NURS 6551 Week 9 Assignment: Practicum Experience Journal

NURS 6551 Week 9 Assignment: Practicum Experience Journal

NURS 6551 Week 9 Assignment: Practicum Experience Journal

Practicum –Journal Entry Week 9

Introduction

For this journal entry, I will reflect on a patient who presented with postpartum depression during my Practicum Experience. I will describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. Then, I will explain the implications of the patient’s postpartum depression, including how this might impact the entire family unit. NURS 6551 Week 9 Assignment: Practicum Experience Journal.

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6551 Week 9 Assignment: Practicum Experience Journal

NURS 6551 Week 10 Discussion: Diagnosing and Managing Common Cardiovascular and Neurologic Conditions

Cardiovascular and neurologic conditions are among the leading causes of death and hospitalization of women in the United States (Centers for Disease Control and Prevention, 2008a). As an advanced practice nurse, you must routinely monitor patients at risk of these conditions and recommend the appropriate health screenings and preventive services. When assessing patients for these conditions, it is important to keep in mind that while some female patients might present with typical signs and symptoms, others might present with atypical signs and symptoms that are unique to women. For this NURS 6551 Week 10 Discussion, consider signs and symptoms presented by the women in the following case studies and develop differential diagnoses:

NURS 6551 Week 10 Case Study 1

A 48-year-old overweight African American female is in the clinic for a wellness visit. A routine fasting lipid panel returned with the following results:

  • Total cholesterol: 305 mmol/L
  • Low-density lipoprotein (LDL): 180 mg/dl
  • High-density lipoprotein (HDL): 30 mg/dl
  • Triglycerides: 165 mg/dl

NURS 6551 Week 10 Case Study 2

You are seeing a 63-year-old African American female for a two-week history of intermittent chest pain. The pain varies in intensity and resolves with rest. She does not believe it has increased over time. She is a nonsmoker with a history of hypertension treated with Lisinopril 10 mg once daily. She had an exercise stress test one year ago that was within normal limits. Her physical exam findings are as follows: HR–90, BP–150/92, R–22, O2Sat 98% RA; lungs: clear to auscultation bilaterally; cardiovascular: apical pulse of 90 RRR, no rubs, murmurs, or gallops. Chest wall mildly tender to palpation that reproduces her complaint of pain. Extremities include no clubbing, cyanosis, or edema. The remainder of the exam is within normal limits. NURS 6551 Week 9 Assignment: Practicum Experience Journal.

NURS 6551 Week 10 Case Study 3

A 32-year-old Asian American female is in the clinic for a history of recurrent headaches for the past year, occurring monthly, lasting up to 12–18 hours. The headaches are sometimes associated with photophobia, nausea, and vomiting. She takes either acetaminophen or ibuprofen for relief that is not always successful. She uses Ortho Tricyclin for birth control. Her physical exam is within normal limits.

To prepare:

  • Review Chapter 8 of the Tharpe et al. text and the McSweeney et al. article in this week’s Learning Resources.
  • Review and select one of the three provided case studies. Analyze the patient information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
  • Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.

Post at least 250 words

1.     an explanation of the differential diagnosis for the patient in the case study you selected.

2.     Explain which is the most likely diagnosis for the patient and why.

3.     Then, based on the appropriate clinical guidelines, explain a treatment and management plan for the patient, including proper dosages for any recommended treatments.

4.     Finally, explain strategies for educating patients on the disorder.

NURS 6551 Week 10 Assignment 1: Application – Best Practices

For over 20 years, the Women’s Health Initiative (WHI) study has conducted research trials to examine factors that impact risks and development of conditions that impact women such as heart disease, breast and colorectal cancer, and osteoporotic fractures in postmenopausal women. Health care providers use results from these trials to develop guidelines for delivering care to patients. In your role in clinical settings, you must be familiar with these guidelines, and you must be aware that through clinical practice, guidelines frequently evolve and change. Often, what is considered a best practice today might not be a best practice in the future. For this Assignment, you compare guidelines outlined in the WHI study to current best practices for assessing and managing conditions.

