community-acquired pneumonia

Instructions
CASE STUDY:
HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.Ht: 5’8” Wt: 89 kg
Allergies: Penicillin (rash)Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

Hypertension in older adults

Hypertension is a common condition in older adults. Older adults benefit from the treatment of their hypertension, but special considerations need to be given before initiating pharmacological therapy due to the risk of increased complications.

Discuss two strategies that as a nurse practitioner you will use when initiating antihypertensive therapy in the older adult (you may consider things such as goal BP, class of medications, laboratory monitoring of therapy, monitoring for side effects, etc.).

complete a focused assessment on Danny Rivera, a child who is complaining of a cough

Assignment Instructions:

For this 5-6 page assignment, you will conduct a focused health history and physical assessment based upon your Practice Experience work in Shadow Health. Particularly, you will complete a focused assessment on Danny Rivera, a child who is complaining of a cough. Please submit your summary documentation in MS Word. Use the submission parameters and rubric below to guide you in completion of this written assignment.

Submission Parameters:

For this written assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 5-6pages, which does not include the cover page and reference page(s). Please synthesize your assessment data rather than sharing all of the data in your written work. Your final written paper should be an APA formatted analysis of your assessment no more than 6 pages in length, excluding title page & reference list.

Introduction (including purpose statement)
Focus of the assessment
Describe the focus of this particular assessment on the patient complaining of a cough
Subjective Component
Analyze the health history data accumulated, including, but not limited to the Review of Systems & Past Medical History.
Objective Component
Analyze the physical examination findings including techniques of examination
Documented evidence to support clinical reasoning (connecting the assessment data to the diagnoses)
Choose & list the differential diagnoses based upon the clinical evidence
Plan of care
Briefly describe the plan of care individualized to findings, life-span stage of development with culturally specific considerations for the focused area of assessment.
Conclusion
References

Hamish is a 29-year man diagnosed with coeliac disease 3 years ago. His current weight is 68 kg.

Case Study

Hamish is a 29-year man diagnosed with coeliac disease 3 years ago. His current weight is 68 kg and his height 183 cm.

His current tTG IgA antibodies are 7 U/mL and his Gluten Immunogenic Peptide test is positive.

His plasma albumin is 39 g/L and his haemoglobin 10.8 g/L.

His zinc and B1 blood levels are below the reference intervals.

Hamish claims that he adheres to the dietary recommendations for coeliac disease. He also suffers with irritable bowel syndrome diagnosed the past week.

 

  • Using an evidence-based approach discuss the literature on micronutrient status and deficiencies in people with coeliac disease.
  • This part of your assignment should be an essay of approximately 2,500 words.
  • Assess the nutritional status of the patient? What, if any, additional information would you collect?
  • Discuss the main nutritional issues of the patient using an evidence-based approach (primary literature).
  • Comment on and calculate Hamish’s energy/nutrient requirements using an evidence-based approach and justify your decisions with reference to the primary literature and published guidelines.
  • Present a detailed dietary plan for management of his conditions.
  • Describe and analyse, using Nutritics, three days of his dietary plan.
  • What advise would you give to Hamish on micronutrient supplementation for coeliac disease?

Siena was admitted on account of one-week history of abdominal pain and fever

NUR3503 ASSESSMENT 2: CASE STUDY ANALYSIS
Siena, a 9-year-old partially immunised girl from Wagin, was admitted on account of
one-week history of abdominal pain and fever. At the emergency department, her ultrasound
confirmed a perforated appendix. Siena was rushed to the theatre for emergency surgery. She
was brought to your ward post-operatively. She had two intravenous cannulas—one on each
hand. Nasogastric tube and indwelling catheter were insitu and connected to a drainage bag.
Siena has phobia for medications served in syringes. The surgical notes report the presence
of three steri-strips at the incisional sites.
Siena and her mother are now in the ward, and they have been allocated to you. Prior
to their arrival to your ward, your shift coordinator had given you a brief handover and
advised that they will be arriving in the next 15 minutes. On arrival, you noticed Siena has
been charted regular analgesia and intravenous antibiotics with PRN analgesia for her pain
management. On arrival, Siena was alert and her observations were: Temperature 38.6-
degree,HR= 130 beats per minute, Oxygen saturation 90% on room air, RR= 28 breaths per
minute with mild distress, BP = 100/70mmHg. It is estimated that Siena and her family will
be on admission for at least 5 days.
Based on the above scenario, discuss the pathophysiology, management and health
promotion for Siena and her family.
Assignment guidelines
Your assignment should include the following:
1. An introduction summarizing the case study.
2. Discuss the pathophysiology of the presenting condition.
3. Discuss the assessments (Paediatric Assessment Tool and/or PrimaryAssessmentFramework)
you will undertake to prioritize and manage care for Siena.
4. Describe the nursing management of Siena’s condition
5. Using the child and family centred care model, how will you care for Siena and her family
6. What discharge education and health promotion will you emphasize?
7. How will you teach Siena to manage her condition after discharge?
8. What community support resources will you refer Siena to?
Detailed instructions
• Essay format with formatted headings following School of Nursing&
Midwifery guidelines (see BB Assessmenttab).
• Academic writing style following APA 7
th edition referencing guidelines.
• Appropriate sentence structure, conjunctions, word use, grammar and spelling (this
is an English Language Proficiency (ELP) specified unit).
• Format essay with relevant headings representing the assignment sections. The

