NEUTROPENIC SEPSIS ( PATIENT’S POST CHEMO)A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. Th

NEUTROPENIC SEPSIS ( PATIENT’S POST CHEMO)

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.  

 PICOT format is a helpful approach for summarizing research questions that explore the effect of an intervention.

• (P) – Population refers to the problem and the population that is effected.
• (I) – Intervention refers to will be provided to solve or improve the problem
• (C) – Comparison identifies what you plan on using as a reference to compare with your  intervention
•  (O) – Outcome represents what result you plan on measuring to examine the effectiveness of your intervention
•  (T) – Time describes the duration for your data collection.

Make sure to address the following on the PICOT statement:

1. Evidence-Based Solution
2. Nursing Intervention
3. Patient Care
4. Health Care Agency
5. Nursing Practice

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

 30.0 %Identification of Clinical Problem/Issue 

 30.0 %Clinical Problem/Issue, Including Description, Evidence-Based Solution, Nursing Intervention, Patient Care, Health Care Agency, and Nursing Practice 

 10.0 %PICOT Statement Focused on Resolution, Improvement, Application, and Intervention 

 10.0 %PICOT Statement Including Population, Intervention, Comparison, Outcomes, and Time 

  WE CAN USE SAME REFERENCES

Butcher, L. (2016). Stepping up against SEPSIS. H&HN: Hospitals & Health Networks, 90(1), 38-42.

Clarke, R., Bird, S., Kakuchi, I., Littlewood, T., & Hamel Parsons, V. (2015). The signs, symptoms and help-seeking experiences of neutropenic sepsis patients before they reach hospital: a qualitative study. Supportive Care in Cancer, 23(9), 2687-2694. doi:10.1007/s00520-015-2631-y

Ford, A., & Marshall, E. (2014). Neutropenic sepsis: a potentially life-threatening complication of chemotherapy. Clinical Medicine (London, England), 14(5), 538-542. doi:10.7861/clinmedicine.14-5-538

Knight, T., Ahn, S., Rice, T. W., & Cooksley, T. (2017). Acute Oncology Care: A narrative review of the acute management of neutropenic sepsis and immune-related toxicities of checkpoint inhibitors. European Journal of Internal Medicine, 4559-65. doi: 10.1016/j.ejim.2017.09.025

Raz, B. (2017). Neutropenic sepsis. Nursing Standard (Royal College of Nursing (Great Britain): 1987), 31(48), 64-65. doi:10.7748/ns.31.48.64. s47

Vossen, M. G., Milacek, C., & Thalhammer, F. (2018). Empirical antimicrobial treatment in haemato-/oncological patients with neutropenic sepsis. ESMO Open, 3(3), e000348. doi:10.1136/esmoopen-2018-000348

Wells, T., Thomas, C., Watt, D., Fountain, V., Tomlinson, M., & Hilman, S. (2015). Improvements in the management of neutropenic sepsis: lessons learned from a district general hospital. Clinical Medicine (London, England), 15(6), 526-530. doi:10.7861/clinmedicine.15-6-526

Find a potential client (friend, family member, current training client, or even yourself) and initiate an initial assessment. Have the client complete the appropriate questionnaires. You can download

Find a potential client (friend, family member, current training client, or even yourself) and initiate an initial assessment. Have the client complete the appropriate questionnaires. You can download forms from the SFN course homepage or utilize the forms in the Client Forms and Handouts packet included with your course materials. Fully describe your nutrition and coaching plan for the client including: 1. client level and the reason for choosing this level 2. limiting factors 3. outcome goals 4. behavior goals 5. which assessments you will record and why/how you will incorporate the results 6. your recommended nutrition and supplement plan 7. what (if anything) your client will need to discuss with his or her physician 8. referrals to your professional network (if needed) 9. proposed appointment scheduling including: A.frequency (when) B.what you will discuss at each appointment C.which assessments you will perform and when 10. a plan of action if you observe a plateau 11. and a plan of action if your client changes his or her goals. (Include the hypothetical goal change along with your plan of action.) Trainer Tip: Get in the right mind-set with this case study. Look at your case study as an opportunity to develop a real-life plan and to have that plan critiqued by leaders in the field. Imagine that this sample client is paying you to get results. Be as detailed as you would need to be when relaying the plan to the client. Also, be sure to tell us why you are making the decisions you are making.

