Tag: Nursing

Prepare an analysis (5-7 pages) of an adverse event or a near miss from your professional nursing experience and outline a QI initiative that would address it.
Despite technological advances, quality care initiatives, oversight, ongoing education and training, legislation, and regulations, medical errors continue to be made. Some are small and easily remedied with the patient unaware of the infraction. Others can be catastrophic and irreversible, altering the lives of patients and their caregivers and unleashing massive reforms and costly litigation. The goal of this assessment is to allow you to focus on a specific event in a health care setting that impacts patient safety and related organizational vulnerabilities and to propose a QI initiative to prevent future incidents. It will give you the chance to develop your analytical skills in the problem-solving contexts you likely find yourself in as a health care professional.

Health care organizations strive for a culture of safety. Yet, despite technological advances, quality care initiatives, oversight, ongoing education and training, laws, legislation, and regulations, medical errors continue to occur. Some are small and easily remedied with the patient unaware of the infraction. Others can be catastrophic and irreversible, altering the lives of patients and their caregivers and unleashing massive reforms and costly litigation.

Historically, medical errors were reported and analyzed in hindsight. Today, QI initiatives attempt to be proactive, which contributes to the amount of attention paid to adverse events and near misses. Backed up by new technologies and reporting metrics, adverse events and near misses can provide insight into potential ways to improve care delivery and ensure patient safety.

For clarification, the National Quality Forum (n.d.) defines the following:

Adverse event: An event that results in unintended harm to the patient by an act of commission or omission rather than by the underlying disease or condition of the patient.
Near miss: An event or a situation that did not produce patient harm, but only because of intervening factors, such as patient health or timely intervention. Prepare a comprehensive analysis of an adverse event or a near miss from your professional nursing experience that you or a peer experienced. Provide an analysis of the impact of the same type of adverse event or near miss in other facilities. How was it managed, who was involved, and how was it resolved? Be sure to:

Analyze the implications of the adverse event or near miss for all stakeholders.
Analyze the sequence of events, missed steps, or protocol deviations related to the adverse event or near miss using a root cause analysis.
Evaluate QI actions or technologies related to the event that are required to reduce risk and increase patient safety.
Evaluate how other institutions integrated solutions to prevent these types of events.
Incorporate relevant metrics of the adverse event or near miss to support need for improvement.
Outline a QI initiative to prevent a future adverse event or near miss.
Ensure your analysis conveys purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
Be sure your analysis addresses all of the above points. Length of submission: A minimum of five but no more than seven double-spaced, typed pages, not including the title page or References section.
Number of references: Cite a minimum of three sources of scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work. Review the Nursing Master’s Program (MSN) Library Guide for guidance.
APA formatting: Resources and citations are formatted according to current APA style. Review the Evidence and APA section of the Writing Center for guidance.

Pico/Picot Question: Do adults who present with type 2 diabetes receive better glucose management with their primary regimen being a pharmacological method compared to diet and exercise alone in a 3-month period.

Complete a review of the literature and select a minimum of 3 articles that are appropriate research articles related to your question. A research article may be quantitative, qualitative, or integrative. A research article may to related to a Quality Improvement study, an Evidence-Based Practice study, or a Research article that reports new knowledge.
Critique each of the articles using the appropriate Appraisal Form below, either C, E, or F.
If a question included in the form you selected is not applicable to your particular study, select option 3, Not Clear.
An Integrative Review, Appraisal form C, can be used for a meta-analysis or systematic review.

1. Introduction (Identification of the problem) with a clear presentation of the problem as well as the significance and a scholarly overview of the paper’s content. No heading is used for the Introduction per APA current edition.

2. Background and Significance of the disease, to include: Definition, description, signs and symptoms. Incidence and prevalence of statistics by state (Florida) with a comparison to national statistics pertaining to the disease.

3. Surveillance and Reporting: Current surveillance methods and mandated reporting processes as related to the chronic health condition chosen should be specific.

4. Epidemiological Analysis: Conduct a descriptive epidemiology analysis of the health condition. Be sure to include all of the 5 W’s: What, Who, Where, When, Why. Use details associated with all of the W’s, such as the “Who” which should include an analysis of the determinants of health. Include costs (both financial and social) associated with the disease or problem.

5. Screening and Guidelines: Review how the disease is diagnosed and current national standards (guidelines). Pick one screening test and review its sensitivity, specificity, predictive value, and cost.

