Tag Archive for: nursing

pharmacotherapeutics

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CASE STUDY 1

HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.

Ht: 5’8” Wt: 89 kg Allergies: Penicillin (rash)

Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

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Data Analysis and Results:

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Data Analysis and Results:

Textbook:

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4 th ed.). Sudbury, MA: Jones and Bartlett.

Reading:

Chapter 11: Summarizing and Reporting Descriptive Data

Chapter 13: Analysis and Reporting of Quantitative Data

Chapter 15: Analyzing and Reporting of Qualitative Results

Assignment:

Data analysis is key for discovering credible findings from implementing nursing studies. Discussion and conclusions can be made about the meaning of the findings from the data analysis.

1)Share what you learned about descriptive analysis (statistics), inferential analysis (statistics), and qualitative analysis of data; include something that you learned that was interesting to you and your thoughts on why data analysis is necessary for discovering credible findings for nursing.

2)Compare clinical significance and statistical significance; include which one is more meaningful to you when considering application of findings to nursing practice.

Must be in APA format, use references and citations. One reference must be from textbook and one reference from Scholarly article.

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health care

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The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.

Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

  1. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
  2. How would  George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
  3. As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
  4. What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
  5. Given the above, what options would be morally justified in the Christian worldview for George and why?
  6. Based on your worldview, what decision would you make if you were in George’s situation?

Remember to support your responses with the topic study materials.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is required.

This assignment uses a rubric.You are required to submit this assignment to LopesWrite.

1. Bioethics: A Primer for Christians

Read Chapters 6 and 12 in Bioethics: A Primer for Christians.

http://gcumedia.com/digital-resources/wm-b-eerdmans-publishing-co/2013/bioethics_a-primer-for-christians_ebook_3e.php
2. Called to Care: A Christian Worldview for Nursing

Read Chapters 10-12 in Called to Care: A Christian Worldview for Nursing.

http://gcumedia.com/digital-resources/intervarsity-press/2006/called-to-care_a-christian-worldview-for-nursing_ebook_2e.php

3. Defining Death: Medical, Legal and Ethical Issues in the Determination of Death

Read the Introduction and Chapters 1-3 of “Defining Death: Medical, Legal and Ethical Issues in the Determination of Death” by the President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research (1984).

https://repository.library.georgetown.edu/bitstream/handle/10822/559345/defining_death.pdf?sequence=1

Rubric

  1. Analysis of how the man would interpret his suffering in light of the Christian narrative and the fallenness of the world is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  2. Analysis of how the man would interpret his suffering in light of the Christian narrative and the hope of resurrection is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  3. Analysis of how the Christian worldview of the man might inform his view about the value of his life as a person with ALS is clear and demonstrates a deep understanding that is skillfully supported by topic study materials.12%
  4. Evaluation of which values and considerations the Christian worldview focuses on when deliberating the option of euthanasia for the man is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  5. Evaluation of which options would be justified in the Christian worldview for the man is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  6. Reflection hypothesis of which personal choices would be make if faced with ALS based on personal worldview is clear, relevant, and insightful. 10%
  7. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 7%
  8. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 8%
  9. Writer is clearly in command of standard, written, academic English. 5%
  10. All format elements are correct.5%
  11. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 5%

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Population  Percentage

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  • Locate a nursing study that examines the effects of an intervention. Provide a summary of the study, focusing primarily on the intervention. Was the development and implementation of the intervention described in detail? Based on a theoretical framework? Did the design of the study promote investigation of the effects of the study—for example, was there comparison of experimental and control groups? Were there variables that could have impacted the findings that were not part of the intervention? Was there evidence of efforts to monitor the safety of participants? Are there any ways that the study could have been improved?
  • Locate a nursing study that utilizes some aspect of the internet (for instance, for recruitment, delivery of an intervention, or completing online assessments. What challenges did the researchers face, and how were these challenges overcome (or not)? How could future research efforts be improved?
  • Using your computer’s office tools, develop a pie, bar, or plot chart to represent the following population estimates:

Population  Percentage

European American                         20

African American                             30

Native American                              20

Hispanic American                           30

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: Differential Diagnosis for Skin Conditions

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Assignment 1: Lab Assignment: Differential Diagnosis for Skin Conditions

Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.

To Prepare

Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment.

Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?

Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.

Consider which of the conditions is most likely to be the correct diagnosis, and why.

Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.

Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.

Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.

The Lab Assignment

Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style.

Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.

Use clinical terminologies to explain the physical characteristics featured in the graphic.

Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose.

Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

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medication (doxazosin)

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Based on the two templates attached. Write 1-page summary of how the selected medication (doxazosin) relates to the selected systems disorder (Benign Prostatic Hyperplasia).

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dehydration

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SCENARIO OVERVIEW

Jesus Garcia is a 28 years who was directly admitted to the medical unit on Tuesday evening with a diagnosis of dehydration. Fifteen days ago, Jesus underwent a partial colectomy with creation of a transverse colostomy. Jesus’ girlfriend Virginia has been taking care of him since discharge and reports that Jesus has resisted participation in colostomy care. Virginia needs to return to her full-time job and is concerned with how Jesus will manage without her at his side

REVIEW PRIOR TO SIMULATION

In order to prepare for the simulation, you are required to complete the pre-briefing questions below and submit to the faculty facilitating the simulation prior to the start of pre-briefing. If you do not complete the pre-briefing questions below and submit to faculty facilitating the simulation prior to the start of pre-briefing, you will not be permitted to participate in the simulation.

