SOAP note asthma
SOAP note asthma attack
SOAP note asthma attack
DKA
Mrs. S is a 28-year-old patient, with a 12-year history of type I diabetes mellitus. Her husband states that she has had a “bad cold” for several days. Yesterday she stayed in bed and slept all day. She was “too ill” to check her blood sugar, and since she was not really eating, she did not take her insulin. This morning, she was not able to stand up and vomited twice. A Gram stain of Mrs. S’s blood contains gram-positive cocci in clusters. Her admission vital signs are: BP = 90/60; HR = 118 bpm (sinus tachycardia); RR = 32/min; T = 102.3° F; O2 sat via pulse oximetry = 96%. Her serum glucose is 398 mg/dl, and she is positive for serum ketones. She is admitted with a diagnosis of DKA.
Her baseline ABGs on 2 L of oxygen are: pH = 7.25; PCO2 = 28; HCO3 = 14; PaO2 = 92; O2 sat = 96%. Her respirations are deep, rapid, and labored. She has bronchial breath sounds in the right axillary area. There is bilateral chest expansion and no evidence of cyanosis.
A regular insulin bolus is given, and a regular insulin drip is initiated. Mrs. S’s IV fluids are infusing at 800 ml/hr. Her vital signs after 2 hours in the unit are: BP = 120/70; HR = 78 bpm (normal sinus rhythm); RR = 22/min; O2 sat = 100%. Her serum glucose is 250 mg/dl and serum potassium is 4.0 mEq/L. She is more alert and is feeling hungry.
due 11-15-23 @10am
Choose one of the two following specific populations: either pregnant women or older adults. Then, select a specific disorder from the
DSM-5-TR to use. (Major Depressive Disorder)
1- Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women.
2- Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?
3- Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.
4- Support your reasoning with at least three current, credible scholarly resources, one each on the FDA-approved drug, the off-label, and a nonpharmacological intervention for the disorder.
please follow the instructions, develop: older adult and major depressive disorder… no plagiarism, valid references plus Introduction
1
Title
Your Name
Chamberlain University College of Nursing
NR361 RN Information Systems in Healthcare
Instructor
Due Date
Your title here
This paragraph(s) provides a way to introduce the paper. Briefly explain the purpose of the paper. Remember, this is an APA, 7th edition scholarly paper. REMINDER: Remember to keep the
headings bolded and remove these directions beneath each heading when you start your paper. Please read the assignment directions, view the video, and check the rubric before beginning.
Patient Scenario
In this area, explain your identified topic from the Healthy People 2030 link in the guidelines and a clear and thorough patient scenario. Describe a patient with a health condition or health behavior who is wanting to maintain or achieve good health. Include a synopsis of your nursing assessment of learning needs and readiness to learn.
Include one scholarly peer-reviewed article citation related to your scenario and cite the source in APA 7th edition format.
Patient Education/Teaching Plan
In this section include a description of the details of your planned teaching for the patient. Be sure to use full sentences in your own words when describing the content of your plan in depth.
Description of mHealth app
For this part of the paper, identify and describe the mHealth app that would benefit the patient. Be sure to describe the app by name, purpose, intended audience, mobile device for operation, and where to download and obtain it. Include any other pertinent information about the app and the patient scenario. Be sure to add an
APA citation for the mHealth app in APA 7th edition format. If there is a working link to this app, please include this at the end of this section.
References
List the two required references here in APA 7th edition format. One reference will be associated with your chosen mHealth app (See page 340 in your APA Manual 7th edition) and the second will be from a scholarly journal related to your patient scenario. If you use additional optional sources in your paper, these must be cited in the body of the paper and listed here as a reference in APA format as well.
Preparing the Assignment
Select ONE of the
Health Conditions or
Health Behaviors for the focus of your assignment through the Healthy People 2030 link below:
https://health.gov/healthypeople/objectives-and-data/browse-objectives
Note: It is important to choose your Health Condition or Health Behavior first, then develop a short, but detailed patient scenario (See the video tutorial, assignment directions, and rubric for details about the scenario.) Then explore a mobile health app (mHealth app) that fits the patient and the topic.
Note: You will use the same scenario you develop and same mHealth app you identify here in future assignments (Week 4 and 6).
Milestone 1 NR361 updated format DLP 8.2020
Goal: To analyze the four types of Organizational Structures.
