Falls Precautions Assignment

Falls Precautions Assignment

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

Develop a 1,250-1,500 written project 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. Clinical problem statement.
  3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
  4. PICOT question.
  5. Literature search strategy employed.
  6. Evaluation of the literature.
  7. Applicable change or nursing theory utilized.
  8. Proposed implementation plan with outcome measures.
  9. Discussion of how evidence-based practice was used in creating the intervention plan.
  10. Plan for evaluating the proposed nursing intervention.
  11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
  12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created. Falls Precautions Assignment

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Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these 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.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1:     Exemplify professionalism in diverse health care settings.

2.2:     Comprehend nursing concepts and health theories.

3.2:     Implement patient care decisions based on evidence-based practice.

Rubric:

Benchmark – Capstone Project Change Proposal – Rubric

Collapse All Benchmark – Capstone Project Change Proposal – RubricCollapse All

Revisions Incorporated as Directed by Instructor

10 points

Criteria Description

Revisions Incorporated as Directed by Instructor

5. 5: Excellent

10 points

All revisions are incorporated. The revision greatly improves the accuracy and clarity of the project.

4. 4: Good

8.9 points

The key aspects were revised. The revision generally improves the accuracy and clarity of the project.

3. 3: Satisfactory

7.9 points

Most key aspects were revised. Some aspects are still vague or contain minor inaccuracies.

2. 2: Less Than Satisfactory

7.5 points

Revision is incomplete. Many aspects are still incomplete, inaccurate, or unclear.

1. 1: Unsatisfactory

0 points

Revision is omitted.

Background

10 points

Criteria Description

Background

5. 5: Excellent

10 points

Background of clinical problem are clearly and logically presented. Relevant support and rationale are evident.

4. 4: Good

8.9 points

Background of clinical problem are presented. Minor aspects are unclear or require support.

3. 3: Satisfactory

7.9 points

Background of clinical problem are summarized. There are minor omissions or inaccuracies. Some support or information is needed.

2. 2: Less Than Satisfactory

7.5 points

Background of clinical problem is incomplete.

1. 1: Unsatisfactory

0 points

Background of clinical problem omitted.

Clinical Problem Statement

10 points

Criteria Description

Clinical Problem Statement

5. 5: Excellent

10 points

Clinical problem statement is clearly and logically presented. Relevant support and rationale are evident.

4. 4: Good

8.9 points

Clinical problem statement is presented. Minor aspects are unclear or require support.

3. 3: Satisfactory

7.9 points

Clinical problem statement is summarized. There are minor omissions or inaccuracies. Some support or information is needed.

2. 2: Less Than Satisfactory

7.5 points

Clinical problem statement is incomplete. Falls Precautions Assignment

1. 1: Unsatisfactory

0 points

Clinical problem statement omitted.

Purpose of Change Proposal

10 points

Criteria Description

Purpose of Change Proposal

5. 5: Excellent

10 points

Purpose of the change proposal in relation to providing patient care in the changing health care system is logically presented. Relevant support and rationale are evident.

4. 4: Good

8.9 points

Purpose of the change proposal in relation to providing patient care in the changing health care system is presented. Minor aspects are unclear or require support.

3. 3: Satisfactory

7.9 points

Purpose of the change proposal in relation to providing patient care in the changing health care system is summarized. There are minor omissions or inaccuracies. Some support or information is needed.

2. 2: Less Than Satisfactory

7.5 points

Purpose of the change proposal in relation to providing patient care in the changing health care system is incomplete.

1. 1: Unsatisfactory

0 points

Purpose of the change proposal in relation to providing patient care in the changing health care system is omitted.

PICOT Question

10 points

Criteria Description

PICOT Question

5. 5: Excellent

10 points

Topic and criteria are clearly and logically presented. Relevant support and rationale are evident.

4. 4: Good

8.9 points

Topic and criteria are presented. Minor aspects are unclear or require support.

3. 3: Satisfactory

7.9 points

Topic and most criteria are presented. There are minor omissions or inaccuracies. Some support or information is needed.

2. 2: Less Than Satisfactory

7.5 points

Topic is presented but criteria is incomplete.

1. 1: Unsatisfactory

0 points

PICOT questions is omitted.

Literature Search

10 points

Criteria Description

Literature Search

5. 5: Excellent

10 points

Topic and criteria are clearly and logically presented. Relevant support and rationale are evident.

4. 4: Good

8.9 points

Topic and criteria are presented. Minor aspects are unclear or require support.

3. 3: Satisfactory

7.9 points

Topic and most criteria are presented. There are minor omissions or inaccuracies. Some support or information is needed.

2. 2: Less Than Satisfactory

7.5 points

Topic is presented but criteria is incomplete.

