Role Strain and Burnout in Nursing, Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in the correct APA do not count toward the minimum word amount. Review the rubric criteria for this assignment.

 

• What happens to the nurse when role stress or strain becomes too overwhelming? What happens to patient care? How is this related to possible ethical and legal issues? Discuss how nurses can manage or reduce role stress and role strain.
• Explain two issues that lead to nurse burnout and discuss a solution for each issue.
• Think of an experience in your nursing profession where you either felt strain or burnout and how you overcame this event. (Since this is a personal experience, you can use first-person narration for this portion of your essay.)

Chronic Health Paper: Anal Cancer in the LGBTQIA population

Purpose

The purpose of this assignment is:

1. Integrate knowledge and skills learned throughout the NR503 course
2. Direct application of course objectives utilizing epidemiological analysis of a chronic health problem, along with state and national-level data.

Requirements:

This paper should clearly and comprehensively discuss a chronic health disease.

The paper should be organized into the following sections:

1. Introduction(Identification of the problem) with a clear presentation of the problem as well as the significance and a scholarly overview of the paper’s content. No heading is used for the Introduction per APA current edition.
2. Background and Significance of the disease, to include:  Definition, description, signs, and symptoms.  Incidence and prevalence of statistics by state with a comparison to national statistics pertaining to the disease.  If after a search of the library and scholarly databases, you are unable to find statistics for your home state, or other states, consider this a gap in the data and state as much in the body of the paper. For instance, you may state something like, “After an exhausting search of the scholarly databases, this writer is unable to locate incidence and/or prevalence data for the state of ….  This indicates a gap in surveillance that will be included in the “Plan” section of this paper.
3. Surveillance and Reporting: Current surveillance methods and mandated reporting processes as related to the chronic health condition chosen should be specific.
4. Epidemiological Analysis:  Conduct a descriptive epidemiology analysis of the health condition. Be sure to include all of the 5 W’s:  What, Who, Where, When, Why.  Use details associated with all of the W’s, such as the “Who” which should include an analysis of the determinants of health.  Include costs (both financial and social) associated with the disease or problem.
5. Screening and Guidelines:  Review how the disease is diagnosed and current national standards (guidelines).  Pick one screening test (review Week 2 Discussion Board) and review its sensitivity, specificity, predictive value, and cost.
6. Plan:  Integrating evidence, provide a plan of how a nurse practitioner will address this chronic health condition after graduation.  Provide three specific interventions that are based on the evidence and include how you will measure outcomes (how will you know that the interventions have utility, are useful?)  Note:  Consider primary, secondary, and tertiary interventions as well as the integration of health policy advocacy efforts.  All interventions should be based on evidence – connected to a resource such as a scholarly piece of research.
7. Summary/Conclusion: Conclude in a clear manner with a brief overview of the keys points from each section of the paper utilizing the integration of resources.
8. The paper should be formatted and organized into the following sections which focus on the chosen chronic health condition.

Strategic plan and readiness of the health care organization or network in meeting care needs

Research a healthcare organization or network that spans several states within the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the healthcare organization or network you chose in regard to meeting the healthcare needs of citizens in the next decade.

Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:
Describe the healthcare organization or network.
Describe the organization’s overall readiness based on your findings.
Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
Propose a theory or model that could be used to support the implementation of the strategic plan for this organization. Explain why this theory or model is best.

A female client receiving antibiotic therapy for a urinary tract infection complains of itching, burning, and inflamed perineum. What instruction should the nurse provide? a. Use nylon undergarments at least every other day. b. Dry skin thoroughly and apply clotrimazole (Lotrimin) to the affected area TID. c. Keep perineum moist and use miconazole nitrate ( Monistat-Derm 2%) PRN. d. Stop the antibiotics immediately due to possible allergic reactions. 54. Vaginal exam of a client who is admitted in early labor reveals cervical dilatation of 2 cm with 50% effacement and a -3 fetal station. The client tells the nurse that a friend’s bag of water was ruptured by the doctor to make labor progress faster, and she is concerned because the doctor did not rupture the membranes. What response is best for the nurse to provide? a. Cervical dilatation to 4 cm is needed to rupture the membranes. b. The bag of water is not ruptured until the birth is imminent. c. Rupturing the bag of water does not have any effect on labor. d. The baby’s cord can prolapse if the fetal head is high in the pelvis. 55. The nurse initiates a one-to-one relationship with a 36-year-old depressed female client who was recently admitted to the psychiatric facility. Which nursing action is most effective in promoting the development of a therapeutic relationship? a. At your first meeting clearly define the unit’s rules and policies. b. Ensure that scheduled appointments begin according to the schedule. c. Re-direct all conversations to discussions about feelings of low-self esteem. d. Obtain client data from her family to use at the first meeting with the client. 56. A client at 40 weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive. What actions should the nurse plan to perform? (Select all that apply.) a. Place her in a negative pressure room. b. Use standard precautions. c. Establish contact isolation. d. Notify the pediatrician that the mother is HIV positive. Administer zidovudine (AZT) intravenously. Promote bonding by encouraging breastfeeding. 57. It is most important for the registered nurse (RN) who is working on a medical unit to provide direct supervision in which situation? A postpartum nurse pulled to the unit needs to start a transfusion of packed red blood cells.

Week 13 &14: The purpose of this assignment is to familiarize the student with their responsibility to provide safe medication administration. This exercise includes the introductory use of medication resources such as a nursing drug handbook, reputable online medication resources, CPS, etc. The student will identify a beginner’s knowledge of the drug’s generic and trade name, indications for use, therapeutic actions, and nursing considerations. Future levels of study will include drug classifications, appropriateness of use, preparation, and adverse effects/interactions. This assignment will be part of your clinical workbook and will be included for assessment in your final evaluation. List the selected medication(s) to be researched: __________________________________________________________

Drug Name Generic and Trade	Indications for Use (Why is your client taking this medication)?	Therapeutic Actions (What are the effects of the medication)?	Nursing Considerations (What special actions must the nurse monitor for or perform when administering this medication)?
Dalteparin 5,000 Unit=0.2ml Pls 5,000 Anti-Xa Units/0.2ml syrg
Docusate Sodium U.D. 100 mg capsule
Domperidone Maleate 10 mg tablet
Enoxaparin Sodium 30 mg/0.3 mL syrg

NOTE: Please help me to do this assignment i already have the medication and they are under Drug Name Generic and Trade i just need to help me fill out the other boxes with information .Thank You