Nurses Inclusion in the Systems Development Life Cycle Discussion Assignment

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Nurses Inclusion in the Systems Development Life Cycle Discussion Assignment

Informatic is discussion The Inclusion of Nurses in the Systems Development Life Cycle

In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.

In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development.

To Prepare:

  • Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.
  • Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.
  • Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.

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Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples. Nurses Inclusion in the Systems Development Life Cycle Discussion Assignment

In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.

In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development.

To Prepare:

  • Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.
  • Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.
  • Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.

Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples. Nurses Inclusion in the Systems Development Life Cycle Discussion Assignment

 

The Difference Between A Nursing Practice Problem And A Medical Practice Problem

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The Difference Between A Nursing Practice Problem And A Medical Practice Problem

PICOT is utilized by the health care community to identify and study a nursing or medical practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process, may not be relevant to nursing practice as they are based on a medical practice problem.

Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem. The Difference Between A Nursing Practice Problem And A Medical Practice Problem

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Although nursing practice problems and medical practice problems are related in that they are used for medicine, there are differences between the two. A nursing practice problem is an issue encountered during nursing practice, such as during a patient assessment, related to the patient’s response to a health problem they are experiencing. There are numerous considerations to the nursing practice problems (Fuller, 1982). This ranges from the patient’s signs and symptoms to an illness to their difficulties in completing the activities of daily living due to a fractured extremity. This is due to nursing care involves the entire individual, family or community. Fuller, (1982) states that nursing practice problems, “…deal with modalities of patient care such as support, comfort, prevention of trauma, promotion of recovery, health screening, appraisal and/or assessment, health education, and coordination of health care.”

A medical practice problem is concerned with a medical condition or disease. It identifies a condition, searches for causes, establishes a prognosis, and prescribes a treatment for the condition (Chiffi & Zanotti, 2015). The Difference Between A Nursing Practice Problem And A Medical Practice Problem

Chiffi and Zanotti (2015) state, “In conclusion, medical and nursing diagnoses have different goals: a medical diagnosis identifies a variation from a norm, while a nursing diagnosis should judge the existence of a potential for enhancing self-care.”

Consider a patient with a fractured wrist. The physician will set the fracture and prescribe pain medication. These are examples of medical practice problems. The nurse will review the aftercare and medication instructions with the patient. The nurse will also review care of the splint and possibly arrange a visiting RN to help with activities of daily living.

The PICOT question is the first step in establishing or improving evidence-based practice with the goal of solving problems with patients. “Nurses use EBP to provide patients with safe, quality care and to improve outcomes” (Helbig, 2018). The PICOT is based on a nursing practice problem because it is designed to improve patient care. An example of using PICOT for evidence-based practice would be studying the frequency of oral care with the goal of reducing the incidence of ventilator associated pneumonias. It is not designed for disease research.

Using 200-300 words APA format with references to support discussion The Difference Between A Nursing Practice Problem And A Medical Practice Problem

Mental Health Disorders Assignment

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#6 Discussion

Mental health disorders affect nearly 20 percent of American adults; nearly 4 percent are severely impaired and classified as having serious mental illness. (SMI) These disorders are often associated with chronic physical illnesses such as heart disease and diabetes. They also increase the risk of physical injury and death through accidents, violence, and suicide. (Stuart, 2013).

1.     How would you describe recognizing mental health as essential to physical health; And how might mental health related issues hinder physical recovery?
2.     Do you believe human interaction with mental health self-help over the internet can be personally and socially transformative? Describe the benefits and challenges of this method of connection.
3.     Reflecting on what you have learned so far in this class -How can society help people with mental health problems or prevent its development ?

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Initial Post DUE Thursday 

1.     Create a thread/initial discussion post.

2.     Write at least 200 words per question.

3.     The majority of your post(s) must be original thoughts, words and ideas.

4.     Identify additional source of all information you use.

5.     Utilize APA formatting for your responses and citations.

6.     Post must be typed in the discussion message box, not attached as a document. Mental Health Disorders Assignment

Reply Post(s)

1.     Post at least two replies to either peers or the professor.

2.     Write at least 100 words per reply.

3.     Identify additional source of all information you use.

4.     Utilize APA formatting for your responses and citations.

5.     Post must be typed in the discussion message box, not attached as a document.

Genital Herpes Discussion Assignment

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Genital Herpes Discussion Assignment

It has been stated that the actual number of people in the United States who have genital herpes may be a lot higher than official statistics depict.

