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Nursing Assessment

Nursing homework help

  1……..A patient is admitted to the unit. He is a diabetic on chronic hemodialysis. He has an Arteriovenous (A-V) graft, which is annulated each time he undergoes dialysis treatments. You notice an area on his graft arm that is red and warm to the touch. He states that he has had this on his arm for several weeks. He asked the dialysis staff about the area, but they told him to apply warm compresses to the site. The staff at the dialysis center continues to use the graft, but they are careful to avoid the area when they cannulate for his treatments. Now the patient presents with extreme low back pain, fever, nausea, and swelling of his lower extremities. On checking his fasting serum glucose, you notice that the reading is 159 (Normal fasting blood glucose range 64 to 110 mg/dl), and his white blood cell count is 36,000 (normal range is 4,500-10,000 white blood cells/mcl). He states that his sugars were normally well controlled, but in the past ten days he seems to be requiring more insulin.
  • How would you proceed with this patient?
  • What could be the underlying problem?

2……..This patient presents with an AV graft that is red and warm to touch.  He probably has cellulitis.  Cellulitis is a bacterial infection that can be staphylococcal or streptococcal in nature (Eden, 2014).  It is often marked by a reddened skin area that is warm-hot to touch.  For this patient, his WBC is already elevated at 36,000,  and he now presents with nausea and vomiting, fever, back pain, and lower extremity swelling. What started out as a local infection has now probably spread and become more systemic.  I would get a set of vital signs first. It is known that he is febrile; an accurate temperature would be important to know how high it is. It may require an antipyretic, like Tylenol or Ibuprofen. An elevated heart rate would be a normal finding for one with a fever. A low blood pressure would be an indicator of how aggressive the medical staff should respond. This patient could be on the verge of becoming septic; this would need to be ruled out. Additional labs would need to be drawn: Lactic acid ( used as an indicator for sepsis), blood cultures x 2 sets, chemistry panel, with magnesium and phosphorus. This is a renal patient; a baseline evaluation of his renal function and electrolytes would need to be established. A CBC has already been done.  This patient would definitely need antibiotics; once the blood cultures are drawn he could be started on a broad spectrum antibiotic.  Along with the vital signs, I would get a weight on the patient.  This is a renal patient who is presenting with edema to his legs. This could be due to his poor renal function, or it could be due to some other underlying cause. I probably would start the patient on a “gentle” rehydration bolus of IV fluids. Again, this is a renal patient. If this patient has not been feeling well, his oral intake may have been poor and he could have become dehydrated. This patient also complains of pain. A pain assessment would be performed. This patient would also be given analgesic for his pain as well as an anti-emetic for his nausea. Another consideration would be to place a vascular catheter to use until the AV graft could be further assessed for infection. A nephrologist or vascular surgeon would need to be consulted for that. Lastly, this patient’s blood sugars would need to be monitored and treated. It is normal response for a diabetic’s blood sugar to rise during an illness; consequently, his insulin requirements may increase as well.

Consider drugs used to treat asthmatic patients including long-term control and quick relief treatment options for patients

Nursing homework help

Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening symptoms. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors. One method that supports the clinical decision-making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To prepare:

· Consider drugs used to treat asthmatic patients including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients including adults and children.

· Review Chapter 25 of the Arcangelo and Peterson text. Reflect on using the stepwise approach to asthma treatment and management.

· Consider how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

What to do:

· Describe long-term control and quick relief treatment options for asthma patients, as well as the impact these drugs might have on patients.

· Explain the stepwise approach to asthma treatment and management.

· Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

Please pay attention to drug-drug interactions.

 

The NLH guidelines for asthma are a good reference.

– This work should have Introduction and conclusion

– This work should have at 4 to 6 current references (Year 2012 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Required Readings

Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

  • Chapter      18, “Otitis Media and Otitis Externa” (pp. 243-252)
    This chapter compares the causes and pathophysiology of two common ear      infections—otitis media and otitis externa. It also identifies types of      drugs used to treat these ear infections.
  • Chapter      24, “Upper Respiratory Infections” (pp. 259-374)
    This chapter explores the causes, pathophysiology, and diagnostic criteria      of two upper respiratory infections—the common cold and sinusitis—as well      as drug therapy for both infections. It also covers monitoring patient      response and patient education of drug therapy for these infections.
  • Chapter      25, “Asthma” (pp. 377-392)
    This chapter examines the causes, pathophysiology, pharmacogenomics, and      diagnostic criteria of asthma. It also outlines suggested drug therapy      plans for asthmatic patients.
  • Chapter      26, “Chronic Obstructive Pulmonary Disease” (pp. 395-406)
    This chapter explains the causes and pathophysiology of chronic      obstructive pulmonary disease (COPD). It also examines the process of      selecting, administering, and managing drug therapy for COPD patients.
  • Chapter 27, “Bronchitis and      Pneumonia” (pp. 407-424)
    This chapter begins by examining the causes, pathophysiology, and      diagnostic criteria of acute bronchitis, chronic bronchitis, and      community-acquired pneumonia. It then explores the process of selecting,      administering, and managing drug therapy for patients with bronchitis and      pneumonia.

Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

National Heart Lung and Blood Institute. (2007). Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma. Retrieved from http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm

This website presents guidelines for diagnosing and managing asthma and outlines treatment recommendations for specific age groups.

 How, or did, your previous nursing experience help you progress from the novice to proficient/expert APRN role?

Nursing homework help

 I need at least a  6-slide Microsoft® PowerPoint® presentation with detailed speaker notes. The professor wants us to individually locate a nurse practitioner, who has been practicing for at least 3 years, and conduct an interview with them using the questions developed by the team.    You need to interview a Nurse practitioner using the questions below and do 6-slide Microsoft® PowerPoint® presentation with detailed speaker notes.The 5 interview questions are below:

1.  How, or did, your previous nursing experience help you progress from the novice to proficient/expert APRN role?

2. What are the roles and functions of a nurse practitioner in your workplace? What are some of the challenges that you are currently facing and how do you handle them?

3. Does your employer require you to participate in ongoing competencies or nursing organizations? If so, how does this requirement add value to your APRN practice?

4. Are you currently in a leadership position that has the ability to bring positive changes in health policy for your patients?

5. Did you have any challenges developing positive interprofessional relationships in your transition from a novice APRN to a proficient/expert level? What opportunities do you have to build strong interprofessional relationships with physicians and other APRNs?

Add a  reference slide 

Discuss how the age of the female patient, demographics, race, and lifestyle will drive your exam and plan of care.

Nursing homework help

No Plagiarism please.

Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and and Include: (3 references within years 2015-2018) with intext citations.

 

The purpose of this unit is to focus on performing the necessary components of the women’s health exam and to learn to identify crucial exams and necessary age appropriate screenings for the women’s health client.

Discuss how the age of the female patient, demographics, race, and lifestyle will drive your exam and plan of care. (Pap smear screening)

Give examples and support with evidence-based practice. (Create plan of care for a young African American women that is sexually active, use example of higher incidence rate of cervical cancer in African-American women, also mention the benefit of HPV vaccinations).

CONHCP Program Competencies for the RN-BSN

Nursing homework help
This assignment requires you to interview one person and requires an analysis of your interview experience.

Part I: Interview

Select a patient, a family member, or a friend to interview. Be sure to focus on the interviewee’s experience as a patient, regardless of whom you choose to interview.

Review The Joint Commission resource found in topic materials, which provides some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Using this resource and any other guidelines/examples that you can find, create your own tool for assessing the spiritual needs of patients.

Your spiritual needs assessment survey must include a minimum of five questions that can be answered during the interview. During the interview, document the interviewee’s responses.

The transcript should include the questions asked and the answers provided. Be sure to record the responses during the interview by taking detailed notes. Omit specific names and other personal information through which the interviewee can be determined.

Part II: Analysis

Write a 500-750 word analysis of your interview experience. Be sure to exclude specific names and other personal information from the interview. Instead, provide demographics such as sex, age, ethnicity, and religion. Include the following in your response:

What went well?

Were there any barriers or challenges that inhibited your ability to complete the assessment tool? How would you address these in the future or change your assessment to better address these challenges?

How can this tool assist you in providing appropriate interventions to meet the needs of your patient?

Did you discover that illness and stress amplified the spiritual concern and needs of your interviewee? Explain your answer with examples.

Submit both the transcript of the interview and the analysis of your results. This should be submitted as one document. The interview transcript does not figure into the word count.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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

This benchmark assignment assesses the following competencies:

CONHCP Program Competencies for the RN-BSN:

5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

Who or what provides the patient with strength and hope?

Nursing homework help

This assignment requires you to interview one person and requires an analysis of your interview experience.

Part I: Interview

Select a patient, a family member, or a friend to interview. Be sure to focus on the interviewee’s experience as a patient, regardless of whom you choose to interview.

Review The Joint Commission resource found in topic materials, which provides some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Using this resource and any other guidelines/examples that you can find, create your own tool for assessing the spiritual needs of patients.

Your spiritual needs assessment survey must include a minimum of five questions that can be answered during the interview. During the interview, document the interviewee’s responses.

The transcript should include the questions asked and the answers provided. Be sure to record the responses during the interview by taking detailed notes. Omit specific names and other personal information through which the interviewee can be determined.

