Case Study: 25 y/o white female with melanoma

Case Study: 25 y/o white female with melanoma

Sally Smith, a 22yowf, presented to the clinic with a mole on her left shoulder that  she says has gotten larger and gotten darker in color in the last 6 months when she first noticed the mole.   She is a college student and says that the last 3 summers she has worked at a bar near the beach, but she goes to the beach every chance she gets.  She says she uses suntan lotion that is 30SPF.  While she is at school, she uses a tanning bed at least twice a week without protective lotion because “there’s no risk of cancer using the tanning bed”.  There are no other lesions.  Cite at least 3 sources in your answers and include on a reference list.

  1. Describe the skin lesion typical of melanoma (be sure to discuss ABCDE).
  2. What other types of skin cancer are common with exposure to sun? Describe each in terms of lesion appearance and diagnosis.
  3.  How would you respond to her statement “there’s no risk of cancer using the tanning bed”?
  4. Where does melanoma most often metastasize?
  5. What changes occur at the cellular level that lead to the development of melanoma?
  6. What are the current recommendations for treatment of melanoma? What is the prognosis for the different stages of malignant melanoma?
  7. What recommendations for follow up of an individual diagnosed with melanoma should be provided? ( be sure you address specific time intervals for follow up and what should be done at each visit)

 

 

 

 

 

PICOT Question Mental Health

PICOT Question Mental Health

This paper has to be written regarding developing a PICOT question. I want my PICOT question
to be related to mental health. I am going to send the instructions for this paper below. Please
read it and ensure that everything listed is correctly formatted on the paper. Especially the article
years and where you found them. Also, when it states to write why I picked the question, please
relate it to my nursing experience as I am a Trauma ICU nurse.
The purpose of this assignment is to develop a client-oriented, practical, and evidence-based
PICOT question. This will help with the development of your literature review and your research
proposal and presentation that are due later in the term.
Provide an introduction to the paper regarding your PICOT question.

Provide a comprehensive explanation of the question you are asking (can either be patient or
process-focused)
What made you think of the question in the first place?
Is there literature to support your question
Either in epidemiology (incidence, prevalence, population)
Has it been a problem that requires additional focus or research?
Ask your PICOT question in proper formatting.
The template is to be included per APA as an APPENDIX.
Find three (3) relative articles that address your question in some way- (within 5-7years)
Indicate briefly how you searched for your articles. i.e., What search engines did you use?
These articles must be peer review, BUT they can be opinions for this paper.
You do not need to go into extreme depth regarding the articles. This section is to support that
there is substance to your question.
Provide a conclusion to your paper
Use correct grammar and APA 7th

APRN Employment Contract Critique

APRN Employment Contract Critique

NB: You will use the attached NP Employment Contract

Scope of services to be performed and population (geriatrics)

  • TERMS OF EMPLOYMENT
  • DURATION
  • COMPENSATION
  • TERMINATION
  • NON COMPETE CLAUSE
  • PERFORMANCE EVALUATION
  • ON CALL RESPONSIBILITIES

This should be an APA formatted paper, and the above items should be listed as section headings where you critique under each section of the contract. As with any scholarly paper, there should be an introduction and conclusion. There should be evidence of analysis (not simply reporting the facts about the contract) by means of comparing some items (i.e. salary) to national or regional norms.

Expectations

  • Length: Approximately 500 words; or 2 pages, double-spaced
  • Style Format: APA format with title page and references

Death of a Salesman: Genograms

Read the book Death of a Salesman:

Death of a Salesman – Arthur Miller – play tells the story of a white lower middle-class family

with two sons. The story is about a broken-hearted salesman, Willy Loman. He is a man no

longer living in the real world but is mostly trapped in his own delusional world. He can’t let go of

the past no matter how hard he tries, and it’s eating him up inside. He wants to believe that his

family is a shoo-in for greatness, no matter how lonely and sad his wife is, or how much of a

player/swinger his youngest son is, or how confused and anti-business his oldest son is.