1. 1: Unsatisfactory

0 points

Literature search strategy employed omitted.

Evaluation of Literature

10 points

Criteria Description

Evaluation of Literature

5. 5: Excellent

10 points

Evaluation of literature is clearly and logically presented. Relevant support and rationale are evident.

4. 4: Good

8.9 points

Evaluation of literature is presented. Minor aspects are unclear or require support.

3. 3: Satisfactory

7.9 points

Evaluation of literature is summarized. There are minor omissions or inaccuracies. Some support or information is needed.

2. 2: Less Than Satisfactory

7.5 points

Evaluation of literature is incomplete.

1. 1: Unsatisfactory

0 points

Evaluation of literature omitted.

Change or Nursing Theory

10 points

Criteria Description

Change or Nursing Theory

5. 5: Excellent

10 points

Change or nursing theory is logically presented. Relevant support and rationale are evident.

4. 4: Good

8.9 points

Change or nursing theory is presented. Minor aspects are unclear or require support.

3. 3: Satisfactory

7.9 points

Change or nursing theory is summarized. There are minor omissions or inaccuracies. Some support or information is needed.

2. 2: Less Than Satisfactory

7.5 points

Change or nursing theory is incomplete.

1. 1: Unsatisfactory

0 points

Change or nursing theory omitted.

Implementation Plan and Outcome Measures

20 points

Criteria Description

Implementation Plan and Outcome Measures

5. 5: Excellent

20 points

Implementation plan and outcome measures are clearly and logically presented. Relevant support and rationale are evident.

4. 4: Good

17.8 points

Implementation plan and outcome measures are presented. Minor aspects are unclear or require support.

3. 3: Satisfactory

15.8 points

Implementation plan and outcome measures are summarized. There are minor omissions or inaccuracies. Some support or information is needed.

2. 2: Less Than Satisfactory

15 points

Implementation plan and outcome measures are presented is incomplete.

1. 1: Unsatisfactory

0 points

Implementation plan and outcome measures are omitted.

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Use of Evidence-Based Practice in Intervention Plan

20 points

Criteria Description

Use of Evidence-Based Practice in Intervention Plan

5. 5: Excellent

20 points

Use of evidence-based practice in intervention plan is clearly and logically presented. Relevant support and rationale are evident.

4. 4: Good

17.8 points

Use of evidence-based practice in intervention plan is presented. Minor aspects are unclear or require support.

3. 3: Satisfactory

15.8 points

Use of evidence-based practice in intervention plan is summarized. There are minor omissions or inaccuracies. Some support or information is needed.

2. 2: Less Than Satisfactory

15 points

Use of evidence-based practice in intervention plan is incomplete.

1. 1: Unsatisfactory

0 points

Use of evidence-based practice in intervention plan omitted.

Plan for Evaluating Proposed Nursing Intervention

20 points

Criteria Description

Plan for Evaluating Proposed Nursing Intervention

5. 5: Excellent

20 points

Plan for evaluating proposed nursing intervention is clearly and logically presented. Relevant support and rationale are evident.

4. 4: Good

17.8 points

Plan for evaluating proposed nursing intervention is presented. Minor aspects are unclear or require support.

3. 3: Satisfactory

15.8 points

Plan for evaluating proposed nursing intervention is summarized. There are minor omissions or inaccuracies. Some support or information is needed.

2. 2: Less Than Satisfactory

15 points

Plan for evaluating proposed nursing intervention is incomplete.

1. 1: Unsatisfactory

0 points

Plan for evaluating proposed nursing intervention omitted.

Potential Barriers and Plan to Overcome Barriers

20 points

Criteria Description

Potential Barriers and Plan to Overcome Barriers

5. 5: Excellent

20 points

Potential barriers and plan to overcome barriers are clearly and logically presented. Relevant support and rationale are evident.

4. 4: Good

17.8 points

Potential barriers and plan to overcome barriers are presented. Minor aspects are unclear or require support.

3. 3: Satisfactory

15.8 points

Potential barriers and plan to overcome barriers are summarized. There are minor omissions or inaccuracies. Some support or information is needed.

2. 2: Less Than Satisfactory

15 points

Potential barriers and plan to overcome barriers are incomplete.

1. 1: Unsatisfactory

0 points

Potential barriers and plan to overcome barriers are omitted.

Thesis Development and Purpose

10 points

Criteria Description

Thesis Development and Purpose

5. 5: Excellent

10 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

4. 4: Good

8.9 points

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

3. 3: Satisfactory

7.9 points

Thesis is apparent and appropriate to purpose.

2. 2: Less Than Satisfactory

7.5 points

Thesis is insufficiently developed or vague. Purpose is not clear.

