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plan of care

No Plagiarism please.

Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and and Include: (3 references within years 2015-2018) with intext citations.

 

The purpose of this unit is to focus on performing the necessary components of the women’s health exam and to learn to identify crucial exams and necessary age appropriate screenings for the women’s health client.

Discuss how the age of the female patient, demographics, race, and lifestyle will drive your exam and plan of care. (Pap smear screening)

Give examples and support with evidence-based practice. (Create plan of care for a young African American women that is sexually active, use example of higher incidence rate of cervical cancer in African-American women, also mention the benefit of HPV vaccinations).

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The Elderly 

Case Study – The Elderly 

Scenario:

As a community health nurse, you are working in an outpatient clinic in a community that serves mainly elderly clients.

This year, you noted that 85 percent of the visits resulting in hospitalization resulted from bronchitis, asthma, pneumonia, and influenza as compared to last year. At that time; the visits weredue to  colds, sore throats, influenza, bronchitis, and pneumonia, in order of frequency.

Maria Perez, a 73-year-old Cuban American woman has been referred for community health nursing services following her discharge from the hospital. She smokes two packs of cigarettes per day. She was recently hospitalized as a result of a severe shortness of breath due to an asthma attack. The primary care provider prescribed respiratory treatments using Albuterol via jet nebulizer every 4-6 hours as needed. Mrs. Perez lives alone and has three cats to take care of.

Instructions:

  1. Read the scenario above and answer the following questions:
    • What are the biophysical, psychological, physical environmental, sociocultural, behavioral, and health system factors influencing Mrs. Perez’s health?
    • Describe at least three primary, secondary, and tertiary prevention strategies that would be appropriate in resolving Mrs. Perez’s health problems. Why would they be appropriate?
    • What activities related to health promotion and disease prevention would you plan for the late fall?
    • How would you evaluate your nursing interventions? What criteria would you use to evaluate care?
  2. Your response should be 50 – 100 words.

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model or program theory

A logic model or program theory is a description or model frequently pictorial of how a program is supposed to achieve its expected outcomes and solve the identified problem for which it was created. It creates a logical links between expected outcomes and the activities designed to achieve them and incorporates the evidence-based theoretical assumptions that explain how the activities will lead to outcomes. A program theory or logic model is NOT the theoretical framework on which your project is based although it may be related to a theoretical framework. A theoretical or conceptual framework is a general theory that explains why some things happen. A program theory or logic model is unique to your project and explains how it is supposed to work.

Assignment Prompt

  1. Develop a one-page diagram of theoretical foundation for your project/program, describing how and why your project should achieve the desired outcome. Add references on the second page. You may arrange items in the diagram in any way you choose, but the diagrams should include each of the following components and show the logical connections between them:
    1. The need or problem to be addressed by the project/program with supporting data
    2. The context for the project/program (attach a reference list with your diagram)
    3. The strategy (ies) proposed to address the need/problem
    4. The evidence base for the proposed strategies (attached a reference list with your diagram)
    5. Factors that will influence the use of strategy
    6. The expected outcomes of the project/program
    7. The resulting impact of the project/program if the outcomes are achieved

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Complementary and Alternative Therapies

Massage and Pressure Point Therapies.

Book: Complementary and Alternative Therapies for Nursing Practice (4th Edition)

ISBN-13: 9780133346503/ ISBN-10: 0133346501

Author: Karen Lee Fontaine RN MSN. Edition: 4

Publisher: Prentice Hall

Published: January 2014

Answer these 4 Question(s):

1. Discuss Acupuncture (How acupuncture works?).

2. What are the benefits of acupuncture? Is there any research study that support the evidence of acupuncture value? (Explain your answer / Examples).

3. Have you ever used acupuncture? Discuss your experience.

4. Provide at least 3 benefits of acupuncture.

Guidelines: 

The answer should be based on the knowledge obtained from reading the book attached in a word document (only the last part of the question is your opinion). If there are 4 questions in the discussion, you must answer all of them.

Remember, the internet may not have accurate information. Sometimes, part of the question may ask for your opinion. In this case, you give your opinion based on the knowledge obtained from studying the corresponding chapter.

• I am expecting to answer the question and justified it based on peer review literature or information in your book.

•  I am expecting at least three paragraphs with five sentences in each paragraph (minimum of 400 words). 

• APA style will be strictly enforced.

• If other References are used in addition to the book must have:

· Serial/journal articles

· Volume number, in italics.

· Issue number. This is bracketed immediately after the volume number but not italicized.  Month, season or other designation of publication if there is no volume or issue number.

· Include all page numbers. Ex: 7(1),24 Sergiev, P. V., Dontsova, O. A., & Berezkin, G. V. (2015).

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Article Analysis

Search the GCU Library and find two new health care articles that use quantitative research. Do not use articles from a previous assignment, or articles that appear in the Topic Materials or textbook.

Complete an article analysis for each using the “Article Analysis: Part 2” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 2,” for an example of an article analysis.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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: Pre-operative teaching

It is 10 pm and you make assessment rounds and find Bobby crying. You ask him what his pain level is. What pain scale are you using?

He says he misses his family and wonders when they are going to come to get him and take him home? He relates his dad told him to be brave but he couldn’t stay with him since

Bobby was going to be in the hospital for such a long time and his dad had to work. He has 2 other brothers older than him. You also notice that his tray is untouched.

