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August 21, 2024

Describe in detail the R.E.P.A. I.R. protocol for patient management for anaphylactic shock ( anaphylaxis)

in medical emergency situation (at dental clinic). All sections of R.E.P.A.I.R must be discussed.

R: recognized signs and symptoms,

E: evaluate patient’s level consciousness,

P: place position (how to placed the patient),

A: activate the CABs of CPR by checking the circulation airway breathing,

I: implement appropriate emergency protocol for anaphylactic shock,

R: Refer patient to healthcare professionals (what would you should do with patient at that time: advice call 911..etc),

 

R.E.P.A. I.R. Protocol For Patient Management

Describe in detail the R.E.P.A. I.R. protocol for patient management for anaphylactic shock ( anaphylaxis)

in medical emergency situation (at dental clinic). All sections of R.E.P.A.I.R must be discussed.

R: recognized signs and symptoms

E: evaluate patient’s level consciousness

P: place, position (how to placed the patient)

A: activate the CABs of CPR by checking the circulation, airway, breathing

I: implement appropriate emergency protocol for anaphylactic shock

R: Refer patient to healthcare professionals (what would you should do with patient at that time: advice, call 911,..etc)

Describe in detail the R.E.P.A. I.R. protocol for patient management for anaphylactic shock ( anaphylaxis)

in medical emergency situation (at dental clinic). All sections of R.E.P.A.I.R must be discussed.

R: recognized signs and symptoms

E: evaluate patient’s level consciousness

P: place, position (how to placed the patient)

A: activate the CABs of CPR by checking the circulation, airway, breathing

I: implement appropriate emergency protocol for anaphylactic shock

R: Refer patient to healthcare professionals (what would you should do with patient at that time: advice, call 911,..etc)

Describe in detail the R.E.P.A. I.R. protocol for patient management for anaphylactic shock ( anaphylaxis)

in medical emergency situation (at dental clinic). All sections of R.E.P.A.I.R must be discussed.

R: recognized signs and symptoms

E: evaluate patient’s level consciousness

P: place, position (how to placed the patient)

A: activate the CABs of CPR by checking the circulation, airway, breathing

I: implement appropriate emergency protocol for anaphylactic shock

R: Refer patient to healthcare professionals (what would you should do with patient at that time: advice, call 911,..etc)

August 21, 2024
August 21, 2024

After reviewing culture care and caring during this module explain your perceptions and beliefs before this reading and how it can now affect your future interactions with your patients., Also discuss how you can integrate culturally congruent care into your practice.,

See attached lecture in PDF

Submission Instructions

  • Contribute a minimum of 500 words for your initial post. ,It should include at least 2 academic sources, formatted and cited in APA,
  • Your assignment will be run through Turnitin to check for plagiarism. NO PLAGIARISM!,

My background: I am a Psychiatric Mental Health Nurse Practitioner (APRN, PMHNP-BC), I have experience in Acute Psych (Inpatient Psychiatric Hospital) and in Mental Health Clinic (Outpatient facility). I provide direct patient care, diagnose, and prescribe pharmacological treatments for patients with mental health disorders.

After reviewing culture, care, and caring during this module, explain your perceptions and beliefs before this reading and how it can now affect your future interactions with your patients. Also, discuss how you can integrate culturally congruent care into your practice.

 

Culture Care and Caring

See attached lecture in PDF

Submission Instructions

  • Contribute a minimum of 500 words for your initial post. It should include at least 2 academic sources, formatted and cited in APA
  • Your assignment will be run through Turnitin to check for plagiarism. NO PLAGIARISM!

My background: I am a Psychiatric Mental Health Nurse Practitioner (APRN, PMHNP-BC), I have experience in Acute Psych (Inpatient Psychiatric Hospital) and in Mental Health Clinic (Outpatient facility). I provide direct patient care, diagnose, and prescribe pharmacological treatments for patients with mental health disorders.

After reviewing culture, care, and caring during this module, explain your perceptions and beliefs before this reading and how it can now affect your future interactions with your patients. Also, discuss how you can integrate culturally congruent care into your practice.