  1. Give a description of the family in the work you have read; who are the members; what are

their relationships with one another – use concepts learned from books to discuss relationships

(e.g., triangles; enmeshment; disengagement; cut-offs etc.) Do not simply summarize the plot –

focus on relationships and overarching themes. 4 pages

  1. Provide a genogram (as much as possible from the book you read). Use the proper genogram

symbols and format. Use GenoPro or Genogram Analytics – no hand drawn genograms. (See

attached for access)

  1. Describe the problem(s) the family or certain members are dealing with; describe the impact of

the family’s context on their problems (example: migration, minority status, gender, social class,

outside systems, etc.); include the solutions they have attempted. 3 pages

  1. Compare the family, briefly, to your own family, including similarities and differences. You can

select either your family-of-origin, or your current family. 3 pages

  1. Imagine you are the family therapist for this family. Discuss briefly the model or models of

family therapy you would choose for your work and why you selected these; design two

interventions that you would attempt with this family and explain why you chose these. Use

references from the books and articles used this semester, and others you want to include. 3

pages

  1. Provide APA format citations in the text and for the reference list. Make sure you proofread!!!
  2. Must reference the textbook throughout and discuss Genograms in relation to the play

Death of Salesman

https://onlinereadfreenovel.com/arthur-miller/page,4,34292-death_of_a_salesman.html

 

Theories to guide in Nursing Practice

 

Watch Philadelphia or John Q (via streaming service) Identify three ethical principles evident in

the movie. Which ethical principle do you think should take priority and why?

 

Homeless Veterans and Addiction

Your Assignment is a PowerPoint presentation that summarizes your Population-Based Nursing

Care Plan Project. Include 7 – 15 Slides.

Must include:

Identification of a Population in Your Community

As a community of practice your task for this week is to collaborate with professionals across the

health care system and with your community of practice in the discussion in order to find a gap in

care or social determinant that often results in poor health care outcomes. You will begin to take

the lead in advocating for and collaborating with others to improve the health care outcomes for

populations at risk.

Epidemiology: Define Your Population and Selected Problem

This week, you will further refine your population and problem and compare your suspicions

about this problem to local, state, and national data on the topic. Your practicum project should

come into clear focus as you continue to analyze related health data, and you should consider

how you, as the nurse, might help them avoid the development of the problem in the first place

(primary prevention measures).

Population Cultural Considerations and Genetic Predispositions

This week, you will identify any genetic predisposition your chosen population has to a particular

disease and develop primary practice interventions that reflect the cultural considerations of the

population. Then, you will develop culturally appropriate, measurable interventions to help your

population members maintain an optimal state of health, avoiding the problem that you identified

them being at risk for developing.

Evidence-Based Practice and Evaluation of the Project Through Measureable Goals

Dr. Marcia Stanhope (2016) explained that evidence-based public health practice refers to those

decisions made by using the best available evidence, data and information systems, and

program frameworks; engaging community stakeholders in the decision-making process;

evaluating the results, and then disseminating that information to those who can use the

information.

Research proposal on childhood obesity

Research proposal on childhood obesity

Research Proposal Draft
By the due date assigned, write a paper addressing the sections below of the research proposal.
This week you will submit the Literature Review section of your proposal on Childhood obesity
among African American school age children. Each week you have been adding to your growing
body of evidence to support your problem and proposed innovation to address the problem. The
review of literature is a critical, analytical summary and synthesis of the current knowledge of
your research topic. Thus it should compare and relate different theories, findings, etc., rather
than just summarize them individually.
The following resources will help guide you:

THE WRITER’S HANDBOOK https://writing.wisc.edu/handbook/assignments/reviewofliterature/
Guidelines for writing a literature review.
https://www.d.umn.edu/~hrallis/guides/researching/litreview.html
The Writing Center at UNC-Chapel Hill. https://writingcenter.unc.edu/tips-and-tools/literaturereviews/
Writing the Literature Review: Step-by-Step Tutorial for Graduate Students.

Writing the Literature Review (Part Two): Step-by-Step Tutorial for Graduate Students.

Please use APA format and use references that are less than 5 years.

