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Nursing Care: Pediatric Asthma Patient Case Study

… This is because they relieve acute symptoms via bronchodilation. Ipratropium and other anticholinergics provide very little benefit as bronchodilators during asthma episodes hence they are not used to treat childhood asthma episodes (Schultz & Martin, 2013; Shields, 2015b; Shields, 2016). Bronchodilator syrups have no role to play in the management of pediatric asthma.

Preventer Treatments for Pediatric Asthma

Chloe experiences asthma symptoms and exacerbations frequently and thus, she ought to be given preventer treatment on top of bronchodilators. There are several preventer treatment options available.

i. Inhaled corticosteroids

These drugs improve asthma symptoms. They also improve lung function. They are considered to be more effective than cystenyl leukotriene antagonists in children (Schultz & Martin, 2013). 

ii. Cystenyl leukotriene antagonists

Montelukast is an effective…. [read more]

Nursing Supervised Smoking Cessation Plan: Methodology Term Paper

… ¶ … Nursing Supervised Smoking Cessation

Plan: Methodology, Anticipated Acceptance and Anticipated Results.

According to the American Cancer Society (2010), smoking causes 419,000

deaths annually. It is the number one most preventable factor that results in deaths

and disability from cancer of the lung, mouth, pharynx, esophagus, and bladder

In addition it contributes to stroke and heart attacks (2). It is instrumental in respiratory diseases such as chronic obstructive pulmonary disease and bronchitis

It may cause a decrease in physical fitness and elevate serum cholesterol levels (2).

It is habit that effects 19.1% of the population according to the CDC (2007) which is decreased in incidence by 1% from previous data collected by the CDC (2004) of

%. The prevalence is moving down in the…. [read more]

Nursing Considerations in Caring for the Elderly Research Paper

… ¶ … elderly people in the United States in the near future, and identifying opportunities to improve the quality of their lives has assumed new importance and relevance today. Professional nurses are in a good position to assist the by providing interventions that promote the maintenance of the quality of life and independent living among the elderly who still live at home, but many lack the knowledge and experience needed to fully understand these needs. These points became especially evident following an interview with A.W., a 72-year-old disabled veteran who lives at home but is experiencing problems with his day-to-day living needs, his growing reluctance to depend on others for care and relevant research concerning these issues. The purpose of this paper was to provide…. [read more]

Business Plan Assisted Living Facilities Business Plan

… Cedar Springs Brookdale Senior Living, 2505 Spring Ave SW, Decatur, AL

3. Morning Glory Meadows Assisted Living, 2055 Main St., Fyffe, AL

4. Morningside Of Cullman, 2021 Dahlke Dr., Cullman, AL

5. Morningside Of Decatur, 2115 Point Mallard Dr. SE, Decatur, AL

6. Morningside Of Madison, 49 Hughes Rd, Madison, AL

7. Morningside Of Sheffield, 413 Cox Blvd, Sheffield, AL

8. Redstone Village, 12000 Turnmeyer Dr., Huntsville, AL

9. Regency Retirement Village, 2004 Max Luther Dr. NW, Huntsville, AL

10. The Terrace at Priceville, 200 Terrace Ln, Decatur, AL

11. Wills Creek Village Assisted Living, 1050 Airport RD W, Fort Payne, AL

12. Windsor House, Inc., 4411 McAllister Dr. SW, Huntsville, AL

Competitive Advantages

Residay's competitive advantage is reliant on the experience of care, which…. [read more]

Best Practice to Isolate MRSA Essay

… , 2006) of isolation from a third of the studies. Concerning these inadequate or lacking conclusions, the evidence provided was weak due to poor design, major confounders, or systematic bias with regression to the evidence of average (Cooper et al., 2003; Allen 2006 and Blumeberg et al. 2006). However, this review chose some studies that offered stronger evidence. In three studies, the use of isolation and other interventions was conflicting (Carrbone et al. 2002; Charlebois 2002; Cohen 2005), one showed reduced infection (Cohen, 2005; Curran et al. 2005), while another showed no infection and another managing infection for some years until the number (Robert et. al., 2006) of colonized patients on admission overwhelmed the hospital (Gbanguide-Haore et al., 2008).

