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 ...
Essays on Administering
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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 ...
Introduction
Objective of the Discussion One of the most renowned marketing gurus Phillip Kotler argues that innovation is the most critical aspect of a successful business nowadays (Burk & Lemley, 2009). Practically all known markets are oversaturated with offers, and the only way to succeed is by inventing new products and services or by changing the business and the marketing methods. Realizing that applying traditional cost-cutting methods of reducing overheads and attracting the new customers is no longer effective, the business community becomes focused on considering innovative approaches as the only effective method of keeping afloat and expanding the market shares ( ...
Question 1
Conditions That Will Exist If Tuition Is kept Below Equilibrium Price When the tuition is set at a fee which is below the equilibrium, the demand will be more than the supply; thus there will be a distress situation that is not conducive to education. This would show a good effort by the government, as people will see it as a show of constructive and admirable strength by the government to make education relatively cheap. The effect of this is an increase in the number of students’ intake and in a great way and educated society. This situation is ...
Healthcare ethics is sometimes also referred to as medical ethics or bioethics and simply defined, is a set of moral principles, beliefs, and values that guide medical practitioners in making important choices about giving medical care. Four core principles that define ethical responsibilities and within which medical professionals must act in the United States are: Autonomy which demands that the professional honors the patients’ right to decide on their own about the medical care to be given, Beneficence which on the other hand tasks the practitioner with the duty to assist the patients to enhance their own good, Nonmaleficence ...
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 ...
Application of Epidemiology – Case Study
Application of Epidemiology – Case Study
Information Summative
The statistical analysis of the Good Health Hospital’s medical records reveals the progression of Escherichia coli infection among four hospitalized patients who reported bloody diarrhea, abdominal pain, vomiting and nausea, loss of appetite, flatulence and pyrexia since last week. The summary of these cases presented below in the context of their further analysis. The findings by the CDC revealed that the E. coli manifestations emanated among the affected patients after consuming the spoiled food items attributing to meats and vegetables.
Background Information (Indicating the Requirement of Further Investigation)
Georgia Department of Public Health (GDPH) describes various nosocomial infections reported within a ...
There are two tests that have been used over time to analyze and test an individual’s psychopathology and characteristics. The first test is called the Minnesota Multiphasic Personality Inventory (MMPI). The second test is known as the Rorschach Inkblot Test and was designed to assess and analyze thought process disorder. Both of these types of psychological testing have had different views and opinions. There has been great praise in the resourcefulness of these tests in many findings. In contrast to the positive reviews, there have been negative reviews as well. The findings of these tests have been controversial ...
Communication in Healthcare Teams
Complementary Roles, Decision Making and Shared Responsibility Effective communication is necessary to be incorporated in the healthcare teams in order to ensure the enhanced wellbeing of patients by means of developing and implementing the patient care plans in an effective manner. The effective implementation of the care plans is based on the shared responsibility of the healthcare teams or multidisciplinary teams, in which the individual members of these teams are responsible to provide care to the patients. The patients in the intensive care units or long-term residential facilities require services from the individuals of different departments and team members, ...
Abstract
The Beck Depression Inventory (BDI) Test is used by the psychologists to determine the extent of depression among the patients so that adequate interventions and treatments can be incorporated to hinder the extent of depression. There are certain errors that can effect the test specially when respondents fail to understand the questions and are under influence of drugs or alcohol, due to which their responses do not remain valid to draw conclusions. The errors during the manual calculation of scores can lead to false interpretation whereas the prevalence of construct validity is also required to incorporate the consistent level ...
The article Empowering Frontline Nurses: A Structured Intervention Enables Nurses to Improve Medication Administration Accuracy mainly focuses on the precautionary safety measures that should be adhered to when providing patients with the medications. The primary area of interest was to improve the accuracy with which drug is administered to patients through the development and deployment of process improvement skills and nurse leadership in a surgical inpatient unit. Medical errors have always taken a toll on the quality of services that patients receive in most hospitals. Such errors have long been documented in the form of surveys and studies. The ...
Executive Summary
The Georges Hotel is an upscale European-style boutique hotel located along the Oriental Bay in Wellington. Most of the staff is friends and relatives of Jeff and Chad, who are brothers. The hotel has many advantages that a family business has as well as the disadvantages. Some of the supervisors are not aware of the laws against discrimination. They are not aware of what sexual harassment means and what the appropriate and inappropriate behavior towards their subordinates is. This has resulted in situations where a couple of EEO complaints were raised against the hotel. However, as things stand, the ...
In this paper, I look into the issue of ‘medication errors in home care’. A study published by the journal of Quality and Safety in Health Care, reported the alarmingly high prevalence of medication errors among elderly patient placed in home care in U.K. Home care is normally provided by medic aides and not by nurses. Medic aides are entrusted with the responsibility of administering the prescribed drugs, at the correct time and at the correct dose to the patients. In order to perform this role, they need training that helps them familiarize with drug name, uses and side ...
