2023 Case Study Chapter 14 Shock and Multiple Organ Dysfunction Syndrome 1 Adam Smith 77 years of age is

Nursing 2023 Case Study 14

Case Study Chapter 14 Shock and Multiple Organ Dysfunction Syndrome 1 Adam Smith 77 years of age is 2023 Assignment

 

Case Study, Chapter 14, Shock and Multiple Organ Dysfunction Syndrome

1. Adam Smith, 77 years of age, is a male patient who was admitted from a nursing home to the intensive care unit with septic shock secondary to urosepsis. The patient has a Foley catheter in place from the nursing home with cloudy greenish, yellow-colored urine with sediments. The nurse removes the catheter after obtaining a urine culture and replaces it with a condom catheter attached to a drainage bag since the patient has a history of urinary and bowel incontinence. The patient is confused, afebrile, and hypotensive with a blood pressure of 82/44 mm Hg. His respiratory rate is 28 breaths/min and the pulse oximeter reading is at 88% room air, so the physician ordered 2 to 4 L of oxygen per nasal cannula titrated to keep SaO2 greater than 90%. The patient responded to 2 L of oxygen per nasal cannula with a SaO2 of 92%. The patient has diarrhea. His blood glucose level is elevated at 160 mg/dL. The white blood count is 15,000 and the C-reactive protein, a marker for inflammation, is elevated. The patient is being treated with broad-spectrum antibiotics and norepinephrine (Levophed) beginning at 2 mcg/min and titrated to keep systolic blood pressure greater than 100 mm Hg. A subclavian triple lumen catheter was inserted and verified by chest x-ray for correct placement. An arterial line was placed in the right radial artery to closely monitor the patient’s blood pressure during the usage of the vasopressor therapy. 

  1. What predisposed the patient to develop septic shock?
  2. What potential findings would suggest that the patient’s septic shock is worsening from the point of admission?
  3. The norepinephrine concentration is 16 mg in 250 mL of normal saline (NS). Explain how the nurse should administer the medication. What nursing implications are related to the usage of a vasoactive medication?
  4. Explain why the effectiveness of a vasoactive medication decreases as the septic shock worsens. What treatment should the nurse anticipate to be obtained to help the patient?
  5. Explain the importance for nutritional support for this patient and which type of nutritional support should be provided?

2. Carlos Adams was involved in a motor vehicle accident and suffered blunt trauma to his abdomen. Upon presentation to the emergency department, his vital signs are as follows: temperature, 100.9°F; heart rate, 120 bpm; respiratory rate, 20 breaths/min; and blood pressure, 90/54 mm Hg. His abdomen is firm, with bruising around the umbilicus. He is alert and oriented, but complains of dizziness when changing positions. The patient is admitted for management of suspected hypovolemic shock.

The following orders are written for the patient:

Place two large-bore IVs and infuse 0.9% NS at 125 mL/hr/line

Obtain complete blood count, serum electrolytes

Oxygen at 2 L/min via nasal cannula

Type and cross for 4 units of blood

Flat plate of the abdomen STAT

(Learning Objectives 1, 4, and5)

  1. Describe the pathophysiologic sequence of events seen with hypovolemic shock.
  2. What are the major goals of medical management in this patient?
  3. What is the rationale for placing two large-bore IVs?
  4. What are advantages of using 0.9% NS in this patient?
  5. What is the rationale for placing the patient in a modified Trendelenburg position?

 

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2023 Available on Monday March 30 2020 12 00 AM EDT until Monday April 13 2020 11 30 PM EDT

Nursing 2023 mitigation

Available on Monday March 30 2020 12 00 AM EDT until Monday April 13 2020 11 30 PM EDT 2023 Assignment

 Available on Monday, March 30, 2020 12:00 AM EDT until Monday, April 13, 2020 11:30 PM EDT Unlocked: Monday, March 30, 2020 12:00 AM EDT – Monday, April 13, 2020 11:30 PM EDT. Must post first.

Why are partners necessary beyond the local level agencies or departments for mitigation planning? Who are the essential state and federal mitigation partners that might contribute to mitigation planning and the development of a Local Mitigation Plan?

