All posts by : chebby

HELP 

discussion case study , part c, case study

As  a nurse leader, you have been assigned a new initiative project. What steps would you take to ensure that you are using all the components of evidence-based practice? Explain why each step is essential.

1. Review Learning Exercise 17.4 – Calculating Staffing Needs PLEASE LOOK AT ATTACHMENT AND ANSWER THE QUESTION IN ATTACHMENT.
2. Calculate the staffing needs for the day shift and answer the following questions:
   1. You have on duty one RN and one LPN working 8 hour shifts and a ward clerk for 4 hours.  Are you understaffed or overstaffed? 
   2. If you had the same number of patients but the acuity levels were the following, would your staffing needs be the same?
      • Two patients in category I acuity level
      • Three patients in category II acuity level
      • Two patients in category III acuity level
      • Zero patients in category IV acuity level

As a nurse in a healthcare organization, it has become evident that patient outcome data have been consistently declining in some patient care settings. Some of the outcomes under inspection include patient Hospital acquired pressure injury (HAPI), (4 % increase in the last 6 months) .

You have investigated contributing factors to the declining outcomes and participated with a team approach to developing an evidence-based practice project. After reading this article Aiken Article titled “The effects of nurse staffing and nurse education on patent deaths in hospital with different nurse work environment”, PICO: In patients with HAPIs, how does nurse staffing contributes to HAPI decline in patient’s outcome? Was developed. 

Complete the following categories for an EBP project (based on the case scenario above). Use the clinical question that was developed based on the PICO format. Include minimum of 10 articles reviews. For this assignment address the following areas:

· Title Page

· Abstract

· Introduction

· Background

· Problem Statement

· Purpose of the Project

· Clinical Question(s)

· Review of the Literature

Please find attached Advanced Health Assessment.

For this assignment you will prepare a 10-12-slide PowerPoint presentation on teaching techniques for diverse learners.

Presentation Criteria:

Prepare a plan for designing and delivering instruction that addresses both the needs of the selected population as well as other diverse students.

1. Select a population that represents a type of diversity, which may include ethnic, learning styles, age, or cognitive ability. The selected population may be nursing students, staff members, or patients.
2. Explain how your selected population’s characteristic impacts their learning styles.
3. Provide three teaching strategies an educator could use with that particular group of learners.
4. Include a rationale for each strategy as to why it would be effective.
5. Use at least three scholarly, peer-reviewed resources less than 5 years old in addition to course materials.

Presentation Requirements:

Online students are required to provide comprehensive speaker notes.

Students in traditional classes are not required to include speakers’ notes, but will present their work in class and be evaluated on professional teaching style.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 not required to submit this assignment to LopesWrite.

Choose one health-promoting behavior in which you personally could but don’t engage. Identify factors, as defined in the health promotion model, which contribute to your decision not to participate. Include immediate competing alternatives.

2. Analyze factors that contribute to your participation in a health-promoting activity and place each factor under the appropriate label from the health promotion model.

3. Consider your own philosophy of health and prepare your description of wellness. Is absence of disease more prominent than positive, active statements of health?

4. Anticipate the health-promoting behaviors important at various stages of development across the life span. What health promotion topics do you include in your practice?

     Infectious Diseases  ( Pediatric ) Similarity no more than 10%

 Hello i need a Briefly, Good and Positive Comment for this Post.Thank you.  I need at least two references  

Lupus Patient Education Activity

A 20-year old female presents with chief complaint of fatigue, anxiety, and heart palpitations. She has recently given birth to her second child, a daughter. Initial recommendation from her follow up appointment is to rest. The patient’s symptoms worsen and then gradually resolve. Over the next year she has increased fatigue and headaches. She also starts to complain of joint pain in her ankles, knees, elbows, wrists, and fingers. Rest and over-the-counter pain medication relieve her symptoms, but it is difficult for her to find time for much rest due to the responsibilities of caring for a family and working full-time. The winter brings a new intolerance to low temperatures. She states her hands and feet becoming painful and discolored when she is exposed to cold. Her extremities became painful, stiff, and altered in color when exposed to cold temperatures. She also develops a butterfly rash.

DX: systemic lupus erythematosus.

Rx: prednisone and hydroxychloroquine

You are providing the patient with education on her new diagnosis. Create a patient teaching plan that covers the following questions.

1. What is lupus?

2. What key lifestyle changes will the patient need to address to manage her condition?

3. What are the important teaching points for her medications?

4. What are the recommendations to manage her symptoms, to avoid flare-ups, and to monitor her condition?

5. What symptoms, if they occur, should she report immediately to her provider and why?

Rheumatoid Arthritis Patient Education Activity

A 48-year old female presents stiffness in both hands in the morning for last 7 months. Stiffness now lasted more than 1 hour every morning and includes hands, wrists and ankles. She also had increasing difficulty standing for long periods at work or at home due to foot and ankle pain. She began taking ibuprofen 800mg 3 times daily and found it helped her get through her day with less pain and stiffness. Three months ago, Joy noticed pain in her right and left shoulders when she would cut or blow dry her client’s hair. She also began feeling extremely tired and short tempered. She had no energy to do her usual activities. Ibuprofen was no longer very effective for her pain or stiffness. One morning, Joy could not lift her arms at all without extreme shoulder pain. She knew it was time to get help. 

Pt is married with 3 teenagers, and works part time as a hairdresser.

Dx: Rheumatoid Arthritis (RA) 

Rx: methotrexate, Physical Therapy

You are providing the patient with education on her new diagnosis. Create a patient teaching plan that covers the following questions. 

1. What is rheumatoid arthritis? 

2. What are the important teaching points for her medication? 

3. What are the recommendations to manage her joint pain during remission? During exacerbation?