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
Answer Below:
Table xx ContentsIntroduction xxxxxxxxxx Factors xxxxxxxxx Bowel xxxxxxxxxxx Complications xx Bowel xxxxxxxxxxx Recommendation xxxxxxxxxx Executive xxxxxxxxxx report xxx explained xxx various xxxxxxx and xxxxxxxxxxxxx of xxxxx elimination xxx process xx which xxx undesirable xxxxxxxxxx of xxxxxxxxx exit xxx body xxx are xxxxxxx from xxx colon xx known xx bowel xxxxxxxxxxx The xxxxxx has xxxx described xxx texture xx the xxxxxxx gut xx between xxxx and xxxx It xx imperative xx concentrate xx modifying xxxxx lifestyle xx stress xx a xxxxxxx cause xx digestion xxxx down xxxxxxx relaxing xxx mental xxxxxxx can xx aided xx participating xx stress-relieving xxxxxxxxxx like xxxxxxxxxx Introduction xxxxx elimination xx defined xx the xxxxxxx bodily xxxxxxxx by xxxxx the xxxxxxxx waste xxxxxxxx of xxxxxxxxx come xxx and xxx eliminated xxxx the xxxxx The xxxxxxx bowel xxx a xxxxxxx between xxxx and xxxx A xxxxxxxxx bowel xxx be xxxxxxxxxx just xx looking xx it xx is xxxxxx to xxxxxxxxxx if xxx stool xxxxx out xxxxxxxxx forming x log xxx more xxxxxxxxxx to xxxxxxx out xxxx directly xxxxx it xx in xxx right xxxxxxxxxxx However xxx impaired xxxxx elimination xxxxx to xxxxxxx which xx also xxxxxx defecation xx is xxx functional xxxxxxx disorder xxxxxx by xxxxxxx constipation xxx report xxxx to xxxxxxx Bowel xxxxxxxxxxx and xxx management xx complications xx highlighting xxx various xxxxxxx and xxxxxxxxxxxxx affecting xxxxx elimination xxxxxxxxxx Factors xxxxxxxxx Bowel xxxxxxxxxxx The xxxxxxx factors xxxxxxxxx bowel xxxxxxxxxxx are xx follows xxxx Food xxx be xxxxxxxxxx as xxx most xxxxxxx trigger xxx patients xxx their xxxxxxxxxxxxxxxx symptoms xxxxx et xx Consuming x poor xxxx which xxxxxxxx fast xxxx processed xxxx and xxxx food xx high xxxxxxxxxx impacts xxx functioning xx bowel xxxxxxxxxxx Having x diet xxxx consists xx whole xxxxxx seeds xxxx fruits xxx vegetables xx considered xx effective xxxx for x healthy xxxxx Psychological xxxxxx Psychological xxxxxxx including xxxxxx depression xxx anxiety xxx some xx the xxxxxxxxxxxxx factors xxxx arise xxx to xxxx lifestyle xxxxxxx It xx essential xx identify xxx conditions xxxx are xxxxxxxx psychological xxxxxx as xxxxx habits xxxx to xxxx bowel xxxxxx Stress xx a xxxxxxxxxxx cause xx poor xxxxx movement xx psychological xxxxxx can xxxx to xxxx severe xxxxxxxx symptoms xxxxx symptoms xxx known xx somatic xxxxxxxx Stress xxxxxxx the xxxxxxx bodily xxxxxxxxx and xxxxxxxxxx impacts xxx healthy xxxxxxxxxxx of xxx bowel xxxxxxxx Activity xxxx of xxxxxxxx activity xx the xxxxx routine xx also xx underlying xxxxx of xxxx health xx bowel xxxxxxxx It xx essential xx ensure xxxx the xxxxxxxxxx is xxxxxxxxxx daily xxxxxxxx following x good xxxx and xxxxxxxx in xxxxxxxxxx including xxxxxxxx and xxxxxx relieving xxxxxxxxx reading x book xxxx listening xx music xxxxxxxxxx etc xxx Bowel xxxxxxxx is xxxx in xxxxxxx people xxx to xxxxxxx factors xxxxxxxxx inactivity xxx does xxxx an xxxxxxxxx role xx determining xxx functioning xx bowel xxxxxxxxx Inactivity xx seen xx have x significant xxxxxx on xxxxxxxxxx and xxxx health xx the xxxxx Position xxxxxx defecation xxx most xxxxxxxxx position xxx Bowel xxxxxxxxxxx is xxxxxxxxx while xxxxxxxxxxx the xxxxx Using x footstool xx a xxxxxxx toilet xxxxxx a xxxxxx to xxxx easily xxx also xxxxx the xxxxx to xxxxxxx out xxxxxxxxxxx Complications xx Bowel xxxxxxxxxxx Management xx bowel xxxxxxxxxxx causes xxxxxxx complications xxxxx are xxxxxxxxx eliminated xx an xxxxxxxx pattern xxxxx problems xxx lead xx vesicoureteral xxxxxx urinary xxxxx infection xxx incontinence xx stool xx urine xx is xxxxxxxxx to xxxx care xx the xxxxx elimination xxxxxxx as xx can xxxxx several xxxxxxxxxxxxx in xxx body xxx stool xxxxxxxx cellular xxxxxx and xxxxxxxx which xx essential xx be xxxxxxxx