2 18913741
check the files please
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2 2 Final Project Milestone One Topic Selection And Rationale
For the final project in this course, you will develop a patient safety presentation that evaluates an information management strategy in place (ideally in your workplace) to determine if it improves patient safety and patient outcomes. To help you develop this presentation, you will submit three milestones throughout the course.
For this first milestone, choose your information technology and management topic. Describe your chosen topic and give your rationale for choosing this topic (i.e., why it is important to your workplace, how it improves patient safety, etc.). Submit your topic selection for feedback and approval from your instructor.
TOPIC – PYXIS MACHINE
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2 2 19347619
Topic – Nursing shortage and the need for more nurses
Facility – Mary Manning Walsh Nursing Home (New York)
2-2 Milestone 1: Use these prompts as headers –
Organization:
Analyze the organization to determine the key characteristics (including organizational values if applicable) important for consideration when developing plans for change and implementation of quality indicator proposals.
So – tell me about your facility/organization! Is it a hospital, clinic, nursing home, etc? How many beds? What services does it provide? What type of setting is it in (rural/city)? What is its mission/vision? Hierarchy of leadership? Etc.
Improvement Opportunity:
What is the issue(s) involving patient safety and financial considerations within the organization that needs to be addressed?
Explain the connection between patient safety and financial state of the organization in terms of opportunity presented.
Purpose:
Articulate the overall purpose of your proposal/proposed initiative for improving quality of care within your organization. In other words, what is your intended initiative for addressing the issue(s)/improvement opportunity identified?
Proposal Initiative:
Detail the initiative you are proposing in terms of its application to your organization. In other words, what is it that you are proposing, and why is it relevant for your organization?
Leadership:
Articulate the role leadership plays in the current situation/environment that needs to be addressed. In other words, in presenting your proposal to leadership, you will need to articulate the overall role they play in the current environment, such as whether leadership is attempting to address the issue, is unintentionally furthering the issue, or has not yet identified your concerns as an organizational issue.
Please follow rubric attached below for further instructions and 2 sources or more neessary.
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2 19401289
Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement.
300 words excluding references and citations
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2 19295717
Planning is the key to successful completion of this course and your overall program of study. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course mentor. You will need to establish a plan for successful completion of (1) deliverables associated with weekly course objectives, (2), required practice immersion hours, and (3) deliverables associated with your capstone project.
Access the “Individual Success Plan” resource in the Topic Materials. Read the information in the resource, including student expectations and instructions for completing the ISP document.
Use the “Individual Success Plan” to develop a personal plan for completing your practice hours and how topic objectives will be met. Include the number of hours you plan to set aside to meet your goals.
A combination of 100 supervised clinical hours in community health and leadership areas will be obtained through the application of the objectives listed in the Guidelines for Undergraduate Field Experiences manual.
Practicum immersion experiences are required in a community health setting. Community-based settings should encourage community integration and involvement; expand accessibility of services and supports; promote personal preference, strengths, dignity; and empower people to participate in the economic mainstream.
According to HealthyPeople.gov, educational and community-based programs and strategies are designed to reach people outside of traditional health care settings. These settings may include schools, worksites, health care facilities, and communities. Community health and leadership practice immersion can occur in the same site and in conjunction with the evidence-based project in the NRS-490 course.
If you are a registered nurse in Washington, your practicum experience must include a minimum of 50 hours in a community health setting.
Students should apply concepts from prior courses to critically examine and improve their current practice. Students should also integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.
Consider the challenges you expect to encounter as you continue the practice hour and competency requirements throughout this course. How might you overcome these challenges?
You can renegotiate these deliverables with your faculty and mentor throughout this course and update your ISP accordingly.
Once your ISP has been developed and accepted by your course faculty, you will have your course mentor sign it at the beginning of, and upon completion of, each assignment that incorporates practice immersion hours. You will track all course practice immersion hours in the ISP.
APA format is not required, but solid academic writing is expected.
You are not required to submit this assignment to LopesWrite.
