Calculate the total volume of medication administered ——– ml (lido) ________ ml ( arti).

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Dose calculation

A clinician-administered 1.5 ml for the Gow Gates, 0.2 for a cross-over infiltration between # 24-25, 1.7 ml for the PSA, 0.9 ml for the AMSA ( used 4% Articaine for this injection only) to SRP the left side of the mouth. The clinician used 2 % lidocaine with 1:100,000 epinephrine and there were no adverse reactions but a positive aspiration on both the lingual and the AMSA. Calculate the total volume of medication administered ——– ml (lido) ________ ml ( arti)

calculate the total milligrams of articaine administered ———-mg

calculate the total milligrams of Articane administered ——–mg

calculate the total of both mediations milligrams of epinephrine adminetered ———-mg

Describe a social problem that is of most concern to you. In your description, explain why this is a social problem. Be sure to include references to literature and research that you consider important and that have shaped your understanding of this issue.

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Type 2 diabetes is a social problem among Asian Americans.

Instruction: Describe a social problem that is of most concern to you. In your description, explain why this is a social problem. Be sure to include references to literature and research that you consider important and that have shaped your understanding of this issue.

Your response is expected to be 3 pages, double-spaced, in 12pt Font. Include references and use the writing style of the American Psychological Association (APA, 7th edition) to organize and format the paper. The title page and reference are not included in the 3-page count.

Write a persuasive speech recommending your college, work site, or other organization take a specific action. If possible, choose an argument that addresses your current job role or educational goals.

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Final Project Assignment (450 points)

Assignment Breakdown:

(200 points) Write and submit a persuasive speech (.doc or .docx  format)

(250 points) Create and submit a PowerPoint presentation with narration to present your speech (.ppt or .pptx format) 

For a Total of 450 Points

Directions: Write a persuasive speech recommending your college, work site, or other organization take a specific action. If possible, choose an argument that addresses your current job role or educational goals.

 

Some topic possibilities (feel free to come up with your own) include:

  • Buying more or newer equipment
  • Making the organization more family-friendly
  • Improving accessibility for customers or employees with disabilities
  • Using a new treatment to provide better patient care

 

  1. Write a persuasive speech:

 

Begin with an engaging opener: Question? Anecdote? Surprising statement? In the opening paragraph, state your thesis (recommendation) and list three reasons to support why that action is necessary.

Each following paragraph (one or two for each reason) should provide more detail to support it (examples, description, anecdotes). Cite research-based sources in APA 7th edition format. 

Include paragraph transitions that connect the reasons to one another so your argument has a logical flow.

In your last paragraph (aka closing statement), remind the audience of your thesis. Quickly restate the reasons you’ve given. Close strongly with a specific “call to action.” What do you want the audience members to do next to help accomplish your recommendation? Include who, what, and when.

When you’re finished writing your speech, read it out loud to make sure it passes the “say-ability test.” Revise as necessary until you are comfortable saying it.

  1. Create a PowerPoint presentation to present your speech. Use visual aids to illustrate information and keep yourself on track when speaking. Use short statements to summarize your thesis, reasons, and examples (Review Write for Business, p.226).
  2. Finally, narrate your presentation (Read written persuasive speech aloud and record it so it is attached to your PowerPoint). Follow tips given throughout the course regarding engaging your audience.

 

Sources

Cite your sources in APA 7th edition format in the text of your written speech and on the slides of your PowerPoint presentation.

Provide a “References” list at the end of your written speech and on the final slides of your PowerPoint presentation.  Include a minimum of eight research-based sources.

**Use the sources to support your argument, not to make it: don’t rely solely on direct quotes. Make statements and cite research that backs your ideas.

What is the mechanism that results in Kussmaul respirations? To achieve the goal of restoring Lara’s fluid volume, the nurse would expect to implement which intervention?

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Case Study 2: Diabetes Type I

Meet the Patient: Lara Fielding
Lara Fielding, a 20-year-old college student, comes to the student health center with a 4-day history of flu-like symptoms. She reports feeling increasing fatigue, thirst, and nausea over the last 24 hours. Further assessment and lab work indicates that Lara is experiencing diabetic ketoacidosis (DKA). She is transferred to an acute care facility for treatment.

