Category: Nursing

Case Study:
Instructions
Identify a friend, peer, or family member you can interview.
Collect information to construct a complete and comprehensive subjective data set consistent with documentation requirements for a new patient scheduled for an annual wellness exam.  
Conduct an interview.
Document your findings on the provided SOAP note template. Structure the subjective data set on the SOAP note template in the format provided in your lecture materials.  
Submit the Word file containing your subjective data set on the SOAP note template to this assignment dropbox by Sunday at 11:59 pm CT.Resources
Resources:



Bickley, L.S. (2023). Overview: Physical examination and history taking. Bates’ guide to physical examination and history-taking, 13thed. Revised. New York: Lippincott, Williams, & Wilkins. ISN-13:9781975210533
Chapter 4 – Health History
Chapter 8 – General Survey, Vital Signs and Pain
Chapter 9 – Cognition, Behavior, and Mental Status
SOAP NOTES:
The SOAP note is used by providers to document is an organized manner which reflects clinical reasoning.  The SOAP note is an acronym which stands for Subjective, Objective, Assessment and Plan.  The focus of this lecture will be on subjective and objective parts. Click on each heading below to read more.

As a psychiatric nurse practitioner, it is essential for you to have a strong background in foundational neuroscience. In order to diagnose and treat patients, you must not only understand the pathophysiology of psychiatric disorders but also how medications for these disorders impact the central nervous system. These concepts of foundational neuroscience can be challenging to understand. Therefore, this Discussion is designed to encourage you to think through these concepts, develop a rationale for your thinking, and deepen your understanding by interacting with your colleagues.
For this Discussion/Case study , review the readings and videos and reflect on the concepts of foundational neuroscience as they might apply to your role as the psychiatric mental health nurse practitioner in prescribing medications for patients. 
Post a response to each of the following:
Choose one case in the video section.
Explain 
Explain how this information may impact the way you prescribe medications to patients. Include a specific example of a situation or case with a patient in which the psychiatric mental health nurse practitioner must be aware of the medication’s action.
Cases: https://youtu.be/bO07MKG8h_U

***CITE CITE CITE WORK***
Use reference more than once
Directions
In this assignment, you will:
Locate a model from a different discipline (other than nursing) ***technology.
Explain why you have chosen the model.
Apply the model to your advanced practice role.
Assignment Requirements
The content of the paper will start with an introduction in the narrative format that briefly explains the model and explains why you chose the model.
After the introduction, you will insert the table using this template***attached in word doc***.
Please SINGLE SPACE the table; the rest of the document should be double-spaced as required for APA format.
In the left column, in the top box, write the name of your chosen model. An example has been provided in the first rows to guide you. Please remove the examples when entering your information.
In the left column of the template, in the following boxes, list the characteristics of the model you have chosen. Provide a source of support for each characteristic.
In the right column, in the top box, write your future role (Psychiatric Mental Health NP)
In the right column, list an application to your advanced nursing practice role that corresponds with each characteristic. Include a source of support/s for each application.
After the table, you will provide a concluding paragraph.
Reference the grading rubric***attached in word doc** for this assignment, found in the Course Resources for further guidance. 
Assignment Details
Your paper should be 3–4 pages, not including the title and reference pages. Use APA 7th edition for format and style.
Provide a minimum of five sources of support.
Utilize spelling and grammar check to minimize errors.
Your assignment should:
Employ the conventions of Standard English (correct grammar, punctuation, etc.).
Be well ordered, logical, and unified, as well as original and insightful.
Display superior content, organization, style, and mechanics.
Before finalizing your work, you should:
Be sure to read the assignment description carefully (as displayed above).
Consult the grading rubric (located in Course Resources, Grading Rubrics submodule) to make sure you have included everything necessary.
Utilize spelling and grammar check to minimize errors.
Your writing assignment should:
Follow the conventions of Standard English (correct grammar, punctuation, etc.).
Be well ordered, logical, and unified, as well as original and insightful.
Display superior content, organization, style, and mechanics.
Use APA 7th edition format.
Reference
McEwen, M. and Wills, E. (2023). Theoretical Basis for Nursing (6th ed.).