Due Date: Jul 11, 2018  Details: Access the interactive media piece, “Social, Behavioral, and Cultural Factors in Public Health: Increasing Cultural Competency.” https://lc.gcumedia.com/zwebassets/co

Due Date: Jul 11, 2018  

Details: Access the interactive media piece, “Social, Behavioral, and Cultural Factors in Public Health: Increasing Cultural Competency.” https://lc.gcumedia.com/zwebassets/courseMaterialPages/hlt515_publicHealth.Public Health Questionsphp

Navigate and review the information in the interactive media piece and complete the assessment at the end. The assessment is based on the information presented in the media piece (although you may also apply what you have learned from other course readings to complete the assessment).

After completing the assessment, save the document as an Acrobat PDF file and submit the assignment to the instructor.

You are required to submit this assignment to Turnitin.

The writer can use more resources for citation and please use new articles. This assignment is about the country listed Bolivia, china, India, Mozambique and Nicaragua. Please the writer to do all his or best in writing this assignment please see question below to answer for the assignment. Thank you

https://lc.gcumedia.com/zwebassets/courseMaterialPages/hlt515_publicHealth.Public Health Questionsphp

Questions: Bolivia Countries 

1. How is the Guarani culture contributing to the spread of Chagas disease?

2. As a public health professional, what key steps would be taken to address barriers for preventing Chagas disease while still preserving important practices of their culture?

3. What challenges could be a public health professional confront when working on public health projects with indigenous populations like the Guarani?

China

4. What are some key components of TCM that are different than westernized medicine?

5. Why would it be difficult to collect scientific evidence to show the effectiveness of TCM

6. How many traditional Chinese views of the body and illness clash with modern medicine?

INDIA

7. How are the three primary forces, also known as the doshas, connected to health and illness?

8. What are some similarities between Ayurveda and Traditional Chinese medicine?

9. How would Ayurveda shape the way Indians think about their body in health and illness?

Mozambique 

10. How are traditional African perceptions regarding health and illness affecting the spread of HIV/AIDS in Mozambique? 

11. When developing HIV/AIDS program in Africa, why should the community always be involved? Should traditional healers play a role? 

12. When should public health professionals try to change traditional African culture and belief s and when should they not?

NICARAGUA

13. What characteristics surrounding the Grisi Siknis illness make it a cultural bound syndrome?

14. As a public health professional, how would you address the prevention of this illness?

15. What perceptions regarding health and illness are the leading the Miskito Indians to be affected by Grisi Sikinis?

Attached is my resumen please do a cover letter to send attached when we are looking for job. Here is my Resumen:Professional ProfileØ My objective is to obtain a position   asRegistered Nurse whe

Attached is my resumen please do a cover letter to send attached when we are looking for job. 

Here is my Resumen:

Professional ProfileØ My objective is to obtain a position   asRegistered Nurse where I am able to deliver my knowledge to the   organization by provides exceptional patient care.

Ø Highly motivated top producer, highly trained to   deal with different cultural diverse people, strong problems-solving skills,   able to adapt and find solution in any challenging situation. I am very   reliable and always thrive to succeed in any varying work, able to juggle   multiple responsibilities simultaneously and maintain calm in fast paced   environment, Bi-lingual in both Spanish and English.

Professional Profile

• Goal        and result-oriented.
• Disease        management.
• Case        Coordination.
• Skilled,        communicative, persuasive and adaptable professional.
• Skill to        plan, organize and provide clinical direction to other health care staff        to enable the

Nursing care of inmate patients.

· Skill to provide inmate patient education to   promote wellness and empower inmatepatients to actively participate in health   management.

