Nursing Care Plan, Communication and Cultural Competency.

 

This is a 3 part paper. They do not need to be linked together.Part 1 is a nursing care plan (1500 words) in an essay format.Part 2 (2000 words) is a separate case study that need to be in an essay formatand answer each question with headings. Below are some of the things the writer needs to address (these are not the actual questions but a guide as to what the content requires):-Skills in being able to communicate in appropriate language the pathophysiology behind presenting symptoms to patients and their family;-Demonstrate knowledge of the significance of pathology results and vital signs for a given disease;-Demonstrate an appreciation of the purposes of selected medications and;-Indicate an understanding of the common side effects and potential drug interactions involving these medications.Part 3 (2000 words) can be done in an essay format. Each Part can be dedicated a minimum of 10 references.The order needs to use AUSTRALIAN based statistics.This is an Australian based paper so information about demographics/statistics from other countries hold little to no merit.- REFERENCING.Information provided on how to structure and style the referencing for this order:Referencing: Author-Date (Harvard) found at:http://uow.libguides.com/refcite/uowharvardBe minded that this order requires absolute, strict adherence to the referencing format/style dictated by : http://uow.libguides.com/refcite/uowharvardWhen including sources, navigate through the URL in relation to the type of source. Every comma, full stop, italicised entry, inverted commas, capital and small letters matters in these paper.- No references older than 10 years (2007) from the date of order.- All references need to be readily accessible, i.e I should be able to cross reference entire journals, its pages (not abstracts).- Support every statement with a reference. Every sentence, unless already expressly linked to a reference must be supported with an in-text reference and a corresponding reference in the reference list.- ALL Intext references must have the page numbers/range. ALL reference in the reference list needs to show this also.- For JOURNALS: Capitalise all first letters of the main words in the Journal Title (not ‘and’ ‘of’ ‘in’ etc.), The title of the article is in quotes, The title of the journal is in italics. The volume number and Issue number need to be typed as “vol. 1” and “No. 1” respectively.- All online sources need to follow the proper referencing format shown in the URL above. (Especially when including dates and URL links. See “Referencing: Online sources” at http://uow.libguides.com/refcite/uowharvard-web for more information).- No jargons or advanced medical jargon to be used unless it is followed by a layman explanation.- Avoid the use of “should” such as “the nurse should”. Avoid the use of “he/she”, refer to “the patient” or the patient’s name.PART ONE: Care plan for person with history of an upper gastrointestinal bleed.This is a nursing care plan report. No tables are to be used. This part has 2 scenarios, the first one is a back story about the patient and the “Immediate Scenario” is what this part is actually based on. (The first one is purely for additional information).SCENARIO (Back story):Mr Barker is a 48-year-oldmale with a history of a myocardial infarction (STEMI) 4 months ago. He was discharged home on the following medications: aspirin 100mg daily, prasugrel 10mg daily, Atorvastatin 40mg daily, Metoprolol 50mg bd. He is an ex-smoker, before his MI he smoked 15 cigarettes per day, he admits to drinking 3 units of alcohol (red wine) every night.For the past two weeks Mr Barker has complained of vagueepigastric pain,he has felt nauseated and complained of indigestion which was worse at night and burning in nature.During the night Mr Barker complains of lower abdominal pain and an urgency to move his bowels, early in the morninghis partner notices he has been missing from the bed for some time. When she checks the bathroom she finds Mr Barker slumped on the toilet. He was cool, pale and sweaty but rousable. There was faecal matter in the toilet mixed with a large volume of frank blood.Mr Barker is brought to the ED by paramedics, on arrival his vital signs are:BP 67/36Heart rate 110bpmTemp 35.1SpO2 89% on room airRespiratory rate of 29 breaths per minute.GCS 14 – Eyes open to voice.The paramedics have commenced IV fluids and the medical team urgently assesses Mr Barker, fluid resuscitation is commenced and Mr Barker is taken for an urgent endoscopy. During the endoscopy Mr Barker is found to have two actively bleeding peptic ulcers, these are injected with adrenaline and the bleeding has now ceased. Mr Barker was also found to have helicobacter pylori present in his ulcers.IMMEDIATE SCENARIO:Mr. Barker’s condition has been stabilised, he has returned from the Endoscopy unit to the ward under your care. He has been ordered a unit of packed cells to be started as soon as possible;followed by a litre of 0.9% Sodium Chloride over 8 hours. His current vital signs are:BP 110/65HR 95T. 37.2SpO2 98% with nasal prongs at 2L/minuteResp. rate 22GCS 15Using a report format,(using headings and subheadings) discuss what needs to be included in