In: Nursing
article 2 of the rights under the convention of the rights of the child talks about the rights of a child to be free from discrimination.in your own words, what does this mean in your role of an early childhood educator?
The purpose of this assignment is to discover how social determinants affect the health of a particular population.
The first step of this assignment is to choose a location and disease process from the following list: An emergency department in New Orleans; addiction, hypertension management A rural tribal clinic in northeast Arizona; addiction, diabetes management A children’s clinic in McAllen, TX; obesity, diabetes management
Describe the setting of your facility.
Describe the chosen population. Explain how social determinants affect the population’s health status. Analyze how this health status affects the demand for health care. Provide one or two ways this health issue can be addressed.
A. PYELONEPHRITIS A patient consulted in the emergency department with complaints of high fever, chills, dysuria, and back pain. Laboratory results are as follows: WBC – 13,000 cells/mcL Neutrophils – 10,000 per mm3 Lymphocytes – 3,500 per mm3 Serum Sodium – 136 mEq/L Serum Potassium – 3.7 mEq/L Urinalysis: Color: Hazy yellow Bacteria: Too many to count Pus cells: >100 cells/hpf RBC: >100 cells/hpf Specific gravity: 1.280 The doctor ordered co-trimoxazole (Bactrim) 800/160mg tablet TID for 14 days and phenazopyridine (Pyridium) 200 mg tablet TID for 3 days. Given the above case, answer the following questions: 1. What laboratory values point towards the diagnosis of Pyelonephritis? 2. What is the most common causative agent of urinary tract infections? 3. Give at least two (2) health teaching points that will help the prevention of recurrence of UTI? 4. Create a drug study for the medication: CO-TRIMOXAZOLE specifying the following: a. Drug classification b. Mechanism of action c. Indication (*for the case of the patient mentioned above) d. Contraindication e. Side effects f. Nursing Considerations 5. Create a drug study for the medication: PHENAZOPYRIDINE specifying the following: a. Drug classification b. Mechanism of action c. Indication (*for the case of the patient mentioned above) d. Contraindication e. Side effects f. Nursing Considerations A. GLOMERULONEPHRITIS A patient with cleft lip and bronchial asthma was brought to the emergency department with chief complaint of low-grade fever, puffiness of the face and eyes in the morning, +2 edema on both feet, and tea-colored urine. Urinalysis revealed numerous RBC and certain degree of proteinuria and Antistreptolysin-O titer reaches more than 300 todd units. The doctor came up with the diagnosis of Acute Glomerulonephritis (AGN). Answer the following questions: 1. What history-taking question should be asked by the nurse to strengthen the diagnosis of AGN? 2. Explain the pathophysiological tracing on the development of AGN. 3. The doctor ordered hydrocortisone TIV, create a drug study specifying the following: a. Drug classification b. Mechanism of action c. Indication (*for the case of the patient mentioned above) d. Contraindication e. Side effects f. Nursing Considerations B. RENAL CALCULI An elderly patient with osteoporosis consulted in an Out-patient Department with complaints of severe lower back pain. She is taking 1000 mg of calcium carbonate once a day and reports of poor hydration due to her mobility problems. Ultrasound of the Kidneys, ureters, and bladder reveal several calculi in both kidneys and is counselled to be a candidate for nephrolithotomy. Answer the following questions: 1. What pertinent data in the patient’s history may have contributed with the development of renal calculi, defend your answer? 2. Identify three (3) priority nursing diagnoses in relation to the patient’s condition and create a hypothetical Nursing Care Plans for each nursing diagnosis. 3. Identify at least two (2) health teaching points on the prevention of recurrence of renal calculi for the patient. C. RENAL FAILURE A patient with uncontrolled Type 2 Diabetes consulted in the emergency department due to shortness of breath, bipedal edema, palpitation, and decreased urinary output during the past 2 days. The following laboratory test values are presented: Serum Creatinine – 2.5 mg/dL BUN level – 30 mg/dL Serum potassium – 5.9 mEq/L HBA1C – 8% A diagnosis of Acute Renal Failure secondary to DM Nephropathy was made by the doctor. Sodium polyesterene sulfonate (Kayexalate) was ordered to normalize potassium level. Oral hypoglycemic agents were revised, and insulin therapy was started to manage the blood sugar level. Urine output is closely monitored for possible hemodialysis. Answer the following questions: 1. Explain the relationship of diabetes mellitus on the development of acute renal failure using a flow chart. 2. Identify three (3) nursing diagnoses pertinent to the patient’s condition and create hypothetical Nursing Care Plans (NCPs) for each nursing diagnosis. 3. Create a drug study for the medication: SODIUM POLYESTERENE SULFONATE specifying the following: g. Drug classification g. Mechanism of action h. Indication (*for the case of the patient mentioned above) i. Contraindication j. Side effects k. Nursing Considerations
In: Nursing
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Sudbury, MA: Jones and Bartlett.
