An 85-year-old man with New York Heart Association class IV heart failure

/in /by

Question 1

An 85-year-old man with New York Heart Association class IV heart failure, hypertension, and moderate Alzheimer’s disease, who lives at home with his 84-year-old wife, arrives at his primary doctor’s office with complaints of worsening heart failure symptoms, including breathlessness, extreme fatigue, poor appetite, and continence problems.  His wife is feeling overwhelmed with his declining health and worries when he is not able to catch his breath and will no longer eat the food she fixes for him.

a.       Is this man a candidate for palliative care?

b.      What is palliative care and how is it different from hospice care?

c.       What is the goal of palliative care and what interventions might be tried to achieve these goals.

Question 2

 

The patient in Question #1 has been receiving palliative care for 6 months and has had improvement in some of his symptoms, but with worsening dementia, he gets up one night to use the bathroom and falls.  He is admitted to the hospital with a hip fracture and has an open reduction and internal fixation.  His postoperative course is complicated by pneumonia, delirium, pressure ulcers on his heels and sacrum, and weight loss. His wife is concerned about the ability to care for him and the doctor has told her that his dementia and heart failure have steadily progressed and recommends hospice care?

a.       Is this man a candidate for hospice care?

b.    What factors about the patient do you think have prompted the doctor to suggest hospice care instead of continuing with palliative care?

Question 3

After studying this patient’s course of treatment, what do you see as the pros and cons of using Palliative and Hospice Care for patients?

selective toxicity

/in /by

1. What is selective toxicity?

2.  How does antibiotic use promote resistant organisms? What are ways that nurses can help to reduce the spread of resistant organisms in hospitals?

3.  What is broad spectrum vs. narrow spectrum antibiotics? Name an example of each.

4.  How is clostridium difficile treated initially? How about for a severe infection?

5.  What medication can cause “red mans syndrome?” How is this treated?

6.  What organs can be affected by aminoglycosides?

7.  What are some nursing teaching points for the patient being prescribed Tetracycline?

8.  Who is at the highest risk for tuberculosis (name some populations of people).

 Hypersensitivity

/in /by

 Hypersensitivity

The Topic is:  Hypersensitivity (concept)

  • Elaborate over Immediate and delayed hypersensitivity reaction and Anaphylaxis
  • Elaborate over the clinical scenario of allergy reaction, autoimmune reaction, and all immunity reaction.

Explain each of the immune mechanism from Type I to Type IV.

English, APA format. Submit to safeAssign to avoid plagiarism.

the importance of advocacy

/in /by

the importance of advocacy

Discuss the importance of advocacy as it pertains to patient care. What is the nurse’s role in patient advocacy? Describe a situation in which you were involved with patient advocacy. Explain what the advocacy accomplished for the patient, and what the repercussions would have been if the patient would not have had an advocate.

Type II Diabetes.

/in /by

Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course reading and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week.  And should not serve as a citation or reference.
In your discussion question response. Provide a substantive response that illustrates a well-reasoned. And thoughtful response; is factually correct with relevant scholarly citations. References, and examples; demonstrates a clear connection to the readings
In your participation responses to your peers. Comments must demonstrate thorough analysis of postings. And extend meaningful discussion by building on previous postings.

Note: Review South University’s Substantive Participation Policy Criteria, Helpful Tips, ad Late Policy available by clicking on the South University Policy and Guidelines navigation tab. The late policy applies to late discussion question responses.

Gami is a 48-year-old who you discover when completing a health history is taking cinnamon to treat Type II Diabetes. She is specifically using cassia Cinnamon. You also discover that she is taking Ginseng to assist with memory. Her prescribed medications are Aricept and Coumadin.

clinic to establish care

Ms. GM is a 48-year-old who presents to your clinic to establish care. During the health history. You learn that she has a history of Type II Diabetes. When asked about prescription. And non-traditional medications. She reports being prescribed Aricept, Coumadin, Cassia cinnamon for Type II Diabetes and Ginseng for memory.

  1. Is there any additional subjective. Or objective information you need for this client? Explain.
  2. What would be your position on the Ms. GMs use of alternative supplements for her diabetes and memory? Explain and include contraindications, if any.
  3. Are there any additional test/assessments you would complete for this patient given this list of medications? Explain.
  4. How might your treatment plan, in terms of medications, differ for this patient? Include the class of the medication, mechanism of action, route, the half-life; how it is metabolized in. And eliminated from the body; contraindications and black box warnings.
  5. What health maintenance or preventive education is important for this client based on your choice medication/treatment?

Flex Path program.

/in /by

Develop a FlexPath preparation plan to help you feel confident and ready to begin your FlexPath program.

It’s important to begin any new endeavor feeling confident in your ability to be successful, and knowing the resources and support you can turn to when you need them.

