Nancy a 35-year-old female presents with an asthma exacerbation

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Nancy a 35-year-old female presents with an asthma exacerbation

Nancy, a 35-year-old female, presents with an asthma exacerbation. She has had asthma since she was a child and was hospitalized several times as a child but her asthma was well controlled until the past couple years.

Nancy a 35-year-old female presents with an asthma exacerbation

1.     Nancy, a 35-year-old female, presents with an asthma exacerbation. She has had asthma since she was a child and was hospitalized several times as a child but her asthma was well controlled until the past couple years. Nancy has been seen in urgent care a few times over the past year (most recently 4 months ago) and was given a prescription for an inhaled steroid (she never filled), albuterol inhaler, and oral steroids.

She had eczema as a child and also received allergy shots for many years. Her asthma symptoms flared again 2 weeks ago and she has been using her albuterol 4–5 times/day. Nancy reports that she is very short of breath when climbing stairs or when walking to the mailbox. She has had nighttime coughing spells every day during the past week and has had to prop up on pillows to breathe. She indicates that she has had similar previous flares in the past and she “just wants more albuterol and steroid pills.”

Firstly, Classify Nancy’s asthma using (and citing) the most current EBP guidelines.

Which of the four categories (intermittent, persistent – mild, persistent – moderate, persistent – severe) does she fall under?

Explain your justification.

Secondly, Is Nancy’s asthma being manage d properly? Explain your answer.

Thirdly, Would you refill her albuterol inhaler and steroid pill prescriptions as she requested?

Fourthly, Incorporate the pathophysiology of the three core defects of asthma into your discussion for all of these questions.

Furthermore, What is the value in performing this spirometry on Nancy when she already has a known diagnosis of asthma?

Moreover, Interpret her spirometry by defining and analyzing each indice (FEV1, FVC, FEV1/FVC ratio) individually.

Lastly, Explain the significance of “atopy” and “one continuous airway” applying Nancy’s scenario.

 

Harry CASE STUDY

2.     Harry, a 42-year-old Caucasian male, present ed with a BP of 172/104 three weeks ago and was place d on lisinopril/hctz 20/12.5 – 1 tablet daily. He returned today and his BP is 148/88. He complains of a persistent, dry, hacky cough that is annoying him significantly.

a.     Explain the pathophysiology of his cough and lisinopril. How would you address this?

b.    Explain the location within the RAAS and the mechanism of action for lowering blood pressure for each of the following four antihypertensive drug classes: renin inhibitor, ACE, ARB, and aldosterone inhibitor. A brief paragraph for each will suffice.

c.     Discuss how the RAAS impacts African-Americans differently than other ethnicities. According to the EBP guidelines, which two drug classes are use d specifically in the treatment of African-Americans for hypertension?

3.     Harry was also start ed on atorvastatin 40mg three weeks ago and complains of severe weakness and muscle pain in his legs and shoulders. His urine is “tea colored.” His CK (creatine kinase) is 2,000.

a.     Identify Harry’s diagnosis and explain his weakness, muscle pain in legs and shoulders, elevated CK, and tea-colored urine from a pathophysiological perspective.

b.    Explain from a pathophysiological perspective the difference in mechanism of action between a hydrophilic and lipophilic statin as they relate to myalgias. As an FNP, how does this knowledge help you? Give two examples of hydrophilic and lipophilic statins.

Role of the BSN Nurse in Promoting Community Health

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Role of the BSN Nurse in Promoting Community Health

This is an assignment that discusses the role of the BSN Nurse in promoting community health. The paper also discusses the current or emerging technologies.

The Role of the BSN Nurse in Promoting Community Health

A.  Firstly, write an executive summary (suggested length 1 page) that includes a synopsis of the key points of your proposal.
Note: The executive summary is written after you have completed your proposal; however, APA-style formatting should be referenced and used. And APA-style formatting requires this summary be placed at the opening of your proposal.

B.  Secondly, write a literature review on the use of technology in education by doing the following:
1.  Provide five credible sources published in the last five years that are relevant to your curriculum proposal project in the “Literature Review Summary Table” found in the attached “C922 Curriculum Technology Proposal Template”
2.  Provide an evidence summary of the academic literature you found in part B1 on the use of technology in education.
3.  However, based on your literature review, discuss gaps in the use of technology in nursing education.

C.  Subsequently, complete a needs assessment by doing the following:
1.  Describe the process used to conduct a curricular technology needs assessment using a gap analysis.
a.  Identify three academic stakeholders (e.g., faculty, students, preceptors, IT personnel) and their roles in the gap analysis. Explain methods of collaboration with interprofessional teams.

