Category: Nursing

Describe the nursing interventions required to assess, prevent, and manage hypoglycaemia during Shaun’s post-operative phase of care. Consider the following:

Case based scenario essay

Describe the nursing and medical interventions for Shaun in the pre-operative phase. Consider the following:

· The maintenance of normal blood glucose levels (administration of insulin and carbohydrates (CHO) or equivalent Intravenous therapy (12 Marks)

· Frequency of blood glucose monitoring (2 marks)

· Reference to normal blood glucose levels (2 Marks)

· The recognition (signs and symptoms) of altered blood glucose levels should be considered (4 Marks)
A

ll written work must be supported by relevant and appropriate references.
20

Assessment, prevention, and management of post-operative hypoglycaemia:

Describe the nursing interventions required to assess, prevent, and manage hypoglycaemia during Shaun’s post-operative phase of care. Consider the following:

· Management of nausea and vomiting and re-introduction of diet and fluids (4 Marks)

· The frequency of blood glucose monitoring, prevention strategies such as appropriate CHO administration or intravenous fluid therapy), and insulin administration (including administration route) (9 Marks)

· Recognition of signs and symptoms associated with hypoglycaemia, and management of hypoglycaemia (5
Marks)

All written work must be supported by relevant and appropriate references.
20
Education for sick day management:

Provide the essential education needed to be given to assist Shaun and his family regarding his diabetes

management for future experiences of ‘sick days’. Consider the following aspects:

· Frequency of blood glucose monitoring during sick days (0.5 Marks)

· Modification of Insulin administration dosage (2 Marks)

· Appropriate examples of CHO dietary intake (1.5 Marks)

· When to seek medical attention (4 Marks)

· Educational resources (2 Marks)

All written work must be supported by relevant and appropriate references.
10
Education for exercise:

Provide the essential education needed to be given to Shaun and his family regarding his diabetes management before and after exercising. You need to consider:

· The frequency of blood glucose monitoring before and after exercise (3 Marks)

· CHO dietary intake before and after exercise (3 Marks)

· Recognition of hypoglycaemia (1 mark)

· Emergency CHO supply, first aid management of hypoglycaemia and education of significant others should be considered (3 Marks)

All written work must be supported by relevant and appropriate references.
10
Conclusion:

Provide a brief summation of the case study. No new material is to be introduced.
2.5

Referencing:
All in-text citations, quotes and references are in APA 7th edition style.
All references are reputable, current (5 years or less), and relevant.
Minimum of eight (8) references are used to support presentation of material.
5
Presentation/Grammar/ sentence structure:

The academic paper is presented with a title page and is formatted with double spacing.

Appropriate use of specific academic language, nursing terminology, accurate spelling, grammar, and punctuation.

The information is presented in an articulate logical manner to aid the reader’s understanding. Work is written in the third person.

Word count (not including reference list) is 10% within of required word limit.

Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.

Case Study: Mrs. J.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD).

Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances.

She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

Is very anxious and asks whether she is going to die.

Denies pain but says she feels like she cannot get enough air.

Says her heart feels like it is “running away.”

Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

Height 175 cm; Weight 95.5kg.

Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.

Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.

Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.

Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

IV furosemide (Lasix)

Enalapril (Vasotec)

Metoprolol (Lopressor)

IV morphine sulphate (Morphine)

Inhaled short-acting bronchodilator (ProAir HFA)

Inhaled corticosteroid (Flovent HFA)

Oxygen delivered at 2L/ NC

1. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

2. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.

3. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed.

Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.

4. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.

5. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.

Outline a proposal for health education that can be used in a family-centered health promotion to address the issue for the target population (teens) .

Sexual transmitted infections

Outline a proposal for health education that can be used in a family-centered health promotion to address the issue for the target population (teens) .

Ensure your proposal is based on evidence-based practice. (A proposal for health education for a family-centered health promotion to address the issue for the target population is presented.

It is supported by evidence-based practice and relevant to the target population. There are minor inaccuracies.)

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Describe the nursing theorist, major concepts, definitions, assumptions and propositions found in the theory. Incorporates how the theory fits the project purpose.

Barriers to Seeking Mental Health Treatment

Use nursing theorist Ken WIlber’s Integral Model

Provide an introduction (begins with: The purpose of this paper is to_____, and then outlines the main points of the paper) and conclusion

Describes the nursing theorist, major concepts, definitions, assumptions and propositions found in the theory. Incorporates how the theory fits the project purpose. Uses a primary source (theorist’s own writing).

Primary: original, first-hand; the author of the source generated the research data they are using.

Secondary Research: This is when an author of the source you are using gathers existing data, usually produced by someone else, and they then report, analyze, or interpret that other person’s data

All metaparadigm concepts (person, health, environment and nursing) are defined according to the theorist and student develops their own definition (operational) for concepts

Use subheadings

APA format should be used including a title page, and references. A running head is not needed

What gene mutation is associated with cystic fibrosis? How does this affect mucus production?

BIOS 256 Case Study 7

A 2-week-old has an abnormality on her universal newborn screening lab test that indicates she may have cystic fibrosis.

She is currently doing well. Her parents report that in the hospital she did not pass her first bowel movement until the 3rd day of life and that the staff was concerned about that.

Her parents have noted that she “tastes salty” when they kiss her.

Physical:

Appears healthy with good growth.

Labs:

Sweat chloride and genetic testing for cystic fibrosis ordered.

Assessment: Cystic fibrosis

Deliverables

Answer the following questions based on the scenario and article above and save your responses in a Microsoft Word document.

Provide a scholarly resource in APA format to support your answers.

Define genotype.

Define phenotype.

What gene mutation is associated with cystic fibrosis? How does this affect mucus production?

How is cystic fibrosis inherited?

Describe 3 problems that a patient with cystic fibrosis may have-choose 1 problem from 3 different body systems.

What barriers prohibit the patient from opening up regarding the abuse, and how can you address these barriers through the assessment process? What is your responsibility if you suspect abuse?

Discussion: Patient Safety and Abuse

Patient safety is of utmost importance. Put yourself in this scenario.

While you are completing an admission, you notice a number of unusual bruises and several abrasions on the patient.

After reviewing the module resources, consider how you would approach the topic with the patient.

What barriers prohibit the patient from opening up regarding the abuse, and how can you address these barriers through the assessment process? What is your responsibility if you suspect abuse?

What educational resources are available to you as a nurse in your current setting or in your state? What educational resources are available to the patient in your setting?

Develop the skills required to demonstrate self-management in a variety of settings.

ASSIGNMENT BRIEF

This is a 1000 (+ or – 10%) word case study which is ideally based upon the episode of care that you have completed in practice, in you MYEPAD.

IF this has not yet been undertaken, focus on a patient or client for whom you have provided an episode of care during your placement.
Learning Outcomes:

1. Under supervision, begin to develop basic competence skills in assessment, and the safe delivery of foundational practice.

2. Develop the skills required to demonstrate self-management in a variety of settings.

Through the case study, acknowledgement of the important elements of patient care, as well as building on one’s knowledge base can be demonstrated.