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Nursing homework help

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Nursing homework help

Scenario

You are assigned to discuss your professional identity with your peers on the unit during a meeting and have decided to present the attributes using an infographic. The goal is to encourage all nurses to examine attributes and identify their professional identity to improve professionalism in the healthcare setting. As a nurse leader, you want your infographic to include the attributes that have guided your growth within the profession. As a leader of the unit, you work to grow the nurses on the unit and want to encourage them to identify their professional identity as the leaders to focus on succession planning. Your goal is to develop your infographic and share with other nurses to encourage them to examine the attributes to grow within the profession. Nursing homework help

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Instructions

Create an infographic that includes the attributes you believe support your professional identity. Include the following:

  • Identify 10 attributes that form your professional identity based on professional standards.
  • Reflect on why each of the attributes were selected for your professional identity.
  • Determine the attributes that are important for nurse leaders.
  • Identify how diversity and teamwork plays a role in developing your professional identity.
  • Provide stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.

 

Nursing homework help

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Nursing homework help

 

Respond to the two following post make it strait forward and easy.

APA format

2 scholarly References within the last two years for each post

Plagiarism free, Turnitin report

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JOCENIE F

Discussion # 1

Top of Form

My top five themes are: Harmony, consistency, Relator, Deliberative and Analytical. As a leader, I would want my team to get along and follow clearly defined expectations. A great leader strives to establish trust in the team and let them know that they are there for you and will advocate for your wellbeing and success (Broome & Marshall, 2021). Being deliberative is often mistaking with being shy, I just like to listen and analyze before I draw conclusions. I see myself more as a moral leader that is there to make sure that everything runs smoothy, and that everybody is pulling their weight. A moral leader is a great model of integrity and fairness and is also there to support and serve the team members (Li & Li, 2021). Analytical means to be a leader who like to see measurable outcomes to define success. A leader who likes to educate by using a reasoned approach to solve problems. Nursing homework help

The two characteristics that I would like to strengthen are:  includer and communication. I tend to stay within my comfort zone and ride with my team, my own little crew; I am slow to make new friends. Having good communication skills gives rise to effective and healthy relationship within the team and leaves little room for misunderstanding (Raouf et al., 2020). I have little issue with verbal communication and tend to listen more and keep my opinion to myself until I am positive, I have something valuable and constructive to offer to the discussion. I would like to work on finding better ways to communicate with my team besides quoting rules and regulations. Nursing homework help

 

Evan P

Discussion # 2

Top of Form

The Clifton Strengths Finder 2.0 test showed that my top 5 signature themes were adaptability, includer, ideation, relator, and input. Adaptability shows that I can be productive in any situation and I’m able to change or pivot to meet the needs of the whole. The includer theme shows that I don’t want anyone to feel left out. That I am accepting of others and want to have a positive group setting.  Ideation shows that I am open to any kind of ideas, and I enjoy the process of thinking of new ideas. Relator shows that I want to bring my friends closer and build comradery. I want to be able to put my trust in others. Input is the last of my themes. I collect information and items on subjects that I enjoy.

Two core values that I hold to are human dignity and altruism. Altruism refers to an unselfish concern in others’ well-being. Altruism in nursing is giving the best care to every patient without expecting anything in return. Human dignity refers to treating each person as a human being and respecting their individuality (Alavi et al., 2017).

Two strengths that I would like to focus on would be adaptability and includer. Adaptability is my number one strength according to the strengths finder. Adaptability has especially become important in times of a covid pandemic. There may be acute changes in CDC or hospital guidelines as well as increased deaths and an effective leader must be adaptable to these changes . Inclusivity is important for effective leadership as well. Inclusivity allows for a group to have a sense of direction. A leader must be inclusive with his or her followers to achieve a common goal (Uhl-Bien, 2021).

Two characteristics I would like to strengthen include woo and positivity. Woo is the ability to win people over and convince them to support your cause. Woo is a measure of how well you can get others to like you. Positivity is a strength that helps support yourself and others around you. A positive leader allows an increased enthusiasm to work together and achieve the goal. I believe being strong in these two characteristics would synergize well with my current leadership strengths (Rath, 2017).