Part II: Analysis

Write a 500-750 word analysis of your interview experience. Be sure to exclude specific names and other personal information from the interview. Instead, provide demographics such as sex, age, ethnicity, and religion. Include the following in your response:

  1. What went well?
  2. Were there any barriers or challenges that inhibited your ability to complete the assessment tool? How would you address these in the future or change your assessment to better address these challenges?
  3. How can this tool assist you in providing appropriate interventions to meet the needs of your patient?
  4. Did you discover that illness and stress amplified the spiritual concern and needs of your interviewee? Explain your answer with examples.

Submit both the transcript of the interview and the analysis of your results. This should be submitted as one document. The interview transcript does not figure into the word count.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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

This benchmark assignment assesses the following competencies:

CONHCP Program Competencies for the RN-BSN:

5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

RUBRIC:

Tool for Assessing the Spiritual Needs of Patients CONHCP: 5.2

Tool for assessing the spiritual needs of patients is present and focuses on experiences of patients. The tool uses effective methods for gathering data that produces the results intended. A clear transcript of the interview is provided.

Analysis of Interview Experience

An analysis of the interview experience is included and addresses all of the points included in the assignment instructions. The analysis shows a deep understanding of the connections.

Thesis Development and Purpose

Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in command of standard, written, academic English.

Paper Format (use of appropriate style for the major and assignment)

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

QUESTIONS

  • Who or what provides the patient with strength and hope?
  • Does the patient use prayer in their life?
  • How does the patient express their spirituality?
  • How would the patient describe their philosophy of life?
  • What type of spiritual/religious support does the patient desire?
  • What is the name of the patient’s clergy, ministers, chaplains, pastor, rabbi?
  • What does suffering mean to the patient?
  • What does dying mean to the patient?
  • What are the patient’s spiritual goals?
  • Is there a role of church/synagogue in the patient’s life?
  • How does your faith help the patient cope with illness?
  • How does the patient keep going day after day?
  • What helps the patient get through this health care experience?
  • How has illness affected the patient and his/her family?

research the different nursing care facilities in your community

Nursing homework help

research the different nursing care facilities in your community. Discuss the pros and cons of the facility in terms of what they offer. Provide a brief report with the following questions:

• What is the basic rate for room, board, and services (it’s a good idea to get this information in writing)?
• What services are covered by this rate?
• Are there other services available and how much do they cost?
• What are the payment policies?
• What is the refund policy if someone leaves before the end of a month?
• What is the policy for rate increases?
• How long has the current administration been in place?
• Is there enough staff available to meet my needs?
• Is there frequent staff turnover?
• Is some level of nursing care provided (RN, LPN, Nursing
• Assistant)? How often is it available?
• Who will help me with medications if I need it (e.g. reminding me to take them, opening the bottle)?
• Can someone administer medications to me if I can’t take them myself (e.g. applying medication to my skin, putting a pill in my mouth)?
• Can someone help me if I need special care (e.g. caring for a wound)?
• What happens if I have an emergency? Can I get help right away?
• Are staffs suitably dressed, personable, and outgoing?
• Do the staff members treat residents with respect and dignity?
• Do staff members treat each other in a professional manner?
• What language does most of the staff speak?
• What type of help with personal care is available (e.g. bathing, dressing)?
• How flexible is the schedule for receiving help with personal care?
• What, if any, transportation services are available? (e.g. medical appointments, shopping, religious services).
• Will staff arrange for activities (e.g. hair appointment, concert)?
• How does the home support and accommodate personal hobbies?
• Are there regularly planned activities that I will enjoy?
• Will I be able to attend religious services of my choice?
• Can I bring my pet with me when I move?
• When can I have visitors?
• Are there shops, a library, a park, or other amenities within walking distance?
• Is the home close to activities I enjoy?
• Is the home on a bus line?
• Is there an outside area to sit, walk, or garden?
• Are there shops, a library, a park, or other amenities within walking distance?
• Is the home close to activities I enjoy?
• Is the home on a bus line?
• Is there an outside area to sit, walk, or garden?
• Is the floor plan easy to follow?
• Are doorways, hallways, and rooms accommodating to wheelchairs and walkers?
• Are there hand rails to help with walking and in the bathroom?
• Are cupboards and shelves easy to reach?
• Are there nonskid floors and firm carpets to assist walking?
• Does the home have good natural and artificial lighting?
• Is the home clean, free of odors, and well heated and cooled?
• Does the home meet my standards of cleanliness?
• Is the home free from obvious environmental hazards?
• Are the home’s rooms clean, safe, and adequate for my needs?
• Will I have free use of common areas, such as the kitchen, activity rooms, toilet facilities, dining room, or grounds?
• Can I smoke in my room or in common areas?
• What furniture is provided?
• Can I bring along some of my furniture or other personal items?
• Can I adjust the temperature of my room?
• Is there a sit-down shower?
• Can I have my own personal phone line or internet connection?
• Are emergency procedures clearly posted?
• Am I able to lock my room and/or are there locked areas in each room for personal valuables?
• Is the food pleasing, nutritious, adequate, and attractively served?
• What if I don’t like what is being served?
• Can I cook in my room?
• Are snacks available?
• Are there specific meal times or are they flexible?
• Is there a refrigerator available to store my personal food?
• Will the home meet my dietary or cultural food preferences?
• Can I request special foods?
• Do other residents socialize with each other and appear happy and comfortable?
• Do residents speak favorably of the facility?
• Do the residents look like people I want to live with?
• How are room changes and roommate concerns addressed?
• Is there a resident group that meets?
• Do any of the other residents have a history of violent or other problem behaviors? How are these situations handled by staff?

