Critically evaluate the nursing treatments/interventions provided over a one week period

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Task:
The student is required to present a case study and undertake a critical analysis of the chosen care.

You are required to:

Select a patient with CKD or ESCKD and address the following points for the chosen case:

Describe the presentation, biological, psychological and social aspects of the chosen case; (approx. 500 words)
Review current evidence in relation to the incidence and prevalence of CKD or ESCKD in both indigenous and non-indigenous Australians; (approx. 500 words)
Describe the anatomy and physiology of the chosen case’s primary renal condition; (approx. 500 words) and
Critically evaluate the nursing treatments/interventions provided over a one week period (i.e. if the person is on haemodialysis than you are required to follow the person over 3 HD treatments). This section is to include the nursing responsibilities in relation to observations, monitoring and measuring the patient’s response to nursing, medical and pharmacological interventions (this section is to be written in essay format and NOT as a table) (approx. 1500 words).

What does Chris and Mohammad at Ecohouse know about constructing a teaching facility anyway?’

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Chris and Mohammad are in their final year of a building and construction course at the University of Canberra. They decide to start a eco friendly building business, Ecohouse Pty Limited, which will be based on the UC campus’ business hub. Chris and Mohammad’s business plan is to use their connections with UC’s clubs and societies and Masters Builders connections through UC teaching staff to establish a client base and build a portfolio before they graduate. They will then be able to expand Ecohouse into the broader Canberra and interstate marketplace and launch their building and construction careers.

Ecohouse’s first job is organising, managing and building the construction of the new state of the art e-court for the Faculty of Business, Government & Law. The Faculty is particularly keen to support student enterprise, and the construction proceeds smoothly. Chris and Mohammad are able to use some photographs of the construction progress on their website, and also to promote both the Faculty and Ecohouse on Facebook and Twitter. Social media will be a key tool for Ecohouse’ promotion. Ecohouse is off to a flying start!

Shortly afterwards, Ecohouse is approached by Constructions of Canberra, to propmote, manage and construct the new UC teaching hospital. The UC turns the campus into an area of medical skills and building for an entire weekend.. Unfortunately, the display coincides with the ANU Teaching medical facilities open day. And the ANU medical society is not happy about it. Scheduling two such events on the same day appears to split Canberra’s interested patrons and parties with vested interest, resulting in lower turn out and ticket sales at both events.

Fortunately for Chris and Mohammad, the UC’s Ecohouse online marketing strategy is working the crowd is far bigger than anticipated. The ANU resorts to taking to Twitter to vent their displeasure, tweeting, “Chris at Ecohouse is a selfish bastard” and ‘What does Chris and Mohammad at Ecohouse know about constructing a teaching facility anyway?’

After the event, Chris and Mohammad post several photos from the event on the Facebook pages for Ecohouse and for UC. Not everyone is happy, however. Jenny, a long-time staff member of UC, is disturbed by a photo of herself posing with medical equipment whilst wearing a hard hat. Everyone knows Jenny is a show-off, and the photo was an ironic pose. She didn’t realise that it would end up on Facebook, tagged to her profile so that all her friends would see it. She is humiliated and angry.

A two page Letter to the Editor in response to concerns/reservations regarding nurse practitioner practice and participation in Patient Centered-Medical Home (PCMH) Programs expressed in a White Paper by the American Academy of Family Physicians (AAFP).

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A two page Letter to the Editor in response to concerns/reservations regarding nurse practitioner practice and participation in Patient Centered-Medical Home (PCMH) Programs expressed in a White Paper by the American Academy of Family Physicians (AAFP). The White Paper is entitled, “Ensuring a Quality, Physician-Led Team for Every Patient,” published in 2012 and is posted in Canvas under Content. This new approach to primary care is likely to be a major way that primary care is provided in the future; thus it is important that nurse practitioners be seen as major players in the PCMH movement.

The format for a Business Letter should be followed such as one might use when writing a letter applying for a nurse practitioner job or for entry into graduate school. Grammar/syntax must be appropriate (Merriam Webster online dictionary defines syntax as “the way in which words are put together to form phrases or sentences.” This must be no more than two pages, and single spaced as appropriate for a business letter.

What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?

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Let’s have a debate!!! Is nursing theory important to the nursing profession? If you believe that it is important, explain why it is useful. If you do not believe that it is useful, explain why nursing theory is not necessary to the profession? Be sure to provide an example that demonstrates your opinion and a scholarly reference (not using the required textbook or lesson) which supports your opinion.

The diversity movement suggests that there is strength in our differences and that our differences enhance each other. At the same time, the movement insists that our differences should not have economic, social, or political consequences. We are entitled to the same access to resources and opportunities regardless of our differences. The human suffering from Hurricane Katrina and the images of victims has stimulated the debate about differential access to resources.
Read the report Women in the Wake of the Storm: Examining the Post-Katrina Realities of the Women of New Orleans and the Gulf Coast. On the basis of your reading, create a report, answering the following:
• Discuss the prominent dimensions of diversity revealed as a result of the Hurricane Katrina disaster.
• Discuss factors that specifically influenced women’s vulnerability to Hurricane Katrina. While answering, consider the primary dimensions mentioned in the lectures as well as the secondary dimensions such as parental and marital status, income, educational level, military experience, geographic location, work background, and religious beliefs.
• Describe the implications for healthcare organizations as a result of the disaster.
• Discuss at least of two of the policy implications that are outlined in the report. If you were given the task to add another policy recommendation what would it be and why?

Medical Indications: The Principles of Beneficence and Nonmaleficence
1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?
2. What are the goals of treatment?
3. In what circumstances are medical treatments not indicated?
4. What are the probabilities of success of various treatment options?
5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?
Patient Preferences: The Principle of Respect for Autonomy
1. Has the patient been informed of benefits and risks, understood this information, and given consent?
2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?
3. If mentally capable, what preferences about treatment is the patient stating?
4. If incapacitated, has the patient expressed prior preferences?
5. Who is the appropriate surrogate to make decisions for the incapacitated patient?
6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?
Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy
1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?
2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?
3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?
4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?
5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?
6. What are plans and rationale to forgo life-sustaining treatment?
7. What is the legal and ethical status of suicide?
Contextual Features: The Principles of Justice and Fairness
1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?
2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?
3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?
4. Are there financial factors that create conflicts of interest in clinical decisions?
5. Are there problems of allocation of scarce health resources that might affect clinical decisions?
6. Are there religious issues that might influence clinical decisions?
7. What are the legal issues that might affect clinical decisions?
8. Are there considerations of clinical research and education that might affect clinical decisions?
9. Are there issues of public health and safety that affect clinical decisions?
10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?