Looking for help with my nursing project attached is the form that needs to be used as well as the outline and information from the course on what needs to be done.
Describe a movie or TV show that featured characters in families or personal relationships.
This is discussion board: No Plegarism please, assignment will be checked with Turnitin. Will need minimum of 250 words, APA Style, double spaced, times new romans, font 12, and and minimum 3 References with intext citations.
The Medical Interview:
The medical interview serves several functions. It is used to collect information to assist in diagnosis of the present illness, to understand the patient’s values, to assess and communicate prognosis, to establish a therapeutic relationship and to reach agreement with the patient about further diagnostic procedures and therapeutic options. The interview also offers an opportunity to influence patient behaviors.
Discuss the following:
Please answer the following questions and include your rationale and evidence-based research to support your written work.
· What does it means to document accurately and appropriately?
· What are the documenting guidelines? When is it appropriate to use abbreviations?
· What is the difference between subjective and objective data?
· What does it mean to demonstrate clinical reasoning skills?
· How can you use clinical reasoning to plan the organization of a comprehensive exam?
· How will you document variations of normal and abnormal assessment findings?
· What factors influence appropriate tools and tests necessary for a comprehensive assessment?
· Reflect on personal strengths, limitations, beliefs, prejudices, and values.
· How will these impact your ability to collect a comprehensive health history?
· How can you develop strong communication skills.
· What interviewing techniques will you use to interview the patient to elicit subjective health information about their health history?
· What relevant follow-up questions will you use to evaluate patient condition?
· How will you demonstrate empathy for patient perspectives, feelings, and sociocultural background?
· What opportunities will you take to educate the patient?
Case Study, Chapter 13, Fluid and Electrolytes: Balance and Disturbance
1. Mrs. Dean is 75-year-old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs. Dean is NPO. She has a nasogastric (NG) tube to low continuous suction. She has an IV of 0.9% NS at 83 mL/hr. Current medications include furosemide 20 mg daily and hydromorphone 0.2 mg every 4 hours, as needed for pain. The morning electrolytes reveal serum potassium of 3.2 mEq/L. What are possible causes of a low potassium level? What action should the nurse take in relation to the serum potassium level? What clinical manifestations might the nurse assess in Mrs. Dean?
2. Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. During the interview, he describes attending a family reunion and states that perhaps he “ate something bad.” Upon admission his vital signs are a temperature of 102.7°F, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. The nurse also notes the patient has dry mucous membranes and tenting of skin. The physician orders an IV to be started with 0.45% normal saline, and orders a serum electrolytes and an arterial blood gas.
The following results are returned from the laboratory:
Sodium (Na+) 150
Potassium (K+) 5.5
Chloride (Cl¯) 110
BUN 42
Creatinine 0.8
Glucose 86
pH 7.32
PaCO2 35
HCO3¯ 20
PaO2 90
O2 Sat 98% What is your interpretation of this arterial blood gas sample? Explain the high potassium in this patient. Calculate the patient’s anion gap: What is the interpretation of this anion gap?
Hi,
Journal Clubs are increasing in frequency as one strategy to implement evidence to inform our nursing practice. Some of you may already participate in journal clubs at your employing institutions and for some, this may be a new venture to enhance your nursing knowledge. For the purposes of this class, the on-line journal club is a graded activity. However, it is your responsibility. to complete this assignment.
based on the article, complete the table
Patient Safety and Quality Improvement Evaluation
A health care organization may have highly qualified doctors and nurses who meet quality indicators for technical quality; however, due to a lack of communication, empathy, and scheduled office hours, patient satisfaction is low. In the corporate world, the phrase “the customer is always right” is frequently used to emphasize the importance of meeting the needs and expectations of the consumer. How does this approach apply to health care?
Health care industries are now using quality improvement models that are very business-centric to improve the quality of care delivery, patient satisfaction, and safety. In this Discussion, you evaluate various quality improvement models and determine which model would best be applied in your practice setting to address a specific need. You also develop a mission statement for addressing the practice problem.
To prepare:
Reflect on the various quality improvement models and their application in health care presented in the Learning Resources. Evaluate the advantages and disadvantages of each model. Consider how these models have been, or could be, applied in your practice setting. Based on your selected area of need, define a practice problem and create a corresponding mission statement. Investigate baseline data, and evaluate why this practice problem is a priority for improvement. Ask yourself: How does this practice problem in my organization compare to other organizations?
