Entries by Daphne Hanson

Developing skills for defining problems and Improving clinical decision-making

A commitment to EBP begins with establishing a culture in which nurses are mentored in developing skills for defining problems and improving clinical decision-making in their work environment. In addition to organization-wide support, achieving an evidence-based culture calls for strong nursing leadership” (Ogie-Enoma et al., 2010, p. 1). Can you explain the steps that nurse […]

A Strategic plan

If the change proposal of fall were to be implemented what resources would be required for a strategic plan. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change […]

Heart failure on Supplemental O2

Reason for admission: Patient with congestive heart failure on supplemental O2 admitted from physician’s office after presenting with lower fever, chills, and cough. CHF increases the patient risk for complications. Assessment: Lobular pneumonia and acute bronchitis, both due to Mycoplasma pneumoniae (TIPS: Be sure to distinguish between lobar pneumonia and lobular pneumonia. Remember to assign […]

HIGH BLOOD PRESSURE

David 53 YEAR MAN WITH HYPERTENSION, THREE CHILDREN, LIVE WITH THEM AND WIFE, WIFE PARENTS, GET HOSPITALISED FOR HIGH BLOOD PRESSURE, FINANCIAL issues, CANNOT AFFORD MEDICATION, EXPENSES FOR DIALYSIS AND DIABETES FOR HIS INLAWS, CULTURE TO LOOK AFTER ELDER FIRST Social determinants Genetics financial status, level of education, individual and environment Identify and explain why […]

The Deontology framework

Use the deontology framework to justify the following statements: Driving privileges of uncontrolled diabetes should be restricted to protect others on the road. Nurse Practitioners should report blood sugars that drop below or exceed specified limits to the DMV to protect public safety’

Myocardial infarctions

Admitted to the hospital; with chest pain, dyspnea, and worsening peripheral edema.  has hx of 2 myocardial infarctions. has early signs of vacular dementia and is oriented x2 but does not know the current date. patient is incontinent of urine but continent of still. patients get laxatives in the and evening toileting.   As you […]

Providing Culturally acceptable care

Continually reflecting on your reactions to the cultures of your clients will assist you in providing culturally acceptable care. 1. How would you define values clarification? How would you interpret its usefulness in understanding cultures? 2. What would you describe as your culture? 3. Reflect on an occasion when you were with a group of […]

Congestive heart failure on supplemental O2

Reason for admission: Patient with congestive heart failure on supplemental O2 admitted from physician’s office after presenting with lower fever, chills, cough.CHF increases patient risk for complications. Assessment: Lobular pneumonia and acute bronchitis, both due to Mycoplasma pneumoniae (TIPS: Be sure to distinguish between lobar pneumonia and lobular pneumonia. Remember to assign a Z code […]