A 72 year old male arrives at the emergency department complaining of shortness of breath for the past four days
Weekly Discussion:
Case Study to compare ADN and BSN Practice Applications
A 72 year old male arrives at the emergency department complaining of shortness of breath for the past four days. He states that the shortness of breath is getting worse. His shortness of breath is worse when lying down and with exertion. He complains of a night time cough. The patient also reports increased swelling in his legs bilaterally.
He states, “My feet are so swollen I cannot wear my shoes so I had to come here in my slippers.” He also complains of increased weight, particularly in the abdomen and around the waist. When asked how long the swelling had occurred, he reports he started “to gain weight about three weeks ago after the doctor took me off my Lasix.”
The patient has a history of hypertension, chronic renal insufficiency, and chronic respiratory infections. He has recently completed a round of Rituximab for follicular CD20-positive non-Hodgkin’s lymphoma. His vital signs are as follows: BP 210/106, HR 118, RR 26, T 98.2. The patient has rales in the lung bases bilaterally and 1+ pitting edema in the lower extremities bilaterally. The patient is in no acute respiratory distress but states he feels better if he sits up. His oxygen saturation is 95%.
Instructions:
- Using the DECs, describe how the care for this patient by an associate prepared nurse and a baccalaureate prepared nurse should differ. Use the DECs to support your answers.
- Apply the AACN Baccalaureate Essential for Professional Nursing Practice to this case.
Follow discussion board rubric guidelines
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Week Two Assignment
Weekly Assignment:
The purpose of this assignment is for each student to become familiar with the mechanics of professional writing. Complete a series of activities reinforcing professional written communication using APA 7th ed. style and format. Utilize the week two assignment document. Identify the APA formatting error(s).
Week Two Assignment Document
Week 2 APA assignment Download Week 2 APA assignment
Analyze the provided written narrative.
- Using the provided assignment identify the APA errors and highlight them.
- In a new word document correctly format the APA assignment in 7th ed. professional paper format.
- Include a title page (create a title for this assignment), introduction, at least two level one headings, conclusion, and reference page.
- Attach the original corrected APA assignment document and the new professional paper document and submit to canvas.
** The intext citations and the reference page WILL NOT MATCH. Correct the provided citations appropriately in the body of the paper and construct a reference page using the references provided.
Further re-worded, clarified directions (the same as above just explained a different way)
See if this helps.
1) On the document provided – download it and highlight all the APA errors you find in the text that follows the section steps.
2) Create a title page (professional paper format) for the text that is provided, then copy and paste the text to the next page on the word doc, but provide an introduction and divide the paper into two sections using level one headings, then the conclusion. Correct all APA errors and citations.
3) Follow the body of the paper include a reference page- copy and paste the references included on the provided assignment and correct them.
Rubric
| Criteria | Ratings | Pts | |||
|---|---|---|---|---|---|
Title Page Identified and corrected errors. Cited 7th Edition APA Manual supporting correct formatting | |||||
Headings, Paragraph indentation and Typeface Identified and corrected errors. Cited 7th Edition APA Manual supporting correct formatting | |||||
Grammar Structure Identified and corrected errors. Cited 7th Edition APA Manual supporting correct formatting | |||||
Citations Identified errors and corrected errors. Cited 7th Edition APA Manual supporting correct formatting | |||||
Reference Page Identified and corrected errors. Cited 7th Edition APA Manual supporting correct formatting | |||||
Total Points: 100 | |||||
Week Three Discussion
Health Care Technology- Discussion Board
Instructions:
- Critique a selected health information technology. Select a health information technology that is either in use or being considered in the clinical setting.
- Discuss how the patient care technology can improve patient safety.
- Follow discussion board rubric guidelines.
To view other students postings you are required to post your initial posting.
Week Four Discussion
Weekly Assignment:
Health Care and safety in preventive care- Discussion Board
Healthy People 2030 CASE SCENARIO
Prelaunch of the Healthy People (HP) 2030 initiative began in 2019 with full implementation beginning in January 2020. Review information on the website at https://health.gov/healthypeople/priority-areas/health-equity-healthy-people-2030. A major focus is on health equity and health and well-being across the lifespan and reducing the number of objectives. Three new categories of objectives (core, developmental, and research) were added as distinct groups.
