pn2 m2 diss

/in /by

 

Mr. Sweet, 38 years old, is brought to the Emergency Department unresponsive. He has a history of Type 1 diabetes and has been sick for the last 3 days. On admission his Blood sugar is 532, Potassium is 7.2 and ABG results include pH 7.08, Bicarb 12, and CO2 28. His VS are HR 116, BP 107/64, RR 36 Deep and rapid, and Temp 101.5. Answer the following questions:

  1. What interventions do expect to be ordered for Mr. Sweet? Why?
  2. What type of acid-base disturbance does he have?
  3. What do you think is Mr. Sweet’s Medical Diagnosis?

Professional Ethics

/in /by

 

Today’s health care environment gives nurses many reasons to be conflicted. Genetic testing, abortion, and end of life care are just some of the areas in which nurses may face ethical dilemmas. Consider how you feel about the following issues:

  • Respecting the wishes of a suffering client that he is permitted to die with dignity,
  • Respecting the health surrogate’s wishes regarding termination of life support,
  • Or even observing another nurse take two tablets of oxycodone as ordered but keeping one for herself.

Then give an example of an ethical dilemma you may have confronted in your own clinical experience or workplace. How did you come to the decision you made? What feelings did you experience while coming to that choice? (If you have not yet faced an ethical dilemma, research one and comment on it, answering the same questions.)

Self Care activity

/in /by

Setting boundaries and making self-care a priority is extremely important when practicing as a nurse. Discuss methods of self care that you have found to be effective when dealing with an emotional reaction to a situation.

Once you have selected a topic, post a discussion about why that self-care technique is beneficial, how it helps you, how it can benefit your nursing practice, and why self-care is so important when caring for individuals with mental illness. 

250 words or less simple discussion

m9 project

/in /by

please follow directions, use the provide attachments for reference. 

HEALTHCARE PROGRAM/POLICY EVALUATION

/in /by

 Program/policy evaluation 

Nursing

/in /by

Omaha System Case Study for Home Visiting Rubric.html

banner

Omaha System Case Study for Home Visiting Rubric

Criterion

(Questions should be answered specifically for the chosen case study)

 Points

1. What key criteria will the PHN need to consider for a successful first visit with this client? 

2

2. How will the PHN establish professional boundaries with this client?

2

3. How will the PHN communicate confidentiality with the client?

2

4. What may some ethical challenges be during this home visit with the client? 

2

5. How does the ANA Scope and Standards of Public Health (2013) nursing practice guide the responsibilities of the public health nurse in this case study? Cite this resource within your answer.

2

6. Identify key communication skills to assure respectful interaction with this client.

1

7. Describe the components of the nursing process in the planned home visit with this client. 

1

8. Identify priority problems for this individual/family.

1

9. Identify plan and nursing interventions for this individual/family. Expand on what was written in the case study.

1

10. Identify plan to evaluate problem outcome.

.5

11. Professionally written using APA formatting and writing mechanics.

.5

Total Points

15 points

Peer Response Ley

/in /by

Be sure to provide 2 APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.

****1 paragraph for each peer response and 2 citations.********

Please be sure to follow EACH AND EVERY BULLET POINT.

(TOPIC is based on the peer that’s being reviewed)

Please do not plagiarize nor reword another person’s assignment that has been previously submitted.

Look at the attachment for responses that are needed!!!

CASE STUDY

/in /by

PLEASE SEE THE ATTACHED CASE STUDY

2 PAGES

NO MORE THAN 10 % PLAGIARISM

3-4 REFERENCE NO OLDER THAN 5 YEAR

DUE DATE SEP 8, 2023

evidence based

/in /by


NUR640 Week 4 Assignment 4.1 Page 1

`


Assignment Title: Research Critique

Step 4 for your Evidence-Based Practice Mini-Project (Research Proposal)

Assignment Overview:

Since your EBP Research Proposal does not include completing the entire research process, e.g., collecting data, statistics, or findings, you will do a critique of a Level of Evidence I-IV research article there is a rubric related to this critique that you will follow.

Deliverables:

The final copy of your Research Critique assignment is due on or before Sunday at 11:59pm, just before Week 5 begins, at the latest. Be sure to use the file naming protocol: NUR640_EBP Step4_last name_mmddyyyy.

Assignment Details:

For this assignment, you will write a research critique of a research article. It does not have to be an article similar to what you would do in a Research Proposal. It can be a research article that you find scholarly and would like to delve into more deeply. The critique does need to be a LeveI I-Level IV level of evidence. Use the discernment gained from your Week 4 Discussion regarding whether your article is credible, and use that to answer a section in your research critique.