However, another study provided evidence that…. [read more]

Finances in Nursing, Interview Description Term Paper

… They desired us to see why, in their viewpoint, that while they were having troubles, they were still managing to make profit and sustain (Legal Market Association, 2012).

One will ultimately comprehend, if one merely followed along a variety of specialists who still think it makes good sense to have the stock. The capability to speak with individuals and to provide these extremely complicated instruments and methods in easy English is very crucial. Past that, from an exterior viewpoint, no one desires cheerleaders (Legal Market Association, 2012).

Everybody understands to not succumb too much to the cheerleaders or the over-enthused. A great CFO is basically a great instructor since that's exactly what they're doing. The CEO and CFO along with the COO and URO sare…. [read more]

Practicum: Objectives, Project, Achievement, Audience, and Results Capstone Project

… ¶ … Practicum: Objectives, Project, Achievement, Audience, and Results

The site of my Practicum was Village Hospital (VH), a young hospital that recently opened in 2008. The objective of the practicum was to develop and disseminate an evidence-based practice (EBP) congestive heart failure (CHF) protocol that would support nurse-sensitive outcome data. Nurses need clarification and instruction on basic CHF discharge. They need information related to CHF core measures in order that nursing staff documentation should align to the specific performance measures demanded by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the Centers for Medicare & Medicaid Services (CMS) standards. With the current explosion of skill mix on the unit, it is a challenge for nurses to keep up with the latest CHF…. [read more]

Healthcare Practices in Nursing Today Term Paper

… This is because hospital needs fluctuate, depending on the numbers, types, and individual responses of patients on a given day.

Management developed ways to attempt to predict nursing needs that were based on patient population. This type of patient classification system is a process where RNs document patient needs. Management then uses this documentation to standardize patient care and to predict the right mix of nursing personnel that is required for any particular patient population (White, 1988).

This particular management strategy requires a high level of utilization of RNs, because RNs are more highly educated and better at the documentation process required for patient classification systems to work. In addition, RNs are trained to participate in the process. This system is being widely utilized to…. [read more]

Professional Development Assessment Principal Duties Professional Writing

… Music selection, conversation, and a level-headed demeanor are the ways, small and large, in which I create an optimal working environment.

Collaborates with other professionals and directs nonprofessional nursing personnel in maintaining recognized standards

Teaching and orienting new permanent senior and temporary staff members is one of my greatest joys. It is always gratifying seeing a new recruit gradually become an old and trusted associate over time, and to feel proud of the role I had in mentoring his or her career. Also in my 'teaching' capacity, I developed the nursing manuals for the staff for minimally invasive procedures. I act as the primary resource nurse in these areas: the robotics program, ventricular devices, ECMO, the TAVI program and VATS.

My desire to give back…. [read more]

Tertiary Prevention Occupational Therapy and Wellness in the Skilled Nursing Facility Capstone Project

… Occupational Therapy

Tertiary Prevention: Occupational Therapy and Wellness in the Skilled Nursing Facility

Learning Contract

Capstone Project Overview/Aims:

This purpose of this Capstone Project will be to explore the long-term outcomes of occupational therapy for patients in a skilled nursing facility. It will examine a group of patients who are participating in their assigned occupational therapy program and will compare them to a group of patients who are not participating in their assigned occupational therapy program. It will follow these two groups of patients for a period of one year. It will measure their clinical, mental health, and functional outcomes.

A baseline will be taken of these three functional areas at the beginning of the project. A re-assessment of these three areas will be performed…. [read more]

Nursing Case Studies Essay

… Based on this situation, the faculty should reconsider the design of the curriculum because of its potential impact on students' learning. The need to reconsider the curriculum's design is because it seems the curriculum did not involve all stakeholders during the planning and designing process. During reconsideration, the faculty can prevent such situations when revising a curriculum by involving all stakeholders to promote seamless implementation. The faculty should also examine the educational, administrative, and financial implications of a new curriculum before design and implementation (Uys & Gwele, 2005, p.84). The other ways include developing an institutional culture conducive to the change and evolutionary planning and resource allocation.

