Anaphylactoid Syndrome of Pregnancy (amniotic fluid embolism)
Required elements
Description of the disorder
Priority Nursing Diagnosis and why
Nursing Assessment / Clinical Manifestations
Nursing Plan/ Goals/ Outcomes
Nursing Interventions
Nursing Evaluations
Patient and Family teaching
Conclusion/ Summary
Cites four (4) APA format references (at least 5 years old)
i want all the element above to be describe separate, each of the element in separate paragraph.
CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1)
We encounter patients after they have explored various avenues of self-help. At times, these avenues involve the use of complementary and alternative medicine (CAM). Our readings this week are very helpful.
1.Select a common (or not so common) illness or condition that affects a specific ethnic group.
2.Identify two (2) CAM therapies that patients are likely to try before seeking (or in addition to) allopathic, osteopathic, or ayurvedic medical intervention for the illness or condition.
3.Discuss the effectiveness of each therapy you identified.
Note: Do not discuss an illness or condition about which a classmate has already posted. The diversity will lead to a more robust discussion. There are many examples you may discuss, including sickle-cell disease in African Americans, constipation in the elderly people, or the use of Reiki for mental and emotional healing by Japanese people. Think of others from your practice settings or prelicensure experiences.
The culminating argument paper is a reordering of the first two papers with the addition of an abstract, introduction, and conclusion.
Your paper must:
Discussion: Addressing an Unmet Need Through Strategic Planning
Challenges can seem ever present in the health care field. Problems related to the quality of patient care, financial matters, technology, and interdisciplinary collaboration, for example, are often evident in organizations and professional groups.
In your role as a nurse leader-manager, it is important to consider challenges and how these translate into unmet needs. You can then create valuable change by addressing these unmet needs through strategic planning.
Through this Discussion, you may distinguish the focus for your Course Project. Your instructor and colleagues will provide feedback to help you refine your idea as you move forward.
To prepare:
Consider the information presented by Dr. Carol Huston in this week’s media program. Think about the process of moving from the identification of an unmet need through the development, implementation, and evaluation of a strategic plan.
Reflect on the initial thinking about trends and unmet needs in nursing and health care that you addressed in Week 5.
Consider how the information in this week’s Learning Resources deepens and expands your understanding of these trends and unmet needs in relation to the strategic planning process.
Proceed with planning for your Course Project as follows:
Select an unmet need that affects a specific group, unit, or organization.
Deepen your understanding of this group, unit, or organization by examining the stated mission, vision, and values, if possible.
Analyze historical data related to the unmet need, and review the evidence in the literature. Use this information to engage in forecasting.
Consider which stakeholders should be included in the strategic planning process.
Begin to formulate a vision for addressing this need at the organizational or systems level. (Note: Although not required for this Discussion, you will need to develop a strategic goal for your Course Project.)
Post an explanation of the unmet need that affects a specific group, unit, or organization that you would like to focus on for your Course Project. Share data from your historical analysis and forecasting, and identify stakeholders who should be included in the strategic planning process. Explain your vision for addressing this need at the organizational or systems level.
Read a selection of your colleagues’ responses.
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
Ask a probing question, substantiated with additional background information or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Validate an idea with your own experience and additional resources.
Required Readings
Balicer, R. D., Shadmi, E., Lieberman, N., Greenberg-Dotan, S., Goldfracht, M., Jana, L., . . . Jacobson, O. (2011). Reducing health disparities: Strategy planning and implementation in Israel’s largest health care organization. Health Services Research, 46(4), 1281–1299.
Retrieved from the Walden Library databases.
The authors examine the planning, implementation, and evaluation of an organization-wide strategy to address the need to reduce health care inequalities and improve quality in Israel.
Schaffner, J. (2009). Roadmap for success: The 10-step nursing strategic plan. Journal of Nursing Administration, 39(4), 152–155.
Retrieved from the Walden Library databases.
The author outlines a 10-step strategic planning process for nursing.