Assessment
The nurse notes that Lara’s breath has a fruity odor, and she is exhibiting Kussmaul respirations.

Question 1: What is the mechanism that results in Kussmaul respirations?

Lab work reveals that Lara’s blood glucose level is 370 mg/dl, plasma bicarbonate is 8 mEq/L, potassium is 5.2 mEq/L, and she has elevated ketones in her urine. The goals of treatment in DKA include correcting fluid imbalance and restoring normal pH, electrolytes, and glucose.

Question 2: To achieve the goal of restoring Lara’s fluid volume, the nurse would expect to implement which intervention?

Question 3: To restore Lara’s blood glucose to a normal level, what should the nurse prepare to administer?

Question 4: In addition to monitoring Lara’s blood glucose level, what additional lab values should the nurse monitor carefully? (Select all that apply)
1. Uric acid
2. Hemoglobin
3. Calcium
4. Potassium
5. Blood urea nitrogen (BUN)

Manifestations
Once the acute ketoacidosis is controlled, Lara is told that she has Type 1 diabetes mellitus. The nurse obtains Lara’s history. Lara states that prior to the flu, she had been healthy. However, she had noticed that she had been eating more than normal, but had not been gaining any weight. Lara also states that she had been drinking a lot of diet colas and that she got up at night frequently to go to the bathroom.

Question 5: List the classic symptoms of diabetes.

How could this information you have learned be integrated (translated) into the daily care of people with dementia, including any barriers that might need to be addressed?

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Malnutrition in older adults.

Reference style: Simplified Author-Date. (SAD)

1. What is the most important piece of information you learned from reading this article?

2. Why is this information important for the nutritional and/or swallowing health of older people living with dementia?

3. How could this information you have learned be integrated (translated) into the daily care of people with dementia, including any barriers that might need to be addressed?

How does cytomegalovirus cause guillan barre syndrome?

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Microbiology/immunology paper

How does cytomegalovirus cause guillan barre syndrome?

Discuss the pathophysiology of CHD and the signs and symptoms (i.e., classic physical exam findings) exhibited by the acutely ill patient during an MI. What are the common complications post-infarction?

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CASE STUDY: Acute Anterolateral Myocardial Infarction

  1. List Patient A’s major risk factors for CHD and discuss other possible risk factors for heart disease.
  2. Discuss the pathophysiology of CHD and the signs and symptoms (i.e., classic physical exam findings) exhibited by the acutely ill patient during an MI. What are the common complications post-infarction?
  3. What patient history points indicate the diagnosis of MI in Patient A’s case?
  4. Correlate the pathology, complications, and nursing care for a patient with MI with the patent’s progress from the CCU to home.
  5. Review the action, side effects, and specific nursing care for the drugs commonly used in the treatment of patients with MI, including:

o Analgesics (e.g., morphine)

o Sedatives (e.g., phenobarbital)

o Antianxiety medications (e.g., diazepam)

o Anticoagulants (e.g., heparin)

o Laxatives/stool softeners

o Vasopressors (e.g., norepinephrine)

o Vasodilators (e.g., nitroglycerin)

o Diuretics (e.g., furosemide)

o Cardiotonics (e.g., digoxin)

o Cardiac stimulants (e.g., epinephrine, isoproterenol)

o Cardiac depressants (e.g., amiodarone)

o Antilipidemic drugs (e.g., atorvastatin)

 

  1. Describe the treatment for MI.
  2. What diagnostic tests usually confirm an MI?
  3. Nursing care of the patient with MI is directed toward detecting complications, preventing further myocardial damage, and promoting comfort, rest, and emotional well-being. Discuss the specific care needs for each situation listed below:

o On admission to the CCU

o During episodes of chest pain

o Fluid retention

o Rest

o Elimination

o Exercise and immobility

o Psychologic stress

o Patient teaching and discharge panning for a cardiac rehabilitation program

 

  1. Psychologic support is imperative for the well-being of the patient with MI. Discuss the patient’s potential anxieties and fears and the best means to provide realistic emotional support and reassurance.
  2. Should Patient A make specific lifestyle changes? If so, what changes and how can these be

encouraged?