1. 1: Unsatisfactory

0 points

Paper lacks any discernible overall purpose or organizing claim.

Argument Logic and Construction

10 points

Criteria Description

Argument Logic and Construction

5. 5: Excellent

10 points

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

4. 4: Good

8.9 points

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

3. 3: Satisfactory

7.9 points

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.

2. 2: Less Than Satisfactory

7.5 points

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

1. 1: Unsatisfactory

0 points

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Falls Precautions Assignment

Criteria 3Mechanics of Writing (includes spelling, punctuation, grammar, language use)

10 points

Criteria Description

Criteria 3Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5. 5: Excellent

10 points

Writer is clearly in command of standard, written, academic English.

4. 4: Good

8.9 points

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.

3. 3: Satisfactory

7.9 points

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

2. 2: Less Than Satisfactory

7.5 points

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.

1. 1: Unsatisfactory

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Paper Format (use of appropriate style for the major and assignment)

4 points

Criteria Description

Paper Format (use of appropriate style for the major and assignment)

5. 5: Excellent

4 points

All format elements are correct.

4. 4: Good

3.56 points

Template is fully used; There are virtually no errors in formatting style.

3. 3: Satisfactory

3.16 points

Template is used, and formatting is correct, although some minor errors may be present.

2. 2: Less Than Satisfactory

3 points

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

1. 1: Unsatisfactory

0 points

Template is not used appropriately or documentation format is rarely followed correctly.

Documentation of Sources

6 points

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5. 5: Excellent

6 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

4. 4: Good

5.34 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

3. 3: Satisfactory

4.74 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

2. 2: Less Than Satisfactory

4.5 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

1. 1: Unsatisfactory

0 points

Sources are not documented.

 

Social Media Discussion Assignment

Social Media Discussion Assignment

The purpose of this discussion is for learners to identify the impact global health has at the community level, including the impact of current and future trends including the use of informatics.

 

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Discussion Question

There are many factors that will continue to impact community and population health.

  1. Consider the past achievements in public health as many have implications around the globe.
  2. Describe a global health concern that has impacted your community or those you care for.
  3. Discuss what surveillance data could be pulled from an electronic health record (EHR) you have used or currently use in your nursing practice. Social Media Discussion Assignment
  4. Take a moment to review the Twitter feed for compelling Tweets that are related to informatics, global health, and population health outcomes.
  5. Share an overview the Tweet and how it is likely to impact future collaborative trends in community health.
  6. Compose a 280-character or fewer Tweet that describes what you would like to see as a Tweet in the next decade related to public health achievements. Please try to be realistic, but also be visionary. Remember Twitter only allows 280 characters (this includes spaces, etc.) so you will need to be concise. It should include a hashtag. Include a reference URL if applicable. Share this Tweet in the discussion. (Note: A Twitter account is not required nor share your Tweet on social media).
  7. Your discussion post should look like:
    • Paragraph one: Describe a global health concern that has impacted your community or those you care for
    • Paragraph two: Discuss what surveillance data could be pulled from an electronic health record (EHR) you have used or currently use in your nursing practice.
    • Paragraph three: Share information from a Tweet and how it is likely to impact future collaborative trends in community health.
    • Paragraph four: Compose a 280-character Tweet that describes what you would like to see as a Tweet in the next decade related to public health achievements.
    • Resources: Where did you find your data?
  8. Example: New HIV infection rates at all-time low worldwide #primaryprevention #collaborationiskey #WeGotThis #RNsunite www.HIV.gov. Social Media Discussion Assignment

 

Nursing homework help

This week you will search the literature in the school databases for article within 5 years of today’s date, that are appropriate for your PICOT question below.

1.  In the adult acute care, does hourly rounding compared to infrequent rounding impact patient falls during recovery at the hospital?

The article is a SYSTEMATIC REVIEW research study.

  • Read the first few sentences of methods section of your articles to assess what type of article you have
  • Critique each article using the appropriate Appraisal Forms. The form takes you through a reflection on WHY was research done-HOW was research done and WHAT was found.
  • Review rubric carefully to ensure all questions have been answered. Points are deducted for articles not loaded or if incorrect type of article submitted. Nursing homework help
  • All answers to questions are brief and only 1- 2 sentences. Example: What group produced the guideline? Answer: US Preventive Services Task Force develops recommendations about preventive services based on a review of high-quality scientific evidence and publishes its recommendations on its website and or in a peer reviewed journal
  • Avoid any copying and pasting 7 or more words of content from the article or another source. Use your own words to create your answers. APA is not required for content of answers on template
  • APA is only required for your citation on the template.

