Capstone Topic 2 Dq 2
/in Uncategorized /by developerWhat is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.
One solution would be to stop hiring anybody just to have a warm body available. Maybe advertise job openings in different places, attend career fairs, or visit and recruit from nursing schools. Also, offer better pay rates, benefits, and/or bonuses.
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Capstone Project Topic Selection Drug Induced Mental Disorder
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Evidence-based practice proposal topic for this capstone project is Drug Induced Mental Disorders. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website.
Write a 700-word description of your proposed capstone project topic. Make sure to include the following:
1. The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
2. The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
3. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
4. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
5. Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
6. A proposed solution to the identified project topic
You are required to retrieve and assess a minimum of 8 peer-reviewed articles for this project.
Prepare this project topic “Drug Induced Mental Disorder” according to the guidelines found in the APA Style Guide; and abstract or thesis is required.
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Capstone Project Topic Selection And Approval 19465225
/in Uncategorized /by developerIn collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website.
Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:
(my capstone project topic selected and approval is: For patients and healthcare workers in the hospital does hand washing protocol compared to an alcohol based solution reduce hospital acquired infection within a period of stay in the hospital )
- The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
- The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
- A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
- Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
- Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
- A proposed solution to the identified project topic
You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
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Cardiovascular Medications Discussion
/in Uncategorized /by developerCardiovascular Medication Discussion.
This is for a discussion post. There are TWO parts to this post
There are numerous medications to treat disorders of the cardiovascular system. Below are just four of the medication categories used to treat hypertension.
Diuretics
ACE inhibitors
Calcium Channel Blockers
Vasodilators
1.Discuss the difference between each medication.
2. Choose from one of the four categories listed above. Provide an example patient scenario (can be from your own experience as a nurse) where a patient would be treated with the class of medication you chose from the four listed above. You only need to provide one scenario, but make sure it is using a medication that correlates to one of the four classes above.
For example…
Patient A has _________ diagnosis. His baseline BP is _______. The physician would most likely prescribe this class of medication ___________ and more specifically this drug ________.
Of course, this is just an example to get you started.
Please elaborate on your patient scenarios and support your statements with evidenced based literature.
Pleas provide at least two references in APA format
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Cardiovascular Case Study
/in Uncategorized /by developerCardiovascular Case Study
John is a 76-year-old man with a long history of stable angina and hypertension. He is prescribed nitroglycerin tablets as needed for chest pain and lisinopril for his hypertension. John has noticed that his chest pain is occurring with increasing frequency and less activity is required to initiate the symptoms; however, the pain subsides quickly with rest and one or two nitroglycerin tablets.
John is awakened from sleep with chest pain and shortness of breath. The pain is much more severe than his usual anginal pain and radiates to the jaw and the left arm. He experienced some nausea and became diaphoretic and pale. Upon admission to the local emergency department, he was noted to have significant ST-segment elevation on a 12-lead electrocardiogram (ECG).
Discussion Questions:
1. What diagnosis is consistent with John’s history and physical exam?
2. Please differentiate between a STEMI and Non-STEMI.
3. What are the pathophysiological findings specifying an MI?
4.What are the differences between angina, silent ischemia, and myocardial ischemia?
5.Provide a description of the three factors associated with Sudden Cardiac Death.
6.What are the possible complications post-MI might the NP be aware of when caring for John?
Do two pages.
Provide references.
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Cardiovascular Alterations 19357107
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At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.
Consider the following scenario:
A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.
To Prepare
· Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.
· Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.
Assignment
Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.
Required Readings
Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.
- Chapter 23, “Structure and Function of the Cardiovascular and Lymphatic Systems”
This chapter examines the circulatory system, heart, systemic circulation, and lymphatic system to establish a foundation for normal cardiovascular function. It focuses on the structure and function of various parts of the circulatory system to illustrate normal blood flow.
- Chapter 24, “Alterations of Cardiovascular Function”
This chapter presents the pathophysiology, clinical manifestations, evaluation, and treatment of various cardiovascular disorders. It focuses on diseases of the veins and arteries, disorders of the heart wall, heart disease, and shock.
- Chapter 25, “Alterations of Cardiovascular Function in Children”
This chapter examines cardiovascular disorders that affect children. It distinguishes congenital heart diseases from acquired cardiovascular disorders.
Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th ed.). New York, NY: McGraw-Hill Education.
- Chapter 10, “Cardiovascular Disorders: Heart Disease”
This chapter begins by exploring the normal structure and function of the heart. It then examines the etiology, pathophysiology, and clinical manifestations of five heart disorders: arrhythmias, congestive heart failure, valvular heart disease, coronary artery disease, and pericardial disease.
Jacobsen, R. C., & Gratton, M. C. (2011). A case of unrecognized prehospital anaphylactic shock.Prehospital Emergency Care, 15(1), 61–66.
Retrieved from the Walden Library databases.
This article provides information relating to the diagnosis and management of anaphylactic shock. It also explores difficulties encountered when diagnosing uncommon clinical presentations of anaphylactic shock.
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