Category: Nursing

  • Title: “Diagnosing Alzheimer’s Disease in an Elderly Patient: A Case Study”

    Scenario
    A 76-year -old man is brought to the primary care office by his wife with concerns about 
    his worsening memory. He is a retired lawyer who has recently been getting lost in the 
    neighborhood where he has lived for 35 years. He was recently found wandering and has often been brought home by neighbors. When asked about this, he becomes angry and 
    defensive and states that he was just trying to go to the store and get some bread.
    His wife expressed concerns about his ability to make decisions as she came home two 
    days ago to find that he allowed an unknown individual into the home to convince him to buy a home security system which they already have. He has also had trouble dressing
    himself and balancing his checkbook. At this point, she is considering hiring a day-time 
    caregiver help him with dressing, meals and general supervision why she is at work.
    Past Medical History: Gastroesophageal reflux (treated with diet); is negative for 
    hypertension, hyperlipidemia, stroke or head injury or depression
    Allergies: No known allergies
    Medications: None
    Family History
    Father deceased at age 78 of decline related to Alzheimer’s disease
    Mother deceased at age 80 of natural causes 
    No siblings
    Social History
    Denies smoking
    Denies alcohol or recreational drug use 
    Retired lawyer
    Hobby: Golf at least twice a week
    Review of Systems
    Constitutional: Denies fatigue or insomnia
    HEENT: Denies nasal congestion, rhinorrhea or sore throat.  
    Chest: Denies dyspnea or coughing
    Heart: Denies chest pain, chest pressure or palpitations.
    Lymph: Denies lymph node swelling.
    Musculoskeletal: denies falls or loss of balance; denies joint point or swelling
    General Physical Exam  
    Constitutional: Alert, angry but cooperative
    Vital Signs: BP-128/72, T-98.6 F, P-76, RR-20
    Wt. 178 lbs., Ht. 6’0″, BMI 24.1
    HEENT
    Head normocephalic; Pupils equal and reactive to light bilaterally; EOM’s intact
    Neck/Lymph Nodes
    No abnormalities noted  
    Lungs 
    Bilateral breath sounds clear throughout lung fields.
    Heart 
    S1 and S2 regular rate and rhythm, no rubs or murmurs. 
    Integumentary System 
    Warm, dry and intact. Nail beds pink without clubbing.  
    Neurological
    Deep tendon reflexes (DTRs): 2/2; muscle tone and strength 5/5; no gait 
    abnormalities; sensation intact bilaterally; no aphasia
    Diagnostics
    Mini-Mental State Examination (MMSE): Baseline score 12 out of 30 (moderate 
    dementia)
    MRI: hippocampal atrophy
    Based on the clinical presentation and diagnostic findings, the patient is diagnosed 
    with Alzheimer’s type dementia.
    Discussion Questions
    Compare and contrast the pathophysiology between Alzheimer’s disease and
    frontotemporal dementia.
    Identify the clinical findings from the case that supports a diagnosis of Alzheimer’s
    disease.  
    Explain one hypothesis that explains the development of Alzheimer’s disease
    Discuss the patient’s likely stage of Alzheimer’s disease.

  • “Scholarship Letter: My Journey to Nursing and Why I Deserve Your Support”

    My assingment is about myself and why I should recieve a scholaship for my nursing program that I start in August. I have attached what needs to be in the letter. Feel free to add whatever else you think is necessary. thank you

  • “Transitioning to Nursing Practice: Strategies and Implications for Clinical Judgements” Transitioning to Nursing Practice: Strategies and Implications for Clinical Judgements In the last semester of nursing school, students are preparing to transition from the classroom to clinical practice