To Prepare:

  • Review the Women’s Health Initiative article in this week’s Learning Resources. Select one disorder presented in this study. https://www.nhlbi.nih.gov/whi/background.htm
  • Locate and select a research article that addresses current best practices for assessing and managing the disorder you selected. Be sure that the research article you select is from a reputable source.
  • Consider the similarities and differences between the best practices presented in the WHI study and the article you selected. Think about the potential impact of differences in best practices on women’s health.
  • Consider whether the best practices in the article you selected should be used in clinical practice.

To Complete:

Write a 2- to 3-page paper that addresses the following:

  1. Describe the disorder you selected from the Women’s Health Initiative study.
  2. Explain the current best practices for assessing and managing this disorder as suggested in the research article you selected. (support with current references)
  3. Compare the best practices presented in the WHI study to the current best practices presented in the article.
  4. Explain how the differences in best practices might impact women’s health.
  5. Explain whether you think the current best practices in the article you selected should be used in clinical practice. Support your position with evidence-based research.

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting. NURS 6551 Week 9 Assignment: Practicum Experience Journal.

NURS 6551 Discussion Diagnosing and Managing Common Endocrine and Musculoskeletal Conditions

Endocrine and musculoskeletal conditions, especially when left untreated, can have a significant impact on women’s health. Many of these conditions present unique challenges for women, making risk assessments and routine screenings an important part of primary care. As an advanced practice nurse, you must identify signs and symptoms of these conditions and educate at-risk patients so they can also monitor themselves. For this, consider how you would diagnose, treat, and educate the patients in the following three case studies:

Case Study 2 (diagnosis Polycystic Ovary Syndrome)

A 28-year-old Latina obese female presents to the clinic with increasing body hair and irregular menses. She now has coarse body hair on her chest and upper back. Her menstrual periods used to be fairly regular, but now she can skip three or four months before her next menstrual cycle. She has never been pregnant. She has one male sex partner.

Case Study 3 ( diagnosismultiple sclerosis)

A 28-year-old Caucasian female comes to clinic concerned about three episodes of urinary incontinence associated with difficulty walking. The first two episodes resolved spontaneously after a couple of days without residuals, but this current episode has lasted a week. Today she began to have some blurred vision. Physical exam is remarkable for mild edema of the optic disc and difficulty with heel-to-toe walking. Deep tendon reflexes are 2+ and there is no extremity weakness.

To prepare:

  • Review Chapter 8 of the Tharpe et al. text and the McSweeney et al. article in this week’s Learning Resources.
  • Review and select one of the three provided case studies. Analyze the patient information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
  • Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.

Post 250 words (no introduction or conclusion)

1. explanation of the differential diagnosis for the patient in the case study you selected.

2. Explain which is the most likely diagnosis for the patient and why.

3. Then, based on the appropriate clinical guidelines, explain a treatment and management plan for the patient, including proper dosages for any recommended treatments.

4.  Finally, explain strategies for educating patients on the disorder.

NURS 6551 Week 9 Assignment: Practicum Experience Journal.

Course Rubric

Grid View List View Outstanding Performance Excellent Performance Competent Performance Proficient Performance Room for Improvement   Main Posting:
Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.           Points:
Points Range:    44 (44%) – 44 (44%)

Thoroughly responds to the discussion question(s) is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

supported by at least 3 current, credible sources
   Feedback:           Points:
Points Range:    40 (40%) – 43 (43%)

Responds to the discussion question(s)

is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

75% of post has exceptional depth and breadth  supported by at least 3 credible references
   Feedback:           Points:
Points Range:    35 (35%) – 39 (39%)

Responds to most of the discussion question(s). NURS 6551 Week 9 Assignment: Practicum Experience Journal.

is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

50% of post has exceptional depth and breadth supported by at least 3 credible references
   Feedback:           Points:
Points Range:    31 (31%) – 34 (34%)

Responds to some of the discussion question(s)

one to two criteria are not addressed or are superficially addressed is somewhat lacking reflection and critical analysis and synthesis  somewhat represents knowledge gained from the course readings for the module.

post is cited with  fewer than 2 credible references
   Feedback:           Points:
Points Range:    0 (0%) – 30 (30%)

