1) Minimum 10  full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Part 1: minimum 3 full pages 

Part 2: minimum 3 full pages 

Part 3: minimum 4 full pages

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 4 references not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

You must  use the information from the earlier the Literature Evaluation (See file 1)   and PICOT question paper (see file 2), and formulate a PICOT question.

1. formulate  a PICOT question addressing the following information. Your question must fullfil all requirements of PICOT question:

Issue: Infection Control and Prevention 

Topics: Cleaning and disinfection; Standards precaution and Cross-contamination

(P) Population of Focus – Oral chemotherapy patients.

(I) Intervention – Develop an educational workflow to coordinate and manage monitoring of labs, imaging and follow up appointments.

(C) Comparison – Current workflow process which has no specific guidelines.  

(O) Outcome – Nurse specialists will have a smooth workflow in process when educating oral chemotherapy patients, which will lead to a more coordinated tracking process for nurses, patients, pharmacists, and providers. 

(T) Time – During the course of patients’ treatment.

PICOT Question

When nurse specialists educate oral chemotherapy patients (P), does a coordinated educational workflow process (I) lead to a more coordinated interdisciplinary communication system (O), when compared to the current process of sporadic and uncoordinated tracking (C), over the course of the patients’ treatment (T)?

Body Assignment

1. Introduction section

2. A comparison of research questions

3. A comparison of sample populations

4. A comparison of the limitations of the study

5. A conclusion section, incorporating recommendations for further researc

Part 2:

 

Case Study 1: Disorders of Fluid, Electrolyte, and Acid-Base Balance

Amanda is an 18-year-old with anorexia nervosa. She was recently admitted to an eating disorders clinic with a BMI of 13.9, and although she was a voluntary patient, she was reluctant about the treatment. She was convinced that she was overweight because her clothes felt tight on her. She complained that even her hands and feet “were fat.” One of her nurses explained that a protein in her blood was low. The nurse further explained that, as difficult as it may be to believe, eating a normal healthy diet would make the “fat hands and feet” go away.

1. What protein do you suspect the nurse was referring to? 

2. How would a deficiency in this protein contribute to edema?

3. What is the difference between the physiology of pitting and nonpitting edema?

4. Because of her weakened condition, Amanda was moved around the ward in a wheelchair when she was not on bed rest. How does this affect her edematous tissues?

Part 3:

 

Mr. Smith brings his 4-year-old son to your primary care office. He states the boy has been ill for three days. Mr. Smith indicates that he would like antibiotics so he can send his son back to pre-school the next day.

History – Child began with sneezing, mild cough, and low grade fever of 100 degrees three days ago. All immunizations UTD. Father reports that the child has had only two incidents of URI and no other illnesses.

Social – non-smoking household. Child attends preschool four mornings a week and is insured through his father’s employment. No other siblings in the household.

PE/ROS -T 99, R 20, P 100. Alert, cooperative, in good spirits, well-hydrated. Mildly erythemic throat, no exudate, tonsils +2. Both ears mild pink tympanic membrane with good movement. Lungs clear bilaterally. All other systems WNL.

For the assignment, do the following:

1. Diagnose the child and describe how you arrived at the diagnosis (i.e. how you ruled out other diagnoses).

2. Provide a specific treatment plan for this patient, pharmacologic and/or nonpharmacologic.

3. Provide a communication plan for how the family will be involved in the treatment plan.

4. Provide resources that Mr. Smith could access which would provide information concerning your treatment decisions.

5. Utilize national standards, your pharm and/or patho book and medical or advanced practice professional sources. Do not use patient-facing sources or general nursing texts to support your diagnosis and treatment.

 

Health care administration offers many opportunities to work on committees, teams, or special projects in an HCO. Discuss one such environment and what regulatory entity may have jurisdiction over the work product. Include how you would ensure that the needs of accreditation or regulatory compliance are being met if leadership designated as an approving body for your team or committee does not support your product or value. please add in-text citation and reference

