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respiratory distress syndrome.

Two-week-old Tabitha has infant respiratory distress syndrome. Eighty-year-old Anthony has emphysema, and 50-year-old Jenny has pulmonary fibrosis.

a.            Why are the mechanics of breathing greatly compromised in all these cases?

 

Week Discussion Questions

Abitha, a 2-week-old boy, has respiratory distress syndrome. Neonatal respiratory distress syndrome (RDS) is an issue which often happens in babies that are premature. The situation causes it to be difficult for the infant to breathe. Newborn RDS occurs in babies whose lungs aren’t yet completely developed. The breathing mechanism is seriously influenced in the RDS. Azure skin could additionally be noticed because of bad blood circulation, inadequate urine output or maybe decreased birth weight. Anthony, eighty, has emphysema. Emphysema is a condition which harms the alveoli and will harm the little airways in the lungs. This substantially cuts down on the capability of the airways and the sacs to expel the standard quantity of air out of the lungs. The ensuing state, likewise referred to as “air trapping,” stops air that is fresh from getting into to put out oxygen into the bloodstream. The effect is a sensation of shortness of breath. Jenny, fifty, has pulmonary fibrosis. Pulmonary fibrosis is actually a lung disease which happens healed as well as when lung tissue is harmed. This rigid and thick tissue causes it to be hard for the lungs to run right. As the pulmonary fibrosis of yours worsens, it gets a lot more breathless.

Reference

Grossman, S. C., & Porth, C. (2014). Porth’s pathophysiology: concepts of altered health states. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.

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Project Charter and Team Plan for Collaboration

Assignment 1: Team Project Part 1: Project Charter and Team Plan for Collaboration

 

This week you begin working with a team to manage a fictional information technology project being implemented at the Casino Medical Center.

Work with your team members to create and submit a Project Charter and Team Plan for Collaboration based on the Team Project Scenario and the Team Project Overview document. Review the details about the Project Charter and Team Plan for Collaboration below:

 

 

Team Project Scenario

 

Casino Medical Center (CMC) in Las Vegas, a 600-bed hospital, has expanded significantly over the past 3 years. In an effort to respond to the increased workload of all hospital staff, the chief information officer (CIO) and the vice president of patient care services (VP-PCS) at CMC determined the need to analyze hospital processes throughout the organization.

 

The CMC organizational analysis revealed a number of areas that needed improvement. At the same time, broad changes in regulatory requirements required immediate adjustments in processes.

The organizational analysis was conducted across all departments and found the following organization-wide issues.

·         Quality reviews discovered a hospital-wide medication administration error rate of 20% with some tasks identified as redundanttasks.

·         Complying with new federal reporting requirements has increased the time needed to complete the medication administrationprocess.

CMC responded to the problem by purchasing an enterprise-wide health care information system from Topmost, one of the leading enterprise-software vendors in the country. The functionality of the system directly addresses the medication administration issues found in the organizational analysis. Several modules of an electronic health record system (EHRS) have already been implemented, as shown in the table below.

As employees of Topmost, you and your team are charged with implementing this medication administration system for CMC, the final phase of the EHRS project. This medication administration system includes an electronic medication administration record (eMAR), Barcode Medication Administration (BCMA), and physical administration of medication. Note: For the remainder of this scenario, this whole process will be referred to as the Medication Administration System (MAS).

 

Module Implementation Status

 

Module in the HIS System Status of Module Implementation
Fully implemented Partially implemented In pilot Not yet implemented
ADT (Accounting System) X      
Order Entry/Results Reporting OE/RR) X      
Billing and Financials X      
Ambulatory and Acute Care Clinical Documentation System   X    
Module in the HIS System Status of Module Implementation
Fully implemented Partially implemented In pilot Not yet implemented
Laboratory X      
Medication Administration System (MAS)       X

 

 

 

Note that the Medication Administration System (MAS) module has not been implemented.

 

The CIO and VP-PCS relate that there are a number of challenges associated with the CMC health care information system program, including the MAS project. One risk is that the initial implementation of the MAS may result in a temporary increase in medication errors. Another risk is that staff resistance to the new workflows and processes brought about by the MAS may cause delays in the completion of the implementation.

 

In meetings with the CIO and VP, they state that the first task for the team is to develop the project charter. The MAS team is assigned specific elements to be included in the project charter: the mission of the project, the problem statement, the project objectives, key stakeholders, milestones, and risks for the project. A list of the team members and the team’s plan for collaboration on this project also will be integrated into the charter.

 

A new chief medical information officer (CMIO) has been hired. This CMIO does not have the informatics expertise required to lead this critical and large project. However, the CMIO has gained solid experience on small-scale decision-support projects at a former institution while studying informatics in graduate school. The CMIO is looking forward to learning from you and your team.

 

The budget for the MAS project is approved up to $1 million. If more than $1 million is needed to implement the project, the additional expenditure must be justified in a project plan that key stakeholders approve. The software application for the Medication Administration System and necessary hardware have already been purchased, but they have not been delivered. Your team has a timeline of 6 months to complete the MASproject.

