Category: Nursing

  • The Office of the National Coordinator’s (ONC’s) current goals are to promote in

    The Office of the National Coordinator’s (ONC’s) current goals are to promote in

    The Office of the National Coordinator’s (ONC’s) current goals are to promote interoperability and optimize EHRs with digital devices. These goals will be realized through application of the Systems Development Life Cycle model (SDLC).
    Discuss either one of these questions:
    Do you believe the industry followed best practices in the use of SDLC as rapid adoption of EHRs occurred across the nation? If not, why not?
    or
    Do you believe that hospitals and clinics can utilize SDLC best practices to move forward with the Promoting Interoperability Program to optimize EHRs that have been adopted? If so, how? If not, why do you believe hospitals and clinics may fail to do so?

  • Discussion Topic 2: Identification of an At-Risk Population. Vulnerable populati

    Discussion Topic 2: Identification of an At-Risk Population.
    Vulnerable populati

    Discussion Topic 2: Identification of an At-Risk Population.
    Vulnerable populations can include: (pick 3)
    fetus (pregnant women)
    neonate
    minors
    prisoners
    tribal members
    military
    refugees
    wards of the state
    cognitively impaired
    homeless
    Discuss the reason 3 of these populations could be considered vulnerable. Next, research and identify a potential nursing theory/framework that could be used to support the needs of 1 of the above populations. Finally, create a graphic display relevant to the assessment of needs that could be found within your selected population.
    For the reply to this post, you may assist your classmates by completing 1 of the following for each reply:
    1. creating additional graphic displays
    2. searching for additional scholarly sources related to the theory/framework that could be used to support the needs of their groups

  • I am applying to UCSF’s residency program. About UCSF: At UCSF Health, our miss

    I am applying to UCSF’s residency program.
    About UCSF:
    At UCSF Health, our miss

    I am applying to UCSF’s residency program.
    About UCSF:
    At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what’s possible for the patients we serve – a promise we share with the professionals who make up our team.
    Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report – UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.
    Pride Values
    UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values.
    In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu
    Applicants are required to include a Cover Letter for each selected unit.
    About me:
    1st generation college graduate as well as a immigrant from South Korea. Lived a year in homeless shelters during middle school due to financial hardships and difficulties my single mother was facing raising two children. Last semester of my senior year in college, I had opportunity to study abroad in Malawi for 3 weeks (one of the poorest countries in the world) and saw lack of healthcare. I then decided I wanted to help others, graduated 3 months later and enrolled myself back in school to become a nurse. I did L&D rotation at UCSF mission bay campus and preceptorship at UCSF Parnassus campus on 15L. I also gave birth at UCSF mission bay campus so UCSF holds a lot of memories to me. I’ve always wanted to work at UCSF and it’s my top choice hospital. I never knew I wanted to work with children until I did my pediatric rotation at Sutter Health hospital and found myself loving every moment of it and being drawn to the tiny humans. Maybe it’s because I have a child of my own but I genuinely want to help them.

  • Assignment Overview: This discussion-based assignment is designed to facilitate

    Assignment Overview:
    This discussion-based assignment is designed to facilitate

    Assignment Overview:
    This discussion-based assignment is designed to facilitate in-depth engagement with evidence-based practice (EBP) by critically examining a clinical problem and exploring evidence to guide potential solutions. Through peer interaction, students will deepen their understanding of EBP principles, refine their critical thinking skills, and enhance their ability to evaluate research evidence for clinical application.

    Purpose: The purpose of this assignment is to foster a collaborative learning environment where students apply evidence-based methodologies to address real-world clinical problems.
    Skills: Students will utilize structured tools like the EBP matrix to strengthen their ability to evaluate and implement evidence-based interventions in nursing practice which is an important skill for an advanced practice nurse in healthcare.
    For the purpose of this discussion, students will utilize structured tools like the EBP matrix to strengthen their ability to evaluate and implement evidence-based interventions into practice.
    After the completion of this assignment, the student will be able to:
    Identify a clinical problem and formulate a focused PICO question.
    Conduct a systematic literature review to locate high-quality evidence.
    Use the Johns Hopkins Nursing EBP Tool to evaluate and categorize evidence based on its level and quality.
    Develop an evidence matrix summarizing findings to support clinical decision-making.
    1 1.1e-g, 1.2f, 1.2j, 1.3d-f, 2.2h, 2.3f-g, 2.5j, 2.6i-j, 2.9g, 3.3e, 4.1h-j, 4.2f-g, 7.2h-i, 9.2i, 9.6h
    Task: For this assignment, the student will demonstrate the ability to critique the role of the DNP in the use of an assigned evidence-based practice (EBP) model and apply it to a chosen practice problem.
    This assignment is intended to be a discussion and interaction among peers. Please follow APA formatting/structure for all other aspects of the discussion. Peer reviewed journal references are required for your postings and will strengthen your points within the discussion (see rubric).
    This discussion question will be “worth” a total of 15 points of your overall grade for this course. Grading will be assigned by the faculty based on the quality and content of your posts; your level of participation in the discussion will be considered in the grading. Students are expected to cross post to at least 2 peers in the discussion. Your cross post should provide a substantial posting that offers new or additional information to what was originally discussed. Including “I agree” or “nice work” comments do not constitute as a substantial cross post and may affect your grade.
    Discussion Limit: The initial post should be approximately 500 words. The cross post should be approximately 250 words. Expected word counts do not include references.

