Learning Theories & Principles and Quality Health Care
Choose one learning theory and/or principle you think is most useful to the advanced practice nurse (APN) in providing high-quality health care to clients. Explain your rationale for choosing this theory and principle
Discussion 3: Urinary Function
Mr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patient’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted and he vomited twice with some relief. As the evening progressed, he continued to feel “very bad” and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. 5°F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 5–6 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder.
Case Study Questions
The attending physician is thinking that Mr. J.R. has developed an Acute Kidney Injury (AKI). Analyzing the case presented name the possible types of Acute Kidney Injury. Link the clinical manifestations described to the different types of Acute Kidney injury.
Create a list of risk factors the patient might have and explain why.
Unfortunately, the damage on J.R. kidney became irreversible and he is now diagnosed with Chronic kidney disease. Please describe the complications that the patient might have on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms involved.
Reproductive Function:
Ms. P.C. is a 19-year-old white female who reports a 2-day history of lower abdominal pain, nausea, emesis and a heavy, malodorous vaginal discharge. She states that she is single, heterosexual, and that she has been sexually active with only one partner for the past eight months. She has no previous history of genitourinary infections or sexually transmitted diseases. She denies IV drug use. Her LMP ended three days ago. Her last intercourse (vaginal) was eight days ago and she states that they did not use a condom. She admits to unprotected sex “every once in a while.” She noted an abnormal vaginal discharge yesterday and she describes it as “thick, greenish-yellow in color, and very smelly.” She denies both oral and rectal intercourse. She does not know if her partner has had a recent genitourinary tract infection, “because he has been away on business for five days.
Microscopic Examination of Vaginal Discharge
(-) yeast or hyphae
(-) flagellated microbes
(+) white blood cells
(+) gram-negative intracellular diplococci
Case Study Questions
According to the case presented, including the clinical manifestations and microscopic examination of the vaginal discharge, what is the most probably diagnosis for Ms. P.C.? Support your answer and explain why you get to that diagnosis.
Based on the vaginal discharged described and the microscopic examination of the sample could you suggest which would be the microorganism involved?
Name the criteria you would use to recommend hospitalization for this patient
Submission Instructions:
You must complete both case studies.
Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources.
What makes a team?
Reflect on your experiences as a member of a clinical team. What makes a team effective or ineffective in terms of achieving expected outcomes for the patients? (Saunders, 2014)
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources
Using SOAP format
Using the format build a SOAP note for an women 27 years old female who comes to women health consultation to discuss results of pap smear positive for intraepithelial lession stage 1 (NIC 1),Using the format build a SOAP note for an women 29 years old female who comes to women health consultation to discuss results of pap smear positive for hpv intraepithelial lession stage 1 (NIC 1) elaborate treatment plan. Use scholarly references no old than 5 years old.
Describing, Diagnosing, & Treatment of Skin, Eye, & Ear Disorders
Describe dermatitis, diagnostic criteria, and treatment modalities
Describe the drug therapy for Conjunctivitis and Otitis Media
Discuss Herpes Virus infections, patient presentation, and treatment
Describe the most common primary bacterial skin infections and the treatment of choice.
Nursing Homework
How do organizations create this “culture of safety”?
Discuss a minimum of three strategies. You must support your discussion with evidence
Discussion 3
Pick one from below:
Based on your experience, what are the key factors in ensuring a successful interdisciplinary team approach to managing stroke patients? Provide an example of a patient you may have worked with in your clinical experience.
In light of the ongoing opioid crisis, how can nurse practitioners balance the need for effective pain management with the potential risks associated with the use of opioids in patients with neurologic disorders?
During a clinical case study, a patient presents with symptoms suggestive of a neurologic disorder. Discuss the importance of a systematic approach to the neurological examination and the potential challenges you may encounter. How can Nurse Practitioners utilize their knowledge of the structure and function of the neurologic system to guide their assessment, identify possible etiologies, and develop a differential diagnosis?
As mental health stigma continues to be a significant barrier to seeking and receiving appropriate care, what strategies can nurse practitioners employ to foster open communication and reduce stigma surrounding schizophrenia, mood disorders, anxiety disorders, PTSD, and OCD within their practice and in the broader community?
Leadership Discussion 2 Response
Leadership Discussion 2 Response,"PLEASE RESPOND TO THE FOLLOWING POST OF A CLASSMATE IN 100 WORDS, Remember that your posts must be substantive and contribute to the dialogue that is taking place and Response posts must offer at least one new piece of information or insight.
Classmate Post:
Stress can affect the physical and mental health of nurses, which unfortunately can overflow into patient outcomes. It also undermines nursing retention and can hurt a healthcare organization’s finances (Morris, 2023).
Managing stress as a nurse is critical as it causes burnout and can lead not only to physical and mental health issues for nurses but also to increased likelihood of medical mistakes.
Long working hours are definitely one of the reasons why nurses have high stress levels. It is important for nurses to take breaks during a 12 or 16 hour shift. When I started out, I often skipped breaks and just ate something quickly on the run because I felt I would fall too much behind with my workload or I didn’t want to leave my unit in case something happened with a patient. I have learned the importance of taking breaks no matter how busy my day is. After I step away and take a 30 minute break, preferably sit in a natural environment and listen to birds, eat without rushing, catch up with family on the phone, I come back refreshed and am able to finish my job more efficiently. Taking a break also helps me manage my time better. Time management means to optimally use the time available and that includes aspects of planning, goal setting, prioritizing goals and activities, communications and delegation (Marquis & Finkelman, 2017). Time management is still something I do struggle with, especially the aspect of communication and delegation. I find myself often doing tasks that I could delegate and then get overwhelmed or am not finished with my work at the end of the day and have to stay late. I know that delegation is something I personally need to work on, building a good relationship with co-workers and aids is key as well as good communication skills.
References
Morris, G. (n.d.). How to manage stress as a nurse. How To Manage Stress As A Nurse | NurseJournal.org. https://nursejournal.org/articles/how-to-manage-stress/
Ghiasvand, A. M., Naderi, M., Tafreshi, M. Z., Ahmadi, F., & Hosseini, M. (2017, January 25). Relationship between time management skills and anxiety and academic motivation of nursing students in Tehran. Electronic physician. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5308512/
Unit 3 Psychiatric Review
Due 5-22-24. 600w initial and 600w replay. Replay to 2 students. 1200 words total.
Unit 3-Journal Reflection
400w. 4 references. Due 5/23/24. Please be as detailed as possible
