Nursing Case Study

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Chapter 20, Nursing Management of the Pregnancy at Risk: Selected Health Conditions and Vulnerable Populations

1. Maria is a Hispanic 30-year-old who has not carried a pregnancy to term. She developed systemic lupus erythematosus (SLE), or lupus, when she was 25 years old. Maria is a G4P0 and has had three previous fetal demises. She is currently at 32 weeks’ gestation and has been asymptomatic during this pregnancy. Maria has been taking a daily dose of prednisone to suppress flare-ups. (Learning Objective 7)

  1. What is the management of care for the remainder of Maria’s pregnancy?
  2. If Maria’s lupus remains stable, will she require any modifications to standard care for her labor and delivery?
  3. How will the management of Maria’s pregnancy change if she develops a flare?

2. Nikki is a 17-year-old G1P0 at 33 weeks’ gestation. Nikki comes to the clinic today for her prenatal visit and you notice that her hair and clothing have the distinct odor of marijuana and tobacco smoke. You directly ask Nikki if she has been taking any other drugs besides marijuana. Nikki is surprised by the question and denies it. When you explain that you can smell it in her hair and on her clothing, she starts to cry and says, “Please don’t take my baby away from me.” After reassurance, Nikki further admits to sporadic binge alcohol consumption and smoking “pot” and cigarettes. She relates that she also consumes 4 to 5 caffeinated beverages per day. (Learning Objective 10 and 12)

  1. How do cigarette smoking, marijuana use, binge alcohol consumption, and excessive caffeine intake affect Nikki’s pregnancy?
  2. What possible affects are there to Nikki’s baby from the maternal ingestion of these substances?
  3. What is the nursing care you would provide for Nikki?

Chapter 19, Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications

1. Teresa is a 36-year-old primigravida who is expecting twins. She is 26 weeks pregnant. She stays after your “What to Expect with Twins” class to talk to you. Although Teresa is a nurse, she has many questions and concerns. Her twins are a result of years of trying to get pregnant and in vitro fertilization. She is nervous about whether she will have a vaginal delivery or a cesarean section. She is worried about having the babies prematurely. She wants you to tell her everything that could go wrong so she can be prepared. (Learning Objectives 1 and 2)

  • Why is Teresa’s pregnancy considered a high-risk pregnancy?
  • What are the potential pregnancy-related complications for Teresa?
  • What are the potential risks to the babies?

2. Sarah is 19-year-old G1P0 at 36 weeks’ gestation. Sarah has been followed weekly in the clinic for mild–moderate preeclampsia. At her clinic appointment today, Sarah’s blood pressure reading was 188/104. She is admitted to the antepartum unit for management of her worsening preeclampsia. You perform her admission assessment and note that her reflexes are brisk, her heart rate is 94, she complains of having an intense headache, and is seeing spots before her eyes. You perform an abdominal assessment and note that she has significant epigastric tenderness. (Learning Objective 5)

  • What needs to be included in a plan of care for the woman experiencing preeclampsia, eclampsia, and HELLP syndrome?

Chapter 12, Nursing Management During Pregnancy

1. Nancy, age 38, and her husband, Dan, age 37, arrive at a midwife clinic for an initial prenatal visit. They have been married for 10 years and trying to have a child for 3 years. Nancy completes the initial paperwork and the nurse notes the following obstetrical history: G3, T0, P0, A2, and L0. Nancy is approximately 8 weeks pregnant. (Learning Objectives 2, 3, and 4)

  • What questions in the history are the highest priorities for the nurse to ask, given Nancy’s obstetrical history? Why is this history important?
  • What initial prenatal screening and testing would the nurse anticipate at this visit? Why?
  • What prenatal screening and testing would the nurse anticipate for Nancy in the future related to her age? Why?

2. Carla is 36 weeks pregnant with her first child. She is in the office for her regular prenatal checkup. During this visit she complains of increasing heartburn, low back pain, constipation, and difficulty sleeping at night. Carla would like to know what she can do to get relief from these symptoms. (Learning Objectives 5 and 6)

  • What needs to be included in the nursing management for Carla’s complaints?
  • Now that Carla is nearing the end of her pregnancy, she has many questions regarding what to include as she starts preparing her birth plan. What information does Carla need to effectively plan for the birth of her baby?

