Day: January 1, 2021

Purpose

The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced nursing practice. Scholarly information obtained from credible sources as well as professional communication are required.

Application of information to professional experiences promotes the analysis and use of principles, knowledge, and information learned and related to real-life professional situations.

Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.

Through this discussion, the student will demonstrate the ability to:

• Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO 2 and 5) Weeks 2, 6
• Examine broad theoretical concepts as foundational to advanced nursing practice roles. (PO 1 and 2) Weeks 1, 2, 4
• Analyze theories from nursing and relevant fields with respect to the components, relationship among the components, and application to advanced nursing practice. (PO 1) Weeks 4, 6

Requirements:

Discussion Criteria  

1. Application of Course Knowledge: The student post contributes unique perspectives or insights gleaned from personal experience or examples from the healthcare field. The student must accurately and fully discuss the topic for the week in addition to providing personal or professional examples. The student must completely answer the entire initial question. 
2. Integration of Evidence: The student post provides support from a minimum of one scholarly in-text citation with a matching reference andassigned readings or online lessons, per discussion topic per week.
   • What is a scholarly resource? A scholarly resource is one that comes from a professional, peer-reviewed publication (e.g., journals and government reports such as those from the FDA or CDC). 
     • Contains references for sources cited 
     • Written by a professional or scholar in the field and indicates credentials of the author(s) 
     • Is no more than 5 years old for clinical or research articles 
   • What is not considered a scholarly resource?  
     • Newspaper articles and layperson literature (e.g., Readers Digest, Healthy Life Magazine, Food, and Fitness) 
     • Information from Wikipedia  or any wiki 
     • Textbooks 
     • Website homepages 
     • The weekly lesson 
     • Articles in healthcare and nursing-oriented trade magazines, such as Nursing Made Incredibly Easy and RNMagazine (Source: What is a scholarly article.docx; Created 06/09 CK/CL  Revised: 02/17/11,  09/02/11  nlh/clm) 
   • Can the lesson for the week be used as a scholarly source? 
     • Information from the weekly lesson can be cited in a posting; however, it is not to be the sole source used in the post. 
   • Are resources provided from CU acceptable sources (e.g., the readings for the week)? 
     • Not as a sole source within the post. The textbook and/or assigned (required) articles for the week can be used, but another outside source must be cited for full credit. Textbooks are not considered scholarly sources for the purpose of discussions. 
   • Are websites acceptable as scholarly resources for discussions? 
     • Yes, if they are documents or data cited from credible websites. Credible websites usually end in .gov or .edu; however, some .org sites that belong to professional associations (e.g., American Heart Association, National League for Nursing, American Diabetes Association) are also considered credible websites. Websites ending with .com are not to be used as scholarly resources.
     • Professionalism in Communication: The post presents information in logical, meaningful, and understandable sequence, and is clearly relevant to the discussion topic. Grammar, spelling, and/or punctuation are accurate.

  Preparing the Assignment

For many students enrolled in NR501, this is an initial course for nursing theory. So, let’s have a debate. Is nursing theory important to the nursing profession? In particular, is it important for nurse practitioners? Does theory inform nurse practitioner practice? If you believe that it is important, explain why it is useful. If you do not believe that it is useful, explain why nursing theory is not necessary to the profession? 

Integration of Evidence: Assigned readings or online lesson and at least one outside scholarly source are included. The scholarly source is: 

1) evidence-based, 2) scholarly in nature, 3) published within the last 5 years 

Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week. 

What were the most important concepts you learned in week 1? Why are these concepts important? How will they prepare you for your future role as a nurse practitioner? In what ways do you feel prepared for your new role? In what ways do you feel unprepared?

CASE STUDY

Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there.

He says he’s taken Mucinex OTC the past 2 nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous.

