Explain the pathophysiology and medical-surgical management of client with urology (ARF)disorders.

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(Genito Urinary)

Instructions:

  1. a) Explain the pathophysiology and medical-surgical management of client with urology (ARF)disorders.
  2. b) Formulate the nursing care plan of client with endocrine disorders
  3. Book presentation guidelines:
  • Use A4 paper (single sided printing ONLY)
  • Font style size 12 Times New Roman
  • Margin Normal
  • Line spacing Multiple at 1.5
  • All pages should be numbered
  • Assignment front page lay out: BOLD AND CAPITAL LETTERS

Discuss how you can advocate and protect the elderly from abuse.

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Paper details:

Elder Abuse

There are many types of elder abuse.

Choose two types of elder abuse and discuss challenges you perceive in abolishing them.
Justify why you consider them as the most crucial.
Discuss how you can advocate and protect the elderly from abuse.

Develop a 3-5 page paper that examines a safety quality issue pertaining to medication administration in a health care setting.

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For this assessment, you will develop a 3-5 page paper that examines a safety quality issue pertaining to medication administration in a health care setting. You will analyze the issue and examine potential evidence-based and best-practice solutions from the literature as well as the role of nurses and other stakeholders in addressing the issue.

Health care organizations and professionals strive to create safe environments for patients however, due to the complexity of the health care system, maintaining safety can be a challenge. Since nurses comprise the largest group of health care professionals, a great deal of responsibility falls in the hands of practicing nurses. Quality improvement (QI) measures and safety improvement plans are effective interventions to reduce medical errors and sentinel events such as medication errors, falls, infections, and deaths. A 2000 Institute of Medicine (IOM) report indicated that almost one million people are harmed annually in the United States, (Kohn et al., 2000) and 210,000–440,000 die as a result of medical errors (Allen, 2013).

The role of the baccalaureate nurse includes identifying and explaining specific patient risk factors, incorporating evidence-based solutions to improving patient safety and coordinating care. A solid foundation of knowledge and understanding of safety organizations such as Quality and Safety Education for Nurses (QSEN), the Institute of Medicine (IOM), and The Joint Commission and its National Patient Safety Goals (NPSGs) program is vital to practicing nurses with regard to providing and promoting safe and effective patient care.

You are encouraged to complete the Identifying Safety Risks and Solutions activity. This activity offers an opportunity to review a case study and practice identifying safety risks and possible solutions. We have found that learners who complete course activities and review resources are more successful with first submissions. Completing course activities is also a way to demonstrate course engagement.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Analyze the elements of a successful quality improvement initiative.
    • Explain evidence-based and best-practice solutions to improve patient safety focusing on medication administration and reducing costs.
  • Competency 2: Analyze factors that lead to patient safety risks.
    • Explain factors leading to a specific patient-safety risk focusing on medication administration.
  • Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.
    • Explain how nurses can help coordinate care to increase patient safety with medication administration and reduce costs.
    • Identify stakeholders with whom nurses would need to coordinate to drive quality and safety enhancements with medication administration.
  • Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
    • Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.

What could be done to improve or help with coping of the identified problems?

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Assignment 3: Family Assessment: 50% of the Final Grade: This clinical assignment focuses on the family system and all the subsystems that affect the family, how the family unit copes, and how the nurse can help the family maintain a state of equilibrium. In your text is an outline of the Calgary Model and how it helps in the interviewing and assessment of the family. Using this model as a guideline choose a family you know to help you complete this assignment; these should not be your own family. Be sure the family is well in that they are not dealing with a newly diagnosed chronic or acute illness. Families with long-standing chronic illnesses, such as controlled hypertension or diabetes, are acceptable. Do not choose a family with acute problems including acute psychiatric illnesses.
Contact the family and explain the project you need to complete and if they are willing to participate. Set up a meeting time to speak with family members who would be most helpful with this project. Have questions prepared concerning all of the subsystems that affect families including ethnic backgrounds, working status of family members, education, etc. You may need to meet with the family more than once. Using the family assessment summary in your text, complete a family assessment.
This assessment must include content on all of the subsystems discussed in class this semester as well as a genogram, a list of family diagnoses including strengths and problems (stressors) related to each diagnoses. Students will need to summarize their project by explaining how the family members and the family unit cope with any problems that may arise; are they able to maintain a state of equilibrium or are they having difficulty maintaining a functional system? What could be done to improve or help with coping of the identified problems? Could some of the coping mechanisms of one family help another family if similar problems exist?
Beyond the textbook, students should search for additional resources to help explain the subsystems of the families; for example, their response to illness may be based on cultural background or religious beliefs. Find resources to support this and explain fully.
This project should have a minimum of 10 resources in addition to the course textbook.
This project should be written in narrative format with appropriate headings to identify each required section. A Safe Assign folder will be available for its submission.

Analyze data to identify a health care issue or area of concern.

