Weekly Clinical Experience 4 Describe the Electronical Medical Record system that is used on your clinical practice site.  Patient 41 years old complaining of continues urinary sensation, pain and burning when urinate. What are the Pros and cons you have found. Is E-prescription incorporated on the EMH? Does it have adaptive learning? Does it have Incorporated patient doorway? Is there Flexibility with the absence of internet connectivity? Does it have effective documentation and Image management capability.

This project will consist of a research paper. You will complete this paper on the topic that you described in your research proposal. This project will be in the format of a scientific article. The article will have the following sections.Abstract/summary (5-6 sentence summary of the article). Here you are to simply summarize your paper - 3ptsIntroduction (700 - 1000 words) Provide the background, explaining why your research question is relevant. Also list the specific question that you are addressing. - 15 ptsMethods (250-1000 words) Here you will explain how you did the study, where the data came from, and what analyses you performed. - 10 ptsResults (100 - 500 words) Here you will describe your results, WITHOUT GIVING EXPLANATIONS OR INTERPRETATIONS. Interpretation of the results happens in the Discussion section. - 10 ptsDiscussion (700 - 1000 words) In this section, you interpret your results in the context of your Introduction. Therefore, if your introduction was about the dangers of air pollution, your Discussion should interpret your results in the context of the dangers of air pollution. - 10 pts.References - list at least one reference that you used in your research. You will need to explicitly cite this reference somewhere in your Introduction or Discussion. Do not put references in your Results. 2ptsBe sure to put everything in its proper place. You will lose points if you do not do this. For example, if information that should be in the Results section is in the Methods section, you will lose points. In a couple of weeks, you will have the option of turning in a draft of your paper for feedback. If you turn in a draft, I will read it and provide feedback to make sure that you do well on this project.

It is necessary for an RN-BSN-prepared nurse to demonstrate an  enhanced understanding of the pathophysiological processes of disease,  the clinical manifestations and treatment protocols, and how they affect  clients across the life span. Evaluate the Health History and Medical Information for Mrs. J., presented below. Based  on this information, formulate a conclusion based on your evaluation,  and complete the Critical Thinking Essay assignment, as instructed  below. Health History and Medical Information Health History Mrs.  J. is a 63-year-old married woman who has a history of hypertension,  chronic heart failure, and chronic obstructive pulmonary disease (COPD).  Despite requiring 2L of oxygen/nasal cannula at home during activity,  she continues to smoke two packs of cigarettes a day and has done so for  40 years. Three days ago, she had sudden onset of flu-like symptoms  including fever, productive cough, nausea, and malaise. Over the past 3  days, she has been unable to perform ADLs and has required assistance in  walking short distances. She has not taken her antihypertensive  medications or medications to control her heart failure for 3 days.  Today, she has been admitted to the hospital ICU with acute  decompensated heart failure and acute exacerbation of COPD. Subjective Data Is very anxious and asks whether she is going to die. Denies pain but says she feels like she cannot get enough air. Says her heart feels like it is "running away." Reports that she is exhausted and cannot eat or drink by herself. Objective Data Height 175 cm; Weight 95.5kg. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58. Cardiovascular:  Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral  pulses are 1+; bilateral jugular vein distention; initial cardiac  monitoring indicates a ventricular rate of 132 and atrial fibrillation. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin. Intervention The following medications administered through drug therapy control her symptoms: IV furosemide (Lasix) Enalapril (Vasotec) Metoprolol (Lopressor) IV morphine sulphate (Morphine) Inhaled short-acting bronchodilator (ProAir HFA) Inhaled corticosteroid (Flovent HFA) Oxygen delivered at 2L/ NC Critical Thinking Essay Critically evaluate Mrs. J.'s situation. Include the following: Describe the clinical manifestations present in Mrs. J. Discuss  whether the nursing interventions at the time of her admissions were  appropriate for Mrs. J. and explain the rationale for each of the  medications listed. Describe four cardiovascular conditions that  may lead to heart failure and what can be done in the form of  medical/nursing interventions to prevent the development of heart  failure in each condition. Taking into consideration the fact  that most mature adults take at least six prescription medications,  discuss four nursing interventions that can help prevent problems caused  by multiple drug interactions in older patients. Provide a rationale  for each of the interventions you recommend. Provide a health  promotion and restoration teaching plan for Mrs. J., including  multidisciplinary resources for rehabilitation and any modifications  that may be needed. Explain how the rehabilitation resources and  modifications will assist the patients' transition to independence. Describe  a method for providing education for Mrs. J. regarding medications that  need to be maintained to prevent future hospital admission. Provide  rationale. Outline COPD triggers that can increase exacerbation  frequency, resulting in return visits. Considering Mrs. J.'s current and  long-term tobacco use, discuss what options for smoking cessation  should be offered. Study Material: -Read Chapter 1 in Pathophysiology: Clinical Applications for Client Health. URL: https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/pathophysiology_clinical-applications-for-client-health_1e.php -Read  "Patient Perceived Impact of Nurse-Led Self-Management Interventions  for COPD: A Systematic Review of Qualitative Research," by Baker and  Fatoye, from International Journal of Nursing Studies (2019). https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S002074891830258X -Read "Atrial Fibrillation Symptom Perception," by Streur, from Journal for Nurse Practitioners (2019). URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S1555415518306974 -Read "Congestive Heart Failure and Congenital Defects," located on the American Heart Association website. URL: http://www.heart.org/HEARTORG/Conditions/CongenitalHeartDefects/TheImpactofConge%20Heart-Failure_UCM_307111_Article.jsp#.XPaS1hZKiUm URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S002074891830258X Read  "Evaluating the Effectiveness of an Online Cardiac Rehabilitation  Resource (www.svhhearthealth.com.au) in Improving Knowledge and  Confidence for Patients With Newly Diagnosed Cardiac Conditions: A  Pre-Experimental Pilot Study," by Molan, Emmanuel, Langley and Holloway,  from Heart, Lung and Circulation, 2019. URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S144395061830129X