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technology systems

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Details: Explore the technology systems offered by Nanthealth,

Explore the technology systems offered by Nanthealth, a provider of “telehealth” and health management services via the following link:

http://nanthealth.com/

Prepare a brief (8-10 slides) PowerPoint presentation in which you do the following:

1. Identify at least two technology innovations to connect patients, providers, and insurers across the care continuum.

2. Describe how the technologies work to provide patients and providers with data necessary for health care decision making.

3. Discuss how the real-time data encourages outcome-focused planning.

4. Predict what impact the technology will have on future health care delivery. Provide rationale and examples.

Presentations must include speakers’ notes on each slide, as well as references for the presentation. The slide count (10-12 slides) does not include the introduction and References slide(s).

In addition to your textbook, “The Interprofessional Health Care Team: Leadership and Development”. A minimum of FOUR academic references from credible sources are required for this assignment

Health History

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Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is “running away.”
  4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

  1. Height 175 cm; Weight 95.5kg.
  2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
  3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
  5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)
  5. Inhaled short-acting bronchodilator (ProAir HFA)
  6. Inhaled corticosteroid (Flovent HFA)
  7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

  1. Describe the clinical manifestations present in Mrs. J.
  2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
  3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
  4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
  5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
  6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
  7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

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.

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 sub

Balancing School and Life

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Part 3 – Next Steps

Balancing School and Life – My Quality of Life Self-Care Plan. The purpose of developing this Plan is to set a framework and a plan to maintain wellness and to stay motivated and engaged throughout your Program. Doing this will help you achieve success during your coursework and as a professional nurse.

The goal of the Project is to help you become self-aware and reflective as a means of identifying personal self-care strategies that will increase your energy and help you manage your stress. The Project will give you a chance to learn how this is accomplished as you will be doing similar work with clients during the Program and as a professional nurse to assist them in the same way.

Share in a 2 – 3 page paper, the following (also attach the completed form):

Note: When you are finished besides submitting your plan, be sure to put the Plan where you can see it to remind you to continue to reflect on how you are doing and to motivate you to use the self-care strategies.
Use the Quality of Life Self-Care Wheel Plan for Intention and Action to make your intention (commitments) to take action throughout your Program to stay balanced. Re-assess your scores and write them into this Plan. Then make your intention and identify at least one action for each that you know you can maintain throughout your Program and even as a practicing nurse. Identify any new strategies that you think will “fit” better than what you have been doing and describe why.

interviewee’s experience

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Details:

This assignment requires you to interview one person and requires an analysis of your interview experience.

Part I: Interview

Select a patient, a family member, or a friend to interview. Be sure to focus on the interviewee’s experience as a patient, regardless of whom you choose to interview.

Review The Joint Commission resource found in topic materials, which provides some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Using this resource and any other guidelines/examples that you can find, create your own tool for assessing the spiritual needs of patients.

Your spiritual needs assessment survey must include a minimum of five questions that can be answered during the interview. During the interview, document the interviewee’s responses.

The transcript should include the questions asked and the answers provided. Be sure to record the responses during the interview by taking detailed notes. Omit specific names and other personal information through which the interviewee can be determined.

Part II: Analysis

Write a 500-750 word analysis of your interview experience. Be sure to exclude specific names and other personal information from the interview. Instead, provide demographics such as sex, age, ethnicity, and religion. Include the following in your response:

  1. What went well?
  2. Were there any barriers or challenges that inhibited your ability to complete the assessment tool? How would you address these in the future or change your assessment to better address these challenges?
  3. How can this tool assist you in providing appropriate interventions to meet the needs of your patient?
  4. Did you discover that illness and stress amplified the spiritual concern and needs of your interviewee? Explain your answer with examples.

Submit both the transcript of the interview and the analysis of your results. This should be submitted as one document. The interview transcript does not figure into the word count.

Prepare this assignment according to the guidelines found in the APA Style Guide,

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 Turnitin.

This benchmark assignment assesses the following competencies:

CONHCP Program Competencies for the RN-BSN:

5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

tumor.

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Answer Clinical Application Questions 1-3 for Chapter 12 on page 368 and Clinical Application Question 1-3 for Chapter 13 on page 400. Answers should be submitted in a word document with any associated references used.?

 Answer Clinical Application Questions 1-3 for Chapter 12 on page 368

a) A girl developed generalized seizures. A CT scan revealed a single brain lesion consistent with a tumor. Biopsy of the session showed cysticerus. The patient lived in South Carolina and had never traveled outside the state. What parasite caused her disease? How is this disease transmitted? How might it be prevented?

b) A California farmer developed a low-grade fever, myalgia, and cough. A chest X-ray exam revealed infiltrate in the lung. Microscopic exam of the sputum revealed round budding Cells. A sputum culture grew mycelia and arthroconidia. What organism  is most likely the cause of the symptom? How is this disease transmitted? How might it be prevented.

c) A teeaged male in California complained of remittent fever, chills, and headaches. A blood smear revealed ring-shaped cells in his red blood cells. He was successfully treated with primaquine and chloroquine. The patient lives near the San Luis Rey River and has no history of foreign travel, blood transfusion, or intravenous drug use. What is the disease ? How was it

acquired?

and Clinical Application Question 1-3 for Chapter 13 on page 400.

A) A 40 year old man who was seropositive for HIV experienced abdominal pain, fatique, and low grade fever (38 degree C) for 2 weeks. A chest X-ray exam revealed lung infiltrates. Gram and acid fast stains were negative. A viral culture revealed the cause of his symptoms: a large , enveloped polyhedral virus with double-stranded DNA. What is the disease? Which virus causes it? Why was virus culture done after Gram and acid-fast stain results were obtained

B) A new born female developed extensive vesicular and ulcerative ; lesions over her face and chest. What is the most likely symptoms? How would you determine the viral cause of this disease without doing a viral culture?

