need an answer to a discussion thread

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need an answer to a discussion thread

The first statement from this assignment says it all, distraction are everywhere! From the heart monitor alarms, oxygen alarms, ventilator alarms, IV pumps beeping, bed alarms, vocera’s and more. We are constantly bombarded with noises and it gets exhausting! I am the type of person that hates to hear alarms going off. I end up responding to a lot of alarms that go off around me. Even if those alarms are not attached to my patients. I can not just sit and chart and not respond if I hear an alarm sounding, it drives me crazy.

Last week I had a patient who was in the hospital for GI issues. This person was on room air with oxygen levels in the high 90’s to 100%. He had never needed oxygen support. At 0630 on that day, his oxygen level alarm started to alarm. It showed him being at 80% oxygen on room air. My first thought was no way, it must not be reading properly. I went and checked on the patient and he didn’t appear to be in any distress. At this point, I changed the O2 sticker on his finger to check to see if it was a mechanical issue. After changing the probe his O2 levels were still in the low 80’s. Oxygen was administered to the patient which did not bring up his oxygen levels. Our response team and respiratory therapist were notified and they came to see the patient. They determined that the patient needed to be intubated. The patient had a couple bouts of emmisis throughout the night and it was determined that he had aspirated. After this event was handled I went home because my shift was over. All the while, I just couldn’t believe that my GI patient needed to be intubated. Mind you, my two other patients that night were in respiratory failure…and didn’t need intubation. When I returned that evening for my next shift I was looking for this patient. I wanted to see how he was doing. I was informed that after being intubated he struggled to keep his blood pressure elevated. They struggled all day to maintain his pressures even with being maxed out on 4 different pressure medication. The patient ended up coding that afternoon and was revived. He coded again that evening and the family decided to allow him to pass. This man ended up passing away that evening.

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I say all of this to say, what if I didn’t respond to that alarm? The one that when I first saw it thought it was a false alarm. The outcome may not have been much different. But at least we did all we could to help this man in this situation. If evidence would have showed that the alarm was ignored for a period of time we could be looking at a real legal issue

NR361 Chamberlain Busy Medical Unit with Excessive Turnover Rate Discussion

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NR361 Chamberlain Busy Medical Unit with Excessive Turnover Rate Discussion

Hello Prof. & Class,

Alarm fatigue is “the lack of response due to excessive numbers of alarms resulting in sensory overload and desensitization” (Coach,2012). It is a distraction on every nursing unit. Labor & Delivery, ICU and the ET are, I believe, the three areas with the most alarm fatigue.

‘All three areas have alarms related to blood pressure, pulse ox, respiratory rate, heart rate and IV pumps. In Labor and Delivery, we have the added alarms of the fetal monitor. The alarm on the fetal monitor will go off if there is a lose of the fetal heart rate, due to fetal or maternal movement, or if the fetal heart rate is not within the normal range for more than 30 seconds. Depending on the patient, these alarms can be going off constantly. After awhile, it is easy to assume the patient has changed position or used the restroom when you hear the alarm. This may not be the case. There could be a serious problem that isn’t being addressed immediately.

The article by West describes a very busy medical unit with an excessive turnover rate. The triage/treatment room in L&D is just like this. It is a three bedded room staffed by one nurse. Patients come in, are evaluated and either admitted or treated and released. Most of the time, there is a patient waiting for a bed to become available. Personally, I prefer not to work in this area. The stress level is high because many things need to be done at the same time. Patients often complain because they feel you are not giving them the attention they require.

Donna

referenc

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es

Cvach, M., (2012). Monitor alarm fatigue: An integrative review. Biomedical instrumentation & Technology, 46(4), 268-277.

West, P., Abbott, P., & Proust, P. (2014). alarm Fatigue: A Concept Analysis. Online Journal of Nursing Informatics, 18(2),1. Retrieved from https://search-ebscohost.com.chamberlainuniversity…

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description of your proposed capstone project topic

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description of your proposed capstone project topic

In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website.

Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:

  • The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
  • The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
  • A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
  • Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
  • Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
  • A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.

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

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

Picot question for assignment:

Adult patients with schizophrenia (P) educational module (I) compare to none ( C ) Have a good quality of life (O )

Please original essay and follow format of attachment thank you.

In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website. Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following: 1. The problem, issue, suggestion, initiative, or educational need that will be the focus of the project 2. The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed. 3. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need. 4. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes. 5. Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing. 6. A proposed solution to the identified project topic You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. Picot question for assignment: Adult patients with schizophrenia (P) educational module (I) compare to none ( C ) Have a good quality of life (O ) Please original essay and follow format of attachment thank you. Running head: PLACE TITLE HERE IN ALL CAPS Title of Paper Student Name Grand Canyon University Date 1 PLACE TITLE HERE IN ALL CAPS 2 Place Title of Paper Here Introduce your paper here. In the introduction, you are attempting to inform the reader about the rationale behind the work, justifying why your work is an essential component of research in the field. An introduction gives an overall review of the paper. Focus of Project The problem, issue, suggestion, initiative, or educational need that will be the focus of the project Setting The setting or context in which the problem, issue, suggestion, initiative, or educational need

