Tag: Clinical-Nursing

Health Care Careers Diagram and Summary Grading Criteria

Select a health care career within the managed care organization, pharmaceutical company, research organization, college, information technology company, the health care continuum (hospital, ambulatory, longterm care), the mental health continuum (diagnostics, outpatient, inpatient), and so forth. • Describe selected career. • Identify two or three services and products within the selected career. • Identify the workforce roles within the services and products. • Discuss the impact of the roles on the health care organizations. Create a diagram with the career choice as the focal point and identifying the work roles within one of the services or product you identify. Complete a 350- to 700-word summary of your findings and a diagram. Format your summary consistent with APA guidelines.

Genitourinary System Assessment Essay

Describe a patient with a genitourinary symptom or group of symptoms; such as incontinence, burning on urination, irregular menses, pain in the scrotum, erectile dysfunction, and so on. Do not limit yourself to these; for example, there are different types of incontinence. What questions would you ask as part of your focused assessment? What history might be associated with the symptom, if any? What are the known risk factors for this condition? What physical examination techniques would you use? What patient education would you give to the patient? Find a nursing journal article about these symptoms.

Purpose The purpose of this PowerPoint presentation is to provide an opportunity to develop a community health nursing intervention and evaluation tool for your identified community health problem (described in Milestone 2: Assessment and Diagnosis) and identify the components of the nursing process as it applies to a community or population. Course Outcomes Scenario You are a Community/Public Health Nurse (C/PHN) working in your setting of choice. You have identified a community health problem and have analyzed the data collected from your windshield survey and assessment & diagnosis assignments (the first two milestones). You have decided on one nursing intervention and need your organization’s approval for funding of this intervention. Your leadership team has agreed to listen to your proposal. Directions · Choose a community health nurse setting. Some examples of settings are school nurse, parish nurse, home health nurse, nurse working in the health department (be specific to what area in the health department, e.g., WIC, STD clinic, health promotion, maternal-child health, etc.) · Introduction: Introduce the identified problem, the purpose of the presentation, and reiterate at least one or two important findings that demonstrate this problem in your community (average of 1–2 slides) · Proposed Intervention: Propose one community health nursing intervention that would address one or more of the major direct or indirect factors that contribute to the problem. Keep in mind the Public Health Intervention Wheel (Nies & McEwen, p. 14, figure 1-3) as your framework (average of 3-4 slides). Your intervention needs to be specific: o Who is your target population? o Where is this intervention taking place? o Will it take place one time or multiple times? o How will you reach out to your target population? § How will you get your target population involved? o What is the CH Nurses role in this intervention? o Will you collaborate with anyone (e.g., physician’s office, church, local resources, etc.?) o Is anyone else involved besides yourself (C/PHN)? § If yes, are they paid or volunteers? o What level(s) of prevention is your intervention addressing (primary, secondary and/or tertiary prevention)? · Intervention Justification: Justify why the problem and your nursing interventions should be a priority. o Based on what you have found in the literature, discuss why these interventions are expected to be effective. Include summarized information from at least two professional scholarly sources related to your interventions (average of 2-3 slides). · Proposed Evaluation: Your presentation must include at least one proposed quantitative or qualitative evaluation method that you would use to determine whether your intervention is effective. It should include the method you would use along with desired outcomes. Outcome measurement is a crucial piece when implementing interventions. There is a helpful tool in Doc Sharing to assist you with understanding qualitative and quantitative methods of evaluation. (average of 2-3 slides) o Include discussion about the long-term and short-term impact on your community if the intervention is successful. Keep in mind your desired outcomes when analyzing the evaluation. · Summary: The summary should reiterate the main points of the presentation and conclude with what you are asking to be accomplished, e.g., “Based on ABC, it is imperative our community has XYZ. Thank you for your consideration.” · In addition to the slides described above, your presentation should include a title slide, and reference slide. Remember, you are presenting to your leadership team, so the slides should include the most important elements for them to know in short bullet pointed phrases. You may add additional comments in the notes section to clarify information for your instructor. Guidelines · Application: Use Microsoft PowerPoint 2010. · Length: The PowerPoint slide show is expected to be no more than 20 slides in length (not including the title slide and reference list slide). · Submission: Submit your files via the basket in the Dropbox: “Caring for Populations: Intervention and Evaluation” by 11:59 p.m. Sunday of Week 6. · Save the assignment with your last name in the file title. Example: “Smith Intervention and Evaluation” · Late Submission: See the course policy on late submissions. · Tutorial: If needed, Microsoft Office has many templates and tutorials to help you get started. Best Practices in Preparing PowerPoint The following are best practices in preparing this project: · Be creative, but realistic with your intervention and evaluation tool. · Incorporate graphics, clip art or photographs to increase interest. · Slides should be easy to read with short bullet points and large font. · Review directions thoroughly. · Cite all sources within the slide show as well as on the reference page. · Proofread prior to final submission. · Spell check for spelling and grammar errors prior to final submission. · Abide by the CCN academic integrity policy. Grading Rubric: Caring for Populations: Intervention and Evaluation (250 points) Criteria A (92–100%) Outstanding or highest level of performance B (84–91%) Very good or high level of performance C (76–83%) Competent or satisfactory level of performance F (0–75%) Poor or failing or unsatisfactory level of performance Pts Problem identification 10 points Presentation includes at least one slide that introduces the problem and significant findings in the community (9–10 points) Problem is introduced but lacks support with findings (8 points) Supportive findings discussed but problem identification not clear. (7 points) Problem is not introduced and does not have significant community findings (0–6 points) /10 Proposed intervention 85 points One community health nursing intervention is proposed that would address one or more of the major direct or indirect factors that contribute to the problem. Intervention includes specifics: *Where is this intervention taking place?” *Will it take place one time or multiple times? *How will you reach your target population? *How will you involve your target population? Will you collaborate with anyone (e.g., physician’s office, church, local resources, etc.) CHN role? Is anyone else involved besides yourself (C/PHN)? *What level(s) of prevention are you addressing? *Community setting is clear. (78–85 points) One intervention is proposed but is missing one or two specific details. (71–77 points) Intervention is missing more than two specific details. (65–70 points) Intervention is not proposed or insufficient. (0–64 points) /85 Intervention justification and application of evidence-based literature 30 points Includes at least one slide that discusses why this intervention should be a priority based on two scholarly findings.Two or more quality references from professional literature are cited that clearly support your rationale. (28–30 points) Includes slide stating why the intervention should be a priority.Two references cited but information in the reference may be biased or not directly relevant to your rationale. (25–27 points) Intervention justification inadequate or fewer than two references cited. (23–24 points) Lacks slide on intervention justification. No references cited. (0–22 points) /30 Evaluation 85 points Presentation includes at least one proposed quantitative or qualitative evaluation method and desired outcomes. Long-term and short-term impact on your community if the intervention is “successful” discussed. (78–85 points) At least one evaluation method described but lacks discussion on long and short-term impact on community (71–77 points) Long and short term impact on community discussed, but evaluation method unclear. (65–70 points) Presentation lacks clear evaluation method and future impact. (0–64 points) /85 Summary 20 points Includes at least one summary slide that reiterates the problem and purpose of the presentation. (19–20 points) Summary does not clearly reiterate the problem OR purpose. (17–18 points) Lacks reiteration of problem AND purpose. (15–16 points) Summary slide not present. (0–14 points) /20 Overall presentation 10 points Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. (9–10 points) Presentation is accurate and covers most elements but lacks creativity. (8 points) Presentation lacks flow and creativity or is difficult to follow. (7 points) Presentation lacks any attempt at organization and comes across as chaotic. (0–6 points) /10 Mechanics 10 points Includes title slide (1) Grammar, punctuation, and sentence structure are correct. (3) References properly cited within the paper (2) Reference page includes all citations. (2) Evidence of spell and grammar check. (2) (9–10 points) Title slide incomplete Minimal errors in grammar, punctuation and/or sentence structure noted Citations are present but not in correct format References are present, with minimal errors in format (8 points) Missing title slide Multiple grammar and punctuation errors noted (7 points) Title slide and citations are missing References are missing or incomplete No evidence of proof-reading prior to submitting paper (0–6 points) /10 Total points:

Describe a patient with an abdominal symptom or group of symptoms, such as bloating, flatus, and eructation; constipation; nausea and vomiting; diarrhea; or abdominal pain. Do not limit yourself to these examples. Remember that there are different types and locations of abdominal pain. What questions would you ask as part of your focused assessment? What history might be associated with the symptom, if any? What are the known risk factors for this condition? What physical examination techniques would you use? What patient education would you give the patient? Find a nursing journal article about these symptoms.

You are teaching first semester nursing students about culture and health assessment. Write up a short scenario that shows how health assessment is impacted by culture. (Note you can use your own experience or make-up a situation.)  The title of your post should include the culture you use in your scenario (for example: ‘Basic Assessment of a Mexican American with limited English proficiency’)

Middleville Regional Health Care is one (1) of three (3) hospitals serving a community of 350,000 people. Summary statistics on Middleville and its competitors, from the 
AHA Guide
, are shown below in Table 1. All three organizations are not-for-profit.

 
Table 1: Middleville, Brierfield, and Greystone Health Care Systems

 

Name

Beds

Admissions

Census

OP Visits

Births

Expenses (000)

Personnel

Middleville

575

13,000

350

221,000

2,300

$125,000

2,000

Brierfield

380

17,000

260

175,000

1,200

$130,000

1,875

Greystone

350

10,000

180

40,000

900

$80,000

1,200

 

The governing board of Middleville hired a consulting company to evaluate its strategic performance, specifically in the areas of Human Resources, Information Technology, Financing, and Marketing. As part of the consultant’s evaluation, several leaders of Middleville’s units were asked their perspective of the organization’s performance.

