Hypertension in Pediatrics Discussion 6
Approaches to Disease Management: Hypertension
You see a 3-year-old with hypertension (documented on three different visits) in your primary care clinic.
· Describe the workup, differential diagnoses, assessment, and management.
· How would your plan of care be different if the child were 10 years old?
· What risk factor counseling and advice would you include?
Submission Instructions:
· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
Week 4 Essay Reflection
Task: Choose one of your formal papers, either the Six-Source Essay or the Multi-
Source Essay/Literature Review, and write a reflection on the essay in terms of
both process and product.
Length: 500 words (2 double-spaced pages)
Format: APA 7
Point of view for Week 4 Essay Reflection: The essay reflection will be written in the first person point of view.
The reflective essay is an opportunity for writers to critically assess the progress
they have made in thinking, researching, and writing about a chosen topic.
Writing a reflective essay allows a writer to tell the unique story of how a topic
idea, cultivated through research, grew into a paper. It is a chance to think in a
sustained way about the context, objectives, and process of a writing project.
Remember to talk specifically about choices you made regarding summarizing and
synthesizing sources in your paper. Use examples from your paper to help your readers
to understand your process.
Here are some questions that will help you to prepare for a reflective paper:
Context:
●What was the purpose of the essay? Do I think I achieved that purpose?
● What do research sources say about my chosen topic? Did the research say
different things than I expected it to say?
●How did the readers react to the paper? What was interesting, surprising,
or difficult about the reactions to the paper?
Objectives of Week 4 Essay Reflection:
●What are my learning goals for the course? How did researching and writing
the essay help me to further those goals? What obstacles presented
themselves that hindered my progress towards those goals?
●What ideas did I have about my topic when I began? How did the research
sources affect those ideas? Did my ideas change as a result of the
thinking, researching, and writing process?
●Did researchers from different fields report different findings on the topic?
What information did I want readers to have as a result of reading the
paper? What information do I want readers to have now?
Process:
What was my experience in researching the topic?
What was my experience in writing the paper?
How did I synthesize sources in the papers? What specific choices did I make?
What challenges did I face as I did the work? What successes did I
achieve? How did I respond to these challenges and successes?
How did responses from other readers and writers change my process?
To receive additional labor points, incorporate at least 3 quotes and APA
citations from your research into this reflection.
Helpful Resources:
How to write a Week 4 Essay Reflection paper.” (2021). How to guide. Trent University.
https://www.trentu.ca/academicskills/how-guides/how-write-university/how-approach-any-assign
ment/how-write-reflection-paper
As part of your reflection, consider how your thinking and writing evolved during this assignment. If you chose to use AI at any stage—such as brainstorming, organizing, revising, or clarifying your ideas—explain how you used it and why. You might describe how AI helped generate ideas or rephrase confusing parts of your draft, how it offered alternative ways to structure or approach the essay, or how its feedback compared with comments from your instructor or peers. If AI suggestions differed from human feedback, which did you find more helpful, and why? You are also encouraged to reflect on the experience of using AI itself: Did it support your learning or raise new questions for you? If you did not use AI, discuss that decision—what motivated it, and how did it affect your writing process? Regardless of your choice, focus on how your decisions shaped your growth as a writer and thinker.
As part of your reflection, consider how your thinking and writing evolved during this assignment. If you chose to use AI at any stage—such as brainstorming, organizing, revising, or clarifying your ideas—explain how you used it and why. You might describe how AI helped generate ideas or rephrase confusing parts of your draft, how it offered alternative ways to structure or approach the essay, or how its feedback compared with comments from your instructor or peers. If AI suggestions differed from human feedback, which did you find more helpful, and why? You are also encouraged to reflect on the experience of using AI itself: Did it support your learning or raise new questions for you? If you did not use AI, discuss that decision—what motivated it, and how did it affect your writing process? Regardless of your choice, focus on how your decisions shaped your growth as a writer and thinker.
Remember to acknowledge and describe any use of A.I. or LLMS in your Reflection.
NR 581NP Week 5: micro-, meso-, and macro-levels of the Healthcare System
1. Application of Course Knowledge
a. Summarize the issue.