Molecular diagnosis very short questions

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answer very shortly each question in the order they are found in the attached files.

“Students are required to keep a journal for objective write-ups. In order to be graded high for the objective journal, students must answer every objective clearly in writing and the writing must meet certain criteria (see below grading policy). Please make the journal a single word file that includes write-ups of the objectives of all topics.”

The files are the objective questions for every topics. When you answer questions please include the question title.

And you do not need to answer too many words in every questions, two to four sentences are fine for me

Thank you so much

Msculoskeletal

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Please write in APA format. Do intext citation and reference please.

1) Discuss the recommendations for skin examination. What populations are at increased risk of developing skin cancer? What recommendations can we give to our patients (from the pediatric to geriatric patient) regarding sun exposure?

2) Describe the difference in lesion characteristics between benign and malignant lesions. Discuss three common benign lesions and three precancerous or cancerous lesions.

need a response to the discussion post below.

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Hello Professor and Class,

My understanding of telehealth is that, the nurse calls the patient and provide them with triage, discuss results etc. “telehealth is the general term used to describe healthcare services delivered utilizing electronic media” (Hebda, 2019). Telehealth provides the opportunity for the patients to receive their results wherever they are. There was a time when I wanted to work as a telehealth nurse, because I was attracted to the fact that it seems like I could work from home. I was mostly concerned about the privacy of the patients. How can you be sure that you were talking to the correct person?

With telehealth, there must be certain protocols put in place to protect the privacy of the patients. The patients also need to know, that they can trust the information that is being provided to them. Professionalism must be maintained at all time (Association, 2005). Some ethical issues and privacy issues could be that, when providing information to a patient, you may unknowingly give information to someone else. When a patient is at his/her appointment with their doctor, there should be a code given to the patient that only the patient knows. The patient should be encouraged to not share this code, so that if a call is place to the patient, the healthcare worker should ask the patient for the code, so than tey can be comfortable that they are speaking to the right person. The Company that is employing for telehealth positions, but make sure that the person is qualified with the right credentials . I nurses are working in telehealth from home, they should make sure that the patient privacy is protected at all times. The computer should not be left open, since family members may get patient information.

References

Association, A. M. (2005). Ethical practice in telemedicine. Retrieved from AMA: https://www.ama-assn.org/delivering-care/ethics/et…

Hebda, T. H. (2019). Handbook of informatics for nurses and healthcare professionals (6th ed). New York, NY: Pearson.

Indiana Institute of Technology Use of Cloud to Host It Infrastructure Essay

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You were recently contacted by the IT Director at Warrior Hospital regarding the idea of utilizing cloud computing at the hospital to host the Information technology software and applications. The IT Director expressed the need to scale IT services to meet the growth of the department and technology infrastructure. Hospital administration is putting emphasis on the need to allocate more space for patient care services and has asked the IT department to re-asses its current infrastrucutre. The IT Director would like to meet with you and gather your feedback regarding use of the cloud to host the IT infrastructure.

To prepare for this meeting, you research cloud computing in healthcare and create a list of at least 3 advantages and 3 disadvantages to the use of cloud computing. You focus your research on several areas including cost, access, privacy, security and performance.

For this assignment, you compile a formal recommendation to present to the IT Director that justifies your position on whether or not implementing could computing is a viable option for Warrior Hospital. Your recommendation should be 3-5 paragraphs in length, and include the following:

  • Your formal recommendation
  • Your list of advantages and disadvantages
  • The impact of cloud computing on cost, access, privacy & security and performance

Your paper should be approximately 3-5 paragraphs, APA formatted and include a header with your name, date, course name, and assignment title as well as a reference page that cites your resources.

Grading Rubric Criteria

Points

Paper opens up with a formal recommendation to the use of cloud computing

10

Paper includes a list of at least 3 advantages and 3 disadvantages of using cloud computing

5

Paper includes discussion of the cost, access, privacy and security and performance impacts of cloud computing

10

Paper is 3-5 paragraphs in length and includes a cover page and reference page

3

Paper is APA formatted and free of any spelling or grammar errors

2

Total

30

reply to discussion post below cmit wk4

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Nathan,

Discuss the role of the honeypots in safeguarding the organization’s network.

