Monthly Archives: May 2023

 Course Announcement →  NURS-6051N-37,Transforming Nursing & HC.2020 Winter Qtr 11/30-02/21-PT27Module 1: Week 2 Assignment Open Dismiss

Module 1 Assignment is due by Day 7 of Week 2.

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge).

The assignment requires a 5-6 slide PowerPoint presentation with the infographic in one of these slides.

Develop a 5- to 6-slide PowerPoint presentation that addresses the following:

• Explain the concept of a knowledge worker.
• Define and explain nursing informatics.
• Highlight the role of a nurse leader as a knowledge worker.
• Develop a simple infographic to help explain these concepts.
• Present the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data you could use, how the data might be accessed/collected, and what knowledge might be derived from the data.
• Be sure to incorporate feedback received from your colleagues’ responses. 

Detailed steps are outlined in one of the Walden resources for this module – https://24slides.com/presentbetter/how-make-infographic-powerpoint/

PLEASE READ ALL INFO N GRADING SCALE

Conditions of the Ear

Objective data is the information gathered by the physician through the use of instruments and by assessing the normal and altered physiological functions in a patient. On the other hand, subjective data is what the patient says for instance how they feel and what could be the cause of the problem (Ozkaya et al., 2020). In this discussion, the focus is on the collection of both subjective and objective data in the diagnosis of a patient.

            Another thing that the patient could explain is the time in which the pain started and how long it lasted before the drainage happened. By knowing when this pain started helps the physician to determine the extent to which the effect of the condition had gone as well as the kind of condition in which the patient is likely to suffer from. Another subjective data is the scale of the pain, on a scale of 1to 10 the patient can rate their pain so that the physician can know the kind of analgesics that the patient should be prescribed (Ozkaya et al., 2020). Another subjective data is the color and amount of the drainage from the ear so that if it was puss then they can be treated for infection, if it was blood then the physician can check for any injuries and in case of a clear fluid then there is need to assess the spinal cord integrity to determine what may be the cause of the cerebrospinal fluid flow.

            On the objective data collection, the physician should use a source of light to visualize the internal ear so that a clear vision of what is wrong can be found. The lab examinations that can be done for this diagnosis are like culture and sensitivity for the fluid drained to be sure of the kind of infection or identify the DNA of the microorganisms. Another diagnostic test that can be done is the earing and balance test. These tests often are used to check on the efficacy of the auditory nerve which is responsible for hearing and transmission of sound waves (Abdullah & Hamed, 2020). The balance issue in the ear depends on the fluid found in the ossicles that are responsible for the balance in the cerebellum. In a case where the fluid draining from the ear is blood then there is a need to do some blood tests to determine some immune problems hence finding the necessary solutions to them.

            The diagnoses that can be made based on the presentation the patient could be suffering from cerumen impaction which is defined as the accumulation of cerumen or rather ear wax in the ear preventing the assessment of the ear. Another diagnosis for this condition could be otosclerosis which is a condition in which there is abnormal bone growth around one of the small bones inside the ear(Abu-Naser,& Abu Hasanein, 2016). Another probable condition is menieres disease which a condition in which there is excess fluid in the inner ear. For our case, the patient claimed to have had drainage earlier before coming to the hospital.

For the case of cerumen impaction, the physician cannot visualize the internal ear because of the excessive ear wax. For this reason, it could be the wax that is causing the ear problem. For the case of otosclerosis, the physician claims that on trial to visualize the internal earl the bones were overgrown making it impossible to do so (Indius et al., 2018). And as for the menieres disease the patient claimed to have had a drainage that actually helped to ease the pain.

In conclusion, the ear may have several conditions depending on the presenting signs thus it is important to keenly obtain both the objective and subjective data to enhance appropriate ear problems (Indius et al., 2018).

References

Abdullah, B. A., & Hamed, G. Y. (2020). Relationship of TMJ Clicking with Ear Problems and Headache. International Journal, 8(5), 119-122.

Abu-Naser, S. S., & Abu Hasanein, H. A. (2016). Ear Diseases Diagnosis Expert System Using SL5 Object.

Indius, J. H., Alqaderi, S. K., Kjeldsen, A. D., & Heidemann, C. H. (2018). Middle ear disease in Danish toddlers attending nursery day-care–Applicability of OM-6, disease specific quality of life and predictors for middle ear symptoms. International Journal of Pediatric Otorhinolaryngology, 110, 130-134.