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Nursing homework help

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Nursing homework help

Patrick Realon

Posted Date

Mar 31, 2022, 8:25 AM

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Postoperative cerebrospinal fluid (CSF) leak is a well-known complication following transsphenoidal surgery for sellar lesions, with a reported incidence in the range of 8.6%–15.9%. Its occurrence may result in meningitis, and prolonged treatment or reparative surgery are required in some patients. Following transsphenoidal surgery, patients are at risk for developing a variety of neuroendocrine or other postoperative complications, which can potentially be minimized or prevented by maintaining a high degree of awareness for such issues on the part of the neurosurgical team and nursing staff. Serial clinical monitoring of a patient’s neurological and visual status is imperative following transsphenoidal surgery, as patients may develop untoward complications such as postoperative hematomas, epistaxis, ischemic events, hydrocephalus, CSF leaks, or meningitis. Maintaining a constant state of vigilance for these uncommon, but serious, events in all patients is absolutely critical. If a CSF leak is suspected in the postoperative period, a noncontrast CT scan of the head is a useful study that may demonstrate the presence of intracranial air in the event of a CSF leak. Although the majority of patients do not require insertion of nasal packing at the time of surgery, some patients (especially those with or intraoperative CSF leaks requiring sellar floor reconstruction, Cushing’s Disease, and acromegaly) may benefit from their insertion. If used, nasal packing can typically be removed on postoperative day one. Postoperative epistaxis infrequently develops following transsphenoidal surgery and can typically be treated successfully with routine nasal packing for 2-3 days. In rare refractory cases of epistaxis, reoperation or endovascular embolization of an arterial bleeder may be required (Sun et al., 2018). Nursing homework help

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Aberrancies of fluid homeostasis and serum electrolytes occur quite commonly following transsphenoidal surgery. An understanding of the underlying physiology, coupled with monitoring of a patient’s volume status, as well as serum and urine laboratory studies, may make a significant difference in a patient’s postoperative course. Although a foley catheter is not inserted at the time of surgery in the majority of patients at our institution, strict measurement of a patient’s intake, output, and daily weight should be carried out in order to provide a continuous assessment of volume status.  Patients with preoperative evidence of hypopituitarism should be maintained on sufficient stress doses of hormonal replacement during the initial perioperative period, and then kept on physiological maintenance doses of replacement agents until it is appropriate to assess their pituitary function in a controlled manner. Patients with evidence of hormonal excess typically undergo appropriate lab testing during the first few days following surgery to assess for evidence of early endocrinological remission (Sun et al., 2018).

Primary reconstruction techniques use autologous grafts (e.g., fascia lata) or a pedicled nasoseptal flap to reconstruct the skull base when a CSF leak occurs during or after surgery. However, due to the unpopularity of endoscopy and unfamiliarity with this reconstruction method in surgery department, we used alternative repair methods and also obtained excellent results. Most patients chose conservative methods for CSF rhinorrhoea repair, with surgical repair used only if conservative treatment failed. Our strategies often eliminated the need for additional surgery; however, conservative treatment may increase the risk of infection, duration of hospitalization and economic and psychological burden on the patient. Surgical repair should be performed as soon as general clinical conditions allow if diagnostic assessments have detected CSF rhinorrhoea and identified the exact site of the leak. They concluded that clinical presentation and office-based endoscopic nasal exam were of primary importance to evaluate suspected CSF leaks. Prospective randomised controlled studies are needed to clarify the optimal approach and time window for surgical repair of CSF rhinorrhoea (Zhang et al., 2017).

Endoscopic endonasal pituitary surgery differs from the transsphenoidal microsurgery in the following aspects: plane vision, close-up view, no nasal speculum, endonasal approach and ample vision field. Microscopy features a three-dimensional visualisation, wider view and use of a transnasal speculum. Use of the endoscope during TSS is important in that it allows maximum tumoural excision and better visualisation of a small CSF fistula. Because of the enhanced illumination and visualisation of lesions, endoscopic surgery for CSF rhinorrhoea is more reliable and convenient than traditional TSS. In addition, we found that the endoscopic approach enables precise confirmation of the leakage site, sufficient exposure, minimal invasiveness and high rate of success. Although endoscopy was underutilised initially in our department, we subsequently used endoscopy to repair CSF leakage with excellent results. We therefore strongly recommend endoscopy for surgical repair as well as tumour removal (Zhang et al., 2017).

Following discharge, patients are usually seen in the clinic for routine follow-up one week after surgery, then again at the 6-week postoperative time point for routine endocrine and postoperative evaluation, to account for equilibration of the hypothalamic-pituitary-adrenal axis as well as the longer half-life of thyroid hormone. Postoperative MR imaging is obtained 3 months following the operation, to allow sufficient resolution of postoperative changes prior to any meaningful assessment regarding the extent of tumor resection. Routine imaging studies may then be obtained annually, or more often as indicated. Patients with sellar pathology may have delayed tumor recurrences occurring up to several years after successful remission, therefore mandating continued endocrinological and imaging surveillance, even beyond a decade following initial remission (Sun et al., 2018).

