Describe your values and   beliefs about nursing

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Paper 1 –   Philosophy of Nursing

Personal beliefs.
Describe your values and   beliefs about nursing. You may use “I   believe…” statements that include your:
· Definition of nursing. (10pts)
· Assumptions (beliefs) about the interrelationships   among: (10pts)
o clients (Who are they?),
o health (What is it?),
o nursing (What is it?) and
o environment (Where is nursing practiced?).
· Beliefs about the profession of nursing. (10pts)
· Significance of collaboration with other health   professionals. (10pts)

Nursing as a career. Demonstrate that you have given thought to your   career and explain the rationale for your decision.
· Inspiration from the past. (Who or what?)
· Define professional   goals.
· Identify   roles and responsibilities to advance the profession of nursing.
· How you   will provide safe, effective care?
· How your   academic preparation will facilitate your positive contributions to the   health care system?

· Spelling, grammar, sentence   structure, neatness, organization
· No more than 2 pages   (excluding title page or optional references), double-spaced, 12 point   font, 1” margins, APA format.

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition

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Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.
Case Scenario
Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.
Subjective Data

Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data

Height 175 cm; Weight 95.5 kg
Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119}
Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

Critical Thinking Questions
What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

Discuss the relationship between theory and research in nursing

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Using the readings from McEwen and Wills (2014) chapter 19: application of theory in nursing research, address the following for your initial discussion post:

Complete a library search for a peer-reviewed journal article that integrates nursing theory and research.
Present the article and discuss the nursing theory used, as well as the benefits of nursing theory in nursing research.
Discuss the relationship between theory and research in nursing.
Be sure to supplement your discussion with personal and professional experiences.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

References:
McEwen, M. & Wills, E. (2014). Theoretical Basis for Nursing (4th Ed.); Lippincott Williams and Wilkins.

Using the readings from McEwen and Wills (2014) chapter 19: application of theory in nursing research, address the following for your initial discussion post:

Complete a library search for a peer-reviewed journal article that integrates nursing theory and research.
Present the article and discuss the nursing theory used, as well as the benefits of nursing theory in nursing research.
Discuss the relationship between theory and research in nursing.
Be sure to supplement your discussion with personal and professional experiences.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

References:
McEwen, M. & Wills, E. (2014). Theoretical Basis for Nursing (4th Ed.); Lippincott Williams and Wilkins.

Identify and describe at least four medical and/or nursing interventions

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As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).
Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.
Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:
Essay Portion
After viewing the home visit, write an essay of 500-750-words in which you do the following:

Identify, prioritize, and describe at least four problems.
Provide substantiating evidence (assessment data) for each problem identified.
Identify and describe at least four medical and/or nursing interventions.
Discuss your rationale for the interventions identified.

Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.