Are there safe and nearby playgrounds for children to be active in? Are there places to buy fresh vegetables and other healthy foods nearby? Does the neighborhood feel safe to walk in? Are streets well lit?

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5-10 min podcast with images of a health problem in your neighborhood

Identify a health problem in your neighborhood (or a nearby neighborhood) that resonates with you. Identify some of the underlying risk factors in that neighborhood that make the problem worse.

In a 5-to-10-minute podcast, talk with neighbors or community members about this issue in your neighborhood.
Think of health broadly—not just in terms of disease, but in factors that make it easier to be healthy. Here are some examples of themes you might want to choose from:

  • Are there safe and nearby playgrounds for children to be active in?
  • Are there places to buy fresh vegetables and other healthy foods nearby?
  • Does the neighborhood feel safe to walk in? Are streets well lit?
  • Are crosswalks and bike lanes available?
  • Are there places for youth to gather and get support from caring adults?
  • Or other community issues that resonate with you.

Your video/podcast should include:

  • Demonstration of Public Health Issue in the selected neighborhood
  • Demonstration of Risk Factors for the selected health issue in that neighborhood
  • Use data to describe problem in the neighborhood context
  • Include Examples/Storytelling show what the problem looks like in “real life”

Description/examples of possible solutions
The video should be engaging and concise

What was Paul Tasner’s reaction in the video under “Instructional Media” to losing his job late in his career? How did he convert this set back and apparent forced retirement into a future for himself?

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Individual Retirement

 

Must watch Youtube video, and utilize information from page book in files. Sources are only Youtube video, and page in file, nothing else!

1 What was Paul Tasner’s reaction in the video under “Instructional Media” to losing his job late in his career?

2 How did he convert this set back and apparent forced retirement into a future for himself?

3 Which of the alternative retirement patterns on page 160 is Paul Tasner’s situation?

4 Which scenario will likely be illustrative of your retirement and why?

Create a 2-4 page report on an interview you have conducted with a health care professional. Identify an issue from the interview that could be improved with an interdisciplinary approach, and review best practices and evidence to address the issue.

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CASE STUDY

For this assessment, you will create a 2-4 page report on an interview you have conducted with a health care professional. You will identify an issue from the interview that could be improved with an interdisciplinary approach, and review best practices and evidence to address the issue.

As a baccalaureate-prepared nurse, your participation and leadership in interdisciplinary teams will be vital to the health outcomes for your patients and organization. One way to approach designing an improvement project is to use the Plan-Do-Study-Act (PDSA) cycle. The Institute for Healthcare Improvement describes it thus:

The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change in the real work setting—by planning it, trying it, observing the results, and acting on what is learned. This is the scientific method adapted for action-oriented learning…Essentially, the PDSA cycle helps you test out change ideas on a smaller scale before evaluating the results and making adjustments before potentially launching into a somewhat larger scale project (n.d.).

You might also recognize that the PDSA cycle resembles the nursing process. The benefit of gaining experience with this model of project design is that it provides nurses with an opportunity to ideate and lead improvements. For this assessment, you will not be implementing all of the PDSA cycle. Instead, you are being asked to interview a health care professional of your choice to determine what kind of interdisciplinary problem he or she is experiencing or has experienced in the workplace. This interview, in Assessment 2, will inform the research that you will conduct to propose a plan for interdisciplinary collaboration in Assessment 3.

It would be an excellent choice to complete the PDSA Cycle activity prior to developing the report. The activity consists of four questions that create the opportunity to check your understanding of best practices related to each stage of the PDSA cycle. The information gained from completing this formative will promote your success with the Interview and Interdisciplinary Issue Identification report. This will take just a few minutes of your time and is not graded.

Reference
Institute for Healthcare Improvement. (n.d.). How to improve. http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx

Demonstration of Proficiency
Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
Summarize an interview focused on past or current issues at a health care organization.
Describe collaboration approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.

Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.

Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
Describe change theories and a leadership strategy that could help develop an interdisciplinary solution to an organizational issue.

Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.