Posts

Teams

Teams are an integral part of the health care environment. Patient care requires that a group of health care providers work together to provide the highest quality care possible. The group usually consists of people with varying levels of education, authority, and experience. Smriti Chand, in an online article at Management states, “All teams are groups but not all groups are teams. Teams often are difficult to form because it takes time for members to learn how to work together. People in every workplace talk about building the team, working as a team, and my team, but few understand how to create the experience of team work or how to develop an effective team. Belonging to a team, in the broadest sense, is a result of feeling part of something larger than oneself. It has a lot to do with your understanding of the mission or objectives of your organization.”

Chand, S. (2014). Group Dynamics: it’s characteristics, stages, types and other details. Management, YourArticleLibrary.com.

Begin by reading Case Study #6 – “Leading a Team” (Joint Patient Liaison Office: Building a Streamlined Unit) [PDF File size, 4.36 MB] which includes questions at the end. In a 4-5 page APA formatted Word Document address the questions posed at the end of the case study.

A case study is meant to show your ability to apply course concepts to the given scenario. You are expected to use theories, vocabulary, and examples to answer the questions given in the case study. Your paper should be written in clear and concise language that shows your ability to comprehend course material and relate it to problems.

A case study is an APA formatted short report or essay on a particular topic. The nature and format of a case study can vary widely, depending on the topic. In this course, I want yours to be detailed, focused on organizational behavior.

Your paper must be 4-5 pages not including your cover or reference pages. Your case study should contain the following:

Title page
This should list the title of the article, which should include the study design, for example: “Leadership and Change” as well as your name, course name/number and date.
Introduction
This should not exceed 350 words and should contain a brief overview of the case study. The introduction should motivate and describe the issue being studied and summarize the main findings.
Case description
This should describe the case, including the role of the people and institutions involved and how the information was analyzed.
Discussion and Evaluation
This is the body of the case study where you would answer all the questions from the case study.
Conclusion
The conclusion should offer a brief recapitulation of the main points made in your case study.

"Is this question part of your assignment? We can help"

ORDER NOW

early nursing professionals

Nursing practice started as far back as 250 B.C. Most of the early nursing professionals were men of God. Then they slowly became men associated with the military. During the Crimean War, nursing took a dive for the worst. “Nursing had become a job for the “undesirables” in society — the immoral, the alcoholic, and the illiterate” (Grand Canyon University, n.d.). The income for people within the field, wasn’t sufficient enough to live off of, let alone anything else. After gaining some backing from the military, nursing become a more recognized profession.

Way before our leading lady, Florence Nightingale, stepped into the spotlight, there was the great Dorothea Dix. Dorothea was a pioneer, “she began the movement toward recognizing the role of women in medicine and the development of nursing as a profession” (Grand Canyon University, n.d.). She was an advocate for how our mentally ill patients were being treated and their living conditions. She fought for the people who could not fight for themselves, and she traveled all over to do it.

Another person to shed some light on the nursing profession was not known for his nursing qualities, but his writing. Walt Whitman became a caregiver by accident, by caring for his brother after being wound during the Civil War. “When he went to Washington, DC to care for his brother he saw the plight of many wounded soldiers and decided to stay and care for the sick and wounded” (Grand Canyon University, n.d). After his experiences, he put pen to paper, and did what he did best. He wrote a poem called “The Wound Dresser”. Not only did it explain what he did, but is expressed how badly the men were hurt and how bad the conditions were. The poem is moving and you can almost see all of the men Walt Whitman helped.

Mildred Montag addressed issues within the education for nursing professionals. Mildred “revolutionized nursing education by the creation of the 2 year associate degree in nursing” (Grand Canyon University, n.d). She set up a program that could be achieved in less time than attending a 4 year college. This assisted with the nursing shortage and allowed more nursing to be produced.

All three of these people, changed nursing in some way. History allows us to look back, and remember that this is a profession that is full of compassion and devotion. What an honor it is to be apart of it all.

"Is this question part of your assignment? We can help"

ORDER NOW

clinical problem

During your practicum, determine what clinical problem or issue the   organization is facing. Discuss two implications for nursing.

