Case Study #2

APA  FORMAT

2. CITE ALL REFERENCES 

3. PLEASE COMPLETE ALL QUESTIONS. Late assignments will not be accepted!!!

 

Case Study: Urinary Tract Infection

 You are working in an extended care facility when M.Z.’s daughter brings her mother in for a week’s stay while she goes on a planned vacation. M.Z. is an 89-year-old widow with a 4-day history of non- localized abdominal pain, incontinence, new-onset mental confusion, and loose stools. Her most current vital signs are 118/60, 88, 18, 98.4° F (37.4° C). The medical director ordered a post void catheterization, which yielded 100mL of cloudy urine that had a strong odor, and several lab tests on admission. Urine culture and sensitivity results are pending; the other results are shown in the chart.

 

Chart View Laboratory Test Results:

Complete metabolic panel: Within normal limits except for the following results:

 BUN 25mg/dL Sodium 131mEq/L

 Potassium 3.2mEq/L

White blood cell count 11,000/mm3

Urinalysis Appearance Cloudy Odor Foul

 pH 6.9

 Protein Negative

 Nitrites Positive

 Crystals Negative

WBCs 6 per low-power field

 RBCs 3

 

  1. What condition do the lab reports point toward?

 

  1. Which assessment findings are typical of an older adult with the condition in Question 1?
  2. Considering her history and laboratory results, what other condition is a possibility?

 

4.The medical director makes rounds and writes orders to start an IV of D5 ½NS at 75mL/hr. and insert a Foley catheter to gravity drainage. Because M.Z. is unable to take oral medications, the medical director orders ciprofloxacin (Cipro) 400mg q12h IV piggyback (IVPB). Are the type of fluid and rate appropriate for M.Z.’s age and condition? Explain.

 

  1. While the IVPB ciprofloxacin is being administered, which adverse effects might occur?

 

  1. You enter the room to start the IV infusion and insert the Foley catheter and find that the nursing assistive personnel (NAP) has taken M.Z. to the bathroom for a bowel movement. M.Z. asks you to help her, and, as you open the door, you observe her wiping herself from back to front. What do you need to do at this time?

 

  1. Because M.Z. has been having diarrhea, what special instructions should you give the NAP assigned to give basic care to M.Z.?

 

Case Study Progress:

 The next day, you are the nurse assigned to M.Z.’s care. You notice that the NAP emptying the gravity drain is not wearing personal protection devices. You also observe that the drainage port of the drainage bag was contaminated during the process because the NAP allowed it to touch the floor.

  1. What issues need to be considered in protecting M.Z.’s safety? Describe your actions in working with the nursing assistant.

 

  1. As you assess M.Z., you notice that her catheter tubing is not secured. Why does the tubing need to be secured, and where is the correct place for the catheter tubing?

 

  1. What changes, if any, will be made to the antibiotic therapy?

week 6 340

Complete your Week 6 required discussion prompt.

  • An 86-year-old male parishioner is on hospice care at home, and his daughter, who is a nurse, has been trying to meet all his physical needs around the clock. The pastor, who made a home visit, calls the faith community nurse to express his concern that the daughter is becoming “burned out.” How can the faith community nurse engage the faith community as a whole to provide volunteer support to this family?

Dq response

Reply to this discussion…

There are a few ways of evaluating evidence and ensuring that evidence is appropriate for one’s research topics. It is important that when utilizing online resources that it is peer reviewed, not biased, up to dates and official and reviewed as credible sources.

Two different ways of evaluating evidence includes utilizing quantitative or qualitative research. There are two different types of research methods that use throughout research. Qualitative research focuses on “processes and meanings, patients’ perceptions and experience” (LCC Library, 2020). In qualitative research, it is involving “behaviors, subjective devices like interviews, drawings or journaling” (LCC Library, 2020). Quantitative research is more focused on “analyzing data, comparing metrics or data sets” (LCC Library, 2020). Quantitative research involves different “hypothesis and theories to be verified through data and fact finding” (LCC Library, 2020).

Quantitative data is answering numerical questions whereas qualitative data is describing and discovering subjective data. Both data are important, and they do both play roles in research and discovering evidence-based practices. I find that quantitative research assists with giving numbers and data behind specific research that relates or does not relate to our data. Qualitative data brings a different aspect of importance to research which is the subjective and personal feelings that are often needed throughout the research. Each research brings their own perspectives to research. I tend to like a mixture of both to have substantial and effective research and literature for my projects.

Anticoagulant Power Point

±Scholarly power point presentation due Friday October 30th 

Medications are: Warfarin (Coumadin) and Heparin 

±Minimum Number of Slides: 15

±Maximum Number of Slides: 22

±The presentation must include the following information (1 slide per topic)

°Title Page: Title of the project (Your assigned medication classification), your name, school name, name of the class

°Mechanism of Action of your assigned drug classification

°Clinical Use of medications in this class

°Names of medications included in this class

°Select 2 medications (of your choice) and expand: Dosage form and doses, uses of the particular drug you selected, special consideration of this medication (1 medication per slide)

°Nursing implications

°Last slide: References in APA Format (Use Peer Reviewed Sources Only).

°You  may add pictures, and effects to your power point presentation

°Do not copy and paste

Gerontology

  

Prepare a client information brochure on the following: Hospice care and client’s choice to die at home, organ and tissue donation 

Evidence-Based Practice and the Quadruple Aim

 

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers

Wek -10

 NOLA PENDER ASSIGNMENT 

 

Choose one health-promoting behavior in which you personally could but don’t engage. Identify factors, as defined in the health promotion model, which contribute to your decision not to participate. Include immediate competing alternatives.

2. Analyze factors that contribute to your participation in a health-promoting activity and place each factor under the appropriate label from the health promotion model.

3. Consider your own philosophy of health and prepare your description of wellness. Is absence of disease more prominent than positive, active statements of health?

4. Anticipate the health-promoting behaviors important at various stages of development across the life span. What health promotion topics do you include in your practice?

CASE STDUY

Hi,

I have someone helping me before and it turned out with unexpected result.  I really need someone to correct my grammar and sentence structure only.  Please keep the content of my research.  Please complete by 6:00pm today.  It is total 10 pages, no need to check on references.  Thanks.