Archive for category: My Nursing Writer

Share an instance in which you had a Warm Demander in your life, how did that person affect you? What are the qualities of that person that you would like to embrace as you become a warm demander.
Read the chapter 18: warm demander by Lisa Delpit and In the name of teaching by Medina

Write a 3-4 pages paper, including 3 parts: 1.Demonstrating comprehension, explaining the understanding of key terms from the readings. 2.Applying the reading, relates the reading to personal experiences and/or provides an example that illustrates key points. 3.Articulating a critical analysis, considers how the new information learned will affect their future teaching practices.

Guiding Questions

1. What this authors believe to be the qualities and skills needed for teachers to create a better future, make better people, and create social change schools? What kind of plan would you propose for recruiting the kinds of teachers we need for today’s schools? And, finally, how would schools have to change.

2. Share an instance in which you had a Warm Demander in your life, how did that person affect you? What are the qualities of that person that you would like to embrace as you become a warm demander.

In a separate page, answer each of these question in a small paragraph(approximately 5-6 sentences)

1. What are the reasons you decided to become a teacher? Is there an experience in your life that might have steered or moved or guided you toward becoming a teacher?

2, What social justice issues discussed about education are you passionate about? As a teacher, how are you planning to address them in your classroom, your school, and your life?

3. What is the most important thing you learned and how are you planing on using that in the future?

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Concept Map (500 words)
• The concept map must be computer generated.
• When researching the topic, use the pathophysiology template that is on the unit vUWS site to assist you in organising your information. The template will also assist in identifying key concepts and their relationships.
• Concept boxes should have titles with relevant content summarised within the box.
• The summarised content may be in point format and size 10 font (Arial or Times New Roman) may be used on the concept map.
• Concept boxes must be linked using lines and linking words/phrases to demonstrate logical relationships between concepts.
• For conciseness, numbers may be used to replace traditional APA referencing within concept boxes. If you use numbers, you must include a reference list in numerical order, corresponding to your references immediately after the concept map.
• Critical thinking and creativity are essential components of the concept map. The map design needs to be visually stimulating.

Guided Questions (1000 words)
Case study
Mrs Brown, a 78 year-old female, was admitted to the Emergency Department at 6am after waking up with severe breathlessness. Her family informed you that the patient has a history of heart failure that had been diagnosed two years ago. On admission to the Emergency Department the clinical manifestations were:
• Severe dyspnoea
• Respiratory rate of 24 breaths/minute
• SpO2 85%, on room air
• BP 170/95mmHg
• Pulse rate of 120 beats/minute • Auscultation of lungs identifies bilateral basal crackles
Mrs Brown was connected to an ECG monitor that showed atrial fibrillation. A diagnosis of acute exacerbation of chronic left-sided heart failure was made.
Question 1. (500 words)
Explain the pathogenesis causing the clinical manifestations with which Mrs Brown presented.

Question 2. (200 words)
Discuss two high priority nursing strategies to manage Mrs Brown and provide evidence-based rationales for these strategies.

Question 3. (300 words)
Two of the drugs that were given to Mrs Brown were IV furosemide and sublingual glyceryl trinitrate.
a. Discuss the mechanism of action of these two drugs, and relate to the underlying pathogenesis of an acute exacerbation of chronic left-sided heart failure. And,
b. Describe the nursing implications (monitoring for and responding to adverse effects, and evaluating therapeutic effect) when administering these two drugs to a patient with an acute exacerbation of chronic left-sided heart failure.

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Contract Negotiations and Risks and Operating Margins.Contract Negotiations and Risks and Operating Margins.1,

In the scenario, the contract negotiations between North Creek Healthcare and the community hospital concluded with an agreement on non-financial (legal) terms. Suggest the most critical element of the contract and the impact to the short-term and long-term operational strategy of a community hospital. Indicate the potential implications to the hospitals financial targets.2, Imagine you work for a hospital where the operating margins have been consistently below national norms for the past three (3) years. Discuss one (1) key driver of the below average performance. Suggest one (1) strategy to improve the future management of the driver that youve discussed

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Scenario B – Tracey is a 35 year old woman who presents for assessment to the Emergency Mental Health Community Team. She is six months pregnant with her third child. Her other children, to her ex-partner, are aged three and five.

