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Comprehensive Plan of Care and Paper

Overview/Description:
You have been provided with case studies in Week 4 that focused on genitourinary and musculoskeletal disorders. You will pick one of these cases to analyze and create a comprehensive plan of care for acute/chronic care, disease prevention, and health promotion for that patient and disorder. Your care plan should be based on current best practices and supported with citations from current literature, such as systematic reviews, published practice guidelines, standards of care from specialty organizations, and other research based resources. In addition, you will provide a detailed scientific rationale that justifies the inclusion of this evidence in your plan. Your paper should adhere to APA format for title page, headings, citations, and references. The paper should be no more than 3 pages typed excluding title page and references.
Criteria:
SOAP note
Evaluation of priority diagnosis
Facilitators and barriers to disorder management
Submit your document to the W4 Assignment 2 Dropbox by Tuesday, January 24, 2017.
Assignment 2 Grading Criteria
Maximum Points
Introduction
The submission included a general introduction to the priority diagnosis.
10
Subjective Data
The submission included the patient’s interpretation of current medical problem. It included chief complaint, history of present illness, current medications and reason prescribed, past medical history, family history, and review of systems.
15
Objective Data
The submission included the measurements and observations obtained by the nurse practitioner. It included head to toe physical examination as well as laboratory and diagnostic testing results.
15
Assessment
The submission included at least three priority diagnoses. Each diagnosis was supported by documentation in subjective and objective notes and free of essential omissions. All diagnoses were documented using acceptable terminologies and current ICD-10 codes.
20
Plan of Care
Plan included diagnostic and therapeutic (pharmacologic and non-pharmacologic) management as well as education and counseling provided. The plan was supported by evidence/guidelines, and the follow-up plans were noted.
25
Evaluation of Priority Diagnosis
The plan chose the priority diagnosis for the patient and differentiated the disorder from normal development. Discussed the physical and psychological demands the disorder places on the patient and family and key concepts to discuss with them. Identified key interdisciplinary team personnel needed and how this team will provide care to achieve optimal disorder management and outcomes.
25
Facilitators and Barriers
The submission interpreted facilitators and barriers to optimal disorder management and outcomes and strategies to overcome the identified barriers.
20
Conclusion
The submission included what should be taken away from this assignment.
10
APA/Style/Format
The submission was free of grammatical, spelling, or punctuation errors. Citations and references were written in correct APA Style.

Utilized proper format with coversheet, header.
10
Total
150

ADVANCE NURSING PRACTICE 1

Assignment 2: Case Study Analysis and Care Plan Creation
Click here (I COPIED AND PAST IT ON BELOW) to download and analyze the case study for this week. Create a holistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.

CASE STUDY

Week 2: Respiratory Clinical Case

Patient Setting:

65 year old Caucasian female that was discharged from the hospital 10 weeks ago after a motor vehicle accident presents to the clinic today. States she is having severe wheezing, shortness of breath and coughing at least once daily. She can barely get her words out without taking breaks to catch her breath and states she has taken albuterol once today.

HPI

Frequent asthma attacks for the past 2 months (more than 4 times per week average), serious MVA 10 weeks ago; post traumatic seizure 2 weeks after the accident; anticonvulsant phenytoin started ? no seizure activity since initiation of therapy.

PMH

History of periodic asthma attacks since early 20s; mild congestive heart failure diagnosed 3 years ago; placed on sodium restrictive diet and hydrochlorothiazide; last year placed on enalapril due to worsening CHF; symptoms well controlled the last year.

Past Surgical History

None

Family/Social History

Family: Father died age 59 of kidney failure secondary to HTN; Mother died age 62 of CHF

Social: Nonsmoker; no alcohol intake; caffeine use: 4 cups of coffee and 4 diet colas per day.

Medication History

Theophylline SR Capsules 300 mg PO BID

Albuterol inhaler, PRN

Phenytoin SR capsules 300 mg PO QHS

HTCZ 50 mg PO BID

Enalapril 5 mg PO BID

Allergies

NKDA

ROS

Positive for shortness of breath, coughing, wheezing and exercise intolerance. Denies headache, swelling in the extremities and seizures.

Physical exam

BP 171/94, HR 122, RR 31, T 96.7 F, Wt 145, Ht 5? 3?

VS after Albuterol breathing treatment – BP 134/79, HR 80, RR 18

Gen: Pale, well developed female appearing anxious. HEENT: PERRLA, oral cavity without lesions, TM without signs of inflammation, no nystagmus noted. Cardio: Regular rate and rhythm normal S1 and S2. Chest: Bilateral expiratory wheezes. Abd: soft, non-tender, non-distended no masses. GU: Unremarkable. Rectal: Guaiac negative. EXT: +1 ankle edema, on right, no bruising, normal pulses. NEURO: A&O X3, cranial nerves intact.

