Based on how you will evaluate your EBP project, which independent…

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Question Answered step-by-step Based on how you will evaluate your EBP project, which independent… Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why? Health Science Science Nursing NRS 493VN Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Submit a copy of the request with a brief summary addressing the... Submit a copy of the request with a brief summary addressing the following topics at the end of the course:(small introduction and conclusion)Describe your experience of finding and working with a study buddy.What were the advantages and challenges of working with a study buddy?What changes would you make when working with a study buddy in the future? Health Science Science Nursing NURS 328 Share QuestionEmailCopy link Comments (0)
Question Answered step-by-step This case requires knowledge of burns, child abuse, as well as anunderstanding of the client's background, personal situation, and mother-child attachment relationship.Client Profile Kyla is an 8-month-old infant who lives with her mother, grandmother, and great grandmother in Cincinnati, Ohio. Her mother, Sierra, is a 16-year-old who stopped going to school after she became pregnant by her on-again, off-again 18-year-old boyfriend, Kyle, who visits Sierra but shows no interest in Kyla. He frequently becomes annoyed and leaves when Kyla needs to be fed or have her diapers changed. Sierra's father was very abusive to both Sierra and her mother as Sierra was growing up. He died 6 months ago because of a knife wound that occurred during a fight at a local tavern. He and Sierra's mother lived together with their five children and when he worked, he worked for a minimum wage that barely fed his family. Kyla's aunts and uncles (Sierra's three sisters and one brother) keep in contact with their mother and sister but are busy with their own lives and families. Although Sierra participates in Kyla's care, her mother is the stable caregiver when she is not working. The relationship between Sierra and her mother has been strained since Sierra became pregnant and frequently the two engage in heated arguments over the increased financial stress related to Kyla's needs and Sierra's refusal to seek employment. Sierra's grandmother is in poor health and requires frequent visits to the emergency room because of unstable angina. Case Study  At 2135 hours, Kyla is brought wrapped in a bath towel by her grandmother to the emergency department at the local hospital. The admitting nurse observes that Kyla is crying vigorously and is unable to be consoled. She is in no apparent respiratory distress. According to the grandmother, Kyle came over to see Sierra while Kyla's grandmother was out at the grocery store. When she returned, Kyla was screaming. Sierra said that she and Kyle were talking and Kyla "got really fussy, so we decided to give her a bath to get her to quiet down, but she just kept screaming." Kyla's grandmother wrapped Kyla in a bath towel and brought her to the hospital because she thought that she was sick because "she was so red." On further assessment the nurse notes that Kyla has blisters on her feet, lower legs, and buttocks, and bruises on her upper arms. The health care provider examines Kyla and arranges for her to be transferred by Air Flight to Cincinnati Shriners' Hospital to be admitted with second-degree burns of her buttocks, genitalia, legs, and feet. Health care providers at the burn center estimate Kyla's burns as 34% of her total body surface area (TBSA) using the "Estimation of the Extent of Burns in Children" chart. Although Sierra calls every other day to ask about Kyla's condition, she doesn't visit her daughter. Kyla's grandmother stays at the hospital with Kyla. Questions 1. Discuss your impressions about the above situation. 2. Discuss the factors in this situation that would place Kyla at risk for child abuse. 3. Using developmental theory, discuss Sierra's level of growth and development. 4. The health care providers determined that Kyla's development was appropriate for an 8-month-old infant. Discuss what you would expect when assessing Kyla's growth and development. 5. Discuss how the health care providers arrived at 34% of Kyla's TBSA experiencing second-degree burns. 6. Describe the characteristics of second-degree burns. 7. Using the 4:2:1 rule for calculating maintenance rate of intravenous fluids for Kyla, who weighed 3.18 kg (7 lb) at birth and has experienced a weight gain within normal limits for her age, calculate her hourly IV rate. 8. Determine Kyla's priority nursing diagnoses on admission to the burn center, discussing why each is a priority. 9. Discuss your impressions about why Sierra doesn't visit Kyla at the hospital. 10. Discuss what members of the health care team should be involved in Kyla's care and recovery. 