Read chapter 30, 11 and 16  review the attached Power Point presentations.  Read content chapter 30 in Davis Plus Online Website.  Once done answer the following questions;

1.  Greek and Hindu heritage are base on the oriental culture and the Cuban heritage in occidental.  Please discuss the beliefs of these three cultures and how they influence the delivery of health care.

2.  Compare these three culture and how disease and prevention it is influence by the cultural practices.

assignment in an APA word Arial 12 font.  A minimum of 3 evidence not older than 5yrs  .  A minimum of 500 words are required.

Case study 1

Client Profile

Mrs. Harriet is a 68-year-old woman who is alert and oriented. Allergies are Erythromycin. She presents to the emergency department with complaints of chest tightness, shortness of breath, cough, and congestion. She states, “I have been having these symptoms for three days now. I have been taking Maximum Strength Robitussin for my cough but it has not helped very much. When I woke up this morning. I felt very weak so I came in to be checked out.” Her vital signs are blood pressure 110/70, pulse 94, respiratory rate of 28, and temperature of 102.7 F. Her oxygen saturation on room air is 92%. She is placed on 2 liters (L) of oxygen by nasal cannula. The HCP prescribes a 12-lead electrocardiogram (ECG, EKG) and chest X-ray (CXR). Laboratory tests prescribed include complete blood count (CBC), basic metabolic panel (BMP), brain natriuretic peptide (B-type natriuretic peptide assay or BNP), total creatine kinase (CK, CPK), creatine kinase-MB (CPK-MB), and troponin. The HCP will also assess blood cultures x 2, AGs on room air, sputum culture and sensitivity (C &S), and asks that the client have a Mantoux (tuberculin, purified protein derivative, or PPD) test.

Case Study

Mrs. Harriet’s ECG shows normal sinus rhythm (NSR) with a heart rate of 98 beats per minute. The CXR reveals a right lower lobe(RLL) infiltrate. Laboratory tests include the following results: white blood cell cot (WBC) 12,2000 cells/mm3, 72& seg neutrophils with a left shift of 11% bands, and a BNP of 50.9 pg/mL. ABGs on room air is pH 7.44, partial pressure of carbon dioxide (PaCO2) 39 mmHg, bicarbonate (HCO3) 26.9 mEq/L, partial pressures of oxygen (PaO2) 58 mmHg, and oxygen saturation (SaO2) of 92%. Results of the sputum culture show Streptococcus pneumoniae. The CPK, CPK-MB, and troponin are all within normal limits. Mrs. Harriet is five feet three inches tall and weighs 224 pounds (101.8 kg). On assessment, the nurse hears expiratory wheezes and rhonchi bilaterally with diminished lung sounds in the right base. Her thoracic (chest) expansion is equal but slightly decreased on inspiration. Accessory muscle retraction is not noted, and she does exhibit central cyanosis. The capillary refill of the client’s nail beds is four seconds.

Mrs. Harrier is admitted with acute bronchitis and pneumonia. The HCP prescribes oxygen via nasal cannula to keep the client’s saturations greater or equal to 95%, Ceftriaxone sodium, Erythromycin, Albuterol, Acetaminophen every four to six hours as needed, bed rest, an 1800 calorie diet, increased oral (PO) fluid intake to 2 to 4 liters per day, coughing and deep breathing exercises and use of the incentive spirometer (IS).

1. Discuss additional assessment data that would help gain a more thorough understanding or Mrs. Harriet’s symptoms?

2. Discuss the causes, pathophysiology, and symptoms of acute bronchitis?

3. Discuss the pathophysiology and causes of pneumonia in general?

4. Compare the defining characteristics of community-acquired pneumonia (CAP), hospital-acquired pneumonia (HAP), and viral pneumonia?

5. Discuss the factors that place Mrs. Harriet at greater risk for the development of pneumonia?

6. Mrs. Harriet asks the nurse to explain what the HCP saw on her chest X-ray. She asks, “The doctor said something about a ‘trate’ he saw on my lung, What did he mean by that?” How would the nurse explain what an infiltrate is?

7. Briefly explain the pathophysiology and identify at least five clinical manifestations of the respiratory diagnosis that is being ruled out for Mrs. Harrier by administering the Mantoux test?

