Viral intestinal infection in a 8 years old child

  

Discusion topic: SOAP note about Viral intestinal infection in 8 years old child

Requirements

Ø The discussion must address the topic

Ø Rationale must be provided

Ø Use at least 600 words (no included 1st page or references in the 600 words)

Ø May use examples from your nursing practice

Ø Formatted and cited in current APA 7

Ø Use 3 academic sources, not older than 5 years. Not Websites are allowed.

Ø Plagiarism is NOT permitted

I have attached the template, the rubric, and an example

Health Assessment

 

. Analyze the subjective portion of the note. List additional information that should be included in the documentation.Analyze the objective portion of the note. List additional information that should be included in the documentation.Is the assessment supported by the subjective and objective information? Why or why not. Would diagnostics 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 three different references from current evidence-based literature.

D5

Please follow all dire 

Nursing

NR341 Max Cook Student Instructions
© 2021 Chamberlain University. All Rights Reserved.

Revised 4.1.2021 1

Student Instructions for i-Human Virtual Simulation
NR341 Max Cook

PURPOSE:
The following information is to be used in guiding your preparation and participation in the virtual simulation
scenario for this course. This document will provide applicable course outcomes in preparation for your
simulation.

SCENARIO OVERVIEW:
Max Cook is a 74-year-old male who presented to the emergency department (ED) 24 hours ago with
complaints of shortness of breath, decreased energy level, and fever. He had not been feeling well for several
days when he went to primary care provider who began treatment for pneumonia. Patient reported that he
did not feel that antibiotic was helping him, so he stopped taking his med 2 days ago. His overall health
declined rapidly over past 48 hours. Mr. Cook’s wife called the ambulance for transport to ED at Chamberlain
Hospital. He was admitted to the Medical Intensive Care Unit (ICU).

LEARNER OBJECTIVES:

1. Utilize clinical reasoning skills to perform a health history and physical assessment on an adult patient.
(CO 1, 3, 4, 6)

2. Construct a plan of care based by prioritizing assessment findings and nursing diagnoses (CO 1, 3, 4, 6, 7)
3. Evaluate patient outcomes to determine the effectiveness of nursing interventions and need for ongoing

care (CO 1, 4, 6)
4. Communicate and collaborate with the patient, family and interdisciplinary healthcare team members

(CO 1, 3, 6, 7)

STUDENT ROLES DURING SIMULATION:

You are the staff nurse at the hospital who will be conducting a comprehensive assessment. After completing
your assessment, you are expected to document your findings as a nurses note in SBAR format.

KEY FEATURES OF i-HUMAN:

• As the nurse, you are expected to complete the case scenario using the following tabs: EHR,
History, Physical, Nursing Notes, Summary

• Gear Heads: These are icons that open required questions and/or additional information
related to the case. The questions, information, and videos must be reviewed prior to
progressing to the next tab.

• Nursing Notes: At the end of the simulation, you will document your assessment findings using ISBAR.

NR341 Max Cook Student Instructions
© 2021 Chamberlain University. All Rights Reserved.

Revised 4.1.2021 2

Confidentiality:
To preserve the educational value, integrity and safety of the learning environment, you agree to maintain strict
confidentiality about the proceedings of the simulation session, details of the training scenarios and the
performance of all participants. You acknowledge that this expectation aligns with the guidelines related to the
Health Insurance Portability and Accountability Act (HIPAA) as well as laws governing Protected Health
Information (PHI) in client care environments.

You will not view, discuss, share, record or disclose any confidential information pertaining to the
session. You understand that lapses in confidentiality are considered academic misconduct and could result in
dismissal from the academic program.

Fiction Agreement:
You will suspend judgment of realism for any given simulation in exchange for the promise of learning new
knowledge and skills, treating the simulated patients with the same care due an actual patient, act with a
genuine desire to learn even when it may be difficult to do so.

DUE DATE:
The virtual simulation is assigned to be completed during Week 4 prior to your scheduled debriefing with
faculty/peers.

SIMULATION TIMING:

• Pre-simulation preparation: 30-60 minutes
• Pre-brief: 30 minutes
• Run Time: 2-2.5 hours
• Debriefing: 60 minutes

NR341 Max Cook Student Instructions
© 2021 Chamberlain University. All Rights Reserved.

Revised 4.1.2021 3

ASSESSMENT & EVALUATION
Faculty will utilize your participation measurements in the i-Human case, and debriefing discussions to identify
areas of opportunity for enhancement of your clinical growth. Your experiences in i-Human will contribute to
your overall completion of clinical requirements for the course as documented on the Clinical Learning Evaluation
tool.

i-Human Evaluation – What does my total score mean?

NR341 Max Cook Student Instructions
© 2021 Chamberlain University. All Rights Reserved.

