After an incident where a patient developed a life-threatening staph infection following surgery at the hospital, a negligence lawsuit was filed against Bright Road Health System. As the Hospital Administrator, the student will gather information about the incident from the parties involved, and work with Bright Road’s General Counsel to determine the Hospital’s liability. The student will need to consider:
Whether a duty to care was established
Whether the duty was breached
Whether there was an injury
Whether the cause of the patient’s injury was due to negligence
Whether the concept of respondeat superior applies in the case
Whether to file an indemnification against any of the staff members involved
The student will then submit an analysis to Bright Road’s General Counsel, with their thoughts regarding the hospital’s liability.
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In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.
The assignment will be used to develop a written implementation plan.
For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
THE ASSIGNMENT IS TO FILL OUT THE ATTACHED TABLE USING EIGHT ARTICLES ATTACHED
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1. Assist with coordination of care for clients with musculoskeletal disorders.
2. Enhance understanding of the nursing process in coordinating care for a client.
Course Competency
· Explain components of multidimensional nursing care for clients with musculoskeletal disorders.
· Select appropriate nursing interventions when providing multidimensional care to clients experiencing alterations in mobility
Instructions
For this assignment you will pick a musculoskeletal disorder ( Osteoporosis ).
Develop a care map using the template directly after these instructions. For this assignment, include the following: assessment and data collection (including disease process, common lab work/diagnostics, subjective, objective, and health history data), three NANDA-I approved nursing diagnosis, one SMART goal for each nursing diagnosis, and two nursing interventions with rationale for each SMART goal for a client with a musculoskeletal disorder.
Use at least FOUR scholarly sources to support your care map. Be sure to cite your sources in-text and on a reference, page using APA format.
USED THE MAP FORMAT BELOW FOR THIS ASSISGNMENT
WRITE FROM NURSE PERSPECTIVE
NO CONSIDERATION FOR PLAGIARISM
DUE 8/7/2021
AssessmentandData Collection
Three NANDA-I Approved Nursing Diagnosis
One Smart Goal for EACH Nursing Diagnosis
Two Nursing Interventions with Rationale for EACH Nursing Diagnosis
Disease Process (short description of patho of disorder- cite this- do not copy and paste):Rheumatoid arthritis is an autoimmune process affecting synovial joints. It is chronic and systemic, causing inflammation and permanent joint damage (Ignatavicius et al., 2018)Common Labwork/Diagnostics:Labs:Rheumatoid factorANAESRAlbumin (Ignatavicius et al., 2018)Diagnostics:XraysArthrocentesis (Ignatavicius et al., 2018)Assessment Data (consider subjective, objective, and heath history):Subjective: joint pain, anorexia, fatigue, painful stiff joints (Ignatavicius et al., 2018)Objective: redness in joints, deformed joints, physical limitations, decreased mobility (Ignatavicius et al., 2018)
Nursing Diagnosis: Disturbed body image r/t alteration in body function AEB painful, deformed hand joints.Nursing Diagnosis:Nursing Diagnosis
SMART Goal: Patient will verbalize physical changes without making disparaging comments by 5/5SMART Goal:SMART Goal:
1. Intervention: Provide emotional support and encourage patientRationale: With deformed joints, this will improve patients self -concept (Phelps, 2021)2. Intervention Involve patient in planningRationale : This will increase patient compliance with activities to the best of their ability(Phelps, 2021)1.2.1.2.
3.
Module 05 Assignment – Designing a Care Map Rubric
Total Assessment Points – 65
Levels of Achievement
Criteria
Emerging
Competence
Proficiency
Mastery
Assessment / Data Collection(10 Pts)
Lacks basic factors of the disease process, common labs, diagnostic tests, and subjective, objective, and health history data.Failure to submit Assessment/Data Collection will result in zero points for this criterion.
Briefly identifies the factors including the disease process, common labs, diagnostic tests, and subjective, objective, and health history data.
Clearly identifies the factors including the disease process, common labs, and diagnostic tests, and subjective, objective, and health history data.