Scenario B – Tracey is a 35 year old woman who presents for assessment to the Emergency Mental Health Community Team. She is six months pregnant with her third child. Her other children, to her ex-partner, are aged three and five. Tracey is in a heterosexual relationship with her partner of one year, Peter. Peter moved in to live with Tracey and her children eight months ago. The children’s father is distressed about Peter moving in to live with his children. There is verbal hostility between Tracey and her ex- partner each time he visits to collect the children for a weekend visit. Her expartner frequently states he is making arrangements for court to have full time care of the children. Tracey and her current partner, Peter, are in $35,000 uncontrolled debt after a recent new joint business venture failed. A finance company calls weekly requesting payment. Tracey and her partner stopped making the mortgage repayments three months ago, with the belief that dealing with the uncontrolled debt would be a better option. Her parents are supportive but live in Queensland. Tracey is able to have face to face contact with them once a year. She does chat with her parents over telephone every week if possible. Tracey states she is worried about how she will cope with her two children and new baby. She reports low mood, weekly panic attacks and fleeting thoughts of suicide. During your meeting with Tracey, you note she is fidgety and restless, breathing rapidly, shaking slightly, sweating and tearful. She is not wishing to actively engage with the mental health services, for fear it will impact on her having care of her children, stating she will visit her General Practitioner (GP).

1) Investigate and outline the prevalence/incidence of anxiety (depending on the scenario you have chosen) in Australia – Your answer needs to cover: gender, age groups, specific risk groups, hospitalisations. 225 words

? Please refer to ABS Australia 2007. ( Only Australia statistics)

2) Using current literature discuss TWO (2) factors that may have contributed to the development of the client’s presentation and mental health concerns. 225 words

? Contributed factors: Child custody issues, financial stress, Verbal hostility with ex husband
3) Using current literature discuss TWO (2) ethico-legal issues related to your scenario.225 words
The Mental Health Act (2007) is the legal construct used predominately for clinical care in the mental health services. Please ensure if you are using the Mental Health Act, you refer to the latest NSW version. However you may also wish to consider legal frameworks around access to health records, storage of health records or privacy. Professional nursing standards or ethics literature may also help guide your thinking.

For example you may wish to consider:

• the professional boundaries around confidentiality
• the use of the mental health act for when safety concerns are noted
• a nurse’s role in assessment and engagement with a client knowing that they may have to activate resources to possibly schedule a person and detain them ( ie remove their freedom) due to concerns about their safety
• You may also consider a person’s right to engage with mental health services when there are actual risks or potential risks to their safety or the safety of others
• The ethics of a nurse taking no action if risks to self are identified or potential risks are noted
• a person’s autonomy and right to choose
• a nurse’s discussion with other health professionals ie. GP
• a nurse’s involvement with family members when risks are noted versus a person’s right to choose no family involvement
• a nurse’s professional and ethical role in child protection matters for risks or potential risks
• non-maleficence; a principle to avoid harm. However assessment and interventions may cause distress to the person and their family
4) Identify TWO (2) nursing/midwifery concerns / problems with evidence from your chosen scenario- Your risk identification should be focused on the next 1-5 days of nursing/midwifery care for your client.100-150 words(USE TABLE)
? Symptoms of anxiety
? Inability to cope
? Fleeting thoughts to suicide
? Reducing engagement in services
? For each nursing / midwifery concern / problem you have identified in Question 4, outline and describe TWO (2) evidence based nursing / midwifery interventions (ie; what you would actually do as a nurse / midwife to support the person and how you would do it). Your interventions should be focused on nursing / midwifery care for your client over the next 1-5 days. They must be interventions which you would actually undertake directly with your client within your role as a nurse. You are also required to provide a clear rationale for each nursing intervention (ie. Why have you chosen the particular nursing interventions? How will the interventions support the person or contribute positively to their current presentation or concern?) Each intervention and rationale must be supported by current literature. 225 words (USE TABLE)

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Discuss two different types of comfort interventions that can be utilized by the advanced practice nurse in the clinical setting as per Katharine Kolcaba’s Theory of Comfort.

Discussion nursing theory .

1.Discussion Question:
Discuss two different types of comfort interventions that can be utilized by the advanced practice nurse in the clinical setting as per Katharine Kolcaba’s Theory of Comfort. Identify one MSN Essential that most relates to application of this theory in practice and explain your choice.

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