• Time        Management
• Able to        prioritize patient ‘care in an organized manner.
• Using        logic and reasoning to identify the strengths and weaknesses of        alternative solutions, conclusions or approaches to problems.
• Multitasking        person. 
• Fast        learner and well organized.
• Computer        Skills (Microsoft word, excel, outlook).
• Bi-lingual        (English / Spanish).

Professional Experience 

03/2015-present Catholic Hospice.

·  Admission Nurse.

· Coordinate care ( order medication, DME, supplies, transportation)

· Communicate with MD to get orders.

· Report symptoms and concern to the team.

· Collect information from patient/family members.

· Explain program to patient/family members (good communication skills).

· Work with computer program (suncoast production) for documentation. 

· Give care according to patient condition (continuous, routine or acute).

· Give emotional support.

05/2011-present Tropical Home Health Care

· Initial evaluation for new patients.

· Collecting data to complete care report form.

· Educate patient and Caregivers about disease process.

· Identifying and treating potential complications.

· IV therapy, wound care, safe medication administration, Document about patient’s condition and report any abnormal finding to MD.

· Cordination patient’s care.

· Discharge planning.

03/2010 to present Best Home Care

· Admission and assessment of new patient.

· Supervisions, Recertification.

· Patient care delivers.

· Implementation of plan of care.

· Case coordination.

· Patient and family member’s education.

· Identify potential complication and report abnormal finding to MD.

· Discharge.

05/2010-06/2012 Hialeah Nursing Home Facility and Rehabilitation

· Safe medication administration.

· Patient teaching.

· Observe for medication adverse effect and report abnormal finding to MD.

· Implementation of plan of care.

· Identify issues or problem.

· Daily documentation about patient’s condition, interventions and evaluation of progress towards desire goals.

Credentials

·  ARNP License

· RN-BSN License.

· Lpn.

Education

· Florida National Univesity ( MSN ) Family Nurse Practioner Hialeah, FL completed 06/30/2018

· Florida International University ( Bachellors)- RN-BSN Miami, FLWill be completed 12/2016.

· Saber School of Nursing (A.S) – Registers Nurse  Miami, FL Completed 2012.

· Miami Dade College (A.A) – (A.A) Miami, FL Completed 2011.

· Keiser Career College (Diploma) ) –Licensed Practical Nurse Miami , FL Completed 2010.

Week 5: Anxiolytic Therapy & PTSD Treatment”I’m no longer at the mercy of my PTSD, and I would not be here today had I not had the proper diagnosis and treatment. It’s never too late to seek help.”—

Week 5: Anxiolytic Therapy & PTSD Treatment“I’m no longer at the mercy of my PTSD, and I would not be here today had I not had the proper diagnosis and treatment. It’s never too late to seek help.”—P.K. Philips, PTSD patient

For individuals suffering from posttraumatic stress disorder (PTSD) and other anxiety disorders, everyday life can be a constant challenge. Clients requiring anxiolytic therapy may present with anxiousness, depression, substance abuse issues, and even physical symptoms related to cardiovascular, respiratory, and gastrointestinal ailments. As a psychiatric mental health nurse practitioner, you must be prepared to address the many needs of individuals seeking treatment for PTSD and other anxiety disorders.

This week, as you study anxiolytic therapies and PTSD treatments, you examine the assessment and treatment of clients with PTSD and other anxiety disorders. You also explore ethical and legal implications of these therapies.Photo Credit: [shironosov]/[iStock / Getty Images Plus]/Getty Images

Assignment: Assessing and Treating Clients With Anxiety Disorders

    Common symptoms of anxiety disorders include chest pains, shortness of breath, and other physical symptoms that may be mistaken for a heart attack or other physical ailment. These manifestations often prompt clients to seek care from their primary care providers or emergency departments. Once it is determined that there is no organic basis for these symptoms, clients are typically referred to a psychiatric mental health practitioner for anxiolytic therapy. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with anxiety disorders.

Learning Objectives

Students will: