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disorders of brain function

Fifty-four–year-old Fred is complaining of a headache that started about 2 weeks ago. For the past 2 days, the headache has increased in severity, and he is photophobic and has uncial rigidity and projectile vomiting. CT scan results show an arteriovenous malformation in the basal artery and a small hemorrhagic bleed in the middle meningeal artery.

a.            How is the concept “disorders of brain function” related to Fred’s presenting symptoms?

b.            What aspects of cerebral circulation would come into play in Fred’s case?

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Leadership Concept

Assignment: Application: Leadership Concept
Analysis Group Paper

This week you will begin a group paper that you will develop over the next few weeks. By Day 3 of this week, you will be placed in a collaborative group and provided with a work area for your group (See the Groups area below Week 11 in the left-hand navigation bar. If you do not see your team area by the end of Day 3, contact your Instructor.)

Before you begin to work with your group, read the information below describing the paper. Then join your group, introduce yourself, and begin work on selecting a topic.

To prepare:

· Review the Peer Evaluation Form for important information on how this assignment is graded.

· Identify a group facilitator.

· Within your group, select a topic relevant to interprofessional leadership and the health care field on which to focus your group paper. The following are some potential topics for your group to consider:

o Matrix organizations

o Accountable care organizations

o Horizontal and vertical organizations

o Role conflict and ambiguity

o Employee recruitment and selection

o Interpersonal relationships in the C-suite of organizations (the relationships between the CEO, CFO, and CNO)

o Resistance to change

o Succession planning

o Whistle blowing

o “Just” culture

o Team Stepps

· When your group has selected a topic, the group facilitator will submit the topic to the Instructor for approval on the Discussion Board in the Week 5 Group Project Topic Forum.

· Conduct research on your topic using the Walden Library and other credible sources.

To complete:

As a group, write a 3- to 5 (page count does not include title and reference page) page paper that includes the following:

· Section 1: Introduction

· Section 2: Significance of the topic (based on literature that speaks to the relevancy of the concept selected in terms of interprofessional leadership)

· Section 3: Review of the literature related to the concept that the group selects (current best practices, positive or negative impact on leadership or health care organizations, etc.)

· Section 4: Application to nursing (e.g., implications or consequences for nursing leaders)

· Section 5: Conclusion

All group members are expected to collaborate fully on this project, and your group paper should demonstrate an original and thoughtful application of the ideas presented in the Learning Resources and the research literature.

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community health nurse

250 WORDS CITATIONS, REFERENCE

Explain the role of the community health nurse in partnership with community stakeholders for population health promotion. Explain why it is important to appraise community resources (nonprofit, spiritual/religious, etc.) as part of a community assessment and why these resources are important in population health promotion.

REFERENCES

Read Chapter 1 in Community and Public Health: The Future of Health Care.

URL:https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/community-and-public-health_the-future-of-health-care_1e.php

Explore the American Public Health Association (APHA) website.

URL:https://www.apha.org/

T1DQ2.  BY 2/27.

250 WORDS CITATION AND REFERENCES

Discuss how geopolitical and phenomenological place influence the context of a population or community assessment and intervention. Describe how the nursing process is utilized to assist in identifying health issues (local or global in nature) and in creating an appropriate intervention, including screenings and referrals, for the community or population.

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regional boards of nursing

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

  • Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
  • Consider how key regulations may impact nursing practice.
  • Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion.

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

*compare Miami Florida with any other

* at least three references

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Infographic

Assignment Description

Infographic

Choose one older adult community population and create an infographic on a topic of preventative screenings or vaccines for this population. You may choose to focus on one specific preventative screening (like colonoscopy) or one specific vaccine (like pneumovax). You will create a one page infographic and then write an essay on the topic you chose.

View websites on How to create Infographics:

*http://blog.hubspot.com/blog/tabid/6307/bid/34223/5-Infographics-to-Teach-You-How-to-Easily-Create-Infographics-in-PowerPoint-TEMPLATES.aspx

*http://blog.hubspot.com/marketing/free-ppt-infographic-templates-designs-ht

Submit an 8 X 11.5 color (one page Word or pdf. document) infographic on the importance of one of the concepts found in one of the assigned websites.
Include a detailed description of the infographic and the APA references in an APA-formatted essay.
The description part of the essay assignment should be written in an APA-formatted essay. The essay should be at least 750 words in length and include at least two scholarly sources other than provided materials.

Assignment Expectations:

Length: One-page infographic PLUS essay of 750 to 1000 words in length

Structure: Infographic: One-page. Essay: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

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inspiration piece Music/Dance/Poetry

Essay Assignment – inspiration piece Music/Dance/Poetry

Read/review the following resources for this activity:

  • Textbook: Chapter 9, 10
  • Lesson
  • Minimum of 1 scholarly source (in addition to the textbook)

Instructions
This week you will use your readings from the past week as a point of departure to create your own artistic production and a reflection paper.

