week 4 task 2 1 – www.savvyessaywriters.net

week 4 task 2 1 – www.savvyessaywriters.net

 

Complete a posting for each article that is attached, the postings needs to be 100 words or more. The articles are attached in print

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Ted Alexander Case study – Savvy Essay Writers | savvyessaywriters.net

Ted Alexander Case study – Savvy Essay Writers | savvyessaywriters.net

Read the case study on Ted Alexander.

Ted Alexander Case study

Mr. Ted Alexander, a 50 year old white divorced salesman from Las Vegas, was on a business trip to Atlantic City when he developed pain in the right lower abdominal quadrant.  He took Alka –Seltzer with little relief, and the pain persisted for the next two days.  He was busy with appointments during the day and evening and was able to ignore the pain.  He ate very little and took two sleeping pills at night.  On the afternoon of the third day, the pain became much more intense, and when it continued for several hours and he began to vomit repeatedly, he went to the emergency department.

Physical examination and laboratory data at this time revealed an alert, well-groomed male with generalized abdominal tenderness, rigidity of the abdominal wall, presence of a palpable mass in the right inguinal area, absent bowel sounds, and a WBC of 20,000/mm’ (normal = 5000-9000).  The diagnosis of ruptured appendix was made.  He was admitted to the hospital for initial medical management, with surgery anticipated at a later date.

Your examination of the patient reveals the following: B/P = 140/80, P=116, Resp=26 and temp 101.2.  The patient indicates that he is 6 ft. 2 inches tall and weighs 196 lbs.  He is alert and oriented and states, “My gut is killing me.” His skin is warm to the touch and slightly diaphoretic.  The patient states that he had been a heavy drinker for 15 years and was admitted to the hospital with cirrhosis two years ago by his family doctor, Dr. Manland, but has never had surgery.  He denies drinking for the past two years but smokes two packs of cigarettes daily.

Mr. Alexander is tense throughout your conversation and shares a number of concerns with you, including his separation from his two teenage children who live with him.  He is also anxious about being cared for by an unfamiliar physician.  The ED Nurse indicates that he wears contact lenses and is concerned because he has left his case and supplies as well as his glasses in his hotel.  He gives you $750 in cash and traveler’s checks to deposit in the hospital safe.  He has a partial lower plate of dentures and caps on his four front teeth.  Further inquiry reveals that the patient prefers a low-fat diet, occasionally uses laxatives, and has had several occurrences of urinary urgency and nocturia in the last six months.

The physician states that his treatment plan includes gastric suction, antibiotics and IV fluid therapy with electrolytes and vitamins until the patient is stabilized enough for exploratory surgery.  Mr. Alexander agrees to this plan but is concerned about his job demands and wonders how he will deal with “getting back home when all of this is over.”

Using the assessment sheet below, complete an assessment of Mr. Alexander.

Client Assessment Tool – Orem

Basic conditioning factors

Age ______________             health state _______________

Sociocultural orientation __________________       Health system _________________

Patterns of living _______________________________

Environment _________________________            Resources _____________________

Universal Self-care Requisites

Air

Water

Food

Elimination

Activity/rest

Solitude/social interaction

Prevention of hazards

Promotion of normalcy

Developmental self-care requisites

Prevention/mgt of condition threatening

Health deviation self-care requisites

Seeking medical attention when health status altered

Awareness/mgt of disease process

Awareness of potential problems associated with regimen

Modification of self-image to incorporate changes in health status

Adjustment of lifestyle to accommodate changes in health

Now consider, how time efficient is this model?

Did you assess anything using the model that you wouldn’t have assessed using your usual method?

Are there patients that you don’t think this model would work well for?  Who?

 

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Develop a PowerPoint slideshow consisting of 8-15 slides. Include the following. Title slide, written speaker notes, and Reference slide

Directions

  1. Develop a PowerPoint slideshow consisting of 8-15 slides. Include the following. Title slide, written speaker notes, and Reference slide. Do not use Voice Over recordings. All information needs to be written in slides and speaker notes. No information in comment section will be graded.
  2. You are required to complete the assignment using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.pptx” format. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). Click on the envelope at the top of the page.
  3. As the leader, you have identified a problem or issue related to one of the National Patient Safety Goals 2019 created by the Joint Commission that will lead to quality improvement. You will find the National Patient Safety Goals using this link: https://www.jointcommission.org/assets/1/6/2019_HAP_NPSGs_final2.pdf.  (Links to an external site.)Assess the problem or issue. State the problem/issue and identify three rationales (reasons) that the problem exists. References are used. Scholarly articles must be published within the last 5 years, peer-reviewed, from the Chamberlain library only and must provide the permalink
  4. Review the information provided in our library on how to search for journal articles (Links to an external site.).
  5. Review the information provided in the library on how to locate and copy a journal permalink (Links to an external site.). (Links to an external site.)
  6. Assess the problem or issue. State the problem/issue and identify three rationales (reasons) that the problem exists. References are used.
  7. Determine the people who are involved in the issue and explain three reasons as to how their role will contribute to the problem or issue solution.
  8. Identify three solutions and discuss the purpose, cost and desired outcome.
  9. Pick one solution to share with the director and discuss why this solution was chosen over the others. Use a scholarly reference.
  10. Make an action plan to share the solution with the director and staff.
  11. Summarize issue, plan and desired outcome and purpose for quality improvement on slide.
  12. Reflect on your learning and value of doing the assignment.
  13. Include written speaker notes for all slides except title slide and reference slide.
  14. Submit your PowerPoint slideshow by 11:59 p.m. MT, Sunday, end of Week 6.

Best Practices in Preparing PowerPoint Presentations

The following are best practices in preparing this presentation.

  • Be creative.
  • Incorporate graphics, clip art, or photographs to increase interest.
  • Make easy to read with short bullet points and large font.
  • Review directions thoroughly.
  • Proofread prior to final submission.
  • Spell check for spelling and grammar errors prior to final submission.
  • Abide by the Chamberlain academic integrity policy.

Reminder

Before preparing your assignment, please review this Crediting Sources Made Simple (Links to an external site.) resource. This tool is intended to help you understand scholarly writing, APA, referencing, and crediting. Please reach out to your instructor with any questions as you prepare your assignment.

**Academic Integrity**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page

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