What is the definition of bacteriuria?

/in /by

Discussion Question/Prompt [Due Wednesday]

Case #1:  A 55-year-old woman presents to the office with bloody urine and dysuria
of 12-hour duration. She was recently married and has never had similar
symptoms. She denies chills and fever. On physical examination she is afebrile, has normal vital signs, and has mild tenderness in the midline above the pubis. Her urinalysis shows too many to count (TNTC) red blood cells.se

  1. What is the definition of bacteriuria?
  2. What additional history do you need to make a diagnosis?
  3. What diagnostic studies would you order and why?

Case #2:  A 23-year-old woman was married a year ago. Since then, she has experienced five attacks of acute cystitis, all characterized by dysuria, increased frequency, and urgency. Each infection responded to short-term treatment with trimethoprim sulfamethoxazole. The recurrences occurred at intervals of 3 weeks to 3 months following completion of antibiotic therapy. For the past two days, the woman has been experiencing acute flank pain, microscopic hematuria, dysuria, increased frequency, and urgency.

Her vital signs are T = 37.9°C, P = 106, R = 22, and BP = 130/75 mm Hg. Physical examination reveals costovertebral tenderness, mild tenderness to palpation in the suprapubic area, but no other abnormalities.

  1. What are possible reasons for this woman’s pain? List possible differential diagnosis and explain each?
  2. What diagnostic tests should you order to confirm diagnosis?
  3. What are the possible causes of recurrent lower UTIs?
  4. What are the differences when comparing prerenal acute renal failure, intrarenal acute renal failure, and postrenal acute renal failure? Give examples of each.

Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position.

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.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Please review the rubric to ensure that your response meets the criteria.

4

 

Assignment Rubric Detailsclose

Rubric

NU621 Unit 7 Discussion

NU621 Unit 7 Discussion
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeContent

NU621-CO1; NU621-CO2; NU621-CO3; PRICE-P; PRICE-I
12 pts

100%

Initial post addresses all of the required prompt elements in the discussion and demonstrates an exemplary understanding of course content and topic.

 11 pts

92%

Initial post addresses all of the required prompt elements in the discussion and demonstrates a comprehensive understanding of course content and topic.

 10 pts

83%

Initial post is missing one important prompt element and/or demonstrates a basic understanding of course content and topic.

 9 pts

75%

Initial post is missing more than one important prompt element and/or demonstrates a limited understanding of course content and topic.

 8 pts

67%

Initial post does not address discussion prompt elements, and/or does not demonstrate understanding of course content and topic and/or initial post is poorly paraphrased even if accompanied by in-text citations.

 0 pts

0%

Initial post was not submitted and/or not submitted on time and/or initial post demonstrates copying and pasting with or without proper use of quotations or supporting in-text citations.

 

 12 pts
This criterion is linked to a Learning OutcomeAnalysis

NU621-CO1; NU621-CO2; NU621-CO3; PRICE-P; PRICE-I
12 pts

100%

The analysis of the topic includes breadth and depth, is aligned to the unit topic, relates to the course content and personal analysis is supported by exemplary references and examples.

 11 pts

92%

The analysis of the topic is justified, and aligned to the unit topic, and personal analysis is supported by comprehensive references and/or examples.

 10 pts

83%

There is a basic analysis of the topic and personal analysis is supported by basic references and/or examples.

 9 pts

75%

There is minimal evidence of analysis of the topic and/or personal analysis is supported by limited references and/or examples.

 8 pts

67%

There is no evidence of analysis of the topic and/or personal analysis is not supported by references and/or examples.

 0 pts

0%

Initial post was not submitted and/or not submitted on time and/or analysis had no relationship to the topic and/or initial post demonstrates copying and pasting with or without proper use of quotations or supporting in-text citations.

 

 12 pts
This criterion is linked to a Learning OutcomeCollaboration

PRICE-C; PRICE-E
12 pts

100%

Collaborates with fellow learners at an exemplary level relating the discussion to relevant course concepts and extending the conversation with substantive content.

 11 pts

92%

Collaborates with fellow learners at a comprehensive level relating the discussion to relevant course concepts and extending the conversation with substantive content.

