Tag Archive for: nursing

Organizational Analysis

I have included a copy of my paper I submitted last week that is 4 pages with the organization I chose. UHS, inc.

Organizational Analysis: Final Paper Due

This week, the final paper on your organizational analysis is due. Revise the rough draft based on your instructor’s feedback and submit the final paper.

The final paper should be of 8 pages, APA format providing the following:

  • Describe your selected organization or unit of interest. Include the following details:
    • A statement and an introduction regarding why this organization excels in team building and high-quality relationships
    • A description of what prompted the organization to focus on these variables, if known
    • The rationale for selecting the issue-its significance or importance in relation to team-building efforts and the success of the organization
  • Summarize the processes or programs that make this organization successful.
  • Describe the attributes that made those processes or programs effective.
  • Explain how the programs might be translated to your present organization. If you do not currently work, refer to a previous employer or discuss with someone employed and glean how they feel the programs or processes could be applied to their organization or unit.
  • Include all sources used in the reference list in APA format. You need to include at least five cited references.
  • Include a reference to the scorecard developed and used.

Include references to substantiate the claim that the organization excels in quality relationships. The second-hand information must be correctly cited.

Submission Details

  • Submit your paper as a Microsoft Word document.
  • Name your paper SU_NSG7000_W4_A2_LastName_FirstInitial.doc.
  • Submit your paper to the Submissions Area by the due date assigned.

End of Life Care.

Discussion Board Question 2: End of Life Care.

Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management.

Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.

Practice

1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.

2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.

3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.

4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.

Education

1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.

2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.

3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.

4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.

Research

1. Increase the integration of evidence-based care across the dimensions of end-of-life care.

2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.

3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.

4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.

5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.

Administration

1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.

2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.

3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.

4. Support the development and integration of palliative care services for all in- and outpatients and their families.

Unit IV Case Study

Unit IV Case Study

Analyze the case study found on p. 343 in the textbook by addressing the assigned questions below. While analyzing the case, be sure to identify the major problems and issues.

Draft a response or strategy for addressing the major problems and issues.

Make recommendations to improve the patient’s health.

Discuss any negative consequences that may occur if the patient’s health issue is not addressed.

Your response should be at least one page in length. Include at least one reference to support your work in APA style. You are required to use at least your textbook as source material for your response. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.

Information about accessing the Blackboard Grading Rubric for this assignment is provided below.

Explain why taking aspirin as soon as symptoms of a possible heart attack begin may help the patient.

Your response must be at least 200 words in length.

What is atherosclerosis? Explain the surgical options for treatment of atherosclerosis.

Your response must be at least 200 words in length.

 Curriculum Development Issue Paper

 Curriculum Development Issue Paper

Details:

Read “Reconceptualizing Program Outcomes” and “Leveling EBP Content for Undergraduate Nursing Students” for a better understanding of issues within curriculum development.

Select an issue within curriculum development that is of interest to you.

Write a paper of 1,000-1,250 words on the issue, discussing its affect and relevance to nursing, staff or patient education.

  1. Why is this issue a problem at your place of employment?
  2. What are your proposed strategies to resolve these issues?
  3. Use at least three to five scholarly, peer-reviewed resources less than 5 years old in addition to the course materials. Make sure that you do not use the two sources given in this assignment.

Scenario

Scenario

Your task is to create two logos for this new client and submit a video presentation for the marketing team to review. Create an original, American-style logo, and then create a more globalized version of that logo. Since most of the company’s global clients come from India, design the global logo to reflect the visual preferences that might appeal to that specific global audience. When designing the logos, utilize the following visual communication elements:

The marketing team has specified that the video presentation should be less than three minutes in length, and be created using a screen share to show both your visuals and audio analysis. They have also sent an email stating the following items need to be addressed:

  • The main objective is to present your two logos and address how they strategically and effectively use the visual communication elements itemized.
  • Be sure to compare and contrast how differently American and Indian target audiences may respond to these logos.
  • Discuss why your marketing organization should consider the importance of using the visual elements you visually designed for these logos.