By tomorrow 01/03/2018 by 5pm New/York America time, post a minimum of 550 words essay in APA format with at least 2 references from the list of required readings below. Include the level one headings as numbered below:
post a cohesive response that addresses the following:
1) Summarize any practice problem (hospital acquired-infections or handwashing) relevant to your setting (hospital setting) of interest and share a potential measurable goal for a QI (Quality Improvement) team. Be sure to include the data that justifies why you feel a change is needed in this specific area.
2) Explain how the PDSA (Plan to Do Study Act) model might be applied, giving specific reasoning as to why this model best fits the needs of your practice problem. Describe how the practice problem you describe might be of interest to any accreditation initiative.
Required Readings
Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.
Chapter 19: “Accreditation: Its Role in Driving Accountability in Healthcare”
Menaker, R. (2010). Leadership strategies in healthcare. The Journal of Medical Practice Management, 24(6), 339–343.
From increasing regulation to costs, this article evaluates the challenges that the health care industry faces. It then covers how transformational leadership and leadership strategies can help health care organizations address these challenges.
Boyd, S., Aggarwal, I., Davey, P., Logan, M., & Nathwani, D. (2011). Peripheral intravenous catheters: the road to quality improvement and safer patient care. Journal of Hospital Infection, 77(1), 37–41. doi:10.1016/j.jhin.2010.09.011
A unit within a health care organization implements measures that increase quality of care. This article studies this process and explains the research and results involved.Bottom of Form
Discussion Prompt 1COLLAPSE
Review the following case study and discuss the questions that follow.
EO is an 8-year-old girl with a history of asthma and allergy to bee stings. She has been brought to the clinic complaining of a throat infection. Her health care provider prescribes a course of penicillin to manage her current infection and cautions her parents to watch her closely for a reaction. What type of reaction is the health care provider concerned about, and why? Explain the role of IgE and mast cells in type I hypersensitivity reactions. Why might EO react adversely to the antibiotic with the first use? What would you tell EO’s parents to look for when they are assessing for a reaction?
For this assignment you will prepare a scholarly product that reports your progress (or results) and implications of your DNP project to a designated audience. If you are not in the implementation or evaluation phases of your DNP project you may report on a project that you have worked on during your practicum experiences with the practicum site. While you are not required to actually present your work it will be beneficial for you to prepare your product for dissemination now while you can receive feedback from your peers and faculty committee.
Your scholarly product may be in the form of a manuscript for publication, project summary and evaluation report, conference proceedings, poster presentation, program evaluation report, grant proposal, media or technology-based deliverable, or a different faculty approved product. The scholarly product is due to your Instructor by Day 7 of Week 10 so you may receive feedback on it before finalizing your DNP Project Paper (a DNP program requirement). Unless otherwise arranged with your Project committee, your final product must include the following information, and must be written in a style appropriate for your intended audience: Background, Purpose, and Nature of the Project
Describe the larger problem or issue you explored in your DNP Project. Explain how this problem or issue affects nursing practice and the overall health care system, and describe how your DNP Project explored possible strategies for addressing the problem or issue. Research Design, Setting, and Data Collection
Briefly explain the methods you used to carry out your DNP Project, including any relevant theoretical frameworks or models. Identify the practice setting and context in which you conducted your project, as well as the sample/population as applicable. Outline your data collection methods and justify why you chose these methods. Presentation of Results
Explain the results of your DNP Project. Include any relevant graphs, tables, charts, models, or other visual representations of your data/results. Include a short description of each visual, what it displays, and how it relates to your project. Interpretation of Findings, and Implications for Evidence-Based Practice
Share the results of your DNP Project, and provide an interpretation of your findings. Describe how the results can be translated into evidence-based practice. Explain how this would impact the main problem or issue you explored in your DNP Project.
No plagiarism please. I have half the work completed, I will attach what I’ve done to serve as reference.
Comprehensive SOAP Note
This Assignment will help develop skills to perform an integrated history and physical examination for individuals across the lifespan.
Considerations of lifestyle practices, cultural/ethnic differences, and developmental variations will be incorporated into the plan of care. Use critical thinking and diagnostic reasoning skills to formulate differential diagnoses, medical diagnoses, and an evidence-based action plan. Include sections 1 and 2 of the SOAP note with recommendations (incorrect or omitted data) based on feedback provided for the previous sections of the SOAP note. Click here for the written guide for the Comprehensive SOAP Note.
Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.
This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment (Family Assessment Part II).
Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following: Values/Health Perception Nutrition Sleep/Rest Elimination Activity/Exercise Cognitive Sensory-Perception Self-Perception Role Relationship Sexuality Coping
Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.
Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.
Include the following in your paper: Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment. Summarize the overall health behaviors of the family. Describe the current health of the family. Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified. Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.
Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
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