Archive for month: October, 2018

Surgical Nursing Care Total Knee Replacement

Order Description
Background Information
Margaret is a 56 year old lady who lives with her husband. Due to worsening osteoarthritis Margaret is waiting to undergo a right total knee replacement (TKR). When Margaret was first referred to the orthopaedic surgeon, 14 months ago she was told that due to her weight she wouldn’t be placed on the waiting list due to both the surgical risks and the expected success of the operation. At this time Margaret had a body mass index (BMI) of 40 (height 168cm, weight 113.4kg) and was told by the surgeon that she had to bring her BMI down to 35 (weight 97.5kg) before he would consider operating. Margaret has worked hard to lose the weight but is now suffering extreme pain in her right knee which is preventing her from losing any more weight as her mobility is considerably restricted. Margaret has seen the orthopaedic surgeon again following a further referral from her GP. Her BMI is currently 37 (weight 104.3kg) and he has agreed that he will operate on her.
PC: Osteoarthritis right knee, on waiting list for a right total knee replacement.

HPC: Has been suffering with osteoarthritis in the right knee since 2011, this has been getting gradually worse and Margaret is now in severe pain and has a restricted functional ability.
PMH: Morbidly obese

Hypertension
Gastro-Oesophageal Reflux Disease (GORD) Depression
No previous surgical history

DH: Ramipril 5mg OD

Lansoprazole 15mg OD Amitriptyline 100mg nocté Glucosamine (OTC) Chondroitin (OTC)
No known drug allergies
FH: Father died following an MI aged 67years Mother has CHD, alive
Has 1 son, alive and well, lives nearby

PSH: Works from home as a book keeper
Lives with husband (Barry, 60 years) who works as a truck driver

Enjoys socialising with family and friends, although can’t go out as much now due to pain and restricted mobility.

Attends church twice a month (Anglican)

Ex-smoker, gave up 2 years ago (30 pack years) Occasional ETOH (approx. 6 units per week)
Vital Signs (on referral): Pulse: 84 bpm regular

BP: 146/90 mmHg RR: 19 bpm
SpO2: 98% on room air Temperature: 36.7DC

Part A my response

You are the RN carrying out Margaret’s pre-operative assessment prior to her surgery. Discuss your pre-operative nursing assessment of Margaret. Your response should:

D Discuss any identified risks she poses during the intraoperative and post-operative period
D Discuss particular actions, assessments, diagnostics or referrals that may be needed to ensure her safety and well-being is maintained during surgery and throughout her stay on the ward.

Your response should be evidence-based demonstrated by an engagement with the literature and any relevant guidelines.

Your response (Approx 750 words)

Part B my response

All surgical patients are at risk of developing a surgical site infection (SSI), however Margaret could be considered at a higher risk due to a number of factors; including being obese and the nature of her surgery (orthopaedic joint replacement). Using the literature critically discuss whether Margaret is indeed at a higher risk of developing a SSI and present the nursing assessments and actions to minimise this risk. Your response must be discussed in relation to Margaret’s case and it must also demonstrate a clear link to how you will take this knowledge into practice.
Your response (Approx 750 words)

My Nursing Ethics

After reading the Topic 1 materials, complete the questionnaire titled, “My Nursing Ethic.”

Using the reading and the questionnaire, write a paper of 750-1,000 words in which you describe your professional moral compass. As you write your paper, include the following:

What personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice?
Define values, morals, and ethics in the context of your obligation to nursing practice. Explain how your personal values, philosophy, and worldview may conflict with your obligation to practice, creating an ethical dilemma.
Reflect and share your own personal thoughts regarding the morals and ethical dilemmas you may face in the health care field. How do your personal views affect your behavior and your decision making?
Do not be concerned with the use of ethical terminology for this paper.

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

2

Why are Codes of Ethics and Conduct important for professional nursing// responsibilities of the Registered Nurse in regards to the use of social media,// critical thinking and reflection important for the practice of the Registered Nurse//

For this assignment you are required to:
Reflect on the three questions listed below and draw upon your clinical experience and the course readings when preparing your responses. Develop 3 statements of 250 words each in response to the questions about the practice of the Registered Nurse.

QUESTIONS

Question One:
Why are Codes of Ethics and Conduct important for professional nursing and midwifery practice?

Question Two:
What are the responsibilities of the Registered Nurse in regards to the use of social media?

Question Three:
Why are critical thinking and reflection important for the practice of the Registered Nurse?

Topic: Nursing-Respiratory dysfunction

Order Description
,Respiratory dysfunction is a known clinicalantecedentof adverse events such as cardiac arrest, need for medical emergency team activation and unplanned intensive care unit admission and mortality. The way in which nurses assess, interpret, use and document clinical indicators of respiratory dysfunction is influential in identifiing patients at risk of clinical deterioration and adverse events, as well as preventing adverse events related to respiratory dysfunction. To prevent adverse events, nurses must recognise and interpret signS Of respiratory dysfunction and initiate interventions to correct respiratory dysfu nction” (Consid i n e, 2004, p. 6241.
With reference to literature, critically discuss the importance of accurate respiratory rate measurement and sensitivity of tachypnoea as a predictor of clinical deterioration. primary sources from 1980 onwards are acceptable for this question. Full referencing is mandatory for this question.
Reference: Considine, J. (2005). The role of nurses in preventing adverse events related to.respiratory dysfunction: literature review. lournal of Advanced Nursing,4916l,624-633 10p. doi:10 .LL1Ui.t365-2648.2004.03337.x
.(20 marks)

