ROBERT WOOD JOHNSON FOUNDATION

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In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?
Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states
Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.
In a paper of 1,000-1,250 words:
1. Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
2. Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
3. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?
 
Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?
A minimum of FOUR scholarly references are required for this assignment. CITE WEBSITE SOURCE Prepare this assignment according to the APA STYLE, an abstract is not required.

Compare and contrast the procedures of a lumber puncture and an epidural.

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Please answer the questions like you were explaining to somebody who does not know anything about anatomy.
Please cite your work for any reference source you utilize in answering these questions.
1. Compare and contrast the lobes of the cerebrum specifically their overall function and location.
2. Compare and contrast Wernicke’s area and Broca’s area, specifically the location, function and dysfunction that would occur with damage to that region.
3. Explain the role of the cerebellum in normal skeletal muscle movement.
4. The limbic system is a diffuse network of structures in the brain. In your own words, what is the overall function of the limbic system? What role do the following regions of the brain have: thalamus, hypothalamus and hippocampus and amygdala?
5. In your own words, explain the flow/movement of cerebral spinal fluid (CSF) in the CNS. What are the functions of the CSF?
6. Describe at least two interesting experiences/knowledge gained from the sheep brain dissection.
7. Compare and contrast the spinothalamic spinal cord tract and the corticospinal tract along with the complications that could occur if any damage occurs with them.
8. Briefly explain the role of the meninges and the three layers that it is composed of. Compare and contrast the procedures of a lumber puncture and an epidural.
9. In your own words, describe the role and significance of the blood brain barrier. What are some “items” that can pass easily through it? What are some “items” that cannot pass through it?
10. In your own words, how would you describe the function and role of the spinal cord? What function does the grey and white matter have in the spinal cord? What role do spinal tracts have within the spinal cord? Lastly, what’s the difference between the terms- ipsilateral and contralateral regarding the spinal cord?

Explain the mechanisms for how these stressors, both individually and collectively, induce a short-term or prolonged response to stress.

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Case study: Betty
Betty an 80‐year‐old lives alone in her own home. She is active, attending the local
senior citizens club. She receives meals‐on‐wheels and has assistance with her house
keeping once a week. She has been unwell for a few days experiencing decreased
appetite and episodes of angina that have responded to sublingual ANGININE.
Betty has a history of angina, peripheral vascular disease and congestive heart
failure. Her regular medications include an ACE inhibitor, selective beta blocker and
digoxin.
Betty’s family doctor referred her to hospital with dehydration. It is also noted she
has cellulitis to her left leg. She was admitted to the medical ward. On day three
Betty experiences shortness of breath with some chest pain that is not relieved by
ANGININE. Clinical examination reveals acute pulmonary oedema.
Clinical assessment reveals:
Temperature 37.9 degrees Celsius
RR 36 breaths/minute
HR 120 beats/minute
BP 180/110 mmHg
SpO2 88%
Urine output < 30 mL/hour (<0.5mL/kg/hr)
Bilateral peripheral pitting oedema, with cellulitis left lower leg
Chest auscultation reveals crackles and she is coughing pink frothy sputum
Management includes:
Bilevel
noninvasive
ventilation at 60% oxygen, Rate 16 breaths/minute
IPAP 10 cm H2O, EPAP 5 cm H2O
ECG and cardiac monitoring
IV normal saline decreased to 42 mL/hour
IV FRUSEMIDE
Subcutaneous CLEXANE
Indwelling catheter
CXR reveals
atelectasis and pulmonary oedema
Betty is transferred to the HDU
First ABG ABG after 30
minutes
pH 7.3 7.3
PaO 60 mmHg 100 mmHg
PaCO 55 mmHg 50 mmHg
HCO 24 mmol/L 24 mmol/L
Base excess ‐2 ‐2
And here is the essay questions, needs to be attended in 3 parts:
Assessment 2: Short answer essay – Betty
1500 words +/- 10%
Weighting 30%
The purpose of this assessment is to enable you to demonstrate your knowledge of the neurohormonal basis of the stress response through application to a case study.
These short answer questions incorporate the case study of Betty and your responses must relate to the clinical manifestations identified for this patient. Please note: nursing care and management are not the focus of this assessment.
You must complete all three parts.
Click here to open the case study.
Part A (500 words)
Betty is exhibiting signs and symptoms of a number of acute and chronic stressors. Pain is one of the most significant stressors and poses major challenges for nurses.
Betty is experiencing multiple types of pain.
•List the potential causes of Betty’s pain and identify the types (or mechanisms) associated with each cause
•Explain the physiological processes by which Betty’s pain will act as a stressor
•Describe the likely outcome if Betty’s pain remains unrelieved.
Part B (500 words)
As well as pain, Betty is also experiencing multiple other stressors.
•Identify two other stressors that Betty is experiencing based on her signs and symptoms
•Explain the mechanisms for how these stressors, both individually and collectively, induce a short-term or prolonged response to stress.
Part C (500 words)
Various factors, including the medications she is taking, will modify Betty’s response to stressors.
•List the medications Betty is taking that would influence her body’s ability to mount a stress response.
•Explain the mechanism of action and potential impact of these medications on the stress response. Include in your answer the physiological impact of Betty’s ACE inhibitor and beta blocker medications providing evidence of this from the clinical data.
The prescribed text book for the subject is Marieb, E, N and Hoehn, K, N 2014, Human anatomy and Physiology, 9th edn, Pearson Education Limited, United states of America
The assignment needs to focus on stress response and be quite specific in regards to types of pain and neurohormonal responses.

.What clinical manifestations are present in Ms. G?

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Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.
Subjective Data
•Complains of pain and heaviness in her leg.
•States she cannot bear weight on her leg and has been in bed for 3 days.
•Lives alone and has not had anyone to help her with meals.
Objective Data
•Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
•Left leg red from knee to ankle
•Calf measurement on left 3 in > than right
•Temperature: 38.9 degrees C
•Height: 160 cm; Weight: 83.7 kg
Laboratory Results
•WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
•Wound culture: Staphylococcus aureus
Critical Thinking Questions
1.What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
2.Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
3.What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
4.What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.