Respiratory Alterations
In clinical settings, patients often present with various respiratory symptoms such as congestion, coughing, and wheezing. While identifying a symptom’s underlying illness can be challenging, it is essential because even basic symptoms such as persistent coughing can be a sign of a more severe disorder. Advanced practice nurses must be able to differentiate between moderate and severe respiratory disorders, as well as properly diagnose and prescribe treatment for their patients. For this reason, you must have an understanding of the pathophysiology of respiratory disorders.
Consider the following three scenarios:
Scenario 1:
Ms. Teel brings in her 7-month-old infant for evaluation. She is afraid that the baby might have respiratory syncytial virus (RSV) because she seems to be coughing a lot, and Ms. Teel heard that RSV is a common condition for infants. A detailed patient history reveals that the infant has been coughing consistently for several months. It’s never seemed all that bad. Ms. Teel thought it was just a normal thing, but then she read about RSV. Closer evaluation indicates that the infant coughs mostly at night; and, in fact, most nights the baby coughs to some extent. Additionally, Ms. Teel confirms that the infant seems to cough more when she cries. Physical examination reveals an apparently healthy age- and weight-appropriate, 7-month-old infant with breath sounds that are clear to auscultation. The infant’s medical history is significant only for eczema that was actually quite bad a few months back. Otherwise, the only remarkable history is an allergic reaction to amoxicillin that she experienced 3 months ago when she had an ear infection.
Scenario 2:
Kevin is a 6-year-old boy who is brought in for evaluation by his parents. The parents are concerned that he has a really deep cough that he just can’t seem to get over. The history reveals that he was in his usual state of good health until approximately 1 week ago when he developed a profound cough. His parents say that it is deep and sounds like he is barking. He coughs so hard that sometimes he actually vomits. The cough is productive for mucus, but there is no blood in it. Kevin has had a low-grade temperature but nothing really high. His parents do not have a thermometer and don’t know for sure how high it got. His past medical history is negative. He has never had childhood asthma or RSV. His mother says that they moved around a lot in his first 2 years and she is not sure that his immunizations are up to date. She does not have a current vaccination record.
Scenario 3:
Maria is a 36-year-old who presents for evaluation of a cough. She is normally a healthy young lady with no significant medical history. She takes no medications and does not smoke. She reports that she was in her usual state of good health until approximately 3 weeks ago when she developed a “really bad cold.” The cold is characterized by a profound, deep, mucus-producing cough. She denies any rhinorrhea or rhinitis—the primary problem is the cough. She develops these coughing fits that are prolonged, very deep, and productive of a lot of green sputum. She hasn’t had any fever but does have a scratchy throat. Maria has tried over-the-counter cough medicines but has not had much relief. The cough keeps her awake at night and sometimes gets so bad that she gags and dry heaves.
To Prepare
– Review the three scenarios, as well as Chapter 27 and Chapter 28 in the Huether and McCance text.
– Select one of the scenarios and consider the respiratory disorder and underlying alteration associated with the type of cough described.
– Identify the pathophysiology of the alteration that you associated with the cough.
– Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the disorder.
Post a description of the disorder and underlying respiratory alteration associated with the type of cough in your selected scenario. Then, explain the pathophysiology of the respiratory alteration. Finally, explain how the factors you selected might impact the disorder.
LEARNING RESOURCES
Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.
- Chapter 26, “Structure and Function of the Pulmonary System”
This chapter provides information relating to the structure and function of the pulmonary system to illustrate normal pulmonary function. It focuses on gas transport to build the foundation for examining alterations of pulmonary function.
- Chapter 27, “Alterations of Pulmonary Function”
This chapter examines clinical manifestations of pulmonary alterations and disorders of the chest wall and pleura. It covers the pathophysiology, clinical manifestations, evaluation, and treatment of obstructive lung diseases such as asthma, chronic obstructive pulmonary disease (COPD), chronic bronchitis, and emphysema.
- Chapter 28, “Alterations of Pulmonary Function in Children”
This chapter focuses on alterations of pulmonary function that affect children. These alterations include disorders of the upper and lower airways.
Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.
- Chapter 9, “Pulmonary Disease”
This chapter begins with an overview of normal structure and function of the lungs to provide a foundation for examining various lung diseases such as asthma and chronic obstructive pulmonary disease (COPD).
