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Social worker

Name_______________________

GTPAL and EDD

1. A pregnant woman comes into the clinic. Her first pregnancy was an abortion at 8 weeks. Her second pregnancy resulted in a delivery at 38 weeks. Her third pregnancy was twins and she delivered at 29 wks. 1 of those children died.

2. A woman comes into the clinic to be seen for her 2nd pregnancy. Her first pregnancy was twins delivered at 37 wks and both children are living.

3. A woman comes in for her 6 week postpartum check up. She delivered triplets at 28 wks and 2 of the babies survived. She had a previous pregnancy that ended in an elective abortion at 6 wks.

4. This is a woman’s 6th pregnancy. Her previous births were a singleton delivery at 41 week, a singleton at 39 5/7 weeks, a singleton at 38 6/7 and a singleton at 36 5/7 weeks. She had 1 induced abortion at 10 weeks with 4 living children at this time.

5. A pregnant woman carried one pregnancy to term with a surviving infant; carried one pregnancy to 35 weeks with surviving twins; carried one pregnancy to 9 weeks as an ectopic (tubal) pregnancy; and has 3 living children.

6. A woman who has given birth to one child at term once and has had one miscarriage at 12 weeks would be recorded as?

Using Naegele’s rule:

7. A woman’s LMP was April, 10th 2021. What is her EDD?

8. A woman’s LMP was 9/4/10. What was her EDD?

9. A woman’s LMP was January 5th, 2022. What is her EDD?

10. A woman’s LMP was November 3rd, 2021. What is her EDD?

Social worker

#2

What type of deceleration is this?

How do you know?

What should the nurse do?

#1

#3 What type of deceleration is this?

How do you know?

What should the nurse do?

4 What type of deceleration is this?

How do you know?

What should the nurse do?

#5. What is this type of deceleration?

Intrapartum Fetal Heart Rate Monitoring (Chapter 3) - A Practical Manual to  Labor and Delivery

#7 What is this type of deceleration?

#6 What is this type of deceleration?

Late deceleration and hypoxia index in fetal monitoring

For additional practice: https://ncc-efm.org/game/efmgame.cfm

Social worker

Name: Date:

Care Plan #

CON
CEPT MAP

Pathophysiology – (to the cellular level) PreEclampsia

Medical Diagnosis


PreEclampsia

Signs & Symptoms/Clinical Manifestations (all data subjective and objective: labs, radiology, all diagnostic studies) (What symptoms does your client present with?)

Complications

Treatment (Medical, medications, intervention and supportive)

Causes/Risk Factors (chemical, environmental, psychological, physiological and genetic)

.

REMEMBER THAT THE EXPECTED OUTCOMES MUST BE MEASURABLE. THE INTERVENTIONS ARE WHAT YOU DO TO ASSURE THE OUTCOME AND THE CLIENT’S RESPONSE IS SPECIFICALLY HER RESPONSE.

PLAN OF CARE: Use your top two priorities

NANDA NURSING DIAGNOSIS use NANDA definition

Expected outcomes of care (Goals)

Interventions

Patient response

Goal evaluation

NRS DX:

Problem Statement:

R/T: (What is the cause of the symptom)

Manifested by: (Specific symptoms)



Short term goal

: Create a SMART goal that relates to hospital stay/shift/day.



Long term goal
: Create a SMART goal that is appropriate for discharge.

This is specific to the patient that you are caring for. A list of planned actions that will assist the patient to achieve the desired goal. (i.e. obtain foods that the patient can eat/ likes)

Interventions for short-term goal:

1.

2.

3.

Interventions for long term goal:

1.

2.

3.

Identify what the patients response or “outcome is to the goal or care that you have provided. i.e. patient ate 45% of lunch)

Reassess for short-term goal:

1.

2.

3.

Reassess for long-term goal:

1.

2.

3.

Was it met or not met there is no partially met.

Social worker

Directions:

Disorders of the endocrine system affect many individuals. Providing multidimensional patient care can be challenging for patients experiencing these disorders. Ensuring the plan of care meets the patient and family needs is important in order to increase adherence to proper medical treatment following discharge.

What does it mean to provide a multidimensional approach? Provide at least three examples of how the care team can meet the patient and the family’s needs? List at least three care team members and how are they involved in providing multidimensional care?

Social worker

1. PowerPoint-One Slide for each question and do just the once highlight with reference

Top of Form

Assignment Scenario

After graduating from nursing school and passing your boards, you accepted a position as an RN in the Progressive Cardiac Care Unit (PCCU) at Rasmussen General Hospital (RGH). In the weeks ahead, the PCCU plans to implement a new initiative where clients who received a cardiac stent during their angioplasty will be sent home on 6 months of oral antiplatelet therapy with clopidogrel.

Historically, clients diagnosed with coronary artery disease post-op stent placement were admitted to the hospital’s observation unit for 24 hours and then sent home. However, when surveyed about their experiences, many clients reported they did not like moving to a new unit for 24 hours, it was considered time-consuming, and inconvenient. Under RGH’s new program, PCCU nurses will be responsible for educating clients about their new medication and administering the first dose to the client before discharge instead of transferring clients to the observation unit for 24 hours.