Nursing Accreditation:

A national nursing accrediting body has provided a notification that the nursing program is due for…. [read more]

Evaluation of Home Care and Community Care in Canada Research Paper

… Home Care and Community Care in Canada

The commitment towards reducing, eliminating and reducing inequities aims at extending the prevention timeline and modalities to victims of any disease. Health promotion promotes good health and sanitation to citizens. It also aims at providing and creating conducive environments that enable the society to be self-reliant in forming a robust community that can offer all aspects of a healthy care (Epp, 1986).

Communities are encouraged to participate in forming a health society through creating good health systems. This can be achieved by the active participation of communities in obtaining the desired community health policies and suggestions. There have been many efforts recently to bring the community on board in health participation. This is seen as the only way…. [read more]

Patient Perceptions of Participation Research Paper

… When the perspectives of the professional caregivers was surveyed, nurses tended to favor a role as information provider, whereas occupational therapists tended to go further by engaging patients in the decision-making process (Lund, Tamm, and Branholm, 2001). This skewing of the professional perception persisted in the relinquisher and full participant groups, but almost disappeared in nurses treating occasional participants. Overall, this finding highlight the large gap between what a patient and professional perceives about the decision-making process and suggests professional perceptions are influenced primarily by their training and work environment. The one exception to this bias was the nurses interacting with patients who occasionally participated, which suggests patient and nurse perceptions were more closely aligned in this group.

Lund, Tamm, and Branholm (2001) concluded from…. [read more]

Care Coordination Relating to Elderly Patients After Discharge From Emergency Room or Hospital Annotated Bibliography

… Care Coordination Relating to Elderly Patients With Congestive Heart Failure After Discharge From Emergency Room or Hospital Within 30 Days

A growing body of evidence supports the need for careful care coordination for elderly patients who suffer from congestive heart failure, diabetes, and/or hypertension for at least 30 days following their discharge from a hospital or emergency room. To determine the current best practices and guidance in this area, a summary of the relevant literature is provided below in an annotated bibliographic format, followed by a summary of the research and important findings in the conclusion.

Bisognano, M. & Boutwell, A. (2009). Improving transitions to reduce readmissions. Frontiers of Health Services Management, 25(3), 3-5.

Authors report that a growing body of research confirms the high…. [read more]

Reducing Suicide in Emergency Departments Research Paper

… It would be helpful for them to know that the Safety Planning Intervention has been applied and this should be recorded in the patient’s medical record and shared with the mental health provider upon request. Family and friends of the patient are also stakeholders as they will be part of the patient’s support network and will be “on-call” so to speak whenever the patient is facing a suicidal crisis and needs support. The primary focus on implementing this strategy is, however, the care providers of the emergency department at Mercy Health.

Education Required by Stakeholders

The care providers in the emergency department at Mercy Health would require basic training in how to conduct the Safety Planning Intervention for persons who present to the ED with…. [read more]

Advanced Practice Nursing Term Paper

… Right within those numbers is a sign that it's so much a new field that not enough attention is being paid to it. The article breaks down information on the 70,000 nurses currently certified by the American Nurses Credentialing Center, showing that 2,000 of those 70,000 are trained in geriatrics. And of those 2,000, nearly 80% work in nursing homes; the others are stationed in hospitals and ambulatory settings. No numbers were given for the number of nurses working in home care settings. And yet the importance of having NPs in the home is clear"; their presence in the home "has been shown to delay the development of disability and reduce permanent nursing home stays."