My choosen topic is Tele-psychiatry: Tele-psychiatry allows for the provision of psychiatric evaluation,
consultation, and treatment through video conferencing. It’s a valuable tool in areas with
a shortage of mental health professionals.
Write a 4–6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.
Next prepare a 4–6 page paper in which you introduce your selected technology and describe at least four peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. You will conclude your paper by summarizing why you recommend a particular technology by underscoring the evidence-based resources you presented. Be sure that your paper includes all of the following elements:
Introduction to the Selected Technology Topic
What is your rationale for selecting this particular technology topic? What is interesting about it?
What research process did you employ?
Which databases did you use?
Which search terms did you use?
Note: In this section of your bibliography, you may use first-person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.
Annotation Elements
For each resource, include the full reference followed by the annotation.
Explain the focus of the research or review article you chose.
Provide a summary overview of the publication.
According to this source, what is the impact of this technology on patient safety and quality of care?
According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?
Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.
Summary of Recommendation
How would you tie together the key learnings from each of the four publications you examined?
What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.
How would you justify the implementation and use of the technology in a health care setting? This is the section where you will justify (prove) that the implementation of the
patient care technology is appropriate or not. The evidence should be cited from the literature that was noted in the annotated bibliography.
Consider the impact of the technology on the health care organization, patientcare/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.

