Category: Nursing

  • Evidence-Based Treatment Plan for Ms. Richardson: A Case Study of a Confused and Unresponsive Elderly African American Woman Integrative Approaches to Managing Psychotic Symptoms, Disordered Eating, and Disordered Cognition in Emergency Patients

    Please read the instructions:
    Case Study
    A 74-year-old African American woman, Ms. Richardson, was brought to the hospital           emergency room by the police.  She is unkempt, dirty, and foul-smelling.  She does not look at the interviewer and is apparently confused and unresponsive to most of his questions.    She knows her name and address, but not the day of the month. She is unable to describe  the events that led to her admission.  
    The police reported that they were called by neighbors because Ms. Richardson had been wandering around the neighborhood and not taking care of herself.  The medical center    mobile crisis unit went to her house twice but could not get in and presumed she was not   home. Finally, the police came and broke into the apartment, where they were met by a     snarling German shepherd.  They shot the dog with a tranquilizing gun and then found Ms. Richardson hiding in the corner, wearing nothing but a bra. The apartment was filthy, the     floor littered with dog feces.  The police found a gun, which they took into custody. The        following day, while Ms. Richardson was awaiting transfer to a medical unit for treatment of her out-of-control diabetes, the psychiatric provider attempted to interview her.  Her facial expression was still mostly unresponsive, and she still didn’t know the month and couldn’t   say what hospital she was in.  She reported that the neighbors had called the police           because she was “sick,” and indeed she had felt sick and weak, with pains in her shoulder;  in addition, she had not eaten for 3 days.  She remembered that the police had shot her dog with a tranquilizer and said the dog was now in “the shop” and would be returned to her when she got home.  She refused to give the name of a neighbor who was a friend, saying, “he’s got enough troubles of his own.” She denied ever being in a psychiatric hospital or      hearing voices but acknowledged that she had at one point seen a psychiatrist “near downtown” because she couldn’t sleep.  He had prescribed medication that was too strong, so    she didn’t take it.  She didn’t remember the name, so the interviewer asked if it was              Thorazine.  She said no, it was “allal.”  ‘Haldol?”, ask the interviewer. She nodded.  
    The interviewer was convinced that was the drug, but other observers thought she might    have said yes to anything that sounded remotely like it, such as “Elavil.” When asked about  the gun, she denied, with some annoyance, that it was real and said it was a toy gun that   had been brought to the house by her brother, who had died 8 years ago.  She was still feeling weak and sick, complained of pain in her shoulder, and apparently had trouble               swallowing.  She did manage to smile as the team left her bedside.
    Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers. 
    Summarize the clinical case including the significant subjective and objective data.
    Generate a primary and two differential diagnoses.  Use the DSM5 to support the assessment.  Include the DSM5 and ICD 10 codes.
    Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
    Discuss non-pharmacological treatment would you prescribe?  Use the clinical guidelines to support the rationale for this treatment.
    Describe a health promotion intervention that would be appropriate for this patient.
    Please write out complete questions as the title.
    Each question has to be answered separately. Centered and Bold. No Bullets. All paragraphs. References no more than 5 years. 
    Please attached plagiarism report.
    Materials
    American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
    MacKinnon, R. A., Michels, R., & Buckley, P. J. (2015).
    Chapter 13: The Paranoid Patient
    Chapter 14: The Psychotic Patient
    Chapter 17: The Emergency Patient
    Tusaie-BC, K., & Fitzpatrick, J. J. (2022).
    Chapter 11: Integrative Management of Psychotic Symptoms
    Chapter 13: Integrative Management of Disordered Eating
    Chapter 14: Integrative Management of Disordered Cognition

  • Title: The Legal Pitfalls of Unlawful Restraint in Mental Health Practice: A Case Study and Analysis of the Baker Act

    The unlawful restraint of a patient can be a legal pitfall for the PMHNP.  K.W. was found eating hamburgers out of a Mcdonald’s dumpster and drinking water from an old water hose.  She had not taken a bath in weeks. She refused to live in an apartment because she wants to “live off the fat of the land.”  
    Cite the Baker Act law to defend your position.  
    Find one newspaper article written in the last 5 years that supports your position.  Summarize the details of the case and the laws cited 
    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.  Your initial post is worth 8 points.

  • “Exploring Credibility and Evidence-Based Practice Models in Addressing UTIs”

