HLTENN003 Perform clinical assessment and contribute to planning nursing care
HLTENN004 Implement, monitor and evaluate nursing care plans.
Question number 9, of case study 1. After 5 weeks on your ward Mr Bott is preparing to be discharged when his condition deteriorates. You come onto the night shift and in handover hear that Mr Bott is unwell. He is febrile at 38 degrees and has IV hydration in progress. Mr Bott’s fluid input and output are being monitored. Mr Bott’s right heel has now broken down and he has been complaining of pain when he coughs.
You approach the bedside to review your client. Discuss at least 6 factors that you will you need to consider at the beginning of your shift. Include an explanation of why with each?
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Include a brief statement about your commitment to being a leader in your field.Describe a possible project which could contribute to the improvement of a health care practice or system. Indicate a particular area of interest that you believe can be improved as a result of your completion of a practice-focused doctoral project.Use this essay as an opportunity to communicate to the Admission Committee your goals as a nurse-midwife or nurse practitioner for changing healthcare, improving the delivery of care for rural and underserved populations, improving current practice. Please write a well-crafted statement about your desire to become a nurse-midwife or a nurse practitioner. Include information about yourself and your professional goals as a nurse-midwife or nurse practitioner. Please type separately and limit yourself to 300-500 words.Essay 1 – Goal Statement Essay:Include with your application materials a brief statement about your commitment to being a leader in your fieldDescribe a possible project which could contribute to the improvement of a health care practice or system. Indicate a particular area of interest that you believe can be improved as a result of your completion of a practice-focused doctoral project.Use this essay as an opportunity to communicate to the Admission Committee your goals as a nurse-midwife or nurse practitioner for changing healthcare, improving the delivery of care for rural and underserved populations, improving current practice.
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What are the factors that contribute to poor data quality in a healthcare database?
The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.
For this assignment, make sure you post your initial response to the Discussion Area by Week 2, Day 3.
To support your work, use your course and text readings and also use outside sources. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Complete your participation for this assignment by Week 2, Day 7.
Quality of Data
Quality of healthcare data has become an increasingly important strategic issue in the United Stated healthcare delivery system.
Drawing on course readings or outside scholarly sources, answer the following:
How is quality of healthcare data defined? In terms of accuracy, completeness, or relevance?
If there are multiple or conflicting definitions of quality, in your opinion, which is the best definition?
What are the factors that contribute to poor data quality in a healthcare database?
In your opinion, which of these factors is the most important to address first?
Support your answers with references, examples, and clearly written rationales.
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There are many reasons why the healthcare industry has begun to change. Certainly we know that recent governmental healthcare reform has and will continue to cause change within the industry. However, there has been a more subtle transition within the industry. This week we are discussing this transition, its causes and the effect it has had on the industry and the way we view healthcare. Describe how the healthcare industry has transitioned from an emphasis on “the sale” to an emphasis on long-term wellness and relationships.
Part 2: Demand in Healthcare
At one time or another we will have a need to access healthcare, whether it is for something major, minor, for ourselves or for others. Healthcare is a commodity that we all utilize. In this section we will discuss healthcare demand and all that it can entail. What makes demand in healthcare a complicated issue, and what are some of the components that may contribute to the level of demand?
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Walden University vision statements are; Walden University envisions a distinctively different 21st-century learning community where knowledge is judged worthy to the degree that it can be applied by its graduates to the immediate solutions of critical societal challenges, thereby advancing the greater global good.
Walden Mission are; Walden University provides a diverse community of career professionals with the opportunity to transform themselves as scholar-practitioners so that they can effect positive social change.
Waldens goals; To provide multicontextual educational opportunities for career learners.
To provide innovative, learner-centered educational programs that recognize and incorporate the knowledge, skills, and abilities students bring into their academic programs.
To provide its programs through diverse process-learning approaches, all resulting in outcomes of quality and integrity.
To provide an inquiry/action model of education that fosters research, discovery, and critical thinking and that results in professional excellence.
To produce graduates who are scholarly, reflective practitioners and agents of positive social change.
Walden University Outcomes; The most important outcome of all teaching and learning at Walden University is to produce graduates with the knowledge, skills, and abilities to
Understand and continuously develop and change themselves, the organizations in which they work, and society at large.
