case study 9 2025

Case Study, Chapter 9, Chronic Illness and Disability 1. Mr. Edwards is 20-year-old male patient who is admitted for treatment of recurring pyelonephritis (kidney infection) and surgical treatment of a urinary stricture, which has decreased the urinary stream. Mr. Edwards has paraplegia; he is paralyzed from the waist down secondary to an automobile accident when he was 16. He came by ambulance to the hospital, leaving his wheelchair and wheelchair pressure-relieving cushion at home. According to the nursing history, the patient is a nonsmoker and he does not drink alcohol or take any illegal drugs. What nursing considerations should be made for Mr. Edwards related to his disability? What health promotion and prevention education does Mr. Edwards need? 2. Ms. Fulton is a 38-year-old mother who was recently diagnosed with myasthenia gravis, a chronic disease of the neuromuscular system. Management of this disease process requires strict adherence to a medication regimen. The disease also affects ADLs for the patient and her family. Additionally, because myasthenia gravis is characterized by exacerbations that may require hospitalizations, Ms. Fulton has had to resign from her position as president of a marketing firm. She has remained as an employee of the same company, but now serves as a consultant with more flexible work hours. In discussing management of her chronic disease, the nurse focuses on what types of strategies? Describe supportive nursing care that may be helpful to Ms. Fulton.

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Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all 8 components of HEDIS comprehensive diabetes care. 2025

One example of a measurement tool is the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures. Review the eight components of HEDIS comprehensive diabetes care; then consider the following scenario. You are a staff nurse working in a private primary care practice. It is a small practice with 2 MDs (internists), 2 nurses, 1 medical assistant, and an office staff for billing. There are approximately 1,000 patients in the practice. You have had no EHR until the last year, but all charts are manual, historically. Your physicians are starting to inquire about quality incentives, particularly regarding patients with diabetes. By Day 3 Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all 8 components of HEDIS comprehensive diabetes care. Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist). Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations .

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Politics, Stress, and Sleep 2025

In your reading assignments for this module, you read about a classic example of politics and health promotion in the episode of Rick Perry and the HPV vaccine. For your original post, cite another example of politics and a health promotion topic. An example could be smoking cessation and politics (whether on the local, state, or national level). Thoroughly explain how politics and the selected health promotion topic are related. Your post should clearly demonstrate a thorough understanding of the example being provided. Remember to include an APA formatted in-text citation and corresponding reference from a recent (within last 5 years) professional journal or website (NIH, CDC, etc.). An APA formatted in-text citation and corresponding reference from a recent (within last 5 years) professional journal or website (NIH, CDC, etc.) are required in your initial discussion post. Blogs, magazines, and newspapers are NOT considered scholarly, professional sources.

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Heart Failure Clinic Resourcing Plan 2025

ITS IMPORTANT TO MEET THE COMPETENCES !!! Write a 3–4 page evidence-based resourcing plan for one component of the Heart Failure Clinic. It is important for the nurse leader to have not only a basic understanding of the budget process, but to understand how to work with variances in staffing, patient loads, and supply costs in order to meet the needs of the patients, without compromising the funding process of the clinic. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes. (IMPORTANT) -Apply evidence-based management strategies and best practices for resourcing health care services. (IMPORTANT) -Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice. (IMPORTANT) -Apply legal and professional standards for resourcing outpatient services. Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional. (IMPORTANT) -Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style. Assessment Instructions Preparation Refer to the Capella library and the Internet for supplemental resources to help you complete this assessment. Instructions Deliverable: Develop one component of an evidence-based resourcing plan. Scenario: The hospital leadership team has already allocated the major capital expenditures for the heart failure clinic, such as the facility, legal services, IT, and security services. However, as a member of the nurse team, you have been asked to develop one component of a resourcing plan for the next leadership meeting. You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly. Choose one of the following: Budget: Apply evidence-based management strategies and best practices for resourcing health care services. Identify the business plan budget categories and subcategories (not necessarily the actual cost) to establish a new clinic. Start-up expenses. Examine fixed and variable costs. Capital budget items. Examples: salary and benefits, staffing mix, specialized equipment or materials, et cetera. Contingency fund and parameters. Apply legal and professional standards for resourcing outpatient services. Explain the alignment to best practices and professional standards for cost effective outpatient services. How will uninsured or underinsured patients be managed? Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. What data resources and tools analyze costs, health insurance, and hospitalization services? How will billing be handled? How will you determine if outpatient management is cost-effective? How does transparency impact the consumer? Staffing Plan : Apply evidence-based management strategies and best practices for resourcing health care services. Identify the disciplines and skill mix needed for appropriate staffing. Estimate staffing requirements by discipline and staffing ratios (evidence-based). Develop a sample staffing schedule. How will you staff to meet corporate diversity goals or the needs of diverse patients? Explain how delegation, collaboration, negotiation will affect staffing plan. How does a union contract affect the staffing plan or schedule? Examine the Nurse Practice Act for your state. How does the Nurse Practice Act affect your staffing plan? Apply legal and professional standards for resourcing outpatient services. Align your staffing plan to best practices, the Nurse Practice Act for your state, scope of practice, and the Joint Commission standards for outpatients. Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. How will you know if staffing is cost-effective? How will you know if staffing mix or schedule impacts patient outcomes? Additional Requirements Written communication: Written communication should be free of errors that detract from the overall message. APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting. Length: The plan should be 3–4 pages in content length, double-spaced. Font and font size: Times New Roman, 12 point. Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.

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Clinical Assignment 2025

Scenario 1: Your patient C.S is 78 years old. Admitted to the nursing home you work at, with a diagnosis of dehydration. C.S., has been ordered to increase her oral fluid intake to 2500cc per day. When offering her a glass of water, she pushes away your hand and says “I hate water and I don’t drink it much”. You note that after one and a half days she has dry mucous membranes and poor skin turgor. Questions : What should your assessment be on this patient? Explain in detail. After completing your assessment, what should your next step be? Be specific. Write 3 complete nursing diagnosis from above information. Include all 3 sections (NANDA, Related to (R/T) & Evidence based practice (EBP) & include 2 nursing interventions for each nursing diagnosis. Scenario 2 : Ms. Cohen is hospitalized for repair of a fractured hip after a fall at home. She requires intravenous (IV) antibiotics after surgery. Shortly after the first dose she became restless and started picking at her IV line and frequently tried to get out of bed. Several restraint alternatives were attempted; but, because of her restlessness, she was successful at pulling out her IV line and getting out of bed. It becomes necessary to restrain Ms. Cohen. Questions : 1. You know that a health care provider’s order is required for the restraint. What are essential components of the restraint order? 2. Which assessments do you need to perform on Ms. Cohen while she is restrained? 3. The physician orders a belt restraint. Your assessment of Ms. Cohen the next day reveals that during the day she is alert and pleasantly confused but not attempting to get out of bed. Do you continue use of the restraint? Explain.

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