Essays on Administer

1. COPD: COPD exacerbation (in-patient): Administer Duoneb (albuterol/ipratropium) q6H once the patient is stable to prn, prednisone 40mg qd x 5days, abx (IV levo). Similarly, once the stable switch to po. Closely monitor the patient for any side effects of fever. Follow up the patient in 7-10days to assess infection. Discharge: when discharging the patient, give her Tiotropium / Olodaterol 2.5 – 2.5 mcg to be taken once daily while at home. Also give the patient to carry home 90 mcg albuterol rescue inhaler, to take 1-2 puffs every 4-6 hours prn 2. Chronic COPD: Continue giving the patient ...

Introduction

This scholarly paper identifies the advantages of pursuing a post graduation degree in advanced practice nursing through systematic exploration of evidence – based research literature. Healthcare facilities affected with an acute shortage of nursing professionals and resultantly the existing nurses remain overburdened with additional work responsibilities. Due to the limited scope of clinical practice of the nursing workforce, the autonomous administration of healthcare interventions in complex medical emergencies proves to be a biggest challenge that leads to the deterioration of psychosocial as well as physiological conditions of the affected patients. Therefore, skills enhancement of registered nurses is the need of ...

Serenity Daniels is a 28-year-old single woman with a long history of sexual and emotional abuse since her childhood. She has inflicted deliberate self-harm (DSH) on her body on numerous occasions. During these DSH episodes, Serenity usually cuts her wrists and uses alcohol as a way of numbing the pain. Besides, Serenity has problems with her self-image as she sees herself as “fat and ugly” and unloved. She also has frequent arguments with her co-workers and managers. As such, she does not hold job positions for long. This instability in moods, functioning, and self-image coupled with unstable relationships and ...

Introduction

Sub- capital fracture of the femoral neck is a common injury among the ageing population and is regarded as “unsolvable fractures”. This is a growing health concern in every country as the healthcare expenditure is very high. The surgical options, especially for elderly population, highly depend on the patient’s profile, their preference and the experience of the surgeon . Mrs. Pollard, 75- year- old, sustained a left sub- capital fractured neck of femur. Due to her age and her other complications such as hypertension and Type- 2 diabetes, a total hip replacement might be a better surgical option as ...

Abstract:

The healthcare industry in these countries identify nurses as one of the groups with the largest number of healthcare professionals. This proves that their roles are one of the most important when executing euthanasia, as proven in many studies that identify nurses as directly involved in the processing of euthanasia. This however, raises questions about the nurses’ attitudes and opinions towards practicing euthanasia. There is a need to question their opinions and beliefs regarding euthanasia and their role in the administering of lethal drugs. If they are not confident with what they do, they may experience fear, which may ...

Staff Development and Team Improvement

Introduction Davis Healthcare is situated at the heart of California in Davis Town, and it offers services to patients who need some tender care after hospitalization. The healthcare has a home environment which helps the patients stay comfortable and recover with time. However, there is a need to improve the quality of health care in the institution. Staff improvement and team development is a sure way of ensuring that the quality of services offered is optimal and to the required standards (Bendaly & Bendaly, 2012). The paper will analyze various improvement methodologies, the information technology used and various benchmarks against ...

Advanced practice registered nurses are registered nurses with a level of nursing practice that employs skills, experience and knowledge in nursing care. They have attained a Masters or post Master’s degree and have a specific role and serve a specific patient population ("APRNS in the U.S", 2016). With the education and certification, APRNs can assess, diagnose, prescribe medications and order laboratory and diagnostic tests. APRNs can be divided into 4 different areas of specialty: Certified Nurse Practitioner (CNP), Clinical Nurse Specialist (CNS), Certified registered Nurse Anesthetist (CRNA), and Certified Nurse-Midwife (CNM). A Psychiatric-Mental Health Nurse Practitioner is a ...

1. The Substance Abuse Screening Test (SAST) is designed to screen out survey respondents who do not have a substance abuse problem (The Board of Regents, 2014). More specifically, the test is designed to be administered to teenagers and young adults, from 13 years old to 30 years old (The Board of Regents, 2014). Published in 1993, The SAST is authored by Terry Hibpshman, and Sue Larson (The Board of Regents, 2014). According to The Board of Regents (2014), the test takes five minutes to administer. In addition, as of 2002, its price is $56 per kit (which includes ...

