Category: Nursing homework help

CASE:
AJ is a 22-year-old male, whose family has recently located to south Florida from Colombia. AJ has had a high-speed motorcycle crash and sustained life-threatening injuries, including multiple rib fractures, a pelvic fracture, and a severe traumatic brain injury (TBI). He had difficulty breathing at the scene and was endotracheally intubated by paramedics en route, but only after much difficulty during which he experienced a 5-minute hypoxic period. He arrived at the trauma center with a Glasgow Coma Score (GCS) of 3. He is admitted to the intensive care unit with respiratory distress, anemia related to bleeding from his pelvic fracture, and altered mental status from his TBI. His primary nurse is Kevin, a Caucasian male from upstate New York. Kevin has 10 years of experience as an RN in critical care, and 5 years in his current position. Kevin is keenly aware of the long and complicated hospital course that AJ will likely experience.
AJ’s family arrives at the trauma center. They are brought to the intensive care unit to see AJ for the first time. His family consists of his mother, 52, his father, 54, two younger sisters ages 12 and 14, and an uncle (his father’s brother). They speak only Spanish, as they have been in the country for only 6 months. AJ’s parents do not allow his sisters to see him, as they are afraid they may be overwhelmed and faint. His father, mother, and uncle proceed to the bedside. They are shocked by the sight of AJ, whose body is swollen and has multiple severe skin abrasions and lacerations. AJ’s family is greeted by Kevin, his nurse. Kevin speaks some Spanish and he is able to communicate basic information to the family. AJ’s mother is very emotional, crying, and unable to focus well on what Kevin is telling them.
Kevin, NP B, the social worker, an interpreter, and AJ’s mother, father, and uncle meet in the unit conference room. NP. B, through the interpreter, describes AJ’s prognosis, multiple injuries, and what needs to be done at present. The prognosis for functional recovery is very poor, because of anoxic brain damage from the prolonged period when AJ was not able to breathe well. His other injuries are severe but likely survivable in a young healthy person. His pelvic fracture would need surgical repair, but because of AJ’s poor neurological prognosis, NP B recommends not doing the surgery. He explains that this is because AJ will not walk due to his brain damage and the surgery would be extensive and has risks. AJ’s family appears overwhelmed and tearful, and his mother is repeating prayers aloud in Spanish through her tears. Kevin provides emotional support. NP. B, knowing that the family will need time to process the prognosis, says he must leave but schedules another meeting in 2 days. The family asks if they may bring other family members to the next meeting, and the team agrees to the request.
AJ’s father has been appointed his health care surrogate. Further diagnostic testing has confirmed that AJ has significant anoxic brain damage, and his prognosis for neurological recovery is nil. As the interpreter relays this message from NP. B to the family group, many break out in tears and exclamations. AJ’s mother repeats, “No, no, no, it is not true” in Spanish while wringing her hands over and over. AJ’s father appears stoic but grim faced.
Who will make decisions about AJ’s care in the above scenario? Support response
Identify 2-3 factors that may influence the health care decision making in AJ’s situation?
Describe and apply provider decision-making behaviors that would be useful in the above situation.
What plans of care should be presented to the family and why? What priorities or elements should be the goal of care conferences for seriously ill patient’ such as AJ?
What are some effective communication strategies the APN should employ and consider in this situation?
Identify sources of conflict in health care decision making
Might the APN experience moral distress related to AJ’s family’s decision in the above scenario? Why or why not?
NO PLAGIARISM
1 PAGE
2 scholarly resourcespublished within the past 5-7 years.

Disaster Planning for Your Unit
You are a nurse manager in charge of developing a disaster plan for your unit. As the manager, you will need to include the influential agencies, stakeholders and the roles of the nurses in disasters.
First Post
Identify the influential agencies and stakeholders you would include in your plan. Describe the roles of the nurses in disaster planning and actual disasters. How would you ensure the nurses on the unit understand their roles in the disaster plan?
Reply Post
Respond to at least one of your peers. Expand on your peer’s ideas.

