Tag: Clinical-Nursing

GIVE A POSITIVE COMMENT BASED ON THIS CLINICAL NURSE
LEADER 
(CNL)  ARGUMENT

Identify the educational preparation and role(s) of the clinical nurse leader (CNL) designation. Give an example of how the CNL influences direct patient care whether in a hospital or out in the community.

Clinical nurse leader (CNL) was proposed American Association of Colleges of Nursing, an effort to improve patient safety and quality of care (Graduate Nursing Edu.org). CNL is a generalist clinician who have education at master’s degree level or higher (Graduate Nursing Edu.org), upon graduation must sit for Clinical Nurse Leader Certification Examination by the Commission on Nurse Certification (University of Pittsburgh). A CNL has an advanced knowledge, not just in one area or discipline, but on general medicine, which is helpful for coordinating the care provided by the interdisciplinary teams.

CNL has roles different from other advanced practice clinicians, they are responsible for designing patient care, implementing, and evaluating the care provided to the patients, making sure that the patients receive the right care, while coordinating, delegating, and supervising the care provided by other health care teams clinically.

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CNL can influence patient care by the use evidence-based practice and the latest innovated technology to improve patients’ care, they work with physicians, pharmacists, nurse practitioners and other health care teams to provide the most effective medical care (Graduate Nursing Edu.org). It is important to know that CNL serve as mentors to nursing staff, oversee the environment to ensure it is safe for the patients.

CNL can act like a patient’s advocate; they serve as a middle person between the patients and they physicians or healthcare providers. For example, a patient in the community who is not sure what and where to go for help, a CNL would use his/her expertise to inform or teach the patients and family members, the disease condition, and its management, and refer them to the appropriate places for best care.

References

Graduate Nursing Edu.org. (2017) Retrieved on October 2nd. From https://www.graduatenursingedu.org/clinical-nurse-leader/

University of Pittsburgh (2017) Clinical Nurse Leader (CNL). Retrieved October 2nd from http://www.nursing.pitt.edu/degree-programs/master-science-nursing-msn/msn-program-majors/clinical-nurse-leader-cnl-onsite

Disparities  in Hypertension in predominately African American Communities versus a more diverse community

African Americans have the highest population of people diagnosed with hypertension.

Research Question:
  Does the development of community programs and providing health education, reduce Disparities  in Hypertension in predominately African American Communities versus a more diverse community?

 

Begin your discussion by sharing your problem statement and research question. Next, discuss your sampling plan. In addition, discuss your research design. Consider the following as you craft your response.

Sampling

How will the sample be selected?

What type of sampling method is used? Is it appropriate to the design?

Does the sample reflect the population as identified in the problem or purpose statement?

Is the sample size appropriate? Why or why not?

To what population may the findings be generalized? What are the limitations in generalizability?

Research design

What type of design will be used?

Does the design seem to flow from the proposed research problem, theoretical framework, literature review, and hypothesis?

Cultural Group and One Socio-Cultural Group

Each student will choose no later than Week  2 of class, one cultural group and one socio-cultural group from the list provided below and set up a PowerPoint presentation (APA style) Minimum of 16 slides.

Preparation for the presentation will include synthesizing the information from assigned readings, the scientific literature, Internet resources, and other sources. Students will provide a minimum of 5 references.

The presentation will address the following:

A brief history of the cultural/socio-cultural group

Values

Worldview

Language and communication patterns

Art and other expressive forms

Norms and rules

Lifestyle characteristics

Relationship patterns

Common rituals

Degree of assimilation or marginalization from mainstream society

Health behaviors and practices.

 

The presentation must include a comparative and contrast analysis of common characteristics and distinguishing traits between the cultural group and the socio-cultural group. As well as a brief explanation of differential approaches needed by health care professionals.

Grades will also be based on overall quality of the professional presentation including handouts and references. The presentation is due by the end of Week 8.

