Core Decision-making skills in severe stomach pains

Core Decision-making skills about severe stomach pains, a metal handrail, and off feeling dizzy with the pain

Luke is now complaining of feeling dizzy with the pain

Which of the core decision making skills do you think you would need to use in this situation and why?

‘Luke is a 14 year old, high achieving at school and socially very popular. Luke is a happy teenager who enjoys sports and skate boarding’
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´Luke has present to the ED with his mum complaining of sever stomach pains and feeling sick having fallen off his skate board at the park, and falling into a metal handrail.

Luke is now complaining off feeling dizzy with the pain.

The significance of an organization’s culture, mission, vision, and values

The significance of an organization’s culture, mission, vision, and values

Examine the significance of an organization’s culture and values. Outline the purpose of an organization’s mission, vision, and values.
Explain why an organization’s mission, vision, and values are significant to nurse engagement and patient outcomes.
Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed.
Discuss effective strategies for resolving workplace conflict and encouraging interprofessional collaboration.
Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective.

Crisis intervention in own life

Briefly describe a crisis that occurred in your own life. Who or what was most helpful to you during that time? Why? Consider your ability to work with people in crisis. What strengths and weaknesses (include your cultural and spiritual belief systems) do you possess that may enhance or interfere with your ability to work with people in crisis?

Strategic plan and readiness of the health care organization or network in meeting care needs

Strategic plan and readiness of the health care organization or network in meeting care needs

Research a health care organization or network that spans several states within the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:
Describe the health care organization or network.
Describe the organization’s overall readiness based on your findings.
Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
Propose a theory or model that could be used to support the implementation of the strategic plan for this organization. Explain why this theory or model is best.

Evaluate the Health History and Medical Information for Mrs. J.

Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
Subjective Data
Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
Height 175 cm; Weight 95.5kg.
Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1 ; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention
The following medications administered through drug therapy control her symptoms:
IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Inhaled short-acting bronchodilator (ProAir HFA)
Inhaled corticosteroid (Flovent HFA)
Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:
Describe the clinical manifestations present in Mrs. J.
Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Children growing up with Williams Syndrome

The assignment focuses on children who are growing up with Williams Syndrome. This is a little-known disorder that is in some ways the “opposite” of autism.  These children have highly developed language skills and are often very social, but they struggle with many other cognitive tasks.

First, watch the following video clip: (sorry-you have to watch a brief ad!)

Williams: https://www.youtube.com/watch?v=gF4DiqEdN3w

(try using Chrome for best viewing results)

Then, write down at least 3 things you found interesting from the clip (include some detail about each).

Next, find recent  general information about Williams Syndrome by finding sources through Google.

In your own words, summarize at least 2 recent sources (each summary needs to be at least (more is good!) four full sentences -just to give you an idea of expectation- include some detail) about Williams and include the complete citation for the sources at the beginning of each summary. (So if you find a VERY brief source- that will not work for this assignment).

Now, connect the information you have learned about Williams Syndrome to something (can be a more general concept) from the textbook or PPs for CH. 3.  Give detail from the  PPs or text to make your connection clear.

Finally, tell me how things are going for you in the course so far (include any questions or concerns).

20 points total

Admission Essay: Why I want to become a nurse

Why I choose nursing for a potential career path

Why do you want to become a nurse? Who influenced you? What specialty/nursing practice would you like to work in? What skills will you need to be successful in this specialty/nursing practice?

Why I want to become a nurse

My interest in the nursing field is strongly centered on the fact that nursing is grounded in
the provision of care. I am an empath, and I have always worked as a volunteer at shelters, also
helping out when communities close to my hometown were ravaged by disasters. Working as a
nurse will provide me with the skillset I need to offer care with confidence since I will be well
equipped with the information necessary to make a positive and permanent impact on a patient’s
life. When I become a nurse, I will be in a much better position to serve my community, giving
me better control compared to the little I have been doing as a volunteer.

Growing up, we had a neighbor who was a Registered Nurse, and since she was friends
with my mother and we lived fairly close, she took care of every scrape, cough, and minor
complication I had as a child. She motivated me to consider nursing as a career……………….

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