Why is it necessary for health care professionals to understand statistics
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Briefly describe the benefits of adolescent brain development. How is the brain of the adolescent still developing and how are these developments beneficial?The post 5.2-250-350 words w/3-5 citations first appeared on Nursing School Essays.
Perform appraisal and research on ethical and professional behavior. Analyze 3 articles that may contain either: ——
*Teamwork
*Patient-care
*Adaptability
*Time management
*Communication style
*Motivation and core values for professional nursing
Must be APA formatted
References must be within 5 years
Hepatic portal vein carries blood and nutrients from the stomach, spleen, intestines and gall bladder to the liver.
The hepatic vein carries deoxygenated blood from the liver back to the right atrium of the heart via the inferior vena cava. The post What is the difference between a hepatic vein and a hepatic portal vein? first appeared on Nursing School Essays.
Week 1 DiscussionDiscussion Topic Due February 19 at 11:59 PM Week 1 Discussion Questions MAT2058 Textbook:
Navidi, W. and Monk, B. (2019). Elementary Statistics (3rd ed.). New York, NY: McGraw-Hill Link:
Discussion Questions Week 1 Instructions: In the announcement area there should be a listing with your name and number assigned for the discussion questions. If you do not see this list, email your instructor to get your assigned number. Please use #40 until you receive your own number. Access your textbook this way: Go to Content. Click on the week you’re working on. Scroll down to Week # Activity (then click the underlined words in the sentence, “By the due date assigned, click the “Week n ALEKS Link” to complete the activities for this week”) or Week # Quiz. A new page will open. You are now in the ALEKS system. Select the menu in the upper-left corner (it looks like three dashes). Select Textbook and then E-Book. You can also access the E-book when you are in Learning Mode (i.e. when you are working through your topics in the ALEKS Activity) by clicking on the E-Book icon to the right of any problem. Please provide the questions, your answers, and show all of the steps and processes you used to solve each problem. Remember to do both of the problems assigned and respond to two of your classmates’ solutions in a substantive way. You may post revisions based on your instructor’s feedback by the end of each week. Be sure to meet the participation requirement by responding substantively to at least two of your classmates. You can: ask a question about your classmate’s solution(s) offer help when you see an error, or seek help in completing your own problems. Do not solve another student’s problems. Each student must be graded on his/her own work. Remember that non-substantive posts such as “Good job!” or praising another student’s work will not count toward your participation score. Be sure to refer to the grading rubric.
Describe the collective bargaining process.
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First note that max Im ( t) I = 2; therefore From this we
A plot of the message and the modulated signal is shown in Figure 3 .5.
For the message signal we have
Plots of the spectra of the message and the modulated signal are shown in Figure 3.6.
Note that the scales on the two spectra plots are different. The presence of the two delta functions in the spectrum of the modulated signal is apparent.
3. The power in the message signal can be obtained as
TITLE: NASAL FRACTURE
EXAMPLE: SOAP NOTE
Soap Note # Main Diagnosis ( Exp: H&P Note #3 DX: Hypertension)
Student Name
Miami Regional University
Date of Encounter:
Preceptor/Clinical Site:
Clinical Instructor: Dr. Rafael Camejo
Soap Note # Main Diagnosis ( Exp: Soap Note #3 DX: Hypertension)
PATIENT INFORMATION
Name: Mr. DT
Age: 68-year-old
Gender at Birth: Male
Gender Identity: Male
Source: Patient
Allergies: PCN, Iodine
Current Medications:
· Atorvastatin tab 20 mg, 1-tab PO at bedtime
· ASA 81mg po daily
· Multi-Vitamin Centrum Silver
PMH: Hypercholesterolemia
Immunizations: Influenza last 2018-year, tetanus, and hepatitis A and B 4 years ago.
Preventive Care: Coloscopy 5 years ago (Negative)
Surgical History: Appendectomy 47 years ago.
Family History: Father- died 81 does not report information
Mother-alive, 88 years old, Diabetes Mellitus, HTN
Daughter-alive, 34 years old, healthy
Social History: No smoking history or illicit drug use, occasional alcoholic beverage consumption on social celebrations. Retired, widow, he lives alone.
