Tag Archive for: nursing

endocrine system disorder

Diabetes is an endocrine system disorder that affects millions of children and adults (ADA, 2011). If left untreated, diabetic patients are at risk for several alterations including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations. In this Assignment, you compare types of diabetes including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

To prepare:

· Review this week’s media presentation on the endocrine system and diabetes, as well as Chapter 46 of the Arcangelo and Peterson text and the Peterson et al. article in the Learning Resources.

· Reflect on differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.

· Select one type of diabetes.

· Consider one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.

· Think about the short-term and long-term impact of the diabetes you selected on patients including effects of drug treatments.

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

· Explain the differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.

· Describe one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Include dietary considerations related to treatment.

· Explain the short-term and long-term impact of this diabetes on patients including effects of drugs treatments.

– This work should have Introduction and conclusion

– This work should have at 4 to 6 current references (Year 2012 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Required Readings

**Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

Chapter 36, “Osteoarthritis and Rheumatoid Arthritis” (pp. 591-609)
This chapter examines the causes, pathophysiology, and diagnostic criteria of osteoarthritis and rheumatoid arthritis. It then outlines the process of selecting, administering, and managing drug therapy for both disorders.
Chapter 46, “Diabetes Mellitus” (pp. 785-806)
This chapter begins by identifying the causes, pathophysiology, and diagnostic criteria of diabetes mellitus. It then examines the process of selecting, administering, and managing drug therapy for patients with diabetes mellitus.
Chapter 47, “Thyroid Disorders” (pp. 809-822)
This chapter explores the causes, pathophysiology, diagnostic criteria, and administration of drug therapy for patients with thyroid disorders, including hypothyroidism, hyperthyroidism, thyroid nodules, subclinical thyroid disease, and thyroiditis. It also discusses the mechanisms of prescribed drugs, as well as proper dosages and potential adverse reactions.
**Ben-Zacharia, A. (2011). Therapeutics for multiple sclerosis symptoms. The Mount Sinai Journal of Medicine, 78(2), 176–191.

Note: Retrieved from the Walden Library databases.

This article covers the diagnosis, treatment, and management of multiple sclerosis and explores methods for treating other health issues that arise from multiple sclerosis.

**Kargiotis, O., Paschali, A., Messinis, L., & Papathanasopoulos, P. (2010). Quality of life in multiple sclerosis: Effects of current treatment options. International Review of Psychiatry, 22(1), 67–82.

Note: Retrieved from the Walden Library databases.

This article examines the process of evaluating and diagnosing patients who present with symptoms of multiple sclerosis and explores treatment and rehabilitation methods.

**Peterson, K., Silverstein, J., Kaufman, F., & Warren-Boulton, E. (2007). Management of type 2 diabetes in youth: An update. American Family Physician, 76(5), 658–664.

Note: Retrieved from the Walden Library databases.

This article outlines the process of diagnosing, treating, and managing youths with or at risk of type 2 diabetes. It also suggests methods for body weight management and reducing cardiovascular disease risks.

**Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

Required Media

**Laureate Education, Inc. (Executive Producer). (2012). The endocrine system and diabetes. Baltimore, MD: Author. https://class.waldenu.edu/bbcswebdav/institution/USW1/201870_27/MS_NURS/NURS_6521/adobePresenter/Week06/index.htm

This media presentation explores the endocrine system and diabetes including diagnosis and treatment of the disease.

Note: The approximate length of this media piece is 5 minutes.

**Laureate Education, Inc. (Executive Producer). (2012). Advanced pharmacology – Mid-course review. Baltimore, MD: Author.

Analyzing an Ethical Decision

Practicum Journal Entry: Analyzing an Ethical Decision

In your role as a Psychiatric and Mental Health Nurse Practitioner (PMHNP), you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

                                                                 Assignment 

To prepare:

· Review literature for moral/ethical issues encountered by a Psychiatric and  

Mental Health Nurse Practitioner (PMHNP).

· Select one of the articles you found that was published within the last 5 years to

use as a focus for this assignment.

                Write a 2-page paper in which you do the following:

· Summarize the moral/ethical issue in the article (no more than 1 paragraph).

· Describe the moral and ethical dilemmas surrounding the issue.

· Analyze the ethical issue and compare them to the state health laws and

regulations in your state.

· Outline the process of ethical decision making you would use to address this

ethical dilemma.

Note: Be sure to use the Practicum Journal Template attached in this assignment.

Also, the Sample Practicum Journal attached is just a sample.

· Include references immediately following the content.

· Use APA style for your journal entry and references.