 

Cultural Groups:

Socio-cultural group

African American & African

African American Heritage, Haitian Heritage

Asian American, Asian, & Pacific Islander

Chinese Heritage, Japanese Heritage, Korean Heritage, Filipino Heritage, Russian Heritage, Thai Heritage, Indian Heritage, Vietnamese Heritage

Native American

Apache Heritage, Navajo Heritage, Yakama Heritage, Cherokee Heritage

Hispanic & Latino Americans

Mexican Heritage, Brazilian Heritage, Cuban Heritage, Puerto Rico Heritage, Guatemala Heritage

European  American

Jewish Heritage, Polish Heritage, Baltic Heritage, Greek Heritage, Turkish Heritage, Irish Heritage, Italian Heritage

Respond to the following argument;

In 2007, the American Association of Colleges of Nursing introduced the Clinical Nurse Leader (CNL) role as a response to the increasing concerns regarding the safety and quality of nursing care. The educational preparation of the CNL requires a Master’s Degree that encompasses both clinical and theoretical experiences and results in competencies that develop strong clinical leadership traits (Stavrianopoulos, 2012).

The CNL influences and enhances patient care both at inpatient and outpatient healthcare environments. CNLs’ duties involve assuming a leadership role among team members, evaluating how the present system is working, and identifying changes that need to take place (University of San Francisco). In general, CNLs affect patient care in the following ways: as an interdisciplinary care team leader, as outcomes manager, as patient educator and advocate, as information manager, and as an advanced clinician (Stavrianopoulos, 2012).

Strategies for Nurse Managers
(2017) reports that currently there are an estimated 900 CNLs in the USA. Statistics show that hospitals who employ CNLs have fewer readmission rates, shorter “length of stays”, decreased infection rates, fewer falls, and less RN turnover. The Veterans Health Administration (VA) not only applauds CNLs, but initiated a plan to have at least three CNLs employed at each of its hospitals by 2016. Many organizations have offered scholarships to advance this much-needed nursing career.

Write a Evidence-Based Practice Proposal: Solution Description paper of 500-750 words (not including the title page and reference page) paper for your proposed evidence-based practice project solution. Address the following criteria:

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1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, too costly, or there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your PICOT before continuing.

2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.

3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the PICOT.

4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed.

5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise.

Prepare this Evidence-Based Practice Proposal: Solution Description 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 rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this Evidence-Based Practice Proposal: Solution Description assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section D: Solution Description” for your final submission. This will be a continuous process throughout the course for each section.

Evidence-Based Practice Proposal: Literature Support

To begin, work through the reference list that was created in the “Section B: Problem Description” assignment in Topic 2. Appraise each resource using the “Rapid Critical Appraisal Checklists,” available in the textbook appendix. The specific checklist you use will be determined by the type of evidence within the resource.

Develop a research table to organize and summarize the research studies. Using a summary table allows you to be more concise in your narrative description. Only research studies used to support your intervention are summarized in this table. Refer to the “Evaluation Table Template,” available in the textbook appendix. Use the “Evaluation Table Template” as an adaptable template.

Write a narrative of 750-1,000 words (not including the title page and references) that presents the research support for the projects problem and proposed solution. Make sure to do the following:

Include a description of the search method (e.g., databases, keywords, criteria for inclusion and exclusion, and number of studies that fit your criteria).

Summarize all of the research studies used as evidence. The essential components of each study need to be described so that readers can evaluate its scientific merit, including study strengths and limitations.

Incorporate a description of the validity of the internal and external research.

It is essential to make sure that the research support for the proposed solution is sufficient, compelling, relevant, and from peer-reviewed professional journal articles.

Although you will not be submitting the checklist information or the evaluation table you design in Topic 3 with the narrative, the checklist information and evaluation table should be placed in the appendices for the final paper.

Prepare this Evidence-Based Practice Proposal: Literature Support 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 rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this Evidence-Based Practice Proposal: Literature Support assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section C: Literature Support” for your final submission. This will be a continuous process throughout the course for each section.

Write a Evidence-Based Practice Proposal: Problem Description paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:

Describe the background of the problem. Tell the story of the issue and why it deserves attention.

Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.

Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.

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State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.

5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.

Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.

7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.

Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.

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 Evidence-Based Practice Proposal: Problem Description assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this Evidence-Based Practice Proposal: Problem Description assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section B: Problem Description” for your final submission. This will be a continuous process throughout the course for each section.

