Community Health Nursing (CHN): Communiable Disease, Anthrax

The purpose of this assignment is to educate fellow classmates about a communicable disease.
The instructor will provide a list of communicable diseases from which to choose a topic for the
assignment.
Prepare a PowerPoint presentation to share with your classmates on the date noted in the
course calendar. Submit the assignment electronically as an attachment (.ppt or .pptx) to the
Assignment Drop Box. This assignment is to be completed in pairs. There is a maximum of 25
slides, excluding title and reference slides.

2. Describe the impact of these issues on your department.
3. Describe how improved communication, collaboration, and teamwork can improve conditions
in your department.
4. Identify at least two examples from the required or recommended readings of techniques
found to foster inclusion and improve communication and collaboration.
5. A minimum of three academic references from credible sources are required for this
assignment.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located
in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the
assignment; therefore, students should review the rubric prior to beginning the assignment to
become familiar with the assignment criteria and expectations for successful completion of the
assignment.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical
Support articles for assistance.

Assessment and Management of Patients With Rheumatic Disorders (Case Study)
1. Ellie Long, a 55-year-old patient, presents to the pain clinic with the diagnosis of fibromyalgia
syndrome. The nurse at the clinic obtains a history and physical assessment of the patient.
(Learning Objective 2)

On what areas should the nurse concentrate when interviewing the patient during the history
process?
On what areas should the nurse concentrate when assessing the patient?
What diagnostic tests are used with fibromyalgia syndrome?
2. Julie Walker, a 22-year-old patient, is newly diagnosed with systemic lupus erythematosus
(SLE). She presented with extreme fatigue; muscle and joint aching and swelling; a butterflyshaped, flat, red rash across the bridge of the nose; patchy alopecia; a low-grade fever; and loss
of appetite. Further workup revealed a positive antinuclear antibodies (ANA) titer, anemia,
leucopenia, and mild thrombocytopenia. She has an abnormal lipid profile, proteinuria, and
hypertension. The liver and renal profiles are within normal range. The physician ordered overthe-counter ibuprofen as needed for joint discomfort, but not to exceed 1,200 mg/day;
hydroxychloroquine sulfate (Plaquenil) before meals at the same time each day; and prednisone
in tapering doses over the next month. The physician also started the patient on lisinopril, an
ACE inhibitor for the hypertension and a statin for the elevated lipids. The clinic nurse is asked
by the physician to provide patient and family education. (Learning Objective 5)

What teaching-plan topics should the nurse provide for the patient?

Management of Patients With Complications From Heart Disease Case Study)
1. George Brown, 72 years of age, is a male patient who is admitted with the diagnosis of acute
pulmonary edema secondary to acute left ventricular heart failure. The patient has a history of
coronary artery disease that has been treated medically. The patient is anxious, pale, cold, clammy, and dyspneic. The vital signs are: blood pressure 88/50 mm Hg, heart rate 110 bpm,
respiratory rate 32 breaths/min, and temperature 97°F. There are bubbling crackles and
wheezing throughout the lung fields and the patient is raising frothy blood-tinged clear sputum.
The patient’s admission weight is 100 kg.
What first actions should the nurse take and what are the rationales for these actions?
The physician ordered furosemide (Lasix) 40 mg IVP STAT.
What are the actions of furosemide that will help the patient?
What nursing actions should be implemented when administering a diuretic?
2. Carl Edwards is a 75-year-old man with congestive heart failure. Having sustained three
myocardial infarctions in the last 10 years, he has decreased left ventricular function. Mr.
Edwards takes Digoxin, Capoten, Coreg, and Lasix for management of this disease. Today he
presents to the emergency department with fatigue, generalized weakness, and feelings of
“skipping” heartbeats. Upon arrival, he is placed on the cardiac monitor, his vital signs are
assessed, and an IV is inserted. He currently denies chest pain, but is experiencing some
shortness of breath, and is placed on 2 L of oxygen via nasal cannula.

Which of his medications might be contributing to his symptoms of generalized weakness and
heart irregularities?
For what clinical manifestations should you assess to correlate to his left-sided heart failure?
How do his medications treat his congestive heart failure?
How does the hypokalemia affect the effects of Digitalis?

Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

• Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
• Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
• Identify and select 5 peer-reviewed articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

• Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.
• Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article Be specific and provide examples.

Rubric Detail

 

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Name: NURS_5051_Module04_Week08_Assignment_Rubric

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	Excellent	Good	Fair	Poor
In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following: ·   Properly identify 5 peer-reviewed articles selected.  ·   Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.	77 (77%) – 85 (85%) The responses accurately and clearly identify 5 peer-reviewed research articles for the Assignment. The responses accurately and thoroughly summarize in detail each study reviewed, explaining in detail the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Specific, accurate, and detailed examples are provided which fully support the responses.	68 (68%) – 76 (76%) The responses identify 5 peer-reviewed research articles for the Assignment. The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Accurate examples are provided which support the responses provided.	60 (60%) – 67 (67%) The responses vaguely or inaccurately identify 5 or less peer-reviewed articles for the Assignment. The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described that is vague or inaccurate. Examples provided to support the responses are vague or inaccurate.	0 (0%) – 59 (59%) The responses vaguely and inaccurately identify less than 5 peer-reviewed articles for the Assignment, or are missing. The responses vaguely and inaccurately summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described, or are missing. Examples provided to support the responses are vague and inaccurate, or are missing.
Written Expression and Formatting – Paragraph Development and Organization:  Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.	5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity.	4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.	3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.	0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.
Written Expression and Formatting – English writing standards:  Correct grammar, mechanics, and proper punctuation	5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.	4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors.	3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors.	0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.	5 (5%) – 5 (5%) Uses correct APA format with no errors.	4 (4%) – 4 (4%) Contains a few (1-2) APA format errors.	3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors.	0 (0%) – 3 (3%) Contains many (≥ 5) APA format errors.