Instructor Requirements
As advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in Up
to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:
1. Up to Date (must use original articles from Up to Date as a resource)
2. Wikipedia
3. Cdc.gov- non healthcare professionals section
4. Webmd.com
5. Mayoclinic.com
– This work should have Introduction and Conclusion
– It should have at least 3 current references
– APA format
This paper should have Introduction and Conclusion
Writing your philosophy of nursing will reveal your professional and personal growth over time as you compare previous versions of your philosophy.
UncategorizedShare my nursing philosophy
This written assignment will allow you to reflect on your beliefs about nursing. Writing your philosophy of nursing will reveal your professional and personal growth over time as you compare previous versions of your philosophy.
Think about the following before you start writing your paper.
You have learned about various theoretical works in nursing including Nightingale’s Environmental Theory, and Jean Watson Philosophy and Science of Caring, Orem’s Self-Care Deficit Theory of Nursing among others. Which nursing theory most closely matches your beliefs? Why are philosophies of nursing, conceptual models, grand theories, and middle-range theories important to nursing? Why did you choose nursing as your profession? What do you believe is the core of nursing? What is the focus of nursing? To live out your philosophy, what should you keep in mind about your patients, families, environment?
Instructions:
This paper reflects your own values and world view, therefore there are no right or wrong answers.
Paper must be written in APA style.
Paper should be between 5-7 pages excluding cover page and references.
Address the following topics in your paper
Respiratory Alterations in clinical settings
UncategorizedRespiratory Alterations
In clinical settings, patients often present with various respiratory symptoms such as congestion, coughing, and wheezing. While identifying a symptom’s underlying illness can be challenging, it is essential because even basic symptoms such as persistent coughing can be a sign of a more severe disorder. Advanced practice nurses must be able to differentiate between moderate and severe respiratory disorders, as well as properly diagnose and prescribe treatment for their patients. For this reason, you must have an understanding of the pathophysiology of respiratory disorders.
Consider the following three scenarios:
Scenario 1:
Ms. Teel brings in her 7-month-old infant for evaluation. She is afraid that the baby might have respiratory syncytial virus (RSV) because she seems to be coughing a lot, and Ms. Teel heard that RSV is a common condition for infants. A detailed patient history reveals that the infant has been coughing consistently for several months. It’s never seemed all that bad. Ms. Teel thought it was just a normal thing, but then she read about RSV. Closer evaluation indicates that the infant coughs mostly at night; and, in fact, most nights the baby coughs to some extent. Additionally, Ms. Teel confirms that the infant seems to cough more when she cries. Physical examination reveals an apparently healthy age- and weight-appropriate, 7-month-old infant with breath sounds that are clear to auscultation. The infant’s medical history is significant only for eczema that was actually quite bad a few months back. Otherwise, the only remarkable history is an allergic reaction to amoxicillin that she experienced 3 months ago when she had an ear infection.
Scenario 2:
Kevin is a 6-year-old boy who is brought in for evaluation by his parents. The parents are concerned that he has a really deep cough that he just can’t seem to get over. The history reveals that he was in his usual state of good health until approximately 1 week ago when he developed a profound cough. His parents say that it is deep and sounds like he is barking. He coughs so hard that sometimes he actually vomits. The cough is productive for mucus, but there is no blood in it. Kevin has had a low-grade temperature but nothing really high. His parents do not have a thermometer and don’t know for sure how high it got. His past medical history is negative. He has never had childhood asthma or RSV. His mother says that they moved around a lot in his first 2 years and she is not sure that his immunizations are up to date. She does not have a current vaccination record.
Scenario 3:
Maria is a 36-year-old who presents for evaluation of a cough. She is normally a healthy young lady with no significant medical history. She takes no medications and does not smoke. She reports that she was in her usual state of good health until approximately 3 weeks ago when she developed a “really bad cold.” The cold is characterized by a profound, deep, mucus-producing cough. She denies any rhinorrhea or rhinitis—the primary problem is the cough. She develops these coughing fits that are prolonged, very deep, and productive of a lot of green sputum. She hasn’t had any fever but does have a scratchy throat. Maria has tried over-the-counter cough medicines but has not had much relief. The cough keeps her awake at night and sometimes gets so bad that she gags and dry heaves.
To Prepare
– Review the three scenarios, as well as Chapter 27 and Chapter 28 in the Huether and McCance text.
– Select one of the scenarios and consider the respiratory disorder and underlying alteration associated with the type of cough described.
– Identify the pathophysiology of the alteration that you associated with the cough.
– Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the disorder.
