Samples

ASSESSING AND TREATING PATIENTS WITH ADHD

Attention deficit hyperactive disorder (ADHD) is a disorder that affects a significant percentage of the population globally. The diagnosis of ADHD is largely made during the early childhood stage ...

Week 3 Assignment 1: Virtual Patient Virtual Patient: Risks of Covid-19 among older adults with asthma

 Asthma is a long-term inflammatory disease characterized by spasm attacks in the lung bronchi, making it hard to breathe. The condition is mainly associated with a slow and c...

NRS-493 Capstone Change Project Outcomes Solved Assessment Description

The proposed nursing intervention for this capstone project is the implementation of preceptorship and residency programs to enhance critical thinking, communication, practical, and technical skill...

NRS-493 Capstone Change Project Outcomes Solved Assessment Description After working with your preceptor to assess organizational policies, create a list of measurable outcomes for your capstone project intervention. Write a list of three to five outcomes for your proposed intervention. Below each outcome, provide a two – three sentence rationale.

NRS-493 Strategic Plan Summary Solved Assessment Description

The proposed nursing practice intervention is the significance of patient education throughout their hospital stay and their understanding of it before and after discharge on a medical-surgical flo...

NRS-493 Strategic Plan Summary Solved Assessment Description

The identified evidence-based topic for the capstone project change proposal is the management of Catheter-Associated Urinary Tract Infections (CAUTI) among medical-surgical patients. Urinary tract...

NRS-493 Strategic Plan Summary Solved Assessment Description

NR 500 Week 6: Systems-Structure and Function

Nurse informatics possess diverse skills and expertise that spread across a wide range of sub-specialties. Nurse informatics skills are essential in systems development and implementation, clinical...

NRS-493 Capstone Change Project Resources Solved Assessment Description

The implementation of the capstone change project in the nursing home will require a host of resources; both human and material resources that include financial. The intervention is about implement...

How the Project and Objectives Advocate for Autonomy and Social Justice for Individuals and Diverse Populations

NRS-493 Capstone Change Project Resources Solved Assessment Description

Topic 1 DQ 1: Society for Human Resource Management The Role of HR in Developing HR-Mindedness

What two elements do you believe play the most significant role in sustaining change and why? Topic 8 DQ 1

What two elements do you believe play the most significant role in sustaining change and why?

Topic 8 DQ 1

What formal and informal onboarding or assimilation processes exist in your organization or an organization with which you are familiar? Topic 4 DQ 2

Part 5 The patient was discharged to her home, but 3 months after discharge was admitted to hospice service. She is no longer able to swallow her tablets and requires them to be crushed. The hospice nurse requests your advice on an equivalent regimen using transdermal fentanyl and oxycodone for breakthrough pain. Pain Assessment: 8 out of 10 Current Meds: Metoprolol succinate ER 50 mg daily; rivaroxaban 20 mg daily; levothyroxine 150 mcg daily; polyethylene glycol 3350 17 g daily; lisinopril 2.5 mg daily; amiodarone 200 mg daily; diclofenac transdermal gel 1% to neck and left shoulder four times daily; morphine sulfate ER 30 mg twice daily; mirtazapine 15 mg at bedtime. • What additional recommendations would you have at this time regarding pain management? • Are there any other therapeutic issues that should be addressed?

My experience with hospice services is that it is considered to be comfort measures. Converting her current dose of morphine ER 30mg BID would yield a Fentanyl 25mcg patch Q3 days. For breakthrough...