                                                  Learning Resources

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 5, “Examination and Diagnosis of the      Psychiatric Patient” (pp. 192–289)
  • Chapter      31, “Child Psychiatry” (pp. 1082–1107)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

  • “Introduction”
  • “Use of the Manual”
  • “Cultural Formulation”

Kaplan, C. (2017). Ethical dilemmas. Advanced Healthcare Network. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Article/Ethical-Dilemmas-2.aspx

Pumariega, A. J., Rothe, E., Mian, A., Carlisle, L., Toppelberg, C., Harris, T., . . .  Smith, J. (2013). Practice parameter for cultural competence in child and adolescent psychiatric practice. Journal of the American Academy of Child & Adolescent Psychiatry52(10), 1101–1115. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00479-6/pdf

American Academy of Child & Adolescent Psychiatry (AACAP). (2012a). Practice parameter for psychodynamic psychotherapy with children. Journal of the 

American Academy of Child & Adolescent Psychiatry51(5), 541–557. Retrieved from http://www.jaacap.com/article/S0890-8567(12)00141-4/pdf

American Psychological Association. (2017). Code of Ethics. Retrieved from http://www.apa.org/ethics/code/

                                                Optional Resources

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 1, “Neural Sciences” (pp. 1–92)
  • Chapter      31.2, “Assessment, Examination, and Psychological testing” (pp. 1107–1118)

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell.

 

Documentation.

Based on your assessment of your personal needs, submitted on your “Request for Practicum Experience” prior to registering for this course, write your overall practicum goals.

APA format is not required, but solid academic writing is expected.

You are not required to submit this assignment to Turnitin.

After your overall practicum goals have been approved, begin to write the learning goals that will guide your learning in meeting your overall practicum goals. This will be completed in your Nursing Education Practicum Documentation. Refer to materials from previous courses in the nursing education track to be sure that your goals are written appropriately.

This is what I wrote but the instructor wants it rewritten. She included her instructions

 

Practicum Goals

At the completion of this practicum I plan on doing the following goals:will be able to:

1. One of my first goals is to demonstrate a creative environment that will enable toassist  help the students in their learning process along with the course curricular manuals. The students I will be teaching are currently enrolled in the R.N. associates’ program. It is important that I have a good relationship and interaction with the students as well as having discussion groups, demonstrating and creating an environment in which the students will actively participate[LE1] .

2. The second goal will be that I will develop an interactive relationship with the instructor (mentor) that I will be assisting by developing my own communication skills. Having a good relationship with the instructor that will continue throughout the course will benefit both myself and the students involved. Networking and professional personal relationships can be a vital part of a new nursing educators’ success. 

3.  A third goal that I have for this practicum course is that I will develop the ability to adapt to different learning styles that the students may bring to the classroom and thus be[LE2]  able toto present a lesson plan that is understandable by all students. It is my intent to have an open-door policy as well as an open mind to enable me to adapt to different learning styles.

1.The fourth goal is that I would be able to be demonstrate effective instruction in the classroom by availing myself of the resources that are available both online and at the school. Understanding the resources, the students have available will help me succeed as an educator.

1. Accomplishing goals is one measure of success, helping others reach their goals is another! Making new goals and actively trying to achieve these goals are transferable traits that help improve oneself as well as the betterment of each other!

The goals that are presented will be accomplished and then there will be new goals made. New goals are often made as different stages in life are accomplished, once one has been met then a new goal is being set up already often several at a time. Goals often motivate an individual to better themselves and further educate oneself. 

Diane, basically what you have to do here is clean up the narrative. Your goals or outcomes should be measurable and broadly stated. None of the explanations you provided are part of this. So you can see that much of what you have written I have red-lined. There are some revisions still needed with the goals, and I have inserted suggestions, so please revise them and resubmit. Then I can approve them and you should be ready to go.

 

[LE1]This is not part of the goal/outcome.

 

[LE2]If you write this you are adding a second verb and behavior to the outcome. You can only have one

Objective information:

Part 2: Objective information:
Fetal heart tones are 130, with minimal variability
Vaginal exam is 4 cm/90%effaced/ -1 station
She is complaining of pain – 8/10 on a numerical scale.
An IV has been started with an 18 gauge catheter with 1 liter of Lactated Ringers at 150 ml per hr in left forearm.How can you provide non pharmacological comfort to this patient?
What are the pharmacological methods to use?
Without prenatal records or history GBS is unknown. What must you provide?
Contractions are 5 minutes apart and you receive an order to augment labor – what non pharmacological methods can you employ (or ask the MD to provide?)
Pitocin is ordered, please include at what rate you will start Pitocin, and how often you titrate. What equipment is needed to hang and run Pitocin IV?

