How might the nurse adapt care for Erikson's Stages of Development?
Years Stages Health Promotion
0-1
1-3
3-6
6-12
12-20
20-35
35-65
65
In: Nursing
In: Nursing
Implementing an Electronic Health Record (EHR) system in a hospital is a process that requires many stages. Explain the different stages that need to be followed for successful implementation of the EHR.
Answer: 500 Words.
In: Nursing
Considering the pandemic/CDC guidelines/the public and political response in the United States in which masks have become a political statement, do you think paternalistic interventions [by the state or other authorities] … can be ethically justified if they infringe general moral considerations such as respect for autonomy, including liberty of action?
In: Nursing
A surgical technologist working in the central sterile processing department is asked to rush the steam sterilizer (autoclave) with a biological monitor for the first load of the day without any instrument trays or items.
1) Which type of bacteria would be used to test the autoclave?
2) Which characteristics of the species used to determine whether sterility was achieved when autoclaved?
3) What must be done with the bacterial sample after it is processed in the sterilizer?
4) Do the Bacteria used for biological testing of sterilizers pose any threat to humans?
5) If the biological indicator showed positive growth following the process in question 3, what would have to be done?
In: Nursing
Nursing Care of Women's Health
Maternity Teaching Plan Assignment
I. Choose a topic that is relevant to your newborn and its mother. Appropriate topics can include, but are not limited to: breastfeeding (ex. latch, positions, engorgement, mastitis, etc.), formula preparation, pumping, manual expression of breast milk, breast- milk storage, infant sleep safety, infant reflexes, car seat safety, bathing baby, circumcision care, hepatitis B vaccine, taking a baby's temperature, infant massage, baby blues and shaken baby syndrome, etc.
II. Organize your teaching plan: Decide the four major points that you wish to teach about the topic, list sub-topics beneath the four major points.
III. The outline should include key words or phrases that would help guide your presentation with the mother.
Example Topic: "Making Breastfeeding Successful"
I. Things that help support milk production
A. Early skin-to skin
B. Baby suckling at the breast
C. Maternal Fluid Intake
D. Adequate Maternal Sleep
II. Creating the right atmosphere for breastfeeding
A. Privacy
B. Good timing with feeding cues
C. Being in surroundings you enjoy.
Etc. with III and IV
The teaching outline should be due no later than one week before the clinical ends. The grade is based on organization of material, and clarity of the points you are trying to make. You will teach the patient during clinical. You can also teach the other students in post-conference.
Your OUTLINE should be no longer than one page and will be turned in to your clinical instructor & uploaded in the appropriate assignment on blackboard week #7
.
Patient's take-in only short amounts of information at a time so keep
In: Nursing
what reimbursement model do you see in current work environment. What are the limitations and benefits associated with that model.
In: Nursing
Case Study:
Mr S. is a 45-year-old man who has just been admitted to the ICU postoperative cardiac surgery. He has had an uneventful coronary artery bypass graft with no complications in the operating room. He is intubated and placed on complete mechanical ventilation. His vital signs are: blood pressure (BP) 150/90 mm Hg, heart rate 86 beats per minute, respiratory rate 12 breaths per minute, and temperature 35.3°C
The target systolic BP for Mr S. is less than 130 mm Hg and the surgeon’s postoperative orders include BP medications and intravenous morphine sulfate for pain. In addition, the surgeon prescribes an nonsteroidal anti-inflammatory drug, ketorolac, to be administered to the patient once it has been determined that they are not bleeding excessively and have acceptable renal function.
The ICU where Mr S. is admitted has a respiratory therapist (RT) on staff. This RT is aware that mechanical ventilation is very uncomfortable for patients. There is a standing order in the ICU that heart surgery patients may be weaned from the ventilator as tolerated and extubated when stable.
When Mr S. is beginning to arouse from the anesthesia, he is grimacing and his BP is rising above the target level. The nurse administers morphine sulfate as ordered. In addition, Mr S. is given a warming blanket to increase his body temperature.
The next morning, Mr S. is seen by the ICU physiotherapist. When assessing Mr S.’s comfort needs, the physiotherapist recognizes that he is anxious about moving and exercising so soon after surgery. With this in mind, the physiotherapist carefully explains her plan of care to Mr S. in a calm and unhurried manner. This allows Mr S. to relax. He becomes willing and able to work with the physiotherapist in his postoperative exercise routine.