Part 1: Art Creation
Select a poem, musical piece, or dance piece to use as a point of inspiration. Create a work of poetry, lyrics, music, or dance, inspired by your selected art piece. Video or audio recordings should be no longer than 5 minutes and must be in MP4 format.

Note: If your art creation requires a separate file submission, please submit in the Art Creation Submission (Recordings) area following this assignment.

Part 2: Reflection
Write a reflection about the relationship between your art production and the inspiration piece. Include the following in the reflection paper:

  • Introduction
  • Inspiration Piece
    • Include the inspiration poem, lyrics, or recording of musical or dance piece within the document. Use a link in the case of a recording.
    • Record the title, artist/author/composer, year, and place of origin.
    • Briefly explain the background of the inspiration piece.
  • Your Art Piece
    • Include your original poem or lyrics within the document. If you selected a musical or dance piece, submit as a separate file in the Art Creation Submission (Recordings) area following this assignment.
    • Provide a title.
    • Explain the background of your piece.
  • Connection
    • Explain the thematic connection between the two pieces.
    • How are they similar and different?
    • Are they the same medium? How does the medium impact what the viewer experiences?

Original Artwork Requirements

  • Methods: typed poem or lyrics, or recording of musical or dance piece
  • No computer-generated pieces

Writing Requirements (APA format)

  • Length: 1.5-2 pages (not including title page, text of inspiration piece, or references page)
  • 1-inch margins
  • Double spaced
  • 12-point Times New Roman font
  • Title page
  • References page (minimum of 1 scholarly source)

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children’s health

Question 1 Statistics for 2008 to 2009 indicated that 20.7% of children lived in poverty. What health implications can be drawn from this statistic?

Select all that apply.

1. These children run a higher risk of poor overall health status.

2. Public health clinics can provide preventive care.

3. Medicaid assistance can enable these children to receive health care.

4. Increased funding for children’s health has resulted from these statistics.

Question 2 Which criterion limits access to health care?

1. No public transportation

2. Employment opportunities

3. Transition programs for newly arrived legal residents

4. Advocacy groups for immigrants

Question 3 A patient in the Emergency Department is concerned about the cost of treatment because of no financial income. What areas would the nurse include when assessing this patient?

Select all that apply.

1. Preventive care

2. Nutritional status

3. Number of accidents

4. Shelter

5. Status of current immunizations

Question 4 While taking the health history, a Black Hispanic patient tells the nurse about having difficulty finding employment. The nurse realizes that which is a factor that causes income disparity within this segment of the population?

1. Shift to labor requiring higher technological skills

2. Increase in the real minimum wage potential

3. Increase in traditional labor skills for these groups

4. Shift of skilled jobs to unskilled labor

Question 5 The nurse notes that a larger number of foreign-born patients are being seen in the hospital. From which countries are the majority of foreign-born legal permanent residents?

Select all that apply.

1. Mexico

2. China

3. India

4. Europe

5. South America

Question 6 A patient explains how a former job has been outsourced to another country. What impact has globalization had on the economy?

1. Increased income inequality for some groups in the United States

2. Improved income for all minority groups in the United States

3. Increased membership in labor unions

4. Decreased immigration

Question 7 Legal permanent residents tend to initially settle in urban areas. What can be inferred from this?

1. Employment may be found but will probably be in lesser-paying jobs.

2. Unemployment will not be a concern.

3. Employment is easy to obtain in urban areas.

4. Income earning potential is higher.

Question 8 A foreign-born patient tells the nurse about preparing for the naturalization exam. What kinds of questions will be on this exam?

Select all that apply.

1. Questions about the Constitution

2. Parts of the US government

3. Who makes federal laws

4. The number of justices on the Supreme Court

5. Words of the US national anthem

Question 9 While shifts in the population profile are occurring, what is an important consideration to address in health care?

1. Cultural health needs of varying groups must be considered.

2. Health care needs to be streamlined for consistent care delivery.

3. More physicians need to be trained to deliver health care.

4. Health care providers need to be younger to care for an aging population.

Question 10 According to the 2010 Census, the percentage of the 65+ population of White non-Hispanics is at 13%. How will health planning needs be affected by this percentage?

1. This population will have greater demands on the health care system as it ages.

2. Planning needs for other segments of the population can be revised downwards.

3. There is no need to increase manufacture of childhood immunizations.

4. Cultural accommodations for other minority groups can be decreased.

Question 11 A patient tells the nurse that she lives in Section 8 housing. The nurse realizes that eligibility for this program is determined by:

1. Low-income guidelines

2. Family size

3. Geographic address

4. Employment history

Question 12 A patient, an immigrant from another country, is waiting to be seen in the Emergency Department. What difficulties is this patient dealing with since coming to a new country?

