Ob 19105285

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Part 2: Objective information:
 Fetal heart tones are 130, with minimal variability
 Vaginal exam is 4 cm/90%effaced/ -1 station
 She is complaining of pain – 8/10 on a numerical scale.
 An IV has been started with an 18 gauge catheter with 1 liter of Lactated Ringers at 150 ml per hr in left forearm.

 

How can you provide non pharmacological comfort to this patient?
 What are the pharmacological methods to use?
 Without prenatal records or history GBS is unknown. What must you provide?
 Contractions are 5 minutes apart and you receive an order to augment labor – what non pharmacological methods can you employ (or ask the MD to provide?)
 Pitocin is ordered, please include at what rate you will start Pitocin, and how often you titrate. What equipment is needed to hang and run Pitocin IV?

Part 1: 25 y/o presents to Labor and Delivery with complaints of uterine cramping and lower back pain. Denies any vaginal bleeding at this time. Has related history of a preterm birth at 32 weeks gestation with her last pregnancy. The baby is 3 years old now and has no developmental issues.
 Her current gestational age is 30 weeks.
 She is O+ and all other lab values are normal. No noted STI’s.

1. Group Beta Strep is missing from the labs – most often is obtained at 35 – 37 weeks gestation.
 2. Without this information it is often determined to treat the patient anyway – presumptively to protect a premature baby from the risk.
 3. What other information would you like to ask her?
 4. What nursing intervention will you provide?
 5. What screening tests are often obtained to help determine her risk for preterm labor.
 6. And if it is determined she is in preterm labor what medications may you want to use with a doctors order?
 7. Please also give dose, side effects and possible result of the medication.

 
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Occuoational Hazardlower Back Injuries In Carpenters

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  topic is lower back injuries in carpenters

 The assignment should consist of
 

(i) A brief description of the industry, processes, tasks, equipment and workgroup (up to 500 words).
 

(ii) An overview of the nature of the hazard and the potential health effects which may arise from exposure, as described in the scientific literature. (up to 500 words)

You must outline the strategy you adopted in searching the literature (up to 200 words)
 

(iii) How the risk is assessed. (up to 500 words)
 

(iv) The practicalities of controlling the hazard. (up to 500 words)
 

(v) A critical overview of the problem e.g. In your opinion, are problems such as these being assessed and managed adequately at present? What research, if any, is called for? (up to 300 words)
 

(vi) References. Presented in standard format. e.g. Author, Date.

 

The assignment should not exceed 2500 words in length (excluding tables, figures and references).
You should aim for 2000 words.

 Important: This assignment is designed to promote your understanding of how to do a rapid search of the scientific literature, interpret exposure levels in relation to standards and how to write a report of a professional standard. It is expected that students will have already conducted a search using Medline (PubMed) or Scopus.

Higher marks will be awarded for depth rather than breadth. It is also more interesting for the reader. The more specific you can be about the problem in a particular context (including your own perspective if it is your workplace) the better.

 
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Ocate A Model Of Practice That You Could Apply To Nursing

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Models of Practice

 What is a model?

A model demonstrates the researcher’s interpretation of how concepts are related to one another and are developed based on qualitative research. Models often are precursors to theory development.

Three of the most prominent nursing models categorized as focusing on goals and functions include Florence Nightingale’s environmental model of nursing, Dorothy Johnson’s behavioral system model, and Nola J. Pender’s health promotion model.

Directions

In this assignment, you will locate a model of practice that you could apply to nursing. It does not need to be a nursing model. Models of practice can be found in leadership, business, education, and technology. You will explain why you have chosen the model and apply the model to your advanced practice role in the template provided.

In the first row, in the first column, write the name of your chosen model. An example has been provided in the first rows to guide you. Please remove the examples when entering your information

In the first column of the template table, list the characteristics of the model you have chosen with a source/s of support. In the second column, list an application to your advanced nursing practice role upon graduation with a source of support/s.