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

INTRODUCTION

Bipolar disorder is a unique disorder that causes shifts in mood and energy, which results in depression and mania for patients. Proper diagnosis of this disorder is often a challenge for two reasons: 1) patients often present as depressive or manic but may have both; and 2) many symptoms of bipolar disorder are similar to other disorders. Misdiagnosis is common, making it essential for you to have a deep understanding of the disorder’s pathophysiology. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with bipolar disorder.

To prepare for this Assignment:

• Review this week’s Learning Resources, including the Medication Resources indicated for this week. 
• Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring bipolar therapy.

The Assignment: 5 pages

Examine Case Study: An Asian American Woman. Diagnosis-Bipolar Disorder. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature. 

Introduction to the case (1 page)

• Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

1. Which decision did you select?
2. Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
3. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
4. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
5. Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

1. Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
2. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
3. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
4. Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

1. Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
2. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
3. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
4. Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

• Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

QUESTION

 You will complete what is known as an Applied Media Analysis. As you complete this paper, make sure that you answer the questions in-depth. CITE information from your notes about ethnocentrism and the communication model as you write this paper  The film, Freedom Writers is available for streaming on free on Vudu, 2.99/Redbox and YouTube.   Please plan to make sure that you get access to the film in time to complete this assignment.  

MOVIE: FREEDOM WRITERS

     1. Please choose the most powerful scene in the movie in your opinion. Choose a scene that you feel makes an impact on communication.

                     A. IDENTIFY THE SCENE (Include the timestamp:  pause the movie and look at the time on the graph below the video feed, i.e., 1:24.06)

                     B. Briefly describe the scene to which you are referring and who the principal characters are.

                     C. For each of the following elements write 2-4 sentences that SPECIFICALLY describe how you see the communication process at work.  (You have done this before in your group project)

                                      1) Situation (Context)

                                      2) Speaker(s) (Sender-Receiver)

                                      3) Message

                                      4) Channel

                                      5) Listener (Receiver Sender)

                                      6) Feedback

                                      7) Noise

 2.    Ethnocentrism:  Please find two quotes from the movie that illustrate the concept of ethnocentrism as it is defined.  For each quote, complete the following:

                                 A. IDENTIFY the Timestamp where the quote appears in the film

                                 B. IDENTIFY WHO says WHAT to WHOM

                                 C. EXPLAIN the effect of this interaction

                                 D. ANALYZE how this exemplifies ethnocentric communication

3. As you watch the film, look for communication and public speaking (in court, in the classroom, etc. )Select a public speaking scene that changes the destiny of at least one of these students. Please describe this in no less than five sentences. Include a timestamp.

QUESTION

Essay: Answer each prompt using at least 500 words.

1. Now that you have read about the primary dimensions of diversity, what have you learned about yourself? Of the six dimensions covered in this text (race, ethnicity, age, gender, sexual orientation, and physical and mental challenges), which so far have affected your life the most? What examples can you provide to substantiate your answer? Do you think these may change in importance during your lifetime? Why or why not?
2. What are the generational issues Julia faces with each employee? What cultural, historic, or societal issues may influence these generational issues? How would these issues affect Julia’s management of the department? (Read “Managing Diverse Generations in a Retail Setting” (pg 115)).
3. In Norway, since 2008, a public law requires at least 40% of each sex on corporate boards. Make a case for and a case against passing U.S. legislation requiring a quota for women on corporate boards.

Assignment Expectations:

• Length:
  • 1500-1750 words (5-7 pages); answers must thoroughly address the questions in a clear, concise manner
• Structure:
  • Include a title page and reference page in APA style
• References:
  • Include at least two scholarly resources in your work. Include the appropriate APA style in-text citations and references for all resources utilized to answer the questions

Assignment Guidelines:

1. This assignment must be in APA format. 
2. The assignment should be in paragraph form using complete sentences and avoiding bullet points and numbered list.
3. Use a Level 1 heading to separate your sections (Page 47 of the APA Publication Manual).
4. Title and reference pages do not count toward the total word or page count. 
5. At least one textbook source and two and outside sources must be referenced and cited in the paper.

