...response to actual or potential health problems amendable to a nursing regimen. 2. Executing a nursing regimen through the selection, performance, management and evaluation of nursing actions.’ 3. Assessing health status for the purpose of providing nursing care. 4. Providing health counseling and health teaching. 5. Teaching administering, supervising, delegating and evaluating nursing practice. (Law regulating the practice of nursing, dialysis care and community health workers., 2013) (Ohio Board of Nursing) An advanced practice RN is a registered nurse who has completed and advanced graduate-level education program and has passed a national certification examination in order to practice in one of four APRN (advanced practice registered nurse) roles, such as: clinical nurse specialist, nurse midwife, nurse practitioner, and registered nurse anesthetist. (Laura A. Stokowski RN, 2015) Prescriptive privileges allows APRN(advanced practice registered nurse) to have the ability to prescribe, without limitation, legend(prescription)and controlled drugs, devices, adjunct health/medical...
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...construct and organize knowledge • ability to integrate and synthesize knowledge • ability to apply quantitative and qualitative concepts Proficiency • ability to solve practical problems • ability to collaborate with multiple disciplines • ability to communicate effectively • ability to practice competently and skillfully in a changing health-care environment Culture Care Values • ability to preserve/maintain cultural identities • ability to accommodate/negotiate diverse life ways • ability to re-pattern/restructure health-care delivery methods • ability to apply ethical and legal principles to health care The Associate of Science in Nursing Program (ASN) is a two-year program of study combining didactic and clinical nursing courses as well as general education courses. The Program prepares beginning nurses who function as providers and leaders of direct and indirect nursing care for diverse individuals, families, and groups. The ASN graduates function as collaborative members within the discipline of nursing and the health care team. The ASN graduates use basic knowledge of therapeutic nursing interventions, communication, culture, critical thinking,...
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...as an undergraduate at The University of Nottingham introduced me to the fundamental aspects of cell biology, genetics and cellular control, as well as essential chemistry covering molecular structure and bonding and reactivity. Over the course of the three years I was able to learn about the significance of regulatory processes in metabolic pathways, and covered macromolecular structural analysis and function, as well as gene structure and function in greater depth. In our final year we were introduced to pathology of diseases, and the use of biochemistry in research, diagnosis and treatment. Although the topic of cancer had been briefly exemplified in previous years, the Advanced Biochemistry and Advanced Biochemistry of Cancer modules provided me with more in depth knowledge on key topics. Advanced Biochemistry of cancer focused on the nature and function of oncogenes and...
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...argues that baccalaureate-degree level nurses are better prepared to provide safe, competent care than associate-degree level, and diploma-degree level nurses. Nursing is an ever evolving practice. Throughout the history of nursing, practices have changed, medicine has advanced, and the need for higher education among clinicians has increased. There has been ongoing research related to nursing practice, comparing the care provided by both baccalaureate-degree level nurses and associate-degree and diploma-degree level nurses to analyze the safety, and level of care that is being provided. Research has provided evidence that nurses with baccalaureate degree have fewer errors with medication administration, have a lower rate of mortality, and have also proved a better overall outcome (Rosseter, 2012). Baccalaureate-degree nurses have an advantage over associate-degree and diploma-degree nurses related to their advanced educational preparation. Nurses who have graduated with an associate’s degree or with a bachelor’s degree have both studied: the fundamentals of nursing; pathophysiology; pharmacology; the history of nursing; nursing across the lifespan, and physical and mental health. Both courses of study have also included: math, psychology, sociology, and multiple science courses. The difference between the four year Bachelors of Science in nursing BSN, and the two year associate-degree nurse ADN, is the in-depth training that the BSN learns and the ADN does not. According...
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...My mother spent majority of her time working and because of this I spent the majority of my time with my grandmother. Being raised by my grandmother and caring for her once she became ill sparked my passion and the love I have for the older adult population. My flame and passion for working with the older adult population was ignited when I had the experience of working in a nursing home while completing clinical studies. I have come to the conclusion that caring for older adults is a gratifying and rewarding experience. I believe that this is the field I can make the most difference in because it is one that I am sincerely passionate about. This passion I have, is the single most important attribute in why I will be successful, if awarded the opportunity to...
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...NUR 641E Complete Class Click Link Below To Buy: http://hwcampus.com/shop/nur-641e-complete-class/ Advanced Pathophysiology and Pharmacology for Nurse Educators Discussion Questions week 1-8 Week 1: Question 1= Find an article on a genetic disorder and summarize in two or three paragraphs the genetic component causing the disorder and any multifactorial inheritance components that may contribute to the disorder. Discuss the usual age of disease onset and if the sex-specific threshold model fits the disorder. What education could you present to high-risk patients to reduce the risk of disease onset if a multifactorial component exists? Question 2= Genetic screening has become widely available to the public including prenatal screening of the fetus in utero to screening adults for genetic disorders, such as Parkinson's disease and breast cancer. Share your thoughts on the legal, ethical, and social implications that may be related to genetic screening. How would you educate your patient that is considering having genetic screening? Week 2: Question 1= Choose an FDA-approved prescription medication and discuss the pharmacokinetics and pharmacodynamics of the medication, including any differences that would be expected based on the patient's age, a condition of pregnancy, or lactation. Address any adverse effects the medication may have based on age, pregnancy, or lactation. Question 2= Active acquired immunity can be achieved through the...
