2023 Hello i need a Good and Positive Comment related with this argument A paragraph with no more 100 words

2023 Nursing P2

Hello i need a Good and Positive Comment related with this argument A paragraph with no more 100 words 2023

Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

 

Chinyere Ojiyi 

 

Mucormycosis (previously called zygomycosiss ) is a 
 life-threatening fungal infection that occurs in immunocompromised patients. 
These infections are becoming increasingly common, yet survival remains very 
 poor. Fungi of the order Mucorales are causes of mucormycosis, a 
 life-threatening fungal infection almost uniformly affecting immunocompromised 
 hosts in either developing or industrialized countries.

Mucor is mainly found in soil, digestive systems, plants   surfaces and rotting vegetable matter. It is a microbial genus of molds that   can cause infection to human  beings. Upon inhaling fungal spores from the environment, one can develop infections   in the lungs, sinuses, eyes as well as face. The 
 infection can be developed through cutaneous routes, the fungi can enter the   skin via cuts, scrapes, puncture wounds, or other forms of trauma to the skin. 
 In the hospitals this can happen through catheters and other invasive   procedures. It is noted that this infection is becoming more of a nosocomial   infection. Mucormycosis does not spread from person to person thus not   contagious. People suffering from diabetes, extensive burns, and 
 immunosuppression symptoms associated with AIDS and other afflictions, organ 
 transplants, or those who are intravenous drug users, appear to be most   susceptible to Mucor infections. 

The genus Mucor contains several species. The most common   ones are Mucor amphibiorum, M. circinelloides, M. hiemalis, M. indicus, M.  racemosus, and M. ramosissimus. To cause disease, the agents of mucormycosis   must scavenge from the host sufficient iron for growth, must evade host 
 phagocytic defense mechanisms. Mucor after gaining entrance to host, invades the 
 alveoli.  Then the  spores begins to   penetration into spaces between the cells before spreading to adjacent cells. With   fungi in the lungs, the patient’s body reacts by activating its immune system 
 resulting in an increase in leucocytes. The leakage of fluids from blood   vessels to alveoli results in pneumonia. 

With pneumonia we are looking at impaired airway and gas 
 exchange issues, so patient will benefit from oxygen therapy. Keep the head of 
 the bed elevated for better oxygenation and aspiration precaution.  Frequent monitoring of vital signs and oxygen   saturation should be initiated.  Assess patient   for pain and discomfort and treat as ordered. Initiate use of incentive   spirometer as soon as   possible to aid in the recovery of the lungs.

The abnormal lab values include WBC- 15,200/mm3-indicating   infection, PH of 7.50, PaO2 of 59mg, HCO3 of 29, and PaCO2 of 25 -indicated the   body is alkaline but partially compensated – through hyperventilation and   Lymphocytes 10%- the patient is immunocompromised.

It is now clear that iron metabolism plays a central role in 
 regulating mucormycosis infections and that deferoxamine predisposes patients 
 to mucormycosis by inappropriately supplying the fungus with iron. These 
 findings raise the possibility that iron chelator therapy may be useful to 
 treat the infection as long as the chelator does not inappropriately supply the 
 fungus with iron. Recent data support the concept that high-dose liposomal 
 amphotericin is the preferred monotherapy for mucormycosis.  These options include combination therapy   using lipid-based amphotericin with an echinocandin or with an azole (largely 
 itraconazole or posaconazole) or with all three. The underlying principles of   therapy for this disease remain rapid diagnosis, reversal of underlying   predisposition, and urgent surgical debridement.

Lipid formulations of Amphotericin B deoxycholate (LAmB) are 
 significantly less nephrotoxic and can safely be administered at higher doses 
 for a longer period (Spellberg, 2010).

Amphotericin B deoxycholate (AmB) has been effective in 
 treating mucormycosis and is more affordable than other drugs. Dosage is 1-1.5 
 mg/kg/d with a total of 2.5-3 g for the whole therapy.

Posaconazole 400 mg BID (total 800 mg/d). This has been 
 effective in those patients who fail treatment with Amphotericin B or used 
 conjunctively after the initial Amphotericin B treatment. 