Please keep in mind you will also be required to recognize a variety of signs and symptoms linked to abnormalities in these skills.

Questions

1. What are common signs and symptoms of dehydration?

2. What are complications you may see as a result of poor nutrition?

3. Describe nursing care and interventions for a client with a colostomy

PLEASE USE APA FORMAT AND INCLUDE REFERENCES LESS THAN 5 YEARS OLD

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efficient organizational methods

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Assignment 6.1: Post-It Patterns

This assignment supports the following lesson objectives:

  • 6.2 Demonstrate knowledge of efficient organizational methods and good form in speech writing
  • 6.3 Prepare engaging speech content using standard practices and methods

Assignment Overview
This practice exercise explores the importance of organizing the main ideas of a speech into a pattern. It also provides you with the opportunity to practice arranging ideas into a pattern of organization.

Deliverables

  • A two-page paper (12-point font, about 600 words) written in a word processor, such as MS Word

Assignment Details
In this activity, you will organize a series of statements into a cohesive structure that could be used as a framework on which to base a speech.

Perform the following tasks:

Step 1: Review the information presented in the lesson that covers concepts and issues related to efficient organizational methods.
Recall that the three main sections of a speech or presentation are the introduction, body, and conclusion.

Step 2: In a word processing document, write a brief definition or description for each of the following patterns of organization that can be used to structure the flow of information in a speech:
Topical Pattern
Temporal Pattern
Spatial Pattern
Problem-Solution Pattern
Cause-Effect Pattern
Monroe’s Motivated SequenceStep 3: Read the following list of statements about the topic of friendship.
Determine which of the patterns of organization might be useful to create a logical flow of information for the statements. Select one pattern of organization to use to organize the statements. It can be one of the six that you defined in Step 2 or another one from any of the lesson materials or another source.

Statements about Friendship*We develop an acquaintanceship.
Friendship is an interpersonal relationship between two persons that is characterized by mutual positive regard.
We meet.
In order to understand friendships, we need to see what a friendship is and its stages of development.
Friendship is one of the most important of our interpersonal relationships.
We develop an intimate friendship.
Friendships develop through various stages.
Friendships don’t develop full blown but rather go through various stages—from the initial meeting to intimate friendship.
We develop a casual friendship.
By understanding friendship we will be in a better position to develop and maintain productive and enjoyable friendships.
Friendship—an interpersonal relationship characterized by mutual positive regard—is one of our most important assets.
We develop a close relationship.
Friendship is vital to all of us.*These statements are from the Organizing a Scrambled Outline activity on the Course Compass website (Links to an external site.)

Step 4: Neatly write each statement about friendship on a separate Post-It note.
Stick the 13 separate Post-It notes to the edge of your desk or work table.

Step 5: Start arranging the Post-It notes to form a logical flow of the ideas represented by the statements.
Modify the arrangement as many times as needed to get it to fit into one of the organization patterns that you learned about in the lesson.

Step 6: Separate the Post-It notes into three groups: one group for the speech introduction, another for the body, and a final one for the conclusion.

Step 7: On the top of a sheet of blank paper, write the heading Introduction.
Determine which statements you would include in the speech introduction. Keeping them in order, stick the Post-It notes that contain these statements to the Introduction page.

Step 8: On the top of a second sheet of blank paper, write the heading Body.
Determine which statements you would include in the body of the speech. Keeping them in order, stick the Post-It notes that contain these statements to the Body page.

Step 9: On the top of a third sheet of blank paper, write the heading Conclusion.
Determine which statements you would include in the conclusion of the speech. Keeping them in order, stick the Post-It notes that contain these statements to the Conclusion page.

Step 10: Enter the information.
In your word processing document, enter the headings and associated statements.

Step 11: Copy and paste the questions below into your word processing document, and enter your answers.
Which pattern of organization did you use to structure the flow of statements?
Are there any other patterns that you could have potentially used? If so, which one(s)?
Based on your experience, do you think you will use the Post-It note technique to organize information for other assignments or projects? Why or why not?Step 12: Save and submit your document.
When you have completed the assignment, save a copy for yourself in an easily accessible place and submit a copy to your instructor using the drop box.

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clinical inquiry.

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Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

· Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.

· Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

· Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

·

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

· Identify and briefly describe your chosen clinical issue of interest.

· Describe how you used keywords to search on your chosen clinical issue of interest.

· Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

· Provide APA citations of the four peer-reviewed articles you selected.

·

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

· The full citation of each peer-reviewed article in APA format.

· A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

· A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

· A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

· A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

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Reflective Journal

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Write 100-word Reflective Journal on how the attached clinical scenario enhanced your understanding of important communication techniques and what would be incorporated into your individual communication style to improve the nurse-patient/family relationship.

Required criteria:

1. 100 word minimum reflection 2. Identifies how this scenario enhanced understanding of communication techniques 3. Addresses how these communication techniques will be incorporated into their own communication style to improve the nurse-patient/family relationship 4. Logical reflective flow which follows standard grammatical rules with minimal (1-2) misspellings

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