Provide a preliminary literature review and an action item checklist

The subject for this study is family discharge arrangement in NICU. Discharge arrangement can be portrayed as ‘the improvement of an individualized discharge strategy for the patient preceding leaving health care facility, with the point of containing costs as well as enhancing patient outcomes’ (Spence & Casey, 2015). It is thought to be a crucial component in making the change from the intensive care setting towards the home. This progress has been portrayed as ‘a passage from conditions that might make a time of vulnerability related to changes in role relations, desires, or capacities.’ A medical placement on a NICU excited the researcher’s enthusiasm with respect towards whether families are by and large adequately prepared for as well as bolstered all through discharge and also how discharge arrangement  is being done, rousing the researcher to investigate this subject further.

This assignment  will require:

1.  a minimum of 10 scholarly, peer-reviewed research articles.
2. Each article needs to be thoroughly summarized. The summary must describe the relevance of the article, and how the research findings support the action you are proposing in your capstone project.
3. Each article summary needs to include a research design and methods section.

 

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Nursing Clinical Problem—- 

cical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge available on the clinical problem (minimum requirement of 6 scholarly journal articles reviewed and appraised for application to practice problem). Outline a strategic plan for implementation of a practice change in your clinical practice environment based upon your findings. Describe how you intend to operationalize the practice change in your practice environment. What theoretical model will you use and how will you overcome barriers to implementation? What sources of internal evidence will you use in providing data to demonstrate improvement in outcomes? Describe evaluation methods of implementation clearly. Are there any ethical considerations? Refe

 

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Peripheral Vascular Disease Case Studies

A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except fordecreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibialpulses were markedly decreased compared with those of his left leg.

Studies

Results

Routine laboratory work

Within normal limits (WNL)

Doppler ultrasound systolic pressures

Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure)

Arterial plethysmography

Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves

Femoral arteriography of right leg

Obstruction of the femoral artery at the midthigh level

Arterial duplex scan

Apparent arterial obstruction in the superficial femoral artery

Diagnostic Analysis

With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic.

Critical Thinking Questions

1. What was the cause of this patient’s pain and cramping?
2. Why was there decreased hair on the patient’s right leg?
3. What would be the strategic physical assessments after surgery to determine the
   adequacy of the patient’s circulation?
4. What would be the treatment of intermittent Claudication for non-occlusion?

 

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Due date January 15

Discuss the various ways in which Florence Nightingale’s model of care can be applied in current nursing practice. Identify the most important factor of Nightingale’s theory that you utilize in your current practice.

 

Please make sure that your submission adheres to the following:

1.Students are to write their name and the appropriate discussion number/discussion title in the title bar for each discussion. For example Discussion 1: Micheal Cabrera or Discussion 3: Sheila Smith. This is important in identifying that students are submitting original posts as well as response posts as required.

2.Students must submit their discussions directly onto Blackboard Discussion Board. Attachments submitted as discussion board posts will not be graded.

3. All discussion posts must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years.  Please be sure to cite your reference(s) in APA format, at the end of your posting

maximun similarity copied allow 20% , use of turnitin

APA style  6th edition 

 

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Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:

1. Describe the contemporary issue and explain what external stressors are associated with this issue.
2. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.
3. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented. 

 

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