a person centred nursing care plan, (client needs/problems, goals, implementation and evaluation), for the first 48hours of Mr. Barker’s stay on the ward, giving rationales for your decisions. Incorporate the information you have from assessment task 1 about Mr. Barker’s medical and social history and the risk factors for peptic ulcer into your discussion.At least 3 problems must be discussed. For example:Vital SignsDietFluidsThere are other problems that can be taken into account considering his social and medical history outlined above and in the first scenario (backstory).The writer does not have to discuss ALL the actual and potential problems, rather consider mentioning them and then discussing 3 in depth.THIS PART CAN HAVE A MAXIMUM OF 1500 words.PART TWO:Ms Elise Wattle, 23 years old who has a history of asthma, presents to the Emergency Department (ED) with her friend Claire who drove her as she was experiencing an asthma attack. They were at the local bar and her friend has noticed that at first she could talk in sentences but now Elise can only use short phrases. Elise is complaining of chest tightness and has an audible wheeze. She is dyspnoeic and is coughing despite being in the high-Fowler’s position. Her vital signs in the ED are:Blood pressure: 150/90 mm HgPulse: 126 bpmRespirations: 30 and shallowTemperature: 37.3 CPulse oximeter reading : 92%She is commenced salbutamol 5 mg in normal saline (NaCl) every 20 minutes via the nebuliser and IV therapy 5% dextrose is commenced at 100 ml/hour. An arterial blood gas (ABG) is done and her results are pH 7.49, pO2 74 mmHg, pCO2 22 mmHg, HCO3- 22mEq. Sputum and blood tests reveal elevated levels of eosinophils and elevated IgE. Oxygen via nasal prongs at 2 L/minute is commenced. Elise continues to complain of chest tightness so a stat dose of 500 mcg ipratropium bromide is administered via the nebuliser, 5ml of 50% magnesium sulphate solution in 100 ml of NaCL is commenced over 20 minutes, and then 100mg of IV hydrocortisone is commenced every 6 hours.The patient progresses to status asthmaticus. Adrenaline 2mg/in 100 ml 5% dextrose is commenced through a central line at 5ml/hr, resulting in temporary relief of the symptoms. Ms Wattle is transferred to the Intensive Care Unit (ICU) in a stable condition. Oxygen is delivered via a venturi mask at 28%.Her laboratory results in ICU are:Serum glucose: 5.0 mmol/LBlood urea nitrogen: 6.2 mmol/LSerum creatinine: 68 micromol/LSerum sodium: 136 mEq/LSerum potassium: 4.5 mEq/LWBC count 8,000/mm3RBC count 4,400,000/mm3Platelet count: 300,000/mm3Haemoglobin: 132 g/LHaematocrit: 34.7%Pulse oximeter reading: 85%Current arterial blood gas: pH 7.32, pO2 55 mm Hg, pCO2 60 mm Hg, HCO3- 27 mEqFEV1/FVC: 65%QUESTIONS TO BE ANSWERED WITH HEADINGS:1. Use appropriate language to explain to her friend Claire what is happening that is causing Elise’s symptoms.2. What is the significance of Elise’s vital signs, and pathology results in the Emergency Department?3. What is the significance of Elise’s pathology results in the Intensive Care Unit?4. What are the purposes of her prescribed medications?5. What are the most common side effects of her prescribed medications, and what are the potential drug-drug, and drug-food/herbal interactions of her prescribed medications?This sections needs to be able to show:-Skills in being able to communicate in appropriate language the pathophysiology behind presenting symptoms to patients and their family;-Demonstrate knowledge of the significance of pathology results and vital signs for a given disease;-Demonstrate an appreciation of the purposes of selected medications and;-Indicate an understanding of the common side effects and potential drug interactions involving these medications.(2000 words for this section).PART 3: Nursing Cultural Competency“Achieving cultural competence in health care is everybody’s responsibility”.(National Health and Medical Research Council (NHMRC) 2006, p. 3).Identify your own cultural values and privileges (regardless of your culture,race ethnicity) – the writer can use his or her own here.- A reflection of your own cultural values and privileges including an explanationof why self-reflection is essential prior to approaching diverse clients. Again the writer can use his or her own here.- Application of a strengths-based approach to culturally competent careincluding rationale, that demonstrates respect for diversity and celebratesdifference (can be integrated into the following discussion)-Consideration of cultural needs when delivering culturally competent care to a:A Lesbian, Gay, Bisexual, Transgender or Intersex (LGBTI) 18 yr. oldteenager, who has recently moved to the area, is single and lives alone and is preparing to undergo a generalhealth assessment. (the person is waiting to undergo the assessment, do notcomplete the actual general health assessment):The writer must refer to but not be restricted by the National Health and Medical ResearchCouncil 2006, Cultural competency in health: A guide for policy, partnerships andparticipation document accessed via the following link:http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/hp19.pdfThis section needs to have dedicated a total of 2000 words.================Business Research

