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Case1

A 48–year–old Asian American woman is concerned about thin bones. Her mother was diagnosed
with osteoporosis at the age of 50 and fell at the age of 68 and fractured her hip and spent months
in Rehab before being able to return home. The patient has no history of fractures.
The patient presents to the office to have her bones checked to see if she has “thin bones”
Patient has no history of previous fractures: Patient states she went through Menopause at the
age of 43–44 with no major problems. Patient was diagnosed with hypothyroid at at age 40.
Patient does not drink. Smokes 1ppd for 20 yrs. Husband has been out of work for 9 months due
to downsizing at his job. Pt works as an administrative assistant for a publisher but does not have
health insurance at this time.
Pt had a melanoma removed from her left cheek in 2018, No hospitalizations except for
childbirth x2
Family history: Paternal Grandmother died at age 78 due to heart disease.

Paternal Grandfather
died at age 83 due to heart attack.

Maternal Grandmother died at age 82 cause unknown;
Maternal Grandfather died from farm accident at age of 56.

Mother is 75 alive with Osteoporosis
diagnosed at age 50 and HTN diagnosed at age 63.

Father is 77 alive with HTN diagnosed at age45. Pt has two daughters alive and well with no medical problems.
Objective Info
Height 5’2’ Wt 105 lbs; BMI 19.2; 128/78; HR–72/min
• HEENT: Normocephalic, no lumps/lesions
• Neck: supple without adenopathy , no thyromegaly.
• Lungs: Eupneic, CTA
• CV: RRR, no murmurs, rubs or extra sounds noted; 2+ peripheral pulses, no edema noted
• Breast: soft, fibrocystic changes bilaterally, without masses, dimpling or discharge
• Abd: soft, +BS, no tenderness
• MS: Full ROM in spine and shoulders. No tenderness, no spasms
• T–Score is –1.2
Questions
1. What other information do you need
2. What other diagnostic tests would be appropriate for this pt?
3. Is this patient at high risk or low risk? What are her risk factors
4. What other screenings are appropriate for this patient?
5. What is the difference between a Z score and a T score?
6. What would you include in patient education to prevent further loss of bone? Be specific.

THEORETICAL FRAMEWORKS SUMMARY (2 PAGES)

What is theory, and how does it shape research? Most research is based on a theoretical framework. Theoretical frameworks, also known as “conceptual frameworks” or “models,” are used in nursing research to provide a structure for organizing and understanding the research problem and to guide the research design and analysis. Theoretical frameworks are shaped over time as empirical data and observations regarding a phenomenon accumulate.

For this Assignment, you compare two theoretical frameworks used in nursing research and explain how each theoretical framework informs nursing research.

To prepare:

• Review the Learning Resources for this Module.
• Reflect on the theoretical frameworks presented and focus on two theoretical frameworks for this Assignment.
• Consider how these frameworks might be used in nursing research.

The Assignment

• Select two theoretical frameworks from this Module’s readings.
• Summarize their key assumptions. Be specific.
• Describe how the theoretical frameworks you selected are used in nursing research. Be specific and include examples.
• Compare the two frameworks and explain the similarities and differences between them. Be sure to cite sources in APA format as needed.

Description

Key Assignment

Part 1

Develop your Customer Satisfaction and Product Guarantee Plan for the product that you selected in Unit 1.

Your plan will include the following:

• Section I: Company and Brand Information
• Section II: Product Pitch Script
  • This section will optimize the perfect pitch for selling your brand.
  • It includes features and benefits of the product.
• Section III: Cross-Selling and Promotional Opportunities
  • This section will examine and recommend 2 complementing products for your brand, relevant to the customer’s lifestyle, to build brand awareness and loyalty.
  • Develop 1 promotional campaign for selling these complementing products.

Part 2

Prepare a Product Promise and Guarantee Section for your plan based on your research and experiences throughout Weeks 1–4. Add this information as Section IV of the plan.

Final Key Assignment Sections

• Section I: Company and Brand Information
• Section II: Product Pitch Script
  • This section will optimize the perfect pitch for selling your brand.
  • It includes features and benefits of the product.
• Section III: Cross-Selling and Promotional Opportunities
  • This section will examine and recommend 2 complementing products for your brand, relevant to the customer’s lifestyle, to build brand awareness and loyalty.
  • Develop 1 promotional campaign for selling these complementing products.
• Section IV: The Product Promise and Guarantee

Please submit your assignment.

For assistance with your assignment, please use your textbook and all course resources.