Select all that apply.

1. Learning a new language

2. Adapting to a new climate

3. Eating new foods

4. Fitting in with the new culture

5. Rejecting old customs in favor of new ones

Question 13 The nurse is comparing the patient population at a health care organization with the US Bureau of the Census population statistics. Which statement would the nurse use to make this comparison?

1. The percentage of US citizens who were people of color in 2010 was 36.3% of the population.

2. The percentage of Black Americans dropped considerably between 2000 and 2010.

3. People of color are the majority population within the United States.

4. People of color as a percentage of the overall US population are decreasing.

Question 14 Prior to completing an admission assessment, a foreign-born patient provides the nurse with a green card. What does this green card represent?

Select all that apply.

1. Proof of legal permanent residency

2. All rights of a US citizen with exceptions

3. Inability to vote

4. Restrictions to become a citizen

5. Automatic US citizenship

Question 15 When determining health care needs for a patient population, the health care organization analyzes the percentage of races represented within the organization with those of the US Census. What was the change in the White population between the 2000 and 2010 censuses?

1. 2.7%

2. 1.2%

3. 0.3%

4. 3.8%

Question 16 While completing demographics for a new admission, the nurse notes that there are separate categories for race and Hispanic origin.What influenced this change to occur in demographic data  reporting?

1. Federal guidelines written in 1997 separated race and Hispanic origin as two separate concepts.

2. The number of people identified as non-White was increasing out of proportion to the population.

3. Identifies which health plans the patient is eligible to enroll in

4. Better differentiates categories within the African-American group

Question 17 How might immigration contribute to income inequality in the United States?

1. Many immigrants’ willingness to do jobs for less money than native-born residents

2. Being the primary income earners in the family

3. Advocating for higher minimum wages

4. A willingness to join labor unions as in previous immigrant trends

Question 18 Which characteristic would the nurse assess in a family experiencing multi-generational poverty?

1. Repeated cycles of decreased educational opportunities leading to poorer income potential and poorer health outcomes

2. Members not wishing to improve their life circumstances

3. Decreased interest by lawmakers in reducing poverty circumstances

4. Increased government efforts to provide money to improve incomes

Question 19 The health care administrator is comparing the 2000 Census Bureau data with patient demographic data. Which cultural group represented 12.5% of the population in 2000?

1. Hispanic or Latino

2. Asian

3. African American

4. American Indian and Alaskan Native

Question 20 What does the nurse identify as reasons why income influences health?

Select all that apply.

1. Increases access to health care

2. Enables people to live in better neighborhoods

3. Enables people to afford better housing

4. Enables people to live in areas without environmental hazards

5. Reduces despair

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stroke

PART No. 1:

A 17-year-old African American from the inner city complains of severe chest and abdominal pain. Upon examination the attending physician performs and EKG, chest x-ray, and an abdominal and chest clinical examination and finds nothing. Assuming, she is drug seeking he sends her home. She comes back to the ER four hours later and now you see the patient. She explains that she was running track this past afternoon at school and that despite being very hot (100 F) she pushed on. Afterwards, she starts feeling extensive pain in her chest and abdomen.  She has jaundiced eyes, her blood pressure is 98/50, pulse is 112, T = 99.9 F, R = 28. The pain seems out of proportion to the physical findings.

· What is your list of differential diagnoses in this case and explain how each of these fits with the case patient as described above. Be sure to list at least three (3) pertinent differential diagnoses. Indicate which of these you would select as the most likely diagnosis and explain why.

· Now, as she is in the ER she begins to exhibit stroke like features. ? Does this change your differential?

· How do you treat this patient now? Are they any preventative actions that could have been taken?

PART No. 2:

Jesse is a 57-year-old male who presents with gradual onset of dyspnea on exertion and fatigue. He also complains of frequent dyspepsia (GERD) with nausea and occasional epigastric pain. He states that at night he has trouble breathing especially while lying on his back (Orthopnea). This is relieved by him sitting up. His vitals are 180/110, P = 88, T = 98.0 F, R = 20.

· Write three (3) differential diagnoses in this case and explain how each item in your differential fits and how it might not fit.

· What tests would you order? What immediate treatment would you consider giving this patient and what treatment when he went home? Assume your first differential is definitive.

· Now, he comes back to your clinic 3 months later and both his ankles are slightly swollen. What possible explanations are there for this observation? CHF now involving right side Must order Echo with EKG and Nuc stress test, labs Pro BNP.

