Assessment of the Musculoskeletal System and Pain

CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1) CO2 Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1) CO3 Utilize effective communication when performing a health assessment. (PO 3)

Fred is an 83-year-old male who is being admitted to the medical-surgical unit status post fall. He is alert and oriented and reports that while visiting a local casino with his wife Margaret earlier this evening, he tripped over a curb and fell landing on his right side. After receiving morphine in the emergency room prior to transfer to your unit, Fred is rating his pain at 6/10. He has multiple bruises from his jawbone to his knee as well as a slight rotation of his right leg.

Past medical history includes: myocardial infarction (MI) x 2, peripheral vascular disease (PVD) with bilateral iliac stents, non-insulin-dependent diabetes mellitus (NIDDM), sleep apnea, and degenerative joint disease.

Medications include: aspirin, Plavix, Lopressor, Lisinopril, and Metformin.

After reviewing the above scenario please answer the following questions. Based on the information provided, how will you prioritize your care, what assessments will you include and in what order? Please provide rationale for your response. Considering this patient’s age, injury, past medical history, and list of current medications, what, if any, concerns do you have related to his potential need for surgery? Should surgery to repair his right femur be required; what type of clearance and pre-op orders would you anticipate receiving related to his diet, meds, lab work, and so on?

STOPPED IN HIS TRACKS

CLASS: I am certain that most of you have encountered a patient like Fred.  They are vibrant and engaged elderly people who suffer a fall and sustain what can be life threatening injuries.  His situation is complicated by his age (the condition of his vital organs and musculoskeletal system), his previous medical history and his current medication regimen.   Be sure to consider each of these complications as you create your plan for his nursing care.  

References:

Chamberlain College of Nursing (2019) NR305 RN Health Assessment.Week 7 lesson Downers Grove, IL Online Publication

Ethics Nursing Wk 6

  

 

Case Study, Chapter 10, Mandatory Minimum Staffing Ratios 

A nurse manager is attending a national convention and is attending a concurrent session on staffing ratios. Minimum staffing ratios are being discussed in the nurse manager’s own state. The nurse manager has a number of questions about staffing ratios that the session is covering. The nurse manager knows that evidence exists that increasing the number of RNs in the staffing mix leads to safer workplaces for nurses and higher quality of care for patients.

1. What are the three general approaches recommended by the American Nurses Association (2017) to maintain sufficient staffing?

2. Summarize the findings that are often cited as the seminal work in support of establishing minimum staffing ratio legislation at the federal or state level.

3. Analyze what proponents and critics say about whether mandatory minimum staffing ratios are needed.

Needs citations with minimum 2 peer reviewed references.

No minimum word count

Topic 3 DQ 1 – FOR JANETHETUTOR

 

Discuss current research that links patient safety outcomes to ADN and BSN nurses. Based on some real-life experiences, do you agree or disagree with this research?

Gender and Sexuality week 9 dis one

 Men and women have always paired off in sexually exclusive relationships, but before the dawn of agriculture, humans may have been promiscuous. Share your opinion on the pros and cons of having more than one partner from an outsider’s point-of-view. No less than 300 words. Must give a response to at least 2 of your classmates’ posts. 

Rough Draft Qualitative Research Critique and Ethical Considerations In Nursing

 

Write a critical appraisal that demonstrates comprehension of two  qualitative research studies in NURSING. Successful completion of this  assignment requires that you provide rationale, include examples, and  reference content from the studies in your responses.

In  a 1,000–1,250 word essay, summarize two qualitative studies, explain  the ways in which the findings might be used in nursing practice, and  address ethical considerations associated with the conduct of the study.

Prepare  this assignment according to the guidelines found in the APA Style  Guide, located in the Student Success Center. An abstract is not  required.

week 5 primary care journal

  Practicum Journal and Time Log Practicum Journal

Continue documenting your Practicum Experiences in your Practicum Journal. Reflect on your Practicum Experiences and relate them to your Professional Goals and Self-Assessment of Clinical Skills that you identified in Week 1.

building power as a nurse

You have been an RN for 3 years. Six months ago, you left your position as a day charge nurse at one of the local hospitals to accept a position in the public health agency. You really miss your friends at the hospital and find most of the public health nurses older and aloof. However, you love working with your patients and have decided that this is where you want to build a lifetime career. Although you believe that you have some good ideas, you are aware that because you are new, you will probably not be able to act as change agent yet. Eventually, you would like to be promoted to agency supervisor and become a powerful force for stimulating growth within the agency. You decided that you can do a few things to build a power base. You spend a weekend designing a personal power-building plan

 

Make a power-building plan. Give six to ten specific examples of thing you would do to build a power base in the new organization. Provide rationale for each selection. Outline specific actions that you would take. It might be helpful to consider your own community and personal strengths when solving this learning experience.

HCS/131: Business Communication Skills For Health Care Professionals HCS/131: Business Communication Skills For Health Care Professionals

PowerPoint slide 

Jean Watson

 Due by Sunday August 25, 2019 @ 5:00 PM

Answer the following questions in regards to Jean Watson

1) Discuss Watson’s view of the body and soul. 

2) In the reading, Nature of Human Life and Subject Matter of Nursing and in particular the quotation of Jung ( 1068, p.99), comment on whether you agree or disagree with the statement; …people…” have not the slightest faith that anything useful could ever come out of their own soul”

3) After reading and reflecting on the 10 Caritas Processes that can cultivate caring moments or caring occasions, select “one” of the Caritas Processes that you feel is most important or resonates with you in cultivating caring. 

*EACH QUESTION MUST BE AT LEAST 155 WORDS TO RECEIVE FULL CREDIT SO ALTOGETHER 465 WORDS 155 WORDS EACH QUESTION

End of Life Care

Choose subcategory of practice in End of Life Care and describe how the APRN can provide effective care in end of life management.

Practice 

1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families. 

2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others. 

3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death. 

4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified. 

Please describe each point by separated

in APA FORMAT.