 1 page 1 sentence for each question

1. What are the mechanisms that result in dyspnea?
2. Paroxysmal nocturnal dyspnea (PND) is a result of: what disorder?
3. _____ is generally relieved by sitting up in a forward-leaning position.
4. Kussmaul respirations may be characterized which respiratory pattern?
5. What is the pathophysiologic mechanism of Cheyne-Stokes respirations?
6. Cyanosis generally develops when _______ g/dL of hemoglobin is desaturated, regardless of hemoglobin concentration.
7. What do hypoventilation and hyperventilation do to PaCO2 levels?
8. What is clubbing?
9. How do high altitudes produce hypoxemia?
10. How do pulmonary edema and pulmonary fibrosis cause hypoxemia?
11. Alveolar dead space is a result of which disorder?
12. Which pleural abnormality involves a site of pleural rupture that act as a one-way valve, permitting air to enter on inspiration but preventing its escape by closing during expiration?
13. In _____ pleural effusion, the fluid is watery and diffuses out of the capillaries as a result of increased blood pressure or decreased capillary oncotic pressure.
14. What the causes of chest wall restriction?
15. _____ atelectasis is the collapse of lung tissue caused from the lack of collateral ventilation through the pores of Kohn.
16. In _____ bronchiectasis, both constrictions and dilations deform the bronchi.
17. What are some similarities between silicosis and asbestosis?
18. _____ is a fulminant form of respiratory failure characterized by acute lung inflammation and diffuse alveolocapillary injury.
19. What are the causes of pulmonary edema?
20. Pulmonary edema usually begins at a pulmonary capillary wedge pressure or left atrial pressure of _____ mm Hg.
21. In ARDS, inflammatory mediators such as proteolytic enzymes, oxygen free radicals, prostaglandins, leukotrienes, and platelet-activating factor are released by which cells?
22. What is the cause of pulmonary edema in ARDS?
23. In ARDS, what causes the alveoli and respiratory bronchioles to fill with fluid?
24. Which type of pulmonary disease requires more force to expire a volume of air?
25. Which immunoglobulin may contribute to the pathophysiology of asthma?
26. Which inflammatory mediators are produced in asthma?
27. _______ increases in asthma because of the effect of inflammatory cytokines, tumor necrosis factor-alpha (TNF-a), and IL-1.
28. What are the clinical manifestations of asthma?
29. The most successful treatment for chronic asthma begins with _______.
30. Which bacteria become embedded in the airway secretions in chronic bronchitis?
31. What are the clinical manifestations of chronic bronchitis?
32. _____ involves an abnormally enlarged gas-exchanged system and the destruction of alveolar walls.
33. What is the best way to delayed the progression of chronic bronchitis?
34. How does smoking contributes to emphysema?
35. What are the clinical manifestations of emphysema?
36. What is the most common route of lower respiratory tract infection?
37. What are the clinical manifestations of pneumonia?
38. In tuberculosis, what is activated to attack the bacilli?
39. What is a circumscribed area of suppuration and destruction of lung parenchyma called?
40. Pulmonary hypertension results from which alteration?
41. What are the clinical manifestations of pulmonary hypertension?

Chapter 37: Alterations of Pulmonary Function in Children

1. How does chest wall compliance in infants compare to adults?
2. Why is nasal congestion a serious threat to young infants?
3. The risk for respiratory distress syndrome (RDS) decreases for premature infants when they are born after _____ weeks of gestation.
4. Which type of croup is most common?
5. What are the clinical manifestations of croup?
6. What is the chief predisposing factor for respiratory distress syndrome (RDS) of the newborn?
7. What is the primary cause of RDS of the newborn?
8. What is the primary problem in RDS of the newborn?
9. What is the sequence of events after atelectasis develops in respiratory distress syndrome of the newborn?
10. Bronchiolitis tends to occur during the first years of life and is most often caused by which infection?
11. What are the clinical manifestations of bacterial pneumonia in children?
12. Which immunoglobulin is present in childhood asthma?
13. Which T lymphocyte phenotype is the key determinant of childhood asthma?
14. Which cytokines activated in childhood asthma produce an allergic response?
15. Write a description of childhood asthma.
16. Write a description of acute respiratory distress syndrome (ARDS).
17. What do fibroblast growth factors cause in ARDS?
18. In ARDS, how does a diffuse pulmonary thrombosis contribute to pulmonary edema?
19. Write a description of cystic fibrosis.
20. What is the cause of cystic fibrosis (CF)?
21. What are the abnormalities in cytokines found in children with cystic fibrosis?
22. Sudden infant death syndrome (SIDS) occurs most often between _____ and _____ months of age.

 

For this Assignment, you will work with a patient with a gastrointestinal condition that you examined during the last three weeks. You will complete your second Episodic/Focused Note Template Form for this course where you will gather patient information, relevant diagnostic and treatment information, and reflect on health promotion and disease prevention in light of patient factors, such as age, ethnic group, PMH, socioeconomic, cultural background, etc. In this week’s Learning Resources, please review the Focused Note resources for guidance on writing Focused Notes.

Note: All Focused Notes must be signed, and each page must be initialed by your preceptor. When you submit your Focused Notes, you should include the complete Focused Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your Focused Notes using SAFE ASSIGN.

Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.

To prepare:

• Use the Episodic/Focused Note Template found in the Learning Resources for this week to complete this Assignment.
• Select a patient that you examined during the last three weeks based on any gastrointestinal conditions. With this patient in mind, address the following in a Focused Note:

Assignment:

• Subjective: What details did the patient provide regarding her personal and medical history?
• Objective: What observations did you make during the physical assessment?
• Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
• Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.
• Reflection notes: What would you do differently in a similar patient evaluation?

Note: Your Focused Note Assignment must be signed by Day 7 of Week 6.