2.  Compare two current or emerging technologies by describing the advantages and also the disadvantages of each as they apply to “The Role of the BSN Nurse in Promoting Community Health.”
3.  Subsequently, discuss three anticipated challenges with the current state of technology in the “The Role of the BSN Nurse in Promoting Community Health” course.
4.  Explain how you will overcome the three challenges from part C3.
5.  Summarize your findings of the curricular technology needs assessment.
a.  Describe the collaboration with your stakeholders to reach a consensus on one technology from part C2.

Promoting Community Health

D.  Thirdly, identify the emerging technology and complete a force field analysis to identify forces for and against your curriculum technology proposal using Table 3 in the attached “C922 Curriculum Technology Proposal Template.”
1.  Identify factors that could impact the adoption of your proposal by doing the following:
a.  Analyze two internal and two external organizational factors that may facilitate or impede implementation.
b.  Describe three forces that will facilitate integration of the identified emerging technology in the “The Role of the BSN Nurse in Promoting Community Health” course. Additionally, describe three forces that will impede integration of the identified emerging technology in the “Role of the BSN Nurse in Promoting Community Health” course.

2.  Additionally, identify a change theory appropriate for your technology integration and adoption.
a.  Also, justify the selected change theory from part D2.
b.  Describe potential resistance and barriers to the technology change. Finally, discuss how you plan to implement the change theory identified in part D2.

E.  Fourthly, write a conclusion focusing on the impact and significance of your proposal by doing the following:
1.  Discuss the rationale and purpose of your proposal.
2.  Explain how your proposal fills the identified curriculum needs gap.
3.  Lastly, discuss why implementing this proposal is significant and the impact it will have on the broader field of nursing.

F.  Then, submit your formal proposal in APA style, including but not limited to title page, headers, in-text citations, and references.

G.  Finally, demonstrate professional communication in the content and presentation of your submission.

Examination of the developing a curriculum for a nursing program

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Examination of the developing a curriculum for a nursing program

This is an assignment that focuses on the examination of the development of a curriculum for a nursing program. The paper also analyzes the factors that impact the design of a nursing curriculum.

Examination of the development of a curriculum for a nursing program

Nurse educator are responsible for many area of evaluation, including students, curriculum, and program evaluation. Additionally, they have a responsibility to the internal and external stakeholders when it comes to the evaluation process. There are two types of evaluation: summative and formative evaluation. Formative evaluation takes place during the learning process (Billings & Halstead, 2012). Summative evaluation refers to the outcomes of the learning when the learning environment has ended (Billings & Halstead, 2012.)

OVERVIEW
Create a 15 page curriculum evaluation that incorporates the curriculum analysis and course design you created for Assessments 1 and 2.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Assessment criteria

·        Competency 1: Examine the development of a curriculum for a nursing program.
o   Describe how evidence-based nursing concepts, theories, and best practices can be applied to improve curriculum development.
·        Competency 2: Analyze factors that impact the design of a nursing curriculum.
o   List criteria that are important to consider in curriculum evaluation.
·        Competency 3: Select an appropriate organizing/curriculum framework for the design of nursing curriculum.
Explain the importance of ongoing curriculum evaluation, including why it is important and for whom it is important.
Then, explain how and why pilot testing can be used in curriculum evaluation.

o   Identify the appropriate accreditation body for a selected curriculum and describe appropriate accreditation evaluation criteria.
·        Competency 4: Select a curriculum evaluation process that facilitates continuous quality improvement.
o   Provide examples of both short-term and long-term evaluations for process improvement, and explain why both types are important to curriculum development.
·        Competency 5: Communicate in a manner that is scholarly, professional, and consistent with the expectations of a nursing education professional.
o   Apply academic writing skills to incorporate faculty feedback in the creation of a complete, succinct, professionally flowing curriculum design evaluation.
o   Write effectively using appropriate spelling, grammar, punctuation and mechanics, and APA style and formatting.

Nurse Leader as Knowledge Worker PowerPoint presentation

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Nurse Leader as Knowledge Worker PowerPoint presentation

This is a paper that is requiring to work on the Nurse Leader as Knowledge Worker PowerPoint presentation. The paper also provides additional information to use in the writing of the assignment paper. Below is the assessment description to follow:

The Nurse Leader as Knowledge Worker PowerPoint presentation

NURS 5051 Assignment: The Nurse Leader as Knowledge Worker

8 slide PowerPoint Presentation

The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a 8 slide PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

The Nurse Leader as Knowledge Worker PowerPoint presentation

To Prepare:

Firstly, review the concepts of informatics as presented in the Resources.

