Category: Nursing Assignment Help

Your paper should cover (but is not limited to) the following areas:
• Summary of the case
• What are the ethical and legal dilemmas involved in this case?
• How did the case resolve at the end? Who was the decision in favor of? Did it go to court or was it resolved otherwise? • Did this case lead to the creation of a new law/ policy?
• Take a position on this issue and provide reasoning for why you agree or disagree. Support your position with valid sources
• State the criticism of your position from the opposing view. Provide arguments against your own position to analyze both sides of the issue
• What steps have been taken (or should be taken) to prevent such issues from occurring in the future? Are there any new or upcoming policies and recommendations related to or as a result of this case?

This assignment is designed to help you develop your QI Project proposal by identifying content used in developing your project team, intervention, pilot testing, and unexpected issues slides. The attached worksheet will guide you in this process. Plan-Do-Study-Act (PDSA) methodology is driven by 3 questions: (1) What are we trying to accomplish? (2) How will we know a change is an improvement? And (3) what change can we make that will result in improvement? The Plan stage begins with an analysis to identify what can be changed that will lead to improvement; it creates a blueprint for the change.
The Do stage is where the plan is carried out, data are collected, and observations made. During the Study stage, the data obtained from observations are analyzed to determine the effectiveness of the plan’s implementation. Finally, the Act stage is where adjustments are made based on the collected data in preparation for the next PDSA cycle. With this model, iterations of the PDSA cycle continue until the change goal is achieved.
Plan: idea for action
Do: make the change
Study: test it and collect data
Act : adjust actions
Complete the assigned IHI Open School Modules before beginning this assignment
Complete the PDSA Worksheet for Testing Change (Attached above)
Complete the listed Plan steps
Provide detailed discussions for the remaining Do, Study, Act portions of the worksheet
Submit the completed worksheet to Blackboard using this assignment link
NOTE: Once you receive my feedback on your Outcome

Perineal discomfort can be a substantial problem for postpartum patients. What is the best non-pharmacological method of reducing perineal pain post vaginal delivery?
In post-partum patients post vaginal delivery, what is the effectiveness of non-pharmacological methods compared to pharmacological methods in reducing perineal pain?”
Where:
P: Patient Population: Post-partum patients post vaginal delivery
I: Intervention: Non-pharmacological methods
C: Comparison: Pharmacological methods
O: Outcome: Reducing perineal pain
Week 2 Assignment – Group Literature Review and Appraisal
Each team member is expected to search for the best available evidence and to critically appraise the literature sources identified. Each student will
individually submit their keywords, search grid, and a table of ten sources to the team room in Brightspace as well as submitting them here for grading.