2 Choose four elements of your personal culture to represent in your mind map. These could relate to things like rituals, objects, activities, beliefs, places and people and etc. that you have identified as being important to you or have influenced the person you are today.
• Draw a mind map that includes these four elements and shows how your knowledge, experience and behaviour have all contributed to each of the four elements that make up your personal culture.
• Be sure to clearly differentiate between knowledge, experience and behaviour. Hint: you can often do this by using past tense for experience, and present tense for behaviour. See example below.
• Provide a ‘key’ for the three different aspects (knowledge, experience and behaviour) by clear colour coding or particular shapes.
• Don’t put too much sentences only key words that clearly describe each element with the 3 aspects, as much as possible should be connected with each other and should define and explain the impact to yourself as who you are today.

Historical Practices of Nursing Past and Present

Order Description
Over the past several modules of study, we have discussed the practice of both nursing past and nursing future. Within module eleven, historical practices of nursing were reviewed, and you were asked to identify contributions of past nurses who greatly impacted our profession. Within module twelve, the future of nursing practice was presented and the impact of future nursing practice upon the education necessary to prepare future nurses was reviewed. Within modules nine and twelve, the future of nursing education was discussed. Now that you have been provided with a plethora of information about nursing practice and education (both past and future), I want you to take a few minutes and THINK OUTSIDE OF THE BOX. It is now your turn to create YOUR IDEAL future for nursing.

Describe what this will look like: policy, roles (practice), education, structure, anything and everything you desire. Write your thoughts and ideas for the future of nursing here. GO CRAZY!

2

Implementation of a nursing education program

Assignment: Submit your completed poster on your PICOT question. Does implementation of a nursing education program on development of end-of-life care plan (intervention) among the (P) nursing assistants in a selected health care facility increase the number of patients with end-of-life care plans and their health outcomes (O) compared to a health facility where the program has not been implemented (C), 6 months (T) following implementation of the program?
http://www.essaywriters.net/sys/orders/view/1627517/instructions.download/2229285/

Nursing Research the Chinese Culture

Topic: (nursing)research the chinese culture then write an essay of 1000 words on caring for a patient frm this culture

Order Description
You are a student undergoing your practical rotation at one of the leading hospitals in Perth. Your Clinical Supervisor has asked you to research the culture of a patient you are providing care for.
Mr. Kim Seng Lim, a 75 year old Chinese man, has been admitted to the hospital complaining of chest pains. He migrated from Singapore to Australia, after the death of his wife. Mr. Lim lives in Perth with his son and family
In this assessment, students are asked to research the Chinese culture. Write an essay of 1000 words on caring for a patient from this particular culture. Students are advised to use the lecture notes as a guide. Please be mindful that the lecture notes cannot be used as a reference. It is most important for students to highlight what a health professional must take into account for caring for the patient in the hospital. Consider the following: • How this cultural group understands life processes; • How this cultural group defines health and illness; • What this cultural group does to maintain wellness; • What this cultural group believes to be the causes of illness; • How do traditional healers cure and care for members of this cultural group and • How the cultural background of the nurse influences the way in which care is delivered.
Presentation 5% Follow the Undergraduate Assignment Guidelines to guide format including a ? Cover page fully completed; available on Moodle ? title page, ? contents page; ? correct font, 12 Times Roman as discussed in Lecture 2 ? correct margins; Left & right margin:3.5cm wide, top & bottom:2.5cm ? correct paragraph format; ? correct line spacing; ? stay within word limit; ? Footer: from page 1 of essay include name, student no., pg. no. ? whole document submitted through Turnitin as a .docx. ? Hardcopy to be handed in class with assignment cover page and marking criteria
TITLE PAGE
Student Name: Your Name Student No: Your Student No Lecturer’s Name: Jacinta Joseph Submission Date: 26 April 2016
Assignment Question
Chinese Culture
Content page
Introduction
? Clear introduction, generally introducing the ? topic, including what the assignment is about ? and what it will cover. (1st paragraph) Assignment purpose & Structure of the essay explained ? Introduced topic generally (2nd paragraph) ? Brief background information and significance of topic included ? Relevant definitions included ? No conclusions stated in introduction ? In-text referencing included where necessary (2nd paragraph)
Conclusion
? Restated purpose of essay and summaries of main points. No new information. ? Need to summarise all the main points identified in the essay. ? No new information must be included ? No in-text reference in conclusion
Reference page
? Alphabetical order ? Single line spacing ? Correct end-text referencing format ? Please ensure in-text matches your end-text. If not, the plagiarism penalty applies.
References– APA
? Follow the ECU 14th edition referencing guide for: Correct format for in-text references; correct format for end-text reference; ? Evidence of current reading that includes a variety of resources ? textbooks, ? journals, ? credible health websites – .gov, .edu, .org only. ? All references need to be less than 7 years old. ? Essay length: 1000 words
Writing skills
? Logical and clear format; written in full, well structured sentences; ? Correct spelling (Australian); ? Correct grammar ? Use of the third person only. ? Use paraphrasing; any direct quotes followed by a paraphrase to explain the quote.