All posts by : chebby

1) Minimum 8 full pages and Template  (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Complete the file 1

              Part 2: minimum 1 page

              Part 3: minimum 4 pages

              Part 4: minimum 3 pages

Submit 1 document per part

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3) It will be verified by Turnitin and SafeAssign

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

See example (File 2)

Issue: Infection Control and Prevention 

Topics: Cleaning and disinfection; Standards precaution and Cross-contamination

1. Search for articles related to the problem and topics mentioned above, from the articles found, select only 2 to complete the 8 articles that this question requires  (within the last 5 years).

The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

2. Provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table.

a. Determine the level and strength of the evidence for each of the eight research articles you have selected. 

Articles:

Cohen, C. C., Choi, Y. J. & Stone, P. W. (2016). Costs of infection prevention practices in long-term care settings: A systematic review. Nursing Economics, 34(1), 16-24,45. Retrieved from https://search.proquest.com/docview/1765381619?accountid=10378

Gammon, J., Hunt, J., Williams, S., Daniel, S., Rees, S., & Matthewson, S. (2019). Infection prevention control and organizational patient safety culture within the context of isolation: Study protocol. BMC Health Services Research, 19 doi:http://dx.doi.org/10.1186/s12913-019-4126-x

Gertrude, S. A., & Nabyonga-Orem, J. (2019). The Global call for action on infection prevention and control. International Journal of Health Care Quality Assurance, 32(6), 927-940. http://dx.doi.org/10.1108/IJHCQA-03-2018-0063

Peng, M.-T. (2020). [Nurses: A Voice to Lead, Nursing the World to Health-Viewing COVID-19 Epidemic Prevention Efforts in Light of Nightingale’s Perspective on Infection Control]. Hu Li Za Zhi The Journal of Nursing, 67(3), 102–110. https://doi.org/10.6224/JN.202006_67(3).14

Qi, Z.-Y., Zhao, P.-Y., Geng, S.-H., Yi, H.-M., & Yang, L.-P. (2020). COVID-19 Epidemic: Possibility of Artificial Intelligence in Infection Control and Prevention. Journal of Epidemiology, 30(8), 371. https://doi.org/10.2188/jea.JE20200203

Trusov, A., Ismoilova, J., Tonkel, T., & Aleksandrin, A. (2016). Infection prevention and control in TB programs. Health Affairs, 35(3), 556. doi:http://dx.doi.org/10.1377/hlthaff.2016.0050

Part 2:

Issue: Infection Control and Prevention 

Topics: Cleaning and disinfection; Standards precaution and Cross-contamination

1. Write a list of five outcomes for your proposed intervention. 

 a. Below each outcome, provide a one or two sentence rationale.

Part 3:

Your patient is a 23-year-old female. She presents with coughing and wheezing which she stated started about three weeks ago. She is currently 25 weeks pregnant. Her last prenatal visit was one month ago in another state. She has an appointment with the prenatal care provider next week, however her respiratory symptoms brought her to your office today.

History – Chickenpox as a child. Asthma as a child, diagnosed at age 8 for which she used a SABA when needed. She has not had the need to use an inhaler since she was 19. She takes only her prenatal vitamin. No other acute or chronic problems. She advises you that she is up to date on all immunizations except she has not had a flu shot (it is October).

Social – Non-smoker, no drug use. She relocated to your state two weeks ago to get away from an abusive domestic situation. She has no support network in this area and has not yet found employment. She has no medical insurance.

HPA – Non-productive cough x 3 weeks. Wheezing audible from across the room. She states it is like this all day and wakes her from sleep every night. She reports that she is fatigued even in the morning. No other complaints.

PE/ROS – Pt appears disheveled but clean. Wheezing in all lung fields. T 98, P 82 regular, R 28 no stridor. FH 130 regular. The remainder of the exam is WNL.

Directions:

1. Construct a narrative document 

2. Diagnose the patient based on the above findings and provide your rationale for how you arrived at the diagnosis.

3. Develop a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.

4. Describe community resources (using your own community) currently available in your state/city to support this patient.

5. Provide a communication plan that you will use to ensure the patient is an active participant in the treatment plan. Refer to therapeutic communication concepts.

