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Essay Instructions: I am presently doing a diploma of nursing via correspondance at a Queensland TAFE to become an endorsed enrolled nurse. My 3rd clinical placement was at charters Towers Hospital in Queensland, Australia.

DESCRIPTION OF THE PROJECT/ASSIGNMENT
TITLE: 3rd Clinical Placement Report

-You are required to write a report on your recent clinical placement (max 1000 words)

-Describe the complex nursing interventions delivered by the service.

-Describe how the service promotes client health and positive lifestyle choices?

-Describe how the service ensures the safe administration of medications to clients

-Describe the strategies used to ensure nursing practice is performed within legal requirements and ethical frameworks

-Describe how you contributed to the nursing plan of care for a client with a chronic health problem. (I cared for a patient on Oxygen Therapy who was also receiving nebulised ventolin)

Essay Instructions: 10% of the grade 1-present a biographical sketch of the nurse theorist Rosemary Rizzo Parse.
a)Discuss the theorist's background
b)Discuss the factors that influenced the theorist's thinking and the development of the theory/model she developed.
30% of the grade 2-Describe the theorist's nursing theory/conceptual model.
a)Explain the major focus of the theory/model.
b)Present how the theory model defines the metaparadigm concepts:the person(the patient or client),envioroment(society),nursing(goals,roles,functions) and health.
c)Describe the other key concepts and relationship(s) that are described in the theory/model.
10% of the grade 3-Briefly discuss 2 research studies that have tested components or relationships of the theory within the article(Articles must be from peer-reviewed journal sources)
a)Identify the component(s) or relatioship(s)of the theory tested
b)Identify the study findings related to the component(s) or relationship(s)
25% of the grade 4-Describe and develop a mock clinical case.Apply the nursing theory/model to the clinical case to demonstrate the theory/model's application to clinical practice.
a)Fully describe the cleint including relevant health conditions,envioramental issues,nursing diagnoses/problems,clinical situation, etc.
b)Use the theory/model to asses the clinical case/situation and develp a nursing plan of action to assist the client.
15% of the grade 5-Scholarly writing(grammar,pontuation,etc).
a)Min.of 5 References-no more than 1 text.
b)References are submited in APA format.
c)Cites appropriately on paper.
d) submission of Reference List in APA Format
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Essay Instructions: Introduction:

Many patients with a chronic, terminal illness are cared for in the home. The community nurse is a key resource to these patients both in providing a link to healthcare and in promoting quality of life.

Scenario:

Mrs. Thomas is a 56-year-old female with a history of breast cancer. Three of Mrs. Thomas’s five female relatives died before the age of 50 from the same illness. After identification of a malignant mass in her right breast one year ago, Mrs. Thomas underwent a right mastectomy with the removal of five axillary lymph nodes, followed by chemotherapy and radiation therapy. She subsequently suffered moderate lymphedema and pain in her dominant right arm. At that time, the BRAC (Be Ready Against Cancer) analysis was positive, revealing a higher than average chance of the disease recurring.

Six months ago, Mrs. Thomas felt a pea-sized, hardened lump in her left breast. A biopsy was positive for malignancy. She underwent a second mastectomy with chemotherapy and radiation. After treatment, the cancer was found to have metastasized to her lungs, and further surgery was not determined to be a viable option. She has been given a poor prognosis for recovery, and palliative care is now recommended.

After the last chemotherapy, Mrs. Thomas experienced a moderate degree of pain on most days. Even though she had been prescribed Vicodin (hydrocodone/paracetamol), Mrs. Thomas endured the discomfort without pills most of the time because she says she did not want to become "addicted to drugs." Lately, however, her pain level has been increasing and she spends much of the day crying in bed. She can no longer hold the clerical job that helped to supplement her husband’s income, and they find it difficult to make ends meet, even though she is receiving a small disability check each month. Mrs. Thomas has medical insurance but no long-term healthcare insurance. Since all of her close female relatives have died, she has few people to help her. She does not want to call on friends or coworkers for support.

Mrs. Thomas lives with her husband of 31 years in a private home in the suburbs of a large city. Mr. Thomas has suffered from chronic depression that has been managed with medication. He is a police officer who is extremely supportive of his wife and is attempting to provide for her care at home. However, Mr. Thomas is now showing increased signs of depression because of difficulties at work and because of the stress of his wife’s condition. He often forgets to take his medication due to the stress. Mrs. Thomas has become concerned because she fears he is suicidal. This, in turn, is causing Mrs. Thomas even more distress, as she feels her husband is suffering because of her illness. Because of Mrs. Thomas’s condition, the couple does not go out and does not have friends over to visit.

Mrs. Thomas has two sons, aged 28 and 30. Both live out of state with their wives and children and are very upset about their mother’s condition. Even though they phone regularly, they find it too painful to visit her in person. The lack of personal contact with her immediate family makes Mrs. Thomas even sadder, yet she says she does not want to "bother" them with her problems.

As the community health nurse, you have been asked to visit the Thomas family to assess their support needs. After reviewing Mrs. Thomas’s case history, you recognize that the family is under a great deal of physical and emotional stress due to the chronic and terminal nature of Mrs. Thomas’s cancer.

Task:

Create an appropriate nursing plan (suggested length of 5??"7 pages) in which you do the following based on the scenario above:

A. Explain how your own perceptions about quality of life and health promotion might affect your care for a dying patient with a lingering illness such as cancer.

B. Discuss three strategies that you could use in the Thomas’s situation to improve the quality of life for Mrs. Thomas and her husband during this illness.

C. Create a holistic nursing action plan appropriate for managing Mrs. Thomas’s care at home.
1. Discuss ways to optimize Mrs. Thomas’s functional ability at this stage of her illness.
2. Discuss ways to provide care for Mrs. Thomas once self-care is no longer possible.

D. Explain how you, as the community health nurse, can intervene in this situation in the management of Mr. Thomas’s chronic depression.

E. If you use sources, include all in-text citations and references in APA format.

Essay Instructions: The request is for a nursing educational journal article.The topic is:Perioperative Nurse's role in caring for pregnant patients with aortic dissections.The paper has to be written with a nursing focus.The volume of information should be on the nursing care for the pregnant patients with aortic dissections.The article should have nursing citations.
The writer has to address certain criteria of care for pregnant patients with aortic dissections:
Brief history of why pregnant patients develop aortic dissections.
Causes?
Pathophysiology
Diagnosis-D-dimer,chest Xray,computed tomography,MRI,transesophageal echocardiography,aortogram
Signs and symptoms
Treatment-Medication,surgical,Follow-up
How do nurses treat these patients?
What is the nursing plan of care for pregnant patients with aortic dissections?
What is the medical and surgical plan for treating these patients?
What makes a pregnant patient with a aortic dissection a surgical elective candidate?
What makes them an surgical emergent candidate?
Prognosis?
Why are aortic dissections called "the silent killer"?
What are the survival rates for early intervention?
How do nurse's safely and effectively care for the pregnant patient and unborn fetus during surgery with a aortic dissection?
What should a nurse know about treating these patients?
What are the guidelines?
What are the nursing considerations?
What are the nursing assesment,nursing diagnosis,nursing domains,nursing interventions,nursing outcomes and nursing implementations and conclusions?
Patient management preoperative,intraoperative and postoperative.
Drug therapy concerns



There are faxes for this order.