It is also important to address the predisposing condition of  the   susceptible patient. Those with diabetic ketoacidosis need insulin, hydration,   and sodium bicarbonate to reverse the condition.  Colony stimulating factors for those with neutropenia.  Weaning  off immunosuppressive drugs can 

 help boost treatment. 

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2023 Read Chapters 5 6 and 7 in our textbook After reviewing this week s required reading consider the following scenario You

2023 Nursing For NJOSH only

Read Chapters 5 6 and 7 in our textbook After reviewing this week s required reading consider the following scenario You 2023

Read Chapters 5, 6, and 7 in our textbook. After reviewing this week’s required reading, consider the following scenario: You are the lead of the risk management team that has been assigned to evaluate an incident that has occurred. You will be preparing a report for the CEO of the hospital that includes all system failures that contributed to the adverse event as well as utilizing a CQI tool (pareto, fishbone, flowchart). You will be using the Adverse Event template document to complete the three parts to the assignment. Note: If you have responded substantively to each of the content items within the three parts of the assignment, the paper should be between six and seven pages.

Part One: Description of Adverse Event (Complete Part One of the Adverse Event template)

    Choose an adverse event from the following list:

    • Medication error
    • Patient falls
    • Post-operative hemorrhage
      • The number of Discharges indicates the total number of patients who have been admitted and discharged in the hospital
      • Using the data listed below for your selected adverse event only, analyze and describe what the data is telling you. Make sure to include the graph in your template document.
      • Data – Patient Safety Event for XYZ Hospital for the year 20XX through 20YY

 

                    # of Discharges         # of Surgical Cases            # of Medication Errors            # of Patient Falls            # of Post Operative Hemorrhage           
   20XX  20YY  20XX  20YY  20XX  20YY  20XX  20YY  20XX  20YY
Jan 
  1200 1400  200   240  300  350 38  35  1  3 
 Feb  1278  1450  213  250  289  370  42  40  1  2
 Mar  1389  1540  250  300  300  385  37  45  3  2
 Apr  1199  1800  200  245  289  412  36  65  2  3
 May  900  1768  159  289  215  404  40  70  1  3
 Jun  1000  1690  173  285  215  398  46  65  1  2
 Jul  1200  1100  215  200  278  246  50  45  2  1
 Aug  1239  978  240  158  301  241  53  40  2  3
 Sep  1000  1089  198  200  275  215  48  51  3  2
 Oct  789  978  150  248  241  251  38  52  2  1
 Nov  980  1000  175  209  230  231  42  47  2  1
 Dec  700  980  145  215  200  235  25  43  3  1

Note: The number of beds and operating rooms increased effective 1/1/20YY.

  • List the advent chosen and include background such as prevalence of the incident.
  • Describe the adverse event in detail. You can make-up the scenario on the event topic chosen from the list or you can research an actual story on one of the events and utilize it for this assignment.
  • List who was involved in the event and their role in the event.
  • List the stakeholders on your CQI team. Discuss the differences among the stakeholders that might cause issues when working as a CQI team. Include barriers to their communicating effectively as a team and the communication techniques/methods utilized to inform the organization’s staff of the adverse event improvement plan.
  • Describe at least two operational or safety processes that might not have been followed that contributed or caused this event to take place. For instance, describe any regulations or procedures that one of the professional organizations and/or accrediting agencies would utilize to measure compliance with the standard.
  • Summarize the historical and contemporary issues and legal implications related to patient safety in your chosen adverse event.
  • Describe how processes of continuous quality monitoring could impact the adverse event you chose.

Part Two: Graph & CQI Tool (Complete Part Two of the Adverse Event template) 
Graph the data

  • For your selected adverse event, graph the data for the two years. Include the graph in your template document. Include an analysis of the data. Determine if the frequency is increasing or decreasing. What is the data telling you? What factors could be attributed to the change?

