NURS 6630 Week 4 Assignment

NURS 6630 Week 4 Assignment

NURS 6630 Week 4 Assignment

Assignment: Assessing and Treating Clients with With Bipolar Disorder

Case Study: An Asian American Woman With Bipolar Disorder

Bipolar disorder is a unique disorder that causes shifts in mood and energy, which results in depression and mania for clients. Proper diagnosis of this disorder is often a challenge for two reasons: 1) clients often present as depressive or manic, but may have both; and 2) many symptoms of bipolar disorder are similar to other disorders. Misdiagnosis is common, making it essential for you to have a deep understanding of the disorder’s pathophysiology. 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 bipolar disorder. Nurs 6630 week (1-11) Discussion and Assignments.

 

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NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment: Case Study: An Asian American Woman With Bipolar Disorder

Required Readings

Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.NURS 6630 Week 4 Assignment

To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

Chapter 6, “Mood Disorders”

Chapter 8, “Mood Stabilizers”

Stahl, S. M., & Ball, S. (2009b). Stahl’s illustrated mood stabilizers. New York, NY: Cambridge University Press.

To access the following chapters, click on the Illustrated Guides tab and then the Mood Stabilizers tab.

Chapter 4, “Lithium and Various Anticonvulsants as Mood Stabilizers for Bipolar Disorder”

Chapter 5, “Atypical Antipsychotics as Mood Stabilizers for Bipolar Disorder”

Vitiello, B. (2013). How effective are the current treatments for children diagnosed with manic/mixed bipolar disorder? CNS Drugs, 27(5), 331-333. doi:10.1007/s40263-013-0060-3

Note: Retrieved from Walden Library databases.Nurs 6630 week (1-11) Discussion and Assignments.

Chen, R., Wang, H., Shi, J., Shen, K., & Hu, P. (2015). Cytochrome P450 2D6 genotype affects the pharmacokinetics of controlled-release paroxetine in healthy Chinese subjects: comparison of traditional phenotype and activity score systems. European Journal of Clinical Pharmacology, 71(7), 835-841. doi:10.1007/s00228-015-1855-6

Note: Retrieved from Walden Library databases.NURS 6630 Week 4 Assignment

Case Study: An Asian American Woman With Bipolar Disorder Required Media

Laureate Education. (2016f). Case study: An Asian American woman with bipolar disorder [Interactive media file]. Baltimore, MD: Author

Note: This case study will serve as the foundation for this week’s Assignment.

Case Study: An Asian American Woman With Bipolar Disorder Optional Resources

Mostafavi, A., Solhi, M., Mohammadi, M., Hamedi, M., Keshavarzi, M., & Akhondzadeh, S. (2014). Melatonin decreases olanzapine induced metabolic side-effects in adolescents with bipolar disorder: a randomized double-blind placebo-controlled trial. Acta Medica Iranica, 52(10), 734-739.NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment

Retrieved from http://acta.tums.ac.ir/index.php/acta

Analyze ethical and legal implications related to prescribing bipolar therapy to clients across the lifespan ..

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Learning Objectives

Students will:

  • Assess client factors and history to develop personalized plans of bipolar therapy for clients

  • Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring bipolar therapy

  • Evaluate efficacy of treatment plans

To prepare for this Assignment:

Review this week’s Learning Resources. Consider how to assess and treat clients requiring bipolar therapy.

The Case Study: An Asian American Woman With Bipolar Disorder Assignment

Examine Case Study: An Asian American Woman With Bipolar Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.Nurs 6630 week (1-11) Discussion and Assignments.

At each decision point stop to complete the following:

Decision #1

  • Which decision did you select?
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?NURS 6630 Week 4 Assignment

Decision #2

  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?NURS 6630 Week 4 Assignment

Decision #3

NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment

  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?NURS 6630 Week 4 Assignment

Also include how ethical considerations might impact your treatment plan and communication with clients.