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...increased fear of the healthcare setting and postponement of necessary immunizations and procedures by the patients and parents. Close examination of the concept of pain – specifically, procedural pain in the young child age group in the emergency department (ED) setting, is necessary for understanding how nursing practice may be improved in order to produce a more positive patient experience. A thoughtful review of current literature will provide insight into the concept of pediatric pain, permitting a detailed analysis. This analysis will assist in the formulation of theoretical and operational definitions of the concept for use in further study. Review of Literature A review of literature was conducted to compare and contrast views of the concept of pain across multiple disciplines. The disciplines chosen are nursing, psychology, and pharmacology due to their close multidisciplinary relationship regarding the concept, assessment, and treatment of pediatric procedural pain in the young child age group. Nursing Discipline Original research conducted by Nilsson, Hallqvist, Sidenvall, and Enskar (2011) explores...
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...retirement age is 67, reduced benefits age can be taken at age 62. Chemistry is an important subject in the career of a nurse, why? Because nursing students need to have a good knowledge of chemistry, because it deals with organic matter and its reaction to different kinds of chemicals. This course is very important because deals with various kinds of drugs on the human body as well. Organic chemistry focuses on a specific type of matter that contains carbon atom. General level chemistry is another type nurses must know and nurses learn the periodic table is usually the most basic and fundamental topic that is covered during the course. Biochemistry is also another subject that studies various activities that take place in the body of a living being and the chemical processes that go on in the body. Pharmacology is also a subject student must know because it has various kinds of drugs and the reactions of these drugs on the human...
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...Ovarian Cancer Michelle Blevins Sullivan University HIM110X Pathophysiology with Pharmacology I March 3, 2014 Abstract Ovarian cancer is a growth of abnormal malignant cells that begins in the ovaries (women’s reproductive glands that produce ova). Cancer that spreads to the ovaries but originates at another site is not considered ovarian cancer. Ovarian tumors can be benign (noncancerous) or malignant (cancerous). Although abnormal, cells of benign tumors do not metastasize (spread to other parts of the body). Malignant cancer cells in the ovaries can metastasize in two ways: directly to other organs in the pelvis and abdomen (the more common way), through the bloodstream or lymph nodes to other parts of the body. While the causes of ovarian cancer are unknown, some theories exist: Genetic errors may occur because of damage from the normal monthly release of an egg. Increased hormone levels before and during ovulation may stimulate the growth of abnormal cells. Keywords: ovarian cancer, malignant, cells, metastasize Ovarian Cancer Ovarian Cancer is the most common cause of cancer death from gynecologic tumors in the United States. Malignant ovarian lesions include primary lesions arising from normal structures within the ovary and secondary lesions from cancers arising elsewhere in the body. Primary lesions include epithelial ovarian carcinoma, germ-cell tumors, sex-cord stromal tumors, and other more rare types. Metastases to the ovaries are relatively...
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...High-Risk Family Assessment and Health Promotion Paper Shova Rajbhandari NUR/542 April 23rd, 2012 Tracy Kramer MSN, RNC, FNP High-Risk Family Assessment and Health Promotion Paper For High risk family assessment: Intravenous Drug users (IDUs) family is chosen Common health issues /profile among members or families from this high-risk group: Drug abuse involves the regular taking of a deleterious or noxious quantity of any drug, prescribed or illicit over a period of time (Freidman, 2003). Those people who become severely drug dependent most often need specialized treatment in order to recover. A wide range of treatment is available through private sector and public sector. Recovery treatment centers usually incorporate the family into treatment plan, which makes it more effective in their treatment of the substance abuser. > HIV positive IDU and family members > IDU has a wide range of coinfections, coinfections, comorbidities and injecting related health issues. The common health problems in this IDU family are: • Infection with blood borne viruses, including hepatitis B, C and D (delta) leading to liver diseases • Bacterial infections: tuberculosis, bacterial pneumonia, • Alcohol dependence and alcohol-related liver disease • Poly substance dependence • Psychiatric comorbidity, including depression. • Deep venous thrombosis (DVT) • Local soft tissue and vascular injuries, including skin abscesses and...
