Provide high quality, safe, patient-centered care grounded in holistic health principles

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Reflect back over the past 8 weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #1, MSN Essential I, and Nurse Practitioner Core Competencies # 1 Scientific Foundation Competencies
Program Outcome #1: Provide high quality, safe, patient-centered care grounded in holistic health principles. (holistic health & patient-centered care)
MSN Essential I: Background for Practice from Sciences and Humanities:
Recognizes that the master’s prepared nurse integrates scientific findings from nursing, biopsychosocial fields, genetics, public health, quality improvement, and organizational sciences for the continual improvement of nursing care across diverse settings.
Nurse Practitioner Core Competencies # 1 Scientific Foundation Competencies
Critically analyzes data and evidence for improving advanced nursing practice.
Integrates knowledge from the humanities and sciences within the context of nursing science.
Translates research and other forms of knowledge to improve practice processes and outcomes.
Develops new practice approaches based on the integration of research, theory, and practice knowledg

Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?

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Write about Hildegard E. Peplau’s theory of interpersonal relations (mid-range theory)
Assignment 2: Nursing Theory Analysis Paper
Overview/Description:
The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below.
Theory/Author Name and Background
Select a Grand or Mid-Range Theory that is appropriate to your practice setting.
Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.
Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
Identify the phenomenon of concern or problems addressed by the theory.
Theory Description
Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.
Describe the major concepts of the theory. How are they defined? (theoretically and/or operationally) Is the author consistent in the use of the concepts and other terms in the theory?
Interpret how the concepts are defined. Implicitly or explicitly?
Examine the relationships (propositions) among the major concepts.
Evaluation
Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
Discuss the clarity of the theory. Did it have lucidness and consistency?
Application

which is the most common thyroid disorder diagnosed.

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APA format MSN degree 2 pages 3 references 2 from walden university library
due 4/11/18 at 7pm EST
Thyroid Disorder
Thyroid disorder can occur as a primary gland disfunction or in result to an associated hormone. It is important to understand the cause of the thyroid disorder for proper treatment and follow up. The content of this post will discuss hypothyroidism, which is the most common thyroid disorder diagnosed. Most commonly seen in women, but men also suffer from the disease process. Hypothyroidism may occur as primary disfunction of the gland or in relation to a secondary cause (Roberts & Ladenson, 2004).
Hypothyroidism occurs when there is a low level of thyroid hormone (TH). Most commonly this is occurs as a autoimmune response of the body, autoimmune thyroiditis. The thyroid tissue becomes inflamed when T lymphocytes and thyroid autoantibodies are infiltrated. The inflammation destroys viable thyroid tissue. This can be a genetic response. Hypothyroidism can also occur due a secondary response (Huether & McCance, 2017, p. 469).
Treatment
Hypothyroidism is diagnosed after looking at the clinical presentation of the patient and after measuring TH levels in the blood. Hormone replacement is achieved when the patient takes levothyroxine. Dosages are determined by looking at the patient’s age, the severity, and other active disease processes (Huether & McCance, 2017, p. 469).
Behavior
Medication compliance is essential as hypothyroidism is managed. Individuals with hypothyroidism can live normal lives as long as their treatment plan is followed and medications are taken as prescribed. Other exciting patient factors can affect compliance. Depression for example can prevent patients from taking medications as prescribed. When this happens, providers may believe that a higher dosage of medication is needed to alleviate the patient’s other symptoms. When diagnosing and working with patients with a mental health disorder it is imperative to have a close, understanding relationship when adjusting and prescribing medications (Sevinc & Savli, 2004).
Preventing Negative Side Effects
Hypothyroidism is usually develops over a period of time. Patients usually experience a low level of energy as their metabolism decreases. Lethargy and cold intolerance also follows the disease process. Because TH production is less, thyroid stimulating hormone (TSH) tries to compensate and increases. An increase amount of TSH can cause goiter, myxedema, and even myxedema coma. Myxedema coma is a medical emergency because the patient will be experiencing lethargy, low blood pressure, hypoventilation, low blood sugar, acidosis, and hypothermia without compensation. Often times, elderly patients get their symptoms confused with aging. It is important to remember no signs of hypothyroidism are a normal part of aging (Huether & McCance, 2017, p. 469).
References
Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.
Roberts, C. P., & Ladenson, P. W. (2004). Hypothyroidism. Lancet (London, England), 363(9411), 793-803.
Sevinc, A., & Savli, H. (2004). Hypothyroidism masquerading as depression: The role of noncompliance. Journal Of The National Medical Association, 96(3), 379-382.

Examine the differences between health equity, health disparity, and health inequality

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One of the most basic principles of public health is that all people have a right to health. Unfortunately, a right to health does not guarantee good health or equivalent health status amongst people. Although the term “disparities” is often interpreted to mean racial or ethnic disparities, many dimensions of disparities exist in the United States, particularly in health. If a health outcome is seen in a greater or lesser extent between populations, there is disparity. Race, ethnicity, sex, sexual identity, age, disability, socioeconomic status, and geographic location all contribute to an individual’s ability to achieve good health.
The purpose of this assignment is to consider the historic background of health disparities. You will also relate this history to the current state of healthcare, changes that have occurred over time and changes that are still needed in public health.
Using online scholarly library resources, and the Internet, respond to the following:
• Examine the differences between health equity, health disparity, and health inequality, using examples and scholarly references for support.
• Review the article (attached) and answer the question that follows:
• What aspects of the article do you think are still applicable in health services today and which do you think are not?