week 3

Week 3 Discussion: Peri- and Post menopause

please see attachment

W5 ASSIGN

PLEASE FOLLOW ALLL DIRECTION 

Nursing

NR341 Max Cook Student Instructions
© 2021 Chamberlain University. All Rights Reserved.

Revised 4.1.2021 1

Student Instructions for i-Human Virtual Simulation
NR341 Max Cook

PURPOSE:
The following information is to be used in guiding your preparation and participation in the virtual simulation
scenario for this course. This document will provide applicable course outcomes in preparation for your
simulation.

SCENARIO OVERVIEW:
Max Cook is a 74-year-old male who presented to the emergency department (ED) 24 hours ago with
complaints of shortness of breath, decreased energy level, and fever. He had not been feeling well for several
days when he went to primary care provider who began treatment for pneumonia. Patient reported that he
did not feel that antibiotic was helping him, so he stopped taking his med 2 days ago. His overall health
declined rapidly over past 48 hours. Mr. Cook’s wife called the ambulance for transport to ED at Chamberlain
Hospital. He was admitted to the Medical Intensive Care Unit (ICU).

LEARNER OBJECTIVES:

1. Utilize clinical reasoning skills to perform a health history and physical assessment on an adult patient.
(CO 1, 3, 4, 6)

2. Construct a plan of care based by prioritizing assessment findings and nursing diagnoses (CO 1, 3, 4, 6, 7)
3. Evaluate patient outcomes to determine the effectiveness of nursing interventions and need for ongoing

care (CO 1, 4, 6)
4. Communicate and collaborate with the patient, family and interdisciplinary healthcare team members

(CO 1, 3, 6, 7)

STUDENT ROLES DURING SIMULATION:

You are the staff nurse at the hospital who will be conducting a comprehensive assessment. After completing
your assessment, you are expected to document your findings as a nurses note in SBAR format.

KEY FEATURES OF i-HUMAN:

• As the nurse, you are expected to complete the case scenario using the following tabs: EHR,
History, Physical, Nursing Notes, Summary

• Gear Heads: These are icons that open required questions and/or additional information
related to the case. The questions, information, and videos must be reviewed prior to
progressing to the next tab.

• Nursing Notes: At the end of the simulation, you will document your assessment findings using ISBAR.

NR341 Max Cook Student Instructions
© 2021 Chamberlain University. All Rights Reserved.

Revised 4.1.2021 2

Confidentiality:
To preserve the educational value, integrity and safety of the learning environment, you agree to maintain strict
confidentiality about the proceedings of the simulation session, details of the training scenarios and the
performance of all participants. You acknowledge that this expectation aligns with the guidelines related to the
Health Insurance Portability and Accountability Act (HIPAA) as well as laws governing Protected Health
Information (PHI) in client care environments.

You will not view, discuss, share, record or disclose any confidential information pertaining to the
session. You understand that lapses in confidentiality are considered academic misconduct and could result in
dismissal from the academic program.

Fiction Agreement:
You will suspend judgment of realism for any given simulation in exchange for the promise of learning new
knowledge and skills, treating the simulated patients with the same care due an actual patient, act with a
genuine desire to learn even when it may be difficult to do so.

DUE DATE:
The virtual simulation is assigned to be completed during Week 4 prior to your scheduled debriefing with
faculty/peers.

SIMULATION TIMING:

• Pre-simulation preparation: 30-60 minutes
• Pre-brief: 30 minutes
• Run Time: 2-2.5 hours
• Debriefing: 60 minutes

NR341 Max Cook Student Instructions
© 2021 Chamberlain University. All Rights Reserved.

Revised 4.1.2021 3

ASSESSMENT & EVALUATION
Faculty will utilize your participation measurements in the i-Human case, and debriefing discussions to identify
areas of opportunity for enhancement of your clinical growth. Your experiences in i-Human will contribute to
your overall completion of clinical requirements for the course as documented on the Clinical Learning Evaluation
tool.

i-Human Evaluation – What does my total score mean?

NR341 Max Cook Student Instructions
© 2021 Chamberlain University. All Rights Reserved.

Revised 4.1.2021 4

REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

In order to prepare for the simulation, you are required to complete the pre-simulation questions below and
submit this prework to the faculty via uploading your responses in Canvas prior to the start of the virtual
simulation. If you do not complete the pre-simulation questions and upload them, you will not be able to
access or participate in the simulation.

1. Compare/contrast systemic inflammatory response syndrome (SIRS) and sepsis.

2. What are key nursing interventions when caring for patient on a ventilator?

3. Describe the purpose for the following types of vascular access devices: central venous catheter &
arterial line.

4. A patient is experiencing worsening hypotension and is prescribed norepinephrine continuous
infusion.

a. Prescription: Start Norepinephrine (levophed) 0.5 mcg/min and titrate to maximum of 12
mcg/min to maintain mean arterial pressure great than 65.

b. Pharmacy has mixed the drip as Norepinephrine 4mg in 250mL of D5W.
c. How many mL/hr should the nurse program the pump to deliver 0.5mcg/min?

**Immediately following the completion of the virtual simulation, you will complete the evaluation of the
simulation using the link provided.

  • SCENARIO OVERVIEW:
  • LEARNER OBJECTIVES:
  • You are the staff nurse at the hospital who will be conducting a comprehensive assessment. After completing your assessment, you are expected to document your findings as a nurses note in SBAR format.
  • ASSESSMENT & EVALUATION
  • Faculty will utilize your participation measurements in the i-Human case, and debriefing discussions to identify areas of opportunity for enhancement of your clinical growth. Your experiences in i-Human will contribute to your overall completion of cl…
  • i-Human Evaluation – What does my total score mean?
  • REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

Nursing assignment 1 due in 5 -6 days

MD1Assgn_LastName_Firstinitial

Nursing 8-3

 Make a quality initiative proposal (7-10 PowerPoint slides) through a presentation, interpreting and communicating dashboard data to support the proposal. 

