Tag: Clinical-Nursing

Give a positive comment on the following importance of Breastfeeding Newborns for Nutrition Essay

It is obvious that breastfeeding provides the initial nutrients and necessary protection regarding antibodies that infants need as they develop. When a nurse realizes that a mother is reluctant to breastfeeding, it is their respective role first to understand the reasons for the action of the mothers (Christian et al., 2015). The next step would be imparting the newborn mother on the importance of breastfeeding and how it is done for those who have no experience. Other alternatives may include creating groups of mothers who come together to breastfeed with the aim of motivating others in maintaining the practice (Khoury et al., 2016).

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            The reasons that may cause a mother not to breastfeed may either be occupational or health, nonetheless, as a nurse, it is important to ensure the infant receives the needed nutrition regardless of means method. Babies during their first months after birth require specific diets that are rich in calcium, iron, zinc, and vitamins A, B, C, D, E, and K (Grummer‐Strawn & Rollins, 2015). All with their specific duties insufficiency of any can have negative developmental effects on the baby. However, it should be noted that all these nutrients are available in breast milk. Nevertheless, mothers are required to maintain an alcohol, tobacco, and any other narcotic free lifestyle as the effects of these substances can affect the infant through the breast milk (Grummer‐Strawn & Rollins, 2015). Importance of Breastfeeding Newborns for Nutrition Essay

The best response for mothers who are reluctant is to provide them with the information they need to give the best care for the infant. If the mother is reluctant on breastfeeding, then as a nurse the best alternative would be advising the best formulas that can be used to ensure the proper and full development of the baby. Importance of Breastfeeding Newborns for Nutrition Essay

As nurses we understand the benefits of breast feeding and it is our duty to educate new parents on those benefits. At what point does our education become paternalism or bullying?  We are taught to set aside our personal feelings and respect patients wishes that being said, What can we do to support the Mom who chooses bottle feeding?  Please 
review this article 
Are “baby-friendly” hospitals unfriendly to new mothers?
 and share your thoughts.  Doing so will net you one substantial reply for the week. Importance of Breastfeeding Newborns for Nutrition Essay

Essay Assignment Papers – Leadership role for advanced practice nurses, State Practice Agreements & Social Change Agents

Leadership Implications

“The greatest leader is not necessarily the one who does the greatest things. He is the one that gets the people to do the greatest things.”

— Ronald Reagan

U.S. President (1981-1989)

Leadership is a critical role for advanced practice nurses. In order to be an effective leader, one must examine his or her role as an advanced practice nurse, and use his or her knowledge, and leadership skills to address issues related to his or her specialty area. There is a saying that one must know when to follow and when to lead. In order to be a good leader, you must also learn how to follow. As you transition from student to practicing NP, seek opportunities for mentorship to develop your leadership skills. Recognizing when to lead and when to follow is an interchangeable process that requires experience and preparation. The future for Americans in health care is unpredictable. This week it is important to focus on the complex and advanced leadership role that is needed to make effective change in a dynamic and demanding health care system.

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This week you will focus on the importance of leadership in advanced practice nursing. You will have an opportunity to examine how you can execute positive social change in your state for salient advanced practice nursing issues. Essay Assignment Papers – Leadership role for advanced practice nurses, State Practice Agreements & Social Change Agents

State Practice Agreements

Write 1 page

This week you will have an opportunity to evaluate state practice agreements in your state ( of TEXAS ) and examine issues related to NP practice
.

To prepare:

1.
 Review and Post a brief description of the REVIEW of practice agreements for NPs in your state of TEXAS.

2. identify /name at least two physician collaboration issues in your state of Texas.

3. Explain what you think are the barriers to NPs practicing independently in your state mof TEXAS.

4. Finally, outline a plan for how you might address NP practice issues in your state.

5. Suggest additional actions you will  take.

6. Validate an idea with your own clinical experiences with the support of an additional literature search from a reputable source.

REFERENCES:

Required Readings

Buppert, C. (2015). The Employed Nurse Practitioner. 
In Nurse Practitioner’s Business Practice and Legal Guide 
(5th ed.). (323-336). Burlington, MA: Jones & Bartlett.

This chapter covers the rights of employed NPs, contract negotiation, interviewing, responsibilities of an NP employee, employer’s evaluation of the NP’s performance, malpractice insurance, and collaborative practice agreements.

