The purpose of this assignment is to compare and contrast the current literature related to advanced nursing practice. And to relate this literature to my practice and the role of the palliative care nurse across clinical settings. In my current role as a pain nurse specialist‚ I am involved in the care and management of patients with intrathecal (IT) catheters mainly for patients with intractable cancer pain. Patients who have been tried and failed on escalating doses of various opiates‚ and continue
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Task 4: Implementing a Chosen Strategy AC4.1 Assess the roles and responsibilities of personnel who are directly involved in the strategy implementation for Premier Inn Strategic implementation processes with Premier Inn requires attention of all employees and managers at all levels because the implementation process has the potential to impact a range of duties and responsibilities‚ employees need to have a thorough understanding of their responsibilities during the process and afterward. For
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Acute Hepatitis B GNUR543 St. John Fisher College Mr. Wilson is a 47 year old man being evaluated for complaints of fatigue‚ anorexia and abdominal distention. On examination‚ it is noted that the skin is jaundiced and the liver enlarged. D.W. denies significant alcohol or drug use. He denies any known exposure to hepatitis and has never been vaccinated for hepatitis. He is taking no medication. Laboratory tests reveal the following and a diagnosis of acute hepatitis B is made: 1. Review
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Anemia August 11‚ 2011 (Kansas City‚ Missouri) — Taking less blood from acute-MI patients for diagnostic tests may improve patient outcomes by reducing the risk of hospital-acquired anemia‚ a new study published online August 8‚ 2011 in the Archives of Internal Medicine suggests [1]. Multiple studies have shown that hospital-acquired anemia is associated with greater mortality and worse health status in patients with acute MI‚ but the relationship between diagnostic phlebotomy and the risk of hospital-acquired
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Acute Lymphoblastic Leukemia results from a genetic or acquired injury to the genetic material (DNA) of a developing stem cell located in the bone marrow. It is not clear what causes the injury or mutation to take place‚ but a few factors that increase the risk of ALL include; previous cancer treatments‚ exposure to radiation‚ a genetic disorder‚ or having a sibling who has ALL. Most cases of ALL occur between 2 and 5 years of age‚ although it can have occurrences in older children and adults
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Acute Stress Response Michelle Miller Liberty University May 6‚ 2012 Abstract Acute stress disorder and post-traumatic disorder are related in many of their symptoms‚ however acute stress disorder happens immediately following a traumatic event and never lasts more than a month. Acute stress disorder also shows signs of dissociation‚ which is associated with daydreaming or spacing out. Post-traumatic stress disorder victims have similar symptoms to acute stress disorder; however the symptoms
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Unit 001 Outcome 1 Q3 Explain why it is important to observe an individual’s reactions when communicating with them A3 Because you want to make sure they understand you. Because you need to see their reaction if they miss anything or could not get the correct meaning. Observing the body language helps to understand if the other person understands you. By talking face to face you can see if the other person is interested or not. By talking to each other we
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Establishing Acute Pain Service Many hospitals have employed an acute pain service for nearly a decade‚ but for many hospitals in the United States this still is a new idea. What we’re seeing is a new modality in treatment and the way we approach it. An acute pain service (APS) primarily manages pain after traumatic injury or surgery. The basic aspects of an APS include standardization of analgesic techniques‚ increased pain monitoring and assessment‚ and the ability to respond to inadequate or
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Unit 022 Understand Child and Young Person Development Outcome 2 (1 - a‚b‚c‚d) Children and young peoples development can be influenced by a range of personal factors. If a child has a disability it may prevent the child from developing in one or more areas‚ they may feel excluded and maybe have not got enough support to promote development. If a child has learning difficulties they will struggle to develop as it may take them longer to understand different things
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Claim 2 Another trend that is happening in football recruiting is coaches refusing to allow committed prospects to take visits elsewhere. Most coaches end up taking away their scholarships. Texas and the likes of Michigan and Oregon are programs that institute a no visit policy for commits. Some coaches are front up with the players they recruit. Coaches install this policy to safeguard against the possibility that prospects may change their minds. I think coaches should allow these players to
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