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APPENDIX C

Appraisal Guide:

Conclusions of a Systematic Review  with Narrative Synthesis

Citation:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Synopsis

What organization or persons produced the systematic review (SR)?

How many persons were involved in conducting the review?

What topic or question did the SR address?

How were potential research reports identified?

What determined if a study was included in the analysis?

How many studies were included in the review?

What research designs were used in the studies?

What were the consistent and important across-studies conclusions?

Credibility

Was the topic clearly defined?                                                   Yes   No   Not clear

Was the search for studies and other
evidence comprehensive and unbiased?                                     Yes   No   Not clear

Was the screening of citations for
inclusion based on explicit criteria?                                            Yes   No   Not clear

*Were the included studies assessed
for quality?                                                                                  Yes   No   Not clear

Were the design characteristics and
findings of the included studies displayed
or discussed in sufficient detail?                                                Yes   No   Not clear

*Was there a true integration (i.e., synthesis) of the findings—not
merely reporting of findings from
each study individually?                                                             Yes   No   Not clear

*Did the reviewers explore why differences
in findings might have occurred?                                               Yes   No   Not clear

Did the reviewers distinguish between
conclusions based on consistent findings
from several good studies and those
based on inferior evidence (number  or quality)?                       Yes   No   Not clear

Which conclusions were supported by
consistent findings from two or more
good or high-quality studies?                                                    List

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Are the conclusions
credible?                                                                             Yes All   Yes Some   No

Clinical Significance

*Across studies, is the size of the
treatment or the strength of the
association found or the
meaningfulness of qualitative findings
strong enough to make a difference
in patient outcomes or experiences  of care?                              Yes   No   Not clear

Are the conclusions relevant to the
care the nurse gives?                                                                   Yes   No   Not clear

Are the conclusions
clinically significant?                                             Yes All   Yes Some   No

Applicability

Does the SR address a problem,
situation, or decision we are addressing  in our setting?            Yes   No   Not clear

Are the patients in the studies or a
subgroup of patients in the studies
similar to those we see?                                                              Yes   No   Not clear

What changes, additions, training, or
purchases would be needed to implement
and sustain a clinical protocol based
on these conclusions?                                                                 Specify and list

____________________________________________________________________________

____________________________________________________________________________

Is what we will have to do to implement
the new protocol realistically achievable
by us (resources, capability, commitment)?                               Yes   No   Not clear

How will we know if our patients are
benefiting from our new protocol?                                            Specify

____________________________________________________________________________

____________________________________________________________________________

Are these conclusions
applicable to our setting?                                    Yes All   Yes Some   No

Should we proceed to design
a protocol incorporating
these conclusions?                                                      Yes All   Yes Some   No

* = Important criteria

Comments

____________________________________________________________________________

____________________________________________________________________________

Women’s Health Case Study

Women’s Health Case Study

History of Present Illness

Dolores Sanchez is a 16 yo female scheduled for a contraceptive visit. “I want to discuss birth control today. I have a boyfriend and have been using condoms for a while, but I want something more effective. Some of my friends use the shot and have gained weight.  Will the pill make me gain weight?” Dolores states that she has been having intercourse on an infrequent basis over the past year. Now she has a steady partner and is having intercourse approximately twice a week for the past two months. Dolores states that she is currently having a regular, normal period that started 3 days ago. Dolores goes on to say that although she has heard about birth control methods such as the implant and IUDs, her older sister uses the pill and likes the pill as a method. Dolores assumes that she, too, will do well with the pill.

Medical History

No hospitalizations, surgeries, or major medical problems. She has had all of the usual childhood immunizations: MMR, Hepatitis B, varicella, IPV, HIBPCV13, DTaP series as a child, and Tdap booster at age 11. She started the HPV series with the first dose given one year ago. She did not return for subsequent doses.
Family Medical HistoryMGM: 72 yo (breast cancer, treated with radiation) MGF: 73 yo (lung problems, smoker)PGM: 70 yo (hypercholesterolemia) PGF: Deceased at age 69 yo (MI) Mother: 40 yo (asthmatic, smoker)Father: 42 yo (HTN, hypercholesterolemia)Siblings: Two brothers, 14 yo and 12 yo; sister 18 yo (all healthy) Women’s Health Case Study

Social History

Smokes one-half pack per day. She had her first cigarette at age 13. Had smoked infrequently until last year when she began to smoke regularly with her friends. Is a sophomore in high school; enjoys school and maintains a B grade average. Is not involved in school sports other than physical education class twice a week. On yearbook committee. Lives at home with both parents. Works part-time in a convenience store. Denies drug use; occasional beer with friends. CAGE questions: Negative responses. Uses seatbelts. Denies history of intimate partner violence.