Sexual Orientation: Straight
Nutrition History: Diets off and on, Does not each seafood
Subjective Data:
Chief Complaint: “headaches” that started two weeks ago
Symptom analysis/HPI:
The patient is 65 years old male who complaining of episodes of headaches and on 3 different occasions blood pressure was measured, which was high (159/100, 158/98 and 160/100 respectively). Patient noticed the problem started two weeks ago and sometimes it is accompanied by dizziness. He states that he has been under stress in his workplace for the last month. Patient denies chest pain, palpitation, shortness of breath, nausea or vomiting.
Review of Systems (ROS)
CONSTITUTIONAL: Denies fever or chills. Denies weakness or weight loss. NEUROLOGIC: Headache and dizziness as describe above. Denies changes in LOC. Denies history of tremors or seizures.
HEENT: HEAD: Denies any head injury, or change in LOC. Eyes: Denies any changes in vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain, hoarseness, difficulty swallowing.
RESPIRATORY: Patient denies shortness of breath, cough or hemoptysis.
CARDIOVASCULAR: No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal
dyspnea.
GASTROINTESTINAL: Denies abdominal pain or discomfort. Denies flatulence, nausea, vomiting or
diarrhea.
GENITOURINARY: Denies hematuria, dysuria or change in urinary frequency. Denies difficulty starting/stopping stream of urine or incontinence.
MUSCULOSKELETAL: Denies falls or pain. Denies hearing a clicking or snapping sound.
SKIN: No change of coloration such as cyanosis or jaundice, no rashes or pruritus.
Objective Data:
VITAL SIGNS: Temperature: 98.5 °F, Pulse: 87, BP: 159/92 mmhg, RR 20, PO2-98% on room air, Ht- 6’4”, Wt 200 lb, BMI 25. Report pain 2/10.
GENERAL APPREARANCE: The patient is alert and oriented x 3. No acute distress noted. NEUROLOGIC: Alert, CNII-XII grossly intact, oriented to person, place, and time. Sensation intact to bilateral upper and lower extremities. Bilateral UE/LE strength 5/5.
HEENT: Head: Normocephalic, atraumatic, symmetric, non-tender. Maxillary sinuses no tenderness. Eyes: No conjunctival injection, no icterus, visual acuity and extraocular eye movements intact. No nystagmus noted. Ears: Bilateral canals patent without erythema, edema, or exudate. Bilateral tympanic membranes intact, pearly gray with sharp cone of light. Maxillary sinuses no tenderness. Nasal mucosa moist without bleeding. Oral mucosa moist without lesions,. Lids non-remarkable and appropriate for race.
Neck: supple without cervical lymphadenopathy, no jugular vein distention, no thyroid swelling or masses.
CARDIOVASCULAR: S1S2, regular rate and rhythm, no murmur or gallop noted. Capillary refill < 2 sec.
RESPIRATORY: No dyspnea or use of accessory muscles observed. No egophony, whispered pectoriloquy or tactile fremitus on palpation. Breath sounds presents and clear bilaterally on auscultation.
GASTROINTESTINAL: No mass or hernia observed. Upon auscultation, bowel sounds present in all four quadrants, no bruits over renal and aorta arteries. Abdomen soft non-tender, no guarding, no rebound no distention or organomegaly noted on palpation
MUSKULOSKELETAL: No pain to palpation. Active and passive ROM within normal limits, no stiffness.
INTEGUMENTARY: intact, no lesions or rashes, no cyanosis or jaundice.
ASSESSMENT:
Main Diagnosis
Essential (Primary) Hypertension (ICD10 I10): Given the symptoms and high blood pressure (156/92 mmhg), classified as stage 2. Once the organic cause of hypertension has been ruled out, such as renal, adrenal or thyroid, this diagnosis is confirmed (Codina Leik, 2015). Diagnosis is based on the clinical evaluation through history, physical examination, and routine laboratory tests to assess risk factors, reveal identifiable causes and detect target-organ damage, including evidence of cardiovascular disease (Domino et al,. 2017).
Differential diagnosis:
Ø Renal artery stenosis (ICD10 I70.1)
Ø Chronic kidney disease (ICD10 I12.9)
Ø Hyperthyroidism (ICD10 E05.90)
PLAN:
Labs and Diagnostic Test to be ordered:
· CMP
· Complete blood count (CBC)
· Lipid profile
· Thyroid-stimulating hormone (TSH)
· Urinalysis with Micro
· Electrocardiogram (EKG 12 lead)
Pharmacological treatment:
· Hydrochlorothiazide tab 25 mg, Initial dose: 25 mg orally once daily.