  • The patient was a 16 year old boy, that have the symptoms of fever, body aches,

    The patient was a 16 year old boy, that have the symptoms of fever, body aches,

    The patient was a 16 year old boy, that have the symptoms of fever, body aches, poor appetite with nausea and a sore throat. No medical problems

  • Priority nursing assessments and patient teaching for patients with bipolar diso

    Priority nursing assessments and patient teaching for patients with bipolar diso

    Priority nursing assessments and patient teaching for patients with bipolar disorder prescribed lithium, SSRI’s and atypical antipsychotics
    **********My section in this slide is to come up with ( Nursing Assessment) for SSRI’s for patients with bipolar disorder *************
    Below I found Nursing Assessments for SSRIs but after scanning it , it said I used AI generated text.
    Nursing Assessment for SSRIs:
    Mental Status Examination:
    Assess mood, thought process, affects, and cognitive function.
    Monitor for signs of mania or hypomania, as SSRIs can potentially trigger these episodes in bipolar patients.
    Medication History:
    Review the patient’s history of psychiatric medications to identify previous responses or adverse effects.
    Confirm adherence to prescribed medications and any recent changes in dosage.
    Side Effects Monitoring:
    Regularly assess for common side effects of SSRIs, such as gastrointestinal disturbances (nausea, diarrhea), sexual dysfunction, insomnia, and weight changes.
    Monitor for more serious side effects like serotonin syndrome (symptoms include confusion, rapid heart rate, and high blood pressure).
    Suicidal Ideation Assessment:
    Evaluate the patient’s risk for suicide or self-harm, especially during medication initiation or dose adjustments.
    Use standardized tools to assess suicidal thoughts and behaviors.
    Vital Signs Monitoring:
    Regularly check vital signs to detect any physiological changes due to medication effects.
    Lab Tests:
    Consider baseline laboratory tests (e.g., liver function tests) to monitor potential drug interactions or side effects if indicated.
    Family and Social Support Assessment:
    Evaluate the support system available to the patient, including family dynamics and social resources to aid recovery.

  • https://advisor.lww.com/lna/document.do?bid=43&did=1449686 You should pick ONE c

    https://advisor.lww.com/lna/document.do?bid=43&did=1449686
    You should pick ONE c

    https://advisor.lww.com/lna/document.do?bid=43&did=1449686
    You should pick ONE concern from the given list. From that one concern, create TWO nursing diagnoses. For each diagnosis, create a SMART goal. Each SMART goal should have 3-5 NURSING interventions WITH rationales. Remember to use at least ONE scholarly source.

  • Subjective: What details did the patient provide regarding their chief complaint

    Subjective: What details did the patient provide regarding their chief complaint

    Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
    Objective: What observations did you make during the psychiatric assessment? 
    Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
    Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
    https://video.alexanderstreet.com/p/ywXz8gWBn
    https://video-alexanderstreet-com.eu1.proxy.openathens.net/wayf?redirect=https://video.alexanderstreet.com/embed/training-title-134&account_id=14872&usage_group_id=95102″ width=”640″ height=”390″ frameborder=”0″ allow=”encrypted-media *; autoplay *; fullscreen *” allowfullscreen>
    https://video.alexanderstreet.com/embed/training-title-134

  • Select a practice that employs family nurse practitioners. This could be a pract

    Select a practice that employs family nurse practitioners. This could be a pract

    Select a practice that employs family nurse practitioners. This could be a practice in which you currently work, a practice to which you plan to apply, or your own practice you intend to start. Identify your team members and use a patient scenario to describe how you would coordinate care within the interprofessional team. Explain strategies you would implement for transitioning from an FNP learner to a family nurse practitioner. Support your answer with a minimum of two APRN-approved scholarly resources.

  • In this assignment, you will complete psychotherapy counseling note of an adult/

    In this assignment, you will complete psychotherapy counseling note of an adult/

    In this assignment, you will complete psychotherapy counseling note of an adult/older adult. You can use a patient you’ve seen in clinical or someone in your personal life. Your assessment should be comprehensive, and you should refer to course texts to inform items for inclusion in your assessment. Keep in mind that you will be responsible for covering those areas addressed in the reading assignments up to this point.
    At a minimum, 4 scholarly references should be included and cited in APA 7th Edition formatting. The references page should be set up similar to papers that are in full APA 7th edition formatting.
    Here is the rubric for grading:
    Criteria Ratings Pts
    This criterion is linked to a Learning Outcome Subjective Data

    25 pts
    Exemplary Exceeds Expectations
    Client description was 1-2 sentences in length. Includes all relevant subjective data necessary for differentiation of the client’s problem. Data is presented in systematic, organized manner consistently.

