.State an overview of the patient’s condition and identify TWO priority nursing problems. Give a brief plan for the essay topics. • For the first problem (800 words): Briefly explain how it relates to the patient’s assessment data. Identify TWO priority nursing interventions to address the

Nursing Care of a Person with Angina

Mrs Brown (54 years) is brought to the emergency department by her husband following two episodes of chest pain, lasting approximately 15 minutes each, at work. She

reports she has had increasing frequency of angina in the last few weeks. She does however admit to not taking her medication as required as she believed she had

recovered from angina. Mrs Brown is admitted to hospital, to the medical ward, six hours later for further investigation. Her husband and family accompany her. She has

a history of hypertension, her weight is 120kg, and she currently has an executive management job. Observations on admission are temperature 37.2oC, pulse 110b/min,

respirations 24 respirations/min, and BP 146/89mmHg. You are working as a new graduate registered nurse on this ward. When you introduce yourself to Mrs Brown she

tells you how stressed she is in her current job with numerous projects to develop and manage and tells you “I have no time to exercise anymore and I?m so busy and so

tired my husband and I just end up eating take away a few times a week as I can?t be bothered cooking.” Later that evening you answer Mrs Brown?s nurse call bell and

she tells you she has chest pain now. She states she just went for a walk around the ward and started to feel a bit short of breath. She rubs her sternum and left

upper arm. She states her pain score is 9 out of 10. When you ask her to describe her pain she states “It feels like someone?s squeezing or pressing down on my chest,

it feels really tight.” She has an anxious look on her face, is pale and you can see her face is a little sweaty.

.State an overview of the patient’s condition and identify TWO priority nursing problems. Give a brief plan for the essay topics.
• For the first problem (800 words): Briefly explain how it relates to the patient’s assessment data. Identify TWO priority nursing interventions to address the

problem. Discuss briefly the nursing interventions you will implement (explain what is involved in implementing the intervention, why it is suitable, any relevant

positive or negative aspects/considerations) and support/justify the use of these interventions with reference to current evidence-based literature. Outline the

evaluation criteria/data that would indicate that each intervention is improving or resolving the identified problem.
• For the second problem (800 words): Briefly explain how it relates to the patient’s assessment data. Identify TWO priority nursing interventions to address the

problem. Discuss briefly the nursing interventions you will implement (explain what is involved in implementing the intervention, why it is suitable, any relevant

positive or negative aspects/considerations) and support/justify the use of these interventions with reference to current evidence-based literature. Outline the

evaluation criteria/data that would indicate that each intervention is improving or resolving the identified problem.
• Conclusion (100 words): Briefly restate the patient’s condition and problems and how the nursing interventions can benefit the patient’s health.

Examine the Evidence supporting a clinical topic and appraise the evidence underpinning this. Discuss the process of translating this evidence into clinical practice demonstrating an awareness of the factors that may inhibit the implementation of the best practice. 3000 words

Best PRACTICE IN ADULT NURSING

Order Description

Guidelines for assignment

Examine the Evidence supporting a clinical topic and appraise the evidence underpinning this. Discuss the process of translating this evidence into clinical practice

demonstrating an awareness of the factors that may inhibit the implementation of the best practice.

3000 words

1 Chose a topic wisely. Make sure that it is clear and of a sensible size; in reality not too big. It is also helpful, but not obligatory, to use a topic from your

eight week placement so that your work is really grounded in practice.
2 You can look at an area of hospital policy and evaluate its evidence base: this could be a care pathway, a hospital policy, a computerised care plan.
Or: you could look at a more general topic of nursing care, for example injection technique, and look at the evidence behind it.
It may be helpful to use the PICO formulation to clearly define an issue.
(PICO is: population; which patient group you will be looking at: gender or age, community or hospital settings etc.
Intervention: what test or treatment you are going to look at: medication, risk assessment tool etc. This could be a lot of different actions.
Comparison; Possibly an optional part of your PICO. If you want to compare a new intervention with the current standard practice for example.
Outcome: How you are going to measure how successful the intervention is: this could be in terms of morbidity or mortality rates, number of pressure sores etc.). Use

PICO to help your identify a clear problem, but do not be ruled by it.
3 You need to look at the evidence base for your chosen topic. This will require good literature searching skills and a clear account of the search strategy you used.

