Review the pathophysiology of PE( Pulmonary Embolism) , then answer and submit the following questions:

1. What places a patient at risk for PE?

2. What care interventions are needed to prevent PE development?

3. Identify PE manifestations that you might observe.

4. What diagnostic tests should be done immediately?

5. How would you prepare the patient for testing?

6. What would you tell the family? The patient?

7. Should you, as the nurse, contact the Rapid Response Team? Why? (If yes, when should you contact them?)

8. What would the patient look like if he/she were in respiratory acidosis?

  

Topic : Hearing Loss in Older Adults.

 Answer the Question(s): 

· Mention the different types of hearing loss (2 types). 

· Mention at least 3 examples for each type of hearing loss and explain each one.

· Discuss the possible consequences of hearing impairment.

· How can we promote healthy hearing?

Guidelines:

The answer should be based on the knowledge obtained from the book, not just your opinion.  A chapter from the Book was attached and online literature with references included. 

“0 % ” plagiarism.

Book:  Ebersole and Hess’ Gerontological Nursing and Healthy Aging 5th

Author: Theris A. Touhy; Kathleen F. Jett.Edition: 5th, Fifth, 5e Year: 2017 

1. APA style will be strictly enforced. Time New Roman 12 Font.
2. “0 % ” plagiarism.
3. I am expecting a minimum of 400 words.  The question must be answered completely and in a professional and well-written presentation. 
4. I am expecting at least 2 references plus the book. 
5.  References other than the book must include: 
6. References must not be older than 5 years

· Serial/journal articles 

· Volume number, in italics. 

· Issue number. This is bracketed immediately after the volume number but not italicized. 

· Month, season or other designation of publication if there is no volume or issue number. 

· Include all page numbers. Ex: 7(1),24 Sergiev, P. V., Dontsova, O. A., & Berezkin, G. V. (2015). 

   

                     Title: Gastritis 

Study/Oral PowerPoint Presentation Guidelines

• Abstract of the presentation (150 words maximum) • In depth preview of the topic • An exemplar and discussion of a relevant research study using the method Case

GRADING RUBRIC: ORAL PRESENTATION 100 points total 10% of grade CRITERIA MAX. POINTS EARNED POINTS

Abstract (Introduction) provided is less than 150 words (A brief overview of the background of the topic are provided). 

10% An exemplar or case study using the system is presented and discussed.

10% 8 Pathophysiology of the System 

15% Clinical Manifestations 10% Diagnostic Studies/ Laboratories

10% Clinical Management/ Treatment Modalities 

15% Evaluation of Treatments 

10% Patient Education and Safety (QSEN) 

10% Class discussion is facilitated 10% 

TOTAL 100%

APA format3 pages 3 references Can you use one of  the references from the discussion Please have done by Saturday November 2, 2019 @ 7pm EST

 

Main Discussion.  Examination is the most standard method for assessing a student’s learning. Online examinations are developed two ways. First, it can be created in a Microsoft Word document and uploaded to the course or secondly, the test questions can be generated within a learning management system (LMS) using the provided means (Bristol, 2011). The challenge in writing multiple choice questions is creating a reasonable measure of the learner’s knowledge while not providing clues within a question as opposed to its content. The use of deception as the way to increase difficulty should be avoided. One thing about multiple-choice questions is that the answer is present for the learners to decipher. (Dickinson, 2019). The lesson plan that I used to create multiple choice questions covers the different colors that are used to identify IV catheter gauges and the contents of an IV start pack.  I have never created multiple choice questions for a test or used the technology needed to do so. It was difficult at first to create queries that covered the objectives at the same time and not to include the answer to the question within the question. I also had to make a conscious effort not the put the correct answer to the questions in the C or D position. Another challenge was finding a website that I was comfortable with using and one that I could easily navigate to create my multiple-choice test. Survey monkey is a free online survey that has the capability for quizzes. The survey tool is used frequently on my job to poll employees on current issues.

Link to quiz.

https://www.surveymonkey.com/r/ZGV6J88

References

Bristol, T. J., & Zerwekh, J. (2011). Essentials of e-learning for nurse educators. Philadelphia, PA: F. A. Davis Company.

Dickinson, M. (2019). The thing about multiple-choice tests. Learning Solution Magazine. Retrieved from http://www.learningsolutionsmag.com/articles/861/the-thing-about-multiple-choice-tests

Survey Monkey. (n.d). Retrieved October 29, 2019, from http://www.surveymonkey.com

Name:

Michelle Frierson

Screencast Title:

Intravenous needle catheter selection and IV therapy guidelines

Environment:

(on-site, online, or hybrid)

This lesson is intended for the hybrid environment. Student nurses and novice nurses will watch this screencast before engaging in on-site intravenous (IV) needle selection for IV starts

Screencast Goal:

This screencast will increase the awareness on the importance of IV catheter size selection depending on the intended use and/or patient population and IV therapy guidelines.

Description of Screencast lesson:

This screen cast is directed toward nursing students and novice nurses. The different sizes of IV catheters based on color and the supplies needed will be reviewed. The participants will participate by watching a short video immediately after screencast on IV catheters and therapy guidelines, answer 10 questions at the end of the lesson, print certificate of completion and bring certificate to skill lab for competency checkoff.