11. Discuss your feelings about child abuse and how you would feel if you were a nurse caring for Kyla in this situation.CASE NO.2SMOKE INHALATION AND CYANIDE POISONINGAt 3:15 AM fire department crews were dispatched to a dwelling fire. A brick row home was found fully engulfed in flames. A second alarm was sounded. Neighbors believed that George Johnson was at home when the fire started. At 3:40 A M the rescue crew exited the home with a middle-aged black male, unconscious with nasal respirations. The paramedic crew that had been standing by began treating the patient by ventilating him with positive pressure oxygen. George had a pulse and had no apparent bleeding, so the crew quickly moved him into the ambulance to complete the secondary survey.George was unresponsive to deep pain: his pupils were dilated and reacted sluggishly to light. His mustache and nasal hair were singed. His entire body was covered with soot. and his sputum was carbonaceous. George's skin was warm and dry. his capillary refill time delayed, color dusky, and mucous membranes gray.The rescue officer reported that George was found in a third-floor smoke-filled bedroom with no open fire near him. It appeared that the source of the fire was the living room couch on the first floor.As the paramedic attempted intubation, George gagged on the tube and aroused slightly. Therefore, oxygen was applied at 15 liters/min via a non-rebreather mask. George's vital signs currently were BP 160/100. pulse 110. and respirations 28. Breath sounds were heard bilaterally. with coarse rhonchi throughout all lung fields. The ECG showed that George was in a sinus tachycardia with occasional unifocal PVCs. An intravenous line was established with an 18-gauge catheter and D-, W solution infused slowly. En route to the hospital the paramedic notified the ED of George's condition, field assessment, treatment, and estimated time of arrival. The paramedic also requested and was granted an order from the ED physician for 2 mg intravenous Narcan and 25 g intravenous D50 W, to be administered en route.Triage Assessment, Acuity Level IV: Inhalation injury, hair singed: color pale. dusky: severe pulmonary congestion.Based on the field report, the paramedics bypassed the triage area and immediately brought George to the resuscitation area. Upon arrival George is noted to be approximately 60 years old, weighing 80 kg. George is somewhat combative, pulling at his oxygen mask and attempting to sit up on the stretcher. He is not comprehending instructions given by the resuscitation team, and he is nonverbal. George appears healthy and is ventilating spontaneously, though mildly tachypneic. George's physical exam remains the same as that reported by the paramedics, and all other systems are clear of injury.Among the initial treatments/or George in the ED are intubation, mechanical ventilation with oxygen at 100%, positive end expiratory pressure (PEEP) 5cm and a second intravenous line. Blood samples are drawn for routine analysis. The ABG sample as well as the venous sample drawn at the scene are both sent to the lab for carboxyhemoglobin levels for comparison. A Foley catheter is inserted.Alupent nebulization is initiated. The team leader then uses a fiber-optic bronchoscope to visualize the damage to the lower airway. Bronchial inflammation and mucosal ulceration are noted.George's updated ABG results are Pa02 62, PaCO2 56, and pH 7.28. The field COHb is 36% and ED COHb is 24%. Three-hundred milligrams of sodium nitrate is administered intravenously followed by 12.5 g of sodium thiosulfate intravenously.Throughout the resuscitation George's vital signs remained stable. Hyperbaric oxygenation therapy is considered, and transportation arrangements are made for u helicopter to fly George to the closest chamber, located at a naval hospital 100 mile-away. QUESTIONS  -What is the etiology and complications of smoke inhalation? -What assessment parameters can be used to determine the risk of airway compromise? -What is the risk of cyanide toxicity, and how is it treated? -What is hyperbaric oxygen therapy, and why is it used for CO inhalation? -What nursing diagnoses are applicable to this situation? Health Science Science Nursing NURSING NR708 Share QuestionEmailCopy link Comments (0)
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religion and spirituality, we will delve into the importance of sensitizing ourselves to the development, awareness and cultivation of a spirituality lived beyond religions, in a society characterized by diversity and plurality. 1. Watch / listen to the lecture by Xavier Melloni entitledSpirituality for a Plural Society (Links to an external site.). It is a vision of spirituality from the Christian perspective that, however, beyond this particular focus, offers elements, for any religion or belief.2. To facilitate understanding, answer the questions that appear below and that collect the key elements of your presentation. Bring them answered in writing, to our next class.a. How to define the speaker, Xavier Melloni, spirituality and global society?B. What do you mean when you speak of plurality? What are the elements that feed it?C. Explain how human beings, according to the lecturer, tend to respond to diversity.D. What are the metaphors you use to refer to God?me.e- What are the paths of spirituality that it proposes?F. What positions do you suggest to situate ourselves in the face of the diversity of spiritual expressions?gram. In the relationship spirituality and human relationships, what is the effect of otherness?h. What actions or practices do you propose to nurture spirituality? Which of them do you need to cultivate to grow as a person?