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Assessing and Treatment for Bipolar Disorder Patient

Introduction

Bipolar disorder is not an uncommon illness. It is a very chronic and severe mental disorder, affecting approximately 1-2% of the adult population. The signs and symptoms of bipolar disorder are different depending on the type of episode (i.e., manic or depressive). Each episode marks a critical change from the way a person usually acts and their typical mood, and can be characterized by a sudden change in the general attitude of the patient, the way the patient thinks and the behavior. 1 The changes will be sudden that it will be noticed by people around (Robert et al., 2017). This dangerous demonstrative unpredictability mood disorder can be found in all area of life, that is, from the poor to the rich, this disorder affects millions of people in all facets of life (Robert et al., 2017). Bipolar disorder can be seen mostly in the age starting at 25years or older, but it is not totally absent in the teenage age. It shows that about 2.6 percent of the population are diagnosed as bipolar. 3 (National Alliance on Mental Illness, 2017).Nurs 6630 week (1-11) Discussion and Assignments.

If not well treated ,Bipolar disorder can be critical; 1 early identification of symptoms with an appropriate treatment plan may include psychotherapy, medications, a healthy lifestyle and a regular schedule will keep the patient healthy (National Alliance on Mental Illness. (2017). 1 The NP should have a good understand of this disorder to be able to take care of this the patient because of its long-term management and how it affects the health in totality (National Alliance on Mental Illness. (2017). 1 My focus of this paper will look into an Asian American Woman with a bipolar disorder, symptoms management, diagnosing the symptom, and the complete treatment. The paper will consider the most safe and appropriate options of treatment and the outcome as the treatment, and care.NURS 6630 Week 4 Assignment

NURS 6630 Week 4 Assignment

Discuss the Relational Orientation paper

Discuss the Relational Orientation paper

 

Martha Brown is a 27 year-old-woman who lives in the hills of northern Kentucky in a small log cabin that has no indoor plumbing. She lives with her husband and 6 small children. The public health nurse makes a home visit after three of the children have been diagnosed by the school nurse as having lice. While the nurse is explaining the use of Rid (lice treatment) to the mother she notes, that Mrs. Brown has a persistent cough that she has had for two years.Discuss the Relational Orientation. The nurse notes the cough is productive, that Mrs. Brown looks emaciated, and her color is extremely ashen. She tires easily.

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Although health insurance is a benefit of her husband’s job in a nearby mine, Mrs. Brown’s children were born at home, and she has never had a complete physical. When asked the reason she has not gone to a nearby free clinic Mrs. Brown replies “Sickness is God’s will, and he will cure me if he wants to. Anyway my family comes first and I don’t have the time. Besides, doctors can’t be trusted. My Aunt Jane went once, and she died the next week.” The next 5 questions related to the case study. Based on the fact that Mrs. Brown is Appalachian and taking into consideration the fact that every individual is unique, discuss whether Mrs. Brown is more likely to “being” orientated or “doing” orientated in regard to activity orientation.

Discuss the Relational Orientation.

Discuss what the relational orientation is for Mrs. Brown based on her reply to the public health nurse about the reason she has not sought treatment. Based on Mrs. Brown’s reply to the public health and the fact she is Appalachian, what people-to-nature orientation is she likely to have? Discuss, on the basis of Mrs. Brown’s comment and the fact she is Appalachian, what view of human nature is she likely to have? Articulate at least three reasons why Mrs. Brown may be apprehensive about seeking medical help.Discuss the Relational Orientation. Discuss the Relational Orientation paper

Nursing

Mrs. Brown is more likely to be “being” orientated. A being orientation emphasizes on fitting in the world and not making any attempt to change or exploit it (Miyamoto et al., 2018). Mrs. Brown seems to have accepted her status and working for her family rather than believing that she can have control over her circumstances and she can change her environment and status.Discuss the Relational Orientation.

Mrs. Brown’s relational orientation includes valuing her family, shared living, and protecting her loved ones. In relational orientation, relational obligations and ties significantly determine the behavior of a person where a person prioritizes group goals over individual goals (Giusti, 2019). From her reply, Mrs. Brown seems to prioritize her family before her health.Discuss the Relational Orientation.