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...education in order to highlight the need to pursue a BSN level of education. Research conducted by Poster et al. (2005) notes differing curriculum for each type of nursing program produces a difference in entry-level postgraduate competencies within clinical behavior, judgments and knowledge base. These differences according to the American Association of Colleges of Nursing (2005) are largely in the “research, theory, public and community health, management, and humanities (AACN, 2005). The associate degree education was a response to nursing shortages and provided an affordable, rapid educational choice to motivated individuals who wanted to enter the medical field. The education is provided at a community college covering the sciences, pharmacology and clinical skills. The two-year nature of the program doesn’t provide the time or development for critical thinking skills in addition to research, theory, public health,...
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...education in order to highlight the need to pursue a BSN level of education. Research conducted by Poster et al. (2005) notes differing curriculum for each type of nursing program produces a difference in entry-level postgraduate competencies within clinical behavior, judgments and knowledge base. These differences according to the American Association of Colleges of Nursing (2005) are largely in the “research, theory, public and community health, management, and humanities (AACN, 2005). The associate degree education was a response to nursing shortages and provided an affordable, rapid educational choice to motivated individuals who wanted to enter the medical field. The education is provided at a community college covering the sciences, pharmacology and clinical skills. The two-year nature of the program doesn’t provide the time or development for critical thinking skills in addition to research, theory, public health,...
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...Received 4 April 2007; accepted 7 April 2007 Available online 21 April 2007 Abstract Many therapeutic agents are prepared in prodrug forms, which are classified into Type I, II and subtypes A, B based on their sites of conversion. Recently, an increasing number of INDs have appeared as Type II prodrugs that often contain dual tracks of toxicity profile exploration, one on the prodrug and another on the active drug. A comparative toxicology analysis is introduced here to assist reviewers to evaluate the dual toxicity profiles effectively. The analysis helps determine which toxicity is contributed by the prodrug itself, its intermediates, or the active drug itself. As prodrug INDs, or any other new molecular entity (NME) INDs progress into advanced phases of toxicology development, analysis of time-dependent component of toxicity expression, regarding the emergence of new target organs over time, becomes more significant. A strategy is developed to address Pharm/Tox issues such as what duration is required for a toxicity to emerge at the exposure level achieved or dose studied, how many animals in the group are affected, whether the toxicity is a cross-species phenomenon, and whether it is reversible, etc. In conclusion, dual-track comparative toxicology can be useful in the understanding of Type II prodrug’s mechanism of toxicity, and that time-dependent toxicology analysis offers means to detecting new toxicity emergence over time. Both approaches could significantly facilitate...
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...Nursing 2020 John Doe University of Phoenix Professional Dynamics JMS-007V Jane Doe October 12, 2011 Nursing 2020 The growing demands of our society today with respect to our aging population, diverse ethnic backgrounds, health reforms, discovery of new medications and diseases, and development of new medical technologies serves as a clear warning for the nursing profession that something needs to be done to keep up with the pace. “With more than 3 million members, the nursing profession is the largest segment of the nation’s health care workforce” ("Report," 2010). The message of the Institute of Medicine (IOM) in regards to the future of nursing clearly states that changes should be made in its field in order to meet these emerging demands. As stated in the IOM report on The Future of Nursing: “A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care setting and an evolving health care system. These barriers need to be overcome to ensure that nurses are well-positioned to lead change and advance health” ("Report," 2010). Because of this, focus in the changes in education, nursing practice, nursing role, and leadership are the key requirements for nurses today. If changes are not started at this time, then the future of quality and safe nursing care is at risk. Knowledge is power, and quality education is needed to acquire knowledge. “A more educated nursing workforce would be better equipped to meet the demands...
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...CASE STUDY 1 Acute coronary syndrome Patrick Gallagher Case outline Peter Brown is a 58-year-old gentleman who has experienced an episode of crushing central chest pain while at work. Peter works as a taxi driver and a colleague has taken him to the Accident and Emergency Department. On admission, Peter is sweaty, clammy, nauseated and short of breath. He is complaining of chest pain radiating to his left arm. This is Peter’s first presentation to hospital and he has no relevant past medical history. Peter smokes approximately 20–30 cigarettes per day and takes alcohol at weekends only. Peter is anxious and is concerned that his wife and children are informed. He also states his father died suddenly following a heart attack a number of years ago. Peter is immediately triaged and taken to the resuscitation room. You are the receiving nurse. Observations on admission include: Respiratory rate: 18 breaths per minute Oxygen saturations: 95% Blood pressure: 150/90 mmHg Pulse: 94 beats per minute Temperature: 37ºC. On admission to hospital an electrocardiograph (ECG) has been undertaken. Peter has been diagnosed with an anterior ST segment elevation myocardial infarction (anterior STEMI). Blood samples have also been drawn for urea and electrolytes (U&E), full blood picture (FBP) and highly sensitive troponin T. 1 Discuss Peter’s immediate problems and explain these using your knowledge of pathophysiology. A On admission to Accident and Emergency...
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