Nursing homework help

Paragraph 1

As a nurse our responsibility is to make sure our patients understand what we educate them on because that causes better outcomes for the patients we care for. Strategies we can implement besides learning styles is looking at the patient has a whole. Nurses should like and consider the emotional, the physical, the spiritual and how willing they are to learn and if encouragement is needed to complete the plan of care or help the patient understand what they need to know prior to discharge. Another strategy is starting to teach the patient as soon as they are admitted because now and especially in a hospital the patient is admitted and then discharged in such a short time that we don’t get to teach as much as we should anymore. I personally feel behavioral objectives should consistently be used because anytime health promotion/teaching is part of the plan of care then this typically is going to lean towards the changing the of unhealthy habits or even adding in healthier habits.

Paragraph 2

The nurse has many roles and responsibility during a shift. The nurse is a friend, a confidant, an advocator; but one of the most important roles is a health educator. Nurses providing quality, individualized, education can increase patient outcomes (Smith & Zsohar, 2013). The teaching is not just for the patients but their caregivers as well. The patient’s caregivers can be family, friends, or hired personal staff. Before teaching should begin, it is important for the nurse to address any language or cultural barriers that could affect the patient’s ability to learn. It is vital to ensure the patient and caregivers have their seeing or listening devices on prior to delivering education. From personal experience, it is quite frustrating to teach the patient and caregivers only to find out their hearing aids were not in place. The formulate an individualized care plan, the nurse needs to assess the patient’s current knowledge about the disease and address any misconceptions the patient may have about their disease (Ashton & Oermann, 2014). This can be done by asking open-ended questions about their current knowledge of their medications or the knowledge they have about their disease process. The patient may not believe something is happening internally because he/she is not physically injured or they do not physically feel anything wrong. Patient’s may know the disease process but not the repercussions of not following their care plan. For example, a Type 1 diabetic not monitoring their blood sugar daily. The patient may not be aware of what can happen systemically. Assessing the patient’s willingness to learn. The Type 1 diabetic could be a teenage girl with apprehensions about monitoring blood sugar at school. The apprehension can affect the patient’s optimal outcome. The nurse will have to modify the approach when teaching this patient. Behavioral objectives would need to be utilized for this patient due to the at-risk behaviors which could lead to deteriorating health condition

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Nursing homework help

 Jane Austen’s infection in the years since, with the most widely recognized diagnosis being that she had Addison’s sickness

In Milestone Two, you will submit a draft of your final project. In Milestone One of the final project, you have chosen a well-known individual from history or current popular literature, with instructor approval, who has a known physiological—as opposed to psychiatric or psychological—disease or illness.

In Milestone Two, you will analyze that disease or illness using a systematic approach. You will also develop a plan of care for that disease or illness.

Prompt: In your analysis, you will describe the pathophysiology for your selected disease or illness, propose historical explanations for variations in findings (when applicable), and demonstrate use of nursing conceptual models to frame your discussion of adaptation and stressors collectively for system analysis.

Your plan of care should utilize the PIE (planning, intervention, and evaluation) format. The planning (P) section should include at least two short-term and two long-term goals that are most appropriate for your chosen case, and each goal should have measurable criteria and have a hypothetical target date or time. The intervention (I) section should include interventions or nursing actions that directly relate to the selected case’s goals and that are specific in action and frequency. The number of interventions should be appropriate for helping to meet individual goals. Finally, the evaluation (E) section of the plan of care should include proposed measures for determining success of the plan and an evaluation of the potential success of the plan, based on those measures. You may write the plan of care in either narrative format or as a table with appropriate in-text citation used to support the plan of care.

Guidelines for Submission: Your paper must be submitted as at least a 6 to 10 page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and at least two peer-reviewed sources cited in APA format.

Please look at Milestone one as guidance. and the rubric below for further instructions.

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Nursing homework help

  Write the below in an APA format with references and all the questions answered.

The nurse is caring for a patient with diabetes type 1 who comes in for Day Surgery and takes insulin (aspart and NPH). On admission to the unit, the patient’s blood sugar is 200.

Discuss the pathophysiology of this disease process, assessment of the patient, lab work and diagnostic tests appropriate for this patient before he goes to surgery.

Discuss the pharmacology, discuss what you would do pertaining to the blood sugar and the administration of the insulins- provide rationale,

Discuss the nurses role in caring for this patient before and after the procedure.

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IHP 510 Module Six Worksheet Guidelines and Rubric

For this task, you will propose marketing and communication strategies based on the target market and demographics for a department, program, or service of the Missouri Department of Health and Senior Services.

Rubric and Worksheet attached.

This website must be used to complete worksheet: https://health.mo.gov/

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PICOT statement paper

Review the Topic Materials and the work completed in NRS-433V to   formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular   clinical area and identifies clinical problems or issues that arise   from clinical care. The intervention should be an independent,   specified nursing change intervention. The intervention cannot require   a provider prescription. Include a comparison to a patient population   not currently receiving the intervention, and specify the timeframe   needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the   assigned readings. The PICOT statement will provide a framework for   your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem   and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing   Practice

Prepare this assignment according to the guidelines found in the APA   Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to   beginning the assignment to become familiar with the expectations for   successful completion.

