Category: Nursing

Discussion 1
Hematopoietic: 
J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy. 
Past Medical History (PMH): 
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries. 
Case Study Questions
Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.
Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?
The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia. 
In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.
Cardiovascular 
Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills. 
Case Study Questions
For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct, describe the modifiable and non-modifiable risk factors.
What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?
Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct, which would be the most specific laboratory test you would choose and why?
How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct, when that can be observed and for how long? Base your answer on the pathophysiology of the event.
Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.
Submission Instructions:
Include both case studies in your post.
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Utilize below patient information for the SOAP note 
Kathleen Frantz- 76 yearold white female with diagnosis of major depressive disorder, recurrent, unspecified-F33.9
F31.9 Bipolar disorder, unspecified
F41.9 Anxiety disorder,unspecified
This writer facilitated an individual session with the patient jointly with myself as an APN student.  The writer in troduced me to the patient and asked her if it was okay for me to be present during her session, and she accepted. She started by asking how she was doing and  Ms.KF stated that she was doing good

Objectives  
Describe the development of electronic health or personal health records  
Analyze the implications for electronic health records or personal health records on nursing care quality  
Explain the implementation of electronic health records or personal health records 
Define electronic health records or personal health records 
Assignment Overview  
For this assignment, create a slide presentation addressing the use and benefits of Electronic Health Records (EHR) or Personal Health Records (PHR) to a patient, its role in communication and patient safety.  Also address privacy concerns related to patient information and technology.    
Presentation Requirements 
An 8 – 10 slide presentation 
Use Microsoft PowerPoint 
8 – 10 slides (not including the title or reference slides)
Font size 20 or above
Use bullet points – not full sentences
Follow 6 x 6 rule – no more than 6 words per bullet point and no more than 6 bullet points per slide
If using a quote – have it the only thing on the slide.  Include in text citation 
Notes are required in the section below the slides – In text citations in notes 
References at the end – APA formatting
In-text citations will be assessed in the rubric under cohesiveness and APA formatting will be assessed in the rubric under sources.
Electronic Health Records (EHR) 
Step 1: Review the following scenario: 
In this assignment you will focus on Electronic Health Records (EHR) and patient education. You are the nurse manager on the med/surg unit in a small community hospital that has just instigated the Electronic Health Records (EHR).  You have been given the task of educating staff on how to educate patients about the new EHR system.    
As the nurse manager, you will prepare and present informational materials to the nursing staff via a slide presentation.  You will explain the importance of Electronic Health Records (EHR) and the benefits it will provide for the patients.  
Step 2: Create a 8 –to- 10 slide presentation.  
Prepare a slide presentation to share with nursing staff to get their initial support. This should cover the following elements:  
The impact of health care informatics on patient outcomes  
The role of the Internet in health care informatics  
An overview of Electronic Health Records (EHR)  
Benefits of Electronic Health Records (EHR)  
Concerns of Electronic Health Records (EHR)  
Confidentiality and protection of patient information    
Make sure that you properly cite any resources used and include a reference slide. (not included in the 10).  
Step 3: Add presenter’s notes.
Include talking points and details in the notes area for each slide. These notes should document what you would say to an audience about each slide as if you were to present in-person, you will not be presenting in person, the presenter’s notes should read as if you were presenting within that area. 
As you prepare your presentation, you should follow these guidelines:  
Use clear, concise, and complete sentences. 
Use relevant examples to help explain concepts. 
Use language intended for a listener as opposed to a reader.  

