What is the proper technique for measuring a client’s weight? What is the proper technique for measuring a client’s height? What is the proper technique for measuring a client’s waist?

/in /by

Height weight and range of motion skill

Height, Weight & Waist Measurement Skills and BMI Assessment Study Questions

Terminology

  1. What is meant by the terms: standing scale, stretcher and chair scales?

­­­­

Assessment

  1. Nurses always assess for significant weight losses or increases. Identify what a weight gain of 2.3 kg (5 lb) in one day may mean

 

  1. How much weight loss is considered significant, in a month, and in 6 months?
  2. One month? Six months?

 

  1. Body Mass Index (BMI): Measures weight corrected for height and serves as an alternative for height/weight relationships.  What is a healthy BMI?

 

  1. Waist Circumference (WC): is a measurement used to determine health risk. What is the significance of waist circumference assessments?
  2. What is a healthy waist circumference for men___________ for women _____________?

 

Implementation

  1. What is the proper technique for measuring a client’s weight? What is the proper technique for measuring a client’s height?
  2. What is the proper technique for measuring a client’s waist?

 

Critical Thinking

  1. Explain why it is important to weigh patients at the same time every day, on the same scale in the same type of clothing.

 

Explain the significance of the urinalysis results as they relate to renal involvement with SLE. Why is the ESR increased in inflammatory conditions?

/in /by

Case Study 1 Systemic Lupus Erythematosus, Case Study 2 AIDS

Case Studies
A 24-year-old woman had been complaining of multiple joint and muscular pains and
stiffness in the morning. She also noted some hair loss and increased skin sensitivity to light.
Her physical examination showed slight erythema around the cheek bones and some swelling
in the joints of her hands.

Diagnostic Analysis
The positive ANA and ACA tests strongly supported the diagnosis of systemic lupus erythematosus (SLE). The patient also had a facial rash suggestive of SLE. The elevated ESR indicated a systemic inflammatory process. The immunoelectrophoresis results were compatible with either RA or SLE; however, a decreased complement assay is commonly associated with SLE. The abnormal urinalysis indicated that the kidneys also were involved with the disease process. The patient was treated with steroids and did well for 7 years. Unfortunately, her renal function deteriorated, and she required chronic renal dialysis.

Critical Thinking Questions
1. Explain the significance of the urinalysis results as they relate to renal involvement with SLE.
2. Why is the ESR increased in inflammatory conditions?

Research the causes of aneurysm vascular disease, Pathophysiology, Signs and symptoms, Medical diagnosis and Treatment and patient Teaching.

/in /by

Aneurysm Vascular Disease

Research the causes of aneurysm vascular disease, Pathophysiology, Signs and symptoms, Medical diagnosis and Treatment and patient Teaching.

Why did you not select the other two options provided in the exercise? What were you hoping to achieve by making this decision? Explain how ethical considerations may impact your treatment plan and communication with patients.

/in /by

CASE STUDY INSOMNIA 31 YEAR OLD MALE

The Assignment: 5 pages
Examine Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

How can the work you have undertaken with your capstone project be transferred into your current practice and care setting? How can the work you have undertaken with your capstone project be transferred into other care settings and contexts?

/in /by

Evaluation Plan Design

This document is designed to give you questions to consider and additional guidance to help you successfully complete the Evaluation Plan Design assessment. You may find it useful to use this document as a pre-writing exercise, an outlining tool, or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission.

Part 1: Evaluation Plan
Define the outcomes that are the goal of an intervention plan.
• What are the outcomes that you are attempting to achieve with your intervention and project?
o How do the outcomes illustrate the purpose of your intervention and project?
o How do the outcomes illustrate what you hope to accomplish your intervention and project?
o How do the outcomes establish a framework that can be used to achieve an improvement in the quality, safety, and experience of care?
Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need.
• How are you going to measure and evaluate the degree to which you achieved your outcomes?
o What data do you need to fully evaluate the outcomes?
 How will you collect the needed data?
 What tools or technology will you use to aid in data collection?
o What strategies will you use to analyze and evaluate the collected data?
 What tools or technology will you use to aid in data analysis?
• How will the evaluation plan illustrate the impact that your intervention plan had, or will have?

Part 2: Discussion
Advocacy
Analyze the nurse’s role in leading change and driving improvements in the quality and experience of care.
• How does the nurse help to lead change in professional practice and interprofessional teams?
• How does the nurse help to drive improvements in the quality and experience of care in professional practice and interprofessional teams?
Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan.
• How does your intervention plan affect the nursing profession and role?
o In other words, how does your intervention plan improve the nursing profession and practices?
• How does your intervention plan affect interprofessional collaboration related to improving outcomes for the target population and setting of your intervention plan?
• What are other gains and benefits to the health care field in general from your intervention plan and project?

