NUR3846 St Pauls Hypertension Depression Caesarean Section Evidential Paper

Patient AD is 38 years old. Full code. Primary diagnoses Pancreatitis. Medical History – Hypertension, Depression, History of cesarean section, Cholelithiasis, obesity, Hyperlipidemia, anxiety and the recent diagnosis of gallstone. AD marred has 3 kids. The three one only 6 weeks. Patient activity level performs the activity safely with an assistive device. Diet status NPO. Iv left-hand 100/hr. patient orders pending sugar consult, getting ready cholecystectomy.

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Patient vital signs 98.3, Pulse 103, Resp 16, Blood pressure 150/89 , pulse 96, Lab value Glucose 90, Creatine 0.53 (low), Albumin 3.1(low), ALT 493 (high), WBC 11.2 (high), Alkalive phosphate 553 (high), HGB 10.8 (LOW), HCT 34.4 (LOW). Patient Cholecystectomy localized to the epigastrium. Patient Nero status – no risk for fall. Alert and oriented x4. patient answering all question appropriately. Depression and anxiety. Cardic – Palpable distal pulses , Hypertention , hyperlipidemia. GI- independent tolerate, pump breastfeeding. Pt NPO for more than 36 hours. Epigastric, soft, mild, difficult pain, gallstone, pancreatitis, tender across the upper abdomen, GI consult. Pending Gl evaluation, multiple gallstones with thicking tiny gallstone. GU – recent pregnancy. Post bowel sounds diminished. Intake and output – use of IV 100/HR pump every 3 hours. Pain- extreme abdominal pain, upper right abdomen. A patient takes oxycodone for pain. Activity, no musculoskeletal, independent, perform the activity safely without assist, ambulated in a room, bathroom independently. Skin- warm to touch c-section scar wks postpartum. Part 2: Written Assignment, p. 3-4 Part 3: Oral Presentation, p. 5 Assignment Explanation- This main focus of this assignment is designed to help you to further analyze your care of the individual, participate in the delivery of safe and apply best practice standards and use available evidence to assess or improve upon your nursing care in entry level BSN practice. Please do not include any names (use initials only) in your paper or presentation. Assignment Layout 1. Pick a client, you worked with during clinical and describe what you did for that client (assessments and interventions). If you were unable to do some of the cares but were aware of nursing and medical interventions in place please include these in this section also. It is ok to speak in the first person for this section of the paper. Included is a list of health patterns (Gordons, 2013; Clements & Averil, 2006) and examples of disorders you may find in your clinical setting. Once you have identified your patient, the specific system or disorder you want to research and compare clinical practice to research. Once you have chosen your patient for the case study move on to #2 etc… and please follow the instructions below. Regulation – Acute Renal Failure, Hyperthyroid/Hypothyroid, Cushing & Graves’ Disease Intracranial Regulation (CVA, Parkinsons Disease Perfusion – (CAD, Myocardial Infarction) Tissue Integrity – Arterial Stasis Ulcers, Venous Stasis Ulcers Burn) Neuro Cognition Regulation – Delirium Versus Psychosis Acute Stroke Migraines Epilepsy, Multiple Sclerosis, Regulation (Liver Failure, Crohn’s Disease, Irritable Bowel Syndrome, Inflammatory Bowel Disease, Kidney Stones, Acute kidney Disease, Disorders of the Spleen Amyotrophic Lateral Sclerosis Myasthenia Gravis End of Life (Palliative Care, Hospice, Cancer — pick only one type (Skin, Breast, Lung, Colorectal, Prostate, Bone , Pancreatic , Stomach, Liver, leukemia, lymphoma, multiple myeloma, Brain tumor Perfusion – Coronary Artery disease, Angina and Acute Coronary Syndrome Anemias, Metabolism – Liver failure, Chronic Pancreatitis, Cholecystitis, Cholelithiasis 2. Write about your client’s primary or most pertinent pathophysiological process that affected their care using at least two scholarly resources. (See Article “Seven Steps of Evidence based Practice Melnyk et al, 2010) 1a Evaluator(s) Name Date planned to enhance readability and is creative. is 1-2 areas that are difficult to read or lacking creativity. content, but there is 3 or more areas that are difficult to read and lacking creativity. Points Spelling and Grammar 5 Presentation has no misspellings or grammatical errors. 3 Presentation contains 3-4 misspellings, but no grammatical errors. 2 Presentation contains 3-4 misspellings, and 1-2 grammatical errors. 0 Presentation does not meet the proficient level 3 Points References and APA formatting 5 References present and in correct APA format References present, but contain 1-2 deviations from correct APA format 2. 