Search Method Example

Search Method

A comprehensive electronic search was completed using the following databases:

Cochrane Central Register of Controlled Trials

Cochrane Database of Systematic Reviews

National Guideline Clearinghouse

CINAHL

Ovid

Medline

The search included English-only published articles between 1990 and 2005.

Key words used in the search were:

Pediatric asthma education

Self-management

Self-monitoring

Grade school children

Systematic reviews

Randomized controlled trials

Search results revealed 75 publications. The abstracts were screened and 10 studies were relevant to pediatric asthma education involving self-management, self-monitoring behaviors, self-efficacy, and educational programs with various interventions. These studies included three systematic reviews, five randomized control trials (RCT), one cohort descriptive study, and one qualitative study. Refer to Appendix A for a complete reference list.

Evidence-Based Practice Proposal: Organizational Culture and Readiness Assessment

Details:

Before making a case for an evidence-based project, it is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation.

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1. Complete the “Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice Survey,” located in the textbook appendix.

2. Develop an analysis of 250 words from the results, addressing your organization’s readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry.

3. Make sure to include the rationale for the survey categories scores that were significantly high and low, incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing strategies that strengthen the organizations weaker areas.

4. Submit a summary of your results. The actual survey results do not need to be included.

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 rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this Evidence-Based Practice Proposal: Organizational Culture and Readiness Assessment assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, revise “Section A: Organizational Culture and Readiness Assessment” for your final paper submission. This will be a continuous process throughout the course for each section.

Dq 2

What is the difference between research- and evidence-based practice projects? Provide an example of each one and the reason for the difference. Why should nurses be interested in learning about EBP?

 

Dq 2

 

How would a nurse practitioner and a nurse manager differ with regard to how they use and incorporate EBP in their areas of practice?

 

GCU NUR699 Wk 2 Dq 1 & Dq 2 latest

 

dq 1

 

Review the “General Appraisal Overview for All Studies,” available in Appendix B in the textbook. You should save this tool and use it throughout the development of the PICOT question, problem description, and literature review.

Begin the development of your PICOT question, using the following resources:

“Appendix A: Template for Asking Clinical Questions,” available in the textbook appendix

Text readings

Formulate your PICOT question and post it to the main forum. Respond to at least four other statements, providing feedback. Review the statements to see if the clinical issue is clearly defined and that all aspects are identified. Also refer to the “PICOT: Components of an Answerable, Searchable Question” table, located in chapter 2 of the text. If one PICOT statement has at least three feedback posts, move to another statement.

You will be using the feedback to make revisions to your PICOT question before using it in your “Section B: Problem Description” assignment.

 

dq 2

What strategies will you use in your new practice as an advance practice nurse to review and critique literature pertinent to your practice?

 

GCU NUR699 Wk 3 Dq 1 & Dq 2 latest

 

dq 1

 

What levels of evidence are present in relation to research and practice, and why it is important regardless of the method you use?

 

dq 2

 

What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and applicability)? Which is the most important? Why?

 

GCU NUR699 Wk 4 Dq 1 & Dq 2 latest

 

dq 1

 

What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.

 

dq 2

 

Conducting research projects while ensuring the protection of human subjects is necessary. What are some methods to protect personal rights of someone in one of the groups that is labeled as vulnerable? Justify your rationale.

 

GCU NUR699 Wk 5 Dq 1 & Dq 2 latest

 

dq 1

 

Why is it important to incorporate a theory or model related to change when implementing practice changes? Does the benefit of incorporating a change model outweigh the time and effort it took to include it?

 

dq 2

 

Identify barriers to the implementation of evidence-based practice. What are two ways to address this problem?

 

GCU NUR699 Wk 6 Dq 1 & Dq 2 latest

 

dq 1

 

When reviewing the literature and different types of evidence, there are often gaps in the findings. Are such gaps a help or a hindrance when wanting to create a change?

 

dq 2

 

What is the difference between statistically significant evidence and clinically significant evidence? How would each of these findings be used to advance an evidenced-based project?

 

GCU NUR699 Wk 7 Dq 1 latest

 

Research and EBP projects can be communicated in many ways. Which method do you think is most effective to get to the staff nurse level? To the advance practice nurses? How will you ensure that all appropriate audiences receive your information?