 10 pts

83%

Collaborates with fellow learners at a basic level relating the discussion to some course concepts and extending the conversation with basic content and/or postings are not submitted on a minimum of 3 separate days.

 9 pts

75%

Limited collaboration with fellow learners and makes little connection to course content and/or does not extend the conversation.

 8 pts

67%

Collaborates with fellow learners but only one response post was submitted and/or response post(s) are poorly paraphrased even if accompanied by in-text citations.

 0 pts

0%

No response posts were submitted and/or not submitted on time and/or there is no relationship between the response posts and the discussion prompts and/or one or more response posts demonstrate copying and pasting with or without proper use of quotations or supporting in-text citations.

 

 12 pts
This criterion is linked to a Learning OutcomeWriting

PRICE-P; PRICE-I
2 pts

100%

Posts in this discussion are well written and well organized demonstrating exemplary scholarly writing. Mechanics (spelling and punctuation) and grammar are excellent.

 1.8 pts

92%

Posts in this discussion are well written and well organized demonstrating comprehensive scholarly writing and/or have 1-2 errors in mechanics and/or grammar.

 1.7 pts

83%

Posts in this discussion are basic examples of scholarly writing and/or have 3 errors in mechanics and/or grammar.

 1.5 pts

75%

Posts in this discussion are not clear and/or lack organization and/or have 4 or more errors in mechanics and/or grammar.

 1.3 pts

67%

Posts in this discussion lack evidence of clear, organized scholarly writing. Errors interfere with reading and/or understanding of content.

 0 pts

0%

Posts were not submitted and/or one or more posts demonstrate copying and pasting with or without proper use of quotations or supporting in-text citations.

 

 2 pts
This criterion is linked to a Learning OutcomeAPA

PRICE-P; PRICE-I
2 pts

100%

Posts in this discussion demonstrate in-text citations of sources and references in proper APA style and formatting.

 1.8 pts

92%

Posts in this discussion demonstrate in-text citations of sources and references but have 1-2 minor APA errors.

 1.7 pts

83%

Posts in this discussion demonstrate in-text citations of sources and references but have 3-4 APA errors.

 1.5 pts

75%

Posts in this discussion demonstrate in-text citations of sources and references but have 5-6 APA errors.

 1.3 pts

67%

Posts in this discussion do not provide sufficient in-text citations and/or references and/or have 7 or more APA errors.

 0 pts

0%

Posts were not submitted and/or one or more posts demonstrate copying and pasting with or without proper use of quotations or supporting in-text citations.

 

 2 pts
Total Points: 40

IPR Recording Mental Health Nursing

/in /by

Module 02 Content

  1. Interpersonal Process Recording (IPR)

    Purpose
    This assignment will help prepare you for conversations with clients with mental health conditions.

    Course Competency
    Describe the foundations of mental health nursing.

    Transferable Skill
    Communication: Displaying capability in writing, reading, and oral communication; understanding of non-verbal language.

    Instructions
    It will be carried out with two students working together. This is a “role-play exercise,” One student is the student nurse, and the other will role-play as a client. In this assignment, the nursing student will demonstrate the therapeutic nurse-client relationship and analyze the therapeutic and nontherapeutic techniques used. You will take turns in the roles.

    This is not about always having therapeutic responses. It is about learning from practice and review. It is expected that you will think of other ways to respond or interact with the client that may be more therapeutic after the interaction is terminated. After the conversation is over, you will complete in IPR form.

    The client roles are:

    • Mr. Jones is a 69-year-old retired engineer. He was admitted to the in-patient psychiatric unit the previous day. His daughter had called the police when he locked himself in his bathroom and refused to come out. She thought he was suicidal. He was brought to the hospital by the police and was admitted on involuntary status. Since admission, he has been reticent but told his daughter he had no reason to live since his wife died.
    • Diagnosis: Major Depressive Disorder
    • Nursing Diagnosis: Risk for suicide.
    • Mrs. Alvarez is a 34-year-old female who has lived in this country for the past 10 yrs. She is a stay-at-home mom with three small children. Her husband works two jobs to support the family. Lately, she has been extremely anxious and fears that her children will become ill or injured. This seems to be an unrealistic concern, but she has been unable to sleep well and has lost 15 lbs. in the past month. She is a voluntary admission and states she knows she needs help.
    • Diagnosis: Generalized Anxiety Disorder
    • Nursing Diagnosis: Ineffective coping
    • You will select the role you wish as a client and take turns switching roles. After the conversation, you will document the interactions using the form provided and following the guidelines instructions for each column.

