Teaching plan and nursing care plan per each nursing diagnosis on this case.

/in /by

Mary is a 35 years old electrical engineer who presents to the office for evaluation of a rash on her face that has been present for 1 week. She denies new soaps, detergents, lotions, environmental ex

Mary is a 35 years old electrical engineer who presents to the office for evaluation of a rash on her face that has been present for 1 week. She denies new soaps, detergents, lotions, environmental exposures, medications, and foods. The rash is across her face and the bridge of her nose. She states that she first noticed it after spending a week hiking and camping in the Appalachians. The lesions itch and are painful. She has not tried anything to make it better, but she has noticed that going outdoors makes it worse. She denies any spread of the rash to other areas. She has never had this rash before.

She has noticed some increased fatigue, fever, and weight loss. She denies headache, sore throat, ear pain, nasal or sinus congestion, chest pain, shortness of breath, cough, abdominal pain, and pain with urination, constipation, or diarrhea. She does have mouth soreness. She has noticed some increased muscle aches and pains, which are worse in the hand and wrist. She denies early morning joint stiffness or difficulty with being able to move in the morning. She denies temperature intolerance, polyuria, polydipsia, or polyphagia.

She had a tonsillectomy at age 9 for chronic strep throat infections. She has been healthy as an adult. She has never had children. She has never been hospitalized for any reason.

Her family history is significant for a mother with rheumatoid arthritis. Her father is healthy.

She does not smoke; she drinks a glass of wine nearly every night with her dinner; she denies illicit drug use. She completed a master’s degree in engineering. She has lived with her boyfriend for the past 5 years.

Patient is an alert young woman, sitting comfortably on the examination table. BP 112/66 mm Hg; HR 62 BPM and regular; respiratory rate 12 breaths/min; temperature 100.3°F. Several erythematous plaques scattered over the cheeks and the bridge of nose, sparing the nasolabial folds. Normocephalic, atraumatic. Sclera white, conjunctivae clear; pupils constrict from 4 mm to 2 mm and equal, round, and reactive to light and accommodation. Oropharynx moist with erythema in the posterior pharyngeal wall; no exudates; shallow ulcers in the buccal mucosa bilaterally. Neck supple without cervical lymphadenopathy or thyromegaly. Full range of motion; no swelling or deformity; muscles with normal bulk and tone.

Instructions:

Make a whole history and physical examination in a comprehensive manner with all its elements included: CC, HPI, PMH, FH, SH, MEDICATIONS, ALLERGIES, ROS PER APPARATUS OR SYSTEMNS, HEAD TO TOE PHYSIACL EXAMINATION PER SYSTEMS ( write your presentation in H&P format no paragraph format).

           Based on this information, what is your presumptive nursing diagnosis? All nursing diagnosis that apply to the case written in NANDA format related to … and evidence by…., NO MEDICAL DIAGNOSIS.

   Teaching plan and nursing care plan per each nursing diagnosis on this case.

Requirements.

           1- All written assignment and documentations must be  in APA 6th edition format.

           2- Double spaces, minimum 4 pages long , minimum 3 up to date bibliography. (UP to date means last 3 years.), Note: you can use your test book as bibliography too, bibliography have to be written in APA format.

Describe how these governing agencies impact delivery of direct patient care.

/in /by

Informatics in the Clinical Setting Conduct an interview with someone in an informatics role in a clinical setting. Then, compose a 4-5 pages paper discussing the following components: Role descriptio

Informatics in the Clinical Setting

Conduct an interview with someone in an informatics role in a clinical setting. Then, compose a 4-5 pages paper discussing the following components:

  • Role description and education level required for the role.
  • Describe their views on how their role impacts patient safety and improves the quality of patient care.
  • Describe the Human Factors faced in the role and other challenges.
  • Express insights gained from the interview.
  • Research and discuss the impact of the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators and The Joint Commission Patient Safety Goals in your clinical setting. Describe how these governing agencies impact delivery of direct patient care.
  • Research, discuss, and identify the Technology Informatics Guiding Education Reform (TIGER) utilized in your clinical setting. Be sure to get the perspective of your selected informatics professional during your interview.
  • On a separate page, cite all sources using APA format.
    • Use this APA Citation Helper as a convenient reference for properly citing resources.
    • This handout will provide you the details of formatting your essay using APA style.
    • You may create your essay in this APA-formatted template.