Moreover, when NPs follow high-risk patients from hospitalization to care…. [read more]

Early Mobilization and Hospital Stay in ICU Research Paper

… Critical Care, 17(R156), 1-12.
Engel et al. (2013). ICU Early Mobilization: From Recommendation to Implementation at Three Medical Centers. Critical Care Medicine, 41(9), S69-S80.
Hodgson et al. (2016). A Binational Multicenter Pilot Feasibility Randomized Controlled Trial of Early Goal-Directed Mobilization in the ICU. Critical Care Medicine, 44, 1145-1152.
Lai et al. (2017). Early Mobilization Reduces Duration of Mechanical Ventilation and Intensive Care Unit Stay in Patients with Acute Respiratory Failure. Archives of Physical Medicine and Rehabilitation, 98, 931-939.
Li et al. (2013). Active Mobilization for Mechanically Ventilated Patients: A Systematic Review. Archives of Physical Medicine and Rehabilitation, 94, 551-561.
Moss et al. (2016). A Randomized Trial of an Intensive Physical Therapy Program for Patients with Acute Respiratory Failure. American Journal of Respiratory and Critical Care…. [read more]

Addressing Heart Failure Disease Capstone Project

… Gutierrez & Blanchard (2004), concur that lifestyle changes have been proven to lessen the risk of all kinds of cardiovascular disease (p.2614). In addition, these measures should be adopted at an early stage before structural changes and systolic dysfunctions have taken place (Mandinov, 2000, p.822).

Design Practice Change:

Patient monitoring for lifestyle changes and education will be carried out between three to four months period. This multidisciplinary team approach will involve establishing contact during hospitalization, conducting follow-up after discharge, providing telephone support and remote evaluation, and home-based visits. During this period, patients will receive information regarding adherence and self-care management. Some of the major stakeholders to be involved in the design for change include heart failure nurses, physicians, and patient's families and/or caregivers. Therefore, the…. [read more]

Heart Failure Caregivers: Sanford, Townsend-Rocchicciolli Article Review

… 8) Describe the population for this study.

Inclusion requirements were patients with HF aged 65 years or older, who had a diagnosis of New York Heart Association (NYHA) classification II, III, or IV HF25 and were functionally impaired in at least 1 activity of daily living (ADL) or one instrumental activity of daily living (IADL), which meant that they required a caregiver.

Other conditions were that they received home care from a home care agency if it was ordered by their physician, received Medicare, had access to telephone, and were able to speak English. They also had to show classic symptoms of HF.

The inclusion criteria for caregivers included their being cognitively intact, having a familial relationship to the patient, and providing assistance with at…. [read more]

Management vs. Leadership in Nursing Essay

… They also emphasize the need for increased collaboration of both managers and nurses in order to consolidate their efforts and increase the benefit to the organization Jennings, Scalzi, Rodgers, & Keane, 2007()

According to Denehy (2008)

, leaders are expected to possess traits such as intellect, trust, courage, optimism and communication. Other characteristics that are mentioned include objectivity, flexibility, and consistency of behavior. They are also expected to have wide experience in their field in order to be mentors and to ensure the growth of the organization. They are agents of change in the organization and ensure evidence-based practice.

Specific examples from previous practice setting

In the organization where I used to work, we had both managers and leaders and they were both valued differently.…. [read more]

Managed Care Term Paper

… Managed Care and nursing: Unmanageable dilemmas?

Describe how managed care has affected patients, the healthcare system, and the role of the nurse

The current system of managed care was initially put into place mainly as a cost-cutting measure, to ease the financial stresses placed upon the healthcare system. However, many have argued that the impact of managed care upon patient health has been, according to most healthcare providers, largely detrimental. Before the advent of managed care, a healthcare provider's "obligations were owed almost exclusively to the patient" (Shapiro 2000). But in the era of managed care, physicians have had to become "more concerned with their obligations to the managed care organization -- so much so that their clinical behavior has been altered" (Shapiro 2000). The…. [read more]

Effective Leadership and Management in Nursing Thesis

… Nursing

Effective Leadership and Management in Nursing

One of the most important operatives in healthcare reform is value-based purchasing. This is pressuring hospitals to improve and report along with encouraging consumers to purchase healthcare based on outcomes of quality. The current VBP focal point is the CMS Hospital Acquired Condition payment adjustment provision. This denies claims payment upgrades for selected hospital-acquired conditions. For discharges on and after October 1, 2008, the provision requires CMS to adjust Medicare hospital claim payments when specified HACs are not present on admission (Jankowski, Zywiak and Metzger, n.d.).

