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Why is it important to assess the patient for use of herbal products prior to 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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Identify a targeted audience within Good Health Hospital, and prepare an implementation plan based on your hypothetical meeting with the hospital health care administrator.

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Analyze Good Health Hospital’s records and itemize recent nosocomial infections that occurred within the past year. In your report, categorize the different parameters (i.e., person, time, place, ethnicity, and gender) used in the compilation of data into the information summative. 2.Propose at least six (6) questions for the health care administrator at Good Health Hospital, regarding potential litigation issues with infections from the nosocomial diseases. Rationalize, in your report, the logic behind your six (6) questions. 3.Identify a targeted audience within Good Health Hospital, and prepare an implementation plan based on your hypothetical meeting with the hospital health care administrator. Propose four (4) steps that will be useful in the final implementation plan. 4.Suggest at least five (5) recommendations to your department head based on the steps taken in the implementation plan. Provide rationale for your suggestions. 5.Using these approved recommendations, design a safety protocol itinerary that must be placed in public access areas of the hospital.

 

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Compare the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Describe how venous thrombosis is different from arterial thrombosis.

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Disorders of the Veins and Arteries Advanced practice nurses often treat patients with vein and artery disorders such as chronic venous insufficiency (CVI) and deep venous thrombosis (DVT). While the symptoms of both disorders are noticeable, these symptoms are sometimes mistaken for signs of other conditions, making the disorders difficult to diagnose. Nurses must examine all symptoms and rule out other potential disorders before diagnosing and prescribing treatment for patients. In this Assignment, you explore the epidemiology, pathophysiology, and clinical presentation of CVI and DVT. To Prepare

1. Review the section “Diseases of the Veins” (pp. 598-599) in Chapter 23 of the Huether and McCance text. Identify the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Consider the similarities and differences between these disorders. 2. Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, or behavior. Think about how the factor you selected might impact the pathophysiology of CVI and DVT. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected. 3. Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic venous insufficiency and one for venous thrombosis. Consider the epidemiology and clinical presentation of both chronic venous insufficiency and deep venous thrombosis. To Complete Write a 3- to 4-page paper that addresses the following:

1. Compare the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Describe how venous thrombosis is different from arterial thrombosis. 2. Explain how the patient factor you selected might impact the pathophysiology of CVI and DVT. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected. 3. Construct two mind maps—one for chronic venous insufficiency and one for deep venous thrombosis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

 

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Select an ‘at risk’ patient for analysis and write a brief summary of the patient’s relevant health problems and any management provided.

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This assessment task prepares you to access a patient in your care and identify those at risk. Select an ‘at risk’ patient for analysis and write a brief summary of the patient’s relevant health problems and any management provided.
Critically analyse one health problem using evidence based findings relating this to the ‘at risk’ status of the patient. Consider any system failures that may have contributed to the presenting problem and the relationship to communication pathways. The cases you read and discussed in MyLO are examples of an “at risk” patient. Your discussion should include the complexities of health care decision making and its relationship to inter-professional communication pathways.
You must clearly demonstrate the related pathophysiology and management that contributed to the patient’s condition. Laboratory findings should be included if relevant to the case. Expand and justify management by identifying and discussing key nursing and medical interventions, including clinical assessment, physiological monitoring, supportive therapies and evaluation of the care provided. Justify and critique the relevant nursing interventions by drawing on recent, evidence-based literature and propose recommendations for future practice if indicated. The paper should include a minimum of 10 scholarly references to support your discussion points.
Maintain patient confidentiality by assigning the person a pseudonym and abide by your organisations ethics policy on using patient information. You should also maintain organisational anonymity.
There will be an example paper in MyLO for you to read. Please note this is an example only and assessment requirements have been altered. Use it as a guide of where you need to aim to receive an HD. Please read the marking criteria carefully to ensure you are meeting all elements

 

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