 

GCU NUR699 Wk 8 Dq 1 & Dq 2

 

dq 1

 

Post your “Evidence-Based Practice Proposal Project Presentation.” Review all of the presentations but provide critical commentary only to five others posted. Address the strengths of the proposal as well as recommendations for improvement. If a post already has five feedback posts then move on to another one. You will be responsible for responding to each peer’s feedback that is posted to your original presentation post.

 

dq 2

 

There is power in having data to support change. The EBP process is one way of advancing improvements in healthcare. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.

NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

 

NUR 641E Week 1 DQ 1 and 2

 

Find an article on a genetic disorder and summarize in two or three paragraphs the genetic component causing the disorder and any multifactorial inheritance components that may contribute to the disorder. Discuss the usual age of disease onset and if the sex-specific threshold model fits the disorder. What education could you present to high-risk patients to reduce the risk of disease onset if a multifactorial component exists?

 

Dq2

 

Genetic screening has become widely available to the public including prenatal screening of the fetus in utero to screening adults for genetic disorders, such as Parkinson’s disease and breast cancer. Share your thoughts on the legal, ethical, and social implications that may be related to genetic screening. How would you educate your patient that is considering having genetic screening?

 

NUR 641E
 
Week 2 DQ 1 and 2

 
 

DQ 1

 

Choose an FDA-approved prescription medication and discuss the pharmacokinetics and pharmacodynamics of the medication, including any differences that would be expected based on the patient’s age, a condition of pregnancy, or lactation. Address any adverse effects the medication may have based on age, pregnancy, or lactation.

 

DQ2

 

Active acquired immunity can be achieved through the use of childhood immunizations. Many parents voice concerns regarding the safety of vaccinations. What is your opinion on the current use of vaccinations? How would you educate parents regarding the safety and effectiveness of vaccinations? Defend your answers with evidence-based research.

 

 

NUR 641E Week 3 Dq 1 and dq 2

 

DQ1

 

Share a case study of an electrolyte imbalance from your practice or from the literature. Summarize the case study in 1-2 paragraphs. Then discuss the clinical manifestations of the imbalance, the pathophysiology behind the imbalance, normal cell membrane transport of the electrolyte(s), and any alterations in cell membrane transport caused by the imbalance. How was the electrolyte imbalance resolved? Analyze the case study to determine any areas in which patient or staff education may have helped to prevent the electrolyte imbalance.

Use at least three scholarly, peer-reviewed resources less than 5 years old in addition to course materials

 

DQ2

 

A widespread belief is that caffeine has a diuretic effect when consumed and will induce dehydration if used by athletes or those who perform strenuous exercise. Discuss the pathophysiology behind this belief. Share your thoughts on whether you agree or disagree that caffeine can induce dehydration. Support your answer with evidence-based literature.

 

 

NUR 641E Week 4 DQ 1 and DQ 2

 

 

Compare and contrast the pathophysiology between chronic obstructive pulmonary disease (COPD) and pneumococcal pneumonia. Include any types of cellular injury or cellular adaptation that may occur. Evaluate if an inflammatory response is present and discuss the impact of that response. In the case of COPD, discuss the type of patient education you would implement to help with the patient’s understanding of the disease and to improve compliance with a treatment plan.

 

DQ 2

 

Find an evidence-based journal article on cystic fibrosis and summarize the article in one or two paragraphs. Address why you chose the article and how you might use the findings in your current or future practice setting.

 

 

NUR 641E Week 5 DQ 1 and DQ 2

 

 

DQ 1

 

Atherosclerosis is a common disorder of the arteries. A modifiable risk factor for the development of atherosclerosis is hypertension. Discuss the pathophysiology of both disorders and the mechanisms by which hypertension contributes to atherosclerosis. Discuss the current medications used to treat both disorders and the pharmacologic actions the medications have in altering the pathophysiology. How can you use this information in your current or future practice setting?

 

DQ2

 

 

Share a case from your personal practice or from the literature in which alternative therapies were used to facilitate the management of acute or chronic cardiovascular conditions.

 

 

NUR 641E Week 6 DQ 1 and DQ 2

 

 

DQ1

 

Find an article on an inflammatory condition of the lower genitourinary tract. Summarize the article in one or two paragraphs. Discuss the pathophysiology of the condition, the pharmacologic agent(s) used to treat the condition, and how the agent(s) alter the pathophysiology. Discuss the role of the nurse educator related to patient education of the reported condition and treatment.