Mrs. Brown’s people-to-nature orientation is that nature holds the therapeutic power for individuals as she indicated that she does not believe in treatments and that God would heal her if He wanted.

According to Mrs. Brown’s comment, her view of human nature is that she believes in both good and malevolent (Giusti, 2019). While she believes that even though people are good, they can be evil as indicated by her emphasis that doctors cannot be trusted because her aunt died in the hands of the doctors. Discuss the Relational Orientation paper

Reasons why Mrs. Brown does not want to seek treatment include that she believes that being sick is the will of God and therefore if God wants to cure her, He will. The second reason is that her family obligations tie her and therefore she does not have time to attend to herself, including seeking treatment. Lastly, Mrs. Brown seems to distrust hospitals and healthcare providers as she believed that they contributed to her aunt’s death. Lack of education and health literacy seems to be contributing factors as to why she is not seeking treatment.Discuss the Relational Orientation.

Harvard University Semantic Interoperability & EHR Characteristics Questions

Harvard University Semantic Interoperability & EHR Characteristics Questions

What are the characteristics of a robust Electronic Health Record (in other words, what are the capabilities of a sophisticated EHR)? Hint – refer to EMRAM when answering this question.

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Define semantic interoperability and explain it in lay terms. Why is semantic interoperability an important concept in health care? How is the Office of the National Coordinator, HIT influencing this in HCOs?Harvard University Semantic Interoperability & EHR Characteristics Questions

 

discussion question essay

discussion question essay

This module discussed national priorities for health care and how meaningful use strategies could help move these efforts forward. For this discussion, in 250 words or more:

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  • Explain meaningful use and the implementation stages of meaningful use.
  • Discuss how meaningful use and patient portals have or can directly help you and your family achieve more positive health outcomes.
  • Discuss how meaningful use can promote public health?

For this discussion, you will need to post your initial thread before you will be able to see the posts of other students.

HSA4184 St Petersburg College Day of Service Project Proposal

HSA4184 St Petersburg College Day of Service Project Proposal

After reading the Forbes article submit a paper of 250-300 words that describes a project that can be undertaken in the next year as a Day of Service project.

This can be for your team at work, for the entire administration team, for your friends and family or whatever type of group you want to put together.

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Make sure to include in the paper: What the overall goal of the project would be. How would you “sell” this project to the team that will be participating in the Day of Service? What would you do/change if members of your “team” were not on board with the idea? What are the values that you hope to be able to pass on to others from the project? With your project, how does it show that you are a servant leader? Can you support the strategies that you have for the project with any evidence based resources?

 

Improvement Plan In-Service Presentation Assignment

Improvement Plan In-Service Presentation Assignment

 

Assessment 3 Instructions: Improvement Plan In-Service Presentation

Second Part of Assignment!

 

For this assessment, you will develop an 8-14 slide PowerPoint presentation with thorough speaker’s notes designed for a hypothetical in-service session related to the safe medication administration improvement plan you developed in Assessment 2.Improvement Plan In-Service Presentation.

 

As a practicing professional, you are likely to present educational in-services or training to staff pertaining to quality improvement (QI) measures of safety improvement interventions. Such in-services and training sessions should be presented in a creative and innovative manner to hold the audience’s attention and promote knowledge acquisition and skill application that changes practice for the better. The teaching sessions may include a presentation, audience participation via simulation or other interactive strategy, audiovisual media, and participant learning evaluation.Improvement Plan In-Service Presentation.
The use of in-services and/or training sessions has positive implications for nursing practice by increasing staff confidence when providing care to specific patient populations. It also allows for a safe and nonthreatening environment where staff nurses can practice their skills prior to a real patient event. Participation in learning sessions fosters a team approach, collaboration, patient safety, and greater patient satisfaction rates in the health care environment (Patel Wright, 2018).
As you prepare to complete the assessment, consider the impact of in-service training on patient outcomes as well as practice outcomes for staff nurses. Be sure to support your thoughts on the effectiveness of educating and training staff to increase the quality of care provided to patients by examining the literature and established best practices.Improvement Plan In-Service Presentation.
You are encouraged to explore the AONE Nurse Executive Competencies Review activity before you develop the Improvement Plan In-Service Presentation. This activity will help you review your understanding of the AONE Nurse Executive Competencies – especially those related to competencies relevant to developing an effective training session and presentation. This is for your own practice and self-assessment, and demonstrates your engagement in the course.Improvement Plan In-Service Presentation. Improvement Plan In-Service Presentation Assignment

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Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:Improvement Plan In-Service Presentation.

