D.Saa Critical Care Wk 5

 

MY NUMBER ASSIGNED WAS 2 WHICH IS:  Explain burn staging (1st, 2nd, 3rd, and bone). Provide info about partial and full thickness burns AND two major complications of burn injuries.

Each student will be assigned a number randomly.  Whatever your number is, select the corresponding topic below, then post a minimum of 5 bullet points about the topic.  

Your bullet points should address key components of the topic, such as what, how, who, & why.  This information should not be basic things you learned in Med/Surg, but rather advanced critical care based.  

Think about this as a group effort to create a study guide. Use ONLY your textbook, but do not cut & paste from the book.  

Then create, find, or borrow a test style question about your topic & post at the bottom of your bullet points. The format needs to be multiple choice or select all that apply. Think NCLEX style. 

PART 2:

Take a few minutes and ask 2 people about their personal coping mechanisms for dealing with the stress of working in healthcare during this unique time of Covid. Stress can be physical, emotional, spiritual, or any combination of triggers. Ask a diverse variety of people, don’t forget those in other departs at different points of hierarchy. For example, ask your unit manager, environmental services, volunteers, patients, fellow nurses, etc.  Write 2-3 paragraphs on your findings and impressions while respecting the person’s identity. 

Nutritional Principles in Nursing

Reflection

Module 05 Content

In a Word® document answer the following questions.

In Module 01 Written Assignment – Reflection you were asked to give yourself a rating from 1 to 5, with 5 representing the healthiest eater. What number would you give yourself now?

Did your rating change? If so, in what direction and in what way? What adjustments to your diet, if any, did you make?

Are your eating patterns based on family traditions or cultural or religious reasons? If so, do these support or promote healthy eating?

What two important nutritional principles or concepts have you learned and will always remember? What is their impact on your delivery of quality safe nursing care?


Gas Exchange

 

Complete the Gas Exchange Exemplar comparison table.

Fundamental M6

Complete the ATI Systems Disorder template for your assigned infection topic. Every box on the template must be completed, a citation is needed for every box, and your reference list must be included (APA). 

Case Study 3

 Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition Adolescent With Diabetes Mellitus (DM) Case Studies The patient, a 16-year-old high-school football player, was brought to the emergency room in a coma. His mother said that during the past month he had lost 12 pounds and experienced excessive thirst associated with voluminous urination that often required voiding several times during the night. There was a strong family history of diabetes mellitus (DM). The results of physical examination were essentially negative except for sinus tachycardia and Kussmaul respirations. Studies Results Serum glucose test (on admission), p. 227 1100 mg/dL (normal: 60–120 mg/dL) Arterial blood gases (ABGs) test (on admission), p. 98 pH 7.23 (normal: 7.35–7.45) PCO2 30 mm Hg (normal: 35–45 mm Hg) HCO2 12 mEq/L (normal: 22–26 mEq/L) Serum osmolality test, p. 339 440 mOsm/kg (normal: 275–300 mOsm/kg) Serum glucose test, p. 227 250 mg/dL (normal: 70–115 mg/dL) 2-hour postprandial glucose test (2-hour PPG), p. 230 500 mg/dL (normal: <140 mg/dL) Glucose tolerance test (GTT), p. 234 Fasting blood glucose 150 mg/dL (normal: 70–115 mg/dL) 30 minutes 300 mg/dL (normal: <200 mg/dL) 1 hour 325 mg/dL (normal: <200 mg/dL) 2 hours 390 mg/dL (normal: <140 mg/dL) 3 hours 300 mg/dL (normal: 70–115 mg/dL) 4 hours 260 mg/dL (normal: 70–115 mg/dL) Glycosylated hemoglobin, p. 238 9% (normal: <7%) Diabetes mellitus autoantibody panel, p. 186 insulin autoantibody Positive titer >1/80 islet cell antibody Positive titer >1/120 glutamic acid decarboxylase antibody Positive titer >1/60 Microalbumin, p. 872 <20 mg/L Diagnostic Analysis The patient’s symptoms and diagnostic studies were classic for hyperglycemic ketoacidosis associated with DM. The glycosylated hemoglobin showed that he had been hyperglycemic over the last several months. The results of his arterial blood gases (ABGs) test on admission indicated metabolic acidosis with some respiratory compensation. He was treated in the Case Studies Copyright © 2018 by Elsevier Inc. All rights reserved. 2 emergency room with IV regular insulin and IV fluids; however, before he received any insulin levels, insulin antibodies were obtained and were positive, indicating a degree of insulin resistance. His microalbumin was normal, indicating no evidence of diabetic renal disease, often a late complication of diabetes. During the first 72 hours of hospitalization, the patient was monitored with frequent serum glucose determinations. Insulin was administered according to the results of these studies. His condition was eventually stabilized on 40 units of Humulin N insulin daily. He was converted to an insulin pump and did very well with that. Comprehensive patient instruction regarding selfblood glucose monitoring, insulin administration, diet, exercise, foot care, and recognition of the signs and symptoms of hyperglycemia and hypoglycemia was given. Critical Thinking Questions 1. Why was this patient in metabolic acidosis? 2. Do you think the patient will eventually be switched to an oral hypoglycemic agent? 3. How would you anticipate this life changing diagnosis is going to affect your patient according to his age and sex? 4. The parents of your patient seem to be confused and not knowing what to do with this diagnoses. What would you recommend to them? 

discussion

Post your cost comparison document from Unit 2. Assuming you might prescribe this drug for your patient, how would you minimize cost or assist the patient in getting the medication at the lowest cost possible. What resources are available to reduce drug costs? Find at least 2 resources for free or reduced cost medications. Respond to two other student posts as per the discussion board rubric.

