The year is 1850. You are a member of the working class living in a major Western European city or a city in the United States. Write a letter to your friend who lives in the country and explain that you’re thinking of having a portrait made of yourself. You are considering 2 options, an oil painting or one of the “new” photo processes i.e. daguerreotype and calotype.
Weigh all facts you must consider for both options using your friend as a sounding board. Assume your friend knows little to nothing about photography. What are the pro’s and con’s of each? What is involved with each process? What do you decide? Why? Your letter should clearly show you understand the social/ cultural, economic, and technical considerations.
2pages.

Nursing

Joyce is a 65-year-old school nurse who has recently retired from an elementary school. She is beginning to feel rather lonely now that she is no longer working. She is a widow with adult children living out of the area. Her children have suggested that she may want to move to their city and to be closer to her grandchildren. She has been avoiding these discussions with her family and tells them all is fine. Moving seems like a major upheaval to her. Although she has been in fair health physically, at her last visit to the health care provider, she had lost 10 pounds and is just below her desired weight.

See the link to the Overview of the Nursing Process document to assist with this assignment.

Initial Discussion Post:

Select a developmental theory presented in this module and apply it to the scenario above. Use the chosen theory to address the following:

  • Explain Joyce’s behavior.
  • State two (2) priority nursing concerns and related nursing interventions for her.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

QUESTION

Advance practice nursing

The Evolution of Nursing

Future Perspectives

Purpose:

Nurses work together in many environments. Understanding the roles and responsibilities of each type of graduate nurse will foster cooperative relationships.

Directions:

  1. Select and describe a specialty that has evolved in a different direction from that of advanced practice nursing (e.g., informatics, administration, health policy, and/or forensic nursing).
  2. What key differences do you see in this evolution as compared with developed APN specialties?
  3. Describe the future vision and goals each role and relate to emerging healthcare trends and needs.

Your paper must be presented in a single Word document. The paper must be between 2 to 3 pages in length, not including the title and reference list pages. The paper must use proper APA Publication Manual, 6th Editionformatting, including title page, running head, and reference list with properly formatted citations in the body of the paper.

Epidemiology Assignment 3

Section 1: Definition of Epidemiology
https://www.cdc.gov/ophss/csels/dsepd/ss1978/lesson1/section1.html
Lesson 1: Introduction to Epidemiology
In fact, epidemiology is often described as the basic science of public health, and for good reason. First, epidemiology is a quantitative discipline that relies on a working knowledge of probability, statistics, and sound research methods. Second, epidemiology is a method of causal reasoning based on developing and testing hypotheses grounded in such scientific fields as biology, behavioral sciences, physics, and ergonomics to explain health-related behaviors, states, and events. However, epidemiology is not just a research activity but an integral component of public health, providing the foundation for directing practical and appropriate public health action based on this science and causal reasoning.(2)
A. Distribution
Epidemiology is concerned with the frequency and pattern of health events in a population:
a. Frequency refers not only to the number of health events such as the number of cases of meningitis or diabetes in a population, but also to the relationship of that number to the size of the population. The resulting rate allows epidemiologists to compare disease occurrence across different populations.
b. Pattern refers to the occurrence of health-related events by time, place, and person. Time patterns may be annual, seasonal, weekly, daily, hourly, weekday versus weekend, or any other breakdown of time that may influence disease or injury occurrence. Place patterns include geographic variation, urban/rural differences, and location of work sites or schools. Personal characteristics include demographic factors which may be related to risk of illness, injury, or disability such as age, sex, marital status, and socioeconomic status, as well as behaviors and environmental exposures.
Characterizing health events by time, place, and person are activities of descriptive epidemiology, discussed in more detail later in this lesson.
B. Determinants
Determinant: any factor, whether event, characteristic, or other definable entity, that brings about a change in a health condition or other defined characteristic.
Epidemiology is also used to search for determinants, which are the causes and other factors that influence the occurrence of disease and other health-related events. Epidemiologists assume that illness does not occur randomly in a population, but happens only when the right accumulation of risk factors or determinants exists in an individual. To search for these determinants, epidemiologists use analytic epidemiology or epidemiologic studies to provide the “Why” and “How” of such events. They assess whether groups with different rates of disease differ in their demographic characteristics, genetic or immunologic make-up, behaviors, environmental exposures, or other so-called potential risk factors. Ideally, the findings provide sufficient evidence to direct prompt and effective public health control and prevention measures.
C. Application
Epidemiology is not just “the study of” health in a population; it also involves applying the knowledge gained by the studies to community-based practice. Like the practice of medicine, the practice of epidemiology is both a science and an art. To make the proper diagnosis and prescribe appropriate treatment for a patient, the clinician combines medical (scientific) knowledge with experience, clinical judgment, and understanding of the patient. Similarly, the epidemiologist uses the scientific methods of descriptive and analytic epidemiology as well as experience, epidemiologic judgment, and understanding of local conditions in “diagnosing” the health of a community and proposing appropriate, practical, and acceptable public health interventions to control and prevent disease in the community.
Challenge 1: Below are three key terms taken from the definition of epidemiology, followed by a list of activities that an epidemiologist might perform. Match the term to the activity that best describes it. You should match only one term per activity.
Distribution
Determinants
Application
1. ____ Recommend that close contacts of a child recently reported with Hepatitis A receive a an injection of gamma-globulin.
2. Salmonella and those without.
____ Compare food histories between persons with a food poisoning caused by
3. ____ Graph the number of cases of congenital HIV infections by year for the country
4. ____ Compare frequency of brain cancer among anatomists with frequency in general population
5 ____ Tabulate the frequency of clinical signs, symptoms, and laboratory findings among children with chickenpox in Bridgeport, CT.
6. ____ Mark on a map the residences of all children suffering from with leukemia within 2 miles of a hospital incinerator.
Section 2: Historical Evolution of Epidemiology
https://www.cdc.gov/ophss/csels/dsepd/ss1978/lesson1/section2.html
Read the following passage and answer the questions below.
In the mid-1800s, an anesthesiologist named John Snow was conducting a series of investigations in London that warrant his being considered the “father of field epidemiology.” Twenty years before the development of the microscope, Snow conducted studies of cholera outbreaks both to discover the cause of disease and to prevent its recurrence. Because his work illustrates the classic sequence from descriptive epidemiology to hypothesis generation to hypothesis testing (analytic epidemiology) to application, two of his investigations will be described in detail.
Snow conducted one of his now famous studies in 1854 when an epidemic of cholera erupted in the Golden Square of London.(5) He began his investigation by determining where in this area persons with cholera lived and worked. He marked each residence on a map of the area, as shown in Figure 1.1. Today, this type of map, showing the geographic distribution of cases, is called a spot map.
Because Snow believed that water was a source of infection for cholera, he marked the location of water pumps on his spot map, then looked for a relationship between the distribution of households with cases of cholera and