Week Three Discussion Two

Available on Monday, March 30, 2020 12:00 AM EDT until Monday, April 13, 2020 11:30 PM EDT Unlocked: Monday, March 30, 2020 12:00 AM EDT – Monday, April 13, 2020 11:30 PM EDT. Must post first.

Please describe the challenges that local mitigation planners face in the ever-changing world of climate change? Please describe in detail the areas that mitigation planners should address in their development of a mitigation plan?   

 

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2023 ORGINAL only Must follow instructions and answer all questions DO NOT TRY TO FAKE

Nursing 2023 APA- 1500 word- 2 scholarly reference

ORGINAL only Must follow instructions and answer all questions DO NOT TRY TO FAKE 2023 Assignment

ORGINAL only! Must follow instructions and answer all questions! DO NOT TRY TO FAKE IT! 

WEB For DATA

 https://www.healthypeople.gov/2020/topics-objectives

  1. Discuss aspects of a health concern not being addressed despite the efforts of services and partnerships involved and describe the ultimate outcome(s) or goal(s) from Healthy People 2020 relating to that specific health concern.

Answering the following questions may assist in data interpretation:

  • What similarities are apparent between the data that were gathered and the data that were generated?
  • What differences are apparent between the data that were gathered and the data that were generated?
  • What are the weakness and strengths of this community?
  • In what areas is improvement needed in this community?

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2023 The purpose of this assignment is to complete a direct observational assessment of a community in your area This windshield

Nursing 2023 Nursing Community

The purpose of this assignment is to complete a direct observational assessment of a community in your area This windshield 2023 Assignment

 

The purpose of this assignment is to complete a direct observational assessment of a community in your area. This windshield survey will help you to identify a vulnerable population, an important community health problem, and a related Healthy People 2020objective for a community in your area.

 

  1. Introduction to the Community: Identify the community you will be using for this assignment with the city and state, and provide a brief, one-paragraph description of the community. Your community should be the area where you live or the area surrounding your work setting. The community must include a residential area and be a large enough area to answer the survey questions. Do not include epidemiological or demographic data as this is based on what you observe.
  2. Windshield Survey: Assess your community by doing a windshield survey. Information about the components of a windshield survey is located in your textbook, Nies and McEwen (2019). Drive through the area and report your observations by answering the questions on the form. Be sure to include what you observed related to each of these categories, and also include any significant items that are missing in your community because this may be equally important in identifying a community health problem.
    1. Community vitality
    2. Indicators of social and economic conditions
    3. Health resources
    4. Environmental conditions related to health
    5. Social functioning
    6. Attitude toward healthcare
    7. Note: It is helpful to conduct this assessment at least two different times: during the day or evening, on a weekday, and/or on the weekend. If possible, plan on asking someone to drive during your survey so that you can take notes.
  3. Vulnerable population: Identify the aggregate or vulnerable populations that you observed in your community during your drive through. What did you observe about this population?
  4. Community problem: Based on your assessment in the survey above, identify and discuss one priority community health problem that a community health nurse could positively impact.Example: If you observed teens who were pregnant or had young children during your survey and felt this was a priority problem in your community, the diagnosis could be
    Risk of unintended pregnancy among adolescent girls in XXXX community as evidence by observation of pregnant teens and teens caring for young children during windshield survey.
  5. Healthy People 2020 Objective: Go to the Healthy People topic areas at https://www.healthypeople.gov/2020/topics-objectives. Find a topic area that relates to one of the vulnerable populations you observed. Click on the topic area, and then click on the green Objectives tab. Review the objectives within that topic area to complete the relevant sections of the form. State the Healthy People 2020 objective number (not just a goal) that describes your problem.Example: The topic area Family Planning would be relevant. You would click on Family Planning, and then click the green Objectives tab, and you might choose
    FP-8.1 “Reduce pregnancies among adolescent females aged 15 to 17 years” (U.S. Department of Health and Human Services: Healthy People 2020, 2018, Objectives: Family Planning, para 8).
  6. Summary: Complete the summary of learning section.
  7. References: The purpose of this assignment is to document your observations of your community. Outside sources other than Healthy People 2020 should not be used. We have included this reference on the Windshield Survey form for you.

