Sudden Ventricular Cardiac Event

Sudden Ventricular Cardiac Event

A patient arrives in the ER with a “thumper” piston-driven device providing CPR to an 82 year old client who was found unresponsive on the floor at home-possibly from a sudden  ventricular Cardiac event. The ER just received a DNR from a prior hospitalization for a UTI. The family is insisting the patient wants everything done. How do you think the staff should proceed?

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Week 5 Post

Week 5 Post

 

What are legislators currently doing to address your selected advocacy priorities for a vulnerable population? Are there current policies in place? Are there current policies proposed at either the state or federal level? What are the most obvious strengths and weaknesses of these policies as they relate to your advocacy priority? What might need to change? 

For this Discussion, you will identify a state or federal policy that aligns with your advocacy priority. After identifying the policy, you will consider how the policy aligns and supports your identified vulnerable population. How and why does this policy align with your advocacy priorities?

 

To prepare:

  • Review resources related to health policy.
  • Consider the health policy that might align with your advocacy priorities. 
By Day 3 of Week 5

Post a response detailing the following: 

Identify a proposed state and federal policy that aligns with your advocacy priorities for your vulnerable population. Clearly describe and provide evidence to support this policy. If the policy needs to change, describe and provide evidence to support the proposed change.

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Hypoactive Bowel Sounds Diagnostic

Hypoactive Bowel Sounds Diagnostic

 

Electrolyte Imbalance

Patient Profile
E.G. is a 73-year-old woman whose daughter brings her to see the health care provider because she has had a case of the “stomach flu,” with vomiting and diarrhea for the past three to four days and is now experiencing occasional light-headedness and dizziness. Her past medical history includes hypertension, hypercholesterolemia, and mild heart failure. She is taking:

Digoxin (Lanoxin) 0.125 mg po daily.
Captopril (Capoten) 25 mg po BID.
Furosemide (Lasix) 40 mg po daily.
Potassium chloride (K-tab) 20 mEq po daily.
Simvastatin (Zocor) 20 mg po at bedtime.

Subjective Data

Has been following a low sodium diet
States her abdomen feels bloated and she has been constipated since the onset of the “flu”
Has been taking her medications except for the potassium chloride pill because it upsets her stomach.
Occasionally takes an extra “water pill” when her ankles are swollen

Objective Data
Physical Examination
Temperature 98.2° F, pulse 88, respirations 20, BP 138/86
Lungs clear to auscultation, breathing regular and unlabored
+1 edema bilaterally in ankles
Muscle strength in upper extremities normal and equal and in lower extremities weak
Sensation to all extremities normal
Abdomen distended with hypoactive bowel sounds

Diagnostic Studies
Lab values
Sodium 139.0 mEq/L
Potassium 3.0 mEq/L
HCO3- 25.4 mEq/L
Chloride 99.5 mEq/L

Discussion Questions:

1. What is a possible pathophysiologic cause of E.G.’s muscle weakness and dizziness? What other symptom does E.G. have that may be related to this problem?

2. What factors contributed to the development of this electrolyte imbalance?

3. What should you be on an alert for in a patient who is on furosemide and digoxin and why?

4. What additional signs and symptoms should you assess E.G. for?

5. What diagnostic test is indicated and why?

6. What instructions should you give E.G. regarding the signs and symptoms of this electrolyte imbalance and how to prevent it?

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Health Informatics Requires Strategic

Health Informatics Requires Strategic

Successfully leading change through health informatics requires strategic planning and exceptional project management skills. Proper workflow redesign and clear calculated change strategies are of utmost importance when introducing new technologies and in ensuring their successful adoption and proper use.

Think about a patient care technology used in your organization.  Describe why strong project management skills are important in the implementation of these types of technologies.

must have one peer review article as source (within the last 5 years)

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Breakfast 30 Minutes Ago

Breakfast 30 Minutes Ago

You are working in the Emergency Room on the 7:00 am-7:00 pm shift. Upon arrival, a 27-year-old African-American male walked up to you holding his chest, and states: “I can’t breathe, help me”.  His diaphoretic, skin is warm and moist. Respiratory rate is 28 even and slightly labored, heart rate 112 even and regular. Blood pressure is 134/86. Lung sounds have bilateral wheezes.  His last meal was breakfast 30 minutes ago at McDonald’s

  1. Based on his presenting signs, what other questions would you elicit?
  2. How would you demonstrate knowledge of cultural sensitivity/humility in approach to this patient?
  3. What would you assess?
  4. What could be the problem?

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Apa Format Min 2

Apa Format Min 2

Do you believe you have the traits to be an effective leader? Perhaps you are already in a supervisory role, but as has been discussed previously, appointment does not guarantee leadership skills.

