Patient-controlled analgesia

 Med 23 Lou Thao Abdominal Surgery, Patient Controlled Analgesia
LEARNING OUTCOME OBJECTIVES
1. Safe, Patient-Centered Care – Provide safe, patient centered care using evidence-based practice while managing multiple patients.
2. Caring Behaviors – integrate caring behaviors when managing care for diverse patients. families, and communities.
3. Communication – Integrate effective communication skills to promote safety and support decision making while managing patient care.
4. Clinical Judgment – Incorporate clinical judgment to ensure quality outcomes when managing patient care.
5. Collaboration – Participate in collaborative relationships to improve patient outcomes when managing nursing care for diverse patients, families, and communities.
6. Leadership – Integrate leadership skills in a variety of healthcare settings when managing care for diverse patient populations.
Reading: Cystic fibrosis, respiratory arrest, isolation, resuscitation
Skills: Pain assessment, Vital Signs, Documentation, patient-controlled analgesia (PCA) pump overview
Questions to answer:
  • What are some postoperative complications that Lou Thao may encounter?
  • What are some benefits or advantages associated with the use of a patient-controlled analgesia (PCA device? Explain the difference between diverticulosis and diverticulitis.

Price competition in healthcare

Do healthcare providers really compete on price? Do consumers “shop around” for a doctor or hospital based on the price? (In responding, please be sure to offer some “evidence” / data from published reports). Please cite your references.

Developing diet recommendations

A local clinic has asked for your help developing diet recommendations for “Healthy Sperm” for use with their male clients seeking advice on the topic.  Please develop a set of at least four practical recommendations that you would provide for their target audience.  Make sure your recommendations describe actions that members of the general public can implement.  For example, avoid statements such as “consume foods rich in x nutrient,” because people with no nutrition knowledge will not know which foods contain that nutrient. Include a description of the rationale for recommending consumption or avoidance of specific foods.  Be sure to consider fresh food, fast food and convenience store-food availability (or lack thereof) near the area where the clinic is located.  Please indicate specific location (e.g., Phoenix downtown area) and provide context about food availability and cost considerations as part of your answer. [Text, beginning on page 58, addresses adequate zinc, high level of antioxidants, light to moderate alcohol, clean arteries, controlled diabetes, seafood and avoidance of heavy metals such as mercury.  Note that copying that information here is not an acceptable answer.]

Secondary and primary assessments

Describe the purpose of and the assessment steps to the primary assessment. Discuss the purpose of the secondary assessment and what is included with this procedure

Maternal health around the globe

What can we do to improve maternal health around the globe? What can we do to improve economies at a global scale? What are the best practices to improve nutritional deficiencies around the globe?
How can the world work to close the gap between the under and the over nourished?

 

Blunt vs. penetrating trauma

Discuss blunt vs. penetrating trauma and the resulting injuries to the body. Discuss the priorities of each phase of trauma care (Prehospital, Emergency Department, Critical Care)

The Concept of Comfort in spiritual care

Write the theological literature review on the Concept of Comfort in spiritual care. The theological literature should be based on Comfort. It is the theological Analysis of the Spiritual Concept of Comfort. Adopt the following:

1. Introduction to concept/definition of the concept in OED
2. Conduct a literature search of the academic theological literature (e.g., ATLA database, J-
Store database) for your concept.
3. Choose 20 articles to survey (a literature review)
4. Analyze these articles for their understanding of your concept
5. Write an analysis and synthesis of your concept based on the theological literature.

Impact of Selected Issues (Medical Errors) on the Health of the Public

Impact of Selected Issues (Medical Errors) on the Health of the Public

There are many challenges facing our nation today as the president and Congress set priorities for their legislative agenda. These challenges include critical issues related to healthcare.

This paper will specifically address the issues (Medical errors) that impact the health of the public in the United States.

Identify an issue that impacts or has an effect on the health of the public in our country from your readings in the New York Times. Review of the Literature Research the issue in terms of background information (who, what, when, where, how) using a minimum of two (2) professional journals.

Discuss the pros and cons of the issue. Follow the discussion of the issue over a period of time using a minimum of three (3) New York Times articles. At least one of the three New York Times articles has to have been published within the last six months.  Also, select one (1) website which provides you with legitimate information on your topic.

A Minimum of 6 References: New York Times BLOGS articles are not allowed. When selecting your professional journal articles, conduct a literature search using at least 3 electronic databases to identify peer-reviewed, professional journal articles on the topic you are writing about. Limit your journal articles to those published within the past five (5) years and your websites to those updated within the past five (5) years.

Conclusions and Recommendations:  What conclusions can you draw from your readings? What recommendations can you make to policymakers? Submit a 4-5 page, double-spaced, typewritten paper which addresses all of the above areas. Print your final copy on one side of the paper only.

Economic policy on healthcare

If economic policy to enhance competition among healthcare participants has been successful, then why have healthcare costs and insurance premiums continued to rise?

Please also cite your reference that you use.

Summarize Types 1 and 2 Diabetes in terms of etiology

Summarize Types 1 and 2 Diabetes in terms of etiology, pathogenesis, clinical picture, diagnosis, and treatment rationale.

The 5 General Topics of Disease Summary
1. Etiology & risk factors
2. Pathogenesis: The molecular mechanism of the disease process (How the disease process evolves)
3. Clinical Picture: Signs& Symptoms, Sequelae, and Complications
4. Diagnosis: Labs & tests (as well as screening tests and follow-up tests whenever applicable)
5. Pathophysiologic rationale of treatment

 

  1. Etiology:
  • Etiology of Type 1 Diabetes
  • Etiology of Type 2 Diabetes

 

  1. Pathogenesis:

For both types, explain how the etiology results in the blood chemistry disturbance and produce the clinical symptoms.

  1. Clinical Picture:
  • Signs and symptoms of diabetes. (most common presentations of both types)
  • Complications of diabetes: Hypoglycemic crisis, hyperglycemic crises, macrovascular complications, microvascular complications.
  1. Diagnosis:
  • Diagnosis of diabetes& screening: Fasting vs random blood sugar
  • Follow up: role of HGB-A1C
  1. The pathophysiologic rationale of treatment:

How does the pathophysiology involved in each type of diabetes affect the choice of treatment (Insulin vs non-insulin therapy)

 

This is the textbook for information:

McCance, K.L., Huether, S. E. (2018) Pathophysiology: The Biological Basis for Disease in Adults and Children. (8th Ed) St. Louis, MO. Elsevier Mosby ISBN-13: 978-0323583473 ISBN-10: 9780323583473