  • Describe what genital herpes as if you were addressing a potential patient.
  • Explain how genital herpes affects the human body.
  • Discuss some  possible reasons for this discrepancy in testing.
  • Given what you know about this type of infection, what would you suggest to improve testing?

This should be a substantive response (between 75 -150 words minimum) to the topic(s) in your own words, referencing (using APA format) what you have discovered in your required reading and other learning activities.

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It has been stated that the actual number of people in the United States who have genital herpes may be a lot higher than official statistics depict.

  • Describe what genital herpes as if you were addressing a potential patient.
  • Explain how genital herpes affects the human body. Genital Herpes Discussion Assignment 
  • Discuss some  possible reasons for this discrepancy in testing.
  • Given what you know about this type of infection, what would you suggest to improve testing?

This should be a substantive response (between 75 -150 words minimum) to the topic(s) in your own words, referencing (using APA format) what you have discovered in your required reading and other learning activities.

It has been stated that the actual number of people in the United States who have genital herpes may be a lot higher than official statistics depict.

  • Describe what genital herpes as if you were addressing a potential patient.
  • Explain how genital herpes affects the human body.
  • Discuss some  possible reasons for this discrepancy in testing.
  • Given what you know about this type of infection, what would you suggest to improve testing?

This should be a substantive response (between 75 -150 words minimum) to the topic(s) in your own words, referencing (using APA format) what you have discovered in your required reading and other learning activities. Genital Herpes Discussion Assignment

Nursing Management During the Postpartum Period

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Nursing Management During the Postpartum Period

1. You are caring for Bonnie, age 42, who has just undergone a cesarean birth for her first baby. You are responsible for monitoring her condition during recovery and for teaching her how to take care of herself and her baby. (Learning Objectives 2, 3, 4, 5, and 7)

1A. You note that Bonnie has a positive Homans’ sign in the left leg. What are the risk factors for thromboembolic disorders, and how will you determine if she has a DVT? If Bonnie has a DVT, what else is she at risk for?

1B. Bonnie is ready for discharge and asks you about bleeding, perineal care, and what she should eat while breast-feeding. What are you going to teach her?

1C. Bonnie, the baby, and Bonnie’s husband are following up for newborn care. What nursing interventions should be included to promote parental role adaptation and parent–newborn attachment? Nursing Management During the Postpartum Period

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2. You have just received report on the following patient. Hannah G1P1 gave birth vaginally two days ago to a baby girl. She had a midline episiotomy and has protruding hemorrhoids. Hannah is rubella negative and has A– blood type and her daughter is O+. Hannah is breast-feeding her daughter. Hannah is expected to be discharged to home later this afternoon. (Learning Objectives 6 and 8)

2A. Describe the nursing management for Hannah and her family during the postpartum time period.

2B. Hannah and Justin are preparing for discharge. What areas of health education are needed for discharge planning, home care, and follow-up visits for Hannah and her baby girl?

Chapter 17: Newborn Transitioning

1. Sarah works in the labor and delivery unit as a transition nurse. Her department has instituted a new bedside transition period where newborns make the transition to extrauterine life in their mother’s recovery room about an hour after birth. Sarah’s next assignment is a new baby boy with Apgar scores of 8 and 9, born by cesarean about 1 hour ago to Lindsay, a 28-year-old G1. Sarah’s assessment findings of the new baby boy are: Nursing Management During the Postpartum Period

  • Vital signs: axillary temperature 37.0° C, heart rate 145, respiratory rate 75
  • Observations: color pink, respirations rapid and unlabored, good muscle tone, good arm and leg movement
  • Auscultation: breath sounds clear and equal bilaterally, strong heart sounds with a soft murmur, active bowel sounds in all four quadrants
  • Physical assessment: fontanels soft and flat, eyes clear with red reflex in both, ears normal shape and placement, soft and hard palate intact, strong suck, both nares patent, capillary refill less than 2 seconds, both testes descended
  • Measurements: weight 8 pounds 6 ounces, length 20 inches, head circumference 36.2 cm, chest circumference 36.0 cm

