A Potential Problem Related To This Procedure Includes Impaired Tissue Perfusion Related To Haematoma Formation Or Bleeding 18782711

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The simulation scenario involved Mr Bright who had just undergone an angioplasty. A potential problem related to this procedure includes impaired tissue perfusion related to haematoma formation or bleeding. 

     

You are required to find five (7) contemporary, valid research journal articles (no older than 7 years) relating to the care of the     

patient undergoing angioplasty. Read the articles focusing on the assessment elements of care required post procedure.     (Don’t forget to link your assessment reasoning to anatomy and physiology and pathophysiology). 

 
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A Soap Note Case Study

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In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

Abdominal Assessment

SUBJECTIVE:

· CC: “My stomach hurts, I have diarrhea and nothing seems to help.”

· HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.

· PMH: HTN, Diabetes, hx of GI bleed 4 years ago

· Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs

· Allergies: NKDA

· FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD

· Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

OBJECTIVE:

· VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs

· Heart: RRR, no murmurs

· Lungs: CTA, chest wall symmetrical

· Skin: Intact without lesions, no urticaria

· Abd: soft, hyperctive bowel sounds, pos pain in the LLQ

· Diagnostics: None

ASSESSMENT:

· Left lower quadrant pain

· Gastroenteritis

· PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

To prepare:

With regard to the SOAP note case study provided:

· Review this week’s Learning Resources, and consider the insights they provide about the case study.

· Consider what history would be necessary to collect from the patient in the case study.

· Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

· Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

To complete:

1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.

2. Analyze the objective portion of the note. List additional information that should be included in the documentation.

3. Is the assessment supported by the subjective and objective information? Why or Why not?

4. What diagnostic tests would be appropriate for this case and how would the results be used to make a diagnosis?

Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature 

 
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A Potential Problem Related To This Procedure Includes Impaired Tissue Perfusion Related To Haematoma Formation Or Bleeding

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The simulation scenario involved Mr Bright who had just undergone an angioplasty. A potential problem related to this procedure includes impaired tissue perfusion related to haematoma formation or bleeding. 

     

You are required to find five (7) contemporary, valid research journal articles (no older than 7 years) relating to the care of the     

patient undergoing angioplasty. Read the articles focusing on the assessment elements of care required post procedure. (Don’t forget to link your assessment reasoning to anatomy and physiology and pathophysiology). 

 
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A Viable Social Media Strategy Qn 6 Pages By Sunday 28th April 2019

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Check details attached and follow all instructions properly. GOOD GRAMMAR, NO PLAGIARISM, AND CORRECT REFERENCING is required.

Kind Regards.

 
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A Walk Through The Steps Of A Nursing Research

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Please In 2-3 paragraph respond to this post : 

A Walk Through The Steps of a Nursing Research Study-2.docx 

What have you learned and will it make a difference?

In my welcome letter to you, I indicated that every class should change your thinking about the focus of the class. Again read the provided ” A Walk Through The Steps of a Nursing Research Study”.  This is the same document you were provided during Week 1. Has your ability to read with understanding changed? Briefly share your thoughts regarding this experience. In this discussion forum  from a “qualitative approach” briefly reflect on what you have learned about nursing research, evidence based nursing and its impact on you as a professional nurse earning a baccalaureate degree in nursing.  From a “quantitative approach”, reflect on your response to the scale of your reading and understanding of nursing research you identified in week 1. How has it changed? What activities most contributed to your enhanced knowledge base?  