Identify a historical change or event that had significant impact on the development of nursing theory.

Nursing homework help

Tutor MUST have a good command of the English language

These are two discussion questions

Your DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please

Tutor MUST have a good command of the English language

These are two discussion questions

Your DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please

DQ 1

Identify a historical change or event that had significant impact on the development of nursing theory.  Discuss the effect of the change/event on nursing from that point forward, the contribution(s) to nursing that resulted, and how it relates now to successfully preparing the DNP for practice.

DQ 2

Provide one definition and an outline of the structure of theory. Debate the purpose of theory and your perspective on the role theory or the lack of theory in today’s nursing practice environment. What purpose (if any) does theory contribute to your area of nursing practice?

How would you establish an information management system?

Nursing homework help

After all the planning, which can sometimes take years, the implementation process begins. This phase is the cornerstone of all the previous work. Implementation does not necessarily mean that there is no further work needed to ensure success. Instead, implementation means monitoring each phase in the implementation process to ensure that everything is working as planned. In addition, it means measuring and evaluating to determine if there is a need to change the intervention strategies to increase the efficacy of the program. Implementation is also aligned with the theory and purpose of the program. This is, indeed, the longest phase of the health program process.

Using the readings for this week, the South University Online Library, and the Internet, obtain scholarly articles and materials to draw inferences and support your philosophy.

Respond to the following:

Assume that your healthcare organization is starting a health program on your selected health issue or health disease topic. You have been charged with leading a team to evaluate the health information technology issues related to that program. In your evaluation, consider the following:

  • How would you establish an information management system?
  • What steps would you take to establish your information management system?
  • How would you develop your budget?
  • How would you incorporate social marketing?
  • What would be your top three concerns about implementing health information technology?

Write a 1–2-paragraph response. Support your statements with appropriate examples and scholarly references. Comment on the postings of at least two peers with scholarly information.

Evaluation Criteria:

  • Explained how you would establish an information management system detailing the steps you would take.
  • Described how you would develop your budget.
  • Described how you would incorporate social marketing.
  • Explained your top three concerns about implementing health information technology.
  • Responses demonstrated an in-depth research and analysis of issues associated with implementing health information technology.
  • Justified your answers with appropriate research and reasoning.
  • Commented on the postings of at least two peers

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Evaluation Of Care Plan

Nursing homework help

An evaluation of plan effectiveness is now due.  In the evaluation component of the Capstone project, you are expected to evaluate the effectiveness of the intervention.  Some questions you should seek answers to are: 1.What barriers might you anticipate when implementing the intervention as planned? 2.What visible signs of success would you look for (for example, reduced health issues)? Describe them.  The evaluation component of the final paper should describe your evaluation of the implementation. Include responses to points 1and 2 above. The evaluation component of the final Microsoft Word submission document should be a minimum of 2 pages.  The complete summary document should use the Mobilize, Assess, Plan, Implement, Track (MAP-IT) steps used in pulling together your project.  Over the past nine weeks, you selected an aggregate and conducted a risk assessment of its health, developed a care plan to address those health risks, planned an implement one intervention in a small group from the aggregate, and considered the effectiveness of the intervention on the health of the small group. It’s time now for you to present your final submission of this Capstone project.  Your final submission comprises the documentation of the work accomplished through your Capstone project, a Microsoft Word Document that contains the evaluation and summary, a Microsoft PowerPoint presentation highlighting the main aspects of the project including the key things learned during the 10 weeks of working with this project.  The summary document should use the Mobilize, Assess, Plan, Implement, Track (MAP-IT) steps used in pulling together your project. The complete documentation of the work accomplished over the course of the project should contain a minimum of 6–7 pages in a Microsoft Word document and should include the following information: •A detailed description of the aggregate •A description of the aggregate’s strengths and weaknesses •A risk assessment of the aggregate •Diagnoses based on the risk assessment •A detailed care plan for the aggregate •A description of how at least one intervention was implemented in the aggregate to address an identified issue •An evaluation of how you would identify the effectiveness of the intervention  The Power Point presentation should be concise and should include the highlights of the Capstone project and the key things learned over the course of this project, from developing, implementing, and evaluating the care plan. Your presentation should not exceed 15 slides.