Post a description of the disorder and underlying respiratory alteration associated with the type of cough in your selected scenario. Then, explain the pathophysiology of the respiratory alteration. Finally, explain how the factors you selected might impact the disorder.
LEARNING RESOURCES
Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.
This chapter provides information relating to the structure and function of the pulmonary system to illustrate normal pulmonary function. It focuses on gas transport to build the foundation for examining alterations of pulmonary function.
This chapter examines clinical manifestations of pulmonary alterations and disorders of the chest wall and pleura. It covers the pathophysiology, clinical manifestations, evaluation, and treatment of obstructive lung diseases such as asthma, chronic obstructive pulmonary disease (COPD), chronic bronchitis, and emphysema.
This chapter focuses on alterations of pulmonary function that affect children. These alterations include disorders of the upper and lower airways.
Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.
This chapter begins with an overview of normal structure and function of the lungs to provide a foundation for examining various lung diseases such as asthma and chronic obstructive pulmonary disease (COPD).
Instructor Requirements
As advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in Up
to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:
1. Up to Date (must use original articles from Up to Date as a resource)
2. Wikipedia
3. Cdc.gov- non healthcare professionals section
4. Webmd.com
5. Mayoclinic.com
– This work should have Introduction and Conclusion
– It should have at least 3 current references
– APA format
This paper should have Introduction and Conclusion
ANALYZE THE STEPS IN IDENTIFYING RISKS IN A HEALTH CARE IT PROJECT.
UncategorizedIn your third meeting with the CIO, she explains that she must make a presentation to her peers on the executive team, including the chief operating officer, chief medical officer, chief nursing officer, chief financial officer, and CEO. The purpose is to teach them about the importance of rigorous and structured risk management.
They believe they worry too much about risk and issues that may not occur. However, the CIO has found that when unexpected events occur, especially events related to IT, she is asked, “How could this have happened?” She would like you to prepare a presentation describing the reasons for risk management planning and high-level steps in performing risk management.
Create a 7 slide Microsoft® PowerPoint® presentation describing the reasons for risk management planning and high-level steps in performing risk management. Your presentation should:
Analyze the steps in identifying risks in a health care IT project.
Explain the stakeholders involved in the project.
Explain the benefits to the company upon completion of this project.
Analyze the risks that may affect the project.
Analyze the characteristics of the risks.
Analyze why it is important to consider these risks throughout the project.
Analyze how to correct the identified risks.
Explain how the project will be implemented.
Explain how the project will be monitored for ongoing risks.
Cite at least 3 reputable references. One reference must be your textbook, Managing Risk in Information Systems. Reputable references include trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality.
Format your presentation according to APA guidelines. Include a title page, detailed speaker notes, and a references page.
Quality is never an accident
Nursing HomeworksQuality is never an accident. It is always the result of intelligent effort. —John Ruskin Quality is multidimensional and involves the perspectives of various stakeholders, including patients and families. As noted in this week’s Learning Resources, defining quality is not a simple, straightforward task. Yet, it provides an essential foundation for being able to measure and assess quality, and, ultimately, to improve it. In this Discussion, you consider definitions and measurements of quality. As you proceed, think about why it is important for organizations to be able to quantify quality and compare current performance to previous performance, to a set of standards, and/or to performance in other organizations. To prepare: •Review the information in the Learning Resources, especially the chapters in the Sadeghi, Brazi, Mikhail, and Shabot course text, focusing on how quality is or could be defined and measured. •Think about a health care organization with which you are familiar. It may be the same organization you are focusing on for your Course Project, or a different one. How do you think various stakeholders in this organization would define quality? How would you define quality as it relates to this organization? •Review the information on quality standards and / or aims in the Learning Resources, and consider the following: ◦Which outcomes related to quality are currently being monitored in the organization that you have selected? ◦How is related data collected and evaluated? ◦Does the organization use health information technology in this regard? If so, how? ◦How is quality-related information (e.g., data, needs for improvement) communicated throughout the organization? ◦What do you consider to be the strengths and weaknesses of the current approach to quality in this organization?
By Day 3 Post a definition of quality for your selected organization. Describe at least one quality-related measure that is currently being monitored within the organization.
Summarize the data collection process for this measure, and explain how this information is communicated to or among the staff. Identify at least one strength and one weakness related to how quality is defined, measured, and/or monitored within the organization.
Required Readings
Hickey, J. V., & Brosnan, C. A. (2017). Evaluation of health care quality in for DNPs (2nd ed.). New York, NY: Springer Publishing Company.
