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.

According to the Center for Disease Control and Prevention, 1 out of 10 infants born were preterm in 2016. (CDC, 2017). Preterm births put the infant at risk for long lasting health conditions and even death. Infants born preterm and low birth weight are at risk of having problems breathing, developmental delays, vision disturbances, and hearing problems because their organs did not fully develop (CDC, 2017). Here in the United States, African Americans are twice as likely to have an infant born premature than White (CDC, 2017). Teens, women >35 years of age, and women with low income are all at risk to deliver infants with a low birth weight. Women who use tobacco or substance abuse are also at greater risks (CDC, 2017).

This causes a great deal of strain on the healthcare system, but also for the family. Families often need to travel out of town to be with their infant, which causes stress, increased expenses, and loss of income. Once the infant can go home, there may be additional supplies and resources needed to care for their little one, which adds more financial strain on the family. According to the March of Dimes, preterm births costs employers 12.7 billion dollars a year (March of Dimes, 2018).

A community resource that is available in the author’s local community is March of Dimes. The March of Dimes is an organization that has been helping women and their children for 80 years. The March of Dimes focuses on prevention of birth defects and assisting families whose delivery did not go as planned, and their child needs advanced care such as NICU (March of Dimes, 2018). March of Dimes is a great resource from prenatal to after the delivery of their child. March of Dimes has a vast amount of information and resources that are helpful for families caring for a child that is preterm, or has a birth defect.

Essay ” Personal Philosophy of Nursing ”

7 – 8 pages

Define, describe and explain your personal thoughts and beliefs about the concepts of the 4 nursing metaparadigms:

a. Person/client b. Environment c. Health d. Nursing

Identification and brief description of the nursing theory(ies) more compatible with the student’s personal philosophy of nursing.

Provided in-depth explanation with specific documentation, that demonstrates compatibility of personal philosophy with the nursing theory(ies)

Summary and conclusion

References

Document must be APA Format

Instructions
Change Proposal

Technology has been credited with contributing to a safer patient environment. Create a change proposal for a new technology that will contribute to a safer patient environment. Examine human factors including resistance to change into the expanded use of informatics. Be sure to include how your proposed change will impact patient safety, how you will measure the impact of your change, and how you will communicate and implement this change.
Submissions Details:

Submit your response in a 3- to 5-page Microsoft Word document.

Name your document SU_NSG3039_W2_Project_LastName_FirstInitial.doc.
Submit your document to the Submissions Area by the due date assigned.
Cite sources in the APA format on a separate page.

Week 2 Discussion – Due

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? How to these experiences align with best practices in implementing change?