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Category: Clinical Nursing & Patient Care

  • [Solved] W5 Reflection

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    In-depth study guidance and analytical solution covering W5 Reflection.

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  • [Solved] case study

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    1. Maria is a 35 y/o female who is complaining of frequent vaginal yeast infections. She has had 4 in the last 6 months, and they have been treated with topical and oral antifungal medications which have initially worked, but the infections recur within 1-2 weeks. Maria reports increased thirst and …

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    1. Maria is a 35 y/o female who is complaining of frequent vaginal yeast infections. She has had 4 in the last 6 months, and they have been treated with topical and oral antifungal medications which have initially worked, but the infections recur within 1-2 weeks. Maria reports increased thirst and urination for the last two to three months. Maria is an office manager in a bookstore who works full-time and has 4 children aged 5, 7, 10, and 12, who live with her 80% of the time. She has been divorced x 3 years and is struggling to make ends meet and reports she and her children frequently eat fast food because of the low cost and time constraints. Maria’s vital signs are 136/88, 98.8, 16, 80, Ht 5’3”, Wt 187 lbs,

    2. Tim is a 22 y/o male who is complaining of lethargy, cold sensitivity, weight gain of 10 lbs over the last 3 months with an unnoticeable change in appetite, brain fog, constipation, and muscle weakness that he feels has become progressively more noticeable over the last several months. Tim is a heterosexual, single, full-time college student and works part-time at a coffee shop. His last annual physical examination was 2 years ago and was WNL. His current vital signs are 110/70, 62, 98.6, 12, Ht 5’9” Wt 190 lbs.

    – [\
    \
    Document9.pdf](https://www.sweetstudy.com/files/document9-pdf-10191049 "Document9.pdf")

    – 2 years ago

  • [Solved] KEITH

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    SEE FILE – 2 years ago **files (2)** – ## KEITH2TOFILL.docx – KeithRNChapters.pdf **## KEITH2TOFILL.docx** WELLNESS JOURNAL ACTIVITY: Current Trends in Education/Practice This activity focuses on emotional, intellectual, and occupational Wellness Answer the following questions thoughtfully, drawing …

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    SEE FILE

    – 2 years ago

    **files (2)**

    – ## KEITH2TOFILL.docx

    – KeithRNChapters.pdf

    **## KEITH2TOFILL.docx**

    WELLNESS JOURNAL ACTIVITY: Current Trends in Education/Practice

    This activity focuses on emotional, intellectual, and occupational Wellness

    Answer the following questions thoughtfully, drawing on insights from Chapter 14 of the Keith RN packet and Patricia Benner’s Novice to Expert Theory

    **Self-Assessment**

    1. Reflect on your current stage in Benner’s Novice to Expert model. What stage do you identify with most and why? (Novice, advanced beginner, competent, proficient, expert)

    2. Based on Chapter 14 of the Keith RN packet, identify one key area where you need to develop further to advance to the next stage in your professional journey.

    **Action Plan**

    1. What specific strategies or actions, as recommended in Chapter 14, will you implement to strengthen this area?

    2. How can you apply one principle from the Keith RN packet to help you move toward the next stage in Benner’s theory?

    **Barriers and Solutions**

    1. Identify one potential barrier to achieving your goals for professional growth.

    2. Propose a solution or strategy to overcome this barrier, considering you intellectual, emotional, and occupational needs.

    **Professional Preparation**

    1. As you prepare to transition into professional practice, what is one piece of advice from the readings, module content, discussion, or Keith RN packet that resonates with you? How will you apply this advice to your own practice?

    **KeithRNChapters.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/keithrnchapters-pdf)

    **KeithRNChapters.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/keithrnchapters-pdf)

    **## KEITH2TOFILL.docx**

    WELLNESS JOURNAL ACTIVITY: Current Trends in Education/Practice

    This activity focuses on emotional, intellectual, and occupational Wellness

    Answer the following questions thoughtfully, drawing on insights from Chapter 14 of the Keith RN packet and Patricia Benner’s Novice to Expert Theory

    **Self-Assessment**

    1. Reflect on your current stage in Benner’s Novice to Expert model. What stage do you identify with most and why? (Novice, advanced beginner, competent, proficient, expert)

    2. Based on Chapter 14 of the Keith RN packet, identify one key area where you need to develop further to advance to the next stage in your professional journey.