See attached lecture in PDF

Submission Instructions

  • Contribute a minimum of 500 words for your initial post. It should include at least 2 academic sources, formatted and cited in APA
  • Your assignment will be run through Turnitin to check for plagiarism. NO PLAGIARISM!

My background: I am a Psychiatric Mental Health Nurse Practitioner (APRN, PMHNP-BC), I have experience in Acute Psych (Inpatient Psychiatric Hospital) and in Mental Health Clinic (Outpatient facility). I provide direct patient care, diagnose, and prescribe pharmacological treatments for patients with mental health disorders.

August 21, 2024
August 21, 2024

Before any nursing plan of care or intervention can be implemented or evaluated, the nurse conducts an assessment, collecting subjective and objective data from an individual. The data collected are used to determine areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting both subjective and objective data, synthesizing the data, and identifying health and wellness priorities for the person. The purpose of the assignment is twofold.

1. To recognize the interrelationships of subjective data (physiological, psychosocial, cultural, and spiritual values, and developmental) and objective data (physical examination findings) in planning and implementing nursing care

2. To reflect on the interactive process that takes place between the nurse and an individual while conducting a health assessment and a physical examination

 

Course Outcomes This assignment enables the student to meet the following course outcomes.

CO 1: Explain expected client behaviors while differentiating between normal findings variations and abnormalities. (PO1),

CO 2: Utilize prior knowledge of theories and principles of nursing and related disciplines to integrate clinical judgment in professional decision-making and implementation of nursing process while obtaining a physical assessment. (POs 4 and 8),

CO 3: Recognize the influence that developmental stages have on physical psychosocial cultural and spiritual functioning. (PO 1),

CO 4: Utilize effective communication when performing a health assessment. (PO 3),

CO 5: Demonstrate beginning skill in performing a complete physical examination using the techniques of inspection palpation percussion, and auscultation. (PO 2),

CO 6: Identify teaching/learning needs from the health history of an individual. (POs 2 and 5),

CO 7: Explore the professional responsibilities involved in conducting a comprehensive health assessment and providing appropriate documentation. (PO 6 and 7),

 

Due date Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

 

Total points possible 100 points

 

 

Nursing Plan Of Care

 

Preparing the assignment

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

 

1. Complete a health history and physical examination on an individual. Using the following subjective and objective components, as well as your textbook for explicit details about each category, complete a health history and physical examination on an individual. The person interviewed must be 18 years of age or older. Please be sure to avoid the use of any identifiers in preparing the assignment and follow HIPAA protocols.

a. Students may seek input from the course instructor on securing an individual for this assignment.

b. Avoid the use of client identifiers in the assignment, HIPAA protocols must be utilized.

c. During the lab experiences, you will conduct a series of physical exams that includes the systems listed in Objective Data below.

d. Refer to the course textbook for detailed components of each system exam.

1) Remember, assessment of the integumentary system is an integral part of the physical exam and should be

Text  Description automatically generated

August 21, 2024
August 21, 2024

Vila Health: Mercy Hospital Safety and Quality Dashboard Legend M = Meets target C = Close to target D = Does not meet target Physical Therapy

Measure Purpose

Metric Target Jan Feb March

 

Hospital Safety and Quality

Operational Early Intervention. PT response to consult within 24 hours. 100% 91% C

79.5% D

96% C

Quality Percentage (%) of patients that meet 75% of their goals upon discharge.

100% 100% M

100% M

100% M

Endoscopy Measure Purpose

Metric Target Jan Feb March

Satisfaction Patient satisfaction with Endoscopy wait time (95% or greater rated good/excellent).

95% 95% M

92% C

88% D

Infection Control Measure Purpose

Metric Target Jan Feb March

Quality CAUTI Rate. <1.1 0.94% M

1.6% C

0% M

Safety % of clinicians who wash hands and use sanitizer appropriately. 98% 96% C

88% D

93% C

 

 

 

2

Laboratory Measure Purpose

Metric Target Jan Feb March

Quality Critical lab values from RN to PHY within 20 minutes. 100% 76.6% D

58.5% D

76.6% D

Operational CB TAT ER-average minutes receipt to results. 92% 93.6% M

94.6% M

93.9% M

ICU/PCU Measure Purpose

Metric Target Jan Feb March

Safety All patients/families will receive discharge education that is documented in the medical record.