A Honeypot is typically a computer system or systems designed to look appealing to hackers so that they attempt to hack the network through this given computer or computer system so that the hacker can be controlled, confined, or deflected and also to alert the network owner. Honeypots can be used for a few different things. They can be used to deflect a hacker from entering a network. They can be used to contain a hacker once they get into that system. They can be used to alert the network owner or operator. They can also be used to gain information about how hackers are getting into systems or gain specific information about a specific hacker possibly. Honeypots can be used for any one, or combination, of those attributes.

Utilizing a honeypot to learn about attacks is a very smart strategy for any information technology team to implement. By analyzing honeypot hack data, people can learn things like the country of origin for the attackers, attempted method of attack, and the types of passwords being utilized. This information can tell an information technology team how best to set up their network defenses as well as possibly what kind of training needs to be done with personnel.

Long story short, honeypots are a critical part to a fully layered security system for any network and should be utilized and studied to the fullest extent.

The use of Normal saline installation in endotracheal tube

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Outline the strategies you will use to search for evidence related to best practices for suctioning and whether the instillation of saline while suctioning is an acceptable technique.

Search for evidence related to best practices and provide a summary of all evidence.

Develop a PICO question for the instillation of saline during endotracheal suctioning.

Consider how you could apply PICO to problems in the workplace to influence things in clinical practice.

Discussion

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The revenue cycle in the healthcare industry is unique considering the interaction between provider, payer, and patient. Add on top of this the ongoing confluence of factors surrounding the transition to ICD-10, price transparency, consumerism, and various reimbursement structures (e.g., fee for service (FFS), bundled payments, value based purchasing, risk based/capitated) and you have an extremely complicated revenue model. On the flip side of this coin, we also contend with a robust procurement chain with hundreds of thousands of end items required to service any modern acute care facility.


For this discussion, do the following:

  • Locate at least one online resource (a link, article, or book, for example) pertaining to the healthcare revenue cycle or working capital management process.
  • In your discussion, examine the content and then share the resource (post your resource and use APA style). Summarize the resource(s) and what you find useful about it.

Please follow all requirements and answer each question.

  • Include introduction and conclusion.
  • Please use Peer Reviewed Articles
  • APA format is required and each reference must be cited in the paper.
  • Use headings to organize the content in your work.
  • Please no plagiarism and sources should be 5 years or less.

help to finish the sheet

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Journal Article Analysis Worksheet

[1] What is the title of the research study?

[2] For the article, give:

  • First author’s last name
  • Title of the journal
  • Publication year

First Author’s Last Name:

Journal Title:

Publication Year:

The answers below should be in YOUR OWN WORDS, not copied from the article.

[3] What was the purpose of the study?

[4] What was the authors’ hypothesis?

[5] What subjects/ participants were studied? What were their characteristics?

[6] What were the most important results?

[7] In your opinion, what is the most important application of this study to health and wellness?

[8] What aspect of this research was most interesting to you? In your opinion, what was the most interesting finding? Why?

Scholarly Activity and Reflection Journal

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REFLECTIVE JOURNAL
Details:

Learners are required to maintain a reflective journal integrating leadership and inquiry into current practice.

In your journal, reflect on the personal knowledge and skills gained in this course and address a variable combination of the following: new practice approaches, intraprofessional collaboration, health care delivery and clinical systems, ethical considerations in health care, population health concerns, the role of technology in improving health care outcomes, health policy, leadership and economic models, or health disparities. Outline what you have discovered about your professional practice and the personal strengths and weaknesses that have surfaced. What additional resources and abilities could be introduced to a given situation to influence optimal outcomes? Finally, how did you meet the competencies aligned to this course?

Additional information regarding your reflective journal is found in the DC Network.

You are not required to submit this assignment to Turnitin.

Submit your reflective journal both to the instructor and in the Typhon Tracking System under the corresponding course section. Failure to submit your journal in both the classroom and Typhon systems may result in a grade of Incomplete for the course.

SCHOLARLY ACTIVITIES: Follow instructions below

Details:

Throughout the DNP program, learners are required to provide a report documenting participation in a minimum of four scholarly activities outside of clinical or professional practice. These reports will be due in specific courses throughout the program, as described below, and must be documented in your Practice Portfolio by the end of each course in which an activity report is due.

