Bachelor Of Nursing Science-Case Study

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.

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Week 5 Assignment

Document attached

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Biology homework help

         Lab Report Guidelines
Communication is necessary to disseminate information.  In this regard, beyond talking with
each  other,  scientists  report  on  their  work by  writing articles  on  their  findings  and  publish
them  in journals  that  other  scientists  read. The  main  idea  a  scientific  article  is  to  convey
scientific findings
that usually emerge from a hypothesis driven experiment(s).
The structure or format of these scientific articles is nearly universal irrespective of the length of the article.
The format
is a convention that guides the author as well as the reader.  At its most basic, the
format guides one through the process telling a story.
The  format  for  the
Lab Report  on  the  activity  of  enzymes  will  resemble  that  of  a  scientific
journal article with some modifications
.
The Lab Report will have a
Title, an
Introduction
, a Methods and Materials
,
a Results
,
a Discussion/Conclusion
and an
Appendix
sectioN.Each section is
typed in bold and start on a new page.
An Abstract summarizing the articleis not required although   they are
ubiquitous
in   scientific
journal
articles
.
References
and
Acknowledgments  (for  help  received  and  collaborations)
are  not  required,  but
may
be
included.   Each  section  is unique, different  from
each  other
, but
they
rely  on  each  other  to
convey
the story
.
The
Introduction
describes
the
reason for the article.  Include enough
background material to
gain  the  readers interest, much like  all good  story  telling does
.  For our purposes, limit the discussion of enzymes to the material presented in
class lectures and
in the textbook.  There is  no  need  to  look  for  additional  information  on  enzymes  unless  you  are  so  driven, but  be warned, the amount of information is overwhelming.  At the end of the Introduction, list the
hypotheses for all parts or experiments in
the study.       The Methods and Materials
describes all the steps taken to perform the experiments.  The
purpose  of  this  section  is  to  allow  someone  else  to  replicate  your  work.    Therefore,  all
chemicals   or   reagents,   their   concentration,  how   they   were   mixed   together  and   the
instrumentation used must be noted.
There is no need to explain how an instrument works
unless it is a newly developed one.  For instance, one c
an assume that the reader knows how
to operate a spectrophotometer.
This section is the near equivalent of a cook book to a chef.
If there are five experiments, then provide instructions for replicating all five experiments.
The Results section
contains the study   data only
.Present the raw   data   and any transformation of the raw data.
Figures and tables
are ideal for presenting the data because
pictures convey information more easily than words.
Label all figures, tables and images with a title, a very brief description of the data
, and an explanation of
specific components of the image that important
for  interpreting  the  data.
Introduce each figure or table in  the  text.  Presenting a figure or table without
any text is a serious mistake
–you are asking the reader to read your mind and intentions.  Avoid the temptation
of
explaining the data in this section
–this comes later in the Discussion/Conclusion section.
However, you may explain that one or two points in the data were omitted in a figure or table due to some mishap during the data
collection-this is perfectly acceptable. Remember, the focus of this section is the data, and only the data.                                  The Discussion/Conclusion
section
is  where  you interpret your findings  and results.First, restate the goals of the study.  Second, interpret that data by considering whether the data from the experiments support your hypotheses stated in the Introduction
.
Third,
synthesize all the data or observations in the
study.  Do the results fit what you know about enzymes and what you expected?
The data
make sense with your knowledge and expectations.  Discuss whether it does or does not.
Fourth,discuss how future work may address any weaknesses
in the experiments performed,and suggest possible studies that will build on the knowledge
gained from these studies.
Lastly, make a final conclusion about the observations in your lab and how they fit the topic.
A Reference section  is  included  if  you  wish  to  cite  any  literature  such as  your  textbook,  the lab or any other source material.It is not required for this assignment.
An Acknowledgement
section is included if you wish to
thank anyone who provided you some unique reagents,or help in the writing of the text.It is not required for this assignment.
There are questions in the lab manual after each experiment
.
You must address these
within the appropriate section of the
Lab Report.
Figure out where the answer to each question fits in
the Lab Report format discussed above before you start writing
.
The  Lab  Report  should
be  a minimum of 8
typed pages of text
(excluding
figures,  tables, illustrations, or other images), double spaced,
and 10pt.–12 pt.font.  The Introduction (min. 1.page of text),
Methods and Materials
(min. 4page of text), Results (min. 1.5page of text)
and  Discussion/Conclusion
(min.  1  page  of  text)
.
For  this  particular assignment,  place  a
ll figures,  tables,  illustrations, and images
at the end  of  the  paper and call
this  section  the
Appendix
.
The length of the Appendix does not count towards the length of the Lab Report
.
Warning:  Do not plagiarize!  This is a serious offense.  Do not copy-and-paste from any source including a classmate’s Lab Report.  The
penalty is a score of zero points (0 points).
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    Lab5-PropertiesofEnzymes.pdf
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    Data1C41.pdf
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Nursing homework help