6. Plan: Integrating evidence, provide a plan of how a nurse practitioner will address this chronic health condition after graduation. Provide three specific interventions that are based on the evidence and include how you will measure outcomes (how will you know that the interventions have utility, are useful?) Note: Consider primary, secondary, and tertiary interventions as well as the integration of health policy advocacy efforts. All interventions should be based on evidence connected to a resource such as a scholarly piece of research. A minimum of 3 resources are required.

7. Summary/Conclusion: Conclude in a clear manner with a brief overview of the keys points from each section of the paper utilizing integration of resources.

8. The paper should be formatted and organized into the following sections which focus on the chosen chronic health condition.

Over the course of the semester you will choose 1 patient encounter each week to document an extended SOAP note for.

For this encounter it will be a comprehensive exam. Pt is a 47 yr old male coming in to primary care for his yearly wellness visit and is also complaining of acute R knee pain x 1 week after having a trip and fall at home.

For this assessment, you will research a selected local, national, or global nonprofit organization
or government agency to determine how it contributes to public health and safety
improvements, promotes equal opportunity, and improves the quality of life within the
community and submit your findings in a 3–5 page report.
Before you complete the detailed instructions in the courseroom, first review the local, national,
and global nonprofit organizations and government agencies in the list below and select one to
be the focus of your assessment.
• American Red Cross: Provides emergency assistance, disaster relief, and education
inside the U.S. They also support military families and offer blood donation services.
• Habitat for Humanity: A global nonprofit working in local communities across all 50
states in the U.S. and in more than 70 countries, they help families build and improve
places to call home.
• United Way: Focuses on creating community-based and community-led solutions that
strengthen the cornerstones for a good quality of life: education, financial stability, and
health.
• Doctors Without Borders: An international medical humanitarian organization
providing aid in nearly 70 countries to people whose survival is threatened by violence,
neglect, or catastrophe.
• The Salvation Army: Offers a variety of services including disaster relief, job training,
rehabilitation, and hunger alleviation.

Please, could you pass this to the writer, to enable him/her to complete without diverting from my messages. Please let the writer use LEADING COMP LD NEWEST and document to focus and finish the order, by strictly the assignment brief, the learning outcomes, Rubric, reading list, sub-heading with 4500 word count. And be careful not to remove important information.

This assignment is divided into four main parts that investigate the different aspects of the nursing process for Grace’s condition. Part one of this assignment provides an overview of Grace’s condition and medical history, along with the confidentiality statement. Part two deals with the different needs that Grace requires for her complex needs, mainly Dysphagia and communication. In addition, it emphasises three essential parts of the nursing process: Assessment, Diagnosis, and Planning. Then, the assignment will highlight the primary assessments that were utilised to address each concern and demonstrate the associated results of the assessment, along with the adequate plan based on the results. Part three investigates two main aspects of the nursing process: the implementation and evaluation. Through part three, the assignment will provide evidence-based practice to support the proposed plan of action or decision in the case of Grace to assess the reliability of the choice. This part will also discuss the role of the MDT, their mechanism of work, and their plan of action to ensure optimal results. Finally, part four will address the legal, ethical, and professional context. The assignment will discuss the various legislations and policies that are related to Grace’s condition that she and the nursing staff should be aware of.

Please, could you include the risk assessment carried out by the acute liaison Nurse or Dysphagia Nurse?

The assisgnment was already completed by one of your former writer, who hasn’t completed some the writing, in the Area: The word count is surposed to be 4500, however, the writer Produces 8509, which is one of the editing and proof reading. Secondly, there are some areas that need Caitation on MENTAL CAPACITY ACT ASSESSMENT, and few ares to make some amendment as per Assignment Brief, Rubric and learning outcomes, which I will highlight and need to be followed strictly. Please, don’t amend any the blue highlighed page or areas. Only use uk sources. There is reading list to use from uploaded.

