NEUTROPENIC SEPSIS ( PATIENT’S POST CHEMO)

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NEUTROPENIC SEPSIS ( PATIENT’S POST CHEMO)

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

PICOT format is a helpful approach for summarizing research questions that explore the effect of an intervention.

  • (P) – Population refers to the problem and the population that is effected.
  • (I) – Intervention refers to will be provided to solve or improve the problem
  • (C) – Comparison identifies what you plan on using as a reference to compare with your  intervention
  •  (O) – Outcome represents what result you plan on measuring to examine the effectiveness of your intervention
  •  (T) – Time describes the duration for your data collection.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing Practice

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

30.0 %Identification of Clinical Problem/Issue

30.0 %Clinical Problem/Issue, Including Description, Evidence-Based Solution, Nursing Intervention, Patient Care, Health Care Agency, and Nursing Practice

10.0 %PICOT Statement Focused on Resolution, Improvement, Application, and Intervention

10.0 %PICOT Statement Including Population, Intervention, Comparison, Outcomes, and Time

WE CAN USE SAME REFERENCES

Butcher, L. (2016). Stepping up against SEPSIS. H&HN: Hospitals & Health Networks, 90(1), 38-42.

Clarke, R., Bird, S., Kakuchi, I., Littlewood, T., & Hamel Parsons, V. (2015). The signs, symptoms and help-seeking experiences of neutropenic sepsis patients before they reach hospital: a qualitative study. Supportive Care in Cancer, 23(9), 2687-2694. doi:10.1007/s00520-015-2631-y

Ford, A., & Marshall, E. (2014). Neutropenic sepsis: a potentially life-threatening complication of chemotherapy. Clinical Medicine (London, England), 14(5), 538-542. doi:10.7861/clinmedicine.14-5-538

Knight, T., Ahn, S., Rice, T. W., & Cooksley, T. (2017). Acute Oncology Care: A narrative review of the acute management of neutropenic sepsis and immune-related toxicities of checkpoint inhibitors. European Journal of Internal Medicine, 4559-65. doi: 10.1016/j.ejim.2017.09.025

Raz, B. (2017). Neutropenic sepsis. Nursing Standard (Royal College of Nursing (Great Britain): 1987), 31(48), 64-65. doi:10.7748/ns.31.48.64. s47

Vossen, M. G., Milacek, C., & Thalhammer, F. (2018). Empirical antimicrobial treatment in haemato-/oncological patients with neutropenic sepsis. ESMO Open, 3(3), e000348. doi:10.1136/esmoopen-2018-000348

Wells, T., Thomas, C., Watt, D., Fountain, V., Tomlinson, M., & Hilman, S. (2015). Improvements in the management of neutropenic sepsis: lessons learned from a district general hospital. Clinical Medicine (London, England), 15(6), 526-530. doi:10.7861/clinmedicine.15-6-526

 

A 250-bed governmental hospital providing all medical care services except open heart and oncology services. There are 30 ICU beds and 10 ICU Pediatric beds. The number of outpatient clinics is 120 clinics distributed over 4-storey building.

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A 250-bed governmental hospital providing all medical care services except open heart and oncology services. There are 30 ICU beds and 10 ICU Pediatric beds. The number of outpatient clinics is 120 clinics distributed over 4-storey building.

The Board of the hospital requested a Health Consultant Company to assess the Quality of Services provided. The report submitted by the Consultant Company indicated the following issues:
1. The building of the hospital is old and it requires continuous maintenance;
2. Several of the diagnostic equipments including radiology and laboratory medicine are out of date and some are not working;
3. There is no well-developed Human Resources Department and all files of staff are not well-organized;
4. Information Technology Department is under-developed and it requires major improvement;
5. No Total Quality Management Department;
6. There are problems with staff satisfaction and retention;
7. Poor Parking facilities for outpatient areas;
8. Lack of biomedical preventive maintenance;
9. A lot of safety incompliance have been noticed;
10. The number of staff is more than 2500 with insufficient number of nursing staff.
You have been appointed to lead a Team to develop a Strategic Plan for the next 5 years to improve on the quality of care and the environment of the hospital to achieve CBAHI Accreditation Standards and to deal with all the issues raised by the report of the external consultant.
Answer the following questions in relation to above case:
1. Describe the membership of the individuals you need to have in your Team from the Hospital staff available.
2. Using SWOT analysis identify the Strengths Weaknesses Opportunities and Threats as part of the environment situational analysis for the above Hospital.
3. Based on your SWOT and future objectives of the Hospital suggest six (6) strategies that you have developed and used as part of the action plan to develop a strategic plan for the next 5-year for the above Hospital.
assignment 2
Case Study:
You have been appointed as an Acting Chairman of Performance Improvement Committee in a new 150-bed hospital. The number of staff of this new hospital includes 60 consultants 200 nurses and technicians 35 administration staff. A total of 300 patients are seen at the OPD clinics with an occupancy rate of 48% for inpatients.
Answer the following questions.
1. What are the main functions of your committee in relation to TQM program within the hospital?
2. Who are the expected members on your committee? List by function/department.
3. How frequently does your PIC have to meet?
4. With the aid of a diagram show the position of the TQM Department in the hospital organization chart?
5. How do you identify quality issues for the first 2 years of your quality activities within the hospital?