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The first known documents that mention nursing as a profession were written approximately 300 AD. In this period, the Roman Empire endeavored to build a hospital in each town that was under its rule, leading to a high requirement for nurses to provide medical care alongside the doctors.The profession of nursing became considerably more prominent in Europe in the middle ages, due to the drive for medical care from the Catholic church. In this period, there were many advancements and innovations that took place, which eventually went on to form the base of modern nursing, as we know it.The first Spanish hospital was built in the late 500s to early 600s in Merida, Spain, with the intent to care for any sick individuals regardless of ethnic origin or religion. Several others were created in the following centuries but their upkeep was neglected until Emperor Charlemagne began to restore them and update the supplies and equipment in the 800s.Throughout the 10th and 11th centuries, the nursing profession expanded due to changes in rulings in Europe. Hospitals began to be included as part of monasteries and other religious places and the nurses provided a range of medical care services, as was required, even beyond traditional healthcare. This all-encompassing model gained popularity and continues to be responsible for the wide range of duties a nurse is responsible for today.At the beginning of the 17th century, the nursing as a profession was rare due to various reasons, such as the closing of monasteries that housed the hospitals. However, in some regions of Europe where the Catholic church remained in power, the hospitals remained and nurses retained their role.Florence Nightingale was a nurse who tended to injured soldiers in the Crimean War in the 1850s and played a significant role in changing the nature of the nursing profession in the 19th century.During this time, the role of nurses continued to expand due to the need for their presence on the front lines of wars, where poor hygiene standards often led to fatal infections in the injuries. Nightingale campaigned for improved hygiene standards in the hospital attending the wounded soldiers, which drastically reduced the number of deaths from infections.The profession of nursing was pushed further forward in 1860 with the opening of the very first nursing school in London. This was the beginning of many other schools for new nurses so that they received appropriate training and education before they began practice on the field.and many nurses were required to begin providing care without adequate training. Since this time, education institutions for nurses have continued to expand The profession has also branched out into various specializations with further education in particular fields of nursing care, such as pediatrics or oncology. The early history of nurses suffers from a lack of source material, but nursing in general has long been an extension of the wet-nurse function of women.[3][4]Buddhist Indian ruler (268 BC to 232 BC) Ashoka erected a series of pillars, which included an edict ordering hospitals to be built along the routes of travelers, and that they be "well provided with instruments and medicine, consisting of mineral and vegetable drugs, with roots and fruits"; "Whenever there is no provision of drugs, medical roots, and herbs, they are to be supplied, and skilful physicians appointed at the expense of the state to administer them." The system of public hospitals continued until the fall of Buddhism in India ca. AD 750.About 100 BC the Charaka Samhita was written in India, stating that good medical practice requires a patient, physician, nurse, and medicines, with the nurse required to be knowledgeable, skilled at preparing formulations and dosage, sympathetic towards everyone, and clean.The first known Christian nurse, Phoebe, is mentioned in Romans 16:1. During the early years of the Christian Church (ca. AD 50), St. Paul sent a deaconess named Phoebe to Rome as the first visiting nurse.[5]From its earliest days, following the edicts of Jesus, Christianity encouraged its devotees to tend the sick. Priests were often also physicians. According to the historian Geoffrey Blainey, while pagan religions seldom offered help to the infirm, the early Christians were willing to nurse the sick and take food to them, notably during the smallpox epidemic of AD 165-180 and the measles outbreak of around AD 250; "In nursing the sick and dying, regardless of religion, the Christians won friends and sympathisers".[6]Following the First Council of Nicaea in AD 325, Christianity became the official religion of the Roman Empire, leading to an expansion of the provision of care. Among the earliest were those built ca. 370 by St. Basil the Great, bishop of Caesarea Mazaca in Cappadocia in Asia Minor (modern-day Turkey), by Saint Fabiola in Rome ca. 390, and by the physician-priest Saint Sampson (d. 530) in Constantinople, Called the Basiliad, St. Basil's hospital resembled a city, and included housing for doctors and nurses and separate buildings for various classes of patients.[7] There was a separate section for lepers.[8] Eventually construction of a hospital in every cathedral town was begun.Christian emphasis on practical charity gave rise to the development of systematic nursing and hospitals after the end of the persecution of the early church.[9] Ancient church leaders like St. Benedict of Nursia (480-547) emphasized medicine as an aid to the provision of hospitality.[10] 12th century Roman Catholic orders like the Dominicans and Carmelites have long lived in religious communities that work for the care of the sick.[11]Some hospitals maintained libraries and training programs, and doctors compiled their medical and pharmacological studies in manuscripts. Thus in-patient medical care in the sense of what we today consider a hospital, was an invention driven by Christian mercy and Byzantine innovation.