6. Utilize national standards, your pharm and/or patho book, and medical or advanced practice professional sources. Do not use patient-facing sources or general nursing texts.

Part 4:

Research topic: Nursing professional care in the prevention of infections associated with health care in intensive care units.

Problem question: What is the nursing professional’s care in preventing infections associated with health care in an adult Intensive Care Unit, according to the scientific literature review? 

1. Include a minimum of six scholarly sources- Organize in logical sections

2. Include an overview of the literature. Be unbiased in your presentation of information. Include sources and content relevant to your research questions and hypothesis

3. state the relevance in your literature review. Include a critical assessment of the sources. Do not simply include a summary of what you have read

4. A strong introduction and conclusion, including further questions for research

Mr. E is a pleasant, 70-year-old, black, male

Source: Self, reliable source

Subjective:

Chief complaint: “I urinate frequently.”  

HPI:  Patient states that he has had an increase in urination for the past several years, which seems to be worsening over the past year. He estimates that he urinates clear/light yellow urine approximately every 1.5-2 hours while awake and is up 2-4 times at night to urinate. He states some urgency and hesitancy with urination and feeling of incomplete voiding. He denies any pain or blood. Denies any head trauma. Denies any increase in thirst or hunger. He denies any unintentional weight loss.

Allergies: NKA

Current Mediations:

Multivitamin, daily

Aspirin, 81 mg, daily

Olmesartan, 20 mg daily

Atorvastatin, 10 mg daily

Diphenhydramine, 50 mg, at night                                                                                                                   

Pertinent History: Hypertension, hyperlipidemia, insomnia

Health Maintenance. Immunizations: Immunizations up to date

Family History: No cancer, cardiac, pulmonary or autoimmune disease in immediate family members

Social History: Patient lives alone. He drinks one cup of caffeinated coffee each morning at the local diner. He denies any nicotine, alcohol or drug use. 

ROS: Incorporated into HPI

Objective:

VS – BP: 118/68, HR: 86, RR: 16, Temp 97.6, oxygenation 100%, weight: 195 lbs, height: 70 inches.

Mr. E is alert, awake, oriented x 3.  Patient is clean and dressed appropriate for age.

Cardiac: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop

Respiratory: Clear to auscultation 

Abdomen: Bowel sounds positive. Soft, nontender, nondistended, no hepatomegaly           

Neuro: CN 2-12 intact                                                                                                                        

Renal/prostate: Prostate enlarged, non-tender. No asymmetry or nodules palpated

Labs:

Test Name

Result

Units

Reference Range

Color

Yellow

Yellow

Clarity

Clear

Clear

Bilirubin

Negative

Negative

Specific Gravity

1.011

1.003-1.030

Blood

Negative

Negative

pH

7.5

4.5-8.0

Nitrite

Negative

Negative

Leukocyte esterase

Negative

Negative

Glucose

Negative

mg/dL

Negative

Ketones

Negative

mg/dL

Negative

Protein

Negative

mg/dL

Negative

WBC

Negative

/hpf

Negative

RBC

Negative

/hpf

Negative

Lab

Pt’s Result

Range

Units

Sodium

137

136-145

mmol/L

Potassium

4.7

3.5-5.1

mmol/L

Chloride

102

98-107

mmol/L

CO2

30

21-32

mmol/L

Glucose

92

70-99

mg/dL

BUN

7

6-25

mg/dL

Creat

1.6

.8-1.3

mg/dL

GFR

50

>60

Calcium

9.6

8.2-10.2

mg/dL

Total Protein

8.0

6.4-8.2

g/dL

Albumin

4.5

3.2-4.7

g/dL

Bilirubin

1.1

<1.1

mg/dL

Alkaline Phosphatase

94

26-137

U/L

AST

25

0-37

U/L

ALT

55

15-65

U/L

Pt’s results

Normal Range

Units

WBC

9.9

3.4 – 10.8

x10E3/uL

RBC

4.0

3.77 – 5.28

x10E6/uL

Hemoglobin

11.5

11.1 – 15.9

g/dL

Hematocrit

35.0

34.0 – 46.6

%

MCV

85

79 – 97

FL

MCH

28

26.6 – 33.0

Pg

MCHC

34

31.5 – 35.7

g/dL

RDW

14

12.3 – 15.4

%

Platelets

220

150 – 379

X10E3/uL

PSA

5.4

0-4.0

ng/mL

Assessment:

Diagnosis: Benign prostatic hyperplasia, ICD-10: N40.1

Please answer the following:

For the sake of this case study, the patient has confirmed BPH and prostate cancer has already been ruled out. Hence, please document your prescribed treatment plan for this patient (i.e. don’t state “refer to urology”).

