Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to…

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Question Answered step-by-step -Research emerging trends. Predict two ways in which the practiceof nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care. Health Science Science Nursing NRS 440VN Share QuestionEmailCopy link Comments (0)

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Miriam is an EN working regularly in a large residential aged care service. The facility is a well-organisedorganisation providing high-quality and safe residential care for the residents. Its goals and objectives areto:● Provide care services that recognises the rights, dignity, values, and beliefs of residents and theirfamilies;● Ensure involvement and commitment of all employees in a 'team approach' to quality care;● Maintain a microbiological safe environment by preventing the risk and spread of infection; and;● Continually review care and service delivery as part of Continuous Quality Improvement Plan, andthat all identified problems and feedback are addressed to the satisfaction of staff, residents andtheir relatives.Miriam works in the morning shifts (0700-1500 hours) with her workgroup. She is mainly responsible forproviding nursing care for 38 residents; some of them need percutaneous endoscopic gastrostomy (PEG)feeding tubes. Thenursing activities she undertakes in a shift include handover, medication administration, wound care,physical review, infection control, verbal communication, documentation, print and fax, transit and staffbreak and other (the detailed classification of activities could be found in the Table 1 of journal article titled'Nursing staff work patterns in a residential aged care home: a time-motion study' (Reference 2 below).Miriam's shift work schedule is very tight and her common work process in morning shifts normally startsand ends with handovers. Three major tasks that she performs during the shift are medicationadministration, wound care and documentation. Documentation is completed at the point-of-care and aftercare provision. If she has time, she would undertake a physical review; otherwise, this task would beallocated to a personal carer who provides personal care. She takes a break after the morning medicationround and before and after the noon medication round (the detailed work process in morning shifts andime spent on each activity could be found in Figure 1 and Table 2 of the journal article titled 'Nursing staffwork patterns in a residential aged care home: a time-motion study' (Reference 2 below).To organise and prioritise all tasks required in a shift, Miriam decided to create a work plan and shift workschedule with the assistance of her supervisor (an RN).Reference:1. https://www.maci.org.au/about-us/quality-of-care-objectives/2. Qian, S., Yu, P., & Hailey, D. (2016). Nursing staff work patterns in a residential aged care home:
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Question Answered step-by-step Assignment Instructions: Complete the Case Study typed, using rationales   Case Study #2 assignment  as indicated. Use References for all questions requiring rationale. See Rubric in Brightspace Assignment tab for grading requirements.Chief ComplaintA 52 y.o. accountant presents to the clinic with a sudden onset of right eye pain and redness. He believes something must have gotten in his eye while he was clearing brush in his backyard yesterday. No pain was noted during that time, but he awoke early this morning, and the pain started within an hour. He wears contact lenses and has removed them without relief. He has no history of eye problems other than farsightedness, for which he has worn monovision contact lenses for 10 or more years. He has no known medical problems and considers himself "very healthy." He says the pain was horrible at first (10/10) and now is slightly less (8/10) but still bad. He said although he removed his contacts and his vision is generally similar in both eyes, his vision in his right eye is very blurry.  Physical ExaminationVital signs: T 98.4, BP 150/95, HR 88, RR 18, HT 70, WT 215 lbs.General: Patient holds right eye constantly during history and appears in distress. Vision: Visual acuity, uncorrected: OS 20/60; OD less than 20/200. Eye movements briefly assessed to be symmetrical. Pupillary responses—OS brisk and responsive; OD fails to constrict although poor tolerance of exam due to severe pain. OS normal structures, no lesions, redness, conjunctiva intact. OD eye is reddened, and some watery tearing noted. No foreign body visible. OS funduscopic exam within normal limits. OD funduscopic exam not tolerated. QuestionsWhat three conditions would be considered in your differential diagnosis, with most likely condition listed first (with rationale)?     What further history, further examination, and diagnostic studies are warranted to explore your differential diagnosis? (with rationale)History:    Further Physical examination:    Diagnostic studies:  Health Science Science Nursing NURSING NSG6001 S0 Share QuestionEmailCopy link Comments (0)
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