Missed drain in the abdomen discovered during cesarean section at 28 weeks of gestation

A 28 years old lady, medical free, primary infertility 5 years, underwent IVF, then she became pregnant, triplet pregnancy.

Her pregnancy was complicated by ovarian hyperstimulation syndrome, admitted to the hospital, conservative mangment done, on us : sever ascitis diagnosed, cystocath drain was inserted, patient managed as inpatient for 5 days, then she discharged home, with drain in situ, followed up for several days after disharge, the drain finally didn’t drain any fluid it was removed by obestetricion outside hospital. After that her pregnancy run without complications apart from recurrent attacks of generalized abdominal pain. On antenatal visits, her complaint was described as normal pregnancy symptoms.

Her abdominal pain became worse with pregnancy advance. Nothing specific diagnosed, at 28 weeks of gestation, she presented to us complaining of abdominal pain, generalized, with vomiting. Admitted for further investigations and mangment, 3 hours after admission, she devolped pre term rupture of memberans. On us triple pregnancy, fatal heart present for all, all breech presentation. Sterile vaginal exam, confirmed the diagnosis of pre term pre mature rupture of memberans. Soon later her abdominal pain worsed with active gush of fluid per vagina. Vaginal exam repeated and showed dilated effaced cervix. Urgent cesarean sectionwas done. During cesarean section, massive omentalabd bowel adhesions diagnosed.After delivery of all three fetuses alive and closure of the uterus., the adhesions reviewed .

Long tubular structure noticed protruding from the adhesions, surgeon called, the tubular structure has many holes, at same time, proximal bowel founded to be dilated. Adhesoilysis done, the tube removed, looks like a drain, washing done, several bands of adhesions removed, dilated bowel return normal, deppiser drain inserted, count correct , hemostsis secured, closure ofrectus sheath ,subcutaneous fat and skin. Patient stayed for three day’s, covered by antibiotic no complications happened, deppiser drain removed. Patient discharged home in good condition., drain was taken by patient. Follow up done at our hospital for three weeks, no any complications happened also.

Community Needs and health Screening Initiative

Directions

For this Assignment you will pick one recommended screening from United States Preventive Task Force A and B Recommendations using this link https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations An initiative is a project, an event, so something in the community is ideal.

Please include the following suggested level one headings so content is clear and easily identified.

Theory or Conceptual Model Choose a theory or conceptual model that you think might work for your initiative and explain the theory or model here.

Screening Purpose

Discuss why it is important to screen for this condition.

This is where you address your community assessment and the reason for this need in your community/ population choice. Support your stance with statistics and information, ideally related to the location and population.

**Location should be Marion County Indiana** Population Clearly address the demographics that are being screened; where they live, state, county, ages, races included etc. Screening Activity This section is what you are doing at the screening and should completely align with the screening guideline for the condition.

Also all health promotion screenings include some brief prevention education component. Outcome Goals Bullet a few specific goals here. What do you hope to accomplish with your screening? Location Briefly explain where you are doing this.

Health Fair in Marion County as an example, BUT must be Marion County Indiana. Think about what kind of facility or area you will need. Include comments explaining how this location meets the needs of your target population and screening choice. Cost This is the cost for you to develop and conduct the initiative. It is best displayed as a brief Word table showing what it costs you to conduct the screening; paper, equipment, rental s etc.

Volunteers are fine, but everything is not free. Must demonstrate a cost estimate for a community screening intervention that is realistic and takes into account financials. If there is a cost for the attendees that should go here as well. Summary Provide a summary of your screening, general benefit to the community and why it is important.

This Assignment is focused on preventive screening applications in the community, workplace or school settings. A person should be able to read the paper and understand fully what it is screening, where, when, the costs and how it is supported in the guideline.

Watson’s Theory of Human Caring

The purpose of this paper is to examine how the application of Watson’s Theory of Human Caring is used to help reduce the anxiety and fears in pediatric intensive care patients. Make sure you include all elements. The application section towards the end of the paper needs to describe specific ways to apply what was learned that another APN can put into practice. Broad statements will not be sufficient. Need to know specific content of programs and/or scales may use to teach and/or assess learning.

Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.

1. Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual. 2. Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse. 3. Identify a patient care situation and describe how nursing care, or approaches to decision‐making, differ between the BSN‐prepared nurse and the ADN nurse. 4. Discuss the significance of applying evidence‐based practice to nursing care and explain how the academic preparation of the RN‐BSN nurse supports its application. 5. Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes.

Breast Cancer Screening

Your screening methodology must come from the the United States Preventive Services Task Force guidelines – use the attached link. https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations Explain the guideline, the correct application of the screening, and the epidemiology behind the guidance. Content required should include epidemiologic data such as statistical information as available ex. morbidity, mortality, incidence and prevalence of condition. Identify risk factors, risk assessment, testing interval, description of the patient population, screening test recommendations and other factors relative to the guideline.

ESSENTIALS OF MENTAL HEALTH NURSING

Description

This work is a 4,000 word case study essay and Level 5 standard. Learning outcomes 1 – 5 to be addressed, fully referenced and written to level 5 standard (appendix 1).  Please use relevant up to date legislation and/or legal issues related to the case scenario/study – Mental Health Act, Mental Capacity Act, Equality Act 2010, Deprivation of Liberty safeguarding, safeguarding vulnerable Adults, Safeguarding children, the Children’s Act, Consent, Gillick competency

The Future of Nursing: Leading Change Advancing Health

The paper should be 825 words long,Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750-1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following: Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice. Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN-prepared nurses. Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population. Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health-illness continuum. Discuss how nurses can assist in effectively managing patient care within an evolving health care system. 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.

REDINESS FOR PRACTICE-How are nurses’ held accountable for their practice

Description examine the role of the professional nurse from the perspective of; self and client advocacy; teaching and on-going professional development  discuss leadership and management as they relate to professional nursing practice  identify effective leadership and management behaviours and role models  outline the key principles and practices related to quality and safety management within the Australian health system  analyse how current technological trends in e-Health might improve health outcomes by influencing decision-making and health policy  critically analyse knowledge and skill gaps and identify strategies to address these prior to entry to professional practice or during the graduate year.

Mr. M Case Study

Description Evaluate the Health History and Medical Information for Mr. M., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below. Health History and Medical Information Health History Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN. Case Scenario Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing. Objective Data Temperature: 37.1 degrees C BP 123/78 HR 93 RR 22 Pox 99% Denies pain Height: 69.5 inches; Weight 87 kg Laboratory Results WBC: 19.2 (1,000/uL) Lymphocytes 6700 (cells/uL) CT Head shows no changes since previous scan Urinalysis positive for moderate amount of leukocytes and cloudy Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L Critical Thinking Essay In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following: 1)Describe the clinical manifestations present in Mr. M. 2)Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support. 3)When performing your nursing assessment, discuss what abnormalities would you expect to find and why. 4)Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family. 5)Discuss what interventions can be put into place to support Mr. M. and his family. 6)Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each. You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Referance https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/2

Is Nursing a career field that will still be around in the future

written in APA format, No abstract, Must have a title page. one of the citations needs to be Polly Parkers (promoting employability in a flat world). Must have 10 total sources (including polly Parker). Each summary must be between 100-200 words. Each source must have something to do with wether or not the field of nursing is going to be a viable career in the future, or is it going to die out?