.  Identify and discuss disaster types.
2.  Explain the disaster planning process and nursing participation.
3.  Work on the following case studies;
A.  Case Study # 1
As a county health department nurse, your supervisor has informed you that the local Emergency Management Team is issuing a warning of impending disaster as an F3 tornado is expected to hit your large, metropolitan city within the hour.
a.  Which emergency measures would you expect to have already been in place?
b.  What are your potential activities during each phase of the emergency management response?
B.  Case Study # 2
A plane crashed while landing on the runway during a snowstorm. The plane was not able to stop in time and slipped off the end of the runway onto a busy interstate highway. Public health nurses were expected to respond to this disaster as well as many first responders. (Learning Objectives: 1, 2, 5)
a.  What are the responsibilities of public health nurses in disaster management?
b.  Public health nurses have been requested to use the START model to assess the cars involved in the plane crash on the highway. What is the START MODEL, and how are numbers assigned to the individuals?
c.  The houses in a two-mile radius around the airport have been requested to evacuate the area because airplane fuel is leaking into the river located directly next to the airport. What guidelines should be considered for individuals requested to evacuate?
d.  When the public health nurses were color coding for prehospital triage, what do red and black color codes mean?
APA format word document (in-text citations needed).
A minimum of 3 evidence-based references no older than 5 years must be used.
A minimum of 800 words not to exceed 1,000 are required without counting the first and last page.
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    CommunityPublicHealthNursingEvidenceforPracticeThirdNorth1.pdf
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Gene transfer and Expression Literature

Question Description

you must complete 4 separate papers. Select the papers from the current peer-reviewed original research literature (nothing before 2016 is acceptable) that uses gene transfer and expression as its major goal (it can be the only goal but doesn’t have to be) in journals like Science, Nature, Cell, Molecular and Cellular Biology, etc. Trade magazines, like BioTechniques, are NOT acceptable for this.

Written paper must include

1. Overall scientific goal(s)

2. Gene being transferred, how and why

3. Vector specifics (such as plasmid, regulatory cassettes, etc)

4. Recipient specifics (what cells and why)

5. Detection of transfer/expression

6. Your suggestions for improvement, or why their approach was the best one for

the goals. (You can’t just say they did a good job. Look critically)

7. Include a photocopy of your selected paper (IT WILL NOT BE RETURNED)Written papers must be word processed and no more than 2 double-spaced pages. Figures or tables may be included as additional pages, but you can also just refer to them in your narrative since a photocopy of the paper will be included. No handwritten assignments will be accepted.

——————-

The paper above is written by my teacher

the teacher wants four 4 papers from 4 articles that are not before 2016 published and should be peer review. Each article for each paper so 4 articles for 4 papers and each paper is one to two pages maximum. each paper have the the 7 points above, not as a paragraph but as a points from one to six while number 7 i will print the full text and attach it with the papers.

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>Psychology homework help

To successfully complete this discussion,

  • Based on your required resources, define abnormal psychology.
  • Interpret why you believe it is important for clinicians to consider the three perspectives of abnormality.
  • Discuss the origins of mental illness and how theories throughout time have affected the metamorphosis of abnormal psychology.
  • Identify at least two of the theoretical foundations associated with abnormal psychology.
  • Discuss your understanding for the use of the DSM-5, and how it too has changed the process for diagnosis.
  • Based on the controversial viewpoints of Szasz (1960) and Ausubel (1961), as well as the other required resource information, evaluate your own beliefs about mental illness. Is it real? Is it common or uncommon? Is creativity supported by behaviors resembling mental illness? Support your viewpoints using citations.
  • Elaborate on why culture should be considered, associated with behaviors, and what might be considered normal versus abnormal.

