Tag: Clinical-Nursing

In an assessment for intermittent claudication, the cardiac/vascular nurse assesses for leg pain and cramping with exertion, then asks the patient:

Which is the primary consideration when preparing to administer thrombolytic therapy to a patient who is experiencing an acute myocardial infarction (MI)?

A patient recently had a cardiac catheterization via right-radial approach. The patient has a compression device in place. The patient complains of numbness and pain in the right hand. The cardiac/vascular nurse notes a diminished pulse, with a cool and cyanotic hand. what should the nurse do?

A patient who underwent a percutaneous, transluminal coronary angioplasty four weeks ago has a subsequent ejection fraction of 30%. The patient returns for a follow-up visit. Examination reveals lungs that are clear to auscultation and slight pedal edema. The patient’s medications are digoxin (Lanoxin), furosemide (Lasix), enalapril maleate (Vasotec), and aspirin. The patient reports a 5-lb (2.27-kg) weight gain over the past two days. The cardiac/vascular nurse’s initial action is to:

In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease.

Communicable Disease Selection

Choose one communicable disease from the following list: 1.Chickenpox 2.Tuberculosis 3.Influenza 4.Mononucleosis 5.Hepatitis B 6.HIV

Epidemiology Paper Requirements

Include the following in your assignment: 1.Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence). 2.Describe the determinants of health and explain how those factors contribute to the development of this disease. 3.Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle). 4.Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up). 5.Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.

A minimum of three references is required.

Refer to “Communicable Disease Chain” and “Chain of Infection” for assistance completing this assignment.

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.

Vitamin D deficiency and obesity

I need a full research paper on Vitamin D deficiency and obesity in USA. The paper must be in APA format and carrying out a standard structure. Please insert some sources. I want 2000 words.

Choose one of the following diseases for your paper:

· Tuberculosis ·

Influenza (bird flu, swine flu, H1N1, or general viral strain) · Chickenpox

· Shingles ·

Methicillin-resistant Staphylococcus aureus (MRSA) ·

Clostridium difficile (C. diff)

· Hepatitis B ·

Hepatitis C ·

Rotavirus

· SARS

· West Nile

Note: If you have a subject in mind that is not on this list, please check with the facilitator for approval by day 4 of this work week. Write a 750- to 1,050-word paper exploring aspects of the disease. Include the following information:

· Explain the inflammatory response.

· Describe the disease, how it is transmitted, and the environmental factors that may make someone vulnerable to it. · Identify standard and alternative treatments.

· Describe the methods used to control the spread of the disease and the consequences of not controlling it.

· Identify community health promotion and wellness strategies to help prevent the disease.

Include at least two sources from the University Library other than the text Human Diseases: A Systemic Approach Format your paper consistent with APA guidelines. Remember that this should include a title page and properly formatted in-text and reference list citations with respect to the signed Certificate of Originality. (See course materials for links to help you with this). You should also use headers for each section that addresses the requirements outlined in the assignment and rubric. Include a copy of your Plagiarism check. Post your paper as an attachment.

The article is http://asq.org/qualitynews/qnt/execute/displaySetup?newsID=1056, entitled Nurse Charged With Felony in Fatal Medical Error.

Nurse Charged With Felony in Fatal Medical Error

Medical Ethics Advisor

February 2, 2007

A Wisconsin nurse who was arrested on a felony charge stemming from an unintentional medical error that led to the death of a patient last summer will serve three years of probation after pleading no contest to reduced charges, but medical and nursing societies are concerned about the effect the case might have in future medical error situations.

Julie Thao was a nurse at St. Mary’s Hospital in Madison, WI, in the summer of 2006 when 16-year-old Jasmine Gant was admitted to give birth. Through a series of actions, shortcuts, and omissions, all of which Thao accepted responsibility for at her sentencing in December, she mistakenly gave Gant an epidural anesthetic (Buvipacaine) intravenously. Gant was supposed to receive an IV antibiotic for a strep infection. Within minutes of receiving the epidural IV, Gant suffered seizures and died. Her child, a boy, was delivered by emergency Caesarean section and survived.

