Case Study
L.P. is a 62-year-old woman with a history of hypertension and hyperlipidemia who presented to a primary stroke center with sudden onset weakness of the right side. On assessment, she had aphasia, left gaze preference, right hemianopsia, right facial droop, dysarthria, and right hemiplegia (Stroke Scale = 22). Head CT angiography showed a left middle cerebral artery occlusion. She was given Alteplase intravenous tPA at 2 hours from symptom onset and transferred to a comprehensive stroke center. She also underwent mechanical thrombectomy. Three months later she had no neurological deficits.

Assignment Instructions
Please complete the following case study analysis utilizing the following:

The Nursing Process:

A – Assessment

D – Diagnosis (Use NANDA nursing diagnoses)

P – Plan (Outcome with a specific short and long term goal)

I – Implementation

E – Evaluation

Additional Information to include if applicable: Medication (class, mechanism of action, dosage [standard if not provided], indication, side effects, contraindications)

Sample Solution

Develop a guide for a local healthcare facility for implementation of a Healthcare Management Information System (HMIS). It should cover differentiation among three terms – project management, program management, and portfolio management. Define and analyze the five project management processes in terms of applicability to HMIS implementation needs. Locate and evaluate at least two project management tools and compare their metrics for monitoring the project progress. Explain how would you keep Scope Creep at a minimum during the project implementation?

Sample Solution