Create new knowledge dedicated to the improvement of social conditions, and to positively impact society by putting that knowledge into practice, by modeling their learning through action, and by being civically engaged.
Continue learning across their lifetimes, as practitioners, researchers, and scholars, and to continue to impact social change.
Achieve professional excellence as active and influential professionals by applying their learning to specific problems and challenges in their work settings and professional practice.
Be information literate, including knowing the literature of their professional fields and reading it critically.
Understand the design and methods of inquiry in their professional fields.
Practice in their professional fields legally and ethically.
Communicate effectively, particularly to communicate their learning and research to others.
Appreciate, respect, and advocate for diversity and multiculturalism within their professional fields.
Function flexibly and effectively in a variety of educational environments, including online and distributed environments.
School of Nursing (SON) mission and vision statements;
Mission
The mission of the School of Nursing is to prepare highly qualified nursing professionals leaders in service, education and research to work in an interdisciplinary manner within a changing and culturally diverse society.
Vision
State-of-the-art institution with local, national and international prestige in the training of nursing professionals of excellence capable of transforming the nursing profession, the provision of services and public health policy.
Values
Respect for Human Dignity
Honesty
Authenticity
Responsibility
Justice
Integrity
Commitment
Equality
Loyalty
Goals
The main goals of the School of Nursing are:
Prepare nurse generalists at the baccalaureate level with the knowledge, ethical decision making, critical thinking, technical and technological skills and attitudes necessary to practice as professional nurses, and to assume a leadership role when offering direct competent care that is evidence-based, collaborative, interdisciplinary and culturally congruent with individuals, groups and populations in a variety of settings, including primary, secondary, and tertiary health care levels.
Prepare masters level nurses with knowledge and skills in evidence-based practice and research for the improvement of health care and the advancement of education, administration, and practice that may assume leadership roles as teachers in nursing education programs, administrators of nursing services, specialists, and nurse anesthetists.
Prepare nurse scientists at a doctorate level to conduct research in nursing and contribute to the advancement of nursing science and improvement of practice.
Provide continuing education activities to enhance knowledge and lifelong learning among professional nurses and other health professionals.
Contribute to the development of nursing professionals for the improvement of health care at the national and international levels.
Expected Program Outcomes
The levels of achievement which encompass student achievement, faculty achievement and other program selected indicators of achievement. These are classified as:
Learning Outcomes
Faculty Outcomes
Other outcomes
Expected Learning Outcome.
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Write a 10-15 page paper. You must include a minimum of 6 scholarly sources in your citations and references. Follow proper APA format and style and include a cover page, reference page, and any applicable tables or appendices.
The following components should be addressed in your paper:
· Start with a statement of the problem and objective for the selected healthcare issues impacting the healthcare delivery system and professional nursing practice, which articulates the main objectives that the paper desires to achieve.
· How will findings from research articles analysis contribute to advancing the practice of nursing? (Identify no fewer than six relevant research articles)
· Include an analysis of a need for education within an agency and identify recommended action.
· Describe the significance and relevance of the problem. What is the appropriate communication level for the target audience’s educational experience in order to improve communication with staff, administration, or clients in their practice area? And why did you select?
· Create an 8-10 PowerPoint Presentation and Present for your selected clinical practicum agency to address and satisfy an identified need within the agency.
Books Required Contemporary Nursing: Issues, Trends & Management, 6th Ed* Author: Barbara Cherry DNSc MBA RN NEA-BC; Susan R. Jacob PhD MSN RN
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How will you contribute to the mission of the Nursing Scholarship Program in providing care to underserved communities?How will you contribute to the mission of the Nursing Scholarship Program in providing care to underserved communities?How will you contribute to the mission of the Nursing Scholarship Program in providing care to underserved communities?How will you contribute to the mission of the Nursing Scholarship Program in providing care to underserved communities?How will you contribute to the mission of the Nursing Scholarship Program in providing care to underserved communities?How will you contribute to the mission of the Nursing Scholarship Program in providing care to underserved communities?How will you contribute to the mission of the Nursing Scholarship Program in providing care to underserved communities?
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UNIT NAME HLTEN 505C UNIT TITLE Contribute to the Complex Nursing Care of Clients.