100% 100% M

100% M

100% M

Safety A current list of medications is provided to the patient at time of discharge.

100% 100% M

100% M

100% M

Safety Pt. fall rate/1,000 pt. days. <2% 1.4% M

1.7% M

3.3% D

Safety MRSA swab collection within 24. 100% 73.5% D

80% C

84.4% C

Emergency Room Measure Purpose

Metric Target Jan Feb March

Quality EKG for chest pain <10 mins of arrival. 100% 100% M

100% M

17% D

Quality Patients assessed for pain and appropriate interventions and reassessments are documented.

100% 85% D

48% D

76.00% D

 

 

Risk Management Report

3

 

 

  • Vila Health: Mercy Hospital Safety and Quality Dashboard
August 21, 2024
August 21, 2024

For each method, determine if a probability or non probability sampling method is used. For each question, determine if this an effective way to determine patient satisfaction. Why or why not?

1. The CEO of a regional hospital wants to survey patient satisfaction after being discharged from the hospital.,

2. A case manager is sent to the discharge area to interview patients as they are leaving the hospital.,

3. You have the nurses on the floor distribute a questionnaire to each patient asking they complete the survey and return it at the discharge counter before they leave.,

4. The CEO randomly selects a set of patients about to be discharged from the hospital and questions those that they have selected.,

5. The CEO groups the patients by departments and randomly selects a patient from each department and surveys that patient to evaluate the department. ,

·

· Answer each question with a minimum of 2 paragraphs. Your submission must include a properly formatted title and reference pages. 2 academic sources, formatted and cited in APA.

 

 

Probability Or Non Probability Sampling

·

Submission Instructions:

· Submit your assignment by 11:59 pm on Sunday.

· It should include at least 2 academic sources, formatted and cited in APA.

Using the reading covered in this module review the scenarios below. For each method, determine if a probability sampling or non probability sampling method is used. For each question, determine if this an effective way to determine patient satisfaction. Why or why not?

1. The CEO of a regional hospital wants to survey patient satisfaction after being discharged from the hospital.

2. A case manager is sent to the discharge area to interview patients as they are leaving the hospital.

3. You have the nurses on the floor distribute a questionnaire to each patient asking they complete the survey and return it at the discharge counter before they leave.

4. The CEO randomly selects a set of patients about to be discharged from the hospital and questions those that they have selected.

5. The CEO groups the patients by departments and randomly selects a patient from each department and surveys that patient to evaluate the department.

·

· Answer each question with a minimum of 2 paragraphs. Your submission must include a properly formatted title and reference pages. 2 academic sources, formatted and cited in APA.

·

Submission Instructions:

· Submit your assignment by 11:59 pm on Sunday.

· It should include at least 2 academic sources, formatted and cited in APA.

August 21, 2024
August 21, 2024

 

Describe the cultural context of the local school and community, to what extent are diversity, equity, and different cultural practices honored; use the data you have collected for the Ecological Portfolio, also check your school and county website for additional information. To better understand your context of teaching, please analyze these items with respect to the practices, procedures, and messages impacting your students’ development.

 

Cultural Context

Focus on the following four elements: reflection, content, connections, and criticality:

  • Reflective analysis: includes the review and analysis of events and/or issues that draw together multiple perspectives and resources to come to a new understanding of the event or issue.
  • Content: addresses a substantial range of areas of teaching and learning and makes meaningful connections across these areas.
  • Connections: establishes / examines a significant number of links with outside resources and relevant theory; these resources are used carefully support and guide the structured reflection.
  • Criticality: includes observations and interpretations of diversity, equity, and cultural context.

it should be 1,250 – 1,750 words (exclusive of references). The analysis includes 4-5 academic references to course material; appropriately cited in APA format.