The increasing rise in health care costs has made it necessary for payers of health care services to examine every opportunity that is available in order to conserve health care dollars. According…. [read more]

EMR Organizational Change Plan Essay

… The first, critical step is convincing people that change is necessary and is going to happen, so that they are willing to detach themselves from a paper-based model. The second step is the change: educating the staff in the expected standard operating procedures of how to keep accurate records, HIPPA privacy requirements and other issues pertaining to the change. And finally, the change must become the 'new normal.' Paper files should be destroyed and replaced with a computerized backup system. All departments must be integrated and share the same information.

Internal and external resources available to support EMR change initiative

Internally, the IT department must provide support in educating all staff in the importance of accurate use of the new, computer-based system. A training package…. [read more]

ICU Delirium Assessment Instrument Research Paper

… 0.

The obtained data from pre- and post-tests were analyzed using ANOVA analysis.

Statistical analysis using SPSS-20 (SPSS Inc., Armonk, NY) was utilized for data analysis.


While 44% of hospitals and ICUs reported using a validated screening assessment, only 27% of patients had been monitored using the instrument. However, the researchers found that a validated screening instrument enhances the ability of healthcare professionals to identify ICU delirium.

The rates of delirium occurrence increases among ICU patients following the implementation of early screening because of detection of hypoactive screening. However, the ICU delirium prevention and management lessens these incidences. Therefore, screening should be carried out and followed by prevention and management.

The study found that educational programs enhances the use of delirium screening tools by…. [read more]

Readmission Rates of the Elderly Research Paper

… Changing the Readmission Rates of Geriatric Patients

Term and Year



Changing the Readmission Rates of Geriatric Patients

Geriatric patients are patients, older than 65, that often have multiple co morbidities to contend with as they continue to live their lives. Some of these patients are alone and do not have a family to support them and offer the care they need to thrive. Because of their lack of support, this group of people within the geriatric patient population do not know or have the resources to avoid falling ill again and end up readmitted into the hospital. This can happen as soon as within 30 days of initial hospital admission. The proposed solution is to offer patient…. [read more]

Managing Various Medical Conditions Essay

… Outpatient Treatment Plan for Management of Medical Conditions

The first aspect of an outpatient treatment plan for managing diabetic foot ulcer associated with type 2 diabetes mellitus unspecified laterally is patient assessment, which involves evaluating the patient as a whole, the affected foot, and the infected wound (Lipsky et al., 2012, p.e133). This assessment will be followed by diagnosing the foot ulcer infection based on the symptoms. The diagnosis involves documenting and classifying the extent and severity of the infection. Third, a well-coordinated multidisciplinary diabetic foot care team should be established to help in the treatment process. Fourth, the condition should be managed using antibiotic therapy though the empiric antibiotic regimen is identified based on the severity of the foot ulcer. If the foot ulcer…. [read more]

Personal Experience and Nursing Research Paper

… IPFCC is a beginner's guide to on numerous topics including the following:

Pediatric care

Bedside rounds

Discharge and transition planning for pediatrics and NCIU

Adult heath care for youngsters with disabilities (Dokken and Ahmann, 2012).

Computer simulated site visits

Computer simulated site visits can be made use of for gleaning knowledge about the patient and family-based programs and evaluating how different organizations have implemented their patient and family-based programs. Organizations under study should be of similar size and employees as well as keeping contact with them is all the more necessary (Dokken and Ahmann, 2012).

Professional communications

Useful information can be gleaned from being in contact with pediatric hospitals, since they are based on the model of patient and family centered care dissuading family as…. [read more]

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