Category: Nursing

For the completion of this assignment, you’re going to review analyze 4 case studies and answer the questions relating to them. In this essay be sure to include a header for each case study, so it’s could organized and easy to follow.  Devote atleast one detailed paragraph toward each case study. Please try to utalize the full 3 pages for the answers. There should be        atleast 2 references for each case study, resulting in 6 references in all.
Case study: Ethical and Legal issues #1
Sally hired Steve 11 months ago on the surgical unit. His references at his previous place of                    employment were glowing, Sally notices that he works well with staff members, and his patients         seem to be highly satisfied with the nursing care they receive from him. Brianne, one of the staff        nurses, reports to Sally that Steve seems to be overly friendly with female patients. Sally asks Brianne to explain what she means. Brianne whispers to Sally, “I overheard Steve ask several female patients  for their phone numbers, and he is spending extra time with female patients. Today, he asked me to  switch patients with him, so he would have more female patients.” Sally has not received any patient complaints about Steve. As the nurse leader, Sally decides to wait until someone actually witnesses  an event; after all, Steve is a competent practicing nurse.
1. Is this the correct decision? Why or why not?
2. If Steve is in fact engaging in sexual misconduct, would Sally be held legally responsible?
3. As the nurse leader, how would you to handle suspected sexual misconduct in the workplace?
Case study:Staffing Conflict  #2
Gender, cultural, and generational differences add to the challenges of interpersonal                             communication, especially when mixed in a stressful healthcare environment. Many times the           conflict progresses and may involve some level of bullying. You recently graduated from an                RN-to-DNP program, you belong to the millennial generation (also called Generation Y), and you       were just promoted to Director of Critical Care Services. It feels like you have been in school forever, but you still managed to work 20-30 hours/week as a charge nurse on a busy cardiovascular (CV)    step-down unit throughout school.
1. The Nurse Manager from your CV ICU, who is a female and belongs to the Baby Boomer generation, has informed you she is closing four beds for the night shift due to inadequate staffing levels. When you object to her plan, she states, “You don’t know what you are talking about; this is what is done when you don’t have enough staff.”
Describe the type of conflict this represents and the source(s).
2. You present the staffing dilemma to your Chief Nursing Officer (CNO), who is a male and also          belongs to the Baby Boomer generation. The CNO responds by stating, “Your nurse manager’s             solution is not an option. I hired you for this job because of your education, clinical experience, and   ability to bring new ideas to the department. Closing beds is not an option; figure it out.” Apply the    best resolution strategy to address:
a) The staffing issue with your nurse manager.
b) The request made by your CNO to “figure it out.”
Case study: Effective Delegating #3
As a nurse leader, you recognize that everyone at all levels of the health care organization is being    asked to do more and accept more responsibility. Therefore, it seems inappropriate to ask your         Charge Nurse to take on another task or responsibility. However, you also realize that you must focus your efforts to be the most productive for the entire unit.
1. Discuss strategies to overcome the tendency to under delegate appropriate tasks to your charge   nurse.
2. Reflect on a time when you delegated a task to an unlicensed assistive person.
a) Using the Kentucky Board of Nursing Decision Tree for Delegation to Unlicensed Assistive                   Personnel, deconstruct the events of your delegation experience.
b) Analyze what you learned from that experience.
Case study: Quality Patient Care/Time management #4
A poor outcome has occurred for a patient, Mrs. Earle, who was admitted for a routine                      cholecystectomy. An investigation is conducted to find out what happened and how the poor       outcome could have been prevented. Maria Blanco, the RN who was on shift that day, must think back to her prioritization and organization of patient care.
The scene begins in the nurse manager’s office with nurse manager, Roxanne Jamison, prompting Maria, the staff nurse who was working that day, to recall her organization and prioritization of   patient care. Flashback to Maria starting her shift, when the charge nurse gave Maria a                  change-of-shift report for her four patients. We see shots of each patient as they are described.
What could Maria have done differently in prioritizing patient care after receiving her             assignments?
Are there any members of the health care team to whom Maria could have appropriately    delegated any tasks?