Figure 1.1 Spot map of deaths from cholera in Golden Square area, London, 1854 (redrawn from original)
Source: Snow J. Snow on cholera. London: Humphrey Milford: Oxford University Press; 1936.
the location of pumps. He noticed that more case households clustered around Pump A, the Broad Street pump, than around Pump B or C. When he questioned residents who lived in the Golden Square area, he was told that they avoided Pump B because it was grossly contaminated, and that Pump C was located too inconveniently for most of them. From Figure 1.1 Spot map of deaths from cholera in Golden Square area, London, 1854 (redrawn from original) this information, Snow concluded that the Broad Street pump (Pump A) was the primary source of water and the most likely source of infection for most persons with cholera in the Golden Square area. He noted with curiosity, however, that no cases of cholera had occurred in a two-block area just to the east of the Broad Street pump. Upon investigating, Snow found a brewery located there with a deep well on the premises. Brewery workers got their water from this well, and also received a daily portion of malt liquor. Access to these uncontaminated rations could explain why none of the brewery’s employees contracted cholera.
To confirm that the Broad Street pump was the source of the epidemic, Snow gathered information on where persons with cholera had obtained their water. Consumption of water from the Broad Street pump was the one common factor among the cholera patients. After Snow presented his findings to municipal officials, the handle of the pump was removed and the outbreak ended. The site of the pump is now marked by a plaque mounted on the wall outside of the appropriately named John Snow Pub.
Briefly explain (in 2-3 sentences) how epidemiologist John Snow discovered the origin of the cholera outbreak in 1854, London.
Look at the map. From this information, Snow was able to deduce the primary source of contaminated water and the most likely source of infection for most persons with cholera in the Golden Square area. How did he make this determination?
He noted with curiosity, however, that no cases of cholera had occurred in one area in the Golden Square area. Upon investigating, Snow found a brewery located there with a deep well on the premises. Brewery workers got their water from this well, and also received a daily portion of malt liquor. Access to these uncontaminated rations could explain why none of the brewery’s employees contracted cholera. Where was the brewery?
Section 4: Core Epidemiologic Functions
https://www.cdc.gov/ophss/csels/dsepd/ss1978/lesson1/section4.html
The following are Core Functions used by epidemiologists to solve epidemics. An example of each is given below.
Public health surveillance
Field investigation
Analytic studies
Evaluation
E. Linkages
F. Policy development
A. Public health surveillance Reviewing reports of test results for Chlamydia trachomatis from public health clinics
B. Field investigation Interviewing persons infected with Chlamydia to identify their sex partners
C. Analytic studies Comparing persons with symptomatic versus asymptomatic Chlamydia infection to iden- tify predictors
D. Evaluation Conducting an analysis of patient flow at the public health clinic to determine waiting times for clinic patients
E. Linkages Meeting with directors of family planning clinics and college health clinics to discuss Chlamydia testing and reporting
F. Policy development
Developing guidelines/criteria about which patients coming to the clinic should be screened (tested) for Chlamydia infection
Challenge 3: Your goal is to go back to Section 2 above, read the description of John Snow’s research on the cholera epidemic. Now identify an example of each of these core epidemiological functions that Snow used in his study. Choose 3 of the 6 Core Functions.

