Nursing and capstone (24 hours)

1) Minimum 10  full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Part 1: minimum 3 full pages 

Part 2: minimum 3 full pages 

Part 3: minimum 4 full pages

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 4 references not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

You must  use the information from the earlier the Literature Evaluation (See file 1)   and PICOT question paper (see file 2), and formulate a PICOT question.

1. formulate  a PICOT question addressing the following information. Your question must fullfil all requirements of PICOT question:

Issue: Infection Control and Prevention 

Topics: Cleaning and disinfection; Standards precaution and Cross-contamination

(P) Population of Focus – Oral chemotherapy patients.

(I) Intervention – Develop an educational workflow to coordinate and manage monitoring of labs, imaging and follow up appointments.

(C) Comparison – Current workflow process which has no specific guidelines.  

(O) Outcome – Nurse specialists will have a smooth workflow in process when educating oral chemotherapy patients, which will lead to a more coordinated tracking process for nurses, patients, pharmacists, and providers. 

(T) Time – During the course of patients’ treatment.

PICOT Question

When nurse specialists educate oral chemotherapy patients (P), does a coordinated educational workflow process (I) lead to a more coordinated interdisciplinary communication system (O), when compared to the current process of sporadic and uncoordinated tracking (C), over the course of the patients’ treatment (T)?

Body Assignment

1. Introduction section

2. A comparison of research questions

3. A comparison of sample populations

4. A comparison of the limitations of the study

5. A conclusion section, incorporating recommendations for further researc

Part 2:

Case Study 1: Disorders of Fluid, Electrolyte, and Acid-Base Balance

Amanda is an 18-year-old with anorexia nervosa. She was recently admitted to an eating disorders clinic with a BMI of 13.9, and although she was a voluntary patient, she was reluctant about the treatment. She was convinced that she was overweight because her clothes felt tight on her. She complained that even her hands and feet “were fat.” One of her nurses explained that a protein in her blood was low. The nurse further explained that, as difficult as it may be to believe, eating a normal healthy diet would make the “fat hands and feet” go away.

1. What protein do you suspect the nurse was referring to? 

2. How would a deficiency in this protein contribute to edema?

3. What is the difference between the physiology of pitting and nonpitting edema?

4. Because of her weakened condition, Amanda was moved around the ward in a wheelchair when she was not on bed rest. How does this affect her edematous tissues?

Part 3:

Mr. Smith brings his 4-year-old son to your primary care office. He states the boy has been ill for three days. Mr. Smith indicates that he would like antibiotics so he can send his son back to pre-school the next day.

History - Child began with sneezing, mild cough, and low grade fever of 100 degrees three days ago. All immunizations UTD. Father reports that the child has had only two incidents of URI and no other illnesses.

Social - non-smoking household. Child attends preschool four mornings a week and is insured through his father’s employment. No other siblings in the household.

PE/ROS -T 99, R 20, P 100. Alert, cooperative, in good spirits, well-hydrated. Mildly erythemic throat, no exudate, tonsils +2. Both ears mild pink tympanic membrane with good movement. Lungs clear bilaterally. All other systems WNL.

For the assignment, do the following:

1. Diagnose the child and describe how you arrived at the diagnosis (i.e. how you ruled out other diagnoses).

2. Provide a specific treatment plan for this patient, pharmacologic and/or nonpharmacologic.

3. Provide a communication plan for how the family will be involved in the treatment plan.

4. Provide resources that Mr. Smith could access which would provide information concerning your treatment decisions.

5. Utilize national standards, your pharm and/or patho book and medical or advanced practice professional sources. Do not use patient-facing sources or general nursing texts to support your diagnosis and treatment.