Archive for category: Nursing Assignment Help

Evidence-based Practice in Nursing Practice

In this assignment, you will refer back to the topic you selected for your evidence-based practice problem (which is: Will the nurse’s knowledge regarding their hospital requirement for the assessment and accommodation be more useful and relative in adult patients who are intubated in the intensive care unit

Refer back to the topic you selected for your evidence-based

Firstly, In this assignment, you will refer back to the topic you selected for your evidence-based practice problem (which is: Will the nurse’s knowledge regarding their hospital requirement for the assessment and accommodation be more useful and relative in adult patients who are intubated in the intensive care unit
(ICU) compared to the patients on a medical-surgical floor?).

Secondly, For this assignment, you will interpret the three articles selected from your week 2 assignment (articles are attached).

Thirdly, You must complete a matrix table for your three articles (see template provided below). Once you complete this matrix table, you will write a paper, including the following information:

Fourthly,  An introduction to the topic from week 2 and created PICOT question (although this information may be similar to what you provided in your week 2 assignment, be sure to paraphrase and not copy/paste directly from that assignment). (See attached paper).

Further, For each of the three articles selected, describe the following:

A. Concepts explored in the article/study (This is the “what” of the study.)
B. Methods used in the article/study (Describe this in detail; it’s “how” of the study.)
C. Participants in the article/study (This is the “who” of the study.)
D. Instruments/tools in the student (This is the resources used to collect the data; i.e.; survey, interview, etc.
Be sure to include a discussion of reliability and validity, as well.)

E. Conclusion/summary of the evidence.

 

 

Documenting a Patient Phone Call for a Electronic Health Record

This is a paper that focuses on Documenting a Patient Phone Call for a Electronic Health Record. The paper also provides framework on writing the report for the system.

Documenting a Patient Phone Call for a Electronic Health Record

Learning objectives
Firstly, demonstrate professional transcription skills when documenting in an Electronic Health Record (EHR).
Secondly, document accurately in the patient record.*
Structure, Organize, and Prioritize interview data into a professional note in the patient’s electronic health record.
Thirdly, analyze communications in providing appropriate responses/feedback.*
Then, advocate on behalf of patients.*
Fourthly, apply current knowledge of electronic health records and appropriate, accurate documentation.
Lastly, demonstrate telephone techniques* (if completed in lab setting).

*Directly maps to MAERB educational competencies.

Student instructions
1.     If you have questions about this activity, please contact your instructor for assistance.
2.     You will review the chart of Alec Allard to complete this activity. Additionally, your instructor has provided you with a link to the Documenting a Patient Phone Call activity. Click on 2: Launch EHR to review the patient chart and begin this activity.

However, refer to the patient chart and any suggested resources to complete this activity.
You will complete documentation in EHR Go as instructed below. Subsequently, when you complete this activity, you will download your Progress Report in EHR Go under 3: Download Work, save the Progress Report to your device, and then upload the Progress Report to your Learning Management System (LMS).

The activity

Firstly, launch the EHR and review Alec Allard’s EHR, specifically in the Notes, Vitals, and Orders Tabs. Then read through the telephone call transcript in this document.

In the EHR, go to the Notes tab and click on the New button in the bottom right of the screen. Select the Free Text Note template. For date and time, click into the box to change the date to tomorrow and the time to 0900. Leave yourself as the author and choose the Central Clinic as the location.

See below for an example of the correct selections in the Note Choice box.

Client’s target heart rate using the Karvonen formula

This is an assignment that focuses on the topic Calculate the client’s target heart rate using the Karvonen formula. The paper also provides a case study that is related to the topic.

Calculate the client’s target heart rate using the Karvonen formula

Calculate the client’s target heart rate using the Karvonen formula
T‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍his section of your final exam provides you with an opportunity to apply all of the information you have learned throughout the course to the work that you will be doing as a certified professional. You will be presented with two client profiles, and will be asked to design a 12-week periodized program for each client. In addition to describing the logistics of the program, you will also be asked to explain why you have designed the program the way that you have. Approach these clients as you would approach a real-life situation. Your client should be able to take your program and put it into practice without having to contact you for explanation of what to do or why to do it. Before you finalize your submission, make sure your program passes the following tests:

1. Firstly, is the training program that you are designing appropriate, safe, and effective for the client, given the client’s physical abilities and primary goals?

2. Secondly, could you defend your program from a legal standpoint? Who would be held liable if your client was injured during training because of either lifting too much weight or exceeding a certain heart rate?

3. Is your program justifiable from a business standpoint? Are you professional with your current clients? Would they refer their friends, family, or colleagues to you based on the guidance that you provide in your program design?

4. Imagine that YOU are the paying client. Would you feel that your money was well spent if you were handed the training program/dietary recommendations?

Case Study 1 Calculations:

Calculate the client’s target heart rate using the Karvonen formula. Training Program: Design a full 12-week periodized training program for the client described in the Client Profile. Be very specific as you design the training program. This is an opportunity for you to demonstrate your full comprehension of the information and concepts discussed throughout the course. List the types of exercise, duration, sets, reps, rest intervals, and so on. Include the following in your case study submission:

A description of your professional responsibilities as discussed in the stages of the drawing-in process (Unit 12) Discussion of any fitness tests, methods of evaluation, and data collection used to assess. Also, evaluate the client’s needs. Specific conditions that you ha‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ve identified in the client profile. A fully detailed 12-week comprehensive and periodized training program including specific exercises, sets, repetitions, suggested rest times, etc. Use an integrated approach in your program recommendations. Specific and detailed nutritional strategies and an explanation as to how the strategies will assist the client in meeting energy needs. Explanation for your chosen assessment, programming, and nutritional recommendations.

