Chapter 1 – Select back issues of a research journal and identify a couple of quantitative and qualitative studies.
This is the article : https://onlinelibrary.wiley.com/doi/full/10.1111/jonm.13238
What preventive measures can be used to reduce the spread of diseases? How would you as a nurse in a hospital setting help prevent the spread of disease in a hospital
setting? Think of your patient in their hospital room. What are best practices you can do
to reduce the spread of disease.
Download and open the AACN Essentials Self-Assessment (Links to an external site.). Complete the self-assessment of your current comfort levels and total your score. If you are willing, please share your results with your classmates in your discussion post.
(Remember, this is the starting point for our course and the start of the knowledge we will learn over 8 weeks).
As you reflect on your score, identify areas where your knowledge could use improvement. Whether you are a new graduate or a seasoned nurse, it is important to keep in mind that all professional nurses are knowledge workers.
Utilizing the readings from your textbook, describe your current knowledge base in informatics and how you can improve your knowledge as they relate to nursing informatics and AACN essential. What additional questions do you have as they relate to nursing informatics and the AACN essentials?
Mrs. Jane Smith is an 80-year-old woman who was admitted to ED at 1730 with a history of unwitnessed fall. She was found on the floor by her son. She was unable to stand up.
In ED she was found to be in excruciating pain. Her right leg appeared to be shortened and internally rotated. It was noted she had multiple bruising over her right arm and face and a 4 cm laceration to her right lower arm.
She was administered intranasal Fentanyl 100 Mcg by the Ambulance crew.
Her Vital Signs: Bp – 157/77 mmHg, HR – 122/min – Irregular, RR – 28/min, SpO2 – 99% RA, temp – 37.2C
GCS – E3V4M6 = 13/15.
| Regular Medication | Medications Administered in ED |
| Apixaban 2.5mg BD PO | Bupivacaine + fentanyl femoral block |
| Thyroxine 50 mcg Daily PO | Panadol 1 g PO |
| Amiodarone 100mg Daily PO | Diclofenac 50mg PO |
| Metoprolol 25 mg BD PO | Morphine 5 mg IV |
Mrs. Jane Smith had blood taken. She had also done chest x-rays, which were NAD, and Right hip X-ray which revealed # neck of femur.
A CT scan of her head has been ordered, which is yet to be done.
A – Allergies – Penicillin
M – as mentioned above
P – Hypothyroidism, HTN, AF, IHD multiple falls
L – Last ate around noon
E – Events – Does not remember events leading to the fall
The critical discussion paper should address the following issues:
Jason has been on prolonged bed rest due to his surgery and injuries from the MVA. Discuss the possible complications associated with prolonged bed rest.
2. What information would you provide to Jason and his family to prevent these complications?
3. How would you ensure Jason is stable on his feet when he is able to begin mobilising? What member of the 4. 4. MDT would assist you with this?
Reference required.
What are the methods a nurse can use to gather cultural Information from patients? How does cultural competence relate to better patient care? Discuss the ways in which a nurse demonstrates cultural competency in nursing paiche.
What is the nutrition intervention diagnosis for a 78 year old rancher hospitalized three days ago after suffering a stroke. His weight on admission was 175 pounds. His family states that his height is about 6 feet. He has been eating less than half of his meals since admission and has lost 4 pounds. His family has reported to the nurse that Frank has been coughing frequently while eating and seems to have difficulty swallowing his food.
Frank’s initial nutrition diagnosis is “Inadequate oral food and beverage intake to difficulty swallowing as evidenced by less than 50 percent expected oral intake, significant weight loss, and observation of coughing with attempts to eat.”
What is the appropriate nutrition intervention that helps resolve Frank’s nutrition problem. Remember to consider interventions that change a) nutritional intake, b) nutrition-related knowledge or behavior, c) environmental conditions, or d) access to supportive care and services. Indicate in each box how you would accomplish each step of the intervention.
Prioritize the nutrition diagnosis. Critical thinking: What nutrition intervention will help resolve the identified nutrition problem?
