Case Study Analysis 2

Assignment Instructions: 

  • Review the case study scenario below and the client’s family history and medical profile information from unit 1.  
  • Next, write a 6-8  analysis of the client (including title and reference) according to the assignment specifications, outline, and grading rubric. 

Case Study 2 Scenario:

Client, William Collins, arrived to the emergency room for an exacerbation of Chronic Obstructive Pulmonary Disease (COPD). The emergency department nurse enters the triage room to find Mr. Collins sitting at the side of the bed leaning forward with both arms on the bedside tray. He complains he is having shortness of breath that he is unable to control with his usual medications. His son is with him at the bedside because his wife is unable to come with him due to dialysis. 

Case Study Analysis Assignment Outline: 

The case study analysis should include the following sections with responses and rationales for all the prompts.

Introduction (3-5) 

Provide an overview of the pathophysiology of the disease exhibited by the client. Include: 

  • What additional assessment findings would you look for? 
  • What lab abnormalities would you expect to see? 
  • What diagnostics would you anticipate the healthcare team ordering? 
  • Provide a rationale for your answers. 

Implications for Self-Care (2 paragraphs) 

  • Consider Maslow’s hierarchy of needs and describe where the client falls in that hierarchy and how this will impact care and healing.  
  • How does this disease process impact the client’s and/or their care provider’s ability to care for themselves? 

Patient Education Strategy (2-3 paragraphs) 

  • Identify 3-5 appropriate nursing interventions and teaching points for your client based on the pathophysiology and assessment findings. 
  • Describe the educational strategies that should be incorporated when building a plan of care for your client.
  • Support with rationale. 

Interdisciplinary Collaboration (2-3 paragraphs) 

  • Identify 2-4 interdisciplinary team members who need to be included in the care of the client. Include rationale. 
  • Consider the care the client will need while inpatient and upon discharge.  
  • Consider nutrition, community services, and financial implications. 

Conclusion 

  • Summarize the key concepts of this disease process and client case study scenario.  

References 

  • A minimum of three references should be used.  
  • References should be no more than five years old. Exceptions include seminal works, such as original publications by nurse theorists.  
  • One reference must be your textbook, 
  • One reference must be from a peer-reviewed journal,  
  • One reference must be from an authoritative website such as the CDC, NIH or Healthy People 2030.

Assignment Specifications: 

  • Name thewith a File Naming Protocol: When you save the, name it: LastName_NSG 3300_CaseStudyAnalysis_1.docx  reflects clinical and professional client/cases, and no references to personal or family issues.

APA Formatting 

  • All should be written in APA formatting. This should include: 
  • Formal components, such as a title, and APA formatting with an introductory and conclusion paragraph that summarizes the key concepts 
  • APA-formatted level headings 
  • APA margin, font, and paragraph spacing 
  • Include page numbers 
  • Appropriate in-text reference citations 
  • A reference page, in correct APA format 

Writing

 Last week you provided an overview of each nurse theorist/and or nursing theory that you have chosen.
This week, please expand upon your initial post by describing a situation from your experiences in nursing in which you would apply your particular nursing theories.
To be clear, you will describe a situation in detail and then apply each of your nursing theory(ies) to that situation separately.
Be sure to pick and example that clearly illustrates the strength of each nursing theory in application to either nursing practice, nursing research, nursing education, or nursing administration.
Describe why the classification of each theory is appropriate for the situation you have described.
Compare and contrast the the usefulness of each of your theories to this particular situation.

