Tag: Evidence Based

Jasmine Clark: Cont. HR 68, RR 22, BP 116/86, Temp 98.9, O2 sat-100%
History of Chief Complaint:
Jasmine reports she needs help because she overthinks everything and thinks she has a mental illness. Intrusive, obsessive thoughts started when she was 14 years old. She reports watching a television show about sex offenders and began to think that she would engage in behaviors she saw on the TV show. She reports thoughts that she might hurt or kill her parents and she is very frightened by these thoughts. She started having suicidal thoughts so that she wouldn’t hurt other people and feels the need to punish herself for those thoughts. She tries to distract herself with other thoughts in order to avoid the homicidal and suicidal thoughts. She denies history of self-injurious behaviors or eating disorders.
The pediatrician recommends that Jasmine go to the nearest emergency department for referral to an inpatient adolescent unit. The recommendation is Voluntary Commitment.
Her parents voice concern regarding their daughters willingness to actually go to a hospital.
This is an unfolding case study which we will be utilizing for this discussion
Questions:
Based on what you know so far, what are your concerns and what will be your interventions. (Elaborate on at least 3)
How will you explain Mental Health Hospitalizations to Jasmine’s parents? (Elaborate on at least 3 important points)
Jasmine is worried about how she will be treated at the hospital. She has seen many movies and does not want to be tied down and medicated. How will you educate Jasmine?
Is it ever ok to alert others to Jasmine’s condition? Why or why not?
As the parents predicted Jasmine now states emphatically “I do not want to go to the hospital.” How do you anticipate Jasmine’s care will change?
Add a question: After you have analyzed the content from the discussion board, please add a question to the end of your initial post regarding the reading material for the week.
Please be sure to validate your opinions and ideas with citations and references in APA format.
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.

This Discussion post has 3 parts:
1-Lymphatic: Define lymphedema.
What is elephantiasis?
Provide the differential diagnosis of mumps versus cervical adenitis.
2- Thorax and Lungs: Define and provide an example of a disease/situation where this sign/symptom might be present:
Dyspnea, Orthopnea, Apnea, Paroxysmal nocturnal dyspnea, Tachypnea, Bradypnea, Hyperpnea, Kussmaul breathing, Periodic breathing (Cheyne-Stokes).
Support your answer with a previous experience you have encountered in your career. (Med surg NUrse)
3-Cardiovascular System: Name and write the location of the five traditionally designated auscultatory areas and explain why it is heard there.
A pregnant patient (32 weeks’ gestation) is having difficulty with dependent edema and painful varicosities. What can you suggest to help this patient’s problem and explain rationale?
Instruccions:
post should be at least 500 words, formatted and cited in proper current APA 7 style with support from at least 3 academic sources.
Quotes “…” cannot be used at a higher learning level for your assignments, so sentences need to be paraphrased and referenced.
Acceptable references include scholarly journal articles or primary legal sources (statutes, court opinions), journal articles, and books published in the last five years— no websites or videos.
Read:
Jarvis, C. (2019). Physical examination and health assessment (8th ed.). Elsevier.
Chapters 19, 20, & 21

Reflection Question
Based on the results you obtained from the Foundation of Nursing Leadership self-assessment in Week 1 Lesson, reflect on the questions below and share in a post.
What is your current leadership style?
How does your leadership style impact your decision making in nursing care?
How will you further develop your leadership skills?
please add 1 reference

Module 1 Overview
Done: View
Introduction
The first module discusses the role of the case manager in a wide variety of settings. Case management is not only a large part of the acute care setting but, is becoming more and more accessible in the outpatient setting. With current changes in CMS guidelines Case Managers must critically think and evaluate patient and family dynamics quickly to assess for needs outside of the acute care setting. In week one we will review the differences in roles of the case manager.
Learning Outcomes
After completing this module, you will be able to:
Identify the differing roles of the nursing case manager
Discuss the difference between acute and outpatient case management
Apply case study activities to holistic patient care planning
Reading & Resources
Read Chapter 1 in Fundamentals of Case Management Practice
Review Case Management Society of America
Hodgkinson, I., Vince, C., Aylott, C., Pamphilon, J., Chandler, J., & Chumbley, K. (2018). P-243 End of life care education within the nursing and residential home setting. BMJ Supportive & Palliative Care, 8http://dx.doi.org/10.1136/bmjspcare-2018-hospiceabs.268.
Review the National Committee for Quality Assurance certification criteria
Learning Activities
Introductions: Introduce yourself in the Introductions Forum.
Discussion: Participate in Discussion 1. Discussion 1 Question 1
To do: Make forum posts: 3
You have been hired as a consultant by a hospital that is going to begin using case managers in the acute, home care, and primary care settings. You meet with the vice president (VP) of patient services. She tells you that the hospital tried to use case managers 3 years ago, and the project failed. She believes one of the major reasons it failed is because there was no clear position description or role description that was understood by the staff. She would like you to help develop an effective nurse case manager position description.
1. Identify the skills needed for a nurse to enter the case manager role.
2. Describe the role of the nurse case manager in acute, home care, and primary care settings.
3. Explains the approaches case managers use to promote the highest quality of care.
You must use at least 2 scholarly references to support your answer.
See the Nursing Syllabus Standards & Policies Document for Discussion Participation Guidelines & Grading Criteria.