Respond to another student’s posting on an inflammatory condition that is different from the condition you posted, comparing and contrasting the differences between the conditions.

 

DQ 2

 

Infertility is considered a disease process of the reproductive tract.  Find an article on an alteration of the genital tract that can lead to infertility.  Summarize the article in two or three paragraphs. Discuss any potential treatments.  What is the potential psychosocial impact for the patient with the condition?

 

 

NUR 641E Week 7 DQ 1 and DQ 2

 

 

Review the following case study:

Chief Complaint:

A 23-year-old woman presents with complaints of muscle weakness in the face.

History:

The patient is a 23-year-old administrative assistant who complains of intermittent muscle weakness in her face that has been getting worse over the past 3 months. She also states that as she chews, her jaws feel tired. Swallowing has also become difficult. She reports episodes of double vision (diplopia), which seems to occur after reading for a few minutes in the late evening. With certain strenuous activities or after typing for long periods of time at work, she reports problems with bilateral arm weakness.

Physical Examination:

Notable ptosis (drooping) of the eyelids after repeated blinking exercises. When asked to smile, she appears to be snarling. Reflexes and sensation are normal in both upper and lower extremities. There is considerable weakness of the arms noted bilaterally after exercise.

Case Questions:

Is the patient’s condition neurological, musculoskeletal, or both? Explain why and support your thoughts with evidence-based literature. What would be a possible neurologic or musculoskeletal condition causing the symptoms?

2.Explain the pathophysiology behind the condition.

3.What pharmacological agent(s) are commonly used to treat the disorder and how do the agent(s) alter the pathophysiology of the condition?

4.What would be your educational plan for the patient?

 

 

DQ 2

 

Parkinson’s disease is a progressive neurodegenerative disorder. The current treatment options for the disorder have focused on symptom control. Research is now focusing on developing ways to modify the disease progression and possibly provide a cure. Investigate the current research on Parkinson’s disease treatments, including stem-cell research and the use of fetal tissue implants. Share your thoughts on the evolving therapies. What are the current controversies?

 

 

NUR 641E Week 8 DQ 1 and DQ 2

 

 

DQ 1

 

Share a case study from your clinical practice or from the literature on an endocrine disorder. Discuss the pathophysiology of the disorder, including the effects on the endocrine feedback system, and the role of the hypothalamic-pituitary axis. Identify the pharmacologic agent(s) used to treat the disorder and how the pharmacologic agent(s) alters the pathophysiology.

 

DQ2

 

 

Human chorionic gonadotropin (HCG) is currently being used as an aid to weight loss in conjunction with an extremely restricted caloric intake of 500 calories per day. Many people are buying the HCG through the Internet with no medical surveillance. Research the HCG diet and share your thoughts on the efficacy, safety, and validity of the diet. What strategies would you use to educate patients on the diet?

 

 

 

 

                      

 

NUR 641E Week 2 Patient Educational Flyer

 

 

Design a 1-2 page patient education flyer/pamphlet for an alternative medicine/herbal product.

 

Describe the product, its intended use, side effects, adverse reactions, and safety issues (risks and benefits of using an alternative medication/herbal product versus a prescription medication).

The flyer should include at least two community and/or online resources for the patient to obtain more information.

APA format is not required, but solid academic writing is expected.

 

 

NUR 641E Week 3 Acid-Base Case Study Paper

Read the “Resource 1: Case Study.” Read below

 

Answer the questions at the end of the case study in a paper of 750-1,000 words.

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 rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

Case Study =

A 22-year-old woman reports being “sick with the flu” for the past 8 days. She is vomiting several times every day, having difficulty keeping liquids or food down, and has been using more than the recommended dose of antacids in an attempt to calm the nausea. She has become severely dehydrated. After fainting at home, she was taken to a local hospital. An arterial blood gas sample was drawn and then an IV was placed to help rehydrate her. The arterial blood gas revealed the following:

Test                                  Result                                 Normal levels

pH                                            7.5                                    7.35 – 7.45

PaCO2                                       40 mm Hg                  35-45 mm Hg

PaO2                                 95 mm Hg                  80-100 mm Hg

SaO2                         97%                           95-100%

HCO3-                                     32 meq/liter                22-26 meq/liter

 

How would you classify the patient’s acid-base disturbance and explain why?