      IPR Form Explanation

      The IPR is completed with the form to guide you and the rubric to explain the grading process for content.

      IPR Form

    • The first column is for you, the nursing students, comments/ questions, and responses. You may want to include the introduction process. It is understandable if the initial conversation is more superficial to establish rapport. You may not want to include all of this but move on to the more focused interaction. Your nonverbal communication is included here.
    • Then, the conversation will focus on the client’s feelings, concerns, issues as they have identified them. After the introduction, it may be beneficial to establish a short-term goal for the interaction with the client.
    • The second column is for the client’s comments, questions, responses. Also, the nonverbal reactions of the client are included in this column.
    • The middle column is for you to write what you are thinking or feeling.
    • The last two columns are for you to document the technique that you used in that portion of the conversation. If it is a non – therapeutic response, you must write the response and think of how to revise it to more therapeutic response. You can change any response if you think of how you could have responded differently but, identify and change all non – therapeutic responses.

Module 04 Written Assignment – Nursing Diagnosis

/in /by

Module 04 Content

Watch this short overview prior to completing the assignment (21 minutes): 

https://rasmussen.webex.com/webappng/sites/rasmussen/recording/c6c63a444d4c4ed79b4e106557cf0a1a/playback

 

NANDA Nursing Diagnosis List:

NANDA nursing diagnosis list.pdf

 

Link to Nursing Diagnosis books here: https://guides.rasmussen.edu/nursing/referenceebooks click on Diagnosis Manuals tab

Link to SMART goals Information here: https://rasmussen.libanswers.com/faq/212524

 

Click here to open a word document with the assignment instructions and rubric.

NUR2356_Module 04 Written Assignment_1220.docx

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

Module 04 Written Assignment – Nursing Diagnosis

Purpose of the Assignment

1. Assist students in clustering assessment data when developing a nursing diagnosis.

2. Develop students’ ability to write client based outcomes when planning care.

Course Competencies

· Explain components of multidimensional nursing care for clients with musculoskeletal disorders.

Instructions

Using the template below, write 3 NANDA-I approved nursing diagnoses in a proper format based on the client case provided below. Write one SMART client-centered goal for each nursing diagnosis. Consider the client’s medical history and medications.

Kacie Benson, a 19-year-old woman, is a client on your unit due to a skiing accident. She is unconscious and may or may not regain consciousness. She is on complete bedrest. She requires frequent repositioning to maintain correct body alignment and attention to her ROM. She responds to painful stimuli with slight non-purposeful withdrawal. No spontaneous movements are noted. The recent lower extremity ultrasound showed no evidence of venous thrombosis, and she continues on low molecular weight heparin injections. Her fluid and electrolyte balance is being maintained by a tube feeding at 60 mL per hour continuously. She is incontinent of stool and has an indwelling Foley catheter. Her heels are reddened, but otherwise, her skin is intact.

Use at least two scholarly sources to support your nursing diagnoses. Be sure to cite your sources in-text and on a reference page using APA format.

Check out the following link for information about writing SMART goals and to see examples:

http://rasmussen.libanswers.com/faq/212524

You can find useful reference materials for this assignment in the School of Nursing guide:

https://guides.rasmussen.edu/nursing/referenceebooks

Have questions about APA? Visit the online APA guide:

https://guides.rasmussen.edu/apa

 

 

 

 

Nursing Diagnosis Nursing Diagnosis Nursing Diagnosis
     
SMART Goal SMART Goal SMART Goal
     

 

Module 04 Written Assignment – Nursing Diagnosis Rubric

Total Assessment Points – 35

Levels of Achievement
Criteria Emerging Competence Proficiency Mastery
Nursing Diagnosis (should fit the data)

(10 Pts)

 Nursing diagnoses are insufficient and/or do not fit the data.