Be sure to use appropriate APA citation and when responding to your peers, begin with addressing them personally and end your response posting with your name.
Guidelines for Weekly Discussion Postings/ Discussion Participation: The online discussions will provide opportunities to explore different topics, share what you are learning with your classmates, and gain clarity about the course content. Your discussion responses should demonstrate critical thinking skills and your responses should be thoughtful and promote respectful discourse with the other students in the class. The rules of common courtesy are to be followed (e.g., one voice speaks at a time, polite debate occurs, and all opinions are honored). In order for an online discussion assignment to be considered complete, the student must effectively and adequately cover the assigned topic, reference the course text and other sources with appropriate APA citations, meet the 400 word minimum, the responses to classmates must be developed in a manner that furthers the conversation and learning, the spelling, grammar, and writing must be appropriate, and the online discussion assignment must be submitted on time. Interactions should be thorough, thoughtful and facilitate the learning community’s growth. Discussions will be reviewed on a weekly basis. Contribution toward the course grade total will be based on the pattern of demonstrating these characteristics. Please remember, initial posts should be submitted by deadline. 

effectiveness of alternative and complementary medicine holistic and allopathic

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific

illnesses such as cancer, diabetes, and hypertension.  Share your opinions about holistic and allopathic care.

Would have any conflicts or concerns supporting a patient who chooses holistic or allopathic medicine?

500 words

2 citation and references APA 7 format

since 2018 to present

Case Study 3

 Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition Adolescent With Diabetes Mellitus (DM) Case Studies The patient, a 16-year-old high-school football player, was brought to the emergency room in a coma. His mother said that during the past month he had lost 12 pounds and experienced excessive thirst associated with voluminous urination that often required voiding several times during the night. There was a strong family history of diabetes mellitus (DM). The results of physical examination were essentially negative except for sinus tachycardia and Kussmaul respirations. Studies Results Serum glucose test (on admission), p. 227 1100 mg/dL (normal: 60–120 mg/dL) Arterial blood gases (ABGs) test (on admission), p. 98 pH 7.23 (normal: 7.35–7.45) PCO2 30 mm Hg (normal: 35–45 mm Hg) HCO2 12 mEq/L (normal: 22–26 mEq/L) Serum osmolality test, p. 339 440 mOsm/kg (normal: 275–300 mOsm/kg) Serum glucose test, p. 227 250 mg/dL (normal: 70–115 mg/dL) 2-hour postprandial glucose test (2-hour PPG), p. 230 500 mg/dL (normal: <140 mg/dL) Glucose tolerance test (GTT), p. 234 Fasting blood glucose 150 mg/dL (normal: 70–115 mg/dL) 30 minutes 300 mg/dL (normal: <200 mg/dL) 1 hour 325 mg/dL (normal: <200 mg/dL) 2 hours 390 mg/dL (normal: <140 mg/dL) 3 hours 300 mg/dL (normal: 70–115 mg/dL) 4 hours 260 mg/dL (normal: 70–115 mg/dL) Glycosylated hemoglobin, p. 238 9% (normal: <7%) Diabetes mellitus autoantibody panel, p. 186 insulin autoantibody Positive titer >1/80 islet cell antibody Positive titer >1/120 glutamic acid decarboxylase antibody Positive titer >1/60 Microalbumin, p. 872 <20 mg/L Diagnostic Analysis The patient’s symptoms and diagnostic studies were classic for hyperglycemic ketoacidosis associated with DM. The glycosylated hemoglobin showed that he had been hyperglycemic over the last several months. The results of his arterial blood gases (ABGs) test on admission indicated metabolic acidosis with some respiratory compensation. He was treated in the Case Studies Copyright © 2018 by Elsevier Inc. All rights reserved. 2 emergency room with IV regular insulin and IV fluids; however, before he received any insulin levels, insulin antibodies were obtained and were positive, indicating a degree of insulin resistance. His microalbumin was normal, indicating no evidence of diabetic renal disease, often a late complication of diabetes. During the first 72 hours of hospitalization, the patient was monitored with frequent serum glucose determinations. Insulin was administered according to the results of these studies. His condition was eventually stabilized on 40 units of Humulin N insulin daily. He was converted to an insulin pump and did very well with that. Comprehensive patient instruction regarding selfblood glucose monitoring, insulin administration, diet, exercise, foot care, and recognition of the signs and symptoms of hyperglycemia and hypoglycemia was given. Critical Thinking Questions 1. Why was this patient in metabolic acidosis? 2. Do you think the patient will eventually be switched to an oral hypoglycemic agent? 3. How would you anticipate this life changing diagnosis is going to affect your patient according to his age and sex? 4. The parents of your patient seem to be confused and not knowing what to do with this diagnoses. What would you recommend to them? 

