RTT1 Task 1 Shirley Krussel Western Governor ’s University December 12‚ 2014 RTT1 Task 1 The National Database of Nursing Quality Indicators (NDNQI) established by the American Nurses Association (ANA)‚ provides reports on how care‚ specifically provided by nurses‚ affects patient outcomes. Based on these reports‚ the ANA has developed a national set of nursing sensitive indicators that measure the process of care‚ the structure of care‚ and patient- focused outcomes in a health care setting.
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Joan is an 89-year-old woman who lives at a nursery home. It has been noted that she has poor thinking skills. Her memory is lacking on recent event and appears disoriented. She often says she does not know where she is. She has a rambling speech that is hard to understand and difficulty writing. The nurses said it progress throughout the day and fluctuates for the past few days. It is clear that Joan has Delirium. Two symptoms that are major criteria for this disorder are the poor thinking skills
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Q 1: Diabetes is the worldwide fastest increasing chronic disease. Aboriginal and Torres Strait Islander Australians have very high levels of diabetes. According to Australian Indigenous health info net (2016)‚ ATSI Australians have three times more likely to have diabetes compared to non-Indigenous Australians. Specifically‚ the number affect from diabetes in ATSI females are twice than non-Indigenous females. Diabetes can cause several serious health issues such as cardiovascular disease and
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1. What are her risk factors for developing a VTE? (Identify all factors.) Her risk factors for VTE are her 72 years of age‚ diagnose of cholangiocarcinoma‚ her recent post proximal bile duct open laparotomy‚ extended right hepatectomy with portal vein resection and reconstruction‚ radical bile duct resection‚ hepaticojejunostomy and cholecystectomy surgery‚ gemcitabine therapy‚ pain and leg swelling x 2 weeks‚ 15-pound weight gain‚ difficulty with breathing‚ feeling weak‚ debilitated and multiple
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Tara is a 32yo‚ G3 P2002‚ who is currently 22 weeks 2 days. She follows in the High Risk Obstetrical Clinic secondary to a history of chronic HTN. She also has a history of preeclampsia in both her prior pregnancies. She reports that her high BP developed in her 1st pregnancy. Around 2 years later she had a stroke that she reportedly thinks was related to uncontrolled HTN. There has been some question in her history about a thrombophilia specifically factor V Leiden‚ although we do have a negative
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Mary and Jason‚ As you both know I’m working at RLC tonight and I just had a question/suggestion on charting‚ like we do on the floor. I like to believe that if the CNA’s could chart on CPSI (ADL) things wouldn’t get overlooked like Incontinency. Like resident in room 216-2 is incontinent during the night but not on days‚ the other aids and some nurses had no idea that this was a thing. It would help reduce fall risks by having the aid chart safety every time they go in a room. To assure that
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Patient X’s doctor has been trying to convince him to practice better lifestyle habits to for several years to help combat his hypertension (on antihypertensive medication for 3 years)‚ diabetes (6 years) and growing waistline. A recent routine check-up revealed a deterioration of his lipid profile (TC 260‚ TG 310‚ HDL 29‚ LDL 170) and fasting glucose of 172. Patient X is 55 years old‚ weighs 245 lbs and he is 5’10 . 1) Hypertension: Weight control to lower the risks associated with hypertension
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Do assessment on Susan’s living environment and avoid any physical barriers‚ especially on the floor. Rationale: It is necessary to keep the living environment safe and tidy to Susan away from walking obstacles such as furnitures and household utensils‚ which will increase the risk of falling to Susan and resulting in hip dislocation due to flexing hip. Susan must not lean forward and downward over 90 degrees and avoid high risk position. Rationale: According to “the 90-degree rule”‚ patient who
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Asthma effects over 2 million Americans and presents in various forms depending on the individual’s number of events (Woo & Wynne‚ 2011). Classification of the frequency of one’s symptoms and use of medications indicate the level of control one has of their asthma. S.E.’s documented history of “mild persistent” asthma and presentation of symptoms requiring the use an albuterol inhaler daily‚ in addition to hospitalization twice in a year and frequent emergency department visits (ED) identify asthma
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As a future adult/gerontology nurse practitioner (AGNP)‚ my role will be focusing on helping patients to manage chronic illnesses‚ illness prevention‚ and health promotion. In addition‚ The AGNP collaborate with other health care providers such as physicians and specialist to better manage and treat patient illness. The problem am really interested in researching is catheter-associated urinary tract infections (CAUTIs) in older adults. Working as a registered nurse in a medical/surgical unit I have
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