Does not respond to the discussion question(s)

lacks depth or superficially addresses criteria

lacks reflection and critical analysis and synthesis

does not represent knowledge gained from the course readings for the module.

contains only 1 or no credible references
   Feedback:     Main Posting:
Writing           Points:
Points Range:    6 (6%) – 6 (6%)

Written clearly and concisely

Contains no grammatical or spelling errors

Fully adheres to current APA manual writing rules and style
   Feedback:           Points:
Points Range:    5.5 (5.5%) – 5.5 (5.5%)

Written clearly and concisely

May contain one or no grammatical or spelling error

Adheres to current APA manual writing rules and style. NURS 6551 Week 9 Assignment: Practicum Experience Journal.
   Feedback:           Points:
Points Range:    5 (5%) – 5 (5%)

Written concisely

May contain one to two grammatical or spelling error

Adheres to current APA manual writing rules and style
   Feedback:           Points:
Points Range:    4.5 (4.5%) – 4.5 (4.5%)

Written somewhat concisely

May contain more than  two spelling or grammatical errors

Contains some APA formatting errors
   Feedback:           Points:
Points Range:    0 (0%) – 4 (4%)

Not written clearly or concisely

Contains more than two spelling or grammatical errors

Does not adhere to current APA manual writing rules and style
   Feedback:     Main Posting:
Timely and full participation           Points:
Points Range:    10 (10%) – 10 (10%)

Meets requirements for timely and full participation

posts main discussion by due date
   Feedback:           Points:
Points Range:    0 (0%) – 0 (0%)

NA
   Feedback:           Points:
Points Range:    0 (0%) – 0 (0%)

NA
   Feedback:           Points:
Points Range:    0 (0%) – 0 (0%)

NA
   Feedback:           Points:
Points Range:    0 (0%) – 0 (0%)

Does not meet requirement for full participation. Assignment: NURS 6551 Week 9 Discussion Essay
   Feedback:     First Response:

Post to colleague’s main post that is reflective and justified with credible sources.           Points:
Points Range:    9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings

responds to questions posed by faculty

the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives

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   Feedback:           Points:
Points Range:    8.5 (8.5%) – 8.5 (8.5%)

Response exhibits critical thinking and application to practice settings
   Feedback:           Points:
Points Range:    7.5 (7.5%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting
   Feedback:           Points:
Points Range:    6.5 (6.5%) – 7 (7%)

Response is on topic, may have some depth
   Feedback:           Points:
Points Range:    0 (0%) – 6 (6%)

Response may not be on topic, lacks depth
   Feedback:     First Response:
Writing           Points:
Points Range:    6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues

Response to faculty questions are fully answered if posed

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English
   Feedback:           Points:
Points Range:    5.5 (5.5%) – 5.5 (5.5%)

Communication is professional and respectful to colleagues

Response to faculty questions are answered if posed

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English
   Feedback:           Points:
Points Range:    5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues

Response to faculty questions are mostly answered if posed

Provides opinions and ideas that are supported by few credible sources

Response is written in Standard Edited English.
   Feedback:           Points:
Points Range:    4.5 (4.5%) – 4.5 (4.5%)

Responses posted in the discussion may lack effective professional communication

Response to faculty questions are somewhat answered if posed

Few or no credible sources are cited
   Feedback:           Points:
Points Range:    0 (0%) – 4 (4%)

Responses posted in the discussion lack effective

Response to faculty questions are missing

No credible sources are cited
   Feedback:     First Response:
Timely and full participation           Points:
Points Range:    5 (5%) – 5 (5%)

Meets requirements for timely and full participation

posts  by due date
   Feedback:           Points:
Points Range:    0 (0%) – 0 (0%)

NA
   Feedback:           Points:
Points Range:    0 (0%) – 0 (0%)

NA
   Feedback:           Points:
Points Range:    0 (0%) – 0 (0%)

NA
   Feedback:           Points:
Points Range:    0 (0%) – 0 (0%)

Does not meet requirement for full participation
   Feedback:     Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.           Points:
Points Range:    9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings * responds to questions posed by faculty

the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives
   Feedback:           Points:
Points Range:    8.5 (8.5%) – 8.5 (8.5%)

Response exhibits critical thinking and application to practice settings
   Feedback:           Points:
Points Range:    7.5 (7.5%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting
   Feedback:           Points:
Points Range:    6.5 (6.5%) – 7 (7%)

Response is on topic, may have some depth
   Feedback:           Points:
Points Range:    0 (0%) – 6 (6%)

Response may not be on topic, lacks depth
   Feedback:     Second Response:
Writing           Points:
Points Range:    6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues. NURS 6551 Week 9 Assignment: Practicum Experience Journal.

