Category: Nursing

Look at your course colleagues’ responses. 
From your advanced practice mindset

Look at your course colleagues’ responses. 
From your advanced practice mindset reflect on a discussion you would like to have with two of your course colleagues about their responses.
Post a response individually to each of them that expresses your advanced practice nursing role perspective of the data represented in their response.
DOI reference link
Use scholarly resources relevant to your advanced practice nursing role to support the key elements of the peer discussions you construct. [For example  you are a family nurse practitioner what are your observations about the non-conventional modality presented in the schemata, can you locate any evidence or the foundational basic sciences that support the modality, etc?
Please be sure to validate your opinions and ideas with citations and references in APA format.
PLEASE RESPOND TO THE FOLLOWING POST:
Myocardial infarctions are commonly caused by the occlusion of a coronary artery. This occlusion then leads to ischemia and necrosis of myocardial tissue. The pathophysiological sequence following an MI can lead to developing of left ventricular failure. During an MI, myocardial tissue creates irreversible damage due to ischemia. Scar tissue develops after the ischemia, which compromises the heart’s ability to contract. The scar tissue then leads to impaired systolic function. Initially, the heart tries to compensate such as increased heart rate and the activation of the sympathetic nervous system. However, these mechanisms can lead to further myocardial stress. As LV dysfunction progresses, the heart may fail to adequately eject blood. Heart failure then can cause pulmonary congestion and edema. In summary, the pathophysiological progression from MI to LV failure involves myocardial damage, compensatory responses, and ultimately remodeling leading to impaired cardiac function and heart failure.
Several factors that can affect the severity of LV failure a following an MI. The size and location of the infarcted area determine the degree of myocardial dysfunction and LV failure. Early therapy (e.g., thrombolytics, percutaneous coronary intervention) can limit myocardial damage and improve LV function. Comorbidities such as hypertension, diabetes, and chronic kidney disease can exacerbate LV dysfunction post-MI. Older age and a family history of cardiovascular disease may contribute to poorer outcomes and increased severity of LV failure. Compliance with medications such as beta-blockers, ACE inhibitors, and diuretics.
After reviewing the CDC article and video regarding blood clots. The diagnosis of DVT or PE requires special tests that can only be performed by a doctor.  Medication is used to treat DVT. Compression stockings (also called graduated compression stockings) are sometimes recommended to prevent DVT and relieve pain and swelling. Immediate medical attention is necessary to treat PE. In cases of severe, life-threatening PE, there are medicines called thrombolytics that can dissolve the clot. Other medicines, called anticoagulants, may be prescribed to prevent more clots from forming. Some people may need to be on medication long-term to prevent future blood clots.
Citations
Benjamin, E. J., Muntner, P., Alonso, A., Bittencourt, M. S., Callaway, C. W., Carson, A. P., … & Virani, S. S. (2019). Heart disease and stroke statistics—2019 update: a report from the American Heart Association. Circulation, 139(10), e56-e528. doi:10.1161/CIR.0000000000000659
Ponikowski, P., Voors, A. A., Anker, S. D., Bueno, H., Cleland, J. G., Coats, A. J., … & Filippatos, G. (2016). 2016 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal, 37(27), 2129-2200. doi:10.1093/eurheartj/ehw128
Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Colvin, M. M., … & Wilkoff, B. L. (2017). 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA guideline for the management of heart failure: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Circulation, 136(6), e137-e161. doi:10.1161/CIR.0000000000000509

please see the files
couple thing i would like to mention from me
nursing studen

please see the files
couple thing i would like to mention from me
nursing student i am in my preceptor ship now at the medical surgical unit