PART No. 3:

A new patient is brought into the office for their annual evaluation. The child is a 6-year-old and appears a bit small for their age but not so small that any alarm bells are set off.  The vitals are: P = 116, R = 22, T = 98.6 F, BP = 110/50. (The normal vitals in a 6-year-old are P = 75 – 120, R = 16 – 22, T = 98.6 , BP = (85-115)/(48-64).  Examination of the lungs is normal, HEENT is normal, as is the abdominal exam. The heart however, seems laterally displaced and there appears to be only a continuous murmur which can be described as crescendo/decrescendo systolic murmur that extends into diastole. Because, you were trained at Chamberlain College of Nursing you immediately know that this is probably a patent ductus arteriosus.

· Explain the murmur from a mechanistic view of the hearts physiological functioning?

· What is the epidemiology of a patent ductus arteriosus?

· How is a patent ductus arteriosus treated?

NR 507 Week 3 Quiz Answers:

1. The underlying disorder of _____ anemia is defective secretion of intrinsic factor, which is essential for the absorption of vitamin B12.(Points : 2)

2. What is the pathophysiologic process of aplastic anemia? (Points : 2)

3. The body compensates for anemia by (Points : 2)

4. A woman complains of chronic gastritis, fatigue, weight loss, and tingling in her fingers. Laboratory findings show low hemoglobin and hematocrit levels, and a high mean corpuscular volume. These findings are consistent with _____ anemia. (Points : 2)

5. In hemolytic anemia, jaundice occurs only when (Points : 2)

6. Symptoms of polycythemia vera are mainly the result of (Points : 2)

7. Which proinflammatory cytokines are responsible for the development and maintenance of DIC? (Points : 2)

8. Which of the following is a description consistent with acute lymphocytic leukemia (ALL)? (Points : 2)

9. Heparin-induced thrombocytopenia (HIT) is described as a(n) (Points : 2)

10. Which of the following is a description consistent with chronic lymphocytic leukemia (CLL)? (Points : 2)

11. Hemolytic disease of the newborn can occur if the mother is (Points : 2)

12. Polycythemia occurs in a fetus because (Points : 2)

13. The type of anemia that occurs as a result of thalassemia is (Points : 2)

14. The sickle cell trait differs from sickle cell disease in that the child with sickle cell trait (Points : 2)

15. Hemophilia B is caused by clotting factor _____ deficiency. (Points : 2)

16. What is the name of the disorder in which levels of bilirubin remain excessively high in the newborn and are deposited in the brain?(Points : 2)

17. An individual who is demonstrating elevated levels of troponin, creatine kinase (CK), and lactic dehydrogenase (LDH) is exhibiting indicators associated with: (Points : 2)

18. What alteration occurs in injured endothelial cells that contributes to atherosclerosis? (Points : 2)

19. Which of the following is manufactured by the liver and primarily contains cholesterol and protein? (Points : 2)

20. Cardiac cells can withstand ischemic conditions and still return to a viable state for how many minutes? (Points : 2)

21. When does systemic vascular resistance in infants begin to rise? (Points : 2)

22. An infant has a loud, harsh, holosystolic murmur and systolic thrill that can be detected at the left lower sternal border that radiates to the neck. These clinical findings are consistent with which congenital heart defect? (Points : 2)

23. Which congenital heart defects occur in trisomy 13, trisomy 18, and Down syndrome? (Points : 2)

24. The foramen ovale is covered by a flap that creates a check valve allowing blood to flow unidirectionally from the _____ to the _____.(Points : 2)

25. Which heart defect produces a systolic ejection murmur at the right upper sternal border that transmits to the neck and left lower sternal border with an occasional ejection click? (Points : 2)

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staging of cancer.

Write a paper (1,250-1,750 words) describing the approach to care of cancer. In addition, include the following in your paper:

  1. Describe the diagnosis and staging of cancer.
  2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
  3. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

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suppliers of legislative

The suppliers of legislative benefits are legislators, and their primary goal is to be re-elected. Thus, legislators need to maximize their chances for re-election, which requires political support. Legislators are assumed to be rational and to make cost-benefit calculations when faced with demands for legislation. However, the legislator’s cost-benefit calculations are not the cost-benefits to society of enacting particular legislation. Instead, the benefits are the additional political support the legislator would receive from supporting legislation and the lost political support they would incur as a result of their action. When the benefit to legislators (positive political support) exceeds their costs (negative political support) they will support legislation. (page 27)

Source: Feldstein, P. (2006). The politics of health legislation: An economic perspective (3rd ed.). Chicago, IL: Health Administration Press.

To Prepare:

  • Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).
  • Consider who benefits the most when policy is developed and in the context of policy implementation.

Post an explanation for how you think the cost-benefit analysis in the statement from page 27 of Feldstein (2006) affected efforts to repeal/replace the ACA. Then, explain how analyses such as the one portrayed by the Feldstein statement may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid).  APA citation, 3 references

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