Medications

Occasional ibuprofen 400 mg for menstrual cramps

Allergies NKDA

Review of Systems 

General: alert, healthy-appearing young female

HEENT: Ear infections as a child but not since age 10; denies asthma, hay fever, frequent colds, nasal discharge, sinus problems; no dental problems, but does not have regular preventive dental care

 

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Cardiovascular: No history of heart murmur or heart problems

Respiratory: Denies any difficulty with breathing, asthma, or bronchitis

Abdominal/gastrointestinal: Denies heartburn, abdominal pain, constipation, diarrhea, rectal bleeding; no history of liver or gallbladder disease

Genitourinary: Menarche, age 12; menses, regular 28- to 30- day cycles, lasting 5 days, describes flow as moderate for 3 days, lighter for 2 days; experiences cramping on day 1 of cycle for which she uses ibuprofen 400 mg 2 to 3 times a day for 1 day with relief of cramping; denies intermenstrual or postcoital bleeding or dyspareunia; first intercourse at age 15 ½; two sexual partners, infrequent intercourse until 2 months ago; no complaints of vaginal discharge, itching, burning, or urinary dysuria or frequency; LMP started 1 week ago, normal menses, has not had intercourse since LMP; is planning on becoming more sexually active with current partner

Neurological: Headache on first day of menses that is relieved by the ibuprofen; no other complaints of headaches, no history of migraines; no history of seizures

Endocrine: States she is fatigue on the three days a week that she works after school because she must stay up late to finish homework; is not fatigued if she has 8 hours of sleep at night; no history of diabetesMusculoskeletal: No complaint; no history of injuries, muscle pain, or joint pain

Physical ExaminationVital signs: Temperature 98.2 F; BP 120/62 mm HgHeight: 66 inches Weight: 160 lbs. BMI: 25.8

After reviewing the case and grading rubric, please answer the following:
1. Learning Issus (Before identifying your recommended Assessment and Plan, identify any learning issues that you believe are important for you to explore about this case): Women’s Health Case Study

2. Assessment (Please indicate the problems or issues you have identified that will guide your care [preferable in list form]):

3. Plan (Please list your plans for addressing each of the problems or issues in your assessment making sure to utilize references to support your plan)

 

Differential Diagnosis

Points:

10 (10.00%)

Lists 3 differential   Dx for the health issue

 

Pathophysiology

Points:

20 (20.00%)

Discusses the   pathophysiology of the most likely health issue presented.

 

Issues

Points:

15 (15.00%)

Presents the   cultural, ethical, and/or legal issue(s) and how it may conflict with the   patient care/health promotion

 

Interventions

Points:

20 (20.00%)

Provides   patient-centered pharmacological and/or non-pharm solutions to the health   issue

 

Referrals

Points:

15 (15.00%)

Provides a   comprehensive list of additional health services available and may be needed

 

Provider Implications

Points:

10 (10.00%)

Reflects on how the   cultural or ethical issue mirrors/contradicts your own beliefs and how this   may impact your care as a provider

Complex Cardiac Care Paper

Complex Cardiac Care Paper

Name:                                                                                   

Date:                                     

 

DirectionsComplete the following questions utilizing your textbook, the American Heart Association ACLS algorithm found in Blackboard, and any other resources you use. Cite the source used to answer each question.

 

Myocardial Infarction

  1. What is a coronary artery?

 

 

  1. Describe coronary artery disease in your own words.

 

 

 

  1. Label the coronary arteries on the following diagram. Indicate the location of the heart to which they deliver blood in parentheses (Example provided for Aorta). Complex Cardiac Care Paper
                                                               
                                                               
                                                               
                                                               
Aorta

(peripheral circulation, major organs including brain, kidneys, etc.)

  1. What is a myocardial infarction (MI)? How does this result in damage to the heart?

 

 

 

  1. What are some common signs and symptoms of a MI?

 

 

 

 

  1. What is common treatment (medications, procedures, etc.) for a MI? Be prepared to describe each.

 

 

Cardiac Arrest

  1. What is cardiac arrest?

 

 

 

  1. What four cardiac rhythms may be present in cardiac arrest? Describe or draw each.

 

  1. If a patient’s monitor displays one of the rhythms mentioned above, in which site(s) is it acceptable to check a pulse? (Select all that apply.)
  2. Radial
  3. Brachial
  4. Femoral
  5. Carotid
  6. Temporal
  7. Pedal
  8. Posterior Tibial

 

  1. What other assessments should the nurse perform if one of the rhythms mentioned above (#8) is noted?

 

 

 

  1. What are the common causes of cardiac arrest?

 

 

 

 

 

 

  1. What do you do if…
  2. Your patient’s rhythm shows ventricular tachycardia (VT). They are awake and talking to you.

 

 

  1. The patient’s rhythm shows VT, but patient is unresponsive to any stimuli and has no pulse.

 

 

  1. Your unresponsive patient’s rhythm shows normal sinus rhythm, but you cannot find a pulse.

 

 

  1. When performing CPR, what is the ratio of compressions:breaths?
    1. 15:2
    2. 30:2
    3. 40:2
    4. 100:2

 

  1. Refer to the pulseless American Heart Association’s Adult Cardiac Arrest algorithm (2015).
  2. What is the first step to take when a patient is in pulseless VT, VF, PEA, or asystole?