Over the past six months the American Red Cross has been facing an emergency
blood shortage. According to NBCNews the blood supply decreased about 25%
since July 1, 2024. Typically during the summer the donations decrease due to
people traveling and the summer heat. As a result of this blood supply that is sent
to hospitals quicker than the donors are able to supply. Donated blood is a very
crucial part of lifesaving medical treatments, especially during operations and
possibly childbirth.
b. Discuss how the issue may impact nursing practice at the micro-,
meso-, and macro-levels of the healthcare system. NR 581NP Week 5
The American Red Cross can be considered a macro-level system if referring to the
larger scale of social structures and the impact on the society as a whole. Blood
supply shortages have a direct impact on healthcare. The fewer people that donate
blood can cause delays or cancellations of major surgeries, emergency treatments
and delayed care with chronic conditions.
c. Analyze how healthcare policy impacts the issue.
There are several policies and regulations on donating blood, to ensure safety
measures are in place. Not everyone is a candidate for donating blood. The FDA
recently just lifted some restrictions on the criteria for donors so that more people
are able to donate. This will increase donors and help maintain a steady blood
supply.
d. Include a link to the news story or resource.
Red Cross faces emergency blood shortage caused in part by heat (nbcnews.com)
Resources
AIFP Week 5 Assignment
To prepare for AIFP Week 5 Assignment
- Review the Learning Resources and current, peer-reviewed sources (within the last 5 years) from your own internet research about the traits, tendencies, characteristics, statistics, etc. of the population associated with your current, advanced forensic psychology issue.
- For your annotated bibliography, identify at least 4 additional scholarly resources related to traits, tendencies, characteristics, statistics, etc. of the population you identified in Week 1 associated with your current, advanced forensic psychology issue—3 current peer-reviewed journal articles (not older than 5 years) and 1 resource from this week’s Learning Resources or from your own internet search of a scholarly resource.
Assignment (1- to 2-page paper, not including title page or references page(s))To the APA-formatted annotated bibliography you began in Week 4, add at least 4 additional scholarly resources related to traits, tendencies, characteristics, statistics, etc. of the population you identified in Week 1 associated with your current, advanced forensic psychology issue—3 current peer-reviewed journal articles (not older than 5 years) and 1 resource from this week’s Learning Resources or from your own internet search of a scholarly resource. Note: Be sure to access the Search Skills Resources provided in this week’s Learning Resources to support your search for scholarly resources for your Final Project.
NURS682 Final Project Compilation
This week, you will bring together all of the NURS682 assignments you have completed thus far, and compose the rough draft of your change project paper. At this point, you will have submitted each section and received feedback. An attempt to incorporate all previous assignment feedback should be evident.
Your rough draft contains all of the expected components of the final draft and is presented in APA format including a cover page, references, and appendices when warranted. Your rough draft is your opportunity to polish previously submitted assignments and combine the sections in a comprehensive paper that show your change project is ready to be implemented.
You will take this time to identify and address any weaknesses or gaps in your NURS682 change project. Your rough draft should only require minor revisions before the final paper.
Your paper should be between 20 and 30 pages in length, not including the cover page, references, and any appendices. It must follow current APA manual style and format. Each section of the paper should be clearly identified using proper headings
Sample NURS682 Assignments
Choice of NURS682 Topic: Improving Care for Recurrent Breast Cancer Patients: A Microsystem Approach
Among the provisions in the readings this week, the chapter in the Clinical Microsystems Greenbook that corresponds the most to my project topic of recurrent breast cancer is the chapter on improving care to the patients with chronic illness. Recurrent breast cancer is a complex and chronic ailment that requires regular and all-encompassing care management. The chapter provides the framework on how to enhance the care of patients at the microsystem level: in interdependent teams of small size (healthcare professionals) where the provision of care is personalized. It is notable that this concept especially applies to recurrent breast cancer, whereby patients may have long-term follow-up, need management of various symptoms, and may need adjustment of the treatment plans.
