Goal:

• Evaluate the clinical project.

Content Requirements:

1. A description of the clinical issue to be addressed in the project.
2. A SWOT (strengths, weaknesses, opportunities, threats) analysis for the project. Analysis of the strengths, weaknesses, opportunities, and threats related to the quality improvement process.
3. An outline of the action plan for the project.
4. An assessment of clinical issue that is the focus of the quality improvement project.
5. Discuss stakeholders and decision makers who need to be involved in the quality improvement project.
6. Discuss resources including budget, personnel and time needed for the quality improvement project.
7. Discuss potential strategies for implementation and evaluation.

Nursing has over 200 professional organizations, special interest groups, and coalitions dedicated to the interest of nursing. For this discussion:

1. Examine a nursing organization to determine the political function of the organization.
2. Discuss three legislative initiatives supported by the organization.
3. Define your position on each of the initiatives and whether you agreed with the organization’s position and advocacy platform.
4. Compose a Tweet that reflects your position on the legislative initiative, remembering the 140-character limit. Be concise. Share your Tweet in the discussion.

Discussion 1:

Margaret is a 40-year-old white female in for her annual asses. She states she has been under increased stress in her life for the past few months. She and her husband are currently separated and considering divorce. Her teenaged sons are acting out and she is working extra hours to make ends meet. Secondary to the increased stress she has started smoking again, “about a pack per day” and states “I know that I am not eating right.”
Margaret has been on the “pill” for almost 20 years and has always liked the method. She states the she has heard that smoking and taking the pill are not good, and she is worried about that. “I really do not need birth control since I am separated but just in case I probably need something.” She states that she has been in a mutually monogamous relationship (as far as she knows) since her marriage 18 years ago. She denies a new partner since her separation. Menarche was at 11 years, her cycles when on the pill are regular and very light. Her menstrual period should start tomorrow as she just finished her active pills. She denies a personal history of abnormal Pap smears, gynecological issues, hypertension (HTN), or diabetes. She is G2P2002, and her pregnancies were full term and uncomplicated at ages 24 and 26. Family history is significant for both parents with HTN and mom has type 2 diabetes. Her paternal grandfather died at age 64 years from type 2 diabetes, HTN, and coronary artery disease. Her other grandparents died in their late 70s early 80s and she is unaware of any medical issues.

Assessment:

Margaret’s assessment finds her height 5’5″, weight 172 lb (up 10 lb. from last year), current body mass index (BMI 28.6), and blood pressure (BP) 148/88. Head, eyes, ears, nose, and throat (HEENT) are grossly within normal limits (WNL). No thyromegaly or lymphadenopathy. Heart rate is regular and rhythm is without murmurs, thrills, or rubs. Lungs are clear to auscultation in all lobes. Breasts are without masses, nipple discharge, asymmetry, or lymphadenopathy; self breast examnation techniques and frequency reviewed during examnation. Abdomen is soft, nontender, with no masses or hepatosplenomegaly; bowel sounds present in all four quadrants. Pelvic assessment reveals normal vulva and negative Bartholin’s and Skene’s glands; vagina is pink, rugated, with minimal white nonodorous discharge; cervix is pink, multiparous os. Pap smear collected during speculum examination was normal. Bimanual examination reveals a retoverted, firm, mobile, nonenlarged, nontender uterus with negative cervical motion tenderness; adnexa nontender; and ovaries palpable bilaterally, mobile, without masses. Lower extremities were without edema or varicosities.

1. What options are appropriate for this patient?
2. What contraceptive options are contraindicated?
3. What type of patient education is indicated?
4. Given that she has a normal pelvic exa, does that change would that influence your decision?

 

Competency

Compare strategies for safe, effective multidimensional nursing practice when providing care for clients with lower respiratory disorders.

Scenario

You are a nurse on a pulmonary rehabilitation team at an outpatient clinic in your community. You are updating educational resources to educate clients who want to know more about health promotion and maintenance and improving pulmonary health related to their lung conditions. 

Instructions

Create an infographic for a lower respiratory system disorder that includes the following components:

• Risk factors associated with the common lower respiratory system disorder.
• Description of three priority treatments for the lower respiratory disorder.
• Description of inter professional collaborative care team members and their roles to improve health outcomes for the lower respiratory system disorder.
• Description of three multidimensional nursing care strategies that support health promotion and maintenance for clients with the lower respiratory system disorder.
• Description of a national organization as a support resource for your client specific to the lower respiratory system disorder.

 

 1) Minimum 4 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per page

           Part 1: minimum 2 pages

           Part 2: minimum 2 pages

   Submit 1 document per part

2)¨******APA norms

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

         Bulleted responses are not accepted

         Don’t write in the first person 

         Don’t copy and paste 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 5 references per part not older than 5 years  (Journals, books) (No websites) 

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

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:  Pneumonia 

Based on File Part Pneumonia,  answer the questions, as instructed below:

Critical Thinking Questions

1. What are some other tests that could help delineate the cause of shortness of breath?

2. To what antibiotic is Klebsiella commonly sensitive?

3. Should antibiotics be provided empirically upon the initial visit or should antibiotics be withheld until culture and sensitivity reports are available?

4. What are the potential social problems associated with this man’s care and future discharge?

5. What do the abnormal liver enzymes tell you about his alcohol use?

Part 2:  Cholelithiasis 

Based on File  Cholelithiasis,  answer the questions, as instructed below:
 

Critical Thinking Questions

1. Why was the patient’s urine dark-colored?

2. What is the difference between a direct and an indirect type of hyperbilirubinemia?

3. Mention the differential diagnosis of Cholelithiasis. Explain

4. What is the treatment option for this patient? Why?

5. Mention the risk factors of cholelithiasis.