Revised 4.1.2021 4

REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

In order to prepare for the simulation, you are required to complete the pre-simulation questions below and
submit this prework to the faculty via uploading your responses in Canvas prior to the start of the virtual
simulation. If you do not complete the pre-simulation questions and upload them, you will not be able to
access or participate in the simulation.

1. Compare/contrast systemic inflammatory response syndrome (SIRS) and sepsis.

2. What are key nursing interventions when caring for patient on a ventilator?

3. Describe the purpose for the following types of vascular access devices: central venous catheter &
arterial line.

4. A patient is experiencing worsening hypotension and is prescribed norepinephrine continuous
infusion.

a. Prescription: Start Norepinephrine (levophed) 0.5 mcg/min and titrate to maximum of 12
mcg/min to maintain mean arterial pressure great than 65.

b. Pharmacy has mixed the drip as Norepinephrine 4mg in 250mL of D5W.
c. How many mL/hr should the nurse program the pump to deliver 0.5mcg/min?

**Immediately following the completion of the virtual simulation, you will complete the evaluation of the
simulation using the link provided.

  • SCENARIO OVERVIEW:
  • LEARNER OBJECTIVES:
  • You are the staff nurse at the hospital who will be conducting a comprehensive assessment. After completing your assessment, you are expected to document your findings as a nurses note in SBAR format.
  • ASSESSMENT & EVALUATION
  • Faculty will utilize your participation measurements in the i-Human case, and debriefing discussions to identify areas of opportunity for enhancement of your clinical growth. Your experiences in i-Human will contribute to your overall completion of cl…
  • i-Human Evaluation – What does my total score mean?
  • REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

Health Assessment 10

Geriatric Functional Assessment

Top of Form

Bottom of Form

Module 11 Content

1.

Top of Form


This assignment is due no later than Friday September 15th at 5:00pm-LATE SUBMISSION Wll NOT BE ACCEPTED


There are two parts to this assignment:

A.
 You will be conducting a geriatric functional assessment. This geriatric functional assessment tool is the 
Katz Index of Independence in Activities of Daily Living & depression screening tool

At the end of the geriatric functional assessment, you will be asked to document your findings & provide a brief summary of each of the six categories 

B. Answer the questions on the worksheet: 

Bottom of Form

Discussion

Initial Post Instructions

Congratulations on successfully finishing the last of the A&P series! Over the course of the last eight weeks we’ve discussed the anatomy and physiology of the Digestive, Urinary, and Reproductive systems. We also discussed nutrition, metabolism, human development, and genetics. And since we began our study of the human body in BIOS251, we have continuously referred to a unifying theme in Anatomy and Physiology; that is, the relationship between structure and function. The idea that “form follows function” has been the foundation of our understanding of the human body and how it sustains life. This common thread throughout the A&P series allows us to look at the “big picture”.

If you remember from BIOS251, one of the fundamental principles of Anatomy and Physiology is the interdependence of all body systems and how the proper function of one system is intimately tied to the proper function of other organ systems, and ultimately the overall homeostasis of the human body.

For the Week 8 discussion of BIOS256, I would like you to go back in time. Think back to previous sessions and consider the various organs and organ systems that were discussed in BIOS251, BIOS252, and BIOS255. Choose one of the following organs or organ systems:

  • Integumentary system
  • Skeletal system
  • Joints
  • Muscular system
  • Nervous system
  • Special senses
  • Endocrine system
  • Blood and hemodynamics
  • Cardiovascular system
  • Immune system
  • Respiratory system

After you have chosen one of the above organs or organ systems, discuss how it is intricately connected to any of the major topics that were covered this session in BIOS256. How are these systems integrated? How do they work together to contribute to the overall homeostasis of the human body?

For example, in week 1 and 2 we discussed the digestive system, and the importance of intrinsic factor to red blood cell production. One approach would be to discuss the connection between dietary absorption of intrinsic factor, its relationship to vitamin B12, and the maintenance of a healthy hematocrit.

Disscusion Boards week 7 and 8

Week 7

Discussion 1

Discuss the elements of informed consent. Provide a clinical example about what can happen when some elements are not adhered to.

Compose at least 2-3 paragraphs all in APA format with proper references.

Discussion 2

Describe an organizational environment that would facilitate the ethical practice of nurses caring for chronically ill patients. As you read about patients' rights, describe one patient right that is often not fully implemented in the patient care environment. Identify specific strategies to help ensure that this right is supported within the patient care environment. Explain how the registered nurse can assist in protecting patient rights.

Compose at least 2-3 paragraphs all in APA format with proper references.

Week 8

Discussion 1

Describe a clinical situation in which a registered nurse may encounter moral distress. Answer the AACN’s Four A’s and further explain the situation and the possible mitigation strategies.

Compose at least 2-3 paragraphs all in APA format with proper references.