 

Please read the assignment requirements carefully as this is a 2 part assignment with a critique and learning log element.I will include an attachment with additional information. Let me know if you need additional information.Please perform 1000 words on the critique and 650 words on the Learning Log portion of the assignment.Business Research
The assignment essay will be a critique of a paper published in a quality journal that reports research that has been undertaken.  You are given a choice of the paper to critique from a list of five, taken from the main subject areas in management that you will be studying on the MBA programme. In this, you will be required to describe the approach and rationale in general, and to explain why this is appropriate. You will further need to describe the background and context of the identified study and, where appropriate, comment on the data collection method or methods used and provide a justification of the findings.The critique should be no longer than 1000 words in length, excluding any Reference section you may wish to include for cited articles used to justify your comments and conclusions, or any Appendices present, should these prove necessary.You should select a paper to critique from the following list:1. Dai, O. and Liu, X. (2009) Returnee entrepreneurs and firm performance in Chinese high-technology industries, International Business Review 18, pp. 373–386                                                                                    [International Business]2. Harris, J. and Bromiley, P. (2007) Incentives to cheat: the influence of executive compensation and firm performance on financial misrepresentation, Organization Science, 18, pp. 350 – 367                  [Finance and Accounting]3. Billing, Y.D. (2011) Are women in management victims of the phantom of the male norm? Gender, Work and Organization, 18, pp. 298-317 [Human Resource Management]4.Elango, B., Paul, K., Kundu, S.K. and Paudel, S.K. (2010) Organizational ethics, individual ethics, and ethical intentions in international decision-making , Journal of Business Ethics, 94, pp. 543-561   [Business Ethics/General Management]5.Wu, Z. and Pagell, M. (2011)  Balancing priorities: Decision-making in sustainable supply chain management,  Journal of Operations Management, 29, pp. 577-590                                                                  [Operations Management]All papers can be accessed in Blackboard under ‘Essays to Critique’  – See Below• Wu, Z. and Pagell, M. (2011) Balancing priorities: Decision-making in sustainable supply chain management, Journal of Operations Management 29(6), 577-590•  Billing, Y.D. (2011) Are women in management victims of the phantom of the male norm? Gender, Work and Organization 18(3), 298-317•  Harris, J. and Bromiley, P. (2007) Incentives to cheat: the influence of executive compensation and firm performance on financial misrepresentation, Organization Science 18(3), 350 – 367•  Dai, O. and Liu, X. (2009) Returnee entrepreneurs and firm performance in Chinese high-technology industries, International Business Review 18(4), 373–386•  Elango, B., Paul, K., Kundu, S.K. and Paudel, S.K. (2010) Organizational ethics, individual ethics, and ethical intentions in international decision-making , Journal of Business Ethics 97(4), 543-561Learning Log Taks#1Unit 3 – Learning Log (Searching and Reviewing Literature) •  Unit 3 Learning Log ActivityIn the 1980s, Freeman introduced stakeholder theory, which led to the development of the notion of the response organization and, it is argued, ultimately, the introduction of the concept of corporate social responsibility (CSR).You are to conduct a literature search for suitable papers on stakeholder theory. You are advised to use Google Scholar, or a search engine of your choice, to initially locate papers in this research area. You should then download the papers from the Internet (if available), “skim-read” these articles and narrow your search based on any theme or aspect of the research on stakeholder theory that you find interesting. You should rank the importance of the best three papers that you end up with based on the rating of the journals they are published in from the Association of Business Schools Journal Quality Guide (ABS list). (You can download this list by searching for the “ABS list” using Google). Ideally you will have selected papers from 3 or 4 rated journals on the ABS list.For the learning log, you are required to provide a report of this investigation. In this you must explain what steps you took to locate your final selection of papers. This should include the keywords you employed to narrow the list down and your objectives at each stage.You are then to provide a very brief, high level, summary of what you discovered from your search. It is recommended that you consider what the literature search revealed about stakeholder theory and what you learnt from the process of the search.#2Unit 8 Learning Log ActivityFor the learning log, you are to answer the following questions for the set scenario:The annual profit for your organisation last year was £1203, per employee. The average for the sector was £1228 per employee. You need to know if there is evidence that your organisation is not as profitable, on average, as your competitors. The standard deviation for the sector is £104 per employee.Question 1.  State H0 and H1 for the test to check this?Assuming that annual per employee profit follows a Normal distribution, the resulting P-value for the test is, P= 0.405 (3 d.p.):Question 2.  Based entirely on this P-value, what would you conclude from the test?Question 3.  What is the probability of getting a profit per employee  of £1203, or less, when there is no statistically significant difference between that for your company and the industry average?Question 4.  If your annual per employee profit was such that the test had resulted in a P-value given by P=0.032 and you were testing at  the a=0.01 significance level, what would you conclude and why?Question 5.  If you chose to reject H0 but H0 was actually true, would you be making a Type I or Type II error?Question 6.  What assumptions have you made about the annual per employee profit in this test?
================Global connections through IT -MAWAQiF

