SOAP note- PCOS

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Please see the attachment for instructions

Week 2 discussion

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Conc of Pathophys for Nsg.

https://files.galencollege.edu/media/ADN/NUR242_170/fluid_and_electrolytes/FluidsOverview/story.html

https://files.galencollege.edu/media/ADN/NUR242_170/fluid_and_electrolytes/electrolytes/story.html

Week 2 Discussion: Anorexia and fluid and electrolyte imbalances (USLOs 1, 2, 3, 4)

You are a nurse caring for 16-year-old Jonathan Collins. He was admitted to the emergency department after passing out during gym class. During your admission assessment, he admits he has not been eating much and exercising more to lose weight.  Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of anorexia and fluid and electrolyte imbalances, respond to the following prompts:

1. Thoroughly explain the pathophysiology of 
anorexia. Use a 
scholarlyor 
authoritative source to support your answer.

2. Examine each of the following three factors related to this disease process. 
Support all three with a scholarly source.

· cultural

· financial

· environmental implications

3. Identify 3-5 priority nursing interventions for the client while in the 
emergency department.

4. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators? 
Support with a scholarly source.

5. What members of the interdisciplinary team need to be included for holistic patient-centered care? 
Provide a rationale and support with a scholarly source.

Project 3

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You are the Nurse Leader/Administrator at a long-term care facility (not hospital). The rates of resident falls have been increasing over the last 6 months to a year in your facility causing some serious injuries for some of the residents. You, as a doctorate of nursing prepared leader, have to adequately describe the issue & create a Process Improvement project using the Six Sigma (DMAIC) process to address and solve the problem. During this part, you will address the DMA – Define, Measure & Analyze stages. A MINIMUM of 5 relevant evidence based sources (best are peer-reviewed articles) should be used and published within the last 5 years. Below are the (DMA) relevant issues to include in your Process Improvement Project:

DEFINE:

•Define the issue: What process are you trying to improve? 

•Describe the team and stakeholders

•Plan out the project

•Make a plan for the change 

MEASURE:

•What metrics will you measure 

•How will you measure success

•How will you collect baseline data

ANALYZE:  

•How will you analyze the data you collect

•What will you use to display data

•What is the reason for your wastes, delays, etc

Case 1 and 2- 5600

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Students must review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

Case Study 1 & 2 topics change every semester. Topics will be determined at due time for this semester

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use a past students work as all files submitted in this course are registered and saved in turn it in program.

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy-paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

***On case study one I need the anemia to be classified as well as the cause of the anemia.

NUR 445 – Week 3 Discussion: Researching and Recommending Evidence-Based Research Resources

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tep 1 Read the case scenario.
You are part of an interprofessional team working on an evidence-based project to look at falls in patients with dementia in the long-term care setting. The team was brought together in response to a noted increase in the incidence of falls in residents with dementia over the past three months. One of the recent changes before the increase in falls was a mandate to no longer use physical restraints on residents. Several staff members feel that the use of restraints is a must, and they do not have time to use the restraint alternatives that have been suggested. They also feel they do not have enough time to continuously check on residents. This has caused major issues of concern and has compromised the quality and safety of the residents.

When the team meets together, one of the first items discussed is the clinical question. The team uses the PICO question format to develop the following question:

In patients with a diagnosis of dementia in the long-term care setting (P), how does the use of a comprehensive falls assessment prevention plan that includes restraint alternatives (I) compare with the use of a fall prevention protocol that includes the use of restraints (C) affect the number of falls that occur (O)?

Step 2 Post to the discussion forum.
In your initial response, address the following questions:

  1. Determine the best resources to use when conducting a search on the topic. Consider these questions: What databases would be most appropriate? Where would you locate clinical practice guidelines that could be used in the EBP process for this issue?
  2. Conduct a search using the resources you identified in Step 2a. What key search terms did you use? What filters did you use?
  3. From your search, identify at least three articles that you would consider using in an EBP project such as the one described in the case scenario. If possible, suggest resources that meet the highest level (Level I) of evidence. Why would these sources be most appropriate in determining best practices and supporting clinical decision-making for this issue?

DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE

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To Prepare:

  • Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
    • This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
  • Reflect on which type of dissemination strategy you might use to communicate EBP.

Then Post a discussion post of at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified. please provide at least 3 references

The resources:

  • Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
    • Chapter 10, “The Role of Quality Improvement and Evidence-Based Quality Improvement in Practice Change” (pp. 365–393)
    • Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 410–427)
    • Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 466–518)

nursing

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10/13/23, 4:23 PM IMG-1781.jpg

https://mail.google.com/mail/u/0/?tab=rm&ogbl#inbox/FMfcgzGtxdZHwPFPvtDdMWfptLSpKXWV?projector=1 1/1

Diary of Medical Mission Trip”

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Watch the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

  1. Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by previous students.
  2. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.
  3. What people or agencies would you work with in facilitating the proposed interventions and why?

Nursing Assignment 1 short P

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Please follow all directions