I need a reply for each of the following 2 separate essays. Each reply must contain 200      words and 2 references at least.
Essays # 1: Evolution of Grand Nursing Theories
The evolution of grand nursing theories stands as a cornerstone of the profession-building process in which nursing is progressing to a unique scientific discipline. Developed in the middle of the twentieth century, these guidelines are a broad foundation for nursing practice, education, and research. Grand theories encompass the philosophical underpinnings of nursing and a wider view of patient care, including the interaction between the patient, environment, and health. It is vital to recognize both their ongoing advantages and drawbacks because they determine the intricacies of modern nursing.
The fundamental work of theorists like Florence Nightingale, Virginia Henderson, and Dorothea Orem continues to shape the practice of nursing to a great extent. The Environmental Theory of Nightingale states that a patient’s environment significantly influences the recovery process, which is still true (Wango, 2023). Henderson advises healthcare professionals on how to assess patients with a systematic approach while patients need to help themselves, so patient autonomy is also included. Grand theories play a pivotal role in nursing practice. These are employed in guiding a systematic care approach for patients and serve a purpose in the nursing curricula, where they constitute the basics of nursing interventions (Wango, 2023). Moreover, grand theories continue to motivate current research, evidenced by the fact that they constitute the basic structures upon which new studies are undertaken. Such programs may engender reflection on aspects that lie beyond the clinical scope of individual tasks and facilitate the development of a deeper sense of nursing.
Despite the undeniable significance of these grand nursing theories historically, critics have more recently emphasized their limitations in the present scenario of the intricate healthcare environment. Notions of theory in such a complex environment are reduced to specific rules and concepts supported by practice, which are achieved by creating a framework relevant to a particular situation. Often, it is said that abstract grand theories, which contradict each other, are not limitedly universal and, therefore, do not allow application in specific patient care situations (Wayne, 2024). Besides, the tempo of medical development, when evidence-based medicine and multidisciplinary approaches come to the fore, may make some parts of the grand theories irrelevant at present. In practical circumstances, nurses alternatively require the theories to allow adaptation to environment transitions as well as the ability to effectively address the needs of diverse patient groups (Wayne, 2024). However, this fact underlines the significance of utilizing more accurate models and tailored ones that will be able to adapt swiftly.
Balancing the legacy of grand nursing theories with the demands of modern healthcare is a continuing challenge for the field. While nursing retains and keeps its fundamental principles at the core and continues to inspire people, nursing, too, must adjust and readjust to the constantly changing complexities of modern practices. Big theories are certainly a provision of deep philosophical justification but should be supplemented by much more pragmatic frameworks. Moreover, the legacy of these fundamental nursing theories will remain strong and influential while doing so. They will lead the way forward for the nursing profession as it expands.
Essays #2 : Evolution of Grand Nursing Theories
Argument for Continuing to Develop and Utilize Nursing Grand Theories
Nursing grand theories remain significant across research, practice, and education due to several important factors. Their broad perspectives help healthcare professionals outline the goals, purpose, and scope of nursing care.
1. **Guidance and Unity:** Grand theories provide a unified framework and shared terminology for the nursing profession. They establish essential principles that distinguish nursing as a unique field and guide practice, research, and education with clear objectives and values.
2. **Holistic Patient Care:** These theories advocate for comprehensive, patient-centered care, addressing physical, social, emotional, and spiritual needs. This aligns well with contemporary personalized care approaches.
3. **Adaptability:** Despite their broad scope, grand theories can often be tailored to modern settings. They offer flexible guidance, allowing for creative application across clinical environments while incorporating current research and evidence-based practices.
4. **Research and Theory Integration:** Models like Orem’s Self-Care Deficit or Roy’s Adaptation Model continue to shape research frameworks, providing structured approaches for data analysis, hypothesis development, and the creation of middle-range theories with direct clinical implications.
5. **Ethical and Cultural Perspectives:** Grand theories promote ethical standards consistent with modern ideals of equity, diversity, and inclusion, offering adaptable frameworks to examine healthcare’s ethical, moral, and cultural dimensions.
### Argument for Phasing Out Nursing Grand Theories
1. **Overgeneralization:** Critics argue that the abstract nature of grand theories complicates their practical application in today’s complex healthcare environments. They don’t always account for specific circumstances like managing chronic diseases or telehealth.
2. **Limited Specificity:** As modern healthcare increasingly demands precise interventions, grand theories often lack the specificity needed for direct clinical decision-making. Middle-range theories and guidelines are better suited for this purpose.
3. **Rapid Knowledge Evolution:** Evidence-based practice requires frequent updates due to fast-evolving healthcare trends. Grand theories, developed in historical contexts, may struggle to keep pace with emerging issues like AI.
4. **Interdisciplinary Collaboration:** Healthcare delivery increasingly relies on interdisciplinary teams. Theories focused exclusively on nursing might not fully support collaboration, highlighting the need for frameworks that incorporate other healthcare professions.
5. **Inconsistent Empirical Support:** The abstract nature of grand theories makes empirical validation difficult, leading to inconsistencies in practice. Middle-range theories and clinical guidelines offer more robust empirical evidence.
6. **Rise of Middle-Range Theories:** Middle-range theories, with their focused frameworks, are gradually replacing grand theories due to their practical applicability and solid empirical foundation.
In summary, while grand theories have been influential, modern healthcare may require a transition to more adaptable, empirically supported frameworks. ### Argument for Continuing to Develop and Utilize Nursing Grand Theories

The Assignment: The two nursing areas will be Mental Health and Aesthetics
Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan.
With the resources specific to the MSN specialization and the, Walden University. (n.d.). Master of Science in Nursing (MSN), shared in this module, write a paragraph or make a Nursing Specialty Comparison table, comparing at least two nursing specialties that include your selected specialization and second-preferred specialization.
Write a 2- to 3-paragraph justification statement identifying your reasons for choosing your MSN specialization. Incorporate feedback you received from colleagues in this Module’s Discussion forum.
Identify the professional organization related to your chosen specialization for this Assignment, and explain how you can become an active member of this organization.