Assignment Prompt
For this assignment you will create an engaging, 20-minute recorded presentation of a chronic health problem related to a particular body system. Presentations topics will be assigned by your instructor. This assignment may be completed alone or in groups of 2-3 people, as outlined or decided by your instructor.
Your presentation should include an overview of the health problem identified, an in-depth review of the associated anatomy and physiology, an overview of treatment methodologies, and information related to the needs of the patient and/or family related to the problem. Your presentation should be prepared in PowerPoint, and recorded with voice over narration.
Expectations
Length: 10-12 slides in length (excluding title and reference slides, with a maximum recording length of 20 minutes)
Please include narrator speech per slides
Citations: At least three high-level scholarly reference in APA per post from within the last 5 years

PICOT question: In infants born via elective cesarean sections,  are those newborns at a higher risk of devloping respiratory complications within the first 48 hours of delivery when compared to infants delivered vaginally? 
Attached is a ppt template of what information needs to be depicted in each slide, some information can go on the same slide. This template does not have to be used. Feel free to use any ppt design just as long as this information is on the slides.
8 slides or so needed not including the title and reference slide. On the last slide of the template is a poster that recaps all the information on each slides. 
The powerpoint is mandatory as well as the poster slide which should be the last slide of the ppt before the reference slide. 
be creative and use any powerpoint template that may catch the audience’s eyes. 
Attached will also be some data from my current hospital on vaginal and c section births 38 weeks and greater and if those newborns needs any type of resuscitation or respiratory efforts. Please incorporate this data into the ppt as well. Use of pie chart or bar graph would be preferred for this data. 

Find one qualitative and one quantitative research article. Compare the difference and similarities between both articles (in terms of research methods).

Analyze the history, structure, and process of health-care-policy and politics in nursing and the health care delivery systems in the United States.

Suicidal Ideation and Depression in Adolescent
The patient is a 15‐year‐old Puerto Rican adolescent female living with both her parents and a younger sibling. Her parents presented with significant marital problems, had been separated several times and were discussing divorce. Her mother reported having a history of psychiatric treatment for depression and anxiety and indicated that the patient’s father suffered from bipolar disorder and had been receiving psychiatric treatment. He was hospitalized on multiple occasions during previous years for serious psychiatric symptoms.
The patient is failing several classes in school, and her family was in the process of looking for a new school due to her failing grades and difficulties getting along with her classmates. She presented the following symptoms: frequent sadness and crying, increased appetite and overeating, guilt, low self‐concept, anxiety, irritability, insomnia, hopelessness, and difficulty concentrating. In addition, she presented difficulties in her interpersonal relationships, persistent negative thoughts about her appearance and scholastic abilities, as well as guilt regarding her parents’ marital problems. She states that sometimes she feels the world would never know if she disappeared.
The patient’s medical history reveals that she suffers from asthma, used eyeglasses, and is overweight. Her mother reported that she had been previously diagnosed with MDD 3 years ago and was treated intermittently for 2 years with supportive psychotherapy and anti‐depressants (fluoxetine and sertraline; no dosage information available). This first episode was triggered by rejection by a boy for whom she had romantic feelings. Her most recent episode appeared to be related to her parents’ marital problems and to academic and social difficulties at school.
Direction:
-Use the Case Study template (attach below) to show your assessment collection data as well as the thought processes for diagnosis and treatment. Support your diagnosis and treatment plan with a minimum of three reference in APA form. Reference should be less than 5 years old.
-What is your diagnosis and treatment plan for this case? Include the following:
Pharmacological tx
Non-pharmacological to
Patient Education
Referral to other providers
Follow-up
Chafey, M. I. J., Bernal, G., & Rossello, J. (2009). Clinical Case Study: CBT for Depression in A Puerto Rican Adolescent. Challenges and Variability in Treatment Response. Depression and Anxiety, 26, 98-103. https://doi.org/10.1002/da.20457

Chronic diseases and their management are quickly becoming one of the largest elements of primary care. The chronic care model has been used widely for many years in a variety of settings. Though many providers have struggled to implement the chronic care model in a way that is cost effective, there is now significant evidence that the Chronic care model is effective in both chronic care management and in practice improvement. This is a formative assignment that accounts for 40% of the subject marks. Marks are assigned for the elements of the chronic care Model, you need to choose one of the chronic diseases in Saudi Arabia, Then. Implementing the chronic care model for improvements a chronic disease in community. It is expected that you complete 750 words with no less than 5 references attached. You can present your results in a table format or text with subheadings.
pleas talk about diabetes