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2 19312537
Reflection Journal: Learning From the Community
We often consider how community health nurses can support vulnerable populations. For this self-reflection, consider what unique assets or perspectives vulnerable populations can provide to nurses. Reflect on how you, as a professional nurse, hope to improve individual and social factors that contribute to vulnerability in populations. What public policies may affect these vulnerable populations?
Guidelines for Submission: When writing journal assignments, include evidence-based sources as well as your own reflections on the topic. Use APA formatting for references and in-text citations. Submit journal assignment as a Word document.
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2 19238299
Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment: Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following: A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes. A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research. While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. You are not required to submit this assignment to LopesWrite, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to LopesWrite.
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2 Coments Each One 150 Words Citation And Reference 19491453
(1) 150 words citation references
Nola Pender’s health promotion model is used to promote health behaviors by observing the family dynamics and promoting interventions that affect the family unit. The model has three main concepts. The first is that people are basically a sum of their parts, their individual biological makeup and their past experiences. Second, they have developed beliefs and characteristics based upon their interpersonal environment. The final concept is the goal, which is health promotion. The nurse is a part of the interpersonal experience, as well as the family. The individual’s perception of self-efficacy can be based on emotions related to past success or failures, the presence or absence of positive role models, and the presence of health disparities that can compete with the behavior change (Nursing Theories, 2011).
Pender’s model can help in teaching behavioral change, because it considers the multitude of dynamic forces at work in an individual’s life. According to the theorist, when a person’s interpersonal environment becomes supportive and positive, there is a greater chance of patient compliance. For incidence, if the person is a new onset diabetic and their family is not supportive with diet changes and do not modify the family meals, the patient is less likely to be compliant with their new diet.
Disparities such as age, socioeconomic status, educational level, disability, race, culture, or religious beliefs can affect a patient’ ability to learn. These factors can compete with the patient’s ability to participate in health promoting behaviors or limit access to health promotion resources. For instance, a person with limited English speaking ability may not have health promotion resources available in their native language (Whitney, 2018).
According to the transtheoretical model, change is based upon a person working through six stages. Change occurs when a person has had time to contemplate and make up their mind to take action (Whitney, 2018). People can be unwilling to change for many reasons. They might not be cognitively capable, physically ready, or psychologically ready (Ashton & Oermann, 2014). For example, newly diagnosed patients are often in denial or have not accepted the diagnosis, so they may not be willing to intitally learn about their condition or their care. Another example, is when a parent of a child with a TBI is still grieving and may leave the room when their child needs to be cathed, toileted, or connected to a feeding pump. In this case, patient teaching that includes the parent’s active participation in their child’s care is not the focus.
Ashton, K., & Oermann, M.(2014). Patient education in home care: strategies for success. Home Healthcare Now,32(5),288-294. Retrieved from https://www.nursingcenter.com/journalarticle?Article_ID=2460148&Journal_ID=2695880&Issue_ID=2460020
Nursing Theories. (2011). Health promotion model. Retrieved from http://currentnursing.com/nursing_theory/health_promotion_model.html
Whitney, S. (2018) Teaching and learning styles. In Grand Canyon University (Eds.), Health promotion: health & wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1
(2) citation references 150 words
Bandura’s Self efficiency theory of behavior change is a health promotion model that was made the model by Albert Bandura. This model focused on the feelings of self-efficacy can lead to competency (Whitney, 2018). Bandura believed that patients/individuals have the power to bring their own outcomes to fruition. Its stated that there are three factors influence self-efficacy which are behaviors, environment, and personal/cognitive factors. The theory focuses on “…how learning is influenced by repetition, reinforcement, and symbolic modeling.” (Whitney, 2018). This model helps by giving power to the patient in changing their outcomes and behaviors.