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can be observed. Description A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need. Impact Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes. Significance Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing. Proposed Solution A proposed solution to the identified project topic Conclusion PLACE TITLE HERE IN ALL CAPS Briefly summarize your main points. Essentially, you need to remind your reader what you told them in the body of the paper. 3 PLACE TITLE HERE IN ALL CAPS 4 References Below is a link to the 6th edition APA website to help you correctly write citations, references and other apa formatting guidelines. http://www.apastyle.org/learn/quick-guide-on-references.aspx
Purchase answer to see full attachment

Tags: writing assignment nursing

Evidence Based Practice

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Evidence Based Practice

Select two (2) Evidence Based Practice Quality Improvement articles published within the past five years regarding ways to decrease the rising numbers of type 2 diabetics in the United States. (2014 to present). DO NOT USE A NON-PEER REVIEWED JOURNAL. Two must be from the USA, two must be an international study, and one must from a nursing peer-reviewed journal.

Select four (4) original primary research articles published within the past five years regarding ways to decrease the rising numbers of type 2 diabetics in the United States. (2014 to present). DO NOT USE A NON-PEER REVIEWED JOURNAL. Two must be from the USA, two must be an international study, and one must from a nursing peer-reviewed journal. Complete Table for the research level of evidence.

ANSWER THE FOLLOWING FOR EACH ARTICLE (6 IN TOTAL):

APA Citation: Insert APA citation

Conceptual Framework:

Design/method: Is the identified research tradition (if any) congruent with the methods used to collect and analyze data? Was an adequate amount of time spent in the field or with study participants?

Sample/setting: Was the sample size adequate? Was saturation achieved?

Major variables studied (and there definitions):

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Measurement: Was there a sufficient amount of data? Were they of sufficient depth and richness?

Data Analysis: Were the findings effectively summarized, with good use of excerpts and supporting arguments?

Findings: Did the analysis yield an insightful, provocative, authentic, and meaningful picture of the phenomenon under investigation?

Appraisal Level of evidence/worth to practice: Your thoughts

Academy of Healing Arts Car Seat and Children Safety Brochure

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Academy of Healing Arts Car Seat and Children Safety Brochure

I need a Brochure for teaching parents of a child about the correct way of using a car seat for their child and the benefits of using it.

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Please provide pictures and illustrative tools.

Academy of Healing Arts Massage Reflection on End Life Simulation Paper

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Academy of Healing Arts Massage Reflection on End Life Simulation Paper

After doing end life simulation which was about a woman who was diagnosed with cancer and knew that she will pass away in 6 months. The simulation lab show the woman reaction after being told that she will die in a period of 6 months and how she was angry and then how she lived under hospice care at her house until she passed away.I need to answer these questions as a reflection of the simulation lab:

  1. How will you use this end-of-life experience to inform your nursing practice?
  2. What communication skills did you learn and how can you use them in applying these in your profession?
  3. Did you see a satisfactory resolution to the ethical dilemmas presented? What would you have done differently if you had participated in this experience?

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  4. Has this end-of-life simulation experience changed or deepened your opinion/beliefs about death and dying? Please elaborate.

 

Tags: cancer nursing theories Facial Skin Care

chemistry for health related sciences

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chemistry for health related sciences

CHEMISTRY FOR HEALTH RELATED SCIENCES ASSIGNMENT INSTRUCTIONS Write a short essay on whether the USA uses energy resources effectively and what would be the possible effects of misuse on the health of the population. All work must be typed and presented in an essay format and include the following: Cover Page including Title, Student Full name, Date (Should be the date of submission) Reference list (APA format) Typed in Times New Roman or Arial in Font Size 12

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Purchase answer to see full attachmentwrite a short essay on whether the USA uses energy resources effectively and what would be the possible effects of misuse on the health of the population. all work must be typed and presented in an essay format and include cover page, APA FORMAT reference must not be more than 5years, 2 pages

HSN5200 Difference Between Exploratory and Confirmatory Analysis Discussion

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HSN5200 Difference Between Exploratory and Confirmatory Analysis Discussion

• 250-word minimum

• At least 1 reference (the course textbook must be a reference): Gray, J., Grove, S. K., & Sutherland, S. (2017). Burns and Groves the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). Elsevier.

• Must address to address the topic

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. APA forma

MSN5300 Difference Between Exploratory and Confirmatory Analysis Discussion

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MSN5300 Difference Between Exploratory and Confirmatory Analysis Discussion

250-word minimum •

At least 1 reference (the course textbook must be a reference)

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Grove, S. K., Burns, N., & Gray, J. R. (2013). The practice of nursing research: Appraisal, synthesis and generation of evidence (7th ed.).

APA Format

Lead Poisoning in Children Program Proposal

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Lead Poisoning in Children Program Proposal

Identify a health problem in which you will develop a preventive program.

Problem identified: Led poisoning in children

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Identify the problem, Characteristics, population at risk and present a preventive program with its goals

Important: How would I like to prevent this problem.

APA style, 3 pages, no abstract needed.