the capstone project i am working on is Hospital infection acquired
 Details:
 
The Capstone Project is designed to be completed in sections. This is   part one of the assignment.
Propose a topic for your Change Proposal (500-750 words).
If you are having trouble with your topic, please contact your   instructor for assistance.
Use the feedback you have received on your proposed topics in the   Main Forum and the availability of evidence in peer-reviewed nursing   and medical journals to support your intervention, and choose a viable topic.
Approval of your topic is mandatory, and must be completed prior to   beginning the assignments for the Capstone Project. Future assignments   submitted with unapproved topics will not be accepted.
Include the following:

Describe a health care barrier or issue that needs   addressed.
Based on your Logic Model, present a brief summary     of the health care barrier or issue presented: (a) Describe the     problem, (b) Describe your proposed solution. Briefly discuss how     your proposed solution will resolve barrier or issue for in health     care, and (c) Discuss the expected outcomes for you initiating your   proposal.

This assignment requires that you support your position by   referencing four to six scholarly resources. At least three of your   supporting references must be from peer-reviewed resources.
APA style

Nursing Management    Reference textbook: Sullivan, E.J. (2012). Effective leadership and management in nursing. (8th Ed.). Upper Saddle      River, NJ: Prentice-Hall. ISBN-10: 0132814544 | ISBN-13: 978-0132814546     Chapters: 14, 15,16      

6.1 Module VI Overview

MODULE VI Budget, Finance, Staffing, Scheduling, FTEs Learning Objectives
Module VI concentrates on the following course outcomes— · Identify the human, fiscal and material resources necessary to efficiently achieve quality health care outcomes. · Definitions of financial terms often used in healthcare will be identified. Different types of budgets and budget preparation will be reviewed. The role of the nurse manager in the budget process will be discussed in detail, as well as ethical issues associated with budgets in healthcare.
Reading Assignment
Sullivan: Chapters 14, 15, 16 American Nurses Association Policy Statement on Workplace Advocacy:http://nursingworld.org/MainMenuCategories/HealthcareandPolicyIssues/ANAPositionStatements/workplace.aspx (Links to an external site.)
Overview
Budget and Finance
 Financial issues in healthcare often seem remote to the nurse and the nurse must have an understanding of financial matters of the health care delivery system, including the viability of the workplace, and the opportunities to optimize healthcare for the welfare of their patient. Key behaviors needed by nurse managers and those who care for groups of patients is ability to: understand the budgeting process; recognize general types of budgets; distinguish between direct and indirect costs; be familiar with the steps of a typical budgetary process and cost out nursing services. Different types of budgets include: operating budget, performance budget, capital budget, expense budget, zero-based budget, product line budget, cash budget. Operational plans, cost center, expense, revenue and profit are other key concept that will be addressed in the readings.
 A budget is a formal plan for managing financial resources. The budget document indicates the expected income and expected expenses of an organization, department, or individual. It provides a method of tracking cost and, therefore, a way to examine where saving s could be made. The total organizational budget is usually separated into two distinct sections: the operating budget and the capital budget.
 Budget planning procedures vary from organization to organization. However, some parts of the process are common to all organizations. These include steps to gather information before budget preparation such as making an environmental assessment, stating mission and goals, making assumptions about the future setting operational objectives, obtaining the budget guidelines, preparing budget manuals and budget projections packages (last year’s budgets, sets of forms all used in estimating future expenses).
 Environmental assessment for budget purposes includes the environments that are both internal and external to the organization. As part of the internal assessment, the budget planners will identify the strengths and weaknesses of the organization. The external environment takes into account the changing needs of the population, shifts in third-party payment patterns, reimbursement, service contracts and loss or gain of physicians/programs and mergers.
 With the economic climate of health care in turmoil, greater attention is being given to reduce cost while maintaining or improving the quality of care. The nursing budget can account for as much as half an organization’s total expenses nurse managers at all levels are facing significant pressure to become proficient in the budgeting process, to allocate resources, and control and monitor expenses.
Staffing, Scheduling
When asked “what professional issues keep you up at night?” nurse managers will often report staffing issues as the cause. The science of allocating the right human resources for the right work at the right time, taking care of the right population of patients is combined with the art of effective communication to create a healthy and healing environment for both patients and their caregivers. Staffing plans are based on a projected year and need to be closely aligned with the budgeting process. Staffing of personnel in healthcare facilities is regulated and directed by federal and state laws, professional accrediting organizations and professional standards. Forecasting and calculating full time equivalent (FTE). Forecasting takes into account both productive and non-productive time. A number of variables are involved in calculating FTEs. Some of these include shift rotation, weekend needs, length of shifts. The Power Point slides for this unit will outline calculation of FTEs. Also, state laws such as the Nurse Practice Act guide the responsibility of the nurse in regards to floating to another unit or not. These laws may vary from state to state. The nurse needs to know the organization’s policy and its congruency with state and federal laws. Scheduling process in an organization may be centralized or staff may do self-scheduling. This may vary from unit to unit based on philosophy and organizational guidelines. There is also computer software for scheduling. Managers in healthcare as in other organizations need to evaluate productivity. Each unit has different numbers for calculating productivity. How is nurse productivity evaluated on your S482 clinical unit? Leadership has a great deal of influence on productivity. Environments that have a culture of civility, team work and respect for the worker are a few examples of factors that contribute to productivity.
Assignment questions: Post answers in Forums Module VI. See calendar for due date. 1. Discuss steps in developing the unit or department budget. Who all is involved? 2. How is the cost of nursing care incorporated into a budget? 3. How does a nursing unit determine how many nurses are needed for a 12 month period? 4. Differentiate among various types of budgets: fixed, variable, capital budgets. 5. Describe how to calculate hours necessary to equate to one FTE.  ]]>