Failure to submit Nursing Diagnosis will result in zero points for this criterion.

 Writes ONE NANDA-I approved nursing diagnosis in the correct format (including related to/as evidenced by) with a strong connection to identified data. Writes TWO NANDA-I approved nursing diagnoses in the correct format (including related to/as evidenced by) with a strong connection to identified data. Writes THREE NANDA-I approved nursing diagnoses in the correct format (including related to/as evidenced by) with a strong connection to identified data.
  Points – 7 Points – 8 Points – 9 Points – 10
SMART Goal (should reflect the diagnosis and follow guidelines)

(15 Pts)

 The goals meet few SMART goal guidelines and/or are not related to the nursing diagnoses.

Failure to submit SMART goals will result in zero points for this criterion.

 Writes ONE goal for ONE nursing diagnosis and the goal meets all the SMART goal guidelines and are related to the nursing diagnosis. Writes ONE goal for TWO nursing diagnoses and the goals meet all the SMART goal guidelines and are related to the nursing diagnoses. Writes ONE goal for THREE nursing diagnoses and the goals meet all the SMART goal guidelines and are related to the nursing diagnoses.
  Points – 11 Points – 12 Points – 13 Points – 15
Spelling and Grammar

(5 Pts)

 Numerous spelling and grammar errors, which detract from the audience’s ability to comprehend material. Some spelling and grammar errors, which detract from the audience’s ability to comprehend material. Few spelling and grammar errors. Minimal to no spelling and grammar errors.
  Points: 2 Points: 3 Points: 4 Points: 5
APA Citation

(5 Pts)

 APA in-text citations and references are missing. Attempted to use APA in-text citations and references. APA in-text citations and references are used with few errors. APA in-text citations and references are used correctly.
  Points: 2 Points: 3 Points: 4 Points: 5

Explain the complexity of organizational systems and their impact on healthcare delivery.

/in /by

Deliverable 2 – Organizational Chart

Assignment Content

  1. Competency
    Explain the complexity of organizational systems and their impact on healthcare delivery.

    Student Success Criteria
    View the grading rubric for this deliverable by selecting the “This item is graded with a rubric” link, which is located in the Details & Information pane.

    Scenario
    You have been hired as a consultant for a large healthcare organization. In your role, you have been tasked with examining the current organizational structure at the micro, meso, and macro levels, including the impact on healthcare delivery.

    As you develop your plans, you will reflect how these roles individually and collectively influence the ability of the organization to deliver high quality client services.

    The roles and titles of people working in the three levels of systems may vary. A brief definition of each is offered to clarify the contributions of leaders at each level.

    • Micro system: This is the point of contact with the client or customer. In the health care setting the micro level may be a specific unit. Roles of those in the micro system include all that come in contact with the client and the manager of the unit or department.
    • Meso system: This level reflects a collection of micro systems, such as a Surgical Services Department including multiple units. The meso level aims to group and coordinate similar micro system levels of service.
    • Macro system: This level is a larger scale of groups and departments typically more at the administration level.
    • Nursing Hierarchy
      Nursing heirarchy
    • Macro Level: Vice President of Nursing Services
    • Potential Titles: Chief Nursing Officer, Vice President of Nursing, Director of Nursing Services.
    • Meso Level: Program Manager
    • Potential Titles: Department Head, Service Manager, Director.
    • Micro Level: Unit Manager
    • Potential Titles: Bedside Nurse, Unit Nurse, Unit Manager, Change Nurse.
    • Instructions
    • Research a healthcare organization and include their mission statement, vision, or philosophy in your memo.
    • Describe how the organization’s mission, vision, and philosophy influence the expectations of leaders at the three system levels: micro, meso, and macro.
    • Describe how nursing leaders in each of these levels of the organization’s operations address health care delivery goals.
    • Describe nurse leaders at the micro, meso, and macro level of the organization including a discussion of how these three levels may integrate to improve outcomes.
    • Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.