Part 4 The patient has been at the skilled nursing facility for 2 weeks and is making progress toward rehabilitation goals; however, during a follow-up appointment to her surgeon, she learned that she has metastatic ovarian cancer. She states that she has not been sleeping well and has lost 7 lb (3.2 kg) since admission. She also states that she hates waiting for her pain pills and requests something longer acting. Pain Assessment: 8 out of 10 Current Meds: Metoprolol succinate ER 50 mg daily; rivaroxaban 20 mg daily; levothyroxine 150 mcg daily; polyethylene glycol 3350 17 g daily; lisinopril 2.5 mg daily; amiodarone 200 mg daily; sertraline 50 mg daily; diclofenac transdermal gel 1% to neck and left shoulder four times daily; hydrocodone/acetaminophen 10/325 mg every 4 hours as needed for pain (uses 6 doses per day). • What additional recommendations would you have at this time regarding pain management? • Are there any other therapeutic issues that should be addressed? _____________

Part 4 Her pain is not being adequately controlled with the hydrocodone and now she has a new diagnosis of metastatic ovarian cancer and sleep disturbances. I would not recommend a sedative-hypnoti...

Current Meds: Metoprolol succinate ER 50 mg daily; rivaroxaban 20 mg daily; levothyroxine 150 mcg daily; polyethylene glycol 3350 17 g daily; lisinopril 2.5 mg daily; amiodarone 200 mg daily; sertraline 50 mg daily, hydrocodone/acetaminophen 10/325 mg every 6 hours as needed for pain. Pain Assessment: Patient reports pain of 7 out of 10; worse with movement. She complains of pain "everywhere, but my shoulder is really bothering me.". Physical therapy notes indicate patient is unable to complete therapy goals due to complaints of pain in her shoulder. • Based on this information, what would you recommend to optimize pain control? • Prescribers play a critical role in prescription drug misuse and abuse prevention. What steps can be taken to identify signs of dependence and abuse and what education can you provide to the patient regarding the negative effects of medication misuse?

Part 3 This patient is complaining of shoulder pain after surgery. This would indicate to me that she had a laparoscopic procedure. The most common issues with laparoscopic surgeries are referred p...

Part 2 Following surgery, she was placed on morphine patient-controlled analgesia (PCA). She has been using 27 mg of morphine/24 hours with adequate pain control; however, she has developed redness and itching on her neck that is believed to be due to the morphine. Current Meds: Morphine PCA; metoprolol succinate ER 50 mg daily; rivaroxaban 20 mg daily; levothyroxine 150 mcg daily; polyethylene glycol 3350 17 g daily; lisinopril 2.5 mg daily; amiodarone 200 mg daily; sertraline 50 mg daily. She will be discharged to a skilled nursing facility for rehabilitation therapy. You would like to convert her to a combination preparation of hydrocodone / APAP. • What dosing regimen would you suggest? • Recommend a monitoring plan for this patient. • How would you assess pain response? • The patient is concerned about the redness and itching that he developed while on morphine. Would you document this as an allergic reaction? • What other interventions or education may be necessary at this time?

Part 2 After the surgery she was placed on a patient-controlled analgesia (PCA) pump because there were most likely concerns of swallowing issues which could lead to aspiration, especially in the e...

Part 1 HPI: A 72-year-old woman with a tumor of the right fallopian tube is to undergo surgery to remove the tumor. PMH: Hypothyroidism for 40 years; hypertension for 20 years; atrial fibrillation for 5 years; depression for 2 years. FH: Mother had osteoporosis; father had diabetes SH: Lives with husband; has four grown children Meds: Metoprolol succinate ER 50 mg daily; rivaroxaban 20 mg daily; levothyroxine 150 mcg daily; polyethylene glycol 3350 17 g daily; lisinopril 2.5 mg daily; amiodarone 200 mg daily; sertraline 50 mg daily Pain Assessment: Patient rates pain as 4 on a scale of 0 to 10 • Based on the type of injury, what type of pain is this patient likely to experience? • What type of pain management regimen would you recommend in the postoperative period? Explain your answer.

Opioid Case Discussion Part 1 Currently this 72-year-old woman is having pain rated as a 4 on a scale from 0 to 10. Her current medication list does not include any pain medications. “The Ame...

Part 1: HPI: A 78-year-old man who is to undergo a left above the knee amputation due to a limb abscess Based on the type of injury, what type of pain is this patient likely to experience?