Riva, J. J., Malik, K. M., Burnie, S. J., Endicott, A. R., & Busse, J. W. (2012). What is your research question? An introduction to the PICOT format for clinicians. Journal of the Canadian Chiropractic Association, 56(3), 167-171. permalink (Links to an external site.)
Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58-61. permalink
Professional nurses rely on research findings to inform practice decisions; they use critical thinking to apply research directly to specific patient care situations.
Think about an independent nursing practice problem you care passionately about and would be interested in searching for evidence. The below problems should not be used:
*medical/doctor/physician problems such as medications, or medications administration or effects, diagnostics such as EKGs, labs, cardiac catherizations.
*staffing, nurse-to-patient ratios, workforce issues are organizational/system /political/administrative/multi-stakeholder problems which nursing cannot solve independently.
NR439_Guide for writing PICOT Questions and Examples (Links to an external site.)
Share why you care about this nursing practice problem and why you believe the problem would benefit from finding the best evidence.
Ed Bennett’s presentation is full of interesting points for discussion. My engagement with him hopefully helps you to think through your own perspectives on social media and technology-mediated communication with patients. What other examples have you seen? How effective have they been? How likely would you, as a patient, be to use these various methods of communication? How might social media be used to manage patients’ expectations?
What are your thoughts on physician transparency? What other information should patients have in order for them to make better decisions when accessing health care?
Telehealth is a rapidly growing technology. It enables long-distance patient/clinician contact and care, advice, reminders, education, intervention, monitoring, and remote admissions. Technologies include videoconferencing, the Internet, store-and-forward imaging, streaming media, and terrestrial and wireless communications.
Telehealth is different from telemedicine in that telehealth refers to a broader scope of remote healthcare services than does telemedicine. While telemedicine refers specifically to remote clinical services, telehealth can refer to remote non-clinical services, such as provider training, administrative meetings, and continuing medical education, in addition to clinical services (National Coordinator for Health Information Technology, 2017).
Reference
National Coordinator for Health Information Technology. (2017). What is telehealth? How is telehealth different from telemedicine?
The Official Website of The Office of the National Coordinator for Health IT (ONC). Retrieved from https://www.healthit.gov/faq/what-telehealth-how-telehealth-different-telemedicine.
Initial Post: Briefly describe your client population. Share with your peers how the clients you interact with might benefit from telehealth e-visits.
Please provide references. Thanks
Instructions: Review the following links and Identify two specific web-based tools to evaluate.
https://www.usability.gov/what-and-why/usability-evaluation.html
Identify two specific web-based tools to evaluate.
Please note that the types of web-based tools include:
Step 4: Propose the preferred web-based tool.
Formatting and Mechanics
This assignment will be graded using the Critical Appraisal of Web-Based Technology Rubric.
connect patient experience initiatives to other concepts in health care management, including addressing social determinants of health.
Please read the three (3) Health Affairs blogs on SDoH. What does this have to do with patient experience? What does your organization do to serve the community’s needs?
Please consider commenting on the concepts and examples provided in Gallan et al JBR 2019. How can individual encounters create the types of engagement required to facilitate wide-scale change in community health and well-being? Can you provide additional examples? How do these examples provide insights into innovative new strategies for engaging patients?
How did the CLV exercise help you understand how to develop different strategies for different types of patients? How might this impact your decision-making at work?
Dr. Alison Tothy provides us with incredible insights into pediatrics and the ED. Additionally, The Waiting Room documentary shows us in graphic detail how the ED can be the crossroads of social issues, including but not limited to unemployment, underemployent, education, economic conditions, language and cultural effects, food and housing insecurity, and other significant issues. What is your take on what health care organizations can do to address these issues? Is it their responsibility? What may be the advantage to the organization and the community (ROI) for addressing these issues? What are the ethical considerations that should be discussed?
This assignment should be completed sometime between Units 5 and 9.
For this assignment you will write a paper in which you explore a common transition faced by older adults. This transition may relate to a health transition (e.g. illness), a transition in living environment (e.g., a move to an assisted living facility or a long-term care facility), or dying or death. The emphasis in this assignment is to examine how older adults face into a transition, including the psychosocial, existential, and family ramifications. For instance, you might choose to focus on grief and loss as a response to moving into a long-term care facility. Within this paper, you will examine how older adults experience this grief and loss, how family members respond, as well as existential issues that may arise from this transition (e.g., Who am I now that I am institutionalized?)
Assignment 3 must:
Assignment 3 will be marked according to the following grading criteria:
|
Criteria |
Marks |
|---|---|
| Describes a transition faced by older adults and includes psychosocial, existential, and familial responses to this transition. You may include a short case example to illustrate the topic. | /10 |
| Describes significance of this topic to the experience of the older adult (physical and mental health), how the transition is understood in the literature and in nursing research. | /40 |
| Analyzes how nurses can respond (assessment and intervention) to aid older adults and family members experiencing transitions. Also addresses two proposed changes to the health care system and a potential research study that could address how transitions impact older adults, family members or the health care system. | /30 |
|
Scholarly writing style:
|
/20 |
| Total |
