Learning Objectives Covered:
1. Identify changes in ventilator graphics based on the patient’s lung condition
2. Identify changes in ventilator graphics caused by inappropriate ventilator settings or equipment or device malfunctions
Background
Ventilator graphics provides the clinician with a valuable monitoring and diagnostic tool to help them achieve the best possible patient outcomes. Though mechanical ventilators measure various lung pressures, volumes and mechanics these values within themselves are not enough to give us a complete understanding of the various changes that can occur within a patient’s lungs. The values measured and provided by ventilators are invaluable; however, these values are enhanced when we also consider ventilator graphics. Let’s look at an example of how graphics work. We take a patient’s blood pressure which gives us a digital numerical display of the pressures within the blood vessels and the rate of their heartbeat. Assessing a patient’s blood pressure and heart rate helps us to evaluate the rate and strength of their heartbeat. However, what if we were to perform an EKG or place a patient on a heart monitor? Not only will we assess their heart rate and the strength of their heartbeat but it will also provide us with valuable insight into the heart’s rhythm. The heart is electrically conducted so being able to view the heart’s function during each heartbeat provides us with more information. It also gives us an opportunity to identify many more abnormalities that we would otherwise overlook.
Instead of only looking at numerical values to help us understand patient-ventilator interaction, ventilators incorporate graphical displays (waveforms) which give us greater insight into the changes that occur in a patient’s lung mechanics over a period of time. Ventilator waveforms are a useful tool in detecting abnormalities such as
Abnormal ventilatory parameters/lung mechanics
· Alveolar overdistention
· Auto-PEEP (air trapping)
Patient-ventilator Interaction
· Patient-ventilator dyssynchrony
· Flow starvation
· Auto-triggering
Ventilatory circuit related problems
· Auto-cycling
· Secretion buildup in the ventilator circuit
Interpreting ventilator waveforms takes practice so don’t become discouraged if you don’t become an expert by the end of this course (I don’t expect you to).
As we previously discussed there are two types of ventilator waveforms: scalars and loops. Scalars are waveform representations of pressure, flow or volume on the y- axis vs. time on the x- axis. Loops are representations of pressure vs. volume or flow vs. volume.
Let’s take a closer look at recognizing lung overdistention. There are many waveforms we can look at to recognize lung overdistention but let’s take a look specifically at a pressure-volume loop. Since lung overdistention can be caused by the delivery of too much pressure or volume during inspiration then the pressure-volume loop is ideal. A normal pressure-volume loop is shown below.
Now notice below what can happen when we deliver high tidal volumes during volume ventilation or too much pressure during pressure- controlled ventilation.
Correcting lung overdistention is done by first recognizing that it is occurring and secondly by decreasing either tidal volume (if in volume control ventilation) or peak inspiratory pressure (if in pressure control ventilation).
Prompt
For this assignment, you will provide detailed responses to the following questions:
Pressure-volume loops assess compliance, which is measured by the change in volume for a given change in pressure. Another benefit of pressure-volume loops is the assessment of PEEP during mechanical ventilation. Application of PEEP may increase compliance.
1. How does the addition of PEEP increase compliance and affect the pressure-volume loop?
2. How are pressure-volume loops useful in determining optimal PEEP levels?
Use a pressure-volume image in your responses that illustrate your response. Be sure to cite your source.
Flow volume loops are used to obtain information about airway resistance.
3. List and describe at least two conditions that are easily recognized with flow volume loops.
Use a flow-volume image for each condition in your response. Be sure to cite your source.
Submit your answers in at least 500 of your own words on a Word document. You must cite at least three references in APA format to defend and support your position.
Month: August 2018
Describe the risks associated with excess body fat
Body Fat
Analyze and explain the associated health problems of the obesity epidemic and eating disorders such as anorexia nervosa, bulimia nervosa, and binge-eating.
Write a response of at least 350 words that explains the associated health problems of the obesity epidemic and eating disorders. Address the following:
- Describe the risks associated with excess body fat.
- Discuss at least five factors that influence the obesity epidemic.
- Assess the various techniques for measuring body fat.
- Explain the various strategies for weight loss.
- What are some health problems associated with anorexia nervosa, bulimia nervosa, and binge-eating disorder? Explain how each of the eating disorders mentioned may lead to health problems. What are the treatment options for these disorders?