We grade Discussion Boards and Individual Projects using three project criteria: Task Requirements, Demonstration and Application of Knowledge, and Academic Writing and Format. We score each project criterion using four performance values: Unsatisfactory, Developing, Effective, and Proficient. Please see the following tables for the details.

From Danielle

Culturally competent nurses possess the knowledge, skills and attitudes necessary to understand and respect different cultures’ beliefs, values and practices.Nurses can effectively address healthcare disparities by fostering effective communication and building trust with patients from various backgrounds (How Culture Impacts Care: What Nurses Need to Know, 2023). Recently, while teaching a patient about health promotion strategies I faced an ethical dilemma concerning cultural sensitivity. The patient belonged to a cultural group with specific dietary beliefs that differed from standard health recommendations. As a nurse, I had to navigate their preference for a high-salt diet, which was customary in their community but posed risks for their hypertension. Most people in China consume too much salt, on average 9.3 grams per day from home cooking alone, nearly double the recommended amount. Too much salt in the diet can lead to high blood pressure and can increase the risk for heart disease and stroke (Reducing Salt Intake in China: Nudging Consumers towards Ordering Healthier, Low-Sodium Menu Options, n.d.). This situation raised a conflict between promoting evidence-based dietary advice and respecting the patient’s cultural practices.

To address this ethical issue, I followed a decision-making process. First, I assessed the patient’s cultural background and their beliefs about diet to fully understand their perspective. Next, I consulted with colleagues and utilized resources on cultural competence to gain insights into how best to approach the situation sensitively. Then, I provided the patient with evidence-based information about nutrition while acknowledging and respecting their cultural beliefs.

During discussions with the patient, I negotiated to find a compromise that respected their cultural practices while also promoting their health. After the interaction, I reflected on the process to learn how to better handle similar ethical dilemmas in the future. This approach aimed to uphold ethical principles such as patient autonomy, beneficence (doing good for the patient), and cultural sensitivity in promoting the patient’s overall health and well-being.

From Anna Maria

I was assessing my patient before his elective procedure. He has a history of diabetes, hypertension, and back pain. During my medication reconciliation, I found out he has not been compliant with his diabetic medications. I educated the patient on the importance of following his medication regimen. I took his blood sugar level, and it was 284. I told the patient his blood sugar was high, and I had to talk to the team about the result. The patient was in disbelief since his blood sugar was lower in the morning. The patient asked me if I could tell the physician a different result because he needed his steroid injection for his back pain. I empathized with his pain, but it was not safe to proceed with his result. I reported the result to the physician, and the physician spoke to the patient about rescheduling his procedure and to follow up with his endocrinologist. Ethical issues included the principle of veracity and nonmaleficence. The principle of veracity is truth-telling and supplying the patient with information to make decisions (Edelman & Kudzma, 2022). The patient wanted me to withhold the truth since his back pain was a 10/10; this breaks the code of ethics. We also prevented patient harm by canceling his procedure since his blood sugar was not controlled.
I identified the main issue and how it would impact the patient. I assessed whether the patient lacked information. The patient was desperate for pain relief, but I prioritized patient safety. I decided to report the result. The patient was disappointed, but his safety was more important.

from Ryan

Your discussion post insightfully highlights the complex ethical dilemmas faced by healthcare professionals. Navigating these challenges requires a deep understanding of both moral and professional obligations. Advocating for patients, particularly in nursing, demands careful consideration of culturally influenced values, as traditions and practices in a diverse society significantly impact health-related perspectives. The emphasis on empowerment is particularly valuable. By empowering patients you not only help prevent dilemmas from developing but so much more. Empowering patients fosters a sense of possessing knowledge about their health conditions, helps patients enact healthcare plans, improves engagement with their health management, and gives them a sense of control and the ability to make their own decisions (Sindhu, 2020). When resolving conflicts with clients, the strategies of empowerment, education, and advocacy are essential. However, it’s the approach of empathy and understanding that truly makes a difference. By striving for effective communication and understanding the client’s perspective, we can find solutions that benefit all parties involved. This commitment to mutual respect and common ground ultimately strengthens relationships and leads to more positive outcomes, making us more compassionate and considerate in our interactions. Reference Sindhu, T. (2020). Why Patient Empowerment Matters. Wolters Kluwer. https://www.wolterskluwer.com/en/expert-insights/w…

