Nursing Case Study

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.

ICD-10-CM is the acronym for which is known to the International Classification of Diseases tenth revision clinical modification. provided by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), for medical coding and reporting in the United States. This code system is used for decades by doctors and healthcare industry worldwide to diagnose diseases and conditions in standard ways. The ICD-10 is not a new simple version of the previous standard otherwise, the adoption of this code will impact all aspects of the healthcare industry. The change will require not only the acquisition and implementation of new equipment and computerized programs, it also take a more detailed process of medical

----- Clinic presents a black male 68 years old. Currently experiencing dyspnea and lethargy. For the past week he has been having a increase of difficulty breathing. Complains of alternating periods of sweating and chills. Other symptoms he has been experiencing is a productive cough with expectoration of thick yellow sputum. Patient is a ex- smoker, he was a 40 pack year history, denies smoking, stopped over 10 years ago. Medical history includes chronic bronchitis, hypertension, MI five years ago, has had a angioplasty, and denies chest pain since having angioplasty. Current medication combined albuterol/ipratropium MDI, nebulized albuterol prn, captopril, and hydrochlorothiazide.

Respond to 11 questions to guide your description of the ethical challenge and prompt what you might say and do to make a values based decision. Follow the steps on the rubric to define the conflict, discuss what is at stake, define arguments you have to counter, and indicate responses that create a sound argument. The logistics of presenting your argument ask that you identify who, what time, allies, forum, communication style and support you will solicit when presenting your case.

The aims of those studies were to estimate the prevalence of frailty, and its ability to predict outcomes in older patients as short-term outcomes in

Mr. Mustard fell down on his driveway three weeks ago. He has now presented to the clinic of Nurse Practitioner (NP) with chief complains of worsening left-sided headache, photophobia, unequal pupillary reaction, and dysphasia. Mr. Mustard takes Coumadin to lower the risk of stroke due to atrial fibrillation. Mr. Mustard’s presenting symptoms along with his higher age (70 years), history of hypertension and being on Coumadin regimen, should be considered as red flags and need urgent attention and evaluation. Based on the subjective interview, Mr. Mustard denies any previous history of brain injuries, which is also confirmed by the NP during physical examination. The NP considers that Mr. Mustard has suffered from traumatic brain injury likely

To calculate the number of CVC days, the number of patients with CVC will be counted every day consistently between 12.00 am and 01.00 am. The number of days will be summed at the end of every quarter. Only one line day will be calculated per patient day even if the patient had multiple CVC placed on the same day. The number of CLABSIs both in the control and the intervention group will be document daily in a tally sheet and summed every quarter. The CLABSI rate per 1000 central line days will then be calculated by dividing the number of CLABSIs by the number of central line days and multiplying the result by 1000. (CLABSI 푅푎푡푒푠 = {# CLABSI 퐼푑푒푛푡푖푓푖푒푑 ÷ # 표푓 CVC 퐷푎푦푠} 푥 1000) (Centers for Disease Control and Prevention {CDC}, 2017). The data will be collected at the ratio level of measurement. The parametric statistical analysis using the independent samples t-test will then compare the rate of CLABSIs in the intervention group and the control group to determine if there was a significant difference after implementing the CHG dressing’s

Hospital Readmissions are costly to the government, hospitals, and patients. Some of these pricey readmissions can be avoided by providing the appropriate care for the patients that are at a higher risk of readmission. Many studies have used predictive analytical approaches to discover which patients are more likely to be readmitted. Most of said studies use some form of regression to analyze all patients. We took a different route and used an advanced decision tree (Gradient Boosted Tree) as we found it to be more fitting for the data we collected. With COPD as a constant factor in our patients, we were able to develop a specific model for a subsection of all hospital readmissions. With COPD being a fix variable, our model was able to dig deeper into other

I am Delcina Augustin Doreus. My hometown is Miami, but I am now residing in Tampa, Florida. I am a Registered Nurse working as a Clinical Nurse Educator at the James A. Haley Veteran Hospital. I started my career in 2002 working as an Emergency Room Registered Nurse holding only an Associate degree in nursing. In 2010, I attended South University and in 2011 earned my Bachelor of Science in Nursing. In 2013, I once again graduated from South University with a Master in Public Administration. I am married with two girls soon to be three years old.

This procedure has been referred to as ‘cascading’ (Bass et al, 1994) or ‘chaining’ (Rutten-van Molken et al, 1995). In stage one, the best THS (described as being followed by perfect health after its specified length of time) is valued relative to the worst THS (0) and perfect health (1). In the event of valuation of more than one THS in relation to the worst THS, this process is carried out for each health state. For example, for a condition with THS such as headache, lower back pain and ulcer where ulcer is regarded as the worst THS, headache will be valued in relation to ulcer, and separately, lower back pain will also be valued in relation to the ulcer).

Gradable Items Details Points Possible Assignment Exercise 16 90.0 Assignment Discussion Question Discussion Question Review Exercise 16 in Statistics for Health Care Research: A Practical Workbook. Complete the Study Questions in Exercise 16. Compare your answers to the Answers to Study Questions.

In order to quantify which hospital provide the patient with enough and sufficient information, each response for each variable in the question was made with a point score (Score sheet explained in details in Appendix 4).

There are several alternative pathways for the glycogen to break down after the G6Pase is defected and can lead to the manipulation of the normal level of substances in the body (Figure 1). As shown in the Figure 1, the glucose 6-phosphate can convert into pentose phosphate that catabolize and increase the amount of uric acid; Glucose 6-phosphate also can undergo glycolysis to form pyruvate and increase the level of lactate and alanine which can cause lactic acidosis and hyperalanemia respectively. The symptoms of the type I GSD are noticeable for a 3-4 months old infant while the liver and kidney are affected due to impaired glycogenolysis and gluconeogenesis. The affected

Due to high computational demands for running the models described in chapter\ref{Chapter5}, only a log-logistic model was fitted for patients who completed a home care assessment.