Include references with citations in APA format.
E-Health And Its Effect On The Dissemination And Direction Of Information
Masters In Public Health Paper: E-Health And Its Effect On The Dissemination And Direction Of Information
Various electronic resources can be effectively used to monitor and promote personal health, population health, and health services. The Internet has promoted various interactive computer applications used in protecting public health. Electronic identification, insurance information applications, etc., have paved the way for better health data management. New developments such as social networking may also have applications to protect public health.
- Provide a definition of e-health by focusing on advances and trends that have been made in this area since the year 2000.
- Provide descriptive examples of the application and beneficiaries of e-health.
- Describe the motivation for development and funding for each aspect of e-health.
- Explain how advancing e-health technology is of value to protecting and promoting the public health or improving health access, quality, safety, and other aspects of public health system performance.
Write a 3–5-page paper in Word format. Include appendices as a separate section in the paper. In this section, mention conceptual models that help clarify any relationships or processes that you mention as part of your responses.
Assignment Components
Maximum Points
Provide a definition of e-health by focusing on advances and trends that have been made in this area.
20
Provide descriptive examples of the application and beneficiaries of e-health.
20
Describe the motivation for development and funding for each aspect of e-health.
20
Explain how advancing e-health technology is of value to protecting and promoting the public health or improving health access, quality, safety, and other aspects of public health system performance.
20
Academic Writing Write in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources (i.e. APA); and display accurate spelling, grammar, and punctuation.
20
Preventing and controlling healthcare associated infection standard
Written Assignment of 2000 words (literature review)
Details of task: Review of evidence relating to a specified care quality and safety issueReview of evidence relating to a specified care quality and safety issue
Identify a quality / patient safety / clinical governance problem or issue of concern in your health organisation or clinical practice that aligns with one of the three stipulated National Standards (2nd Edition):
· 3. Preventing and controlling healthcare associated infection standard
· 5. Comprehensive care standard
· 8. Recognising and responding to acute deterioration standard
Word limit: 2000 words (excluding the title page, table of contents and reference list)
Review the recent literature (within the last 10 years) on a quality / patient safety / clinical governance problem or issue of concern in your health organisation or clinical practice that aligns with one of the three stipulated National Standards (2nd Edition). Referencing is to adhere strictly to APA 6th style.
Structure your literature review paper as follows:
1. Title page
2. Table of contents
3. Introduction – include a description of:
· The quality / patient safety / clinical governance problem or issue of concern in your health organization or clinical practice and the stipulated National Standard (2nd Edition) to which it relates
· Why it is (or is likely to be) a problem or issue of concern in your health organization or clinical practice
· Who is impacted most by the problem or issue of concern
4. Review of literature, including search terms and databases used. In the review of literature, the discuss the:
· Extent of the problem or issue of concern
· Causative factors
· Approaches to preventing or minimizing the likelihood and consequences of the problem or issue of concern.
5. Discussion – why the findings might be of relevance and assistance in preventing or minimizing the likelihood and consequences of the problem or issue of concern in your organization
6. Conclusion
7. Reference list – APA 6th style
Useful references
https://www.safetyandquality.gov.au/wp-content/uploads/2011/09/NSQHS-Standards-Sept-2012.pdf
Identify a quality / patient safety / clinical governance problem or issue of concern in your health organisation or clinical practice that aligns with one of the three stipulated National Standards (2nd Edition):
· 3. Preventing and controlling healthcare associated infection standard
· 5. Comprehensive care standard
· 8. Recognising and responding to acute deterioration standard
Word limit: 2000 words (excluding the title page, table of contents and reference list)
Review the recent literature (within the last 10 years) on a quality / patient safety / clinical governance problem or issue of concern in your health organisation or clinical practice that aligns with one of the three stipulated National Standards (2nd Edition). Referencing is to adhere strictly to APA 6th style.
Structure your literature review paper as follows:
1. Title page
2. Table of contents
3. Introduction – include a description of:
· The quality / patient safety / clinical governance problem or issue of concern in your health organization or clinical practice and the stipulated National Standard (2nd Edition) to which it relates
· Why it is (or is likely to be) a problem or issue of concern in your health organization or clinical practice
· Who is impacted most by the problem or issue of concern
4. Review of literature, including search terms and databases used. In the review of literature, the discuss the:
· Extent of the problem or issue of concern
· Causative factors
· Approaches to preventing or minimizing the likelihood and consequences of the problem or issue of concern.
