Hematological SystemOften in the medical field, an emphasis is placed on the importance of the heart and the lungs. While these two organs are vital to the sustainability of life, the blood is what makes the cardiovascular and respiratory systems function—it’s the connection for the heart and lungs. For this reason, disorders of the hematological system can be potentially devastating for patients. Consider the case of Connie Prochnow. Connie was diagnosed with leukemia after seeking medical care for bruising, shortness of breath, and exhaustion. Her blood disorder resulted in alterations that impacted other body systems, including her respiratory system (UW Health, 2012). Since the heart and the lungs rely so heavily on the blood, it is important that hematological disorders are quickly identified and managed.
Huether, S. E., & McCance, K. L. (2012). Understanding pathophysiology (Laureate custom ed.). St. Louis, MO: Mosby.
Chapter 19, “Structure and Function of the Hematologic System”
This chapter examines components of the hematologic system, development of blood cells, mechanisms of hemostasis, and hematologic value changes in pediatrics and geriatrics. It also focuses on common blood tests for hematologic disorders.
Chapter 20, “Alterations of Hematologic Function”
This chapter focuses on common alterations of hematologic function, including alterations of erythrocyte function, leukocyte function, lymphoid function, splenic function, platelets, and coagulation.
Chapter 21, “Alterations of Hematologic Function in Children”
This chapter expands on alterations of hematologic function by presenting disorders that affect children, such as disorders of erythrocytes, coagulation, and platelets.
McPhee, S. J., & Hammer, G. D. (2010). Pathophysiology of disease: An introduction to clinical medicine (Laureate Education, Inc., custom ed.). New York, NY: McGraw-Hill Medical.
Chapter 6, “Blood Disorders”
This chapter begins by exploring the anatomy and physiology of blood and the coagulation system. It then examines two types of anemia caused by red cell disorders. White blood cell disorders and platelet disorders are also examined.
Optional ResourcesAmerican Sickle Cell Anemia Association. (2010). Retrieved from http://www.ascaa.org/
Discussion: AnemiaIn clinical settings, advanced practice nurses often encounter patients with blood disorders such as anemia. Consider the case of a 17-year-old girl who is rushed to the emergency room after suddenly fainting. The girl’s mother reports that her daughter has had difficulty concentrating for the past week, frequently becomes dizzy, and has not been eating normally due to digestion problems. The mother also informs the nurse that their family has a history of anemia. With the family history of anemia, it appears that this is the likely diagnosis. However, in order to properly diagnose and treat the patient, not only must her symptoms and family history be considered, but also factors such as gender, ethnicity, age, and behavior. This poses the question: How do patient factors impact the incidence and prevalence of different types of anemia?
To Prepare
Review Chapter 20 in the Huether and McCance text. Reflect on the pathophysiological mechanisms of iron deficiency anemia.Select one of the following types of anemia: pernicious anemia, folate deficiency anemia, sideroblastic anemia, chronic inflammation anemia, or post-hemorrhagic anemia. Identify the pathophysiological mechanisms of the anemia you selected.Consider the similarities and differences between iron deficiency anemia and the type of anemia you selected.Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact these anemic disorders.By Day 3Post an explanation of the pathophysiological mechanisms of iron deficiency anemia and the anemia you selected. Compare these two types of anemia, as well as their potential causes. Finally, explain how genetics, gender, ethnicity, age, and behavior might impact the anemic disorders you selected.
Read a selection of your colleagues’ responses.
Students will:Analyze the pathophysiology of anemiaCompare the pathophysiology of iron deficiency anemia to the pathophysiology of other types of anemiaEvaluate the impact of patient factors on anemic disordersUnderstand and apply key terms, concepts, and principles related to alterations of the hematological system

TITLE: Understanding Law, Ethics, Professional Guidelines and their Relationship to Nursing Practice
Length: 2000 words (+/- 10%) including in text referencing but not your reference list
ESSAY PURPOSE
This essay will give you the opportunity to develop your understanding of how law, ethics and professional guidelines guide nursing practice. It will allow you to reflect on the values and characteristics of professionalism in the healthcare setting. Completing this essay will also further develop your academic and information literacy skills.
ESSAY QUESTION
Select one of the three discussion board scenarios.
THIS ONE (which is Case 1).
One of the students you are on placement with turns up for their shift and is obviously under the influence of alcohol.
As the witnessing nurse what is your immediate action?
What must you do following this?
Which sections of the Australian Registered Nurse Standards for Practice apply here and why?
What are the possible legal/ethical implications?
Identify the main issues inherent in the scenario and make appropriate recommendations to address these issues.
It is expected that your essay will address/contain the following information:
Your immediate and subsequent actions as the witnessing nurse (these actions need to be supported by literature)
An overview of the relevant sections of the Australian National Competency Standards that apply and why
The possible legal/ethical implications
The NUR 120 Learning Outcomes addressed by this assignment include:
On completion of this unit a student should be able to:
Writing
Critically reflect on the values and characteristics of professionalism that contribute to health care through collaboration, cooperation and therapeutic communication;Articulate the key principles underlying ethical, legal and professional guidelines and codes that underpin the practice of registered nurses in Australia.Demonstrate developing skills in academic and information literacy that provide a foundation for evidence based nursing.Articulate and define the Nursing and Midwifery Board Aust Competency Standards, Codes of Ethics and Codes of Practice for the Registered Nurse.Develop a critical and reflective approach to nursing practice.