REQUIRED ARTICLE  AND VIDEO:
IS “ABNORMAL PSYCHOLOGY” REALLY ALL THAT ABNORMAL?

Is “Abnormal Psychology” Really all that Abnormal?

How mental illness changed human history – for the better: David Whitley at TEDxManhattanBeach

MUST USE RESOURCES PROVIDED! PLUS TEXTBOOK AND ANOTHER ARTICLE THAT ARE ATTACHED!

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    FreudwasRight.pdf
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    Chapter1textbook.pdf
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Applied Sciences homework help

Research Paper (Natural-laminar-flow (NLF) airfoil and wing design)
 
Cover natural-laminar-flow (NLF) airfoil and wing design plus address active and passive techniques for this.
 
Create the topical research paper using current and timely peer-reviewed articles to evaluate the advantages and disadvantages of recent aerodynamic innovations and advancements and the associated effects on industry and the public. The specific advancement is of your own choosing. Also, the paper needs to be technical. You are expected to include equations and graphs to advance your discussion.
 
Your paper should be 13-15 pages, not including the title page, references, or appendices, and in APA format.
 
Minimum of 7 peer-reviewed references.
 

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>Philosophy homework help

Provide comprehensive insight, understanding, and reflective thought about the week’s topics: Postings should creatively stimulate dialogue and commentary. Postings should reflect students’ expressions of personality and personal experience. All images and text created by others should display appropriate copyright permissions and accurate citations. 
Read the week’s article readings, (moral development), and other outside scholarly sources found. Submit a 4-page (excludes cover page and reference list), double-spaced paper addressing the following (approximately 1 page to discuss each question):

  • How is character defined in the sport ethics literature?
  • In what ways does sports participation build character?      (prior to your response, read literature on last question)
  • What have the sports studies shown relative of the effects of sport participation on moral development of athletes? (i.e.      length of participation, team v. individual sports, effects of gender)
  • Provide critical opinion for your conclusions

Use subheadings for the four areas (character defined, character developed, sports character studies, and conclusion) within your paper as you discuss each question. Include cover sheet and reference list. APA sytle format

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pick a health services organization of your choice and conduct an analysis of its target markets how it is positioned in the marketplace and what kind of behaviors its customers exhibit when selecting their services.

Written Assignment 2 Target markets positioning & customer behavior – worth 20% of the gradeOverview: For this second assignment pick a health services organization of your choice and conduct an analysis of its target markets how it is positioned in the marketplace and what kind of behaviors its customers exhibit when selecting their services. This includes topics covered in Weeks 3 and 4. Your research can include your own experiences with the organization experiences of friends or relatives the organizations website a visit to the organization (if possible) websites of competitors library research on the service category any notes from the overview and readings for Weeks 3 and 4 and any other place you think you can find information to provide depth to your analysis.After completing your research prepare your Written Assignment 2 as directed by the general guidelines for written assignments in the syllabus project descriptions by answering each of the following questions in turn:

Q2

APA guidelines found in the APA Style Guide located in the Student Success Center. An abstract is required.

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Law homework help

  • Overview
    Write a 2–page executive briefing of a selected business-related case that has been decided by a U.S. state court, a U.S. federal court, or the U.S. Supreme Court.
    In this introductory course to business law, you will examine real-world court decisions pertinent to the topics that you will be studying. This is not a course designed to train lawyers, and you are not expected to be an attorney-in-training. However, you will be entailed to do a substantial amount of independent research in the scholarly and professional resources of the field. You will be called upon to locate court cases in which the legal topics of focus for each assessment are applied, to select one that you think represents a pertinent example of the law, and to write an analysis paper for each case.
    SHOW LESSIf you have never researched or read court cases before, you may find these tasks daunting at first. To help you get your research started, some prominent searchable databases of court cases have been recommended for you in the Resources. Try to imagine yourself as either the plaintiff or the defendant in the cases you review, to make these controversies more resonant to your life. It will help to make the material more engaging and enjoyable.
    Use the resources provided to begin to familiarize yourself with the legal terminology as early as possible, in order to help you make sense of the complex language often found in court cases. It is vital that you start by familiarizing yourself with the essential legal terminology, in order to develop a grounding in the theoretical and conceptual underpinnings of American business law. The terminology that you will learn in this course will be useful in both a scholarly and everyday context.
    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    • Competency 1: Articulate the importance, context, purpose, and relevance of law in a business environment.
      • Summarize the facts and ruling of a legal case.
    • Competency 3: Evaluate key judicial concepts that influence the decisions related to business.
      • Analyze how a legal case could impact businesses.
      • Explain how a legal case could impact a specific organization.
    • Competency 5: Develop information literacy skills as applied to business law.
      • Exhibit information literacy skills as applied to business law.
    • Competency Map
      CHECK YOUR PROGRESSUse this online tool to track your performance and progress through your course.
  • Toggle DrawerContextThe U.S. legal system is often misunderstood. In the United States, jurisprudence is a result of centuries of commercial disputes, transactional lawsuits, scholarly opinions, and, interestingly, centuries of developed systems of law from Great Britain.
    Read the Assessment 1 Context document for important information related to the following topics:

    • Common Law Tradition.
    • Role of the Judicial Branch.
    • Parallel Systems.
    • Alternative Dispute Resolution.
  • Toggle DrawerQuestions to ConsiderTo deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.
    • What are some of the differences between the models for law systems throughout the world? What are some of the benefits of each? What are some of the disadvantages of each?
    • What is the difference between procedural rules and substantive rules? Which are more important for the average person in society to know? Why?
    • How is your country’s legal system connected to business, and what is its impact? Is it favorable to the growth of business, or unfavorable? Does it protect some but not others? Does the legal system foster the goal of resolving disputes promptly, equitably, and peacefully?
  • Toggle DrawerResourcesSuggested Resources
    The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.
    Capella Resources
    Click the links provided to view the following resources:

  • Assessment InstructionsFor this assessment, you will first select an actual business-related legal case that has been decided by a U.S. state court, a U.S. federal court, or the U.S. Supreme Court, based on briefly conducting associated research. Based on that, you will then select an organization that you believe would be impacted by that legal case. Having completed both of these tasks, you should assume you’re a senior manager in the organization you selected, and that you were asked to perform an analysis of the legal case and to write an executive briefing for the executive team of that same organization. Your executive briefing should include a summary of the case, as well as an evaluation of how the case impacts the organization.
    The purpose of this format is two-fold:

    1. To give you the opportunity to research and investigate a real court decision.
    2. To challenge you to think about the business implications of the case, and specifically how the case will impact an actual organization.
    3. In your case law analysis, you must be able to navigate the court’s decision, and summarize and evaluate it. You may choose any business-related court case, either state or federal, as the basis for your case law executive briefings, as long as the case is applicable to the assessment topic. You are expected to conduct your own independent research to locate and evaluate the applicability of cases. A few appropriate case law websites are recommended for you in the Resources, but you are not limited to using cases from these sites.
      For this assessment, use credible legal research databases and online resources, research federal and state court cases, and select any business-related case that has been decided by a state court, a federal court, or the United States Supreme Court. Then select an organization (potentially the organization for which you work) that you believe the selected case might impact. Write an executive briefing that addresses the following:
    4. Articulate the context and relevance of law in a business environment:
      • Identify the parties who are before the court.
      • Provide a brief background and context associated with the case. Summarize the facts in no more than 2–3 paragraphs.
      • Identify the specific disagreement between the parties.
      • Explain the ruling of the court and its business relevance in no more than 1–2 paragraphs. Was there a dissenting opinion? If so, explain why some of the judges or justices disagreed with the majority in the decision.
    5. Evaluate the business impact of the case:
      • Summarize your analysis of how the case will impact businesses in general, including both positive and negative impacts.
      • Indicate the organization you selected as potentially impacted by the case, and why you selected that organization.
      • Explain how the case will impact the specific organization you selected, such that the executive team will understand the implications of the legal decision.
    6. Based on your executive audience, your executive briefing should be no more than two pages, and should be well organized and written in clear, succinct language. Follow APA rules for attributing sources that support your analysis and conclusions.
      Academic Integrity and APA Formatting
      As a reminder related to using APA rules to ensure academic honesty:
    7. When using a direct quote (using exact or nearly exact wording), you must enclose the quoted wording in quotation marks, immediately followed by an in-text citation. The source must then be listed in your references page.
    8. When paraphrasing (using your own words to describe a non-original idea), the paraphrased idea must be immediately followed by an in-text citation and the source must be listed in your references page.
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    ASSESSMENT1CONTEXT.docx
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