Future Steps
Explain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety.
• How could your intervention plan and project be revised to create improved or broader-reaching impacts for your target population?
• How could your intervention plan and project better take advantage of emerging technology to improve performance related to the outcomes of the intervention plan?
• How could your intervention plan and project better take advantage of emerging care models to improve achievement of the project’s outcomes, as well as to improve patient safety?
Reflection on Leading Change and Improvement
Reflect on how the project has impacted your ability to lead change in personal practice and future leadership positions.
• How has your work on your capstone project impacted your ability to lead change in your personal practice and current care setting?
• How has your work on your capstone project impacted your ability to lead change in any future leadership positions you may have?
Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts.
• How can the work you have undertaken with your capstone project be transferred into your current practice and care setting?
• How can the work you have undertaken with your capstone project be transferred into other care settings and contexts?

Address Generally Throughout
Integrate resources from diverse sources that illustrate support for all aspects of an evaluation plan for an intervention, as well as for professional discussion about the plan.
• Do the resources cited support all aspects of your evaluation plan?
• Do the resources cited support your professional discussion of the plan and your practice?
• Do your resources come from a diversity of sources?
o For example: the literature, professional standards, existing health care policy, relevant health care laws, et cetera.
• Do you cite a minimum of 3–6 resources?

Communicate evaluation plan and discussion of the project in a professional way that helps the audience to understand how the outcomes will be evaluated, as well as what was learned through the project process.
• Is your writing clear and professional?
• Does your writing effectively communicate your proposed evaluation plan?
• Does your writing effectively communicate what was learned throughout the project process?
• Is your writing free from errors?
• Is your submission 4–6 pages?
• Does your submission conform to current APA style standards?

Explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse. Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms?

/in /by

PSYCHOPHARMACOLOGY SHORT ANSWER

As a psychiatric nurse practitioner, you will likely encounter patients who suffer from various mental health disorders. Not surprisingly, ensuring that your patients have the appropriate psychopharmacologic treatments will be essential for their overall health and well-being. The psychopharmacologic treatments you might recommend for patients may have potential impacts on other mental health conditions and, therefore, require additional consideration for positive patient outcomes. For this Assignment, you will review and apply your understanding of psychopharmacologic treatments for patients with multiple mental health disorders.

Photo Credit: Getty Images/Collection Mix: Sub

To Prepare
Review the Learning Resources for this week.
Reflect on the psychopharmacologic treatments that you have covered up to this point that may be available to treat patients with mental health disorders.
Consider the potential effects these psychopharmacologic treatments may have on co-existing mental health conditions and/or their potential effects on your patient’s overall health.

To complete:
Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.

In 3 or 4 sentences, explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse. Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms?

List 4 predictors of late onset generalized anxiety disorder.

List 4 potential neurobiology causes of psychotic major depression.

An episode of major depression is defined as a period of time lasting at least 2 weeks. List at least 5 symptoms required for the episode to occur. Be specific.

List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific.

Discuss the individuals’ relevant determinants of health and factors that have shaped their overall health experience.

/in /by

Human Health Experience paper

Instructions for Human Health experience Paper

maximum 2500 words (including title and reference page) in APA format.

 

  • Briefly (maximum 1 page) Describe the human health experience of the guest speaker
  • Include the details of what happened to them physically as well as their feelings, thoughts, and actions at the
  • Use a pseudonym or initials for the guest speaker and NOT their real name

 

  • Discuss the individuals’ relevant determinants of health and factors that have shaped their overall health experience (for example – family concerns, economic considerations, occupational issues, healthcare resource limitations).

 

Describe the abstract concepts that stood out in the individual’s narrative. (Choose any 3 out of these four concepts)

  1. Powerlessness
  2. Spirituality
  3. Coping
  4. Vulnerability

 

  • Select 3 abstract concepts and elaborate on them in ( SEE ABOVE)

 

This section should be the focus and the body of the paper!

  • Reflect and discuss your assumptions (based on your personal experience, knowledge or prior professional experience) as to how they relate to the selected

 

  • Compare and contrast how aspects specific to the concepts or elements you have identified, differ from your own

 

  • Discuss how your review of the relevant nursing literature supports or identifies contradictory aspects of the concepts or elements you have identified from the speaker’s narrative and your

 

Discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

/in /by

The Future of Nursing: Leading Change, Advancing Health

Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

Include the following:

Describe the work of the Robert Wood Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development.

Provide examples.

Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.

Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Describe your plans to alter your professional and/or personal obligations to have the time needed for graduate study, including the required clinical experiences. Identify one issue in the United States health care system and discuss the role of advanced nursing practice in addressing this issue.

/in /by

Professional career goals

• Discuss two (2) professional career goals, identifying how your professional experiences to date have prepared you for graduate study at Pace University and how the graduate program will assist you in meeting these goals.

• Describe your plans to alter your professional and/or personal obligations to have the time needed for graduate study, including the required clinical experiences.

• Identify one issue in the United States health care system and discuss the role of advanced nursing practice in addressing this issue.