Nursing Theorist Video Reflection

Nursing Theorist Video Reflection

During weeks 3 and 6, you will complete a nursing theorist video analysis/reflection of one of the
nursing theorist videos provided in the course. We highly recommend that you watch as many of
these videos as you can throughout the course. This is a great opportunity for you to see and
hear directly from the actual theorists that you are reading about in the text. Click on the Nursing
Theorist Video Link in the main menu on the left to see the collection of videos.
After watching one of the theorist videos, reflect about what you have learned.
Compose a paper that addresses the following:
Explain why you chose to watch this particular theorist’s video.
Describe the parts of your personal philosophy where you agree or disagree with this theorist.
Is there anything that surprised you in the video? If so, what surprised you?
Would you recommend this video to another student? If so, why would you recommend it?
What value did you receive from watching it?
Your paper should be 2–3 pages in length, in APA format, typed in Times New Roman with 12-
point font, and double-spaced with 1″ margins. If outside sources are used, they must be cited
appropriately.

Nurse-Patient Communication Interdisciplinary and Patient Safety

Nurse-Patient Communication Interdisciplinary and Patient Safety

This assessment requires you address the following topics:
Define the seven principles of patient- clinician communication
Explain how you apply three of the seven principles to your interactions with your own patients
Describe the three methods being used to improve interdisciplinary communication
Choose the one that you think applies best to your own area of practice, or the one that your
area of practice currently uses, and clearly describe how you use it.
Explain the ethical principles that can be applied to issues in patient-clinician communication
Explain the importance of ethics in communication and how patient safety is influenced by good
or bad team communication.

Make sure you also include a clear, separate introduction and conclusion as a part of this
assignment, as these are worth separate points on the grading rubric.
References
Minimum of four (4) total references: two (2) references from required course materials and two
(2) peer-reviewed references. All references must be no older than five years (unless making a
specific point using a seminal piece of information)
Peer-reviewed references include references from professional data bases such as PubMed or
CINHAL applicable to population and practice area, along with evidence based clinical practice
guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates,
Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical
databases.
Style
all the written assignment must follow APA 7th edition formatting, citations and references.
Number of Pages/Words
all papers should have a minimum of 600 words (approximately 2.5 pages) excluding the title
and reference pages.

Personal Statement for Chicago University Nursing Program

Personal Statement for Chicago University Nursing Program

Hello Writer please write me a nice letter explaining why i want to get into the Chicago University Nursing Program. It has to be 300 words maximum. My English is terrible. Please make it nice. PLEASE mention in the essay… that i used to sing at Nursing Homes during Christmas while my teacher played the violin and i saw how the Nurses would work and i want to do the same.

Caregiving

Caregiving

Directions
The current group of adults in this time of life have been referred to as the “sandwich generation”. After you have read the chapter, The NY Times articleLinks to an external site. and watched the videos of generativity in general, and particularly for this generation during this stage of life, write an essay (minimum of 500 words) in which you thoughtfully respond to the following:

Women are more often kinkeepers and caregivers than are men.

What does the term caregiver mean for adult women (hint: refer to the textbook chapter)?
Why might women be the designated kinkeepers and caregivers in their families?
How are these roles both a blessing and a burden? Please discuss at least one pro and one con.
Remember to appropriately cite the source(s) of your information.

To submit your work: When you’ve answered all questions, save your essay as a .doc or .docx. Submit the essay as an attachment (do not type into the text box). Click the Submit Assignment button (top right of screen).

Grading
This assignment is worth 20 points. Late work is not accepted.

This assignment will be graded based upon how well you’ve applied what you have read and reviewed about generativity and the sandwich generation to gender roles in kinkeeping and caregiving. PLEASE PLEASE SITE THE RESOURCE FROM A BOOK CALLED EXPERIENCING THE LIFESPAN FIFTH EDITION WRITTEN BY JANET BELSKY ATLEAST ONE OR 2 CITES, AND THE REST FROM ANYWHERE. THANK YOU

Additionally, assignments are always graded on the quality of writing. You are encouraged to spell check and proofread your work as poor writing will result in up to a 10% (2 pt) grade reduction. If quoted material is used (even from the textbook), quotation marks and proper citation in APA format are needed to avoid plagiarism. Failure to properly cite direct quotes on this assignment will resujvzlt in up to a 10% (2 pt) grade reduction.