From Ellen,

Thank you for sharing in this week’s discussion! Giving someone the ability to achieve something, “…to make someone stronger and more confident, especially in controlling their life and claiming their rights,” is a definition of empowerment that is widely used in health contexts (Tveiten, 2021). The health professions are particularly interested in the concept of empowerment. This is due to the fact that the idea emphasizes how crucial it is to help those who find themselves in precarious situations and how crucial it is to view people as participants in their own lives. What makes empowerment in hospitals difficult is just this: aiding someone who is in a vulnerable situation without taking over but instead assisting them in assuming as much control as they can (Tveiten, 2021). Hospitals serve as the setting for interactions between patients and medical professionals, and one of the primary focuses of health promotion in these settings is the hospital itself. Redistributing power, recognizing the patient’s competence, and assisting the patient in taking an active role in their own care and treatment are all aspects of health promotion (Tveiten, 2021). Reference: Tveiten, S. (2021). Empowerment and health promotion in hospitals. In Springer eBooks (pp. 159–170). https://doi.org/10.1007/978-3-030-63135-2_13

A title page is not necessary. But i need a reference page. I will be ok with just one page for the response as the questions do not count in the number of words for response.

The post A title page is not necessary. But i need a reference page. I will be ok with ju appeared first on essaynook.com.

For this assignment, you will complete Your Family’s Disaster Plan Checklist adapted from Appendix A of your ReadyRN text.

This week you will gather and complete the recommended information and supplies listed on the Family Disaster Plan Checklist Checklist.

Please note: You are not required to purchase any items on this list. However, take note of the items you are missing and consider how it could impact your safety and survival in a disaster.

a. Download the Family Disaster Plan ChecklistDownload Download the Family Disaster Plan Checklist

b. Complete all sections. For the inventory lists, use a check mark to show which items you have on hand.

• For items that are not applicable to you and your living situation, please write N/A (not applicable) in the space, otherwise it will be counted as incomplete.

• Remember to protect personal information by using pseudonyms, or by providing only partial information

To Prepare:

• Review the case study posted in “Announcements” by your Instructor for this Assignment
• Review the information provided and answer questions posed in the case study
• When recommending a medication, write out a complete prescription for the medication
• Whenever possible, use clinical practice guidelines in developing your answers when possible
• Include at least three references to support your answer and cite them in APA format.
• To Prepare:
  • Review the case studies (attachment) and answer ALL questions.
  • When recommending medications, write out a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient’s current medications.
  • Use clinical practice guidelines in developing your answers. Please review all Required Learning Resources. Use the Medscape app or website to complete assignment.
  • Include at least three references to support each scenario and cite them in APA format. Please include in-text citations. You do not need an introduction or conclusion paragraph.

• SCENARIOS FOR WEEK 7

SCENARIO 1

Mary is a 35-year-old woman that has been diagnosed with hypothyroidism. Her labs today show a TSH of 20, MCV 78, MCHD 26, Ferritin 9, TIBC 418. She has a history of iron deficiency anemia for 2 months. Current medications include Kelp tablets daily, ibuprofen 400 mg daily as needed, and ethinyl estradiol/norgestrel one tablet daily.What medication would you start this patient on for her hypothyroidism? How would you monitor this patient’s response to the medication? What education would you provide regarding her medications and their interactions?

SCENARIO 2

Joe is a 48-year-old male diagnosed with Type II Diabetes Mellitus for a year ago. He has controlled his blood glucose through dietary changes. He has hypertension and is currently on Lisinopril 20 mg po daily. He has no known allergies. His lab work includes these results: fasting BG is 225 mg/dL; HgA1C = 7.5%. Basic Metabolic Profile (BMP) is normal except for a Cr of 2.0 and eGRF of 28. What treatment plan would you implement for Joe? What medications would you prescribe and how would you monitor them? What education would you provide regarding his treatment plan?

SCENARIO 3

Jose is a 55-year-old truck driver being evaluated for his commercial driver’s license. He has a known history of diabetes mellitus type II. Current medications include Metformin 1000 mg Bid, Glipizide 20 mg po daily. Diltiazem 120 mg po BID. He is allergic to sulfa. Lab results show a fasting blood glucose of 325 mg/dL, HgA1C = 10.6%. Basic metabolic Profile is normal. What treatment plan would you implement for Jose? What medications would you prescribe and how would you monitor them? What education would you provide regarding his treatment plan?

SCENARIO 4

Jenny is a 63-year-old woman with complaints of heartburn 4 to 5 times a week over the past 3 months. Her symptoms are worse at night after going to bed. Her heartburn is worse, and she coughs a lot at night. She has tried OTC Prevacid 24 hour once daily for the past 2 weeks. This has helped the symptoms some, but she is still bothered by them. Current medications include Diltiazem CD 120 mg PO once daily, Hydrochlorothiazide 25 mg PO once daily, Metformin 500 mg PO twice daily, Aspirin 81 mg PO daily, Fluticasone/salmeterol DPI 100 mcg/50 mcg one inhalation twice daily. Your working diagnosis for this patient is GERD. What treatment plan would you implement for Jenny? What medications would you prescribe and how would you monitor them? What education would you provide regarding her treatment plan?

