Nursing cardiac surgery patients

Nursing cardiac surgery patients

In adult cardiac surgery patients experiencing post-operative pain (P) immediately following surgery (P), is morphine (I) or fentanyl (C), administered intravenously, more effective in reducing postoperative pain (O)?
For immune-compromised patients, 50 years and older (P), does the use of pneumonia vaccine (I) reduce the future risk of pneumonia (O) compared with patients who have not received the vaccine (C)?

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Psychiatric and psychosocial issue

Purpose of Article, Summary, Nursing Implications, and Impact on patient care. Kindly Interpret, analyze, and summarize the data in the article in your own words. State the implications for nurses in your own words citing references to support your position. Include your personal reactions to the conclusions in the article in your own words.

home health nursing (client and family education encounter)

home health nursing (client and family education encounter)
Project description
Discuss the factors that are to be considered in planning the client and family education encounter. Describe formative, outcome and process evaluation.
please note: this assignment should be based on home health nursing practice.
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Would you classify viruses as living or nonliving? Give reasons to explain your answer.

Extra credit Assignment. (Print it out and turn it in class)

CHAPTER 19 VIRUSES

1] Would you classify viruses as living or nonliving? Give reasons to explain your answer.

2] Draw a labeled diagram and describe the structure of a Bacteriophage T4. Explain the function of each part.

3] List the differences between the lytic and lysogenic reproductive cycle of a phage.

CHAPTER 14 MENDEL AND THE GENE IDEA

4] Based on Mendel’s model explain the following terms

a] Alleles

b] Dominant allele

c] Recessive allele

d] Homozygous

e] Heterozygous

f] Phenotype

g] Genotype

5] When Mendel crossed true breed purple flowers with true breed white flowers what did he observe in the F1 generation? Explain the result using a Punnett square.

6] When 2 plants in the F1 generation were crossed, what result did Mendel see (for flower color) in the F2 generation? Explain with a Punnett square.

Nursing Problem Set

1. What is the probability of being born on:
a) February 28?
b) February 29?
c) February 28 or February 29?

2. A patient newly diagnosed with a serious ailment is told he has a 60% probability of surviving 5 or more years. Let us assume this statement is accurate. Explain the meaning of this statement to someone with no statistical background in terms he or she will understand.

3. A lottery offers a grand prize of $10 million. The probability of winning this grand prize is 1 in 55 million (about 1.8×10-8). There are no other prizes, so the probability of winning nothing = 1 – (1.8×10-8) = 0.999999982. The probability model is:

Winnings (X) 0 $10 x 106
P(X = xi) 0.999999982 1.8 x 10-8

a) What is the expected value of a lottery ticket?
b) Fifty-five million lottery tickets will be sold. How much does the proprietor of the lottery need to charge per ticket to make a profit?

4. Suppose a population has 26 members identified with the letters A through Z.

a) You select one individual at random from this population. What is the probability of selecting individual A?
b) Assume person A gets selected on an initial draw, you replace person A into the sampling frame, and then take a second random draw. What is the probability of drawing person A on the second draw?
c) Assume person A gets selected on the initial draw and you sample again without replacement. What is the probability of drawing person A on the second draw?

5. Let A represent cat ownership and B represent dog ownership. Suppose 35% of households in a population own cats, 30% own dogs, and 15% own both a cat and a dog. Suppose you know that a household owns a cat. What is the probability that it also owns a dog?

6. What is the complement of an event?

7. Accidents occur along a 5-mile stretch of highway at a uniform rate. The following “curve” depicts the probability density function for accidents along this stretch:

a) What is the probability that an accident occurred in the first mile along this stretch of highway?
b) What is the probability that an accident did not occur in the first mile?
c) What is the probability that an accident occurred between miles 2.5 and 4?

8. Suppose there were 4,065,014 births in a given year. Of those births, 2,081,287 were boys and 1,983,727 were girls.

a) If we randomly select two women from the population who then become pregnant, what is the probability both children will be boys?
b) If we randomly select two women from the population who then become pregnant, what is the probability that the first woman’s child will be a boy and the second woman’s child will be a boy?
c) If we randomly select two women from the population who then become pregnant, what is the probability that both children will be boys given that at least one child is a boy?

9. Explain the difference between mutually exclusive and independent events.

10. Suppose a screening test has a sensitivity of 0.80 and a false-positive rate of 0.02. The test is used on a population that has a disease prevalence of 0.007. Find the probability of having the disease given a positive test result.

Nursing: Professional Dynamics

Choose a professional nursing organization that relates to the nursing profession or your clinical practice area. Assuming that you are the chairperson of membership for the organization, create a full page flyer designed to recruit new members to the professional organization. In your flyer,include:
1.function of the organization,its mission and vision.
2.Potential advantages of membership in the organization.
3.Provide resource information for new members, including contact information,membership requirements, and organizational endorsements(i.e what other members or other organizations saying about the selected organizations)
4.Create a topic for upcoming meeting that would appeal to your target audience.

Annotated Bibliography Grading Rubric

Annotated Bibliography
BUSI 650

Integrative Learning Project – Annotated Bibliography Grading Rubric

Criteria

Points Possible

Points

Earned

Annotations

0 to 50 points

· An annotation exists for each source listed.

· Each annotation correctly summarizes/describes the corresponding source.

· Each annotation demonstrates your critical thinking skills regarding the interpretation and application of material.

· The annotations are free of spelling, grammar, and punctuation errors.

Sources

0 to 25 points

· The annotated bibliography contains at least 15 scholarly sources.

· The entries are in current APA format.

