I am doing an Evidence-based practice where my POI is decreasing the number of children being diagnosed with diabetes by combatting the number one cause which is obesity.  The question asked… What change I WOULD LIKE (Key) to implement in my practice I chose to do the question below. I need help on how to use the Lewins change theory to accomplish that…

 

how can I use Lewin’s change theory to implement a change in the screening age for diabetes type 2 to age 5 from the current recommendation of age 10 or the onset of puberty in my clinical practice as a future FNP????

 

Thanks for your help

 

Biopsychosocial effect of category 3 pressure ulcer

What are the biopsychosocial effects of category 3 pressure ulcer on the patient and their families? especially if the patient is 66 years taken care by his 61 old wife .

Multi-patient: Postop Transurethral Prostate Resection

 

1. What priority focused assessment data, taking the patients’ age into consideration, will you note upon initial assessment of the multi-patient scenario? Identify three pharmacological and three non-pharmacological interventions that would be appropriate for this scenario?
   1. Priority (one or two items) Assessment Data:
   2. Non-pharmacological:
   3. Pharmacological:
2. List the PMH that apply to this hospitalization. Explain how each affect this hospitalization.
3. List 3 potential complications for continuous bladder irrigation and two interventions for each?
4. What is the reason for admission and history of current illness?
   1. Reason:
   2. History:
5. All three patients were diagnosed with BPH, ultimately leading to the need for surgery. Describe what the medical diagnosis of BPH encompasses. Describe the procedure performed for a transurethral resection of the prostate (TURP) and list post-operative nursing care for it.
   1. BPH:
   2. TURP:
   3. Post-operative Nursing Care:

Post-op Complication #1:

Intervention:

Intervention:

 

Post-op Complication #2:

Intervention:

Intervention:

 

Post-op Complication #3:

Intervention:

Intervention:

 

1. All three patients had a TURP completed on the same day. One complication to this procedure is transurethral resection syndrome (TUR or TURP syndrome).

 

1. What is TUR or TURP syndrome?

 

1. What are the signs and symptoms of TUR or TURP syndrome?
2. What changes in patient condition might you see if the patient had a postoperative GI bleed?
   1. Patient Condition:
   2. List at least one medication in the patient’s medication list that may affect the color and/or consistency of stool and explain your rationale?
   3. What foods, if eaten, may affect the color of the patient’s stool?
3. What changes in patient condition, including labs and vital signs, might you see with stable angina?
   1. Labs:
   2. Vital Signs:
   3. Patient Presentation:
   4. What would be one priority action if you suspected a patient had stable angina?
4. What changes in patient condition, including labs and vital signs, might you see with unstable angina?
   1. Labs:
   2. Vital Signs:
   3. Patient Presentation:
   4. What would be one priority action if you suspected a patient had unstable angina?
5. The patients in this scenario have nitroglycerine ordered PRN.

 

1. What does it mean to administer the medication sublingual?

 

1. How many minutes should be given between doses? How many doses can a patient take?

 

1. Minutes:

 

1. Doses:

 

1. What changes in patient condition would indicate the patient could benefit from nitroglycerine?

 

1. If the medication is swallowed, is it appropriate to administer another tablet immediately?

 

1. What should the nurse teach the patient about taking sublingual nitroglycerine tablets?

 

1. What is the priority action if the patient complains of a headache immediately after taking nitroglycerine? Provide a rationale.

Identify three risk factors that can lead to polypharmacy. Explain the rationale for why each listed item is a risk factor. Risk factors are different than adverse drug reactions. ADRs can be a result of polypharmacy, and is important, but ADRs are not a risk factor.