  1. You are being asked to cite educational research as evidence for the phenomena you are seeing in the schools and the decisions you and your mentor teacher are making. Using educational research, and eventually conducting it, is an important component of becoming a professional educator. It confirms our work and guides us in the best decision-making for our students. You can find also some support for how to go about citing it in the OWL website. This is good practice for any work you do as an educator.
  2. You will find plenty of educational research and sources to cite in the books and materials provided you in your earlier coursework (i.e. course materials) – check the readings and suggested readings list; you are certainly welcome to seek more out via our library and other viable/credible internet sources such as the data sites listed for the School and Community Data Analysis section of the Ecological Portfolio.
  3. The question is: what are your sources for the ideas/concepts/practices you are seeing in the school and how would you incorporate them into your reflection as support for what is going on, or support for your disagreement? I suspect you will find many references relevant to your reflection in the areas of diversity, power, equity as well as best teaching and learning practices specific to your content area.
  4. The link to the site and this analysis is to be submitted to BOTH an OSE course dropbox AND the Student Teaching 1 course dropbox.

Information to Include in the Context of Teaching & Learning Analysis (use Ecological Portfolio data and your observations to describe):

Demographic and Structural Description – what is the school like?

  • Briefly describe the type of school in which you are working (K-8th),
  • What are the demographic data of your school? ,
  • What is the title of the course(s) you are working with?,
  • Grade level(s) you teach? ,
  • What is the length of the course ?, Briefly describe the pace of the curriculum and testing schedule., What is the class schedule,
  • Where is the school where you are teaching located? , What data/information are you using in making that determination?,
  • Describe any special features of your school or classroom setting (e.g., charter, co-teaching, themed magnet, classroom aide, bilingual, team taught with a special education teacher) that affect your teaching and student learning.
  • Are teachers grouped into teams? How? How does planning take place within your school/department? What role does your mentor teacher play in planning for classes? What role do you anticipate in planning at the school?
  • Describe any district, school, or mentor teacher requirements/expectations that affect your planning or delivery of instruction, such as required curricula, pacing plan, use of specific instructional strategies, interdisciplinary learning, standardized assessments, etc.
  • Review the MTSS slide deck in iCollege; describe the Multi-tiered Systems of Support process in your school. How are students supported (or not supported) in this process? What are teachers’ roles and responsibilities in this process? Who else is involved in MTSS at the school or in the district?
  • Identify any textbook or instructional program you primarily use for instruction. If a textbook, please provide the title, publisher, and date of publication. What type of digital platforms/sources are used or required?
  • Describe the classroom benefits and limitations. What is your classroom’s aesthetic environment, physical layout, organization of routines/procedures, student groupings for collaborative work, materials, and instructional methods as well as symbols and communication patterns of school?

What are your students like?

  • See Chapter 3 of “Unearthing Joy” by Muhammad (2023), specifically pages 105-106.
  • Number, age range & gender of students in the class?
  • Is there any ability grouping or tracking in use at the school or in your classes? If so, please describe how it might affect your class.
  • Consider the variety of young adolescent learners in your class who may require different strategies/supports or accommodations/modifications to instruction or assessment (e.g., students with Individualized Education Programs [IEP’s] or 504 plans, students with specific language needs, students needing greater challenge or support, students who struggle with reading, students who are underperforming or those with gaps in academic knowledge. Describe the required or needed supports, accommodations, or modifications for your students that will affect your instruction.
  • Who are English learners in the classroom? What are their language development levels? What are their home/family language(s)?
  • Consult with your mentor teacher to ascertain the learning needs of your students; as a teacher intern, you have permission to learn this information and you are legally required to provide appropriate accommodations to students while you are in the classroom. As a teacher intern you are cleared to attend special education meetings. It is vital that you maintain strict confidentiality and follow group norms throughout. It is good policy to provide full disclosure of your role and purpose of reviewing notes and attending to all participants prior to the actual meeting. Transparency is good practice.
  • An analysis of the type of language used in your discipline referral document(s) and the discipline referral process.  Analysis of existing school habits, signs & symbols. Review these documents for communication patterns and symbols/messages. You can take photos (or screenshots if you are teaching virtually) of these materials and/or journal your reflective notes as you walk around the classroom and school.  What are some of the explicit and implicit messages that are conveyed to students and adults? What is the language of mass emails, web site, or overhead announcements your school sends?