Best Practices in Completing the Form

The following are best practices in preparing this project.

  • Make sure all elements of the form are included.
  • Review directions and grading rubric thoroughly.
  • Use a professional writing style with complete sentences in the fill-in sections.
  • Check for spelling and grammar errors prior to final submission.
  • Abide by the Chamberlain academic integrity policy.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 Respond to your colleagues offering additional alternative ideas regarding opportunities and risks related to the observations shared

Nursing 2023 RESPONSE #1

Respond to your colleagues offering additional alternative ideas regarding opportunities and risks related to the observations shared 2023 Assignment

  

Respond to your colleagues, offering additional/alternative ideas regarding opportunities and risks related to the observations shared.

At least 2 references in each peer responses!

  

In 2009, Congress passed the Health Information Technology for Economic and Clinical Health Act (HITECH), part of the American Reinvestment and Recovery Act, so healthcare facilities will adopt and incorporate meaningful use of health information technology (IT). At first only a small number of hospitals had any kind of electronic health records (EHR), but RAND Corporation studies showed success, which motivated other companies to follow (Reider, 2018). However, RAND studies were not accurate predictors of widespread success due to unintended consequences, safety, and efficiency concerns (Reider, 2018).

 
 

Hackers come from all across the globe. In fact, the Pentagon is a very common target for hackers because it is the Defense Department. Not long ago 30,000 plus Pentagon employees’ personal information was exposed due to contractor breach (Martindale, 2018).   Naturally Pentagon officials downplayed the event, and it makes one wonder how much national security information was exposed to foreign powers due to data leaks (Martindale, 2018). 

 
 

Hospitals are also common targets due to multitudes of clients containing personal information that can be sold on the Dark Web to hackers around the world, and antiquated software making them vulnerable (Garrity, 2019).  In fact, where I work, Winter Haven Hospital is still using Windows 7 as an operating system, which is not even supported by Microsoft anymore.

 

With these issues in mind, imagine the potential if hackers had to access prescriber accounts, and prescriptions, especially narcotics. I do not think many hackers have thought of this, because they are more apt to steal from bank accounts and credit cards. Considering the opioid epidemic and the street value of narcotics, it surprises me this sort of hacking is not more commonplace. This indicates to me that most hackers are not sophisticated and lack creativity.  However, be assured they are out there, only not as common; the sophisticated hacker is more attracted to infrastructure manipulation instead due to varients of Stuxnet malware.  Stuxnet would be too difficult to discuss here, but it illustrates how powerful computer hacking can be when it can take down electrical grids.  Computer technology, indeed, released a Pandora’s box.   

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2023 In a 5 to 10 slide PowerPoint presentation address the following Provide an overview of the article you selected

Nursing 2023 nurs 6650

In a 5 to 10 slide PowerPoint presentation address the following Provide an overview of the article you selected 2023 Assignment

 

In a 5- to 10-slide PowerPoint presentation, address the following:

  • Provide an overview of the article you selected, including answers to the following questions:
    • What type of group was discussed?
    • Who were the participants in the group? Why were they selected?
    • What was the setting of the group?
    • How often did the group meet?
    • What was the duration of the group therapy?
    • What curative factors might be important for this group and why?
    • What “exclusion criteria” did the authors mention?
  • Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own client groups. If so, how? If not, why?
  • Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article.

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2023 This paper will have an 8 page narrative 8 pages maximum 5 point deduction for

Nursing 2023 Paper #2: Research Utilization Paper (Research/Global Health)

This paper will have an 8 page narrative 8 pages maximum 5 point deduction for 2023 Assignment

 

This paper will have an 8-page narrative (8 pages maximum – 5 point deduction for over page limit) plus a title page, abstract page, and reference list. 

You must use a minimum of four original research articles for your paper.

The purpose is to write a review of the literature on to answer your PICOT question using original research evidence. Discuss how this health problem is applicable in both the United States and a non-USA country, and appraise four original research studies on this topic.

