Discussion: Guidelines on Screening ProceduresThe goal of health promotion and education is to help prevent disease in patients. However, this is not always successful, and disease it not always preventable. With disease, early detection is ideal, often making screening procedures a routine part of clinical care. Unfortunately, many patients do not utilize these health services. This can be attributed to lack of awareness or access to care, financial concerns, or even levels of comfort with health care providers. In your role as the advanced practice nurse, you must be aware of potential obstacles for patients and implement strategies to ensure patients receive necessary screenings. Although a variety of screening procedures are recommended for women at various stages of life, not all screenings are appropriate for all patients. Understanding the strengths and limitations of each screening, as well as current guidelines for use is essential to effectively facilitate patient care. For this Discussion, the course Instructor will assign a specific topic for you to research.
To prepare:
Review this week’s media presentation, as well as Chapters 6 and 8 of the Tharpe et al. text and the U.S. Department of Health and Human Services article in the Learning Resources.Research guidelines on screening procedures for the topic assigned to you by the course Instructor (e.g., guidelines on screening for domestic violence, safety, nutrition, osteoporosis, heart disease, mental health, eating disorders, thyroid disease, pap smear, mammogram, cancer, and sexually transmitted infections). Note: The course Instructor will assign a topic to you by Day 1 of this week.Reflect on strengths and limitations of the screening guidelines.Consider how the guidelines might support your clinical decision making.By Day 3Post an explanation of the guidelines on screening procedures for the topic assigned to you. Include an explanation of strengths and limitations of the guidelines. Then, explain how the guidelines might support your clinical decision making.

Mucor is a rare mold from the fungi species which is found growing in moist areas of the environment such rotting fruits, vegetables or plants. Pulmonary Mucormycosis commonly affects those individuals who are immunocompromised due to cancer or had organ or stem-cell transplant (CDC,2015). The infection-mucormycosis is commonly acquired when one inhales the spores affecting the lungs and sinus tracks or enters the skin through a cut, scrape or trauma (CDC, 2015). Other ways mucormycosis can be acquired is during natural disasters such as floods or hurricanes where matter containing spores is transported into areas of contact with individuals who get affected or construction sites where the spores are in dust or contaminated filters or equipment in healthcare facilities can lead to nosocomial mucormycosis.
Pathophysiologic Progression: Mucormycosis progresses when the spores enter the systemic circulation and causes ischemia, infarction or tissue necrosis in the affected areas (Mohinda, et.al., 2014). When the fungus travels from the trachea to the lungs it causes pneumonia-like symptoms such as cough, fever, chills and dyspnea.
Nursing interventions: Because the infection can rapidly progress and spread into the vital organs of the body such as the heart and brain, it is vital that the nurse include critical interventions which would include: a) close monitoring of hemodynamics and communicating any subtle changes to the physician. B) maintain an accurate respiratory status assessment, continuous pulse oximetry and use of supplemental oxygen as well as incentive spirometry to prevent atelectasis. c) Administering the antifungal medications as ordered such as amphotericin B or Posaconazole.
Lab test results: An elevated WBC of 15.2 indicates infectious process in this because of the associated symptoms of productive cough otherwise in some cases could be due to inflammatory process in the body. The ABG is abnormal and interpreted as Respiratory Alkalosis; PaO2 is 59 which indicates hypoxia as the necrotic tissue cannot perfuse adequately.An elevated HCO3 of 29 and PH of 7.50 which indicates alkalosis and the low Pco2 of 25 indicates hyperventillation in attempt to increase oxygen.The blood glucose level is elevated in this case 138 which indicates diabetes.
Medications 1) The drug of choice because of it efficacy and safety is Amphotericin B: dose- 5mg/kg/day. 2 Amphotericin B deoxycholate (1.5mg/kg/day) of is also used and is cost effective but higher risk of causing nephrotoxicity. 3. Posaconazole is also a drug commonly used: dose- 800mg/day (dose divided in two) and recommended to be administered with high fat food or acidic beverage to improve absorption in the body (Crum-Cianflone, N., 2015).
Treatments:1) Surgical intervention such as pneumonectomy (removal of necrotic part of the lung) and debridement of infected tissue would be a way of eliminating the fungus and stop any spread. 2)Hyperbaric oxygen therapy can be used to treat mucormycosis by exposing the infected areas with high concentrations of oxygen to stop the growth of the mucor fungus and promote healing. 3)Transfusions of WBC and interferon- gamma treatments have been used although there is not enough research to support the effectiveness (Crum-Cianflone, N., 2015).
I NEED YOU TO COMMENT FROM THIS POST, 150 WORDS NEEDED AND A REFERENCE PLEASE