Consider the ways in which the context of the community, school, and classroom influences teaching and learning.

  • What are your MT and their colleagues doing and saying – what are the MT’s opening activities (preparing for students, professional development, staff meetings, curriculum design, etc.?)
  • What are the interactions/relationships among students, your MT, other teachers, school staff, and administration, and others?

Analyze and critique the ideologies and belief systems that you observe and discuss the ways in which these beliefs seem to have influenced practices.

  • What ideologies have you observed? How do these ideologies reflect or influence observed practices (instruction and discussion with youth)? (An ideology is a set of ideas that informs one’s teaching and learning. It drives our instruction and practices.)
  • What do you like and dislike about the MT’s and other’s practice? Cite your philosophy of education, your experiences, and relevant theory from your courses and readings.

Apply your observations from the structured reflective analysis to your own practice. Based on what you observed and your analysis and critique, how will you apply it to your teaching?

  • What might you do differently? Why? You can either create an alternate classroom experience in a narrative form or describe what you would do in a more informational manner.
  • If you were the teacher, what would this classroom look like?
  • What new understanding of your observations did you arrive at after your analysis?
August 21, 2024
August 21, 2024

Brainstorm Ideas that will provide positive change for you community., Ideas to think about include gun violence resources for teenagers to keep them active and out of trouble, community events that promotes positivity between police officers and members of the community., Identify three ways these ideas will create a positive change in your community., Brainstorm  for you community. Ideas to think about include gun violence, resources for teenagers to keep them active and out of trouble, community events that promotes positivity between police officers and members of the community. Identify three ways these ideas will create a positive change in your community.

Ideas That Will Provide Positive Change

 

Brainstorm  for you community. Ideas to think about include gun violence, resources for teenagers to keep them active and out of trouble, community events that promotes positivity between police officers and members of the community. Identify three ways these ideas will create a positive change in your community.Brainstorm Ideas that will provide positive change for you community. Ideas to think about include gun violence, resources for teenagers to keep them active and out of trouble, community events that promotes positivity between police officers and members of the community. Identify three ways these ideas will create a positive change in your community.Brainstorm Ideas that will provide positive change for you community. Ideas to think about include gun violence, resources for teenagers to keep them active and out of trouble, community events that promotes positivity between police officers and members of the community. Identify three ways these ideas will create a positive change in your community.Brainstorm Ideas that will provide positive change for you community. Ideas to think about include gun violence, resources for teenagers to keep them active and out of trouble, community events that promotes positivity between police officers and members of the community. Identify three ways these ideas will create a positive change in your community.

August 21, 2024
August 21, 2024
  • Describe the pathophysiology for bronchiolitis including the most common causative organism.,
  • Analyze risk factors associated with bronchiolitis.,
  • Choose diagnostic testing for bronchiolitis and support with rationale.,
  • Explain signs and symptoms of bronchiolitis including specific examples from the scenario.,
  • Describe the pathophysiology of PDA including why this is significant for this scenario.,
  • Describe the rationale for use and contraindications for each of the prescribed medications.,
  • Select two priority nursing diagnoses for this scenario including supporting rationale for your choices.,
  • Write two SMART goals for each nursing diagnosis.,
  • Choose two interventions for each goal including supporting rationale for your choices.,
  • Describe potential short and long-term complications, including specific examples and supporting rationale.
  • Apply information from the scenario to create a plan for discharge teaching.
  • Describe the pathophysiology for bronchiolitis, including the most common causative organism.

