Erin C. is a 27-year-old professional woman who describes a recent bout of “the 24-hour flu” she experienced after eating out with friends over the weekend. She reports feeling an upset stomach at work on Monday with an increase in symptoms that developed into severe abdominal cramps, nausea, vomiting, and some bloody diarrhea, continuing into the evening.

She called her doctor the next morning and reported what she had eaten the day before she developed symptoms: 2 glasses of wine, broiled rare steak with mushroom sauce, baked potato with sour cream and butter, and an assorted greens salad with oil and vinegar dressing from the salad bar where she was dining with friends.

Earlier on that same day, she had eaten leftovers from her refrigerator—a small pork chop, spinach salad, and a glass of milk from a local organic dairy REPORT ON FOOD BORNE ILLNESS.

1. Based on information in Table 19-1, which of Erin’s symptoms would cause you to suspect that she had a food-borne illness rather than the flu?

2. What foods that Erin ingested are frequent sources of food-borne illness?

3. Based on the information in this chapter, what questions would help you identify the likely cause of Erin’s food-borne illness?

4. Besides calling her doctor for persistent symptoms, what dietary measures are important for Erin’s recovery?

5. Knowing that she prefers to eat rare-cooked meat, what precautionary advice could you offer Erin in reference to Figure 19-4?

ORDER A PLAGIARISM FREE PAPER NOW

6. Based on this experience, suggest one practical action from each of the four simple rules outlined in the “How To” section on page 628 that may protect Erin from food-borne illness in the future.

Case Study 20:

Food for a Low-Income Family Sarah is a 30-year-old mother of two young children, ages 3 and 5. Her husband was recently disabled in a car accident and has been unable to work for 6 months.

Sarah works part-time in her children’s preschool and her husband receives a monthly check for his disability. Medical expenses have wiped out the family’s savings and monthly expenses often exceed the couple’s income. Sarah tells her close friend that she is unable to provide balanced meals for her family because she often runs out of foods such as milk and fresh produce before payday REPORT ON FOOD BORNE ILLNESS.

Her children receive a healthy lunch and snack at preschool and a couple of times in the past month Sarah and her husband have had to skimp on their meals at home to make sure the children were fed adequately. Sarah is worried that their limited resources may be affecting the nutritional health of her family.

1. Based on this family’s history, how would you classify their food insecurity according to Table 20-1?

2. Using the “How To” ideas on page 663, what are at least 3 practical suggestions that would help Sarah provide nutritious meals to her family at the lowest cost?

3. What programs mentioned in this chapter might this family be eligible for that could help improve their access to nutritious food?

4. Sarah’s church keeps an emergency food pantry for people in their community. List some low-cost non-perishable food suggestions that would provide maximum nutritional benefit to this family.

5. Sarah has recently qualified for the SNAP program. What nutrient-dense foods might she buy that would help stretch her food dollar and improve the overall quality of her family’s diet?

6. Plan a one-day menu with 3 meals and 1 snack for this family that incorporates your ideas from the previous questions REPORT ON FOOD BORNE ILLNESS.

Question 1.                

A female patient is suspected of having psoriasis. Which of the following aspects of the woman’s history and her care provider’s assessment would be potential contributors to her health problem?

The woman takes an angiotensin-converting enzyme inhibitor for the treatment of hypertension. She has been diagnosed with arthritis.

The woman has a family history of diabetes.

Skin trauma of any kind often precedes an outbreak.

 The woman has dark skin ADVANCED PATHOPHYSIOLOGY.

Question 2.                

Which of the following pathophysiologic phenomena would be most indicative of ankylosing spondylitis?

Loss of motion in the spinal column and eventual kyphosis

A progressive loss of range of motion in knee and hip joints

 A facial “butterfly rash” and multiorgan involvement

 Decreased bone density in long bones

Question 3.                

The father of an 18-month-old girl noticed a small vesicle on her face several days ago. The lesion ruptured and left a straw-colored crust that remained on the girl’s face. The eruption of new vesicles has prompted him to bring the child to the emergency department. Which of the following treatments for the child’s skin problem is most likely?

A topical antifungal ointment

An oral corticosteroid

An antiviral ointment

A topical antibiotic

ORDER A PLAGIARISM FREE PAPER NOW

Question 4.                

Which of the following statements best conveys an aspect of the process of keratinization?

Keratin cells synthesized in the dermis migrate to the surface over 20 to 30 days.

  Mitosis that begins with the cells of the stratum granulosum results in a continual supply of new keratinocytes.

 The stratum germinativum continuously produces new keratinocytes to replace losses.

 The basal cells of the epidermis migrate to the skin surface at a rate that matches superficial losses of skin cells.

Question 5.                

A 35-year-old woman who has been in recovery from alcoholism for 2 years presents at her primary care nurse practitioner’s office with chronic hip pain. She reports that as part of her commitment to her recovery, she began exercising regularly about a year earlier. After a month or two, her hip began to hurt when she ran on the treadmill. She stretches, has had a physical trainer check her form to ensure that it is correct, and rests adequately between each workout. Six months ago the pain began awakening her at night, and now it is constant. She is not aware of any injury to her hip and has no other outward symptoms. Which of the following is most likely to be the cause of her pain ADVANCED PATHOPHYSIOLOGY?