How can you evaluate your own leadership skills and behaviors? You can start by analyzing your performance in specific areas of leadership. In this Discussion, you will complete Gallup’s StrengthsFinder assessment. This assessment will identify your personal strengths, which have been shown to improve motivation, engagement, and academic self-conference. Through this assessment, you will discover your top five themes—which you can reflect upon and use to leverage your talents for optimal success and examine how the results relate to your leadership traits.

Assessment

Post a description of your results from the StrengthsFinder assessment. Then, briefly describe two core values, two strengths, and two characteristics that you would like to strengthen based on the results of your StrengthsFinder assessment. Be specific. (Assessment results has been attached)

APA Format

 min 2 resources 

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Feel Demonstrated Equally Competent

Feel Demonstrated Equally Competent

 

Assignment: Personal Leadership Philosophies

Many of us can think of leaders we have come to admire, be they historical figures, pillars of the industry we work in, or leaders we know personally. The leadership of individuals such as Abraham Lincoln and Margaret Thatcher has been studied and discussed repeatedly. However, you may have interacted with leaders you feel demonstrated equally competent leadership without ever having a book written about their approaches.

What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develop and practice. A leadership philosophy is basically an attitude held by leaders that acts as a guiding principle for their behavior. While formal theories on leadership continue to evolve over time, great leaders seem to adhere to an overarching philosophy that steers their actions.

What is your leadership philosophy? In this Assignment, you will explore what guides your own leadership.

To Prepare:

  • Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
  • Reflect on the leadership behaviors presented in the three resources that you selected for review.
  • Reflect on your results of the Clifton Strengths Assessment*, and consider how the results relate to your leadership traits.

*not required to submit Clifton Strengths Assessment

The Assignment (2-3 pages):

Personal Leadership Philosophies

Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:

  • A description of your core values.
  • A personal mission and vision statement.
  • An analysis of your Clifton Strengths Assessment summarizing the results of your profile
  • A description of two key behaviors that you wish to strengthen.
  • A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.
  • Be sure to incorporate your colleagues’ feedback on your Clifton Strengths Assessment from this Module’s Discussion 2.

Many of us can think of leaders we have come to admire, be they historical figures, pillars of the industry we work in, or leaders we know personally. The leadership of individuals such as Abraham Lincoln and Margaret Thatcher has been studied and discussed repeatedly. However, you may have interacted with leaders you feel demonstrated equally competent leadership without ever having a book written about their approaches.

What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develop and practice. A leadership philosophy is basically an attitude held by leaders that acts as a guiding principle for their behavior. While formal theories on leadership continue to evolve over time, great leaders seem to adhere to an overarching philosophy that steers their actions.

What is your leadership philosophy? In this Assignment, you will explore what guides your own leadership.

To Prepare:

  • Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
  • Reflect on the leadership behaviors presented in the three resources that you selected for review.
  • Reflect on your results of the Clifton Strengths Assessment*, and consider how the results relate to your leadership traits.

*not required to submit Clifton Strengths Assessment

The Assignment (2-3 pages):

Personal Leadership Philosophies

Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:

  • A description of your core values.
  • A personal mission and vision statement.
  • An analysis of your Clifton Strengths Assessment summarizing the results of your profile
  • A description of two key behaviors that you wish to strengthen.
  • A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.
  • Be sure to incorporate your colleagues’ feedback on your Clifton Strengths Assessment from this Module’s Discussion 2.

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Zadeh Et Al

Zadeh Et Al

Reply to the following post (2 different post) with at least 200 words and 1 reference within 5yrs.

1. Ordelis

The theory of unpleasant symptoms is consequential in-patient assessment and remains valuable to nursing. Out of the many tenets of nursing care, a comprehensive review of symptoms is important, as nurses are deeply involved in evaluating or quantifying them, assessing what alleviates or aggravates them, and monitoring them for patient progress. Thus, the theory of unpleasant symptoms, which has three main sections, was advanced to shed light on the features of symptoms and facilitate nursing practice (Lenz, 2018). According to the theory, the presentation of a symptom results from the reciprocal influence of the proceeding psychological, situational, and physiological factors (Blakeman, 2019; Gomes et al., 2019). The theory further explains how multifaceted and interrelated symptoms are and focuses on how this relationship affects the ultimate performance of the patient. As established, the review of presenting symptoms and knowledge of the parameters that cover their subsequent management is important in the delivery of nursing care. Hence, the theory of unpleasant symptoms is crucial in patient assessment, especially in nursing. This article aims to use it as a blueprint in explaining what an ideal or effective assessment tool should look like.

