Nursing

Choose an older adult (65 years of age or older) to complete this assignment.  This can be a family member, a neighbor, or someone at your church, etc.  Do not use the name of the older adult in your paper.  Remember that confidentiality must be maintained. Perform the Fulmer SPICES assessment on this older adult.  Describe your findings in the body of your paper. Choose one of the six geriatric syndromes identified in this assignment. chose one of the following : sleep disruption, problems with eating and feeding, incontinenc, confusion, evidence of falls, skin break dow.n   Research your chosen geriatric syndrome.  You must use at least three (3) sources that will be cited in your paper, using 7th ed. APA format and references on the reference page.  Sources must be within the past five years.  The campus librarians are very helpful in assisting students with searches for accurate sources.  Do not use Wikipedia.  Also, be careful with .com sites because they may not be credible.  It is best to look for sites that have a .gov or .edu suffix and peer-reviewed journal articles that are found in the CCBC library databases. Discuss why you chose this geriatric syndrome for your older adult (rationale for your choice based on your knowledge of the ACES framework, physiological aging changes, and EBP geriatric nursing care).  Describe how normal aging changes could affect this geriatric syndrome. How can the nurse intervene to reduce the impact of this geriatric syndrome in your older adult? Write a three (3) to four (4) page paper, not including the title or reference page. Double space the type, use 12 font Times Roman, and one (1) inch margins. The format of your paper should be as follows: a.      An introductory paragraph, describing your patient and why you chose this older adult for this paper. b.     A paragraph describing the results of your SPICES assessment of your older adult.  Indicate whether any areas were difficult to assess and why.  c.      A least 2-3 paragraphs discussing in-depth one of the six geriatric syndromes listed above that you chose.  Please include your rationale for selecting this geriatric syndrome for this particular older adult.  These paragraphs should explain how your chosen geriatric syndrome affects the older adult’s:                                      i.          Quality of life.                                    ii.          Functional level.                                  iii.          Ability to socialize. d.     A paragraph or two should include Utilizing evidence-based sources by discussing:                                      i.          Nursing interventions that could be utilized for this older adult.                                    ii.          Whether these interventions could potentially reduce the impact of the geriatric syndrome on this older adult.                                  iii.          Additional resources for addressing this syndrome which might be helpful in your nursing plan of care for this older adult. e.      Lastly, include a reflective paragraph that explains how you will utilize the tenets of this paper in your future nursing practice. f.      Use proper grammar, spelling, and formatting.  g.     Refer to the grading rubric to ensure obtaining maximum points on your paper. h.     Turn in your paper with the grading rubric and Fulmer Spices Tool.  This tool must be completed in detail.  Where it says “evidence,” there needs to be enough evidence of appropriate history and assessment questions that clearly indicates the presence or absence of the syndrome. If you have any difficulties within the directions, I will help assist you with any information you may need clarification on.

Please write a five (5) page essay. Use only one (1) of the topics listed below. PLEASE SUPPORT YOUR ANSWER FOR THE TOPIC OF YOUR CHOICE WITH A MINIMUM OF 5 REFERENCES. Topic #1 – Is there a gap between nursing education and nursing practice? Please explain and support your answers.  Or, Topic #2 – Is nursing considered a science or an art? or both? Please explain and support your answers.  Or, Topic #3 – Support why or why not the BSN Degree completion as the level entry for professional nursing.  Or Topic #4 – Is it possible to create a climate in which labor and management can together to accomplish a mutual goal? Support your answer. Your essay should be: Be a total of five (5) pages or more. Original, work and will be checked for plagiarism. Please include at least five (5) current professional nursing references that are no more than 5 years old. Cite your sources – type references according to the APA Style Guide.

A 59-year-old man has been admitted. He has a 90-minute history of severe crushing chest pain. Received nitroglycercin  1 tablet sublingual stat,  nitroglycercin patch to upper extremities every six hours, morphine sulfate 2 mg IV.   Timpotic eye drops OU bid. Digoxin 0.25 mg po stat. 1. How should the nurse safely administer transdermal or topical medications? 2. List four principles for administering eye instillations. 3. Identify four sites for subcutaneous injections. 4. Identify three sites for Intramuscular injection sites. 5. Explain the purpose for receiving Morphine Sulfate IV. Conversions: A. gr 1/2 = ___ mg B. 2 teaspoons = mL C. 6 ounces____=mL 50 mL NS with antibiotic IV to infuse in 20 minutes. The drop factor is 20 gtt/mL. Flow rate: ______ gtt

