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In: Nursing
1. discuss a review of the literature specific to "environmental health" and the pathophysiology. 2. discuss current evidence-base nursing intervention for environmental health 3. develop a nursing care plan for "environmental health" by creating a case scenario 4. discuss how the care plan meets at least one objective in healthy people 2020 and the implication for nursing practice
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Lung cancer care accounts for 20% of Medicare's total expenditures for cancer. Approximately $13 billion was spent on Lung Cancer care in the U.S. in 2014. Do you think it's fair that the government (Medicare) and private insurance companies must pay for the care and treatment for patients with lung cancer caused by smoking? Offer a possible solution.
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Research Question (PICOT Format)
Using the example below. Formulate the RESEARCH QUESTION about leadership style in PICOT format.
1. When categorizing nurse managers as summarizing their personal information, are there significant differences in their identified leadership styles?
2. What are the results of the nurse managers’ leadership styles as observed by the staff nurses in relation to additional work, effectiveness, and satisfaction?
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Please suggest some research questions for this topic:
The Working Engagement and Willingness of
Public/Private Nurses During the Coronavirus Disease 2019
Pandemic.
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1. teaching role of health professionals. For example, what did early healers do? What factors influenced the growth of patient education from the mid-1800s to the 20th century? When was the emphasis placed on education of individual patients rather than general public health information? What does the AHA's A Patient's Bill of Rights have to do with patient education? What is the role of the JC in patient education?
2. What is the role of the health professional as an educator? For example, what is their primary role? What skills are needed for a health professional to be a successful educator?
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develop a Teaching plan for R.T. focusing on common effects of diarrhea, alopecia, and nausea can vomiting
what are the Teaching plan for R.T. who went to his primary provider's office for yearly examination, focusing on the common effects of diarrhea, alopecia, nausea and vomiting
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A 2000-gram male infant was delivered at 34 weeks’ gestational age by cesarean section due to breech presentation, premature labor, and rupture of membranes. On physical examination the infant was non-dysmorphic, appeared vigorous, had spontaneous respirations, and the skin was pink and well perfused. Apgar scores were 7 and 9 at 1 and 5 minutes, respectively. One hour after admission to the neo- natal intensive care unit, the infant developed tachypnea and nasal flaring with moderate subcostal and substernal retractions. Bronchial breath sounds that were slightly diminished in intensity were present. Analysis of umbilical arterial blood revealed a pH of 7.37, a PaO2 of 50 mm Hg, and a PaCO2 of 30 mm Hg. To improve work of breathing, continuous positive airway pressure (CPAP) of + 6 cm H2O was initiated via nasal prongs. One hour later the infant’s vital signs were as follows: temperature 37.6°C under radiant heat, blood pressure 60/42 mm Hg, heart rate 130 beats per minute, oxygen saturation 94% to 96% while breathing 40% oxygen with CPAP, and blood glucose 70 mg/dL. The remainder of the examination was normal for the gestational age. The infant’s respiratory status gradually improved, and over the next 3 days he was weaned from CPAP and transitioned to a nasal cannula and then to room air. Two days later, the infant was discharged home. 1. What are important components of the initial neonatal assessment? 2. What was concerning about this patient’s respiratory status, and what should the healthcare team continue to monitor? 3. What intervention would you consider if the CPAP + 6 did not improve the infant’s work of breathing?
What intervention would you consider if the CPAP + 6 did not improve the infant’s work of breathing?
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A nurse is told to administer to her patient 11 mg of a drug per kg of body mass. The patient weighs 1550 g. How many mg of the drug should the nurse administer?
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Describe the negative aspects of abandoning traditional healthcare strategic planning processes and adopting a contemporary approach.
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Case study continued (questions 9–12)
When you meet with Imogen at a local coffee shop for their regular
catch-up, Imogen tells you how things are going. You say, ‘I still
get quite wound up sometimes, but I feel pretty good on the
whole’.
You suggest that Imogen continues to review and monitor her stress
management plan and the next time they meet, you can go through and
review whether or not it is working effectively.
For the next month, Imogen keeps a daily record of every stressful
incident and what happens, how she reacts, how she felt, what she
did to regain calm and whether or not it worked. She also rates her
stress levels six times a day to see if it varies much and to
identify patterns.
At the following meeting, together you review Imogen’s results. By
looking for patterns, they noticed that Imogen’s stress responses
are worse after lunch and that her stress levels are high at that
time as well. Imogen comments that she has started going to the
nearby café for takeaway food and it is taking up too much of her
lunchtime queuing and waiting for service. The café has very few
healthy food choices and she rarely enjoys lunch. Imogen says she
will begin to bring her lunch from home and to prepare it the night
before. The work lunchroom is warm and friendly with a nice outdoor
area.
You point out that the yoga classes are obviously working because
on the nights Imogen does yoga (two nights per week) her stress is
almost non-existent by the time she goes to bed, and the next
morning when she wakes up. Imogen decides to do some yoga poses and
stretches using a DVD she has at home on the nights she doesn’t go
to class. There is also discussion among the staff for arranging a
walk together during lunchtime three times a week.
Imogen is pleased with the changes she is making and even though
you had reminded her that she can also contact her workplace
Employee Assistance Program (EAP) for some counselling, she is
confident she is now on the right track.
CS Question 9
Describe two strategies that Imogen used to monitor the
effectiveness of the stress management strategies she w as
using.
CS Question 10
Describe two methods Imogen used to review the effectiveness of the
stress management strategies she w as using.
CS Question 11
Describe one way Imogen adjusted the strategy to ensure the stress
management strategy w as effective.
CS Question 12
List one internal option and one external option that Imogen used
to access additional support.
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In: Nursing
In: Nursing
Medication Template:
Please answer the following questions for:
Medication: Cisplatin
Category Class: Platinum compounds
Expected Pharmacological Action:
Therapeutic Use:
Complications:
Contraindications/Precautions:
Interactions:
Medication Administration:
Nursing Interventions:
Patient Education:
Evaluation of medication effectiveness:
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