This is my paper from week 2

Comparing pharmacological alternatives, prescription, and over-the-counter drugs stand out. A good example is “Lisinopril,” a hypertension treatment, and “Ibuprofen,” a painkiller. Consider 10mg “Lisinopril” prescription medication. Both brand-name and generic versions exist. Retail chains, small pharmacies, and internet platforms charge various prices for Lisinopril, which is also affected by geography in the US. In contrast, “Ibuprofen” is an over-the-counter painkiller available without a prescription. Its range of formulas and amounts makes it affordable and widely used. Comparing the generic and brand-name versions of Lisinopril, which have the same active component but cost less, may show the economic benefits of choosing the generic. This comparison between prescription and OTC drugs shows how regulation, accessibility, and cost affect pharmaceuticals. Starting the prescription drugs, Lisinopril is commonly prescribed for the management of hypertension. For a 10mg dose, let us examine the price differences between brand and generic options at different types of pharmacies in different locations in the United States.

Prescription Drug – Lisinopril 10mg (30 tablets)

1. Large Chain Pharmacy – Walgreens (Chicago, IL):

Brand: Prinivil – Cash Price: $45.00

Generic: Lisinopril – Cash Price: $12.00

2. Grocery Store Associate Pharmacy – Publix (Atlanta, GA):

Brand: Zestril – Cash Price: $43.00

Generic: Lisinopril – Cash Price: $10.00

3. Privately Owned Local Pharmacy – Victory Pharmacy (Seattle, WA):

Brand: Qbrelis – Cash Price: $47.00

Generic: Lisinopril – Cash Price: $11.00

4. Pharmacy Associated with Big Box Store – Walmart (Dallas, TX):

Brand: Prinizide – Cash Price: $50.00

Generic: Lisinopril – Cash Price: $9.00

Lisinopril 10mg (30 pills) price among pharmacies and geolocations gives useful information into pharmaceutical cost trends. The study found that generic Lisinopril is much cheaper than brand-name versions at all drugstore types and locations. Walgreens in Chicago sells Prinivil for $45.00 and Lisinopril for $12.00. Zestril, the brand, costs $43.00 at Publix, an Atlanta supermarket store associate pharmacy, whereas Lisinopril costs $10.00. Victory Pharmacy, a Seattle-based private pharmacy, sells Qbrelis for $47.00 and Lisinopril for $11.00. Walmart in Dallas follows this pattern, selling Prinizide for $50 and Lisinopril for $9.00. The consistent price disparity emphasizes the economic logic of adopting generic products wherever available, particularly for financially strapped people seeking cheaper healthcare. This report highlights the significant influence of pharmacy choice on patient spending, pushing consumers to be cautious and aware of the pharmaceutical market.

Over-the-Counter Drug – Ibuprofen 200mg (100 tablets):

1) Large Chain Pharmacy – CVS (New et al.):

Brand: Advil – Cash Price: $10.00

Generic: Ibuprofen – Cash Price: $7.00

2) Grocery Store Associate Pharmacy – Kroger (Houston, TX):

Brand: Motrin – Cash Price: $9.00

Generic: Ibuprofen – Cash Price: $6.00

3) Privately Owned Local Pharmacy – Greenway Pharmacy (San et al.):

Brand: Nurofen – Cash Price: $11.00

Generic: Ibuprofen – Cash Price: $7.50

4) Pharmacy Associated with Big Box Store – Target (Minneapolis, MN):

Brand: Up & Up – Cash Price: $8.00

Generic: Ibuprofen – Cash Price: $5.00

Ibuprofen 200mg (100 pills) pricing across pharmacies and locales reveals an interesting price difference between brand-name and generic choices. This difference highlights the constant benefit of generic versions, supporting the pharmaceutical industry trend. In huge chain pharmacies like CVS in New York City, Advil costs $10.00, and Ibuprofen costs $7.00. Kroger, a Houston grocery store associate pharmacy, sells Motrin for $9.00 and generic Ibuprofen for $6.00. San Francisco's privately held Greenway Pharmacy follows this approach. Brand-name Nurofen costs $11.00, whereas generic Ibuprofen costs $7.50. Even in 'big box' pharmacy sections, Target in Minneapolis perpetuates the idea with $8.00 Up & Up and $5.00 generic Ibuprofen. The constancy of this pattern supports the economic case for buying generic drugs. This decision saves customers money and emphasizes educated consumption. This research highlights how competition and price tactics shape customer choices in the market. It promotes intelligent pharmaceutical selections and cost-effective solutions by encouraging active healthcare expenditure evaluation.

