Category: Nursing

The objective of this paper is to gain a greater understanding of caring for the diverse patient in the long-term care setting and write a college level paper utilizing current APA format.
Directions: Nurses are responsible for caring for a diverse range of patients. You are the nurse caring for a patient in the long-term care setting. Choose from ONE of the patients listed below. Discuss the following factors involved in caring for this patient: nutritional considerations, cultural considerations, potential housing issues, risk factors for infection. How will caring for a patient with a diverse background affect your plan of care?
(Choice) 85 year old female patient from a low income neighborhood comes in with COPD exacerbation
At least 2 peer-reviewed nursing journal articles must be used in the body on the paper (published within the last 5 years). Paper should be a minimum of 2 pages not including title and reference pages.

Directions
The client is a 23-year-old African American male with type-1 diabetes who has not been taking his insulin as prescribed or adhering to a diabetic diet. The client presented to the emergency department with complaints of lethargy, abdominal pain, nausea, and malaise.
Vital signs:
Temperature: 98.6 F
Pulse: 110 beats/minute
Respirations: 32 breaths/minute
Blood pressure: 90/60 mm Hg
Oxygen saturation: 96% on room air
Laboratory results:
Serum glucose: 400 mg/dL (on arrival at the emergency department)
Serum sodium (Na+): 125 mEq/L
Serum potassium (K+): 6.5 mEq/L
Serum chloride (Cl): 120 mEq/L
Blood urea nitrogen (BUN): 39 mg/dl
Serum creatinine (Cr): 1.7 mg/dl
Urinalysis – positive for ketones
Arterial blood gas (ABG) results:
pH: 7.30
PaCO2: 33 mm Hg
PaO2: 95 mm Hg
HCO3: 19 mEq/L
The client is admitted to the intensive care unit, and you are the nurse assigned to the client. Reply to the following questions:
Based on an interpretation of the ABG results, what acid-base imbalance is occurring?
What nursing assessment findings are expected?
Describe strategies for safe, effective multidimensional nursing care of the client. Include rationale to support the strategies identified.

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To Prepare:
Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
Consider the best method of disseminating the results of your presentation to an audience.
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:
Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
Add a lessons learned section that includes the following:
A summary of the critical appraisal of the peer-reviewed articles you previously submitted
An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)
Alternate Submission Method
You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the Kaltura Media Uploader guide. This guide will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only “Screen” and “Audio” are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the “Posting Your Video in the Classroom Guide” found on the Kaltura Media Uploader page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.
By Day 7 of Week 10
Submit Part 4 of your Evidence-Based Project. Review the following submission instructions for the type of submission you choose.
submission information – Narrated PowerPOint
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as WK11Assgn_LastName_Firstinitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.

A. Select one of the following communicable diseases that has had an outbreak across international borders:
• hepatitis B
B. Describe the outbreak of the disease selected in part A, including each of the following:
• name of the disease
• the countries involved
• the date the outbreak was discovered
• the dates the disease reached each involved country
1. Analyze the epidemiological determinants and risk factors associated with the outbreak.
2. Discuss the route of transmission of the selected disease.
3. Discuss how an outbreak of the selected disease would impact your community at a systems level (e.g., the functioning of schools, local government, businesses, hospitals) if an outbreak were to occur in your community.) Community is Harris County, city Houston, state is Texas.
4. Explain what the reporting protocol would be if an outbreak of the selected disease were to occur in your community.
5. Discuss two strategies (e.g., patient education strategies, community education strategies) that you would recommend to prevent an outbreak of the selected disease in your community.

The documents needed to complete the assignment are attached. Please use the template and
review the sample before you complete the assignment. The patient information is included in a separate document. The Rubic is also provided. Kindly follow the instructions. Review the patient information and let me know if you have any questions or need clarification.

The documents needed to complete the assignment are attached. Please use the template and review the sample before you complete the assignment. The patient information is included in a separate document. The Rubic is also provided. Kindly follow the instructions. Review the patient information and let me know if you have any questions or need clarification. The patient complained about heavy periods and pain. Include medications and rationale plus references. Under the plan, discuss all information that needs to be reviewed during OB visits.

During rounds Charles encounters a rare condition he has never personally seen, and only vaguely remembers hearing about in nursing school. He takes a few moments to prepare himself by searching the Internet. That evening, he researches even further to treat, administer, and assess the patient safely. He searches clinical databases online and his own school textbooks. Most of the information seems consistent, yet some factors vary. Charles wants to provide the highest quality in patient safety.
What should Charles do when he encounters information in two sources that is directly contradictory? Which resources are the most trusted? Which resources are the most accurate? What criteria should Charles use to identify credible resources to enhance his clinical practice?
Practice extracting data from a database at the National Cancer Institute State Cancer Profiles webpage. Compare and contrast data from at least 2 different states based on incidence by gender and race/ethnicity.
Visit the Agency for Healthcare Research and Quality webpage.
Choose one of the guidelines, describe how it was developed and summarize the practice recommendations.
How are these recommendations similar to or different from those contained in your textbook or those currently practiced in your clinical setting?
Choose a clinical topic and design a search strategy for searching an online database such as CINAHL or MEDLINE. Reflect on your search strategy; for example, what search terms did you initially use, what new terms did you discover as you searched, and how did you limit/refine your search?
Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.

I just need to resume edited and proofread for school. I know it need changes and a different look. Feel free to make changes

What additional symptoms should you ask the patient if she has experienced?
Using Table 36.1, calculate the patient’s CHADS2 score and determine whether anticoagulation is recommended based on the score.
What is the significance of this condition happening off and on for the last 48 hours?
You, the nurse practitioner, decide the patient needs treatment beyond the walk-in clinic’s resources. What action do you take to ensure that the patient is treated promptly?
Because the patient is an undocumented immigrant, what considerations will be needed while care is provided?

What additional information should you obtain about the pain the patient is experiencing?
What additional physical assessments need to be completed for this patient?
What differential diagnoses should be considered for the patient?
Assuming that the in-office EKG did not indicate any abnormalities, how would you proceed to manage the abnormal subjective and objective findings discovered during this visit? Include specific interventions for each diagnosis in your treatment plan. Provide complete prescription details, follow-up instructions, and potential referrals.
What patient teaching will be incorporated into the visit to modify the patient’s risk factors?
Include the ICD-10 codes you would choose for each problem addressed and the Evaluation and Management/Office visit code expected for this visit. Keep in mind the length of time it has been since this patient has been seen in the clinic.