Submission Details:

  • Name your document SU_NSG3039_W4_Project_LastName_FirstInitial.doc.
  • Submit your response in a 4-5 pages paper to the Submissions Area by the due date assigned

Assignment this week is to compare and contrast each of the following four behavior change theories:

/in /by

ssignment this week is to compare and contrast each of the following four behavior change theories: Health Belief ModelSocial Cognitive TheoryTranstheoretical Model of ChangeTheory of Planned Behavio

Assignment this week is to compare and contrast each of the following four behavior change theories:

  • Health Belief Model
  • Social Cognitive Theory
  • Transtheoretical Model of Change
  • Theory of Planned Behavior

Read about the theory from the textbook, use the lecture recording as a reference, and do some additional research.  How do the identified behavioral theories illustrate how health and well-being are factors of social conditions?

Section 1: Summarize each behavioral theory in less than five sentences (each), to illustrate how health and wellness are factors of social conditions.  (5 sentences * 4 theories = 20 total sentences).

Section 2: Note key similarities between the theories in general, and more importantly, the main constructs.  FYI- they all focus on behavior change, so do not mention this as a similarity, the number of constructs in each model is also not worthy of mention. 

Section 3: Note key differences (i.e., distinctive features) between the theories in general, and more importantly, their main constructs. 

There is no minimum length for this paper; however, I will be looking for evidence of critical thinking and substantial analysis of theory application, including main constructs. 

All written submissions should reflect professionalism in grammar, spelling, writing style/format (one-inch margins, double spaced, typed in 12-point Times New Roman font), include APA 6th citations when appropriate, an appropriate title page, and be uploaded as .doc or .docx documents.

IRON DEFICIENCY ANEMIA ASSIGNMENT

/in /by

IRON DEFICIENCY ANEMIA ASSIGNMENT

Topic to write about is IRON DEFICIENCY ANEMIA

The requirements for your Project include the following:

  • Must be 6 pages.
  • Must include an introductory paragraph that describes the entire project.
  • The project must have all of the following: identification of the alteration in health (disease), the role nutrition plays in the prevention of this disease, its etiology, progression, treatment, recommended diet, type of nursing assessment and nursing interventions needed with regard to nutrition, outline of what should be included in client education and two strategies to help ensure adherence (overcome barriers) to the recommended diet. IRON DEFICIENCY ANEMIA ASSIGNMENT
  • Must have a title page and an APA Editorial formatted Reference page with at least three scholarly peer reviewed references. There must also be appropriate APA Editorial formatted in-text citations.

ORDER A PLAGIARISM-FREE PAPER NOW

 

Create an outline of your project (1 page). The outline should only contain topic headings and a brief description of what it will cover. See the link below for an APA formatted outline

List three scholarly peer reviewed references you plan to use. These can be guidelines, scholarly articles, or other evidence-based sources written within the last five years. Along with this list include one to two sentences explaining how you plan to use them in your project. Submit the three resources in APA format. This reference list is not all inclusive; you may have to add or discard resources as your project progresses. Your references on your reference page must match your in text citations. IRON DEFICIENCY ANEMIA ASSIGNMENT

 

 

 

Assessing and Planning Care for an Elderly Person

/in /by

Due July 24 at 11:59 PM Assessing and Planning Care for an Elderly Person In order to gain an insight into the world of elder adults, it is important to understand how they view themselves and the val

Due July 24 at 11:59 PM

Assessing and Planning Care for an Elderly Person

In order to gain an insight into the world of elder adults, it is important to understand how they view themselves and the values they hold. Additionally it is important to assess and determine his/her needs and establish appropriate interventions for this individual.

By the due date assigned, choose an older adult to interview. This cannot be a patient in your clinical setting. You can use a friend, family member, or co-worker. The older adult should be 65 years or older. Use the format provided to record the responses. A list of questions is available for you to start with. Include 2–3 questions of your own to get a complete picture of the older adult. Summarize your findings and also contrast the responses with findings in your readings and other current literature.

Download a patient questionnaire. This form should be used as an example.

After gaining permission, conduct a physical and mental functional assessment of the older adult you have chosen. Review your readings for the process of functional assessment.