- Comment on the HP 2030 mission “Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all.”
- Review and comment on the foundational principles and the overarching goals.
- Top level concepts of HP2030 include the following: closing the gaps, creating healthier environments, and increasing knowledge and action. Review the concepts on the website and comment on how this can be applicable to the health and well-being of your local community.
Follow discussion board rubric guidelines.
To view other students postings you are required to post your initial posting.
Week Five Discussion
Weekly Assignment:
Characteristics of the Group- Discussion Board
You have been assigned to lead the shared governance council at your hospital on patient satisfaction. You have been on this council before, but the former leader accepted a position at another hospital. You learn that the Chief Nursing Officer is concerned because patient satisfaction scores have declined over the past 6 months.
Instructions:
- Identify the type of group, its structure, focus, and composition.
- What preparation will you require prior to convening the group?
- Develop one objective for the group to present at the initial meeting with measurable outcome criteria.
- Discuss the preparation for convening this new group and how you plan on providing an orientation at the initial meeting.
- What signs of conflict could arise in the group and how can they be managed through your actions and assignments of roles to the group members?
Week Six Discussion
Weekly Assignment:
Clinical scenario- Discussion Board
James is a 68-year-old home-health patient with brittle diabetes who lives alone. He and his wife Dorothy retired 3 years ago from the school system and moved to a home in an active retirement community. However, Dorothy was killed in an automobile accident 2 years ago. James used to play golf 3 days a week, but last week in the clubhouse he experienced syncope. You have visited James three times in the past month; he continues to be noncompliant with his diet plan.
Instructions:
- Develop a teaching activity for your next home visit, focusing on diet and exercise. Consider the use of behavior modification techniques. Include one behavioral objective in the plan, and method of evaluation of learner outcome.
- Follow discussion board rubric guidelines.
Week Assignment 2
Interdisciplinary Collaboration Group Assignment
The student groups will present the role of a selected health care professional and the interdisciplinary opportunities with nursing. Each group will represent the assigned disciplines to compare educational preparations and roles of interdisciplinary members of the healthcare team. Information will be presented in a professional power point presentation, including speaker notes for narrative detail. The power point presentation should contain a minimum of 8 slides and a maximum of 12 slides, you must also include an introduction slide, conclusion slide, and properly APA formatted reference slide if needed, these do not count toward the minimum slide requirement.
Each group will collaborate to determine the following presentation objectives for their assigned role:
- Education required for entry into profession.
- Highest degree level for that role
- Functions of healthcare team member
- Is physician referral required for healthcare team member’s services?
- Is national certification required?
- Discuss inter-professional, collaborative practice between nursing and the selected health care provider. Give examples or ways that the disciplines can work together for better patient outcomes.
Assignment 2 InstructionsDownload Assignment 2 Instructions
Assignment 2 Group Evaluation Download Assignment 2 Group Evaluation
Rubric
| Criteria | Ratings | Pts | |||
|---|---|---|---|---|---|
Title of Project | |||||
Professional Presentation | |||||
Effective Communication Skills | |||||
Group Member Presentation | |||||
Participation Evaluation | |||||
Group Dynamics | |||||
Total Points: 100 | |||||
Week Seven Discussion
Weekly Assignment:
The Winkler County Nurses Case- Discussion Board
Review the following video links and articles
https://www.youtube.com/watch?v=upejaFW1PpsLinks to an external site.
https://cdn.ymaws.com/www.texasnurses.org/resource/resmgr/docs/history/tna-winklercoseries-2019.pdf
Instructions:
- Discus your views regarding the Winkler County case and how they relate to professional ethical requirements.
- Discuss how the case related to the American Nurses’ Association Call to Action Report and their description of moral distress and resilience.
- Follow discussion board grading rubric guidelines.
To view other students postings you are required to post your initial posting.