The healthcare team worked collaboratively to enhance the patient’s comfort during the immediate postoperative period. This, in turn, led to Mr S. having a successful recovery period with no significant complication.
1. What will be the best action of the nurse together with other members of the health team in the dance of caring process?
2. How would you promote to the maximum level of health of Mr. S considering his present condition . How could you increase his self efficacy in performing activities when he is discharge from the hospital?
In: Nursing
George is a 75 year-old patient with urosepsis being treated in the Intensive care unit (ICU). The nurse assesses George and finds that he has blood in his urine and stool, and is oozing blood from his central line site and his gums.
Fred, a 43 year-old construction worker, has a history of hypertension. He smokes two packs of cigarettes a day, is nervous about the possibility of being unemployed, and has difficulty coping with stress. His current concern is calf pain during minimal exercise, which decrease with rest.
Georgia, a 30 year-old woman, is diagnosed as having secondary hypertension when serial blood pressure recordings 170/100 mm Hg. Her hypertension is the result of renal dysfunction.
In: Nursing
Describe your role(s) as a healthcare leader as it applies to the practice of advocating for cost effective care for vulnerable populations.
Need at least 500 unique words
In: Nursing
Briefly define the qualifications for Medicare and Medicaid
benefits. How can qualifications be modified to serve more people
who are considered a vulnerable population?
In: Nursing
This week reflect upon the Medicare and Medicaid programs to
address the following:
Describe the Quality Improvement Organization (QIO) and explain how
the QIO improves policies and healthcare for Medicare
beneficiaries.
Briefly define the qualifications for Medicare and Medicaid
benefits. How can qualifications be modified to serve more people
who are considered a vulnerable population?
Discuss the impact (including at least two positive and two
negative aspects) that the ACA has had on benefits and coverage for
Medicare and Medicaid recipients.
Describe your role(s) as a healthcare leader as it applies to the
practice of advocating for cost effective care for vulnerable
populations.
In: Nursing
Rewrite the following notes using the appropriate language for nursing documentation. Please Correct only where necessary.
a. D.K. is a 56 y/o African American male with a h/o HTN, high cholesterol, and arthritis; D.K is 5'10" and 300 pounds; pt. denies CP, SOB; pt. does not care about the risks of heart disease - he eats whatever he wants including fatty and salty foods; pt. told that he has to eat a low sodium low cholesterol diet if he doesn't want to die; pt. states that he has arthritic knee pain bilaterally - rates pain at 8/10; pt. looks like he is not in that much pain - given Tylenol for mild pain instead of 2 Percocet ordered for severe pain; patient told that obesity is causing knee pain.
b. J.B. is 40 y/o Caucasian male admitted for CP, r/o MI; pt. denies smoking but clothes and breath smelled like cigarette smoke so patient was obviously being dishonest; pt. also denies drug use but patient was lying about that too b/c he has signs of drug abuse - marks from heroin injections along both arms.; MD ordered morphine prn for chest pain due to low BP; pt. c/o CP at 0400 but not given prn morphine due to patient just seeking drugs; MD notified of patient lying about being in pain.
c. R.M. is a 95y/o admitted with pneumonia; h/o CVA - pt. is non-verbal; lives with granddaughter and her boyfriend; pt. has been physically abused - multiple bruises that definitely look like finger marks found on patient's arms bilaterally; RN asked granddaughter if her boyfriend is physically abusing pt. - she lied and said the patient fell and banged his arms on the kitchen table; RN notified social services that this is a clear case of elder abuse.
d. Mr. W. is a 76 y/o male admitted with COPD exacerbation; h/o anxiety and depression; pt. complaining that RN not answering call-light fast enough; pt. is being very unreasonable and impatient; pt. states that he is extremely anxious and needed his prn anti-anxiety med and says he is mad that the RN ignored the call light; pt. does not appear anxious - he is just complaining b/c he doesn't like to be alone for too long in his room; notified nurse manager that patient will likely write up a poor evaluation of the unit.
In: Nursing
explain the importance of biostatistics and epidemiology in public health. (essay form)
In: Nursing
Describe your role(s) as a healthcare leader as it applies to the practice of advocating for cost effective care for vulnerable populations.
In: Nursing