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  1. What cardiac rhythms indicate that a shock from the defibrillator is advised?

 

 

 

  1. Refer to the dosages of epinephrine and amiodarone in the “Drug Therapy” section and fill out the following table:
Drug Dosage Frequency Route What does this drug do?
Epinephrine        
Amiodarone        

 

  1. Compressions should aim to be completed at what depth?
  2. How fast should the rate of compressions be when performing CPR?
  3. What is “ROSC”? If ROSC is achieved, what assessments should the nurse perform? Complex Cardiac Care Paper
  1. If the patient is responsive after ROSC, what medical interventions may be performed on this patient?
  1. If the patient remains unresponsive after ROSC, what medical intervention(s) may be performed to preserve brain function? (HINT: search “targeted temperature management”)
  1. Explain how this therapy works to preserve brain function.

Shock Differentiation & Nursing Care

 

  1. Fill out the below table with information pertaining to the four types of shock discussed in your textbook.
Type of Shock Hypovolemic Cardiogenic Obstructive Distributive
One-sentence Definition or Picture

Input a one-sentence definition of the shock type or paste a picture representation of it

       
Etiology

List 3 common causes per shock type

      Septic Anaphylactic Neurogenic
     
Differentiating S/Sx

List 3 per shock type

           
Medical Interventions & Medications

List 3 per shock type

           
Source:  

References:

 

 

Clinical Case Assignment

Clinical Case Assignment

Read the following Clinical Case:

Jason is 11 years old and has Type 1 Diabetes. He was diagnosed with Diabetes when he was 5 years old. He is comfortable taking his “blood sugar” readings during the day. He likes to participate in sports and is on the soccer team, which practices three times a week after school. His mother always packs his lunch for school so he does not have to worry about eating the food in the cafeteria.

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For this written assignment plan a day’s meal for Jason.

  • Include breakfast, lunch, dinner, and snacks.
  • In particular, include any snacks he may need after school to maintain a balanced diet during soccer practice.
  • Also include a brief discussion about three issues/considerations regarding nutrition, diabetes, and children that nurses must be aware of.

You may use any of the resources found in this module or any other evidence-based sources (include those as in-text citations and references using APA Editorial Format). Clinical Case Assignment

Immunoglobulin-Related Disease Assignment

Immunoglobulin-Related Disease Assignment

Immunoglobulin-Related Disease (IgG4-RD) is an immune-mediated condition that can cause fibro-inflammatory lesions in nearly any organ (Wallace et al., 2019). It is a chronic, fibrotic inflammation characterized by the involvement of multiple organs. The most common manifestations of the disease include swelling of salivary and lacrimal glands, lymphadenopathy, and type 1 autoimmune pancreatitis (AIP) (Xie et al., 2020).

Other organs, such as lung, bronchi, kidney, retroperitoneum, thyroid, heart, mesenterium, meninges, and skin, can also be involved and the cause remains unknown (Xie et al., 2020). Other organs, such as lung, bronchi, kidney, retroperitoneum, thyroid, heart, mesenterium, meninges, and skin, can also be involved (Xie et al., 2020). Patients may present with involvement isolated to a single organ or with multiple organs involved at the same time. In untreated patients, manifestations in different organs may accumulate over time in a pattern that is termed “metachronous” (Wallace et al., 2019).

The diagnosis of IgG4-RD requires a careful consideration of all available data, including the history, physical examination, laboratory results, imaging findings, and pathology (Wallace et al., 2019). The patient’s medical history can also be useful when it suggests previous complications (e.g., autoimmune pancreatitis, tubulointerstitial nephritis) likely related to what was unrecognized IgG4-RD at the time (Wallace et al., 2019). Cross-sectional imaging of the chest and the abdomen/pelvis can reveal asymptomatic disease in a distribution that supports a diagnosis of IgG4-RD (Wallace et al., 2019). In the case of suspected pancreato-hepatobiliary disease, magnetic resonance cholangiopancreatography (MRCP) may be useful for diagnosing IgG4-RD and ruling out alternative etiologies (Wallace et al., 2019). Patients with significantly elevated serum IgG4 concentrations (e.g., > 3x the upper limit of normal) are more likely to have multi-organ disease and cross-sectional imaging may be higher yield in these patients (Wallace et al., 2019).Immunoglobulin-Related Disease Assignment