As Sarah is charting her findings, Lindsay asks Sarah if everything is OK with her baby. (Learning Objectives 2, 3, and 4)

  1. Which assessment findings for this newborn are abnormal? What is the most likely cause of these abnormal findings?
  2. How would Sarah explain these abnormal findings to Lindsay?
  3. Describe the nursing interventions that Sarah would implement based on these findings. Nursing Management During the Postpartum Period

2. Baby girl Destiny was born by cesarean delivery 2 days ago. Destiny weighed 7 pounds 3 ounces, length 19 inches, head circumference 34 cm, chest circumference 34 cm. Her newborn course has been unremarkable. You observe that when held, Destiny appears alert and stares into her caregiver’s face. Destiny appears to be a content baby and cries only when she is hungry or when she needs a diaper change. When hungry, you observe that she brings her hand to her mouth and starts sucking on her fist and then begins to cry. Destiny falls asleep immediately after the feeding. The telephone, which is next to Destiny on her mother’s bed, rings loudly and Destiny does not appear to respond to the loud sound by moving her extremities or awakening briefly. (Learning Objective 5)

  1. Based on your observations of Destiny, are her behaviors normal? Which of the five typical behavioral responses were observed?
  2. Does Destiny exhibit any behaviors that may be cause for concern? What is the concern and what might you as the nurse do to assess further? Nursing Management During the Postpartum Period

Mental Health Question to Answer

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Week 6 Question to Answer

Week 6 Questions 

 

Symptoms & Withdrawal

10

 

Questions

20

_________________________________________________

Fill in the spaces provided with the most common examples and symptoms of substance-related disorders of which the nurse should be aware.

 

Drugs

Symptoms   of Use

Symptoms   of Intoxication

Symptoms   of Withdrawal

 

CNS Depressants
Examples:

 

CNS Stimulants
Examples:

 

Opioids
Examples:

 

Hallucinogens
Examples:

 

Cannabinols
Examples:

 

Inhalants
Examples:

Questions

  1. What are the physical consequences of thiamine deficiency in chronic alcohol use
  2. Define tolerance      as it relates to physical addiction to a substance?
  3. Describe two      types of toxic reactions that can occur with the use of hallucinogens? Mental Health Question to Answer
  4. What is      substitution therapy?
  5. There is speculation that anorexia nervosa may be associated with a primary dysfunction of which brain structure?
  6. What is the level of body mass index (BMI) that is associated with the definition of obesity?
  7. Individuals with anorexia nervosa have a “distorted body image.” What does this mean?
  8. What physiological signs may be associated with the excessive vomiting of the purging syndrome?
  9. What medications have been implicated in the etiology of erectile disorder?
  10. Which physiological mechanisms contribute to sexual dysfunctions

Week 6 Questions

Symptoms & Withdrawal 10
Questions 20

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Fill in the spaces provided with the most common examples and symptoms of substance-related disorders of which the nurse should be aware.

Drugs Symptoms of Use Symptoms of Intoxication Symptoms of Withdrawal
 

CNS Depressants

Examples:

 
 

CNS Stimulants

Examples:

 
 

Opioids

Examples:

Hallucinogens

Examples:

 
 

Cannabinols

Examples:

 
 

Inhalants

Examples:

 

 

Questions

  1. What are the physical consequences of thiamine deficiency in chronic alcohol use?
  1. Define tolerance as it relates to physical addiction to a substance.
  2. Describe two types of toxic reactions that can occur with the use of hallucinogens.
  3. What is substitution therapy?
  1. There is speculation that anorexia nervosa may be associated with a primary dysfunction of which brain structure?
  2. What is the level of body mass index (BMI) that is associated with the definition of obesity?
  3. Individuals with anorexia nervosa have a “distorted body image.” What does this mean?
  4. What physiological signs may be associated with the excessive vomiting of the purging syndrome?
  5. What medications have been implicated in the etiology of erectile disorder?
  6. Which physiological mechanisms contribute to sexual dysfunctions? Mental Health Question to Answer

Personal Theory Discussion Essay

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Personal Theory Discussion Essay

 Personal Theory

Discussion Topic

 