Effects of Higher Education in Nursing Regarding Patient Care

In any field of life, a person with advanced knowledge is more beneficial for that field than the average. Better educated person has the skill set to tackle more complex problems. This is exactly why education, especially higher education, is important in nursing. Nurses do not deal with minimum standard protocol every day. Sometimes the patient’s cases are too complicated and the time taken for a physician to arrive at the patient’s bed can mean the difference between life and death. In the meantime, the patient is under nurses’ care. Nurses with higher education can better assist ...

I. Introduction: Estate Planning As the saying goes, nothing is more certain in life than death. As many lawyers are trained, if you know that an event will happen, it is best to prepare for that event in order to put yourself in the best possible situation to take advantage of circumstances when the event occurs. The law’s response to effectively preparing for the ultimate eventuality is known as estate planning. Estate planning, in essence, is the process and procedures performed by an individual to arrange for the transfer of their “estate” in anticipation of death or incapacity ( ...

Explain how you would prioritize care of these clients in order of importance, and why

I will triage these patients with regard to their needs. The one with the immediate and most pressing needs is Mr. Richard. He takes first priority since he is in severe pain and nursing care dictates that the nurse should ensure that the patient is comfortable and one way to achieve is this is through pain relief. I would administer moderate analgesia such as morphine or pethidine. The fact that Mr. Richards was experiencing difficulty in breathing affirms me making him my first priority. Dyspnea translates to the fact that there is inadequate tissue perfusion. This in itself is ...

Physical versus spiritual flexibility in stewardship

In life, flexibility is an important aspect that is incorporated by individuals, professionals and corporations. For instance, stewards or leaders need to be both spiritually and physically flexible for them to deliver their services effectively to their followers. Physical flexibility of a steward refers to the ability of the individual to change location and still be able to administer their duties with efficacy. The steward needs to be able to adapt to various environments with ease and perform their duties optimally. On the other hand, spiritual flexibility refers ability of the stewards to perform their obligations under different forces ...

Introduction

In the field of social and psychological research, the development of research tools to measure phenomena by attributing quantitative values to them and developing them into continuous variables is a crucial part of data collection and understanding of the phenomena. The reliability and validity of the measuring instruments thus developed is of utmost importance in establishing the value and capability of the constructs. We all can relate to our personal or friends and peers’ childhood experiences of anxiety as a child. The children are more vulnerable as a result of anxiety situations as they have little or no idea ...

Nursing is a profession that is heavily rooted in scientific and ethical principles. Nurses of all different educational levels must be well-versed in the guiding ethical principles of their craft. There are differences between the scope of care of a nurse with an associate’s degree and one with a BSN, but like physicians, nurses have a duty to care for their patients and to cause no harm. This discussion will look at the different competencies of nurses with an associate’s degree versus one with a bachelor’s degree in nursing. It will also attempt to identify a ...

Cardiovascular disease remains a major life threating disease facing many American communities. The risk is higher in the underserved communities especially in the remote parts of the country which west (2014) attributes to insufficient health education. According to Ewy, managing director of the University of Arizona Sarver Heart center, there has been a decline in the number of cardiovascular diseases related deaths from 40% to the current 34% of the total deaths in the America. The improvement has been attributed to timely treatment of causal diseases such as diabetes, high blood pressure among other heart diseases that continue to ...

Pediatric Health

The health and well-being of human being are one of the crucial concerns of health care practitioners and physicians. The topic of health is broad and diverse, with many areas of specification and analysis. Scientists have had studies on the human health and come up with methods to improve and handle human health cases. The study of human health requirements has become a widely studied topic in many institutions. Off all the topics and areas of concerns in the health, I find pediatric health an area worth concentrating on. Pediatric health is defined as the branch of health care ...

Abstract

Studies documenting substance abuse have shown that it is deadly. Studies done in these areas have shown a trend in the abuse of substance among the youth. Substances such as marijuana, alcohol and cannabis are continually being abused by the youth. Tobacco consumption by youth is yet to be mitigated. The government, has in some cases, not helped the situation but has served to escalate the crises by making potent substances available to users without regulation. The objectives of this research are to analyze the opinion of researchers I this field and their opinions on the matter at hand. ...