Some barriers that effect a patient’s ability to earn and language, environment, socioeconomic status, illness and the patient’s readiness to learn. Language is an obvious barrier to learning, if a patients first language isn’t English and the nurse who is caring for said patient only speaks English there is going to be an inability to teach/learn. In this situation the use of translators and informational and educational packets/ videos in the patients preferred language are helpful and overcoming this barrier. The environment in which learning or teaching is done is also very important. If the environmental is full of distraction, loud noises, family members and nurses in and out or even a roommate it can cause the patient to ot focused on the teaching that is taking place. Nurse must ensure that before teaching is done that the environment is prepared. This involves elimination of all distractions, turning of the tv, having family members and staff exit the room and so on.
If a patient isn’t ready to learn or change the teaching is useless. Attitude and behaviors are one of the biggest factors in not just healing but learning as well. When patients aren’t ready or willing, the information they receive won’t be absorbed or it will be ignored which will lead to possible worsening of the patient’s illness and negative outcome. A Nurse has to ensure the patient is in the right mindset to learn, receive information and change. This can be done be a simple readiness to learn assessment by the nurse.
References
Whitney, S. (2018) Health Promotion: Health & Wellness Across the Continuum. Grand Canyon University. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1
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2 Case Studies And Handout With 2 Patients Nursing Related
ANSWER EACH QUESTION WITH ATLEAST 2-3 sentences
CASE STUDY: Respiratory
#1 Patient Profile:
A 62-year-old female client with a history of COPD has been admitted to the hospital with acute exacerbation and left-sided pneumonia.
The nurse observes increased anterior-posterior diameter of the chest, reddish-blue skin tone, and prolonged expiratory phase when breathing.
Admission vital signs: temperature 101.5 F (oral), blood pressure 154/92, heart rate 110, and respiratory rate 26 breaths/minute.
Critical Thinking Questions:
Answer each question thoroughly and with details
1) What nursing diagnosis is the priority for this patient and why?
2) During the initial physical assessment of the patient, the patient exhibits a frequent cough with copious purulent secretions expectorated.
This assessment finding is compatible with which etiology of pneumonia?
What type of nursing care would you then provide?
3) What should the nutritional plan for this patient include? Explain why?
Case Study: Burn/Trauma
You are caring for Mr. Stevenson a 26 year male patient who is an employee in a chemical plant on the assembly line. There was a unusual event and two explosive chemicals combined and caused a chemical explosion in the plant. Mr. Stevenson was near to the explosion and sustained severe burns from the accident.
He is now a patient in the Burn/Trauma ICU receiving life saving care. Mr. Stevenson received 3rd degree burns to his entire chest and back and his entire right leg front and back. He sustained second degree burns to his entire face. He is intubated, sedated and on a ventilator at the moment.
Please answer the following questions.
1) According to the Rule of Nines, what percentage of his body received burns? Please explain your answer in details.
2) Explain in details what is meant by treating the ABCDE’s of Burn Injuries?
3) What would be his fluid resuscitation goals for the first 24 hours? How about after that?
4) According to the American Burn Association, name at last 5 findings that would necessitate a referral to a burn center?
5) Explain the process of skin grafting for burn management.
GI CASE STUDY:
#1 Patient Profile: A 56-year-ld male patient tells you that he has been having abdominal pain about 3 hours after he eats. It feels like burning and is mostly in the upper abdomen. He gets some relief with over-the-counter antacids.
Critical Thinking Questions: Answer each question completely and thoroughly.
1) What is the differential diagnosis?
2) An endoscopy is ordered on this patient, and he is found to have multiple scattered duodenal ulcers. Now what do you think?
3) Suppose the serum gastrin is high. How can a diagnosis of Zollinger-Ellison syndrome be confirmed?
4) What are the signs and symptoms of Zollinger-Ellison and how would you educate your patient?
#2 Patient Profile:
A 46-year-old patient tells you he’s been vomiting blood, but he does not bring any in for you to see.
Critical Thinking Questions: Answer each question completely and thoroughly.
1) What is the differential diagnosis and what priority question should you ask?
2) What lab tests would you expect the physician to order?
3) What is an appropriate nursing diagnosis and what education would you provide?
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2 Assignment 18892753
1. 2 pages FAQ focument
2. 2 pages concept map
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