ANTEPARTUM CLINICAL DAYWatch the video and answer the following questions:A 24-year-old Caucasian female client presents for her 36 weeks prenatal appointment. She is a G1 P0. She is single and lives with her mom. She is currently working as a certified nurse aid in a nursing home and works 40 hours/week. Her pregnancy was unexpected but making the most of her situation. Her boyfriend lives out if state. She had limited prenatal care since not know she was pregnant until 16 weeks gestation. She has attended prenatal classes at the hospital recently. She is up to date on her vaccinations and thus far her prenatal labs as are as expected. She has a history of irregular menses because of her passion for long-distance running. Prior to her knowledge of this pregnancy she was running 30 miles/week and her BMI prior to pregnancy was 17. Her weight gain at this point has been 15lbs. She plans to attend college after the baby is born. She has hopes to attend nursing school. Her current medications are Tylenol and prenatal vitamins with folic acid. Which safety measures did the provider perform? Note ALL maternal and fetal objective data that the provider obtained during this appointment? What other physical assessments are routinely done that were not performed during this appointment? What is an expected weight gain in the 3rd trimester? What nutritional education is vital for this patient considering her history? Provide the mechanism of action for the contraception method she has chosen? Discuss other appropriate methods of contraception for a breastfeeding mother. When can she expect a return of menses? Discuss expected fetal movement at 36 weeks’ gestation? If the client calls her clinic and reports decreased fetal movement, how does the nurse instruct client? What are the fetal development characteristics at 36 weeks? If this client asks the nurse about lung maturity, what is the best response? How will a positive GBS culture change her intrapartum nursing care and treatment and newborn care? What is the client’s main complaint during her appointment? What other expected discomforts and causes for each in the 3rd trimester should the nurse discuss?

Does the client have any risk factors for preterm labor? If this client calls the clinic and reports vaginal discharge or any leakage of fluid, what questions should the nurse ask?This client inquires about labor, discuss the difference between true labor vs false labor? Considering her history, what other items are of concern? Discuss the expected feelings/behaviors that the nurse should discuss with this client. Develop a plan of care with the utilization of the nursing process regarding one of the items of
concern identified

Journal #2Short Form CompPut name, Journal #, and date at the top of the page.For this Journal, you will write two brief paragraphs about an advertisement. Choose ONEadvertisement from the options your instructor provides (see D2L for images). Each paragraphshould be approximately 100 words.Paragraph #1 should provide a brief summary/description of the advertisement. What is theimage? Who is the sponsor? How is information arranged? These are some questions you couldconsider addressing. Requirements:• Language should be objective• Third person point of view should be used• Descriptions should be specificParagraph #2 should provide a brief analysis/reaction to the advertisement. What is the tone?Does the ad suggest more than its literal meaning? Who do you think the intended audience is?These are some questions you could consider addressing. Requirements:• Language may be subjective (opinionated)• Third or first person may be used• Explanations should be specific and clearGrading criteria:• The assignment is at least 150 words in length (but no more than 1 page)• Paragraphs have clear topic sentences• The assignment clearly follows the assignment guidelines• The document is free of grammar errors and spelling mistakes• Academic formatting is usedo The document is double-spaced and is in Times New Roman fontThis Journal should be submitted to Turnitin.com by the due date listed online.

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Some examples of resources that promote physical activity in underserved communities include community gardens, farmer’s markets, and public parks. These resources provide opportunities for adults to be physically active in their neighborhood and can help to increase overall health (Mohajer

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Windshield assessment involves moving and walking surveys from a moving vehicle, or by foot and can be useful for gaining a better understanding of either a community in general or a specific condition or aspect of it. For instance, this form of assessment can be useful to estimate the poverty level, as well a community’s physical, social, or economic character. Examples of information that can be gathered from a vehicle or by foot in community health needs assessment include: the age, nature, and condition of the community’s available housing; infrastructure needs; and the presence or absence of functioning businesses and industrial facilities (Community Tool Box, 2022).
Moving and walking community assessment have multiple benefits including the ability to gather an objective view of the community; is useful for understanding specific aspects of a community, including gaps in healthcare services; and allows for a clear comparison among different parts of the community; to identify health-related needs and resources that are available to community members; and can help to determine where to focus one’s public healthcare efforts. To get the best assessment of a community using windshield and moving assessment, public healthcare professionals may need to conduct surveys at different times of the day, week, and/or year (Community Tool Box, 2022; Washtenaw Community College, 2022).
One factor that positively impacts the neighborhood in which I am completing my practicum is access to the non-profit community hospital. Regardless of patient’s health insurance status, efforts are made to ensure that all patients are safely discharged back into the community. For example, for homeless patients, Case Managers work to transition individuals to shelters who work with local government and charitable organizations to provide essential resources. Payment for hospital bills is covered on a compassionate basis.
One factor that negatively impacts the population is Southwest Florida where my practicum setting is located is the skyrocketing home prices and cost of rental properties, as well as the shortage of rental properties. The cost of a one-bedroom apartment in the surrounding neighborhood has sharply increased over the past year to upward of $3,700 and many residents are unable to keep up with the rising costs. Additionally, the housing situation has been exacerbated by the recent Hurricane Ian, which has displaced many residents who suffered severe damage or loss of their homes.