Hatt, K. (2015). 5 Interview Pitfalls. Recruiters reveal how to respond to the most complicated questions. 
Advance Healthcare Network for NPs & PAs.
 Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/student-and-new-grad-center/student-top-story/5-interview-pitfalls.aspx

Thomas, A. C., Crabtree, M. K., Delaney, K. R., Dumas, M. A., Kleinpell, R., Logsdon, C.,…Nativio, D. G. (2012). Nurse Practitioner Core Competencies. Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/npcorecompetenciesfinal2012.pd

Assignment #2

W11 – Discussion: Write 1 page.

State Practice Agreements

Social Change Agents

Assignment #2

W 11 Discussion

STATE PRACTICE AGREEMENT

Social change Agents

“We’ve been called disruptive innovators,” Ford said. “And I think ‘disruptive innovators’ is great – we just need more of them.”

— Heidesch, T. (2008)

As NPs, we are obligated to promote our profession. A component of promoting the profession is proactively being engaged with our communities and identifying areas where change is needed. An example of this would be identifying a community issue, such as an increase in the rate of obesity in a middle-school population and discovering that soda machines are present in the schools. Identifying a problem and being a positive change agent is an essential component of the NP role. Understanding the lawmaking process and how to initiate a local or state change empowers the NP to impart Social Change.

This week you will focus on the importance of leadership in advanced practice nursing. You will have an opportunity to examine how you can execute positive social change in your state for salient advanced practice nursing issues. Essay Assignment Papers – Leadership role for advanced practice nurses, State Practice Agreements & Social Change Agents

Consider the following:

During NP clinical practicum experiences, we identify, as nurses, many health care issues that need to be addressed at the local, state, or national level. Addressing the need for change in health care policy is now an intricate part of your role as a social change agent.

For this Discussion, you will identify a change needed in your community and what your nursing legacy for positive social change will be.

To prepare:

· 
1.
 Consider the health care issues and deficits you have recognized in your professional practice.

· 
2
. Identify a change needed in your community in health care policy and discuss how you could impart change during your career as an NP.) (A change needed in my community is Obesity ).

· 3. Consider your future as a NP and what your nursing legacy will be. How will you impart Social Change?

1. Post a change needed in your community and an explanation for how you will begin to implement that change. Essay Assignment Papers – Leadership role for advanced practice nurses, State Practice Agreements & Social Change Agents

2. Then, share with your colleagues a brief explanation of what your nursing legacy will be:(My nursing legacy  will be (Being an advocate for health promotion through disease screenings and illness prevention)

3.  How will you impart Social Change.

4.  Provide  at least one suggestion for a colleague in your class on how they could implement this change and for their nursing legacy.

REFERENCES: Required Readings

Buppert, C. (2018). 
Nurse practitioner’s business practice and legal guide
 (6th ed.). Sudbury, MA: Bartlett & Jones Learning.

· Chapter 12, “Lawmaking and Health Policy” (pp. 421-433)

This chapter covers the legal process, the judicial system and health policy. Additionally, law and rules that affect NPs, how to initiate a change in law and the process involved from beginning until law or rule is finalized. Essay Assignment Papers – Leadership role for advanced practice nurses, State Practice Agreements & Social Change Agents

Christensen, C. M., Bohmer, R. M. J., & Kenagy, J. (2000). Will disruptive innovations cure health care? 
Harvard Business Review, 78(5),
 102-112, 199.

Note: 
Retrieved from the Walden Library databases.

Heidesch, T. (2008). Disruptive innovation NPs are true Health Care Reformers. 
Advance Healthcare Network for NPs & PAs, 16(12),
Essay Assignment Papers – Leadership role for advanced practice nurses, State Practice Agreements & Social Change Agents 94. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Article/Disruptive-Innovator.aspx. 

National Conference of State Legislatures (n.d.). Glossary of Legislative Terms. Retrieved from http://www.ncsl.org/research/about-state-legislatures/glossary-of-legislative-terms.aspx

No plagiarism.

