Read the following case studies and search for the guidelines that answers the specific questions?

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Read the following case studies and search for the guidelines that answers the specific questions?

Case 1

A 54-year-old woman with chronic pain due to inflammatory arthritis presents to your clinic stating that she is having a “flare” of her arthritis but is out of her Oxycontin® and immediate-release oxycodone. She is aware that it is too early to fill her prescriptions, but she insists that she will be traveling out of state and “really needs” her medications.

Question: How do you Approach This Patient in the community setting?

What is the implications of prescribing this medication? Please provide evidence.

Case 2

A 27-year-old woman on buprenorphine-naloxone (Suboxone®) for treatment of opioid dependence is admitted to the hospital with severe abdominal pain due to a perforated gastric ulcer. She received hydromorphone in the ED, and is urgently taken to the operating room. Postoperatively, she is on a patient-controlled analgesic (PCA) pump containing fentanyl. Her last dose of buprenorphine-naloxone was 20 h prior to the surgery; her daily dose is 16 mg.

Question: How can Pain be Managed in Patients who are Taking Buprenorphine-Naloxone? What Adjustments to her Medication Regimen can be Recommended?

Competency: Identify the Practical Nurse’s role in disaster preparedness

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Module 06 Assignment – Disaster Preparedness Guidelines

Module 06 Content

  1. Competency: Identify the Practical Nurse’s role in disaster preparedness.

    Purpose of Assignment:

    Scenario: The hospital where you work is revamping its disaster preparedness guidelines to ensure all medical professionals understand their role during all types of medical emergencies. The goal is for medical professionals to understand the types of injuries they will see, their role in triage and interventions, and how all of the roles will work together to provide exceptional care to all patients.

    Instructions:

    You will select a disaster and create an FAQ that will inform the new guidelines. The FAQ should include the following:

    1. The type of disaster
    2. The presentation of symptoms or types of injuries that would be expected
    3. The things the hospital should have ready in order to provide proper care should the disaster occur (such as PPE, etc.)
    4. The roles of all care professionals in triage and interventions
    5. How the medical team members will work together to provide care
    6. Format:
    • Standard American English (correct grammar, punctuation, etc.)
    • Logical, original and insightful
    • Professional organization, style, and mechanics in APA format
    • Submit document through Grammarly to correct errors before submission
    • Resources:

      APA Online Guide

Healthcare organizations continually seek to optimize healthcare performance.

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Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.

Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

Patient experience

Population health

Costs

Work life of healthcare providers

Module 1: Assignment

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Module 1: Assignment

https://waldenu.instructure.com/courses/53151/assignments/323761?module_item_id=1043699 1/5

Due Sunday by 10:59pm Points 100 Submitting a text entry box or a file upload Attempts 0 Allowed Attempts 2

Start Assignment

Back to Module at a Glance (https://waldenu.instructure.com/courses/53151/modules/items/1043695)

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources. Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

RESOURCES

Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.

WEEKLY RESOURCES (https://waldenu.instructure.com/courses/53151/modules/items/1043701)

 

 

3/2/23, 11:05 AM Module 1: Assignment

https://waldenu.instructure.com/courses/53151/assignments/323761?module_item_id=1043699 2/5

NURS_6052_Module01_Week01_Assignment_Rubric

Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

Patient experience Population health Costs Work life of healthcare providers

Submit your anaylsis.

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

1. To submit your completed assignment, save your Assignment as MD1Assgn+last name+first initial

2. Then, click on Start Assignment near the top of the page. 3. Next, click on Upload File and select Submit Assignment for review.

BY DAY 7 OF WEEK 1

SUBMISSION INFORMATION

 

 

3/2/23, 11:05 AM Module 1: Assignment

https://waldenu.instructure.com/courses/53151/assignments/323761?module_item_id=1043699 3/5

Criteria Ratings Pts

85 ptsWrite a brief analysis of the connection between evidence-based practice and the Quadruple Aim. Your analysis should address how evidence- based practice might (or might not) help reach the Quadruple Aim, including each of the four measures of:· Patient experience· Population health· Costs· Work life of healthcare providers

85 to >76.0 pts Excellent

The analysis clearly and accurately addresses in detail how evidence-based practice either supports or does not support the Quadruple Aim. … The analysis accurately and thoroughly explains in detail how the four measures of patient experience, population health, costs, and work- life of healthcare providers either supports or does not support the Quadruple Aim. … The analysis provides a complete, detailed, and specific synthesis of two outside resources reviewed on the four measures supporting or not supporting the Quadruple Aim. The response fully integrates at least two outside resources and two or three course-specific

76 to >67.0 pts Good

The analysis accurately addresses how evidence-based practice either supports or does not support the Quadruple Aim. … The analysis accurately explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim. … The analysis provides an accurate synthesis of at least one outside resource reviewed on the four measures supporting or not supporting the Quadruple Aim. The response integrates at least 1 outside resource and two or three course- specific resources that may support the analysis provided and may include