Examples of scholarly activities include attending conferences, seminars, grand rounds, participating in policy and quality improvement committees, writing scholarly publications, participating in community planning, serving as a guest lecturer, etc. Involvement in and contribution to interdisciplinary initiatives are also acceptable scholarly activities.

Documentation of these activities is required in DNP-810, DNP-820, DNP-830, and DNP-840.

A summary report of the scholarly activity, including who, what, where, when and take home points, will be submitted as the assignment. Include the appropriate program competencies associated with the scholarly activity and future professional goals related to this activity. You may use the “Scholarly Activity Summary” template to help guide this assignment.

Please use the template below

Scholarly Activity Summary

This document describes the scholarly activity in three or four paragraphs.

Instructions: Read each section and fill it out using the instructions. Once you have completed the section, erase the instructions that appear in italics.

Overview

This section consists of a single paragraph that succinctly describes the scholarly activity that you attended/participated in, the target market for the activity, and the benefit of the activity to you.

Problem

This section consists of either a short story or a handful of bullet points that concisely identifies the problems the scholarly activity is designed to solve. Educate us – what is the current state of the activity topic? Tell us – why is this a problem, and for whom is it a problem? Inspire us – what could a SNP prepared nurse achieve by participating in the scholarly activity? Use declarative sentences with simple words to communicate each point. Less is more.

Solution

This section consists of either a short paragraph or a handful of bullet points that concisely describe the state solution to a proposed practice problem that the scholarly activity addressed and how it addresses the problem outlined in the previous section.

Opportunity

This section consists of a short paragraphs that define the opportunity that the scholarly activity is designed to capture. It’s important to cover the GCU Domains and Competencies that were met. How will attending/participating in this scholarly activity help you grow as a DNP prepared nurse?

Program Competencies Addressed

This section consists of a list of program competencies that were addressed in this scholarly activity. Please use the list from the ISP.


COMPETENCIES ADDRESSED:


University’s Mission Critical Competencies

How does this Individual Success Plan support the GCU Mission?

MC1: Effective Communication: Courses require students to engage in active discussion and expression of scholarly ideas in a variety of formats. Emphasis is placed on dissemination of findings that impact health outcomes.

MC2: Critical Thinking: Courses require students to utilize and refine critical thinking skills by analyzing, synthesizing, integrating, and evaluating scientific evidence. Furthermore, students are expected to apply scientific evidence to practice improvement.

MC3: Responsible Leadership: Courses require students to develop and refine leadership skills. Students must demonstrate accountability to self and others. Courses require collaboration, health care advocacy, and systems thinking.

MC4: Global Citizenship: Global citizenship is incorporated into all courses when preparing responsible nursing leaders to appreciate the cultural, social, economic, and political trends affecting care delivery for disenfranchised or vulnerable populations. The focus is on reducing health disparities and fostering an environment of equitable health for all populations.

MC5: Christian Worldview: A Christian Worldview is expressed through weaving together values and ethics throughout the program. Students are encouraged to engage with populations from the foundation of a Christian worldview and to understand the effect of various worldviews and cultures on current healthcare systems.

Domains and Competencies

How does this Individual Success Plan support the DNP Domains and Competencies?

Domain 1 – Scientific Underpinnings for Practice: Graduates of Grand Canyon University’s Doctor of Nursing Practice program will be able to:

Competencies:

1.1: Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice.

1.2: Apply science-based theories and concepts to determine the nature and significance of health and health care delivery phenomena.

1.3: Employ science-based theories and concepts to describe the actions and advanced strategies to enhance, alleviate, and ameliorate health and health care delivery phenomena as appropriate.

1.4: Develop and evaluate new practice approaches based on nursing theories and theories from other disciplines.

Domain 2 – Leadership and Transformational Change: Graduates of Grand Canyon University’s Doctor of Nursing Practice program will be able to:

Competencies:

2.1: Employ principles of business, finance, economics and health policy to develop and implement effective plans for practice-level and/or system-wide practice initiatives that will improve the quality of health care delivery.

2.2: Demonstrate leadership, influence, and advocacy in the development and implementation of institutional, local, state, federal, and/or international health policy.

