Tag Archive for: nursing

 Plan Stage

  • My papers for this assignment for the quarter are attached.
  • Body
  • 1. Reason for choosing this project: (200-300 words)
  • 2. Summarize: 
    • a. Plan Stage: Paper clearly addresses the goal or overall aim of what the Improvement Project is trying to accomplish; details obJectives; identifies evidence-based research. Includes introduction, review of literature.
    • Research and Documentation: Synthesizes in-depth information from relevant sources representing various points of view/approaches; APA format and style of citation used appropriately throughout the paper; adequate number of sources referenced. (4-5 pages).
    • b. Do Stage: Paper describes what the intervention was and what was done; details changes made; describes how actions were based on research; details how the data was collected and by whom. Includes aim statement, changes implemented, how will you know if improvement has been made.
    • c. Study Stage: Paper describes how the change is an improvement; details what data was collected; displays data in an appropriate format; details what went right, wrong, and what changes can be made that will result in improvement. Includes Likert scale and run chart (required). Was the project a success?
  • d. Act Stage and Summary of Learning:
  • Plan of how to sustain efforts. Address the following:
    • · Was this a positive learning experience?
    • · What lessons have you learned?
    • · Have the changes become an integral part of daily activities?
    • · What is your structured plan to continue efforts you have gained?
    • · How might you apply the PDSA Improvement Model in the future?
  • Reference Page
  • 1. Al least two (2) scholarly articles, and
  • 2. At least one (1) reliable websites.
  • 3. Proper APA referencing format
  • 4. Proper APA citations.
  • Length: Paper length 8-10 pages (4-5 of which describes your research) NOT including title and reference page. Arial size 12 font preferred, 1 inch margins, 1.5 spaced.

Balance and Disturbance

Case Study, Chapter 13, Fluid and Electrolytes: Balance and Disturbance

1. Mrs. Dean is 75-year-old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs. Dean is NPO. She has a nasogastric (NG) tube to low continuous suction. She has an IV of 0.9% NS at 83 mL/hr. Current medications include furosemide 20 mg daily and hydromorphone 0.2 mg every 4 hours, as needed for pain. The morning electrolytes reveal serum potassium of 3.2 mEq/L.

  1. What are possible causes of a low potassium level?
  2. What action should the nurse take in relation to the serum potassium level?
  3. What clinical manifestations might the nurse assess in Mrs. Dean?

2. Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. During the interview, he describes attending a family reunion and states that perhaps he “ate something bad.” Upon admission his vital signs are a temperature of 102.7°F, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. The nurse also notes the patient has dry mucous membranes and tenting of skin. The physician orders an IV to be started with 0.45% normal saline, and orders a serum electrolytes and an arterial blood gas.

The following results are returned from the laboratory:

Sodium (Na+)             150

Potassium (K+)           5.5

Chloride (Cl¯)             110

BUN                           42

Creatinine                    0.8

Glucose                       86

pH                               7.32

PaCO2                         35

HCO3¯                        20

PaO2                            90

O2 Sat                          98%

  1. What is your interpretation of this arterial blood gas sample?
  2. Explain the high potassium in this patient.
  3. Calculate the patient’s anion gap:
  4. What is the interpretation of this anion gap?

Communicable Disease Chain

Write a paper (2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the following list:

1. Chickenpox

2. Tuberculosis

3. Influenza

4. Mononucleosis

5. Hepatitis B

6. HIV

7. Ebola

8. Measles

9. Polio

10. Influenza

Epidemiology Paper Requirements

Address the following:

1. Describe the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.

2. Describe the determinants of health and explain how those factors contribute to the development of this disease.

3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle). Are there any special considerations or notifications for the community, schools, or general population?

4. Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).

5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.

6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

A minimum of five peer-reviewed or professional references is required.

Prepare this assignment according to the guidelines found in the APA Style Guide, NO PLAGIARISM

urinary tract infection(UTI)

This is for a nursing school assignment. My project is catheter related urinary tract infection(UTI), and the theory supposed to be a nursing field. I need it as soon as possible. At least two references (peer reviewed research paper or a 1 book and 1 research paper).