Musculoskeletal system and pain.
Assessment of the Musculoskeletal System and Pain 1 This week’s graded discussion topic relates to the following Course Outcomes (COs). •
CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1) •
CO2 Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
• CO3 Utilize effective communication when performing a health assessment.
(PO 3) Fred is an 83-year-old male who is being admitted to the medical-surgical unit status post fall. He is alert and oriented and reports that while visiting a local casino with his wife Margaret earlier this evening, he tripped over a curb and fell landing on his right side. After receiving morphine in the emergency room prior to transfer to your unit, Fred is rating his pain at 6/10. He has multiple bruises from his jawbone to his knee as well as a slight rotation of his right leg. Past medical history includes: myocardial infarction (MI) x 2, peripheral vascular disease (PVD) with bilateral iliac stents, non-insulin-dependent diabetes mellitus (NIDDM), sleep apnea, and degenerative joint disease. Medications include: aspirin, Plavix, Lopressor, Lisinopril, and Metformin. After reviewing the above scenario please answer the following questions.
1. Based on the information provided, how will you prioritize your care, what assessments will you include and in what order? Please provide rationale for your response.
2. Considering this patient’s age, injury, past medical history, and list of current medications, what, if any, concerns do you have related to his potential need for surgery?
3. Should surgery to repair his right femur be required; what type of clearance and pre-op orders would you anticipate receiving related to his diet, meds, lab work, and so on?
Reading Jarvis, C. (2016). Physical examination & health assessment (7th ed.). Philadelphia, PA: Saunders.
• Chapter 22: Musculoskeletal System o 577–617 (Structure, Function, Subjective and Objective data, Documentation, and Critical Thinking)
• Chapter 10: Pain Assessment: The Fifth Vital Sign Please use Jarvis Book Please, make sure the Jarvis book is part of the paper. Also please be detail and you need to use an outside scholary reference along with the reading. Please Use APA format correctely.

Women on the Civil War Battlefield
As we saw during the Revolutionary War, war often changes the gender roles of women in American Society. During the Civil War, American women expanded their roles of “Angels of the Battlefield” to establish the American nursing. Other women participated in the war as spies or disguised themselves as soldiers. This week as you read your textbook and examine the images provided, think about how the war impacted societies image of “true womanhood” and gender roles.
Look for similarities and differences between gender roles and gender images in between the North and the South. How did the war impact those attitudes? Steps to complete the Assignment: Read “Visual Sources: Women on the Civil War Battlefields” View a video segment from the PBS documentary: Rebel: Loreta Velazquez, Secret Soldier of the American Civil War. Watch Video Women Civil War Soldiers -Educational short Duration: (6:37) YouTube URL: http://www.youtube.com/watch?v=-xSYh8xXJPM
Write a 400-600 word essay that responds to the following questions – be sure to use examples to support your answers and demonstrate your understanding of the readings. What are the similarities in the images of women who served as Civil War nurses? What attitudes toward women help explain these similarities? Male soldiers are issued official uniforms to designate their rank and military affiliation. What similarities do you notice in Divers’s and Tubman’s outfits?
How might this clothing have constituted a kind of informal uniform for women on the battlefield? The Civil War was fought between two cultures as much as between two economic and political systems. Do you detect patterns in the images and from the video of northern versus southern women? What do these differences tell you about the gender dimensions of the North-South divide? Taken as a group, do the images from the “women on the civil war battlefield” and video indicate that the women who participated directly in the war did more to maintain or to undermine standard gender roles?