Ozkaya, N. K., Mert, D. G., Bitgen, M., & Cepni, M. (2020). Prospective Evaluation of Psychological Healing in Adults Who Underwent Otoplasty for Prominent Ear. AESTHETIC PLASTIC SURGERY.

I need to make A Draft literature review about topic (machine learning application in cardiovascular disease) 

Description of Assignment: 

You are to locate research articles on your pre-approved topic. You are to write not less than 15 pages  summary the general theme(s) of these articles as it pertains to your topic. A reference sheet, listing the articles should also be included (this does not count toward your page limit). This summary should serve as the background/foundation for your survey instrument.  

ASSIGNMENT BASICS

Articles ,

Theme, Background/Foundation , Research Question, Reference Sheet

• Write a 4-6 page paper in which you discuss the value of ratio analysis in decision making for health care organizations. Complete the following in your paper: 
• Discuss the meaning of ratio analysis in healthcare.
• Pick only one (1) ratio from EACH major group from the financial statements. (e.g. Current ratio, ROE, Debt to equity, ALOS)
• Major Groups:
  • Liquidity ratios (Current ratio, Days Cash-on-Hand, Quick Ratio)
  • Profitability ratios (ROE, ROA, Total Margin, Operating Margin)
  • Leverage/Capital Structure Ratios (Debt ratio, Equity ratio, Debt to Equity Ratio)
  • Nonfinancial Ratios (Occupancy rate, payer mix, ALOS, Expense per discharge, FTE per bed, HMO penetration)
• Discuss one (1) ratio (from EACH major group) using the following criteria:
  • What is the meaning of each ratio?
  • Evaluate the meaning of the ratio related to the financial health of the health care organization. Show the calculations.
  • Explain the factors that affect the results related to the financial health of the organization. 
• Format your paper consistent with APA guidelines.
• Provide a minimum of two (2) cited sources in your paper. Properly cite in APA format.

Financial Aspect

Support from the stakeholders is critical in the implementation of evidence-based change proposals. One financial aspect that needs consideration for improving the transition of care (TOC) is reducing the cost of healthcare services. Providing safe, effective, and high-quality care to all patients is a priority in nursing practice. Safe and effective transfer of responsibility for a patient’s medical care relies on effective provider communication with patient comprehension of discharge instructions (Gallahue, et al., 2015). My preceptor and I believe that when patient understand their plan of care and know how to manage their health in a different setting, this help to prevent unplanned readmissions, thus reduce medical costs.

Quality Aspect

Effective transition of care promotes positive outcomes, reduce mortality rate, promote health and wellness, increase patient satisfaction, and help to prevent unplanned readmissions, adverse events, save medical costs and possible penalties from increase readmission rates.

Clinical Aspect

The plan is to add a case manager who has relevant knowledge and expertise to facilitate the implementation effective transition of care. Ensuring that patient understand their plan of care, medication, side effects, how to manage their medical conditions and ensure that patient will have a safe and effective care transition. Through effective nursing communication and collaboration, transition of care will be improved, thereby promoting a positive patient prognosis.

In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Clinical problem statement.
3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
4. PICOT question.
5. Literature search strategy employed.
6. Evaluation of the literature.
7. Applicable change or nursing theory utilized.
8. Proposed implementation plan with outcome measures.
9. Discussion of how evidence-based practice was used in creating the intervention plan.
10. Plan for evaluating the proposed nursing intervention.
11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1:     Exemplify professionalism in diverse health care settings.

2.2:     Comprehend nursing concepts and health theories.

3.2:     Implement patient care decisions based on evidence-based practice.

In this course project, you are going to develop a plan of care for a chronic illness group of your choice using the Healthy People 2020 topics. While executing the tasks of this project, remember that while you need to give a general overview of the biomedical considerations of the case, the focus should always be on the psychosocial elements. Your perspective in this care plan should be the patient’s goals rather than those of the medical team. 