By successfully completing this assessment, you will demonstrate proficiency in the following course competency and assessment criteria:

  • Competency 1: Demonstrate readiness to begin a FlexPath program.
    • Discuss potential challenges of being a FlexPath learner and ways to address them.
    • Describe how to use personal skills, knowledge, and reasons for choosing FlexPath to be a successful FlexPath learner.
    • Explain how the resources provided by Capella can assist in being a successful FlexPath learner.
    • Identify topics to discuss with a FlexPath Coach.

What’s your plan? The beginning of a degree program is full of excitement as you consider what the future may hold for you. Completing this assessment will help you channel that excitement into a realistic plan to be as prepared as possible for your new role—that of a successful FlexPath learner.

Although the preparation and directions listed below are specific to this assessment, the process they lead you through is similar to what you will do in every FlexPath academic course.

Preparation

To prepare for this assessment:

  • Review the FlexPath Prep Plan Scoring Guide to see the criteria by which this assessment will be evaluated.
  • Review the FlexPath Prep Plan template.
  • Estimate the time it will take you to complete your plan and then set your target date.
    • Remember that you should plan to submit the assessment no later than the Tuesday prior to the date your first academic course starts.
    • Give yourself plenty of time to thoughtfully consider the questions it poses and draft your responses. Although you will submit your plan for evaluation in this practice course, remember that you are creating the plan to use as you begin your first academic course. The more thought you put into it, the more useful it will be.

Instructions

Step 1: Complete the assessment

Open the FlexPath Prep Plan template:

  • Use the template to complete your assessment. Type your responses within the spaces provided in the template.
  • Save your work as a Word document using the file naming conventions listed in the Assessments Attempt tab.
Step 2: Review your work

Review your work before submitting the plan. Do you see anything you want to change or add? Is the grammar and spelling correct? Revise the plan until you are satisfied with it and review the FlexPath Prep Plan Scoring Guide to be sure you have met the criteria.

Nanotechnology

/in /by

Nanotechnology

Review the various technology tools described in this week’s Learning Resources.

  • Pick one of the technologies listed below or choose one on Genomics or Nanotechnology. Reflect on how they are used and how its use impacts the quality of care. Consider cost and reimbursement.
  • Consider how your identified technology tools might impact nursing practice if it were more widely used. What are some barriers preventing increased usage? How could wider implementation be facilitated?

New and Emerging Technologies for Patient Care:

  • 3-D printers
  • Aging in place technologies
  • Artificial pancreas and Wearable artificial kidney
  • Biometric clothing
  • Bionic eyes, limbs, hearts
  • Cognitive computing for healthcare
  • Disinfecting robots
  • Exoskeleton for spinal cord injuries
  • Fall prevention technologies
  • Holographic images
  • Magnetic Bracelet for Fecal Continence Control
  • Mobile Cardiac Telemetry System/Wearable external defibrillators
  • Mobile stroke treatment units
  • Nanobots
  • New anti-obesity devices
  • Noninvasive, wireless monitoring system for people with diabetes
  • Patient Portals
  • Robotics — patient care (RIBA and HAL)
  • Symptom Tracker for Patients with Asthma or COPD
  • Transcranial magnetic stimulation (TMS)

Cognitive computing in healthcare

/in /by

Cognitive computing

Hirons,

Cognitive computing is a phenomenon involving the synthesis of large quantities scientific information to make intelligent and informed decisions. Cognitive computing involves data mining to pull from information. Then, the computer mimics a human brain by assessing the data, looking for patterns, and formulating a response. In healthcare, cognitive computing could be used to assess symptoms and recommend specific diagnostic or treatment options (Behera et al., 2019).

Cognitive computing in healthcare has the potential to improve the quality of patient care. Healthcare providers are very much respected, but they are still human. A provider makes informed decisions based on his or her education, experience, and expertise. However, cognitive computing makes decisions based on vast quantities of information that one human brain would not be able to retain. It is possible this strategy could make more informed healthcare decisions, simply because cognitive computing can assess much more information. Cognitive computing could also provide much more efficient  and accessible healthcare. If a patient can tell a machine their presenting issue and symptoms, their concern could be addressed immediately. The patient would not have to make an appointment, get transportation to the appointment, and meet with one or more providers Coccoli, , & Maresca, 2018).

Cognitive computing

Cognitive computing may have negative effects on the quality of patient care. There is value in human interaction and seeing a patient face-to-face. I work in mental health, so most of the information I assess is subjective. Patients have to trust me enough to express thoughts of suicide and symptoms of depression. That trust may be lost when speaking to a machine instead of a human (Coccoli, , & Maresca, 2018).