Prepare a comprehensive analysis of an adverse event or a near miss from your professional nursing experience that you or a peer experienced. Provide an analysis of the impact of the same type of adverse event or near miss in other facilities. How was it managed, who was involved, and how was it resolved? Be sure to:
Analyze the implications of the adverse event or near miss for all stakeholders.
Analyze the sequence of events, missed steps, or protocol deviations related to the adverse event or near miss using a root cause analysis.
Evaluate QI actions or technologies related to the event that are required to reduce risk and increase patient safety.
Evaluate how other institutions integrated solutions to prevent these types of events.
Incorporate relevant metrics of the adverse event or near miss to support need for improvement.
Outline a QI initiative to prevent a future adverse event or near miss.
Ensure your analysis conveys purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
Be sure your analysis addresses all of the above points. You may also want to read the Adverse Event or Near Miss Analysis Scoring Guide to better understand the performance levels that relate to each grading criterion. Additionally, be sure to review the Guiding Questions: Adverse Event or Near Miss Analysis [DOCX] document for additional clarification about things to consider when creating your assessment.

Please comment to each post. Give positive feedback to each post 1. Type 1 diabetes develops when the immune system mistakenly targets and destroys insulin producing cells in the pancreas, resulting in little or sometimes no insulin production. Without enough insulin, glucose cannot enter cells for energy, leading to increased blood sugar levels. DMII occurs when the body becomes insulin resistant or does not produce enough insulin to maintain normal blood sugar levels. This is caused by genetics, obesity, and a lack of activity. In DMII, the pancreas initially generates additional insulin to compensate for the resistance, but it eventually fails to keep up, resulting in high blood sugar levels (Clinic, 2024).
For someone with type 1 diabetes, it’s important to focus on a consistent carbohydrate intake to match insulin doses, along with monitoring blood sugar levels regularly. This means choosing complex carbohydrates like whole grains, fruits, and vegetables over simple sugars. Insulin therapy is typically necessary, with considerations for timing and dosage adjustments based on meal content and activity level. For DMII, managing carbohydrate intake is also important, along with portion control. Making sure to get enough exercise throughout the week is also essential for DMII. Medication options may include oral medications like Metformin, which works by decreasing glucose production in the liver and improving insulin sensitivity. Additionally, we need to know interactions between medications and food, as well as monitoring blood sugar levels to adjust treatment as needed. Some patients with DMII will require insulin therapy, which may involve a combination of long-acting and short-acting insulins to control blood sugar throughout the day (Diabetes Diet: Create Your Healthy-eating Plan, 2023).
2
In diabetes, the body does not move glucose into the cells, leaving an excess of glucose in the blood. The difference between the two types of diabetes is the mechanism that causes blood glucose levels to rise. Type 1 diabetes is an autoimmune disorder where the body’s T-cells attack the pancreas (Silvestri, 2023). Beta cells in the pancreas are responsible for secreting insulin, but because of decreased beta cells, insulin is not produced as it should be. Insulin is a key for glucose to get into the cell, but because there is not enough insulin, glucose will not be able to get into the cell and stay in the blood, leading to hyperglycemia (Silvestri, 2023). In type 2 diabetes, the body produces average amounts of insulin, but cells are resistant to insulin, not allowing glucose to get into the cell like a “lock and key” dynamic. The key does not work for the lock, and glucose will not be able to get into the cell, leading to hyperglycemia.
There is no one perfect diet for someone with diabetes, regardless of type. There are popular diets like the Mediterranean-style diet, which has been observed to improve glycemic control and cardiovascular disease risk factors. There is a DASH eating plan that produces excellent results in reductions in glycemia, blood pressure, body weight, and -cholesterol concentrations (Reynolds, 2024). Regardless of what diet is chosen, the meal plan for a diabetic individual should be focused on keeping sugar levels at reasonable ranges.
A nutrition plan for a person with type 1 diabetes would include eating carbohydrates, protein foods, and non-starchy vegetables. A nursing consideration for this individual would be to avoid sugar-sweetened beverages so as not to raise blood sugar too much. A medication interaction for type 1 diabetics to be aware of would be those taking glucocorticoids, which increase sugar levels. Type 1 diabetics most of the time take rapid-acting insulin-like “insulin lispro,” which should be taken 30 minutes before meals (ATI. 2023).
A nutrition plan for a person with type 2 diabetes would include whole grains, fruits, vegetables, protein, beans, and dairy. A nursing consideration for this individual would be to eat fiber foods. These foods can help the person feel fuller for a more extended period. A medication interaction for type 2 diabetics is taking Metformin. Metformin is not insulin and instead allows the body to react to insulin efficiently. It is given to type 2 diabetics because they produce insulin, unlike type 1. Taking metformin together with insulin should give priority to sugar checks for a drop in sugar levels. Individuals with type 2 diabetes can be given long-acting insulin that is taken once per day (ATI. 2023). For example, “insulin glargine” works over 24 hours and is to be taken within one hour of the first meal.