This will involve a discussion of the volume of research or writing about the topic, the time frame of this body of evidence and the kind of research: qualitative or

quantitative.
4 You will need to address the quality of the research. This will involve a discussion of the hierarchy of evidence. If there is a good systematic review on the topic,

this would normally count as very persuasive evidence in terms of influencing practice and would need to be a central part of your account… At the other end of the

spectrum the body of evidence might consist primarily of expert opinion then there might be more doubt over how trustworthy the findings are. Chronology is important

too. Research is iterative. This means it builds on previous work. Your account must take this into account. Often you will find the evidence is ambiguous and does not

give us a clear roadmap.
There needs to be some discussion of context and risk. If you are planning to change a practice which might slightly improve care and not put lives at risk (nursing

handover practice for example), you might accept different evidence than if changing practice which might have dramatic effects on mortality or morbidity (for instance

a major new anti-cancer drug).Your account must include a discussion of these issues.
5 You will need to address the quality of the research articles you have found. But this requires some flexibility. If the research base is very small, you will be

able to talk about the articles in some depth and assess their quality. If you have a large research base, then you will need a broader discussion of the nature of

this evidence base as a whole as there will not be enough space to look at each article in depth. But both approaches might be appropriate and a spectrum of approaches

in between.
6 The last quarter (roughly) of the assignment) will look at issues of implementation. What might be preventing change from taking place; attitudes, lack of clarity in

the evidence base, finance or education: there might be more… You might chose to use tools like SWOT or Force field analyses but certainly draw on the literature on

implementing good practice. If you feel that the practice has been implemented successfully, you certainly can write about why it was successful.
7 A brief conclusion bringing the key ideas together.

10 RESEARCH PAPERS TO SUPPORT THE TOPIC

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Develop the plan of care to address TWO of the identified problems with date, goals, outcomes, interventions, rationale, and evaluation criteria. • Goals are broad

Nursing Care Plan Criteria and Grading Rubric

1. Students will work individually to present nursing care plan.
2. The Student will select a patient from the clinical setting with a medical/surgical condition.
3. The clinical instructor will approve the patient selected prior to beginning work on the presentation into insure a variety medical conditions/diagnoses are chosen

and to avoid duplication.
4. A list of at least 3 references in the most recent APA format will be provided to the instructor. References must be recent (less than 5 yrs), nursing, and one

research article.
•   The care plan must be typed and appropriately formatted.
5. Identify and list all nursing diagnoses (problems that represent the patient’s responses to the medical diagnosis).
•   Care plans must include a minimum of one of each of the following nursing diagnoses
o   Physiological
o   Psychosocial
o   Knowledge deficit (teaching need)
Nursing Diagnosis (NANDA) __________________________________________________
Related to (what factors are causing the problem) ______________________________________
As evidenced by (assessment findings- what did you discover that lead you to develop the nursing diagnosis)

____________________________________________________________

6. Develop the plan of care to address TWO of the identified problems with date, goals, outcomes, interventions, rationale, and evaluation criteria.
• Goals are broad
• Outcomes are specific, measurable, realistic and concise steps that the patient must accomplish to achieve the general goal. Outcomes should flow from the

nursing diagnosis. You should aim to alleviate the problems identified in the “As Evidenced By” portion of your nursing diagnosis.
•   Interventions should include the rationale for doing them. Rationale must be based on data from the literature and references must be cited.
•   Patient education and discharge planning should be included in the interventions.
•   Evaluation criteria should state whether the outcomes are met. If outcomes have not been met, how are you going to revise the plan of care?

Stratford University School of Nursing
Nursing Care Plan Rubric

Student Name: _______________________ Date: _________________________

Instructor: ____________________________ Course: _____NSG   240    Clinical_
Objectives   Potential Points   Points Earned
Brief admission diagnosis and history included. Medical diagnosis defined.   3
Medications and Lab/Diagnostic Results and explanations accurate.   5
Correctly identifies all actual and potential nursing diagnoses and relates to pt history.   5
Correctly states selected nursing diagnoses (physiologic, psychosocial, knowledge deficit) including related to/as manifested by.   9
Establishes realistic goals to support nursing diagnoses.   6
Establishes measurable goal statements.   6
Short term goals support achievement of long term goals.   6
Interventions are clear and concise.   6
Interventions clearly support related goals.   6
Interventions include frequency of action   6
Rationales clearly support inclusion of intervention in care plan.   6
All rationales are supported by reference.   6
Expected outcomes relate to the interventions   6
Evaluation statements are clear and concise per guidelines.   6
Unmet goals include action plan (modifying plan or establishing a new time frame for evaluation).   5
References include at least two course textbooks and one nursing journal article; including APA format.   6
Care plan is typed, free of spelling/syntax/grammatical errors (4).
Care plan template appropriately used (3).   7
Total Score:   100

Final Evaluation: Satisfactory (80%)
If unsatisfactory, correct named deficiencies and resubmit for further evaluation on ____________

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Discuss how you would approach the case study as a Registered Practical Nurse (2 Paragraphs) 2 Discuss how the nursing process (ADPIE) would influence your caring of the patient in the case study (4 to 5 Paragraphs)

Mental Health;Nursing Theory Term 4 – Short Essays

The body of the paper will be 5-6 pages in length, not including title page and references page.