    TOPIC
    UTI- urinary tract infection
    The purpose of this analysis is to better understand what constitutes credibility of journal articles as well as websites. The role of the baccalaureate-prepared nurse in incorporating evidence-based research continues to growth in clinical practice. As quality improvement (QI) measures to reduce safety risks continue to be emphasized, the need for evidence-based models and evidence-based templates is growing. This type of systematic approach to incorporating evidence-based findings allows nurses to make clinical and operational decisions based upon the best available evidence. When the most up-to-date evidence-based findings are utilized, patient-centered care improves outcomes and enhances the patient                 experience.
    Below is a quick review table of several well-known Evidence-Based Practice Models used to guide exploration:
    Evidence-Based Practice Models
    Iowa Model of Evidence-Based Practice
    Stetler Model
    Ottawa Model
    PARiHS (Promoting Action on Research Implementation in Health Services) Model
    ACE (Academic Center for Evidence-Based Practice) Star Model
    ARCC (Advancing Research and Clinical Practice Through Close Collaboration) Mode
    John Hopkins Model
    KTA (Knowledge-to-Action) Model
    For this assessment:
    Explain the criteria that should be used when determining the credibility of journal   articles as well as websites.
    Support your explanations with references to the literature or research articles that  describe criteria that should be used to determine credibility.
    Your identification and determination of credibility should be done within      the context of your chosen diagnosis for this assessment. Your initial               identification of resources should be of resources that will best help              address the presented diagnosis you selected. Since you are locating            resources to help provide evidence-based care for the diagnosis/health      care issue you identified in the first assessment, you may want to begin your literature and evidence search from the databases that were identified.
    Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is    needed for a distinguished score.
    Describe a chosen diagnosis that could benefit from an evidence-based approach.
    Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.
    Analyze the credibility and relevance of evidence and resources within the context  of a chosen diagnosis.
    This is where you are selecting the specific resources to help address the      diagnosis you selected for the first assessment.
    Identify the Evidence-Based Practice model and explain the importance of                  incorporating credible evidence into the EBP model used to address a chosen           diagnosis. Review the literature below and choose the appropriate model for your   diagnosis.
    Selecting a model for evidence-based practice changes. [PDF] and                Evidence-Based Practice Models help explain the various evidence-based nursing models.
    Communicate using writing that is clear, logical, and professional with correct          grammar and spelling using current APA style.
    Your assessment should meet the following requirements:
    Length of submission: 2-4-page scholarly paper, this does not include the APA-        formatted title page and reference list.
    Number of references: Cite 3-5 sources of scholarly or professional evidence that     support your findings and considerations. Resources should be no more than five     years old.
    APA formatting: References and citations are formatted according to current APA     style.
    Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.

  • Title: Addressing Suspected Older Adult Abuse in the Emergency Department: A Case Study of Mr. W.

    Mr. W. is brought to the emergency department by his neighbor, Mr. C., who lives across the hall from him in a high-rise apartment building for low-income senior citizens. Mr. C. proceeds to explain that Mr. W. has become increasingly confused, paranoid, and secretive. He has stopped participating in social activities where he lives, no longer has a telephone, and won’t allow anyone into his apartment. It has been 4 months since Mr. C. last saw Mr. W. and says, “he looks bad. He’s lost weight and is too thin. He wouldn’t talk to me when I tried to start a conversation and he only opened his door a couple of inches. The smell coming from his apartment was awful. I can sometimes hear people yelling in the apartment, and I only ever see his older son stop by occasionally to check on him. And, today, I find him like this. I had to do something because I can’t just stand by and let this happen to him!” Mr. C. points to Mr. W. who has a black eye, swollen upper lip, and dried blood on his beard and clothing.
    Mr. W. is sitting in a chair and avoids eye contact. He is wearing thread-bare clothing, which is dirty, and his body odor is unhygienic.
    Question 1
    How should you proceed to interview Mr. W.?
    Question 2
    What would be specific questions to screen for older adult abuse?
    Question 3
    What are possible indications of neglect in Mr. W.?
    Question 4
    What are possible reasons for Mr. W. failure to seek assistance?
    Question 5
    How will you document Mr. W.’s case of suspected older adult mistreatment?
    Question 6
    In a case of suspected older adult abuse, what baseline laboratory tests should be ordered?
    **Please be sure to include 2 references in APA format within the last 5 years and respond to at least 2 participating classmates, with a substantial descriptive answer.**

  • Title: Critical Evaluation of a Quantitative/Qualitative Nursing Research Article

