Archive for category: Nursing Assignment Help

Assignment Content 4 1. Recall the case study from week 2: You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old man who had coronary artery bypass graft surgery four days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a number of setbacks.

Staff members, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent suctioning throughout the shift, and he is being evaluated for the development of ventilator-associated pneumonia.

Today, when returning from lunch, you observed that an experienced nurse was suctioning your patient. His secretions were thick, and you observed that the nurse was instilling saline into the patient’s endotracheal tube as she was suctioning him.

The patient turned red and began coughing, and it was obvious he was in distress. You asked the nurse why she was instilling saline into his endotracheal tube. She replied that this was being done to loosen the secretions.

You told her this was no longer an acceptable practice. She stated that she many years of critical care experience and she didn’t care what anyone said, that the only way you could loosen the patient’s secretions would be to instill saline. She also said that would be the last time she would do something for one of your patients while you were at lunch.

Outline/Explain the strategies you will use to search for evidence related to best practices for suctioning and whether the instillation of saline while suctioning is an acceptable technique.

Search for evidence related to best practices and provide a summary of all evidence.

Develop a PICO question for the instillation of saline during endotracheal suctioning. Review the attached grading rubric (criteria) for the assignment Consider how you could apply PICO to problems in your workplace to influence things in clinical practice.

Submit your search strategies, search results, and PICO question and application to clinical practice as an: • 1,200-word APA formatted paper PICO stands for participants/population Intervention Comparison Outcomes

Leeman & Sandelowski (2012) discuss multiple methodologies for use in qualitative research
that contributes to increasing the body of practice-based evidence. Select one methodology from
the article:
Compose an intervention PICOT question from the work environment that supports the chosen
methodology selected from the article
Propose one strategy related to how to disseminate the intervention stated in the above PICOT
question and explain why the chosen dissemination strategy would be appropriate

Instruction

The purpose of this assignment is to create an educational program that supports the
implementation of risk management strategies in a health care organization.
In this assignment, you will develop an outline for an “in‐service”‐style educational risk
management program for employees of a particular health care organization that will then form
the basis for a PowerPoint presentation in Topic 5. Select your topic for this educational session
from one of the proposed recommendations or changes you suggested in the Risk Management
Program Analysis – Part One assignment to enhance, improve, or secure compliance standards in your chosen risk management plan example.
Create a 500‐750-word comprehensive outline that communicates the following about your
chosen topic:
1.Introduction: Identify the risk management topic you have chosen to address and why it is
important within your health care sector.
2.Rationale: Illustrate how this risk management strategy is lacking within your selected
organization’s current risk management plan and explain how its implementation will better meet
local, state, and federal compliance standards.
3.Support: Provide data that indicate the need for this proposed risk management initiative and
demonstrate how it falls under the organization’s legal responsibility to provide a safe health care
facility and work environment.
4.Implementation: Describe the steps to implement the proposed strategy in your selected health
care organization.
5.Challenges: Predict obstacles the health care organization may face in executing this risk
management strategy and propose solutions to navigate or preempt these potentially difficult
outcomes.
6.Evaluation: Outline your plan to evaluate the success of the proposed risk management
program and how well it meets the organization’s short-term, long-term, and end goals.
7.Opportunities: Recommend additional risk management improvements in adjacent areas of
influence that the organization could or should address moving forward.
You are required to incorporate all instructor feedback from this assignment into Educational
Program on Risk Management Part Two ‐ Slide Presentation assignment in Topic 5. To save time later in the course, consider addressing any feedback soon after this assignment has been
graded and returned to you. It may be helpful to preview the requirements for the Topic 5
assignment to ensure that your outline addresses all required elements for submission of the
final presentation.
You are required to support your statements with a minimum of six citations from appropriate
credible sources.
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.

Instructions

Writing introduction for the article of medicinal chemistry that title ” Design, synthesise and
antibuerlousis acrivity of novel compounds
writing introduction for the article of medicinal chemistry that title ” Design, synthesis and
antibuerlousis activity of novel compounds:
Should include the background and the significance of finding new treatment of tuberculosis
Below is the example:
Tuberculosis (TB) is one of the most common infectious diseases and continues to be a major
cause of morbidity and mortality worldwide (1). The emergence of HIV infection, decline of
socioeconomic standards, and a reduced emphasis on tuberculosis control programs have
contributed to the disease’s resurgence in industrialized countries (2,3). The lethal synergy of the
tuberculosis and human immunodeficiency virus (HIV) epidemics have complicated the global
fight against TB (4,5). Resistance of Mycobacterium tuberculosis strains to current antitubercular
agents, leading to the emergence of multidrug-resistant (MDR) M. tuberculosis strains, is an
increasing problem worldwide (5,6). These trends are predicted to continue for decades and
warrant the urgent need for new TB therapies (7)

• Clinical Course of Care
• Background of a clinical case scenario
• Care Environment
• Medical and Nursing Components
• Patient-centered Care Needs
• Team Involvement.
• Patient-safety Concepts