 

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Assignment

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Routes of administrations  of TamsulosinCommon side/adverse effects of TamsulosinSpecial considerations of TamsulosinCommon nursing interventions of TamsulosinPlease include references

 

Present a comprehensive discussion linking the health issues identified through a client assessment to the impact they have on the client and their level of function in the community setting. Order Details/Description

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Present a comprehensive discussion linking the health issues identified through a client assessment to the impact they have on the client and their level of function in the community setting.
Order Details/Description

The purpose of this essay is for students to present a comprehensive discussion linking the health issues identified through a client assessment to the impact they have on the client and their level of function in the community setting. It requires the student to prioritise the health issues and to show analysis of the complexity of care provision demonstrating critical reflection on practice.
Students are required to provide discussion and analysis of the relevant nursing care required providing evidence of wide reading.

1.Please follow the instruction, case scenario and marking criteria.

Please use journal article AND books to be reference ONLY. APA style.
The references must be within 5 years and Australian.
This is an essay. So please use essay style.
For example:

Introduction:

One paragraph

Body:

Three paragraph (Not limit)

Conclusion:

One paragraph

 

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How energy production or use affects your component of the plan, and how your component of the plan requires or affects energy use.

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How energy production or use affects your component of the plan, and how your component of the plan requires or affects energy use.

Write and submit a report, with a discussion section of about 5 pages of double-spaced text, and with images or diagrams, if appropriate, explaining how, in your opinion, the component of PlaNYC discussed in your assigned chapter should be implemented, with an emphasis on how it relates to energy. In addition to the 5- page discussion section, include a title page with your name, student ID, and the title of your assigned chapter. At the end of the report, include a page with a list of at least 3 references that you consulted in addition to PlaNYC, in order to develop ideas for your report.
The ideas you present in your discussion section may take into account how energy efficiency, sustainability, environmental effects, consumption, and production relate to the topic of your assigned chapter. It should consider how energy production or use affects your component of the plan, and how your component of the plan requires or affects energy use. Keep in mind the possible impacts that climate change may have on the functions discussed in your assigned chapter, and how these impacts can be mitigated.
Include, in your report:
 A title page with your name, ID, and the name of your assigned chapter
 Content (about 5 pages, double-spaced, of the following):
o an introductory abstract
o text
o diagrams, charts, or illustrations, if appropriate
o citations of references to facts within the discussion section (any clear format is OK)
 On an additional page: a List of References cited in the discussion section (at least 3 references in addition to PlaNYC). Any clear format for listing of the references is acceptable.
PlaNYC Chapters
Your report needs to be based on both your individually assigned chapter and the PlaNYC Energy chapter. Therefore, you need to consider, in your report, how your assigned chapter relates to issues that pertain to energy, and how you can improve upon the ideas presented by your assigned PlaNYC chapter.
Examples of How Energy Might Relate to Selected PlaNYC Chapters
How energy is needed in the implementation and for the sustainability of your assigned component of the plan
 Example: energy is needed for building and operating mass transportation systems.
 Processing of solid waste requires energy, but energy can also be derived from the waste.
 Energy is needed for sewage treatment along the waterways.
How environmental effects of energy production and use might relate to or impact your assigned component
 Example: In response to sea level rise caused by climate change, power plants could be moved to higher ground.
 Example: Burning of oil for heating buildings can affect air quality.
 Example: without proper regulation, fracking in upstate New York might impact the quality of
New York City’s water supply.
How efficient and sustainable energy use practices can be advanced by, or can be applied to applied
to, the implementation of your component of the plan.
 Example: Discouraging the development of high density housing and neighborhoods in low- lying areas, in favor of more elevated areas, would result in reduced need for rebuilding, which uses energy, after a major storm surge.
 Example: Parks and public space, such as the High Line, can encourage people to walk to destinations instead of using more energy-intensive modes of transportation.