Top of Form

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Bottom of Form

Discussion Prompt

Choose a clinical situation in your specialty and create a theory from your observations. Report the theory to the class. Use a form that clearly identifies your concepts and proposition such as; “psychosocial development (Concept A) progresses through (Proposition) stages (Concept B)”. Identify and define the concepts involved and the proposition between them. For example, a surgical unit nurse may have observed that elevating the head of the bed for an abdominal surgery patient (Concept A) reduces (Proposition) complaints of pain (Concept B). The concepts are the head of the bed and pain. The proposition is that changing one will decrease the other. Raising the head of the bed decreases pain. Use current literature to define your concepts. Each concept should have at least two supporting references. Personal Theory Discussion Essay

Expectations

Initial Post:

APA format with intext citations

Word count minimum of 250

References: 2 high-level scholarly references within the last 5 years in APA format.

Plagiarism free.

Turnitin receipt.

 

 Personal Theory

Discussion Topic

 

Top of Form

 

Bottom of Form

 

 

Discussion Prompt

Choose a clinical situation in your specialty and create a theory from your observations. Report the theory to the class. Use a form that clearly identifies your concepts and proposition such as; “psychosocial development (Concept A) progresses through (Proposition) stages (Concept B)”. Identify and define the concepts involved and the proposition between them. For example, a surgical unit nurse may have observed that elevating the head of the bed for an abdominal surgery patient (Concept A) reduces (Proposition) complaints of pain (Concept B). The concepts are the head of the bed and pain. The proposition is that changing one will decrease the other. Raising the head of the bed decreases pain. Use current literature to define your concepts. Each concept should have at least two supporting references.

Expectations

Initial Post:

APA format with intext citations Personal Theory Discussion Essay

Word count minimum of 250

References: 2 high-level scholarly references within the last 5 years in APA format.

Plagiarism free.

Turnitin receipt.

 

Personal Theory Discussion Essay

 

 

 

 

 

 

 

 

 

Evidence Based Practice

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Evidence Based Practice

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples Evidence Based Practice.

Where in the World Is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

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When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

  1. Review the Resources and reflect on the definition and goal of EBP.
  2. Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative) Evidence Based Practice.
  3. Explore the website to determine where and to what extent EBP is evident.

 Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

Example Paper

According to Melnyk, in order to implement evidence-based practice (EBP) consistently one must cultivate a spirit of inquiry, ask clinical questions, search for the best evidence, appraise the evidence, implement the evidence, evaluate outcomes, and then lastly share the results (Melnyk, 2010). This step by step process is very evident in the organization I chose to explore Evidence Based Practice.

The organization that I chose to focus on is referred as the Center for Evidence and Practice Improvement (CEPI). CEPI, “conducts and supports research and evidence synthesis on health care delivery and improvement; advances decision and communication sciences to facilitate informed treatment and health care decision making by patients and their health care providers; explores how health information technology can improve clinical decision making and health care quality; catalyzes and promotes sustainability of improvements in clinical practice across health care settings through research, demonstration projects, and partnership development; and operates the National Center for Excellence in Primary Care Research (CEPI, 2014).”

CEPI consists of five divisions: Evidence Based Practice

  1. Evidence-Based Practice Center Program
  2. S. Preventive Services Task Force Program
  3. Division of Decision Science and Patient Engagement
  4. Division of Health Information Technology
  5. Division of Practice Improvement

 

CEPI is also home to AHRQ’s National Center for Excellence in Primary Care Research (NCEPCR). This organization is grounded in EBP and has made me appreciate the organization for what it is and what it stands for.

References

Center for Evidence and Practice Improvement (CEPI). (2014, July 15). Content last reviewed January 2017. Agency for Healthcare Research and Quality, Rockville, MD. Retrived May 26, 2019. http://www.ahrq.gov/cpi/centers/cepi/index.html

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2. Retrieved from http://download.lww.com/wolterskluwer_vitalstream_com/PermaLink/NCNJ/A/NCNJ_165_516_2010_08_23_DGSODKGNM_1651_SDC516.pdf Evidence Based Practice

 

Endocrine Disorders Assignment

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Title of Assignment:

Diabetes Case Study

Purpose of Assignment:

Complications from endocrine disorders can result in wide systemic effects. Analyzing disorders related to the endocrine system can be complex.  Consideration of an endocrine case study will help the student learn the complexities of understanding the pathophysiology of an endocrine disorder.

