Discuss how evidence-based practice is applied in your Nursing practice setting and describe the desired patient outcome achieved through this approach.
We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper
Get Answer Over WhatsApp
Order Paper Now
NR 507 Week 3 Discussion
PART No. 1:
A 17-year-old African American from the inner city complains of severe chest and abdominal pain. Upon examination the attending physician performs and EKG, chest x-ray, and an abdominal and chest clinical examination and finds nothing. Assuming, she is drug seeking he sends her home. She comes back to the ER four hours later and now you see the patient. She explains that she was running track this past afternoon at school and that despite being very hot (100 F) she pushed on. Afterwards, she starts feeling extensive pain in her chest and abdomen. She has jaundiced eyes, her blood pressure is 98/50, pulse is 112, T = 99.9 F, R = 28. The pain seems out of proportion to the physical findings.
· What is your list of differential diagnoses in this case and explain how each of these fits with the case patient as described above. Be sure to list at least three (3) pertinent differential diagnoses. Indicate which of these you would select as the most likely diagnosis and explain why.
· Now, as she is in the ER she begins to exhibit stroke like features. ? Does this change your differential?
· How do you treat this patient now? Are they any preventative actions that could have been taken?
PART No. 2:
Jesse is a 57-year-old male who presents with gradual onset of dyspnea on exertion and fatigue. He also complains of frequent dyspepsia (GERD) with nausea and occasional epigastric pain. He states that at night he has trouble breathing especially while lying on his back (Orthopnea). This is relieved by him sitting up. His vitals are 180/110, P = 88, T = 98.0 F, R = 20.
· Write three (3) differential diagnoses in this case and explain how each item in your differential fits and how it might not fit.
· What tests would you order? What immediate treatment would you consider giving this patient and what treatment when he went home? Assume your first differential is definitive.
· Now, he comes back to your clinic 3 months later and both his ankles are slightly swollen. What possible explanations are there for this observation? CHF now involving right side Must order Echo with EKG and Nuc stress test, labs Pro BNP.
PART No. 3:
A new patient is brought into the office for their annual evaluation. The child is a 6-year-old and appears a bit small for their age but not so small that any alarm bells are set off. The vitals are: P = 116, R = 22, T = 98.6 F, BP = 110/50. (The normal vitals in a 6-year-old are P = 75 – 120, R = 16 – 22, T = 98.6 , BP = (85-115)/(48-64). Examination of the lungs is normal, HEENT is normal, as is the abdominal exam. The heart however, seems laterally displaced and there appears to be only a continuous murmur which can be described as crescendo/decrescendo systolic murmur that extends into diastole. Because, you were trained at Chamberlain College of Nursing you immediately know that this is probably a patent ductus arteriosus.
· Explain the murmur from a mechanistic view of the hearts physiological functioning?
· What is the epidemiology of a patent ductus arteriosus?
· How is a patent ductus arteriosus treated?
NR 507 Week 3 Quiz Answers:
1. The underlying disorder of _____ anemia is defective secretion of intrinsic factor, which is essential for the absorption of vitamin B12.(Points : 2)
2. What is the pathophysiologic process of aplastic anemia? (Points : 2)
3. The body compensates for anemia by (Points : 2)
4. A woman complains of chronic gastritis, fatigue, weight loss, and tingling in her fingers. Laboratory findings show low hemoglobin and hematocrit levels, and a high mean corpuscular volume. These findings are consistent with _____ anemia. (Points : 2)
5. In hemolytic anemia, jaundice occurs only when (Points : 2)
6. Symptoms of polycythemia vera are mainly the result of (Points : 2)
7. Which proinflammatory cytokines are responsible for the development and maintenance of DIC? (Points : 2)
8. Which of the following is a description consistent with acute lymphocytic leukemia (ALL)? (Points : 2)
9. Heparin-induced thrombocytopenia (HIT) is described as a(n) (Points : 2)
10. Which of the following is a description consistent with chronic lymphocytic leukemia (CLL)? (Points : 2)
11. Hemolytic disease of the newborn can occur if the mother is (Points : 2)
12. Polycythemia occurs in a fetus because (Points : 2)
13. The type of anemia that occurs as a result of thalassemia is (Points : 2)
14. The sickle cell trait differs from sickle cell disease in that the child with sickle cell trait (Points : 2)
15. Hemophilia B is caused by clotting factor _____ deficiency. (Points : 2)
16. What is the name of the disorder in which levels of bilirubin remain excessively high in the newborn and are deposited in the brain?(Points : 2)
17. An individual who is demonstrating elevated levels of troponin, creatine kinase (CK), and lactic dehydrogenase (LDH) is exhibiting indicators associated with: (Points : 2)
18. What alteration occurs in injured endothelial cells that contributes to atherosclerosis? (Points : 2)
19. Which of the following is manufactured by the liver and primarily contains cholesterol and protein? (Points : 2)
20. Cardiac cells can withstand ischemic conditions and still return to a viable state for how many minutes? (Points : 2)
21. When does systemic vascular resistance in infants begin to rise? (Points : 2)