5. Discussion – why the findings might be of relevance and assistance in preventing or minimizing the likelihood and consequences of the problem or issue of concern in your organization
6. Conclusion
7. Reference list – APA 6th style
Useful references
https://www.safetyandquality.gov.au/wp-content/uploads/2011/09/NSQHS-Standards-Sept-2012.pdf
Communicable Disease
Communicable Disease
Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance completing this assignment.
Communicable Disease Selection
Choose one communicable disease from the following list:
Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance completing this assignment.
Communicable Disease Selection
Choose one communicable disease from the following list:
- Chickenpox
- Tuberculosis
- Influenza
- Mononucleosis
- Hepatitis B
- HIV
- Ebola
- Measles
- Polio
- Influenza
Epidemiology Paper Requirements
Address the following:
- Describe the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
- Describe the determinants of health and explain how those factors contribute to the development of this disease.
- Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle). Are there any special considerations or notifications for the community, schools, or general population?
- Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).
- Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.
- Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.
A minimum of three peer-reviewed or professional references is required.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
NRS427V-RS-CommunicableDiseaseChain.doc
What is a health care organization's administrative role regarding oversight of risk management policies
Discussion
Throughout this course, you have identified, examined, and provided individual as well as collaborative analysis on multiple facets of risk management in the health care setting.
Addressing the knowledge you have gained, and building on that knowledge to add your evaluation of the role that the managed care organization (MCO) plays in today’s health care environment, develop a 250-500 word reflection to incorporate the following:
- What is a health care organization’s administrative role regarding oversight of risk management policies and ensuring compliance with managed care organization (MCOs) standards?
- What is your assessment of the value provided to an organization that stems from the regulatory statutes of a typical MCO? Consider the establishment of conflict resolution and risk management strategies within the health care organization from the employer/employee perspective as well as in regards to patient conflict circumstances.
- What MCO responsibilities pertain to the Patient Protection and Affordable Care Act (PPACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?
The Strategies to Overcome and Prevent Obesity Alliance
Add the following case study from your textbook:
- Case 10: The Strategies to Overcome and Prevent Obesity Alliance
Then, perform the following tasks to complete this assignment:
- Go to The Community Guide website at The Guide to Community Preventive Services (The Community Guide) and review the intervention strategies used to reduce the burden of disease in that community or population.
- Discuss these strategies in your paper and provide recommendations for improving upon those strategies.
- Review relevant policies that impact your chosen geographic location and the health of the residents in this area. You may search for philanthropic organizations in your area that focus on health as a part of their mission. Often times, these organizations review and analyze health policies for your area. Examples of such philanthropic organizations are United Way, Blue Cross Blue Shield, and Public Health Institutes.
- Identify some of the local champions for health policy or health issues in your selected area. Discuss how these local champions have been effective in advocating for change in your selected area or location.
Compare and contrast the concepts of stereotyping and ethnocentrism.
Description
Select a culture to research throughout the semester. (Chinese Culture)
This first paper will analyze what you find out about the culture 1) from depictions of the cultural group in U.S. media and 2) from academic journals or scholarly references explaining the communication/values of the cultural group.
Write 1,000-1,250 words in response to the following:
1.Compare and contrast the concepts of stereotyping and ethnocentrism.
2.Find two concrete examples that show how the cultural group you are studying is stereotypically represented by local and/or national media in the U.S. (This could include Comic Strips, Newspaper Articles, Advertisements, TV Shows, etc.).
3.Compare and contrast these media stereotypes with research about the culture communication value orientations (pick two value dimensions from the list provided below, describe the value dimension, explain what research findings say about your culture in relation to these values, and give illustrations of how this is expressed in their communication).
1.High vs. low-context
2.High vs. low power-distance
3.Individualism vs. collectivism
4.High vs. low uncertainty avoidance
5.Polychronic vs. monochronic
6. Femininity vs. masculinity
7. Long-term vs. short-term
8. Indulgence vs. restraint
4. Using academic sources, explain how mass-mediated stereotypes may affect communication between you and a member of this cultural group.
