All posts by : chebby

Question 1

In 200-250 words,  Discuss what resources are often necessary for nonacute care for cardiorespiratory issues. Explain how they support patient independence and decrease readmission. 

Question 2  

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

1. Is very anxious and asks whether she is going to die.

2. Denies pain but says she feels like she cannot get enough air.

3. Says her heart feels like it is “running away.”

4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

1. Height 175 cm; Weight 95.5kg.

2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.

3. 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.

4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.

5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

1. IV furosemide (Lasix)

2. Enalapril (Vasotec)

3. Metoprolol (Lopressor)

4. IV morphine sulphate (Morphine)

5. Inhaled short-acting bronchodilator (ProAir HFA)

6. Inhaled corticosteroid (Flovent HFA)

7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

1. Describe the clinical manifestations present in Mrs. J.

2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.

3. 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.

4. 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 a rationale for each of the interventions you recommend.

5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.

6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.

7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of TWO sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. 

Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:

1. Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership.
2. Consider your organization or specialty area and how you utilize statistical knowledge. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making.

Three peer-reviewed, scholarly or professional references are required.

Use the Neuman systems model as a conceptual framework to respond to the following: 

• Describe the Jefferies family as a client I system using each of the five variables. 

• What actual and potential stressors threaten the family? Which stressors are positive, and which are negative? Separate the actual and potential stressors that threaten the individual members of the family. Which of the stressors are positive, and which are negative? 

• What additional nursing assessment data are needed considering Robert’s medical diagnoses? What additional data would be helpful for Susan’s medical diagnoses? What about each of the children? 

• What levels of prevention intervention(s) are appropriate for the Jefferies family? Propose potential prevention intervention(s) for each member of the family. 

• Identify your nursing priorities if you were providing care to this family. 

1. Submit  an essay of the developed action plan for a community educational  project. The project plan should include 2 (two) goals and objectives  based on your topic from Healthy People 2020, an implementation plan for  implementing these activities, a budget (if necessary, not required), a  justification for the project, a description of where and when the plan  will be implemented, and a description of the teaching materials which  will be utilized during the execution of the project. Then recommend  nursing actions/interventions to improve the health concern and achieve  your stated goals and objectives. Discuss potential public and private  partnerships that could be formed to implement your recommendations and  create a timeline (i.e. 3 month, 6 month) for potential expected  outcomes.
2. use healthy people 2020 https://www.healthypeople.gov/2020/topics-objectives/topic/substance-abuse/objectives objective SA-12  Reduce drug-induced deaths 

The  assignment should be written in an APA-formatted essay. The essay  should be between 1250 and 1500 words in length and include at least two  scholarly sources other than provided materials.

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

Paper requirements: Label each part above with a Level 1 heading; paper should be 1250 words minimum with at least 3 scholarly sources and the textbook.

• First, describe the data gathered on your client for each of the 7 assessments; it should be clearly documented in detail in your paper.
• Also, interpret the findings according to pathophysiologic disease states and then choose ONE physiologic abnormality found and discuss possible pathophysiologic reasons for the abnormality related to a holistic basis. How does this abnormality impact the other areas of the patient’s life, especially those areas discussed in this course?
• Next, discuss the client’s stress and coping mechanisms.  Are they healthy?  What improvements could be made?
• Finally, create a teaching plan that addresses the client holistically.  Describe at least one client goal for each of the categories (physical, psychological, social, cultural, developmental, and spiritual).  AND answer: How would you teach the client about each goal?  How would you evaluate your teaching?

ONLY NEEDED THE POWER POINT

PPT requirements: Develop a Power Point presentation as if you were teaching your client the above to address and meet the goals listed in the teaching portion of the paper. You should have at least 6 slides (one for each type of goal – physical, psychological, social, cultural, developmental, and spiritual), in addition to the title slide, obj slide, and references slide (so that is a minimum total of 9 slides).  Please be sure to have at least one scholarly source used and cited in the PPT. 

• Again, the Power Point presentation should be developed for your client as if you were going to teach them the information above (so pretend I am your client and teach me as if you are presenting to them :)). Remember all the rules for a professional APA PPT!

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment.

Communicable Disease Selection

1. Chickenpox
2. Tuberculosis
3. Influenza
4. Mononucleosis
5. Hepatitis B
6. HIV
7. Ebola
8. Measles
9. Polio
10. Influenza

Epidemiology Paper Requirements

1. Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
2. Describe the social determinants of health and explain how those factors contribute to the development of this disease.
3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?
4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.
5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.
6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

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

Minimum of 250 words with at least 2 peer review reference in 7th edition apa style

Nurses are often portrayed in films and television. From Nurse Ratched in One Flew over the Cuckoo’s Nest, to Julia Baker in Julia, and Gaylord “Greg” Focker in Meet the Parents, nurses have been portrayed showing various traits. Some are positive, while others are less than caring. For each, the five elements of emotional intelligence, 1) self-awareness, 2) self-regulation, 3) motivation, 4) empathy, and 5) social skills, are expressed at different levels. Select a nurse archetype portrayed in films or on television and consider the following.

• What features of emotional intelligence does your selected nurse portray? What features are they lacking? Provide an example to support your rationale.
• If you were the nurse’s leader, how would use your change agent characteristics to support that individual’s growth? Provide specific examples using scenarios from the setting from which the nurse is portrayed.
• How does complexity theory or chaos theory influence the organization in which the nurse is portrayed? Provide specific examples to support your rationale.

Assignment #2 – Research paper

*********** INDIVIDUAL ASSIGNMENT***********

Circumcision…Is it an issue? Explore the human and ethical issues surrounding circumcision. Is this a medical right or a human rights issue? Why are people so against it…why are some so for it? What is the role of the nurse in relation to an ethical dilemma involving circumcision?

Requirements:

Word Count—Minimum 1500-1800 words

References—Minimum 3 peer-reviewed references, the oldest being no more than 5 years old.

*********APA FORMAT IS REQUIRED **************

Case Study on Moral Status

Based on “Case Study: Fetal Abnormality” and the required topic study materials, write a 750-1,000-word reflection that answers the following questions:

What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?

Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?

How does the theory determine or influence each of their recommendations for action?

What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Here are the expectations for the assignment:

You will need to apply the theories to the fetus, the fetus only and only the fetus and not the characters (this repetition is deliberate). We already have moral status, therefore applying any theory to the persons in the case study will amount to no points no matter how well discussed. We are alive because we have moral status. The assignment question is really asking you: What Moral status would Marco ascribe to the fetus? What is the fetus right to or not to live according to Marco and Why? Think the same way for each person. You are not to focus on the relationship they have with each other. The fetus is the main focus, the fetus and only how they see the fetus.

Let’s us think about Marco for a little bit. Marco does apply a theory to the fetus. We are not concerned about how he feels about his wife. We are concerned about how Marco sees the fetus and from there we undoubtedly know which theory Marco would favor.(This is a tip)

As much as possible have a structure to your paper. I recommend an Introduction containing a thesis statement as the last one or two sentences, subheadings for each of the questions asked, and finally a brief conclusion. 

I strongly recommend subheadings. I appreciate those who use subheadings. In your everyday reading, your reading is divided into subheadings to keep you focus. So it should be in your writing. Can you imagine reading pages and pages without subheadings? Your subheadings should not be the questions asked in the assignment, just the key points in the question. For example, your first subheading (which comes after your introduction of course) would be: Christian View of the Nature of Persons and Moral Status.