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 appropriate drug therapy plan 

Write a 1-page paper that addresses the following: Directions Below

Explain your diagnosis for the patient, including your rationale for the diagnosis.

Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

CASE STUDY:

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. 

The patient has a history of drug abuse and possible Hepatitis C. 

HL is currently taking the following prescription drugs:

Synthroid 100 mcg daily

Nifedipine 30 mg daily

Prednisone 10 mg daily

Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. In this Assignment, you examine a case study above of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.Review the case study above and reflect on the patient’s symptoms, medical history, and drugs currently prescribed.Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

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understanding of pathophysiology.

In clinical settings, some of the most common questions that patients ask are Why do I have this? What caused this disorder? Will it ever go away? These emotional questions can be difficult to ask and to answer. However, for patients to come to terms with their diagnoses and adhere to treatment plans, they must have an understanding of factors that might have caused, or continue to impact, their disorders. As an advanced practice nurse, it is important that you are able to explain disorders, associated alterations and symptoms, and changes that might occur within your patients’ bodies.

To Prepare

  • Review this week’s media presentation with Dr. Terry Buttaro. Reflect on the importance of developing an in-depth understanding of pathophysiology.
  • Select a disorder from the following list:
    • Adrenal insufficiency (Addison’s disease)
    • Atherosclerosis
    • Cholelithiasis (gallstones)
    • Colon cancer
    • Cystic fibrosis
    • Hemophilia
    • Nephrolithiasis (kidney stones)
    • Osteoporosis
    • Parkinson’s disease
    • Tuberculosis
  • Select one of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how that factor might impact your selected disorder, as well as potential associated alterations and symptoms.
  • Identify the pathophysiology of the associated alterations, including the normal and altered cellular function. Consider both intra- and extra-cellular changes that occur.

Post a brief description of a patient scenario involving the disorder and the factor you selected. Explain how the factor might impact your selected disorder, as well as potential associated alterations and symptoms. Finally, explain the pathophysiology of the associated alterations, including changes in cellular function.

Please do colon cancer

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Descriptive Method

Epidemiology Paper Part One: Descriptive Method

Details:

The Epidemiology Paper is a practice immersion assignment designed to be completed in three sections, this is part one of the assignment. Learners are required discuss the role of descriptive epidemiology in nursing science and apply descriptive epidemiology in nursing science.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

This assignment requires that support your position by referencing at least six to eight scholarly resources.

Directions:

Write a 1,250–1,500-word paper discussing the role of descriptive epidemiology in nursing science. Include the following:

1. Define descriptive epidemiology and describe its relationship and role in nursing science today.

2. Provide a contemporary example of how descriptive epidemiology is applied in public health nursing.

3. Identify the epidemiology components used to analyze at-risk populations.

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Neurological Assessment

  • Module 8 Vocabulary- Neurological Assessment
  • ItemNursing Journal Article: CE: The Physiology and Processing of Pain: A ReviewAttached Files:
    • File Link to file (212 B)
    • Neurological Article Questions
      1. Pain- both acute and chronic-cost on an annual basis in the U.S. approximately how much?
      2. What is the frequency of pain and visits for pain complaints to physicians at the present time?
      3. More than 2/3’s of persons with chronic pain have had it how long?
      4. What is the International Association for the Study of Pain (IASP) definition of pain?
      5. A nociceptor is defined as…?
      6. Name the steps for pain perception from the peripheral tissue nociceptive receptor.
      7. Name three different types of non-nociceptive receptors.
      8. Name the two types of fibers found in the spinal cord.
      9. Describe what you would find in both ventral horns and dorsal horns of the spinal cord (hint: see figure 3).
      10. What is Lissauer’s tract?
      11. What are the three tracts that transmit nociceptive/pain impulses?
      12. Name six supraspinal structures in the brainstem and diencephalon where the nociceptive signal travels?
      13. What is a major component of pain modulation circuit called?
      14. Control of ascending sensory input by tonic inhibitory control of neurons occur where?
      15. Which area of the medulla of the brain exhibits both inhibitory and facilitation of nociceptive transmission?
      16. How do NSAIDS work to modulate the pain network?
  • AssignmentNeurological Article Assignment

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electronic health care resources

Research two to three electronic health care resources. These could be websites, mobile applications, or multimedia resources used by health care consumers for their medical needs.