 

 

 

 

 

Project Charter

 

Work with your team to create a project charter that includes the following:

 

  • Mission of the project
  • Problem statement
  • Project objectives
  • Scope of the project
  • Milestones within the project
  • Deliverables—a defined product produced as part of the project
  • Assumptions
  • List of key stakeholders
  • Project risks
  • List of team members, roles, and a plan for collaboration

    Much of the information for the project charter can be extrapolated from the Team Project Scenario. As the project moves forward, additional hypothetical situations for the project can be developed by the team members.

     

     

    2- Team Plan for Collaboration

     

    Working as a team, create and submit your team’s plan for collaboration. In this plan, you identify and describe the general guidelines and plan you will follow to work successfully online and optimize your collective skills. Address the following:

 

1.      Team identification: A listing of all team members. (Susan N., Barbara W., Jaime W.).

 

2.      Team vision: A brief statement that embodies your team’s ideal in completing this project and targets all you want to accomplish together.

 

3.      Processes and expectations for communication: The most effective means of working together from a distance are asynchronous modes that allow team members to express thoughts and share ideas according to their own schedules. You also need to consider the best ways to share any documents or information you may gather from speaking directly to an expert in a field or from a source that is only available to you in hard copy.

 

4.      Determination of roles and division of work for the project: Typical roles include an organizer, who makes sure that everyone stays on track; editors, who take the agreed-upon final contributions of team members and fit them into the team-project deliverable; and a presenter, who uploads the assembled version of the project into the document sharing area and writes a summary introduction. These suggested roles are guidelines. For the purposes of this project, you may discover that different or additional roles that fit the project scenario are most effective. Each team member could be assigned a position title and credentials that match their role in the project scenario. Keep in mind that the team roles may change as requirements change. None of the roles you decide on takes the place of participation when it comes to the content of the project. All team members should contribute to the project content and discussions. (DO NOT DO THIS PART)

 

5.      Approaches to conflict and agreement: This item should address the way you would like to see conflicts resolved and determine agreed-upon guidelines or processes you will follow to resolve them. Consider a worst-case scenario and agree to specific actions the team will take should this scenario occur. Include a description of potential negative consequences that may result from the actions.

 

6.      Expectations for participation: One of the biggest objections to working with an online team is the fear that some members will not participate or that one or two members will be burdened with the majority of the work. In this section, determine and agree upon expectations for participation and the measures you will take when someone is not participating as fully as you expect or when someone seems to be doing too much, such as taking over all of the discussions. Have a plan for taking on a team member’s work, should the need arise to do so.

 

 

 

To prepare:

 

 

 

  • Review this week’s Learning Resources on project charters.
  • Thoroughly examine the Team Project Overview document in this week’s Learning Resources to familiarize yourself with the requirements of this Assignment.

     

    Write a 3- to 4-page document in APA format that includes a project charter and a team plan for collaboration. Cite at least 3 references from the list provided. Include an introduction with a purpose statement (e.g. the purpose of this paper is …), and a summary.

 

 

 

 

 

 

 

Required Readings

 

 

 

 

 

Biafore, B. (2010). Microsoft Project 2010: The missing manual. Sebastopol, CA: O’Reilly.

 

  • Chapter 1, “Projects: In the Beginning”
    • “Publicizing a Project and Its Manager” (pp. 35–37)

       

      In this section of Chapter 1, the author describes the typical elements of a project charter. The author also provides guidelines for generating stakeholder support using a project charter.

       

      Coplan, S., & Masuda, D. (2011). Project management for healthcare information technology. New York, NY: McGraw-Hill.

 

  • Chapter 3, “Project Management”
    • “Prepare Project Charter” (pp. 42–43)

       

      This section of Chapter 3 explains the basic principles of preparing a project charter. The authors summarize a project charter’s key elements.

       

      Project Management Institute. (2013). A guide to the project management body of knowledge (PMBOK guide) (5th ed.). Newtown Square, PA: Author.

 

  • Chapter 3, “Project Management Processes” (pp. 47–61)

     

    Review this chapter, which supplies information on managing a single project that uses networked processes. The chapter describes project management processes related to each phase of a project. Chapter 4, “Project Integration Management”

    • 4.1, “Develop Project Charter” (pp. 66–72)

       

      This section of Chapter 4 details the process of developing a project charter. The text focuses on the inputs, outputs, and tools and techniques of project chartering.

       

      Patel, V. N. (2008). Project management [Ebrary version]. Jaipur, India: Oxford.

      Retrieved from the Walden Library databases.

 

 

Required Media

 

 

 

 

 

Laureate Education (Producer). (2013f). Project initiation [Video file]. Retrieved from https://class.waldenu.edu

 

 

 

Note: The approximate length of this media piece is 13 minutes.

 

 

 

In this video, roundtable participants Dr. Mimi Hassett, Dr. Judy Murphy, and Dr. Susan Newbold discuss how a project gets off the ground, who and what should be included in initial planning, the consideration of project risks, and the crucial role communication plays throughout the process.