The biggest problem or issue is staffing. The turn-over rate is incredibly high and there is never enough staff to provide satisfactory patient care.

"Is this question part of your assignment? We can help"

ORDER NOW

Health History and Medical Information

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 Mr. C., 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

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

  1. Height: 68 inches; weight 134.5 kg
  2. BP: 172/98, HR 88, RR 26
  3. 3+ pitting edema bilateral feet and ankles
  4. Fasting blood glucose: 146 mg/dL
  5. Total cholesterol: 250 mg/dL
  6. Triglycerides: 312 mg/dL
  7. HDL: 30 mg/dL
  8. Serum creatinine 1.8 mg/dL
  9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

  1. Describe the clinical manifestations present in Mr. C.
  2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
  3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
  4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
  5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
  6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

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

"Is this question part of your assignment? We can help"

ORDER NOW

immunities

Your written assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:

  • What are the different types of immunities and give an example of each
  • Describe how stress impacts the immunity of a person

You should include a minimum of 3 scholarly references. Include a title page, in-text citations, and a reference page in APA format.

"Is this question part of your assignment? We can help"

ORDER NOW

Evaluation of the literature

NOTE: PLEASE  FOLLOW EVERY INSTRUCTION CAREFULLY.. USE THE DOCUMENTS ATTACHED BELLOW TO COMPLETE THE ASSIGNMENT CORRECTLY. NO PLAGIARISM

Details:

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 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:

Background

Problem statement

Purpose of the change proposal

PICOT

Literature search strategy employed

Evaluation of the literature

Applicable change or nursing theory utilized

Proposed implementation plan with outcome measures

Identification of potential barriers to plan implementation, and a discussion of how these could be overcome

Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

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

"Is this question part of your assignment? We can help"

ORDER NOW

systems’ compatibility

a. TURNITIN similarity index will not pickup inadvertent self‐plagiarism from another team member’s submission  b. Course faculty will have only one submission to review and grade.  4. Use Microsoft PowerPoint 2007, 2010 or higher for systems’ compatibility.  a. Follow the best practices for PowerPoint construction & presentation

Preparing the Presentation    1. Prepare a PowerPoint presentation with speaker notes between 25‐30 slides, NOT including the title and reference slides.  a. Speaker Notes   i. Outline and “script” the presentation for online students.   ii. Online students’ speaker notes should include the name of the student who researched and presented the slide information.  iii. Campus students follow the guidelines of your course instructor.  b. Scholarly writing and APA 6th Edition guidelines should be followed as applicable to  PowerPoint slides.  c. Cite sources in APA format in the applicable slides and include the APA formatted reference in your reference list slide(s) ‐ Minimum 6 references  d. Spelling, grammar, and punctuation apply even in bullet points and speaker slides (e.g., quotation marks, italics, verb tense, etc.)  e. Copyright and plagiarism rules apply  2. Each team will be assigned a healthcare information systems technology (e.g., Computerized Physician Order Entry, Electronic Health Record, Electronic Medical Record, etc.) by the course instructor. For that technology, include the following discussions in the presentation:  a. Introduce the technology & the team  i. Title slide should identify the assigned technology and introduce team members  ii. Provide an introduction  1. Describe the technology  2. Purpose for the technology in healthcare.   3. Establish the professional tone for the presentation.  b. History & Current Use  i. Describe significant findings that prompted the development of the technology  ii. Discuss the history and current use of the technology in healthcare  iii. Describe three goals of this technology’s implementation.  c. Impact on healthcare and nursing  i. Impact on professional nursing practice.   ii. Patient safety impact (including statistical justification)  iii. Impact on patient care delivery, quality care measures/monitoring, and risk management (privacy, confidentiality, and security) as applicable.  1. Ethical & legal considerations.   2. Infrastructure/operational consequences (e.g., budget, costs, etc.)  3. Impact on a population and/or geographic region    4. Provide examples & statically significant data to support examples.

