F. D., & Whelton, P. K. (2019). High blood pressure and cardiovascular disease. Hypertension, 75(2), 285–292. https://doi.org/10.1161/HYPERTENSIONAHA.119.14240
Harper-Harrison, G., & Shanahan, M. M. (2019, May 30). Hormone replacement therapy. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493191/
Mehta, J., Kling, J. M., & Manson, J. E. (2021). Risks, benefits, and treatment modalities of menopausal hormone therapy: Current concepts. Frontiers in Endocrinology, 12(564781). https://doi.org/10.3389/fendo.2021.564781
Perkins, R. B., Guido, R. L., Saraiya, M., Sawaya, G. F., Wentzensen, N., Schiffman, M., & Feldman, S. (2021). Summary of current guidelines for cervical cancer screening and management of abnormal test results: 2016–2020. Journal of Women’s Health, 30(1), 5–13. https://doi.org/10.1089/jwh.2020.8918
Rippe, J. M. (2018). Lifestyle medicine: The health-promoting power of daily habits and practices. American Journal of Lifestyle Medicine, 12(6), 499–512.
https://doi.org/10.1177/1559827618785554
Rippe, J. M. (2019). Lifestyle strategies for risk factor reduction, prevention, and treatment of cardiovascular disease. American Journal of Lifestyle Medicine, 13(2), 204–212. https://doi.org/10.1177/1559827618812395
discussion post reply Please respond with 1/2 page and three reference EACH discussion post. Case Study
Based on the patient case study provided, the patient’s health needs include addressing menopausal symptoms such as hot flushing, night sweats, and genitourinary symptoms. Additionally, the patient has a history of hypertension (HTN) with an elevated blood pressure of 150/90. Hot flashes (HFs), defined as transient sensations of heat, sweating, flushing, anxiety, and chills lasting for 1–5 min, constitute one of the most common symptoms of menopause among women though only a few seek treatment for these (Bansal, R., & Aggarwal, N., 2019).
Treatment Regimen
For the treatment regimen, considering the menopausal symptoms, hormone replacement therapy (HRT) may be a suitable option. The commonest treatment for menopause is hormone replacement therapy (HRT), which aims to replace a woman’s depleted hormones with oestrogen or progestogen (a synthetic version of progesterone). HRT either includes both hormones (combined HRT) or oestrogen-only HRT (recommended if the woman has undergone hysterectomy). HRT is available in various preparations such as tablets, patches, gels and implants (How can community nurses care for women experiencing the menopause?, 2023). Since the patient has hypertension, the choice of pharmacotherapeutics for managing menopausal symptoms should be carefully selected to avoid exacerbating blood pressure issues. Non-hormonal options for managing menopausal symptoms, such as selective serotonin reuptake inhibitors (SSRIs) or selective norepinephrine reuptake inhibitors (SNRIs), could be considered in this case. According to Shams T., et. al. (2014), SSRI use is associated with modest improvement in the severity and frequency of hot flashes and can also be associated with the typical profile of SSRI adverse effects.
In terms of hypertension management, adjustments to the antihypertensive medication regimen may be necessary to achieve better blood pressure control. Lifestyle modifications, including dietary changes and regular exercise, should also be emphasized.
Patient Education
A patient education strategy could involve explaining the potential benefits and risks of hormone replacement therapy, discussing lifestyle modifications for managing hypertension, and providing guidance on monitoring and reporting any adverse effects. The patient should be informed about the importance of regular follow-up visits to monitor blood pressure, assess treatment effectiveness, and address any concerns or side effects. Educate the patient on the importance of lifestyle modifications, such as a low-sodium diet and regular exercise, for better blood pressure control. Explain the potential benefits and risks of hormone replacement therapy, considering the patient’s individual health history. Encourage the patient to report any unusual symptoms or side effects promptly. Emphasize the need for regular follow-up appointments to monitor blood pressure and adjust the treatment plan as needed.
Ultimately, the treatment regimen should be individualized based on the patient’s preferences, medical history, and response to therapy, and close collaboration with the patient in decision-making is crucial.
References:
Bansal, R., & Aggarwal, N. (2019). Menopausal Hot Flashes: A Concise Review. Journal of mid-life health, 10(1), 6–13. https://doi.org/10.4103/jmh.JMH_7_19Links to an external site.
How can community nurses care for women experiencing the menopause? (2023). Journal of Community Nursing, 37(2), 8–11.
Shams, T., Firwana, B., Habib, F., Alshahrani, A., Alnouh, B., Murad, M. H., & Ferwana, M. (2014). SSRIs for hot flashes: a systematic review and meta-analysis of randomized trials. JGIM: Journal of General Internal Medicine, 29(1), 204–213. https://doi.org/10.1007/s11606-013-2535-9

Dismissed from nursing school failing multiple classes. I did got dismissed before too this was my last chance I am really looking forward to graduate from this school. I don’t have any other option. Due to no financial help . Primary caregiver for my immigrant parents. Lost my job last year because I wanted to focus on my studies after failing classes. Stressed about my health issues due to family history of lymphoma.