Quantitative Annotated Bibliography
In this week’s discussion question you were asked to consider a potential problem (appropriate to your role option) that you would like to investigate through nursing research. For this assignment you will review current research from South’s Online Library and provide a critical evaluation on that research through an annotated bibliography. An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue’s OWL: https://owl.english.purdue.edu/owl/resource/614/01/
A total of four annotated bibliographies are to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a quantitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable.
Each annotation must address the following critical elements:
Explanation of the main purpose and scope of the cited workBrief description of the research conductedValue and significance of the work (e.g., study’s findings, scope of the research project) as a contribution to the subject under considerationPossible shortcomings or bias in the workConclusions or observations reached by the authorSummary as to why this research lends evidence to support the potential problem identified specific to your role option..
Assignment 3 Grading CriteriaMaximum PointsArticles selected are appropriate to role option and support the potential problem identified.20Addresses required elements for each of the 4 nursing research articles that provide supportive evidence for the problem.40Articles selected meet guidelines (quantitative methodology, nursing scholarly literature, no older than 5 years since publication).30Followed APA guidelines for writing style, format, spelling, and grammar.10Total:100

Assignment 2: Leadership and the Graduate Nursing Role
The graduate nurse evidences leadership as seen in the four domains: the profession of nursing, clinical practice arena, health policy arena, and systems level. In order to complete this assignment, complete the short eighteen-question quiz (this takes approximately five minutes) about your leadership style at
About.com Psychology. (n.d.). Quiz – What’s your leadership style? Retrievedfrom http://psychology.about.com/library/quiz/bl-leadershipquiz.htm
In a 3- to 5-page paper (excluding the title page, references and appendices), you will address the following criteria:
Report your findings from the quiz:What kind of leader were you?How does this fit into your beliefs about your leadership style?Examine the attributes of leadership that may be needed for graduate level nurses.Analyze your personal leadership attributes you feel you have that will help you in your graduate nursing role. Also discuss those attributes that you feel you may need to develop in your graduate nursing role.Finish with a quotation from a library article related to leadership in an advanced nursing role. Look in some of the known leadership journals like The Journal of Nursing Scholarship or Nursing Leadership Forum or the American Journal of Nursing, Journal of Nursing Administration, Nursing Administration Quarterly, Nursing Management or Health Care Management Review (found in the South University Online Library).
Assignment 2 Grading CriteriaMaximum PointsReported quiz results and discussed how this impacted your current beliefs.20Examined the attributes of leadership for graduate level nurses.20Analyzed your personal leadership attributes, including those you would like to develop.20Finished with a quotation from a library article on nursing leadership in an advanced practice role in the conclusion of your paper.20Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in appropriate and accurate representation and attribution of sources; and displayed accurate spelling, grammar, and punctuation. APA format was used.

Application: Adoption of New Technology SystemsAs a nurse, you can have a great impact on the success or failure of the adoption of EHRs. It is important for nurses to understand their role as change agents and the ways they can influence others when addressing the challenges of changing to a drastically different way of doing things.
Everett Rogers, a pioneer in the field of the diffusion of innovations, identified five qualities that determine individual attitudes towards adopting new technology (2003). He theorized that individuals are concerned with:
Relative advantage: The individual adopting the new innovation must see how it will be an improvement over the old way of doing things.Compatibility with existing values and practices: The adopter must understand how the new innovation aligns with current practices.Simplicity: The adopter must believe he or she can easily master the new technology; the more difficult learning the new system appears, the greater the resistance that will occur.Trialability: The adopter should have the opportunity to “play around’ with the new technology and explore its capabilities.Observable results: The adopter must have evidence that the proposed innovation has been successful in other situations.Note: You are not required to purchase Rogers’ book or pursue further information regarding his list of five qualities. The information provided here is sufficient to complete this Assignment. The full reference for Rogers’ work is provided below the due date on this page.
For this Assignment, you assume the role of a nurse facilitator in a small hospital in upstate New York. You have been part of a team preparing for the implementation of a new electronic health records system. Decisions as to the program that will be used have been finalized, and you are now tasked with preparing the nurses for the new system. There has been an undercurrent of resistance expressed by nurses, and you must respond to their concerns. You have a meeting scheduled with the nurses 1 week prior to the training on the new EHR system. Consider how you can use the five qualities outlined by Rogers (2003) to assist in preparing the nurses for the upcoming implementation.
To prepare
Review the Learning Resources this week about successful implementations of EHRs.Consider how you would present the new EHR system to the nurses to win their approval.Reflect on the five qualities outlined by Rogers. How would addressing each of those areas improve the likelihood of success?By Day 7 of Week 6Write a 3- to 5-page paper which includes the following:
Using Rogers’ (2003) theory as a foundation, outline how you would approach the meeting with the nurses. Be specific as to the types of information or activities you could provide to address each area and include how you would respond to resistance.Analyze the role of nurses as change agents in facilitating the adoption of new technology.