Hematogenous osteomyelitis

Osteomyelitis with vascular insufficiency

Tuberculosis of the bone

 Osteonecrosis

Question 6.                

Clinical investigation of a 40-year-old female patient with diverse dermatologic signs and symptoms has focused on the woman’s basement membrane. Which of the following skin functions would a clinician most likely attribute to a region of the integument other than the basement membrane?

Lack of sensory nerve impulse conduction

 Formation of blisters on various skin surfaces

 Lack of adhesion between the dermis and epidermis

Large immunoglobulin deposits

Question 7.                

An 80-year-old female with a diagnosis of osteoporosis receives daily supplements of calcitonin in the form of a nasal spray that she instills each morning. Which of the following phenomena would her care providers expect to result from her supplementation?

Decreased serum calcium levels

 Increased bone resorption

 Acceleration of osteoclast action

 Increased bone formation

Question 8.                

A 41-year-old woman has been diagnosed as having a loose body of cartilage in her left knee. What data would be most likely to lead clinicians to this conclusion?

A visible hematoma is present on the anterior portion of the knee.

The woman experiences intermittent, painful locking of her joint.

Computed tomography indicates a complete tear of her knee ligament.

 An X-ray shows that her femoral head and tibia are no longer articulated ADVANCED PATHOPHYSIOLOGY.

According to Freemantle and Watt (1994), “effective dissemination encompasses more than just the distribution and diffusion of information. It involves the processes by which target groups become aware of, receive, accept and utilize information.” (p. 133) Dissemination of Scholarship.

Think about your Practicum Project. Which groups would find your project findings, conclusions, and recommendations most valuable? Why? How might your focus differ if you were delivering a presentation at a professional conference versus at your practicum site?

What would you emphasize if you were publishing an article in a peer-reviewed journal related to your specialization as opposed to in an online forum with a wider healthcare readership?

In this Discussion, you analyze your Practicum Project in terms of conventional means of scholarly dissemination: presentations, posters, and publication.

To prepare:

Reflect on your Practicum Project.

Speak with various individuals, especially those in your practicum setting, about presentations or poster sessions they have given and/or publications they have authored. Ask which organizations or journals they would recommend you consider for dissemination based on your Practicum Project topic.

Consider the following questions related to dissemination:

Who is your target audience? Who would be most interested in your project findings, conclusions, and recommendations? Consider how the needs or dispositions of the intended audience may inform your choice of dissemination method.

Which method of dissemination would you choose to convey the findings, conclusions, or recommendations from your Practicum Project? What are the relative benefits and challenges of giving a presentation, sharing your findings through a poster session, and/or publication?

Consider various nursing, health care, informatics, and leadership and management organizations and journals. What is one organization or journal you would select for your presentation or publication?

What are some potential challenges? Evaluate what you could do to promote the possibility that your presentation, poster, or manuscript would be accepted.

Conduct a search of the literature using the Walden Library and other reliable sources. Locate two or more articles published in peer-reviewed journals within the last five years that relate to your Practicum Project. These articles should demonstrate the significance of the topic for nursing leadership and management or nursing informatics. Note: These articles may also help you determine if your project findings are related to an area that will contribute to a more comprehensive literature base.

Post a brief description of your Practicum Project, including the anticipated outcomes and implications for nursing practice in your specialty area. Explain why your results warrant dissemination. Describe your target audience, and explain which method of dissemination you would use as well as the organization or journal you would choose for sharing findings related to your Practicum Project. Support your response with at least two citations from the literature.

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

ORDER A PLAGIARISM FREE PAPER NOW

Validate an idea with your own experience and additional research.

Required Readings

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Alspach, G. (2010). Converting presentations into journal articles: A guide for nurses. Critical Care Nurse, 30(2), 8–15.

Note: Retrieved from the Walden Library databases.

 The authors recognize the value of disseminating evidence-based practice in promoting quality care. They address how this can be done using posters.

Forsyth, D. E., Wright, T. L., Scherb, C. A., & Gaspar, P. M. (2010). Disseminating evidence-based practice projects: Poster design and evaluation. Clinical Scholars Review, 3(1), 14–21.

The authors recognize the value of disseminating evidence-based practice in promoting quality care. They address how this can be done using posters Dissemination of Scholarship.

Jeffress, L., & Lyle, S. D. (2012). Maximizing accessibility of academic publications: Applications of electronic publishing technology. Contemporary Issues in Education Research, 5(4), 257–264.

Note: Retrieved from the Walden Library databases.

This article addresses the use of electronic publishing technology for broader dissemination of research.

Price, B. (2010). Disseminating best practice at conferences. Nursing Standard, 24(25), 35–41.

Note: Retrieved from the Walden Library databases.