Identifying a Group

Identify a chronic illness of specific interest to you that is also identified as a Healthy People 2020 topic (healthypeople.gov). In a Microsoft Word document of 4-5 pages formatted in APA 7 style, address the following criteria:

• Identify a chronic illness and rationale for choice.
• Develop a questionnaire by utilizing your knowledge of health and illness, with the aim of acquiring all information you need from patients to prepare a plan of care for the specific illness group.
• Discuss morbidity and comorbidity of the disease.
• Discuss the impact of the chronic illness and patient morbidity on overall health of the nation.
• Incorporate Healthy People 2020 goals and objectives for the specific illness group.

Support your responses with examples and information from library resources, textbook and lectures.

On a separate references page, cite all sources using APA 7 format. 

Please note that the title and reference pages should not be included in the total page count of your paper.

Video Transcript:

KARI (on phone): This is Kari the nurse from the Emergency Department. I’m calling to give you a transfer report on Ms. Janet Lieberman. Janet is a 36-year-old woman who came because she felt weak and dizzy. She has a history of Crohn’s disease with intermittent gastritis and six months ago she had surgery and an ileostomy. Traces of serosanguineous effluent were present in her ostomy bag upon arrival. Her Blood type is A-. She is typed and cross-matched for two units of packed RBCs, so please administer as soon as they are available. She started on Infliximab IV six months ago and the last dose was given seven weeks ago. Her vital signs were temperature 98.8, pulse 114, respiration 22, blood pressure 100/60, and oxygen saturation 95%. Her hemoglobin is seven milligrams per deciliter and her hematocrit is 21%. She has an IV of 0.9% sodium chloride 1000- milliliters infusing at 150-milliliters per hour, and has 700-milliliters remaining in the bag. We started an IV while she was in ED. Her skin has been pale, warm, and dry to the touch. She voided 500-milliliters at 1500 in the ED. A hemoccult of her stool was sent to the lab. Esther: Were the coagulation tests within normal range? KARI: Yes, her pro time is 12.2, her PT is 21 seconds, and her INR is 0.7. Esther: Okay, thanks for the report. KARI: You’re welcome. I’ll bring her up to your unit in a few minutes. Esther: Thanks. KARI: Hi Esther, this is Janet Lieberman. Esther: Hi Ms. Lieberman, my name’s Esther. I’ll be taking care of you this evening. KARI: I gave you a transfer report a couple minutes ago. Ms. Lieberman needs the two units of packed RBCs as soon as possible. Esther: Okay. Ms. Lieberman, I need to take a quick look at your ostomy bag. MS. LIEBERMAN: Sure, okay. Esther: Thank you. Do you have any family here? MS. LIEBERMAN: No, I came alone to the emergency room today, but I have a sister who’s on her way to the hospital. KARI: Do you have any questions before I leave? Esther: No, thanks for the report. I can take it from here. KARI: I am going back to the Emergency Department now. Esther’s going to be taking care of you. I hope you feel better soon. MS. LIEBERMAN: Thanks so much for taking such good care of me. Esther: Ms. Lieberman, I need to ask you some questions. MS. LIEBERMAN: Okay, what else do you need to know? Esther: I need to review your abdominal status. Are you having abdominal pain? MS. LIEBERMAN: Oh yes, it’s very sore and crampy. Esther: On a scale of 0 to 10, with 0 being no pain, and 10 being unbearable, how do you rate your pain now? MS. LIEBERMAN: I would say a 6. Esther: When did the pain begin? MS. LIEBERMAN: Uh, after I got up this morning. Esther: Can I ask you where the pain is? MS. LIEBERMAN: Yes, it’s here in the top of my stomach. Esther: Okay, Have you noticed anything that brings on the pain or makes it worse? MS. LIEBERMAN: I’m pretty sure stress makes it worse. Esther: Okay. MS. LIEBERMAN: When I get stressed I don’t eat healthy foods and then I get headaches and take Ibuprofen. Esther: Okay, when you’re feeling a little bit better I’d like to review some ways to manage your stress. For now, I need to take a listen to your bowel sounds. MS. LIEBERMAN: Sure, Okay

Submit a 10 page paper identifying the problem as a nursing leadership issue. Is it a local, regional, or national issue. What has the literature told you. State the purpose of your paper. Establish the importance of this topic and any appropriate functional information. Identify opportunities for improvement in healthcare organization, the effective use of interdisciplinary teams, change in management strategies, and implementation of evidence based practices. Submit article critiques used to write the paper.