A minimum of 3 peer-reviewed or evidence-based sources (1 peer reviewed or researched journal article, 1 Foundational textbook in nursing, and 1 reputable internet

website) must be used for this paper.
Use of APA formatting from the “Publication Manual of APA 6th Edition” is required. You must use Level 1 headings in order to organize your academic paper.

Choose Only Two from the following three cases in order to complete your two short essay assignments:
Case A:
A client with paranoid schizophrenia has made a great deal of improvement. His hallucinations have abated; he is taking his medications, is compliant, and is

nonviolent. As the nurse is planning his discharge and discussing it with him, along with other members of the health care team, the client states, “I am not ready to

be discharged yet. I think I need to stay a bit longer.”
Case B:
Matt Wexler is being admitted to the psychiatric unit for violent behaviour. He is a 28-year-old member of the Canadian Armed Forces who has just returned from three

tours in Afghanistan. His girlfriend stated that he tried to strangle her when he confused her with an undercover Afghani secret agent. Marlene is the nursing student

assigned to Mr. Wexler. She reviews his intake forms and health care provider’s orders. His diagnoses are post-traumatic stress disorder, paranoia, and psychosis.
Case C:
Mrs. Celia Scherer is a 33-year-old woman admitted to the medical-surgical unit for management of a bowel infection secondary to a colostomy. She has had a colostomy

and colostomy pouch for three years, but she is not compliant in correctly cleaning the area and changing the dressing and pouch as required. She is placed on

antibiotics to fight the infection, intravenous fluids to maintain hydration, and nonsteroidal anti-inflammatory medications for pain. Lucy is the nursing student

assigned to Mrs. Scherer. Lucy’s priority in caring for Mrs. Scherer is to educate the patient about the importance of maintaining hygiene and to promote comfort.

Nursing Theory Term 4 – Short Essay
MARKING RUBRIC FOR EACH Short ESSAY:
Your Short Essay Must INCLUDE    Marks
Discuss how you would approach the case study as a Registered Practical Nurse (2 Paragraphs)    2
Discuss how the nursing process (ADPIE) would influence your caring of the patient in the case study (4 to 5 Paragraphs)   4
Conclusion: Brief summary of main points                (2 Paragraphs)   2
Conclusion: What influence will the knowledge gained from this assignment have on your future care of patients in similar situations as the one detailed in this case

study? (2 Paragraphs) 2
APA Format:
Title page; page numbers; font (Courier or Times New Roman 12); whole paper is double spaced; one inch margins; proper citation format within the body of the paper;

References List Page; minimum of 3 peer-reviewed or evidence-based sources; headings; and proper sentences, spelling, and grammar. 4
Total / 14

6 For this assignment, you will research an advanced nursing practice role and summarize your findings in a 3- to 5-page paper (excluding the title page, references and appendices): • Focusing on the specialty for which you were admitted to South University, select an advanced nursing role to research. (It must be one offered by South University.)

advanced nursing practice role

Order Description

6 For this assignment, you will research an advanced nursing practice role and summarize your findings in a 3- to 5-page paper (excluding the title page, references and

appendices):
• Focusing on the specialty for which you were admitted to South University, select an advanced nursing role to research. (It must be one offered by South University.)
• According to the NPSGs, distinguish the role as clinical or non-clinical and how it promotes patient safety.
• Find two research articles and one expert opinion article about this role, and summarize the articles in a 3- to 5-page paper.
• The articles must be current (not more than five years old).
• Cite your sources in correct APA format.
Note: For information on how to use the library, you can access a tutorial from theAcademic Resources tab under Course Home.
Name your document: SU_NSG5000_W1A4_LastName_FirstInitial.doc.

