Assess the thorax, lungs, and cardiovascular system (Due 24 hours)

 

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 

Interaction Between Nurse Informaticists and Other Specialists

 

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:

  • Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
  • Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

 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

Evidence based Practice

Assignment Details

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.

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

   Save time and money with AAFP Member Advantage.

Choose from a number of fully vetted products and services at special rates or offers — exclusively for AAFP members.

See how your AAFP membership keeps getting more valuable at aafp.org/memberdiscounts.

    ®

 

Speech Introduction

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 

800 words Health informatics due 11/5/2020 Social Media in Education and Healthcare case study

 800 words Health informatics due 11/5/2020 

Social Media in Education and Healthcare case study 

Grace Speak is a fourth-year student at Best University. She and her fellow classmates are

working hard in their final courses and preparing for exams. Inspired by the teamwork that the

healthcare profession espouses, Grace gets an idea for a study group. She thinks it will really help

share case experiences, course notes, and study tips. Unfortunately, several members of her peer

group live out of town, which makes it difficult for them to participate fully. Grace is torn, as she

does not want to exclude them from the study group. When she voices her concerns to a classmate,

her friend suggests using social media tools as the primary medium for sharing information.

Discussion Questions

1. 200 words–What types of social media tools could Grace’s study group use?

2. 200 words–How would those tools facilitate the objectives of the study group?

3. 200 words–What are some of the risks associated with using social media for such purposes?

4. 200 words–What might Grace need to do from the outset when she forms the study group?

Use the attached textbook and 4 other resource to respond to the case study in APA 7th essay format. 

Global Healthcare Leadership

Global Healthcare Leadership

Porter-O’Grady and Malloch (2018) observed, “Globalization has created a world community and removed traditional boundaries between people, be they political, social, or physical” (p. 9).

Select one of the boundaries (political, social, or physical) and address the following.

·  How does the boundary affect your practice or have the potential to affect your practice? Provide examples.

·  As a leader, how can you have an impact on overcoming that boundary? Provide examples.

·  What interprofessional relationships can you foster that can contribute to overcoming the boundary? Be specific and provide rationale.

·  How will you leverage resources to overcome the selected boundary?

Reading

elson, E. C., Batalden, P. B., & Godfrey, M. M. (2007). Quality by design: A clinical microsystems approach. Jossey-Bass.

·  Chapter 7: Planning Patient-Centered Care, pp 148-164.

Supplementary Readings:

Marshall, E. S. & Broome, M.E. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). Springer Publishing Company.

·  Chapter 4: Economics and Finance, pp. 87-115

Wakefield, M. F. (2018). Nurse leadership in global health: New opportunities, important priorities (Links to an external site.)International Journal of Nursing Sciences, 5(1), 6-9. https://doi.org/10.1016/j.ijnss.2017.12.002 (Links to an external site.) 

Nursing.

Assignment 2: Practicum–Week 1 Journal Entry (Due in Week 4)

As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your practicum experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment that prompts you to reflect on your practicum experiences and relate them to the material presented in the classroom. This week, you begin documenting your practicum experiences in your Practicum Journal.

Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

Learning Objectives

Students will:

  • Analyze nursing and counseling theories to guide practice in psychotherapy*
  • Summarize goals and objectives for personal practicum experiences*
  • Produce timelines for practicum activities*                                                                          *The Assignment related to this Learning Objective is introduced this week and submitted in Week 3.                        
  • In preparation for this course’s practicum experience, address the following in your Practicum Journal:
  • Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.
    Note: For guidance on nursing and counseling theories, refer to this week’s Learning Resources.
  • Explain why you selected these theories. Support your approach with evidence-based literature.
  • Develop at least three goals and at least three objectives for the practicum experience in this course.
  • Create a timeline of practicum activities based on your practicum requirements.