According to the investigator’s report, Thao:

�improperly removed the epidural bag from a locked storage system without authorization or permission;

�did not scan the bar code on the epidural bag, which would have told her it was the wrong drug;

�ignored a bright pink warning label on the bag that stated the drug was for epidural administration only; and

. �disregarded St. Mary’s “5 rights” rule for drug administration � right patient, right route, right medication, right dose, and right time.

News reports quoted Thao saying, “This was my mistake, everything was my fault” at the time of her plea. She will serve three years on probation, her license has been suspended for nine months, and should she return to nursing (she was fired from St. Mary’s), she will face close scrutiny of her hours and work performance.

Despite the action by the state nursing board in chastising Thao and suspending her license, medical and nursing associations have been almost unanimous in protesting the felony criminal charges in a case of a mistake.

“It is imperative that all health care professionals do everything possible to ensure that medical errors do not happen. Patient safety is critical,” according to Ruth Heitz, JD, general counsel to the Wisconsin Medical Society. “But to use the criminal justice system in this unprecedented manner to prosecute acts of unintentional medical errors is likely to have a chilling effect on the practice of medicine.

“Humans make mistakes. That is an unfortunate reality.”

St. Mary’s Hospital faced regulatory action and possible loss of its Medicare contract in the wake of Gant’s death, but the violations were retracted when St. Mary’s initiated staff re-education programs to address the issues that led to the error.

State and federal regulatory and licensing agencies’ investigations “will improve the safety and quality of care” at Wisconsin hospitals and “will have a profound impact on the hospital, hospital staff” and Thao, according to Dana Richardson, RN, a spokeswoman for the Wisconsin Hospital Association.

“We are concerned, however, that unlike the other agencies involved in this case, actions by the [Department of Justice charging Thao] will actually have a negative impact statewide on the accessibility to and quality of care provided in Wisconsin,” says Richardson. “Health professionals enter health care knowing that a mistake could cost them their license, livelihood, and financial stability. What is incomprehensible is entering a career where a single error could lead to imprisonment.”

The state nursing board has suggested that Thao was overworked on the day of the error. She had worked a 16-hour shift that ended at midnight the previous day, and slept at the hospital so she could be back on duty at 7 a.m. Gant’s death occurred shortly after noon.

As part of the sanction by the state board, if Thao returns to work as a nurse, she cannot work more than 12 hours a day, and she is limited in the areas of hospital nursing she can practice.

Prepare a Microsoft� PowerPoint� presentation with detailed speaker notes that discusses a current legal issue from the news media or your own professional practice, affecting an individual or group of nurses. For confidentiality reasons, do not use real names from your own practice. Examples of legal issues include the following:

Include the following in your presentation:

�Judicial process and health care laws

�Professional standards of practice

�Malpractice and disciplinary action issues

�Ethical issues

�Issues surrounding appropriate documentation

�Nursing practice act requirements

�At least three peer reviewed references from scholarly journals in the University Library.

NOTE !!!

This is a group work and below is my assigned portion

Slide 1: Issues surrounding appropriate documentation

Slide 2: Nursing practice act requirements

Slide3: Conclusion

As a member of ABC Consultants, you have been hired by a large organization to develop an innovated approach using current technology in health care delivery. This can be a product, a service, or an application. Choose an organization in a sector including, but not limited to, pharmaceutical, insurance, manufacturing, software development, or facility design. Review its website and any recent articles about the organizations. Resource: Technology and Health Care Grading Criteria Write a 1,050- to 1,750-word paper and include the following: Describe your product, service, or application (m-health, e-therapy, virtual physician visits, and so forth). Discuss the impact of your product, service, or application on quality of care, quality of life, cost of care, and access. Discuss the social, ethical, and economic impact of your product, service, or application to the organization. Format your paper consistent with APA guidelines

Case Study

Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.

Question

Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following: ·

Describe your approach to care. ·

Recommend a treatment plan. ·

Describe a method for providing both the patient and family with education and explain your rationale.

· Provide a teaching plan (avoid using terminology that the patient and family may not understand).