Fundamental project

1

Name of the student

Name of the Institution

Date of Submission

Introduction

A patient’s contacts with health care experts are many throughout time. Most of the time, patients feel better after such interactions because of the positive impact they have on their health. There are exceptions to the rule, however, due to a lack of support for medical personnel that allows them to provide the best possible treatment. The committee came up with this scenario to highlight some of the major issues that patients face while seeing a doctor, and to demonstrate the importance of the five key skills listed above in enhancing health care delivery. Rather than being a generalization, this story is designed to illustrate how a variety of factors might contribute to a bad meeting.

Question One

Drug Name Trade & generic name, dose, route & frequency	Pharmacological & therapeutic drug class & Expected action in the body	What medical diagnosis is your patient taking this drug for? How will it help them?	Side Effects & Adverse Reactions/ Complications/Top drug interactions	Nursing Administration Special Instructions and Assessments	Client Education Evaluation of Medication Effectiveness (e.g. Pain Scale)
– dosage: 5mg – route: rectally -frequency: 3 days daily – generic: Bisacodyl -Trade: Dulcolax (Gunnström et al., 2022).	– therapeutic: Fluid is altered that results in colon. fluid buildup	– T3 burst breakage: -the patient has agonized injury in the spinal cord, this will assist in colon clearing. – also the patient has a problem in his bladder and bowel . This medication aids in making the bowel soft when he is constipating.	-anxiety, memory loss, blurred vision, insomnia, depression, fatigue, dizziness, – interactions: no applicable drug interactions (Vallerand, 2021).	– check Blood pressure often. – evaluate intake and output ratios in the body.	– do not take the dose twice or skip the dose as prescribed. – if a dose is skipped it ought to be taken immediately and given a duration of 6 hours before the next dosage (Gunnström et al., 2022).
Trade: Gablofen, – route: Orally. – dose: 5mg -frequency: Daily4 times – generic: baclofen	– therapeutic: Muscle skeletal relaxant – contains impulses at the spine. Therapeutic effects: bladder and bowel purpose may also be enhanced (Gunnström et al., 2022).	The patient has a problem in his bowel and Bladder hence the medication may help mend his bowel and bladder function (Vallerand , 2020).	Side effects nasal congestion, insomnia, headache, hypotension, pruritus, and fatigue, – interactions: Hypnotics, Analgesics, and alcohol (Vallerand, 2020).	– Assess – Monitor patient closely during test dose. -preventive apparatus ought to be present for unendurable effects in the body (Gunnström et al., 2022).	– Advice the patient to take medication as prescribed. – instruct the patient to avoid continuous usage of alcohol while undergoing medication. (Vallerand, 2020).
Trade: Sertraline Dose: 100mg Frequency: Daily Generic: Zoloft	– therapeutic: pharmacologic: discerning serotonin reuptake inhibitors -Contains serotonin in the CNS hence Helping Serotonin activities. Therapeutic effects: decreased incidence of Panic attacks and Antidepressant Action (Vallerand, 2020).	-Patient lives alone and does not have close family members. -He has persistent painful damage which has made him became paralyzed from the abdomen downwards. Sertraline can assist him in lessening his depression and anxiety (Vallerand, 2020).	Side effects: nervousness, Suicidal thoughts, diabetes and agitation Interactions: Simultaneous use of alcohol is prohibited	– Monitor appetite and nutritional intake. – evaluate for serotonin syndrome, particularly in patients taking other serotonergic drugs – Evaluate for suicidal trends, specifically during therapy (Gunnström et al., 2022).	– Instruct client to take medication regularly without missing a dose. – Advise patient to consult the doctor if side effects persist. – emphasize on alcohol avoidance during therapy sections (Vallerand , 2020).
Route: orally Frequency: after every six hours Dosage: 5/325 -generic: hydrocodone -Trade: Anexsia Norco	– – therapeutic: allergy, cold, and cough remedies, opioid analgesic. – Therapeutic effects: -Decrease in rigorousness of pain and dominance of the cough reflex (Gunnström et al., 2022).	– Patient has a stage 3 pressure ulcer to his coccyx. The hydrocodone will assist in relieving pain in the body. -Hydrocodone is also an anticholinergic and could aid with his urine incontinence (Vallerand, 2020).	side effects -sedation, euphoria, hallucinations, diplopia, dyspepsia, – interactions: Use with benzodiazepines as alcohol may cause profound sedation leading to death (Vallerand, 2020).	– assess blood pressure before and periodically in the course of intake. – check the functioning of the bowel frequently (Vallerand, 2020).	– instruct patient on how and when to ask for and take pain medication. – recommend to the patient that hydrocodone is a drug to make him heal. – instruct patient to inform the doctor if pain persists. (Vallerand, 2020).
Frequency: after every three days Route: Taken Orally -Trade ProAmatine -Generic: Midodrine Dosage: 10mg	– therapeutic: vasopressor – pharmacologic: alpha-1 agonists -Stimulation of alpha1- adrenergic receptors in veins and arteries Therapeutic effects: -blood pressure and vascular tone increase (Vallerand 2020).	Paraplegia: -This prescription is used in the indicative monitoring of hypotension in impaired patients. -Urinary sickness this medicine can assist in preventing urinary incontinence (Vallerand, 2020).	Side effects – hypertension, dizziness, urinary urge, nervousness, and confusion -Drug interaction: Simultaneous use of alcohol (Vallerand, 2020).	– check the patients’ blood pressure oftenly. – analyse if the drug therapy is successful in the incidence of reducing hypotension – monitor and report signs of CNS toxicity – if the medication is used to Protect the Incontinence in the urine, evaluate the inconsistency to assist in determining if drug therapy is effective – evaluate for paresthesia (Gunnström et al., 2022).	– Ask the patient to report cases of side effects in the body (Gunnström et al., 2022).