Assessment and Care of Patients with Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery Essay Assignment Papers

Week 10: Assessment and Care of Patients with Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery

Jill Joyce experienced years of back pain that prevented her from completing even the most basic tasks. Bulging discs and degenerative changes in her spine were affecting nerve function, which caused pain that could be alleviated only with surgery (Healthy Life, 2008). Like Jill’s back pain, many conditions related to neurology, orthopedics, and plastic/reconstructive surgery may affect patients’ function and mobility. In your role as advanced practice nurse, you must not only diagnose and treat these patients but also help them manage changes in their function and mobility. Assessment and Care of Patients with Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery Essay Assignment Papers

Learning Objectives

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By the end of this week, students will:
  • Evaluate medical and surgical patients with conditions related to neurology, orthopedics, and plastic/reconstructive surgery
  • Develop differential diagnoses for medical and surgical patients with conditions related to neurology, orthopedics, and plastic/reconstructive surgery
  • Develop treatment plans for medical and surgical patients with conditions related to neurology, orthopedics, and plastic/reconstructive surgery

Learning Resources

Required Readings

Colyar, M. R. (2015). Advanced practice nursing procedures (1st ed.). Philadelphia, PA: F. A. Davis Company.
 

  • Chapter 28, “Bone Marrow Aspiration and Biopsy”
  • Chapter 29, “ Lumbar Puncture”
  • Chapter 31, “Arthrocentesis”
  • Chapter 32, “Assessment for Compartment Syndrome and Pressure Testing”
  • Chapter 35, “Dislocation Reduction”
  • Chapter 36, “Ganglion Cyst Aspiration and Injection”

Doherty, G. M. (2015). Current diagnosis and treatment: Surgery (14th ed.). New York, NY: McGraw Hill.

  • Chapter 36, “Neurosurgery”
  • Chapter 40, “Orthopedic Surgery”
  • Chapter 41, “Plastic & Reconstructive Surgery”
  • Chapter 42, “Hand Surgery”

Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F. A. Davis Company.
 

  • Chapter 2, “Shoulder, Pelvis, and Limbs”
  • Chapter 3, “Spine and Spinal Cord”
  • Chapter 4, “Brain”
  • Chapter 11, “Imaging of Bone Disease and Endocrine Disorders”

Kuntz, A. F., Lai, W.-S., Norton, P. T., Yao, L. L., & Gay, S. B. (2013). Skeletal trauma radiology. Retrieved from http://www.med-ed.virginia.edu/courses/rad/ext/index.html

Shonka, D. C., Gay, S. B., Marx, W. F., Frederick, J. A., Vu, Q. D. M., Higginbotham, J., … Rehm, P. K. (2013). Introduction to head CT. Retrieved from http://www.med-ed.virginia.edu/courses/rad/headct/index.html