67 to >59.0 pts Fair

The analysis inaccurately or vaguely addresses how evidence-based practice either supports or does not support the Quadruple Aim. … The analysis inaccurately or vaguely explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim. … The analysis provides an inaccurate or vague analysis of the four measures supporting or not supporting the Quadruple Aim with a vague or inaccurate analysis of outside resources. The response minimally integrates resources that may support the analysis provided

59 to >0 pts Poor

The analysis inaccurately and vaguely addresses how evidence- based practice either supports or does not support the Quadruple Aim or is missing. … The analysis inaccurately and vaguely explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim or is missing. … The analysis provides a vague and inaccurate analysis of the four measures supporting or not supporting the Quadruple Aim with a

 

 

3/2/23, 11:05 AM Module 1: Assignment

https://waldenu.instructure.com/courses/53151/assignments/323761?module_item_id=1043699 4/5

Criteria Ratings Pts

5 pts

5 pts

resources that fully support the analysis provided with credible and detailed examples.

some detailed examples.

and may include vague or inaccurate examples.

vague and inaccurate analysis of outside resources. The response fails to integrate any resources to support the analysis provided or is missing.

Written Expression and Formatting—Paragraph Development and Organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.

5 to >4.0 pts Excellent Paragraphs and sentences follow writing standards for flow, continuity, and clarity. … A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

4 to >3.5 pts Good Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. … Purpose, introduction, and conclusion of the assignment is stated yet is brief and not descriptive.

3.5 to >3.0 pts Fair Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time. … Purpose, introduction, and conclusion of the assignment is vague or off topic.

3 to >0 pts Poor Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. … No purpose statement, introduction, or conclusion was provided.

Written Expression and Formatting—English Writing Standards:Correct grammar, mechanics, and proper punctuation.

5 to >4.0 pts Excellent Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.5 pts Good Contains a few (one or two) grammar, spelling, and punctuation errors.

3.5 to >3.0 pts Fair Contains several (three or four) grammar, spelling, and punctuation errors.

3 to >0 pts Poor Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

 

 

3/2/23, 11:05 AM Module 1: Assignment

https://waldenu.instructure.com/courses/53151/assignments/323761?module_item_id=1043699 5/5

Total Points: 100

Criteria Ratings Pts

5 pts

Written Expression and Formatting—The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.

5 to >4.0 pts Excellent

Uses correct APA format with no errors.

4 to >3.5 pts Good

Contains a few (one or two) APA format errors.

3.5 to >3.0 pts Fair

Contains several (three or four) APA format errors.

3 to >0 pts Poor

Contains many (five or more) APA format errors.

What: Is the condition? Are some ways to get this condition? Causes the condition?

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What: Is the condition? Are some ways to get this condition? Causes the condition?

Medications would most likely be given (classification)

Who: does it impact most? Community, race, gender?

When: does it occur? Is it spontaneous, inherited, idiopathic?

Why: Does it happen?

How: Does it present? (How does it present itself signs and symptoms)

Must also provide education on 2 medications related to this condition. Explain some expected side effects, when to call the doctor, any special recommendations?

Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents, including how partial and inverse agonist functionality may impact the efficacy of psychopharmacologic treatments.

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Post a response to each of the following:

  1. Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents, including how partial and inverse agonist functionality may impact the efficacy of psychopharmacologic treatments.
  2. Compare and contrast the actions of g couple proteins and ion gated channels.
  3. Explain how the role of epigenetics may contribute to pharmacologic action.
  4. Explain how this information may impact the way you prescribe medications to patients. Include a specific example of a situation or case with a patient in which the psychiatric mental health nurse practitioner must be aware of the medication’s action.

APA Format

Min 2 resources

What: Is the condition? Are some ways to get this condition? Causes the condition?

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What: Is the condition? Are some ways to get this condition? Causes the condition?

Medications would most likely be given (classification)

Who: does it impact most? Community, race, gender?

When: does it occur? Is it spontaneous, inherited, idiopathic?

Why: Does it happen?

How: Does it present? (How does it present itself signs and symptoms)

Must also provide education on 2 medications related to this condition. Explain some expected side effects, when to call the doctor, any special recommendations?

I am in need of a Gap Analysis to be put together in a power point presentation at least 10 slides with grafts in at least 2 slides. 

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I am in need of a Gap Analysis to be put together in a power point presentation at least 10 slides with grafts in at least 2 slides.

The Gap Analysis is on Policies within the Hospital that I work at.

The Attachments:

-Policy Gap Analysis–the past current and future status of the where we are

-Policy Question–A survey was given to the staff on what policies they felt were needed

-Policy Survey–Results of the survey.