Abstract

Obesity among young children is on the rising trajectory. Research journals about obesity focus on the causes of obesity and mitigating interventions for childhood obesity. According to the Center for Disease Control in the United States, obesity cases pose a health risk to children and thus there is need to prevent it. Medical practitioners in most health care centers are also worried with the increase of the cases of obesity among the young generation. Ebbelin, Pawlak & Ludwig, (2002) suggests that the increase in the cases of obesity has resulted in a high number of cardiovascular infections among the youths. ...

Critique

The following is the systematic critique of the article titled, “Implementing a Competence Framework for Administering Medication: Reporting the Experiences of Mental Health Nurses and Students in the UK” (Hemingway et al., 2012). The nursing critique has been done in accordance with the guidelines provided in the article title, “Step-by-step guide to critiquing research. Part 2: qualitative research” (Ryan, Coughlan and Cronin, 2007). The research article is published in the journal of Issues in Mental Health Nursing, which is a peer reviewed journal. The research article by Hemingway et al., 2012, is a qualitative study that employs an assortment ...

The movie tells the story of Dax Cowart, who was a victim of pipeline explosion at the age of 25. The case of Dax highlights major points in healthcare in case of emergency situations, such as what he experienced. It was a tragic experience for Dax, as the injury that he got was something that made him decide to end his life through the help of his doctors. The physical pain that he suffered was described to be at the highest level during the time of his treatment at the hospital. The first major point of the movie was ...

History

Researchers today have gone through a long process to be able to take their research study to human subjects. Minors, elderly and prisoners’ studies are governed by numerous regulations and protocols. Other human subjects who do not fall under these categories are also protected by the regular standards that researchers must adhere to; for instance, informed consent and confidentiality. This was not always the case though; the journey to developing the modern medical ethics people enjoy today took years of conducting painful and brutal experiments on human subjects. The history of medical ethics seems to harbor many unthinkable and ...

Sickle cell anemia is the most widely inherited genetic disorder in the United States. Folic acids are one important nutrient that helps increase and produce some red blood cells in the bone marrow. This paper investigates how folic acid has used a supplement for pregnant women (Knott). Sickle cell anemia can be genetically passed to the baby from a mother who has it or who is a carrier. Symptoms of the disease include headaches, irritability, fatigue, dizziness, diarrhea, cold feeling, difficulty when breathing, difficulty concentrating and pale skin (Lindenbaum, John, & Klipstein 16). Malnutrition in pregnant females is the main ...

It is a widely held belief that the people who abuse drugs or are addicted to them are mostly social rejects or criminals. But, recent studies have revealed that more than ninety percentages of people who were charged with substance abuse are employed. It is a sad truth that 73% of all current drug users were employed in 1997 . Most of the victims of substance abuse often attribute their behavior to the stress related to their workplace. Even though the truth behind their claim is still awaiting clarification, it has been confirmed that drugs abuse has affected the performance ...

The capital punishment is a form of punishment that is applied in the criminal justice system. It is worth noting that death penalty is one of the debatable issues in the world. Canada is one of the countries that debate on the death penalty as a form of punishment. For many centuries, countries have utilized capital punishment as a strategy for dealing with serious criminals. The form of punishment in Canada dates back to the era of the British colony. This was a form of punishment that was administered to those conceited of murder, assault, rape, buggery of animals, ...

Preferred Method: Survey

There are various ways in which social research are carried out. Therefore, considering the researcher aims and objectives, the researcher is bound to select the best research approach in order to obtain highly accurate results. In this study, the researcher aims at evaluating the impact of the media on the youth. In this case, the researcher prefers the survey approach. There are two key reasons that this approach is deemed to be superior to the other available approaches in social science studies. First, the focus of this study is to evaluate the impact of media on the youth. Therefore, ...

There are probably very few people who have not heard the words from their wife or husband, “How much do you love me?” There are uncounted numbers of poems and song lyrics dedicated to the topic of the breadth and depth of undying passion. A constant stream of books such as “Men are from Mars; Women are from Venus” and “Passionate Marriage: Keeping Love and Intimacy Alive in Committed Relationships” tout philosophies for providing understanding and excitement for couples. Romantic love may lead to the life-long commitment of a monogamous relationship, but it is generally known that the first ...

Abstract

Maintaining a highly effective waste management system is an important part of being a clean and green city. While this may not be the top priority for some countries, especially the developing ones—because keeping a clean and green city can be costly; there are countries that are making long term investments for a more effective waste management system in the future. This can be evidenced by the fact that even countries like Qatar and the city of Dubai are finding it hard to find the political and economic will to develop and enforce environmental law and regulations. If ...

