Reflection on Learning No unread replies.No replies.

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Write 1-2 paragraphs reflecting on theories used as a nurse practitioner. Then save the reflection as a Word Document for submission later in the course. In week 8, you will submit all reflections as a single document.This reflection is worth 5 points and the final reflection document in week 8 is worth 15 points.You will need to post your reflection here before you are able to see other students’ posts.As you contemplate your future NP practice, how do you view your role in using theory in practice?Which of the theories “spoke” to you? What are some barriers you see to implementing theory in practice?resources:Butts, B. J. & Rich, L. K. (2018). Philosophies and theories for advanced nursing practice (3rd ed.). Jones & Bartlett Learning. Chapters 11, 24Kaakinen, J. R., Coehlo, D. P., Steele, R., & Robinson, M. (2018).Family health care nursing: Theory, practice, and research (Links to an external site.). FA Davis. pp. 119-123.Recommended:Barbdtm B. S. (2018).Death in trauma: The role of the ACNP in patient advocacy and familial support in end-of-life care decision-making (Links to an external site.). Journal of Trauma Nursing, 25(3) 171-176. https://doi.org/10.1097/JTN.0000000000000363.Duhamel, F. (2017).Translating knowledge from a family systems approach to clinical practice: Insights from knowledge translation research experiences (Links to an external site.). Journal of Family Nursing, 23(4), 461-487. https://doi.org/10.1177/1074840717739030.Friederichs, A> H. S., Oenema, A., Bolman, C. & Lechner, L. (2016).Motivational interviewing and self-determination theory is a web-based computer tailored physical activity intervention:  A randomized controlled trial (Links to an external site.).  Psychology & Health, 31(8), 907-930. https://doi.org/10.1177/1074840717739030.Mercer, J. C. (2015).The impact of non-motor manifestations of Parkinson’s disease on partners: Understanding and application of chronic sorrow theory. (Links to an external site.)Journal of Primary Health Care, 7(3), 221-227. https://doi.org/10.1071/hc15221.Ostlund, U., & Backstrom, B., Saveman, B. I., Lindh, V. & Sundin, L. (2016).A Family Systems nursing approach for families following a stroke: Family health conversations. (Links to an external site.)Journal of Family Nursing, 22(2), 148-171. https://doi.org/10.1177/1074840716642790.Osltund, U., Backstrom, B., Lindh, V., Sundin, K., & Saveman, B.I. (2015).Nurses’ fidelity to theory-based core components when implementing family health conversations – a qualitative inquiry (Links to an external site.). Scandinavian Journal of Caring Sciences, 29, 582-590. https://doi.org/10.1177/1074840716642790.Podlog, W. L. & Brown, J. W. (2016).Self-determination theory:  A framework for enhancing patient-centered care (Links to an external site.). The Journal for Nurse Practitioners, 12(8), e359-e362.  https://doi.org/10.1016/j.nurpra.2016.04.022.%C2%A0

 
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Case Scenario

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The case scenario provided will be used to answer the discussion questions that follow.Case ScenarioMs. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.Subjective DataComplains of pain and heaviness in her leg.States she cannot bear weight on her leg and has been in bed for 3 days.Lives alone and has not had anyone to help her with meals.Objective DataRound, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainageLeft leg red from knee to ankleCalf measurement on left 3 in > than rightTemperature: 38.9 degrees CHeight: 160 cm; Weight: 83.7 kgLaboratory ResultsWBC 18.3 x 10¹² / L; 80% neutrophils, 12% bandsWound culture: Staphylococcus aureusCritical Thinking QuestionsWhat clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

 
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Case Study 4

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The ScenarioSagecrest Nursing and Rehabilitation Center in Las Cruces, NM has been identified by Medicare as a “special focus facility” and is in danger of losing its certification status with CMS. You have been hired as a consultant to evaluate and improve this facility. Based on what you have learned about long term care services, policies and regulations, you are to prepare a brief report that provides recommendations for improvement.Use the web to find pertinent information with which to guide your recommendations. Some important resources may include:· Nursing Home Compare: https://www.medicare.gov/nursinghomecompare/search.html· State of New Mexico Nursing Home Regulations: http://www.hpm.umn.edu/nhregsplus/NHRegs_by_State/New%20Mexico/NM%20Complete%20Regs.pdf· CMS.gov – Nursing Homes: https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/nhs.html· Federal Nursing Home Regulations and State Laws: http://www.nursinghomealert.com/federal-nursing-home-regulations-and-state-laws· Facility website (http://www.sagecrestrehabilitation.com/). IMPORTANT NOTE: DoNOTcontact the site directly. This is a learning exercise. Since you are not actual consultants, contacting the facility directly would be inappropriate.In your report, include the following:Summary of identified problemsRelevant policy that guides nursing home practicePrioritized list of recommendationsSuggested action plan for implementing changesYour report should be 3-4 pages in length, page length does not include the title page, tables, graphs, charts, pictures or reference page.. The paper should be double-spaced with 1” margins on all sides. Format, in-text citations and references should adhere to APA format.MUST USE THE CASE 2 TEMPLATE