Instructions: Read the elements of the case and each day’s events. For your initial reponse, provide a brief summary of your understanding of the case and evidence-based treatment or diagnostics that you would recommend (100 words). Provide rationale from the textbook, evidence-based protocol, or research article. Remember the advocacy presentation from Module I and remember our responsibility to advocate for patients as an ethical necessity.
Purpose: Discuss standards of practice for the evidence-based care and treatment of the patient admitted to the emergency department in August 2021.
Data is provided from an actual patient case which occurred in the United States in 2021.
Acknowledgements: During the COVID-19 pandemic crisis, healthcare providers were placed in oftentimes impossible situations, endured extreme stress, and were forced to make difficult decisions based on limited resources. At the end of the discussion, additional information about the patient’s case will be shared.
EMERGENCY DEPARTMENT
8-17-2021: Admission Shortness of Breath
54 year old white male admitted via ambulance from home at 0745. Diagnosed with COVID-19 via PCR test on 8-13-2021 by primary care provider. The patient was receiving Vit D3 10,000 units, Zinc 25 mg, Quercitin, NAC, Vitamin A, Vitamin C 2000 mg, Ivermectin, Prednisone, Z-pack, Aspirin 325 mg,
Albuterol nebulized treatments every 2 hours, and Budesinide nebulized treatments twice daily.
• COVID +
• CXR indicates pneumonia/infiltrates
• CT Scan without contrast is consistent with COVID pneumonia
• This was day 4 of COVID, patient was ruled “not a candidate” for monoclonal antibodies
• Bipap
• Remdesivir IV started at 1315
• Regular diet
• Bedrest
• Voiding per urinal
• See vital signs and labs flowsheet
8-18-2021
• 2 doses lovenox (30mg and 80 mg)
• See vital signs and labs flowsheet
8-19-2021
• CXR minimal improvement
• One dose of Lovenox today
• See vital signs and labs flowsheet
8-20-2021
• CXR overall stable exam (lung aeration is overall stable)
• See vital signs and labs flowsheet
MOVED TO TELEMETRY FLOOR AT MIDNIGHT
8-21-2021
• Report: calm and pleasant, oxygenating well sat 90s on Bipap, eating small amount
• CXR interstitial infiltrates, stable chest
• Patient video calls family. Family states patient thinks everyone has given up on him. Family requests pastoral care visits and wants to sit with patient.
Family not allowed to stay with patient per hospital rules during COVID-19 pandemic.
• See vital signs and labs flowsheet
8-22-2021
• CXR a.m. interstitial infiltrates, stable chest
• 1445 Rapid response, stated O2 sat back up, was sitting on side of bed eating & took mask off, difficulty putting mask back on, was now stable with O2 sat
95%
• 2045 Rapid response, patient found lying across bed, bipap mask slightly off face, patient blue and “jerking” when discovered according to nurse, Neuro
consulted, remained on telemetry floor
• See vital signs and labs flowsheet
TRANSFERRD TO ICU OVERFLOW (1ST FLOOR)
8-23-2021
• Nurse practitioner at bedside. Called wife and stated patient “did not look good” and needed intubation
• Intubated 0900 and transferred to ICU overflow COVID unit
• Report: holding O2 sat “ok” on vent, will take some time to see improvement, initiated prone positioning, peak inspiratory pressure 35, Vent: VT 500, Assist
control rate 24, FiO2 80
%, PEEP 10
• Chart info
o CXR 1049 a.m. diffuse infiltrates, ETT in place (2 cm above carina). Bilateral breath sounds.
o CXR 3:03 p.m., left PICC inserted, no pneumo
o Abdominal XRAY: gaseous distention of small and large bowel loops. Mild ileus or gastroenteritis. No clear obstruction or free air.
o See vital signs and labs flowsheet
8-24-2021
• Report: holding, O2 sat ok on vent, will take some time to see improvement, continuing prone positioning (O2 sat 95%)
• Chart info
o EEG performed, supports presence of severe encephalopathy
o CXR no improvement
o See vital signs and labs flowsheet
8-25-2021
• Report: holding, O2 sat ok on vent, will take some time to see improvement, proning
• Chart info
o CXR stable chest
o See vital signs and labs flowsheet
8-26-2021
• Report: holding, O2 sat ok on vent, will take some time to see improvement, proning
• Chart info
o CXR a.m. no improvement
o 2230 received a call that oxygen saturation suddenly dropped. Emergency response called.
o See vital signs and labs flowsheet

You are to read the book, with an eye to critiquing its accuracy in depicting some particular behavior disorder, including symptomatology, treatment, and disorder course and prognosis.
You are to seek three (3) independent sources (NOT including your textbook) to corroborate your opinions about your chosen book’s approach to the specific disorder. These should be psychology journal articles, not websites, related to the topic, and you may easily locate them on-line via the college library internet article database. The book review should be between three and five typed pages in length. This refers to the body of your paper and does not include your title page, abstract page, and reference page. It should be double-spaced in Times New Roman 12 pt font. Please use APA style to format your paper, cite references inside the text, and compile your reference list.

Create a 3-5 page submission in which you develop a PICO(T) question for a specific care issue and evaluate the evidence you locate, which could help to answer the question.
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.
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.
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.

