Which endocrine disorder is consistent with Helena’s signs and symptoms?

Which endocrine disorder is consistent with Helena’s signs and symptoms?

Helena is a 51-year-old tele-marketing professional. She recently started losing weight without trying, which she found to be quite satisfying! At the same time, she also noticed that she feels quite hot when others around her do not complain of the heat.

Helena thought she was probably getting the menopause, as she knows that this is often characterised by hot flushes. She tires easily, but put this down to working long hours and getting older. None of these symptoms gave Helena any real cause for alarm. However, what made her think that there might be something wrong is the increasing amount of heart palpitations she has she can feel her heart racing quite quickly.

Helena has been feeling more anxious and suspects that this is because her fast heart rate makes her quite worried. So she decides to seek medical attention. Physical examination reveals tachycardia (a high heart rate of 109 beats per minute), hyper tension (high blood pressure of 150/90) and a high respiratory rate (22 breaths per minute). Her eyes appear somewhat wide open and there is an enlargement in the anterior (front) of her neck.

Questions


 

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What are some ways building projects will lose without supply chain management’s expertise? In today’s economy, an important measure for a CEO or CFO is the return on assets (ROA).

What are some ways building projects will lose without supply chain management’s expertise?
In today’s economy, an important measure for a CEO or CFO is the return on assets (ROA).

The goal is to maximize the ROA, resulting in reduced operating costs and improved clinical outcomes. Given the direction of reimbursement, a well-run project with positive results could impact a health care organization’s revenue performance. What are some ways building projects will lose without supply chain management’s expertise?

250 words w/references


 

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How to influence policy development and apply it to a situation or an organisation with which you are involved?

How to influence policy development and apply it to a situation or an organisation with which you are involved?

Schools can provide a good environment where support can be provided for children and young people to improve mental health. In 2014, local authority public health team and school nurses piloted a mental health promotion programme aimed at all the pupils in one secondary school. This programme was designed to be rolled out to all secondary schools as part of a city-wide initiative aimed at improving the mental health of children and young people.

The programme would consist of events where the public health team leader for mental health talked to the whole school about psychological wellbeing. This would be followed up by classroom discussions with the school nurse to increase understanding of mental health issues, substance misuse, stress and social skills and discuss issues raised.

The pilot, carried out in one school, commenced with an open meeting where parents were informed of the initiative and they and the teaching staff were supportive. The initiative was designed to run for a full year and resources for an outcome evaluation were included.

However, the evaluation report concluded that ‘there is little evidence that the scheme has changed pupils’ views about mental health or stigmas about mental illness’. On receiving this report, the Director of Public Health suggested the programme should be modified and highlighted an article about mental health promotion in comprehensive schools in Finland (Onnela et al., 2014) with the aim of improving collaboration between stakeholders.

Using the key principles of the Finnish approach, the public health team and the school nurse modified their plan accordingly. This included a proposal for school nurses and trained mental health nurses to provide drop-in sessions for individual students and run small group sessions to help build resilience as well as provide opportunities to discuss issues further if needed. Teachers would also be encouraged to get more involved and attend training days to help them better support their students. Public health resources were identified to take the work forward and to encourage collaboration between the various stakeholders involved in this initiative.


 

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What the concept means to you currently [prior to any literature review] 5.Why the concept is of interest to the nursing profession

What the concept means to you currently [prior to any literature review] 5.Why the concept is of interest to the nursing profession

Theoretical Foundations of Advanced NursingOrder Description
Topic 1: Identification of a Concept
The assigned readings from the articles this week discuss methods of concept analysis that are useful in nursing. Select a concept you will analyze in this course. Your concept needs to interest you possibly associated with your current or future work or something that intrigues or even bothers you. Try to avoid selecting a concept that is too broad or too narrow [see the unit overview for a discussion of broad or narrow concepts]. Explain the following:
1.Name of the concept of interest
2.Why you selected it
3.What you hope to discover or learn from the concept analysis
4.What the concept means to you currently [prior to any literature review] 5.Why the concept is of interest to the nursing profession
Text book used:
Title: Nursing Theorists and Their Work 8th ed.
Author: Alligood M. R.
ISBN: 978-0-323-09194-7
Publisher: Mosby Elsevier


 

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Choose an aspect of the law and discuss this in relation to the role of the nurse. You are required to select an aspect of law and demonstrate your understanding of how statutory considerations impact on nursing practice and on decision making of nurses.

