Summary & Analysis of Nurse Manager Interview

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Interview a nurse manager to explore the external factors that influence decision making such as health policy, regulatory requirements, accreditation, and health care financing.

  1. Provide an overview of the role of the nurse manager interviewed. Summarize the information from the interview (do not report the interview question by question)
  2. Perceptions related to impact on health policy on decision. Perceptions related to impact of regulatory agencies on decision making. Perceptions related to impact of health care financing on decision making.
  3. Analysis of the interview supported by the literature.

Advanced Nursing Inquiry and Evidence Based Practice

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Identify an article that is at least five years old. Summarize the statistical findings and discuss the significant it has on nursing.

Please post your initial post by Wednesday midnight with 400 words and one scholarly article. Please answer two peers by Saturday midnight. 

DIscussion asignment

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 Compare and contrast the growth and developmental patterns of two toddlers of different ages using Gordon’s functional health patterns. Describe and apply the components of Gordon’s functional health patterns as it applies to toddlers.    

DB

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this is due by 8/30 at 12 pm EST

APA format to include 3 scholarly sources for references

  

Scenario: An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition.

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

· The role genetics plays in the disease.

· Why the patient is presenting with the specific symptoms described.

· The physiologic response to the stimulus presented in the scenario and why you think this response occurred.

· The cells that are involved in this process.

· How another characteristic (e.g., gender, genetics) would change your response.

fundamentals M 3

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Delegation Guidelines

 

Discussion Topic

Top of Form

Activity Time:

2 hours; Additional Time for Study, Research, and Reflection: 1 hour

Directions:

After viewing the video, “Delegation” and reading in your textbook, post your answers to the following questions.

1. Briefly explain the Rights of Delegation and the potential error(s) that can occur with each when delegating a task.

2. Discuss how these delegation errors be prevented?

Please make your initial post by midweek, and respond to at least two other student's post by the end of the week.

Bottom of Form

End of Life Care

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Mr. Rivera is a 72-year-old patient with end stage COPD who is in the care of Hospice. He has a history of smoking, hypertension, obesity, and type 2 Diabetes. He is on Oxygen 2L per nasal cannula around the clock. His wife and 2 adult children help with his care. Develop a concept map for Mr. Rivera. Consider the patients Ethnic background (he and his family are from Mexico) and family dynamics. Please use the concept map form provided. 

discusion 2

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Modern psychopharmacology is largely the story of chemical neurotransmission. One must be fluent in the language and principles of chemical neurotransmission to:

  • Understand the actions of drugs on the brain.
  • Grasp the impact of diseases upon the central nervous system.
  • Interpret the behavioral consequences of psychiatric medicines.

After studying Module 2: Lecture Materials & Resources, discuss the following:

  • Choose an FDA-approved medication currently used in psychiatry.
  • Explain the concept of that drug’s half-life.  
  • How long would it take for that drug to reach a steady state?  
  • How frequently should the medication be dosed based on the half-life? 
  • Use Epocrates.com as a reference for this assignment.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

CASE STUDY 2

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Case Study #2

DKA 

Mrs. S is a 28-year-old patient, with a 12-year history of type I diabetes mellitus. Her husband states that she has had a “bad cold” for several days. Yesterday she stayed in bed and slept all day. She was “too ill” to check her blood sugar, and since she was not really eating, she did not take her insulin. This morning, she was not able to stand up and vomited twice. A Gram stain of Mrs. S’s blood contains gram-positive cocci in clusters. Her admission vital signs are: BP = 90/60; HR = 118 bpm (sinus tachycardia); RR = 32/min; T = 102.3° F; O2 sat via pulse oximetry = 96%. Her serum glucose is 398 mg/dl, and she is positive for serum ketones. She is admitted with a diagnosis of DKA.

Her baseline ABGs on 2 L of oxygen are: pH = 7.25; PCO2 = 28; HCO3 = 14; PaO2 = 92; O2 sat = 96%. Her respirations are deep, rapid, and labored. She has bronchial breath sounds in the right axillary area. There is bilateral chest expansion and no evidence of cyanosis.

A regular insulin bolus is given, and a regular insulin drip is initiated. Mrs. S’s IV fluids are infusing at 800 ml/hr. Her vital signs after 2 hours in the unit are: BP = 120/70; HR = 78 bpm (normal sinus rhythm); RR = 22/min; O2 sat = 100%. Her serum glucose is 250 mg/dl and serum potassium is 4.0 mEq/L. She is more alert and is feeling hungry.

  1. What is insulin’s function in the body? What is the most significant basic defect in the development of DKA?
  2. What is the cause of Ms. S experiencing DKA?  Describe the pathophysiologic rationale for your answer.
  3. List the classic signs and symptoms of DKA. Which signs and symptoms did Ms. S experience? What are the pathophysiologic causes of these signs and symptoms?
  4. What is an anion gap? Why is the anion gap important to follow in the treatment of DKA?
  5. What acid base disturbance is Ms. S experiencing? What compensatory mechanisms are in effect at this time?
  6. What is the primary nursing diagnosis for Ms. S.? What are the goals for treatment (both independent and collaborative)? What interventions are imperative to initiate immediately? What interventions are important within the next 12-24 hours?
  7. What are potential lab abnormalities for a patient in DKA?
  8. What nursing considerations are important in planning Ms. S’s discharge?
  9. Discuss the American Association of Critical Care Nurses (AACN) Synergy Model and how this concept would be important in this patient’s care.

Instructions

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Name____________________________________

Nursing Interventions

Client Education

Medication Administration (Dose and Route)

Medication Name and Type

Drug Class

Therapeutic Uses (Indications)

Complications

Interactions

Contraindications

Expected Pharmacological Mechanism of Action (How it Works)

____________________________________________

Evaluation of Medication Effectiveness

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CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS

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  • Explain the controversy that surrounds dissociative disorders.
  • Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature.
  • Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.
  • Finally, explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important.