Assignment Details

For this Assignment, your paper must be 2 to 3 pages, not including the title and reference pages. 

 
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Obstetrics

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Discussion: Health Promotion During Pregnancy

When caring for pregnant women, it is important to care for the whole person. This means you not only manage the pregnancy and treat conditions, but you also promote healthy behaviors and good lifestyle choices. Through health promotion, you can help to ensure the safety of both the mother and the baby. Your role in health promotion is to identify health risks that might result in pregnancy complications, educate patients on these risks, and provide the necessary support to help patients mitigate these risks. In this Discussion, you examine implications of drug use, alcohol consumption, dietary habits, and environmental exposures during pregnancy, and you consider ways to educate pregnant women about such risks.

To prepare:

  • Review Chapter 2 of the Tharpe et al. text and the article from the Centers for Disease Control and Prevention in this week’s Learning Resources.
  • Consider lifestyle changes that pregnant women must make in relation to smoking, drinking, taking drugs (legal and illegal), eating habits, and caring for pets. Select one of these topics to be the focus of an educational media piece you would create for health promotion during pregnancy.
  • Think about the patient population that you treat within your practicum setting. Consider ways to educate these patients on health promotion as it relates to the topic you selected. Then, consider the types of educational pieces, such as flyers, posters, public service announcements, or other media, that might be most effective with your patient population.
By Day 3

Post a detailed description of the educational media piece you would create for health promotion during pregnancy. Explain why you selected the particular topic, as well as why you selected the type of media and how and why it is suitable for your patient population.

 
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Obstetrics Nursing

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For the Key terms and Abbreviations:

  1. Briefly define the key terms for Obstetrics. Please it is very important that you define ALL terms in relation to obstetrics. 
  2. Explain the term and what it means for OB in your own words.  Do not cut and paste definition from someplace else.  
  3. For the abbreviations, identify what the initials stand for with regard to obstetric.  You do not have to define the abbreviations.
 
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Obstacles Or Barriers To Implementing Ebp In Nursing

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 What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information. 

 
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Obstacles In Ehrs Implementation

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Discuss the major local, national, and international obstacles to implementing standardized terminologies within EHRs.

 
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Obsessive Compulsive Disorder Research Paper

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I am looking for someone to assign in a writing a research paper in the following subject Obsessive compulsive disorder. Please see the rubric below..

 
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Obsessive Compulsive Disoder

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 obsessive-compulsive disorder

In 3–4 pages, write a treatment plan for your client in which you do the following:

  • Describe the HPI and clinical impression for the client.
  • Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
  • Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
  • Identify medical management needs, including primary care needs, specific to this client.
  • Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
  • Recommend a plan for follow-up intensity and frequency and collaboration with other providers.
 
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Observational Study Designs

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Observational Study Designs

A clinical pediatric nurse has noticed a rise in childhood cancer diagnoses among the Hispanic population served by the local clinic. The nurse is concerned about this increase in cancer incidence in the patient population and turns to the literature to explore current research on this topic. The nurse finds through the reading that there appears to be an association between parental smoking and childhood cancer and wonders if this could be the cause of the rise in cases.

This type of suspected association between a risk factor (exposure) and a particular outcome (childhood cancer) can be evaluated using an observational study design. This week, you were introduced to observational study designs used in epidemiology. For this Discussion, you will identify an epidemiologic association of interest (e.g., smoking and lung cancer, obesity and heart disease, hormone replacement/modification therapy and breast cancer) and determine an appropriate observational study design for exploring that association.

To prepare:

  • Review      the different types of observational study designs presented in the      Learning Resources: ecologic, cross-sectional, case-control, and cohort.
  • Carefully      examine the characteristics, strengths, and limitations of each design.
  • Consider      an association between a risk factor and a particular health outcome that      is of interest to you. Then, select the observational study design you      think would be the most appropriate for exploring this association.
  • Consider      how using observational study designs can lead to improvements in      population health.