Instructions

The presentation must include a visual and an audio recording using Screencast-O-Matic®, a free audio recording software compatible with PC and MAC computers. Follow these instructions to download and use this software to create your presentation.

  1. Access the Screencast-O-Matic® homepage by clicking on the box in the upper right-hand corner titled, “Sign Up” to create your free account.
  2. Create a free account (be sure to write down the email and password created for account access.)
  3. Once logged in, click on the “Tutorials” link at the top of the homepage and view Recorder Intros.
  4. Create your presentation by clicking on the “Start Recorder” box.
  5. Once finished recording click on the “Done” button.
  6. Next, choose, “Upload to Screencast-O-Matic®”.
  7. Select “Publish”.
  8. Choose “Copy Link”.

1.Creates an American logo which accurately uses some visual communication elements: size, color, symbolism, iconic meaning.

2. Creates an Indian logo which accurately uses some visual communication elements: size, color, symbolism, iconic meaning

3. Accurately compares and contrasts how American and Indian target audiences respond differently to logos.

Your task is to create two logos for this new client and submit a video presentation for the marketing team to review. Create an original, American-style logo, and then create a more globalized version of that logo. Since most of the company’s global clients come from India, design the global logo to reflect the visual preferences that might appeal to that specific global audience. When designing the logos, utilize the following visual communication elements:

The marketing team has specified that the video presentation should be less than three minutes in length, and be created using a screen share to show both your visuals and audio analysis. They have also sent an email stating the following items need to be addressed:

The main objective is to present your two logos and address how they strategically and effectively use the visual communication elements itemized.
Be sure to compare and contrast how differently American and Indian target audiences may respond to these logos.
Discuss why your marketing organization should consider the importance of using the visual elements you visually designed for these logos.
Instructions

The presentation must include a visual and an audio recording using Screencast-O-Matic®, a free audio recording software compatible with PC and MAC computers. Follow these instructions to download and use this software to create your presentation.

Access the Screencast-O-Matic® homepage by clicking on the box in the upper right-hand corner titled, “Sign Up” to create your free account.
Create a free account (be sure to write down the email and password created for account access.)
Once logged in, click on the “Tutorials” link at the top of the homepage and view Recorder Intros.
Create your presentation by clicking on the “Start Recorder” box.
Once finished recording click on the “Done” button.
Next, choose, “Upload to Screencast-O-Matic®”.
Select “Publish”.
Choose “Copy Link”.
1.Creates an American logo which accurately uses some visual communication elements: size, color, symbolism, iconic meaning.

2. Creates an Indian logo which accurately uses some visual communication elements: size, color, symbolism, iconic meaning

3. Accurately compares and contrasts how American and Indian target audiences respond differently to logos.

Community Statistics Assignment

Community Statistics Assignment
Overview: Statistical Health Data for a Community

In this assignment, you will review and assess statistical data for the community you selected for your community Windshield Survey. By reviewing demographic, health, crime, income, and educational data, and by comparing local data with city, county, state, and national data, you will be able to determine how well the selected community functions.
Your statistical analysis will address the community in general using the categories noted above. In addition, based on your observations from Module 1 subjective assignment, (windshield survey and key informants) provide Morbidity, Mortality (M&M) and risk data for the health problems you identified in your community, and gather comparative data from the local, city, county, state and national levels specific to those health issues. For Example 1: if you observed obesity in your community then present obesity rates and health conditions associated with obesity [i.e. CVD, HD, Depression, etc.). These variables may include the following: gender (who does this problem affect the most, men or women); age distribution; ethnicity or racial group(s) mostly-affected; morbidity and mortality rates; any data related to life-expectancy in light of the health issues; is there a geographic area where the health problems mainly exist; is there a relationship between the health issue(s) and environmental health hazards; are these life-threatening health issues?
This type of inquiry in Module 2 Part II will provide the basis for the next paper in this course, the Nursing Intervention paper. In that assignment, you will develop a community health nursing intervention(s) to address the community health problems you have defined. There is a progression in problem definition from the Windshield Survey to the Statistical Analysis, to the recommendations for community health nursing interventions. You will be able to follow the unfolding of this process from problem-identification to recommendations for intervention. This process requires skills in data-gathering, data analysis, critical thinking, evidence-based nursing, and planning.
Please refer to the Assignment DirectionsPreview the document

for further instructions on your assignment. Refer to the Rubric in the Assignment Submission area to view grading criteria.