•Chapter 6, “Evaluating of Health Care Information Systems and Patient Care Technology” (pp. 143-170) This chapter examines federally mandated use of health information technology to improve health care and care delivery. Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. (2013). Integrating quality and strategy in health care organizations. Burlington, MA: Jones & Bartlett Learning.
•Review Chapter 3, “General Concepts in Quality” (pp. 45–82) (assigned in Week 4) The authors discuss historical perspectives of quality in various industries, and explain the multifaceted nature of defining quality in health care settings. •Chapter 4, “Current State of Quality Measurement: External Dynamics” (pp. 83–98) This chapter describes many of the government, nonprofit, and for-profit groups / organizations that contribute to the establishment quality standards and support research to improve the quality of health care. •Chapter 5, “Current State of Quality Measurement: Internal Dynamics” (pp. 99–110) This chapter focuses on mandatory and voluntary quality measurement in organizations. •Chapter 6, “Measuring Quality of Inpatient Care” (pp. 111–132) This chapter explains the terminology use in quality measurement (e.g., measures, indicators, metrics), and notes that measurement is a critical foundation for the ultimate aim of creating effective changes to improve quality.
•Chapter 8, “Quantifying the Quality Performance Gaps” (pp. 161–177) This chapter addresses how to quantify current performance and set targets. Epstein, J. N., Langberg, J. M., Lichtenstein, P. K., Kolb, R. C., & Stark, L. J. (2010). Sustained improvement in pediatricians’ ADHD practice behaviors in the context of a community-based quality improvement initiative. Children’s Health Care, 39(4), 296–311. Retrieved from the Walden Library databases. Researchers evaluate a quality improvement project on pediatric care of ADHD patients and the sustainability of the improvement over a two-year period.
TELENURSING PAPER
Nursing HomeworksTELENURSING PAPER
You have worked with Tomika for the past 5 years. Tomika shares with you that she has resigned and plans to work in an agency that installs telemonitoring equipment into the homes of those with chronic illnesses. Nurses monitor the patients using the equipment with the goal of detecting problems before patients need to be readmitted to the hospital. Tomika will be working from her own home, with occasional meetings at the agency. She would not be visiting her patients in their homes, but rather would be assessing and interacting with them via videoconferencing. She tells you that there are still job openings and encourages you to apply. You are intrigued by this, and decide to investigate whether telenursing would be a good choice for you, too. Is telenursing in your future? Directions 1. research (find evidence), compose, and type a scholarly paper that describes telenursing as described above, and whether it is a good fit for you. Reflect on what you have learned in this class to date about technology, privacy rights, ethical issues, interoperability, patient satisfaction, consumer education, and other topics. Your text by Hebda (2013, Chapter 25) discusses telehealth in detail. However, your focus should be from the professional nurse’s role in telenursing. Do not limit your review of the literature to only what you read in your text. Nurses in various specialties need to know about the advantages and disadvantages of telenursing as it applies to their patients. For example, when you discharge a patient from an acute care setting, will a telenursing service assist that individual with staying out of the hospital? You may need to apply critical-thinking skills to development of your telenursing paper. In the conclusion of your paper, describe your current employment situation, and whether a job in telenursing would, or would not, fit with your career goals and life situation once you graduate from Chamberlain. 2. Use Microsoft Word and APA formatting to develop your paper. Consult the Publication manual of the APA, 6th edition if you have questions, for example, margin size, font type and size (point), use of third person, and so forth. Take advantage of the writing service, Smarthinking, which is accessed by clicking on the link called the Tutor Source, found under the Course Home area. Also, review and use the various documents in Doc Sharing related to APA. 3. The length of the paper should be four to five pages, excluding the title page and the reference page. Limit your references to key sources. 4. The paper should contain an introduction that catches the attention of the reader with interesting facts and supporting sources of evidence, which need to be mentioned as in-text citations. Keep in mind that APA guidelines state you are not to call this an Introduction, but you should include it at the beginning of your paper. The Body should present the advantages and disadvantages of telenursing from your perspective as an employee, and the patient’s perspective as a recipient of the care nurses provide. The Conclusion and Recommendations of this telenursing paper should summarize your findings and state your position on whether you will apply for a position with the agency.