Required Media

i-Human Patient Cases. (2014). Retrieved from https://ih2.i-human.com/users/sign_in

AshtonMoh. (2011). Lumbar puncture 2 [Video file]. Retrieved from https://www.youtube.com/watch?v=QoUGM4wqUU0

Doe, J. (2012). Knee aspiration [Video file]. Retrieved from https://www.youtube.com/watch?v=Jx8HmJJOGas

Optional Resources

American Academy of Orthopaedic Surgeons. (2015). Broken bones & injuries. Retrieved from http://orthoinfo.aaos.org/menus/injury.cfm

American Society of Plastic Surgeons. (2015). Evidence-based practice guidelines and practice parameters. Retrieved from http://www.plasticsurgery.org/for-medical-professionals/legislation-and-advocacy/health-policy-resources/evidence-based-guidelinespractice-parameters.html

Boyd, A. S., Benjamin, H. J., & Asplund, C. (2009). Splints and casts: Indications and methods. American Family Physician, 80(5), 491–499. Retrieved from http://www.aafp.org/afp/2009/0901/p491.html

This week, you study neurologic and orthopedic conditions with plastic surgery considerations. Both neurologic and orthopedic conditions are seen in the trauma areas of the hospital. These conditions encompass cardiovascular, pulmonary, and metabolic aspects of care in the ICU. For this Discussion, focus on adolescent patients, and consider potential diagnoses, treatment, and/or referral options for the patients in the following 3 case studies.

Case Study 1

A 17-year-old male was celebrating his birthday with friends and alcohol. At one point he jumped into the hotel pool three stories below, hitting the side of the pool with his chest. EMS arrived and packaged him with spinal support. He arrives in the ER with breathing difficulty, chest pain, GCS 10, and O2 sat of 94%. You do initial assessment in the first 10 minutes and find that his chest is asymmetric for breathing and contusions are noted all over his chest. His CXR shows multiple rib fractures on both sides and pulmonary contusions. His cervical spine is stable in a collar. His thoracic and lumbar films are negative for fractures. In the next hours, what are your priorities, and what plan would you have for this patient as he moves to the ICU? At what stage of development is he, and how does that affect his care? Assessment and Care of Patients with Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery Essay Assignment Papers

Case Study 2

A 13-year-old female restrained passenger of a vehicle was involved in an MVA at 60 mph on the highway. The vehicle experienced a frontal impact. The patient arrived in the ER with closed fractures of the left tibia and fibula with angulation, dislocation of the right ankle, multiple pelvic fractures, and femur fracture on the left side. Her BP is 92/54 with pulse of 130. What is your plan for this patient, and what are the considerations to prevent further morbidity? At what stage of development is she, and how does that impact her care?

Case Study 3

A 19-year-old male private in the U.S. Air Force was driving with friends when they dared him to “surf the car.” He fell off the roof of the car while it was moving at a speed of approximately 40 mph. He landed face first. He is now in the ICU with a closed head injury. His intracranial pressure is elevated, and his pupillary response is slowing. At this time, what medications do you recommend, and what other medical treatments do you recommend? In addition, after the acute situation is controlled and the patient awakens, what medication do you use for his agitation?
To prepare:

  • Review and select 1 of the 3 provided case studies. Analyze the patient information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
  • Consider strategies for educating patients and families on the treatment and management of the trauma care.

By Day 3

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of neurologic and orthopedic conditions.
Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on 2 different days in both of the ways listed below. Respond to colleagues who selected different case studies from yours.

  • Describe how culture might affect the diagnosis, management, and follow-up care of patients with the neurological, orthopedic, or plastics disorders your colleagues discussed.
  • Based on your personal and/or professional experiences, expand on your colleagues’ postings by providing additional insights or different perspectives.​ Assessment and Care of Patients with Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery Essay Assignment Papers

Discussion Part II: Pharmacology

To prepare:
Read the following articles to enhance your knowledge of commonly prescribed medications:

Family Practice Notebook. (2015). Nonsteroidal anti-inflammatory. Retrieved from http://www.fpnotebook.com/Pharm/Analgesic/NnstrdlAntInflmtry.htm

Press, C. D. (2013, September 10). Infiltrative administration of local anesthetic agents.Retrieved from http://emedicine.medscape.com/article/149178-overview

All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way for you to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.

  1. Glycopeptides
  2. Oxazolidinones (Bs)
  3. Monobactams
  4. Ansamycins
  5. Metronidazole
  6. Lincosamides (Bs)
  7. Tinidazole
  8. Lidocaine
  9. Marcaine
  10. NSAIDs

Note: When sharing your initial post, select a topic that has not yet been discussed. If all topics have been discussed, then you may select that topic again, but select a different drug within the medication group.