Thoroughly identifies all factors including the disease process, common labs, diagnostic tests, and subjective, objective, and health history data with a deep understanding.
Points – 7
Points – 8
Points – 9
Points – 10
Nursing Diagnosis (should fit the data)(10 Pts)
Nursing diagnoses are insufficient and/or do not fit the data.Failure to submit Nursing Diagnosis will result in zero points for this criterion.
Writes ONE NANDA-I approved nursing diagnosis in the correct format (including related to/as evidenced by) with a strong connection to identified data.
Writes TWO NANDA-I approved nursing diagnoses in the correct format (including related to/as evidenced by) with a strong connection to identified data.
Writes THREE NANDA-I approved nursing diagnoses in the correct format (including related to/as evidenced by) with a strong connection to identified data.
Points – 7
Points – 8
Points – 9
Points – 10
SMART Goal (should reflect the diagnosis and follow guidelines)(15 Pts)
The goals meet few SMART goal guidelines and/or are not related to the nursing diagnoses.Failure to submit SMART goals will result in zero points for this criterion.
Writes ONE goal for ONE nursing diagnosis and the goal meets all the SMART goal guidelines and are related to the nursing diagnosis.
Writes ONE goal for TWO nursing diagnoses and the goals meet all the SMART goal guidelines and are related to the nursing diagnoses.
Writes ONE goal for THREE nursing diagnoses and the goals meet all the SMART goal guidelines and are related to the nursing diagnoses.
Points – 11
Points – 12
Points – 13
Points – 15
Interventions and Rationale(20 Pts)
Lacks appropriate interventions and rationale to assist the client in resolving the issues leading to the problem.Failure to submit Interventions and Rationale will result in zero points for this criterion.
Writes 3 interventions with rationale to assist the client in resolving the issues leading to the problem with appropriate references.
Writes 5 interventions with rationale to assist the client in resolving the issues leading to the problem with appropriate references.
Writes more than 5 interventions with rationale to assist the client in resolving the issues leading to the problem with appropriate references.
Points – 15
Points – 16
Points – 18
Points –20
APA Citation(5 Pts)
APA in-text citations and references are missing.
Attempted to use APA in-text citations and references.
APA in-text citations and references are used with few errors.
APA in-text citations and references are used correctly.
Points- 2
Points- 3
Points- 4
Points- 5
Spelling and Grammar(5 Pts)
Numerous spelling and grammar errors, which detract from the audience’s ability to comprehend material.
Some spelling and grammar errors, which detract from the audience’s ability to comprehend material.
Take one component in the Metaparadigm of Nursing, identify and discuss the concept or concepts of Watson’s Theory of Caring that support that Watson wrote a theory of nursing based on the criteria established in the Metaparadigm of Nursing.
Expectations
Initial Post:Length: A minimum of 250 words, not including references
Citations: At least one high-level scholarly reference in APA from within the last 5 years
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Instructions: Carefully read, summarize, and appraise your group’s assigned article. The discussion board for this week should cover the following concepts in order to have a complete draft by the end of the week. Apply the concepts discussed in the lecture and the readings. As you provide input to your peers, be sure to state a rationale for your claims.
Identify and discuss the following:
dependent variable(s) and the instrument(s) used to measure them.
how the data for the dependent variable(s) were collected.
the intervention and procedures for delivering it.
the key results for the study, including any p-values, reported.
the conclusions the researchers drew.
Appraise and debate the quality of the data collection methods and determine whether the conclusions of the study were supported by the statistical results. Consider the following questions:
Were the measurement instruments reliable and valid? Why or why not?
Was treatment fidelity for the intervention ensured? Why or why not?
Were the conclusions of the study were supported by the statistical results, as indicated by the variable values and the p-values if reported?
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Topic: Physiology and Treatment of Depression Anxiety
According to the Anxiety and Depression Association of America, over 20% of Americans are diagnosed with anxiety and/or depression (2018). As you earn about the nervous system use these two common disorders to help gain an understanding of basic nerve function.