Response to faculty questions are fully answered if posed

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English
   Feedback:           Points:
Points Range:    5.5 (5.5%) – 5.5 (5.5%)

Communication is professional and respectful to colleagues

Response to faculty questions are answered if posed

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English
   Feedback:           Points:
Points Range:    5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues

Response to faculty questions are mostly answered if posed

Provides opinions and ideas that are supported by few credible sources

Response is written in Standard Edited English
   Feedback:           Points:
Points Range:    4.5 (4.5%) – 4.5 (4.5%)

Responses posted in the discussion may lack effective professional communication

Response to faculty questions are somewhat answered if posed

Few or no credible sources are cited
   Feedback:           Points:
Points Range:    0 (0%) – 4 (4%)

Responses posted in the discussion lack effective

Response to faculty questions are missing

No credible sources are cited
   Feedback:     Second Response:
Timely and full participation           Points:
Points Range:    5 (5%) – 5 (5%)

Meets requirements for timely and full participation

Posts  by due date
   Feedback:           Points:
Points Range:    0 (0%) – 0 (0%)

NA
   Feedback:           Points:
Points Range:    0 (0%) – 0 (0%)

NA
   Feedback:           Points:
Points Range:    0 (0%) – 0 (0%)

NA
   Feedback:           Points:
Points Range:    0 (0%) – 0 (0%)

Does not meet requirement for full participation

   Feedback:   

Show DescriptionsShow Feedback
Main Posting:
Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.–Levels of Achievement:Outstanding Performance44 (44%) – 44 (44%)
Thoroughly responds to the discussion question(s)

is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

supported by at least 3 current, credible sources
Excellent Performance40 (40%) – 43 (43%)
Responds to the discussion question(s)

is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

75% of post has exceptional depth and breadth

supported by at least 3 credible references
Competent Performance35 (35%) – 39 (39%)
Responds to most of the discussion question(s)

is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

50% of post has exceptional depth and breadth

supported by at least 3 credible references
Proficient Performance31 (31%) – 34 (34%)
Responds to some of the discussion question(s)

one to two criteria are not addressed or are superficially addressed

is somewhat lacking reflection and critical analysis and synthesis

somewhat represents knowledge gained from the course readings for the module.

post is cited with  fewer than 2 credible references
Room for Improvement0 (0%) – 30 (30%)
Does not respond to the discussion question(s)

lacks depth or superficially addresses criteria

lacks reflection and critical analysis and synthesis

does not represent knowledge gained from the course readings for the module.

contains only 1 or no credible referencesFeedback:

Main Posting:
Writing–Levels of Achievement:Outstanding Performance6 (6%) – 6 (6%)
Written clearly and concisely

Contains no grammatical or spelling errors

Fully adheres to current APA manual writing rules and style
Excellent Performance5.5 (5.5%) – 5.5 (5.5%)
Written clearly and concisely

May contain one or no grammatical or spelling error

Adheres to current APA manual writing rules and style
Competent Performance5 (5%) – 5 (5%)
Written concisely

May contain one to two grammatical or spelling error

Adheres to current APA manual writing rules and style
Proficient Performance4.5 (4.5%) – 4.5 (4.5%)
Written somewhat concisely.

May contain more than  two spelling or grammatical errors.