[12] Byzantine hospital staff included the Chief Physician (archiatroi), professional nurses (hypourgoi) and orderlies (hyperetai). By the twelfth century, Constantinople had two well-organized hospitals, staffed by doctors who were both male and female. Facilities included systematic treatment procedures and specialized wards for various diseases.[13]In the early 7th century, Rufaidah bint Sa'ad (also known as Rufaida Al-Aslamia) became what is now described as the first Muslim nurse. A contemporary of Muhammad, she hailed from the Bani Aslam tribe in Medina and learned her medical skills from her father, a traditional healer. After she had led a group of women to treat injured fighters on the battlefield, Muhammad gave her permission to set up a tent near the Medina mosque to provide treatment and care for the ill and the needy.[14]Dieu, "hostel of God.") Some were attached to monasteries; others were independent and had their own endowments, usually of property, which provided income for their support. Some hospitals were multi-functional while others were founded for specific purposes such as leper hospitals, or as refuges for the poor, or for pilgrims: not all cared for the sick. The first Spanish hospital, founded by the Catholic Visigoth bishop Masona in AD 580 at Mérida, wasa xenodochium designed as an inn for travellers (mostly pilgrims to the shrine of Eulalia of Mérida) as well as a hospital for citizens and local farmers. The hospital's endowment consisted of farms to feed its patients and guests. From the account given by Paul the Deacon we learn that this hospital was supplied with physicians and nurses, whose mission included the care the sick wherever they were found, "slave or free, Christian or Jew."[15]During the late 700s and early 800s, Emperor Charlemagne decreed that those hospitals which had been well conducted before his time and had fallen into decay should be restored in accordance with the needs of the time.[16] He further ordered that a hospital should be attached to each cathedral and monastery.[16]During the tenth century the monasteries became a dominant factor in hospital work. The famous Benedictine Abbey of Cluny, founded in 910, set the example which was widely imitated throughout France and Germany. Besides its infirmary for the religious, each monastery had a hospital in which externs were cared for. These were in charge of the eleemosynarius, whose duties, carefully prescribed by the rule, included every sort of service that the visitor or patient could require.As the eleemosynarius was obliged to seek out the sick and needy in the neighborhood, each monastery became a center for the relief of suffering. Among the monasteries notable in this respect were those of the Benedictines at Corbie in Picardy, Hirschau, Braunweiler, Deutz, Ilsenburg, Liesborn, Pram, and Fulda; those of the Cistercians at Arnsberg, Baumgarten, Eberbach, Himmenrode, Herrnalb, Volkenrode, and Walkenried.No less efficient was the work done by the diocesan clergy in accordance with the disciplinary enactments of the councils of Aachen (817, 836), which prescribed that a hospital should be maintained in connection with each collegiate church. The canons were obliged to contribute towards the support of the hospital, and one of their number had charge of the inmates. As these hospitals were located in cities, more numerous demands were made upon them than upon those attached to the monasteries. In this movement the bishop naturally took the lead, hence the hospitals founded by Heribert (d. 1021) in Cologne, Godard (d. 1038) in Hildesheim, Conrad (d. 975) in Constance, and Ulrich (d. 973) in Augsburg. But similar provision was made by the other churches; thus at Trier the hospitals of St. Maximin, St. Matthew, St. Simeon, and St. James took their names from the churches to which they were attached. During the period 1207-1577 no less than 155 hospitals were founded in Germany.[17]The Ospedale Maggiore, traditionally named Ca' Granda (i.e. Big House), in Milan, northern Italy, was constructed to house one of the first community hospitals, the largest such undertaking of the fifteenth century. Commissioned by Francesco Sforza in 1456 and designed by Antonio Filarete it is among the first examples of Renaissance architecture in Lombardy.The Normans brought their hospital system along when they conquered England in 1066. By merging with traditional land-tenure and customs, the new charitable houses became popular and were distinct from both English monasteries and French hospitals. They dispensed alms and some medicine, and were generously endowed by the nobility and gentry who counted on them for spiritual rewards after death.[18]According to Geoffrey Blainey, the Catholic Church in Europe provided many of the services of a welfare state: "It conducted hospitals for the old and orphanages for the young; hospices for the sick of all ages; places for the lepers; and hostels or inns where pilgrims could buy a cheap bed and meal". It supplied food to the population during famine and distributed food to the poor. This welfare system the church funded through collecting taxes on a large scale and possessing large farmlands and estates.[19]Meanwhile, in Catholic lands such as France, rich families continued to fund convents and monasteries, and enrolled their daughters as nuns who provided free health services to the poor. Nursing was a religious role for the nurse, and there was little call for science.[22]of important advances were made and an Islamic tradition of nursing begun. Arab ideas were later influential in Europe. The famous Knights Hospitaller arose as a group of individuals associated with an Amalfitan hospital in Jerusalem, which was built to provide care for poor, sick or injured Christian pilgrims to the Holy Land. Following the capture of the city by Crusaders, the order became a military as well as infirmarian order.[23]Roman Catholic orders such as the Franciscans stressed tending the sick, especially during the devastating plagues