Choose a CQI Tool that best suits your chosen Adverse Event from the following list:

  • Flowchart
  • Fishbone Diagram (Cause & Effect)
  • Pareto

Use the CQI Tool to illustrate the use of the tool with your chosen adverse event. You will be responsible for creating the CQI Tool, completing the tool, taking a screenshot, and copying/pasting the screenshot under the instructions in Part Two CQI Tool in the Adverse Event template.

Part Three: Future Prevention (Complete Part Three of the Adverse Event template) 
After describing the event in Part One, using a Graph and CQI tool in Part Two, apply the PDCA model to summarize the process and steps that your team would recommend to the CEO to prevent this adverse event from reoccurring. Make sure to include who (health care personnel) would be accountable at each step of the process. Complete the Explanation column in Part 3 of the Adverse Event template.
It is important to keep in mind that some processes require a checks and balance system. You will need to determine if one of the steps you are recommending would require a checks and balance step and why it is necessary. 

Paper requirements: 
The Adverse Event template document one completed must be six to seven pages in length (excluding title and references pages) and should demonstrate understanding of the reading assignments, class discussions, your own research, and the application of new knowledge. Excluding your textbook and course readings include a minimum of four scholarly, peer-reviewed sources. Two of these sources and must have been published within the past five years. An APA formatted reference page is required. Your responses within the document provided must be substantive, and include complete sentences in paragraph format, including citations per APA format

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2023 For this assignment use the same health care provider as in Assignment 1 Write a

2023 Nursing Will You Help???

For this assignment use the same health care provider as in Assignment 1 Write a 2023

For this assignment, use the same health care provider as in Assignment 1.

Write a four to six (4) page paper in which you:

  1. Determine the key characteristics of the users of the products and/or services of the health care provider you selected.
  2. Analyze the competitive environment of the health care provider you selected and recommend a course of action for strategic marketing success.
  3. Determine which tools of the marketing mix available to health care providers would be most effective for the health care provider you selected.
  4. Determine the best possible pricing strategy for at least one of the products or services offered by the health care provider you selected.
  5. Provide at least three (3) qualified sources, e.g., peer-reviewed journals, professional organization Website, or health care provider Websites.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required page length.

The specific course learning outcomes associated with this assignment are:

  • Analyze the competitive environment of a health services organization and identify a course of action that will allow for strategic marketing success.
  • Analyze the users of the health care system.
  • Describe the various tools of the marketing mix available to health care providers.
  • Use technology and information resources to research issues in health services marketing.
  • Write clearly and concisely about health services marketing using proper writing mechanics.

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 Question Course Title EMS Planing and Development Research Paper Topic Please select one of the topics below and prepare a well organized and thoughtful summary for your research paper The topic chosen should expand on what you are learning during this course Show how you understand the issues with life experiences from the EMS field Suggested topic from which you may choose include The Importance of Planning Note Show how

2023 Nursing Question:Course Title: EMS Planing and DevelopmentResearch Paper TopicPlease select one of the topics below and prepare a well organized and thoughtful summary for your research paper. The topic chosen should expand on what you are learning during this co

Question Course Title EMS Planing and Development Research Paper Topic Please select one of the topics below and prepare a well organized and thoughtful summary for your research paper The topic chosen should expand on what you are learning during this course Show how you understand the issues with life experiences from the EMS field Suggested topic from which you may choose include The Importance of Planning Note Show how 2023

Question:Course Title: EMS Planing and Development Research Paper Topic. Please select one of the topics below and prepare a well organized and thoughtful summary for your research paper. The topic chosen should expand on what you are learning during this course. Show how you understand the issues with life experiences from the EMS field. Suggested topic from which you may choose include: 

  •   The Importance of Planning
  • Note:  Show  how you understand the issues with life experiences from the EMS Field. 
  • Your summary should be not less than four pages, excluding the references. You are required to use at least your textbook as source material for your response. You many also use outside sources. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.

The application of the APA writing style shall be practical, functional, and appropriate to each academic level, with the primary purpose being the documentation (citation) of sources.

Course Textbook: 

Foster, D. T., Goertzen, B. J., Nollette, C., & Nollette, F. P. (2013). Emergency services leadership: A contemporary approach. Burlington, MA: Jones & Bartlett.

 

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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