Choose an aspect of the law and discuss this in relation to the role of the nurse. You are required to select an aspect of law and demonstrate your understanding of how statutory considerations impact on nursing practice and on decision making of nurses.

assignment rules: · 1000 words is the guide, with a 10% allowance either way. if you go over or under the 10% then you will be penalised by one grade. word count does not include; the reference list and the appendix. · you must write a reflective appendix on a topic relevant to your essay. · references must be given with a minimum of 8 references using cite them right. · work must be typed (1 or double spaced); using font size 12. Just to let you know that I have to put it through turnitin and please make sure it is at least 90% plagiarism free. Please follow the assignment rules & criteria . Finally, I expect to get good grades. Essay Criteria: 1. Breadth, depth and focus of content in relation to the question set for the assignment/essay and learning outcomes for the module. This means you need to show that you have read widely around the topic and also discussed the topic in depth. 2. Knowledge and understanding of module content applied to the assignment/essay. This is about sticking to the module topic and not wandering around another topic from somewhere else. It is also where we can take your reflective appendix into account, where you MUST reflect on a relevant topic from the module. 3. Commentary/discussion show application of theory to practice with evidence of safe clinical practice. Have you discussed how the topic relates to nursing practice? Also is your discussion of theory to practice accurate, feasible and not making unsafe? 4. Presentation and organisation of work. Referencing system complies with the School Referencing and Citation style. Is there a good introduction, followed by a logical line of argument through clear paragraphs, and lastly a conclusion which rounds the argument off? Is the referencing accurate and using the correct style?


 

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Compare and contrast the roles of the NP, nurse educator, nurse informaticist, and nurse administrator in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and research

Compare and contrast the roles of the NP, nurse educator, nurse informaticist, and nurse administrator in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and research
Assignment 2: Final Project

Overview/Description: The final assignment will synthesize what you have discovered about the different advanced practice roles and scope of practice found in the master of nursing curriculum: NP, nurse educator, nurse informaticist, and nurse administrator. You will review all roles and then examine the specialty for which you were admitted, focusing on the scope of practice, core competencies, certification requirements, and legal aspects of practice for that specific role. You will also identify the practice environment and population you will be working with, as well as peers and colleagues. In addition, you will discuss your future leadership role and participation in professional organizations.

Your paper is to be based on current literature, standards of practice, core competencies, and certification bodies for your chosen role. The paper should be 10–12 pages excluding the title and reference, and APA format is required.

Criteria:

Advanced Practice Roles in Nursing:
Compare and contrast the roles of the NP, nurse educator, nurse informaticist, and nurse administrator in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and research.
Selected Advanced Practice Role:
Examine regulatory and legal requirements for the state in which you plan to practice.
Describe the professional organizations available for membership based on your selected role.
Identify required competencies, including certification requirements for your selected role.
Predict the organization and setting, population, and colleagues with whom you plan to work.
Leadership Attributes of the Advanced Practice Role:
Determine your leadership style (http://psychology.about.com/library/quiz/bl-leadershipquiz.htm).
Identify leadership attributes you currently possess, and attributes you may need to develop.
Determine how to attain and evaluate those missing attributes.
Health Policy and the Advanced Practice Role
Visit the Robert Wood Johnson Foundation (http://www.rwjf.org/en/about-rwjf/newsroom/features-and-articles/health-policy.html) and identify a health policy issue. Conduct a review of literature and address the following:
Describe the current policy and what needs to change; justify your conclusions with citations from the literature.
Provide the process required to make the change with key players and parties of interest.
Explain how you could lead the effort to make or influence the change in policy.
Predict the effect on healthcare quality if the change in policy is implemented.