By Day 3

For this Discussion, address 1 of the following options:

Option 1

Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose. Assessment and Care of Patients with Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery Essay Assignment Papers

Option 2

Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication?

Option 3

Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Describe a patient you would prescribe this medication to. Assessment and Care of Patients with Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery Essay Assignment Papers

Note: To be considered as one of your required responses, your pharmacology rationale must include a supporting reference.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Submission and Grading Information

Grading Criteria

To access your rubric:
Week 10 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 10 Discussion

Assignment: Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery

Neurologic and orthopedic conditions and plastic/reconstructive surgery often affect patients’ function and mobility. Changes in function and mobility sometimes are subtle and might not be identified immediately, requiring you to monitor patients closely for signs and symptoms. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat pre- and post-operative patients who present with neurologic and orthopedic conditions and plastic/reconstructive surgery.
To prepare:

  • Review this week’s Learning Resources. With neurology, orthopedics, and plastic/reconstructive surgery in mind, consider how to assess, diagnose, and treat patients in pre- and post-operative care.
  • Review this week’s i-Human case study. Based on the patient information provided, think about the health history you would need to collect from the patient. Assessment and Care of Patients with Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery Essay Assignment Papers
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
  • Identify three to five possible conditions to consider in a differential diagnosis for the patient.
  • Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
  • Develop a treatment plan for the patient that includes health promotion and patient education strategies for medical and surgical patients with conditions related to neurology, orthopedics, and plastic/reconstructive surgery. Assessment and Care of Patients with Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery Essay Assignment Papers

To complete:
As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Patients Case Player Student Manual in the Week 2 Learning Resources.

By Day 7

This Assignment is due.

Grading Information

Week 10 i-Human Rubric


Practicum Reminder: Week 10 Time Log

Time Logs

You are required to keep a log of the time you spend related to your practicum experience and enter every patient you see each day. You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term. Assessment and Care of Patients with Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery Essay Assignment Papers
Assessment and Care of Patients with Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery Essay Assignment Papers

Novice Emerging Proficient
HPI Statement
(0%) – 5 (5%)
Poorly written HPI statement. Incomplete ideas and sentences. Lacks basic history taking skills
(6%) – 10 (10%)
Well written HPI statement but may be missing 1-2 key components from the history
11 (11%) – 15 (15%)
Clearly written HPI statement with comprehensive information gathering from case questions.
Objective testing and physical exam
(0%) – 5 (5%)
Poorly written physical examination. May be missing 3 or more key exam findings that are critical to patient’s diagnosis. Includes 3 or more inappropriate exams or tests.
(6%) – 10 (10%)
Well written physical examination but may be missing 1-2 key exam findings critical to patient’s diagnosis. May include 1-2 unnecessary exams or tests.
11 (11%) – 15 (15%)
Clearly written physical examination covering all critical components of a focus exam. Tests that are ordered are appropriate for patient and cost effective.
Assessment
(0%) – 10 (10%)
Differential diagnosis list too brief and inconclusive. May be missing 3 or more critical components. Priority list may be out of order. Primary diagnosis may be wrong.
11 (11%) – 19 (19%)
Well written differential diagnoses. May be missing 1-2 critical components. Correct primary diagnosis identified.
20 (20%) – 25 (25%)
Clearly written differential diagnoses. Primary diagnosis identified.
Plan for patient
(0%) – 15 (15%)
Poorly written plan. May be missing 3 or more key issues that are critical to patient’s diagnosis.
16 (16%) – 25 (25%)
Well written plan but may be missing 1-2 key issues critical to patient’s diagnosis.
26 (26%) – 30 (30%)
Clearly written plan covering all critical components for patient’s final diagnosis.
Clinical Questions
(0%) – 10 (10%)
Correctly answered 0-69% of the clinical question
11 (11%) – 13 (13%)
Correctly answered 70-89% of the clinical question
14 (14%) – 15 (15%)
Correctly answered 90-100% of the clinical questions

 
Assessment and Care of Patients with Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery Essay Assignment Papers

