Nursing Science

Post has three assignments

1: Applied Nursing Science

Order Description

Write a brief summary of the patients current health problems, relevant history and specific early management provided to address the primary problem prior to arriving to your ward. this should be sufficient to set the scene for the reader and should take up no more than 1 to 1.5 pages. the paper should focus upon detailed explanation of the underlying pathophysiology related to the presenting problems.

Should include an introduction that describes how the case is to be presented and organised and a conclusion that draws the key themes together. Use a minimum of 10 scholarly references to support your discussion themes ensuring that you correctly reference you work. Must clearly demonstrate the related pathophysiology in the body of your paper.

Case study
64yrs female presents with shortness of breath and worsening cough last 3/7.

Background
1) severe brittle COPD – 4 admissions this year, current smoker (not a candidate for home oxygen), speculated lung mass RLZ
2) Hypercholesterolaemia
3) Prev TIA
4) AF – not anti coagulated
5) Osteoporosis

Medications
Rosuvastation 20mg night, Metoprolol 12.5mg twice daily, Aspirin 100mg daily, Seretide 250/25 x2puffs twice daily, atrovent 500mcg x4 daily, temazepam 10mg night and paracetamol 1g 4 times/day as required

Lives with husband, away a lot. current smoker, independent with activities daily living, mobiles independently.

3/7 worsening shortness of breath, left sided chest pain and more frequent cough
shortness of breath progressive and similar to other episodes of admission
left sided chest pain, sharp since 1500hrs today, worse on inspiration and coughing, worse on pushing
cough more frequent, usually productive but unable to produce sputum
no fevers/sweats/shakes
always feeling cold
mobilisies to the mailbox, usual daily activity
eating and drinking as normal

On examination
T 36.6, HR 87, RR 22, BP 96/64 (normal), oxygen sats 89% on 2ltrs/min
Speaking in short sentences
Decreased air entry bibasally, no creps, no wheeze

Investigations
WCC 14.5, CRP 98 – raised inflammatory markers
Chest X-ray clear – no consolidation
ECG -poor R weave profession, Q waves in III and aVF, flattened T waves in V6, I, aVL

Implication
non-infective exacerbation of COPD,
type 1 respiratory failure
Postural hypotension

Admitt under oncall physician
Steriods – Prednisone 50mg for 3 days
Oral antibiotics – doxycycline
Usual meds, DVT prophylaxis, s
Bronchodilators – salbutamol nebulisors
Slow IVFLuids – hypotension
Chest physio for sputum clearance

2:The Crusades

From the human record textbook the pages that need to be referenced.  answer the following essay questions: The Crusades were a long and complicated series of conflicts that occurred not just in Jerusalem and the Holy Land, but also in Constantinople and eastern Europe, as well as in Spain and the Iberian Peninsula. The various sources on pp. 323-332 of the Human Record, show us some of the diversity of the players and reasons behind the Crusades. One important overarching theme is the idea of just war. The theory of just war (developed over time in the Middle Ages, from the 4th through the 12th c.) had three parts (referred to in Latin): 1) jus ad bellum, which concerns the justice of resorting to war in the first place; 2) jus in bello, which concerns the justice of conduct within war, after it has begun; and 3) jus post bellum, which concerns the justice of peace agreements and the termination phase of war. How do the various writers deal with these concepts? For instance, how does Urban II’s speech argue for the justice of fighting the Muslims in the Holy Land? How did Innocent III’s letter to the Crusaders deal with the concept of just war against the Orthodox Christians of Byzantium? Do these arguments seem valid?

3: Google Compensation Plan

Order Description

Students will conduct an analysis on the current state of the compensation system and address pay for performance and benefits. Ref should be made to individual and group incentives, performance appraisals, legally mandated benefits, options benefits, and benefit determination process. DO NOT SIMPLY COPY AND PASTE BENEFITS OFFERED.

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