Identify a theory that can be used to support your proposed solution
Nursing HomeworksLEARNING/NURSING THEORIES
Write a summary (250-500 words) in which you:
1. Describe the theory and your rationale for selecting the theory.
2. Discuss how the theory works to support your proposed solution.
3. Explain how you will incorporate the theory into your project.
Refer to the “Module 2: Checklist.”
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
3 NRS 441v.11R.Module 2_Checklist.docx
My proposed solution is hourly rounds on inpatients to decrease falls.
Module 2: Checklist
Review of Literature and Incorporating Theory
Instructions:
This checklist is designed to help students organize the weekly exercises/assignments to be completed as preparation for the final capstone project proposal. This checklist will also serve as a communication tool between students and faculty. Comments, feedback, and grading for modules 1-4 will be documented using this checklist.
Topic
Task
Completed
Comments / Feedback
Points
Review of Literature
Analyze and appraise each of the 15 articles identified in module 1. (15 articles).
_____ / 50
Analysis organized using the sample provided in “Sample Format for Review of Literature.”
_____ / 10
Incorporating Theory
Identified a theory that can be used to support proposed solution.
_____ / 8
Main components of theory described.
_____ / 8
Rationale for selecting theory provided.
_____ / 8
Discussed how theory works to support proposed solution.
_____ / 8
Explained how theory will be incorporated into project.
_____ / 8
TOTAL POINTS
_____ / 100
© 2011. Grand Canyon University. All Rights Reserved.
Information Systems homework help
UncategorizedUsing the scenario, identify four possible information technology (IT) security controls for the bank and provide rationale for your choices.
Required Resources
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>Criminal homework help
UncategorizedAnswer all questions.
Below are some ideas to think about concerning strain theory……for example:
1 Lower class Americans embrace the middle class ethic
2 Socialization of the lower class hinders their ability to compete
3 Decreased ability to compete produces strain
4 Increased strain produces identification with delinquent subculture
5 The delinquent subculture
Identification with delinquent subculture produces delinquent behavior
1) criminal subculture
2) conflict subculture
3) retreatist subculture
1) Mobilization for Youth
2) War on Poverty (heroic theme)
Application of strengths-based nursing principles
UncategorizedAssessment 3. Application of strengths-based nursing principles
Emma Gee case study
Using any of the resources available related to the Emma Gee case study presented throughout the unit, develop a discussion on how strengths-based nursing and healthcare could be implemented for Emma at any point of her journey, or across the whole of her journey (hypothetically as if Emma was to experience her healthcare journey again).
Your discussion should
provide an overview of what is strengths-based nursing synthesising the principles and values of SBN
demonstrate how strengths-based nursing could be implemented in Emma’s nursing care to address the healthcare needs raised in Emma’s case study (specifically identify which healthcare need you are addressing using evidence from one of the resources available to you presenting the Emma Gee case),
select one critical transition point in Emma’s journey (e.g. immediate post-surgical care while Emma was unconscious; nursing care following Emma regaining consciousness; admission to rehabilitation; discharge planning from rehabilitation; etc) and present a strengths-based nursing care plan for Emma that includes a holistic approach, a family focus and collaboration with Emma, her family and other healthcare professionals involved in Emma’s care,
summarise the nursing care practices and client outcomes you would expect from implementing strengths-based nursing care complementing the medical model focus,
offer your conclusion on how SBN can help achieve patient and family empowerment, health promotion and partnerships in healthcare in Australia.
The workshop workbook and the learning activities in the 2-day workshop will assist you to complete this assessment task. The first and second assessments will be formative towards completing assessment 3.
Statistics homework help
UncategorizedA popular consumer staple was displayed in different locations in the same aisle of a grocery store to determine what, if any, effect different placement might have on its sales. The product was placed at one of three heights on the aisle – low, medium, and high – and at one of three locations in the store – at the front of the store, at the middle of the store, and at the rear of the store. The number of units sold of the product at various height and distance combinations was recorded each week for five weeks, and the following results were obtained:
The data can be found in staple.xlsx. What effect does the product location have on the sales?
Where would you suggest to place the staples?
For this you should:
(a) Produce a profile plot of the mean number of items sold.
Comment on this graph and relate it to your future planned tests.
(b) Analyze the data with an analysis of variance. Perform all the necessary tests (including testing for interaction and, if necessary, for main effects), and state the hypotheses and conclusions for all of them. When testing for interaction, make sure you explain what interaction means in the context of this problem.
(c) Perform any relevant comparison of means procedures. Use Tukey’s Method.
(d) State your recommendations on where the product should be placed.