Experiencing central chest pain

Experiencing central chest pain

The post has three assignments

1:case study of 48y male experiencing central chest pain on discharge

Order Description

these are some text to use
Berman, A., & Snyder, S. ( 2012). Kozier and Erb’s Fundamentals of Nursing. Melbourne: Pearson Education.
Farrell, M., & Dempsey, J. (2014). Smeltzer & Bare’s textbook of medical and surgical nursing (3rd ed). Sydney: Lippincott Williams & Wilkins.
Lewis, P., & Foley, D. (2014). Weber and Kelley’s health assessment in nursing (2nd ed). Sydney: Lippincott Williams and Wilkins.
Bullock, S. & Hales, M. (2013). Principles of pathophysiology. Frenchs Forest: Pearson.

Case study
Andrew Taylor is a 48 year old high school PE teacher who is due for discharge from the orthopaedic ward following a left knee reconstruction 3 days ago. You are going through his discharge instructions with him when you notice that he seems distracted and looks pale. He tells you that he has been experiencing central chest pain and an uncomfortable tightness in his chest since he woke this morning. Further assessment reveals that he is diaphoretic with cool peripheries, his respiratory rate is 18, heart rate 115, BP 105/60 and SpO2 97% on room air.
This assessment task requires you to submit a report in which you discuss your initial assessment and management of Andrew. In addition to a brief introduction and conclusion, your report should address the following:
• Chest pain is a very serious clinical manifestation and should always be considered to be caused by myocardial ischaemia until proven otherwise. Discuss how you would use the PQRST mnemonic to conduct a systematic assessment of Andrew’s chest pain. This discussion should incorporate any relevant information already provided in the case study and any additional information you would seek as part of your assessment.
PQRST mnemonic – what is PQRST? Why is it useful in chest pain assessment? What do you assess for each stage? What does the case study tell us about each stage? What additional information do you need.
• Identify your first five nursing priorities for Andrew. These priorities should be identified in order of clinical urgency and may include further assessments and/or interventions that can be initiated and conducted by a Registered Nurse.
After you have assessed the chest pain, what would you do next? Intervention – something that you do for the patient to improve their condition. Sitting up, administer medications, patient education, wound dressing etc. assessment – something that you do to obtain additional objective or subjective assessment. Vital signs, BGL, additional history, GCS etc.., what order will you do them and why? Clinical urgency (ABCDE)
• Acute Coronary Syndrome (ACS) is a term used to identify a group of conditions caused by common underlying pathophysiology. For each of the priorities you have identified, provide a rationale that explains how it will address or is linked to the underlying pathophysiology of ACS.
Subheading are good and recommended
Point form and tables are not
Use appropriate terminlology
Heart attack – mycocardial infaction
Bloodstream – intravasucular compartment
Shock- what type of shock
Septic – sepsis septic shock
You must support your discussion with a MINIMUM of 12 recent (less than 7 years old) and credible sources. Credible sources include the following:
• peer reviewed journal articles
• text-books, evidence summaries
• best practice guidelines,
• government documents
• health facility clinical guidelines, pathways and policies/procedures
• websites containing content aimed at health professionals. (edu, org, edu)
Prescribed text(s)
Berman, A., & Snyder, S. ( 2012). Kozier and Erb’s Fundamentals of Nursing. Melbourne: Pearson Education.
Farrell, M., & Dempsey, J. (2014). Smeltzer & Bare’s textbook of medical and surgical nursing (3rd ed). Sydney: Lippincott Williams & Wilkins.
Lewis, P., & Foley, D. (2014). Weber and Kelley’s health assessment in nursing (2nd ed). Sydney: Lippincott Williams and Wilkins.
Bullock, S. & Hales, M. (2013). Principles of pathophysiology. Frenchs Forest: Pearson.

Rationale
This assessment tasks addresses the following subject learning outcomes:
• be able to collect, interpret and document subjective and objective assessment data in the acutely ill person

• be able to link the underlying pathophysiology of selected acute health challenges to their clinical manifestations .

• be able to apply theoretical knowledge, critical thinking, problem solving and the use of best evidence to the planning and implementation of safe and appropriate nursing interventions for people experiencing selected acute health challenges

Marking criteria
Explains Systematic Chest Pain Assessment using the PQRST Mnemonic
In your report, you have: Provided an accurate and detailed discussion of the use of the PQRST mnemonic to assess chest pain, with all of the relevant assessment data from the case study identified and explained. And identified all of the additional assessment data you would need to obtain and clearly explained how you would obtain this information.
Minimising cardiac workload – restricted activity, strict adherence to noise/light levels, rest periods, number of visitors at a time, analgesia, strict fluid balance.
Close monitoring – care of the puncture site (fem/rad), cardiac rhythm monitoring, peripheral IV Access x2, regular blood pathology sampling, watching for complications (ACS, angio, anti- coegs, GTN infusion) daily 12 lead ECG, daily review by cardiologist
Identifies and Prioritises First Five Nursing Assessments or Interventions
In your report, you have: Clearly identified five safe and appropriate nursing assessments or interventions And Prioritised nursing care in accordance with current best practice And Consistently provided rationales that include clear justification of your reasons for prioritising care in this order.
Linking Nursing Priorities to the Underlying Pathophysiology of ACS
In your report, you have: Provided comprehensive and accurate rationales that consistently make substantial links between the selected assessments or interventions and the underlying pathophysiology of the patient’s condition.
Explains the Pathophysiology of Acute Coronary Syndrome
In your report, you have: Provided an in-depth and accurate discussion of all of the relevant disruptions to normal physiology that occur in ACS. All aspects of the discussion are specific to the patient in the case study, with clear links made to the abnormal assessment findings.
Use of Evidence to Support the Discussion.
An extensive range of current and highly appropriate sources have been located, evaluated and integrated to substantially support the discussion.
Academic Writing and Presentation
The report adheres to all of the presentation requirements stated in the Subject Outline There is use of formal language and correct
Nursing terminology throughout And The content is logically and succinctly structured to create a coherent and integrated report And There are no mistakes in grammar, spelling or punctuation.

