Category: Nursing

Explain how an alteration in respiratory rate can compensate for an acid- base imbalance.

BIOS 256 Case Study 5

History:

A 4-week-old has been vomiting repeatedly for the past several days. It is getting worse. Today it occurs immediately after nursing and is so forceful it shoots across the room! He appears ravenously hungry, and drinks vigorously, but immediately vomits again.

Physical Exam:

Infant has evidence of dehydration. On abdominal exam there is a small, firm, “lump” that can be felt in the upper abdomen.

Labs/tests:

An abdominal ultrasound shows thickening of the pylorus

Assessment:

Pyloric stenosis

Consider the effect that repeated vomiting would have on the electrolytes of the body.

He will need to receive IV fluids to correct his dehydration and electrolyte imbalances before heading to surgery to relieve the obstruction.

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.

Understanding that HCl is produced in the stomach and that he has been vomiting his stomach contents, predict the acid/base imbalance that repeated vomiting will cause.

Predict the effect on blood chloride level from repeated vomiting?

“Normal saline” is often used to treat dehydration. What does it mean for the saline to be “normal”?

Research to discover signs or symptoms of dehydration. List 3.

Explain how an alteration in respiratory rate can compensate for an acid- base imbalance.

Required Software

Microsoft Office: Word

Discuss the role and importance of research in the healthcare field, specifically for nurses, nurse educators, and nurse leaders. What role does research play in your own nursing role?

1. Identify and share the problem you have chosen to address for the Capstone paper. Discuss why you chose this problem and why you think it is important to address or solve.
2.
3. Discuss the role and importance of research in the healthcare field, specifically for nurses, nurse educators, and nurse leaders. What role does research play in your own nursing role?

Discuss why the policy is financially sound and explain how the policy incorporates the nursing perspective and relevant ethical, legal, and political factors. Provide rationale to support your explanation.

A Benchmark On Diverse Population Health Policy Analysis

Select a current or proposed health care policy that is designed to provide equitable health care for a diverse population. Create a 12-15-slide PowerPoint presentation discussing the health care policy and how it improves a specific population’s access to quality, cost-effective health care.

Create speaker notes of 100-250 words for each slide. Include additional slides for the title and references.

Include the following in your presentation:

Describe the policy selected.

Discuss the diverse population that will be affected by this policy.

Explain how the policy is designed to improve cost-effectiveness and health care equity for the diverse population.

Discuss why the policy is financially sound and explain how the policy incorporates the nursing perspective and relevant ethical, legal, and political factors. Provide rationale to support your explanation.

Describe what state, federal, global health policies, or goals the policy is related to and explain the degree to which each helps achieve equitable health care for the diverse population.

Discuss advocacy strategies for improving access, quality, and cost-effective health care for the diverse population selected.

Discuss the professional and moral obligation of master’s prepared nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective.

You are required to cite eight peer-reviewed sources to complete this assignment.

Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Using the mid-range theory, describe how an advanced practice nurse would facilitate the outcomes identified in the broad theory. (A diagram of theories as they are applied to the client may be included).

Critique of Nursing Theories and PowerPoint Presentation

Students will apply the following guidelines to the critiques of nursing theory:

1. Introduction

2. Select a grand or broad theory and a mid-range theory of nursing practice.

3. Use the “Guide for the description of Theory” and “Guide for the Critical Reflection of Theory” (Chinn & Kramer, 2018, Chapter 8) to critique the theories selected.

4. Compare and contrast the broad and mid-range theory.

5. Using the broad theory as a framework, describe a client situation and expected outcomes.

6. Outline the process of advanced practice as articulated within the theory selected.

7. Using the mid-range theory, describe how an advanced practice nurse would facilitate the outcomes identified in the broad theory. (A diagram of theories as they are applied to the client may be included).

8. Conclusion

The body of the paper should not exceed 8 pages. Grading is according to the Grading Rubric for Written Assignments found in the first content section

Presentation Guidelines
Students will prepare a presentation of the nursing theory critique using PowerPoint.

The presentation should be no longer than 20-25 minutes in length or 20 slides (excluding the title and reference slides).

Explain the role that The Joint Commission (TJC), Core Measures, The Agency for Healthcare Research and Quality (AHRQ), The National Quality Forum (NQF) plays in health care organizations.

Quality Care Outcomes & Advocacy

Write at least 200 words on one of the questions below being sure to answer all aspects of the question. It is a good practice to write your post in Word and then copy/paste into Canvas so you can spell-check.

You must include 2 scholarly references in your initial post. Your scholarly reference must be from a current (last 5 years) nursing or medical journal.

You may use your texts as additional references. Everything must be cited in APA format.

1. Explain the role that The Joint Commission (TJC), Core Measures, The Agency for Healthcare Research and Quality (AHRQ), The National Quality Forum (NQF) plays in health care organizations.

