Explain the value of invasive hemodynamic monitoring, including a discussion of whether an acute, chronic, or complex-care patient is a candidate for this type of assessment. For a complex-care patient, propose an evidence-based treatment plan regarding the hemodynamic information. What are the risk factors to take into consideration for this patient?
discuss the following invasive hemodynamic pressures to which you are assigned.
provide the normal values and discuss the differential diagnoses for the alteration in normal readings for systemic vascular resistance.
Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
Category: Health Care and Life Sciences : Nursing
You have received a patient from the cardiac catheterization lab after an early
You have received a patient from the cardiac catheterization lab after an early morning emergent presentation for an acute myocardial infarction. The patient has an intra-aortic balloon pump indwelling, and the cardiologist placed a pulmonary artery catheter for hemodynamic monitoring. The patient is experiencing cardiogenic shock.
Explain the treatment for suppressed cardiac output, suppressed cardiac index, and altered systemic vascular resistance.
Recommend possible environmental and nutritional interventions for treating the patient.
Recognize that the patient received emergent stenting and still requires bypass graphing once stabilized.
Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
Septic shock can often be overlooked because of underlying conditions that are p
Septic shock can often be overlooked because of underlying conditions that are presented within the patient. The patient you are assessing upon arrival from the emergency department to the ICU has acute renal failure, fever, and leukocytosis; is hypotensive; and has altered mental status. Based on this type of patient, glean from your clinical experience and practicum and discuss the assessment, the shock stage, differential diagnoses, and treatment plan for the patient. Discuss how this will change for the different shock stages. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
You are making rounds in the intensive care and the nurse reports the patient ha
You are making rounds in the intensive care and the nurse reports the patient has spiked a fever, oxygen saturations are below 85%, tachycardia, and variant hypotension. The patient is intubated and has been treated for COVID pneumonia for 10 days. What are some specific aspects of assessment and diagnostic workup on which you would want to focus? Provide three differential diagnoses at this point and what treatment parameters you need to start while ruling out complications. What are the risk factors necessary to take into considerations as you develop treatment parameters for this patient? Think about sepsis from multiple sources of a prolonged ICU stay. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
Tart cherry (indications = gout, arthritis, muscle injury, diabetes, neurodegene
Tart cherry (indications = gout, arthritis, muscle injury, diabetes, neurodegeneration)
Tart Cherry (dosage, and routes)
Based upon the weaknesses identified in your Emotional Intelligence Assessment,
Based upon the weaknesses identified in your Emotional Intelligence Assessment, explain activities or ways you plan to strengthen these traits. For each weakness identified, please list at least 2 evidence-based strategies for development. Remember to cite sources.
To prepare for this Assignment: Select one disease that is either emerging or re
To prepare for this Assignment:
Select one disease that is either emerging or re-emerging in the world today.
Research the disease using both scholarly and non-scholarly resources.
Determine your audience (patients, other nurses, schools, etc.) that you would want to share the Fact Sheet with.
Select pieces of information that are appropriate for your audience.
Submit: A 1- to 2-page Fact Sheet.
Indicate the audience on the Fact Sheet.
Give a brief history of the disease.
What are the implications of the spread of the disease?
How does one detect and prevent the spread of this disease?
How is this disease treated?
Your Fact Sheet should be visually stimulating, appropriate for your audience, and formatted with bullet points for easy reading.
Support your “facts” with references.
As a baccalaureate-prepared nurse, your participation and leadership in interdis
As a baccalaureate-prepared nurse, your participation and leadership in interdisciplinary teams will be vital to the health outcomes for your patients and organization. One way to approach designing an improvement project is to use the Plan-Do-Study-Act (PDSA) cycle. The Institute for Healthcare Improvement describes it thus:
The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change in the real work setting—by planning it, trying it, observing the results, and acting on what is learned. This is the scientific method adapted for action-oriented learning…Essentially, the PDSA cycle helps you test out change ideas on a smaller scale before evaluating the results and making adjustments before potentially launching into a somewhat larger scale project (n.d.).
You might also recognize that the PDSA cycle resembles the nursing process. The benefit of gaining experience with this model of project design is that it provides nurses with an opportunity to ideate and lead improvements. For this assessment, you will not be implementing all of the PDSA cycle. Instead, you are being asked to interview a health care professional of your choice to determine what kind of interdisciplinary problem he or she is experiencing or has experienced in the workplace. This interview, in Assessment 2, will inform the research that you will conduct to propose a plan for interdisciplinary collaboration in Assessment 3.
It would be an excellent choice to complete the PDSA Cycle activity prior to developing the report. The activity consists of four questions that create the opportunity to check your understanding of best practices related to each stage of the PDSA cycle. The information gained from completing this formative will promote your success with the Interview and Interdisciplinary Issue Identification report. This will take just a few minutes of your time and is not graded.