Intervention Presentation on Diabetes 

CLC – Evidence-Based Practice Project: Intervention Presentation on Diabetes 

  • My Group
  • Group Forum

This is a Collaborative Learning Community (CLC) assignment.As a group, identify a research or evidence-based article published within the last 5 years that focuses comprehensively on a specific intervention or new treatment tool for the management of diabetes in adults or children. The article must be relevant to nursing practice.Create a 5 slide PowerPoint presentation on the study’s findings and how they can be used by nurses as an intervention. Include speaker notes for each slide and additional slides for the title page and references.
Digital Diabetes Management Application Improves Glycemic Outcomes in People With Type 1 and Type 2 Diabeteshttps://journals.sagepub.com/doi/full/10.1177/1932296817747291
Provide a descriptive and reflective discussion of how the new tool or intervention can be integrated into nursing practice. Provide evidence to support your discussion.
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.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be 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. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

CLC – Evidence-Based Practice Project—Intervention Presentation on Diabetes

No of Criteria: 9 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less than Satisfactory75.00 %Satisfactory79.00 %Good89.00 %Excellent100.00 %Content80.0     Article5.0The article is omitted or fails to meet the assignment criteria.The article fails to meet most of the assignment criteria; the article is not relevant to nursing practice.The article is published in the last 5 years and has a general focus on an intervention or treatment tool for managing diabetes in adults or children. The article has some application to nursing practice.The article is published in the last 5 years, has a focus on an intervention or treatment tool for managing diabetes in adults or children. The article has general application to nursing practice.The article is published in the last 5 years, has a focus on an intervention or treatment tool for managing diabetes in adults or children. The article has direct application to nursing practice.Intervention or Treatment Tool and Specific Patient Population of Study5.0Intervention, or treatment tool, and the specific patient population used in the study are omitted or inaccurate.An incomplete summary of the intervention, or treatment tool, and the specific patient population used in the study is presented. There are significant gaps and inaccuracies.A summary of the intervention or treatment tool and the specific patient population used in the study is presented. Some aspects require more detail for clarity. There are minor inaccuracies.A description of the intervention or treatment tool and the specific patient population used in the study is presented. Minor detail is needed for clarity or accuracy.A thorough description of the intervention or treatment tool and the specific patient population used in the study is presented.Summary of Article15.0The summary is omitted or fails to meet the assignment criteria.A partial summary of the article is presented. There are major omissions. The summary fails to accurately represent the main idea for a specific patient population, the clinical findings, or the relevance to diabetes and nursing practice.A summary of the article is presented. The summary generally presents the main idea for a specific patient population, the clinical findings, and the relevance to diabetes and nursing practice. There are some inaccuracies. More information is needed.A summary of the article is presented. The summary presents the main idea for a specific patient population, the clinical findings, and the relevance to diabetes and nursing practice. Some detail or information is needed for clarity.A thorough summary of the article is presented. The summary accurately presents the main idea for a specific patient population and the clinical findings, and clearly illustrates relevance to diabetes and nursing practice.Inclusion of the Psychological, Cultural, and Spiritual Aspects15.0Explanation of why the psychological, cultural, and spiritual aspects are important to consider for patient who has been diagnosed with diabetes is omitted.A partial explanation of why the psychological, cultural, and spiritual aspects is important to consider for a patient who has been diagnosed with diabetes is presented. The explanation contains significant omissions and inaccuracies. Reasoning or rationale is not provided for support.A general explanation of why the psychological, cultural and spiritual aspects is important to consider for a patient who has been diagnosed with diabetes is presented. The explanation contains some omissions and inaccuracies. General reasoning or rationale is provided for support.An explanation of why the psychological, cultural, and spiritual aspects is important to consider for a patient who has been diagnosed with diabetes is presented. The explanation contains adequate reasoning or rationale provided for support. Some detail is needed for clarity.A compelling explanation for why the psychological, cultural and spiritual aspects is important to consider for a patient who has been diagnosed with diabetes is presented. The explanation is well-developed and contains strong reasoning and rationale for support.Presentation of Content40.0The content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear.The content is vague in conveying a point of view and does not create a strong sense of purpose. Includes some persuasive information.The presentation slides are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. Includes persuasive information from reliable sources.The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.Organization, Effectiveness, and Format20.0     Layout5.0The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident.The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text.The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability.The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text.The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.Language Use and Audience Awareness (includes sentence construction, word choice, etc.)5.0Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately.Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.Language is appropriate to the targeted audience for the most part.The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly.The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Slide errors are pervasive enough that they impede communication of meaning.Frequent and repetitive mechanical errors distract the reader.Some mechanical errors or typos are present, but they are not overly distracting to the reader.Slides are largely free of mechanical errors, although a few may be present.Writer is clearly in control of standard, written, academic English.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)5.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

 Case Study

Assignment Details:

Perform the following tasks:

· To complete this assignment:

–  Review the case study and select one of the committee roles.