 

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. Identify a current nursing practice within your healthcare setting that requires change. 1. Describe the current nursing practice. 2. Discuss why the current nursing practice needs to be changed.

. Identify a current nursing practice within your healthcare setting that requires change.
1. Describe the current nursing practice.
2. Discuss why the current nursing practice needs to be changed.

B. Identify the key stakeholders within your healthcare setting who are part of the current nursing practice.
1. Describe the role each identified key stakeholder will play to support the proposed practice change.

C. Create an evidence critique table (see Sample Evidence Critique Table).
1. Identify five sources from scholarly peer-reviewed journals, which adhere to the following standards:
a. Each source must be published within the past five years.
b. Each source must relate to the change identified in part A.
c. Each source must be listed in the table using APA format.
2. Identify the evidence strength of each chosen source, using the Strength of Evidence information in the study plan.
3. Identify the evidence hierarchy of each chosen source, using the Evidence Hierarchy information in the study plan.

D. Develop an evidence summary based on the findings from part C that includes each of the five sources used (suggested length of 12 pages for all sources).

E. Recommend a specific best practice based on the evidence summary developed in part D.

F. Identify a practice change model that is appropriate to apply to the proposed practice change.
1. Justify why you chose the practice change model.
2. Explain how to apply the identified model to guide the implementation of the proposed practice change.

G. Discuss possible barriers to successful implementation of the proposed practice change.

H. Discuss any possible ethical implications that may arise while planning or implementing the proposed practice change.


 

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Use of Personal Communication Devices in Patient Care Settings How can the use of the nurse’s personal communication device(s) impact patient care positively and/or negatively.

Use of Personal Communication Devices in Patient Care Settings How can the use of the nurse’s personal communication device(s) impact patient care positively and/or negatively.

Use of Personal Communication Devices in Patient Care Settings How can the use of the nurse’s personal communication device(s) impact patient care positively and/or negatively? What are the ethical and legal implications? What does the professional literature say about how communication devices can support safe nursing practice? Hebda, T., & Czar, P. (2013). Handbook of informatics for nurses & healthcare professionals (5th ed.). Boston, MA: Pearson.


 

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Select a Grand or Mid-Range Theory that is appropriate to your practice setting.Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.

Select a Grand or Mid-Range Theory that is appropriate to your practice setting.Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.

The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below.

Theory/Author Name and Background

Select a Grand or Mid-Range Theory that is appropriate to your practice setting.
Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.
Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
Identify the phenomenonof concernor problems addressed by the theory.
Theory Description

Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.
Describe the major concepts of the theory. How are they defined? (theoretically and/or operationally) Is the author consistentin the use of the concepts and other terms in the theory?
Interpret how the concepts are defined. Implicitly or explicitly?
Examine the relationships (propositions) among the major concepts.
Evaluation

Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
Discuss the clarity of the theory. Did it have lucidness and consistency?
Application

Examine how the theory would guide nursing actions.
Describe specificallyhow you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).
APA Style/Format

CRITERIA
WEIGHT
Theory/Author Name and Background:
Select a Grand or Mid-Range Theory that is appropriate to your practice setting.
Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.
Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
Identify the phenomenonof concernor problems addressed by the theory.
1010
10

10

Theory Description:
Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.
Describe the major concepts of the theory. How are they defined? (theoretically and/or operationally) Is the author consistentin the use of the concepts and other terms in the theory?
Interpret how the concepts are defined. Implicitly or explicitly?
Examine the relationships (propositions) among the major concepts.
14

18

14

14

Evaluation:
Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
Discuss the clarity of the theory. Did it have lucidness and consistency?
20

20

20

Application:
Examine how the theory would guide nursing actions.
Describe specificallyhow you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).


 

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Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?What is the normal number for the Glascow Coma Scale?

Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?What is the normal number for the Glascow Coma Scale?

Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?What is the normal number for the Glascow Coma Scale?

a. 7

b. 9

c. 10
d. 15


 

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