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Prepare an 8 page data analysis and quality improvement initiative proposal based on a health issue of professional interest to you. The audience for your analysis and proposal is the nursing staff and the interprofessional team who will implement the initiative.

“A basic principle of quality measurement is: If you can’t measure it, you can’t improve it” (Agency for Healthcare Research and Quality, 2013).

Health care providers are on an endless quest to improve both care quality and patient safety. This unwavering commitment requires hospitals and care givers to increase their attention and adherence to treatment protocols to improve patient outcomes. Health informatics, along with new and improved technologies and procedures, are at the core of virtually all quality improvement initiatives. The data gathered by providers, along with process improvement models and recognized quality benchmarks, are all part of a collaborative, continuing effort. As such, it is essential that professional nurses are able to correctly interpret, and effectively communicate information revealed on dashboards that display critical care metrics.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
    • Outline a QI initiative proposal based on a selected health issue and supporting data analysis.
  • Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
    • Analyze data to identify a health care issue or area of concern.
  • Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
    • Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
  • Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
    • Apply effective communication strategies to promote quality improvement of interprofessional care.
    • Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
Reference

Agency for Healthcare Research and Quality. (2013). Preventing falls in hospitals. Retrieved from https://www.ahrq.gov/professionals/systems/hospital/fallpxtoolkit/fallpxtk5.html#tiptop

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Reflect on QI initiatives focused on measuring and improving patient outcomes with which you are familiar.

  • How important is the role of nurses in QI initiatives?
  • What quality improvement initiatives have made the biggest difference? Why?
  • When a QI initiative does not succeed as planned, what steps are taken to improve or revise the effort?

Compare clinical significance and statistical significance;

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Discussion Questions
Data analysis is key for discovering credible findings from implementing nursing studies. Discussion and conclusions can be made about the meaning of the findings from the data analysis.

Share what you learned about descriptive analysis (statistics), inferential analysis (statistics), and qualitative analysis of data; include something that you learned that was interesting to you and your thoughts on why data analysis is necessary for discovering credible findings for nursing.
Compare clinical significance and statistical significance; include which one is more meaningful to you when considering application of findings to nursing practice.

Using information from the required article and your own words, summarize the description of the type of research and the design of the study.

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Assignment Directions
Please answer the following questions
• Purpose of the Study: Using information from the required article and your own words, summarize the purpose of the study. Describe what the study is about.
• Research & Design: Using information from the required article and your own words, summarize the description of the type of research and the design of the study. Include how it supports the purpose (aim or intent) of the study.
• Sample: Using information from the required article and your own words, summarize the population (sample) for the study; include key characteristics, sample size, sampling technique.
• Data Collection: Using information from the required article and your own words, summarize one data that was collected and how the data was collected from the study.
• Data Analysis: Using information from the required article and your own words, summarize one of the data analysis/ tests performed or one method of data analysis from the study; include what you know/learned about the descriptive or statistical test or data analysis method.
• Limitations: Using information from the required article and your own words, summarize one limitation reported in the study.
• Findings/Discussion: Using information from the required article and your own words, summarize one of the authors’ findings/discussion reported in the study. Include one interesting detail you learned from reading the study.
• Reading Research Literature: Summarize why it is important for you to read and understand research literature. Summarize what you learned from completing the reading research literature activity worksheet.

Describe a systems-based solution that could have prevented this event.

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do Q1 for me which is (Scenarios/Questions 1. In acute care, a charge nurse is assigned to oversee a unit, and a nursing supervisor oversees the nursing role across a facility. All work together to control the flow of patients in and out of the unit and facility, make staffing assignments, and assist with problems and crises. Consider this situation: A nurse is dealing with a crisis for one patient and misses a second patient crisis—a young woman who died from a postoperative hemorrhage. In this tragic situation, competing crisis events on the unit prevented a nurse from adequately monitoring other assigned patients on the unit. The charge nurse and nursing supervisor stated in the Board of Nursing’s investigation of the event that they depended on the individual nurse to alert them if help was needed.

Question: Describe a systems-based solution that could have prevented this event. (DO NOT state what the nurse should have done differently; you are to describe a systems-based solution, not a personal, professional one.)
PLEASE NOTE: it is a discussion board. undergraduate. it is one page.about 175 words is okay by me that is the initial post. I will then submit it and get what two of my class mates wrote and send back to you so that the writer will read it and know what to reply them respectively. On the reply about 50 to 60 words is okay by me or 4 or 5 sentences respectively. please note that my initial post will have at least 1 reference.

Understand and explain first line treatment for the disease

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Medication for Acute stroke.

Understand and explain first line treatment for the disease

The first line of treatment is the part of the standard of treatment that is first given for a disease. Other treatment ought to be added because it doesn’t cure the disease. For the case of acute stroke, it depends if one has an ischemic stroke or stroke caused by bleeding in the brain.

For the case of Ischemic stroke doctor’s aims at quickly restoring blood flow to the brain through; Emergency IV medication.

