Colorado Technical Health and Medical Issues Access to Healthcare Services Paper

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Nurses have to be knowledgeable consumers of information. Therefore, it is important to critically evaluate messages presented in the media and understand whose interests are being represented.

For this assignment, you will choose a health care issue and examine 2 different positions.

Complete the following:

  • Compare and contrast the coverage of the issue.
  • Consider who is reporting the issue and how is the issue being covered.
  • Was the message effective?
  • Was it accurate?
  • Support your paper with evidence from at least 5 recent scholarly articles or sources.

Write 5–7 pages, excluding the title and reference pages, following the APA Expectations document for the College of Nursing.

Please click into this APA Style for CTU Students link for help with APA formatting. Use the CTU Writing Style Guide (templates provided) – not the Introductory Writing Style Guide.

Individual Project Rubric

The Individual Project(IP) Grading rubric is a scoring tool that represents the performance expectations for the IP. This Individual Project grading rubric is divided into components that provide a clear description of what should be included within each component for the IP. It’s the roadmap that can help you in the development of your IP. Individual Project Grading Rubric

Please submit your assignment.

For assistance with your assignment, please use your text, Web resources, and all course materials.

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Purpose of AssignmentThe purpose of this assignment is to give learners an opportunity to apply lessons learned about operational tactics and strategic goals planning. Please refer to the resources be

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Purpose of Assignment
The purpose of this assignment is to give learners an opportunity to apply lessons learned about operational tactics and strategic goals planning. Please refer to the resources below to assist with the assignment.
Assignment Steps
Resources: Ch. 5, 6, and 7 of Management: A Practical Introduction; SWOT analysis for the organization used in Week 3; company strategic plan; video creator such as Kizoa Movie Maker.
Scenario: You have been promoted to senior level manager of a company with low employee morale and decreased productivity. You have been tasked with developing a strategic plan for the workforce to present to the CEO and other members of the leadership team.
Choose your organization or one you know well to use for this assignment. You may use the same organization you used in previous weeks.
Develop a 1-year strategic plan of action for your organization using lessons learned and your learning team activity during Week 3.
Include plans for any additional staffing and the proposed budget for your plan. Modify your SWOT analysis, if necessary, for your presentation.
Create a 10- to 12-slide PowerPoint® presentation including the following:

Explain rationale for plan
Discuss SWOT of organization
Summarize one year plan of action
Flowchart of one year plan
Give an overview of Budget for plan
Evaluate the potential benefit of the plan
Write conclusion

Develop a 700-word summary for the Executive team. Append your budget and SWOT analysis to the plan.
Create a 2- to 3-minute motivational video (or transcripts) for the workforce highlighting your leadership style as an asset to the organization and the workforce and your assigned task.
Format your assignment consistent with APA guidelines.

 

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Mrs. Breathless is a 43-year-old female, just getting off the late shift. She reports to the ER in the early morning with shortness of breath. She has cyanosis of the lips.

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Mrs. Breathless is a 43-year-old female, just getting off the late shift. She reports to the ER in the early morning with shortness of breath. She has cyanosis of the lips.

 

Case Study 1: Respiratory System
Mrs. Breathless is a 43-year-old female, just getting off the late shift. She reports to the ER in the early morning with shortness of breath. She has cyanosis of the lips. She has had a productive cough for 2 weeks. Her temperature is 102.2, blood pressure 110/76, heart rate 108, respirations 32, rapid and shallow. Breath sounds are diminished in both bases, with coarse rhonchi in the upper lobes. Chest X-ray indicates bilateral pneumonia.
– ABG (Arterial Blood Gases) Lab results are:
o pH= 7.44 Note: rhonchi are continuous low pitched rattling lung sounds
o PaCO2= 28 that often resemble snoring or wheezes.
o HCO3= 24
o PaO2= 54
Problems:
– PaCO2 is low.
– pH is on the high side of normal, therefore compensated respiratory alkalosis.
– Also, PaO2 is low, probably due to mucous displacing air in the alveoli affected by the pneumonia.
Solutions:
– Mrs. Breathless most likely has ARDS along with her pneumonia.
– The alkalosis need not be treated directly. Mrs. Breathless is hyperventilating to increase oxygenation, which is incidentally blowing off CO2. Improve PaO2 and a normal respiratory rate should normalize the pH.
– High FiO2 can help, but if she has interstitial lung fluid, she may need intubation and PEEP, or a BiPAP to raise her PaO2.
– Expect orders for antibiotics, and possibly steroidal anti-inflammatory agents.
– Chest physiotherapy and vigorous coughing or suctioning will help the patient clear her airways of excess mucous and increase the number of functioning alveoli.

Normal Results for ABG (Arterial Blood Gases)
Values at sea level:
– Partial pressure of oxygen (PaO2): 75 – 100 mmHg
– Partial pressure of carbon dioxide (PaCO2): 38 – 42 mmHg (Respiratory)
– Arterial blood pH: 7.38 – 7.42
– Oxygen saturation (SaO2): 94 – 100%
– Bicarbonate – (HCO3): 22 – 28 mEq/L (Metabolic)
Note: mEq/L = milliequivalents per liter; mmHg = millimeters of mercury
At altitudes of 3,000 feet and above, the oxygen value is lower.
ROME
The nursing mnemonic RO-ME.
Respiratory Opposite
When pH is up, PaCO2 is down = Alkalosis
When pH is down, PaCO2 is up = Acidosis
Metabolic Equal
When pH is up, HCO3 is up = Alkalosis
When pH is down, HCO3 is down = Acidosis______________________________________________________________________________
FiO2 – Fraction of inspired oxygen; it is the amount of oxygen a patient is inhaling produced by a oxygen device (i.e.) oxygen mask.
PEEP ƒ?? Positive end expiratory pressure (It opens alveoli through exhalation, even when interstitial fluid (ARDS) is trying to collapse them.
BiPAP ƒ?? is a machine that blows air at the mouth and nose. It increases Tidal Volume like the IPPB but it also provides resistance during exhalation. It keeps the alveoli inflated even when the patient is exhaling. Bi ƒ?? Both phases of breathing. PAP ƒ?? Positive Airway Pressure.
IPPB ƒ?? is intermittent positive pressure breathing (i.e.) Positive pressure when the patient inhales.

Discussion Questions:
1. 1. Explain what ARDS is.
2. Explain what is significant with her lab results using the ABG normal values and the nursing mnemonic ROME which I have included.
3. Explain why the solution or treatment is appropriate.
4. Explain what you learned from this exercise.Currently 1 writers are viewing this order

 

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ethics of care

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For this paper, you want to reflect on the reading and associated materials.  It’s fine to start with a summary, but you want to go beyond this to say what you think about ideas in the reading and associated materials and why.  You could talk about points that you think are interesting and why you think they’re interesting, raise questions about the material and indicate what you think about these questions, pick out points you agree with or don’t agree with and explain why, or talk about things that you’ve come across (articles, movies, podcasts, books, etc.) or experiences that you have had that help you to think about the reading and how.  Basically, you want to show not only that you have understood the reading, but also that you are able to reflect thoughtfully on it.