Additionally, I would like you to discuss your preparedness to respond to the Institute of Medicine’s mandate that “Participants have set a goal that, by the year 2020, 90 percent of clinical decisions will be supported by accurate, timely, and up-to-date clinical information, and will reflect the best available evidence* (IOM, 2007).   What strategies can you personally implement to address this mandate on a personal/professional level beyond obtaining your baccalaureate degree in nursing? What is the state of your employing institution (no need to name your institution-just identify if it is an acute care setting, long term setting etc) in addressing this mandate since it was initiated in 2007 and with only 1 year left?  Will your employing institution meet the mandate? Initiate a discussion regarding this mandate with a managerial/administrative/ person in your employing institution to gain their perspective on evidence based practice. Here is a website that you can select to review to gain information on this directive. If possible, informally ask some of your nursing colleagues if they are aware of the mandate. What challenges do you foresee to the implementation of evidence-based nursing practice in your workplace?

http://www.ncbi.nlm.nih.gov/books/NBK52821/

Lastly, discuss how you would identify the “best available evidence” and what is the  significance of “Level of Evidence” as it relates to evidence that informs your nursing practice. 

It is expected in this forum that you use/implement the appropriate nursing research terminology. Hint: consider your words like research, prove etc. 

Also my initial respond about level of understanding of  article”A Walk Through The Steps of a Nursing Research Study-“from week 1 was: 

“I read the document ” A Walk Through The Steps of a Nursing Research Study”, my comfort level in reading and understanding this document was satisfying me since I got all explanation very organized and well formated that made it easy to read and get the idea.My knowledge base of nursing and all types of researches was my effective tool to understand most of the document. From quantitative approach I can rate my comfort level 8 out of 10, which I am still happy to this level of understanding.”

Now by the end of this course is expected that my level of understanding increased, so you know how to answer this question compare to my initial post from first week.

 
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A Woman Went To The Emergency Room For Severe Abdominal Cramping She Was Diagnosed With Diverticulitis However As A Precaution The Doctor Ordered A Cat Scan The Cat Scan Revealed A Growth On The Pancreas Which Turned

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A woman went to the emergency room for severe abdominal cramping. She was diagnosed with diverticulitis; however, as a precaution, the doctor ordered a CAT scan. The CAT scan revealed a growth on the pancreas, which turned out to be pancreatic cancer—the real cause of the cramping.  Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time-consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen

 
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A What Is Proper Etiquette For A Job Interview B Whats Good Behavior In A Behavioral Job Interview

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Answer the following questions in your recorded interview OR A WRITTEN STATEMENT :

IF YOU CHOOSE TO SUBMIT THE ASNWERS IN A WRITTEN FORMAT SHOULD BE ON AN APA TWO SPACE FORMAT, WITH

COVER PAGE AND REFERENCE PAGE PERTINENT TO THE TWO QUESTIONS ADDED FOR THOSE OF YOU SUBMITTING

THE WRITTEN VERSION.

QUESTIONS FOR THOSE SUBMITTING THE WRITTEN ASSIGNMENT VERSION ARE A AND B:

A. What is proper etiquette for a job interview?

B.  What’s “good behavior” in a behavioral job interview?

1.   Tell me about yourself; please include years of experience as a nurse and   your previous work history.

2.   Where do you see yourself in 5 years? Please describe plans for education and   career advancement in the near future

 3.   What are your career aspirations?

4.   How do you handle stress in the healthcare setting? 

5.   What clinical skills do you possess that will be most beneficial to this   clinical practice?

6.   What are your strengths and weaknesses?   

7.   Describe how you handled a difficult situation that has involved a patient,   physician or family member? 

8.   How do you get along with your staff at your current position? 

9.   Why should we hire you? 

10.   What salary are you seeking? 

 
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A Writing Between 200 250 Words

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 POST YOUR PERSONAL GOAL STATEMENT HERE THAT INCLUDES THE CORRECT USAGE OF CONNECTORS SUCH AS:  SEMI-COLONS, COMMAS, COLONS, SUBORDINATING CONJUNCTIONS, CONJUNCTIVE ADVERBS, AND TRANSITIONAL DEVICES (ALSO CALLED CONJUNCTIVE ADVERBS).  YOUR WRITING SHOULD BE BETWEEN 200-250 WORDS IN TOTAL.   

 
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A1c10

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