 

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power point 43

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Create a twelve (12) to fifteen (15) slide PowerPoint in which you:

  1. Illustrate the concepts from your written report in Part I of this assignment.
  2. Create bulleted speaking notes for your presentation in the Notes section of the PowerPoint.
  3. Use a professional technically written style to graphically convey the information.

Your assignment must follow these formatting requirements:

  • Include a cover slide containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover slide and the reference slide are not included in the required assignment page length. Each slide should contain no more than five (5) bullets per slide. Speaker notes for each slide must be included. Speaker notes should be at least 150 words.

The specific course learning outcomes associated with this assignment are:

  • Analyze the formation and dynamics of group behavior and work teams, including the application of power in groups.
  • Outline various individual and group decision-making processes and key factors affecting these processes, including ethical considerations.
  • Examine the communication process, the primary conflict levels, and the process for negotiating resolutions within organizations.
  • Examine how power and influence empower and affect office politics, political interpretations, and political behavior.
  • Use technology and information resources to research issues in organizational behavior.
  • Write clearly and concisely about organizational behavior using proper writing mechanics.

 

This is a Collaborative Learning Community (CLC) assignment.

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This is a Collaborative Learning Community (CLC) assignment.Nursing theories are tested and systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Prepare a 10-15 slide PowerPoint in which you describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:Present an overview of the nursing theory. Provide evidence that demonstrates support for the model’s efficacy in nursing practice. Explain how the theory proves the conceptual model.Explain how the nursing theory incorporates the four metaparadigm concepts.Provide three evidence-based examples that demonstrate how the nursing theory supports nursing practice. Provide support and rationale for each.Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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.You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

 

Case Study-Advanced Patho Wk2

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An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans. In this Assignment, you examine a case study and analyze the symptoms presented. You identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health.To prepare:The Assignment (2-page case study analysis)Develop a 2-page case study analysis in which you:· Explain why you think the patient presented the symptoms described.· Identify the genes that may be associated with the development of the disease.· Explain the process of immunosuppression and the effect it has on body systems.Case study:A 49-year-old patient with rheumatoid arthritis comes into the clinic with a chief complaint of a fever. Patient’s current medications include atorvastatin 40 mg at night, methotrexate 10 mg po every Friday morning and prednisone 5 mg po qam. He states that he has had a fever up to 101 degrees F for about a week and admits to chills and sweats. He says he has had more fatigue than usual and reports some chest pain associated with coughing. He admits to having occasional episodes of hemoptysis. He works as a grain inspector at a large farm cooperative. After extensive work-up, the patient was diagnosed with Invasive aspergillosis.

 

business admin capstone assignment

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Choose an industry you have not yet written about in this course, and one publicly traded corporation within that industry. Research the company on its own Website, the public filings on the Securities and Exchange Commission EDGAR database (http://www.sec.gov/edgar.shtml), in the University’s online databases, and any other sources you can find. The annual report will often provide insights that can help address some of these questions.

Write a six 6 paper in which you:

  1. Analyze the business-level strategies for the corporation you chose to determine the business-level strategy you think is most important to the long-term success of the firm and whether or not you judge this to be a good choice. Justify your opinion.
  2. Analyze the corporate-level strategies for the corporation you chose to determine the corporate-level strategy you think is most important to the long-term success of the firm and whether or not you judge this to be a good choice. Justify your opinion.
  3. Analyze the competitive environment to determine the corporation’s most significant competitor.  Compare their strategies at each level and evaluate which company you think is most likely to be successful in the long term. Justify your choice.
  4. Determine whether your choice from Question 3 would differ in slow-cycle and fast-cycle markets.
  5. Use at least three (3) quality references. Note: Wikipedia and other Websites do not quality as academic resources.

 

length dogs tail inherited trait allele short tails dominant t over

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The length of a dog’s tail is an inherited trait. The allele for short tails is dominant (T) over the allele for long tails (t). A dog breeder mates two short-tailed dogs (parents). One parent is homozygous and the other is heterozygous for this trait. A litter of twelve puppies, all with short tails, is produced (first generation). The breeder mates one of the first generation dogs with a short-tailed dog from another litter. A litter of ten puppies is produced (second generation). The breeder is surprised when one of the second generation puppies has a long tail. Describe the genetic make-up of the parents and puppies that produced this inheritance pattern.