Tina jones cardiovascular shadow health Objective Data 100%

May 30, | nursing, med, NURS, Paper

Tina jones cardiovascular shadow health Objective Data 100%
Tina jones cardiovascular shadow health Objective Data 100%
Objective Data Collection: 23 of 23 (100%)

 Correct
 Partially correct

 Incorrect
 Missed

 Inspected chest
1 of 1 point

Symmetry (1/2 point)

 Symmetric
 Asymmetric

Tina jones cardiovascular shadow health Objective Data 100%

Appearance (1/2 point)

 No visible abnormal findings
 Prominent pulsation
 Abnormal apical impulse
 Heaves or lifts

 Inspected for jugular venous distention
1 of 1 point

Height Of Venous Pressure (1/1 point)

 4 cm or less above the sternal angle
 More than 4 cm above the sternal angle
Tina jones cardiovascular shadow health Objective Data 100%

 Inspected hands and fingernails
1 of 1 point

Right: Nail Changes (1/3 point)

 No visible abnormal findings
 Pallor
 Cyanosis
 Splinter hemorrhages
 Clubbing

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Left: Nail Changes (1/3 point)

 No visible abnormal findings
 Pallor
 Cyanosis
 Splinter hemorrhages
 Clubbing

Capillary Refill Time (1/3 point)

 3 seconds or less
 Greater than 3 seconds

 Inspected lower extremities and toenails
1 of 1 point

Right: Edema (1/9 point)

 No edema
 Pitting
 Non-pitting

Right: Severity Of Edema (1/9 point)

 No edema
 1+ Slight pitting
 2+ Deeper pit, disappears in 10 to 15 seconds
 3+ Noticeably deep pit that lasts more than a minute
 4+ Very deep pit that lasts 2 to 5 minutes

Right: Appearance (1/9 point)

 No visible abnormal findings
 Visible distortion or swelling
 Discoloration
 Skin thickening
 Ulceration
 Varicose veins

Right: Nail Changes (1/9 point)

 No visible abnormal findings
 Pallor
 Cyanosis
 Splinter hemorrhages
 Clubbing

Left: Edema (1/9 point)

 No edema
 Pitting
 Non-pitting

Left: Severity Of Edema (1/9 point)

 No edema
 1+ Slight pitting
 2+ Deeper pit, disappears in 10 to 15 seconds
 3+ Noticeably deep pit that lasts more than a minute
 4+ Very deep pit that lasts 2 to 5 minutes
Tina jones cardiovascular shadow health Objective Data 100%

Left: Appearance (1/9 point)

 No visible abnormal findings
 Visible distortion or swelling
 Discoloration
 Skin thickening
 Ulceration
 Varicose veins

Left: Nail Changes (1/9 point)

 No visible abnormal findings
 Pallor
 Cyanosis
 Splinter hemorrhages
 Clubbing

Capillary Refill Time (1/9 point)

 3 seconds or less
 Greater than 3 seconds

 Palpated temporal arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated carotid arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated PMI
1 of 1 point

Location (1/3 point)

 Present at midclavicular line and 5th intercostal space
 Displaced laterally

Amplitude (1/3 point)

 Brisk and tapping
 Increased amplitude (hyperkinetic)

Diameter (1/3 point)

 Less than 3 cm
 Greater than 3 cm

 Palpated radial arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated brachial arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated femoral arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse
Tina jones cardiovascular shadow health Objective Data 100%

 Palpated popliteal arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated tibial arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated dorsalis pedis arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Auscultated temporal arteries
1 of 1 point

Right (1/2 point)

 No bruit
 Bruit

Left (1/2 point)

 No bruit
 Bruit

 Auscultated carotid arteries
1 of 1 point

Right (1/2 point)

 No bruit
 Bruit

Left (1/2 point)

 No bruit
 Bruit

 Auscultated breath sounds
1 of 1 point

Breath Sounds (1/3 point)

 Present in all areas
 Diminished in some areas
 Absent in some areas

Adventitious Sounds (1/3 point)

 No adventitious sounds
 Wheezing
 Fine crackles
 Stridor
 Rhonchi
 Rales

Location (1/3 point)

 All areas clear
 Adventitious sounds in anterior right upper lobe
 Adventitious sounds in anterior right middle lobe
 Adventitious sounds in anterior right lower lobe
 Adventitious sounds in anterior left upper lobe
 Adventitious sounds in anterior left lower lobe
 Adventitious sounds in posterior right upper lobe
 Adventitious sounds in posterior right lower lobe
 Adventitious sounds in posterior left upper lobe
 Adventitious sounds in posterior left lower lobe
Tina jones cardiovascular shadow health Objective Data 100%