 

You have been appointed as a Lead Digital Consultant to MAWAQiF to help them become a Digital Master in Digital-rich and competitive world. PlzMore details will be attended for critical analysis

================Insurance Analysis
For this research project, I selected the topic as “insurance analysis”.You need to find dataset relate to insurance from the websites such like kaggle.com, data.gov, or any others as long as the dataset could be used for writing this analysis paper(for insurance product, insurance employees or clients).The tool such like SAS Enterprise Miner could be used for this project. So please attached the source files with the paper to just make sure I would be able to run it as well.;)The minimum words limitation is 3500 words.The number of sources/references does not have a limitation, but more is better.

================Needs to be related to Orthopedic Surgery or spinal cord disorders/injuries which are my practice areas
Assignment: Application:Using the Data/Information/Knowledge/Wisdom ContinuumHave you ever gone online to search for a journal article on a specific topic? It is amazing to see the large number of journals that are available in the health care field. When you view the library in its entirety, you are viewing untapped data. Until you actually research for your particular topic, there is little structure. Once you have narrowed it down, you have information and once you apply the information, you have knowledge. Eventually, after thoughtful research and diligent practice, you reach the level of wisdom—knowledge applied in meaningful ways.Are there areas in your practice that you believe should be more fully explored? The central aims of nursing informatics are to manage and communicate data, information, knowledge, and wisdom. This continuum represents the overarching structure of nursing informatics. In this Assignment, you develop a research question relevant to your practice area and relate how you would work through the progression from data to information, knowledge, and wisdom.To prepare:Review the information in Figure 6–2 in Nursing Informatics and the Foundation of Knowledge.Develop a clinical question related to your area of practice that you would like to explore.Consider what you currently know about this topic. What additional information would you need to answer the question?Using the continuum of data, information, knowledge, and wisdom, determine how you would go about researching your question.Explore the available databases in the Walden Library. Identify which of these databases you would use to find the information or data you need.Once you have identified useful databases, how would you go about finding the most relevant articles and information?Consider how you would extract the relevant information from the articles.How would you take the information and organize it in a way that was useful? How could you take the step from simply having useful knowledge to gaining wisdom?By Day 7 of Week 4Write a 3- to 4-page paper that addresses the following:Summarize the question you developed, and then relate how you would work through the four steps of the data, information, knowledge, wisdom continuum. Be specific.Identify the databases and search words you would use.Relate how you would take the information gleaned and turn it into useable knowledge.Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search.Your paper must also include a title page, an introduction, a summary, and a reference page.Name: NURS_5051_Week4_ Application_ RubricGrid ViewList ViewExcellent Good Fair PoorQuality of Work Submitted:The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.Points Range: 27 (27%) – 30 (30%)Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics.Points Range: 24 (24%) – 26 (26%)Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics.Points Range: 21 (21%) – 23 (23%)Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed.Points Range: 0 (0%) – 20 (20%)Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed.Quality of Work Submitted:The purpose of the paper is clear.Points Range: 5 (5%) – 5 (5%)A clear and comprehensive purpose statement is provided which delineates all required criteria.Points Range: 4 (4%) – 4 (4%)Purpose of the assignment is stated, yet is brief and not descriptive.Points Range: 3.5 (3.5%) – 3.5 (3.5%)Purpose of the assignment is vague or off topic.Points Range: 0 (0%) – 3 (3%)No purpose statement was provided.Assimilation and Synthesis of Ideas:The extend to which the work reflects the student’s ability to:Understand and interpret the assignment’s key concepts.Points Range: 9 (9%) – 10 (10%)Demonstrates the ability to critically appraise and intellectually explore key concepts.Points Range: 8 (8%) – 8 (8%)Demonstrates a clear understanding of key concepts.Points Range: 7 (7%) – 7 (7%)Shows some degree of understanding of key concepts.Points Range: 0 (0%) – 6 (6%)Shows a lack of understanding of key concepts, deviates from