Outstanding Performance Excellent Performance Competent Performance Room for Improvement Poor Performance
Content-Main Posting
30 (30%) – 30 (30%)
-Main posting addresses all criteria with 75% of post exceptional depth and breadth supported by credible references
27 (27%) – 29 (29%)
-Main posting addresses all criteria with 75% of post exceptional depth and breadth supported by credible references
24 (24%) – 26 (26%)
Main posting meets expectations. All criteria are addressed with 50% containing good breadth and depth.
21 (21%) – 23 (23%)
Main posting addresses most of the criteria. One to two criterion are not addressed or superficially addressed.
(0%) – 20 (20%)
Main posting does not address all of criteria, superficially addresses criteria. Two or more criteria are not addressed.
Course Requirements and Attendance
20 (20%) – 20 (20%)
-Responds to two colleagues’ with posts that are reflective, are justified with credible sources, and ask questions that extend the discussion.
18 (18%) – 19 (19%)
-Responds to two colleagues’ with posts that are reflective, are justified with credible sources, and ask questions that extend the discussion.
16 (16%) – 17 (17%)
Responds to a minimum of two colleagues’ posts, are reflective, and ask questions that extend the discussion. One post is justified by a credible source.
14 (14%) – 15 (15%)
Responds to less than two colleagues’ posts. Posts are on topic, may have some depth, or questions. May extend the discussion. No credible sources are cited
(0%) – 13 (13%)
Responds to less than two colleagues’ posts. Posts may not be on topic, lack depth, do not pose questions that extend the discussion
Scholarly Writing Quality
30 (30%) – 30 (30%)
-The main posting clearly addresses the discussion criteria and is written concisely. The main posting is cited with more than two credible references that adhere to the correct format per the APA Manual 6th Edition. No spelling or grammatical errors. ***The use of scholarly sources or real life experiences needs to be included to deepen the discussion and earn points in reply to fellow students.
27 (27%) – 29 (29%)
-The main posting clearly addresses the discussion criteria and is written concisely. The main posting is cited with more than two credible references that adhere to the correct format per the APA Manual 6th Edition. No spelling or grammatical errors.
24 (24%) – 26 (26%)
-The main posting clearly addresses the discussion criteria and is written concisely. The main posting is cited with a minimum of two current credible references that adhere to the correct format per the APA Manual 6th Edition. Contains one to two spelling or grammatical errors. Assessment and Care of Patients with Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery Essay Assignment Papers
21 (21%) – 23 (23%)
-The main posting is not clearly addressing the discussion criteria and is not written concisely. The main posting is cited with less than two credible references that may lack credibility and/or do not adhere to the correct format per the APA Manual 6th Edition. Contains more than two spelling or grammatical errors.
(0%) – 20 (20%)
-The main posting is disorganized and has one reference that may lack credibility and does not adhere to the correct format per the APA Manual 6th Edition or has zero credible references. Contains more than two spelling or grammatical errors.
Professional
Communication
Effectiveness
20 (20%) – 20 (20%)
-Communication is professional and respectful to colleagues and response to faculty questions are answered if posed. Provides clear, concise opinions and ideas effectively written in Standard Edited English -Responses posted in the discussion demonstrate effective professional communication through deep reflective discussion which leads to an exchange of ideas and focus on the weekly discussion topic.
18 (18%) – 19 (19%)
-Communication is professional and respectful to colleagues. -Provides clear, concise opinions and ideas effectively written in Standard Edited English -Responses posted in the discussion demonstrate effective professional communication through deep reflective discussion which leads to an exchange of ideas and focus on the weekly discussion topic . -Responses are cited with at least one credible reference per post and a probing question that extends the discussion. Adheres to the correct format per the APA Manual 6th Edition. No spelling or grammatical errors.
16 (16%) – 17 (17%)
-Communication is professional and respectful to colleagues. Provides clear, concise opinions and ideas effectively written in Standard Edited English. -Responses posted in the discussion demonstrate effective professional communication through deep reflective discussion which leads to an exchange of ideas and focus on the weekly discussion topic. -Responses are cited with at least one credible and/or contain probing questions that extends the discussion. Adheres to the correct format per the APA Manual 6th Edition. May have one to two spelling or grammatical errors.
14 (14%) – 15 (15%)
-Communication is professional and respectful to colleagues. Provides opinions that may not be concise or ideas not effectively written in Standard Edited English. -Responses posted in the discussion may lack effective professional communication that does not extend the discussion, leads to an exchange of ideas and/or not focused on the weekly discussion topic. -Responses are not cited and/or do not contain a probing question. May not adhere to the correct format per the APA Manual 6th Edition. May have more than two spelling or grammatical errors.
(0%) – 13 (13%)
-Communication may lack professional tone or be disrespectful to colleagues. Provides opinions that may not be concise or ideas not effectively written in Standard Edited English -Responses posted in the discussion lack effective professional communication through discussion that does not extend the discussion, do not lead to an exchange of ideas and/or not focused on the weekly discussion topic. -Responses are not cited and do not contain a probing question. May not adhere to the correct format per the APA Manual 6th Edition. May have multiple spelling or grammatical errors.
Timely Submission
(0%) – 0 (0%)
All criteria met: Initial post submitted on time. Response to two peer initial posts. Response on 3 separate days.
-5 (-5%) – 0 (0%)
5 points deducted for responding to less than two peers or 5 points deducted for responding less than three days
-10 (-10%) – -5 (-5%)
5 points deducted for responding to less than two peers and 5 points deducted for responding less than three days
-10 (-10%) – -10 (-10%)
10 points deducted for Initial post submitted late
-20 (-20%) – -15 (-15%)
Initial post submitted late and 5 points deducted for responding to less than two peers and/ or 5 points deducted for responding less than three days