An effective assessment tool should consistently apply information from the theory. Drawing from the first part of the theory (symptom), an assessment tool should comprehensively survey the severity of the presenting symptom (Lenz, 2018). Along the same lines, the tool should also go to the lengths of evaluating the timeliness and specific attributes of the symptom in relation to the level of the affliction of the patient. Ultimately in this section, the tool should assess for other symptoms which may not be related to the condition whose impression has been made. In line with the second section of the theory (influencing factors), an assessment tool should holistically survey for any situational, environmental, psychological, and physiological factors influencing the occurrence of the presenting symptoms (Lenz, 2018). This should be done regularly and progressively to alleviate the effects of these factors and monitor for changes in the patient’s condition. Lastly, in the performance outcomes section, the assessment tool should evaluate how well a patient can function on parameters such as daily activities. The incorporation of all this would ensure that the assessment tool is effective. 

To conclude, symptoms are indeed one of the cores of nursing care. The theory of unpleasant symptoms is important as it facilitates a better understanding of the intricacies of symptoms. The theory contains the following sections: Symptom, Influencing Factors, and Outcome of performance. These can be used to build an assessment tool in nursing that is not only comprehensive but also effective. Hence, the theory of unpleasant symptoms is crucial to nursing care.

2. Yilena

Health care providers tend to play a significant role in analyzing the symptoms which are experienced by the patient. Therefore, nurses should focus on examining patients’ symptoms in order for the best medical intervention to be applied. When the symptoms are evaluated, nurses are able to assess various factors that result in the development of such symptoms, thus establishing devise management as well as prevention strategies in dealing with symptoms (Mikšić et al., 2019). Besides, nurses help their clients in with self-management based on the symptoms indicated hence being able to conduct ongoing monitoring. One vital approach to assist nurses in assessing the patient systems is the Theory of unpleasant symptoms. This approach is significant since it identifies crucial characteristics of the symptoms. As a result, these guide the nursing practice as well as research. In addition, the theory of unpleasant symptoms tends to provide details regarding the nurse’s interest in an assessment tool while assessing patient symptoms (Kalantar-Zadeh et al., 2022).

There are several aspects which nursing practitioners focus on when searching for the tool to assess the patient’s symptoms. For instance, the patient’s self-reported symptoms should be contained as it is explained in the assessment tool. After this, the nurse derives the effects of the illness, thus the most favorable treatment for self-reported symptoms. Furthermore, the assessment tool which the nursing practitioner selects should determine various factors which influence the symptoms reported by the patient. This theory also focuses on the patient’s symptoms, thus defining them subjectively as the patients have reported them. Another aspect which is vital to evaluate the tool to assess the patient’s symptoms is the ability to evaluate factors influencing certain symptoms due to gender, variables allied to the health conditions, and age (Blakeman, 2019). These factors might affect the patient’s perception of the symptoms.

Also, the theory considers the physical and social environment outside the patient, which may affect the reported symptoms. As a result, the assessment tools need to address child development, growth, physiology, and situational issues, among others. All these issues are essential since they allow the nurse to have a better comprehension of the patient’s condition. Therefore, the Theory of unpleasant symptoms helps the health care provider select the best assessment tool to examine the patient’s symptoms for the establishment of a treatment care plan to be provided (Seo, Ryu & Ham, 2018). Nevertheless, the assessment tool selected should describe key elements such as the identity of the patient’s symptoms, factors that influence the symptoms, and the performance outcome.

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Textbook Regarding Borderline Personality

Textbook Regarding Borderline Personality

Schizophrenia

1. Take notes on the video:  A Brilliant Madness: John Nash http://topdocumentaryfilms.com/a-brilliant-madness-john-nash/. We will watch the video and discuss in class

b)  How has the treatment of people with schizophrenia changed since the time of John Nash’s life?

c)  List and explain 3 psychological, social, and biological issues John faced.

d)  Reflect knowledge of the chapter readings and outside research.

2. Borderline Personalitiy Disorder

Discuss what you read in your textbook regarding Borderline Personality Disorder. Explain the basic symptoms, assessment, and treatment from each perspective.  Which assessment resonates with you the most? Explain in a 1-3 page APA formatted paperr

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Enhance Human Wellbeing

Enhance Human Wellbeing

 The primary mission of the social work profession is to enhance human wellbeing and help meet the basic human needs of all people, with particular attention to the needs and empowerment of people who are vulnerable, oppressed, and living in poverty. A historic and defining feature of social work is the profession’s focus on individual well-being in a social context and the well-being of society. Fundamental to social work is attention to the environmental forces that create, contribute to, and address problems in living.” (National Association of Social Workers, 1996) 

What does this code from NASW mean to you?

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