Secondly, reflect on the role of a nurse leader as a knowledge worker.

Thirdly, consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

Firstly, explain the concept of a knowledge worker.

Secondly, define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

Thirdly, include one slide that visually represents the role of a nurse leader as knowledge worker.

Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and also what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.

Mr Douglas Health Risk Case Study

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Mr Douglas Health Risk Case Study

This is a paper that requires the student to read the case study 18 regarding Mr Douglas health risk. The paper also provides additional information to use in the writing of the assignment paper. Below is the assessment description to follow:

Read the case study 18 regarding Mr Douglas health risk

Chapter 18 – Assignment

Instructions:
Read the Case Study 18-1 in Chapter 18 of the textbook.( the link to the book is attached below I believe 18 is 692 )
Answer the following questions:
What factors put Mr. Douglas at greater risk of developing pressure ulcers?
What factors would delay wound healing for this patient?
What stage would you classify this wound?
Also, what are the signs and symptoms of an active infection in a wound?
What products would you use for this type of wound?
If handled correctly, do you feel like this wound would heal completely?
Your paper should be:
One (1) page or more.
Use factual information from the textbook and/or appropriate articles and websites.
Cite your sources – type references according to the APA Style Guide.

Chapter 11 – Assignment

Instructions:
Read the Case Study 11-2: Go to the Hospital and Come Back with Four More Medications in Chapter 11 of the textbook. (book is attached below
Once you have read the Case Study thoroughly, answer the following questions:
Firstly, what does the administration of antibiotics have to do with a Clostridium difficile (C. diff infection) infection?
Secondly, list all the inappropriate medications prescribed for K.L. and describe the reason why they are inappropriate.
Thirdly, what kind of treatment regimen is utilized for a patient with a C. diff infection?
Fourthly, do any of these treatments regimens raise suspicion as being inappropriate for K.L.?
Lastly, list the therapy and if contraindicated, give a reason why it is inappropriate

Remember, ensure that the pages are exclusive of the cover and the reference pages. Also, ensure that you include all the references you use in finding research for this assignment paper. References should be at least three for the paper. All references, citation, and writing should follow the APA formatting and styling guidelines. Finally, ensure you focus on the assignment topic in detail.

Online case studies – a new nurse graduate

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Online case studies – a new nurse graduate

Complete the Online Case Studies for Chapters 27, 29-32. Emmanuel is a new nurse graduate, who has been hired by the local hospital to work in the ambulatory surgery centre.

Online case studies-Emmanuel is a new nurse graduate

Firstly, Complete the Online Case Studies for Chapters 27, 29-32 (listed below) include answers as part of the first part of the paper:

Secondly, pick two of these online case studies and write a summary of your analysis. Be sure to include support for your claims by providing direct connections to your readings and outside resources.

The Case Studies to choose from are below:

Case Study 1:

Firstly, Emmanuel is a new nurse graduate who has been hired by the local hospital to work in the ambulatory surgery center.

Secondly, Emmanuel is required to attend the hospital orientation to learn about facility policies and procedures. Of particular importance are the protocols that surround patient safety.

Thirdly, Emmanuel completes the 2-day classroom orientation and is assigned to a preceptor to follow in the ambulatory surgery center for 2 weeks. This constitutes his “hands on” orientation, during which he will be able to care for patients under the guidance of his preceptor.

Question 1

Emmanuel is caring for Mr. Natik, a 61-year-old Caucasian male who has just undergone cataract surgery in his right eye. Emmanuel teaches Mr. Natik safety precautions, including preventing the risk of burns while cooking. A self-inflicted burn is referred to as a ________-____________ accident.

Answers shown Answers hidden
Correct
Patient-inherent
Rationale
Patient-inherent accidents are accidents (other than falls) for which the patient is the primary cause. Examples include self-inflicted cuts and burns.

Question 2

preceptor reminds Emmanuel to be diligent in preventing procedure-related accidents. Which of the following is an example of a procedure-related accident?

Select all that apply.

Answers shown Answers hidden
Correct
A  Firstly, Medication administration error
Correct
B Secondly, Improper insertion of a urinary catheter
Correct
C Thirdly, Application of an incorrect bandage to a wound
D Fourthly, Incorrect transcription of a telephone order
Rationale
The incorrect transcription of a telephone order is a documentation accident.

Question 3

The intravenous (IV) pump that Emmanuel is using on a patient malfunctions. The screen on the pump goes blank. What should Emmanuel do with the pump?