Learning Objectives

At the end of this lesson students and nurses will be able to

• Identify the different sizes of IV catheters based on color
• Verbalize uses for different catheter sizes
• Identify supplies needed for IV starts
• Document appropriately
• Demonstrate at least 80% competency on post test on IV catheter sizes, usage, and therapy guidelines
• Demonstrate an IV start in an on-site skills lab

,

Quiz

1. Match the gauge IV catheter with the appropriate color

          _____24-gauge                         pink

          _____22-gauge                         yellow

          _____20-gauge                         blue

          _____18-Gauge                        green

     2. What two gauges of IV catheters are commonly used during           

    for rapid fluid administration?

1. 24 gauge and 22 gauge
2. 18 gauge and 20 gauge
3. 20 gauge and 24 gauge
4. 22 gauge and 20 gauge

           3. Select the appropriate list of supplies found in an IV start Kit.

               A. extension set, tape, and 20-gauge catheter

               B. Sterile dressing, tape, tourniquet, gauze pad, extension set, and

                    chlorhexidine swab

               C. extension set, chlorhexidine swab, tape, and gauze pad

               D. tourniquet, sterile dressing, and extension set

Identify at Least One in Each Area

Pre-Licensure QSEN Competencies

Integrated Processes

Clinical Relationships

1. Patient-centered care  

2. Teamwork and collaboration  

3. Evidence-based practice (EBP)

4. Quality Improvement (QI)

5. Safety

6. Informatics 

1. Nursing process

2. Caring

3. Communication and documentation

4. Teaching/ Learning

1. Varied sources of data

2. Similar options

3. Prioritization

4. Teaching

5. Notes: ­­­­­­­­­­­­ ______________

Rationale:

Rationale:

Rationale:

It is important to understand the evidence behind the appropriate size selection of IV catheters to decrease the number of IV infiltrations.

When initiating an IV therapy nursing staff must asses the patient appropriately, the intended use of the IV, select the appropriate size of the IV catheter, and document appropriately.

Nursing staff must prioritize  care to include assessing the IV site or sites for redness and/or swelling

Script

Actions on Screen

Audio/Narrative

Power Point: Title Screen

Introduction of the Lesson on IV catheter selection and therapy guidelines

Power Point: Question

Why is it important to select the appropriate size IV catheter?

• Give rationale

Power Point: Learning Objectives

State learning objectives

Power Point: Different IV Catheter Sizes

Show pictures of the different catheters

Power Point: Starting an IV

Power Point: Documenting

Identify supplies needed to start an IV

What to document after starting an IV

Power Point: Final thoughts on IV catheter selection and IV supplies

Explain the main point of the lesson

Power Point: Points to Remember

• Have students to watch the video on starting an IV
• Remind students to print certificate of completion and sign up for skill lab checkoff

Evaluate and Revise

If I were to recreate my Screencast, I would: 

First, I would make sure that the slides correspond with the lesson as it is discussed. I would include a slide for the 14-gauge catheter, 16- gauge catheter, and the supplies inside the IV start kit. The slide for the IV catheters would include the front of the packaging along with the backside of the packaging. The time of the screencast would not exceed five minutes.

  

Leininger’s theory or the Culture Care theory, involves knowing and understanding cultural differences in the area of Nursing care practice. Her theory emphasizes that different cultures requires different but effective care. This knowledge provides culturally specific meanings and expression in relation to care and health. Without this theory an array of ineffective care can easily be presented. 

For example; A patient’s diet can be of great significance in their care. Not having thoroughly thought out culturally appropriate meals prepared for the sick can ultimately change the trajectory of how effective an outcome will be. Culturally competent nursing care helps ensure patient satisfaction an positive outcomes. 

  

Every race or culture may perceive or demonstrate the effect of pain differently. She developed a theory and research method designed to guide nurses to (a) understand cultural similarities and differences in how people care for themselves and others during health, illness, disability, dying, and death, and (b) provide culturally congruent, competent, and sensitive care. Wehbe-Alamah, Hilba B) Leininger’s Culture Care Diversity and Universality Theory: Classic and New Contributions. As written in The Parents’ Cultural Care Towards Promoting Child Development; A quantitative approach that was carried out with parents of children below five years old, who were registered in a healthcare service from Picos city, Piaui State, Brazil. 

Nurses are expected to explore even more the probable performance according to each child’s age and considering the child development stage, moreover, respecting the cultural care provided by their parents.  

  

The conception model was designed to guide Nursing practice therefore, Without understanding one’s culture, the risks of inadequate care arises. Conceptual modes are important in guiding the development of the discipline of nursing. Studies continue to show that patient satisfaction scores especially in the Hospital environment grossly increases when close attention and consideration is give to the Patient’s culture an their ways of life.

Leiniger’s model provides three action modes nurses can use to help bridge care and provide care to someone with respect to their individual beliefs, cultural background, and values. 

These modes are all used today in a variety of clinical settings.