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In the chest, the differential includes sarcoidosis, ANCA-associated vasculitis, Sjögren’s syndrome, lymphoma and primary/metastatic lung cancer, Erdheim-Chester Disease infections (including bacterial infections as well as atypical mycobacterial or fungal infections), and myofibroblastic tumor (Wallace et al., 2019). The most commonly used laboratory test to evaluate for IgG4-RD is the serum IgG4 concentration (Wallace et al., 2019). Other laboratory anomalies commonly observed in IgG4 are elevations of other IgG subclasses as well as elevations of IgEOther laboratory anomalies commonly observed in IgG4 are elevations of other IgG subclasses (Wallace et al., 2019).

Nearly all patients with IgG4-RD should be treated with immunosuppression to prevent accrual of additional organ involvement and damage in affected organs (Wallace et al., 2019). The goal of initial management is to achieve a complete remission (Wallace et al., 2019). Glucocorticoids have been the mainstay of treatment for IgG4-RD because of their efficacy as well as affordability and are typically used first-line with equivalent prednisone doses ranging from 20mg to 60mg/day depending on the severity of the presentation (Wallace et al., 2019). The general practice is to begin a slow taper of glucocorticoids after two to four weeks of therapy with the goal of discontinuation by three months, sometimes sooner (Wallace et al., 2019). During this period, the patient should be monitored for flares of disease which are common, especially at lower doses and following discontinuation (Wallace et al., 2019).

References

Wallace, Z. S., Perugino, C., Matza, M., Deshpande, V., Sharma, A., & Stone, J. H. (2019). Immunoglobulin G4–related Disease. Clinics in Chest Medicine40(3), 583–597. https://doi.org/10.1016/j.ccm.2019.05.005

Xie, Y., Xiong, A., Marion, T., & Liu, Y. (2020). Lung nodules and IgG4 related disease: a single-center based experience. BMC Pulmonary Medicine20(1). https://doi.org/10.1186/s12890-020-01250-3 Immunoglobulin-Related Disease Assignment

Reflecting On Personal Professional Behaviors

Reflecting On Personal Professional Behaviors

This is a reflective professional assignment. Choose five positive characteristics and five characteristics that need improvement in your professional behaviors and practice. Use nursing leadership theory, leadership theory, and change theory discuss how these characteristics developed, how you intend to maximize the positive and what you will do with those needing improvement.

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Include short and long term plans to re-assess these characteristics and the effectiveness of your use of them. Finally describe how this reflective assignment would assist with assessing behaviors in your colleagues. Reflecting On Personal Professional Behaviors

Homework Help Power Point Presentation

Communication, Supporting Evidence, and APA Style

  • Prepare a 15-slide presentation of the strategic plan you developed in assessment 2, to be delivered to key stakeholders at a strategic visioning session.
  • Present your plan in a professional and respectful way, with the goal of garnering support for your plan and building partnerships for implementation.
    • Address stakeholders’ needs and concerns.
    • Communicate the need to work collaboratively on implementation.
  • Integrate relevant and credible sources of evidence to support your assertions.
    • Cite at least 3-5 sources of scholarly or professional evidence.
  • Apply correct APA formatting to all in-text citations and references.
  • Add references slide to your slide deck.
  • Proofread your slides to minimize errors that could distract the audience and make it more difficult to focus on the substance of your presentation. Homework Help Power Point Presentation

 

Introduction

The implementation and success of a strategic plan depends on the support of key stakeholders. This in turn depends on your ability to communicate clearly and persuasively with decision-makers and to sell your vision of the future. You must also be able to lead the initiative and sustain strategic direction. This assessment provides you with an opportunity to showcase your strategic thinking and exercise the communication skills necessary to move your strategic plan forward toward implementation.

Note: In this assessment, you will develop a presentation to stakeholders for the strategic plan you developed in Assessment 2.

Preparation

Your strategic plan has been reviewed, and you have been asked to present your plan—including operational recommendations and strategic control mechanisms—at a strategic visioning session with key stakeholders (senior leaders if your plan is organization-wide, community leaders if your plan is for a community health project, or the nurse manager of a specific department or team). This session is the next step in moving your plan toward implementation.

Your deliverable for this assessment is a slide deck of 15 slides to supplement your presentation and facilitate discussion of your plan. You may use Microsoft PowerPoint or any other suitable presentation software. Please use the notes section of each slide to develop your talking points and reference your sources, as appropriate.