Answers shown Answers hidden
Correct
A Firstly, Tag it and report the malfunction
B Secondly,  Put it in the soiled linen room
C Thirdly, Discontinue the patient’s IV infusion
D Fourthly, Bang on the pump until restoration is Rationale
Tag and report Defective equipment  per institution policies and procedures.

Function of the clinical decision support tool APACHE

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Function of the clinical decision support tool APACHE

This is an assignment that discusses what is the function of the clinical decision support tool APACHE. The paper also discusses the role to the patient nurse sharing of information.

What is the function of the clinical decision support tool APACHE

M4 Case Study
http://www.openclinical.org/aisp_apache.html https://www.openclinical.org/dss.html After reviewing the Clinical Decision Support Tools and the APACHE sites, apply the information you learned to the following case study: Imagine you work on a critical care unit. During rounds, the attending physician tells the residents to enter your patient’s data into the clinical decision support tool, APACHE. The residents ask you for specific patient information to enter into the tool, and then the results are generated. Knowing that you also have access to the results of this diagnostic tool, you proceed to log on and view them. The patient’s condition has been poor and the family is very anxious to hear any news of what is going on with their loved one.

You find the results of the diagnostic tool and see that the prognosis th‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍at the tool describes. This is based on your patient’s data, does not predict a good outcome. It predicts a course of care that the patient and family did not want. Answer the following questions about the scenario

1. What is the function of the clinical decision support tool, APACHE?

2. What role do you as the patient’s nurse have in sharing information from this tool and assisting patient/families in making decisions regarding end-of-life choices?

3. Based on the information provided in the above scenario:

What ethical/moral dilemmas would you anticipate addressing when discussing wit the family/patient the results from this tool?

4. What individual conflicts (think about your biases) do you anticipate you may have as a nurse caring for a patient/family in this situation. Who has received a poor prognosis from AP‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ACHE?

Nursing practice NP and related field a literature review BSN RN

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Nursing practice NP and related field a literature review BSN RN

This is an assignment that discusses the literature review for a nursing practice and related field. The paper also requires submission of articles that are useful in writing the literature review.

A literature review for a nursing practice and related field

It is a 2 part assignment. Assignment 2—Literature Review,

Part 1: Introduction and Selection Criteria (will be graded upon submission of part 2) Your literature review will be in two parts.

For this assignment, you will be submitting only part 1. The purpose of a literature review is to present relevant literature findings from nursing and related fields. Show awareness of what is known about this scientific area and apply the findings to nursing practice. The purpose of this assignment is to provide a basis for the remaining class projects that build on this literature review. Using the skills you developed in critiquing a research article, perform a literature review in a clinical area of interest. In your classroom, you will find a list of suggested topics, but that list is by no means comprehensive—choose something of particular professional interest to you.

Firstly, consult your instructor if you have any questions or need help deciding on an appropriate topic. In your final paper, you should provide a clear rationale for an important scientific investigation to nursing science include at least four relevant, quantitative, peer-reviewed journal articles within the past five years. It is strongly recommended that you send your articles via e-mail to the instructor for approval before your begin your review. Your final paper, combining sections 1 & 2, should be 10 to 15 pages, including the cover page and references.

A literature review for a nursing and related field

The following article offers helpful guidelines for constructing a critique of a nursing research article: Cronin, P., Ryan, F., & Coughlan, M. (2008). Undertaking a literature review: a step-by-step approach . British Journal of Nursing, 17(1): 38-43. Note that you will also be submitting this assignment in two parts. You will not receive a separate grade for part 1, although late penalties will apply. You will receive your final grade for this assignment when you submit the combined paper including part 1 and part 2.

Submit pdf copies of the articles you are reviewing along with the assignment for both parts 1 and 2. Part 1 (due as Assignment #2) should be 3 to 5 pages and follow this outline: Introduction State the topic you selected and why. Provide some background information about the topic. Why is it important? Use data to support your argument. Explain your search and methods – List a minimum of four keywords for your search, the databases for performing your search.

Finally, List the articles you selected, briefly describing each article and why you chose those articles—for example, relevance to the research topic, methodology used, peer-reviewed content. Summarize the purpose, population, methods, major findings and recommendations of each article. Part 2 should be 7 to 10 pages and follow this outline: Discussion Discuss the overall findings of the articles. Compare and contrast the articles. Conclusion and Application. Describe how these can be applied to nursing research and practice. However, be sure to incorporate your instructor’s feedback from part 1, and add the new part 2 content to submit one complete literature review paper of 10 to 15 total pages for your grade for Assignment #3.

Professional nature of nursing Registered Nurse NP RN FNP DNP

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Professional nature of nursing Registered Nurse NP RN FNP DNP

This is an assignment that discusses the understanding of the professional nature of nursing. The paper also discusses the various situations in regards to nursing.