C) By May 14, two people living in the same household had died with five days of each other. Their illnesses were characterized by abrupt onset of fever, muscle pain, headache , and cough, followed by rapid development of respiratory failure. By the end of the year, 36 cases of the disease, with a 50% mortality rate, had been confirmed. A member of the Orthomyxoviridae, Bunyaviridac, or Adenoviridac could cause this disease . Differentiate among these families by method of transmission, morphology, nucleic acid, and type of replication. The reservoir for this disease is mice. Name the disease .

application of EBP.

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As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

  • Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
    • This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
  • Reflect on which type of dissemination strategy you might use to communicate EBP.

By Day 3 of Week 10

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

Scholarly Product Development

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Scholarly Product Development

As noted in previous weeks of the course, collegial collaboration can broaden your perspective and help you to generate new ideas. How might this be true for the development of a scholarly product for dissemination?

In this Discussion, you and your colleagues share insights related to dissemination, including how dissemination relates to your development as a scholar-practitioner and as a nurse leader.

To prepare:

  • Reflect      on the process you engaged in (with your Instructor or committee chair) of      selecting the journal or other format for your DNP Project scholarly      product for dissemination. What are the strengths and limitations of the      forum you selected?
  • What      insights have you gained through developing this product? (You may also      wish to reflect on insights gained through your oral presentations.)
  • What      other forums could be appropriate for disseminating the findings of your      DNP Project? (Consider involvement in professional organizations, for      instance.)
  • How      does dissemination relate to your development as a scholar-practitioner      and a nurse leader?

By tomorrow Tuesday 7/30 6 pm write a minimum of 550 words essay in APA format with at least 3 scholarly references. Include the level one headers as numbered below: 

Post a cohesive response that addresses the following:

1) Describe the format/ forum you selected for your DNP Project (electronic health record) scholarly product for dissemination.

2) Discuss the strengths and limitations of the approach you selected.

3) Describe two or more other ways to disseminate the findings, discussion, and implications of your DNP Project (electronic health record).

4) Explain how dissemination relates to your development as a scholar-practitioner and a nurse leader.

Required Readings

Ousley, A. L., Swarz, J. A., Milliken, E. L., & Ellis, S. (2010). Cancer education and effective dissemination: Information access is not enough. Journal of Cancer Education, 25(2), 196–205.

This article details the results of a Practitioner Information Needs survey that was administered to five different types of practitioners involved in cancer care.

 

Walsh, N. (2010). Dissemination of evidence into practice: Opportunities and threats. Primary Health Care, 20(3), 26–30.

This article reports on research into the perceived barriers that may impede the implementation of evidence-based practice.

Required Media

Laureate Education, Inc. (Executive Producer). (2012a). Developing a scholarly product for dissemination. Baltimore, MD: Author.

Note: The approximate length of this media piece is 6 minutes.

In this media presentation, Dr. Kris Mauk shares her DNP Project poster created for a presentation at the Association of Rehabilitation Nurses National Conference.

NEUTROPENIC SEPSIS

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NEUTROPENIC SEPSIS

PICOT: Would early assessment, diagnosis of Neutropenic Sepsis in patients post chemotherapy treatment, as well as the immediate administration of broad-spectrum antibiotics and fluids, will be more effective in decreasing septic shock and death compared to delaying treatment

Students will develop a 1,000-1,250 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Problem      statement
  3. Purpose      of the change proposal
  4. Literature      search strategy employed
  5. Evaluation      of the literature
  6. Applicable      change or nursing theory utilized
  7. Proposed      implementation plan with outcome measures
  8. Identification      of potential barriers to plan implementation, and a discussion of how      these could be overcome
  9. Appendix      section, if tables, graphs, surveys, educational materials, etc. are      created
  10. CONCLUSION

You are required to retrieve and assess a minimum of 7 peer-reviewed articles

NEUTROPENIC SEPSIS

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 Turnitin. Please refer to the directions in the Student Success Center.

restrictions on freedoms

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  • Article (no more than one-month old) from reputable news source such as The New York Times or The Washington Post

Instructions
restrictions on freedomsn. Summarize the article and explain why this issue is important to the global community. What outside influences might help change this issue? How? Is the article neutral? Why or why not?

Be sure to include a scanned copy of the article in your submission in addition to citations. Articles may not be more than one month old.

Writing Requirements (APA format). Refer to the APA manual.

  • Length: 3 full pages (not including the title or references page)
  • 1-inch margins
  • Double-Spaced
  • 12-point Times New Roman font
  • Title and Reference page required
  • APA cite article with link
  • Scan copy of article required
  •  Grading

5.0 pts

The student uses a newspaper article which is not more than thirty days old and is on topic.

25.0 pts

The student clearly describes all of the main points in the article.

25.0 pts

The student identifies how the issue relates to the global community accurately with significant supporting details.

10.0 pts

The student accurately evaluates the creditability of the source.

25.0 pts

The student provides a detailed account of how outside forces could change the issue.

5.0 pts

The paper is formatted and referenced according to APA standards.

Health History and Medical Information

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Case Study: Mrs. J.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is “running away.”
  4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

  1. Height 175 cm; Weight 95.5kg.
  2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
  3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
  5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)
  5. Inhaled short-acting bronchodilator (ProAir HFA)
  6. Inhaled corticosteroid (Flovent HFA)
  7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

  1. Describe the clinical manifestations present in Mrs. J.
  2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
  3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
  4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
  5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
  6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
  7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

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.

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.