Watch this video 

Nile Moss http://www.gnsh.org/30-minute-nile-moss/

Identify Two priority nurses diagnoses

Completete one full Care plan of Nile Moss

Remember Care plan Include: Assessment, Diagnosis, outcomes, Interventions, rationale, evaluation

Johnathan, age 7, presents to the office with symptoms of worsening cough and wheezing for the past 24 hours. He is accompanied by his mother, who is a good historian. She reports that her son started having symptoms of a viral upper respiratory infection 2 to 3 days ago, beginning with a runny nose, low-grade fever of 101.0 degrees F orally, and loose cough. Wheezing started on the day before the visit, so Johnathan ‘s mother started administering albuterol metered-dose inhaler (MDI) two puffs before bed and then two puffs at around 2 AM. The cough and wheezing appear worse today, according to the mother. He had difficulty taking deep-enough breaths to inhale this morning’s dose of albuterol, even using the spacer.

Johnathan has been a patient at the clinic since birth and is up to date on his immunizations. His growth and development have been normal, and he is generally healthy except for mild intermittent asthma. This is his first asthma exacerbation of the school year, and his mother expresses a concern about sending him to school with an inhaler.

Johnathan is afebrile with a respiratory rate of 36 and a tight cough every 1 or 2 minutes. He weighs 45 pounds (20.5 kgs.). The examination is all within normal limits except for his breath sounds. He has diffused expiratory wheezes and mild retractions. Pulse oximetry readings have been 93% of oxygen saturation.

1. What are the appropriate pharmacological therapies to be prescribed for Johnathan?
2. What information is necessary to provide to Johnathan and his mother regarding asthma exacerbation?
3. What is an appropriate clinical assessment tool to be use with Johnathan?
4. What are the classification of asthma?
5. How would you as the NP address his mother’s concern regarding providing an inhaler at school?
6. What is an appropriate plan of care for Johnathan?
7. EXAMPLE IS UPLOAD 

Purpose of Assignment:

These case studies are real-life scenarios that will help you explore the concepts of the immune system, diagnostic tests, and treatments.

Instructions:

Download MEA2203 Case Study Assignment Module 01 (Attached below)

and read each of the patient scenarios. Then, use the lesson content from this module, your textbook, and perhaps additional research to answer the questions. Upload your completed document by following the instructions below. 

See attached outline

RUA: Transitions Paper  (Summuraize this article as an essay  2 full pages not including title page and reference page)  (I upload  below the article and the student paper to follow as an example)

The title of the essay is “Safety”

“Does Nursing Home Compare Reflect Patient Safety In Nursing Homes? Article upload to write about” 

APA format:

https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/in_text_citations_the_basics.html

Only use this website or library to find the article to support the essay:

CINAHL with Full Text

ProQuest Nursing

Access Medicine

Cochrane Library

PubMed

Criteria

1) Include the following sections. 

A. Introduction – 20 points/13% 

• Clearly establishes the purpose of the paper 

• Includes key points to be covered 

• Captures the reader’s interest 

B. Body of Paper – 60 points/40% 

• Complete, well-developed discussion of key points 

• Supports the purpose or main idea of the paper 

• Logical development of ideas with clear and accurate information 

• Ideas and statements are supported by three or more examples from personal and/or professional experiences 

• Provides own perspectives on the topic that is reflective, insightful, and original 

C. Conclusion – 30 points/20% • Clear and concise 

• Summarizes key points discussed in the paper 

• Leaves a strong impression, message, or idea on the reader 

D. Writing Style – 15 point/10% e. Correct use of standard English grammar, paragraph, and sentence structure 

F. No spelling or typographical errors 

G. Organized around required components 

H. Information flows in a logical sequence that is easy for the reader to follow 

I. APA Format, and References – 25 points/17% 

• There is a correct and appropriate use of margins, spacing, font, and headers 

• Document setup includes title and reference pages in correct APA format NR103 Transition to the Nursing Profession Transitions Paper Guidelines NR103_Transitions_Paper_Guidelines 2 

• Citation of sources included in the body of the paper uses the correct APA format for direct and indirect quotes 

• All elements of each reference are included in the correct order 

• All information taken from the source, even if summarized, is cited and listed on the Reference page 

• All sources used are nursing journals published within the last five years For writing assistance (APA, formatting, or grammar) visit the APA Citation and Writing page in the online library

 Describe a health promotion model used to initiate behavioral changes. How does this model help in teaching behavioral changes? What are some of the barriers that affect a patient’s ability to learn? How does a patient’s readiness to learn, or readiness to change, affect learning outcomes? 