Reflect on the current cultural climate in your care setting.

  • What aspects of the current cultural climate would aid in achieving one or more specific goals contained in your strategic plan?
  • What aspects of the current cultural climate would present a challenge in achieving one or more specific goals contained in your strategic plan?
  • What leadership theories, models, or strategies could help you turn this challenge into an opportunity?

Effectively communicating with internal and external stakeholders and constituencies can help in achieving strategic initiatives.

  • How would you communicate the essential aspects of the strategic plan you developed in Assessment 2 to stakeholders or groups, both internal and external to your care setting?

Presentation Design Tips

Being able to effectively address any audience is a necessary leadership skill. Remember that you are the speaker, not a projectionist. Your purpose is not to present a slide show. Your audience is there to listen to what you have to say, not read your slides—or worse, listen to you read them. Design your presentation slides to compliment and reinforce your message and engage your listeners.

The following tips will help you create presentation slides that work to your advantage:

  • Focus on the content of your presentation and the development of your main points. Remember that your purpose is to garner support for your plan and build partnerships for implementation.
  • Consider your intended audience and how best to communicate effectively with them.
  • Create slides that support your presentation. They should not be your presentation. Homework Help Power Point Presentation

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    • Use a professional presentation template, or one used in your organization.
    • Ensure that your slide background provides sufficient visual contrast for your text and graphics.
    • Avoid filling your slides with text. Use speaker notes to record the details you want to communicate to your audience.
    • Be judicious in your use of bulleted lists. You might even consider a separate slide for each main point.
    • Use images and graphics, when appropriate, to illustrate information and make your points. Presentation slides are a visual medium. Images are more effective than text at engaging your audience.
    • Avoid using images that are simply decorative. They can be a visual distraction and do not contribute to your message.
    • Avoid using flashy slide transitions and animations. They can be both distracting and annoying. Keep your slide transitions consistent throughout the presentation.
    • Add a slide to the end of your presentation to prompt questions from the audience.

Requirements

Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so, at a minimum be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.

Presentation

  • Summarize your plan for achieving 2-3 main goals. Include corresponding metrics, targets, and initiatives to help achieve the desired quality or safety improvements in the care setting.

Note: It may be useful to think about what you hoped to achieve in addressing your care setting’s positive core or specific area of concern in Assessment 1. For example:

  • Progress toward achieving the Triple Aim.
  • Better patient safety outcomes.
  • Lower readmission rates.
  • Higher volume of patients and care.
  • Increased financial gain.
  • Minimizing staff burnout.
  • Improved relationship and trust with the community or a specific population.

In addition, remember to consult the literature, research studies, and resources from professional and governmental organizations when developing metrics, targets, and initiatives.

  • Explain how you will communicate your plan to those stakeholders and constituencies who are essential to implementing your plan and sustaining strategic direction.
    • Identify the key individuals or groups with whom you must communicate.
    • Identify the cultural or ethical factors, if any, that are relevant to the design of your communication plan, including how key individuals or groups typically prefer to be contacted.
  • Describe the actions you will take to align your care setting’s structure, systems, shared values, management style, staff, and skills with your strategic goals.
    • Describe the changes that are needed to achieve your goals.
    • Describe the goals and processes for onboarding relevant individuals or groups.
  • Explain how you will evaluate the success of your strategic plan.
    • Define successful implementation.
    • Describe the successful outcomes of this project.
    • Explain how you will compare outcomes to current performance benchmarks.
    • Explain how you will collect data to evaluate whether you have achieved specific goals and outcomes.
    • Identify your priorities, assuming you cannot accomplish everything.
  • Explain how relevant cultural, ethical, and regulatory considerations influenced the design of your strategic plan and strategies for its implementation.
  • Explain your role, as a nurse leader, in successfully implementing your proposed plan and sustaining strategic direction.
    • Explain how leadership and health care theories support your role.
  • Explain why your leadership qualities and skills will enable you to successfully implement your plan and sustain strategic direction.
    • Explain why you should be the one to lead this initiative.
    • Explain how you have demonstrated some or all of these qualities in past work. Homework Help Power Point Presentation

 

NURS-6003 Wk10 Discussion

NURS-6003 Wk10 Discussion

Examining Nursing Specialties

You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire.

Decisions are often not so easily inspired. Perhaps you discovered this when choosing a specialty within the MSN program. This decision is a critical part of your plan for success, and you no doubt want to get it right. This is yet another area where your network can help, as well as other sources of information that can help you make an informed choice.

To Prepare:

  • Reflect on your decision to pursue a specialty within the MSN program, including your professional and academic goals as they relate to your program/specialization.

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Assignment

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.

NURS-6003 Wk10 Discussion