· The sources are current (published within the last 3 years) and/or historically relevant to the topic.

Total

/75

Investigating Pandemics And Epidemics

Investigating Pandemics and Epidemics

Some of the most notable epidemics include the bubonic plague in the 14th century, smallpox in the 18th century, and influenza in the 20th century. Reportedly, the bubonic plague caused over 137 million deaths, whereas the death toll associated with influenza was 25 million (Ernst, 2001). These are dramatic examples of the kinds of acute outbreaks that led to the practice of epidemiology.

Many epidemiologists and health care professionals are concerned about the next potential pandemic or epidemic. With the increased mobility of society, the spread of infectious diseases continues to pose a serious threat. For this Discussion, you will investigate pandemics and epidemics using epidemiological tools, and you will consider strategies for mitigating disease outbreaks.

To prepare:

Using the Learning Resources, consider examples of emerging or reemerging infectious diseases that are occurring locally, nationally, or abroad. Then, select one example on which to focus.
Explore the epidemiological investigative process used to identify the emerging or reemerging infectious disease or outbreak.
Examine your selected infectious disease using the epidemiologic triangle and vector theory.
Consider how health care interventions may reduce the emergence or reemergence of infectious diseases.
By tomorrow 04/25/2018 12pm, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”

Post a cohesive response that addresses the following:

1) Identify the emerging or reemerging infectious disease you selected.

2) Discuss the investigative process used to identify the outbreak, and describe its effect using descriptive epidemiology (person, place, and time).

3) Apply the epidemiologic triangle and vector theory to your selected outbreak.

4) Evaluate how prior health care interventions, or lack thereof, created the conditions that allowed this infectious disease to emerge.

5) Discuss how the disease outbreak might have been avoided or mitigated. Include agencies, organizations, and resources that could have supported these efforts. If appropriate, consider ongoing efforts to control the outbreak.

Required Readings

Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.

Chapter 12, “Epidemiology of Infectious Diseases”

In this chapter, the authors examine the epidemiology of infectious diseases, one of the most familiar applications of epidemiology.

Martin, T. W., Stevens, L., & Miller, J. W. (2011). Rare germ drives outbreak. The Wall Street Journal. Retrieved from http://online.wsj.com/news/articles/SB10001424052702303745304576360780812512492?mod=djemHL_t&mg=reno64-wsj&url=http%3A%2F%2Fonline.wsj.com%2Farticle%2FSB10001424052702303745304576360780812512492.html%3Fmod%3DdjemHL_t

In news coverage of a deadly outbreak, the authors note unusual aspects of the situation, as well as the economic, political, and personal ramifications.

Centers for Disease Control and Prevention. (2011). CDC says “Take 3” actions to fight the flu. Retrieved from http://www.cdc.gov/flu/protect/preventing.htm

This page contains the CDC’s most up-to-date recommendations regarding the prevention of seasonal flu. In addition to this page, you may wish to explore the CDC’s Seasonal Influenza home page, http://www.cdc.gov/flu/

World Health Organization. (2012). Disease outbreak news. Retrieved from http://www.who.int/csr/don/en/

The World Health Organization (WHO) provides information on the most recent disease outbreaks around the world. Stay up to date by visiting this site.

HealthMap. (2007). Retrieved from http://www.healthmap.org/en

Explore this interactive map that lists disease outbreaks around the world.

Centers for Disease Control and Prevention. (2011). Morbidity and mortality weekly report: Summary of notifiable diseases. Retrieved from http://www.cdc.gov/mmwr/mmwr_nd/index.html

Review the most current report on infectious diseases as reported by health care providers to state or local authorities. According to the CDC, “A disease is designated as notifiable if timely information about individual cases is considered necessary for prevention and control of the disease.” This report highlights infectious diseases reported in 2009.

Required Media

Laureate Education (Producer). (2012). Epidemiology and population health: Infectious disease: Two case studies [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 8 minutes.

In this week’s program, the presenters discuss HIV and AIDS.

Pediatric nursing case study

Case Study
Max is a 10 year old boy who presents to the Emergency Department with a two day history of anorexia, loose stools x3, pain that started in umbilical area and settled in the right lower quadrant. He started feeling a bit better so mum encouraged clear fluids and gave him Paracetamol for fever to 38.4. He was admitted to the ward later the same day and was noted to have a fever of 39.6, diffuse abdominal pain and abdominal distension.
His blood tests taken on admission also reveal an elevated WBC. Physical Examination: T 39.6, P 110, RR 24, BP 95/65, oxygen saturation 99% in room air. Heart rate is regular and no murmurs are heard. He is lying in bed with his legs drawn up and is very anxious when you try to palpate his abdomen. His pain score using a numerical scale is 7/10.
Potential Diagnoses: Gastroenteritis, Viral illness, Appendicitis, UTI
The assignment should incorporate responses to the following:
• Discuss the child’s presenting condition in detail. Include:
1. Identify your ‘working diagnosis’ –
2. what is the most likely diagnosis – provide a rationale for your choice o
3. Discuss the signs and symptoms & diagnostic tests needed to confirm the diagnosis
4. Pathophysiology
5. Aetiology
• Discuss the nursing management of the condition
• Identify two medications the child may be given and the rationale for administration to this child
• The delivery of family centred care during the child’s hospital admission, including potential barriers
• What 4 things would you include in a child/parent education program?
• What is the impact of hospitalization on the child and how could this be reduced /managed?
The conclusion should include a summary of the key issues and identify your overall view regarding the issue discussed.

Write a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice.

Write a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice.
Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.Write a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:
Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
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