UNIT NAME HLTEN 505C UNIT TITLE Contribute to the Complex Nursing Care of Clients ASSESSMENT C1 CASE STUDY ONE Word Limit for Part One of this assessment is maximum of 500 words. Part Two Question and Answers The assessment must be submitted as one whole document not in individual parts and Scenarios to complete this assessment. Candidates are required to adhere to the Assessment Guidelines in their submission. Referencing used must be Harvard style and appropriate quality references are used. A selection of web sites, books and journals as sources for gathering of information is required not just dependent on web site information. Questions/Tasks There are two parts to this assessment and they are required to be submitted as one whole document not in individual parts. Learners are required to choose ONE of the following scenarios only to complete this assessment. SCENARIO Mrs Gay McMann is a 56-year-old woman whom is being admitted for elective surgery for a Total hysterectomy. History of Client: Degenerative arthritis of the spine and both knees (injured 4 years ago with a weight gain of 40 kgs due to inability to walk and exercise as previously done). She has a weight of 140kg height 176cm (morbidly obese). She suffers reactive asthma with colds and flu or with changes of the weather. She lives with her husband and has 5 adult children at living home. Works full time in customer service industry where she is on her feet most of the day and is tolerating pain most of the time. Medications: Mobic 15mg daily Omega 3 fish oils 2 daily Glucosamine 2 daily Panadol prn Mr McMann states she gets breathless on exertion and has a family history of diabetes and heart disease. On assessment she appears to be happy but a little apprehensive about the risk of surgery due to her weight. Gay wishes to see her priest and take the sacraments. Concern is also noted because a daughter suffers a chronic illness and Gay is primary carer. Part One Learners are required to create an information sheet that is of no more than 500 words about one of the surgeries that are highlighted within the case studies. The information sheet must cover the following criteria – · Description of the surgery · Expectation pre and post operatively · Expected outcomes · Recovery times · Rehabilitation options within South Australia · Pain and management of this surgery. Part Two Answer the following questions. 1. The patient arrives for admission to the ward for surgery what nursing interventions must be carried out? 2. What is consent and why is this needed? 3. The doctor has requested a pre op ECG. What is an ECG and why would this be required prior to surgery? 4. The patient request to see a priest prior to going to surgery? Do we have to accommodate this due to the time constraints, and why? 5. The patient has requested no male nurses to provide care due to cultural reasons. What is cultural nursing and do we have to comply with this request? 6. How would you communicate this request to all who would care for this patient? 7. How would you set up the room for your patients return post-surgery? 8. What equipment would you need to assist you to care for this patient post operatively? 9. Provide an explanation of an ISOBAR handover and what is the purpose of handover? 10.Provide an explanation of what a catheter is and how this is managed? 11.Provide and explanation on how to remove the catheter and post IDC removal? 12.Provide details on how to manage and monitor intravenous therapy. 13.Provide an explanation of how to removal an IV cannula once no longer required? 14.Name and describe two pain scales that can be used post-surgery and what the best choice would be for your patient within the scenario. 15.What methods other than medications could we use to assist in pain management? 16. It’s Day 2 post op and you are assisting your patient to get up and have a shower. Your patient complains of chest pain, SOB and feeling lightheaded on sitting up. Explain what would you do and why? 17. After the chest pain and incident from the morning has resolved and on follow up assessment in the afternoon you note that your patient is complaining of a sore L) calf. On further exploration the L) calf is very swollen compared the right, it is hot too touch and sore. What action would you take? What could be the cause? 18. It’s Day 4 and the client is getting ready for discharge, when does discharge start? 19. The patient is packing their back and you note they are flushed in the face. They are clutching at their wound site. What would you do? 20. You take your patient’s clinical observations and note that the patient PR is 110, Temp 38.9, BP 100/70. You examine the wound and there is copious yellow ooze from external staples, there are parts where the staples are bursting and the odour is offensive. What do these results mean? 21. What nursing interventions will you undertake and why? 22. A heart rate of 110bpm is referred to as what? 23. A temperature of greater than 38 degrees is referred to as what? 24. When the results from the wound swabs return the infection is identified as MRSA. Define what MRSA is and what actions will you need to implement to manage? 25. What information will you provide to the client to educate them on what has happened and the requirements for management of hospital acquired infections? 26. The patient develops during the hospital stay a urinary tract infection. How would this be diagnosed and what clinical manifestations would the patient complain of? 27. Define what would be found in the urine when doing a urinalysis? 28. The patient was due to discharge on DAY 5, but due to post-operative complications the discharge was delayed a further 5 days. This has now resulted in further social and economic burdens. What can you do to support this patient with the issues that have arisen? 29. The patient is clear for discharge what is required for this? 30. Provide a list of services that could provide your patient with community support whilst they are home recuperating.