Assignment 4 Grading Criteria Maximum Points
Described the advanced practice nursing role from South University. 20
Distinguished the role as clinical or non-clinical and how it promotes patient safety according to the NPSGs. 20
Summarized two research articles. 20
Summarized one expert opinion article. 20
Used correct spelling, grammar, and professional vocabulary. Cited all sources using APA format. 20
Total: 100

Read the case study about “The Impact of the Affordable Care Act on North Carolina’s Uninsured Population” on pages 202–203 in Health policy and politics: A nurse’s guide (Laureate Education, Inc., custom ed.). Reflect on what you have learned from the readings and media segments about health care financing as you read the case study.

nursing

Order Description

Read the case study about “The Impact of the Affordable Care Act on North Carolina’s Uninsured Population” on pages 202–203 in Health policy and politics: A nurse’s guide (Laureate Education, Inc., custom ed.).
Reflect on what you have learned from the readings and media segments about health care financing as you read the case study.
To complete this Assignment, write a 4-page paper that addresses the following:
Explain the impact of the Affordable Care act on the population that it affected.
Explain the impact of the economics of providing care to patients from the organization’s point of view.
How will patients be affected in relationship to cost of treatment, quality of treatment, and access to treatment?
What are the ethical implications of this act for both the organization and the patients?

Read the case study about “The Impact of the Affordable Care Act on North Carolina’s Uninsured Population” on pages 202–203 in Health policy and politics: A nurse’s guide (Laureate Education, Inc., custom ed.). Reflect on what you have learned from the readings and media segments about health care financing as you read the case study.

nursing

Order Description

Instructions: Use this format to place information for your paper. Submit this brief outline as an assignment (paper draft) by the due date. Title of Paper I. Pathophysiology A. Causes B. Clinical manifestations C. Lab results D. Diagnostic Results

Nursing

Instructions: Use this format to place information for your paper. Submit this brief outline as an assignment (paper draft) by the due date.

Title of Paper

I.   Pathophysiology
A.   Causes
B.   Clinical manifestations
C.   Lab results
D.   Diagnostic Results
E.   Medications
F.   Anticipated Outcomes
G.   Physiologic Complications
H.   Psychological Complications
I.   Spiritual Complications
J.   Sources of Information
II.   Patient Problem
A.   Point in time
B.   Physiologic or Psychological
C.   Describe problem
III.   Nursing Theory
A.   Select ONE theory
B.   Why did you choose this theory?
C.   Source of Information
IV.   Goal and Interventions
A.   Goal (broad)
B.   Specific “as evidenced by” criteria which will determine goal is met
1.   Criteria #1
2.   Criteria #2
3.   Criteria #3
C.   Source of Information
D.   Intervention #1
1.   Rationale
2.   Source
E.   Intervention #2
1.   Rationale
2.   Source
F.   Intervention #3
1.   Rationale
2.   Source
V.   Outcomes (Describe how you would determine if goal is met. Reflect on each criteria from IV-B)
A.   Criteria #1
B.   Criteria #2
C.   Criteria #3
VI.   Application to Practice
A.   Influence of thinking
B.   One new piece of information
C.   How will information affect practice

Discuss what you value and who/what may have been influential in you adopting those values (Parents, Grandparents, Educational System, Military Service, Religion, etc.). Omit influences if you are exceeding page maximum

Personal Philosophy of Nursing Paper

Order Description

**Recommended Organization of Philosophy Paper**
(Be sure to follow APA format for headings and subheadings)
• Introduction (Do not use as a heading)
o Discuss the theorist you have chosen and why
• Beliefs About Each Major Theory Concept (Heading)
o State your beliefs about each major theory concept (client, health, environment, nursing)
o Use analysis and synthesis of cited references to support your
beliefs
? – Each concept (client, health, environment, & nursing) supported
by literature from noted authors or chosen theorist. Analyze and
synthesize cited literature to show how other authors support your
beliefs about each of the following (paraphrase or use quotes)
• Client
• Health
• Environment (Use these as sub-headings)
• Nursing
• Personal Values Related to Nursing Practice (Heading)
o Discuss what you value and who/what may have been influential in
you adopting those values (Parents, Grandparents, Educational
System, Military Service, Religion, etc.). Omit influences if you are
exceeding page maximum.
o Use analysis and synthesis of cited references to support your
values. Cite authors that support your values. Religious texts can be
used.
• Student’s Personal Nursing behaviors (Heading)
o Describe specific behaviors that you will demonstrate based on your
personal values.
o Use analysis and synthesis of cited references, especially your
theorist, to support these behaviors.
• Personal Philosophy of Nursing (Heading)
o State your personal philosophy of nursing. Keep it brief and concise,
something you could quote in a nursing interview. No need to cite
references here.
• Summary (Heading)
o This should summarize, in one paragraph, the earlier ideas
presented in the paper.
o You should not introduce new ideas in the summary
• Conclusion/Recommendations (Heading)
o This can be conclusions/recommendations related to your personal
nursing practice and also for the profession.

Additional criteria:
• Maximum of 5 pages (not including cover and reference page)
o Pages beyond 5 will not be grades, possibly resulting in loss of
points
• Be sure to check your grammar and spelling
• All cited content, articles, and studies must be relevant to within the
last 5 years.