Follow these guidelines when completing each component of the discussion. Contac

Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.
This week, you will consider assessment questions and appropriate interventions related to social determinants of health. Healthy physical, social, and economic environments strengthen the potential to achieve health and well-being. The nurse practitioner (NP) must assess all facets of clients’ health during a comprehensive health history. Identify the assigned topics listed by the first letter of your first name. For example, if your first name is Gilda then your assigned topic is education access and quality. Select an objective related to your assigned social determinant from the Healthy People website.
T – Z: https://health.gov/healthypeople/objectives-and-data/browse-objectives/social-and-community-context
Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
Correctly identify your assigned social determinant. Briefly define the determinant and describe how it impacts healthcare outcomes.
Select an objective related to your assigned social determinant from the Healthy People website linked above. Identify the status of the objective and the population to whom the objective applies.
Provide at least three appropriate questions related to the chosen objective that the NP could incorporate into the health history and interview to assess the client and family.
Identify at least two online, national, or local resources and explain how the resources could help meet the chosen objective for at-risk clients or families.
Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations.
Cite a scholarly source in the initial post.
Cite a scholarly source in one faculty response post.
Cite a scholarly source in one peer post.
Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
Include a minimum of two different scholarly sources (that are within the last five years) per week. Cite all references and provide references for all citations.

ll posts should be supported by a minimum of one scholarly resource, ideally wit

ll posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.
Please
complete the following steps for your initial discussion post:
·      
Go to the library nursing database CINAHL and search for a
“Concept Analysis” article on a concept of interest and discuss the following:  
This is
the article I selected : 
https://6o306i72c-mp02-y-https-web-p-ebscohost-com.prx-herzing.lirn.net/ehost/detail/detail?vid=6&sid=903327b5-103e-40b6-b507-66bd07cd8f08%40redis&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=169907655&db=rzh
·        
o   Briefly, describe the
method of Concept Analysis used for this article (ex. Walker and Avant,
Rodgers, Meleis, etc.)
The article
use WALKER AND AVANT
o   Discuss the author’s aim
and purpose for doing the concept analysis on this topic.
o   Describe the defining
attributes of the concept examined.
·      
What are the benefits of completing a Concept Analysis for
nursing theory development, research, and nursing practice?  How can
defining nursing concepts strengthen nursing as a profession?
·      
Attach the Concept Analysis article to your initial discussion
post.

You are a part of an exploratory science expedition to a new planet named Illumi

You are a part of an exploratory science expedition to a new planet named Illumits. Your responsibility is to study the physiology of the typical indigenous animal life forms. Pick one of the body systems you know or will know from your studies as well as your expertise of earth-based life forms. Write a research report on. Similar system you found and studied in one of the animal life forms from Illumits. Follow standard publication format and include references, tables, figures and drawings. 

Article: LoGiudice, J. A., & Beck, C. T. (2016). The lived experience of childbe

Article: LoGiudice, J. A., & Beck, C. T. (2016). The lived experience of childbearing from survivors of sexual abuse: “It was the best of times, it was the worst of times”. Journal of Midwifery and Womens Health, 61(4), 474-481. https://doi.org10.1111/jmwh.12421
Follow instructions in attached word document 

please see attachments for instructions. this assignment is correlated to prior 

please see attachments for instructions. this assignment is correlated to prior                       assignments. thank you!

Mrs. Lyons is a 57-year-old African American female who recently developed heada

Mrs. Lyons is a 57-year-old African American female who recently developed headaches and had an elevated blood pressure reading at her work health fair. Her blood pressure was taken at the health fair, and the reading was 168/99. She has returned to the drugstore three times to take her blood pressure. The readings have been: 145/90, 150/89, 140/88. At the health fair, she was told her BMI is elevated. Her cholesterol levels were also done at the health fair, and the results were: total cholesterol level of 250, LDL 138, HDL 48, and Triglycerides 170.
She has not been to see a primary care provider in over 5 years. At her last office visit, which was 5 years ago, her blood pressure was (135/95). Her LDL and triglycerides were also elevated at that time. The patient was supposed to monitor her blood pressure at home and trial diet and lifestyle changes. She was supposed to return for a follow-up with her blood pressure log and for a recheck of her labs. She, unfortunately, did not do this.
Today in the clinic, her vital signs are:
BP 146/92, HR 90, Temp 98.4, RR 12, O2 98%, Height 5’5, Weight 220 lbs, BMI 36.6
She is not currently taking any medications. She has NKDA. Family history: her brother and sister both have been diagnosed with hypertension and DM. Diagnoses for the patient are HTN, Obesity, and Hyperlipidemia.
(Using at least two high-level scholarly references in APA from within the last 5 years to answer these questions):
Q1. Please briefly discuss the first-line treatment recommendations from JNC8, and the AHA/ACC for a patient with no other major comorbidities.
Q2. What are the recommended medications to start this specific patient on? Please provide the drug class, generic & trade name, and initial starting dose.
Q3. Please discuss the mechanism of action of each of the drugs you listed.
Q4. Please discuss the side effect profile of each medication you listed.
Q5. Are there any interactions between any of the medications you prescribed?
Q6. What other non-pharmacological interventions would be suggested?