assignment must flow smoothly and read logically. Note: Ensure that each
section is discussed within the essay, showing the depth of knowledge and
understanding, critical thinking, evidence and content coverage.
Assignment Presentation
Introduction (approx 100 words)
• An overview of the case study and definition of terminology.
• A brief overview of the epidemiology of the condition
• An overview of the assignment relevant to the patient
(Word count 250)
• Describe the presenting problem’s pathophysiolog.
(Word
(Word count 900)
• Discuss the nursing considerations and management for this child,incorporating
examples of child and family centred care, assessment strategies and nursing action .
Discuss potential assessment findings, what range of assessments or
preparations would be required and what appropriate assessment tools will
you utilise/would be used. Consider any potential changes e.g.
deterioration/recovery and how this would impact the care provided.
• Students should identify, consider and briefly discuss nursing management,
– this should demonstrate the student’s ability to demonstrate clinical
knowledge, critically think and incorporate evidence-informed practice.
• Students should also incorporate any holistic health considerations and
rationales to demonstrate criticalthinking
• (100 word)Dis.health omotion strategies you will put in place for
Siena and her family and the community resources they can utilize.
• provide an overview of the assignment and the primary relevant
points identified.o new material introduced.
Referencing
• In-text and end-text referencing per current ECU referencing guidelines – APA 7
th
edition style.
• Minimum of 10 current and credible academic references, using a variety of sources
including peer-reviewed journal articles (minimum of 5 journal articles) scholarly
books and quality websites (Australian and other credible websites). Credible
resources include evidence-based research and best practice guidelines (Australian
and international if relevant, e.g. WHO). Patient information sources, public
access medical websites designed for non-health professionals, eg. eMedicine,
MayoClinic, BetterHealthChannel, GPNotes, Wikipedia and Dictionary.com
etc willnot be accepted as academic references. All references need to be from
reputable sources. Do not use lecture notes as references
Accepted academic peer-reviewed journal articles up to five year

Nursing Theory on Rise of Obesity

 Define a nursing theory and identify a nursing model in specific health care (Community), using Pender’s theory.

The health service distribution organization does not only progress health; however, it also maintains the community healthy and demands family, individual, population, and community level interferences. It will do more than simplify the appropriate approach to regular or emergent medical visits (Ross & De Saxe Zerden, 2020). Health promotion strategies in health care, diverse and global settings are essential and should be very useful in reaching everyone.

Identify the nursing model utilized in a specific healthcare system.

Nola Pender’s Model is one of the theories focused on health promotion established in the US in 1982 (McCutcheon, et al., 2016). Pender described health as positive, thorough, merging, and humanitarian. Pender’s health promotion model reflects the principle that a person has the ability of introspection and personal change (Peterson & Bredow, 2020)

Diabetes in the United States Population 

Identify, review, and analyze the issue of Diabetes in the United States Population.
Provide how the issue of diabetes is one such chronic disease that is representative of the chronic health conditions at the root of healthcare challenges.
-Summary of the issue, setting, background, and source.
-Identification of the key health economic, financing, or reimbursement elements of diabetes in the United States Population.
-Your analysis of the effects or implications and importance of the issue.
-Anything else you wish to add.

Leadership experience in public healthcare

Leadership is another important skill for public health professionals. Write a paper on healthcare leadership experience at your site. Using the definitions of leadership, describe the healthcare leadership experience at your site; this could be positive or negative. What are you learning from the leadership experience? As a future public health professional, which leadership skills from your site will you adopt; which will you change? How well are you able to demonstrate leadership on the projects you are working on? What opportunities have you had to work independently at your site? What challenges have you encountered with being a self-starter and working independently?

Responsibilities of a nurse in reducing the risk of Corona virus pandemic and infection

Role and responsibilities of a nurse in reducing the risk of Corona virus and pandemic infection

The coronavirus COVID-19 pandemic is the defining global health crisis of our time and the greatest challenge we have faced since World War Two. Since its emergence in Asia late last year, the virus has spread to every continent. The tragic milestone of one million deaths, and the human family is suffering under an almost intolerable burden of loss.

  1. Define Corona Virus and its pandemic outbreak throughout the world?
  2. Explain the role and responsibilities of a nurse in reducing the risk of Corona infection in society?
  3. Explain how to manage those affected people by the virus mention about priority triage?

working in a diverse healthcare organization

Instructions;
Identify the benefits of working in a diverse healthcare organization. Include the benefits to patient care.
Identify the barriers to developing a diverse organization.
Apply your dominant leadership style and address the identified barriers to assist your organization in becoming more diverse. This leadership style may be the one you discussed in Week 1 or maybe one found in Chapter 8 of the textbook.
Lastly, identify how a diverse organization assists in creating a competitive advantage within the healthcare environment.