Select a culture to research throughout the semester. (Chinese Culture)
This first paper will analyze what you find out about the culture 1) from depictions of the cultural group in U.S. media and 2) from academic journals or scholarly references explaining the communication/values of the cultural group.
Write 1,000-1,250 words in response to the following:
1.Compare and contrast the concepts of stereotyping and ethnocentrism.
2.Find two concrete examples that show how the cultural group you are studying is stereotypically represented by local and/or national media in the U.S. (This could include Comic Strips, Newspaper Articles, Advertisements, TV Shows, etc.).
3.Compare and contrast these media stereotypes with research about the culture communication value orientations (pick two value dimensions from the list provided below, describe the value dimension, explain what research findings say about your culture in relation to these values, and give illustrations of how this is expressed in their communication).
1.High vs. low-context
2.High vs. low power-distance
3.Individualism vs. collectivism
4.High vs. low uncertainty avoidance
5.Polychronic vs. monochronic
6. Femininity vs. masculinity
7. Long-term vs. short-term
8. Indulgence vs. restraint
4. Using academic sources, explain how mass-mediated stereotypes may affect communication between you and a member of this cultural group.
Elements that go into designing and launching a community service
Final Project
In the first two written assignments, you selected one vulnerable population in need of a new program or service in your community. In this project, you will finalize the research that allows you to understand elements that go into designing and launching a community service. The Final Project will be written using a persuasive tone, such that you would be able to present it in order to gain community and organizational support for your program. The Final Project must demonstrate an understanding of the reading assignments, class discussions, as well as your research and application of new knowledge. Your project must contain the following elements:
- A description of the vulnerable population and why they need assistance in your community.
- A description of the health service needs of the vulnerable population you have chosen to serve with your program.
- In order to support the need for the service you propose, cite statistical data obtained from your county health department, state health department, and organizations or agencies who serve the vulnerable population.
- A description of your proposed community service or program; include the specific service(s) provided and one continuum of care level (prevention, treatment, or long-term care). Explain how the selected service(s) and the continuum of care will impact the chosen population.
- Discuss the social and cultural norms of your vulnerable population and how these play a role in the need for the services offered by your program. Describe how the vulnerable population experiences the health care system. Analyze methods your program can use to overcome social and cultural differences.
- Identify two or more community organizations or agencies with which you can partner in order to implement your program. Explain how these organizations can help you implement the services you offer and the continuum of care offered by the potential partnering agencies. Explain which services these organizations will provide to your clientele that are not covered by your program.
- Analyze at least four potential funding sources for your program, one of which must be from a state funded agency, one of which must be from a federally funded agency and the remaining two can be not-for-profit or for-profit business sources. Explain what factors must be met in order to receive funding from your sources.
Your final project will demonstrate quantitative literacy, which shows your ability to identify and solve problems. Additionally, you must demonstrate integrative learning, which means you combine your earlier learning from this and other courses, analyze data from multiple perspectives, explore issues to their full extent as is required in the assignment, as well as incorporate your own personal and professional experiences.
Be detailed and convincing in describing the above elements. For your presentation, you may choose between the following formats:
- An APA formatted Final Paper
- A PowerPoint Presentation
The Final Paper:
- Must be eight to ten double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center.
- Must include a separate title page with the following:
- Title of paper
- Student’s name
- Course name and number
- Instructor’s name
- Date submitted
- Must begin with an introductory paragraph that has a succinct thesis statement.
- Must address the topic of the paper with critical thought.
- Must end with a conclusion that reaffirms your thesis.
- Must use at least six scholarly sources, not including the textbook.
- Must document all sources in APA style, as outlined in the Ashford Writing Center.
- Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site..
Distinguish between statistical and clinical significance of results
Nursing post, 300 words min, 1 scholarly source (5 years or less), APA format.
*** for the hypothetical example, use one that is nursing related***
post
………………………………………………………………….
- Distinguish between statistical and clinical significance of results.
- Would it be possible to have research study results that supported the acceptance of the null hypothesis and demonstrate clinical significance? Provide a hypothetical example that supports your answer.
- If you question the credibility of the results from a qualitative study, would the information have clinical significance for your practice area? Why or why not? Provide a hypothetical example that supports your answer.