The microsystem approach focuses more on the patient engagement that is important in the repeated breast cancer management. Patients have to deal with constant treatment and emotional issues, and therefore, it is essential to think about how they see the situation and include their own preferences in the course of treatment. As one example, through regular reassessment of physical and emotional needs and engaging patients with the decision-making process, clinicians will be able to create more efficient plans of care that would be based on the unique needs of a particular patient (Fathiya et al., 2023).
More than that, the focus on the usage of data on monitoring the process and the improvement of processes constantly is noted in the chapter, and it can be directly applied to my project. In case of recurrent cases of breast cancer, information regarding the effectiveness of treatments, recurrence, and, in general, the quality of life may be gathered and frequently analyzed to adjust clinical methods and guarantee the best roles. With the help of this microsystem concept, healthcare teams will greatly transform their collaboration to meet the many needs of recurrent breast cancer patients in terms of structure and functioning as well as to finally improve patient outcomes.
This reading has applied strong footing in implementing change in my project because it puts importance on individualized care, collaboration between teams, and application of data-driven changes, which all play an important role in enhancing care and treatment of breast cancer episodes.
References
Fathiya, L. Y., Siswanto, A., Diah, P., & Chlara, Y. P. (2023). Empowerment-Based Palliative Care to Improve Psychological Well Being and Quality of Life in Women with Breast Cancer. International Journal of Scientific Multidisciplinary Research (IJSMR), 1(8), 1085-1102. http://repository.um-surabaya.ac.id/id/eprint/8341
2nd Phase of NURS682 Integrating Theoretical Frameworks in Breast Cancer Care
Integrating Theoretical Frameworks in Breast Cancer Care
The variables that I will use as far as my change project is concerned include the Health Belief Model (HBM) and Bio-Psychosocial Model. The two frameworks will inform the implementation of the project because it will target both psychosocial support to women along with the recurrent breast cancer and clinical treatment.
In order to initiate the implementation of this change project, certain steps have to be undertaken:
1.Assess Patient Perceptions: With the aid of the Health Belief Model, evaluate the perceptions of women and the likelihood of their recurrence as well as the value of treatment. Eliminate the obstacles that hinder the responses to both psychosocial and clinical care (Mehrabizadeh et al., 2024). As an example, not every woman will embrace the practice of psychosocial care, as it does not seem to bring benefits. With specific education, one can change this attitude and promote the involvement of both sides of care.
2.Provide Holistic Care: The Bio-Psychosocial Model combines clinical care along with emotional and social support. Coming up with a care plan to consider the physical, psychological, and social components of care (Kahan et al., 2022) is necessary. As an example, the patients who reported the anxiety regarding recurrence ought to be given some emotional support, in addition to healthcare provisions, to better their overall experience and increase adherence.
3.Evaluate Barriers and Facilitators: Determine aspects that can hinder patient interaction, including financial or social support, etc. To improve patient outcomes, these factors should be dealt with. A synergistic cooperation with social workers or counselors could assist in lessening these barriers so as to provide better integration of care.
4.Monitor and Adjust the Model: Keep track of the results of the initiative and make adjustments in the interventions. It will involve following the qualitative changes in life quality and coordination of care with references to the patients and healthcare providers.
Adhering to these steps, the project will design a complete, patient-based care model covering both emotional and physical demands of women having recurrent breast cancer, thus enhancing their quality of life and outcome of their treatment.
References
Mehrabizadeh, M., Zaremohzzabieh, Z., Zarean, M., Ahrari, S., & Ahmadi, A. R. (2024). Narratives of resilience: Understanding Iranian breast cancer survivors through health belief model and stress-coping theory for enhanced interventions. BMC Women’s Health, 24(1), 552. https://link.springer.com/article/10.1186/s12905-024-03383-7
Kahan, Z., Szanto, I., Dudas, R., Kapitany, Z., Molnar, M., Koncz, Z., & Mailath, M. (2022). Breast cancer survivorship programme: follow-up, rehabilitation, psychosocial oncology care. 1st Central-Eastern European professional consensus statement on breast cancer. Pathology and Oncology Research, 28, 1610391. https://pmc.ncbi.nlm.nih.gov/articles/PMC9200958/
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