 

NR360 Technology Presentation Guidelines V1.docx              Revised for SEP17 tz/css/slp  3

d. Three advantages and disadvantages  i. Patient’s vantage point or perspective (e.g., patient outcomes, safety, patient/family satisfaction).  ii. Nurse’s vantage point (improves/hinders job efficiency/safety)   iii. Healthcare organization’s vantage point (regulatory compliance, financial, etc.)   e. Controversy/Issues/Challenges/Regulatory implications   i. How might issues surrounding the chosen technology be addressed/solved?  ii. Provide statically significant data or evidence to support your findings.  f. Summary  i. Key points  ii. Discoveries/surprises iii. Lessons learned by the team  3. Team Project Evaluation (40 points)  a. Place & discuss the following questions and responses in the slides(s) following the summary slide and prior to the reference slide(s).   i. How did the team function well?  (e.g., team strengths, team balance, etc.)  ii. What problems did you have interacting as a team? (e.g., team weaknesses, outside challenges, technology, etc.)  iii. What specific actions would you recommend to future teams to help them interact, function, and collaborate successfully?

Please Note: All the under listed  below points/ requirements have been stated above.

1. It is a Power point Slide Presentation

2. It must be 25 to 30 Power point slides

3. Must include 6 references, at least

4. APA format

5. Speaker’s note must be include down the slides

6. Citations must be included.

7. Please, watch out for plagiarism or plagiarized works as this assignment will be placed on TurnItIn.

"Is this question part of your assignment? We can help"

ORDER NOW

pathophysiological processes of disease,

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

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

Height 175 cm; Weight 95.5kg.
Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
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.
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention

The following medications administered through drug therapy control her symptoms:

IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Inhaled short-acting bronchodilator (ProAir HFA)
Inhaled corticosteroid (Flovent HFA)
Oxygen delivered at 2L/ NC
Critical Thinking Essay

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

Describe the clinical manifestations present in Mrs. J.
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.
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.
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.
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.
Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
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.

"Is this question part of your assignment? We can help"

ORDER NOW

technology systems

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. A minimum of three academic references from credible sources are required for this assignment. The slide count (8-10 slides) does not include the introduction and References slide(s).

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 

"Is this question part of your assignment? We can help"

ORDER NOW

pediatric patients

In clinical settings, pediatric patients often present with hematologic and metabolic disorders such as anemia and diabetes. Many of these disorders are manageable with drug therapy and lifestyle changes, but they can pose serious complications for patients if left untreated. In your role as the advanced practice nurse, you must identify patients at risk of hematologic and metabolic disorders and provide the appropriate education for them and their families. Consider potential treatment, management, and education strategies for the patients in the following case studies.

Case Study 1

You see a 1-week-old Asian infant for a weight check. The infant is back to his birth weight and is breastfeeding for 10 minutes every 2 hours with one 3-hour stretch a day. He is alert, has bowel movements with each feeding, and wets 8–10 diapers a day. His blood type is A+ and his mother’s blood type is A+. Coombs’ testing at birth was negative. You note slight scleral and skin jaundice.

Case Study 2

Jimmy is a 3-year-old “picky” eater according to his mother. He refuses to eat anything but waffles for breakfast and macaroni and cheese or chicken nuggets for lunch and dinner. He will eat apples and bananas but refuses all vegetables except corn. After a normal physical examination, you obtained blood testing that revealed the hemoglobin is 11.4 mg/dl and his hematocrit is 30% (both obtained by venipuncture). The CBC revealed microcytic hypochromic RBCs.

Case Study 3

Melissa is a 13-year-old who presents to your office for a well-child check. Physical examination reveals a thin child who is short of stature. Breast Tanner stage is II and pubic hair development is Tanner I. Neurologic, skin, heart, lung, abdominal, and HEENT examinations are normal.

To prepare:

  • Review “Endocrine and Metabolic Disorders” and “Hematologic Disorders” in the Burns et al. text.
  • Review and select one of the three provided case studies. Analyze the patient information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
  • Consider strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.

By Day 3

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.

"Is this question part of your assignment? We can help"

ORDER NOW