Laboratory and Diagnostic Testing

Na – 134

K – 4.9

Cl – 100

BUN – 21

Cr – 1.2

Glu ? 110

ALT ? 24

AST – 27

Total Chol ? 190

CBC – WNL

Theophylline – 6.2

Phenytoin – 17

Chest Xray ? Blunting of the right and left costophrenic angles

Peak Flow ? 75/min; after albuterol ? 102/min

FEV1 ? 1.8 L; FVC 3.0 L, FEV1/FVC 60%

Visit the South University Online Library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, and Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.
Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.
Click here to access the codes.
https://www.cms.gov/medicare-coverage-database/overview-and-quick-search.aspx?generalError=Thank+you+for+your+interest+in+the+Medicare+Coverage+Database.+You+may+only+view+the+page+you+attempted+to+access+via+normal+usage+of+the+Medicare+Coverage+Database.

I PUT IT AT THE END OF THIS POST
Click here to download the care plan template to help you design a holistic patient care plan. The care plan example provided here is meant only as a frame of reference for you to build your care plan. You are expected to develop a comprehensive care plan based on your assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions and incorporate the knowledge that you have gained into your patient’s care plan.
Format
Your care plan should be formatted as a Microsoft Word document. Follow the current APA edition style. Your paper should be 2 pages excluding the title page and references and in 12pt font.
Name your document: SU_NSG6001_W2_A2_LastName_FirstInitial.doc.
Submit your document to the W2 Assignment 2 Dropbox by Tuesday, January 10, 2017.
Assignment 2 Grading Criteria
Maximum Points
Subjective Data
The submission included the patient’s interpretation of current medical problem. It included chief complaint, history of present illness, current medications and reason prescribed, past medical history, family history, and review of systems.
15
Objective Data
The submission included measurements and observations obtained by the nurse practitioner. It included head to toe physical examination as well as laboratory and diagnostic testing results and interpretation (especially those that pertain to the diagnosis).
15
Assessment
The submission included at least three priority diagnoses. Each diagnosis was supported by documentation in subjective and objective notes and free of essential omissions. All diagnoses were documented using acceptable terminologies and current ICD-10 codes.
15
Plan of Care
Plan included diagnostic and therapeutic (pharmacologic and non-pharmacologic) management as well as education and counseling provided. The plan was supported by evidence/guidelines, and the follow-up plans were noted.
20
APA
Used APA standards consistently and accurately when citing in the SOAP note and reference page. Utilized proper format with coversheet and header.
10
Total
75

SAMPLE (OR TEMPLETE) FOR THE WORK

Title of Plan of Care

Name

South University Online

Faculty Name

NSG 6001

Date

**Please delete this statement and anything in italics prior to submission to shorten the length of your paper.

Patient Initials ______

Subjective Data: (Information the patient tells you regarding themselves: Biased Information):

Chief Compliant: (In patient?s exact words)

History of Present Illness: (Analysis of current problems in chronologic order using symptom analysis [onset, location, frequency, quality, quantity, aggravating/alleviating factors, associated symptoms and treatments tried]).

PMH/Medical/Surgical History: (Includes medications and why taking, allergies, other major medical problems, immunizations, injuries, hospitalizations, surgeries, psychiatric history, obstetric and history sexual history).

Significant Family History: (Includes family members and specific inheritable diseases).

Social History: (Includes home living situation, marital history, cultural background, health habits, lifestyle/recreation, religious practices, educational background, occupational history, financial security and family history of violence).

Review of Symptoms: (Review each body system -This section you should place POSITIVE for? information in the beginning then state Denies?). – General:; Integumentary:; Head:; Eyes: ; ENT:; Cardiovascular:; Respiratory: ; Gastrointestinal:; Genitourinary:; Musculoskeletal:; Neurological:; Endocrine:; Hematologic:; Psychologic: .

Objective Data:

Vital Signs: BP – ; P ; R ; T ; Wt. ; Ht. ; BMI .

Physical Assessment Findings: (Includes full head to toe review)

HEENT:

Lymph Nodes:

Carotids:

Lungs:

Heart:

Abdomen:

Genital/Pelvic:

Rectum:

Extremities/Pulses:

Neurologic:

Laboratory and Diagnostic Test Results: (Include result and interpretation.)

Assessment: (Include at least 3 priority diagnosis with ICD-10 codes. Please place in order of priority.)

Plan of Care: (Addressing each dx with diagnostic and therapeutic management as well as education and counseling provided).