References:

Sun, I., Lim, J. X., Goh, C. P., Low, S. W., Kirollos, R. W., Tan, C. S., Lwin, S., & Yeo, T. T. (2018). Body mass index and the risk of postoperative cerebrospinal fluid leak following transsphenoidal surgery in an asian population. Singapore medical journal, 59(5), 257–263. https://doi.org/10.11622/smedj.2016159

Zhang, C., Ding, X., Lu, Y., Hu, L., & Hu, G. (2017). Cerebrospinal fluid rhinorrhoea following transsphenoidal surgery for pituitary adenoma: Experience in a Chinese centre. Rinoliquorrea dopo chirurgiadell’adenomaipofisario con approcciotransfenoidale: esperienza in un centrocinese. Acta otorhinolaryngologicaItalica : organoufficialedellaSocietaitaliana di otorinolaringologia e chirurgiacervico-facciale, 37(4), 303–307. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5584102/

 

Nursing homework help

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Nursing homework help

Transsphenoidal surgery is the approach of choice for pituitary adenomas and is indicated when the mass impacts the function of other surrounding structures (Melmed & Jameson, 2018, p. 2672).  The common symptoms from a local mass effect of a pituitary tumor are headache and visual disturbances; and other symptoms that vary by adenoma type (Melmed & Jameson, 2018, p. 2671). Postoperative central diabetes insipidus (CDI) is a result of damage to the pituitary stalk, hypothalamic injury, or a disruption in the hypothalamic-neurohypophyseal connections (Elisaus & Ball, 2021). This results in a deficiency of AHD and prevents concentration of urine in the renal collecting tubule. DI can be classified into three different types: nephrogenic, central, and dipsogenic (Elisaus & Ball, 2021). Nephrogenic occurs when there is a lack of renal response to ADH and dipsogenic occurs secondary excess fluid intake. To determine which etiology of DI is present; a water restriction test is performed. If urine concentrates with water restriction, then there is no DI; next desmopressin (dDAVP) is given and if urine concentrates then it is CDI; in nephrogenic DI, urine will not concentrate with either intervention (Elisaus & Ball, 2021). In this scenario, we know the patient is manifesting CDI secondary to a pituitary adenoma resection. CDI occurs transiently in 10-20% of transsphenoidal pituitary surgeries and is permanent in 2-7% of patients (Swearingen, 2021). Thus, post-operative transsphenoidal surgical patient should be closely monitored for CDI by monitoring urine output. Polyuria (3L/d) and polydipsia are hallmark symptoms of DI (Elisaus & Ball, 2021). A diagnosis can be made by a low urine osmolality (<250mosmol/kg) with high serum osmolality (>290mosmol/kg) and no hyperglycemia (Elisaus & Ball, 2021). Treatment for CDI is with DDAVP 5-20mcg/day and fluid replacement. Serum sodium, urine osmolality, and urine output help guide the continued need for dDAVP and fluid therapy (Swearingen, 2021). Typically, only one or two doses of dDAVP are needed (Elisaus & Ball, 2021). CDI can vary from mild to severe with the major concern of life-threatening hypernatremia and dehydration. Hypernatremia can manifest with neurologic symptoms of: confusion, restlessness, lethargy, seizures, and death. Severe volume depletion can cause circulatory collapse. For these reasons, post-op transsphenoidal patients are typically monitored in the ICU for the first 48 hours to monitor for the development of DI.  Nursing homework help

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References

Elisaus, P., & Ball, S. (2021). Diabetes insipidus. Medicine, 49(8), 495–497. https://doi.org/10.1016/j.mpmed.2021.05.009

Melmed, S., & Jameson, J. L. (2018). Pituitary tumor syndromes. In Harrison’s principles and practice of hospital medicine (20th ed.). McGraw Hill.

Swearingen, B. (2021). Transsphenoidal surgery for pituitary adenomas and other sellar masses. UpToDate. Retrieved March 31, 2022, from https://www.uptodate.com/contents/transsphenoidal-surgery-for-pituitary-adenomas-and-other-sellar-masses?search=transsphenoidal%20surgery&source=search_result&selectedTitle=1~35&usage_type=default&display_rank=1#H21307966

REPLYRLRommel Lantajo

Posted Date

Mar 31, 2022, 1:53 AM

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Diabetes insipidus (DI) is an uncommon neurological condition that accounts for 1 in every 25,000-patient population (Christ-Crain et al., 2021). The underlying clinical issue with DI comes as part of the polydipsia-polyuria syndrome, which is characterized by hypotonic urine and excessive polydipsia (Christ-Crain et al., 2021; Christ-Crain, 2020). The postoperative neurosurgical patient is prone to developing the central form of DI (Christ-Crain et al., 2021; Christ-Crain, 2020). The pathophysiological underpinning of central DI is the lack or inability of the posterior pituitary to secrete arginine vasopressin (Christ-Crain et al., 2021; Christ-Crain, 2020). The insufficient synthesis of arginine vasopressin in the hypothalamic neurohypophyseal system causes this inappropriate osmotic stimulation (Christ-Crain et al., 2021; Christ-Crain, 2020).  Nursing homework help