I need a paper and PowerPoint presentation . The instructions are attached for the ppt . The paper is written but needs to be re wrote and corrected edited and add apa 7 with in cite citation and references within 8years . I just started it . PowerPoint needs to be based off the paper please let me know if you can handle this I really need a good grade 

Discuss the interrelationship among theory, practice, and research.
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.
PLEASE DO NOT USE GRAMMERLY OR ANY AI, CHAT GPT. ETC;

A patient with cirrhosis of the liver has developed ascites and is scheduled for paracentesis abdominis. Outline your nursing management of the patient under the following headings:
– Before procedure
– During procedure
– After procedure

this is a literature review, recognizing the role of advanced practice providers in reviewing laboratory results for patients in hematology oncology, including benign hematology, malignant, hematology, and solid tumor oncology. How patients can have frequent follow-ups and recognize abnormalities and promptly treat patients without the need to wait to schedule, an appointment with the oncology doctor or be transferred to the emergency room

Evaluation is an appraisal, critique, and assessment of the value, worth, and effectiveness of a project. A successful evaluation illuminates areas for improvement so that changes can be made for a more successful outcome upon project replication.
One hallmark of professionalism is self-reflection. The ability to reflect back on your learning will allow you to continue to synthesize new learning with current knowledge. In this module, you will be reflecting on your achievement of the course objectives.
Please review the course objectives stated in the Syllabus. Conduct a self-reflection on your learning in the course and how you personally have met each of the course objectives.
Course Learning Objectives
After this course, you will be able to:
Apply a knowledge base of community health nursing and health teaching skills to the development an educational project with a focus on illness prevention, health promotion and/or health maintenance of individuals, families and groups.
Demonstrate use of information technology in data gathering and analysis of a community or a specific population group.
Analyze a community assessment to plan a health teaching project that meets the needs of communities and populations
Create an educational project that can be utilized by public and community health nurses to improve the health status and eliminate health disparities of individuals, families, communities and populations.
Implement the planned teaching project to the selected target population.
Collaborate with community partners to provide education designed to improve population health.
Record and present evidence of the completion of each phase of the teaching project.

Describe how nursing knowledge and theory development defines the profession of nursing.
How can application of nursing theory benefit you personally and empower/advance the nursing profession as a whole?  How has your answer changed from your Week 1 discussion board post? – see week 1 post below
Which nursing theory do you feel will have the greatest impact on your professional practice and why?
DOI reference link
Responses need to address all components of the question, 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. 
__________________________________________________
week 1 post :
How Application of Nursing Theory can Benefit Me personally and Empower/Advance the Nursing Profession as a Whole?
Nursing theories promote career advancement. Justifying the nursing profession and its components demand awareness of nursing theories (Nwozichi et al., 2021). For this reason, the nurse can reflect on and analyze nursing theory concepts to comprehend the theoretical foundations of nursing. Such exploration enables more knowledge and a greater sense of purpose in practice and enhances clinical reasoning skills for nurses. 
Nwozichi, C. U., Olorunfemi, O., & Madu, A. M. (2021). Exploring issues in theory development in nursing: Insights from literature. Indian Journal of Continuing Nursing Education, 22(1), 3-9. https://journals.lww.com/ijcn/fulltext/2021/22010/exploring_issues_in_theory_development_in_nursing_.2.aspx

Background:
You are part of a community that has been struggling with your public issue, but there is very little being done to address the issue. The local government has recognized the problem but has not yet implemented effective measures to address it. Services are available but underutilized due to the stigma and lack of awareness.
Your Role:
You are a newly graduated professional, passionate about your issue. You are committed to creating positive change in your community. You have studied the Social Change Model/Wheel and are familiar with the 12 ways to work for social change.
Task:
Choose one of the below questions to address. Make sure you address each question in the chosen prompt.
Question 1: Reflecting on the quote, “Leadership is ultimately about change, and… effective leaders are those who are able to effect positive change on behalf of others and society,” how do you believe you might effect positive change in your personal life and professional career to address your public issue? Be specific about your goals and the steps you will take to become a change agent. Consider the following:
What are your short-term and long-term goals?
Who are the people or communities you aim to advocate for, and why?
How will you measure the impact of your actions?
Question 2: In what ways do you embody the principle of leadership as described in your textbook? How will you inspire and mobilize others in your community to join your efforts? What part of the social change wheel will best assist you in addressing your issue? How would you best employ that component from the social change wheel.