Content Requirements:
Submission Instructions:
Introduction
PICO(T) is an acronym that helps researchers and practitioners define aspects of a potential study or investigation.
It stands for:
· P – Patient/population/problem.
· I – Intervention.
· C – Comparison (of potential interventions, typically).
· O – Outcome(s).
· T – Time frame (if time frame is relevant).
The end goal of applying PICO(T) is to develop a question that can help guide the search for evidence (Boswell & Cannon, 2015). From this perspective, a PICO(T) question can be a valuable starting point for nurses who are starting to apply an evidence-based model or EBPs. By taking the time to precisely define the areas in which the nurse will be looking for evidence, searches become more efficient and effective. Essentially, by precisely defining the types of evidence within specific areas, the nurse will be more likely to discover relevant and useful evidence during their search. When applying the PICO(T) approach, the nurse can isolate the interventions of interest and compare to other existing interventions for the evidenced impact on the outcome of the concern.
You are encouraged to complete the Vila Health PICO(T) Process activity before you develop the plan proposal. This activity offers an opportunity to practice working through creating a PICO(T) question within the context of an issue at a Vila Health facility. These skills will be necessary to complete Assessment 3 successfully. This is for your own practice and self-assessment and demonstrates your engagement in the course.
Reference
Boswell, C., & Cannon, S. (2015).
Introduction to nursing research. Jones & Bartlett Learning.
Professional Context
As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.
PICO(T) is a framework that can help you structure your definition of the issue, potential approach that you are going to use, and your predictions related to the issue. Word choice is important in the PICO(T) process because different word choices for similar concepts will lead you toward different existing evidence and research studies that would help inform the development of your initial question. When writing a PICO(T)-formatted research question, you want to focus on the impact of the intervention and the comparison on the outcome you desire.
Scenario
For this assessment, please use a health care issue of interest from your current or past nursing practice.
If you do not have an issue of interest from your personal nursing practice, then review the optional Case Studies presented in the resources and select one of those as the basis for your assessment.
Instructions
For this assessment, select a health care issue of interest and apply the PICO(T) process to develop the research question and research it.
Your initial goal is to define the population, intervention, comparison, and outcome. In some cases, a time frame is relevant and you should include that as well, when writing a question you can research related to your issue of interest. After you define your question, research it, and organize your initial findings, select the two sources of evidence that seem the most relevant to your question and analyze them in more depth. Specifically, interpret each source's specific findings and best practices related to your issues, as well explain how the evidence would help you plan and make decisions related to your question.
If you need some structure to organize your initial thoughts and research, the PICOT Question and Research Template document (accessible from the ”
Create PICO(T) Questions” page in the Capella library's Evidence Based Practice guide) might be helpful.
In your submission, make sure you address the following grading criteria:
· Define a practice issue to be explored via a PICO(T) approach. Create a PICO(T)-formatted research question
· Identify sources of evidence that could be potentially effective in answering a PICO(T) question (databases, journals, websites, etc.).
· Explain the findings from articles or other sources of evidence as it relates to the identified health care issue.
· Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.
· Communicate using writing that is clear, logical, and professional with correct grammar and spelling using the current APA style.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
·
Assessment 3 Example [PDF]
Download Assessment 3 Example [PDF].
Additional Requirements
Your assessment should meet the following requirements:
·
Length of submission:
Create a 3-5-page submission focused on defining a research question and interpreting evidence relevant to answering it.
·
Number of references:
Cite a minimum of four sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.
·
APA formatting: Format references and citations according to the current APA style.
Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.
suggesti an additional perspective on what it means to be a nurse with a practice doctorate, offer support to the expectations with obtaining the degree that your colleague posted, or expand upon your colleague’s post. Use 2 references
The Doctor of Nursing Practice (DNP) degree has only been available to nursing scholars since 2004. It was deemed necessary by the American Association of Colleges of Nursing (AACN) because “changing demands of this nation’s complex healthcare environment require the highest level of scientific knowledge and practice expertise to assure quality patient outcomes” (American Association of Colleges of Nursing, 2023). Because the degree is relatively new, the significance of the DNP is not yet widely understood. A recent study determined that “DNP-prepared nurses typically function as APRNs in clinical care or as health care system leaders, while there is a low number of DNPs in clinical practice settings” (Beeber et al., 2019). That being said, there is a great opportunity here for the DNP-prepared nurses of the future. Tussing (2018) identified that there is “great potential for innovation around new care delivery models, interdisciplinary projects, and community involvement for a healthier society” if healthcare leaders consider the potential of redesigning or creating new roles for the DNP-prepared nurse.