  • Competency 1: Analyze the elements of a successful quality improvement initiative.
    • Explain the need and process to improve safety outcomes related to medication administration.
    • Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative on medication administration.
  • Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.
    • List clearly the purpose and goals of an in-service session focusing on safe medication administration for nurses.
    • Explain audience’s role in and importance of making the improvement plan focusing on medication administration successful.
  • Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
    • Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communication strategies for future improvement.Improvement Plan In-Service Presentation.
  • Reference
    Patel, S., Wright, M. (2018). Development of interprofessional simulation in nursing education to improve teamwork and collaboration in maternal child nursing. Journal of Obstetric, Gynecologic, Neonatal Nursing, 47(3), s16-s17.
    Professional Context
    As a baccalaureate-prepared nurse, you will often find yourself in a position to lead and educate other nurses. This colleague-to-colleague education can take many forms, from mentoring to informal explanations on best practices to formal in-service training. In-services are an effective way to train a large group. Preparing to run an in-service may be daunting, as the facilitator must develop his or her message around the topic while designing activities to help the target audience learn and practice. By improving understanding and competence around designing and delivering in-service training, a BSN practitioner can demonstrate leadership and prove him- or herself a valuable resource to others. Improvement Plan In-Service Presentation Assignment
    Scenario
    For this assessment it is suggested you take one of two approaches:
  1. Build on the work that you have done in your first two assessments and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to your safety improvement plan pertaining to medication administration, or
  2. Locate a safety improvement plan through an external resource and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to the issues and improvement goals pertaining to medication administration safety.
  3. Instructions
    The final deliverable for this assessment will be a PowerPoint presentation with detailed presenter’s notes representing the material you would deliver at ;an in-service session to raise awareness of your chosen safety improvement initiative focusing on medication administration and to explain the need for it. Additionally, you must educate the audience as to their role and importance to the success of the initiative. This includes providing examples and practice opportunities to test out new ideas or practices related to the safety improvement initiative.
    Be sure that your presentation addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.Improvement Plan In-Service Presentation.
  • List the purpose and goals of an in-service session focusing on safe medication administration for nurses.
  • Explain the need for and process to improve safety outcomes related to medication administration.
  • Explain to the audience their role and importance of making the improvement plan focusing on medication administration successful.
  • Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative on medication administration.
  • Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communication strategies for future improvement.
  • There are various ways to structure an in-service session below is just one example:Improvement Plan In-Service Presentation.
  • Part 1: Agenda and Outcomes.
    • Explain to your audience what they are going to learn or do, and what they are expected to take away.
  • Part 2: Safety Improvement Plan.
    • Give an overview of the current problem focusing on medication administration, the proposed plan, and what the improvement plan is trying to address.
    • Explain why it is important for the organization to address the current situation.
  • Part 3: Audience’s Role and Importance.
    • Discuss how the staff audience will be expected to help implement and drive the improvement plan.
    • Explain why they are critical to the success of the improvement plan focusing on medication administration.
    • Describe how their work could benefit from embracing their role in the plan.
  • Part 4: New Process and Skills Practice.
    • Explain new processes or skills.
    • Develop an activity that allows the staff audience to practice and ask questions about these new processes and skills.
    • In the notes section of your PowerPoint, brainstorm potential responses to likely questions or concerns.Improvement Plan In-Service Presentation.
  • Part 5: Soliciting Feedback.
    • Describe how you would solicit feedback from the audience on the improvement plan and the in-service. Improvement Plan In-Service Presentation Assignment
    • Explain how you might integrate this feedback for future improvements.
  • Remember to account for activity and discussion time.
    For tips on developing PowerPoint presentations, refer to:
  • Capella University Library: PowerPoint Presentations.
  • Guidelines for Effective PowerPoint Presentations [PPTX].
  • Additional Requirements
  • Presentation length: There is no required length; use just enough slides to address all the necessary elements. Remember to use short, concise bullet points on the slides and expand on your points in the presenter’s notes. If you use 2 or 3 slides to address each of the parts in the above example, your presentation would be 10–15 slides.Improvement Plan In-Service Presentation.
  • Speaker notes: Speaker notes should reflect what you would actually say if you were delivering the presentation to an audience. Another presenter would be able to use the presentation by following the speaker notes.
  • APA format: Use APA formatting for in-text citations. Include an APA-formatted reference slide at the end of your presentation.
  • Number of references: Cite a minimum of 3 sources of scholarly or professional evidence to support your assertions. Resources should be no more than 5 years old.
  • Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.Improvement Plan In-Service Presentation.
  •  Scoring Guide
    Use the scoring guide to understand how your assessment will be evaluated.
    View Scoring Guide. Improvement Plan In-Service Presentation.