This is a scholarly paper, written as if it was a “Review of the Literature” article published in a nursing journal. Select articles published within the past five years (2014 to present).
Do not use a non-peer review journal. Do not use a literature review article or systematic review article or clinical protocols as one of your articles. At least TWO of the four original research report articles MUST BE authored by nurses and published in a peer-reviewed nursing journal.  At least ONE of the two nursing research studies must address nursing practice in a non-USA country.

  • Page 1: Title page Create a title for your paper. Refer to your APA Manual.
  • Page 2: Abstract The abstract should open with a sentence that will serve as an introduction to and purpose of the paper. Then describe what is in each part of the paper. An abstract is usually a brief outline of the contents of the paper that typically does not exceed 250 words. At the end of the abstract place the phrase Key Words, and denote 3-4 keywords that would describe your paper (as for publication and indexing in CINAHL or PubMed).
  • Pages 3-11: Narrative
    • Heading: Significance and Background: Start the paper with a short paragraph that introduces the health problem in your PICOT question. (Approximately ½-page).
    • Heading: Purpose: Clearly define the global health problem, and discuss why it is important for nursing (why you are discussing this topic).  Discuss what is known about this problem in the United States and in a non-USA country.  For example, if the focus is adult hypertension, discuss guidelines for defining hypertension in the US and in a non-USA country.  (Approximately 1 page).
    • Heading: Methods: Discuss the methods used to select the following research studies.
      Next use the subheading:
      • Sub-headings: Study #1: Nursing research Study in the USA (Approximately 1½ pages)
      • Sub-headings: Study #2: Nursing Research Study Non-USA (Approximately 1½ pages)
      • Sub-headings: Study #3: Nursing Research Study USA or Non-USA (Approximately 1½ pages)
      • Sub-headings: Study #4: Nursing Research Study USA or Non-USA (Approximately 1½ pages)
    • Heading: Conclusion.  Summarize the key points from your discussion. How would you translate (use) the new evidence found from your appraisals to change practice or answer your PICOT question? (Approximately 1 page).
  • Page 12+: Reference page: Refer to your APA ManualPreview the document.

This review is a scholarly paper in APA format and with at least three APA references (two articles and textbook), cited both in the text and the reference page.

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2023 NR 222 RUA HEALTHY PEOPLE 2020 Preparing the assignment Follow these guidelines when completing this assignment

Nursing 2023 HEALTHY PEOPLE 2020

NR 222 RUA HEALTHY PEOPLE 2020 Preparing the assignment Follow these guidelines when completing this assignment 2023 Assignment

NR 222 RUA HEALTHY PEOPLE 2020

Preparing the assignment

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

  1. 1)  Identify a health problem or need for health promotion for a particular stage in the life span of a population
    from a specific culture in your area.
  2. 2)  Choose one of the Leading Health Indicators (LHI) priorities from Healthy People 2020:
    https://www.healthypeople.gov/2020/Leading-Health-Indicators
  3. 3)  Research a topic related to health and wellness associated with one of the Healthy People 2020 topic areas.
  4. 4)  Submit your topic to the instructor for approval at least 2 weeks prior to the final assignment due date, but
    earlier if desired. All topics must be approved.
  5. 5)  You will develop an educational health promotion project addressing the population/culture in your area.
  6. 6)  Use TurnItIn in time to make any edits that might be necessary based on the Similarity Index prior to submitting
    your paper to your faculty. Consult with your faculty about the acceptable Similarity Index for this paper.
  7. 7)  For writing assistance (APA, formatting, or grammar) visit the Citation and Writing Assistance: Writing Papers at
    CU page in the online library.
  8. 8)  Include the following sections (detailed criteria listed below and in the Grading Rubric).
  9. Introduction and Conclusion- 15 points/15%
    • Introduction establishes the purpose of the paper and describes why topic is important to health promotion
      in the target population in your area.
    • Introduction stimulates the reader’s interest.
    • Conclusion includes the main ideas from the body of the paper.
    • Conclusion includes the major support points from the body of the paper.
  10. Relate Topic to Target Population- 25 points/25%
    • Describes the topic and target cultural population.
    • Includes statistics to support significance of the topic.
    • Explains how the project relates to the selected Healthy People 2020 topic area.
    • Applies health promotion concepts.
  11. Summary of Articles- 25 points/25%
    • A minimum of three (3) scholarly articles, from the last 5 years, are used as sources.
    • Articles meet criteria of being from scholarly journals and include health promotion and wellness content.
    • At least one article is related to the chosen cultural group.
    • Summaries all key points and findings from the articles.
    • Includes statistics to support significance of the topic.