Evaluation of Research Ethics

Search the GCU Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the Topic Materials or textbook.

Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. See Chapter 5 of your textbook as needed, for assistance.

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.

Attachments

Summative Discussion Board

Assignment Details

Summative Discussion Board

Review and reflect on the knowledge you have gained from this course. Based on your review and reflection, write at least three (3) paragraphs on the following:

  • What were the most compelling topics learned in this course?
  • How did participating in discussions help your understanding of the subject matter? Is anything still unclear that could be clarified?
  • What approaches could have yielded additional valuable information?
  • The main post should include at least one reference to research sources, and all sources should be cited using APA format.

Deliverable Length:  Main post: 300 words (minimum)

Epidemiology Paper

Epidemiology Paper
Write a paper (2,000-2,500 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 when completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the options below.

Chickenpox
Tuberculosis
Influenza
Mononucleosis
Hepatitis B
HIV
Ebola
Measles
Polio
Influenza
Epidemiology Paper Requirements

Address the following:

Describe the chosen communicable disease, including 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.
Describe the social determinants of health and explain how those factors contribute to the development of this disease.
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. Are there any special considerations or notifications for the community, schools, or general population?
Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.
Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.
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 three peer-reviewed or professional references is required.

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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

AttachmentsNRS-427VN-RS2-CommunicableDiseaseChain.doc
RUBRIC

Attempt Start Date: 15-Apr-2019 at 12:00:00 AM

Due Date: 21-Apr-2019 at 11:59:59 PM

Maximum Points: 150.0

Epidemiology Paper – Rubric
No of Criteria: 11 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less than Satisfactory75.00 %Satisfactory83.00 %Good94.00 %Excellent100.00 %Content80.0 Comprehensive Description of a Communicable Disease and the Demographic of Interest10.0Demographic of interest and clinical description are omitted or presented with many inaccuracies.Limited and/or vague summary of demographic of interest and communicable disease is provided. Overview does not offer a clear representation of information necessary for epidemiological study.Overview of the demographic of interest and clinical description of the communicable disease is presented with some inaccuracies of the clinical descriptors.Clinical description of the communicable disease and demographic of interest is provided. Summary is brief but accurate.Overview describing the demographic of interest and clinical description of the communicable disease is presented with a thorough, accurate, and clear overview of all of the clinical descriptors.Determinants of Health and Explanation of How Determinants Contribute to Disease Development10.0Description of the determinants of health and their role in disease development is omitted or presented with many inaccuracies.Paper partially describes the determinants of health in relation to disease development.Paper identifies the determinants of health in relation to the communicable disease selected but does not include an explanation of their role in the development of disease. Paper describes each determinant of health with a comprehensive discussion of their contribution to disease development and progression.Paper comprehensively discusses the determinants of health in relation to the communicable disease, explains their contribution to disease development, and provides evidence to support main points.Epidemiologic Triangle (Host Factors, Agent Factors, and Environmental Factors)20.0Description of the epidemiologic triangle is omitted or presented with many inaccuraciesThe communicable disease is described with some inaccuracies within the epidemiologic triangle. A visual description of the factors and interaction is not present.The communicable disease is described accurately and clearly within the context of the epidemiologic triangle. The communicable disease is described accurately within the context of the epidemiologic triangle. A brief description of factors and interaction is presented.The communicable disease is described thoroughly, accurately, and clearly within an epidemiological triangle. A visual description of the triangle and how the components of the model interact is included. Role of the Community Health Nurse and Importance of Demographic Data20.0Discussion of the role of the community health nurse is omitted or unclear. An explanation of why demographic data are necessary to community health is omitted or unclear.Discussion