Understand and explain second line treatment and why you would use

When symptoms start of a blood clot, therapy with drugs is supposed to be given within the first 4.5hrs. Giving this treatment quickly reduces complications and improves chances of survival. Tissue plasminogen activator is the known treatment for ischemic stroke, which is usually given through the vein within the first three hours as well as 4.5 hours after the symptoms of stroke starts (Woodhouse 2017). This drug is known to be removing the cause of stroke through dissolving the clotted blood that causes a stroke. The drug can help the stroke patients to recover through the doctor taking the treatment fully must consider the risk factors the patient might experience to administer an appropriate tissue plasminogen activator.

  1. Emergency endovascular procedures.

After ischemic stroke, the outcomes and long term disabilities are reduced by carrying out endovascular therapy. The following procedures are followed.

It is delivering of medication directly to the brain by insertion of a long thin tube passing through the artery to the groin where it provides medicine directly to the brain or by removing the clot with a stent retriever.

Other alternatives to ischemic stroke therapy include opening up of the artery that is usually narrowed by the clot, but this will always depend on the condition of the patient. This includes endarterectomy of carotid or stents and angioplasty.

The second line of treatment in acute stroke becomes the treatment of hemorrhagic stroke. This involves the reduction of pressure and control of breeding caused by the clot (Patorno et al., 2020). The alternatives of hemorrhagic stroke include surgical clipping, surgery, endovascular embolization, as well as emergency measures.

When starting medication, a broad range of reactions might arise. I.e. when starting medication, one may have signs of dizziness, rash as well as trouble in breathing. It is, therefore, essential for a patient to discuss the side effects of both long and short term effects of a disease. Patients of acute stroke are therefore advised to take prescribed drugs so as they can be able to share the reactions of medications with the doctor.

Medication for Bipolar type II

Understand and explain first line treatment for the disease

The first line of treatment after a patient is diagnosed with bipolar type II is assessing the safety of the patient. For instance, patients showing acute manic episode should be evaluated for suicidal behavior, aggressiveness, and possibilities of being violent to others (Shayegh Borojeni, & Sajjadian, 2019). All antidepressants, alcohol and nicotine should be discontinued immediately.

Understand and explain second line treatment and why you would use second line treatment.

In the second treatment involves the use of drugs such as lithium, anticonvulsants, antipsychotics, and benzodiazepines. The treatment modalities are affordable for two weeks to evaluate their efficiency, and if not active other agents are recommended (Kalelioglu et al., 2017). The second line treatment is done to check if the patient demonstrates the remission of elevated moods. If the client shows, partial remission clinicians recommend augmenting therapy with an additional different drug. The treatment is effective for patients with acute mania and severe hypomania.

Clearly explain the patient medication (minimum of 3-5 medication)

Lithium: Lithium is one of the most generally and regularly utilized medications in the treatment of bipolar issue. Various examination contemplates have been directed to decide the adequacy of lithium in the treatment of bipolar issue, which proposes that the medication is valuable in diminishing hyper-active scenes and lessening paces of self-destruction related with bipolar problem. lithium impacts the focal sensory system, there is no authoritative end with respect to how the medication settles in the state of mind, despite the fact that it is imagined that the medication accomplishes work to fortify nerve cells in the cerebrum, which are answerable for mind-set guideline. In a similar way, valproic corrosive has been appeared to lessen side effects, for example, sadness. It is thought to decrease raised degrees of dopamine, which are related with temperament issue. ” Although lithium has for some time been utilized to treat BD, Besides, almost certainly, the cooperation of a wide range of hereditary, epigenetic, and ecological elements add to this unpredictable and heterogeneous disposition issue. In spite of the fact that the etiology of BD remains inadequately comprehended, it is accepted to include different elements, including dysregulation of flagging pathways and quality articulation, loss of synaptic versatility, diminished cell strength, decreased synapse thickness, and variations from the norm in neuroanatomical structure and capacity” (Deglin & Vallerand, 2019)

Carbamazepine: this medication is used to decrease synaptic transmission in the CNS, it is used in treatment of tonic-clonic, partial seizures and also bipolar disorder. This medication is not to be used for status epilepticus because it may worsen the myoclonic or even cause absence seizures. This medication has side effects like suicidal thought, and behavioral problems. It also causes born marrow depression; the white blood count of the patient should be monitored to avoid bone marrow depression (Deglin & Vallerand, 2019).

Risperidone:  this is an antipsychotic, atypical medication that works by interfering with the binding with dopamine in the interlimbic region of the brain, serotonin receptor in the occipital cortex. This medication is used to eliminate psychotic symptoms and related psychosis. It is also used in treatment of bipolar disorder. This medication works by improving the negative symptoms in such as blunted affect and emotional withdrawal. This medication is metabolized in the liver. The common side effects include headache, drowsiness, dry mouth, tachycardia and urinary retention (Deglin & Vallerand, 2019).

Identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

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The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.

The Assignment: (Evidence-Based Project)

Part 5: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)