The clinical manifestation of Di is excessive urinary excretion, usually more than 50 mL per kilogram in 24 hours, and increased oral intake of water (Christ-Crain & Gaisl, 2021). The patient with DI will also present with serum hyperosmolar and hypernatremia associated with urinary hypo osmolar (Christ-Crain & Gaisl, 2021). Some patients may or may not present with fever, excessive sense of thirst, irritability, etc. (Christ-Crain & Gaisl, 2021). The main treatment in DI is to identify the primary cause, postoperative neurosurgery in this case (Christ-Crain & Gaisl, 2021). Therefore, it is vital that the provider must keep in mind that severe hyperosmolality from dehydration should be managed promptly (Christ-Crain & Gaisl, 2021). The water should be replaced by at least 50 % of the calculated free water deficit within 24 hours (Christ-Crain & Gaisl, 2021). The overcorrection of water can lead to unwanted neurological consequences such as cerebral edema, seizures (Christ-Crain & Gaisl, 2021). Furthermore, the management of diabetes insipidus should be focused on the prevention of secondary complications of excessive water intake, which can further cause severe fluid and electrolyte imbalances (Christ-Crain & Gaisl, 2021). In addition, a single dose of desmopressin is sufficient to treat neurosurgery-related DI (Christ-Crain & Gaisl, 2021).

References

Christ-Crain, M, Winzeler, B, Refardt, J. (2021). (University Hospital Basel, University of Basel, Basel, Switzerland). Diagnosis and management of diabetes insipidus for the internist: an update (Review). J Intern Med.,290(1), 73– 87. https://doi.org/10.1111/joim.13261

Christ-Crain M: Diabetes Insipidus: New Concepts for Diagnosis. Neuroendocrinology 2020;110:859-867. doi: 10.1159/000505548

Christ-Crain, M. & Gaisl, O. (2021). Diabetes insipidus. La Presse Médicale, 50 (4), 104093. https://doi.org/10.1016/j.lpm.2021.104093.

Nursing homework help

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Nursing homework help

AGACNPs have a pivotal role in the healthcare team and are proven assets as members of the surgical team. A literature review conducted of NPs in the orthopedic setting (but can logically be applied to other surgical specialties) discuss the growing concern of physician shortages in surgery specialties and legislation in the early 1990s that limits the hours residents can work (Spence et al., 2019). This left many surgical specialties with less clinicians to severe a large population of patients. NPs have helped fill that void. The AGANP is a skilled clinician that can take accurate medical history, order necessary tests, initiate a plan of can, and consult other services (Spence et al., 2019). There are several modules in which an AGANP can function in the surgical setting; however, they have important role in all aspects of perioperative care. In the postoperative period NPs round on patients, address concerns or issues, provide patient education, coordinate care, lead the interdisciplinary team, perform complex dressing changes/remove drains, and order additional testing as appropriate (Spence et al., 2019). This model allows for surgeons to operate and ensure their post-op patients are being safely managed (Spence et al., 2019).  Nursing homework help

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            In the presented scenario, increased/inadequate chest tube output, change in output color, or increased pain could indicate a potential complication (Columbus et al., 2017, p. 800). The first assessment should always be the patient rather than the device. The patient should be evaluated for respiratory distress and hemodynamic instability. The amount of drainage is highly variable depending on the reason for the chest tube. Occasionally in lobectomy patients, two chest tubes are used; one for lung re-expansion and the other for blood/fluid collection (Shintani et al., 2018). In this instance, it would be expected for one tube to have little to no drainage and the other to have larger amounts. Some lobectomy patients have massive air leaks, pleural effusions, or hemorrhage that require two chest tubes (Shintani et al., 2018). It’s important to note the characteristics of the drainage and if they’ve changed. Large amounts of sanguineous drainage would be cause for concern especially coupled with hemodynamic changes; serous drainage is expected as effusions are common in malignancy; and milky can be consistent with chyle which could be expected or a complication. An abrupt stoppage of drainage in the immediate post-op period is concerning for potential tube occlusion or migration, which can result in pneumothorax.

Tubes and drains are commonly placed in surgery as part of postoperative management. A chest tube can be placed in the pleural or mediastinal space for pneumothorax, hemothorax, and cardiac/thoracic surgeries (Columbus et al., 2017, Tables 45-1). GI tubes can be placed for feeding or decompression including: NG tube, gastrostomy tube, jejunostomy tube, or duodenal tube (Columbus et al., 2017, Tables 45-1). A Penrose is a small drain that is open at both ends and is intended to maintain a surgical tract for drainage (Columbus et al., 2017, pp. 45–1). Closed suction drain systems (Jackson-Pratt or Hemovac) are placed in the surgical space to facilitate drainage of blood and other fluids (Columbus et al., 2017, pp. 45–1). AGACNPs should be well versed in different drainage devices and be aware of potential complications. Depending on the specialty of the AGACNP, drains should not be manipulated without discussing it with the placing surgeon and all unexpected changes or concerns should be addressed with the surgeon (Columbus et al., 2017, p. 804).  Nursing homework help

In the scenario, depending what the assessment demonstrated possible causes of large chest tube output are: hemorrhage, chylothorax, or expected high volume drainage. If the concern of the nurse was no output, possible causes are tube malposition or occlusion. In the scenario of large volume output, I’d expect to see hemodynamic instability with hypotension and tachycardia due to fluid loss or significant fluid shifts. In the case of low/no output, this could cause a pneumothorax or tension pneumothorax and the patient would have respiratory distress along with hypotension and tachycardia.