Strubhar, A. J. (2011). The application of an environmental scanning and strategic planning framework in an academic department of physical therapy. Journal of Physical Therapy Education, 25(3), 53–59.
Retrieved from the Walden Library databases.
The author examines strategic planning, including environmental scanning, within a physical therapy department in an academic institution.
Authenticity Consulting. (n.d.b). Basic description of strategic planning. Retrieved March 13, 2013, from http://managementhelp.org/strategicplanning/basics.htm
This online article provides an overview of the strategic planning.
Authenticity Consulting. (n.d.c). Basic overview of various strategic planning models. Retrieved March 13, 2013, from http://managementhelp.org/strategicplanning/models.htm
This online article describes different models of strategic planning, including issues-based planning.
PlanWare. (n.d.). Business planning papers: Developing a strategic plan. Retrieved March 13, 2013, from http://www.planware.org/strategicplan.htm
View the strategic planning information on this website.
Required Media
Laureate Education (Producer). (2013d). Elements of a strategic plan model [Video file]. Retrieved from https://class.waldenu.edu
Note: The approximate length of this media piece is 6 minutes.
Dr. Carol Huston describes elements common to strategic planning models and discusses ways to approach the development of a strategic plan.
Optional Resources
Authenticity Consulting. (n.d.a). All about strategic planning. Retrieved March 13, 2013, fromhttp://managementhelp.org/strategicplanning/index.htm
CASE STUDY 1
JC, an at-risk 86-year-old Asian male is physically and financially dependent on his
daughter, a single mother who has little time or money for her father’s health needs. He
has ahx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12
deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec
20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an
annual exam and states “I came for my annual physical exam, but do not want to be a
burden to my daughter.”
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
zero plagiarism
four references
Instructions
As part of the discussion this week, you made a brief exploration of a work of art to understand its subject, meaning, and intent. In this assignment, you will explore an artwork in more depth to consider the context in which it was created. Choose any painting, and address the following:
Include the following in your paper:
Writing Requirements (APA format)
What are the unmet health care needs you see in your community? What determinants of health are related to these unmet needs and what determinants require action and advocacy efforts? How do your identified issues impact your work and your sphere of influence? Consider some of the following examples that affect communities: various needs of veterans (homelessness, post-traumatic stress), immigration, undocumented workers, medical and/or legalized marijuana, reproductive health care, unemployment, poor environmental conditions, limited access to health care, and lack of heath care. How do these issues impact community health and what is your role in the solution of these issues?
To prepare for this Discussion, review the following:
Post a response to the following:
Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the m
It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.
Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.
As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.
In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.
To Prepare:
The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)
Part 1: Agenda Comparison Grid
Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:
(A draft of Part 1: Agenda Comparison Grid should be posted to the Module 1 Discussion Board by Day 3 of Week 1.)
Part 2: Agenda Comparison Grid Analysis
Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:
Part 3: Fact Sheet or Talking Points Brief
Based on the feedback that you received from your colleagues in the Discussion, revise Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis.
Then, using the information recorded on the template in Parts 1 and 2, develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. Be sure to address the following:
Submit a draft of Part 1: Agenda Comparison Grid to the Module 1 Discussion Board
Considering the feedback you received in the Module 1 Discussion on Part 1: Agenda Comparison Grid, revise and further develop Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis. Consider how the feedback you received might influence your Fact Sheet or Talking Points and revise as necessary.
Submit your final version of Part 1: Agenda Comparison Grid, Part 2: Agenda Comparison Grid Analysis, and Part 3: Fact Sheet or Talking Points Brief.
You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. The back office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice, and has an excellent rapport with all of the providers.
Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago for the same reason. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient’s name on the label, and the date on the bottle was 1 week ago. You also noted your name printed on the label as the prescriber. The patient admitted that she called last week concerned about her cough and spoke to Stephanie. You do not recall having discussed this patient with Stephanie nor do the other providers in the practice.
Discussion Question:
What are the potential ethical and legal implications for each of the following practice members?:
What strategies would you implement to prevent further episodes of potentially illegal behavior?