 Auscultated heart sounds
1 of 1 point

Heart Sounds (1/2 point)

 S1 and S2 audible
 S1, S2, and S3 audible
 S1, S2, and S4 audible
 S1, S2, S3, and S4 audible

Extra Heart Sounds (1/2 point)

 No extra sounds
 Gallops
 Murmur
 Friction rub
 Valve clicks

 Auscultated abdominal aorta
1 of 1 point

Sounds (1/1 point)

 No bruit
 Bruit

 Auscultated renal arteries
1 of 1 point

Right (1/2 point)

 No bruit
 Bruit

Left (1/2 point)

 No bruit
 Bruit

 Auscultated iliac arteries
1 of 1 point

Right (1/2 point)

 No bruit
 Bruit

Left (1/2 point)

 No bruit
 Bruit

 Auscultated femoral arteries
1 of 1 point

Right (1/2 point)

 No bruit
 Bruit

Left (1/2 point)

 No bruit
 Bruit

 Performed ankle-brachial index test
1 of 1 point

Abi (1/1 point)

 > 1.40 (noncompressable)
 1.00 – 1.40 (normal)
 0.90 – 0.99 (borderline ischemia)
 < 0.90 (abnormal)  Performed EKG 1 of 1 point Sinus Rhythm (1/2 point)  Regular  Irregular St Changes (1/2 point)  No ST changes  ST changes present Tina jones cardiovascular shadow health Objective Data 100%

Essence of Nursing Essay

May 30, | nursing, med, NURS, Paper

Essence of Nursing Essay
Post a 3-paragraph response (of at least 350 words) to one of the following options. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Use the writing resources and the Week 4 Discussion Rubric to develop your post.

Reflect on your readings from this week, and then address one of the following options:

Option 1

According to Ma, Shang, & Bott (2015), it is critical that contemporary nurses have strong leadership and collaboration skills to improve health care. Reflect on the expertise that you expect to acquire with your education at Walden. Envision yourself taking the lead to improve patient care in your practice setting. Describe the knowledge and skills needed to achieve your professional goals.

OR

Option 2

Use the website, http://www.qualityindicators.ahrq.gov/ , found in the Learning Resources to do the following:

• Provide a brief definition of quality indicators.

• Choose a particular indicator that either is being addressed or you would like to see addressed at your place of employment (or previous place of employment), and explain your reasons. Describe both the issue and your involvement in it. Alternatively, discuss your leadership’s role and your role in utilizing the indicator to improve health care.
 
 
 
The essence of nursing
Name
Institution
 
 
The essence of nursing
I anticipated that graduating from the nursing education program at Walden will imbue me with strong leadership and collaboration skills to improve health care outcomes. In fact, I expect to gain resource management skills that allow me to acknowledge that nursing resources are scarce and must be well managed for the best outcomes. In addition, I anticipate to improve my proficiency in integrating professional and technological differentiations with nursing specializations to refine professional care in a manner that reflects the existing environmental reality (Finkelman, 2016). In this respect, I expect to acquire management instruments to direct my professional nursing practice to improve efficiency and effectiveness, while concurrently reducing costs.
As a nurse, my professional goals are to improve nursing care in palliative services provision. I expect that completing this education program will allow me to gain and refine nursing professional experiences, knowledge and skills that will enable me to make the best use of interprofessional practice. Through this, I will be able to improve care quality by identifying what I need in terms of competency in order to provide the best possible care (Weiner & Ronch, 2013). In fact, this will allow me to form integrated teams with other health professionals offering palliative care, allowing them tams to communicate, orate and communicate to offer continuous and reliable care (Dang, Rohde & Sulfita, 2017). The capacity to create complementary teams will ensure that the different and complex care needs of patients are address within this modern environment that requires a mix of medical experiences, skills, knowledge and expertise that are then leveraged to offer patient centered care. Through distinguishing myself in the education program, I will be able to lead the complementary teams in ensuring that patients receive the best possible palliative care (Porter-O’Grady & Malloch, 2016). As a result, I will use the knowledge I gain in the nursing education program at Walden to take the lead in improving patient care by directing interprofessional care teams in palliative care settings.
 
 
References
Dang, D., Rohde, J. & Suflita, J. (2017). Johns Hopkins Nursing Professional Practice Model: strategies to advance nursing excellence. Indianapolis, IN: Sigma Theta Tau International.
Finkelman, A. (2016). Leadership and management for nurses: core competencies for quality care (3rd ed.). London: Pearson Education.
Porter-O’Grady, T. & Malloch, K. (2016). Leadership in nursing practice: changing the landscape of healthcare (2nd ed.). Burlington, MA: Jones & Bartlett Learning.
Weiner, A. & Ronch, J. (2013). Culture change in long-term care. New York, NY: Routledge.