case studies community nursing

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Answer questions to the following 2 study cases

Community Case: Environmental Health: Food Safety

Case Part 1

Columbia General Hospital, located in Johnson County, has observed 10 cases of similar client symptoms in its emergency room in the past 10 hours. Client ages range from 2 to 67 years old. Client symptoms consist of nausea, vomiting, severe abdominal cramps, headache, and diarrhea.

Questions for students:

  • What is your initial needs assessment of this situation?
  • Why might it be important to contact the Johnson County Health Department?
  • What are the duties and role of the local health department?
  • What aspects of vulnerable populations could be factors in this outbreak?

Community Case: Emergency Preparedness and Disaster Management

Case Part 1

An F2 tornado touches down on the edge of Johnson County without much advance warning from the National Weather Service. The Johnson County disaster preparedness plan is implemented, but it has not been tested for over 3 years. There seems to be some confusion at the command center on who may be in charge due to changes in personnel since the last test of the disaster preparedness plan. Nurse Judy and nursing student Madison arrive at the command center to volunteer, but they have to wait for some time to receive their assignment.

Questions for students:

  • What are the main components of a disaster plan?
  • What are the phases of disaster management?
  • Who implements a community disaster plan? How often should a community disaster plan be reviewed and tested?
  • What are the differences between natural and man-made disasters?
  • How would you address the confusion at the incident command center?

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. What risk factors does Mr. M have that decreases his oxygen consumption and places him at risk for respiratory failure? Explain the rationale for each risk factor. (1. point)

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1. What risk factors does Mr. M have that decreases his oxygen consumption and places him at risk for respiratory failure? Explain the rationale for each risk factor. (1. point)

2. In your report from the recovery room nurse you remember that Mr. M extubated himself too early and he is still drowsy at this time. In your post extubation follow up assessment what will you pay particular attention to? (.75 points)
Scenario Continued: You have been monitoring Mr. M for 8 hours now and he is starting to show signs of respiratory deterioration including extreme somnolence. You call the physician to report the following vital signs and he orders: ABGs and PFTs: The results are as follows:
RR 38 shallow and labored
BP 160/94
HR 112
SpO2 82%
Temp 97 oral
PaO2 55 mm Hg
SaO2 90%
pH 7.29
PaCO2 55 mm Hg
HCO3 26 mEq/L
Respiratory rate (f) 38 breaths/min
Vital capacity (VC) 12 mL/kg
Maximum inspiratory pressure (MIP) -14 cm H2O
3. Interpret the ABGs. (1 point)
4. What is acute ventilatory failure (AVF) how is it diagnosed? What are the criteria for ventilatory support and what are Mr. Ms critical values that meet this criteria?(1.25 points)
5. The physician tells you that he wants to use an endotracheal tube for intubation. You grab all the supplies the physician successfully intubates Mr. M. and now you are performing your post intubation assessment. Explain what will be included in this assessment. (1 point)
Mr. M. has been sedated on a propofol drip and the physician has ordered the settings below.
Ventilator Settings
Tidal Volume 500 mL
Fio2 0.40 or 40%
PEEP 5 cm
Ventilation Mode: PRVC Setting Only
Respiratory Rate 12 Breaths/min
6. Please explain (thoroughly) Tidal Volume Fio2 and PEEP. (1 point)

 

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You will develop a plan that addresses your goals, intentions, and approach for the Final Project, English homework help

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Planning Your Goals, Intentions, and Approach:

The options in how you can present your final project: This is the option below that I would like for the assignment down.

As a Paper
Your paper should be creative and interesting, and demonstrate what you have learned. It should be a minimum of 5-7 pages in length and you will use APA style formatting with a title page and reference section. You should use Times New Roman, 12pt. font, double-space your lines, and set your page up with one inch margins (See the APA Template included in the Course Resources folder)

If you haven’t done so recently, review the “Preview of Your Final Project” criteria sheet. For this assignment, you will develop a plan that addresses your goals, intentions, and approach for the Final Project.

Identify the role of the Community Organization for your project. You should utilize all the information you collected since the beginning of this course. Your plan should cover the information listed below.

  • Title Your Project: Be concise; be catchy. Use your title to both draw your readers/audience in and to demonstrate what the project is about.
  • Introduction: Describe the organization, the work they do, any key players within the organization, and why it may be interesting to your readers/audience. Include your thesis statement (a short description of the purpose of your work).
  • Readers/Audience: Describe the readers/audience you will be directing your project toward. Consider what they know, what they might need from your work, and what they will expect. Briefly discuss how you will meet the needs of your readers/audience.
  • Methods: Include a description of how you plan to gather and analyze your data (i.e. reviewing websites, reviewing related articles, interviews, analyzing similar organizations, and so on).
  • Results: You likely haven’t found any results yet, but provide a description of what you hope to find or what you think you might find.
  • Conclusion: Based on the information you have gathered so far, start identifying how what you’ve learned connects to your thesis and how it falls under the scope of service-learning and civic engagement. Write up a brief description of those connections.
  • References Page: Include an APA style citation list of the sources you have used or are considering using in your project (this should appear on its own page at the end of your outline). If you summarize or quote sources in your text, make sure you also include correct in-text citations.

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You will develop a plan that addresses your goals, intentions, and approach for the Final Project, English homework help was first posted on November 4, 2020 at 7:10 pm.
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Wardens,prison, prisoners and their rights (300 words)

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What difficulties might you, as a prison warden, foresee in attempting to run your prisons while at the same time upholding the legal rights of your prisoners? Also, what could you do to reduce the potential for lawsuits contesting conditions of confinement? (300 words)

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Wardens,prison, prisoners and their rights (300 words) was first posted on November 4, 2020 at 7:13 pm.
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