 

 

Pathophysiology For Bronchiolitis

  • Analyze risk factors associated with bronchiolitis.
  • Choose diagnostic testing for bronchiolitis and support with rationale.
  • Explain signs and symptoms of bronchiolitis, including specific examples from the scenario.
  • Describe the pathophysiology of PDA, including why this is significant for this scenario.
  • Describe the rationale for use and contraindications for each of the prescribed medications.
  • Select two priority nursing diagnoses for this scenario, including supporting rationale for your choices.
  • Write two SMART goals for each nursing diagnosis.
  • Choose two interventions for each goal, including supporting rationale for your choices.
  • Describe potential short and long-term complications, including specific examples and supporting rationale.
  • Apply information from the scenario to create a plan for discharge teaching.
August 21, 2024
August 21, 2024

The scarcity of health resources continues to negatively affect communities across the country. Deciding how to allocate scarce resources creates significant ethical challenges for local policymakers and other stakeholders within the community.

You represent a local non-profit community health organization in Chicago. Your organization is compiling data to conduct a needs assessment in order to determine the feasibility of a new community-based mobile health clinic. You have been asked to review the most recent strategic plan for the city of Chicago.

 

scarcity of health resources

The mobile clinic would offer free preventive care, urgent care, and chronic disease management services to vulnerable citizens of Chicago, who may not otherwise have the financial resources to access quality healthcare services. Your executive summary will be used in the development of a needs assessment for the project.

Your targeted population is an urban, low income community disenfranchised by current health reform policies, high unemployment, a shortage of primary care physicians, and divisive partisan attitudes regarding entitlement programs. The goal of the community-based clinic is to work collaboratively with local health facilities to reduce costs, improve access, and to enhance the quality of care for underserved communities.

Instructions

Review the community health needs assessment linked here that was conducted by the Health Impact Collaborative of Cook County: See attached document,

Pages 37 – 49 of the report highlight challenges facing the city with respect to costs access and quality of care issues. Write an executive summary addressing the following questions:,

What are some of socio-economic factors that affect access to care based on the findings in the report? ,

What are the critical focus areas identified in the report?,

Based on the report’s content, how might the use of a mobile health clinic address the critical focus areas?,

What are some of the potential barriers to success for a mobile health clinic?,

August 21, 2024
August 21, 2024

You were the lead investigator on Operation Stop Hack and have now been subpoenaed as an expert witness in the case against the perpetrators. It is up to you to convey the complexities of the crime and evidence to the jury so they can understand the scientific procedures used in aiding the crime’s resolution.

Instructions

  1. Analyze the overall procedures for First Responder and Incident Handling and ascertain the fundamental way in which such procedures relate to the scenario in this specific case.,
  2. Explain the major steps involved in evidence acquisition and how to maintain the integrity of the evidence, outline any and all repercussions if the evidence is improperly preserved.
  3. Consider the importance of the chain of custody and explain the main reasons why the documentation required to preserve the chain of custody is critical.,
  4. Use at least three quality resources in this assignment. Note: Wikipedia and similar websites do not qualify as quality resources.,

This course requires the use of the Strayer Writing Standards (SWS). The library is your home for SWS assistance, including citations and formatting. Please refer to the Library site for all support. Check with your professor for any additional instructions.

 

expert witness

The specific course learning outcome associated with this assignment is:

  • Outline the legal steps and procedures to process and collect digital evidence.You were the lead investigator on Operation Stop Hack and have now been subpoenaed as an expert witness in the case against the perpetrators. It is up to you to convey the complexities of the crime and evidence to the jury so they can understand the scientific procedures used in aiding the crime’s resolution.

    Instructions

    1. Analyze the overall procedures for First Responder and Incident Handling and ascertain the fundamental way in which such procedures relate to the scenario in this specific case.
    2. Explain the major steps involved in evidence acquisition and how to maintain the integrity of the evidence, outlining any and all repercussions if the evidence is improperly preserved.
    3. Consider the importance of the chain of custody and explain the main reasons why the documentation required to preserve the chain of custody is critical.
    4. Use at least three quality resources in this assignment. Note: Wikipedia and similar websites do not qualify as quality resources.

    This course requires the use of the Strayer Writing Standards (SWS). The library is your home for SWS assistance, including citations and formatting. Please refer to the Library site for all support. Check with your professor for any additional instructions.

    The specific course learning outcome associated with this assignment is:

    • Outline the legal steps and procedures to process and collect digital evidence.