Read: Chapter 14: “Complementary and Alternative Strategies”
You will post this response to the online journal using the text submission tool.
Create a journal entry of 200–250 words reflecting on your personal experiences or thoughts regarding alternative therapies, integrating content from the reading into your entry.
Instructions: I will attach below, some pages from chapter 14. So you can use as reference.
book name:
Health Promotion throughout the Lifespan in Nursing Practice, Carole Lium Edelman, Carol Lynn Mandle, Elizabeth Connelly C. Kudzma
Chapter 14: “Complementary and Alternative Strategies”

For this Discussion, you will explore the assessment of Social Determinants of Health. You will develop interview questions and techniques that will facilitate a full assessment of your patients. You will explore available instruments to complete a full assessment of an individuals Social Determinants of Health.

SOCIAL DETERMINANTS OF HEALTH AMONG THE FEMALE POPULATION
To prepare:
How would your communication and interview techniques for building a health history differ with each patient?
How might you target your questions for building a health history based on the patient’s social determinants of health?
What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
Develop at least five targeted questions you would ask your selected patient to assess her health risks and begin building a health history.
Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient. Identify and discuss at least one online, national, or local resource available to your at-risk client.

Using the theory of unpleasant symptoms as a guide, what would you look for in an assessment tool for patient symptoms?

Assignment Content
To prepare you for the public health nurse’s role in preventing communicable disease outbreaks in the community, complete this assignment’s simulations.

Follow these steps to complete the simulations and take notes about what errors in decision-making you make as you complete the scenarios:

Access the Solve the Outbreak page on the Centers for Disease Control and Prevention (CDC) website.
Select the Level 1 section on the simulation screen and complete 10 interactive outbreaks of your choice using the information and questions provided in it. Use the right and left scroll feature to access all of the simulation options listed.
Select the home button on the upper left corner of the simulation screen.
When you have completed all 10 outbreaks, select the Scores tab on the bottom of the home screen.
Take a screenshot of your scores screen that shows all of the outbreaks you have completed and the score received for each. This may require more than 1 screenshot.
Think about why you chose your answers and how the hints provided in the simulations showed you why another choice was more accurate.
Submit your screenshot(s) to show proof of completion.

Directions:
Role of the Nurse Leader and Manager in Regulatory and Practice Standards
As a nurse leader or manager, you will be required to support the nurses on the unit to understand their role with regulation, practice standards, and mandatory reporting.
First Post
Describe one of the current issues identified by State Boards of Nursing in the state you will be applying for your nursing license. Discuss how the nurse leaders and managers would educate the unit within the organization.

Using the list below of the attached 5 essential components prescribed by the IOM as the gold standards of an EHR, which represents the most important to support APN patient care. For each selection:
— In an ideal environment, how would the component support your role as APN (Provide examples of how you would use the component in your role)
–Explain how each chosen component contributes to improving patient outcomes and effective patient care.
The finished work should be no less than 8 full pages (excluding title, Abstract and reference pages), include peer reviewed references and follow all 7th edition APA Professional formatting.
EACH OF THE 5 COMPONENTS FROM THE IOM SUMMARY OF THE ELECTRONIC HEALTH RECORD ESSENTIAL MUST ANSWER BOTH QUESTIONS 1 & 2 BELOW
1. In an ideal environment, how would the component support your role as APN (Provide examples of how you would use the component in your role)
2. Explain how each chosen component contributes to improving patient outcomes and effective patient care.
The resources for this assignment MUST be within the last 5 years ONLY. Also, ensure that you use in-text citation for all resources used.
PROJECT TOPIC: NURSE BURNOUT AMONGST NURSES IN HOME HEALTH SETTING WITH MINDFULNESS BASED PROGRAM
Journal Choice
The purpose of this assignment is for you to choose a journal that is relevant to your project topic as well as to understand the requirements of the journal for your final manuscript. For example, if your chosen journal requires AMA format you may want to change your reference pages from APA to AMA format. In one page state why you chose the journal, the intended audience of the journal, and summary of the journal requirements. See attached rubric. In addition, please submit a copy of the journal’s author guidelines or provide a link to the author guidelines, and submit a sample article form the journal you chose