22. An infant has a loud, harsh, holosystolic murmur and systolic thrill that can be detected at the left lower sternal border that radiates to the neck. These clinical findings are consistent with which congenital heart defect? (Points : 2)
23. Which congenital heart defects occur in trisomy 13, trisomy 18, and Down syndrome? (Points : 2)
24. The foramen ovale is covered by a flap that creates a check valve allowing blood to flow unidirectionally from the _____ to the _____.(Points : 2)
25. Which heart defect produces a systolic ejection murmur at the right upper sternal border that transmits to the neck and left lower sternal border with an occasional ejection click? (Points : 2)
We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper
Get Answer Over WhatsApp
Order Paper Now
KNOW PUBLIC HEATH EPIDEMIOLOGY
DUE 2/28 8P.M EST 500 WORDS Read Instructions
ARTICLE: Aberg, A. et al. (2010). Exposure assessment at a PCDD/F contaminated site in Sweden–field measurements of exposure media and blood serum analysis.Environmental Science and Pollution Research International. 17(1):26-39. (IS ATTACHED) Answer questions below
Discussion of journal articles is important to the development of critical thinking and evaluation skills. You are provided with citations for two different articles to discuss with your colleagues, in a “journal club” style. A journal club typically refers to a group of individuals who meet to critically evaluate journal articles in their academic field. You will participate in a journal club style critique in this module’s Discussion. This type of evaluation is very useful to broaden your knowledge of the field and practice critical thinking skills. Your discussion must be relevant to the journal article and must provide a scholarly critique of the contents.
Answer these questions from Article
What do you think the public health significance of the research question in this study was? Is it mostly of local significance or is there a global impact? Explain. Does the study fill an important gap, in your opinion? Why or why not? Critique the methodology. Why do you think the authors chose this methodology and what would you have done differently? Explain. Interpret the results in your own words and then discuss with your colleagues whether you agree or disagree with the author’s interpretations and why.
We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper
Get Answer Over WhatsApp
Order Paper Now
What are your thoughts on the role national nursing organizations play in shaping regulations and laws related to nursing practice and/or licensure?
We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper
Get Answer Over WhatsApp
Order Paper Now
This assignment has two parts, numbered below. Write each question as a new topic area, then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.
We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper
Get Answer Over WhatsApp
Order Paper Now
For the past 10 years, Methodist Hospital Health System (MHHS) celebrated the fact that 60% of its new hires in management positions were women and minorities. The MHHS leadership assumed that with such a practice, women and minorities would eventually represent at least 50% of their top management executives (vice president level and above). But then something unexpected happened. A few years ago, MHHS became concerned that its diversity program was not producing results. Instead of seeing an increase in the number of women and minorities in executive positions, the organization was observing a decline. Talented female and minority managers were leaving, draining the pool of capable and qualified staff.
To address this problem, MHHS founded the Task Force on Retention and Advancement of Women and Minorities in Executive Positions (TFRA). This task force aimed to pinpoint the reasons why female and minority executives were leaving by conducting a massive information-gathering initiative, which included interviewing female and minorities at all levels, as well as former employees. The team uncovered these main areas of concern:
In response to these findings, MHHS must retool the workplace.
Instructions:
You are the CEO of MHHS and have been asked to present a plan to the Board of Directors for retooling the workplace to meet the goals of a women- and minority-friendly employer, and to have women and minorities eventually represent 50% of the top management.
We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper
Get Answer Over WhatsApp
Order Paper Now
Discuss Topic 1
This is a discussion post, ABOUT 250 WORDS, tittle page not require In- text citation is required original work please, scholarly references are required for this assignment, website source strongly preferred.
QUESTION 1
After discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project. Explain how your proposal will directly and indirectly impact each of the aspects.
We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper
Get Answer Over WhatsApp
Order Paper Now
As you reflect on Meilaender’s readings, what is his distinction between procreation and reproduction, as well as that of being begotten versus being made? Do you agree with his description? Why or why not?
We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper
Get Answer Over WhatsApp
Order Paper Now
N328 Pediatric Nursing
Required Uniform Assignment: Ethical Dilemma
PURPOSE
For this assignment, you will examine ethical dilemmas that exist in pediatric acute care settings, particularly
those involving genetics/genomics issues. You will also explore the resources available to assist patients,
families, and healthcare professionals in solving these dilemmas, and integrate the principle of the ANA code of
Ethics.