8. While awaiting test results to confirm if Mrs. Harriet has TB, what precautions should be taken when assigning her to a room and providing nursing care?

9. Discuss the measurement of induration that would indicate a positive Mantoux test for Mrs. Harrier. If she tested positive for exposure to TB but did not have assessment findings consistent with active disease, what medication could be prescribed, and what is the benefit of this treatment?

10. The nurse asked Mrs. Harriet if she has been using her incentive spirometer. Mrs. Harriet states, “I tried to use it a couple of times but I think it is broken. When I blow into it, the ball does not go up like I was told it should.” How should the nurse intervene?

11. Briefly discuss the significance of each of the following laboratory results: (a) WBC 12,200 (b) 72%seg neutrophils, (c) left shift of 11% bands, (d) BNP 50.9 (e) results of sputum culture show S. Pneumoniae, (f) CPK WNL, (g) CPK-MB WNL, and (h) troponin WNL

12. Analyze Mrs. Harriet’s ABG results. Determine whether each value is high low or within normal limits: interpret the acid-base balance; determine if there is compensation, and indicate whether the client has hypoxemia.

13. The nurse calls the HCP to request a change in the medications that have been prescribed for Mrs. Harriet. Discuss which medication the nurse is concerned about being unsafe for this client.

14. Provide a rationale for each of the following prescribed components of Mrs. Harriets treatment plan: oxygen to keep the client’s oxygen saturation greater than or equal to 95%, Ceftriaxone sodium, Albuterol, Acetaminophen, bed rest, 1800 calorie diet, increased oral (PO) fluid intake to 2 to 4 liters per day, coughing and deep breathing exercises and use of the incentive spirometer (IS).

15. Mrs. Harriet was taking Dextromethorphan at home to help manage her cough. The HCP did not prescribe continued use of the Dextromethorphan during hospitalization. Explain this omission.

16. If it was learned that Mrs. Harriet has a past medical history of chronic obstructive lung disease (COPD), how would the HCP’s prescription that oxygen is delivered to keep the client’s oxygen saturation greater than or equal to 95% be changed?

17. Identify three priority nursing diagnoses that should be included in Mrs. Harriet’s plan of care.

18. You are the nurse providing discharge teaching to Mrs. Harriet. Briefly discuss what you will recommend to her regarding seeking follow-up care, lifestyle considerations, and how to help prevent Pneumonia in the future.

I KIND OF FORGOT ABOUT THIS POSTER FOR SCHOOL AND NEED THIS DONE ASAP!!   ANYONE WILLING TO HELP WOULD BE GREAT NEED ASAP*******LMK ASAP IF YOU NEED ANY ADDITIONAL INFORMATION

 

Phi Nu, Walden University Chapter of Sigma Theta Tau the International Nursing Honor Society

Scholarship of Practice Poster Session

The Scholarship and Research committee invites you to submit a Scholarship of Practice Poster for the Phi Nu Scholarship and Induction Ceremony to be held during a Walden University Commencement. This is the Honor Society’s open-house celebration of Walden student scholarly activities.

Call for Posters

You will be notified of the deadlines for abstract submissions for the Annual Scholarship of Practice Poster Session by Walden University School of Nursing.

To be eligible to submit, an applicant must be:

1. A current Walden student or Alumni who is an active Phi Nu Chapter member
2. Able to present her/his poster at a Walden University Commencement
3. Project must be completed by date of poster presentation

Applicants should submit abstracts based on their Scholarship of Practice.

Practicum projects are especially encouraged. This is a great opportunity to showcase your practicum work in a mentored environment.

Please follow the direction on the attached form and submit by the due date (to be determined).

One outstanding poster in each of the three categories per program (BSN, MSN and DNP) will be selected for a $100 award.

Blind reviews will be completed by a panel of Walden University faculty.

Names will be removed from the abstracts to ensure anonymity of the applicant.

Persons who have been selected to participate will be notified.

Abstracts must follow the required format to be considered.

Travel will be at the presenter’s expense.

 

 

 

 

 

ABSTRACT SUBMISSION FORM

Nursing Scholarship of Practice Poster Session

Poster presentations submitted should describe innovative projects and lessons learned in the practice of nursing.