    **Action Plan**

    1. What specific strategies or actions, as recommended in Chapter 14, will you implement to strengthen this area?

    2. How can you apply one principle from the Keith RN packet to help you move toward the next stage in Benner’s theory?

    **Barriers and Solutions**

    1. Identify one potential barrier to achieving your goals for professional growth.

    2. Propose a solution or strategy to overcome this barrier, considering you intellectual, emotional, and occupational needs.

    **Professional Preparation**

    1. As you prepare to transition into professional practice, what is one piece of advice from the readings, module content, discussion, or Keith RN packet that resonates with you? How will you apply this advice to your own practice?

    **KeithRNChapters.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/keithrnchapters-pdf)

    **## KEITH2TOFILL.docx**

    WELLNESS JOURNAL ACTIVITY: Current Trends in Education/Practice

    This activity focuses on emotional, intellectual, and occupational Wellness

    Answer the following questions thoughtfully, drawing on insights from Chapter 14 of the Keith RN packet and Patricia Benner’s Novice to Expert Theory

    **Self-Assessment**

    1. Reflect on your current stage in Benner’s Novice to Expert model. What stage do you identify with most and why? (Novice, advanced beginner, competent, proficient, expert)

    2. Based on Chapter 14 of the Keith RN packet, identify one key area where you need to develop further to advance to the next stage in your professional journey.

    **Action Plan**

    1. What specific strategies or actions, as recommended in Chapter 14, will you implement to strengthen this area?

    2. How can you apply one principle from the Keith RN packet to help you move toward the next stage in Benner’s theory?

    **Barriers and Solutions**

    1. Identify one potential barrier to achieving your goals for professional growth.

    2. Propose a solution or strategy to overcome this barrier, considering you intellectual, emotional, and occupational needs.

    **Professional Preparation**

    1. As you prepare to transition into professional practice, what is one piece of advice from the readings, module content, discussion, or Keith RN packet that resonates with you? How will you apply this advice to your own practice?

    **KeithRNChapters.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/keithrnchapters-pdf)

  • [Solved] TRENDS

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    – 2 years ago **files (1)** – ## TRENDSCASEFINAL.docx **## TRENDSCASEFINAL.docx** **Case Study #2: Transition Stories of Three Nurses** Three orthopedic staff nurses at a local hospital went out to dinner after their busy shift. The discussion shifted from their challenging day to how they each arri…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## TRENDSCASEFINAL.docx

    **## TRENDSCASEFINAL.docx**

    **Case Study #2: Transition Stories of Three Nurses**

    Three orthopedic staff nurses at a local hospital went out to dinner after their busy shift. The discussion shifted from their challenging day to how they each arrived at their current point in their nursing careers. Each nurse’s story began with their decision to become a nurse.

    ·
    **Lou:** A 45-year-old married father of two, Lou decided to go back to school 10 years ago after his position at a local business was eliminated. Initially, he thought that becoming a nurse would allow him to maintain his lifestyle and support his family. His first position was as an emergency room nurse at an inner-city hospital, where he lasted two months before his wife threatened divorce if he didn’t slow down. After bouncing from various units and hospitals, Lou has been in his current position for four years.

    ·
    **Cindy:** A 23-year-old nurse with one year of experience on the orthopedic unit, Cindy decided to become a nurse in high school after taking a vocational class. She struggled with the transition from high school, where she was a straight-A student, to university, where she considered dropping out several times. Cindy met her fiancé a month after graduation, and her wedding is in two weeks.

    ·
    **Tina:** A 30-year-old divorced mother of three, Tina took a long time to work her way through nursing school. She decided to attend nursing school a month after her divorce, balancing her studies with supporting her children. Tina recently bought her first home and plans to pursue a graduate degree next fall.

    **Discussion Questions:**

    1.
    **Transition Experiences:**

    · Identify the positive and negative transitions that each of these nurses has experienced. How do these transitions align with Duchscher's stages of transition and Kramer's reality shock?

    2.
    **Reality Shock:**

    · Which nurse is most likely to have experienced reality shock during the transition from student to nurse? Explain your reasoning using concepts from either Duchscher's and/or Kramer's frameworks.

    3.
    **Personal Reflection:**

    · Everyone has a unique story. Which nurse's experience best represents your own? Reflect on your own transition experiences and discuss how you relate to their journey.