COURSE OUTCOMES This assignment enables the student to meet the following course outcomes.
CO #1: Provides individualized comprehensive care for children and their families with multiple health problems in institutions and community care settings from birth through adolescence. (PO #1)
CO #4: Utilizes critical thinking skills in clinical decision making in the care of pediatric clients. (PO #4)
CO #6: utilizes legal, ethical, and professional standards and principles, including those related to child abuse recognition and intervention, as a basis for pediatric clinical decision‐making. (PO #6)
DUE DATE Refer to Course Calendar for details. The Late Assignment Policy applies to this assignment.
TOTAL POINTS POSSIBLE 100 points
REQUIREMENTS
Write a 2‐3 page paper (not including the title page and reference page) using APA format. Describe an ethical dilemma you encountered in your clinical setting. Example topics related to
genetics/genomics issues include, but are not limited to: genetic testing, diagnosis of a genetic disorder,
genetic counseling (or lack thereof), pharmacogenomics, lifelong surveillance, and recruiting individuals
for genetics research. Keep in mind to maintain the privacy of all members involved in the dilemma.
PREPARING THE ASSIGNMENT
Identify all the relevant and applicable principles within the ANA Code of Ethics that relates to your dilemma.
Describe in detail how your dilemma relates to the principle(s) you have identified. Discuss the outcome of the dilemma to the best of your knowledge. Discuss the resources within the clinical agency for dealing with such ethical dilemmas. Utilize resources such as your textbook, journal articles, Internet sites, etc, to aid in your discussion and
to support your perspective about the situations.
Complete the assignment using APA formatting. Include a reference page in APA format of sources used. You must use at least two references in this assignment (one will be the ANA Code of Ethics).
N328 RUA Ethical Dilemma for JUL16.docx Revised 06/2016 2
N328 Pediatric Nursing
DIRECTIONS AND ASSIGNMENT CRITERIA
Assignment Criteria
Points % Description
Dilemma Description
(15 points)
15 15% Describe the ethical dilemma, including how you became aware of the situation and who was involved (family, health, care providers, etc…)
Identify the Principle(s) from the ANA Code of
Ethics
(10 points)
10 10% Include all the ethical principles that are relevant and applicable to the situation. Include a brief description of each principle identified.
Relate Principles from ANA Code of Ethics to the
Dilemma
(30 points)
30 30% Describe how the ANA Code of Ethics principles relate to the dilemma. Provide specific examples from the situation to demonstrate this relationship.
Utilize resources such as your textbook, journal articles, professional internet sites, etc. to aid in your discussion and to support your perspective about the situations.
Must have at least 2 references, one being the ANA Code of Ethics and one journal article from a primary source.
Discuss the Outcome of the
Dilemma
(15 points)
15 15% How did the situation develop over the time frame you were caring for the patient? What outcome was hoped for, if no resolution occurred during that time frame?
Identify the Resources at the Clinical Agency to Assist Dealing with Ethical Dilemmas
(20 points)
20 20% What resources are available? Which were being used and for what reason(s)? In your opinion, were any other resources available, but not being used and should have been used in this situation? Provide rationales for your opinions. Support with literature (highly recommended).
Writing Style, APA format, grammar,
spelling, and mechanics
(10 points)
10 10% Proper APA format, grammar, mechanics, and spelling.
Total 100 100
N328 RUA Ethical Dilemma for JUL16.docx Revised 06/2016 3
N328 Pediatric Nursing
GRADING RUBRIC
Assignment Criteria
Outstanding or Highest Level of Performance
A (92–100%)
Very Good or High Level of Performance
B (84–91%)
Competent or Satisfactory Level of Performance
C (76–83%)
Poor, Failing or Unsatisfactory Level of
Performance F (0–75%)
Dilemma Description (15 points)
Description of the dilemma is clear and comprehensive; distinctively describes how student became aware of the situation; specifically identified the types of people involved in the situation and their roles.
14‐15 points
Description of the dilemma is clear and comprehensive; adequately describes how student became aware of the situation; specifically identified the types of people involved in the situation and their roles
13 points
Description of the dilemma is clear, but very general; adequately describes how student became aware of the situation; partially identified the types of people involved in the situation and their roles
12 points
Description of the dilemma is mostly vague or missing; inadequately/vaguely describes how student became aware of the situation; minimally identified or did not identify the types of people involved in the situation and their roles
0‐11 points
Identify the Principle(s) from the ANA code of Ethics (10 points)
Comprehensively and accurately identifies all the ethical principles that are relevant and applicable to the situation; includes brief description of each ethical principle identified.