Reference
Institute for Healthcare Improvement. (n.d.). How to improve. http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx
Demonstration of Proficiency
Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
Summarize an interview focused on past or current issues at a health care organization.
Describe collaboration approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
Describe change theories and a leadership strategy that could help develop an interdisciplinary solution to an organizational issue.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
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.
Professional Context
This assessment will introduce the Plan-Do-Study-Act (PDSA) Model to create change in an organization. By interviewing a colleague of your choice, you will begin gathering information about an interprofessional collaboration problem that your colleague is experiencing or has experienced. You will identify a change theory and leadership strategies to help solve this problem.
Scenario
This assessment is the first of three related assessments in which you will gather interview information (Assessment 2); design a proposal for interdisciplinary problem-solving, (Assessment 3); and report on how an interdisciplinary improvement plan could be implemented in a place of practice (Assessment 4). At the end of the course, your interviewee will have a proposal plan based on the PDSA cycle that he or she could present to stakeholders to address an interdisciplinary problem in the workplace.
For this assessment, you will need to interview a health care professional such as a fellow learner, nursing colleague, administrator, business partner, or another appropriate person who could provide you with sufficient information regarding an organizational problem that he or she is experiencing or has experienced, or an area where they are seeking improvements. Consult the Interview Guide [DOCX] Download Interview Guide [DOCX]for an outline of how to prepare and the types of information you will need to complete this project successfully.
Remember: this is just the first in a series of three assessments.
Instructions
For this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently being used. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from the literature. Additionally, you will start laying the foundation for your Interdisciplinary Plan Proposal (Assessment 3) by researching potential change theories, leadership strategies, and collaboration approaches that could be relevant to issue you have identified. Please be certain to review the scoring guide to confirm specific required elements of this assessment. Note that there are differences between basic, proficient and distinguished scores.
When submitting your plan, use the Interview and Issue Identification Template [DOCX], Download Interview and Issue Identification Template [DOCX],which will help you to stay organized and concise. As you complete the template, make sure you use APA format for in-text citations for the evidence and best practices that are informing your plan, as well as for the reference list at the end.
Additionally, be sure to address the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
Summarize an interview focused on past or current issues at a health care organization.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Describe potential change theories and leadership strategies that could inform an interdisciplinary solution to an organizational issue.
Describe collaboration approaches from the literature that could facilitate establishing or improving an interdisciplinary team to address an organizational issue.
Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, and using current APA style.
Additional Requirements
Length of submission: Use the provided template. Most submissions will be 2–4 pages in length. Be sure to include a reference page at the end of the plan.
Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
APA formatting: Make sure that in-text citations and reference list follow current APA style.
Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
Summarize an interview focused on past or current issues at a health care organization.
Describe collaborative approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate
Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
Describe potential change theories and leadership strategies that could help develop an interdisciplinary solution to an organizational issue.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
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.
This original paper was written by AI by another author on here.. and I would li
This original paper was written by AI by another author on here.. and I would like it to be rewritten fully by a human. Without the use of AI
Patient is a 22 yo female graduated in sustainability bachelor degree , lives w
Patient is a 22 yo female graduated in sustainability bachelor degree , lives with parents and looking to move with her boy friend and with previous psychiatric history of ADHD and anxiety , presenting for initial psychiatric evaluation today with complaint of ADHD management and anxiety , looking to start therapy .
Current medication :
1- Lexapro 5 mg . 2 tabs po in am and one tab po at bed time
2- Atomoxetine 18 mg one cap po daily
CC: ADHD and anxiety
stressors : My recent problems are a result of my mental health conditions and my uncle passing away in October, a distressing roommate I had for a year, finishing my undergrad/starting grad school, moving apartments, and relationship problems with my mom.
Subjective :
Patient is a 22 yo female with previous psychiatric history of ADHD and anxiety, presenting for follow up and medication management today with complaint of ADHD management and anxiety, looking to start therapy, address ADHD and treatment for the depression and anxiety.
Today :
panic attacks x 2/ months, at least every other day for 20 mins to 3 hours and hyperventilates and crawling in her skin and is irritable discussed xanax as needed, start buspar and increase lexapro , agreed
started therapy , weekly , reports therapist is a good fit and she reports it ahs been helpful and journaling . Angela Grau, LCSW.
ADHD : take atomoxetine , , tolerating meds well, able to stay on task and focus
appetite is stable, snacking less , sleep at baseline
anxiety still feel sweaty hand like panic attacks —>will increased Lexapro to 15, C/o sweating , –> resolved
less mood swings
denied SI