discussion # 2 Our roles on End-of-Life Care (including advanced directives, palliation) Topics to review: Article: Nurses roles and responsibilities Providing care and support at end of life.
https://www.nursingworld.org/~4af078/globalassets/docs/ana/ethics /endoflife-positionstatement.pdf
1) Submit 1 document per part
Part 1: Complete the file “Template Soap Note” according to:
Diagnosis: (M54.32) Sciatica, left side
Part 2: Complete the “Template Soap Note” taking into account the following information:
Diagnosis: (L60.0) Ingrowing nail
2)¨******APA norms, please use headers
All paragraphs must be narrative and cited in the text- each paragraphs
Bulleted responses are not accepted
Dont write in the first person
Dont copy and pase the questions.
Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
Submit 1 document per part
3) It will be verified by Turnitin and SafeAssign
4) Minimum 4 references per part not older than 5 years
Minimum of 250 words with at least one peer review reference in 7th edition apa style
Clarify the Elements of a PICOT-Formatted Practice Question
What strategies can be implemented to ensure that all members of the interprofessional team know their roles and respect the contributions made by others for the betterment of patient outcomes? What influence would this have on patient care?
1) minimum 4 full pages ( No Bullets) No video
2)¨******APA norms
All paragraphs must be narrative and cited in the text- each paragraphs
Bulleted responses are not accepted
Dont write in the first person
Dont copy and pase the questions.
Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)
4) Minimum 6 references per part not older than 5 years
5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
Purpose:
The purpose of this assignment is to practice the skills you have learned and demonstrate your ability to assess the thorax, lungs, and cardiovascular system.
For this assignment you will need to videotape yourself examining the thorax, lungs and cardiovascular system on a volunteer of your choosing. This should take you between 30-45 minutes.
Gender: Male
Age: 40 years
Thorax:
1. Assess the patient’s for any signs of respiratory difficulty
2. Inspect the shape and movement of the chest
3. Asses for chest expansion
4. Palpate for tactile fremitus posteriorly
5. Percuss the posterior chest
6. Percuss for diaphragmatic excursion
7. Auscultate posterior breath sounds
8. Auscultate for egophony, bronchophony and pectoriloquy
9. Examine the anterior chest
10. Observe for any abnormalities (size, shape, bruising)
11. Auscultate for tactile fremitus anteriorly
12. Percuss the anterior chest
13. Auscultate anterior breath sounds
CV:
14. Assess JVP
15. Assess carotid pulses
16. Assess the brachial artery
17. Inspect and locate the PMI
18. Palpate for thrills/bruits
19. Auscultate heart sounds
Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.
Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.
In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.
To Prepare:
Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.
At least 3 references within the past 5 years
APA format
1 page
Attention Wizard Kim
Week 8 Discussion: Dissemination of Scholarship Related to the Practicum Project 3 pages.
Week 8 Assignment: Practicum Project Poster Abstract 7 pages (APA format 7th ed.
Please pay attention to her instructions.
Applying Current Evidence-Based Practice Guidelines for the Diagnosis and Treatment of Acute Bacterial Sinusitis in Pediatric Patients
This assignment will demonstrate your ability to apply current evidence-based practice guidelines to the management of a pediatric patient diagnosed with acute bacterial sinusitis. Using the Purdue Global Library, you are to locate the following article and use the evidence based recommended guidelines to complete this assignment.
Hauk, L. (2014). AAP releases guideline on diagnosis and management of acute bacterial sinusitis in children one to 18 years of age. American Family Physician, 89(8), 676–681.
This assignment has a template that you will use to fill in the requested information. Article information: Practice Guidelines
AAP Releases Guideline on Diagnosis and Management of Acute Bacterial Sinusitis in Children One to 18 Years of Age
Guideline source: American Academy of Pediatrics
Evidence rating system used? Yes
Literature search described? Yes
Guideline developed by participants without relevant financial ties to industry? No
Published source: Pediatrics, July 2013
Available at: http://pediatrics.aappublications.org/content/132/ 1/e262.full
Coverage of guidelines from other organizations does not imply endorse- ment by AFP or the AAFP.
A collection of Practice Guidelines published in AFP is available at http:// www.aafp.org/afp/ practguide.
Approximately 6% to 7% of children pre- senting with respiratory symptoms have acute sinusitis. This practice guideline from the American Academy of Pediatrics (AAP), which updates the 2001 guideline, discusses diagnosis and management of acute bacterial sinusitis in children one to 18 years of age.
Recommendations
Acute bacterial sinusitis can be diagnosed in children with an acute upper respiratory infection that persists (nasal discharge or daytime cough for more than 10 days with no improvement), that gets worse (worsening or new nasal discharge, daytime cough, or fever after improving at first), or that is severe (concomitant fever of at least 102.2 ̊F [39 ̊C] and purulent nasal discharge for at least three consecutive days).