Make use of the tools discussed this week to complete a comprehensive assessment of your patient. Search the Internet for resources on these tools.

  1. Tinetti Balance and Gait Evaluation
  2. Katz Index of Activities of Daily Living
  3. Assessment of Home Safety
  4. The Barthel Index

Make sure the older adult is clearly identified on the tools. Do not include their name, but do include professional or other designation, and age. Your name should also be identified on the tool. (This should be a part of your Appendix.)

Compare and contrast the age-related changes of the older person you interviewed and assessed with those identified in this week’s reading assignment. During this data analysis process provide at least 4–6 preliminary issues that you have identified. Identify three alterations in health that you would propose and describe them. Identify a minimum of three comprehensive interventions for each problem.

Make sure that you integrate personal cultural awareness and cultural competency.

Paper should be 5–6 pages, not including the questionnaire or tools used. These should be attached as an Appendix. Remember to use headings to identify the different sections in your paper.

On a separate references page, cite all sources using APA format.

Developing A Case Study – Health & Nutrition Class

/in /by

Developing A Case Study – Health & Nutrition Class

instructions. You will make up your own case study this week. You will click the tab for case study and make up your own case to solve issues related to hypertension. Below is an example to help you with your work. Your case can be similar to mine (the case of Ted), but please not exactly the same (please do not use the Ted example). This is a really important assignment for health educators and I want you to practice applying your knowledge to a case you might help with. You make up the case and questions and answers. I know that there may be some overlap with my case. Please develop your own brief paragraph on a case, five questions, and your answers to the five questions in your own words and apply your own ideas. Thanks!

About one in three adults faces high blood pressure or hypertension. Blood pressure is the force of blood against artery walls and it is assessed in millimeters of mercury. Blood pressure tells us how the heart is working and the condition the arteries are in. Developing A Case Study – Health & Nutrition Class

 

Please develop or make up your own, original case study with 5 questions and answers. You have the example of Ted to follow, but don’t use the Ted example or simply answer the Ted questions. Make up your own case please. It can be similar, but not the same as the Ted case. This is worth 20 points. Thanks.

 

Please add detail and the rubric will be used to grade this assignment — you can earn up to 4 points for each of the five questions.

 

Here is the rubric for each of the five questions you will develop. Please do not copy my answers from the sample. This will result in a grade of zero. Please develop your own case and answers to questions written in your own words.  Developing A Case Study – Health & Nutrition Class

Rubric for each of the questions

4 – well written, facts are accurate and no spelling errors, many facts and information from the textbook included

3 – facts are accurate, small writing errors noted

2- facts are incomplete or answer is lacking detail, small writing errors noted

1- incomplete answer, poor writing style, inaccurate or missing facts

 

ORDER A PLAGIARISM-FREE PAPER NOW

Sample case of Ted — Don’t use this exact case!

About one in three adults faces high blood pressure or hypertension. Blood pressure is the force of blood against artery walls and it is assessed in millimeters of mercury. Blood pressure tells us how the heart is working and the condition the arteries are in.

 

Ted, a 64-year-old, banking executive has hypertension, and he needs to make significant nutrition and lifestyle changes, as his hypertension is contributing to his risk for heart disease. He typically eats on the go and there are lots of sweets in the break room at work, all the time. Some of his younger coworkers are junk food junkies and heavy snickers. Ted is 25 pounds overweight and has recently quit smoking, and he’s hungry all the time. His father had hypertension and died of a heart attack, so his perceived threat of this problem is high. However, he does not feel comfortable that he can make the necessary dietary changes to improve his eating and help him lose weight. He is coming to you, as part of the wellness team at his bank (or company) for education, support and help. Developing A Case Study – Health & Nutrition Class

 

Please answer the following questions to discuss how you might be able to help Ted.

  1. Where might Ted’s systolic blood pressure be if he has either Stage 1 or Stage Two of hypertension and what might be his Diastolic Blood Pressure? What are systolic and diastolic blood pressure? What is optimal blood pressure?
  2. What are some causes of hypertension? What is primary hypertension?
  3. And, what are some risk factors for hypertension?
  4. What type of health education (health facts) might you provide Ted to educate him about hypertension? What lifestyle changes can Ted make?
  5. Explain the DASH Diet to Ted. Please also be sure to include a few sentences showing how you would encourage Ted to use the DASH diet.

