How to these experiences align with best practices in implementing chge

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Jan 24, 2018 11:59 PMNSG3039 Information Management and Technology SU01

Implementing Change

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.

For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

Tasks

Post a response to one of the two discussion topics below, using information from the lectures, reading assignments, library resources, and Internet resources. All responses should be posted to the Discussion Area.

Topic 1:

Change in our work and personal lives is often a stress inducing event. The goal of the change agent should be to mitigate stress as much as possible. Share your experience with change, good or bad, and if it was “good” experience, what made it good? And if “bad” what made it bad? anHow to these experiences align with best practices in implementing chge?

Assay # 1 You are the registered nurse performing a health assessment on a newborn infant. From the functional health pattern portion of the assessment, you learn the mother is reluctant to breastfeed her baby. How do you respond? Explain the approach you will take to ensure adequate nutrition for the newborn, with or without breastfeeding. Provide rationale for your answer. Assay # 2- Please write about 130 words. Class as nurses we understand the benefits of breast feeding and it is our duty to educate new parents on those benefits. At what point does our education become paternalism or bullying? We are taught to set aside our personal feelings and respect patients wishes that being said, What can we do to support the Mom who chooses bottle feeding? Please review this article Are “baby-friendly” hospitals unfriendly to new mothers? and share your thoughts. Doing so will net you one substantial reply for the week. http://www.slate.com/articles/double_x/doublex/2014/10/baby_friendly_hospitals_promoting_breast_feeding_at_the_expense_of_the_new.html Posted: 2 Years Ago

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Assay # 1

You are the registered nurse performing a health assessment on a newborn infant. From the functional health pattern portion of the assessment, you learn the mother is reluctant to breastfeed her baby. How do you respond? Explain the approach you will take to ensure adequate nutrition for the newborn, with or without breastfeeding. Provide rationale for your answer.

Assay # 2- Please write about 130 words.

Class as nurses we understand the benefits of breast feeding and it is our duty to educate new parents on those benefits. At what point does our education become paternalism or bullying? We are taught to set aside our personal feelings and respect patients wishes that being said, What can we do to support the Mom who chooses bottle feeding? Please review this article Are “baby-friendly” hospitals unfriendly to new mothers? and share your thoughts. Doing so will net you one substantial reply for the week.

http://www.slate.com/articles/double_x/doublex/2014/10/baby_friendly_hospitals_promoting_breast_feeding_at_the_expense_of_the_new.html

Posted: 2 Years Ago

4. Describe what fetal monitoring is. What is FHR?

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Unit VI Case Study Worksheet Directions: Below is a case study presentation of a patient with a condition covered in this chapter. Read the case study and answer the questions below. Some questions will ask for information not included within this chapter. Use your textbook, a medical dictionary, Be sure to use APA formatting for all citations and references.

Patient is seen by obstetrician today for moderate vaginal bleeding without any cramping or pelvic pain. Patient is 23 years old. She is currently estimated to be at 175 days of gestation. Amniocentesis at 20 weeks indicated male fetus with no evidence of genetic or developmental disorders. This patient is multigravida but nullipara with three early spontaneous abortions without obvious causes. She was diagnosed with cancer of the left ovary 4 years ago. It was treated with a left oophorectomy and chemotherapy. She continues to undergo full-body CT scan every six months, and there has been no evidence of cancer since that time. Pelvic ultrasound indicates placenta previa with placenta almost completely overlying cervix. However, there is no evidence of abruptio placentae at this time. Fetal size estimate is consistent with 25 weeks of gestation. Fetal monitoring revealed that the FHR is strong with a rate of 130 beats/minute. The placenta appears to be well attached on ultrasound, but the bleeding is cause for concern. With the extremely low position of the placenta, this patient is at very high risk for developing abruptio placentae. She may require early delivery by cesarean section if bleeding increases. She will definitely require C-section at onset of labor.

1. Describe in your own words the treatment this patient received for her ovarian cancer. What procedure does she continue to have every six months?

2. This patient had an amniocentesis at 20 weeks of gestation. Describe this procedure and why it is performed.

3. What occurred during this patient’s first three pregnancies? Describe what terminated the pregnancies.

4. Describe what fetal monitoring is. What is FHR?

5. This patient has placenta previa. What procedure discovered this condition? The physician, however, is much more concerned about abruptio placentae. Explain why.

6. How will this infant need to be delivered? Describe this procedure.