Anne Morrison (she, her, hers), a 51-year-old White woman, presents with complaints of depressed mood and low libido. She says she has become irritable and snaps easily at her four children and her wife. She has no interest in sex, no urge to masturbate, and has had no sexual intercourse for six months. She also complains of fatigue, dry hair and skin, warm flushes, and painful joints. She has no personal or family history of depression. She is not suicidal but she “really doesn’t want to live anymore if this is it.”
Anne says her wife is angry about the lack of sexual intercourse and she feels the stress in their marriage. She also is worrying about her oldest children leaving for college and about her mother’s ill health.
She scores 20 on the Beck Depression Inventory, which indicates that she has mild to moderate depression. Her menstrual periods remain regular, but her cycle has shortened from 29 to 24 days. She reports that some hot flashes wake her at night and that she hasn’t had a good night’s sleep in months.
Laboratory tests show follicle-stimulating hormone of 25 mIU/mL and inhibin B below 45 pg/mL. Her estradiol is 80 pg/mL—not yet in the menopausal range. Her thyroid-stimulating hormone is normal. Her shortened menstrual cycles suggest a diagnosis of perimenopause.
Questions
What additional screening tool(s) would be appropriate for Anne?
What are at least three questions would you ask to further evaluate Anne’s complaints? Provide your rationale for your questions.
Case Study: Bobby Andres, Erectile Dysfunction
Bobby and his wife in bed, back to back with space in between
Bobby Andres (he, him, his), a 48-year-old Latino man, presents to your office with complaints of erectile dysfunction for about one year. He reports that sexual desire is present but that he has a lack of ability to achieve and maintain erection. Bobby notes that he has avoided physical affection with his wife to avoid the embarrassment of “not being able to perform.” He often falls asleep early so that he may avoid initiation of sexual contact. Bobby also states that he had a history of depression and anxiety, but his primary care doctor put him on sertraline and buspirone and that has taken care of those symptoms. He reports he has been on those medications for two to three years.
Questions
What lab(s) should be ordered for Bobby? Explain the rationale for each lab.
What role (if any) do sertraline and buspirone have on sexual dysfunction? Would you change these medications? Why? Explain your rationale.
Includes substantial factually correct content which demonstrates evidence of comprehension, application, and/or appraisal. Includes evidence of self-reflective content which demonstrates views, beliefs, and/or feelings. Connects topic/content to professional role and/or practice. Includes all aspects of the discussion assignment.
Provides 2 or more references with in-text citations to current literature and assigned readings to support assertions made on initial post and at least one or more references on peer discussion posts. All postings are in correct APA format per the current edition of the Style Guide/Manual.
Provides clear, concise postings. Demonstrates the ability to synthesize literature and readings making postings in own words with credit to the author. All postings are grammatically correct with proper spelling and structure.

Please answer the following question in your own words. My school is so strict about using CHATGPT and copy and paste. I am not a native speaker so please make it really simple and clear English.Don/t forget! follow the instructions bellow. Please be sure to review the additional resources this week regarding nursing and social media use. Compare and contrast the guidelines for use of social media for the National Council State Boards of Nursing (NCSBN) and the American Nurses Association (ANA). Search the digital library and Internet for social media privacy breaches made by nurses and healthcare workers over the past 3 years. Considering the increasing integration of technology in healthcare and the pervasive nature of social media, how can nursing informatics guide nurses in effectively utilizing social media platforms for professional development, patient education, and advocacy, while ensuring patient privacy and adhering to ethical standards?

In atleast 500 words, Identify two historical events that transformed nursing education and clinical practice.
Use 2 outside scholarly resources and cite. APA format

With new information continually emerging, professional nurses must be equipped to critique scholarly literature and discern its value for practice. Select one current, quantitative scholarly nursing article related to your PICOT question and determine its strengths, limitations, and potential application.
Complete the Johns Hopkins Nursing Evidence-Based Practice Appendix E Evidence Appraisal Tool Download Johns Hopkins Nursing Evidence Based Practice Appendix E Evidence Appraisal Tool. Once you’ve completed the tool, use your own words to summarize your appraisal of the article. Include the following:
Descriiption of the purpose
Explanation of research design
Discussion of sample
Descriiption of data collection methods
Summary of findings
Strengths of the study (minimum of 1)
Limitations of the study (minimum of 1)
Recommendations regarding potential application for future practice that are insightful and appropriate.
Attach the article to your post, in addition to including the full reference for the article in your post

I need a care plan with 3 diagnostic, 1 short term goals, 1 long term goals , 3 nursing intervention for echa goal, specific rationales for each intervention,3 evaluation of patient goals/outcomes and references

Develop a 4-6 page position summary and an analysis of relevant position papers on a health care issue in a chosen population. Length of submission: 4–6 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive. No abstract is required.
Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that support your initial position on the issue, as well as a minimum of 2–3 sources of scholarly or professional evidence that express contrary views or opinions. Resources should be no more than five years old. APA formatting. Complete instructions attached.