Question.2183 - Would you like to take any of the following orders? ORDER: 36479 Topic: Bowel elimination and management of complications Pages: 3        Sources: 3 Format: APA  Deadline: 1 day 5 hours Instructions: 1,000+ words paper elaborating on bowel elimination and the management of its complications. Begin with what normal bowel elimination looks like and what it looks like when bowel elimination becomes impaired/complicated. Include some factors that affect bowel elimination (you can use some or all of the following: • Age • Diet • Fluid intake • Position during defecation • Physical Activity • Psychological habits • Personal Factors • Pain • Pregnancy • Surgery • Anesthesia • Medications • Diagnostic Testing Examples of complications could include: >>>Irritable bowel syndrome >>>Diarrhea & (its different causes--antibiotics, CDiff, infection, food intolerances) >>>Constipation >>>Crohn's disease >>>Include how abdominal surgery affects bowel elimination post operatively. How the use of anesthesia affects peristalsis. Here is a sample article you could check out that could help in completing this paper, but feel free to use any scholarly nursing article: https://pubmed.ncbi.nlm.nih.gov/17505389/ === ORDER: 36480 Topic: Sepsis Evidenced Based Core Measure Pages: 3        Sources: 3 Format: APA  Deadline: 1 day 5 hours Instructions: Papers must be 1,000+ words, excluding the cover and reference pages. A minimum of three references selected from reputable sources must be cited, excluding your course books. APA Format: The paper is to be typed in APA format 7th edition which includes double spacing and Times New Roman size12 font. APA formatting also includes a cover sheet and a reference page. Purpose: I PICKED THE SEPSIS TOPIC FYI The purpose of this assignment is to provide the student with an opportunity to apply evidence-based guidelines by using Sepsis core measures for improvement in patient safety. Student Learning Outcome: Student Learning Outcome #2: Evaluate patient care related to a core measure according to national guidelines. Requirements: Select a patient you cared for during clinical hours with one of the following diagnoses: Sepsis. Write a four pages paper, excluding the cover and reference pages, analyzing all aspects described below. An organized paper will include correct spelling, grammar, and punctuation as expected for a college level paper. The paper must be submitted in Canvas by the due date. The assignment is worth 30 points (3%). Late entries will not be accepted. Situation: Describe the chief complaint and the situation surrounding the admission in a concise and clear format. (CHIEF COMPLAINT WAS SACRAL DECUBITIS ULCER, BUT THE PAITENT WAS BROUGHT IN BY HER DAUGHTER FOR HAVING A FEVER OF UNKNOWN ORIGIN AND ALTERED MENTAL STATUS AND THEY DID NOT UNDERSTAND WHY, UNTIL THE DIAGNOSIS OF THE DECUBITIS ULCER, STAGE 3, SHE IS A 71 YEAR OLD FEMALE BY THE WAY, THIS IS WHY IT AFFECTED HER SO BAD) Discuss the diagnosis by clearly explaining the etiology (ULCER), pathophysiology involved, and specific risk factors of the patient(OLDER AGE AND HISTORY OF STROKE IN 2022, SO A WEAK HEART). Describe abnormal findings from your physical assessment and how they relate to the disease process.(ABNORMAL FINDING IS ALTERED MENTAL STATUS, ELEVATED WHITE BLOOD CELL COUNT,FEVER ETC... Interpretation of Data: Discuss the hospital course of care for your patient you have selected as well as diagnostic data completed on your patient (x-ray OF SACRUM TO SEE IF THE INFECTION GOT INTO THE BONE, EKG(WAS DONE FOR THE SINUS TACHYCARDIA DUE TO THE FEVER,) cardiac enzymes WOULD BE PT, INR, PTT WHICH ARE ALL ON THE PHOTO I INCLUDED AS WELL AS ALT, RBC AND AST LAB), electrolyte profile and hemodynamic values) if they are available. Discuss any other tests as appropriate and discuss the reason the particular test was ordered and the meaning of the test results. PT DOES HAVE A HISTORY OF STROKE IN 2022, SHE IS DIABETIC WHICH DOES ALTER THE HEALING PROCESS IN THE SKIN WHICH LEAD TO HER ULCER AND SHE HAD CHRONIC KIDNEY DISEASE AS WELL Goals of treatment: Based on current literature, compare and contrast evidence-based practice goals of treatment (core measures) with the actual care patient received in the hospital Nursing diagnosis: Discuss the most important NANDA approved nursing diagnosis. Collaborative Interventions and Rationale: Discuss collaborative interventions and why they were ordered for the patient. Discuss if the prescribed collaborative interventions were effective. Evidenced-based practice may also be part of this collaborative process. Evaluation: Examine the existing nursing care plan of your patient. Were the goals stated on the nursing care plan met or unmet at the time of evaluation? Would you change the care plan in any way? You may include a copy of the patients care plan as an addendum to your paper. Additional info will be provided.         13

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