Expectations of Doctor of Nursing Practice versus Doctor of Philosophy in Nursing
The DNP degree is founded in nursing practice whereas a Ph.D. in nursing is rooted in research and teaching. I chose to pursue the DNP because I believe it will allow me to effect social change on a larger scale and I enjoy the clinical side of nursing. As a DNP-prepared nurse, I will “hold a broad foundation of knowledge from nursing, ethics, psychosocial and biophysical sciences, as well as from organizational and change theories” (Hartjes et al., 2019). My professional goal is to serve as a Healthcare organization’s Chief Nursing Officer (CNO). Nurses who hold a Ph.D. tend to pursue research opportunities or serve as professors at Universities. Obtaining my DNP aligned with my professional goal of becoming a CNO. Additionally, Walden University offers an executive nursing track which will set me up for success.
Addressing a Gap in Practice
As a nurse executive, it will be my role to identify and address gaps in practice. At my current organization, one gap I will address is the workflow of admitting patients. I work at an inpatient psychiatric hospital. The current practice is that patients arrive to the hospital via ambulance and are rolled directly onto the unit. There is minimal communication between the intake department, which accepts the patient, and the nurses who receive the patient on the floor. I aim to create an admissions unit that will house the intake department. This will help facilitate communication and create a better experience for the patient.
References
American Association of Colleges of Nursing. (2023). Fact sheet: The Doctor of Nursing Practice (DNP). https://www.aacnnursing.org/Portals/0/PDFs/Fact-Sheets/DNP-Fact-Sheet.pdfLinks to an external site.
Beeber, A. S., Palmer, C., Waldrop, J., Lynn, M. R., & Jones, C. B. (2019). The role of Doctor of Nursing Practice-prepared nurses in practice settings. Nursing Outlook, 67(4), 354–364. https://doi.org/10.1016/j.outlook.2019.02.006Links to an external site.
Hartjes, T. M., Lester, D., Arasi-Ruddock, L., McFadden Bradley, S., Munro, S., & Cowan, L. (2019). Answering the question: Is the Doctor of Philosophy or Doctor of Nursing Practice right for me? Journal of the American Association of Nurse Practitioners, 31(8), 439–442. https://doi.org/10.1097/JXX.0000000000000273
Tussing, T., Brinkman, B., Francis, D., Hixon, B., Labardee, R., & Chipps, E. (2018). The impact of the Doctorate of Nursing practice nurse in a hospital setting. The Journal of Nursing Administration, 48(12), 600–602. https://doi.org/10.1097/NNA.0000000000000688
Instructions
In small groups, students will develop a visual communication project—an infographic—in which they use an image(s) to create a message that meaningfully informs or persuades an audience. The infographic should be like a poster you might see on the wall in a doctor’s office, containing a variety of types of information on a topic. The topic does not need to be restricted to healthcare. Be sure to follow APA throughout, treat all copyrighted images as research sources, and cite appropriately. Be sure to address all rubric criteria.
Required Format and Process
This assignment has two parts: 1) in groups, students will create an infographic (an image or a collection of images combined with text for the purpose of making a statement, illustrating a concept, or describing a process); students should decide early if they are aiming to inform or persuade, and research must inform the project; 2) the group will incorporate appropriate language to support the message to complete their infographic.
Example: To complete this assignment, each group will: 1) choose a focus and goal (to either inform or persuade); 2) decide on the approach (illustrate process or make an impact); 3) select or create appropriate image(s); 4) conduct relevant research; 5) incorporate appropriate text to support the overall message in a well-designed infographic. Note: any online image must be cited just as text would (groups are free to create their own images for the infographic by using their own creative means, such as photography, drawing, etc.).
Assignment Support
Be sure to check out the Visual Communication Assignment Support documentOpen this document with ReadSpeaker docReaderLinks to an external site., as it provides samples and tips for creating infographics for you to consider.
(USLO 8.2)
Analyze and evaluate a middle range theory (Comfort theory). You will select a middle range theory and identify application of nursing theories into clinical practice
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