Preterm Labor Management

Preterm labor

Group B: complete Part 1

Part 1: 25 y/o presents to Labor and Delivery with complaints of uterine cramping and lower back pain. Denies any vaginal bleeding at this time. Has related history of a preterm birth at 32 weeks gestation with her last pregnancy. The baby is 3 years old now and has no developmental issues.
Her current gestational age is 30 weeks.
She is O+ and all other lab values are normal. No noted STI’s.1. Group Beta Strep is missing from the labs – most often is obtained at 35 – 37 weeks gestation.
2. Without this information it is often determined to treat the patient anyway – presumptively to protect a premature baby from the risk.
3. What other information would you like to ask her?
4. What nursing intervention will you provide?
5. What screening tests are often obtained to help determine her risk for preterm labor.
6. And if it is determined she is in preterm labor what medications may you want to use with a doctors order?
7. Please also give dose, side effects and possible result of the medication.

Please answer all questions include intext citation and 3 references

theory of successful aging

Theories of successful aging explain factors that support individuals as they grow old, contributing to their ability to function. Increasing your understanding of factors that support successful aging improves your ability to address the needs of elderly clients and their families.

To prepare for this Discussion, review this week’s media. In addition, select a theory of successful aging to apply to Sara’s case.

Parker Family Episode 2 Program Transcript PARKER: Ever since my husband died, there’s been no one to talk to. It’s just, really, no one. And when Stephanie is home, I just feel so alone. FEMALE SPEAKER: What about the day center you go to? Isn’t that helping? PARKER: I don’t like it. What makes me really feel good, though, is when I go shopping, buying things. And my kittens. I love my cats. Oh, have you seen them? I have pictures. Just take a look. Look! These are so cute. My babies. FEMALE SPEAKER: Yes, they’re very cute. And wow, you have a lot of them.  PARKER: Oh, well, it’s their home, too, not just Princess Stephanie’s.  FEMALE SPEAKER: The day program you’re attending, are you seeing a  psychiatrist there?  PARKER: Yes. Dr. Lewin.  FEMALE SPEAKER: May I ask how that’s going?  PARKER: He says that I’m depressed.  FEMALE SPEAKER: In the pictures you showed me, you just talked about the  cats, but I also saw all the things you keep around you, the hoarding. I understand how depressed you been since your husband passed away. How alone you’ve felt. [SIGH] But I would like us to try and set up a plan to begin to address the hoarding. It’s very clear that that’s one of the big issues that’s affecting your relationship with Stephanie and your life together. Can we try that? PARKER: I don’t like it when we fight. She’s still my baby, too. Yes, I want to try.

References to use

 

Clark, E. (2018). Loss and suffering: The role of social work. Retrieved from

http://www.socialworker.com/feature-articles/practice/loss-and-suffering-the-role-of-social-work/

Fisher, C. (2018). Counseling connoisseur: Children and grief. Retrieved from

https://ct.counseling.org/2018/11/counseling-connoisseur-children-and-grief/

Zoll, L. (n.d.). A grief trajectory. Retrieved from https://www.socialworktoday.com/news/pp_063017_5.shtml

By Day 3

Post a Discussion in which you:

  • Explain key life events that have influenced Sara’s relationships. Be sure to substantiate what makes them key in your perspective.
  • Explain how you, as Sara’s social worker, might apply a theory of successful aging to her case. Be sure to provide support for your strategy.

patient’s health needs

By Day 3 of Week 9

Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

Patient Case Study 1:

HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.

health education programs

1-Reflect on Florida’s current health education programs such as Zika Free Florida, Tobacco Free Florida and consider what part the media plays in such disease prevention programs.

2- Identify a specific public health issue that you believe needs to be highlighted in health policy and based on your textbook readings discuss how social media can be used as a health promotion tool to improve public awareness on the selected topic.

The discussion needs to be 1 to 1 ½ page long. ( APA , everything need to be cited, Introduction is not needed , only the two points need to be answer)

Two bibliographies plus the text book for this class are required.

The bibliography must include  2 scholarly resources published within the past 5-7 years, (Published journal articles, books and other works (encyclopedias & newspapers) or Official websites ending in .gov, .org, .edu (CDC,NIH,ADA,WHO, HARVARD, FIU,FNU) DO not use Sites such Wikipedia, WebMD, Nursingworld, Allnurses they are NOT scholarly sources

Text Book is required as part of the Bibliography (chapters:  9,11,14,15)

Mason, D. J., Leavitt, J.K., Chaffee, M.W. (2016). Policy and Politics: In Nursing and Health Care. (7th• Ed) St. Louis, Missouri: Elsevier, Saunders. ISBN-13: 9780323299886

authority

For this assignment, use your required textbook, learning unit and resources to answer the questions.

Analyze the following topics, describing how the topic has impacted and influenced healthcare delivery while reducing risk. Cite your resources to support your opinion.