Discussion 2

Describe different ways that social media use can violate ethical nursing practices. How can ethical social media use be beneficial to health care professionals and their patients?

Compose at least 2-3 paragraphs all in APA format with proper references.

PICOT QUESTION FORMATION

Use thgis topic to develop a PICOT question. Please see attached documents for the rubrics and the PICOT question development tools. Also provide 10 articles that are peer reviewed and randomized. “Effectiveness of pharmacological and non pharmacological treatment of Parkinson’s disease.” Let me know if you have any questions.

discussion 3 553

 

Therapeutic communication is important to ensure patients are part of treatment planning. Provide discussion (250-350 words) of the following:

  1. How would you evaluate a patient’s ability to understand your instruction and their current knowledge base about their problem? What characteristics of the patient would be helpful?
  2. How would you be certain that the patient understands your medication instruction?
  3. What methods of therapeutic communication would be useful in advanced practice?

instructions: length of 1 page to 1/2 is long enough. APA style. Has to have 3 references.

assessment-3-4040

Assessment 3-4040

Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

INSTRUCTIONS- Write a 4–6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.

INTRODUCTIONS- This assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.

PREPARATION- Before you begin to develop the assessment, you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.

To successfully complete this assessment, perform the following preparatory activities:

· Select a SINGLE direct or indirect patient care technology that is relevant to your current practice or of interest to you. 
Direct patient care technologies require an interaction, or direct contact, between the nurse and patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies. 
Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology. Examples of topics to consider for your annotated bibliography include:

· Delivery robots.

· Electronic medication administration with barcoding.

· Electronic clinical documentation with clinical decision support.

· Patient sensor devices/wireless communication solutions.

· Real-time location systems.

· Remote patient monitoring.

· Artificial intelligence.

· Telehealth.

· Telestroke.

· Tele-icu.

· Tele-psychiatry.

· Tele-genetics.

· Workflow management systems.

· Conduct a library search using the various electronic databases available through the Capella University Library.

· Consult the 

BSN Program Library Research Guide
 for help in identifying scholarly and/or authoritative sources.

· Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.

· Scan the search results related to your chosen technology.

· Select 
four peer-reviewed publications focused on your selected topic that are the most interesting to you.

· Evaluate the impact of patient care technologies on desired outcomes.

· Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

· Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.

Notes

· Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.

· Your selections need to be current—within the last five years.

An Evidence-based Recommendation for Selected Technology Implementation

Prepare a 4–6 page paper in which you introduce your selected technology and describe at least four peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. You will conclude your paper by summarizing why you recommend a particular technology by underscoring the evidence-based resources you presented. Be sure that your paper includes all of the following elements:

· Introduction to the Selected Technology Topic

· What is your rationale for selecting this particular technology topic? Why are you interested in this?

· What research process did you employ?

· Which databases did you use?

· Which search terms did you use?

· Note: In this section of your bibliography, you may use first-person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.

· Annotation Elements

· For each resource, include the full reference followed by the annotation.

· Explain the focus of the research or review article you chose.

· Provide a summary overview of the publication.

· According to this source, what is the impact of this technology on patient safety and quality of care?

· According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?

· Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.

· Summary of Recommendation

· How would you tie together the key learnings from each of the four publications you examined?

· What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.

· How would you justify the implementation and use of the technology in a health care setting? This is the section where you will justify (prove) that the implementation of the
patient care technology is appropriate or not. The evidence should be cited from the literature that was noted in the annotated bibliography.

· Consider the impact of the technology on the health care organization, patientcare/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

·
Assessment 3 Example [PDF].

· Additional Requirements-
Written communication: Ensure written communication is free of errors that detract from the overall message.

·
Length: 4–6-typed, double-spaced pages.

·
Number of resources: Cite a 
minimum of four peer-reviewed publications, not websites.

·
Font and font size: Use Times New Roman, 12 point.

·
APA: Follow APA style and formatting guidelines for all bibliographic entries
. Refer to 

Evidence and APA
 as needed.

Context- Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the health care field uses technology to provide care to patients across multiple settings:

· Patient monitoring devices.

· Robotics.

· Electronic medical records.

· Data management resources.

· Ready access to current science.

Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.

Competencies Measured- By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

· Competency 3: Evaluate the impact of patient care technologies on desired outcomes.

· Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

· Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.

· Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.

· Describe organizational factors influencing the selection of a technology in the health care setting.

· Justify the implementation and use of a selected technology in a health care setting.

· Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

· Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.

· Follow APA style and formatting guidelines for all bibliographic entries.

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated.


View Scoring Guide

Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing Scoring Guide

CRITERIA

NON-PERFORMANCE

BASIC

PROFICIENT

DISTINGUISHED

Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.

Describe organizational factors influencing the selection of a technology in the health care setting.

Justify the implementation and use of a selected technology in a health care setting.

Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.

Follow APA style and formatting guidelines for all bibliographic entries.