By tomorrow 03/14/2018 12 noon, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below:

Post a cohesive response that addresses the following:

1) Identify the association between the risk factor and health outcome you selected and suggest which observational study design you feel is most appropriate for examining that association.

2) Support your selection of the observational design, noting its strengths and limitations for addressing the health problem.

3) What might you be able to learn by using your selected study design that might lead to improvements in population health? Support your response with evidence from the literature.

Required Readings

Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.

Chapter 6, “Study Designs: Ecologic, Cross-Sectional, Case Control”

Chapter 7, “Study Designs: Cohort Studies”

Chapter 6 presents an overview of analytic study designs used in epidemiology, differentiating between experimental studies (which will be addressed next week) and observational studies (the focus of this week). In the chapter, the authors address three varieties of observational studies—ecological, cross-sectional, and case control. Chapter 7 addresses cohort studies, another form of observational design.

Doll, R., & Hill, A. B. (1999). Smoking and carcinoma of the lung. Bulletin of the World Health Organization, 77(1), 84–93.

This landmark case-control study established the relationship between smoking and lung cancer.

Framingham Heart Study. (1998). Epidemiological background and design: The Framingham study. Retrieved from https://biolincc.nhlbi.nih.gov/static/studies/framcohort/Epidemiological_Background_and_Design.pdf

The Framingham Heart Study is one of the first and largest cohort studies that measured the distribution of suspected risk factors in a large population and then tracked the development of heart disease in that cohort.

Papathanasiou, A. A., & Zintzaras, E. (2010). Assessing the quality of reporting of observational studies in cancer. Annals of Epidemiology, 20(1), 67–73. 

In this article, the authors assess the quality of reporting of observational cancer studies, noting opportunities for improvement.

Von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007). Strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Annals of Internal Medicine, 147(8), 573–577.

A consortium of scientists and medical researchers created a checklist of 22 recommended items that should be included in reports about three common observational study designs: case-control, cohort, and cross-sectional studies. This collaborative effort is an important step toward the goal of improving the quality, credibility, and generalizability of analytical research.

Healthy People 2020. (2011). Topics & objectives index. Retrieved from http://healthypeople.gov/2020/topicsobjectives2020/default.aspx

Healthy People 2020 focuses on improving population health locally and nationally. Review the topics and objectives of Healthy People 2020 as you prepare for Assignment 2.

Required Media

Laureate Education, Inc. (Executive Producer). (2012). Epidemiology and population health: Observational studies [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 9 minutes.

In this week’s program, the presenters discuss observational studies as a means of establishing an association between an exposure or risk factor and a disease outcome. Two types of observational designs are featured: cohort and case control studies.

Optional Resources

The following ERIC notebook guides present information in a reader-friendly study guide format.

Ibrahim, M., Alexander, L., Shy, C., & Farr, S. (1999). Cohort studies. ERIC Notebook, 3, 1–4. Retrieved from http://cphp.sph.unc.edu/trainingpackages/ERIC/eric_notebook_3.pdf

Ibrahim, M., Alexander, L., Shy, C., & Farr, S. (1999). Incidence measures in cohort studies. ERIC Notebook, 4, 1–4. Retrieved from http://cphp.sph.unc.edu/trainingpackages/ERIC/eric_notebook_4.pdf

Ibrahim, M., Alexander, L., Shy, C., & Farr, S. (1999). Case-control studies. ERIC Notebook, 5, 1–4. Retrieved from http://cphp.sph.unc.edu/trainingpackages/ERIC/eric_notebook_5.pdf

Ibrahim, M., Alexander, L., Shy, C., & Farr, S. (1999). Cross-sectional studies. ERIC Notebook, 7, 1–4. Retrieved from http://cphp.sph.unc.edu/trainingpackages/ERIC/eric_notebook_7.pdf

Ibrahim, M., Alexander, L., Shy, C., & Farr, S. (2000). Ecologic studies. ERIC Notebook, 12, 1–4. Retrieved from http://cphp.sph.unc.edu/trainingpackages/ERIC/eric_notebook_12.pdf

 
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