 

Sample answers:

  1. Stage 1 – Ted’s systolic blood pressure would be 140-159 and his diastolic blood pressure would be 90-99. Stage 2 – Ted’s systolic blood pressure would be greater than or equal to 160 and his diastolic blood pressure would be greater than or equal to 100. The systolic blood pressure is the higher number. It is the pressure in the arteries when the heart beats. The diastolic blood pressure in the arteries when the heart relaxes. Optimal blood pressure is 120 over 80 mm Hg.
  2. Some causes of hypertension are kidney and liver disease as well as diabetes and they can cause Stage 2 Hypertension. Primary hypertension occurs when over years there are changes in the arteries, kidneys and sodium/potassium balance. Arteries harden and narrow and face damage as we age. Blood pressure increases as the arteries age and harden and the kidneys can release increased renin, causing the release of onother chemical that is a vasoconstrictor. Diets high in sodium or low in potassium worsen physiological changes that occur as we age.
  3. Risks for high blood pressure include age, race, obesity and having diabetes. Increased age, being obese and having diabetes cause risk for hypertension. And African Americans are more prone to hypertension than whites. High blood pressure over time further damages the arteries and can increase the risk of heart attack, stroke, kidney disease, dementia and vision loss. Some might mention pregnancy and lead exposure as risks for high blood pressure. Developing A Case Study – Health & Nutrition Class
  4. I would educate Ted about the risks of his being obese and not eating a diet high in fruits and vegetables. I would let him know of the hardening of his arteries as he ages and how high blood pressure can further complicate damage to arteries. High blood pressure is associated with stroke and heart attacks as well as dementia and vision loss. If Ted wants to stay healthy and avoid health risks to enjoy his life he needs to make lifestyle changes that will help him by exercising regularly, with moderate exercise five days a week for 45-60 minutes. He needs to cut his high-fat diet and empty calorie sweets. He can bring healthy snacks to work so that he can still visit in the break room. Ideas for healthy snacks include low-fat yogurt, fruit salad mixes, and vegetables with low-fat salad dressing. He also needs to stop salting his food heavily and reduce his sodium intake. His sodium intake needs to be at or below 2400 mg per day. Also, Ted needs to lose weight. Even a modest weight loss will help with hypertension. But, if he can eventually get to a healthy or average weight for his height, this should be a goal. Finally, in terms of meals, he needs to minimize his intake of sweets, sugary drinks and red meat, replacing this with lean protein and lots of fruits and vegetables.
  5. The DASH diet is great for helping one make lifestyle change. I might begin to encourage Ted by saying that the DASH diet could be a beginning of his road to change and could thus “jumpstart” his lifestyle change! I would let him know that the DASH diet is very effective and it is as effective as drugs to reduce hypertension in some studies. It is a diet that could also help other members of his family. I would explain that the DASH diet is low on carbs and fat and high fruits, veggies and low-fat dairy and lean proteins. It is a great lifestyle change diet. Following the DASH diet will improve his nutrient intake and help him increase his fiber intake. I would encourage him to develop a meal plan high in fruits and veggies with lean meats like poultry and fish. And, of course, low-fat dairy products. Developing A Case Study – Health & Nutrition Class

 

Rubric for each of the questions

4 – well written, facts are accurate and no spelling errors, many facts and information from the textbook included

3 – facts are accurate, small writing errors noted

2- facts are incomplete or answer is lacking detail, small writing errors noted

1- incomplete answer, poor writing style, inaccurate or missing facts. Developing A Case Study – Health & Nutrition Class

 

Nurs-6512 Case Study Wk9

/in /by

Nurs-6512 Case Study Wk9

Assignment 1: Case Study Assignment: Assessing Neurological Symptoms

Imagine not being able to form new memories. This is the reality patients with anterograde amnesia face. Although this form of amnesia is rare, it can result from severe brain trauma. Anterograde amnesia demonstrates just how impactful brain disorders can be to a patient’s quality of living. Accurately assessing neurological symptoms is a complex process that involves the analysis of many factors.