What leadership qualities would you apply to effect a positive change in the practice? Be thinking about the culture of the practice.
Discussion Guiding Principles
The ideas and beliefs underpinning the discussions guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The use of discussions provides students with opportunities to contribute level-appropriate knowledge and experience to the topic in a safe, caring, and fluid environment that models professional and social interaction. The ebb and flow of a discussion is based upon the composition of student and faculty interaction in the quest for relevant scholarship. Participation in the discussion generates opportunities for students to actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty. Discussions foster the development of members into a community of learners as they share ideas and inquiries, consider perspectives that may be different from their own, and integrate knowledge from other disciplines.
You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. The back office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice, and has an excellent rapport with all of the providers.
Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago for the same reason. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient’s name on the label, and the date on the bottle was 1 week ago. You also noted your name printed on the label as the prescriber. The patient admitted that she called last week concerned about her cough and spoke to Stephanie. You do not recall having discussed this patient with Stephanie nor do the other providers in the practice.
Discussion Question:
What are the potential ethical and legal implications for each of the following practice members?:
What strategies would you implement to prevent further episodes of potentially illegal behavior?
What leadership qualities would you apply to effect a positive change in the practice? Be thinking about the culture of the practice.
Discussion Guiding Principles
The ideas and beliefs underpinning the discussions guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The use of discussions provides students with opportunities to contribute level-appropriate knowledge and experience to the topic in a safe, caring, and fluid environment that models professional and social interaction. The ebb and flow of a discussion is based upon the composition of student and faculty interaction in the quest for relevant scholarship. Participation in the discussion generates opportunities for students to actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty. Discussions foster the development of members into a community of learners as they share ideas and inquiries, consider perspectives that may be different from their own, and integrate knowledge from other disciplines.
Mr. Fitts, a 72-year-old male whose wife died six months ago, is brought to the health care provider by his daughter because he is not eating much and has been lethargic and sleeping a lot. He has a history of hyperlipidemia for which he takes niacin/lovastatin 500/20 mg PO daily at bedtime.
Subjective Data
Has been unusually tired for the past couple of months
Is frequently short of breath and sometimes feels like his ‘heart is pounding’
Has lost weight because his wife always used to cook for him and he doesn’t cook for himself
Describes a typical daily meal as coffee and a donut for breakfast, a hot dog and lemonade for lunch, and a jelly sandwich on white bread and coffee for supper
Objective Data
Physical Examination
Blood pressure 118/72, pulse 98, temperature 98.2° F, respirations 16
Oxygen saturation 92% on room air
Height 5’6”, weight 135 lbs, BMI 21.7 kg/m2
S1 and S2 auscultated and regular
Bilateral radial pulses +3 and regular
Lungs clear bilaterally
Diagnostic Studies
RBC 3,300,000/µL
Hemoglobin 8.3 g/dL
Hematocrit 24%
MCV 73 fL
MCH 23 pg
WBC 9,100/µL
Platelets 250,000/µL
Iron 28 mcg/dL
Ferritin 14 ng/mL
Cobalamin 600 pg/mL
Folate10 ng/mL
Question 1
Interpret Mr. Fitts’s laboratory results. Interpretation means to tell me what is abnormal and what is normal. If the lab is abnormal, please tell me what it can be attributed to.
Question 2
Based on the laboratory data and assessment findings, the health care provider diagnoses Mr. Fitts with iron deficiency anemia. What clinical manifestations of iron deficiency anemia does Mr. Fitts have?
Question 3
Explain iron deficiency anemia and identify the probable cause of D.G’s anemia.
Question 4
How is iron deficiency anemia treated?
Question 5
Identify dietary iron sources to include in Mr. Fitts’s teaching.
Question 6
What are important points to include when teaching patients taking oral iron supplements? Please be specific as to what to take them with and what are the side effects.
Question 7
What evaluative parameters could you use to determine whether Mr. Fitts’s anemia is resolving? In other words how are you going to know he is getting better and please be specific to labs and potential assessment findings.
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