 
You are working for the consultant. Your job is to identify the issues from the response that should be considered further by the consultant team and possibly discussed with the governing board and the CEO. The firm has a rule, “Never offer a criticism or negative finding without suggesting how the client organization can correct it,” so you must indicate what sort of correction you would recommend as part of your list. Because you know there were about two (2) dozen other interviews, you decide you should rank your issues in importance, to make sure the most critical are discussed.

 
Write a six to eight (6-8) page paper in which you:

Explain the governing board’s role in these strategic initiatives, determining its responsibility and involvement.

Evidence-based management means that operational and strategic decisions are made based upon the evidence that goals and objectives are actually being met. Quantitative measurements must be identified and measured. This data is then used to evaluate the HCO’s performance. Name three (3) performances Middleville can use to measure its success in providing quality healthcare to the community, and identify quantifiable, measureable indicators that can be used to do so. Explain the importance of each performance measurement.

Given the statistics of Middleville and its two (2) competitors provided in Table 1, recommend to the HCO what areas it should focus on to maintain its competitive market share as well as continue to provide healthcare to the community in the 21
st
 century.

Some of Middleville’s Board members are very interested in pursuing advanced technology systems over the next five (5) years, while others are concerned about the enormous expense and need assurance that the investment in technology will be worthwhile. In both monetary and process terms, describe the costs and benefits associated with implementing EMR and associated health data systems. Lay out a plan for how various systems can be implemented.

Middleville has faced many challenges in recruiting and retaining nurses and other clinical employees. The economy has hit the area very hard and budgetary limitations have reduced the amount of money available for salary increases. The Board knows it needs to provide other benefits to their valued employees. Provide at least two (2) suggestions to Human Resources to promote employee satisfaction and, therefore, retain experienced personnel.

Use at least three (3) quality resources in this assignment. 
Note:
 Wikipedia and similar Websites do not qualify as quality resources.

Format your assignment according to the following formatting requirements:

Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.

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 is not included in the required page length.

Include a reference page. Citations and references must follow APA format. The reference page is not included in the required page length.

 
The specific course learning outcomes associated with this assignment are:

Examine how healthcare management concepts and theories are applied to critical issues in healthcare organizations.

Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations.

Explain how public policy has shaped the development of the U.S. healthcare system.

Use technology and information resources to research issues in health services organization management.

Write clearly and concisely about health services organization management using proper writing mechanics.

What should the nurse include in a focused
exam
for a client prescribed any antihypertensive medication?

 

List general instructions the nurse would provide a client who is prescribed any antihypertensive medication.

 

Which antihypertensive drugs are more likely to cause “rebound hypertension” if abruptly discontinued?

 

List common adverse effects from beta blockers (BBs) What should the nurse teach a client prescribed this medication? When should BBs be held?

 

Which drug class could contribute to an asthma/COPD exacerbation or interfere with signs/symptoms of hypoglycemia in a diabetic client?

Shock is a clinical syndrome that is a result of inadequate tissue perfusion that creates imbalance between the delivery of and requirements for oxygen that support cell health.  Signs and symptoms of excess fluid volume or inadequate tissue perfusion characterize heart failure.

Address the Following:

Describe the differences in the nursing management for patient diagnosed with hypovolemic shock, cardiogenic shock, and heart failure.

Because heart failure can be a chronic condition, identify a priority teaching intervention for the patient with a new diagnosis of heart failure.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do 
not
 count towards the 250 word minimum.

A good intervention for an immunosuppressed patient is an incentive spirometer.  My grandmother would use an incentive spirometer for her COPD.  It wasn’t always easy to have her use the spirometer.  In addition, I have had to teach myself to use it, when I was diagnosed with pneumonia and had a very bad cough years ago.  It’s quite difficult to use when you are feeling ill and all choked up.

Some effective obejctives for a spirometer as a nurse include:

1. Teach patient of benefits of  Incentive spirometer

2. Teach patient that the reason for incentive spirometry is to help him fully inflate his lungs

3. Patient will report number of times used daily and mark progress with indicator

4. Patient will demonstrate knowledge of COPD process, meds, therapy and follow up care.

Pulmonary Mucormycosis is most common in patients that are immunocompromised. Early diagnosis for early treatment is essential for this life-threatening disease. Yes, depending on the patient’s reason for having a low immunity, neutropenia can occur and increase the patient’s risk for infection even greater. But, the patient in our DQ had a high WBC count. The lab did not show differentiation of the WBCs. Doesn’t the elevated WBC count mean the person’s immune system is trying to fight the fungus? I do not think our patient needs colony stimulating factors for neutropenia. But our patient may need surgery as you pointed out. “There are four determining factor in the successful treatment of mucormycosis: early diagnosis, amphotericin B, surgical resection and reversal of host impairment” ( Oluwatobi, et al., 2016).