In the case with sever hemorrhage the patient will likely need transfusion of blood products and taken back to OR for exploration for the source of the bleed. Chylothorax is a rare complication secondary to a thoracic duct injury (Chen et al., 2020). Treatment options are drug therapy with Somatostatin analogs, thoracic duct embolization, or possible surgical intervention (Chen et al., 2020). In some cases, high output may be expected from a large effusion. In this case no intervention is needed if the patient is stable. In the case of decreased output, chest x-ray would be need to verify placement and possible repositioning or clot evacuation may be necessary.

References

Chen, C., Wang, Z., Hao, J., Zhou, J., Chen, N., Lui, L., & Pu, Q. (2020). Chylothorax after lung cancer surgery: A key factor influencing prognosis and quality of life. Annals of Thoracic and Cardiovascular Surgery, 26(6), 303–310. https://doi.org/10.5761%2Fatcs.ra.20-00039

Columbus, A., Havens, J. M., & Peetz, A. B. (2017). Surgical tubes and drains. In Principles and practice of hospital medicine (2nd ed., pp. 798–804). McGraw Hill.

Shintani, Y., Funaki, S., Ose, N., Kanou, T., Kanzaki, R., Minami, M., & Okumura, M. (2018). Chest tube management in patients undergoing lobectomy. Journal of Thoracic Disease, 10(12), 6432–6435. https://doi.org/10.21037%2Fjtd.2018.11.47

Spence, B. G., Ricci, J., & McCuaig, F. (2019). Nurse practitioners in orthopedic surgical settings. Orthopedic Nursing, 38(1), 17–24. https://doi.org/10.1097%2FNOR.0000000000000514

Nursing homework help

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Nursing homework help

For this assignment, you will develop a presentation on a realistic clinical case on a topic that is of interest to you. And then, use Canvas Studio’s Screen Capture feature to record (voice-over) your presentation. Develop your presentation based on a clinical case that was seen during your experience or a topic that is of interest to you. How do I record a Canvas Studio video with a webcam in a course?

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Content Requirements You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information that will be covering the following: Nursing homework help

  1. Subjective data: Demographics; Chief Complaint; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem; Medications; Allergies; Past medical history; Family history; Past surgical history; Social history;  Review of Systems (ROS)
  2. Objective data: Vital signs; Physical exam, Labs (reviewed from the patient’s medical records, if no lab/diagnostic tests were done recently to review, you must indicate that to receive credit). Nursing homework help
  3. Assessment: Differential diagnosis; Primary Diagnosis
  4. Plan: Laboratory and diagnostic tests; Pharmacologic treatment plan; Non-pharmacologic treatment plan; Anticipatory guidance (primary prevention strategies); Follow up plan. Nursing homework help
  5. Other: Incorporation of current clinical guidelines; Integration of research articles; Role of the Nurse practitioner

Submission Instructions:

  • The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
  • The presentation should consist of 10-15 slides and less than 5 minutes in length.  Nursing homework help
  • Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual). Nursing homework help

 

Nursing homework help

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Nursing homework help

Practice Question: In adult patients aged 18 years and older with a diagnosis of depression, will implementing the National Institute for Health and Care Excellence (NICE) Guidelines for exercising impact depression scores over 8-10 weeks? Nursing homework help

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            Information technology is an integral component of quality, safe, and efficient healthcare delivery (Bergey et al., 2019). As the foundation of the future, IT plays an important role in nursing practice (Farokhzadian et al., 2020). Using IT, the DNP student can educate the staff, patients, and families about health-related issues to expand knowledge and improve patient outcomes.

My practicum site is faced with a knowledge-practice gap. To address this practice gap of a non-pharmacological approach to the management of depression affecting patients, the organization as well as the Doctor of Nursing Practice (DNP) student must leverage innovative strategies and the use of information technology (IT) to improve patient care, outcomes, and provide quality care (Role et al., 2021). IT skills are required to identify the extent of the practice gap, its incidence, significance, and cost to the patients as well as the facility and how to provide the solution to the problem.

The DNP student must use IT skills to capture data that will be used in the planning, implementation, and evaluation of the Project. IT skills are required to map out how the project will be implemented, where and how the participants will document their activities, track the activities as well as evaluate the effectiveness of the project.

How important will IT competencies be to the role/position that you aspire to after completion of your DNP degree? What IT skills do you need to develop? Share your plan for professional development to develop these skills.