0 References present, but References not present or contain a 2 or more present, but contain a 3 or deviations from correct APA more deviations from format correct APA format Total possible=100 /100 Points Comments: 41 Pag Name Evaluator(s) Oral Presentation Layout Date your oral presentation near the end of class will allow you a chance to describe your case scenario and what you have learned from your research do differently if you were to care for this patient again? What obstacles were in your way that may have or did prevent you or the nurse from providing care that was evidenced-based or within the realm of best practice guidelines? 15 7.5 Oral Assignment Guidelines 1. Presentations should be between 4-6 minutes in length. 2. You may have 1-2 minutes for questions from classmates afterwards that are not included in this time. 3. Presentation must include some type of visual aide or handout for your classmates. You will have access to AV materials (ex. Power Point) if desired. Please let the instructor know ahead of time if there are any more advanced technological requirements for your presentation. 4. You will have peer evaluations done (in class) for your speaking assignment in addition to your grade for this project. Instructor will organize this. No points toward the class are applied through these peer evaluations. They are simply for feedback purposes so you can continually improve on your presentation skill Criteria Points possible Impact of visual aids: Visual aids (Powerpoint/poster or pamphlet/handout) were effective, organized, and helpful Critical thinking demonstrated by presentation: Presentation includes description of clinical scenario Should include nursing interventions provided Describe what he/she learned from research Clarity/connection with audience: 25 12.5 ideas were clearly expressed and sufficient eye contact was maintained with audience Length requirement: 10 Demonstrated time management skills by delivering a clear and concise presentation in the time allotted (6 minutes) Total possible=75 0 . 25 12.5 0 0 5 0 SlPage Evaluator(s) Name Date 3. Research best practice standards of nursing care for your client’s pathophysiological process or specific nursing needs/skills being performed. Explain these standards of nursing practice and 4. for research sources that describe how to best provide care for your patient. Areas covered should include expected assessment findings, nursing interventions, expected outcomes, and health promotion activities related to the specific condition or health need. Please use at least two scholarly nursing resources to demonstrate where you obtained this information. 5. Week Eight (8) drop box draft copy and print 2 copies for peer review. Part 1: Peer Evaluations Assignment Description (25 Points) The rough draft of the final paper will be due about 2 weeks before the final written paper is due. During this time students will be randomly given another student’s paper to evaluate and offer feedback before the final draft is due. Instructor collect papers and the completed feedback form, grade the quality of the feedback provided and hand back the feedback and the draft to the original paper to the writer so that this can be used to improve upon his or her final paper. Feedback provided will not be anonymous, but rather a way to offer constructive criticism to peers in order to improve on the overall quality of the final paper. Grading rubric Student must turn in a completed, printed rough draft of his or her paper in class. No points will be allocated for peer evaluation assignment if the student’s own rough draft is not done on this date or the student does not return his or her peer’s paper with feedback in class (See Schedule – Week 8 or 9) The late policy does not apply with this assignment as timeliness is a necessity for the feedback to be helpful for your peer. Peer evaluation complete. In depth responses and demonstration of knowledge of peer’s paper. Notes written on the paper itself. – 25 points Peer evaluation form partially complete. Little evidence of clear understanding of paper. Brief answers that provide little feedback. None or few notes written on paper itself. – 15 points Rough draft not turned in on time/Peer evaluation form not done or not turned in on time-0 points Points 25 15 0 Criteria Peer evaluation complete. In Peer evaluation form partially Rough draft not turned in on depth responses and complete. Little evidence of time/Peer evaluation form not demonstration of knowledge clear understanding of paper. done or not turned in on time of peer’s paper. Notes Brief answers that provide written on the paper itself. little feedback. None or few notes written on paper itself. Total possible= 25 21P
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