2.3: Employ consultative and leadership skills to lead intraprofessional and interprofessional teams in the analysis and resolution of complex practice and organizational issues to create change in health care and complex healthcare delivery systems.

2.4: Provide leadership in the evaluation and resolution of policy, ethical, and legal issues within healthcare systems.

Domain 3 – Systems Management: Graduates of Grand Canyon University’s Doctor of Nursing Practice program will be able to:

Competencies:

3.1: Demonstrate the conceptual ability and technical skills to develop and execute an evaluation plan involving data extraction from practice information systems and databases.

3.2: Evaluate current consumer health information sources for accuracy, timeliness, and appropriateness.

3.3: Analyze and communicate critical elements necessary to the selection, use, and evaluation of health information systems and patient care technology.

3.4: Design, select, use, and evaluate programs that monitor outcomes of care, care systems, and quality improvement including consumer use of health care information systems.

Domain 4 – Population Management: Graduates of Grand Canyon University’s Doctor of Nursing Practice program will be able to:

Competencies:

4.1: Analyze epidemiological, biostatistical, environmental, and other appropriate scientific data related to individual, aggregate, and population health.

4.2: Synthesize concepts to develop, implement, and evaluate interventions to improve individual, aggregate, and population health management.

4.3: Cultivate a mindset that is sensitive to the cultural, legal, and ethical differences among stakeholders.

4.4: Advocate for social justice, equity, and ethical policies within all healthcare are

1.4: Develop and evaluate new practice approaches based on nursing theories and theories from other disciplines.

Domain 2 – Leadership and Transformational Change: Graduates of Grand Canyon University’s Doctor of Nursing Practice program will be able to:

Competencies:

2.1: Employ principles of business, finance, economics and health policy to develop and implement effective plans for practice-level and/or system-wide practice initiatives that will improve the quality of health care delivery.

2.2: Demonstrate leadership, influence, and advocacy in the development and implementation of institutional, local, state, federal, and/or international health policy.

2.3: Employ consultative and leadership skills to lead intraprofessional and interprofessional teams in the analysis and resolution of complex practice and organizational issues to create change in health care and complex healthcare delivery systems.

2.4: Provide leadership in the evaluation and resolution of policy, ethical, and legal issues within healthcare systems.

Domain 3 – Systems Management: Graduates of Grand Canyon University’s Doctor of Nursing Practice program will be able to:

Competencies:

3.1: Demonstrate the conceptual ability and technical skills to develop and execute an evaluation plan involving data extraction from practice information systems and databases.

3.2: Evaluate current consumer health information sources for accuracy, timeliness, and appropriateness.

3.3: Analyze and communicate critical elements necessary to the selection, use, and evaluation of health information systems and patient care technology.

3.4: Design, select, use, and evaluate programs that monitor outcomes of care, care systems, and quality improvement including consumer use of health care information systems.

Domain 4 – Population Management: Graduates of Grand Canyon University’s Doctor of Nursing Practice program will be able to:

Competencies:

4.1: Analyze epidemiological, biostatistical, environmental, and other appropriate scientific data related to individual, aggregate, and population health.

4.2: Synthesize concepts to develop, implement, and evaluate interventions to improve individual, aggregate, and population health management.

4.3: Cultivate a mindset that is sensitive to the cultural, legal, and ethical differences among stakeholders.

4.4: Advocate for social justice, equity, and ethical policies within all healthcare arenas.

4.5: Develop and evaluate care delivery models and/or strategies for improved individual, aggregate, and population health management.

Domain 5 – Analytic Foundations for Practice: Graduates of Grand Canyon University’s Doctor of Nursing Practice program will be able to:

Competencies:

5.1: Apply analytic methods to critically appraise existing literature and other evidence to identify and implement health care best practices.

5.2: Design and implement processes/strategies that evaluate outcomes of practice, practice patterns, and systems of care for individual, aggregate, and populations against national benchmarks.

5.3: Design, direct, and evaluate quality improvement methodologies to promote safe, timely, effective, efficient, equitable, and patient-centered care.

5.4: Disseminate and apply relevant findings from evidence-based practice and research to enhance practice guidelines and enrich practice leading to improved healthcare outcomes.

5.5: Employ information technology and research methods to appropriately manage data for the creation, evaluation, and application of evidence that leads to improved