NUR231: Bachelor Of Nursing Science-Case Study Assignment
Patient Situation:
Mr. Edward Hunter, an 89 year old widower, is now day 7 following his admission with end-stage pulmonary fibrosis, hypoxaemia (oxygen saturations 82% in the ambulance) and chest infection. He has been under the care of the community nursing team who have provided nursing support and home oxygen therapy. Mr. Hunter’s condition continues to deteriorate. He is on 15 litres oxygen via the non-rebreather mask to maintain oxygen saturations > 94%. His severe dyspnoea renders him immobile and barely able to eat. At night he becomes quite restless and distressed by his breathlessness. Whilst in hospital he has been under the care of the palliative care team who prescribed Morphine elixir 2.0-2.5 mg PO PRN nocte to alleviate the distress associated with his dyspnoea.
Mr. Hunter developed a fever of 38.0oC two days ago and has chills and bloody, jelly-like sputum. Culture and sensitivity on Mr. Hunter’s sputum specimen reveals Streptococcus pneumoniae and Klebsiella pneumoniae and he is diagnosed with hospital acquired pneumonia. Mr. Hunter was previously prescribed Amoxycillin (Amoxicil, Alphamox) 500mg capsules PO TDS and Clarithromycin (Clarac, Klacid) 500mg PO BD for his chest infection and he has diarrhoea associated with the macrolide antibiotic therapy. Laboratory tests from a stool sample confirm that he has Clostridium difficile (C.difficile) infection. The Klebsiella pneumoniae infection poses a serious risk to Mr. Hunter of further
deterioration in lung function and of developing an empyema. Klebsiella infection is seen in elderly hospitalised patients who are already ill and immunocompromised and with underlying chronic lung disease. Since Klebsiella demonstrates antimicrobial resistance – the bacterium is intrinsically resistant to Penicillins and can acquire resistance to Cephalosporins – Mr. Hunter is commenced on an aminoglycoside and is prescribed gentamicin IV infusion.
Question:
Question 1- Explain why Mr. Hunter has the ‘superinfection’ known as C.difficile and describe the nursing care required to contain this infection.
Question 2 – Explain how aminoglycosides work to combat infection and why plasma drug concentrations of the aminoglycoside Gentamicin are monitored.
Question 3 – Relate what you know about how Gentamicin achieves its antimicrobial effect (ie. is antimicrobial efficacy dose-dependent or concentration-dependent) to explain the consequences of a ‘missed’ dose or giving a ‘late’ dose in an antibiotic treatment regime.
Question 4 – What is the nurses’ role in ‘antimicrobial stewardship?’ Examine the research literature in the USC library databases and choose at least 2 journal articles that discuss antimicrobial stewardship (AMS) in order to identify the nurses’ role in improving antimicrobial use in hospitals. Analyse the papers and summarise the main points.
>Information Systems homework help
UncategorizedVariations in Approaches to Care
Nursing HomeworksChoose a specific culture or ethnicity of an immigrant or refugee population.
Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by your course text and at least one other scholarly source. Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center.
Disc 2
Making a Difference
Imagine you are a policymaker for your city or town. Based on what you know and what you have learned in this course, what would you modify or improve to make a positive change in the life of a vulnerable group we have not covered in class? Justify whether or not you would consult the vulnerable group when developing programs or policies? Propose a policy you would create to improve health care services accessibility, cost, and quality related to your selected group?
Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by your course text and at least one other scholarly source. Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center.
Informatics assists nursing in many ways. Being able to support a discussion and explain how technology impacts the issue gives the nurse a broader understanding of how technology can be used in their practice.
UncategorizedQuestion Description
Informatics assists nursing in many ways. Being able to support a discussion and explain how technology impacts the issue gives the nurse a broader understanding of how technology can be used in their practice.
Tasks:
The stone is a unit of mass that is still sometimes used in the British Isles as an expression of human weight. A stone is equal to 14 pounds (about 6.35 kilograms). Argue for the international use of kilograms as a measure of human weight. What are the advantages to the unified system? What are the disadvantages? Who might be resistant? Why and/or how does technology impact this issue? Take this position, answer these questions, and support your decision.
In a minimum of 200 words, post your response to the following:
Consider sharing your own experiences and interpretation of the research. Support your findings with examples and scholarly references. Apply APA standards to citation of sources.
Identify one professional nursing organization and how it enhances the power of nursing while also increasing nursing professionalism. Provide an example of its influence in areas of nursing practice, caring, professionalism, or other practice areas.
Nursing Essay HelpEnglish homework help
UncategorizedWrite a few sentences (about 100 words) integrating a quote from any of the articles that you will be using in your paper. Be sure to connect your quote to the rest of your sentences. You can do this via signal phrases (“Smith argues” OR “According to Smith,” etc) or by integrating your quote as it grammatically fits into your sentence. Document your quote by using the MLA in-text citation guidelines you have studied in this lesson.