In this Case Study Assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting. Nurs-6512 Case Study Wk9

To Prepare

  • Also,      your Case Study Assignment should be in the Episodic/Focused SOAP Note      format rather than the traditional narrative style format.

With regard to the case study you were assigned:

  • Review      this week’s Learning Resources, and consider the insights they provide      about the case study.
  • Consider      what history would be necessary to collect from the patient in the case      study you were assigned.
  • Consider      what physical assessment and diagnostic assessment would be appropriate to      gather more information about the patient’s condition. How would the      results be used to make a diagnosis?
  • Identify at      least five possible conditions that may be considered in a      differential diagnosis for the patient.

The Case Study Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic assessment that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

Case study

22 year old african american female looks in the mirror and notices the left side of her mouth is slanted when she smiles. She notes she has had some headache off and on a few days. Her taste has decreased as well when she started brushing her teeth. Nurs-6512 Case Study Wk9

complete the assignment using the attached template

Episodic/Focused SOAP Note Template

 

Patient Information:

Initials, Age, Sex, Race

S.

CC (chief complaint) a BRIEF statement identifying why the patient is here – in the patient’s own words – for instance “headache”, NOT “bad headache for 3 days”.

HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example:

ORDER A PLAGIARISM-FREE PAPER NOW

Location: head

Onset: 3 days ago

Character: pounding, pressure around the eyes and temples

Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia

Timing: after being on the computer all day at work

Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better

Severity: 7/10 pain scale

Current Medications: include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products.

Allergies: include medication, food, and environmental allergies separately (a description of what the allergy is ie angioedema, anaphylaxis, etc. This will help determine a true reaction vs intolerance).

PMHx: include immunization status (note date of last tetanus for all adults), past major illnesses and surgeries. Depending on the CC, more info is sometimes needed

Soc Hx: include occupation and major hobbies, family status, tobacco & alcohol use (previous and current use), any other pertinent data. Always add some health promo question here – such as whether they use seat belts all the time or whether they have working smoke detectors in the house, living environment, text/cell phone use while driving, and support system.

Fam Hx: illnesses with possible genetic predisposition, contagious or chronic illnesses. Reason for death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.

ROS: cover all body systems that may help you include or rule out a differential diagnosis You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

Example of Complete ROS:

GENERAL:  No weight loss, fever, chills, weakness or fatigue.

HEENT:  Eyes:  No visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat:  No hearing loss, sneezing, congestion, runny nose or sore throat. Nurs-6512 Case Study Wk9

SKIN:  No rash or itching.

CARDIOVASCULAR:  No chest pain, chest pressure or chest discomfort. No palpitations or edema.

RESPIRATORY:  No shortness of breath, cough or sputum.

GASTROINTESTINAL:  No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.

GENITOURINARY:  Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY.

NEUROLOGICAL:  No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL:  No muscle, back pain, joint pain or stiffness.

HEMATOLOGIC:  No anemia, bleeding or bruising.

LYMPHATICS:  No enlarged nodes. No history of splenectomy.

PSYCHIATRIC:  No history of depression or anxiety.

ENDOCRINOLOGIC:  No reports of sweating, cold or heat intolerance. No polyuria or polydipsia.

ALLERGIES:  No history of asthma, hives, eczema or rhinitis.

O.

Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History. Do not use “WNL” or “normal.” You must describe what you see. Always document in head to toe format i.e. General: Head: EENT: etc.

Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines)

A.

Differential Diagnoses (list a minimum of 3 differential diagnoses).Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence based guidelines.

This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

References

You are required to include at least three evidence based peer-reviewed journal articles or evidenced based guidelines which relates to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 6th edition formatting. Nurs-6512 Case Study Wk9

 

identify how changes in public policy and technological advances in the future could impact this topic. What would those changes mean to the healthcare industry?

/in /by

Signature Assignment Title: Informatics in Healthcare Topic: Falls preventions in the elderly population Discuss your topic and its relationship to your current (or future) practice. Discuss why the t

Signature Assignment Title: Informatics in Healthcare

Topic: Falls preventions in the elderly population

Discuss your topic and its relationship to your current (or future) practice. Discuss why the topic is important in healthcare informatics.

What research have you have found on the topic? Describe how each scholarly article relates to the topic and your current (or future) practice. Describe what conclusions you have drawn based on your research of the topic.