Compare three input devices and three output devices

A 7-slide presentation with detailed speaker notes

As a computer technician, you must be familiar with a wide range of Input/Output (I/O) devices including; keyboards, mice, monitors, biometric devices, projectors, cameras, and video or graphics cards. Before you can attach any of these to a computer system, you must first research which I/O devices and expansion cards are best suited for your computer’s configuration.

Compare three input devices and three output devices. Criteria to address includes, but is not limited to:
? Expansion card type
? Specific system requirements
? Challenges with configuration
? Firmware updates
Connection type

creative thinking

Please read the three statements, which all relate to the mission and the values of Loyola Marymount University. Choose the one you find most interesting and thought provoking; then, answer the question which accompanies the statement you select. This essay, usually around 500 words, is your chance to display your critical and creative thinking.
Prompt 1

In his 2015 Papal Encyclical, Laudato Si?, in which he addresses climate change and our collective responsibility to care for our ?common home,? Pope Francis , S.J., observes that, ?Climate change is a global problem with grave implications: environmental, social, economic, political, and for the distribution of goods.?

Prompt 1 question:

Much has been written about the environmental implications of climate change, but less about the distribution of goods or the social, economic, and political implications. Which one of these less studied aspects of climate change seems to you most worrisome for our ?common home,? and why?

Prompt 2

Speaking about education, Dr. Martin Luther King once said, ?The function of education is to teach one to think intensively and to think critically. Intelligence plus character?that is the goal of true education.??

Prompt 2 question:

Critical thinking is a central goal of Jesuit education, and at LMU you?ll be asked to think critically and intensively in every class. Dr. King suggests that critical thinking results in our ability to inform intelligence with character, and strengthen character with intelligence. Please talk about a situation that demanded critical thinking from you, and how your choices or decisions integrated intelligence and character.

Prompt 3

A motto often associated with Jesuit and Marymount schools is ??Educating men and women for others.?? Fr. Pedro Arrupe, the former head of the Jesuits, once said that ??our prime educational objective must be to form men and women for others, who believe that a love of self or of God which does not issue forth in justice for the least of their neighbors is a farce.??

Prompt 3 question:

What do you think Fr. Arrupe meant when he said this? Please give an example of someone you know, other than your teachers and parents, who works for justice for the least of their neighbors.

professional organization

Assume the role of the new director of a professional organization, a mental health clinic, or a private nonprofit research institution or a university program. Most of the staff/faculty have been part of the organization for years, and the atmosphere is very collegial. You, however, have heard, that shortcuts are being taken and potential ethical violations are not being addressed by colleagues. Now, you are preparing

for your first meeting with the entire staff. Your goal is to emphasize the need for ethical decision making and the importance of placing the clients? or students? needs and rights above those of the staff. Additionally, your PowerPoint presentation should emphasize the APA Ethics Code and the standards for resolving ethical violations. In your speaker notes, include examples of hypothetical violations. You must utilize and cite the Ethical Standards that you believe may be the subject of violation.

Incorporate appropriate animations, transitions, and graphics as well as speaker notes for each slide. The speaker notes may be comprised of brief paragraphs or bulleted lists.

Support your presentation with at least fivescholarly resources. In addition to these specified resources, other appropriate scholarly resources may be included.

Length: 12-15slides (with a separate reference slide)
Notes Length: 200-350 words for each slide
Week-1 Assignment Due January 01, 2017

Assume the role of the new director of a professional organization, a mental health clinic, or a private nonprofit research institution or a university program. Most of the staff/faculty have been part of the organization for years, and the atmosphere is very collegial. You, however, have heard, that shortcuts are being taken and potential ethical violations are not being addressed by colleagues. Now, you are preparing

for your first meeting with the entire staff. Your goal is to emphasize the need for ethical decision making and the importance of placing the clients? or students? needs and rights above those of the staff. Additionally, your PowerPoint presentation should emphasize the APA Ethics Code and the standards for resolving ethical violations. In your speaker notes, include examples of hypothetical violations. You must utilize and cite the Ethical Standards that you believe may be the subject of violation.

Incorporate appropriate animations, transitions, and graphics as well as speaker notes for each slide. The speaker notes may be comprised of brief paragraphs or bulleted lists.

Support your presentation with at least fivescholarly resources. In addition to these specified resources, other appropriate scholarly resources may be included.

Length: 12-15slides (with a separate reference slide)
Notes Length: 200-350 words for each slide
Week-1 Assignment Due January 01, 2017

Assume the role of the new director of a professional organization, a mental health clinic, or a private nonprofit research institution or a university program. Most of the staff/faculty have been part of the organization for years, and the atmosphere is very collegial. You, however, have heard, that shortcuts are being taken and potential ethical violations are not being addressed by colleagues. Now, you are preparing

for your first meeting with the entire staff. Your goal is to emphasize the need for ethical decision making and the importance of placing the clients? or students? needs and rights above those of the staff. Additionally, your PowerPoint presentation should emphasize the APA Ethics Code and the standards for resolving ethical violations. In your speaker notes, include examples of hypothetical violations. You must utilize and cite the Ethical Standards that you believe may be the subject of violation.