What personal, cultural, and spiritual values contribute to your worldview.
1. What personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice? 2. Define values, morals, and ethics in the context of your obligation to nursing practice. Explain how your personal values, philosophy, and worldview may conflict with your obligation to practice, creating an ethical dilemma. 3. Reflect and share your own personal thoughts regarding the morals and ethical dilemmas you may face in the health care field. How do your personal views affect your behavior and your decision making? Do not be concerned with the use of ethical terminology for this paper. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
Mutations in tumor suppressor genes can contribute to or cause cancer, just as mutations in proto-oncogenes can also contribute to or cause cancer. However, tumor suppressor genes are very different from proto-oncogenes..
SCI115
Assignment 1: Biology Article
Due Week 5 and worth 120 points
Use the Internet and / or the Strayer Learning Resource Center to research aspects of biology.
Select an article from a magazine or newspaper that has something in it that pertains to biology. This will serve as the “target article” for this assignment. For instance, you can select an article about medicine, invasive species, nature, conservation, genetic technology, ecology, or any other topic that is related to biology. One purpose of this assignment is to help you become aware of how biology is related to your everyday life.
Write a one to three (1-3) page paper in which you:
Summarize the article in one (1) or more paragraphs, using your own words. Be sure to identify the article using an in-text citation in the body of the paper, as well as a reference in the reference section.
Explain how the article relates to this course. Identify which biological concepts from the course and / or text are relevant to the topic covered in the article. Citing the course text, discuss the ways in which this course does (or doesn’t) provide background information to help you understand the article and the larger issues surrounding it.
Explain why the article caught your attention. Relate the article to your life and to issues that are important to you. Discuss how or if the scientific knowledge about the topic covered in the article affects you directly or indirectly.
Discuss your opinion on how research on this topic should be funded. State whether you think taxpayer monies should support research on this topic or whether such research in this area should be funded by the private sector. Rate the importance of research on this topic, relative to other areas of research.
In addition to the target article, you should use at least one additional resource, such as your textbook or another article. You must have a reference section which contains an APA reference to your chosen article and all other sources. Additionally, you must provide in-text citations (in APA format) to your references in the body of the text. Integrate all sources into your paper using proper techniques of quoting, paraphrasing and summarizing, along with your in-text citations.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
Use technology and information resources to research issues in biology.
Write clearly and concisely about biology using proper writing mechanics.
SCI115 DQ
Choose one of the following three topics for your primary post. Your primary post should address everything that the instructions call for (for the topic you choose). Your post should also be at least 125 words in length. Additionally, please respond to at least one other discussant on any topic.
Topic 1. Tumor-suppressor genes versus Proto-oncogenes. This is a library-research topic in which you are required to provide your sources. Mutations in tumor suppressor genes can contribute to or cause cancer, just as mutations in proto-oncogenes can also contribute to or cause cancer. However, tumor suppressor genes are very different from proto-oncogenes.
(a) What is the basic difference between a tumor suppressor gene and a proto-oncogene?
(b) Explain how mutations in these very different types of genes can cause or contribute to causing cancer.
Topic 2. Sexual Reproduction in UnicellularEukaryotes. Watch the instructor’s video about “Sexual Reproduction in Unicellular Eukaryotes”, which is found in the Instructor Insights section for this week. For a single-celled species to be capable of sexual reproduction, the species must have both haploid and diploid forms
(a) Explain what diploid form of the organism must be capable of doing, for the species to reproduce sexually.
(b) Explain what haploid form of the organism must be capable of doing, for the species to reproduce sexually.
Reminder: you don’t need to cite my videos or the papers that the videos are based on, but if you use any other sources, you must cite them.
Topic 3. Apoptosis. Watch the Khan Academy video about apoptosis (“Apoptosis”, n.d.), then address the following issues in your own words:
(a) What is the difference between apoptosis and necrosis?
(b) What is the role of apoptosis in normal, healthy development?
Reminder: you don’t need to cite the Khan Academy video for this topic, but if you use any other sources, you must cite them.
