Describe the background of the problem. Tell the story of the issue and why it deserves attention. Order Description Section A: Problem Description

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Describe the background of the problem. Tell the story of the issue and why it deserves attention.
Order Description
Section A: Problem Description

Due Date: May 03, 2017

Details:
Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:
1. Describe the background of the problem. Tell the story of the issue and why it deserves attention.
2. Identify the stakeholders/change agents. Who or what organizations are concerned about, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.
3. Provide the PICOT question. (PICOT: Population-Intervention-Comparison-Outcome-Timeframe). Make sure that the question fits with your graduate degree specialization.
4. State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.
5. Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.
Develop an initial reference list to ensure that there is adequate literature to support your evidence-based practice project. Follow the ”Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Refer to the ”Search Method Example” as the format in which to compile this data.
1. The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.
2. Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required for the individual sections, but is required for the final paper.

 

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. WHAT ARE THE KEY ASSESSMENT PARAMETERS FOR THIS PATIENT? 2. WHAT ARE YOUR NURSING PRIORITIES GOING TO BE (POSTOPERATIVE INTERVENTIONS) AND WHAT LAB VALUES WILL YOU FOCUS ON AND WHY? 3.

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. WHAT ARE THE KEY ASSESSMENT PARAMETERS FOR THIS PATIENT? 2. WHAT ARE YOUR NURSING PRIORITIES GOING TO BE (POSTOPERATIVE INTERVENTIONS) AND WHAT LAB VALUES WILL YOU FOCUS ON AND WHY? 3.

HE IS ON BOTH A BETA BLOCKER AND AN ACE INHIBITOR, WHY AND WHAT IS THE RATIONALE FOR THIS TREATMENT REGIMEN? 4. HIS PAIN IS BEING MANAGED BY AN EPIDURAL CADD PUMP. WHAT IS THIS METHOD AND WHAT ARE YOUR KEY ASSESSMENT PARAMETERS? HOW DO YOUR FINDINGS IMPACT ON PATIENT CARE?

Med-Surg II Final Case Study Assignment

Mr. Jones a 68 yo male with a PMHx significant for COPD, IDDM, HTN, and CH.F. He was admitted on 412105 through the ER with c/o abdominal discomfort. A CT scan revealed a large small bowel obstruction(SBO) r/t a tumor.

His home medications included: Metoprolol, Lisinopril, Glucophage, and Atrovent inhaler. You receive him from the PACU after his Exploratory Lap colon resection.

PACU report: AOx3, VS RR 28, HR 86 in A-Fib, BP 110170, T 97.5 02 sat 94% on 3LNC. Lungs: clear, diminished at the bases.
GI: No bowel sounds
GU: Has a foley to gravity at bedside.
EBL in OR was 500CC. Patient has 2 JP drains yielding small amounts of bloody drainage.
Has an NGT to LCWS yielding green drainage.
Pain currently 2110. Has a Fentanyl/Bupivacaine epidural lwith a basal of 6ml/hr, pt dose of 2ml QlOmin with a l hour limit of 18mlper hour.
IV of D51/2NS + 20KCL@ 125ml/hr, 18# RAC.

H/H: pre-op 13.2/ 38, post-op 11.3/ 30.2.

1. What are the key assessment parameters for this patient?

2. What are your nursing priorities going to be (postoperative interventions) and what lab values will you focus on and why?

3. He is on both a beta blocker and an ACE inhibitor, why and what is the rationale for this treatment regimen?
4. His pain is being managed by an epidural CADD pump. What is this method and what are your key assessment parameters? How do your findings impact on patient care?

5. His accu check in 300, what are three nursing interventions?

6. You check his echo report and it stated his Ejection Fraction is 25%. What does this mean and how does this impact your plan of care? Provide one complete Nursing Diagnosis with possible interventions

You have Mr. Jones the next morning. In report you hear that his pain remains controlled with the CADD pump. His abdomen is firm and moderately distended. His NGT put out 300cc and he had only 150cc in his foley in 8 hours. His temperature is 99. 0. His BP remains in the 110’’s/60-70’s, but his HR ranges from 90-120. You assess him, his BP is now 80/ 40, HR 130, and T 103. 02 sats are 86% on 2LNC.

7. Reassessment: What is causing the increase in heart rate and why did his pressure suddenly drop? What should your priorities be and what will you do? What orders would you expect to receive?
8. His H/H is 7.8/24.4. You receive as order to transfuse 2 units PRBC’s. How much would you expect his hematocrit to rise?
9. In between the 2 units, y

 

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final analysis

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Review the Rubric for the final case assignment. The purpose of this assignment is to analyze the research and information requirements for grading the final assignment and any areas or topics required in the Rubric that you appear to be lacking in the information that you have gathered to date. For this Assignment #7, identify the areas that you are lacking based on the grading Rubric for the final assignment and briefly describe a plan to acquire the needed information. This description needs to be in paragraph form and it can briefly discuss your plan.

I will include all the papers that have been completed thus far 🙂

 

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Course: Operational Excellence

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Course: Operational Excellence (Chapters 15 – 18)    

APA format is required. References should be listed immediately after the question that is being answered. Each question lists a minimum number of unique scholarly references; the textbook is considered one unique reference (per question) regardless of how many times it is used. All references should be from the years 2009 to present day.

 All work must be completed individually.

1. How does lean apply throughout the supply network? Use at least three unique references. Length: 4-5 paragraphs. 

2. What techniques can be used for operations improvement? Use at least three unique references. Length: 4-5 paragraphs.

3. What is total quality management? Use at least three unique references. Length: 4-5 paragraphs. 

4. How can operations mitigate the effects of failure?  Use at least three unique references. Length: 4-5 paragraphs. 

Textbook(s) Required:

 Slack, N., Brandon-Jones, A. & Johnston, R. (2016). Operations management. 8th ed. Pearson. ISBN: 9781292098678 (text is available as hard cover and electronic versions)

 

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