of the role of the community health nurse is vague, with no integration of case finding, reporting, data collecting, data analysis, or follow-up skills. An incomplete explanation of why demographic data are necessary to community health is provided.Discussion of the role of the community health nurses is limited, with a brief overview of skills associated with community assessment and planning. An explanation of why demographic data are necessary to community health is summarized.Discussion of the role of community health nurse is clear, with a comprehensive description of skills associated with community assessment and planning. An explanation of why demographic data are necessary to community health is presented.Discussion of the role of the community health nurse is clear, comprehensive, and inclusive of the community nurse’s responsibilities to primary, secondary, and tertiary prevention through tasks such as case finding, reporting, data collection and analysis, and follow-up. A clear explanation of the importance of demographic data to community health is presented.National Agency or Organization That Works to Addresses Communicable Disease10.0Agency and description of contribution are omitted. An agency or organization is identified, but discussion is vague or inaccurate in relation to the communicable disease chosen.An agency or organization is identified, but discussion regarding efforts to address communicable disease is lacking.An agency or organization is identified, but discussion regarding efforts to address communicable disease is brief.An agency or organization is identified. A clear and accurate description of efforts to address communicable disease is offered. Global Implication10.0Global implication of the disease is omitted or unclear.A discussion of the global implication of the disease is vague, with no integration of how this is addressed in other countries or cultures and if the disease is endemic to a particular area. An example is not provided.A discussion of the global implication of the disease is limited, with some integration of how this is addressed in other countries or cultures and if the disease is endemic to a particular area. An example is provided.A discussion of the global implication of the disease is clear, with a comprehensive description of how this is addressed in other countries or cultures and if the disease is endemic to a particular area. An example is provided.A discussion of the global implication of the disease is clear, comprehensive, and inclusive with a comprehensive description of how this is addressed in other countries or cultures and if the disease is endemic to a particular area. An example is provided.Organization and Effectiveness 15.0 Thesis Development and Purpose5.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed and/or vague, purpose is not clear. Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive, contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction5.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice, sentence structure, and or word choice are present.Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.Format 5.0 Paper Format 2.0Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken, lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present. Template is fully used. There are virtually no errors in formatting style.All format elements are correct. Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)3.0Sources 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

Urinary tract infections (UTI)

Respond on two different days who selected at least one different factor than you, in one or more of the following ways:Offer alternative diagnoses and prescription of treatment options for urinary tract infections.Share an insight from having read your colleague’s posting, synthesizing the information to provide new perspectives

Main Post

Urinary tract infections (UTI) are one of the most common infections in the world, and advanced practitioners must be able to diagnose and treat the varying types of UTIs. Understanding the location of the UTI, upper or lower, the pathophysiology, and specific signs and symptoms are crucial for treatment. An advanced practitioner must also be aware of the roles that gender and age play in the development of a UTI. UTIs are common in the outpatient setting but can also happen in the hospital and can also be caused by a Foley catheter, which is considered a hospital-acquired event that the hospital will not receive reimbursement.

Pathophysiology of Lower Urinary Tract Infection

A lower urinary tract infection involves the path of least resistance or the most opportunistic point of entry for an organism, usually bacterial and involves the urethra and the bladder. An infection in the urethra or bladder (cystitis) are considered a lower urinary tract infection. The microbial spectrum of UTIs consists mainly of Escherichia coli, with occasional other species of Enterobacteriaceae such as Proteus mirabilis and Klebsiella pneumoniae and other bacteria such as Staphylococcus saprophyticus (Yamamichi, Shigemura, Kitagawa, and Fujisawa, 2018).