Incorporate appropriate animations, transitions, and graphics as well as speaker notes for each slide. The speaker notes may be comprised of brief paragraphs or bulleted lists.

Support your presentation with at least fivescholarly resources. In addition to these specified resources, other appropriate scholarly resources may be included.

Length: 12-15slides (with a separate reference slide)
Notes Length: 200-350 words for each slide

theories of Lamers and Kubler-Ross

Imagine that you are a hospice volunteer and are helping late adult, terminally ill patients and their families. Use the theories of Lamers and Kubler-Ross to help you and the families better understand and deal with their circumstances.

8.2
Max Points: 6.0

Erikson maintained that the key process to resolving his eighth crisis of integrity vs. despair was introspection. Determine how you are going to reach the positive pole of this crisis then contrast this with what other developmental theorists say about development in this period of life.

CAT
Tell us about how you plan to use the information from this class in your future work. What was most invigorating and exciting and what will you do with that knowledge.

Persuasion in Everyday Life

Discussion: Persuasion in Everyday Life (GRADED)
For this GRADED discussion, you will work with your peers. In your initial post, think about a time in your life where you tried to persuade someone to do something. Keep in mind that this doesn’t have to be a situation that was a full-blown argument?it can be something as simple as convincing a friend to go to a specific restaurant for lunch?and it doesn’t have to be a situation where you “won” the other person over either.

Before you begin writing, please review the discussion rubric (click here) to make sure you fulfill all of the required tasks.

For your initial post (1) you must:Compose a post that fully addresses the assignment prompt. Critical ElementsExemplary ? 100%Proficient ? 85%Needs Improvement ? 55%Not Evident ? 0%ValuePromptFully addresses assignment prompt connecting personal experience and reflection in a rich, detailed, engaging manner.Fully addresses assignment prompt connecting personal experience and reflection in an engaging manner.Addresses assignment prompt, but there are holes or gaps in describing and reflecting on one’s personal experienceDoes not address assignment prompt20ComprehensionDevelops an initial post with an organized, clear point of view or idea using rich and significant detailDevelops an initial post with a point of view or idea using adequate organization and detailDevelops an initial post with a point of view or idea but with some gaps in organization and detailDoes not develop an initial post with an organized point of view or idea25TimelinessSubmits initial post on time (100%)Submits initial post one day late (55%)Submits initial post two or more days late (0%)10EngagementProvides relevant and meaningful response posts with clarifying explanation and detailProvides relevant response posts with some explanation and detailProvides response posts with some explanation and detail that may lack connection to original postProvides response posts that are generic with little explanation or detail25Writing (Mechanics)Writes posts that are easily understood, clear, and concise, using proper citation methods where applicable with no errors in citationsWrites posts that are easily understood using proper citation methods where applicable with few errors in citationsWrites posts that are understandable using proper citation methods where applicable with a number of errors in citationsWrites posts that others are not able to understand and does not use proper citation methods where applicable20CommentsEarned Total100%

This is the assignment: When you’ve come up with the moment, write two fully developed paragraphs explaining it to your classmates. In the first paragraph, describe the moment of persuasion so that your instructor and peers can “see” it. In the second paragraph, explain why you felt like that moment of persuasion was either successful or unsuccessful. What strategies or techniques did you use to try to get the person to side with you?

note: please make sure that the 240 developed paragraphs should be about ( 2) two pages Thanks.

If m< L= 217 degrees what quadrant is it in?

If m< L= 217 degrees what quadrant is it in?

technologies

What emerging trends or technologies do you think will help improve online education, and how?
What teaching or learning practices do you think are problematic online, and how might they be improved?
Is it still meaningful to compare online teaching to face-to-face, or will online teaching continue to evolve as its own discipline?
Based on what you have learned, what skills or knowledge do you think are important for an online instructor to have?
How did your experience in this course contribute to or change your educational goals?
What ongoing professional development do you plan to engage in to continue working on your goals?
Please use this unit’s reading and at least one other journal article from the KU library to support your response

teaching skills

Instructions
Assume you have the opportunity to apply for a position that requires online teaching skills. Use one of the job sites listed in the Readings, Web Job Resources to research possible positions. Write a cover letter and resume that you can submit to a potential employer. In the cover letter, make sure you include a paragraph that describes how your current and future training will add value to the job position. The paragraph should reflect what you have learned so far from this course. Make sure you review the resources in the Kaplan University Career Center for this Assignment.