1. What is your treatment plan (include specific dosage and frequency)? Why did you choose this treatment plan? Do you change any of his current medications?  In your answer, please describe, briefly, the pharmacodynamics (1 point) and pharmacokinetics (1 point) of your treatment choice and how they influenced your decision. Does the patient have any comorbidities that influenced your choice as well (1 point)? 

       Three months later, the patient notes improvement, but no resolution of symptoms. What would be your next prescribed treatment option (1 point)?

1. Document the education you would provide for this patient, specific to the prescribed medication. Please include information pertinent to the patient (2 points) and common potential adverse effects (2 points).

Find a concept within Watson’s Theory of Caring and a similar concept within any other nursing theory.  Compare the two concepts for similarities and differences. Illustrate how a person reading about a theory can be influenced in their understanding of a theory if they have a different definition of a concept than the author.

Expectations

Initial Post:

• Length: A minimum of 250 words, not including references
• Citations: At least one high-level scholarly reference in APA from within the last 5 years

“Evidence-informed decision-making (EIDM) involves the incorporation of the best available evidence from a systematically collected, appraised, and analyzed body of knowledge” (Liebowitz, Schieber, and Andreadis, 2010). Academic libraries are argued to be considered knowledge management tools.

Tasks:

Using the South University Online Library or the Internet, research healthcare IT and their standards. Based on your research on a current Public Health issue and understanding, respond to the following:

• Defend and argue your position on the role that academic libraries such as South University Online Library play as Knowledge Management Tools.
• Identify and describe the desired results of your library research on a current public health issue.
• Assess the process and identify the gaps in the key terms used to find the desired data and information.
• Describe and discuss if the principles of knowledge management can close the gaps in the lack of data and information.
• Develop a strategy to engage the right people and technology to assist in finding the necessary data and information and convert it to knowledge.
• Formulate a summary of the new knowledge you have gained from at least three research articles related to the current public health issue researched.

Requirements to Follow/grading rubric

To recognize the interrelationships of subjective data (physiological, psychosocial, cultural/spiritual values, and developmental) and objective data (physical examination findings) in planning and implementing nursing care.

To reflect on the interactive process that takes place between the nurse and an individual while conducting a health assessment and a physical examination.

Rubric

NR304 RUA: Health History and Physical Assessment Guidelines (Sept20)

NR304 RUA: Health History and Physical Assessment Guidelines (Sept20)

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeHealth History: Subjective Data

Required criteria

1. Demographic data

2. Reason for care (why they are in the facility)

3. Present illness (PQRST of current illness)

4. Perception of health

5. Past medical history (including medications, allergies, and vaccinations and immunizations)

6. Family medical history

7. Review of systems

8. Developmental considerations

9. Cultural considerations

10. Psychosocial considerations

11. Presence or absence of collaborative resources (community, family, groups, and healthcare system)

30.0 pts

Highest Level of Performance

Includes 11 requirements for section.

28.0 pts

High Level of Performance

Includes 9-10 requirements for section.

23.0 pts

Satisfactory Performance

Includes 5-8 requirements for section.

15.5 pts

Unsatisfactory Performance

Includes 1-4 requirements for section.

0.0 pts

Not Present

No requirements for this section presented.

30.0 pts

This criterion is linked to a Learning OutcomePhysical Examination: Objective Data

Required criteria

1. From NR302:

o HEENT (head, eyes, ears, nose, and throat)

o Neck (including thyroid and lymph chains)

o Respiratory system

o Cardiovascular system

2. From NR304:

o Neurological system

o Gastrointestinal system

o Musculoskeletal system

o Peripheral vascular system

30.0 pts

Highest Level of Performance

Includes 8 requirements for section.