You can visit this website for more information: Facts about Quality Check and Quality Reports

Compose a brief summary that must at least include the purpose of the article, the population studied, the type of treatment used, results, the author’s conclusion, and a reflection as to how this information may inform your practice. 

Trauma focused therapy

For this module, you read about trauma focused therapy in your Wheeler text.

Given the recent pandemic and its’ sequelae,  suspect that we might be hearing and learning more about trauma informed care in this context. For this discussion board assignment,  search the literature to find one article that concerns psychotherapy (or a psychosocial intervention) and trauma. Although we have psychotherapies that are trauma-specific, such as CPT (Cognitive Processing Therapy) and EMDR, you can choose any type of psychosocial intervention that interests you (such as yoga and PTSD, for example).

Consider all of the different theoretical orientations we have studied to date, or even ones we didn’t get a chance to learn about yet in Corey, such as Post-Modern, Feminism, and Transactional Analysis, etc.)- you may find some interesting studies. There is a lot of information on PubMed, but you may consider doing a search within our virtual library under Psychology (as opposed to Nursing & Medicine).

The trauma does not have to be in the context of COVID and you can choose any type of article you like provided that it is scholarly.

post a PDF of the article and compose a brief summary that must at least include the purpose of the article, the population studied, the type of treatment used, results, the author’s conclusion, and a reflection as to how this information may inform your practice.

include a reference in APA format.

 

USE THE ATTACHED BOOK AS WELL FOR ASSIGNMENT AND CITE.

USE ONE ARTICLE AND THE WHEELER TEXTBOOK PDF ATTACHED.

What is the condition or disease you are interested in? Intervention or exposure.What do you want to do with this patient (e.g. treat, diagnose, observe)? Comparison

Diabetes PCOT

PICOT Question: Management of Diabetes to prevent diabetes related complications
Patient, Population or Problem

1. What are the characteristics of the patient or population?

2. What is the condition or disease you are interested in?
Intervention or exposure

3. What do you want to do with this patient (e.g. treat, diagnose, observe)?
Comparison

4. What is the alternative to the intervention (e.g. placebo, different drug, surgery)?
Outcome

5. What are the relevant outcomes (e.g. morbidity, death, complications)?

6. Ensure that the research question is answerable, feasible and clinically relevant

What is your assessment to Mario Super? What is his score?

SCENARIOS FOR HENDRICH FALL RISK ASSESSMENT

Week 2 Discussion/Assignment is focused on Patient Safety.

According to World Health Organization (2019) Patient safety is the absence of preventable harm to a patient during the process of health care and reduction of risk of unnecessary harm associated with health care to an acceptable minimum.

Nursing daily activities revolves of providing patient and his environment the optimum care preventing avoidable events such as falls.

Customarily, fall risk assessment is done during patient’s admission, transfer or discharge or any change of clinical condition. In this assignment, a scenario will depict the patient health circumstance and based on your assessment, your score will determine the patient’s risk of falling. You will use Hendrich Fall Risk Tool in determining this. See below.

This assignment is due today, Saturday, July 17, 2021 on or before 5:00pm.

Advantages of these pathways / tools / core measures

• Reduce variation and standardize care

• Provide efficient and evidenced based-care

• Improve outcomes

• Educate staff as to best practices

• Improve care planning

• Facilitate discussion among staff

Scenario 5

Mario Super, 34 y/o male is admitted to surgical step down unit after having a radical prostatectomy procedure.

He has history of prostate cancer, HTN and seizure disorder and is maintenance of Leviteracetam 500mgs po twice a day. He is awake, alert x4 and moves all his extremities.

He is on morphine PCA for pain management, he has nasal cannula at 2 liters per minute and ETCo2 (end-tidal Co2) monitoring. Also, he has a foley catheter with blood -tinged urine output noted with 40-50 mls every hour.

He has his family visiting during your rounds and asked you if it is okay for him to walk around the unit later when his family leaves.

Based on Hendrich II Fall Risk Tool, what is your assessment to Mario Super? What is his score?

List five preventive measures you will initiate for fall precautions.

Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse.

week 1

Consider the evolution of the U.S. health care system.

Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse.

Project what major evolving trends in the health care delivery system will affect nursing practice and how advanced registered nurses will influence the direction of health care.

Briefly evaluate the public health response to COVID-19 in the U.S. Has it been a successful response? Why or why not?

 

The COVID-19 pandemic brings public health emergency preparedness and response to the forefront.

Based on a review of current COVID-19 literature and your personal experience with the pandemic, write a post responding to the following prompts:

How has this disaster (pandemic) impacted different populations in the U.S.?

List vulnerable populations that have experienced a significant impact from COVID-19 and discuss one population in greater detail.

Briefly evaluate the public health response to COVID-19 in the U.S. Has it been a successful response? Why or why not?