– Your selection as a member on the committee

–  Identification one or more issues, related to your role on the committee

–  Identification of probable cause(s) of identified issue(s)

–  Proposed recommendations to resolve the identified issues

–  Reference slide – list of academic references, using APA style

 

Case Study

Read the following case study

A good friend of yours is director of nursing at a 220-bed community hospital. Last year the hospital merged with a much larger medical center. One of the upsides, as well as one of the challenges, resulting from this change has been the rapid introduction of new computer systems. The goal is to bring the hospital “up to speed” within 3 years. At present, the Computerized Physician Order Entry (CPOE) is being implemented. The general medical and surgical units went live last month. The ICU, pediatrics, and obstetrics units are scheduled to go live next month. The plan is to work out any kinks or problems on the general units and then go live in the specialty units. Most of the physicians, nurse practitioners, and physician assistants initially complained but are now becoming more comfortable with the computers and are beginning to integrate the CPOE process into their daily routines. Several physicians are now requesting the ability to enter orders from their offices and others are looking into this option. However, three physicians have not commented during this process but are clearly resisting. For example, after performing rounds and returning to their offices they called the unit with verbal orders. After being counseled on this behavior, they began to write the orders on scraps of paper and put these in the patient’s charts or leave them at the nurses’ station. When they were informed that these were not “legal orders,” they began smuggling in order sheets from the non-activated units. In addition, they have been coercing the staff nurses on the units to enter the orders for them. This has taken two forms. Sometimes they sign in and then ask the nurses to enter the orders. Other times they ask the nurses to put the orders in verbally and then they confirm the orders. The nurses feel caught between the hospital’s goals and the need to maintain a good working relationship with these physicians.

You suggest to your friend (director of nursing) to create an informal committee to review the issues surrounding the CPOE implementation. The committee would determine methods to address these issues, prior to implementing CPOE within the ICU, pediatrics, and obstetrics units. Your friend appreciates the suggestion and forms a small committee with the following members:

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

The director of nursing asks each committee member to create a short PowerPoint presentation for the committee. The presentation would identify issues that occurred during CPOE implementation, identify potential causes of such issues, and list specific recommendations, based on strong rationale and research, to resolve the identified issues prior to the next CPOE implementation. Each committee member will have a unique perspective, based on their position (i.e., nurse, physician).

Healing and Autonomy

Week 3 Assignment

Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

  1. Under the Christian narrative and Christian vision, what sorts of      issues are most pressing in this case study?
  2. Should the physician allow Mike to continue making decisions that seem      to him to be irrational and harmful to James?
  3. According to the Christian narrative and the discussion of the issues      of treatment refusal, patient autonomy, and organ donation in the topic      readings, how might one analyze this case?
  4. According to the topic readings and lecture, how ought the Christian      think about sickness and health? What should Mike as a Christian do? How      should he reason about trusting God and treating James?

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.

psychometric properties

This week, as you explore assessment and diagnosis in psychotherapy, you examine assessment tools, including their psychometric properties and appropriate use. You also develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients. Below you will find your assigned assessment tool for this week’s discussion.

Yale Brown Obsessive Compulsive Scale

1) Post an explanation of the psychometric properties of the assessment tool you were assigned (Yale Brown Obsessive Compulsive Scale).

2)  Explain when it is appropriate to use this assessment tool with clients, including whether the tool can be used to evaluate the efficacy of psychopharmacologic medications.

3) Support your approach with evidence-based literature.

4) Also develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

  • Chapter 3, “Assessment and Diagnosis” (pp. 95–168)
  • Chapter      4, “The Initial Contact and Maintaining the Frame” (pp. 169–224)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Note: It is highly recommended that you use this resource as a reference guide throughout the course. You will access this text from the Walden Library databases.