Abstract

Continuing Professional Education (CPE) or Continuing Professional Development (CPD) enhanced the management, professionalism, team building, technology, interpersonal communication, accountability, and teaching. In the medical world, the knowledge, skills, attitude, and its concept has incorporated CPD in a wide range of competencies needed to practice the highest quality medical services, socially, ethically, and personally. The Diagnostic Medical Sonographer’s role is highly important to the treatment team such as the doctors, nurses, and other clinical health providers and the patients. The diagnostic medical Sonographer is a well-trained individual who operated the computers and machines to administer an image scan of ...

Trotter, B., Conaway, M. R., & Burns, S. M. (2013). Relationship of glucose values to sliding scale insulin (correctional insulin) dose delivery and meal time in acute care patients with diabetes mellitus. Medsurg Nursing, 22(2), 99.

Introduction

This research critique demonstrates the aspects of protection of human subjects in the study of the relationship between glucose and insulin.

Thesis statement

The critique looks at the ethical concerns and how researchers adhere to these aspects in their studies. It is essential for researchers to adhere to ethical practices such as protection of human subjects in their studies. Lack of protection of human subjects ...

Personal practice theory

Abstract This paper sheds light on some of the requirements for the Theories of Personality and Counseling class. The writer’s stand is that as individuals have different and evolving needs, a therapist should integrate different techniques and have a clearly stated approach. This paper discusses theories that include multimodal counseling therapy, existential theory, and person-centered counseling. The paper also discusses how each approach is used in accordance and how the three approaches can be integrated to achieve the desired results.

Introduction Researchers discovering the connection between educators' beliefs and their class activities realized that educator's knowledge and skills ...

A theory is a set of interrelated propositions that are used in guiding practice or explaining certain phenomena. Theories in the nursing profession play a crucial role in this regard. Theories help in explaining phenomena and organizing knowledge in the nursing practice. Additionally, theories help in predicting, explaining, prescribing and describing some aspects in the nursing profession. Through these roles, the theories provide guidance to the profession and help in improving practice and patient outcomes. This paper thus aims at describing, evaluating and discussing Katherine Kolcaba’s theory of comfort.

Theorists name and background

The theory of comfort is a mid-range theory that ...

Power

Power is defined is the measure of an entity capability and ability to influence and control his or her surrounding environment including behaviors of other people. The five bases of power are explained below.

Expert Power

Expert power is possessed by the leaders who are experts in a certain field or discipline. These people rely on their ability and capability to undertake various organizational functions and tasks. A person with an expert knowledge in an organization is trusted and respected for any opinion he raises. If someone’s expertise is valued, his or her ideas and leadership skills and competencies will be ...

Two major power centers which dominated Greece by5th century BC were the “military oligarchy of Sparta” on the one hand and the “Democratic Athens” on the other hand. Initially, Sparta had unilaterally enjoyed powerful land dominance in Greece controlling many territories in the neighborhood that were structurally linked to the land as slaves. On the other hand, Athens was the official head of the naval alliance and derived her power from her command of the sea. Athens thus created an empire which was only but “in the name”.2 Other than Athens and Sparta, Gortyn was one other major ...

The Pokot is a tribe in Africa living in both Kenya and Uganda. However, most Pokots live in the Northern part of Kenyan Rift-Valley which lies along the Kenya /Uganda border. An interview with Daniel Lotodo, a 78 year old man from the community revealed a lot about the ethnography of the community The Pokot for a long time are predominantly pastoralists’. Their occupations of cattle keeping has been necessitated by environment factors. The area is semi arid and agricultural produce can hardly do well. However, through barter trade with neighboring communities such as the Samburu and the Marakwet, the society would ...

Asthma is a chronic inflammatory disorder that causes shortness of breath, a feeling of tightness in the chest, and persistent cough. There are two primary types of asthma: intrinsic and extrinsic. Intrinsic asthma comes about through non-allergic means: cigarette smoke, stress, cold air, cleaning agents – basically anything that does not involve an allergen. Extrinsic asthma, on the other hand, comes about through an allergen such as dander, pollen or others. It leads to a constriction of the airway during an attack, leaving the victim out of breath, unable to take in more air, and with a tight feeling in their chest. In this ...