For this assessment, you will create a video reflection that addresses either an interprofessional collaboration you experienced or a collaboration case study scenario that you imagine you experienced.

Introduction

Interprofessional collaboration is a critical aspect of a nurse’s work. Through interprofessional collaboration, practitioners and patients share information and consider each other’s perspectives to better understand and address the many factors that contribute to health and well-being (Sullivan et al., 2015). Essentially, by collaborating, health care practitioners and patients can have better health outcomes. Nurses, who are often at the frontlines of interacting with various groups and records, are full partners in this approach to health care.

Reflection is a key part of building interprofessional competence, as it allows you to look critically at experiences and actions through specific lenses. From the standpoint of interprofessional collaboration, reflection can help you consider potential reasons for and causes of people’s actions and behaviors (Saunders et al., 2016). It also can provide opportunities to examine the roles team members adopted in a given situation as well as how the team could have worked more effectively.

As you begin to prepare this assessment you are encouraged to complete the What is Reflective Practice? activity. The activity consists of five questions that will allow you the opportunity to practice self-reflection. The information gained from completing this formative will help with your success on the Collaboration and Leadership Reflection Video assessment. Completing formatives is also a way to demonstrate course engagement

Note: The Example Kaltura Reflection demonstrates how to cite sources appropriately in an oral presentation/video. Your assessment will reflect on either a professional collaboration you experienced or a collaboration case study scenario that you imagine you experienced

References

Saunders, R., Singer, R., Dugmore, H., Seaman, K., & Lake, F. (2016). Nursing students’ reflections on an interprofessional placement in ambulatory care. Reflective Practice, 17(4), 393–402.

Sullivan, M., Kiovsky, R., Mason, D., Hill, C., Duke, C. (2015). Interprofessional collaboration and education. American Journal of Nursing, 115(3), 47–54.

Demonstration of Proficiency

• Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
  • Identify how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature.
• Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
  • Reflect on an interdisciplinary collaboration experience noting ways in which it was successful and unsuccessful in achieving desired outcomes.
  • Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work more effectively together.
• Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
  • Identify best-practice leadership strategies from the literature, which would improve an interdisciplinary team’s ability to achieve its goals.
• Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
  • Communicate via video with clear sound and light.
  • The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting nearly flawless adherence to APA format.
• Professional Context
• This assessment will help you to become a reflective practitioner. By considering your own successes and shortcomings in interprofessional collaboration, you will increase awareness of your problem-solving abilities. You will create a Kaltura video of your reflections, including a discussion of best practices for interprofessional collaboration and leadership strategies, supported by references to the literature.
• You may choose to reflect on a collaborative interprofessional project you worked on in your current or former place of practice, or you may choose to imagine that you worked on the collaborative interprofessional scenario presented in the Assessment 01 Supplement: Collaboration and Leadership Reflection Video [PDF] resource.

As part of an initiative to build effective collaboration at a site where you work as a nurse, you have been asked to:

• Reflect on an interprofessional collaborative project.
• Examine what happened during the collaboration.
• Identify positive aspects and areas for improvement.
• Research best practice for interprofessional collaboration.
• Use lessons learned from your research and experience to create a video reflection (5-10 minutes) that share suggestions for improving interprofessional collaboration that can be shared with leadership and colleagues.

Instructions

Using Kaltura, record a video (5–10 minutes) where you reflect on an interprofessional collaboration experience, proposing recommendations for how to improve interprofessional collaboration that can be shared with leadership and colleagues. Support these recommendations with references to the literature.

The interprofessional project that you reflect on may be one that you collaborated on at your current or former place of practice, or you may choose to imagine you collaborated on the interprofessional project presented in the Assessment 01 Supplement: Collaboration and Leadership Reflection Video [PDF] Download Assessment 01 Supplement: Collaboration and Leadership Reflection Video [PDF]resource and reflect on that.