250 words, please add references

• Develop a 4–6-page plan that will allow your intervention to be implemented in your target population and setting.

  Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

• Assessment Instructions
• Instructions
  Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.
  Your implementation plan design will be the third section of your final project submission. The goal for this is to design a plan that will allow your intervention to be implemented in your target population and setting. You should be able to preserve the quality improvement outcomes that you designed for your target population and setting while also ensuring that the intervention does not put undue stress on the health care setting’s resources or violate any policies or regulations. Provide enough detail so that the faculty member assessing your implementation plan design will be able to provide substantive feedback that you will be able to incorporate into the final draft of your project.
  At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Implementation Plan Design document (linked in the Resources) to better understand how each criterion will be assessed. In addition to the bullet points below, provide a brief introduction that refreshes the reader’s memory about your problem statement, as well as the setting and context for which this intervention plan was designed before launching into your implementation plan.
  Reminder: these instructions are an outline. Your heading for this this section should be Management and Leadership and not Part 1: Management and Leadership.
  Part 1: Management and Leadership
  • Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan.
  • Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs.
  • Part 2: Delivery and Technology
  • Propose appropriate delivery methods to implement an intervention which will improve the quality of the project.
  • Evaluate the current and emerging technological options related to the proposed delivery methods.
  • Part 3: Stakeholders, Policy, and Regulations
  • Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan.
  • Propose existing or new policy considerations that would support the implementation of an intervention plan.
  • Part 4: Timeline
  • Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation.
  • Address Generally Throughout
  • Integrate resources from diverse sources that illustrate support for all aspects of an implementation plan for a planned intervention.
  • Communicate implementation plan in a way that clearly illustrate the importance of interprofessional collaboration to create buy-in from the audience.
  • Length of submission: 4–6 pages, double spaced.
  • Number of resources: Minimum of 3–6 resources. (Your final project will require 12–18 unique resources.)
  • Written communication: Written communication is free of errors that detract from the overall message.
  • APA formatting: Resources and citations are formatted according to current APA style. Header formatting follows current APA levels.
  • Font and font size: Times New Roman, 12 point.

This case study documents an ongoing interaction between a wife and her husband who live in a spacious home in a gated community.