Holtz Children’s & The Women’s Hospital

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Holtz Children’s & The Women’s Hospital

1 / 2

Q2 Are there any other policies (not mentioned above) that would be most important to consider in our first phase.

Answered: 37 Skipped: 42

# RESPONSES DATE

1 Labor and delivery policies for different medications 6/29/2022 3:44 PM

2 Intra hospital ratio for our patients, because we’re always struggling. 6/16/2022 11:00 AM

3 Intra hospital transport for floor patients. 6/16/2022 10:59 AM

4 Transitional care 6/15/2022 11:26 AM

5 Labor and delivery 6/13/2022 10:46 PM

6 no 6/10/2022 5:51 PM

7 all 6/10/2022 8:27 AM

8 Misoprostol, 6/9/2022 12:39 PM

9 Staffing ratios, first priority 6/9/2022 9:32 AM

10 Staffing ratios , first priority 6/9/2022 9:31 AM

11 Precepting readiness. 6/9/2022 7:09 AM

12 Magnesium sulfate for PEC and neuro protection. Specifically how long should they stay for recovery post delivery

6/9/2022 4:16 AM

13 Newborn Glucose management: admission to MB, mother GDM Newborn Mag exposure. Newborn thermoregulation

6/8/2022 3:50 PM

14 Guidelines for monitoring antenatal testing resulting in transfer of care or admission effects both antenatal testing out patient and 7B ; diabetic monitoring, orders and the antepartum/postpartum patient

6/8/2022 7:55 AM

15 No 6/8/2022 6:14 AM

16 Vacuum assisted deliveries 6/8/2022 4:01 AM

17 Specific policies for L&D such as pitocin management 6/8/2022 2:56 AM

18 medications 6/8/2022 12:16 AM

19 Feeding protocol 6/8/2022 12:01 AM

20 Policies for magnesium, pitocin, miso for IUFD, penicillin desensitization 6/7/2022 10:19 PM

21 Every policy regarding how things needed to be done. 6/7/2022 8:28 PM

22 Appropriate Staffing for standard of care 6/7/2022 8:07 PM

23 Managing labor and delivery patients 6/7/2022 5:15 PM

24 Cooling blanket policies ECMO policies Patient acuity policy (patient to nurse ratio based on acuity) IVH bundle policy

6/7/2022 11:48 AM

25 TOO NEW TO KNOW. EVERYTHING! 6/7/2022 10:19 AM

26 Diabetic policies 6/5/2022 1:58 AM

27 N/A 6/3/2022 1:53 PM

28 Safety 6/3/2022 1:30 PM

29 neonatal ecmo management. neonatal hypothermia management. neonatal respiratory 5/30/2022 7:08 PM

 

 

Holtz Children’s & The Women’s Hospital

2 / 2

distress, neonatal infection control. peripheral line management aseptic techniques vs sterile technique for picc and central lines.

30 1.How often and how much to administer for cheek painting 2. Documentation in the 3 different level of care 3. Glucose monitor frequency in the different level of care and for baby on insulin. 4. DNR policy for NICU ( currently we have no parental consent form) 5. Please please please a policy on dose to administer nasally for Versed for procedure.(currently doctors have an agreement nurses do not have anything in writing.

5/27/2022 10:45 AM

31 PACU/Recovery 5/27/2022 7:54 AM

32 Medication administration and compatabilities. Neonatal development 5/26/2022 9:47 AM

33 N/A 5/26/2022 9:37 AM

34 No 5/26/2022 9:35 AM

35 N/a 5/26/2022 9:35 AM

36 1.Report guidelines ie history of the mother as well as the baby especially on admission. 2. Blood draw guidelines ie nurses should be trained to obtain all blood draws and not be restricted. This should include blood cultures and should be coordinated with IV insertions. 3. Noise control guidelines ie loud talking over the baby’s bed/isolette especially during admissions and parents having their phones on speaker within inches of the infant’s face.

5/26/2022 7:40 AM

37 not at this time 5/23/2022 8:46 AM

 An older client was recently discharged from the hospital for evaluation of seizure activity.

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An older client was recently discharged from the hospital for evaluation of seizure activity. His history reveals that he has late-stage Alzheimer’s disease, Parkinson’s disease, hypertension, and type II diabetes mellitus, which is controlled by diet. He lives at home, where his wife and daughter take care of him. His discharge medications include phenytoin (Dilantin), 100 mg BID; hydrochlorothiazide (HydroDIURIL), 50 mg QD; levodopa (Sinemet), 25/100 TID; and haloperidol (Haldol), 1 mg before bed. The client has been referred for home care nursing follow-up.

Questions:

  1. On the initial home visit by the nurse, what assessments should be made?
  2. The wife and daughter need teaching about his antiepileptic medication. What teaching should be included?
  3. During the initial home visit, the client experiences a generalized seizure. What action should the nurse take?