Be sure that your assessment addresses the following criteria. Please study the scoring guide carefully so you will know what is needed for a distinguished score:

• Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.
  • Explain aspects of the collaboration that helped the team make progress toward relevant goals or outcomes.
  • Explain aspects of the collaboration that could have been improved.
• Identify how poor collaboration can result in inefficient management of human and financial resources, citing supporting evidence from the literature.
  • Discuss the ways in which the interdisciplinary team did not collaborate effectively.
  • Discuss the negative implications for the human and financial resources of the interdisciplinary team and the organization as a whole.
  • Cite the literature for support.
• Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals, citing at least one author from the literature.
  • Identify at least one leadership best practice or strategy that you believe would improve the team’s ability to achieve their goals.
  • Identify the strategy and its source or author and provide a brief rationale for your choice of strategy.
  • Cite the literature for support.
• Identify best-practice interdisciplinary collaboration strategies to help a team achieve its goals and work together, citing the work of at least one author.
  • Identify at least one best practice or strategy for interdisciplinary collaboration to help the team achieve its goals and work more effectively together.
  • Identify the strategy, its source, and reasons why you think it will be effective.
• Communicate in a professional manner, is easily audible, and uses proper grammar. Format reference list in current APA style.
  • Submit an APA-formatted reference list for any sources that you cited specifically in your video or used to inform your presentation.
  • The Example Kaltura Reflection will show you how to cite scholarly sources in the context of an oral presentation.

Notes:

• Refer to the Campus tutorial Using Kaltura [PDF] as needed to record and upload your reflection.
• If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations.
• If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.

Additional Requirements

• References: Cite at least 3 professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.
• APA Reference Page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video.
  • You may wish to refer to the Campus APA Module for more information on applying APA style.
• Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
  • Identify ways poor collaboration can result in inefficient management of human and financial resources, supported by evidence from the literature.

• Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.

• Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.

• Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.

The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting nearly flawless adherence to APA format.

Here are a few additional tips for success on this assessment:

• o
  Write
  out a script for your video (similar to how you would write a paper) to ensure
  everything is covered. Try to create a section for each area of the grading
  rubric to clearly structure your ideas.
  o
  You are
  not required to upload this script because I can only grade based on what is
  covered in your video. However, I would strongly encourage you to upload it
  (even if it is not in APA format) because it can be really helpful when I am
  grading and can help to ensure you earn the highest score possible. For
  example, I will sometimes refer back to it when trying to confirm which
  reference you are discussing or which section a statement is meant to be in.
  This can also be very helpful if there are any gaps in audio.
  o
  Be sure
  your reference list follows APA format – this is the part where APA formatting
  will be graded.

For this assignment you will craft an eight-slide PowerPoint® Presentation with the following content.

Slide 1: Title Slide

Slide 2: Norms

• Define the concept of “norms” using a combination of the textbook and your personal understanding of the concept.
• Identify at least two norms you have observed in your culture. Provide sufficient description to identify the expected behavior and the people to whom this expectation applies. (Note: Norms do not have to be universally agreed upon, just shared by a group of people.)

Slide 3: Conflict Theory

• Define conflict theory using a combination of the textbook and your understanding of the concept.
• Connect one example of a norm to the perspective of conflict theory.
  • Select one norm and identify how the norm is different in expectations or enforcement for different people based on social factors (e.g., gender, ethnicity, age, etc.).
  • You may use a norm from the previous slide or a new example.

Slide 4: Values

• Define the concept of “values” using a combination of the textbook and your personal understanding of the concept.
• Identify at least two values you have observed in your culture. Provide sufficient description to identify what the values indicate about what a society desires and finds important. (Note: Values do not have to be universally agreed upon, just shared by a group of people.)

Slide 5: Structural Functionalism

• Define structural functionalism using a combination of the textbook and your understanding of the concept.
• Connect one example of a value to the perspective of structural functionalism.
  • Select one value and identify how the value operates to motivate people to accomplish a necessary task (or prevent something) to maintain society. Provide sufficient detail to illustrate how the value functions.
  • You may use a value from the previous slide or a new example.

Slide 6: World View

• Define the concept of “world view” using a combination of the textbook and your personal understanding of the concept.
• Identify at least two world views that you have observed in your culture. Provide sufficient description to identify the subject and the perspective of the people. (Note: World views do not have to be universally agreed upon, just shared by a group of people.)

Slide 7: Symbolic Interactionism

• Define symbolic interactionism using a combination of the textbook and your understanding of the concept.
• Connect one example of a world view to the perspective of symbolic interactionism.
  • Select one world view and explain how that world view is socialized into the people. Provide sufficient detail to illustrate how a person’s interactions will build their internalization of the world view you have selected.
  • You may use a world view from the previous slide or a new example.

Slide 8: References

• List all references used in the presentation.
• Note: The textbook is the only required reference for this assignment, but others may be used as needed.