Using the case study below, prepare a 3 page paper.

Diabetes Case Study

A 21-year old female (A.M.) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, her skin is warm and flushed, and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink. Endocrine Disorders Assignment

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You get more information from A.M. and learn the following:

  • She had some readings on her glucometer which were reading ‘high’
  • She vomits almost every time she takes in fluid
  • She hasn’t voided for a day but voided a great deal the day before
  • She’s been sleeping long hours and finally woke up this morning and decided to seek care

 

Current labs and vital signs:

  1. What is the disorder and its pathophysiology that you expect the health care provider to diagnose and treat?

 

  1. Describe the etiology of the disorder A.M. is experiencing.

 

  1. Identify and describe the clinical manifestations of the disorder A.M. is experiencing.

 

  1. Identify and describe the expected treatment options for A.M. based on the disorder and clinical manifestations.

Instructions:

Summarize the questions above and formulate what may be happening with A.M. and the expected treatments to improve her condition.

Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a References page using APA format. Endocrine Disorders Assignment

 

Adult Health 2: Stroke Discussion Assignment

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Adult Health 2: Stroke Discussion Assignment

Homework is due in 25 hours from now

Pls follow the prompt

Ticket to Enter
Adult Health 2: Stroke
It is essential to the success of your simulation experience that everyone is prepared. You will discuss your answers to the following questions during pre-briefing. This is an individual assignment to be submitted in your course on Brightspace and must be printed or available via phone/tablet as your “ticket” to enter the simulation center. You must have this completed assignment with you to participate in simulation.

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Preparation Guidelines
Course textbook, UpToDate, and stroke.nih.gov. (UpToDate is available through the library website databases.)
Ticket to Enter
1) Describe the pathophysiology of Cerebrovascular Accident (CVA). What are the signs and symptoms? Adult Health 2: Stroke Discussion Assignment
2) List possible risk factors for stroke.
3) Describe the National Institutes of Health Stroke Scale (NIHSS).
4) Research the possible medications for treating an acute stroke and identify contraindications for thrombolytic therapy.
5) Describe “permissive hypertension.”
6) Research the pharmacology of intravenous Labetalol. What would be the indicated use of this medication for the acute stroke patient? (Hint: BP parameters)
7) Name three nursing diagnoses and related interventions specific to the care of the stroke patient.
8) What signs and symptoms may alert the nurse that the stroke patient might have difficulty swallowing and is therefore at risk for aspiration? Should nurses assess all stroke patients for swallowing ability?
9) Identify at least four interdisciplinary team members involved in the care of stroke patients. (Consider acute and long-term care)

Ticket to Enter
Adult Health 2: Stroke
It is essential to the success of your simulation experience that everyone is prepared. You will discuss your answers to the following questions during pre-briefing. This is an individual assignment to be submitted in your course on Brightspace and must be printed or available via phone/tablet as your “ticket” to enter the simulation center. You must have this completed assignment with you to participate in simulation.

Preparation Guidelines
Course textbook, UpToDate, and stroke.nih.gov. (UpToDate is available through the library website databases.) Adult Health 2: Stroke Discussion Assignment
Ticket to Enter
1) Describe the pathophysiology of Cerebrovascular Accident (CVA). What are the signs and symptoms?
2) List possible risk factors for stroke.
3) Describe the National Institutes of Health Stroke Scale (NIHSS).
4) Research the possible medications for treating an acute stroke and identify contraindications for thrombolytic therapy.
5) Describe “permissive hypertension.”
6) Research the pharmacology of intravenous Labetalol. What would be the indicated use of this medication for the acute stroke patient? (Hint: BP parameters)
7) Name three nursing diagnoses and related interventions specific to the care of the stroke patient.
8) What signs and symptoms may alert the nurse that the stroke patient might have difficulty swallowing and is therefore at risk for aspiration? Should nurses assess all stroke patients for swallowing ability?
9) Identify at least four interdisciplinary team members involved in the care of stroke patients. (Consider acute and long-term care)

Adult Health 2: Stroke Discussion Assignment