When you are done posting your response, reply to at least one classmate in no fewer than 75 words. Comment on how effectively they have integrated a quote.
Your discussion post will be graded according to the following criteria:
>Education homework help
UncategorizedThis assignment is worth 30 points each. All case studies must include or address the following:
How competitive are graduate programs in I/O psychology?
Nursing HomeworksSection I
Use the information presented in Chapter 8 of your course text as well as the required websites to assist you in addressing the scenarios. You will also need to do some additional research. Recommended websites are provided and you will find useful information on the websites of graduate programs in psychology and other mental health-related fields.
Section II
For this section, copy and paste the information from Table 8.4 in your text and then rate yourself for each of the items. Be sure to include an explanation for each at the bottom of the individual sections. See the document with the information attached here. ( Section II )
Writing Careers in Psychology
The Assignment:
Write an article for a community newsletter for a local retirement village that explains the laws, policies, and choices surrounding end-of-life health care decisions.
UncategorizedOverview Write an article for a community newsletter for a local retirement village that explains the laws, policies, and choices surrounding end-of-life health care decisions. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes. ◦Identify the primary policies that define current health care practices in regard to end-of-life health care decisions. ◦Explain the legislation that generated end-of-life health care policies. Competency 2: Explain the effect of regulatory environments and controls on health care delivery and patient outcomes. ◦Explain the effect of end-of-life regulations and controls on patient outcomes. Competency 3: Apply professional nursing ethical standards and principles to the decision-making process. ◦Describe the role of the nurse in end-of-life decision making with patients and their families. ◦Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions. Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals. ◦ Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. ◦Correctly format citations and references using APA style. Context Nurses are at the bedside during the dying process; they spend entire shifts with patients and families; they develop trusting relationships; and they are competent to assess patient and family needs. Nurses gain a unique perspective that allows them to become aware when a patient is not responding to treatment. This perspective places nurses in a position to facilitate end-of-life decision making. (Adams, Bailey. Anderson, & Docherty, 2011, para. 4)
Bachelor Of Nursing Science-Case Study
UncategorizedNUR231: Bachelor Of Nursing Science-Case Study Assignment
Patient Situation:
Mr. Edward Hunter, an 89 year old widower, is now day 7 following his admission with end-stage pulmonary fibrosis, hypoxaemia (oxygen saturations 82% in the ambulance) and chest infection. He has been under the care of the community nursing team who have provided nursing support and home oxygen therapy. Mr. Hunter’s condition continues to deteriorate. He is on 15 litres oxygen via the non-rebreather mask to maintain oxygen saturations > 94%. His severe dyspnoea renders him immobile and barely able to eat. At night he becomes quite restless and distressed by his breathlessness. Whilst in hospital he has been under the care of the palliative care team who prescribed Morphine elixir 2.0-2.5 mg PO PRN nocte to alleviate the distress associated with his dyspnoea.
Mr. Hunter developed a fever of 38.0oC two days ago and has chills and bloody, jelly-like sputum. Culture and sensitivity on Mr. Hunter’s sputum specimen reveals Streptococcus pneumoniae and Klebsiella pneumoniae and he is diagnosed with hospital acquired pneumonia. Mr. Hunter was previously prescribed Amoxycillin (Amoxicil, Alphamox) 500mg capsules PO TDS and Clarithromycin (Clarac, Klacid) 500mg PO BD for his chest infection and he has diarrhoea associated with the macrolide antibiotic therapy. Laboratory tests from a stool sample confirm that he has Clostridium difficile (C.difficile) infection. The Klebsiella pneumoniae infection poses a serious risk to Mr. Hunter of further
deterioration in lung function and of developing an empyema. Klebsiella infection is seen in elderly hospitalised patients who are already ill and immunocompromised and with underlying chronic lung disease. Since Klebsiella demonstrates antimicrobial resistance – the bacterium is intrinsically resistant to Penicillins and can acquire resistance to Cephalosporins – Mr. Hunter is commenced on an aminoglycoside and is prescribed gentamicin IV infusion.
Question:
Question 1- Explain why Mr. Hunter has the ‘superinfection’ known as C.difficile and describe the nursing care required to contain this infection.
Question 2 – Explain how aminoglycosides work to combat infection and why plasma drug concentrations of the aminoglycoside Gentamicin are monitored.
Question 3 – Relate what you know about how Gentamicin achieves its antimicrobial effect (ie. is antimicrobial efficacy dose-dependent or concentration-dependent) to explain the consequences of a ‘missed’ dose or giving a ‘late’ dose in an antibiotic treatment regime.
Question 4 – What is the nurses’ role in ‘antimicrobial stewardship?’ Examine the research literature in the USC library databases and choose at least 2 journal articles that discuss antimicrobial stewardship (AMS) in order to identify the nurses’ role in improving antimicrobial use in hospitals. Analyse the papers and summarise the main points.
Week 5 Assignment
UncategorizedDocument attached