Identify multidimensional nursing care strategies for clients with reproductive system disorders.
Scenario
You work in a gynecological office, and your office has been asked to participate in a women’s health fair. The focus of the fair is health promotion. Preventative screening for female reproductive disorders is vital to identify and treat rapidly to produce the best patient outcomes. Preventative screening includes mammogram and Pap smear and should be performed based on recommended age and associated risk factors. To promote preventative screening, your office will be creating brochures to distribute at the health fair.
Instructions
Design a women’s health brochure by choosing one of the female reproductive disorders covered in this module. In the brochure, include the following:
Overview of the disease including disease process, signs and symptoms, and risk factors
Preventative screening
Diagnostics tests
Treatment
Multidimensional nursing care interventions

Compose a written comprehensive psychiatric eval of a patient you have seen in the clinic (9 years old patient). Please use the template attached. Do not use “within normal limits”. “admits or denies” Is accepted. FOLLOW THE RUBRIC BELOW.
PLEASE FOLLOW REQUIREMENTS:
formatted and cited in current APA style 7 ed with support from at least 5 academic sources which need to be journal articles or books from 2019 up to now. NO WEBSITES allowed for reference entry. Include doi, page numbers, etc. Plagiarism must be less than 10%.

RUBRIC :
Chief Complaint : Reason for seeking health. Includes a direct quote from patient about presenting problem .
Demographics : Begins with patient initials, age, race, ethnicity, and gender (5 demographics).
History of the Present Illness (HPI) – Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors,Timing, and Severity).
Allergies – Includes NKA (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy).
Review of Systems (ROS) – Includes a minimum of 3 assessments for each body system, assesses at least 9 body systems directed to chief complaint, AND uses the words “admits” and “denies.”
Vital Signs – Includes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain).
Labs, Diagnostic, PERFORMED. During the visit: Includes a list of the labs, diagnostic or screening tools reviewed at the visit, values of lab results or screening tools, and highlights abnormal values, OR acknowledges no labs/diagnostic were reviewed.
Medications- Includes a list of all of the patient reported psychiatric and medical medications and the diagnosis for the medication (including name, dose, route, frequency).
Past Medical History- Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active orcurrent.
Past Psychiatric History- Includes (Outpatient and Hospitalizations), for each psychiatric diagnosis (including ADDICTION treatment and date of the diagnosis)
Family Psychiatric History- Includes an assessment of at least 6 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder, and history of suicidal attempts.
Social History- Includes all 11 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation.
Mental Status – Includes all 10 components of the mental status section (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/perception, cognition, insight and judgement) with detailed descriptions for each area.
LABS (values included) performed to rule out any medical condition
Primary Diagnoses- Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)using the DSM-5-TR. The correct ICD-10 billing code is used. DSM-5-TR. The correct ICD-10 billing code is used.
Differential Diagnoses: Includes at least 2 differential diagnoses that can be supported by the subjective and objective data provided using the DSM-5-TR. The correct ICD-10 billing code is used.
Outcome Labs/Screening Tools – After the visit: orders appropriate diagnostic/lab or screening tool 100% of the time OR acknowledges “no diagnostic or screening tool clinically required at this time.”
Treatment Includes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent.
For non- pharmacological treatment, includes: treatment name, frequency, duration. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. The plan is supported by the cufrent US guidelines.
Patient/Family Education- Includes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their lives.
Referral : Provides a detailedlist of medical and interdisciplinary referrals or NO REFERRAL ADVISED AT THIS TIME. Includes a timeline for follow up appointments.
APA Formatting : Effectively uses literature and other resource. Exceptional use of citations and extended referencing. High level of precision with APA 7th Edition writing style.
References: The references contains at least 5 current scholarly academic reference and in-literature citations reference. Follows APA guidelines of components: double space, 12 pt. font, abstract, level headings, hanging indent.