IT skills are essential to the role I perform and aspire to perform in the future. My goal is to use evidence-based practice to continue to advocate for patients’ safety and improve patient outcomes. This process requires an extensive literature search using IT. IT will be required to gather and store data needed as well as to educate the patients and staff to expand their knowledge. I will continue to expand on my IT skills, learning how to navigate library searches more efficiently, how to create tables, and embed documents.

Provide your instructor and student colleagues with an update on your implementation plans for your DNP Project. Share any successes, challenges, or barriers you experienced this week Nursing homework help

I continue to make corrections to my synthesis of the literature paper as highlighted by the instructor. This will help ensure smoother project implementation.

References

Bergey, Goldsack, J. C., & Robinson, E. J. (2019). Invisible work and changing roles: Health information technology implementation and reorganization of work practices for the inpatient nursing team. Social Science & Medicine (1982), 235, 112387–112387. https://doi.org/10.1016/j.socscimed.2019.112387 (Links to an external site.)

Farokhzadian, Khajouei, R., Hasman, A., &Ahmadian, L. (2020). Nurses’ experiences and viewpoints about the benefits of adopting information technology in health care: a qualitative study in Iran. BMC Medical Informatics and Decision Making, 20(1), 240–240. https://doi.org/10.1186/s12911-020-01260-5

Role, Chao, H., Rosario, C., Ho, P., &Hodgkins, M. (2021). Inpatient Staffing Dashboard: A nursing–information technology collaborative project. Computers, Informatics, Nursing, 39(11), 772–779. https://doi.org/10.1097/CIN.0000000000000778

 

Nursing homework help

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Nursing homework help

Patient falls are a significant problem prevalent in healthcare organizations that negatively impacts patient’s quality of care. Studies show that almost a million ailing individuals fall while receiving medical care in healthcare facilities. The issue is worth investigating because it may precipitate negative outcomes such as internal bleeding and fractures that may increase the duration of patients’ stay in hospitals and inflate the cost of treatment (LeLaurin et al., 2018). Therefore, it is necessary to find evidence-based interventions that will enhance the safety of patients by preventing falls. The PICOT question that will aid in finding an effective intervention is: In geriatric Hispanic patients, how effective is screening patients for risk of falls compared to not screening them in reducing incidences of falls in a period of six months? Evidently, the PICOT question is a significant model that will help determine an evidence-based nursing intervention that will improve patient care and positively portray a healthcare agency and the nursing practice. Nursing homework help

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P: Hispanic population based on this organization’s demographic

I: Fall risk assessment using right tools and educate patients regarding fall risks

C: What is other organization’s policy regarding prevention of fall

O: Fall incidents less than 3

T: 6 months

Evidence-Based Solution

Members of the Hispanic population are vulnerable to chronic conditions such as high blood pressure and diabetes which may lead them highly likely to be hospitalized due to the conditions. Therefore, they are the population that is disproportionately impacted by falls in the healthcare setting and specifically to this organization. Studies show that screening patients for falls are an effective procedure that reduces falls in hospitalized patients (Guirguis-Blake et al., 2019). It helps identify the ailing individuals at a high risk of falling, such as those who has history of frequent falls, syncopal episodes, those with a poor posture, and those with a poor gait secondary to comorbidities. Adequate measures are then put in place to ensure that these vulnerable individuals do not fall, such as activate bed alarms, educate patients to use call lights, educate regarding fall risk and possible prolonged hospitalization secondary to fall.  Nursing homework help

Nursing Intervention

Nursing interventions such as screening patients for falls are effective models for preventing patient falls in the clinical setting. This is because nurses are the primary caregivers of patients; hence their role in ensuring their safety is fundamental (Guirguis-Blake et al., 2018). Therefore, instilling a measure that will place nurses at the forefront of preventing patient falls is guaranteed to elicit positive outcomes in the treatment process. It is important that a nurse utilizes the tool to assess patient’s mobility before ambulating a patient. A nurse can use a tool such as BMAT (Bedside Mobility Assessment Tool) to determine the appropriate patient handling and mobility equipment or device to safely move or mobilize the patient (Perez, n.d). It is also imperative to educate patients regarding fall risks to prevent further damage to patient and follow up with evaluation of education by instructing them to verbalize and demonstrate the teaching. Patients will also benefit from prevention of fall if a nurse orient a patient to the room when they first get admitted. A nurse can activate bed alarm, utilize care view monitor, instruct them on how to use a call light when need help, stay with a patient until their business is done, and be quick to answer call lights to further prevent falls.

Health Care Agency

Healthcare agencies are tasked with the critical role of caring for ailing individuals. They are required to ensure that patients elicit positive outcomes during treatment processes. However, aspects such as patient falls reduce the effectiveness of services provided by healthcare agencies. Therefore, it is necessary to use evidence-based protocols such as preventing patients’ falls through interventions such as screening them for susceptibility to falls to prevent the negative occurrences and increasing the quality of care they receive (LeLaurin et al., 2019). The PICOT question will help unveil the evidence that can be applied in the clinical setting.