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2023 No plagiarism please Will need minimum of 300 words APA Style double spaced times new roman font 12 and

Nursing 2023 MN605 Advanced Practice Nursing Discussion Board: Access to Primary Care for All?

No plagiarism please Will need minimum of 300 words APA Style double spaced times new roman font 12 and 2023 Assignment

No plagiarism please.  

Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations. 

 

Topic 1: Access to Primary Care for All?

To what extent is primary care accessible to all populations in this country?

Answer the following in your discussion:

 Use the below headings while answering the questions.   

  • What are the main barriers to accessing primary care?
  • What is being done to solve this problem?
  • What else can be done?
  • How are NPs making a difference?
  • What does the literature say about the NPs ability to provide primary care?
  • What does the literature report as comparisons between primary care provided by an NP versus a physician?

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 Week 10 Module 10 Written Assignment Different cultures view death and dying differently For this assignment you

Nursing 2023 Module 10 Written Assignment – Death And Dying – Ethical Dilemmas And Nursing Interventions

Week 10 Module 10 Written Assignment Different cultures view death and dying differently For this assignment you 2023 Assignment

 
Week 10/Module 10 Written Assignment

Different cultures view death and dying differently. For this assignment you will research a culture, other than your own and using your Culturally Competent Health Care textbook by Larry Purnell or the internet to address the following: 

  • Describe the current views and possible ceremonial processes, honoring the death and dying of their loved ones for the culture you chose to research.
  • You may find some differences in values between your culture and the one you have researched.  If you did, what are they and how do you feel about them?  If not, what similarities between your culture and the one you have researched did you find, how do you feel about them?
  • Use APA formatting for your paper, using headings as shown below:
  • Title page
  • Body
    • Heading: Introduction of your paper topic ? the culture you have selected to research. (this is the first bullet point above)
    • Heading: Background.  Discuss value differences or similarities between your culture and the one you researched.  (this is the second bullet point above)
    • Heading: Conclusion ? a summary statement, in a few sentences, about the last two sections (background info, and value differences) and what that information means for the end-of-life care of those clients (implications for nurses caring for this clients experiencing the ends of their lives).
  • Reference page
  • Use APA formatting throughout your paper:
    • Headings ? centered and capitalized first letter (Introduction, Values, Conclusion, and References).
    • In-text citations ? as taught and discussed earlier.
    • References ? as taught and discussed earlier.
  • Demonstrate proper writing mechanics (typos, proper paragraphs, grammar, font, etc.)

Module 10 Written Assignment – Death and Dying – Ethical Dilemmas and Nursing Interventions

Scoring Rubric: Points Criteria

Background/Introduction: Chose a culture, other than their own, to write about, describing the current culture’s views, rituals and ceremonies regarding death and dying.                                                  5 points

Values: Described the current culture’s views on death and dying, in contrast to your own similarities or differences in values between them and how you feel about that. 2.5 points each component                5 points

Conclusion: Concluding summary and statement of nursing implications. 2.5 points each component ? summary and  implications     5 points

APA formatted body, citations and references 0-10 points depending upon level of fidelity to APA formatting ? more mistakes will equal more points lost.

10 points

Proper writing mechanics (freedom from typos, format irregularities, poorly constructed paragraphs, poor grammar, etc.)  0-10 points depending upon level of fidelity to APA formatting ? more mistakes will equal more points lost.                                         5

Total Points  30

i am from Liberia, so please don’t write about Liberia my country ok. thanks

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