    Group 1
    In your last semester of nursing school, you note that your clinical instructor changes teaching strategies. No one looks over your shoulder any longer during every assessment, you are allowed more freedom to perform assessments and make clinical judgments, the clinical hours coincide with normal shift hours, and you are allowed to volunteer to perform nursing procedures with staff nurses. Although this makes you nervous, you realize that this is necessary for your transition into nursing practice.
    Identify strategies from your textbook that are being used by the instructor in this scenario to assist you in your transition.
    Explain any practice issue noted.
    Discuss (with reference citation) the implications for Nursing Practice related to clinical judgements in Tanner’s Thinking Like a Nurse model.
    Zerwekh, J., & Garneau, A. Z. (2023). Nursing today: Transition and trends (11th ed.). Elsevier. ISBN-13: 9780323810159

  • Title: Maintaining Academic Integrity and Professional Ethics as an MSN Student and Nurse Academic integrity and writing are closely related concepts that are essential for any student, especially those pursuing a Master of Science in Nursing (MSN) degree. Academic integrity

    It needs to be 2-4 paragraphs
    Explanation between academic integrity and writing
    Explanation for the relationship between professional practices and scholarly ethics. 
    Cite 2 sources. 
    How to maintain integrity and ethics as an MSN student 
    Professional work as a nurse 

  • “Evaluating Credibility: An Analysis of Orlean R. Anderson’s ‘The Writing Process Rejected’” Evaluating the Credibility of “The Writing Process Rejected” by Orlean R. Anderson