1. Authors’ names, credentials, and affiliations (primary and co-authors):

2. Corresponding author’s e-mail address and phone number:

3. Nursing Program or practice Specialization that best fits your poster presentation:

____    A.        Nursing Education

____    B.        Nursing Leadership and Management

____    C.        Nursing Informatics

____    D.        BSN Student Project

_____  E.         DNP Student Project

_____  F          Other Nursing Specialty Project

4.  Title of presentation:

5.  Beginning date of project:  __________            

6.  Ending date of project: __________ (if project is ongoing indicate that here)

Please describe your project by answering items 7–14 below.

Do not exceed 500 words total in your responses.

7.  Setting of project:

8. Problem addressed:

9. Objectives of project:

10. Intervention or change implemented, if any:

11. Actions and methods used to solve the problem and meet the objectives:

12. Evaluation Strategies used to determine whether the objectives were met:

13. Outcomes:

 

14. Lessons learned (conclusions and recommendations for practice):

Investigate your organization’s compliance rate with one specific core measure of your choice and write a 2-3-page (maximum) executive summary analyzing the financial and regulatory impact of organizational compliance with your chosen measure. Include recommendations for improving performance on the measure.

In order to promote safe, caring, patient-centered environments, nurse leaders must both conceptually understand and be proficient at performing a wide variety of leadership skills. Effective nursing leaders develop and maintain awareness of issues that emerge at many levels within and outside of their organizations. In addition to developing self-assessing competencies necessary for their roles, nurse leaders must also acquire organizational and systems leadership skill sets.

 

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 4: Policy, Finance, and Regulations – Understand the scope and role of policy, finance, and regulatory environments in relationship to individual and population outcomes.
  • (IMPORTANT) -Compare the compliance rates of a specific measure for different organizations.
  • (IMPORTANT) -Explain the importance of compliance in terms of policy, regulation, and finance.
• Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.
  • (IMPORTANT) -Write coherently to support a central idea with correct grammar, usage, and mechanics as expected of a nursing professional.
• Competency 6: Organizational and Systems Management – Apply knowledge of organizational behavior, nursing theory, and systems (micro- and macro-) as appropriate for the scope and role of one’s own practice.
  • (IMPORTANT) -Explain strategies to overcome described organizational barriers to change.
• Competency 9: Professional Role – Incorporate the qualities, skills, behaviors, and knowledge required to function as a patient advocate, practice high-quality care, assess and evaluate patient outcomes, and provide leadership in improving care.
  • (IMPORTANT) -Identify the stakeholders affected by changes to a specific compliance measure and describe changes that would improve compliance of a specific measure.

Assessment Instructions

 

For this assessment, write an executive summary analyzing the financial and regulatory impact of organizational compliance with a specific core measure of your choice. The summary must include recommendations for improving performance on the measure.

You must be able to explain the financial implications associated with the measure, as well as its importance in terms of policy, regulation, and finance. This is another good opportunity to consult with a key stakeholder within the organization. Talking to someone who works closely with the organization’s finances can help you develop a deeper understanding of the financial aspects of compliance. You also need to suggest ways your organization can improve compliance and how you would implement changes and overcome obstacles.

This may seem like an enormous undertaking, but you should approach it as if you were to present this information to your supervisor or manager. Keeping in mind that people in these positions do not have time to read a 10–12-page report, you would typically give them only an executive summary of your analyses and recommendations. That means that you will need to be very clear and very concise with the information you choose to include in the executive summary. Say as much as possible with as few words as possible.

Directions

Select a core measure and investigate your organization’s compliance rate with the measure. In your executive summary, address the following:

1. Compare the compliance rates of your organization with those of other organizations.
2. Explain why the measure is important in terms of policy, regulation, and finance.
3. Describe changes that could be made that would improve compliance with the measure.
4. Identify the stakeholders who would be affected by the changes.
5. Identify obstacles you would expect to encounter and explain strategies to overcome these obstacles.

Additional Requirements

• Format: Include a title page and references page. As this is an executive summary, do not use APA style and formatting. To determine the appropriate format, it may be helpful for you to review the documents used in your organization. How do they look? What kind of language is used in memos? These can help guide your development of this executive summary. Certainly, feel free to use bullet points as appropriate.
• Length: Write a 2–3-page (maximum) summary of your information, not including the title page and references page.
• References: You must still reference scholarly resources to support your work. Use at least three current scholarly or professional resources.
• Font: Use 12-point, Times New Roman font.