Contains some APA formatting errors
Room for Improvement0 (0%) – 4 (4%)
Not written clearly or concisely

Contains more than two spelling or grammatical errors

Does not adhere to current APA manual writing rules and styleFeedback:

Main Posting:
Timely and full participation–Levels of Achievement:Outstanding Performance10 (10%) – 10 (10%)
Meets requirements for timely and full participation

posts main discussion by due date
Excellent Performance0 (0%) – 0 (0%)
NA
Competent Performance0 (0%) – 0 (0%)
NA
Proficient Performance0 (0%) – 0 (0%)
NA
Room for Improvement0 (0%) – 0 (0%)
Does not meet requirement for full participationFeedback:

First Response:

Post to colleague’s main post that is reflective and justified with credible sources.–Levels of Achievement:Outstanding Performance9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings

responds to questions posed by faculty

the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives
Excellent Performance8.5 (8.5%) – 8.5 (8.5%)
Response exhibits critical thinking and application to practice settings
Competent Performance7.5 (7.5%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting
Proficient Performance6.5 (6.5%) – 7 (7%)
Response is on topic, may have some depth
Room for Improvement0 (0%) – 6 (6%)
Response may not be on topic, lacks depthFeedback:

First Response:
Writing–Levels of Achievement:Outstanding Performance6 (6%) – 6 (6%)
Communication is professional and respectful to colleagues

Response to faculty questions are fully answered if posed

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English
Excellent Performance5.5 (5.5%) – 5.5 (5.5%)
Communication is professional and respectful to colleagues. NURS 6551 Week 9 Assignment: Practicum Experience Journal.

Response to faculty questions are answered if posed

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English
Competent Performance5 (5%) – 5 (5%)
Communication is mostly professional and respectful to colleagues

Response to faculty questions are mostly answered if posed

Provides opinions and ideas that are supported by few credible sources

Response is written in Standard Edited English
Proficient Performance4.5 (4.5%) – 4.5 (4.5%)
Responses posted in the discussion may lack effective professional communication

Response to faculty questions are somewhat answered if posed

Few or no credible sources are cited
Room for Improvement0 (0%) – 4 (4%)
Responses posted in the discussion lack effective

Response to faculty questions are missing

No credible sources are citedFeedback:

First Response:
Timely and full participation–Levels of Achievement:Outstanding Performance5 (5%) – 5 (5%)
Meets requirements for timely and full participation

posts  by due date
Excellent Performance0 (0%) – 0 (0%)
NA
Competent Performance0 (0%) – 0 (0%)
NA
Proficient Performance0 (0%) – 0 (0%)
NA
Room for Improvement0 (0%) – 0 (0%)
Does not meet requirement for full participationFeedback:

Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.–Levels of Achievement:Outstanding Performance9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings * responds to questions posed by faculty

the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives
Excellent Performance8.5 (8.5%) – 8.5 (8.5%)
Response exhibits critical thinking and application to practice settings
Competent Performance7.5 (7.5%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting
Proficient Performance6.5 (6.5%) – 7 (7%)
Response is on topic, may have some depth
Room for Improvement0 (0%) – 6 (6%)
Response may not be on topic, lacks depthFeedback:

Second Response:
Writing–Levels of Achievement:Outstanding Performance6 (6%) – 6 (6%)
Communication is professional and respectful to colleagues

Response to faculty questions are fully answered if posed

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English
Excellent Performance5.5 (5.5%) – 5.5 (5.5%)
Communication is professional and respectful to colleagues

Response to faculty questions are answered if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English
Competent Performance5 (5%) – 5 (5%)
Communication is mostly professional and respectful to colleagues

Response to faculty questions are mostly answered if posed

Provides opinions and ideas that are supported by few credible sources

Response is written in Standard Edited English
Proficient Performance4.5 (4.5%) – 4.5 (4.5%)
Responses posted in the discussion may lack effective professional communication

Response to faculty questions are somewhat answered if posed

Few or no credible sources are cited
Room for Improvement0 (0%) – 4 (4%)
Responses posted in the discussion lack effective

Response to faculty questions are missing

No credible sources are citedFeedback:

Second Response:
Timely and full participation–Levels of Achievement:Outstanding Performance5 (5%) – 5 (5%)
Meets requirements for timely and full participation

Posts  by due date
Excellent Performance0 (0%) – 0 (0%)
NA
Competent Performance0 (0%) – 0 (0%)
NA
Proficient Performance0 (0%) – 0 (0%)
NA
Room for Improvement0 (0%) – 0 (0%)
Does not meet requirement for full participationFeedback:

Total Points: 100