Assessment and Care of Patients with Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery Essay Assignment Papers

Choose an article from your annotated bibliography. Obtain faculty approval for your article to ensure that it is a peer-reviewed research article

Read the following:

  • Background: The background statement answers the following questions: How do you know a real problem, situation, or opportunity will be studied? Does evidence indicate you have chosen an important problem, situation, or opportunity that deserves more attention? What evidence indicates that the problem, situation, or opportunity relates to an organizational management issue or clinical concern?
  • Methodology: This part of a research study provides an overview of the scope of the study or how large, long, and comprehensive the study was. This is a brief overview explaining the gathering of the qualitative and quantitative data and where the data may be found. Implicit in this overview is the recognition by the researcher that both secondary data—document-based data, organizational material, library books, and journals—and primary data—empirical, qualitative, and quantitative data incorporated by a survey, experiment, and so on in a real-time fashion—was gathered to make the study comprehensive, fully researched, and as rigorous as a project must be within the scientific method of data planning, gathering, and analysis.

Respond to the following questions in a 700- to 1,050-word paper:

  • Definition of the problem
    • What is the problem the study was conducted to resolve?
    • Why is the problem important for health care administrators to study?
  • Study purpose: What is the purpose of the study?
  • Research question
    • What is the main research question?
    • If it is not stated, what would you say the research question is?
  • Hypothesis or hypotheses
    • What is the study hypothesis?
    • If it is not stated, what would you say the hypothesis is?
    • It there is more than one study hypothesis, state the hypothesis or hypotheses.
  • Study variables: What are the independent and dependent study variables?
  • Conceptual model or theoretical framework: In what way was a conceptual model or theoretical framework used to guide this study?
  • Review of related literature: In what ways does the literature review support the need for this study?
  • Study design
    • What study design is used?
    • How many subjects were studied?
    • Where are the subjects found?
    • What organization was studied?
    • How long did the study take?

Format your paper consistent with APA guidelines.

Safe medication administration is an essential competency for the RN.

  • Identify a resource the RN can use to develop a policy for safe medication administration.
  • Based on the literature identified, create an example of an element in a medication administration policy for safe medication administration.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

Unit IV Article Review
Wade and Tavris explain that various factors combine to influence one’s thinking patterns and behaviors. Most would agree that we are inundated with outside influences on a continuous basis. The need to stay connected to various forms of media is growing by leaps and bounds. Have you ever wondered what impact media consumption could be having in your life? Can viewing violent acts lead to vicious behaviors later? One particular area worthy of closer examination relates to one’s environment and how extraneous information can intrude our waking and restful thoughts. In fact, research conducted by Van den Bulck, Cetin, Terzi, and Bushman (2016) revealed that violent and sexual media viewing can not only influence one’s memories, but this content can have an impact on dreams as well. Read the article listed below. Van den Bulck, J., Cetin, Y., Terzi, O., & Bushman, B. J. (2016). Violence, sex, and dreams: Violent and sexual media content infiltrate our dreams at night. Dreaming, 26(4), 271-279. Retrieved from https://libraryresources.columbiasouthern.edu/login?url=http://search.ebscohost.com/login.aspx? direct=true&db=pdh&AN=2016-54555-001&site=ehost-live&scope=site After reading the article, write a review of the article that discusses the featured study, literature from the text, and your opinion of the article as well. Your review should also relate back to the information covered in Unit IV. In your review, be sure to include the following items: Briefly introduce and summarize the article. Identify the authors’ main points. Explain how the study’s results may differ if conducted in the United States as opposed to using Turkish participants. Keep in mind that Turkey has stricter sexual media censorship rules than the United States, and violations of such can produce regulation fines. Explain additional factors that influence learning, conditioning, and behaviors as outlined in the textbook. Examine how one’s dreams influence external behaviors. Describe the impact that violence and social media can have on behaviors. Relate the article back to this course. Does it support the information in your textbook? Your article review must be a minimum of two pages in length. You must reference the assigned article and your textbook. If necessary, you may use other scholarly sources to support your review as well. All sources used must be referenced; paraphrased and quoted material must have accompanying citations. Please be sure to cite any outside sources, and format your paper in accordance with proper APA formatting.