Calculate the client’s target heart rate using the Karvonen formula

(Be sure to reference course concepts when discussing rationale for your recommendations. Keep in mind that a client should be able to take your program and put it into practice without having to contact you to clarify what you intended by your recommendations or to explain parts of your program. Don’t forget your explanation for WHY you listed and recommended what you did. Reference the concepts and theories covered in the course.

For example: if you are developing a program for a beginner client without any resistance training experience, explain how your program addresses the lack of experience. Additionally, initial need for foundational development, process by which you would safely progress the client, etc. Tying your program to course concepts is a critical component of your case study. Lastly, review the Client Profile below. Client Profile: Jamie Summers Age: 53 Gender: Female Resting Heart Rate: 90 bpm Height: 5’5″ Weight: 165 lb Body Fat Percentage: 35%

Background and Goals: Jamie is a working mother of three teenagers. She has not been consistently active for many years. Also, she was recently diagnosed with high blood pressure. This is likely caused by her high-stress corporate job and physical inactivity. She also has an affinity for processed and sugary foods.

58-year-old male with shortness of breath

This paper focuses on a Family Medicine 28: 58-year-old male with shortness of breath. While working with your family medicine preceptor you are scheduled to see Mr. John Barley, a 58-year-old male who has sought medical attention

Family Medicine 28: 58-year-old male with shortness of breath

Family Medicine 28: 58-year-old male with shortness of breath

While working with your family medicine preceptor you are scheduled to see Mr. John Barley, a 58-year-old male who has sought medical attention only rarely in the past 10 years. He comes to the office today because of progressively worsening cough and shortness of breath during the previous month.

Before you and your preceptor Dr. Wilson enter the room to meet Mr. Barley, you think about the definition of dyspnea:

TEACHING POINT
Dyspnea Definition
Dyspnea is defined as an uncomfortable awareness of breathing.
Any problem in the mechanical system of breathing can trigger dyspnea, including (but not limited to):
Firstly, blockage in the nose
Secondly, fluid in the alveoli
Thirdly, irritation of the diaphragm

PATIENT HISTORY 1

Dr. Wilson greets Mr. Barley, introduces you, and then excuses himself to go see another patient. He states he will be back for you to present Mr. Barley’s case to him.
You sit down across from Mr. Barley and say, “Hi, Mr. Barley. Thanks for letting me work with you.” Mr. Barley says, “Sure, anyone working with Dr. Wilson is OK by me.”
You begin eliciting the history:

“I understand you have a cough and shortness of breath. Can you tell me more about it?”
“OK. Have you noticed anything else that seems to be related to the cough? Things like weight loss, chest pain, and fever?”
“Have you had any nausea, vomiting, or diarrhea?”
“Do you have shortness of breath when you are active and when you are at rest?”
“Have you had in the past, or currently have, exposures to things that can cause cough, like chemicals, and smoking?”
“Do you have any trouble lying flat when you sleep?”

You learn that he has not traveled recently, which could have exposed him to an unusual form of pneumonia.

He also has not been exposed to tuberculosis. From other questions, you learn that Mr. Barley has no leg swelling or paroxysmal nocturnal dyspnea (PND). You know that he has had no orthopnea.

As a farmer, he is active during the day. Deconditioning is not likely.
Wondering if his shortness of breath is due to a panic disorder, you ask him a series of questions and note that his symptoms are not associated with paresthesia, choking, nausea, chest pain, derealization feeling, trembling or shaking, dizziness, palpitations, sweating, chills, or flushes.

PATIENT HISTORY 2

HISTORY
Now that you have a good understanding of the history of the present illness, you continue the interview by turning to past medical, social, and family histories.
You say, “I think I have a clear idea about what brought you in today. Let me ask you now about your health in general.”
“Any serious illnesses in the past?”
“I’d like to ask about your personal life. Tell me about your home life.”
“Tell me about your immediate family health history.”
You say, “So I understand that you have had a cough with white phlegm for the past two winters and that you have been experiencing shortness of breath with exertion. Additionally, you may have been exposed to some chemical irritants at your farm, but you have been careful about this. You also smoke cigarettes.”

INSTRUCTIONS

Assignment
Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 28: 58-year-old male with shortness of breath.

Discussion Question 1
Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

Discussion Question 2
Based on your performance and the expert feedback in your PHYSICAL EXAM collection, further, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

Discussion Question 3

Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Lastly, use specific references from your text.

Discussion Question 4
Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

Discussion Question 5
Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and also use specific references from your text to support the inclusion of the diagnosis for this client.

Submission Details:
• Post your initial response to the Discussion Area by Day 3. • Please make sure you are using scholarly references and they should not be older than 5 years. Your posts/references must be in APA format. Finally, please follow the discussion rubric to make sure you have addressed the discussion criteria.

Mrs J understanding of RN – BSN regarding pathophysiology

This is an assignment that analyzes the Mrs. J understanding of RN-BSN regarding pathophysiology. Also, the assignment discusses the health promotion and restoration plan.

Mrs. J understanding of RN-BSN regarding pathophysiology

I‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍t is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Evaluate the Health History and Medical Information for Mrs. J., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Firstly, describe the clinical manifestations present in Mrs. J.

Secondly, discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.

Thirdly, describe four cardiovascular conditions that may lead to heart failure. Additionally, what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.

Cont.

Then, provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Also, explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.

Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.

Lastly, outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are 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. Prepare this assignment according to the guidelines 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.