· Lisinopril 10mg PO Daily
Non-Pharmacologic treatment:
· Weight loss
· Healthy diet (DASH dietary pattern): Diet rich in fruits, vegetables, whole grains, and low-fat dairy products with reduced content of saturated and trans l fat
· Reduced intake of dietary sodium: <1,500 mg/d is optimal goal but at least 1,000 mg/d reduction in most adults
· Enhanced intake of dietary potassium
· Regular physical activity (Aerobic): 90–150 min/wk
· Tobacco cessation
· Measures to release stress and effective coping mechanisms.
Education
· Provide with nutrition/dietary information.
· Daily blood pressure monitoring log at home twice a day for 7 days, keep a record, bring the record on the next visit with her PCP
· Instruction about medication intake compliance.
· Education of possible complications such as stroke, heart attack, and other problems.
· Patient was educated on course of hypertension, as well as warning signs and symptoms, which could indicate the need to attend the E.R/U.C. Answered all pt. questions/concerns. Pt verbalizes understanding to all
Follow-ups/Referrals
· Follow up appointment 1 weeks for managing blood pressure and to evaluate current hypotensive therapy.
· No referrals needed at this time.
References
Domino, F., Baldor, R., Golding, J., Stephens, M. (2017). The 5-Minute Clinical Consult 2017
(25th ed.). Print (The 5-Minute Consult Series).
Codina Leik, M. T. (2014). Family Nurse Practitioner Certification Intensive Review (2nd ed.).
ISBN 978-0-8261-3424-0
NOTE: PLEASE APA FORMAT OF THE REFERENCE, AND ORIGINAL
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Comprehensive Health History in which you examine how social determinants of health such as age, gender, ethnicity, and environmental situations impact the health and risk assessment of the patients you serve. Also, consider how social determinants of health influence your interview and communication techniques as you work in partnership with a patient to gather data to build an accurate health history.
take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.
With the information presented in Chapter 1 of Ball et al. in mind, consider the following: How would your communication and interview techniques for building a health history differ with each patient? How might you target your questions for building a health history based on the patient’s social determinants of health? What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks? Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration. Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.
APA citation 3 to 4 References within 5 years
dentify what issues may arise with the prescriptive authority of controlled substances and how you may avoid these situations?
Whenever there is a prescriptive authority of controlled substances, there is likely to be an abuse of the same by drug administrators. This has been demonstrated by the case of Heather Alonso, who was an advanced practice registered nurse (APRN) and used her position to prescribe controlled substances under the Medicare drug program. Nurse practitioners are not supposed to prescribe schedule 2 drugs since there is a high potential that they will be abused. Such issues mainly arise when medical practitioners compromise their practice and administer highly controlled substances contrary to rules and regulations, mainly because they receive hefty payments for the same.
To control the administration of controlled substances, the first step that must be taken is to ensure that a diagnostic workup is conducted (Young, 2018). The diagnostic workup will enable physicians to properly diagnose a patient before administering any drug. In the case of Heather Alonso, many of the patients were not being reviewed hence leading to prescriptions being administered wrongly. The second step that must be taken is to utilize prescription databases and obtain a medical history of the patient. The database will give information on whether the patient has received medication from multiple doctors. Screening for drug seeking is also necessary as it will enable one to establish if the patient is genuine or they are just abusing drugs. Also, states can revamp their prescription drug monitoring programs (PDMP) which will have better standards for monitoring the administrati0n of controlled drugs (Perrone & Nelson, 2012). All the drugs which fall under schedule 2-5 are monitored. This will enable the states to understand whether stricter control and surveillance is needed. Through the PDMP, surprise audits can be done at the premises of drug administrators to check whether the necessary guidelines are being followed.This will lead to better monitoring and control when it comes to administration of controlled substances.
References
Young, J. (2018).Best Practices When Prescribing Controlled Substances. Retrieved from https://www.psychologytoday.com/us/blog/when-your-adult-child-breaks-your-heart/201806/best-practices-when-prescribing-controlled
Perrone, J., & Nelson, L. S. (2012). Medication reconciliation for controlled substances—an “ideal” prescription-drug monitoring program. New England Journal of Medicine, 366(25), 2341-2343.
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