In addition to Erikson’s theory of development, children have fear of loss. What is Bobby’s fear?
(do not forget the interdisciplinary team members)

Video: Pre-operative teaching

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Off-Label Drug Use in Pediatrics

Off-Label Drug Use in Pediatrics

The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable since very few drugs have been specifically researched and tested with children.

When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion. Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

To prepare:

· Review the Panther et al (2017) and Corney, Lebel, Bailey, and Bussieres (2015) articles in the Learning Resources. Reflect on situations in which children should be prescribed drugs for off-label use.

· Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.

With these thoughts in mind:

Write Include sub headings plz. And purpose of writing.

· an explanation of circumstances under which children should be prescribed drugs for off-label use.

· Then, describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence.

·  Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.

Points to follow when writing a paper:

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Fetal Abnormality

Based on “Case Study: Fetal Abnormality” and other required   topic study materials, write a 750-1,000-word reflection that answers   the following questions:

  1. What is the Christian view of the nature of human     persons, and which theory of moral status is it compatible with? How     is this related to the intrinsic human value and dignity?
  2. Which theory or theories are being used by Jessica, Marco,     Maria, and Dr. Wilson to determine the moral status of the fetus?     What from the case study specifically leads you to believe that they     hold the theory you selected?
  3. How does the theory determine     or influence each of their recommendations for action?
  4. What     theory do you agree with? Why? How would that theory determine or     influence the recommendation for action?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment,   solid academic writing is expected, and documentation of sources   should be presented using APA formatting guidelines, which can be   found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to   beginning the assignment to become familiar with the expectations for   successful completion.

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: What are the benefits of physical activity after a heart attack base on the article?

There is a particular article to back up this research question.

1. Research the importance of the topic and write an introduction that includes these main points:
· Relevant background information from a credible source to explain the importance of your topic
· A purpose statement (“The purpose of this paper is…”).

This is the topicWhat are the benefits of physical activity after a heart attack base on the article?

2. Write a study synopsis that includes these main points:
· research design and setting
· sample: sampling method; number of subjects; inclusion/exclusion criteria; attrition, loss to follow up, or response rate (if any); and important characteristics of the sample
· how the study was conducted (explain how the data was collected—including measurement instruments–and, if the study involves an intervention, how the intervention was carried out)
3. Appraise the article in narrative format by answering the following questions.
· What is known and not known about the topic? What gap in knowledge does this study address?
· Was the sampling method appropriate for this study? Why or why not?
o If inclusion and exclusion criteria were noted in the report, did the criteria control for extraneous variables? Why or why not?
· Were the measurement instruments reliable and valid? Why or why not?
o If the study was experimental, was the intervention performed consistently? Why or why not?
· Were the conclusions of the study supported by the results? Why or why not?
· Were the study limitations identified and explained? If so, was the explanation sufficient? Why or why not?
4. Write a conclusion that states the nursing implications based on the findings of the study, taking statistical significance into account. (DO NOT just list the implications to nursing from the article; provide your analysis.)
Submit your article in pdf format and your appraisal and synopsis in Word format.

IT IS MOST BE IN APA 7TH EDITION FORMAT. 

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normal pathophysiology of gastric acid

To Prepare

· Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.

· Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.

· Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.

· Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis.

To Complete

Write a 2- to 3-page paper that addresses the following:

 

  • –  Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.
  • – Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
  • – Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

· This paper should have at least 4 current references (Year 2013 and up)

· At least 2 references should be from the class Learning Resources below

The following Resources are not acceptable:

· 1. Wikipedia

· 2. Cdc.gov- nonhealthcare professionals section

· 3. Webmd.com

· 4. Mayoclinic.com

LEARNING RESOURCES

**Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

  • Chapter 35, “Structure and      Function of the Digestive System”

This chapter provides information relating to the structure and function of the digestive system. It covers the gastrointestinal tract and accessory organs of digestion.

  • Chapter 36, “Alterations of      Digestive Function”

This chapter presents information relating to disorders of the gastrointestinal tract and accessory organs of digestion. It also covers the pathogenesis, clinical manifestations, evaluation, and treatment of gastroesophageal reflux disease, gastritis, peptic ulcer disease, inflammatory bowel disease, and irritable bowel syndrome.

  • Chapter 37, “Alterations of      Digestive Function in Children”

This chapter presents information relating to disorders of the gastrointestinal tract and liver that affect children. It focuses on congenital impairment, inflammatory disorders, metabolic disorders, as well as the impairment of digestion, absorption, and nutrition.

**Hammer, G. G., & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

  • Chapter 13,      “Gastrointestinal Disease”

This chapter provides a foundation for exploring gastrointestinal disorders by reviewing the structure and function of the GI tract. It also describes mechanisms of regulation of GI tract disorders such as acid-peptic disease, inflammatory bowel disease, and irritable bowel syndrome.

**de Bortoli, N., Martinucci, I., Bellini, M., Savarino, E., Savarino, V., Blandizzi, C., & Marchi, S. (2013). Overlap of functional heartburn and gastroesophageal reflux disease with irritable bowel syndrome. World Journal of Gastroenterology, 19(35), 5787-5797. doi:10.3748/wjg.v19.i35.5787

**National Digestive Diseases Information Clearinghouse. (2016). Retrieved from http://digestive.niddk.nih.gov/index.aspx

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