You are required to submit this assignment to LopesWrite. Please refer   to the directions in the Student Success Center.

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IOM report

1 the impact of IOM on nursing education. 2 the impact of the IOM report practice, particularly in primary care, and how you would change your practice to meet the goals of IOM report. 3 the impact of the IOM report on the nurse′s role as a leade

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Wk 8 Discussion

Discussion: Cognitive Behavioral Therapy: Group Settings Versus Family Settings

As you might recall from Week 5, there are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in group settings and family settings, consider challenges of using this approach with your own groups.

Learning Objectives

Students will:
  • Compare the use of cognitive behavioral therapy for groups to cognitive behavioral therapy for families
  • Analyze challenges of using cognitive behavioral therapy for groups
  • Recommend effective strategies in cognitive behavioral therapy for groups

To prepare:

  • Reflect on your practicum experiences with CBT in group and family settings.

Post an explanation of how the use of CBT in groups compares to its use in family settings. Provide specific examples from your own practicum experiences. Then, explain at least two challenges counselors might encounter when using CBT in the group setting. Support your response with specific examples from this week’s media.

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medical malpractice

  List the elements of malpractice and give examples of each element in professional nursing practice, including ways to   avoid or lessen the potential of future malpractice cases.

One paragraph with two citations, APA style

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Liability and Risk Management

 study the following aspects

Risk management

Distinguish negligence from malpractice

Examine the Good Samaritan laws and their   relevance for health care deliverer

After reading

Joel Chapters : 28 & 29

https://www.napnap.org/sites/default/files/userfiles/for_providers/NP_Malpractice_FAQ_NSO.pdf

  •  List the elements of malpractice and give   examples of each element in professional nursing practice, including ways to   avoid or lessen the potential of future malpractice cases

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NUCLEAR CARDIOLOGY

The Discussion Section question is:  

Add a comment pertaining to the effect of workload on coronary blood flow. Please detail our potential to image the ratio of decrease blood flow for  diagnostic value. Add to to the DICUSSION PANNEL for this unit.

Here some example for you :

1- The effect of workload on coronary blood flow and our potential to image the ratio of decrease blood flow for diagnostic value:

According to The Journal of the American Association, coronary blood flow is determined by the rate at which blood flows out of the coronary arteries to other parts of the body. For example, during rest, the amount of blood flows through the coronary arteries is 225 ml per minute which is 4-5% of total cardiac output. During stress, the blood flow is faster and the heart muscle contracts during systole. As a result, during diastole, the cardiac muscle relaxes to allow the flow of blood through the body without any resistance. One significant effect on coronary blood flow is the workload the heart is subjected to during stress. With an increase in stress rate, the heart reacts to pump blood in a faster rate to ensure oxygen is supplied to the rest of the body. When imaging, the vasodilator stress agents are helpful in decreasing the blood flow and relaxing the heart muscle. These pharmacological agents help when measuring the supply to the heart and viewing the heart’s workload.

2- The following is regarding the effect of workload on coronary blood flow and our potential to image the ratio of decrease blood flow for diagnostic value:

The heart is a very smart organ with very smart systems. An auto-regulatory mechanism known as coronary autoregulation is constantly maintaining the interaction of pressure and resistance of coronary blood flow. Decreases in pressure are compensated for by decreases in resistance and conversely, increases in pressure by increases in resistance so that flow remains constant for a give cardiac workload. This regulatory mechanism operates within the range of physiologic arterial pressures but fails during hypotension when flows become strongly dependent on the driving pressure.

For imaging purposes, pharmacological vasodilator stress agents seek to maximally lower the vascular resistance through relaxation of the vascular smooth muscle cell at the level of the microcirculation, thereby uncoupling coronary flow (supply) and myocardial work (demand). With the help of such pharmacological agents, imaging can take place in order for diagnostic purposes.

References

Schelbert H. R. (2010). Anatomy and physiology of coronary blood flow. Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 17(4), 545–554. doi:10.1007/s12350-010-9255-x

3- The effect of workload on coronary blood flow and our potential to image the ratio of decrease blood flow for diagnostic value:

Blood flow to the heart mainly occurs during diastole, the great majority of blood flow to the left ventricle occurs during diastole. The diastolic pressure from the aorta propels blood through the coronary circulation. The more coronary blood flow to the left ventricle means the longer time that diastole will last. The right ventricle receives blood equally during both systole and diastole. Diastole lasts for about two thirds of the cardiac cycle. The coronary arties through the myocardium are compressed during ventricular contraction when fibers are thickening and are unable to fill.  The pressure within the left ventricle offers resistance to this flow. Blockage of coronary arteries can reduce coronary blood flow at rest, resulting in a buildup of a clot, and also anything that causes arteries to constrict and not allow the vasodilatation to even improve coronary blood flow.

For imaging potential of decreased blood flow, pharmacological vasodilator stress agents can be utilized to cause a lower vascular resistance through relaxation of the smooth muscles of the heart during a nuclear stress test. This can lead to measuring the supply and demand of the heart, it is which these pharmacological stress agents that when can possibly use to help increase the potential to image the ratio of decreased blood flow for diagnostic reasons and value.

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