Breakdown of nursing knowledge development

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Can you provide me with a breakdown of nursing knowledge development over time (till present)?

Implications for Advance Practice Nurses

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What are some implications for Advance Practice Nurses in regards to the Theory of Human Caring by Jean Watson?

History of adult onset asthma

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Background:

Despite the use of rescue bronchodilators, Kimberly Dunning, a 20-year-old female with a 1-year history of adult onset asthma, arrived to the emergency room at 1000 hours on Friday with shortness of breath. Kimberly Dunning was brought to the hospital after failing to react to respiratory treatments in the emergency room. She claims that she hasn’t taken her asthma maintenance medicine in many weeks owing to the expense.

 

1. How would Healthcare quality and communication be an important concept in this scenario?

 

2. What are some abnormal signs and symptoms and thoroughly explains how they would prioritize care of this patient.

 

3. How would you change your interventions if you had a second chance to care for this patient?

 

4. How would you apply what you have learned from this scenario to future patients?

Data for the specific research study

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Among Cross-sectional,   Prospective, Longitudinal, and Retrospective studies, which studies are conducted by collecting data for the specific research study?

a) Cross-sectional studies

b)Prospective studies

c)Longitudinal studies

d)Retrospective studies

Legal Issues in Nursing

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Legal Issues in Nursing: The Gita Proudman Story:   https://www.youtube.com/watch?v=PXX2dsV2HbA

 

After watching the Gita Proudman story, do you think that the nurses and doctors involved in this case were held to the same ethical standard? Discuss the ethical issues involved in this situation. What would you do?

Episodes of pain

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Case 94 26-year old white female presents in her physician’s office with genital itching and sharp, severe pain on the labia. She complains of three previous episodes of pain over the past 6 months, each of which was followed by the appearance of red sores which crusted and healed without a scar.

 

On examination, the physician observes a cluster of small red blisters localized in

the area of the worst pain. No significant discharge was observed from the

vagina. The patient’s urine was clear and yellow. Urinalysis revealed normal

specific gravity, no sugar, no protein, no white blood cells or red blood cells, and

no bacteria. The patient’s temperature was 36.5C.

 

The patient history reveals that she is unmarried. She is moderately sexually

active and currently using an oral contraceptive which she has been taking for

about 4 years. The woman stated that she has had 5 sexual partners over the

past year. She reported that her episodes have become progressively more

severe.

1. What type of infection do you believe he has? what microorganism is causing this disease?

2.  From complaint and physical examination, which of the symptoms lead you to your choice of agent? how did you come to that conclusion?

3. From the history, which of the information confirmed your choice? What is the treatment for this illness/disease?

4. Which of the following is most likely to follow this infection? How did you come to that solution of the treatment? In other words, why is it that treatment?

Please reference and cite and also keep both studies separated and numbered! And keep the answered questions and explanation together. thank you!

___________________________________________________________________________________

 

 

Qualitative research question

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1) Convert the following PICOT question in the qualitative research question.

In post-cardiac arrest patients, how does therapeutic hypothermia compare to patients whose temperatures are not altered, impact the patient’s neurological outcomes during the hospital stay?

Picot: Family Nurse Practitioner

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Write a picot question to formulate for Family Nurse Practitioner students in the primary area, not any specialty

Success of taking metformin and glipizide

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what are the parameters for monitoring the success of taking metformin and glipizide?

 SCENARIO PROBLEM LIST  HISTORY

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CASE 3              SCENARIO PROBLEM LIST  HISTORY  PHYSICAL EXAMINATION  DIFFERENTIAL DIAGNOSES

A 55-year-old man with cough, fever, and shortness of breath

 

 

John Kosich is a 55-year-old Russian man who presents with cough, fatigue, fever of 100℉, and increased SOB with activity for 5 days. The cough is productive, with a large amount of thick yellow/green sputum; the cough occurs day and night but is worse at night when supine. The patient needs two pillows to sleep at night. He experiences dyspnea with one flight of steps and intercourse. He has tried OTC cough syrup and Primatene Mist Inhaler with minimal relief.

 

 

Based on the information given, what are the patient problems?

 

 

 

What are significant questions in the history for the patient? What are the key points to cover in the review of systems?

 

 

 

What are the significant portions of the physical examination that should be completed for the patient? Include your rationale for each part of the physical exam.

 

 

 

List 4 minimum differential diagnosis. What are the significant positive and negative data that support or refute your diagnoses for the patient?

 

 

DIAGNOSTIC TESTS

Based on the history and physical exam, what, if any, diagnostic testing should be done? Include rationale and interpretation of the tests obtained.

 

 

DIAGNOSIS

What Final Diagnosis (es) do you determine as being appropriate for the patient? The data supporting this diagnosis and the pathophysiology of the condition.

 

 

THERAPEUTIC PLAN

  1. What are the specific elements of the plan of care for treatment?
    1. Pharmacological and non-pharmacological treatments that may apply
    2. Any additional diagnostic tests needed to be ordered to confirm the final diagnosis?
  2. What education needs to be provided for the patient and the family?
    1. To include Health promotion and
    2. Immunizations (if applicable)
  3. Describe the need for consultation/collaboration (if applicable).
  4. How soon should the patient return for follow-up?