topics.Assimilation and Synthesis of Ideas:The extend to which the work reflects the student’s ability to:Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources.Points Range: 18 (18%) – 20 (20%)Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 2-3 course resources to suppport point of view.Points Range: 16 (16%) – 17 (17%)Integrates specific information from 1 credible outside resource and 2-3 course resources to support major points and point of view.Points Range: 14 (14%) – 15 (15%)Minimally includes and integrates specific information from 2-3 resources to support major points and point of view.Points Range: 0 (0%) – 13 (13%)Includes and integrates specific information from 0 to 1 resoruce to support major points and point of view.Assimilation and Synthesis of Ideas:The extend to which the work reflects the student’s ability to:Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.Points Range: 18 (18%) – 20 (20%)Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.Points Range: 16 (16%) – 17 (17%)Summarizes information gleaned from sources to support major points, but does not synthesize.Points Range: 14 (14%) – 15 (15%)Identifies but does not interpret or apply concepts, and/or strategies correctly; ideas unclear and/or underdeveloped.Points Range: 0 (0%) – 13 (13%)Rarely or does not interpret, apply, and synthesize concepts, and/or strategies.Written Expression and FormattingParagraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.Points Range: 5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for structure, flow, continuity and clarityPoints Range: 4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 80% of the time.Points Range: 3.5 (3.5%) – 3.5 (3.5%)Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 60%- 79% of the time.Points Range: 0 (0%) – 3 (3%)Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity < 60% of the time.Written Expression and FormattingEnglish writing standards: Correct grammar, mechanics, and proper punctuationPoints Range: 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.Points Range: 4 (4%) – 4 (4%)Contains a few (1-2) grammar, spelling, and punctuation errors.Points Range: 3.5 (3.5%) – 3.5 (3.5%)Contains several (3-4) grammar, spelling, and punctuation errors.Points Range: 0 (0%) – 3 (3%)Contains many (? 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Written Expression and FormattingThe paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.Points Range: 5 (5%) – 5 (5%)Uses correct APA format with no errors.Points Range: 4 (4%) – 4 (4%)Contains a few (1-2) APA format errors.Points Range: 3.5 (3.5%) – 3.5 (3.5%)Contains several (3-4) APA format errors.Points Range: 0 (0%) – 3 (3%)Contains many (? 5) APA format errors.Name:NURS_5051_Week4_ Application_ Rubric
================10 questions of Macroeconomic ( with GRAPHS): The impact on Western Australian economic factors since the federal government has cut funding support provide to state goverment.
_Please use academically references._ I will upload some slides relating to the assignment and I hope it will help.Lecture 5 : Loanable funds , funding support from government and its impact on economic ( fund deficit,etc)Lecture 6 : moneyLecture 7 : Exchange rate.Lecture 8 : Aggregate S and DLecture 9 : expenditure multipliers.Unit: Intermediate MacroeconomicsLength/Size/Amount: As required but no more than 2000 words (excluding graphs) Value: 30% of the overall mark in the unitRelevant material: Focuses on material from Session-05 to Session-09Relevant learning outcomes: Reason logically and work analytically. Critically examine macroeconomic theory and macroeconomic policies and analyze their impact. Justify conclusions using economic arguments with appropriate rigor.Scenario: Suppose due to growing budget deficit, the federal government has cut funding support provided to the state governments. (support your answers with graphs wherever appropriate)1) How will this impact the Western Australian economy? (5 marks)2) Discuss the role of exchange rate on the Western Australian economy. How is it in this scenario? (5 marks)3) Discuss the role of mining sector on the Western Australian economy. How is it in this scenario? (5 marks)4) Do you think WA government should cut essential services or unemployment benefits to meet the funding shortfall? (5 marks)5) Comment on how a shortage of funds will impact the University sector in WA. (2.5 marks)6) How will the exhaustion of public sector funding impact the housing market?(2.5 marks)7) How will the fund shortages impact interest rates and private investment?(5 marks)8) How will funding cuts impact the Western Australianeconomic output ?(10 marks)9) What are the best strategies to combat any negative effects of funding cut from the Federal government ?(5 marks)10) What are the future growth prospects for WA? (5 marks)

 

================

================

================

================

================

================

================

================