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Explain the role of the nurse when implementing the immediate preoperative preparation the day before surgery and the morning of the surgery?

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Joan Arnold, 67 years of age, is a female patient who underwent a coronary angiogram that diagnosed severe coronary artery disease in three of her coronary arteries, the left anterior descending, the left circumflex, and the right coronary artery. She is scheduled for a coronary artery bypass graft operation tomorrow. The nurse provides patient education for Mrs. Arnold and her husband, which includes watching a hospital video on the operation, the intensive care environment, what to expect after the surgery, the recovery period, and cardiac rehabilitation. The video also covered the importance of coughing and deep breathing, using an incentive spirometer, splinting, early ambulation, pain medication, and how to position oneself safely. The video stressed the importance of not rolling onto the side that the chest tube may be in place postoperatively. The video also discussed the preoperative preparation. The nurse also provided a booklet on the subject material. The nurse had a session with the patient and her husband to assess their understanding and to answer any questions they may have had.

What specific preoperative nursing measures should the nurse review with the patient to help decrease the risk for postoperative complications?
Explain the role of the nurse when implementing the immediate preoperative preparation the day before surgery and the morning of the surgery?
The nurse in a gynecology clinic is completing preoperative teaching for a patient scheduled for an abdominal hysterectomy next week. The patient states that she is currently taking 325 mg of aspirin daily for chronic joint pain, along with a multivitamin. The patient has type 2 diabetes; she closely monitors her blood glucose levels. Currently, she is taking an oral hypoglycemic agent. The nurse advises her to ask the anesthesiologist whether she should take this medication the morning of surgery.
The nurse instructs the patient to stop taking the aspirin. What is the rationale for this action?
Why is it important to assess the patient for use of herbal products prior to surgery?
c.The patient asks how surgery could affect her blood glucose; how should the nurse respond?

 

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Use at least 3 professional references, all of which are less than 5 years old (No textbooks are permitted)

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The body of the paper must be 750-1250 words of text and must follow APA format. Points will be deducted if the paper is too long or too short. Use at least 3 professional references, all of which are less than 5 years old (No textbooks are permitted). All three references must come from peer-reviewed English Language nursing journals. Web-sites, if used, must be those sites established for professional use. Documentation of references, including websites, must follow APA format. The paper must be written in narrative format. Outline format, bullets, and tables should not be used in the paper. The paper must be well organized and show a logical progression with the use of subheadings required. Correct grammar, spelling and punctuation are expected. Please use Times New Roman typeprint in the body of the paper. We request you use 12 size font in your paper.. The reference page must be completed and submitted to your classroom teacher for approval prior to writing the paper. Copies of all articles, including web-site sources, must be attached to this reference page. Your reference page and articles (including information from web-site sources) are due on February 18, 2016.

 

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Trends and Issues in Health Care – Nurses in Politics

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NRS-440V Week 4 Legislative Worksheet (SBAR Format): How a Bill Becomes a Law

Trends and Issues in Health Care – Nurses in Politics

As you have discovered through this course, nurses are influential members of the community and the political system.

Therefore, for the purposes of this assignment you will identify a problem or concern in your community, organization, etc. that has the capacity to be legislated. You will conduct research and state a proposal. Through the legislative process, your proposal for the problem or concern may influence an idea for change into a law.

First, refer to the “How a Bill Becomes a Law” media.

Then, view the “Bill to Law Process” to watch the scenario.

Legislative Worksheet (SBAR Format) How a Bill Becomes a Law

SITUATION: IS THIS SOMETHING THAN CAN BE LEGISLATED?

Identify the problem/concern:

State your proposal/idea.

BACKGROUND: DO YOUR RESEARCH

Include studies, reports, personal experience, or anecdotal stories related to your proposal.

Has there been similar legislation introduced and/or passed in other states? If so, include it.

ASSESSMENT: FINANCES AND STAKEHOLDERS

Identify financial impact if any (e.g., added costs, cost savings, increased revenue):

Hospital Board of Directors

RECOMMENDATION

Make an appointment with your legislator to discuss your proposal.

 

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Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change.

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Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.

A minimum of three scholarly references are required for this assignment.

Rubric:

Clearly States How the Practice of Nursing and Patient Delivery Will Evolve, While Addressing Relevant Concepts That Include Continuity or Continuum of Care, Accountable Care Organizations, Medical Homes, and Nurse-Managed Health Clinics

The writer is clearly in command of standard, written academic English.

In-text citations and a reference page are complete. The documentation of cited sources is free of erro

 

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