Given the case study, what are the possible factors causing this acid-base disturbance? Explain the pathophysiology created by these factors.

How would the renal and respiratory systems try to compensate for this acid-base disturbance?

What pharmacologic intervention is commonly used to correct this acid-base disturbance? Describe the pharmacological actions.

Describe the educational needs for this patient and what your approach will be.

 

 

NUR 641E Week 4 Patient Interview Paper

 

 

Interview a patient with a chronic pulmonary health condition who is on at least two medications.

In a 1,350-1,600-word paper, discuss the following:

Obtain a complete health history.

Obtain a complete medication history, including prescription and over-the-counter drugs or supplements.

Analyze the client’s current knowledge level of medications and compliance with the prescribed dosing and administration.

For each medication, identify the pharmacokinetics, pharmacodynamics, dose, route of administration, side effects, adverse reactions, any drug interactions, potential safety issues, and the impact on the client’s health status.

Formulate possible interventions related to lack of drug efficacy, lack of client knowledge, or client compliance issues as identified during the interview.

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.

 

NUR 641E Week 5

 

(CLC – Staff In-Service Presentation – Part 1) This is a group assignment. I will instruct the writer as to which part I am assigned to do.

Develop a PowerPoint presentation with complete speaker notes for a staff in-service on the pathophysiology and pharmacologic agents for a select disease process. The total maximum number of slides is 30 (Parts 1 and 2 combined). Your group may determine how to divide the number of slides between Parts 1 and 2.

Each CLC will choose one disease process to present from the following list with the instructor’s approval:

1.Alzheimer’s disease

2.Asthma

3.Diabetes Type 2

4.Epilepsy

5.Gastroesophageal reflux disease (GERD)

6.Hypertension

7.Hypothyroidism

8.Multiple sclerosis

9.Peptic ulcer disease

10.Tuberculosis.

 

Part 1 of the presentation will focus on the physiology and pathophysiology of the disease, clinical manifestations, and evaluation (e.g., labs, imaging).

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

 

 

NUR 641E Week 6 Commercial Critique Paper

 

 

In a 1,200-1,500-word paper:

1.Critique a TV or radio commercial, an Internet advertisement, or a print advertisement from a nonprofessional journal/magazine related to an FDA-regulated prescription drug for a gastrointestinal disorder.

2.Critique a TV or radio commercial, an Internet advertisement, or a print advertisement from a nonprofessional journal/magazine related to a non-FDA-regulated over-the-counter medication/herbal for a gastrointestinal (GI) disorder.

Include a description of the pathophysiology of the GI disorder and how the medication/herbal alters that pathophysiology.

Compare and contrast the two commercials, including their stated use of medication/herbal, patient safety issues, analysis of company claims for any drug benefits. Substantiate your thoughts and ideas with evidence-based research/articles.

 

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.

 

 

NUR 641E Week 8 CLC – Staff In-Service Presentation – Part 2

 

This is a Collaborative Learning Community (CLC) assignment. This is a group assignment. I will instruct the writer as to which part of the assignment I am assigned.

Part 2 of the presentation will focus on the pharmacologic treatment of the disease, including pharmacokinetics, pharmacodynamics, drug interactions, side effects, adverse reactions, and application of the nursing process in monitoring the drug therapy.

Part 2 will also include the development of a creative patient education tool for the staff to use to assist in increasing patient knowledge of medications and medication compliance.

The total maximum number of slides is 30 (Parts 1 and 2 combined).

An abstract is not required.

 

Part 2 Class 
Advanced Pathophysiology and Pharmacology for Nurse Educators
: Power Point for Staff In-Service.

(Part 2 focuses on the pharmacologic treatment of the Alzheimer’s disease)

Please include speaker notes with all slides and references (journals preferably)!!!!

 

Focus on the pharmacologic treatment of Alzheimer’s disease
/ Drug Interactions
, 
Side Effects
, 
Adverse Reactions
 (5-6 slides). Since it is 6 slides you can do two slides for each underlined section.