    Regulations
    All essays must appear in proper MLA format.  What does this mean? This means you must use 12 point, Times New Roman font and double-spacing.  You must also display the proper heading and header, you must set the margins to one inch, and you must include a title. Also, you must document any sourceswith the proper in-text citations and include a Work Cited page. 
    As for the length, all essays must be approximately 3-3½ pages.
    First person may not be used in this essay.  Contractions should also be avoided.  
    The Assignment
    The purpose of this assignment is to evaluate a text. You all will evaluate Orlean R. Anderson’s “The Writing Process Rejected.”Remember, an evaluation must claim if something meets certain standards. It must also inform the reader of the subject being evaluated and the criteria being used to evaluate it; it must be fair and balanced (include positive and negative aspects) and be supported by evidence.  In this instance, you all must determine the credibility of the source (this is the claim in the thesis) and provide evidence for your claim in the body paragraphs.  One of the overall missions of English 1013 is to teach you all about reliable sources, so this assignment is designed to do just that. 
    ■ The Criteria – The following are the criteria that must be addressed in the evaluation, in no particular order; each criterion must be discussed in at least one fully developed paragraph:
    1. Ethos – The authors’ credibility.  The question that needs to be answered in the topic sentence is this: Is the author qualified to provide information on the subject at hand?Search the article for clues that let the readers know Anderson is a source to be trusted.  At BRCC, students are asked if their teachers appear knowledgeable about their subjects in evaluations at the end of each semester, so this is along the same lines. In this paragraph, after you establish the topic and discuss it a little, use the details from the article that drew you to the conclusion about whether or not Anderson is a credible source of information to prove your statement in the topic sentence. Specifically, consider things such as Anderson’s credentials and work experience, his knowledge of the subject, and his recognition of different perspectives. 
    2. The Purpose, Organization, and Stance – Here, you must determine if the author’s reason for writing is stated clearly and if his opinion on the matter is well developed in the work thereafter. So, in the topic sentence of this paragraph, answer the question, “Is Anderson’s purposeand opinion clear in his article?” After this is determinedin the topic sentence, you all must elaborate throughout the paragraph, providing evidence if the purpose is clear or not by expressing how you, without the first person, drew this conclusion and backing up said conclusion with proof from the text. Some things to consider in this section, after claiming how well or how poorly the author conveys his purpose and opinion, are how often he reasserts this main idea and how well the article is organized throughout. After establishing this in the “elaboration” section of the paragraph (see Parts of the Essay PowerPoint), go on to provide at least one or two examples from the text.  Follow through by making connections by explaining how that example/those examples prove that the author’s opinion is evident in the text.  Note that you should avoid stating, “I chose this quote because…,” when doing this. This is much the same way that I assess you all’s ability to stick to a thesis throughout each essay.  
    3. The Audience – In the topic sentence of this section, you should identify the intended audience and how successfully the author reaches this intended audience.For instance, is he addressing educators, students, both? This discussion throughout this paragraph must focus onhow you know this by inspecting the authors’ choice of diction, his word choices, the relatability of the subject matter, and/or the location of the publication — was it published in a scholarly journal or, for example, a newspaper? A newspaper is targeted to a more general audience, so does the author use words that are accessible?  Do not forget to provide evidence from the text for each and every claim.
    4. The Evidence – Does the author provide enough support for his claim, and how credible is said support? The topic sentence should include an answer to the question, “Does Anderson provide enough evidence to support his main argument, and is this evidence credible?”  The rest of the paragraph needs to prove your response by examining the types of evidence he uses in his work and explaining why this evidence is reliable or why it is not. If, for example, he chooses a blog to support his claim, you would want to consider carefully if a professional writer should use such a source and explain why or why not.    
    ■ Sources: The source that will be evaluated for this essay is Orlean R. Anderson’s “The Writing Process Rejected.” No other sources are allowed.  The source must be identified on your Work Cited page, which will be addressed during the week outlines are due.  
    ■ At least one specific example, a quote or clearly identifiable paraphrase, both of which must be cited, from the text must be used in each body paragraph. If you are not comfortable integrating sources into your work yet, I highly suggest sticking to quotes. 
    ■ Sample Outline for Essay Two
    I. Introduction
    A. Get the reader’s attention with an interesting discussion on the topic.  
    B. Discuss the criteria that must be met to create a reliable, credible source. Use what you know – what makes you trust what you read?
    C. Provide a brief summary of the article.
    D. Create a clear, concise thesis statement.  The thesis needs to determine if the source is credible or not and to explain why.  If you are comfortable doing so, use a forecasting thesis statement to inform the reader of the order in which the criteria will be discussed, but if nothing else, answer the question. 
    II. Body Paragraphs
    A. In your body paragraphs, you all must support the thesis statement in the established order.
    1. Sample Body Paragraph (One of Four)
    a. Always begin with a clear topic sentence that informs the reader of the paragraph’s focus and its connection to the thesis.  If, for instance, you are examining the author’s use of sources, this word, or something similar, should appear in the topic sentence, and you should express whether or not the author uses credible sources and enough of them. 
    b. Next, elaborate on the topic.  In this case, discuss the overall presentation of the evidencethroughout the article. 
    c. Support your claim with examples.  In this section, you all must provide specific examples from the text, but, at the same time, you must be careful to integrate quotes carefully and sparingly.  In other words, make sure to pick the right quotes to support your claim and do not quote a whole page.
    d. Show the connection between your example(s) and the topic – use the quote(s).  
    e. Transition to the next subject by using a transitional phrase at the end of the paragraph or as a topic sentence at the beginning of the paragraph.  
    III. Conclusion
    A. Revisit the thesis.
    B. Highlight the main points of your essay. 
    C. The conclusion should also answer the question, “So what?” Therefore, when writing your conclusion, you should discuss why this work is important andwhy the process of evaluation is important.
    D. Leave the reader with something to think about.  
    A Final Note
    If you need extra help, here are a few options: (1.) Make an appointment with me during my office hours (2.) Make an appointment with the DLAS (3.) Submit your essay to Brainfuseon Canvas.

  • Title: Maintaining Academic and Professional Integrity in the Field of Psychiatric Nursing

    Currently in school for psychiatric nurse practioner 
    The Assignment:
    Part 2, Section 1: Writing Sample: The Connection Between Academic and Professional Integrity
    Using the Academic and Professional Success Development Template you began in Module 1, write a 2- to 3-paragraph analysis that includes the following:
    Explanation for the relationship between academic integrity and writing
    Explanation for the relationship between professional practices and scholarly ethics
    Cite at least two resources that support your arguments, being sure to use proper APA formatting.
    Use Grammarly and Turnitin to improve the product.
    Explain how Grammarly, Turnitin, and paraphrasing contributes to academic integrity.
    Part 2, Section 2: Strategies for Maintaining Integrity of Work
    Expand on your thoughts from Section 1 by identifying and describing strategies you intend to pursue to maintain integrity and ethics of your:
    academic work as a student of the MSN program and 
    professional work as a nurse throughout your career. Include a review of resources and approaches you propose to use as a student and a professional.