28.0 pts

High Level of Performance

Includes 7 requirements for section.

23.0 pts

Satisfactory Performance

Includes 4-6 requirements for section.

15.5 pts

Unsatisfactory Performance

Includes 1-3 requirements for section.

0.0 pts

Not Present

No requirements for this section presented.

30.0 pts

This criterion is linked to a Learning OutcomeNeeds Assessment

Required criteria

1. Based on the health history and physical examination findings, determine at least two health education needs for the individual. Remember, you may identify an educational topic that is focused on wellness.

2. Support the identified health teaching needs selected with evidence from two current, peer-reviewed journal articles.

3. Discuss how the interrelationships of physiological, developmental, cultural, and psychosocial considerations will influence, assist, or become barriers to the effectiveness of the proposed health education.

4. Describe how the individual’s strengths (personal, family, and friends) and collaborative resources (clinical, community, and health and wellness resources) effect proposed teaching.

20.0 pts

Highest Level of Performance

Includes 4 requirements for section.

18.0 pts

High Level of Performance

Includes 3 requirements for section.

15.0 pts

Satisfactory Performance

Includes 2 requirements for section.

7.5 pts

Unsatisfactory Performance

Includes 1 requirement for section.

0.0 pts

Not Present

No requirements for this section presented.

20.0 pts

This criterion is linked to a Learning OutcomeReflection

Required criteria

1. Describe the interaction in its entirety: include the environment, your approach to the individual, time of day, and other features relevant to therapeutic communication and to the interview process.

2. How did your interaction compare to what you have learned?

3. What went well?

4. What barriers to communication did you experience?

5. How did you overcome them?

6. What will you do to overcome them in the future?

7. Were there unanticipated challenges to the interview?

8. Was there information you wished you had obtained?

9. How will you alter your approach next time?

10.0 pts

Highest Level of Performance

Includes 9 requirements for section.

9.0 pts

High Level of Performance

Includes 7-8 requirements for section.

8.0 pts

Satisfactory Performance

Includes 5-6 requirements for section.

4.0 pts

Unsatisfactory Performance

Includes 1-4 requirements for section.

0.0 pts

Not Present

No requirements for this section presented.

10.0 pts

This criterion is linked to a Learning OutcomeStyle and Organization

Required criteria

1. Writing reflects synthesis of information from prior learning applied to completion of the assignment.

2. Grammar and mechanics are free of errors.

3. Able to verbalize thoughts and reasoning clearly.

4. Use appropriate resources and ideas to support topic.

5. Adheres to APA recommendations for title page, running head, headings, in-text citations, and reference page.

6. HIPAA protocols followed.

10.0 pts

Highest Level of Performance

Includes 6 requirements for section.

9.0 pts

High Level of Performance

Includes 5 requirements for section.

8.0 pts

Satisfactory Performance

Includes 4 requirements for section.

4.0 pts

Unsatisfactory Performance

Includes 1-3 requirements for section.

0.0 pts

Not Present

No requirements for this section presente

HA3300D – Healthcare Policy and Ethics 

Assignment 06: Clinical Dilemma 

Instructions

Directions

In Learning Activity 1, you dealt with an ethical dilemma caused by your physicians’ refusal to correct their own errors due to resistance to your facility’s new Electronic Medical Records (EMR) system. In this assignment, you’ll consider this case from the perspective of an administrator.

You’ve just spend a lot of money on your new EMR System. Although the purchase and use of the system is in compliance with new federal requirements and will ultimately help improve continuity of care for patients, some physicians refuse to use the new system. They complain that the new system slows them down and is creating errors in documenting procedures. They insist that their old charting methods have always been adequate.

The quality assurance department reports to the VP of Operations that several nurses and student-nurses have observed an increase in the number of physician documentation errors in patients’ medical records. Several physicians field a grievance against the hospital. They claim the hospital is engaging in unethical behavior by forcing clinicians to use the new EMR system.