For this assessment, research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 4. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking.
Select one of the health care problems or issues presented in the Assessment 02 Supplement: Applying Research Skills [PDF] Download Assessment 02 Supplement: Applying Research Skills [PDF]resource. Write a brief overview of the selected health care problem or issue. In your overview:
Summarize the health care problem or issue.
Describe the professional relevance of this topic.
Describe any professional experience you have with this topic.
Identify peer-reviewed articles relevant to this health care issue or problem.
Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. You will select four current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.
Refer to the NHS-FPX4000: Developing a Health Care Perspective Library Guide to help you locate appropriate references.
Use keywords related to the health care problem or issue you are researching to select relevant articles.
Assess the credibility and explain relevance of the information sources you find.
Determine if the source is from an academic peer-reviewed journal.
Determine if the publication is current.
Determine if information in the academic peer-reviewed journal article is still relevant.
Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Provide a rationale for inclusion of each selected article. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:
Identify the purpose of the article.
Summarize the information.
Provide rationale for inclusion of each article.
Include the conclusions and findings of the article.
Write your annotated bibliography in a paragraph form. The annotated bibliography should be approximately 150 words (1–3 paragraphs) in length.
List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography.
Make sure the references are listed in alphabetical order, are double-spaced, and use hanging indents.
Summarize what you have learned while developing an annotated bibliography.
Summarize what you learned from your research in a separate paragraph or two at the end of the paper.
List the main points you learned from your research.
Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic.
Topic: NURSE BURNOUT

Please draw from your personal experiences and write a one-page essay following this outline:
Introduction (1 paragraph): Introduce yourself to the committee. Make sure to answer these questions: What are you studying at NTCC? Why does this field of study interest you? What are your career goals?
Body (1 or more paragraphs): Elaborate on why you could benefit from a Foundation scholarship. Make sure to answer these questions: What challenges are you facing that could prevent you from achieving your college goals? (Examples could include family or work responsibilities, financial hardship, etc.) In what way could a scholarship help you overcome those challenges? What personal attributes make you deserving of a scholarship?
Conclusion (1 paragraph): Summarize the points you made in your body. This is a good opportunity to thank the committee for their consideration and add anything that might make you stand out as an applicant.  This is just some information to help with answering the questions that need to be answered. Please add to this or correct whatever makes this sound better or more professional. Thank you!
my name is Brittney Dennis, I am 33 years old. I am a mother of two beautiful children a 8 y/o daughter and 11 year old son. Im currently a LVN and have been one for 6 years. I was a certified medical assistant for 6 years prior to becoming a nurse. Im studying transitional nursing at ntcc to advance my career from Lvn to RN. My goal since i was a little girl has always been to become a nurse. As a young girl i used to help my aunt prick her finger and check her blood sugar and i enjoyed that and assisting her with things she struggled with as a elderly women. It made me feel good to be able to help her and just seeing the impression it made on her life. My reasoning for wanting to become a nurse is because i enjoy taking care of others, i feel like nurses make a difference in a persons life, and it leave a lasting impression. My career goals are to finish RN school start and manage my own hospice home health company.
some challenges i face is being a single parent of two. I have no financial support or receive not financial assistance. I have to pay 100 percent out of pocket for school, work full time to pay bills, pay for school and financially provide for my children. This scholarship would be very beneficial for me and would help me pay for tuition, books, uniforms, and school supplies. I am can overcome adversity, I think deeply, and i am passionate about Nursing.