  • Title: Reflection on Completing the BSNR 405 Signature Assignment: Challenges, Insights, and Growth as a Nursing Student

    Think about the Week 7 Signature Assignment you completed in BSNR 405 (Community and public health nursing ):
    What were some of the challenges you faced while completing this project? How did you overcome these challenges?
    Looking back, what were some of the key insights you gained from your projects? How did these insights influence your nursing practice?
    How did you grow as a nursing student while completing this project? What new skills or knowledge did you gain?
    How did this project change the way you think about nursing practice? What new perspectives did you gain?
    What advice would you give to future nursing students who will complete this project?
    What steps will you take to continue your growth and development as a nurse that relates to this project?

  • Title: Exploring Three Middle Range Theories for the Literature Review Paper Introduction Middle range theories are essential in nursing research as they provide a bridge between grand theories and specific nursing practice. They focus on specific phenomena and offer explanations and predictions about

    Work on 3 Middle Range Theories for the Literature Review Paper.
    Maximum of 5 pages (not including title and reference page).
    Must be APA format.
    Four references within 5 years.
    Your paper must have an Introduction and Conclusion. 

  • “Meeting the Outcomes of Contemporary Nursing Practice: A Reflection on Decision-Making, Leadership, and Evidence-Based Care”

    This semester we have reviewed various Issues and Trends in Contemporary Nursing Practice. Many objectives have been addressed and met. Please take a moment to reflect on the objectives of the course and develop an 8-10-page scholarly paper stating how you have met the outcomes of this course. 
    Course Outcomes
    Demonstrate understanding and competence in making decisions in nursing which will promote client-centered care, taking into consideration ethical, clinical, cultural, spiritual, and political implications.
    Demonstrate intentional learning with reflection as it relates to decision-making in nursing.
    Understand processes of making decisions in nursing, and apply evidence in supporting concepts and processes which relate to practice.
    Demonstrate knowledge of how decision-making in nursing practice relates to clinical reasoning and critical thinking, taking into consideration the many facets of decision-making in nursing.
    Demonstrate leadership in organizational, local, and global environments as it relates to decision-making in nursing.
    Communicate effectively and therapeutically, with and without the use of technology, while making decisions in nursing practice.
    Propose evidence-based, culturally-competent nursing care which promotes standard safe practices along with error and hazard prevention and quality improvement practices.
    Participate as a collaborative team member in understanding and implementing client care, and in promoting the health of clients while making decisions as nurses in practice.
    Final Project – a scholarly paper is written in BSN465 on the achievement of the eight outcomes associated with BSN465. The learner writes an APA formatted paper on meeting the course outcomes listed above.
    Identifies/addresses a relevant topic and a thesis that provides direction for the content that is engaging and thought provoking. The thesis clearly and concisely states the position, premise, or hypothesis and is consistently the focal point throughout the presentation/paper. Demonstrates a sophisticated understanding and careful, critical analysis of the research topic and thesis (argument). Compares/contrasts perspectives, considers counter arguments or opposing positions, and Evaluates original and thoughtful conclusions with future implications.
    Produces compelling and accurate evidence to support in-depth analysis to the central position beyond the required (4) research sources with at least 2 sources from a periodical database. Research sources are relevant, accurate, recent (less than 5 years old) and reliable and add to the strength of the content.
    Style and voice are appropriate to the given audience and purpose, but also show originality and creativity. Word choice is specific, purposeful, dynamic, and varied. Free of mechanical and typographical errors. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English. APA 7th Edition guidelines for formatting are consistently followed. Includes in-text citations and references. May use 1st person writing as appropriate with the 7th edition APA.