You will develop a syllabus for an 8-week undergraduate nursing course in your area of interest that conveys the essential components of that course to the learner. Schools commonly establish guidelines and formats for information to be included in all syllabi developed for nursing courses. To deter misunderstandings, many institutions require all syllabi to include specific statements about institutional, departmental, and course policies on academic integrity, students with disabilities, and diversity.
For the purpose of this assignment, the required information to be included in your course syllabus is minimal. However, syllabi do not have to be simple, typed documents. You may choose to incorporate additional information (graphics, photos, comics, or designs) and other creative elements. However, be sure your syllabus includes at least the required information listed under the assignment guidelines section below in order to be considered for full credit. When preparing your syllabus, pay attention to the organization and layout to ensure it is easy to read. Your syllabus should set the tone for your course and convey enthusiasm for the course topic; show how your course fits into a broader picture; communicate what, when, and how students will learn; clarify what
students need to do to be successful; and communicate your expectations of student performance to satisfactorily complete your 8-week course.
Your course syllabus should include:
General information about the course: The instructor’s name (you), course title, course number, course credit hours, class days and time period (start and end times), class location (room number), and any prerequisites. You may also wish to include your office hours and contact information.
A course description: A description of the course and how students will benefit; this is similar to a catalog descriiption of a course.
Course outcome objectives expected: A list of outcome statements describing the knowledge and skills that you expect students to have learned after completing your 8-week course. Your objectives should be:
Appropriate to course and educational level
Realistic and clear
Stated in measurable terms
Required materials and learning resources: Textbook(s), supplies, and anything you may require students to bring to class each day
Instructional methods and activities: List the teaching strategies and approaches you plan to use for students to achieve the learning objectives (e.g., lecture, games, inquiry, discussions). If appropriate, you may want to include any special events or activities (e.g., field trips, experiments, guest speakers, projects).
Note: This section is a list of your instructional methods and activities and not an explanation or descriiption of how they will be implemented.
Classroom policies or rules: This section should include any policies or rules that are specific to your course (e.g., classroom behavior, absenteeism, tardiness, late assignments, makeup work, and tests).
Evaluation methods: This section should include all graded course requirements with the percent value (of the total course grade) for each requirement. This is where you list each of the course requirements or means of evaluating student learning (e.g., tests, quizzes, assignments, presentations, group work).
You do not need to provide a rubric for grading each of the course requirements, guidelines, and grading criteria.
You do need to provide the total percent value or the grade weight of each requirement.
If using tests or quizzes, state the number of tests or quizzes and the grade weight for each.
Note: As part of your teaching plan and presentation during weeks 6 and 7, you will provide guidelines and grading criteria (a rubric) for one of your required assignments.
An outline and general timeline of the course content: This section should be a table or flowchart depicting a schedule of the content to be covered over the 8-week period. In addition to the content, your table or flowchart should include:
Estimated dates for when you plan to cover the content. Specific dates are not necessary, but some timeline estimate should be provided (e.g., week 1 or class 1) Any activities, assignments, and tests, etc., with corresponding due dates
Required readings for each date and any supplemental or suggested readings you may want to list

Case Study: For this assignment, each student will conduct their own research to find a valid case in healthcare (Please reference case Doe v McNulty as my choice to use https://casetext.com/case/doe-v-mcnulty ( the case deals with malpractice/timely diagnosis.) that deals with legal or ethical dilemmas.
the case can be related to any of the following issues: Medical Malpractice Misdiagnosing,
You must find details about the case to help you properly analyze and examine it. Paper is to be (Double spaced, Font: Times New Roman, Size 12). You are required to list at least 5 references in APA format (in-text citation as well as a reference page at the end). Your reference page does not count towards the total page number. The paper should be in Microsoft Word .doc format.
Acceptable sources of research information include websites, news articles, conference proceedings, books, and journal articles. Wikipedia and opinion blogs are not acceptable as research sources.
Your paper should cover (but is not limited to) the following areas:
• Summary of the case
• What are the ethical and legal dilemmas involved in this case?
• How did the case resolve at the end? Who was the decision in favor of? Did it go to court or was it resolved otherwise? • Did this case lead to the creation of a new law/ policy?
• Take a position on this issue and provide reasoning for why you agree or disagree. Support your position with valid sources
• State the criticism of your position from the opposing view. Provide arguments against your own position to analyze both sides of the issue
• What steps have been taken (or should be taken) to prevent such issues from occurring in the future? Are there any new or upcoming policies and recommendations related to or as a result of this case?

Discuss and differentiate various types of patient care.

Describe the challenges and benefits of utilizing interprofessional healthcare teams for client care.

Describe how expanding new roles for clinical nurse leaders (CNL’s), and other nursing experts is elevating the nursing profession.

Identify desired outcomes in disease management programs and the role the case manager plays in achieving those outcomes.

Concepts and Values of Caring in Nursing

1500 words essay

APA style

7 sources