Themes on the impact ambulation has on the length of hospital stay

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Identify at least two themes on the impact ambulation has on the length of hospital stay. Identify at least three subthemes related to each theme (six total subthemes).

Identify at least three empirical or scholarly articles related to each subtheme (18 articles total). At least one article must demonstrate a quantitative methodology.

Use the “Research Article Chart” resource as a guide to: (a) analyze and synthesize the literature into your paper, (b) state the article title, (c) identify the author, (d) state the research question(s), (e) identify the research sample, (f) explain the research methodology, (g) identify the limitations in the study, (h) provide the research findings of the study, and (i) identify the opportunities for practice implementation. For scholarly, nonempirical articles, state the article title and author, and provide a brief contextual summary of the article.

Chapter 2: INTRODUCTION TO THE CHAPTER AND BACKGROUND TO THE PROBLEM
12 points
Criteria Description
This section describes the overall topic to be investigated, outlines the approach taken for the literature review, and argues the evolution of the problem based on the Practice Setting Need supported in the literature from its origination to its current form. (2-3 pages)

Criteria Description
The background section provides the historical overview of the problem based on the Practice Setting Need supported in the literature and how it originated. It further discusses how the problem has evolved historically into its current form. This section summarizes the Background section from Chapter 2. (2-3 paragraphs)

Chapter 2: THEORETICAL FOUNDATIONS/CONCEPTUAL FRAMEWORK
24 points
Criteria Description
This section identifies the theory(s) or model(s) that provide the foundation for the practice project. It also contains an explanation of how the problem under investigation relates to the theory or model. The seminal source for each theory or model should be identified and described. (2-3 pages)

Chapter 2: REVIEW OF THE LITERATURE
24 points
Criteria Description
This section provides a broad, balanced overview of the existing literature related to the proposed project topic. It identifies themes, trends, research methodology, design, and findings. It provides a synthesis of the existing literature, examines the contributions of the literature related to the topic, and presents an evaluation of the overall methodological strengths and weaknesses of the research. Citations are provided for all ideas, concepts, and perspectives. The researcher’s personal opinions or perspectives are not included.

Criteria Description
This section restates what was written in Chapter 2 and provides supporting citations for key points. It synthesizes the information from the chapter using it to define the Practice Setting needs supported by the literature, the theory(s) or model(s) to provide the foundation for the project, the problem statement, the primary clinical question, the methodology, the design, the variables or phenomena, the data collection instruments or sources, and the population to be studied. It then provides a transition discussion to Chapter 3. (1-2 pages)

Holistic health assessment

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Choose an adult (65 years or older) friend or relative, perform a holistic health assessment, and discuss your discovered holistic health assessment data. Your assessment should include the following parts for the holistic assessment:

General Health History

Physiological Assessment

Psychological Assessment

Social Assessment

Cultural Assessment

Developmental Assessment

Spiritual Assessment

#2: Interpretation (Abnormality and Coping)

Choose one abnormality from the data gained in the assessments and discuss possible reasons/causes for the abnormality.

How does this abnormality impact the other areas of the patient’s life?

Discuss the client’s stress and coping mechanisms.

Are they healthy?

What recommendations and improvements could be made that are individualized for this person?

#3: Teaching Plan: Create a teaching plan that addresses the client holistically by applying the assessment data you have analyzed.

Describe at least one client goal for each of the six categories (each category should have a goal) (physical, psychological, social, cultural, developmental, and spiritual).

Discuss one strategy per goal you would use to teach your client about each individual goal

Explain how you will evaluate if your teaching was effective

Title Slide (1 slide)

Objective Slide (1 slide)

Assessment

General Health History (1slide)

Physical (1 slide)

Psychological (1 slide)

Social (1 slide)

Cultural (1 slide)

Developmental (1 slide)

Spiritual (1 slide)

Interpretation (Abnormality and Coping)

Abnormality, Reasons/Causes, Impact on Life (1 slide)

Stress, Coping, Recommendations (1 slide)

Teaching Plan

Physical Goal and Teaching Strategy (1 slide)

Psychological Goal and Teaching Strategy (1 slide)

Social Goal and Teaching Strategy (1 slide)

Cultural Goal and Teaching Strategy (1 slide)

Developmental Goal and Teaching Strategy (1 slide)

Spiritual Goal and Teaching Strategy (1 slide)

Evaluation Plan (1 slide)

References (1 slide)

The prehospital emergency care environment

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Write a research paper about leadership in the prehospital emergency care environment. To support your concept of leadership, be sure to include professional, ethical, and legal frameworks that work within the paramedic’s scope of practice.