Westcliff University Health Informatics Case Study Discussion

Westcliff University Health Informatics Case Study Discussion

The Case Study at the end of Chapter 5 of your textbook. Develop an APA formatted 3 to 4 page paper that answers the following questions: (Please keep in mind that in addition to answering the questions, you must provide significant analysis and critical thinking. This means you must research (in-text citations throughout your paper) your answer and provide justification and validity to your arguments. Merely answering the questions based on the information provided by the case study is not sufficient).

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1. Describe the advantages and disadvantages of the situation in the case study.

2. You are the chief medical informatics officer for the organization. You are asked to comment about how the technical plans will affect clinicians. Based on the case study, how do you respond?

3. The organization receives a $3 million gift from an informatics benefactor. You are an informatician in the organization. What would your technical priorities be to remedy the issues in the case study?

CASE STUDY

Using Big Data: A Real-Life Example Dr. John D. Halamka is the chief information officer of Beth Israel Deaconess Medical Center in Boston. In 2011 his wife, a healthy 49-year-old Korean woman, was diagnosed with breast cancer. Using big-data technology available at all Harvard hospitals, Dr. Halamka was able to ask the big-data questions: Of the last 10,000 Asian women near age 50 who were treated for the same tumor, what medications were used? Was surgery or radiation necessary, and what were the outcomes? From his queries, he was able to ascertain the most effective treatment approach for a person with this history. His wife was treated successfully and is now cancer free.20 The challenge for informatics is: How do we develop information systems that can provide this level of care to patients in all settings?

Fundamentals of Team STEPPS Essay

Fundamentals of Team STEPPS Essay

 

Question 1: How could TeamSTEPPS be incorporated into the various areas in which you practice? Would this type of culture change be welcomed? From an organizational view, would these concepts be easy to introduce? What would be the concerns? From a clinical view, would these concepts be easy to introduce? What would be the concerns? Fundamentals of TeamSTEPPS Essay.

 

Question 2: How would these methods of communication benefit patient safety, conflict resolution, teamwork, and/or a shared mental model?
Please locate an additional resource (published within the last five (5) years) that addresses the measurement impact of one of these elements in a specific clinical or administrative area of your interest to support your thoughts. Fundamentals of TeamSTEPPS Essay.
Please attach this additional resource to your main post.

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Note: Please follow directions and answer all questions.