 
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The Five Phases of the Aggression Cycle

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Most patients with mental health disorders are not aggressive. However, it is important for nurses to be able to know the signs and symptoms associated with the five phases of aggression, and to appropriately apply nursing interventions to assist in treating aggressive patients. Please read the case study below and answer the four questions related to it.Aggression Case StudyChristopher, who is 14 years of age, was recently admitted to the hospital for schizophrenia. He has a history of aggressive behavior and states that the devil is telling him to kill all adults because they want to hurt him. Christopher has a history of recidivism and noncompliance with his medications. One day on the unit, the nurse observes Christopher displaying hypervigilant behaviors, pacing back and forth down the hallway, and speaking to himself under his breath. As the nurse runs over to Christopher to talk, he sees that his bedroom door is open and runs into his room and shuts the door. The nurse responds by attempting to open the door, but Christopher keeps pulling the door shut and tells the nurse that if the nurse comes in the room he will choke the nurse. The nurse responds by calling other staff to assist with the situation.1. What phase of the aggression cycle is Christopher in at the beginning of this scenario? What phase is he in at the end the scenario? (State the evidence that supports your answers).2. What interventions could have been implemented to prevent Christopher from escalating at the beginning of the scenario?3. What interventions should the nurse take to deescalate the situation when Christopher is refusing to open his door?4. If a restrictive intervention (restraint/seclusion) is used, what are some important steps for the nurse to remember?SCHOLAR NURSING ARTICLE>>>APA FORMAT>>>

 
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week 5

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This week, complete the Aquifer case titled Family Medicine 12: 16-year-old female with vaginal bleeding and UCG.After completing your Aquifer Case Study, answer the following questions using the latest evidenced based guidelines:• Discuss the questions that would be important to include when interviewing a patient with this issue.• Describe the clinical findings that may be present in a patient with this issue.• Are there any diagnostic studies that should be ordered on this patient? Why?• List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.• Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.Attached is Aquifer case scenario.

 
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Nursing 100

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Apply the ANA Code of EthicsPlease choose one of the following for your initial posting. Please remember to choose the ethical provision you believe would address the issue and remember your citations.Dilemma #1:  The student nurse is completing the preceptorship at the local hospital and cares for a young adult patient for the three nights she and her preceptor are on duty.  On the last night for the week, while she is talking to the patient about a planned discharge, the patient asks the student to be friends on face book.  What should the student nurse do?Dilemma #2:  A group of senior students have been attending nursing school together since the beginning and are friends with one another on social media.  After a particularly tough day at clinical, one of the students begins to rant about the instructor, the clinical site, and the dreadful patient assignment the student had.  The student even names the nurse assigned to the patient and the name of the hospital.  What should the fellow students do who are classmates and on this social media site with this student?

 
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Presentation: Purnell Model for Population Sub-Group

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Presentation: Purnell Model for Population Sub-GroupIdentify cultural influences on health and decision-making. Create a PowerPoint presentation that addresses the following items:Sub-group name and image with rationalePurnell’s Model constructs and sub-group information (n = 12)Sub-group presence and issues 15 related to local and global communitySummary of recommendations for providing culturally competent nursing care to this sub-groupSubmission Instructions:Presentation is original work and logically organized. Followed current APA format including citation of references.Power point presentation with 10-15 slides were clear and easy to read. Speaker notes expanded upon and clarified content on the slides.Incorporate a minimum of 5 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA style (the library has a copy of the APA Manual).

 
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Delegation in Practice

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Delegation in PracticeWhat does your State Board of Nursing (MA) say about Unlicensed Assistive Personnel and their role, and the role of the Registered Nurse? Describe the responsibilities of the Registered Nurse when delegating patient care tasks.How does the ICU environment differ from a general medical-surgical unit as far as assigned responsibilities for Unlicensed Assistive Personnel?Assignment Expectations:Length: 750 to 1000 wordsStructure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. Please include at least two references

 
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Question

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Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific illnesses such as cancer, diabetes, and hypertension.  Share your opinions about holistic and allopathic care.Would have any conflicts or concerns supporting a patient who chooses holistic or allopathic medicine?Instructions:Word limit 500 words.  Support your answers with the literature and provide citations and references in APA format.

 
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discussion policy

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Increasingly, health policymakers are becoming aware of the social determinants of health and the role they play in prevention disease and promoting health and wellness. In the “Frameworks for Action in Policy and Politics” chapter, examine Box 1-1 (Political Aspects of the Social Determinants of Health) and Figure 1-6 (The Who, What, Where, When, and Why of Nursing’s Policy Influence). Then compare these with the story about Lilian Wald’s work in New York City. Reflect on the “what” of Wald’s strategies. In your opinion, which did she use effectively?

 
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