Pathophysiology of Upper Urinary Tract Infection

The upper urinary tract consists of the kidneys and ureters. Infection in the upper urinary tract generally affects the kidneys (pyelonephritis), which can cause fever, chills, nausea, vomiting, and other severe symptoms. It can be caused by an infection that has made its way up the urinary tract and can become a complicated infection from an obstruction, such as benign prostatic hypertrophy, and calculi.

Similarities and Differences

Although the location of the infection is different many of the signs and symptoms can present the same; fever, dysuria, frequency, or urgency may be present in both. Many lower tract UTIs may be asymptomatic, and in upper tract UTIs, the symptoms may be more severe, including nausea and vomiting, flank pain, or costovertebral angle tenderness. Finding the underlying cause and treatment is the same; antibiotics for bacterial infections and analgesics for pain control. Intravenous antibiotics are preferred for upper tract UTIs in an attempt to preserve organ damage, but mat be converted to oral after initial treatment.

Gender and Age as Factors

While common in both males and females, females are more prone to community-acquired UTIs than men, basically because of anatomical differences. Lema (2015) acknowledges that the close proximity of the vagina and urethral meatus to the anal opening, the shorter length of the female urethra, and the opportunity for trauma during intercourse allows for the opportunity for a UTI to be acquired. Although this happens across the lifespan of a woman, the peak times are from mid-teens to the early forties or the sexually active years. Young children, especially females, are a high-risk group due to not being able to clean themselves properly after using the bathroom or poor technique. Older patients are also high risk; men with prostate issues cannot empty their bladder are also at risk.

Diagnosis and Treatment

Diagnosis of a lower tract UTI can be done with the assessment of signs and symptoms and urine culture, midstream is preferred. Research by Lee (2018) acknowledges that patients with non-febrile uncomplicated UTIs, active pain control and minimal use of antibiotics should be prioritized, including uncomplicated cystitis. Pain in acute cystitis is a natural consequence of the inflammatory response, and pain-mediated urinary frequency or urgency is the chief complaint of patients. Painkillers, including nonsteroidal anti-inflammatory drugs (NSAIDs), are a good choice for managing symptoms while reducing the usage of antibiotics. Urinalysis and urine culture confirms the diagnosis of acute pyelonephritis and according to the Infectious Diseases Society of America (2019) a urine culture showing at least 10,000 colony-forming units (CFU) per mm3 and symptoms compatible with the diagnosis. Symptoms management and oral antibiotic therapy are needed, and in severe cases, hospitalization with intravenous antibiotic therapy may be required.

Conclusion

As future practitioners, understanding the pathophysiologies of an upper tract UTI and a lower tract UTI is paramount to obtaining a diagnosis. Untreated and under treated UTIs can lead to life-threatening complications. Management of the signs and symptoms is important, but the treatment of the underlying cause can stop a lower tract UTI from spreading into the upper urinary tract. Age and gender play significant roles in UTIs, women of childbearing years, and older men who have trouble emptying their bladder are at high risk. Assessment and quality interviews can assist the practitioner in prevention through education.

References

Acute pyelonephritis. (2019). Retrieved July 18, 2019, from https://www.idsociety.org/clinical-practice/patient-care/patient-care/

Lee, S. (2018). Recent advances in managing lower urinary tract infections. F1000Research, 7, 1964. https://doi-org.ezp.waldenulibrary.org/10.12688/f1000research.16245.1

Lema, V. M. (2015). Urinary Tract Infection In Young Healthy Women Following Heterosexual Anal Intercourse: Case Reports. African Journal Of Reproductive Health, 19(2), 134–139. Retrieved from https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=mnh&AN=26506666&site=eds-live&scope=site

Yamamichi, F., Shigemura, K., Kitagawa, K., & Fujisawa, M. (2018). Comparison between non-septic and septic cases in stone-related obstructive acute pyelonephritis and risk factors for septic shock: A multi-center retrospective study. Journal Of Infection And Chemotherapy: Official Journal Of The Japan Society Of Chemotherapy, 24(11), 902–906. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jiac.2018.08.002