Analyse the pathogenesis of neuromuscular weakness in critically ill patients, with particular reference to Janine;

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Janine Keswick, a 45 year old woman, is admitted to your ward after a 3-week stay in ICU. As a result of a motor vehicle accident,
Janine sustained unstable open-book pelvic fracture and spiral fracture of the right mid-femur. Following surgery, she was ventilated in ICU for two weeks and required inotropic support due to sepsis. She was fed enterally while intubated.
Research evidence shows that survivors of severe critical illness, like Janine, experience prolonged neuromuscular complications after discharge from ICU.
Research also shows that rehabilitation for patients who sustain pelvic and lower extremity trauma is complex. Janine�s weight-bearing status is restricted; she will not be fully weight-bearing until 12 weeks after her injury and surgery.
In this essay, you are required to:
� Analyse the pathogenesis of neuromuscular weakness in critically ill patients, with particular reference to Janine;
� Identify a muscle strengthening and reconditioning rehabilitative approach for Janine.
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Choose a borrowed theory and apply its framework to an advanced nursing issue (i.e., hostility in the workplace, instituting bedside reporting, and shared leadership).

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Categories commonly used to organize nursing theories and how a theory fits into the category.
Question: Choose a borrowed theory and apply its framework to an advanced nursing issue (i.e., hostility in the workplace, instituting bedside reporting, and shared leadership).
Additional Info from Instructor:
This is your topic for TD2 and we will be meeting the following PO:
Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO #1)
Key Concepts:
· Scope of borrowed theories and their application to the nursing profession.
· Categories commonly used to organize nursing theories and how a theory fits into the category.
Choose a borrowed theory and apply its framework to an advanced nursing issue (i.e., hositlity in the workplace, instituting bedside reporting, and shared leadership)

Identify the audience for this topic (e.g.: patients, nursing students, staff nurses, etc.

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Identify the audience for this topic (e.g.: patients, nursing students, staff nurses, etc.)
Choose a nursing education topic that you feel lends itself to the use of games, simulation, or a virtual world
•Identify the audience for this topic (e.g.: patients, nursing students, staff nurses, etc.).
•Select the best tool for this instructional delivery.
•Provide a rationale for your choice.
•Discuss the key advantages and disadvantages of this instructional delivery.
•Summarize the impact of technological tools on the future of nursing education.
Directions:
•Compose a 3-5 page paper (exclusive of the title page and reference page).
•Address all elements as noted above.
•Include at least three scholarly resources from the nursing literature, in addition to the course textbooks.
••Textbook(s): •McGonigle and Mastrian: •Chapters 20, 21, and 22
•American Nurses Association, •Pages 55-56

Discusss the role of the professional nurse as caregiver.

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INSTRUCTIONS
Health Care Delivery System – Community and Environmental Health
After reviewing the posted powerpoint and reading the articles provided please post your response to the following questions. Feel free to research other articles as well:
1. Discusss the role of the professional nurse as caregiver.
2. What are some of the challenges that a professional nurse faces every day. Give recommendations on resolving those challenges
3. How do the following changes over the past several decades impact the healthcare delivery system
and the practice of nursing:
a. population shifts
b. cultural diversity
c. changes in the patterns of disease
d. advances in technology
e. economic changes
**You must address each issue.