Plain radiography, contrast-enhanced computed tomography, magnetic resonance imaging, and ultrasonography should not be performed to differentiate acute bacterial sinusitis from viral upper respiratory infec- tion. However, contrast-enhanced computed tomography of the paranasal sinuses or magnetic resonance imaging with contrast media should be performed in children thought to have orbital or central nervous
system complications. The most common orbital complications of acute bacterial sinusitis involve children younger than five years who have ethmoid sinusitis. These complications should be suspected in a child with a swollen eye, especially if there is also proptosis or if extraocular muscle function is impaired. Intracranial complications (e.g., subdural and epidural empyema, venous thrombosis, brain abscess, meningitis) are less common, but more serious, and have higher morbidity and mortality rates than orbital complications. These complications should be suspected in a child with a severe headache, photophobia, seizures, or other focal neurologic findings.
Antibiotics should be prescribed in chil- dren with severe, worsening, or persistent acute bacterial sinusitis. Outpatient obser- vation for three days is also an option in children with persistent illness. Amoxicillin alone or in combination with clavulanate is the first-line antibiotic choice. Intravenous or intramuscular ceftriaxone (Rocephin), 50 mg per kg once, can be given to children who are vomiting, who cannot take oral medications, or who are not likely to take the initial antibiotic doses as prescribed. After clinical improvement, the treatment can be changed to oral therapy. Children with hypersensitivity to amoxicillin (type 1 and non–type 1) can be treated with cefdinir (Omnicef), cefuroxime (Ceftin), or cefpodoxime. Surveillance studies have shown resistance of pneumococcus and Haemophilus influenzae to trimethoprim/ sulfamethoxazole and azithromycin (Zith- romax), indicating that they should not be used to treat acute bacterial sinusitis in persons with penicillin hypersensitiv- ity. Recommendations regarding the
D6o7w6nloAadmederfriocmanthFeaAmielryicPanhyFasimcilay nPhysician website at www.aafp.owrgw/awfp..aCaofpy.orirgght/a©fp2014 American Academy ofVFoalmuimlyePh8y9s,icNiaunsm. Fboerrt8he prAivpatrei,l n1o5n,c2o0m1-4 mercial use of one individual user of the website. All other rights reserved. Contact [email protected] for copyright questions and/or permission requests.
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optimal duration of treatment vary from 10 to 28 days. Alternatively, it has been recom- mended that patients be treated for seven days after symptoms subside, which pro- vides for individualized treatment, at least 10 days of treatment, and avoiding contin- ued treatment in asymptomatic patients.
If acute bacterial sinusitis is confirmed in a child whose symptoms are getting worse or who is not improving after 72 hours, the antibiotic may be changed (if the child is already taking an antibiotic) or started (if the child is being observed). If a parent indicates that the child’s illness is getting worse (initial signs or symptoms progress- ing, or new signs or symptoms occurring) or not improving (signs and symptoms persist) after 72 hours of treatment, management decisions should be reevaluated.
There are no recommendations regarding adjuvant therapy for acute bacterial sinusitis, although intranasal corticosteroids, saline nasal irrigation or lavage, topical or oral decongestants, mucolytics, and topical or oral antihistamines may be options. One Cochrane review found no appropriately designed studies to establish the effectiveness of decongestants, antihistamines, and nasal irrigation for acute sinusitis in children.
Only a few high-quality studies on the diagnosis and treatment of acute bacterial sinusitis in children have been published since the 2001 guideline was released. There- fore, evidence on which to base recommen- dations is limited, and further research is needed in many areas.
LISA HAUK, Senior Associate Editor, AFP Online ■
Practice Guidelines
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Please help me to rewrite and make the additions to my speech. the topic is National Association of Pediatric Nurse Practitioner( NAPNAP). Please see the attached document, where you will find the introduction and where you will see:
1. History and background of the organization : include mission and vision
2. Membership: Who are members? Requirements to be a member. Benefits of the membership.
– Mission: defines the purpose or current state of an organization. It identifies why the organization exists and what it is doing to achieve its vision.
-Vision: what an organization hopes to achieve in the future, perhaps in the next 5-10 years
Additions:
– I need you to add more members of this organization(I wrote only continuing students but there is more), their requirements, and the benefits. For the information , please use ONLY this website: https://www.napnap.org/about-us/#:~:text=Our%20Vision%2C%20Mission%20and%20Team,optimize%20child%20and%20family%20health. Please add this source as a reference APA 7th edition format (IMPORTANT)
-Please check , rewrite , and make a corrections or additions to history and background of the organization : include mission and vision. Please use the same resource ONLY: https://www.napnap.org/about-us/#:~:text=Our%20Vision%2C%20Mission%20and%20Team,optimize%20child%20and%20family%20health.
-Please add to the introduction- Attention Getter/Hook- Get audience attention