Include the Following Sections that are noted on your research critique, and use your textbook if you are unsure of what each of these headings mean.

1. Purpose

2. Conceptual Framework

3. Design/Method

4. Sampling/Setting

5. Major variables studied and their definition

6. Data Analysis

7. Study Findings

8. Overall strengths and weaknesses of the study, e.g. reliability and validity, ethics (IRB), topic, etc.



Grading: Each part (category) listed above for your research article critique has a rubric that is to be followed. All submissions should have a title page and reference page.

image1.png

image2.jpeg

assist week 5

/in /by

Week 5 – Assignment: Support Quality Performance Improvement through Enhanced Interprofessional Communication

For your assignment this week, you will use the case study found in the week's resources titled, Case Study: A Private Practice in the Pennsylvania Chronic Care Initiative. 

After reading the case study, you will take on the role of a health administration intern hired by Dr. Johnson to run his office practice, and you will prepare a draft written communication in the form of a business letter or memorandum addressed to the local Chief Executive Officer Jamie Harper (fictitious) at Hospital Anywhere (fictitious). 

According to the Agency for Health Research and Quality, a challenge to improving quality in private physician practices is the lack of communication with hospital organizations to increase the exchange of information related to the emergency room visits, hospital admissions, and discharges of their patients especially when the physician does not have privileges to practice at the hospital and is not notified of the patient's medical or surgical treatments.

Your communication in the form of a business letter or memorandum as the health administration intern wrote on Dr. Johnson's behalf to CEO Jamie Harper will include the following information:

 A salutation and introduction of who you are and on whose behalf you are writing. Give Dr. Johnson a fictitious first name and give the medical practice a fictitious name.

 Background information in synopsis form on the operation of your physician's office practice and how and why your practice has joined the
Pennsylvania Chronic Care Initiative (PCCI). Be sure to mention the quality outcome performance of the office before and since joining the
PCCI (this information is in the case study; so, be sure to summarize the important points regarding these quality measures as it relates to the diabetic patients).

 State the reason for your written communication that includes the desire to improve the interdisciplinary communication between Hospital Anywhere and your office practice especially for your diabetic patients and the potential hospital services that would be beneficial to your diabetic patients (see the Miller-Rosales and Rodriguez (2021) resource in your Weekly Resources).  

 Propose how using the identified hospital services will benefit the hospital and your office practice from both a healthcare quality and financial perspective.

 Provide a closing paragraph in your business letter/memorandum and the appropriate complimentary signoff. Be sure to mention the attachments you are providing.

 Create a tool that you propose to collect the data from the identified hospital staff following their consultations with your diabetic patients and include it in your business letter or memorandum as an Attachment 1 (see the Miller-Rosales and Rodriguez (2021) resource in your Weekly Resources).

 Lastly, create a draft checklist that you will provide to your office staff to assure your diabetic patients are completing their annual tests and screenings and include it in your business letter/memorandum as Attachment 2 (see the Florida Blue Medicare Caregiver Guide (2019) in your resources). 

Be creative with this assignment and enjoy its real-world applicability. While it is not a requirement for this assignment, you may wish to embellish your business letter or memorandum. You can find a business or memo templates from the MS Word templates. Click
File at the top of your Word document, then click
More Templates. Remember, if you use a template, after the first page of a memorandum, the remaining pages usually are plain. Be sure to consult APA guidelines for the use of attachments which may be called appendices. 

Length: A minimum of 3-4 pages, not including the title page, reference page, or the 2 attachments

https://www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/gabbay.html

https://www.tandfonline.com/doi/full/10.1080/20009666.2019.1593782



Florida Blue Medicare Family Caregiver Guide

Florida Blue Medicare Caregiver Guide (2019).
Florida Blue Medicare Resources.

Consult page 31 in this resource for your assignment this week to see a list of the annual tests required for diabetics.

https://www.jabfm.org/content/34/1/151



Interdisciplinary Primary Care Team Expertise and Diabetes Care Management

Miller-Rosales, C., & Rodriguez, H. P. (2021). Interdisciplinary primary care team expertise and diabetes care management.
Journal of the American Board of Family Medicine, 34(1), 151-161. doi: 10.3122/jabfm.2021.01.200187.

Use this resource to complete your assignment as the researchers discuss the use of interdisciplinary care to manage patients with diabetes.