The nurse, Karen, is caring for a critically ill client in the
surgical intensive care unit (ICU) after radical neck surgery. The
client is connected to a ventilator and is on a sedation protocol with
continuous IV infusion of midazolam (Versed), a powerful sedative that
requires constant monitoring and titration to maintain the required
level of sedation. During the night shift, the nurse discovers that the
medication bag is almost empty, and the pharmacy, which is closed, did
not send up another bag. Karen looks the medication up in a drug guide
and proceeds to mix the drip herself. The night charge nurse is busy
supervising a cardiac arrest situation out of the ICU and is unavailable
to double-check how the medication was mixed.
Inadvertently, the
nurse mixes a double-strength dose of the medication. Thirty minutes
after she hangs the new drip, the client’s blood pressure is 44/20 mm
Hg. The client requires a saline bolus and a dopamine drip to stabilize
the blood pressure. The family is notified that the client has “taken a
turn for the worse” and that they should come to the hospital
immediately. In backtracking for the cause of the hypotension, the nurse
realizes that she has mixed the sedative double strength and reduces
the rate by half.
When the family arrives, the client’s blood
pressure has started to return to normal. They ask the nurse what
happened and why their mother was on the new IV medication.
Questions to Discuss:
1. Should the family be told about the error?
2. Who should tell them? The nurse? The physician?
3. What approach should be used?
4. What ethical principles are involved in resolving this dilemma?
Category: Nursing
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Title: Medication Error in the ICU: Ethical Considerations and Communication with the Family
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“Exploring the Impact of Social Media on Mental Health: A Comprehensive Research Analysis”
research assignment : I will provide further details later. please read the rubric and let me know if it can be done
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“Implementing Evidence-Based Practice: A Topic Search Strategy for Improving Patient Outcomes”
My assissgnment is a Topic Search Strategy(An Evidence based Practice Paper). These are the articles for the paper
https://www.ncbi.nlm.nih.gov/pubmed/36731805
https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_proquest_miscellaneous_2444603382 -
Title: Bridging the Theory-Practice Gap in Nursing: A Case Study Scenario: A patient with a history of chronic obstructive pulmonary disease (COPD) is admitted to the hospital for exacerbation of symptoms. The patient is
Complete your reflection by responding to all prompts.
Theory-Practice Gap
Fundamentals of Nursing Models, Theories, and Practice discusses the theory-practice gap in detail in many chapters. As you have read throughout the course, there is an ongoing discussion about the connection between theory and practice and the application in day-to-day nursing activities. This reflection is designed to illustrate that although there may be a gap, other factors play an important role in decision-making and each aspect of theory, research, and practice experience are integral to well-rounded patient care.
Review Figure 1.4, “Correlation: Education, Science and Practice,” in Fundamentals of Nursing Models, Theories, and Practice.
Think of a scenario in which theory, research, and practice interact to create positive patient outcomes and answer the following:
Describe the chosen theory, research, and practice guideline or standard.
Explain the relationship between the three and discuss the role each plays in quality patient care in the scenario.
Explain any gaps, such as a lack of research, no practice standard, or no usable theory.
Determine the best course of action for making decisions in the absence of one aspect.
Include documentation of the practice guideline or standard and your corresponding research, evidence, or literature example.
Cite your research and practice guidelines in the text. -
Title: Comprehensive Health Assessment and Care Plan for a Middle-Aged Adult
please add Neurological, Cardiovascular. Respiratory. Musculoskeletal. GI/Hydration/Nutrition, Rest/Exercise, Integumentary, Endocrine, Recognize Cues must be in bullet point, analyzing cues must be 4. Generate Solutions, SMART GOALS, (Please ADD 2 MORE) Please writhe EVALUATION part: more clear if the goals 5-10 sentence.
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“The Importance and Impact of Professional Nursing Organizations: A Discussion with Nursing Students”
“You and your friends in the nursing program are having lunch after a class that covered content found in this chapter. One of your friends says, “I was bored when we got to all that information on professionalism and nursing organizations. What a waste of time. I just want to be a nurse.” All of you are struggling to figure out what you have gotten yourselves into. You turn to your friends and suggest it might be helpful to have an open discussion on the comment just made. So over lunch, you all talk about the comment. It was clear that the students who had read the chapter were better able to discuss the issue, but everyone had an opinion.”
“1. What is the purpose of nursing organizations?”
“2. What role should professional organizations assume to increase nursing status in the healthcare system?”
“3. What are some of the advantages and disadvantages of joining a professional organization?” -
“The Concept of Patient Advocacy in Nursing Practice: Definition, Criteria, Theoretical Perspectives, and Organizational Significance”
Develop a scholarly paper that includes the following criteria:
1. A definition of the concept utilizing various sources
2. Define the criteria of the concept
a. Discuss the uses of the concept
b. Define the attributes of the concept
c. Identify antecedents and consequences
3. Theoretical perspectives of the concept (theories that use the concept)
4. Provide an example of the significance of the concept to nursing practice from the organizational setting
5. The scholarly paper should be 5-6 pages excluding the title and reference pages.
6. The paper should include level 1 and level 2 headings.
7. The paper should begin with an introductory paragraph that includes the purpose statement. The introductory paragraph and purpose statement allow the reader to understand what the paper/assignment is going to address.
8. The paper should include a conclusion.
9. Write the paper in third person, not first or second person (meaning do not use ‘we’ or ‘I’ or “you”).
10. Include a minimum of three (3) references from professional peer-reviewed nursing journals (review in Ulrich Periodical Directory) to support the paper. Students may use the course textbook in addition to scholarly journals. ***Historical references may be used as appropriate. (Definition of historical reference: reference to a well-known person, place event or literary work that adds meaning to the paper.)
11. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations). -
Title: Exploring the Impact of Arts and Music on Chronic Health Conditions After watching Arts and the Mind Program Two and reading the National Institutes of Health (NIH) landing page on Music-based interventions for people with chronic health conditions, two concepts
After watching Arts and the Mind Program Two (attached below)., (allow 60 minutes to watch the video,) and reading the National Institutes of Health landing page on Music -based interventions for people with chronic health conditions (attached below)., answer the following questions using correct grammar, punctuation, and spelling.
Identify two concepts/ideas that stood out from the video / NIH reading for you personally.
Discuss why you selected these concepts/ideas and what meaning they have for you.
How might you use this information in patient care?
POST 250-300 words answering the questions above. Posts should be organized and use correct spelling, grammar, and punctuation. Cite the video and NIH web page (both attached below) in your post using APA 7th edition format. -
“The Impact of Social Media on Consumer Behavior: A Case Study Analysis”
first 4 attachments are directions for assignment. the remaining attachments are the information needed from the assignment you completed for me from week 3 that needs to be referenced for this current assignment.
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Breaking Bad Habits: My Journey to Self-Improvement As I watched the Ted Talk, “A simple way to break a bad habit” by Judson Brewer, I couldn’t help but reflect on my own journey towards self-impro
Please watch the Ted Talk and write 2-page reflection
You should NOT summarize what you watched.
This is a reflection paper; tell me how it relates to your own story/ what’s your take-away points/ what have you learned/ realized.
You may write about anything, except the summary of the video.
A simple way to break a bad habit