Patient Interview

 

  • What are the goals of a patient interview?
  • Name and described each component of the Patient History (Chief Complaint, History of Present Illness, etc.).
  • Describe an incident where you had used improper technique on measuring blood pressure, what did you learn from that incident?
  • What are the goals of a patient interview?
  • Name and described each component of the Patient History (Chief Complaint, History of Present Illness, etc.).
  • Describe a barrier when you had assess a patient from a different culture. 

postpartum Depression

Each student will individually write a paper over a relevant maternal-infant nursing topic that is addressed by a Healthy People 2030 objective. Healthy People 2030 objectives are available at 

https://health.gov/healthypeople/objectives-and-data/browse-objectives
 .The concept chosen must be appropriate and relevant to maternal-infant nursing. The purpose of this assignment is three-fold:  to thoroughly research a topic of interest relating to maternal-infant nursing; to synthesize the information found; and to then draw inferences about the concept. 

This paper is expected to be short, succinct, focused, and developed on the chosen topic. The student can adequately address the criteria in 
3-5 pages, excluding the title and reference pages. All papers must be typed and in APA 7 format.  I encourage you to meet with Megan Hasler, the School of Nursing's librarian if needed for APA guidance or search questions, etc. 

Students are strongly encouraged to send papers to the Writing Center prior to submission.
  References must include a minimum of three (3) journal articles, and you may also include an appropriate medical/nursing dictionary or encyclopedia, the course textbook, the state department of health website for vital statistics, the CDC, etc. See evaluation criteria below for specific guidelines, and PDF attachment for a template.  
Due by Sunday, November 5, at 23:59pm. In the box below you will find examples of topics that have an associated Healthy People 2030 objective. Topic must be approved.

NO MORE THAN ONE QUOTE IN THE PAPER!

Maternal-Infant Concept Paper Evaluation Rubric

CRITERION

POINTS POSSIBLE

Topic is defined adequately

5

How is evidence-based practice being utilized regarding the topic chosen?

5

How does this relate to nursing practice? What are some nursing considerations?

10

Choose and identify one Healthy People 2030 objective related to your chosen topic and research how your state/region/county/city compares to the goal.

10

What effect does this topic have on the client?  What cultural barriers may exist to complicate care? Other cultural considerations?

10

APA Style/Format correct (references, citations, title page, etc.)

5

Grammar (spelling, punctuation) and Content (clear, appropriate word usage, complete sentences, paragraphs, etc.)

5

TOTAL

50

CASE STUDY: Active Labor: Susan Wong

Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers. APA, 7th ed. Citations must be followed.

CASE STUDY: Active Labor: Susan Wong

Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect or Down syndrome, but never followed through. Mrs. Wong and her husband disagreed about what to do (keep or terminate the pregnancy) if the ultrasonography indicated a spinal problem, so they felt they did not want this information.

Reflective Questions 

1. As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs?

2. How can you help this couple if they experience a negative outcome in the birthing suite? What are your personal views on terminating or continuing a pregnancy with a risk of a potential anomaly? What factors may influence your views? 