Worksheet 4-2: Using Standards of Practice to Implement a Nutrition Intervention
Frank H. is a 78-year-old rancher hospitalized three days ago after suffering a stroke. His weight on admission was 175 pounds. His family states that his height is “about 6 feet.” He has been eating less than half of his meals since admission and has lost 4 pounds. His family has reported to the nurse that Frank has been coughing frequently while eating and seems to have difficulty swallowing his food.
Frank’s initial nutrition diagnosis is “Inadequate oral food and beverage intake related to difficulty swallowing as evidenced by less than 50 percent expected oral intake, significant weight loss, and observations of coughing with attempts to eat.”
1. Use the steps suggested in Table 4.1 and the steps outlined below to implement an appropriate nutrition intervention that helps resolve Frank’s nutrition problem. Remember to consider interventions that change a) nutritional intake, b) nutrition-related knowledge or behavior, c) environmental conditions, or d) access to supportive care and services. Indicate in each box how you would accomplish each step of the intervention. (Hint: See Chapter 14 for more information on swallowing difficulties.)
| Step One: Plan the Nutrition Intervention | |
| Prioritize the nutrition diagnosis.
Critical thinking: What nutrition intervention will help resolve the identified nutrition problem? |
|
| Base intervention on best available evidence.
Critical thinking: What evidence-based practice guidelines will you use to plan your nutrition intervention? |
|
| Refer to policies and program standards.
Critical thinking: Are there specific protocols and policies that will influence your plan of care for this patient? |
|
| Confer with patient and caregivers.
Critical thinking: What additional information do you need to plan an effective intervention?
|
|
| Determine patient-focused goals and expected outcomes.
Critical thinking: What are the immediate as well as long-term goals for this patient? |
|
| Detail the nutrition prescription.
Critical thinking: What is the individualized dietary recommendation for this patient?
|
|
| Define time and frequency of care.
Critical thinking: When and how will nutrition intervention be provided?
|
|
| Utilize standardized language for defining interventions.
Critical thinking: How can you use established terminology to describe the nutrition intervention? Refer to Chapter 2. |
|
| Identify resources or referrals needed.
What additional resources may help resolve this patient’s nutrition problem?
|
| Step Two: Implement the Nutrition Intervention | |
| Collaborate with colleagues.
Critical thinking: What additional information might need to be obtained to improve your nutrition intervention? |
|
| Communicate the plan of care.
Critical thinking: Who will need to be informed? How and by whom will they be informed? |
|
| Initiate the plan of care.
Critical thinking: How will you begin the nutrition intervention?
|
|
| Continue data collection.
Critical thinking: What data will be important to monitor the patient’s response to the intervention? |
|
| Individualize nutrition intervention.
Critical thinking: Is this intervention tailored to the patient’s needs?
|
|
| Follow up and verify nutrition intervention.
Critical thinking: How will you monitor whether the patient is receiving the nutrition care you have planned? |
|
| Adjust intervention strategies if needed.
|
|
| Document
Critical thinking: What procedure will you use to record the patient’s response to the nutrition intervention? |
|
2. Using ideas from Table 4.4, describe at least two intervention strategies that would provide additional protein and calories to this patient within his nutrition prescription
Why is it important to measure or evaluate national and global health status? What types of health data or indicators do you think are most important for measuring and evaluating national or global health status, and why?
Which of the following actions should you take to help prevent aspiration when assisting a resident who pockets food in the side of their mouth?
| Tap firmly on the upper back to prevent choking. |
| Remove the resident’s dentures before eating and clean them. |
| Transfer the resident to a chair that reclines backward. |
| Check the resident’s mouth for food and remove it. |
Which of the following techniques can you use for residents with dementia?
| Face residents toward a large dining area. |
| Serve the resident as soon as they sit down. |
| Serve all foods at one time. |
| Assume the resident has finished eating when they get up. |
Writemynursingpaper.com provides custom papers such as Essays, Term papers, Research papers, Theses, and Dissertations to its global clientele. These papers are only deemed as reference materials meant for providing assistance to our customers.
Email:
support@writemynursingpaper.com
phone: +1 (617) 871 9964