Comparing brand names with generic prescription and over-the-counter medications shows that generics are cheaper across pharmacies. This cost disparity supports educated consumption by choosing generic versions. The results highlight the importance of pharmacy selection in determining medicine procurement costs as individuals traverse the complicated healthcare environment. The long-term trend shows that well-informed healthcare choices may save money and ensure access to excellent treatments.

60s

Introduction

Many organizations work to better local and global communities' quality of life and promote health and safety in times of crisis. As public health and safety advocates, nurses must be cognizant of how such organizations help certain populations. As change agents, nurses must be aware of factors that impact the organization and the services that it offers. Familiarity with these organizations enables the nurse to offer assistance as a volunteer and source of referral.

This assessment provides an opportunity for you gain insight into the mission, vision, and operations of a community services organization.

Preparation

You are interested in expanding your role as a nurse and are considering working in an area where you can help to promote equal opportunity and improve the quality of life within the local or global community. You are aware of several nonprofit organizations and government agencies whose work contributes to this effort in some way. You have particular interest in one of these organizations but would like to know more about its contributions to public health and safety improvements. You would like to report the results of your research in a scholarly paper that you could submit for publication.

Research a local, national, or global nonprofit organization or government agency selected from the 
Assessment 02 Supplement: Community Resources [PDF] 
 Download Assessment 02 Supplement: Community Resources [PDF]resource. Determine how the selected organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3–5 page report.

As you begin to prepare this assessment, it would be an excellent choice to complete the Nonprofit Organizations and Community Health activity. Complete this activity to gain insight into promoting equal opportunity and improving the quality of life in a community. The information gained from completing this activity will help you succeed with the assessment.

Note: As you revise your writing, check out the resources listed on the Writing Center's 
Writing Support page.

Instructions

First, select one of the local, national, or global nonprofit organizations or government agencies presented in the 
Assessment 02 Supplement: Community Resources [PDF] 
 Download Assessment 02 Supplement: Community Resources [PDF]resource.

Then research the nonprofit organization or government agency that you selected. Determine how the organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3–5 page report structured according to the following specifications:

Document Format and Length

Format your paper using APA style.

· Refer to the 
APA Style Paper Tutorial [DOCX] to help you in writing and formatting your paper. Be sure to include:

· A title page and references page. An abstract is not required.

· Appropriate section headings.

· Your paper should comprise 3–5 pages of content plus title and references pages.

Supporting Evidence

Cite at least three credible sources from peer-reviewed journals or professional industry publications published within the past 5 years that support your research findings.

Graded Requirements

The research requirements, outlined below, correspond to the grading criteria in the assessment scoring guide, so be sure to address each point.

· Explain how the organization's mission and vision enable it to contribute to public health and safety improvements.

· Include examples of ways a local and/or global initiative supports organizational mission and vision and promotes public health and safety.

· Evaluate an organization's ability to promote equal opportunity and improve the quality of life in the community.

· Consider the effects of social, cultural, economic, and physical barriers.

· Assess the impact of funding sources, policy, and legislation on the organization's provision of services.

· Consider the potential implications of funding decisions, policy, and legislation for individuals, families, and aggregates within the community.

· Explain how an organization's work impacts the health and/or safety needs of a local community.

· Consider how nurses might become involved with the organization.

· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

· Write with a specific purpose and audience in mind.

· Adhere to scholarly and disciplinary writing standards and APA formatting requirements.

Additional Requirements

Before submitting your paper, proofread it to minimize errors that could distract readers and make it difficult for them to focus on your research findings.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Analyze health risks and health care needs among distinct populations.

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· Explain how an organization's work impacts the health and/or safety needs of a local community.

Competency 2: Propose health promotion strategies to improve the health of populations.

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· Explain how an organization's mission and vision enable it to contribute to public health and safety improvements.

Competency 3: valuate health policies, based on their ability to achieve desired outcomes.

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· Assess the impact of funding sources, policy, and legislation on an organization's service delivery.

Competency 4: Integrate principles of social justice in community health interventions.

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· Evaluate an organization's ability to promote equal opportunity and improve the quality of life in a community.

Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.

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· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

Stratified Sampling, Cluster Sampling, Random Sampling, and Systematic Sampling

Review the terms Stratified Sampling, Cluster Sampling, Random Sampling, and Systematic Sampling from “The Visual Learner: Statistics,” located in the Topic 2 Resources.

For this question you are divided into groups based on your last name. Identify your given sampling method using the first letter of your last name.

  • A-F – Stratified Sampling
  • G-L – Cluster Sampling
  • M-R – Random Sampling
  • S-Z – Systematic Sampling

Use the assigned sampling method to answer the following question:

Imagine that you are conducting a patient satisfaction survey at your health care facility. How would the assigned sampling method be applied in this case? What are the strengths and weakness of the assigned sampling method in this scenario?

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “HLT-362V Discussion Question Rubric” and “HLT-362V Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.