3. With the influence of the recent Human Genome Project and the possibility of predicting open spinal defects earlier in pregnancy, how will maternity care change in the future?

assist week 8

Assignment: Utilize Feedback through Self-Reflection and Literature Review

In Week 7, you integrated and applied elements of the course content in the Signature Assignment, which allowed you to address a significant question or issue (i.e., through creative thinking, critical thinking, problem-solving, inquiry, and analysis). Using the feedback from your Week 7 assignment, you will have the opportunity to complete a self-reflection and respond accordingly.  Reflect on and respond to how the feedback provided can help you improve your academic performance and contribute to your professional growth. In addition to your self-reflection, you will also conduct an independent literature review of relevant scholarly, peer-reviewed sources. Choose sources that support your ideas for enhancement of the course competencies and content areas where you have identified opportunities for improvement. For example, if your professor indicated you need improvement in the area of team leadership, select sources that would enhance your knowledge and skill base in this area.

Part 1: Self-Reflection

You will complete a self-reflection using the
Feedback Review Template. The
Feedback Review Template is located in this week's Course Resources area.  To complete your self-reflection, seek clarity from your professor about the areas you did not understand or areas that require improvement. Schedule a one-to-one meeting with your professor to discuss the feedback provided and to inform your responses.  Use the
Feedback Review Template to address the following themes:

· How you developed and demonstrated the course competencies tied to this course.

· The practical relevance of the course concepts and course competencies to your professional growth and career interests.

· Future considerations (e.g., key trends or challenges) to keep in mind as related to the topics covered in this course.

Be sure to comprehensively address the feedback provided by professor for your Week 7 Signature Assignment. As you complete the template, you will be asked to address the following questions:

· What are the areas in which your professor indicated you did well? Why do you think you did well in this (these) areas?

· What are the areas in which your professor indicated you need to improve? What can you do to improve in this (these) areas?

· How did your professor's feedback help your mastery of the course subject matter?

· How did the Week 7 Signature Assignment and this course help you to develop the course competencies?

· What aspects of this assignment can you take forward into your professional career and why?

· How did this course contribute to your understanding of possible trends and/or challenges related to the profession of health administration in the future? What do you need to consider regarding the course topic and why? 

Part 2:
Annotated Bibliography

You will prepare an annotated bibliography of three scholarly, peer-reviewed resources to enhance your knowledge base related to selected course competencies and that is informed by your self-reflection and professor feedback. The resources must be current, published within the past 3-5 years. Each annotated bibliography should be no less than three robust paragraphs. Use feedback from your professor to identify scholarly, peer-reviewed sources that can help you improve in the areas noted (e.g., assignment enhancement, personal and/or professional growth, topic of further interest prompted by the course content).

Use the annotated bibliography guide from Academic Success Center (ASC)* to ensure that your annotated bibliography meets all requirements.

Remember, for this assignment, each annotated bibliography should be no less than three robust paragraphs. 

Assignment Requirements

Be sure to submit your assignment as one single document with two parts:  Part 1 will be a summary of your self-reflection using the
Feedback Review Template and Part 2 will be your annotated bibliography.

 Title page


Part 1: Based on the completion of your
Feedback Review Template, provide a self-reflection summary on how this course contributed to your professional growth and your understanding of future trends and/or challenges related to your profession (2 pages minimum).

· Include your
Feedback Review Template.

Part 2: An APA-formatted annotated bibliography with 3 peer-reviewed resources addressing one or all of the following areas:

· Enhancement of the Assignment

· Personal/Professional Growth and Development

·  Topic of interest for further investigation based on course content

 References (additional to the annotated bibliography)

QUESTION

see attached

Nursing

1. Give an example of how you have advocated for a patient, peer or subordinate and the outcome.  How did acting as an advocate help you grow as a leader? (application).

2. Describe an example of strategic or operational planning you have seen in your place of work and appraise the outcome (pros and/or cons) of this planning (evaluation).

3. Analyze the type of organizational structure at your place of work, (which structure does it most closely resemble and why?) How does the structure influence mission, vision, philosophy, and values (evaluation)

4. Which power-building strategies (organizational, political and or personal) have you found to be the most effective for enhancing your personal power and why?  Which has been the least effective or hardest to achieve and why?