    20 pts
    Advanced Meets Expectations
    Includes most subjective data with omission of two minor details or one major detail. Most data is presented in systematic, organized manner.

    15 pts
    Intermediate Needs Improvement
    Includes subjective data but omits four minor details or two major details. Some data is presented in a systematic, organized manner.

    10 pts
    Novice Inadequate
    Data is not presented in a systematic, organized manner. Lacking most or all subjective data.

    0 pts
    Incomplete
    Assignment not completed or submitted late.

    25 pts
    This criterion is linked to a Learning Outcome Objective Data

    25 pts
    Exemplary Exceeds Expectations
    Client description was 1-2 sentences in length. Includes all relevant subjective data necessary for differentiation of the client’s problem using the OLDCART and/or SIGECAPS Mnemonics.

    20 pts
    Advanced Meets Expectations
    Objective data is complete and presented in an organized manner most of the time. Appearance, behavior, eye contact, speech, mood, affect, thought process, thought content, perceptual abnormalities, cognition, orientation, memory, insight, and judgment are addressed and 1-2 are missing.

    15 pts
    Intermediate Needs Improvement
    Objective data is not complete or is not presented in an organized manner. Appearance, behavior, eye contact, speech, mood, affect, thought process, thought content, perceptual abnormalities, cognition, orientation, memory, insight, and judgment are addressed and 3 or more are missing.

    10 pts
    Novice Inadequate
    Objective data is not complete and is not presented in an organized manner. Lacking most or all objective data.

    0 pts
    Incomplete
    Assignment not completed or submitted late.

    25 pts
    This criterion is linked to a Learning Outcome Assessment

    25 pts
    Exemplary Exceeds Expectations
    Assessment, includes progress note- 5 or more sentences, or notation that it is not applicable as it is an initial visit, Diagnosis-current and rule-out, Homework: 2-3 sentences with plan or notation why it is not applicable to this client, need for follow up, CPT code that is applicable for session that are complete and appropriate to client. ICD code that is applicable for session is complete and appropriate for session.

    20 pts
    Advanced Meets Expectations
    Assessment, includes progress note- minimal 2-5 sentences or notation that it is not applicable as it is an initial visit, Diagnosis- current and rule-out, Homework 1-2 sentences with plan or notation why it is not applicable to this client, need for follow up, CPT code, but some of the content is not appropriate for client. ICD code that is applicable for session is complete and appropriate for session.

    15 pts
    Intermediate Needs Improvement
    Assessment, homework, needs for follow up , CPT code, ICD code, diagnosis (if appropriate), is not complete but is appropriate.

    10 pts
    Novice Inadequate
    Assessment, including diagnosis (if appropriate), is not complete or appropriate, or it is not evident.

    0 pts
    Incomplete
    Assignment not completed. Submits assignment late.

    25 pts
    This criterion is linked to a Learning Outcome Professional Application

    15 pts
    Exemplary Exceeds Expectations
    Psychotherapy note incorporates four evidence-based practice articles.

    10 pts
    Advanced Meets Expectations
    Psychotherapy note incorporates three evidence-based practice articles.

    7 pts
    Intermediate Needs Improvement
    Psychotherapy note incorporates two evidence-based practice articles.

    5 pts
    Novice Inadequate
    Psychotherapy note Does not include evidence-based practice article but has one advanced practice article or does not include evidence-based practice article or advanced practice article.

    0 pts
    Incomplete
    Assignment not completed.

    15 pts
    This criterion is linked to a Learning Outcome Organization, APA, Grammar, and Spelling

    10 pts
    Exemplary Exceeds Expectations
    Well organized content that is clear and concise. Correct APA formatting with no errors. The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately). There are no spelling, punctuation, or word-usage errors.

    8 pts
    Advanced Meets Expectations
    Organized content that is informative and supportive of purpose. Correct and consistent APA formatting of references, and cites all references used. No more than one to two unique APA errors. There are minimal to no grammar, punctuation, or word-usage errors.

    7 pts
    Intermediate Needs Improvement
    Poor organization and flow of ideas may distract from the content. Three to four unique APA formatting errors. The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused. Multiple grammar, punctuation, or word usage errors.

    6 pts
    Novice Inadequate
    Illogical flow of ideas. Many APA formatting errors, or no attempt to format in APA. The writer struggles with limited vocabulary and has difficulty conveying meaning–noting just the broadest of meanings. Grammar and punctuation are consistently incorrect. Spelling errors are numerous. Submits assignment late.

    0 pts
    Incomplete
    Assignment not completed.

    10 pts
    Total Points: 100