Essays: (at least 300 words per prompt)

1. Blood transfusions are sometimes required in healthcare. Based on what you know about blood anatomy discuss why a patient would need a transfusion of PRBC (packed red blood cells), plasma, or platelets. A patient with anemia has a pulse oximetry reading in the high 80’s, would this be an expected finding, explain?
2. Mike, 29 years old, was admitted to a community hospital three days ago with weakness and hypotension after sustaining a spider bite while hiking in the woods. Mike has a large hematoma on his left arm where he was bite. He has no prior medical history, no drug allergies, and does not take medication. Mike started to experience moderate respiratory distress, and started oozing blood from his IV sites, nose, and catheter. He is mildly jaundice and his skin is cool. His vital signs include a heart rate of 110 beats per minute and regular blood pressure of 92/44, slightly labored respiratory rate of 22 breaths per minute, and a pulse oximetry reading of 91 percent. What would your initial diagnosis be, explain? What diagnostic test would you order and why? What would you expect the diagnostic test to show? What is the treatment option for the diagnosis?
3. During natural disasters like hurricanes, when the community is living in shelters, why would there be a concern about a tuberculosis outbreak? What circumstances have led to the spread of drug-resistant tuberculosis? Mary, a nurse, skin test was positive for tuberculosis. Does this mean she has tuberculosis? Explain.
4. Each year many people go to their family physician with a common cold, but think they have the influenza. Based on symptoms how can you tell if you have a common cold or influenza? What are the causes and treatments for Pneumonia? What is the best way to prevent influenza and pneumonia?

ASSIGNMENT

In Chapter 22 of the text, the authors offer a discussion of what they think are the three challenges for the future of corrections.

Choose one of these challenges, and find at least one article written within the last 12 months that discusses the issue.

Report to the class what the issue is, what the article suggests, and what your thoughts on it are.

Book : Amrican Corrections 

Task

Community Justice is a relatively new philosophy of justice that differs significantly in some respects to criminal justice.

Research Community Justice and discuss how and where it began, how effective it has shown to be and what the prospects are for the future. Give detailed examples and be specific about the successes or failures the program may have had.

Write a 2 page APA style paper. In your paper includes 2 references

Assignment

 Please note this assignment is due week 6.  Please refer to your resource list as well as your grading rubrics and study guide for week 6. In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting.

You will consider what history should be collected from the patients as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. Please use your Resource list and grading rubric as a guide. Please reach out to me if you have any questions regarding this assignment

ABDOMINAL ASSESSMENT

Subjective:

1. CC: “My stomach hurts, I have diarrhea and nothing seems to help.”
2. HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.
3. PMH: HTN, Diabetes, hx of GI bleed 4 years ago
4. Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs
5. Allergies: NKDA
6. FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD
7. Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

• VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs
• Heart: RRR, no murmurs
• Lungs: CTA, chest wall symmetrical
• Skin: Intact without lesions, no urticaria
• Abd: soft, hyperactive bowel sounds, pos pain in the LLQ
• Diagnostics: None

Assessment:

• Left lower quadrant pain
• Gastroenteritis

PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

To Prepare

Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.

• With regard to the Episodic note case study provided:

• Review this week’s Learning Resources, and consider the insights they provide about the case study.
• Consider what history would be necessary to collect from the patient in the case study.
• Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
• Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Assignment

1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.
2. Analyze the objective portion of the note. List additional information that should be included in the documentation.
3. Is the assessment supported by the subjective and objective information? Why or why not?
4. What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

ASSIGNMENT

In a well-constructed, one-page essay (500+ words, not including references), discuss the history of capital punishment in your state (or a state of your choice). Is the death penalty still used in that state? If not, when did it stop? What types of crimes can it be / could it have been considered for? How many people are on death row in your state (If applicable)? Are there any other important details about the death penalty in your state?  

Please use a minimum of two outside sources for this assignment.