Formulating the Research Question Using PICO Framework

Formulating the Research Question Using PICO Framework

Submit Assignment as a Microsoft Word Doc Only. ►→Do not Submit Docs. from any Apple
devices, Google docs. or PDF.
Carefully read instructions for completing this assignment.
Instructions: Use the Virtual Library link http://www.libraries.rutgers.edu/health_sciences on the
Weekly Outline page of Canvas; Select Resources or the ‘Database’ tab; to find three (3 ) clinical
research articles in your area of health-related study and complete the assignment as instructed
below.
1.) List the bibliographical information for each article, and state in your own words the central
question that the researchers in each study seek to answer. Please include the abstracts for each article..
2) Review the Supplemental Article:Formulating the Research Question, chapter 3 of your Text &
video tutorials : The PICO acronym is used as a framework for developing research questions
and for conducting literature searches & The FINER criteria is the Gold standard for writing a
good research question. ***Discuss how well ( or poorly) each of your selected central research
questions meet the standards of both PICO and FINER. Be sure to adhere to APA standards for
scholarly writing. Review your work for use of proper spelling, grammar and syntax before
submitting.

Best practices in nurse-patient inter-professional and collaborative communication in health care

Best practices in nurse-patient inter-professional and collaborative communication in health care

Purpose
The purpose of this assignment is for the student to develop a case study investigating
communication issues resulting in inter-professional team
conflicts. The case will demonstrate best practices in nurse-patient, inter-professional and
collaborative communication in health care. The case
will include examples of how clear communication and collaboration among nurses, patients
and/or the inter-disciplinary team improves patient
safety and/or health outcomes.
Read the assignment in its entirety prior to beginning the assignment. References for the external resources cited in these directions are provided
in Week 7 of the course.
Step 1:
Read the Cullati et al. (2019) qualitative study on team conflict and the impact on quality of care
linked here
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408685/ and uploaded as a pdf in Week 7 of the
course. The authors categorized consequences
of conflict into six dimensions of quality of care. Table 3. (p. 47) summarizes the six dimensions
of quality of care with three of the dimensions
related to conflict involving nurses. Select one of the three quality dimensions illustrative quotes
involving nurses; Timeliness, Patientcenteredness, Safety or Equity. Search the literature in the
Leatherby Library and identify one peer reviewed article to support how communication
in healthcare impacts patient outcomes. Proceed with developing the case study.
2
Revised 7/2020 gph
Step 2:
Write a 3 – 4-page (not including title page or reference list) paper using APA formatting
responding to the following prompts. Organize your paper
using each bolded prompt as a Level 1 heading. Note: the introduction in APA does not carry a
heading but is preceded by the title of the paper
(centered and bolded).
• Introduction – Provide the purpose of the paper and a succinct summary of what the paper will explore.
• Summary of the Conflict – Describe the conflict, involving the nurse, from Table 3. (Cullati et al.,
2019, p. 47) in your own words. Include the
roles of the inter-professional team members in the description.
• Situational Analysis and Potential Patient Outcome – Where or when did the communication
breakdown take place and who was the
breakdown between or among? Propose a potential untoward patient safety or health outcome
that could result from the communication
breakdown. Support this section with the evidence from the peer reviewed article identified in
Step 1 from your literature search.
• Resolving Communication Challenges – Assume the role of the nurse in the conflict. Identify an
appropriate TeamSTEPPS (Agency for
Healthcare Research and Quality & Department of Defense, Defense Health Agency, 2013)
strategy to address and resolve the conflict.
Describe how you, as the nurse, would approach the conflict using the TeamSTEPPS strategy.
Describe how the improvement in
communication would improve patient safety and/or patient outcomes.
• Conclusion – Summarize the concepts presented in your case study paper including a final
statement about the importance of interprofessional collaboration and communication in nursing
practice.
Step 3:
• Label your MS Word document file as Last Name_First Name_ PaperTitle (ex. Hock_Gail_Conflict and Communication)
Format
The final deliverable will be a 3-4 page (maximum) consistently double – spaced paper presented
in MS Word document format. Proper APA (7th
edition) standards formatting is required, including in-text citations and a reference list.
• Submit your paper to Turnitin for the similarity index assessment and to LiveText for grading.
• Both functions are available via the Assignments tab in BlackBoard. The paper is due Sunday
of W