Nursing Practice

Identifying a problem and implementing interventions to advocate for patients is one of the most important tasks in nursing practice. Using the PICOT question to obtain evidence that will be applied in preventing falls in the clinical setting is a significant aspect that will ensure that the nursing practice is identified as a dependable profession that ensures that ailing individuals are cared for well. It will show that the nurses are at the forefront of ensuring that the nation’s health goals are met by using effective nursing interventions to ensure that patients receive quality care that aligns with their dynamic needs (Guirguis-Blake et al., 2018).

 

 

References

Guirguis-Blake, J. M., Michael, Y. L., Perdue, L. A., Coppola, E. L., & Beil, T. L. (2018). Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. Jama, 319(16), 1705-1716.

LeLaurin, J. H., & Shorr, R. I. (2019). Preventing falls in hospitalized patients: state of the science. Clinics in geriatric medicine, 35(2), 273-283.

Perez, A. (n.d.). BMAT- bedside mobility assessment tool – UCLA health. Retrieved March 13, 2022, from https://www.uclahealth.org/nursing/workfiles/ContinuingEducation2015/TeachBack/UmoveBMAT-TrainingPresentation.pdf

 

 

 

Nursing homework help

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Nursing homework help

Instructions (paper)

All resources use should be from Minneapolis Minnesota USA

  1. Paper format (20 points)
    • 3-5 pages (not including title and reference page) typed (12 Times Roman/Arial Font) in APA format
    • Title page and reference page
    • No spelling or grammatical errors
    • Paper outline similar to this:
      • Introduction
      • Community resources
      • Priority diagnoses, the goal and reason for the change
      • Realistic solution
      • Health education
      • Role of the nurse and community in the intervention
      • Conclusion
  1. Community resources (15 points)
    • Identified and analyzed
    • How will the resources support the intervention of your nursing diagnosis?
  2. Priority diagnosis, the goal for change, and rationale (15 points)
  3. Develop a realistic solution to your nursing diagnosis in a teaching manner (evidenced-based practice) (20 points)
  4. Describe the health education you will promote which follows from your nursing diagnosis (20 points)
  5. Describe the role of the nurse and other community members in the interventions (10 points Nursing homework help

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Instructions (PowerPoint)

All resources use should be from Minneapolis Minnesota

  1. Presentation (10 points)
    1. Colorful, clear and concise, free from errors
    2. Completely computer generated (with appropriate resources cited)
    3. Diagrams and other pertinent information that describes the health education you are promoting
  2. Description of the community (15 points)
  3. Community resources (10 points)
    • Identified and analyzed
    • How will the resources support the intervention of your nursing diagnosis?
  • Priority diagnosis, the goal for change, and rationale (15 points)
  • A realistic solution to your nursing diagnosis in a teaching manner (evidenced-based practice) (20 points)
  • Describe the health education you will promote which follows from your nursing diagnosis (20 points)
  • Describe the role of the nurse and other community members in the interventions (10 points

The assignment is research. You will use the windshield survey guideline attached for the assignment. Nursing homework help

 

Locate a community and identify the resource you think they are lacking and how the resource will benefit them. State the name of the community and the location.

 

Here are the rubrics:

 

1). The research should be 3-5 pages. 2). Type with 12 Times Roman/Arial Font. 3). Should be in APA 6th edition format. 4). Should have a title page, reference page, in-text citations, reference list. 5). No spelling or grammatical errors.

 

Here is the paper outline:

 

1). Introduction 2). Clearly identify and analyze the community resources. 3). Clearly identify the priority nursing diagnosis, the goal for the change, and the reason for the change. How will the resources support the intervention of your diagnosis. 4). Develop a realistic solution to your nursing diagnosis in a teaching manner (evidence-based practice). 5). Describe the health education you will promote which follows from your nursing diagnosis. 6). Describe the role of the nurse and other community members in the interventions. 7). Conclusion.

 

Please download the attachment, so that I can delete it.

 

 

Nursing homework help

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Nursing homework help

DQ#1 Tatiana:Yoga is an ancient practice that has been passed down over many generations for over five centuries ago. The term yoga encompasses aspects such as ‘yuj,’ which means unite, to symbolize the union of a person’s soul with the universal soul, leading to a state of consciousness (Fontaine, 2019). Yoga is related to health and illness. For instance, the World Health Organization defines health as a state of complete, mental, physical, and social well-being and not merely the absence of disease or infirmity; hence, it is evident that health is a multidimensional state (Yoga, 2021). Hence, it can be achieved by using a holistic approach to meet the needs of each of the dimensions. Nursing homework help