Address the following points in a 2-page response paper:

.How is technology changing the ethical issues the healthcare administrator must face?

.Discuss the challenges of balancing ethical principles, quality control, fiscal (monetary) concerns, and the organizational mission.

.Describe the position of the doctors in this scenario in ethical terms. The physicians argue the hospital is acting unethically. Upon what ethical bases do they claim this?

.Generate a solution to this conflict. Support your solution with ethical concepts. How can you argue that the hospital is acting in the best interests of the patients, staff, and medical community?

Your paper should be formatted in APA style, including a references list.

 Due to the Affordable Care Act (ACA), residents of the United States are now facing a different side of the insurance spectrum with increased premiums and/or deductibles. They also have the ability to “shop” around for which insurance policies best meets their needs.

In 1-2 paragraphs, give your perspective on how the Affordable Care Act (ACA) impacts reimbursement policies.

Part I:  The Narrative Summary of your interview with female-identified (M3A1)  regarding their perceptions about their own health.

Part II: An Analysis of the interview using supporting evidence based literature.  

Assignment Guidelines:  For each paper you are to conduct an interview (M3 with a female identified individual and M4 with a male identified individual) which will provide information regarding the individual’s perceptions about their own health as well as their experiences in the healthcare system from the perspective of sex and gender.   

Choose someone who is willing to sit with you and talk to you openly about their thoughts and experiences. This individual may be a family member, a friend, or a co-worker.

Remember, do not use full names within the paper use only first names for confidentiality reasons.

Part I: After completing the interview, you will write a one page narrative summary of the data you have collected addressing all key points as listed below. Use the following questions to guide your interview.

• Tell me a little bit about yourself: work life, family life, interests.
• How involved would you say you are in researching information related to your own health?
• How involved would you say you are in researching information related to the health of other people in your life? Examples?
• What are the biggest concerns you have regarding your health? Now? In the future?
• How often do you consult with a healthcare professional?
• Complete the following sentence: I will make an appointment with a healthcare provider when ___________________.
• What usually causes you to make an appointment?
• Do you feel like your health-related habits are similar or different from other members of your sex? If so, in what way? If not, why? Any examples?

DO NOT submit the answers to the interview-rather use these to assist you in writing your narrative summary for Part I.

Part I: Interview Summary

• Provide a brief description of the person you interviewed that includes demographic information. (i.e., age, occupation, family situation, marital status, etc.).
• Describe their involvement in gathering health-related information.
• Describe their relationship with the healthcare system, in terms of how often they interact with healthcare professionals and why.
• Describe their perceptions of how they compare to other members of their own sex.

Part II: Analysis: Addressing the following components, write a one page analysis using the information obtained during the interview process. Support your observations and assumptions with evidence based literature and/or readings from Module 2 and 3. A minimum of 3 articles are required.

• Discuss your perceptions of the individual you interviewed from the perspective of sex and gender.  
• Describe how similar or different are the roles and behaviors of your interviewee compared to other members of their same sex.
• Provide examples of gender-related behaviors to support your analysis.

Follow the GUIDELINES for WRITING A SCHOLARLY PAPER

Compose your work using a word processor (or other software as appropriate) and save it frequently to your computer. Paper must be submitted in a word.doc format.

Be sure to check your work and correct any spelling or grammatical errors before you upload it.

When you are ready to submit your work, go to the Assignment tab, click “Browse My Computer” and find your file. Once you have located your file, click “Open” and, if successful, the file name will appear under the Attached files heading. Scroll to the bottom of the page and click “Submit.” Please, do not submit as a TEXT.

Turnitin® : all papers submitted through CANVAS are automatically submitted to Turnitin®.  Turnitin® is an originality checking and plagiarism prevention service that checks your writing for citation mistakes or inappropriate copying.    When you submit your paper, Turnitin® compares it to text in its massive database of student work, websites, books, articles, etc.   A recommended percentage of matched words is 3% for any one source and no more than 15% overall for your entire paper. This means a high percentages of match requires you to revise your paper such that you are either paraphrasing or quoting material correctly. High matches may result in a failing grade and/or further disciplinary action per the Excelsior College Academic Honesty Policy.

attachment

 Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document