  1. The Right to Be Admitted
    1. Who has the “authority” to admit patients to hospitals? Is it anyone at the hospital, i.e., administration, or any doctor at the hospital? Does the hospital give that authority to a specific person?
    2. Do patients have a “right” to be admitted to a hospital? Can admission be denied? If denied, by whom or for what reason(s)?
  2. Hospital Admissions

. What is a hospital’s responsibility to provide care to the indigent? Is the hospital responsible to provide care to everyone regardless of ability to pay? If so, why, or why not?

a. How does a hospital’s responsibility to provide care to an individual differ depending on the type of care (emergency versus non-emergency)?

b. How does a hospital’s responsibility to provide care to an individual differ depending on the type of hospital (Public? Private? For-profit? Not-for-profit? Tax exempt?)?

  1. Nondiscrimination in Health Services

. What is the Hill-Burton Act?

a. What is the Hill-Burton Act’s mandates on “uncompensated care” and “community service” obligations?

b. What is the Emergency Medical Treatment and Active Labor Act (EMTALA) and its impact on emergency room services and operation?

c. How does the Hill-Burton Act mandates differ from those of the Emergency Medical Treatment and Active Labor Act (EMTALA)?

  1. Admission and Treatment of Mentally Ill Patients

. What is the process, under the Florida Mental Health Act (also known as the Baker Act) for involuntary admission of persons who are mentally ill?

a. Does the FMHA/Baker Act provide a process for follow up care for the person, if identified during admission? What, if any, process is identified? Why or why not does it have follow-up procedures for someone identified at risk to themselves or others?

b. How does the Florida Mental Health Act compare to that of other states, for example, Georgia? What are the similarities or differences between states?

c. Think about the recent mass shootings around the nation. What aspects of the Baker Act would be applicable? Are there any sections of the Baker Act that could have been used to prevent these tragedies?

  1. Discharge of a Patient

. Describe the practice of utilization review. Using the concept of utilization review, how does it control risk for patient admission and discharge? What are the key components of chart review?

a. What are two issues that may present a liability to a hospital and physician when discharging a patient? Analyze and contrast the risk associated with each?

b. How does chart review reduce risk associated with discharge?

c. Distinguish the difference between utilization review and a chart review, including your interpretation of the purpose served by each in reducing risk.

In your summary, provide your opinion, based upon fact on your understanding of how medical errors have prompted the development of the risk management field.  Don’t forget to cite your resources.

Format

Students should use the following format for their written assignment.

  1. Use APA format and cite sources, as necessary. If you need a refresher on APA, reference the APA Learning Unit.
  2. Use professional language.
  3. Use 12-point font.
  4. You should have a minimum of 3 pages of content with a maximum of 5 pages.
  5. Include an introduction and summary, in addition to the minimum of 3 pages of content.
  6. Include a reference page.

7. Make sure to use headers in your assignment.

Textbook Title: The Law of Healthcare Administration Edition #: 8
Author:J. Stuart Showalter, JD

No plagiarism

cultures

The learning activity and corresponding assignment in this topic requires students to perform a heritage assessment with families selected by students from their local communities.

Click on http://wps.prenhall.com/wps/media/objects/663/679611/box_6_1.pdf in order to access the “Heritage Assessment Tool.”

Interview three families from different cultures. One family should be from your own culture. Compare the differences in health traditions between these cultures.

Assess the three families using the “Heritage Assessment Tool.” In 1,000-1,500 words, discuss the usefulness of applying a heritage assessment to evaluate the needs of families and develop plans for health maintenance, health protection, and health restoration. Include the following:

  1. Perform a heritage assessment on three families. One of these families should be from your own culture.
  2. Complete the “Heritage Assessment Tool” for each of the three families interviewed and submit the three assessments to: [email protected]. You are not required to include the tool in your LoudCloud submission.
  3. Identify common health traditions based on cultural heritage. Evaluate and discuss how the families subscribe to these traditions and practices. Address health maintenance, health protection, and health restoration as they relate to your assessment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

spinal cord

When tissue is injured, due to overuse or strain, nerve cells send pain messages through the spinal cord to the brain. Other nerves send messages from the brain to tighten the muscles in the injured area. While the muscle tightness acts as a way to protect an injury from, the spasm also causes more secondary to the inhibition of the flow of oxygen and nutrients to the injured area. Heat therapy can be very beneficial to an injured area as local application results in vasodilatation, which increases the blood flow, brings nutrients, oxygen and white blood cells to the area to clean up the damage and stimulate healing.

Describe in your own words how local application of heat will support the healing process. Give the pathophysiology, indications, contraindications, methods, and nursing care for heat application. Cite any research sources you use to support your answers.

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Please check the Course Calendar for specific due dates.