Sean is a 20-year-old African American college student who has sickle cell disease. He has lived with this disorder for as long as he can remember. His episodes are getting more frequent. – Discuss this disorder, the type of anemia, how it affects the blood cells, and who is affected. – When do symptoms start to occur? – What happens during a sickle cell crisis? – What treatment is recommended during a crisis? – Dara has just been diagnosed with hemolytic anemia. She is about to have more diagnostic studies run to try to figure out what her hemolytic anemia is from.

What are the different conditions that can cause hemolytic anemia? – What causes jaundice seen in these clients? – What is the treatment and care for this diagnosis? – What tests can be performed – Benjamin has just been diagnosed with pernicious anemia. He comes to you, as the physician’s nurse, to give him more information. Discuss the diagnosis of pernicious anemia. – What is the client lacking to have this disorder? – What does the body need for nutrition that it is unable to get and why? – Explain the etiology and pathophysiology of this disorder. – How is this disorder diagnosed? – What would you expect to see for signs and symptoms? – What is the medical management and nursing considerations for this type of client

Answer the following questions to be prepared for the in-person class. This information is all found in your MedSurg book on CoursePoint: – Tom is a newly diagnosed client with diabetes mellitus. – What are the three classic symptoms his primary provider recognized when he came in for a physical because he “didn’t feel right”? – What laboratory methods can be used to diagnose diabetes mellitus? – What are some of the methods used to treat this disorder? – Tom comes into the emergency room very lethargic. He’s been vomiting for 2 days and hasn’t eaten anything. His blood sugar is$$692\mathrm{mg}/\mathrm{dL}$$. He has ketones in his urine. He is diagnosed with ketoacidosis. – What is diabetic ketoacidosis? – How is it treated and what are the three main goals? – What is the source of the ketones in his urine? – What should be monitored? – Sonya wants to know what HHNKS stands for and what it is. – Discuss what HHNKS is. – What are some of the clinical signs and symptoms? – How is it treated?

Drawing upon the information on pages 210 to 218 of the text, create a maintenance self-care plan using the strategies from each of the categories. After completing your maintenance self-care plan, meet in pairs or small groups and discuss your self-care plans. Be open to feedback and provide constructive support to your colleagues. Consider how you will know if your maintenance self-care plan is working for you. When would you want to evaluate this plan and assess its successes? Reflect on whether you are open to trying new strategies if the chosen strategies are not working well. Consider arranging a time to meet with your group in the future to check in with one another about self-care, and to evaluate and adjust your self-care plans as needed

Identify healthcare quality improvement initiatives in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply the “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

Provide an overview of the problem and the setting in which the problem or issue occurs and Explain why a quality improvement initiative is needed in this area and the expected outcome.

Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Discuss steps necessary to implement the quality improvement initiative and provide evidence and rationale to support your answer.

Explain how the quality improvement initiative will be evaluated to determine whether there was an improvement.
Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

Note:

It is an evaluation that discusses a specified quality improvement strategy implemented to cater for a given nursing concern

Write a nursing philosophy paper that clearly reflects your personal philosophy of nursing. The paper should include the identification and examination of your own definition of nursing’s meta-paradigms: nursing, person, health, and environment.

Identify and discuss one other concept that you believe should be a part of nursing’s meta-paradigm (e.g. social justice, caring, technology, complexity, spirituality, culture, interdisciplinary practice, sustainability of resources, efficiency, safety… you may use another concept if it better complements your philosophical perspective) .

Discuss how your definition of the meta-paradigm concepts influences how you understand and accomplish your work as a nurse. Integrate a minimum of three examples from your work into your paper that captures the essence of your philosophy.

Parts of this paper can be written in the ‘first person since it is your personal philosophy of nursing. However, when you are defining and discussing the meta-paradigms, avoid using the first person. (See the Philosophy of Nursing in the RN to BSN Handbook for an example of how to write these sections in a more academic tone or third-person.)