The understanding of the professional nature of nursing

Reflective Essay Guidance (3500 words):
Firstly, you are to choose an experience where you have observed positive professional values being implemented by other members of the healthcare team. You will need to use Driscoll’s reflective model to reflect on the situation where you observed positive professional values being implemented to provide safe and effective care. The purpose of this, is to enable you to explore values based health care. This essay to be in the First Person or Passive voice….but there will still be a requirement for academic writing and referencing within this essay.

You MUST incorporate:
Aspects of the NMC Code (2018)
NHS Constitution (2015)
NHS Values (DoH, 2015)
The 6Cs (DoH, 2012)

Ethics (beneficence, non-maleficence, justice and autonomy (Beauchamp and Childress, 2013))  to demonstrate your knowledge and understanding of the professional nature of nursing
Legal aspects of your chosen scenario e.g. consent, mental capacity
Policy, standards and guidelines that inform practice e.g. NICE, DoH, NMC, RCN, WHO, local policies

Examples of the situations where professionalism, 6Cs, NHS values and ethical considerations may be witnessed could include (but are not restricted to):
Medication delivery involving effective communication, care, commitment and courage
Effective moving and handling during a bed bath
Competent and compassionate end of life care
Competent wound dressing changes with effective communication, care and compassion
Caring for patients with dementia

The understanding of the professional nature of nursing

Additionally, what should be included within the main body your essay:
Reflect on the positive professional values, ethical and legal frameworks, and the aspects which demonstrated this (Learning Outcomes 1 and 3).
Explore the implications of the experience in relation to your feelings.
Also, explore the implications of the experience in relation to the NMC Code, NHS Constitution and the 6 Cs (Learning Outcome 1 and 3).

Consider the key concepts of professionalism, advocacy and any legal and ethical aspects associated with the care provided.
Discuss the evidence which underpinned the care in this situation including policies, procedures, guidelines and research
Do not forget to include discussion on the multidisciplinary team.

Free clinic staffed by student volunteers

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Free clinic staffed by student volunteers

You are working in a free clinic staffed by student volunteers. The clinic has students from multiple disciplines, including medical, nursing, nutrition, social work, and pharmacy students, who all work side-by-side to provide care for uninsured

You are working in a free clinic staffed by student volunteers

Week 4 DQ
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.

Case Scenario
You are working in a free clinic staffed by student volunteers. The clinic has students from multiple disciplines, including medical, nursing, nutrition, social work, and pharmacy students, who all work side-by-side to provide care for uninsured or underinsured residents of the local urban underserved community.

Dr. Gabriela Medel, your supervising family medicine preceptor, also, discusses your next patient with you and Carla George, a nursing student with whom you are working.

Dr. Medel tells you and Carla, “Mr. Jose Martin is a 54-year-old male who is new to the clinic and has not received medical care in over 10 years.”

Carla offers to take Mr. Martin’s blood pressure.

Carla reports to you and Dr. Medel, “Mr. Martin’s blood pressure is 150/85 mmHg in his right arm, and his pulse is 80 beats per minute. So it appears that we will be considering whether Mr. Martin has hypertension or not.”

You recall that you recently read an article about hypertension, and that guidelines for its definition and treatment have changed over time.

You mention this, and Dr. Medel responds, “For many years, we defined blood pressures between 120-139/80-89 as ‘prehypertensive.’ Blood pressures in this range were recognized to put people at higher risk of cardiovascular events, also physicians were supposed to give patients with prehypertension guidance on making changes to their diet and exercise to prevent the development of hypertension.

“Unfortunately, physicians and patients often disregarded this label. More recent guidelines, from the American College of Cardiology (ACC). Also, the American Heart Association (AHA). Now define blood pressures of 130/80 or greater as hypertensive. Which could push physicians and patients to focus more on the importance of lifestyle changes.”

You ask Dr. Medel, “Am I recalling correctly that the AAFP (American Academy of Family Physicians) did not endorse these guidelines? Further, how do you decide which guidelines to follow in your practice if organizations disagree?”

Dr. Medel replies, “That is one of the challenging things about clinical practice. After reviewing these guidelines, I chose to adopt them into my clinical practice. The AAFP pointed out that these guidelines did not fully address the risk of harms with lower blood pressure goals, and so I am more cautious about the potential downsides of lower blood pressures than the ACC/AHA guidelines suggest (especially in groups such as older adults, who are particularly at risk of adverse events from medications). I am also always cautious about conflicts of interest, which was another concern of the AAFP, and will be looking out for further studies that may change these recommendations once again.”