    **## TRENDSCASEFINAL.docx**

    **Case Study #2: Transition Stories of Three Nurses**

    Three orthopedic staff nurses at a local hospital went out to dinner after their busy shift. The discussion shifted from their challenging day to how they each arrived at their current point in their nursing careers. Each nurse’s story began with their decision to become a nurse.

    ·
    **Lou:** A 45-year-old married father of two, Lou decided to go back to school 10 years ago after his position at a local business was eliminated. Initially, he thought that becoming a nurse would allow him to maintain his lifestyle and support his family. His first position was as an emergency room nurse at an inner-city hospital, where he lasted two months before his wife threatened divorce if he didn’t slow down. After bouncing from various units and hospitals, Lou has been in his current position for four years.

    ·
    **Cindy:** A 23-year-old nurse with one year of experience on the orthopedic unit, Cindy decided to become a nurse in high school after taking a vocational class. She struggled with the transition from high school, where she was a straight-A student, to university, where she considered dropping out several times. Cindy met her fiancé a month after graduation, and her wedding is in two weeks.

    ·
    **Tina:** A 30-year-old divorced mother of three, Tina took a long time to work her way through nursing school. She decided to attend nursing school a month after her divorce, balancing her studies with supporting her children. Tina recently bought her first home and plans to pursue a graduate degree next fall.

    **Discussion Questions:**

    1.
    **Transition Experiences:**

    · Identify the positive and negative transitions that each of these nurses has experienced. How do these transitions align with Duchscher's stages of transition and Kramer's reality shock?

    2.
    **Reality Shock:**

    · Which nurse is most likely to have experienced reality shock during the transition from student to nurse? Explain your reasoning using concepts from either Duchscher's and/or Kramer's frameworks.

    3.
    **Personal Reflection:**

    · Everyone has a unique story. Which nurse's experience best represents your own? Reflect on your own transition experiences and discuss how you relate to their journey.

  • [Solved] critical appraisal

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    **Assignment Objectives:** For this assignment, you will appraise a clinical practice guideline (CPG). The purpose of this assignment is to acquaint you with a clinical practice guideline as well as the appraisal process to determine the feasibility of the CPG. **Assignment Instructions:** Read/Revi…

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    **Assignment Objectives:**

    For this assignment, you will appraise a clinical practice guideline (CPG).  The purpose of this assignment is to acquaint you with a clinical practice guideline as well as the appraisal process to determine the feasibility of the CPG.

    **Assignment Instructions:**

    Read/Review the clinical practice guideline provided below:

    – [Practice Guidelines for Psychiatric Evaluation of Adults](https://frontiernursing.instructure.com/courses/4756/files/2749197?wrap=1 "CPG for Adult Psych Evaluation.pdf") [Download Practice Guidelines for Psychiatric Evaluation of Adults](https://frontiernursing.instructure.com/courses/4756/files/2749197/download?download_frd=1) [Open this document with ReadSpeaker docReader](https://docreader.readspeaker.com/docreader/?cid=14495&lang=en_us&url=https%3A%2F%2Finst-fs-iad-prod.inscloudgate.net%2Ffiles%2Fb7f20ede-9831-48e9-9cde-4a48f593b772%2FCPG%2520for%2520Adult%2520Psych%2520Evaluation.pdf%3Ftoken%3DeyJ0eXAiOiJKV1QiLCJhbGciOiJIUzUxMiJ9.eyJpYXQiOjE3MzkzODYzMTAsInVzZXJfaWQiOm51bGwsInJlc291cmNlIjoiL2ZpbGVzL2I3ZjIwZWRlLTk4MzEtNDhlOS05Y2RlLTRhNDhmNTkzYjc3Mi9DUEclMjBmb3IlMjBBZHVsdCUyMFBzeWNoJTIwRXZhbHVhdGlvbi5wZGYiLCJqdGkiOiIyMGRiMjgxNS0wZTVlLTQ5YTctOGIyOC04MmEzZmNlOGY1NWYiLCJob3N0IjpudWxsLCJleHAiOjE3Mzk0NzI3MTB9.ZiKu56SdySnvlPGZqiyIaEKUurFwB_nuxwhJbGGPNVENJQ3l3Y-jes2OXKmAA1ouYpQtCGx4wMOnqn7dSEVWlg "Open this document with ReadSpeaker docReader") This guideline may also be helpful to you as you move through the program as you will have many opportunities to evaluate adults with psychiatric needs.