As part of this new initiative, all PCCU nurses at RGH must be trained to properly educate these clients on all aspects of their new medication regimen. Because you have demonstrated a keen interest in pharmacology, your manager has asked you to develop the educational tools that will be used to train the nurses at RGH.

Assignment Instructions

Your manager explained that all of the PCCU nurses at RGH will be educated in small groups through a short, in-service training session. You have been asked to develop a professional-looking PowerPoint presentation that the trainers will use to guide the in-service sessions. Your PowerPoint will need to:

1. Be professional-looking (show current evidence-based practices), have a title slide, and 10-15 content slides.

2. Use the Speaker Notes feature in PowerPoint to reduce the amount of text that appears on the content slides.

3. The Speaker Notes for each slide will contain the text that will guide what the trainer will say while presenting the slides during the in-service.

4. The speaker notes should be written in full sentence format. The speak notes should show comprehension of the material, this means the speaker notes should add additional information to the notes on the slide; they should explain definitions, diagrams, and provide examples. The speaker notes should be easy to understand and follow. The speaker notes should add to the presentation and not be directly copied from the content slides. (Speaker notes should follow APA guidelines)

5. The Speak Notes need to be copied onto a word document and submitted through grammeraly.

6. The content slides themselves should be clear and easy to understand; they serve as an outline so the audience can follow along with what is being presented (Slide should follow APA guidelines)

7. Both slides and speaker notes should be written using proper spelling/grammar and at a level that would be appropriate for the audience.

8. Remember the purpose of the training is to help nurses learn about this medication so they can educate their clients about the use of a medication. With that in mind, it may be helpful to provide examples of how to explain the information to a client in an easy-to-understand way without complicated, technical terms.

9. Include APA formatted in-text citations on each slide as well as in the speaker notes. This assignment requires 3 scholarly references and present the sources in APA format on a References slide.

10. Contain content addressing the items below.

11. Pharmacotheraputics

12. State the drug name and its therapeutic category

13. Pharmacodynamics (how does this drug work? How does it affect the body?)

14. Pharmacokinetics (how is this drug absorbed, distributed, metabolized, and excreted; why is this information important to the nurse? How can you connect this information to nursing care?).

15. Discuss dosage, scheduling, route, and length of therapy.

16. Describe what clients can expect regarding their therapeutic response and when it should develop

17. Introduce non-drug measures that clients can do to enhance their therapeutic response (e.g., specific diet to follow, exercise requirements, substances to avoid, special precautions to take, etc.)

18. Side Effects, Adverse Effects, and Interactions

19. Explain the symptoms of common side effects, and what clients can do to minimize any discomfort. Ask yourself what can nurses do to prevent and/or treat some of the common side effects listed?

20. Explain the symptoms of any major adverse effects. What should clients do if they experience them? How can clients prevent these major adverse effects? How can nurses assess for these adverse effects? How can nurses prevent and/or treat these adverse effects?

21. List the major adverse drug-drug interactions and drug-food interactions that clients need to be made aware of

22. Follow-up Care

23. Provide information regarding when clients should call their doctor for advice (e.g., questions, non-urgent symptoms, unpleasant side effects, etc.)

24. Emphasize any symptoms for which clients should seek immediate care (e.g., when to go to the emergency center or call 911)

The following items need to be turned in to complete this assignment:

25. The power-point presentation with speaker notes

26. The word document with the speaker notes

Social worker

Directions:

Areas for reflection:

· Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency

· Describe how you achieved the transferable skill, 
Communication
, including at least one example of new knowledge gained related to the transferable skill

· Describe how this new knowledge will impact your nursing practice.

Course Competencies

· Describe the foundations of mental health nursing.

· Explain current legal issues and social concerns in mental healthcare.

· Select appropriate nursing interventions for clients with certain cognitive, addictive and psychotic conditions.

· Evaluate nursing care strategies for clients with certain mental health/mood/personality and eating disorders.

· Assemble nursing care interventions for clients with mental health/stress related disorders.

· Identify factors that impact mental health in special populations.

Transferable Skills

Communication: Displaying capability in writing, reading and oral communication; understanding of non-verbal language.

Social worker

Directions:

Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency.

Describe how this new knowledge will impact your nursing practice.

Course Competencies

1. Explain principles of care for clients with oncological disorders.

2. Identify components of safe and effective nursing care for clients experiencing fluid and electrolyte imbalances.

3. Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.

4. Select appropriate nursing interventions for clients with upper gastrointestinal disorders.

5. Select appropriate nursing interventions for clients with lower gastrointestinal disorders.

6. Evaluate responses to nursing interventions for clients with endocrine disorders.

Social worker

Mental health and behavioral health nursing

Half of page Assignment on mental health class

1) Five sentences about your biggest take away this quarter

2) Tell if guests speakers note were beneficial

3) Did you find all of the resources provided by the instructor to be helpful?