Discharge Plan
The purpose of this assignment is to gain an understanding on what goes into a discharge plan. For assignment 3, using the case study, you will create a discharge plan for a patient using the attached Discharge Plan document.  You are to complete all sections of the discharge plan:  assessment, diagnosis/plan, education needs, financial worksheet, and the reflection and conclusion.  You need to be as detailed as possible in filling out all the boxes. The reflection and conclusion section allows you to summarize the patient’s plan of care based on all proceeding information and to make recommendations for the plan of care for the patient.  Reflect on what you learned in this activity.  What do you think about using this discharge plan, did it help you to consider areas you might not have previously included in a discharge plan?  Please follow the example discharge plan provided for your guidance. 
You can type right into the document, save it, and submit for grading. What necessary community resources and referrals will the patient need? What, if any, special equipment, or supplies might the patient need? You may not find all the information you need for the discharge plan in the case study.  So, you need to research the patient’s condition, etc. to help you complete sections of the discharge plan. You can find approximate costs for equipment/insurance, etc. on the internet.  Remember this is a fictitious patient. 
Case Study
Mr. Joe Jones, who is 75 years of age, is being discharged home after having a right knee replacement. “I am glad that the surgery is over.  Now, I can walk without a walker and pain.” He lives in a one level home independently.  His wife died last year. He has private insurance.  Mr. Jones is a retired engineer and can meet his financial needs for daily living.  His allergies include penicillin and seasonal allergies. The discharge orders from the orthopedic surgeon include continuous passive motion (CPM) at the current setting of 0-degree angle. Patient to use crutch extensions when walking with crutches for upper body support (non-weight-bearing post discharge day 1 and may begin weight-bearing post-discharge day 2); and home nurse visits, as needed. Physical therapy should begin the day after discharge at an orthopedic center. Dressing changes BID until stitches are removed 14 days post-op.  Clean with normal saline and apply clean, dry dressing with paper tape.  The prescriptions will be faxed to the center. The following medications with prescriptions attached include: Lovenox (enoxaparin) 70 mg subcutaneously once daily for 7 days, Vicodin (hydrocodone bitartrate) 10 mg every 4 hours PRN, and Colace (docusate sodium) 100 mg every day. The patient is to follow up with the orthopedic surgeon in 3 weeks. His daughter, Nancy, plans to stay with him for several weeks to assist him with meals and household chores, and take him to physical therapy and the orthopedic surgeon for follow-up. Mr. Jones has three other children, Kevin, Lucy, and John, who live in other states. He is a widower and attends a local church. He volunteers as an usher every Sunday. He has a past medical history of a colon resection related to acute diverticulitis and arthritis. Mr. Jones uses ibuprophen 200-400 mg prn for pain. 
Reading and Resources
Watch Video Case Management Rubric Tips for Assignments. 
Chapters 16, 20, 23, 26 , in Fundamentals of Case Management Practice.
Review clinical guidelines of the AHRQ.
*Activity must be submitted per the Discharge Plan document
NO AI & NO PLAGARIASIM PLEASE!!!!!
YOU MUST USE THE RUBRIC THAT I UPLOADED TO HELP YOU!!!
YOU MUST HAVE A CONCLUSION!!
Use the discharge plan template to help you with this paper!!! & I also uploaded an example so please go over it very well, if you have any questions or if I’m missing anything please let me know.

Please use the screenshots in the files to help write a brief summary (not too long) about what you learned. 

Musculoskeletal Function:
G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed.
Case Study Questions
Define osteoarthritis and explain the differences with osteoarthrosis. List and analyze the risk factors that are presented on the case that contribute to the diagnosis of osteoarthritis.
Specify the main differences between osteoarthritis and rheumatoid arthritis, make sure to include clinical manifestations, major characteristics, joints usually affected and diagnostic methods.
Describe the different treatment alternatives available, including non-pharmacological and pharmacological that you consider are appropriate for this patient and why.
How would you handle the patient concern about osteoporosis? Describe your interventions and education you would provide to her regarding osteoporosis.
Neurological Function:
H.M is a 67-year-old female, who recently retired from being a school teacher for the last 40 years. Her husband died 2 years ago due to complications of a CVA. Past medical history: hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history no contributory. Last annual visits with PCP with normal results. She lives by herself but her children live close to her and usually visit her two or three times a week.
Her daughter start noticing that her mother is having problems focusing when talking to her, she is not keeping things at home as she used to, often is repeating and asking the same question several times and yesterday she has issues remembering her way back home from the grocery store.
Case Study Questions
Name the most common risks factors for Alzheimer’s disease
Name and describe the similarities and the differences between Alzheimer’s disease, Vascular Dementia, Dementia with Lewy bodies, Frontotemporal dementia.
Define and describe explicit and implicit memory.
Describe the diagnosis criteria developed for the Alzheimer’s disease by the National Institute of Aging and the Alzheimer’s Association
What would be the best therapeutic approach on C.J.

Submission Instructions:
You must complete both case studies.
Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.