Abstract
Sickle cell anemia is a hereditary disorder in which the red blood cells, which function as the oxygen carriers throughout the body, develop in an abnormal manner. The red blood cells are normally disk-shaped and very flexible but in sickle cell patients the cells often become very rigid and crescent shaped. This abnormality in the shape and functionality of the red blood cells hinder the normal flow of blood in the body. The red blood cells are therefore rendered unable to move freely through the blood tissues and through organs that result in the failure of certain important organs ...
Property managers have to fulfill various requirements as stated by the law. Florida Real Estate Commission enforces and administers the law that affects aspects of real estate license in Florida. Real estate manager oversees the financial aspects and daily activities of commercial properties and residential. The property manager is expected to be qualified and competent to undertake real estate negotiation and transactions. The paper focuses on the licensing laws in relation with the property manager in Florida. Florida entered into an agreement with other states which make individuals eligible to real estate license in Florida. Property managers are expected ...
For centuries, animals have been euthanized to stop their suffering when they have become too old or injured. While the decision to put down a beloved pet may be emotionally devastating, there is no question of the ethics involved. In fact, many people would think to keep an animal lingering in pain and distress would be considered inhumane. Why, then, do we allow human beings to suffer in pain and distress? Does a human not have the right to a final relief granted to an animal? An animal does not have the ability to grant permission for self-euthanasia like ...
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 Lived Experiences of Staff Nurses on Burnout in Oncology Department
Research Question: What are the lived experiences of nurses in the Oncology Department? What are the coping experiences of nurses in the Oncology Department? Objectives of the study: Conceptual Framework Figure 1 Conceptual Framework
Research design
The current research uses the qualitative research design to attain main aims and objectives of the research. As the central objectives of the present study seek to reveal the lived experiences of the nurses in the Oncology Department, it is believed that the qualitative research design suits it the most. It is considered that qualitative design is constructed for the researchers who aim at revealing ...
Research, in as much as it provides information extracted directly from the field, it is performed by human beings who are susceptible to errors or omissions which are sometimes unavoidable. Omissions render the authenticity of the research questionable and thus critiquing (Vance, Talley, Pearce, Christian &Azuero, 2013). This paper will critique a quantitative research paper right from the introduction to the last part where recommendations are given basing on the data garnered.
Problem statement
This research is about nurses’ attitude on controlling pain in patients suffering from refractory problems through palliative sedation. The problem under study as given in the research ...
Personality tests have been used for a long period to evaluate the psychological makeup of individuals. The validity and reliability of the various personality tests has been the subject of protracted debates especially along the lines of objective and projective tests. Objective tests have been thought to be more reliable than projective ones (Gregory, 2007). Overall, personality tests have been criticized because the individual undertaking them can give ambiguous generalizations that could apply to any person. MMPI and the Rorschach Inkblot Technique are among the most prominent personality tests.
Comparison and Contrast
The Minnesota Multiphasic Personality Inventory (MMPI) test is a self-report ...
Having looked at the PAD debate from either side of the argument, and having known what leads terminally ill patients to consider PAD, it is wise to consider whether the choices made by the terminally ill patients are worth the risk of having their lives terminated. By the time many of them are making the decision to have their lives ended, they will have made conscious and informed comparative searches and arrived at the decision to have someone help them end their lives. Many are the times when these patients are put on life- saving medical treatments without which ...
Humankind is susceptible to many situations which are sudden and take people unawares, wrought by both nature and mankind. These situations are known as emergencies and wreak huge losses to life and property. Although modern technologies have devised sound meteorological systems that may warn us of impending natural calamities such as earthquakes, volcanoes, cyclones, Tsunamis etc., the losses suffered cannot be fully recovered because Government machinery is never sufficient to deal with the magnitude of the disaster. Modernization of facilities to make living style easier has in its wake exposed human kind to many dangers. Exposure to these dangers ...
Obtaining Patient’s Informed Consent
Most nurses are faced with a dilemma in nursing practice on whether to seek clients consent before administering for some medicine or nursing procedures. It is important for nurses to uphold patient consent and seek for their opinion before applying certain healthcare procedures and medications. The patient should be made aware of the choices that are possible and given a chance to choose what is best for them. The nurses should only withhold the principle of the patient consent when the client is incapacitated. Many occasions' nurses are faced with this dilemma of seeking the customer consent and sometimes ...
THE INDIAN NATIONAL CONGRESS by Francis Robinson
The main supporting points of the article are the role of the Indian National Congress in the making of the Indian, as an empire and how the congress was able to create an organization setting with a framework of a nationalist movement which played a major role at all cost to raise the Indian political system to a higher point than the British would be willing to pay for. The parties win for the national cause has structured the national cause for making India one amongst the competitive system of the post-colonial era as a dominant party. Another main ...
Euthanasia: should it be legalized?
The legalization of euthanasia is a topic that has been discussed and continues to be discussed in many countries and states in America. A lot of group of people take part in the said debate, and this includes, but is not limited to, politicians, physicians, and scholars involved in ethics and laws pertaining to health. While some argue that euthanasia is unethical, as it involves killing, others maintain that it is the patient, or the family of the patient’s right to choose death, especially when the suffering is unbearable. Amidst all the arguments and debates ongoing, euthanasia should ...
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 ...