    Critical Evaluation of a Research Paper
    The purpose of this assignment is to demonstrate your ability to evaluate one quantitative or qualitative nursing research article of interest from any refereed nursing journal. Writing a critical review of a journal article can help to improve your writing and analytical skills. By assessing the work of others, you develop skills as a critical reader and become familiar with the types of evaluation criteria necessary to translate the evidence to practice.
    Instructions:
    Choose one primary research (1) article used in the literature review—less than five years or if you prefer in the EBP project. It is preferable to use a randomized controlled trial or the highest level of evidence. Attach a copy of the article.
    Write a 1-2 page critique on the article (excluding cover and reference page).
    Format references and citations using 7th ed. APA guidelines. Read the Johns Hopkins nursing evidence-based practice: model and guidelines and use Appendix E critically appraise from the article. Begin your critique by identifying the:
    article’s title
    author(s)
    date of publication
    name of the journal or other publication in which it appeared
    and when was the article published
    In your introduction, you should briefly describe the purpose and nature of the study and, if applicable, its theoretical framework. If the paper was not published in a peer-reviewed journal, consider the credibility of the publication in which it appeared.
    If you are reviewing a research study, organize the body of your critique according to the paper’s structure.
    Did the researcher identify the gaps in the knowledge?
    Did the researcher identify the purpose of the study?
    Write a brief description and analysis of the strengths and weaknesses of the research design and methodology. For example:
    How does the method reflect other studies of the same topic? (sample, data collection, setting).
    What makes this method feasible? (quantitative, qualitative, mixed methods).
    How realistic is it? How does the method address questions of validity? (independent, dependent variables).
    How does the researcher overcome the limitations of the method?
    Are there large limitations or minor ones?
    How will these limitations affect your ability to use this data to answer your research question?
    Describe the results by answering:
    How were the results interpreted?
    How were they related to the original problem (author’s view of evidence rather than objective findings)?
    Look at DISCUSSION are the author(s) able to answer the question (test the hypothesis) raised?
    Did the research provide new factual information, a new understanding of a phenomenon in the field, a new research technique?
    How was the significance of the work described?
    Did the reported observations/interpretations support or refute observations or interpretations made by other researchers?
    Did the researcher report limitations.
    Describe the significance of the research by answering:
    Did the research make a significant contribution to human knowledge?
    Did the research produce any practical applications?
    What are the nursing implications of this research?
    How do you evaluate the significance of the research?
    Papers will be graded by rubric. Please take time to review the rubric so that you are aware of the expectations for the research critique paper.

  • “Racial Disparities in the Diagnosis and Treatment of Hidradenitis Suppurativa: A Conceptual Map” Racial Disparities in the Diagnosis and Treatment of Hidradenitis Suppurativa: A Conceptual Map

    **Proposed study is Racial Disparities in the Diagnosis and Treatment of Hidradenitis
    Suppurativa** Will attach page 138 conceptual map
    By the due date assigned, post your response to the assigned discussion questions in the below Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University Online Library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.
    No later than by the end of the week, review and comment on the discussion question responses posted by at least two of your peers. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area.
    Discussion Question
    Visit South’s online library and review these two articles.
    Connelly, L. M. (2014). Use of theoretical frameworks in research. MEDSURG Nursing, 23(3), 187-188.
    Green, H. E. (2014). Use of theoretical and conceptual frameworks in qualitative research. Nurse Researcher, 21(6), 34-38.
    Next, review the evidence you are collecting for your proposed study. Which theories have others cited? Are you seeing a common theme? Next construct a conceptual map (see p. 138 in your textbook). Use Microsoft Word or Microsoft PowerPoint and include this as an attachment. Be sure you have defined the concepts and included relational statements.

  • “The Importance of Family and Professional Organizations in Pursuing a Career as a Family Nurse Practitioner in a Correctional Facility”

    Please create a response for this discussion post 
    “I have chosen to become a Family Nurse Practitioner. My ultimate goal is to work in the correctional facility I am currently employed as a registered nurse. Several factors have instilled the drive to accomplish this goal. My family is my most important aspect of making this decision. I strive to continue to be the best role model for my children. I want them to know that they can do anything they can set their minds to. Through adversity, failure, and several prospective career choices, I have persevered and continue to exceed expectations. Aside from my family, I have witnessed the difference nurse practitioners have made in incarcerated individuals’ lives. I want to be that difference. I want each and every patient to know that I care for their well-being. I strive to make so many changes within the facility to facilitate a healthy environment that does not judge them for their crimes.
    The National Commission on Correctional Health Care’s (NCCHC) mission is to improve the quality of health care in jails, prisons, and juvenile facilities. This organization strives to help health care providers become better educated and prepared to work within a very difference environment from other specialties through over 100 continuing education courses (NCCHC 2024.) Their goal is to aid nurses, physicians, psychologists, social workers, and other correctional providers in becoming certified to better prepare medical personnel to respond to situations particular to the facility. The NCCHC encourages nurses and providers a   through hands on courses and grants to ensure the drive and availability to become certified. The NCCHC has no membership or dues. This organization does not require an affiliation to be considered for accreditation, certification, or employment as a consultant or surveyor, or to serve on committees or the board of directors (NCCHC 2024.)
    NCCHC. National Commission on Correctional Health Care. (2024, January 4). https://www.ncchc.org/ 
    .”
    Thank you!

  • Title: Making Connections: Applying Scientific Concepts to Everyday Life

    Instructions: Peer Responses (125 Words Minimum for Each)
    Two informational posts are needed.
    Apply the material in an original way on 2 different topics (not your own)
    Use Critical thinking to make everyday connections and draw conclusions.
    Consider starting out posts with, “A research article I found said,” “Did you know,” or “Three things I found interesting were… .”
    Examples: Apply everyday phenomena in terms of the scientific concepts in your research section. Make observations and draw conclusions.
    Tips and Tricks for Remembering and Recalling. Is there a mnemonic device that might help you memorize this information or what helps you understand this?
    Connect the dots. Why is this an important topic for you, your community, society, or the world? How does it relate to other concepts in the text?

  • “Revolutionizing Healthcare: The Impact of Telehealth Technology”

    please check the file there is the instruction, powerpoint you should use and rubric
    Please choose 
    Telehealth technology