American Academy of Child and Adolescent Psychiatry. (1995). Practice parameters for the psychiatric assessment of children and adolescents. Washington, DC: Author. Retrieved from https://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/psychiatric_assessment_practice_parameter.pdf

American Psychiatric Association. (2016). Practice guidelines for the psychiatric evaluation of adults (3rd ed.). Arlington, VA: Author. Retrieved from http://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890426760

Walden Library. (2017). NURS 6640 week 2 discussion guide. Retrieved from http://academicguides.waldenu.edu/nurs6640week2discussion

Walden University. (n.d.). Tests & measures: Home. Retrieved February 6, 2017, from http://academicguides.waldenu.edu/library/testsmeasures
Note: This database may be helpful in obtaining assessment tool information for this week’s Discussion.

Required Media

Laureate Education (Producer). (2015a). Counseling competencies—The application of ethical guides and laws to record keeping [Video file]. Baltimore, MD: Author.

Provided courtesy of the Laureate International Network of Universities.

Note: The approximate length of this media piece is 23 minutes. (See Attached Transcript for the Media)

Strategies for Addressing Q

In Week 1 you began building a foundation for your success by considering a network; individuals and teams that can help you to clarify and execute on the vision. A network is most helpful when you are comfortable asking questions. Chances are other members of your network have experienced similar questions and may have helped guide others toward resolutions that can be helpful now.

In this Discussion, focus on the questions you are ready to ask as your journey begins. Keep in mind that sharing questions is often a great way to help others who have similar questions—even if they do not realize it!

To Prepare:

  • >Reflect on questions or concerns you might have as you begin the MSN program.
  • >Consider the individuals, teams, and departments you previously considered in Week 1 and how they may provide support to address these questions and concerns. Then, identify potential individuals, teams, or departments within Walden or your network that you can turn to for assistance in answering these questions and/or concerns.
  • >must have citations. Must have 3 scholarly references at least 5 years old.
  • >Needed by 1/12/2020

Disc/ussion: Strategies for Addressing Q

  Scholarly Activity Summary

Scholarly Activity Summary

Throughout the DNP program, learners are required to provide a report documenting participation in a minimum of four scholarly activities outside of clinical or professional practice. These reports will be due in specific courses throughout the program, as described below, and must be documented in your Practice Portfolio by the end of each course in which an activity report is due.

Examples of scholarly activities include attending conferences, seminars, grand rounds, participating in policy and quality improvement committees, writing scholarly publications, participating in community planning, serving as a guest lecturer, etc. Involvement in and contribution to interdisciplinary initiatives are also acceptable scholarly activities.

Documentation of these activities is required in DNP-810, DNP-820, DNP-830, and DNP-840.

A summary report of the scholarly activity, including who, what, where, when and take home points, will be submitted as the assignment. Include the appropriate program competencies associated with the scholarly activity and future professional goals related to this activity. You may use the “Scholarly Activity Summary” template to help guide this assignment.

This document describes the scholarly activity in three or four paragraphs. 

Instructions: Read each section and fill it out using the instructions. Once you have completed the section, erase the instructions that appear in italics.

Overview

This section consists of a single paragraph that succinctly describes the scholarly activity that you attended/participated in, the target market for the activity, and the benefit of the activity to you.

Problem

This section consists of either a short story or a handful of bullet points that concisely identifies the problems the scholarly activity is designed to solve. Educate us – what is the current state of the activity topic? Tell us – why is this a problem, and for whom is it a problem? Inspire us – what could a SNP prepared nurse achieve by participating in the scholarly activity? Use declarative sentences with simple words to communicate each point. Less is more.

Solution

This section consists of either a short paragraph or a handful of bullet points that concisely describe the state solution to a proposed practice problem that the scholarly activity addressed and how it addresses the problem outlined in the previous section. 

Opportunity

This section consists of a short paragraphs that define the opportunity that the scholarly activity is designed to capture. It’s important to cover the GCU Domains and Competencies that were met. How will attending/participating in this scholarly activity help you grow as a DNP prepared nurse?

Program Competencies Addressed

This section consists of a list of program competencies that were addressed in this scholarly activity. Please use the list from the ISP.