For your assignment choose either depression or anxiety and answer the following questions. Remember to use your own words when explaining these concepts.
· How does depression/anxiety affect neurotransmitters?
· How does depression/anxiety affect synapses?
· How does depression/anxiety affect neuron function?
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Mrs. J is admitted to the emergency department with a diagnosis of congestive heart failure. She was discharged from the hospital 10 days ago and comes in today stating, “I just had to come to the hospital today because I can’t catch my breath and my legs are swollen.” After further questioning, you learn that Mrs. J is strictly following the fluid and salt restriction ordered during her last hospital admission. Mrs. J reports gaining 1 to 2 pounds every day since her discharge.
USE FORMAT OF MAP TO COMPLETE THE YOUR ASSISGEMNT
Concept Map:
Identify two (2) priority nursing diagnoses for Mrs. J and develop a concept map to illustrate them (see example below).
Primary Medical Diagnosis:
· Congestive Heart Failure
Prioritized Nursing Dx# 2
· Fluid Volume Excess r/t fluid retention as evidenced by swelling
Prioritized Nursing Dx# 6
·
Prioritized Nursing Dx# 5
·
Prioritized Nursing Dx# 3
·
Prioritized Nursing Dx# 1
· Impaired Gas Exchange r/t fluid overload as evidenced by shortness of breath
Prioritized Nursing Dx# 4
·
Nursing Plan of Care
For each of the priority nursing diagnoses, establish one (1) goal. For each goal create two (2) nursing interventions.
Prioritized Nursing Diagnoses
Goal
Nursing Interventions
1. Ineffective Gas Exchange
Pt will maintain oxygen saturations greater than 95% during my shift
1. Give oxygen as ordered2. Monitor clients oxygen saturations
2. Fluid Volume Excess
Pt will have decreased swelling in extremities by the end of my shift.
1. Administer diuretic as ordered2. Monitor Intake and Output
Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
Summary of community assessment: (a) funding sources and (b) partnerships.
Summary of interview with community health/public health provider.
Identification of an issue that is lacking or an opportunity for health promotion.
A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.
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Instructions: Carefully read, summarize, and appraise your group’s assigned article. The discussion board for this week should cover the following concepts in order to have a complete draft by the end of the week. Apply the concepts discussed in the lecture and the readings. As you provide input to your peers, be sure to state a rationale for your claims.
Identify and discuss the following:
dependent variable(s) and the instrument(s) used to measure them.
how the data for the dependent variable(s) were collected.
the intervention and procedures for delivering it.
the key results for the study, including any p-values, reported.
the conclusions the researchers drew.
Appraise and debate the quality of the data collection methods and determine whether the conclusions of the study were supported by the statistical results. Consider the following questions:
Were the measurement instruments reliable and valid? Why or why not?
Was treatment fidelity for the intervention ensured? Why or why not?
Were the conclusions of the study were supported by the statistical results, as indicated by the variable values and the p-values if reported?
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Select any example of a visualization or infographic, maybe your own work or that of others. The task is to undertake a deep, detailed ‘forensic’ like assessment of the design choices made across each of the five layers of the chosen visualization’s anatomy. In each case your assessment is only concerned with one design layer at a time.For this task, take a close look at the annotation choices: Label each of the 4 sections in your document
Start by identifying all the annotation features deployed, listing them under the headers of either project or chart annotation
How suitable are the choices and deployment of these annotation features? If they are not, what do you think they should have been?
Go through the set of ‘Influencing factors’ from the latter section of the book’s chapter to help shape your assessment and to possibly inform how you might tackle this design layer differently
Also, considering the range of potential annotation features, what would you do differently or additionally?
Submit a two-page document answering all of the questions above. Be sure to show the visualization first and then thoroughly answer the above questions. Ensure that there are at least two-peer reviewed sources utilized this week to support your work.
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Start by identifying all the annotation features deployed, listing them under the headers of either project or chart annotation