In this article, the author provides suggestions for creating and delivering engaging conference presentations.

Roberts, D. (2011). ‘Pay it forward’ through publication. MEDSURG Nursing, 20(3), 112, 122.

Note: Retrieved from the Walden Library databases.

The author proposes creating a chain of lifelong learning through the publication of scholarly works. Among other matters, the article suggests the value of identifying a publication mentor.

Russell, C. L., & Ponferrada, L. (2012). How to develop an outstanding conference research abstract. Nephrology Nursing Journal, 39(4), 307–342.

Note: Retrieved from the Walden Library databases.

The authors propose recommendations for writing and submitting an abstract for a presentation at a conference.

Sawatzky, J. V. (2011). My abstract was accepted—now what? A guide to effective conference presentations. Canadian Journal of Cardiovascular Nursing, 21(2), 37–41.

Note: Retrieved from the Walden Library databases.

The article addresses fear of public speaking and provides recommendations for delivering successful presentations at conferences.

 Walden University. (n.d.). Research Dissemination. Retrieved October 18, 2017, from http://academicguides.waldenu.edu/researchcenter/orsp/dissemination

This Walden University resource examines how research is disseminated through presentations and publications.

Review the types of articles the following journals produce as well as submission requirements for publication:

 BMJ Publishing Group. (2013). Evidence-Based Nursing. Retrieved from http://ebn.bmj.com/

 Elsevier. (2013). Nurse Leader. Retrieved from http://www.nurseleader.com/

 John Wiley & Sons. (2013). Journal of Nursing Scholarship. Retrieved from http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291547-5069/homepage/ForAuthors.html

 Lippincott Williams & Wilkins. (2013). CIN: Computers, Informatics, Nursing. Retrieved from http://journals.lww.com/cinjournal/pages/default.aspx

 Lippincott Williams & Wilkins. (2013). The Journal of Nursing Administration. Retrieved from http://journals.lww.com/jonajournal/pages/default.aspx

 National League for Nursing. (2011). Publications. Retrieved from http://www.nln.org/nlnjournal/writingjournal.htm

 Online Journal of Nursing Informatics. (2013). Retrieved from http://www.ojni.org/

 Rural Nurse Organization. (2013). Online Journal of Rural Nursing and Health Care. Retrieved from http://rnojournal.binghamton.edu/index.php/RNO

 Wiley-Blackwell. (n.d.) Nurse Author & Editor. Retrieved May 20, 2013, from http://www.naepub.com/

 Document: Practicum Project Presentation Overview (PDF)

Review this document in preparation for creating your PowerPoint presentation, which you will post in the Week 11 Discussion by Day 1 of next week.

 Document: Scholarship of Practice Poster Session (PDF)

 Review this document in preparation for creating an abstract based upon your Practicum Project, which will be due by Day 7 of this week.

Optional Resources

Rogobete, C., Peters, G., & Seruga, J. (2012). Cross media and e-publishing. International Journal of U- & E-Service, Science & Technology, 5(2), 17–29. Dissemination of Scholarship

Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources.  Some answers may require you to do additional research on the Internet or in other reference sources.  Choose your sources carefully.

3. Consider the discussion and any insights you gained from it. ETHICAL NURSING

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

ORDER A PLAGIARISM FREE PAPER NOW

Assignment:

1. Locate an article that discusses a bioethics issue. First, provide a summary of the article and the bioethics issue being presented. Next, discuss what ethical actions the nurse should take in relation to the issue being presented. Also, discuss possible legal issues that the nurse should be aware of. This section should include at least 1 outside reference and your textbook and should be at least 1 ½ pages long.

2. Analyze the following case study and then answer the following questions:

You are working on the Operating Room and the trauma alert goes off. You respond to the ER to provide support. Once in the ER, you receive report that an 89 year old male is coming in with a self-inflicted GSW (Gun Shot Wound) to the head.  You listen to the radio traffic between the ER and ambulance to get an idea what kind of surgery you need to set up for and what will be needed as far as lines and fluid.  Here is the report:

HR: 121

B/P: 60/45

Saturation: 93%

Patient is intubated and non-responsive. Right pupil is fixed and dilated. Paramedic also states there is a large extended family headed to the ER. The patient lost his wife of 60 years 1 week ago and left a note stating that he is too heartbroken to go on. The patient and family arrive. The neurosurgeon discusses that their father’s potential outcome, even with surgery, is not good. The family still insists that the neurosurgeon complete the surgery ETHICAL NURSING.

1. What are the ethical and legal issues in this case study. Be specific and support your response with references

Once you have the patient in the room and you are prepped and ready for surgery, the phone rings. You receive word that the patient signed DNR orders two days ago.

1. As the OR nurse what are your legal and ethical issues now? Was the patient of sound mind when he signed this order? Do you honor the DNR or the family’s wishes? Explain and support your response.  

Your response to this case study should be at least 2 pages and include 2 outside references and your textbook.

Please submit one paper which includes both assignments.