This paper will give you the opportunity to explore the use of telehealth in a selected state (CALIFORNIA) using various sources. Use the following rubric to guide your paper.  Assessing Quality of Telehealth & Telemedicine (of CALIFORNIA state) Introduction of Topic:  Accurately introduce the topic of discussion in an organized and well-detailed manner; clearly articulates the rationale for why this is an important issue for healthcare professionals and consumers Current Uses of Telehealth: Accurately define telehealth and telemedicine and its use in various settings including the selected state (CALIFORNIA); identifies populations served by telehealth; describe the role of the telehealth nurse; explores various types of systems/ equipment Advantages and Disadvantages to Use of Telehealth: More than 3 advantages and 3 disadvantages from a nursing and/or patient perspective are identified and supported by citations. Six or more in total. Future Recommendations for Telehealth: Based on cited evidence of how telenursing affects the patient regarding personal privacy rights, and ethical principles Summary: Summary should be detailed and accurate; content reflects significant depth and insight into the topic. Format: Paper should be 6-7 pages (excluding title and reference pages); APA format 100% accurate; no spelling errors

Nursing-focused interventions pertinent to critical care areas. Students will identify a selected faculty-approved topic, collect information regarding best practices, judge the quality of the evidence, analyze the information, and form conclusions and practice recommendations. Electronic presentations should focus on current evidence-based research in nursing practice. Students will research and present an organized, logical analysis of information, and make recommendations for nursing practice.  Topic: “Utilization and Benefits of Non-pharmacological ?????Pain Management Techniques with Chronic Pain Patients”   Research items: Guided imagery & allow expression of anxiety & fear

Role in Conflict Management As a nurse leader or manager, you are responsible for conflict management. First Post Describe how you would handle a conflict between two nurses on the unit. Include how you would meet with each nurse and how you will document the situation. Is there anyone else you would ask for assistance and how you would identify if the conflict has been resolved or you need to escalate to your supervisor.

·         Week 6: Module Overview  Welcome to Week 6 This week we will be navigating three major and critical areas for the capstone: ·         Role of Outcomes in Evaluating Practice Change ·         Sources of Internal Evidence to measure outcomes ·         The evolution from Research Utilization to Evidence-Based Clinical Decision Making ·         Discussion Topic: Project Title: ·         Implementing A Clinical Practice Protocol for The Management of Hypertension Among African American Adults   ·           ·         Week 6: Discussion Question – Role of Outcomes in Evaluating Practice Change Through Research Discussion Prompt What are the benefits of evaluating the role of outcomes in practice change through research? Discuss how you would evaluate the roles of outcomes through a change proposed from research findings. Expectations ·         Length: A minimum of 275 words, not including references ·         Citations: At least one high-level scholarly reference in APA from within the last 4 years

Initial Post Instructions Select one of the following options to research for this discussion: Option 1: Google . You will find numerous reports concerning a California school district that voted to paint over a mural in the high school. The Life of Washington was painted by Depression-era artist Victor Arnautoff. Option 2: Google . You will find numerous articles on the controversy surround a panel from Benton’s A Social History of Indiana (1933) murals. Option 3: Conduct research on a mural or statue or monument in your town that is the subject of controversy. Before you read the news articles, try to look at the artworks through an image search in Google. Then, read the news articles to see the different viewpoints about the murals. For the initial post, address at least four (4) of the following questions for the option you selected: What do you think should be done with the artwork (e.g., painted over, covered, destroyed, left as is in plain view, etc.)? Why? Should the context in which the artwork was created (the Great Depression of the 1930s in the case of the Benton and Arnautoff murals) have an impact on the decision of what to do with the artwork? Should the context in which people now view the artwork have an impact on the decision of what to do with it? What message do you think the artwork conveys? Do you think there is ambiguity in the message? Do you think the message is vague? Does the artistic value of the artwork require that it be saved regardless of message? Does the historic value of the artwork require that it be saved regardless of message? Do you think the message of the artwork is sufficiently important that the message alone requires that it be saved? Do you think the artists were biased or prejudiced? If yes, explain specifics about the artwork that support your opinion. Do you think viewers might be bringing bias or prejudice to their opinions? Are you?

Informatics in the clinical Setting conduct an interview with someone in an informatics role in a clinical setting. Then in a Microsoft Word document of 5-6 pages formatted in APA style, discuss each of the following criteria: •Role description and education level required for the role. •Describe their views on how their role affects patients safety and improves the quality of the patient Care. •Describe the human factors faced in the role and other challenges. •Express insight gained from the interview •Research and Discuss the impact of the Agency for healthcare Research and Quality patient safety indicators and joint Commission Patient Safety Goals in your clinical setting. Describe how these governing agencies influence delivery of direct patient care. •Research, discuss, and identify the technology informatics guiding Education Reform utilized in your clinical setting. • I’m separated references page, cite all source using APA format

Using the “rule of nines,” a patient has a burn and the burn team estimates that approximately 30% of her TBSA is burned. Most of the burns are thought to involve the entire dermis, and the area looks waxy and white. This type of wound is: 1.Deep partial-thickness 2.Third-degree 3.Superficial partial-thickness 4.Full-thickness   Burns exceeding 20% of the TBSA in most adults are considered to be major burn injuries. With a major burn injury, a systematic pathophysiologic response that ensues requires therapeutic intervention to sustain life. The most reliable criterion for adequate resuscitation of burn shock is: 1.Urine output 2.Blood pressure 3.Pulmonary status 4.Cortisol levels Pick the correct answer for each question and explain your answer in a short paragraph.