Instructions
How do the sampling methods and sample sizes vary for the different

Instructions
How do the sampling methods and sample sizes vary for the different types of quantitative and qualitative research?
Hypothetically, what sampling method would you use to conduct a study of your selected evidence-based practice problem/topic? Why? (( my
topic : Implementing Aerobic exercise on Mental health patients with depression.)
How would you determine the sample type and size?
Responses must address all questions’ components, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with citations and references in APA format.

Overview
In this Week 5 assignment, you will take the next step in the nursing p

Overview
In this Week 5 assignment, you will take the next step in the nursing process when you plan a health promotion intervention which addresses your community health needs diagnosis.
You have completed a community assessment and analyzed and diagnosed community concerns and/or conditions. It is now time to take the next step in the nursing process and develop a plan to address the community health diagnosis. You will develop a goal statement, and objectives and strategies for reaching that goal. You will identify a Health Promotion Model (presented in week 1) to help design those objectives and strategies.
Addressing a community need is never done by just one nurse alone. A group of dedicated stakeholders and interprofessional health promoters and problem solvers work together to develop a plan they will be involved in implementing. In this assignment, you will identify the stakeholders who would be involved in implementing the Health Promotion Plan.
Objectives:
For this assignment, you will:
Review your community health diagnosis and its etiologies and identify a focus of a Health Promotion Intervention.
Develop a plan for a Health Promotion Intervention which includes use of a Health Promotion or Nursing Model and identification of stakeholders.
Steps
You will review the community health diagnosis you developed and identify the focus of your health promotion project.
To prepare for this assignment, under Materials above, refer to How to Write a Plan for tips on how to write goal, objective, and strategy statements.
In a written document, you will:
State the problem identified as written in Week 4 including the evidence and conditions related to the problem. Review instructor feedback from week 4 to ensure the problem can be addressed within the scope of this assignment.
State who the focus (aggregate) of the health promotion will be, for example, your whole community, a group within it, or select individuals.
State a goal for your health promotion project.
The goal must be related to the diagnosis and within the scope of a CHN (see the Tips section below for examples.)
List at least ONE objective for addressing the goal.
Objectives would be ways in which you can reach the goal. There might be far more than just one idea for how to reach the goal, but you are only required to list one. The example paper (linked above under Materials) gives you an indication of how a student might implement only a portion of the full plan you create.
Identify a Health Promotion Model (Week 1) you will use to develop your plan.
Using the language of the selected Health Promotion Model, identify two strategies for addressing the one objective you have listed. Strategies must be within the scope of a CHN.
Identify stakeholders who would be involved in implementing each strategy.
AGAIN: Ensure that your goals/objectives/strategies are within the scope of a community health nurse and “doable.”
Remember that not only is this a paper you are turning in for a school assignment, but it is also a “documentation” of your planning efforts. Just as you document your plan in your acute care nursing practice, Health promotion nurses must document their plans as well.
5. Your Planning section will eventually be added to your Assessment and Windshield Survey, and your Diagnosis & Analysis in week 7 to create a complied document. Each section will have its own introduction, but you will use the title page and running head that you created in Weeks 2 & 3 and 4. The heading for this section should be:”Planning.” Use the template in “Materials Needed” below to create this component of the process paper.
6. As in all formal written paper assignments, your paper should be in APA format and should include:
Title page
Brief introduction
Body of the paper: For this assignment, the body of the paper will include the components of a health promotion plan including your stated diagnosis, a goal, objective, a health promotion model associated with your plan, TWO strategies to address the diagnosis, and the stakeholders impacted/involved in implementing the strategies.
Brief conclusion related to this component (planning) of your Health Promotion project.
Reference page with references in APA format. Resources must include at the minimum (but you will have many more):
A peer reviewed scholarly resource