What ethical or legal issues does this topic present?

Create a plan for implementing a change (or justify the need for no change). Who needs to be involved? What training programs are needed? Is there a need for on-going training? Discuss how you would evaluate the success of the change (or the continued success of what you are currently doing). What is the cost to implement or maintain this change? Who will be financially responsible? How feasible is this change?

Finally, identify how changes in public policy and technological advances in the future could impact this topic. What would those changes mean to the healthcare industry? 

Assignment Expectations

Length: Recorded presentation between 7 and 12 minutes in length. The presentation should include a PowerPoint and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the drobox.

Structure: Include a title slide, objective slide, content slides, and reference slide in APA format.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Postoperative Care And Stroke Assessment

/in /by

Postoperative Care and Stroke Assessment

NUR2755 Clinical Simulation Prepwork

Day 1

 

Directions:  Complete the following questions utilizing your textbook for the course and any other necessary outside resources. Sources need to be cited using APA (7th Edition) format. Postoperative Care And Stroke Assessment

 

Part I. Post-Surgical Care

  1. List 8-10 nursing assessments that are often performed in the postoperative period.

 

  1. List 3 nursing diagnosis relevant to the postoperative period, in order of priority, using full format (“r/t”, “s/t”, “aed”, etc.).

 

  1. List 6 goals for the postoperative period using the SMART goal format.

 

 

Part II. Cerebrovascular Accident

  1. What is a cerebrovascular accident (CVA)?

 

 

 

  1. A CVA results in brain damage secondary to decreased               delivery to the brain. Postoperative Care And Stroke Assessment

 

                                                           
  • Label the parts of the brain on the following diagram. In the area below, identify the primary functions of that area of the brain.

ORDER A PLAGIARISM-FREE PAPER NOW

  1. There are three cerebral arteries that branch from the carotid arteries (internal and external). What are they and to which area of the brain do they supply blood?

 

  1. When a patient is suspected to have suffered a stroke, what are the initial steps of care? (Procedures, imaging studies, labs, medications, etc.) Postoperative Care And Stroke Assessment

 

  1. Compare and contrast the two major classifications of stroke. (What is the cause of neurological deficits in each? Who is primarily at risk for each type of stroke?

 

  Ischemic Hemorrhagic
Primary cause of neurological deficit:    
Risk factors:    
Incidence & Prevalence:    
Treatment:

(Medications, nursing care, medical treatments, etc.)

    
  1. Atrial fibrillation is a major risk factor for ischemic stroke. Why? Postoperative Care And Stroke Assessment

 

  1. What is the goal systolic blood pressure (SBP) following a stroke? Why?

 

  1. If an ischemic stroke is suspected, tPA (Alteplase) should be given within _________________ (hours/minutes).

 

  1. In a patient diagnosed with ischemic stroke, what are some contraindications to giving tPA (Alteplase)? Postoperative Care And Stroke Assessment
  1. When looking at the prognosis of the two major types of stroke, which tends to be worse?
    • Ischemic
    • Hemorrhagic

 

Why do you think this type of stroke has a worse prognosis?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

 

 

References

 

What negotiation strategies should you use to propose a contract renewal?

/in /by

You are a family nurse practitioner (FNP) employed as a contract (1099 independent contractor) in a busy primary care practice for 2 years. The providers in the group include one physician, who is als

You are a family nurse practitioner (FNP) employed as a contract (1099 independent contractor) in a busy primary care practice for 2 years. The providers in the group include one physician, who is also the owner of the practice, and two other nurse practitioners, who are staff employees (W2 employees). The owner of the practice recently made comments about the need to produce more revenue. You relate with his concerns and feel that you have several strategies that could be helpful. Your contract is up for renewal in 3 months. You are highly satisfied with your job and want to stay with the group. You see 20 patients per day on average and take call every third weekend.

Discussion Question:

What negotiation strategies should you use to propose a contract renewal? How does your role as a 1099 contractor benefit the practice over the W2 employees? What evidence will you present to the practice to reinforce your value in the practice both in terms of revenue and patient satisfaction? Consider any additional services you may be willing to provide under your contract. Use logical reasoning, and provide evidence-based rationales for your decisions.

Keep in mind that your negotiation terms and conditions must be within the legal scope of practice for an ANP.