10 points
Does not accurately identify/omits 1 ethical principle that is relevant and applicable to the situation; includes brief description of each ethical principle identified
9 points
Does not accurately identify/omits 2 ethical principles that are relevant and applicable to the situation; includes brief description of each ethical principal identified
8 points
Does not accurately identify/omits 3 or more ethical principles that are relevant and applicable to the situation; and/or does not provide a brief description of he ethical principle(s) identified
0‐7 points
Relate Principles from ANA Code of Ethics to the Dilemma (30 points)
Comprehensively describes how the identified ethical principles relate to the dilemma
Provides specific examples
Adequately describes how the identified ethical principles relate to the dilemma
Provides specific examples
Adequately describes how the identified ethical
principles relate to the
dilemma
Provides general examples
Minimally or does not describe how the identified ethical principles relate to the dilemma;
Provides vague or no
N328 RUA Ethical Dilemma for JUL16.docx Revised 06/2016 4
N328 Pediatric Nursing
from the situation to demonstrate this relationship;
Evidence presented to presented to support the relationship is compelling
At least two sources used (One journal article from a primary source and the ANA Code of Ethics)
28‐30 points
from the situation to demonstrate this relationship;
Evidence presented to support the relationship is compelling
At least two sources used (One journal article from a primary source and the ANA Code of Ethics)
26‐27 points
from the situation to demonstrate this relationship;
Evidence presented to support the relationship is adequate
At least two sources used (One journal article from a primary source and the ANA Code of Ethics)
23‐25 points
examples from the situation to demonstrate this relationship;
Evidence presented to support eht relationship is weak or no evidence presented to support the relationship
Did not use the minimum required sources
0‐22 points
Discuss the Outcome of the Dilemma (15 points)
Comprehensively and accurately describes the development of the situation during time of care; Clearly identifies the resolution/expected outcome(s) of the situation
14‐15 points
Adequately describes the development of the situation during time of care; clearly identifies the resolution/expected outcomes(s) of the situation
13 points
Adequately describes the development of the situation during time of care; broadly identifies the resolution/expected outcome(s) of the situation
12 points
Inadequately/Inaccurately describes the development of the situation during time of care; vaguely identifies the resolution/expected outcome(s) of the situation
0‐11 points
Identify the Resources at the Clinical Agency to Assist Dealing with Ethical Dilemmas (20 points)
All criterion items are met:
Comprehensively and accurately identifies all pertinent resources available/used to resolve the dilemma;
Systematically and accurately identifies all resources being used by patient
Comprehensively addresses available resources not used, but should have been used in the situation;
Die not meet one (1) of the criterion items:
Comprehensively and accurately identifies all pertinent resources available/used to resolve the dilemma;
Systematically and accurately identifies all resources being used by patient
Comprehensively addresses available resources not used, but should have been used in
Did not meet two (2) of the criterion items:
Comprehensively and accurately identifies all pertinent resources available/used to resolve the dilemma;
Systematically and accurately identifies all resources being used by patient
Comprehensively addresses available resources not used, but should have been used in
Did not meet three (3) or more of the criterion items:
Comprehensively and accurately identifies all pertinent resources available/used to resolve the dilemma;
Systematically and accurately identifies all resources being used by patient
Comprehensively addresses available resources not used, but should have been used in
N328 RUA Ethical Dilemma for JUL16.docx Revised 06/2016 5
N328 Pediatric Nursing
Supports ideas with valid rationale and evidence from literature
19‐20 points
the situation;
Supports ideas with valid rationale and evidence from literature
17‐18 points
the situation;
Supports ideas with valid rationale and evidence from literature
the situation;
Supports ideas with valid rationale and evidence from literature
0‐15 points
Writing Style, APA format, grammar, spelling, mechanics. (10 points)
All criterion items are met:
Flow of ideas logical and easy to follow
Ideas are presented clearly APA formatting free of errors Includes reference list and in‐
text citations
Spelling, grammar, and mechanics are free of errors
10 points
Did not meet one (1) of the criterion items:
Flow of ideas logical and easy to follow
Ideas are presented clearly APA formatting free of errors Includes reference list and in‐
text citations
Spelling, grammar, and mechanics are free of errors
9 points
Did not meet two (2) of the criterion items:
Flow of ideas logical and easy to follow
Ideas are presented clearly APA formatting free of errors Includes reference list and in‐
text citations
Spelling, grammar, and mechanics are free of errors
8 points
Did not meet three (3) or more of the criterion items:
Flow of ideas logical and easy to follow
Ideas are presented clearly APA formatting free of errors Includes reference list and in‐
text citations
Spelling, grammar, and mechanics are free of errors
0‐7 items
Total Points Possible = 100 points
We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper
Get Answer Over WhatsApp
Order Paper Now
What does a diabetic diet comprise of and how do we teach patients to adhere to these diets without craving sweetened foods?
22 words
We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper
Get Answer Over WhatsApp
Order Paper Now