Directions: Case Study

due 10-7-23 @10am

PICOT QUESTION FORMATION

Use thgis topic to develop a PICOT question. Please see attached documents for the rubrics and the PICOT question development tools. Also provide 10 articles that are peer reviewed and randomized. “Effectiveness of pharmacological and non pharmacological treatment of Parkinson’s disease.” Let me know if you have any questions.

W6 D see attachment.

Chamberlain


NR599-11532

Week 6

Medical Application Critical Appraisal Guidelines

Preparing the Assignment

>>>>>>. Red letters are notes added by me for work instructions.>>>>>>>

Preparation and Paper Outline:

1. 
PART 1: The medical application selection for this assignment is contingent upon the month of your birthday. Use the table below to identify the Medical App for this assignment.

Your Birth Month

Medical App for Assignment

 January, February

MDCalc

 March, April, May

Medscape (this is the one that corresponds to me)

March is My Birth Month

 June, July, August

The Chief Complaint

 September, October

Pocket Pharmacist(PocketRx)

November, December

SingleCare

· Use the 
Google Play Store for Android devices or the 
Apple iTunes App Store for Apple devices to search for the medical application as determined by the table above.

· In order to complete the following guided appraisal, 
download the app to a mobile device (smartphone or tablet). The apps are free and do not require purchase to complete this assignment.

·
Provide 
proof of download by attaching a screenshot of the device screen in JPEG or PDF format to the assignment upload tab (in addition to submitting this assignment). Following the general instructions below for smartphone devices (specific device instructions may vary):

·
Android 4.0 and Newer: (Galaxy SIII, Galaxy S 4, Galaxy Note, HTC One, Nexus phones, Droid phones)

· Any Android phone running Ice Cream Sandwich (4.0) or later can easily take a screenshot. Hold the Power and Volume Down buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your Gallery app, usually inside the Screenshots folder

·
iPhone

· The method for taking a screenshot in iOS has been the same since version 2.0. Hold the 
Power (Sleep/Wake) and 
Home buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your 
Photos app under 
Camera Roll.

Use this Pic as a Proof of download 
in my device
A screenshot of a phone  Description automatically generated

2. 
PART 2: Answer the Medical App Critical Appraisal questions thoughtfully and comprehensively. 
Use the criteria headings on this outline as the headings on your properly APA- formatted paper.

·
NAME: What is the name of the app?

·
AUTHOR: Who created, developed, or maintains the app? Explain.

·
ENDORSEMENT: Is the app licensed by the Food and Drug Administration, other government agency, or endorsed by an academic institution or medical professional organization? Explain.

·
OPERATION: Which platform (mobile or web-based) is suitable for the app and why?

·
AESTHETICS: Is the information displayed in a way that is easy to navigate? Is it easy to use? Can you use it without instructions? Explain.

·
PURPOSE: What is the intended purpose or use of the app?

·
CLINICAL DECISION MAKING: What influence does the app have on clinical decision making? Explain.

·
SAFETY: Is there potential for patient harm? Explain.

·
PRIVACY/SECURITY: Does the app have privacy statement or setting? Is there a clear privacy policy stating information will be encrypted and not shared with third parties? Does the app share information on social networks? Are users notified in the event of a breach of privacy and health information? Explain.

·
USER: For whom is the app intended (providers, patients, or others)? Explain.

·
DISTRIBUTION: Is it designed for local use or wider distribution? Explain.

·
CREDIBILITY: How credible are the sources of information? How do you know? Explain.

·
RELEVANCE: How current is the information in the app? When was the last update? Is the content consistent with evidence-based literature or best practices/standards of care? Explain.

3. 
PART 3: Provide 
one example of an appropriate patient or clinical scenario for this app. The example should include the following details:

· Patient Age-population (Pediatric, Adult, Geriatric)

· Clinical Setting (Hospital, Private Practice, Extended Living Facility)

· History of Present Illness and Diagnosis or Condition

· Provide a detailed description of the app in your example. When will the app be implemented (at the Point-of-care or elsewhere)? Who will use the app? What potential impact will it have on the scenario? Incorporate the critical appraisal information from Part 2. 
Provide one evidence-based scholarly article as a reference to support clinical decision-making.

4. This assignment will be graded on the quality of the information, inclusion of one evidence-based scholarly resource, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details in Part 1).
5. The length of the paper is to be 
between 1,000 and 1,500 words, excluding title page and reference list.
6. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
7. APA format is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1-inch margins and double spacing. See the APA manual for details regarding proper citation. See resources under Course Resources, “Guidelines for Writing Professional Papers” for further clarification.

* Scholarly Sources: Only scholarly sources are acceptable for citation and reference in this course. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. The textbooks and lessons are 
NOT considered to be outside scholarly sources. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal.  You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article.  The following sources should not be used: Wikipedia, Wikis, or blogs.  These websites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality.  For example, the American Heart Association is a .com site with scholarship and quality.  It is the responsibility of the student to determine the scholarship and quality of any .com site.  Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years.  Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.

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nutritional principles in nursing

create a power point presentation of no more than 15 slides that reflect your understanding of the three macronutrients ,carbohydrates, lipids, and proteins. Be creative . Each slide should include information about each macronutrient. Definition of the macronutrients inclusive of its function and structure. Where they are digested and absorbed. Types and their purpose .Special characteristics and function. clinical applications as they relate to health and diets

Health Care Inequalities

 Based on viewing the Johnson & Johnson video, what are your thoughts about health care inequalities and the need for continuing reform? (Share at least 2 points of view.)