4) What do the instructor needs to change

Social worker

Competency

Identify multidimensional nursing care strategies for clients with reproductive system disorders.

Scenario

You work in a gynecological office, and your office has been asked to participate in a women’s health fair. The focus of the fair is health promotion. Preventative screening for female reproductive disorders is vital to identify and treat rapidly to produce the best patient outcomes. Preventative screening includes mammogram and Pap smear and should be performed based on recommended age and associated risk factors. To promote preventative screening, your office will be creating brochures to distribute at the health fair.

Instructions

Design a women’s health brochure by choosing one of the female reproductive disorders covered in this module. In the brochure, include the following:

· Overview of the disease including disease process, signs and symptoms, and risk factors

· Preventative screening

· Diagnostics tests

· Treatment

· Multidimensional nursing care interventions

Social worker

Discuss pharmacological versus non-pharmacological nursing interventions used for pain management during labor and birth. List two different classifications of drugs used for pain relief during labor and birth and include potential side effects of the drugs on the fetus. Also, describe two nursing interventions by the nurse to provide comfort during labor and birth that could be considered as non-pharmacological and the expected outcomes.

Response Posts

Discuss how the nursing interventions align with one of the six QSEN competencies and why?

Social worker

Name: Date:

Care Plan #

CON
CEPT MAP

Pathophysiology – (to the cellular level)-Client name-Tash Anderson

Medical Diagnosis


Gestational Diabetes

Signs & Symptoms/Clinical Manifestations (all data subjective and objective: labs, radiology, all diagnostic studies) (What symptoms does your client present with?)

Complications

Treatment (Medical, medications, intervention and supportive)

Causes/Risk Factors (chemical, environmental, psychological, physiological and genetic)

.

REMEMBER THAT THE EXPECTED OUTCOMES MUST BE MEASURABLE. THE INTERVENTIONS ARE WHAT YOU DO TO ASSURE THE OUTCOME AND THE CLIENT’S RESPONSE IS SPECIFICALLY HER RESPONSE.

PLAN OF CARE: Use your top two priorities

NANDA NURSING DIAGNOSIS use NANDA definition

Expected outcomes of care (Goals)

Interventions

Patient response

Goal evaluation

NRS DX:

Problem Statement:

R/T: (What is the cause of the symptom)

Manifested by: (Specific symptoms)



Short term goal

: Create a SMART goal that relates to hospital stay/shift/day.



Long term goal
: Create a SMART goal that is appropriate for discharge.

This is specific to the patient that you are caring for. A list of planned actions that will assist the patient to achieve the desired goal. (i.e. obtain foods that the patient can eat/ likes)

Interventions for short-term goal:

1.

2.

3.

Interventions for long term goal:

1.

2.

3.

Identify what the patients response or “outcome is to the goal or care that you have provided. i.e. patient ate 45% of lunch)

Reassess for short-term goal:

1.

2.

3.

Reassess for long-term goal:

1.

2.

3.

Was it met or not met there is no partially met.

Summer 2021 JM 9

Social worker

Jose is a 55-year-old Hispanic, male, migrant worker who speaks limited English. He presented to the emergency room with complaints of edema of the scrotum, urinary retention, and hematuria. He does not have any pertinent past medical history. He is married and has five young children. He states he has been having problems for a while but delayed seeing the doctor because of his work schedule and limited money. The doctor performs a digital rectal examination in the office and finds that Jose’s prostate is enlarged.

Initial Post

Male reproductive disorders can make a great impact on the patient’s life. Based on the case study, answer the following questions in your discussion post.

1. Discuss the potential disease processes and signs and symptoms related to the disease process that Jose may be exhibiting?

2. How would you provide multidimensional care to include cultural, psychosocial, spiritual, physical, and emotional needs for Jose?

Social Worker

Scenario

Anna is a 45-year-old female that presented to her physician’s office for her annual check-up. Anna has a history of diabetes, obesity, and noncompliance with diet and medications to control her diabetes. She a single mother of three teenagers and smokes regularly. During the history review, Anna shares with you that she has not been feeling like herself for the past six months, she has been unusually tired and thought that she felt a lump in her right breast during a self-breast exam around that same time. She stated, “I am very busy with my children; I haven’t had time to get it checked out.” She has recently been experiencing right nipple pain. Anna has a positive family history of breast cancer; both her mother and grandmother have been treated for breast cancer. Anna has never had a mammogram. During the breast examination, the practitioner palpated a lump in Anna’s right breast. No discharge from the nipple was observed. Anna’s right breast was tender upon palpation. No abnormalities were found in the left breast. Based on the physical findings Anna will undergo a diagnostic mammogram.

Instructions

In a 2-page paper, describe the care that Anna would require and address the questions below.

1. What risk factors does Anna have that could predispose her to the development of cancer?

2. What signs and symptoms could indicate that Anna has developed cancer?

3. Based on Anna’s risk factors and presenting problems, identify three care strategies that you would use to provide quality care to Anna. Provide rationale to explain why you chose these strategies.