    You will appraise the clinical practice guideline using the [AGREE II Tool](https://frontiernursing.instructure.com/courses/4756/files/2798615?wrap=1 "AGREE II INSTRUMENT.docx") [Download AGREE II Tool](https://frontiernursing.instructure.com/courses/4756/files/2798615/download?download_frd=1) for evaluating Clinical Practice Guidelines.  You must download the document to your computer, save it, and then open the document.  You should then be able to type in the comment section for each of the items to provide your responses.  You will not be able to type in the document if you just download it here without saving it first.  Here is the [user's guide for the AGREE II Tool](https://frontiernursing.instructure.com/courses/4756/files/2798527?wrap=1 "AGREE II User Manual.pdf") [Download user's guide for the AGREE II Tool](https://frontiernursing.instructure.com/courses/4756/files/2798527/download?download_frd=1)  Beginning on page 11 of the guide, you will find a detailed explanation of the purpose for each section of the tool, an overview of how to score that section, as well as where to locate this information in your CPG.

    A rationale and "answer" must be provided for each item in the comment section so that we can "see" how you formulated your response to that section.

    **How to Read the Guideline to Complete the Critique** **Assignment**

    The guideline that you are being asked to review contains many sections within the overall document.  Pages 1-3 and 145-148 decribe the process for developing the entire document.  Pages 3-7 provide a list of key recommendations found within the individual sections of the document for immediate access. This is followed by the references for the document (a complete reference list is on pages 150-162).  Beginning on page 9, you will find an indepth discussion of each of the different components of the guideline.  Each section is laid out in the same manner:

    – Guideline Statements:  This is where you will find a summary of the recommendations made based on the review of hte literature
    – Rationale:  This section provides a rationale for the development of that specific guideline as well as a discussion of the strength of the evidence identified for this guideline.
    – Potential Benefits and Harms:  This section provides a discussion of the benefits and harms associated with using or not using these recommendations.  There may also be a discussion of the need for future research in this area.
    – Implementation:  This section provides a discussion of how to use these recommendations in practice.  Other resources that can be used to enhace the assessment of this section are also provided.  Barriers to implementation of the guideline are also discussed.

    Typically, a clinical practice guideline will be one document that contains recommendations for practice for one particular subject.  Since the psychiatric evaluation contains many components, the guideline you are asked to review contains several "mini" guidelines which make up the overall guideline for the "Psychiatric Evaluation of Adults."  You will use the information on pages 1-9 and 145-148 to answer the majority of the critique items in Domains 1-3 of the AGREE II tool.

    To answer items 11 and 12 in Domain 3 and the items in Domains 4-5, you will choose ONE of the guidelines to follow through the Guidelines and Implementation section, the Review of Available Evidence section. and the Quality Measurement Considerations section of the CPG.  For example, if you choose to do an indepth review of Guideline III:  Assessment of Suicide Risk, you will look on pages 18-23, 57-65, and 139-140 to answer the specific questions about that guideline.

    – [\
    \
    CPGforAdultPsychEvaluation.pdf](https://www.sweetstudy.com/files/cpgforadultpsychevaluation-pdf "CPGforAdultPsychEvaluation.pdf")
    – [\
    \
    AGREEIIINSTRUMENT.docx](https://www.sweetstudy.com/files/agreeiiinstrument-docx "AGREEIIINSTRUMENT.docx")
    – [\
    \
    AGREEIIUserManual.pdf](https://www.sweetstudy.com/files/agreeiiusermanual-pdf "AGREEIIUserManual.pdf")

    – 2 years ago

  • [Solved] help

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  • [Solved] Help

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  • [Solved] SWOT ANALYSIS

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  • [Solved] Nursing Assignment

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  • [Solved] Article

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    – 2 years ago **files (4)** – IMG_0794.jpg – IMG_0795.jpg – IMG_0796.jpg – Docu1.pdf **IMG_0794.jpg** This file is too large to display. [View in new window](https://www.sweetstudy.com/files/img-0794-jpg-10191293) **IMG_0795.jpg** This file is too large to display. [View in new window](https://…

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    – 2 years ago

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