Question Two

Labs and Diagnostic Tests

Baclofen may increase glucose levels and sertraline can cause hyperglycemia and diabetes mellitus. A CMP lab test might be considered in order to monitor glucose levels. Normal range would be 65-110 mg/dL if an abnormal finding is seen it could indicate pre-diabetes or diabetes for our client (Rasmussen University, 2021). A CBC could also be considered in this case in order to check his WBC due to his pressure ulcer. White blood cell normally ranges the count between 5,000 to 10,000 mm³ while an eminent white blood cell count ranges more than 11,000 which would indicate inflammation or invasive infection (Rasmussen University, 2021). Diagnostic test could be used to determine the level of depression experienced by the patient.

Most depressed people will score between 50 and 69, if he scores between this ranges he is at greater risk for depression (Gunnström et al., 2022). A CRP test could be ordered in order to determine the amount of CRP in the blood. If our patients CRP is persistently high following his surgery, it could indicate the presence of a postoperative infection.

Conclusion

A set of core competencies can help advance adherence to rules of a newly designed health care system as shown by the report which aims to provide patient-centered treatment, work in multidisciplinary teams, use evidence-based procedure, implement improvement activities, and utilize informatics. Finally, as the committee stresses, narrowing the quality gap can be realized at least in part by transforming health professions education.

References

Gunnström, M., Zdolsek, J. H., & Hahn, R. G. (2022). Plasma volume expansion and fluid kinetics of 20% albumin during general anesthesia and surgery lasting for more than 5 hours. Anesthesia & Analgesia, 134(6), 1270-1279.

Rasmussen University. (2021). Laboratory Values Resources.

Vallerand, A. H. (2020). Davis’s Drug Guide for Nurses (17th Edition). F. A. Davis Company.

FUNDAMENTALS COURSE PROJECT Fall 2022 (group)

Course Project Instructions

On week 2 or 3, you will be assigned a group and a case study. You will submit one paper as a group. Make sure all names are included on the paper. Your project will be submitted as a formal (APA) paper. You will submit this paper in three parts. Submit the whole paper (what is due) on the due dates. Everything must be typed and submitted in APA format. For example: on week 5, submit what is required (part 1); on week 7, submit what you already submitted on week 5
plus the completed sections that you added to the paper (part 1 and 2); and on week 10, you will submit the complete paper (parts 1, 2, and 3).

If you do not submit the project as a paper, you will be penalized 50% for each part
. Use the medication template and the nursing care plan templates on the course shell (upload into your paper). Note, I only grade what is due each week, I will not recheck an earlier submitted section for more points. I will attach the rubric and the project template for you to use

*Make sure you follow APA in your paper. ALL APA papers must include an introduction and a conclusion. You must use headings per APA. Cite ALL your sources. Start the reference page, adding to it for each successive part. Make sure it is alphabetized. Put the reference page at the end. Follow the grading rubric for more details. If your paper is not in correct APA format you will lose points.

Part 1 (Due Week 5): 10 Points

1.
Medications

Choose 5
primary medications that your patient is taking and complete the information below. Upload this table directly into your paper. The information included below should
directly relate to
your assigned case study client. Choose one medication (choose the most high risk) and complete a medication template.

Drug Name Trade & generic name, dose, route & frequency	Pharmacological & therapeutic drug class & Expected action in the body	What medical diagnosis is your patient taking this drug for? How will it help them?	Side Effects & Adverse Reactions/ Complications/Top drug interactions	Nursing Administration Special Instructions & Assessments	Client Education Evaluation of Medication Effectiveness (e.g. Pain Scale)
1.
2.
3.
4.
5.

LABS AND DIAGNOSTIC TESTS

Choose five labs or diagnostic tests that might be ordered for your case study client. Note normal results (Rasmussen lab values), expected abnormal values, and what that would signify for your client.

Part 1 (Due Week 5): 10 Points

Topic	Points
Medication summary is complete & detailed (5 meds).	5
Laboratory and/or diagnostic tests summary is complete & detailed (5 tests)	5

*Must include title page/reference page/citations or points will be deducted

I reserve the right to deduct any/all points if I hear a group member is not communicating/collaborating with the group. No individual papers will be accepted.