Referencing
All sources are explicitly acknowledged in-text. And/or APA guidelines for in-text referencing and the reference list are consistently adhered to. And/or All sourcescited-in text match those cited in the reference list.

2:The Importance of Being Earnest, Oscar Wilde

Hate people who are not serious about meals,” says Algernon. “It is so shallow of them” (The Importance of Being Earnest). Write an essay that addresses some of the important ways in which food and eating feature in Wilde’s play.

Thesis statement are not required; neither are lengthy quotations. You must, however, provide evidence from the play. You are asked to think comparatively for this paper. But you are not required to assert that all the
texts you are considering function in similar ways or that they reach similar conclusions about a given topic. It is best to respect the differences among the authors and the texts rather than trying to force them into a single mold. Please remember that your claims must be grounded in a reading of textual detail. No outside sources. You may use the Chicago Manual of Style or the MLA style for citations. Purdue University’s Online Writing Lab provides a concise and useful MLA Formatting and Style Guide; see
https://owl.english.purdue.edu/owl/resource/747/01/.

3:Engagement papers

Order Description

As part of their evaluation in this course students are expected to complete three engagement papers,
one for each part of the course. The purpose of this assignment is to gauge students’ engagement (i.e.,
active participation) with the content and discussion of the lectures, and their absorption of the material
in a way that they can apply the knowledge acquired to similar contexts.
Each paper is expected to be 3-4 pages (double-spaced, 12 font), and students have considerable
flexibility on the choice of their topic from the lists provided below. Each paper should start with a brief
and clear description of the topic, followed by a convincing explanation of why it matters. Since
research is a required component (starting with the assigned readings and sources mentioned in class),
arguments in support of or against the main thesis should proceed in a logical and non-repetitive
manner and be supported with relevant data. The paper must demonstrate critical and strategic
thinking and identify relevant linkages with other issues discussed in class.
Grades for this assignment will be based on:
Thesis: You will be asked to respond to a specific statement/question, and you must state and argue a
clear thesis statement. All content in the paper must logically link to either supporting or providing an
alternative perspective to that thesis. The significance of your topic should be well explained and the
overall thrust of your arguments must be easily understandable.
Analysis: Your work must convey the salient points clearly, explain the changes brought about, and even
link to your own personal behaviour – to the extent applicable. Supporting data are expected to
illuminate the context. While repeating and documenting arguments already made in class may be
enough for a pass, critically assessing and cross-checking such arguments, especially infusing your own,
will be rewarded with higher marks.
Research and data: Research is necessary to provide context to your topic, prove and substantiate any
important points made, and generally enrich the quality of your answers. Such research should not be
vague but purposeful, in the sense that it should be used to contribute to your arguments and underpin
specific points made. You should also explicitly identify how the collected data contribute to your thesis,
point to any specific limitations, and clearly identify your sources.
Presentation: In addition to the quality and the informational value of the content, the overall
communication of your work matters. Good sequence of story lines, the language used and the clarity
of messages, as well as the proper integration of text, charts and tables will be rewarded.
Assignment #2
Engagement Paper # 2
This engagement paper corresponds to the second Part of the course. You must choose one topic from
the list below for your paper. In case of any doubt, see the instructor.
1. Explain how Internet-related disruptive innovation creates winners and losers. Critically evaluate
the incentives and strategies of newcomers and incumbents, and the effects on consumers.
2. Identify disruptive effects associated with X. Critically discuss specific technological
breakthroughs and link them to economic and social disruption. (X is Amazon, PayPal, Skype,
Google, Bitcoin, eBay, YouTube, Facebook, Instagram, Twitter, Netflix, audio/video streaming…)
3. How are disruptive Internet technologies transforming Y? Identify the origins of the
transformation, key moments or events, and critically evaluate forces expected to exert
influences in the future. (Y is music or TV or newspapers)
4. “The Internet is a catalyst for the sharing economy”. Use relevant examples to critically
evaluate the statement. Then, discuss the meaning and current reach of one such example, and
gauge future transformations.
5. Government policies or regulations and decisions by international institutions influence the
technical side, the content, and the use of the Internet. Identify and critically discuss one such
example, including whether you expect its effects to be transitory or permanent.

chest pain