For example, the EMS Culture of Safety could be included as one of those frameworks. Your reference list (bibliography) must use a minimum of four sources. A minimum of two of the sources have to be scholarly articles and one of the sources must be an academically valid and relevant website (note that Wikipedia is NOT such a site). You may also use your textbook, if desired, as a fifth source.

Your submission must contain all of the following (in APA format):

-Cover page
-Abstract
-Research paper (600-800 words)
-References (Bibliography)

The significance of an organization’s culture and values

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Instructions
Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization’s culture and values. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning, and an additional slide for References at the end.
Outline the purpose of an organization’s mission, vision, and values.
Explain why an organization’s mission, vision, and values are significant to nurse engagement and patient outcomes.
Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed.
Discuss effective strategies for resolving workplace conflict and encouraging interprofessional collaboration.
Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective.
While APA style format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Mandated reporting fact sheet for health professionals

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Assignment Description:
Mandated Reporting

Develop a mandated reporting fact sheet for health professionals, a nurse/health ministry, or a community organization whose members are mandated providers in your state.

Identify the target-mandated provider group for which you are developing the fact sheet. Tailor the fact sheet to the group.
Feel free to incorporate feedback provided by your peers as part of the discussion topic response for this module.

The following specifications are required for this assignment:

  • Length: Begin with a title page and a short introduction to the reporting sheet.
  • Structure: Include a title page and reference page (if needed in APA style). Under a level heading, present the mandated reporting fact sheet. Close with a robust conclusion and reference page. References page with at least 3 references for resources utilized in the development of the fact sheet.
  • References: Use at minimum 3 for resources utilized in the development of the fact sheet in APA format.

Additional resources:

Access the Mandatory Reporters of Child Abuse and Neglect publication for an overview of reporting. Follow up with accessing your state website and review the mandatory reporting requirements.

Cardiovascular conditions that may lead to heart failure

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Instructions
Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
Subjective Data
Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
Height 175 cm; Weight 95.5kg.
Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1 ; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention
The following medications administered through drug therapy control her symptoms:
IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Inhaled short-acting bronchodilator (ProAir HFA)
Inhaled corticosteroid (Flovent HFA)
Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:
Describe the clinical manifestations present in Mrs. J.
Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Generalized Anxiety Disorder

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Generalized Anxiety Disorder is a psychological condition that affects 6.1 million Americans, or 3.1% of the US Population. Despite several treatment options, only 43.2% of those suffering from GAD receive treatment. This week you will review several different classes of medication used in the treatment of Generalized Anxiety Disorder. You will examine potential impacts of pharmacotherapeutics used in the treatment of GAD. Please focus your assignment on FDA-approved indications when referring to different medication classes used in the treatment of GAD.

To Prepare

  • Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
  • Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
  • Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
  • Think about a personalized plan of care based on these influencing factors and patient history with GAD.

 

Post a discussion of pharmacokinetics and pharmacodynamics related to anxiolytic medications used to treat GAD. In your discussion, utilizing the discussion highlights, compare and contrast different treatment options that can be used.

Decision Tree for Neurological and Musculoskeletal

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Decision Tree for Neurological and Musculoskeletal

Case study: http://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_07/index.html

  • Review the interactive case Study
  • Reflect on the patent’s symptoms and aspects of the disorder presented in the interactive media piece.
  • Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned.
  • You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment.

 

Write a 1- to 2-page summary paper that addresses the following:

  • Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
  • Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
  • What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
  • Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide example

The care delivery model and staffing

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Does staffing contain, as opposed to elevating, costs? Is there a point where the care delivery model and staffing become a detriment to cost control? That is, where does the law of diminishing returns kick in, both cost-wise and care-wise?

Payment structures used in the health care

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Identify a significant problem with one of the three payment structures used in the health care industry across the care continuum and propose a solution from one of the other two payment structures.