Cognitive computing has the potential to decrease the cost of healthcare. If cognitive computing can assist providers in making informed decisions, then there is less guess work and problem solving. Research shows that 80% of healthcare costs are due to physician decisions about testing, procedures, pharmaceuticals, and other treatments. Cognitive computing may reduce the amount of repeated or unnecessary tests and procedures. It may also ease the provider’s need to rule out particular diseases. Insurance companies must adapt to a changing healthcare system using cognitive computing (Emanue & Wachter, 2019).

cognitive computing

It’s important to note that there is a wide spectrum involving the use of cognitive computing.  Some research focuses on the replacement of healthcare professional with cognitive computing, while others focus on how cognitive computing can assist healthcare workers and improve the quality of care (Chen et al, 2017). Nursing could be impacted by using cognitive computing as a tool to make informed medical decisions. This could potentially help with making decisions about testing, procedures, medications, and when to make consults (Behera et al., 2019).

There are some barriers to preventing widespread usage of cognitive computing. This includes patient privacy issues, patient distrust of technology, technology problems, accessibility of devices to use the technology, and the technical skills required to use such technology. To maintain privacy, programs must be protected from outside sources viewing and using patient information. This includes the use of encryptions, passwords, and secure clouds. Patient education will play a large role in the implementation of cognitive computing, especially if patients are expected to use the technology and dispel any feelings of paranoia or fear. Nurses will need to make sure the patient feels comfortable using this technology. The nurse must also assess to see if the patient has the technical skills needed to effectively use the technology and a device that allows them access. There must be some training involved and a way to get assistance when needed (Coccoli, , & Maresca, 2018).

References

Behera, R.K., Bala, P.K., & Dhir, A. (2019). The emerging role of cognitive computing in healthcare: A systematic literature review, International Journal of Medical Informatics, 129(2019), 154-166.  https://doi.org/10.1016/j.ijmedinf.2019.04.024 (Links to an external site.).

Chen, M. Yang, J., Hao, Y., Mao, S. & Hwang. K. (2017). A 5G cognitive system for healthcare. Big Data and Cognitive Computing, 1(1). https://doi.org/10.3390/bdcc1010002 (Links to an external site.)

Coccoli, M., & Maresca, P. (2018). Adopting cognitive computing solutions in healthcare. Je-LKS, 14(1). https://doi.org/10.20368/1971-8829/1451 (Links to an external site.)

Emanue, E.J., & Wachter, R.M. (2019). Artificial intelligence in health care: Will the value match the hype? JAMA Network, 321(23), 2281–2282. doi:10.1001/jama.2019.4914

CLINICAL PRESENTATION

/in /by

Clinical presentations can be based on any content area covered in NUR2115. You could use an idea below or develop your own idea. All topics MUST be cleared with your clinical instructor. Presentations take place on the last day of clinical. You do not need to submit your clinical presentation to the main course shell (only submit to your clinical course shell).  See requirements below.

20 points

Presentation Requirements:

Choose a topic you can cover well in about 15 – 20 minutes. Prepare! You must be well versed in your topic as you will get questions from your peers. The presentation should include at least 3 learning objectives included in an organized. Thoughtful teaching presentation outline to hand out to your audience (can either be in outline format or a PPT outline). You will need a visual (such as PPT, Kahoot!, quizzes, handouts, etc.- cannot solely include a pre-made visual such as a YouTube video).

Develop an approximate timeline to organize yourself and to assure you cover your content. And answer any questions within the time allowed. Be prepared for your presentation. Presenters will be randomly chosen; Please be ready when called to avoid losing points.

TOPIC: CULTURAL CONSIDERATIONS IN NURSING

POWER POINT ON CULTURAL CONSIDERATIONS IN NURSING!

DIFFERENT CULTURES: MEDICINE, FOOD/DIET, CARE, PRIVACY

INCLUDE YOUTUBE VIDEOS  ABOUT THE TOPIC

SOURCES, APA FORMAT, OUTLINE INCLUDED

technology and healthcare

/in /by

This is the week to really see where technology and healthcare are connecting. Select ONE of the following trends and discuss your understanding of this trend in healthcare and its potential impact on your practice as a nurse. What are the legal, privacy, and ethical considerations of this trend? (Everyone attempt to choose a different topic so that we will learn about the many advancements in technology).

  • Nanotechnology
  • Consumer health informatics (CHI)
  • Social media healthcare applications
  • Health-focused wearable technology
  • eHealth
  • Artificial Intelligence
  • Simulation
  • Computerized provider order entry (CPOE)
  • Bar Code Medication Administration (BCMA)
  • Creative measures in healthcare for use with 3D printers
  • Smart Pumps
  • Smart Rooms
  • Robotics in healthcare
  • Mobile technology in outpatient care
  • Web-based tools and software technology
  • Risk Management tools
  • Chatbots or Bots in healthcare
  • Telenursing
  • Telemedicine
  • Telepharmacy
  • Telerehabilitation
  • Teleconsultation
  • Telehospice
  • Technology advancement from your clinical practice
  • Palm Vein Technology
  • Microchip use in healthcare
  • Optical head-mounted computer glasses (Google Glass)
  • Smart hospital bed