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Yoga is an appropriate intervention that guarantees positive outcomes in each dimension. Besides, yoga is a union of yama, asana, niyama, pratyahara, pranayama, dharana, Samadhi and dhyana (Yoga, 2021). Intense practice of such dimensions leads to self-realization. In this manner, yoga is a holistic way of life that leads to a state of complete social, physical, spiritual, and mental wellbeing. Yoga is used as a therapeutic intervention for modern diseases such as obesity, stress, hypertension, diabetes, chronic obstructive pulmonary disease, and coronary heart disease; besides, Studies show the significant role of yoga as a non-pharmaceutical intervention is essential in the treatment of such conditions (Kumar Taneja, 2014). To alleviate sickness or symptoms, yoga helps decrease stress, anxiety and lower the levels of salivary cortisol, including rennin levels. It also keeps epinephrine and norepinephrine levels in balance. Hence, effectively managing sicknesses such as coronary heart diseases, hypertension, and diabetes. Nursing homework help

 

DQ#2: Christian:Several activities and actions are used as complementary medications and they have abilities to yield the best possible results. One of them is meditation, and it is defined as the process of taking the mind away from the stressful points of life to focus only on that, which is helpful. In the former years, meditation was used as a spiritual activity to help the mind understand the mysteries of spiritual and religious aspects. Today, meditation is one of the major recommendations given by healthcare providers as the primary process for relieving the body of stress and bringing mental and physical healing to the whole body.

Meditation can take place in different forms including guided meditation, yoga, prayers, mantra meditation, Qi gong, mindfulness meditation, and Tai Chi among others. All these forms of meditation must have specific elements that include focused breathing, relaxed breathing, a quiet setting, a comfortable position, and an open attitude. The meditations can also be done in different formats including breathing deeply, scanning the body, repeating a mantra, walking and meditating, reading and reflecting, and placing focus on love and gratitude (Farias et al., 2020). Practicing any of these elements for a continuous period helps the body to remain healthy and scholars have argued that it can bring healing to people suffering from conditions such as anxiety, cancer, asthma, depression, chronic pain, high blood pressure, heart disease, tension headaches, and sleep problems (Kreplin et a., 2018).

Meditation mainly works by improving the ability of the body to fight infections and diseases. A clouded mind cannot fight infections as it leads to a weaker immune system. However, a peaceful and calm mind leads to a strengthened body that can fight any condition developing from other parts of the body.

 

DQ#3: Lisdiana:  In this scenario, when there is widespread worry about who may have sprayed graffiti outside the school compound, I would first examine material from various groups that appear to have an understanding of what is going on (Braga & Weisburd, 2006). I’ll choose a few people, primarily student leaders, and ask them if they’ve detected any questionable behaviour from any individual or organization. Because the graffiti appears to be familiar to me, I would examine it and compare it to what I observed at the recent drive-in meeting. I’ll also quiz the librarian to learn more about the physical copy she chose.

The cases have now made their way to Hometown High School (Braga, 2006). After scanning the numerous pieces of information, I gathered and analyzed the data in an attempt to determine what may be the root cause of this graffiti appearing on various structures. I’ll look at the parallels between the physical copy labels and the material they appear to represent. The contents will take me to the computer screen’s owner.

The third stage is to decide how to respond to the information acquired. As my first suspect, I’ll send the student with the computer screen name to interview him. Then I’ll summon the new student who appears suspicious based on his attire. I’ll ask the two to tell me where they were at the time of the crime. I’ll question about their associates, and if any of them does not have an alibi, they’ll be among my suspects, who will be brought before the disciplinary committee and punished ( Braga, 2006).

When attempting to analyze the issue, consider if the reaction was successful in resolving the problem. Assume there is a need to implement more safeguards to prevent similar crimes from occurring in the future (Santos, 2014). I will advise the school to install new security lights in strategic locations across the school grounds. Installing surveillance cameras and increasing school security will also aid in the prevention of such crimes.

 

DQ#4: Yirlem:  The five stages of the Kübler-Ross model denote the gradual acceptance of the loss, and the transition between the featured patterns is necessary to cope with the emotional distress. The text states: “a series of five stages—denial, anger, bargaining, depression, and acceptance—that people go through as they come to grips with their own imminent death” (James & Gilliland, 2017, p.380). The first stage is denial, and the individual strives to reject his condition or fact of the loss with logical arguments. The second stage is anger, and the person starts blaming his life or specific circumstances (Kübler-Ross, (2015). The third stage involves the individual’s willingness to delay or postpone the situation. The fourth and final stages denote the depression that ends with the acceptance of reality, and it can be acceptance of the loss or inevitable fact, like a terminal stage of a disease that has no cure.

There are different types of loss, and they depend on the specific situation and people, and the death of family members is not the only cause of these affections. The reading argues: “People commonly associate certain losses with strong feelings of grief” (Crowell, 2022). In turn, it can be a loss of a friend, child, parents, partner and the death of friends or family members. It is necessary to admit that the loss of a job, position, things, home and abilities is also a common type of grief. People share unique experiences and relationships, and their ends can be the cause of these negative emotions. For instance, the death of a favorite pet is also a type of loss, though it does not share the standard concept of friendship or kinship.