Part 2 DUE WEEK 7: 25 points

Health Assessment, Health History, and Nursing Diagnoses

In this second submission of your Course Project, you will be completing a health history, physical assessment and client interview and determining their nursing diagnoses. This written assignment should include the following:

1. Describe the medical diagnoses of your assigned client (you need to research it). Include the admitting diagnosis as number one and then four other medical diagnoses (for a total of 5). The admitting diagnosis is reason for being in the facility. If post-surgical, include surgery and reason for surgery. The secondary diagnoses include a history of pre-existing medical diagnoses). You need to include 4 secondary diagnoses. For each diagnosis, provide at least a 5-sentence explanation of the pathophysiology of the condition/problem. MAKE SURE YOU CITE YOUR SOURCES.

2. Write a detailed physical assessment and interview on your case study client. You will have to know what to expect in your client by using the information from #1 above and your case study. You will have to be creative.

3. 5 Nursing diagnoses (only the NDx, you will complete the careplan for week 10). Make sure they are in the correct format. If you give me only the label you will not get any points for nursing diagnoses.

Rubric for Part 2 (Due Week 7): 25 Points

Topic	Points
Medical history- describe the Pathophysiology of the admitting diagnosis & 4 secondary medical diagnoses (at least 5 sentences per diagnosis)	10
Head to Toe Assessment and client interview	10
Identify 5 priority NANDA nursing diagnoses written in correct format	5

*Must include title page/reference page/citations or points will be deducted

I reserve the right to deduct any/all points if I hear a group member is not communicating/collaborating with the group. No individual papers will be accepted.

Part 3 (Due Week 10): 35 points

Complete Plan of Care on your client (10 points)

In this third and final submission of your Course Project, you will be completing the comprehensive care plan. Include safety needs, special considerations regarding personal needs, cultural/spiritual implications, and needed health restoration, maintenance, and promotion.

This written assignment should include the following:

· Your Nursing diagnoses from Part 2 (use the table below)

· One short term goal and one long term goal per NDx

· Four Nursing interventions per NDx . .

· Prioritization per Maslow with an explanation and an expected evaluation. Make sure to include a teaching plan in your care plan. Upload the table below into your paper. Reflect on the following in your paper: Which of your nursing diagnoses are priority using Maslow’s Hierarchy of Needs? If you were to implement this plan of care, would you expect any of your short-term expected outcomes met during your shift? Explain. How might you revise your care plan next time to achieve at least one outcome during your shift?

Nursing Diagnoses Use your Assessment data to ID clinical problems	Expected Outcomes (S.M.A.R.T.) Specific, measurable, attainable, realistic, & time-oriented (ID a future time or date for reassessment/evaluation)	Nursing Interventions What can you, the nurse, do to reach the goal and improve the problem?
#1 R.T. A.E.B.	The patient will… Short-term goal: Long-term goal:	The nurse will… 1. 2. 3. 4.
#2 R.T. A.E.B.	Short-term goal: Long-term goal:	1. 2. 3. 4.
#3 R.T. A.E.B.	Short-term goal: Long-term goal:	1. 2. 3. 4.
#4 R.T. A.E.B.	Short-term goal: Long-term goal:	1. 2. 3. 4.
#5 R.T. A.E.B.	Short term goal Long term goal	1. 2. 3. 4.

Part 3 – (Due Week 10): 35 pts

Topic	Points
Complete Nursing Care plan following instructions above and prioritization using Maslow and how you would evaluate the plan of care	10
Presentation to clinical group (done individually – see below)	15
APA and Mechanics (for all 3 parts)	10

If you submit your part 2 and part 3 without the previous sections, you will be penalized 50%

I reserve the right to deduct any/all points if I hear a group member is not communicating/collaborating with the group. No individual papers will be accepted.

CLINICAL PRESENTATION (Will be done your last day of clinical – Online):15 points

Clinical presentations can be based on a topic of your choosing. All topics MUST be cleared with your clinical instructor. Presentations take place on the last day of clinical. You do not need to submit your clinical presentation to the main course shell (only submit to your clinical course shell).

Choose a topic you can cover well in about 10-15 minutes. Prepare! You must be well versed in your topic as you will get questions from your peers. The presentation should include at least 3 learning objectives included in an organized, thoughtful teaching presentation outline to hand out to your audience (can either be in outline format or a PPT outline). You will need a visual (such as PPT, Kahoot!, quizzes, handouts, etc.- cannot solely include a pre-made visual such as a YouTube video).

Develop an approximate timeline to organize yourself and to assure you cover your content and answer any questions within the time allowed. Be prepared for your presentation. Presenters will be randomly chosen; Please be ready when called to avoid losing points.

Clinical Presentation Grading Rubric: Topic Must be Cleared by Clinical Instructor. Points will be added to the gradebook for your didactic.

Presentation Outline (Includes 3 learning objectives, proper grammar & spelling, clear outline/easy to follow, visual and Reference list in APA)	5 points
Implications for Nursing (content must be related to nursing practice, include topics such as patient safety, nursing priorities, nursing interventions, etc.)	10 points