 

Question 1:
TeamSTEPPS can be integrated in mental health practice by liaising with nurses, pharmacists, mental health practitioners and physicians to coordinate patient care. Each of these healthcare providers will interdependently perform specific roles while working towards the common goal of safe and quality patient care. This culture would be welcomed due to its interdisciplinary nature and the urgent need for collaboration amongst healthcare providers for the patient’s benefit. These concepts would be easy to introduce since the organization’s mission is and vision are based on teamwork. However, a major concern would be ensuring that everybody participates willingly for a common goal to attain. Fundamentals of TeamSTEPPS Essay.
Question 2:
These methods of communication will benefit patients through role clarity that ensures each member of the team undertakes their roles and responsibilities, thereby reducing medical errors. Knowledge to expectations in the team encourages each team member to appreciate the roles of their colleagues, thus creating a shared model of healthcare delivery system. It also increases team knowledge, attitude, competency, and skills in healthcare provision, thereby enhancing patient safety. Conflict resolution will be achieved through creation of a chain of command and clear communication structure through which team members can air their concerns, share with their colleagues, and remain transparent and honest when reporting their complaints and frustrations with the team. These communication methods also enable the team members to coordinate, cooperate, and remain focused towards the pursuit of a common goal. As a result, it fosters a teamwork which works towards the realization of quality healthcare and patient safety. Fundamentals of TeamSTEPPS Essay.

MHA 668 Healthcare Quality Management Belhaven University

MHA 668 Healthcare Quality Management Belhaven University

Unit 1
Understanding the U.S. Healthcare System and the
Healthcare Organization
1
Welcome to Healthcare Quality

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Management
This course is an advanced study of how to
achieve quality within the structure and
relationships of the complex system of a
healthcare organizations. We will explore the
concepts of systems thinking, improving and
managing process change, performance
measurement, and examine case studies.
2
Format for Unit Sessions
 Class Topics
 Understanding the U.S. Healthcare System
 Understanding the Healthcare Organization
 General Concepts of Quality
 Current State of Quality Management: Internal
Dynamics
 Current State of Quality Management: External
Dynamics
 Measuring Quality of Inpatient Care
3
Format for Unit Sessions, cont.
 Course topics, cont.
 Understanding Quality and Performance
 Quantifying the Quality Performance Gaps
 Closing the Gaps
 Case Studies in Healthcare Quality
Learning Tools
 Class lectures
 Hearing and seeing
 Textbook
 Reading
 Individual homework
 Analyzing
 Discussion forum
 Applying and examining
 Completing all
components is very
important to
accomplish the
objectives of the
course.
5
Online Learning
 Characteristics
 Online learners must
be highly selfmotivated.
 Online learners must
have high responsibility
for assignments and
discussions.
 Facts
 Online learning is not
easier than traditional
classroom learning.
 Learners must meet
deadlines.
 It’s easy to think we’re
anonymous because
there’s no face time.

Intraoperative Nursing Management Essay

Intraoperative Nursing Management Essay

Case Study, Chapter 18, Intraoperative Nursing Management

1. Pearl Richards, 69 years of age, is a female patient who is in the operating room for a repair of an abdominal aortic aneurysm.Intraoperative Nursing Management Essay The patient has a history of hypertension controlled with medications, osteoporosis, chronic obstructive pulmonary disease, and has smoked two packs of cigarettes per day for 40 years.

  1. What nursing interventions are instituted to reduce the surgical risk factors related to the patient’s age?
  2. Explain the role of the nurse in providing patient safety measures during the intraoperative period. Intraoperative Nursing Management Essay

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2. Mr. Bond is a 32-year-old Caucasian man who plays professional football. He was admitted for repair of a rotator cuff injury sustained in a game. In excellent shape, Mr. Bond has a muscular build and his body fat is 18%. Mr. Bond is transferred to the operating room, and the anesthesiologist begins to administer general anesthesia. During the induction of anesthesia, Mr. Bond develops tachycardia and dysrhythmias. His condition continues to deteriorate and he becomes severely hypotensive and exhibits decreased cardiac output. The anesthesiologist states that Mr. Bond is developing malignant hyperthermia.Intraoperative Nursing Management Essay

  1. What risk factor does Mr. Bond have for malignant hyperthermia?
  2. What clinical manifestations of malignant hyperthermia does Mr. Bond demonstrate?
  3. Based on the patient’s condition, the surgical procedure is stopped and 100% oxygen is started. Additionally, a muscle relaxant and sodium bicarbonate are administered. What are the rationales for these medications? Intraoperative Nursing Management Essay