Nursing


A concept analysis is designed to make the student as familiar with a concept as possible.  A concept is usually one or two words that convey meaning, understanding or feelings between or among individuals within a same discipline. Some concepts relevant to mental health are stigma, recidivism, and deinstitutionalization. 

Activities and Directions

To begin the process, choose a concept you are interested in, a term you encounter with your work or one with which you would like to research. Look for the measurable quality in your topic of interest, problem or question.

– Write down all of the words you can think of which relate to or express your concept. 

– Search the literature for journal articles and books related to the concept to get a sense of the beliefs and thoughts of others in the discipline regarding the concept. 

– Begin the analysis paper with a introductory paragraph expressing what the concept is and why it is significant to you and mental health. 

– Develop the Model Case. The model case is a brief situational description validating the concept including all of the characteristics you have listed which describe or make up the concept. The model case should be able to
reflect that If this is not an example of (concept), then nothing is.

Case Study Topic: Depression.


Case Study Topic: Depression.


Identify current evidence-based treatment modalities for the selected disease and discuss how the treatment impacts the disease process.

Conduct an evidence-based literature search to identify the most recent standards of care/treatment modalities from peer-reviewed articles and professional association guidelines

 

Include the following in your clinical case presentation:

  1. A discussion of the pathophysiology of the disease, including signs and symptoms
  2. An explanation of diagnostic testing and rationales for each 
  3. A review of different evidence-based treatment modalities for the disorder obtained from guideline.gov or a professional organization such as thyroid (American Thyroid Association), OB-GYN (ACOG), urology (AUA), etc.

Next, address the following questions: 

  1. How does the information in this case inform the practice of a master’s prepared nurse?
  2. How should the master’s prepared nurse use this information to design a patient education session for someone with this condition?
  3. What was the most important information presented in this case?
  4. What was the most confusing or challenging information presented in this case?
  5. Discuss a patient safety issue that can be addressed for a patient with the condition presented in this case

Health Care Financing:

Answer the following questions on Health Care Financing:

  1. Name one (1)  way each of the following has affected the costs of health care in the US?
    • The health insurance industry
    • Advances in medical care technology
    • Changes in U.S. demographics
    • Government support for health care
    • Consumer expectations
  2. If we accept the premises that resources available to meet the costs of health care are finite, and that continuing to increase dollars allocated for health care expenses carries “opportunity costs“ for the nation and society, discuss your position on the following: As a national policy should we allocate a set level of resources and apply them to achieving “the greatest good for the greatest number” (necessarily leaving some out) OR should we adopt the individualist approach of “those who can pay get, those who can’t pay, don’t?”
  3. From the patient perspective, what might be some of the positive and negative aspects of “disease management programs?”

Healthcare personnel

Answer the following questions on Health Care Workforce/Personnel:

  1. The majority of schools of medicine, dentistry, nursing, and other professions and their teaching hospitals are heavily subsidized by federal and state funds. Many of those graduates, when they become health practitioners, feel no obligation to society for their publicly supported education. Do health care providers who reap the benefits of high compensation and social position have an ethical responsibility to repay taxpayers by meeting the needs of the medically underserved?
  2. Technical advances in health care have spawned an ever-increasing number of specialty- trained personnel. More recently, however, hospitals and other institutions are promoting the cross-training of personnel so that they can perform multiple tasks and work more flexibly, based on institution needs. What are the implications of cross training, in terms of quality of care, costs, and efficiency?
  3. Men comprise a small segment of the nurse population, although their numbers are increasing.  Given the good income potential of the nursing profession and continuing demand, what is your opinion about why nursing does not attract more males?

Nutrition

Traditionally, nutrition programs were targeted to the indigent and poor populations in developing countries. Many of today’s Americans are malnourished also, but they are inundated with unhealthy foods and require a multidisciplinary approach to nutrition education. What would be the three most important points to include in a public nutrition program? Provide current literature to support your answer and include two nutritional education community resources.

Anxiolytic Therapy & PTSD Treatment

“I’m no longer at the mercy of my PTSD, and I would not be here today had I not had the proper diagnosis and treatment. It’s never too late to seek help.”
—P.K. Philips, PTSD patient

For individuals suffering from posttraumatic stress disorder (PTSD) and other anxiety disorders, everyday life can be a constant challenge. Clients requiring anxiolytic therapy may present with anxiousness, depression, substance abuse issues, and even physical symptoms related to cardiovascular, respiratory, and gastrointestinal ailments. As a psychiatric mental health nurse practitioner, you must be prepared to address the many needs of individuals seeking treatment for PTSD and other anxiety disorders.

This week, as you study anxiolytic therapies and PTSD treatments, you examine the assessment and treatment of clients with PTSD and other anxiety disorders. You also explore ethical and legal implications of these therapies.

The Effects of “To Err Is Human” in Nursing Practice

DISCUSSION- 1

The Effects of “To Err Is Human” in Nursing Practice

The 1999 landmark study titled “To Err Is Human: Building a Safer Health System” highlighted the unacceptably high incidence of U.S. medical errors and put forth recommendations to improve patient safety. Since its publication, the recommendations in “To Err Is Human’ have guided significant changes in nursing practice in the United States.

In this Discussion, you will review these recommendations and consider the role of health information technology in helping address concerns presented in the report.

To prepare:

Review the summary of “To Err Is Human” presented in the Plawecki and Amrhein article found in this week’s Learning Resources.

Consider the following statement:

“The most significant barrier to improving patient safety identified in “To Err Is Human” is a “lack of awareness of the extent to which errors occur daily in all health care settings and organizations (Wakefield, 2008).”

Review “The Quality Chasm Series: Implications for Nursing” focusing on Table 3: “Simple Rules for the 21st Century Health Care System.” Consider your current organization or one with which you are familiar. Reflect on one of the rules where the “current rule” is still in operation in the organization and consider another instance in which the organization has effectively transitioned to the new rule.

Medicin

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.

In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

  • Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
  • Select a healthcare program within your practice and consider the design and implementation of this program.
  • Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

Using the following Case Study, create a meal plan

Using the following Case Study, create a meal plan. 

Jackie is a healthy women.  She is 45 years old and 5’7″ tall.  Jackie’s current weight is 160 lbs.  She exercises 4-5 times per week but is struggling to meet her goal weight.  Jackie is seeking your clinical advice to lose 15 lbs in 3 months.  Her target weight goal is 145 lbs. 

Write a basic meal plan for your client. Include how many calories each day she will need to consume to lose 1-2 lbs each week Calculate her complete macronutrient breakdown including; total carb consumption, total fat consumption, total protein consumption and explain the rationale for all of your choices.

Jackie is a healthy women.  She is 45 years old and 5’7″ tall.  Jackie’s current weight is 160 lbs.  She exercises 4-5 times per week but is struggling to meet her goal weight.  Jackie is seeking your clinical advice to lose 15 lbs in 3 months.  Her target weight goal is 145 lbs. Write a basic meal plan for your client. Include how many calories each day she will need to consume to lose 1-2 lbs each week Calculate her complete macronutrient breakdown including; total carb consumption, total fat consumption, total protein consumptionExplain the rationale for all of your choicesStep 1: Using the following Case Study, create a meal plan. Jackie is a healthy women.  She is 45 years old and 5’7″ tall.  Jackie’s current weight is 160 lbs.  She exercises 4-5 times per week but is struggling to meet her goal weight.  Jackie is seeking your clinical advice to lose 15 lbs in 3 months.  Her target weight goal is 145 

Evolving Practice of Nursing and Patient Care Delivery Models


As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.