When Dan (now 80) and Jane (now 65) began dating more than 15 years ago, both were emotionally charged to begin their lives anew. Well-educated and financially secure, they had a lot in common. Dan was a protestant minister, and Jane’s deceased husband had been a protestant minister. Both had lost their spouses. Jane’s first husband had suffered a catastrophic cerebral aneurysm 2 years earlier. Dan had conducted the funeral service for Jane’s husband. Dan’s wife had died of terminal cancer a little over a year earlier. Dan’s first wife had been a school counselor; Jane was a school teacher. Both had children in college. They shared a love for travel. Dan was retired but continued part-time employment, and Jane planned to continue teaching to qualify for retirement. Both were in great health and had more than adequate health benefits. Within the year they were married. Summer vacations were spent snorkeling in Hawaii, mountain climbing in national parks, and boating with family. After 7 years, Dan experienced major health problems: a quadruple cardiac bypass surgery, followed by surgery for pancreatic cancer. Jane’s plans to continue working were dropped so she could assist Dan to recover and then continue to travel with him and enjoy their remaining time together. Dan did recover—only to begin to exhibit the early signs and symptoms of Alzheimer’s disease. One of the early signs appeared the previous Christmas as they were hanging outdoor lights. To Jane’s dismay, she noted that Dan could not follow the sequential directions she gave him. As time passed, other signs appeared, such as some memory loss and confusion, frequent repeating of favorite phrases, sudden outbursts of anger, and decreased social involvement. Assessments resulted in the diagnosis of early Alzheimer’s disease. Dan was prescribed Aricept, and Jane began to prepare herself to face this new stage of their married life. She read literature about Alzheimer’s disease avidly and organized their home for physical and psychological safety. A kitchen blackboard displayed phone numbers and the daily schedule. Car keys were appropriately stowed. It was noted that she began to savor her time with Dan. Just sitting together with him on the sofa brought gentle expressions to her face. They continued to attend church services and functions but stopped their regular swims at their exercise facility when Dan left the dressing room naked one day. Within the year, Jane’s retired sister and brother-in-law relocated to a home a short walk from Jane’s. Their intent was to be on call to assist Jane in caring for Dan. Dan and Jane’s children did not live nearby so could only assist occasionally. As Dan’s symptoms intensified, a neighbor friend, Helen, began to relieve Jane for a few hours each week. At this time, Jane is still the primary dependent-care agent. She prides herself in mastering a dual shower; she showers Dan in his shower chair first, and then, while she showers, he sits on the nearby toilet seat drying himself. Her girlfriends suggested that this was material for an entertaining home video! Although Jane is cautious in her care for Dan, she often drives a short distance to her neighborhood tennis court for brief games with friends or spends time tending the lovely gardens she and Dan planted. During these times, she locks the house doors and leaves Dan seated in front of the television with a glass of juice. She watches the time and returns home midway through the hour to check on Dan. On one occasion when she forgot to lock the door while she was gardening, Dan made his way to the street, lost his balance, reclined face-first in the flower bed, and was discovered by a neighbor. Jane has given up evenings out and increased her favorite pastime of reading. Her days are filled with assisting Dan in all of his activities of daily living. And, often, her sleep is interrupted by Dan’s wandering throughout their home. At times, when the phone rings, Dan answers and tells callers Jane is not there. Jane, only in the next room, informs him “Dan, I am Jane.” Friends are saddened by Dan’s decline and concerned with the burdens and limitations Jane has assumed as a result of Dan’s dependency.

Critical thinking activities

1. Examine this case study through the dependency cycle model (Fig. 14.3). The outer arrows show a progression through varying stages of dependency. The inner circle represents who can be involved in the dependency cycle. Where are Jane and Dan in this cycle?

2. Using the basic dependent-care system model (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dan’s BCFs on his self-care agency? Is he able to meet his therapeutic self-care demands? Continue on to diagnose Dan’s self-care deficit and resulting dependent-care deficit. Now assess Jane’s self-care system.

3. Design a nursing system that addresses Jane’s self-care system as she increases her role as dependent-care agent for Dan.

One way informatics can be especially valuable is in capturing data to inspire improvements and quality change in practice. The Agency for Healthcare Research and Quality (AHRQ) collects data related to adverse events and safety concerns. If you are working within a practice setting to implement a new electronic health record (EHR) system, this is just one of the many considerations your team would need to plan for during the rollout process.

In a paper of 1,250-1,500 words, address the following questions related to the advanced registered nurse’s role during this type of scenario:

1. What key information would be needed in the database that would allow you to track opportunities for care improvement?
2. What role does informatics play in the ability to capture this data?
3. Which systems and staff members would need to be involved in the design and implementation process and team?
4. What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system?
5. How would the EHR team ensure that all order sets are part of the new record?
6. How would you communicate the changes, including any kind of transition plan?
7. What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective?
8. What leadership skills and theories would facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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

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. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following programmatic competencies:

2.3:        Develop leadership skills to collaborate on interprofessional teams in the provision of evidence-based, patient-centered care.

5.2:     Apply professional, ethical, and regulatory standards of practice in the provision of safe, effective health care.

“Nursing Documentation: Is it valuable?” Discuss the value of nursing documentation in healthcare planning. Compare these purposes with the documentation format used in your area of practice. What are potential uses of the data you collect beyond the care of the individual patient?  

Please reference  Sewell, J. (2016). Informatics & Nursing: Opportunities & Challenges (5th ed.) Lippincott, Williams & Wilkins: Philadelphia.