Write 1 page only on each discussion (2 pages $20)

Use references provides ONLY

Check your grammar

Essay Assignment Papers – Leadership role for advanced practice nurses, State Practice Agreements & Social Change Agents

Differential diagnoses (DD)

Background

L.J. is a 65-year-old Hispanic male who presents to the office with increased shortness of breath that has gotten worse over the last few months. He reports that having shortness of breath is nothing new, but he has recently started to feel shortness of breath when he is performing his daily activities. He denies any fever, contact with any sick individuals or any weight loss. Other than the shortness of breath, he indicates that he has a chronic cough that is occasionally productive of whitish sputum. He has a 65-pack-year history of cigarette smoking. He is in the clinic today because of his concern about his worsening shortness of breath.

differential diagnoses (DD).

PMH

L.J. has a history of hypertension, cataracts, and osteoarthritis

Current Medications

Ibuprofen 600 mg po TID

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Lisinopril 20 mg po QD

Hydrochlorthiazide 25 mg po QD

Simvastatin 20 mg po QD

Meloxicam 7.5 mg QD

Surgeries

Left knee arthroplasty in 2013

Allergies
: No know allergies

Social History
: 65 pack year history of cigarette smoking; denies alcohol intake or illicit drug use; is married and recently retired. differential diagnoses (DD).

Family history:
Father has history of HTN; Mother has history of “mild” stroke; Brother has a history of hyperlipidemia.

Discussion Questions Part One:

• Describe the patient symptoms that concern you on today’s visit. What other aspects of the patient history also concern you?

• Provide OLDCARTS and ROS questions needed to develop the differential diagnosis (DD) list.

• Provide a minimum of three differential diagnoses (DD) with rationale for each.

• Based on the patient data provided, choose two geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. NOTE: one of the assessment tools must focus on assessing the patient’s respiratory status. Provide a rationale for why you are choosing these tools. Differential diagnoses (DD).

OLDCARTS

B.J., a 70-year-old black female has been seen in the clinic several times. The last time she was in for a check-up was 6 months ago to get her prescriptions refilled. She has returned to the clinic today because she “ran out of blood pressure medicine” and would like to get her prescriptions renewed. She has not taken any prescription medicine in approximately 6 months

Background:

The patient indicates that she has noticed shortness of breath, especially when she is playing with her grandchildren. But, it goes away once she sits down to rest. She reports that she is also bothered by shortness of breath that wakes her up at night, but it resolves after sitting upright on 3 pillows. She also tells you that “I noticed over the last week that my legs and ankles have been swollen”. She also indicates that she often feels light headed and faint while going up the stairs, but it subsides after sitting down to rest. OLDCARTS

PMH:

Hypertension

Previous history of MI in 2010

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Current medications:

Coreg 6.25 mg PO BID

Colace 100 mg PO BID

K-dur 20 mEq PO QD

Furosemide 40 mg PO QD

Surgeries:

2010-Left Anterior Descending (LAD) cardiac stent placement

Allergies
: Amoxicillin

Vaccination History:

She receives an annual flu shot. Last flu shot was this year

Has never had a Pneumovax

Has not had a Td in over 20 years

Has not had the herpes zoster vaccine

Other:

Last colorectal screening was 11 years ago

Last mammogram was 5 years ago

Has never had a DEXA/Bone Density Test

Last dilated eye exam was 4 years ago

Labs from last year’s visit: Hgb 12.2, Hct 37%, K+ 4.2,

Na+140 Cholesterol 186, Triglycerides 188, HDL 37, LDL 190, TSH 3.7

Blood pressure on day of visit: 150/90

Social history:

She graduated from high school, and thought about college, but got married right away and then had kids a short time later. Her son lives in another state. OLDCARTS

Family history:

Both parents are deceased. Father died of a heart attack; mother died of natural causes. She had one brother who died of a heart attack 20 years ago at the age of 52.

Habits:

She drinks one 4-ounce glass of red wine daily. She is a former smoker that stopped 20 years ago.

Discussion Part One:

• Summarize the important data from the patient’s history and reason for the visit today.

• Provide a minimum of three differential diagnoses (DD) with rationale for the chief complaint.

• Include OLDCARTS and additional ROS questions needed to develop DD.

• Based on the LDL level above, indicate if you need to order a statin for this patient? Provide a rationale for your decision based on evidence based clinical guidelines.

• What other patient risk factors put the patient at risk for arteriosclerotic coronary vascular disease (ASCVD)? Reference the guidelines in your response.

• Based on the patient data provided, choose two geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. Provide a rationale on why you are choosing these particular tools. OLDCARTS.