Analysis and Recommendations of Advanced Practice Nursing Issue I…

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Question Answered step-by-step Analysis and Recommendations of Advanced Practice Nursing Issue I… Analysis and Recommendations of Advanced Practice Nursing IssueIdentify a critical issue that relates to population health and the role of the Advanced Practice Registered Nurse (APRN). Some examples may include improving patient access to Medicare Hospice services, removing barriers to nurse practitioners’ ability to practice, enabling APRNs to participate fully as members of hospital and medical staff. Introduction (including purpose statement)Contextual analysis of the issueProvide a brief summary of the historical development of the issueProvide a brief summary on the socio-political influencesLiterature Review and Analysis on the selected issueIdentify at least 2 primary sources that examines the impact of the selected issueRecommendationsProvide some recommendations to solve the issueDetermine how the recommendations may impact the APRN role/setting and practice dimensionsConclusion  Attempt to use primary sources only.   Health Science Science Nursing N 502 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Patient Profile: N.E is a 32 years male with who sustained a close,complete , oblique fracture of left femur in a single motor vehicle accident. He is being admitted the orthopedic floor from the ED and is scheduled to have surgery tomorrow afternoon. He states he had asthma as a child and denies any other health problems.Subjective Data: Rate of pain in left leg 4 of 0-10 pain scale after receiving 4mg morphine iv in the ED 30 minutes prior to arrival on the orthopedic unit . States his parents and girlfriend saw him in the ED and have gone home for the night and coming back tomorrow before his surgery.Objective Data: Temperature 98.9 , Pulse 88, RR 18, Blood pressure 132/70. Alert and oriented times 3, Abrasion to forehead and multiple abrasion to arms and legs , Left Legs to lbs of buck traction. Bilateral feet/ toes warm and pink with movement and sensations equal and within normal limit.Dorsalis pedis and posterior tibial pulses palpable at 3+.Collaborative Care: Admitting ordersBedrest10 lb Buck's traction to left lower extremityNPOIV Lactated Ringer's @ 125 mL/hourMorphine sulfate 2 mg IV every 2 hours PRN for painCefazolin (Ancef) 1 mg IV on call to ORDiscussion Questions1.What does N.E's diagnosis of a closed, complete, oblique fracture of the leftfemur mean?2.What is the purpose of applying Buck's traction and what interventions do youemploy to maintain the traction system?3. What specific assessments need to be performed for N.E.?What potential complications is .E. at risk for due to his reduced mobility?Describe interventions to include in his plan of care to prevent each complication.Case Study ProgressTwo hours after admission, N.E. requests pain medication for pain of a 5 in hisleft upper leg and you administer 2 mg IV morphine. Fifteen minutes later, he states that his pain level is reduced to a 2. Two hours later, N.E. states he haspain in his lower left leg and rates it a 10. You administer another 2 mBmorphine IV and reassess his pain 15 minutes later. He states that his pain isunchanged and is still a 10 in the left lower leg.What additional assessments do you need to make at this time?2. N.E. states that he has some numbness and tingling in his left foot. What do yoususpect and what should you do?3 • Using SBAR, what information would you provide the surgeon when you call? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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