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.
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
Respiratory Function
Nursing HomeworksMake-up lab 6 report
Laboratory 6: Respiratory Function
Name and describe 1 disease state where carbon dioxide in the bloodstream is too low due to respiratory system dysfunction (a.k.a. respiratory alkalosis, 1 paragraph 2 pts.). Cite your source (peer reviewed journal article, .gov or .edu website, or textbook acceptable, 1 pt.). Name and describe 1 disease state where carbon dioxide in the bloodstream is too high due to respiratory system dysfunction (a.k.a. respiratory acidosis, 1 paragraph 2 pts.). Cite your source(peer reviewed journal article, .gov or .edu website, or textbook acceptable, 1 pt.). If carbon dioxide in the bloodstream is not in balance, what other blood gas is also not in homeostasis (1-2 sentences, 0.5 pt.)? Discuss a disease that leads to decreased lung capacity measurements. Include symptoms of the disease and its effects on respiratory system anatomy and physiology, and be sure to indicate if there are effects on the trachea or alveoli (3/4 page, 2.5 pts). Cite your source (peer reviewed journal article, .gov or .edu website, or textbook acceptable, 1 pt.). Total length of about 2 pages, 11 points total.
Make-up lab 7 report
BIO 1070L Make up Report for Laboratory 7: Testing Sugar Content in Beverages
Write a 2-3 page paper that discusses the following topics:
Use your Zelman et al. text and lab manual as sources, but also cite 2 additional sources used in your research for this paper (2 points, peer-reviewed journal articles, other texts, .gov or .edu websites acceptable). 10 points total.
Please have all three lab reports emailed to me by the end of day next Thursday ( 03-22-20018). These are your last make-up reports for this lab. Please email me with any question.
Chelsea Wright.
PUBLIC HEALTH/NURSING
Nursing HomeworksPUBLIC HEALTH/NURSING
assignment is due on Wednesday April 24, 2013 at midday . It is important that
you follow allinstructions and respond
to all questions detail as require. In text citation is require and proper APA
format must be used to complete this assignment . For the PPT , you must read
and follow closely the instructions associated with the questions . As stated , for the PPT , the slides should contain a minimum of 5 bullets , and then 50 words in the speaker notes ellaborating on the bullets points in the slides for each. In text ciatation must be use throufgout the entire assignment.
This assignment is due on Wednesday April 24, 2013 at midday . It is important that you follow all instructions and respond to all questions detail as require. In text citation is require and proper APA format must be used to complete this assignment . For the PPT , you must read and follow closely the instructions associated with the questions .
SECTION A
The topic is Obesity, and you are required to submit a minimum of 10 slides PPT including a minimum of 50 words speaker notes per slides. For each slides, you should include a minimum of 5 bullets points and 50 words speaker notes. The bullets points should be in the slides and why the speaker notes should elaborates on them. A reference slide is also required at the end all in APA format. In text citation is critical and must be use throughout the entire assignment.
Submit a 10 slide Power Point presentation about Obesity In the United states.
– Give a brief background, but then be specific as to how public health is affected by Obesity.
– Make recommendations for health education and outreach regarding Obesity in the United States.
SECTION B
Write 400 words minimum in APA format responding to the situation below. It is important to clearly respond to the questions asked below showing clearly part 1 and 2. The similarity scores cannot be more than 15% and in text citation must be use .
As a leader in your nursing department, you must review the registered nurse practice act for the state in which you work: the guideline for each nurse who works in that state.
•Part 1:
?Locate Maryland state’s nurse practice act and summarize it.
?In your own words, post what the act says about the nurses’ responsibility when delegating care to unlicensed assistive personnel.
?What does the delegation language mean to you in regard to your own delegation of care to unlicensed assistive personnel?
•Part 2:
?Describe a change that recently occurred in your workplace.
?How did the staff react?
?From your…
health impacts
Nursing HomeworksYou have been asked by your employer to educate employees on the benefits and requirements of health insurance.
Be sure to include the following information in your paper:
1. health impacts
2. financial advantages, including risk pools
3. access
4. avoiding sanctions or fines; and
5. figures and statistics supporting your findings.
Your assignment should meet the following structural requirements.
• write a paper of 3 – 4 pages, not including the cover sheet and reference page
• Include headings titled Introduction, Health Impacts, Financial Advantages, Sanctions and Conclusion.
• Formatted according to APA
• Provide support for your statements with in-text citations from a minimum of 6 scholarly articles (within 5 years).