 

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psychotherapy

Assignment: Practicum – Week 2 Journal Entry

· Develop diagnoses for clients receiving psychotherapy*

· Analyze legal and ethical implications of counseling clients with psychiatric disorders*

Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:

· Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.

· Using the Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition (DSM-5), explain and justify your diagnosis for this client.

· Explain any legal and/or ethical implications related to counseling this client.

· Support your approach with evidence-based literature.

NOTE: PLEASE SEE THE ATTACHED Practicum Journal Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL ENTRIES) FOR WRITING THIS ASSIGNMENT…..ALSO FOR THE TIME LOG AND JOURNAL ENTRIES, JUST MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION

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nursing theory

Nursing theories are tested and systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:

  1. Present an overview of the nursing theory. Provide evidence that demonstrates support for the model’s efficacy in nursing practice. Explain how the theory proves the conceptual model.
  2. Explain how the nursing theory incorporates the four metaparadigm concepts.
  3. Provide three evidence-based examples that demonstrate how the nursing theory supports nursing practice. Provide support and rationale for each.

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MSN program

You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire.

Decisions are often not so easily inspired. Perhaps you discovered this when choosing a specialty within the MSN program. This decision is a critical part of your plan for success, and you no doubt want to get it right. This is yet another area where your network can help, as well as other sources of information that can help you make an informed choice.

To Prepare:

  • Reflect on your decision to pursue a specialty within the MSN program, including your professional and academic goals as they relate to your program/specialization.

By Day 3 of Week 10

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.

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breast cancer

*********STRICTLY FOLLOW GUIDELINES********* 3 PAGES****

 (breast cancer) discuss the relationship of the disease process to the immune system.

–  Identify current evidence-based treatment modalities for breast cancer and discuss how the treatment impacts the disease process.

–  Conduct an evidence-based literature search to identify the most recent standards of care/treatment modalities from peer-reviewed articles and professional association guidelines (www.guideline.gov).

 

-Include the following in your clinical case presentation:

  1. A discussion of the pathophysiology of the disease, including signs and symptoms
  2. An explanation of diagnostic testing and rationales for each
  3. A review of different evidence-based treatment modalities for the disorder obtained from guideline.gov or a professional organization such as thyroid (American Thyroid Association), OB-GYN (ACOG), urology (AUA), etc.

-Next, address the following questions:

  1. How does the information in this case inform the practice of a master’s prepared nurse?
  2. How should the master’s prepared nurse use this information to design a patient education session for someone with this condition?
  3. What was the most important information presented in this case?
  4. What was the most confusing or challenging information presented in this case?
  5. Discuss a patient safety issue that can be addressed for a patient with the condition presented in this case.

The use of medical terminology and appropriate graduate level writing is expected.

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Is health care a basic right in the United States

Debate the question: “Is health care a basic right in the United States?” Answer this question through the lens of your role as RN. Support your response utilizing ethical theories and principles. Respond to two other classmates using respectful communication and solid reasoning. Support your response with appropriate references.

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Data Analysis

Forum Post #6 – Data Analysis

Read the article, “An Exploration of Knowledge, Attitudes, and Beliefs Toward Organ and Tissue Donation Among Adult Hatian Population Living in the Greater Montreal Area.” Did the researchers provide sufficient discussion of how the data was analyzed? Support your position.

Chapters 11 & 12

 

 

Reliability & Validity

Data Analysis

·      Read Boswell & Cannon Ch. 11 & Ch. 12

·       Review PowerPoints for Ch. 11 & Ch. 12

 

 

 

Please, answer question fully answering questions, remembering this has been leading up from all the chapters prior in Nursing form

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Nurse-Patient relationship

Part one:

Peplau was the first nursing theorist to identify the nurse–patient relationship as being central to all nursing care. Peplau valued knowledge, believing that the nurse must possess extensive knowledge about the potential problems that emerge during a nurse–patient interaction. Peplau’s theoretical work on the nurse–patient relationship continues to be essential to nursing practice.

  • Describe the phases of the Nurse-Patient relationship as defined by Peplau. Align your presentation regarding the use of Peplau’s theory with a current practice example.

Part two:

Provide a discussion of Orem’s Self-Care Deficit Theory. Identify and explain the three related parts? Identify a current nursing practice example where Orem’s theory would be relevant. Use at least one evidenced-based research article to support your practice example. The PowerPoint should include at least 3 outside references and the textbook. It should include title and reference slides and be 14-20 slides.

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characteristics of culture

Read chapter 1 of the class textbook and review the attached Power Point presentation.  Once done answer the following questions.

1.  In your own words and using the proper evidence-based references define transcultural diversity and Health care and discuss how both term interact and how they help in the delivery of health care to different heritages.

2.  Mention and discuss at least 4 variant characteristics of culture.

Assignment must be submitted in the discussion forum.  A minimum of 2 evidence-based references no older than 5 years are required.

A minimum of 500 words are required.

APA Style

Plagiarism FREE

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