Week Eight Discussion
Weekly Assignment:
Review the roles and competencies of the baccalaureate-prepared nurse in professional nursing.
Instructions:
- Develop and discuss a clear plan for personal professional growth and development in the BSN roles and competencies.
2. Follow discussion board grading rubric guidelines.
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FAQs
What are signs of respiratory failure?
Respiratory failure is a serious condition where your body struggles to get enough oxygen into your blood or remove enough carbon dioxide. Early recognition and prompt medical attention are crucial, so it’s important to be aware of the warning signs.
Here are some key signs of respiratory failure:
Changes in breathing:
- Shortness of breath (dyspnea): This is the most common symptom, and it can feel like you can’t get enough air, even at rest.
- Rapid breathing (tachypnea): You may be taking more breaths per minute than usual, often shallow and rapid breaths.
- Difficulty inhaling or exhaling: It may become increasingly difficult to take full breaths or let out all the air from your lungs.
- Grunting or wheezing: These sounds can indicate an airway obstruction or difficulty moving air in and out of the lungs.
- Retractions: The muscles between your ribs or below your breastbone may pull inward with each breath, indicating extra effort to draw in air.
Changes in skin and appearance:
- Cyanosis: A bluish tint to the skin, lips, or nail beds, which is a sign of inadequate oxygen levels in the blood.
- Pale or clammy skin: This can be caused by poor blood circulation and reduced oxygen delivery to the tissues.
- Excessive sweating: This may be a response to the body’s attempt to cool down or compensate for increased effort to breathe.
Other potential signs:
- Confusion or disorientation: This can be due to a buildup of carbon dioxide in the blood affecting brain function.
- Headache: This is a common symptom, often accompanied by other signs of respiratory distress.
- Restlessness or anxiety: This may be due to the body’s awareness of the struggle to breathe.
- Extreme fatigue or weakness: This can be a result of the body’s increased energy demands to maintain breathing.
- Coughing or coughing up blood: This can indicate a lung infection or other underlying issue contributing to respiratory failure.
Can you recover from acute respiratory failure?
Whether you can recover from acute respiratory failure (ARF) depends on several factors, including the cause of your ARF, the severity of your condition, and how quickly you receive treatment.
Possible outcomes:
- Full recovery: With prompt and appropriate treatment, many people with ARF make a full recovery and regain their normal lung function.
- Partial recovery: Some people may experience some permanent lung damage, which can lead to ongoing breathing difficulties.
- Death: Unfortunately, ARF can be fatal, especially if it is not treated promptly or if it is caused by a severe underlying condition.
Factors affecting recovery:
- Cause of ARF: Different causes of ARF have different prognoses. For example, people with ARF caused by pneumonia typically have a better prognosis than those with ARF caused by sepsis.
- Severity of ARF: The severity of ARF is also a important factor in determining the likelihood of recovery. People with mild ARF are more likely to recover than those with severe ARF.
- Age and overall health: Younger and healthier people tend to have a better prognosis than older people or those with chronic health conditions.
- Timeliness of treatment: Early diagnosis and treatment of ARF is essential for improving the chances of recovery.
Treatment for ARF:
The treatment for ARF depends on the underlying cause and the severity of your condition. However, some general treatment measures include:
- Supplemental oxygen: This is the most important treatment for ARF and can be administered through a mask, nasal cannula, or ventilator.
- Medications: Medications may be used to treat the underlying cause of ARF, such as antibiotics for pneumonia or steroids for inflammation.
- Mechanical ventilation: In some cases, people with ARF may need to be placed on a ventilator to help them breathe.
- Pulmonary rehabilitation: Once you have recovered from ARF, you may benefit from pulmonary rehabilitation to help you regain your strength and improve your lung function.
What are the stages of respiratory failure?
Respiratory failure is a serious condition where your lungs are unable to adequately exchange oxygen and carbon dioxide. It can be classified into two main stages based on the underlying cause and the predominant gas exchange abnormality:
Stage 1: Hypoxemic Respiratory Failure