of xxxxxxxxxx in xxxxxxx the xxxxx can xx challenging xxx the xxxxxx as xx can xxxxx serious xxxxxxxxxxxxx Some xxxxxxxx of xxxxxxxxxxxxx includeIrritable xxxxx syndrome xxxxxx Pathophysiological xxxxxxxx of xxx Source xxxxxx et xx Irritable xxxxx syndrome xxx can xx termed xx an xxxxxxxxxx disorder xxxx causes xxxxxxxxxxxxx abdominal xxxxxxxx such xx constipation xxx diarrhea xxxxxxxx has xxxxx that xxxxxxxx suffering xxxx irritable xxxxx syndrome xxx be xxxxxxx by xxxxxxx interventions xxxx It xxxxxxxxx occurs xxxxxxxx in x group xxxx visible xxxxxxxx signs xx the xxxxxxxxx tract xxxxxxxxx surgery xxx of xxx significant xxxxxxxxxxxxx of xxxxx elimination xxx to xxxxxxxxx surgery xxxxxxxxxxxxxxxx is xxx reduction xx mobility xxx abdominal xxxxxxx is x long xxx straining xxxxxxx following xxxx the xxxxxxxx is xxxxxxx due xx the xxxx medication xxx with xxx anesthesia xxxxxx of xxxxxxxxxx Multiple xxxxxxx affect xxx peristalsis xxxxxxxxx injuries xxxxxxxxxxx diseases xxxxxxxxxx electrolyte xxxxxxxxxx and xxxxxxx fluctuations xxxxxxxxxx also xxx an xxxxxxxx effect xx it xxxxxx the xxxxxxxxxxx and xxx tone xx lowered xxxx segmental xxxxxxxxxxxx The xxxxxxxx of xxxx depression xx about xx hour xx more xxxxxxx disease xxx cause xx Crohn's xxxxxxx is xxxxxxx the xxxxxxxxx tract xxxx swelled xxxxxxx to xxxxxxx diarrhea xxxxxxxxx pain xxxxxxxxxxxx and xxxxxx loss xx is xxxx called xxxxxxx which xx a xxxxxxxx chronic xxxxxxx taking xxx shape xx inflammatory xxxxx disease xx this xxxxxxxxx the xxxxxxxxx tracts xxx inflamed xxx disturb xxx natural xxxxx elimination xxxx making xx one xx the xxxxxxxxxxxx of xxxxx elimination xxxxxxxxxxxxxx A xxxxxxx bowel xxxxxxxx is x healthy xxxxxxx of xxxxx without xxxx pressure xx squeezing xx dispose xx the xxxxx For x healthy xxxxx movement xxx stool xxxxxx be xxxxxxxx regularly xxx should xx brown xxxxxxx factor xxxx is xxxxxxxxx for xxxxxxx bowel xxxxxxxxxxx is xxx texture xx the xxxxx and xx should xxxx a xxxxxx butter xxxx of xxxxxxx and x sausage-like xxxxx The xxxx way xxxx can xx achieved xx by xxxxxxxxx healthy xxxx high xx fiber xxxx as xxxxx grains xxxx etc xxxx plays xx essential xxxx in xxxxxxxxxxx the xxxxxx of xxx bowel xxxxx factors xxxx should xx taken xxxx of xxxxxxx color xxxxxxxxxxx and xxxxx to xxxxxx the xxxxxx of xxx bowel xxxxxxxx on xxxxxxxxx changes xx crucial xx stress xx one xx the xxxxxxx factors xxxx can xxxx down xxx process xx digestion xxxxxxx engaging xx stress-relieving xxxxxxxxxx such xx meditation xxx help xx relaxing xxx mental xxxxxxx ConclusionA xxxxxxx process xx which xxx soiled xxxxxxxx from xxx body xxxx out xx the xxxx of xxxxx It xxx be xxxxxxxxx from xxx report xxxx bowel xxxxxxxxxxx is xxx most xxxxxxxxx to xxxxxx the xxxxxxx functioning xx the xxxx Moreover xxxxx are xxxxxxx factors xxxxxxxxx the xxxxx elimination xxxxxxx including xxx physiological xxxxxxx diet xxxxxxxxxx surgery xxxxxxxx activity xxx In xxxxx to xxxxxx a xxxxxxx bowel xxxxxxxxxxx one xxxxxx take xxxx of xxx factors xxxxxxxxx the xxxxx elimination xxxxxxxxxxx there xxx certain xxxxxxxxxxxxx in xxxxxxxx bowel xxxxxxxxxxx including xxx effects xx abdominal xxxxxxx irritable xxxxx syndrome xxxxxxx disease xxx A xxxxxxx bowel xxxxxxxx occurs xxxx the xxxxx pass xxxxxxx without xxxxxxxxx significant xxxxx to xx expelled xxxxxxxxxxxxxxxx J xxxxxxxx E xxxx n x The xxxxxxx management xx patients xxxx irritable xxxxx syndrome x narrative xxxxxx of xxx existing xxx emerging xxxxxxxx Nutrients xxxx W x Elimination xxxxx for xxxxxxxxx bowel xxxxxxxx approaching xxx end xx the xxxxxxxxx Official xxxxxxx of xxx American xxxxxxx of xxxxxxxxxxxxxxxx ACG x Singh x Tuck x Gibson x R xxxx W x The xxxx of xxxx in xxx treatment xx bowel xxxxxxxxx focus xx irritable xxxxx syndrome xxx functional xxxxxxxxxxxx The xxxxxxxx Journal xx GastroenterologyMore Articles From Biology