Based on your research, write a 350- to 700-word summary in which you:

  • Describe the websites, applications, or multimedia resources.
  • Describe how health care providers use these resources to enhance their products and services.
  • Explain the implications of using these resources in the health care industry. What are the implications for the consumer?

Cite any outside sources according to APA guidelines.

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Assessing the Genitalia and Rectum

Assignment 1: Assessing the Genitalia and Rectum

Patients are frequently uncomfortable discussing with health care professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.

In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

GENITALIA ASSESSMENT

Subjective:

· CC: “I have bumps on my bottom that I want to have checked out.”

· HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.

· PMH: Asthma

· Medications: Symbicort 160/4.5mcg

· Allergies: NKDA

· FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD

· Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

· VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs

· Heart: RRR, no murmurs

· Lungs: CTA, chest wall symmetrical

· Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia

· Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney

· Diagnostics: HSV specimen obtained

Assessment:

· Chancre

· PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

To prepare:

With regard to the SOAP note case study provided:

· Review this week’s Learning Resources, and consider the insights they provide about the case study.

· Consider what history would be necessary to collect from the patient in the case study.

· Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

· Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

To complete:

Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study.  Using evidence based resources, answer the following questions and support your answers using current evidence from the literature.

· Analyze the subjective portion of the note. List additional information that should be included in the documentation.

· Analyze the objective portion of the note. List additional information that should be included in the documentation.

· Is the assessment supported by the subjective and objective information? Why or Why not?

· Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis?

· Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.

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nursing and related disciplines

Purpose

This week’s graded topics relate to the following Course Outcomes (COs).

  • CO 1 – 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)
  • CO 2 – Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
  • CO 3 – Utilize effective communication when performing a health assessment. (PO 3)

The Assignment

This week you have your choice of three discussion topics! Select the one that most interests you and answer the corresponding questions completely.

Remember to reference both the book or lesson, and an outside scholarly source.

Option #1:

You are the nurse assessing an Orthodox Jewish client with peptic ulcer. The client is strictly religious and refuses to eat the food provided at the health care facility.

  1. Describe how you would further assess and provide care for this client.
  2. What steps could you take to increase your cultural competence, if you were not familiar with this faith?

Option #2:

You are the nurse caring for a client with Crohn’s disease. The client believes he is being punished by God. The client is spiritually distressed and cannot come to terms with the illness.

  1. How would you respond to this client?
  2. What are some identified risk factors for spiritual distress, and recommended interventions?

Option #3:

Describe a time in your clinical nursing practice when you have cared for a client of cultural, religious, or spiritual practices different from your own.

  1. What were some of the challenges you faced caring for this client?
  2. What steps did you take (or could you have taken) to ensure the patient received culturally/spiritually competent care?

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transcultural nursing

Purpose

The Course Outcome covered this week is CO1.

CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1)

Discussion

We encounter patients after they have explored various avenues of self-help. At times, these avenues involve the use of complementary and alternative medicine (CAM). Our readings this week are very helpful.

  1. Select a common (or not so common) illness or condition that affects a specific ethnic group.
  2. Identify two (2) CAM therapies that patients are likely to try before seeking (or in addition to) allopathic, osteopathic, or ayurvedic medical intervention for the illness or condition.
  3. Discuss the effectiveness of each therapy you identified.

Note: Do not discuss an illness or condition about which a classmate has already posted. The diversity will lead to a more robust discussion. There are many examples you may discuss, including sickle-cell disease in African Americans, constipation in the elderly people, or the use of Reiki for mental and emotional healing by Japanese people. Think of others from your practice settings or prelicensure experiences.

professor’s comment:

Hello All,

This is one week I am really looking forward to because you are all experts in this area from all of your work with the patients and families you care for.  We all encounter patients after they have explored various avenues of self-help. At times, these avenues involve the use of complementary and alternative medicine (CAM). I look forward to your choice for an illness that affects an ethnic group that you have worked with and the CAM therapies you identify.

Example: Class and Professor,

One not so common illness discussed is depression amongst Chinese population. There are cultural differences that must not be overlooked within this population when dealing with depression. While sadness may be reported, it also may not and it was repeated in multiple studies that often other symptoms are more prominent. “In a study to differentiate somatic versus psychological symptoms as a cultural expression of depression, Chinese outpatients reported more somatic symptoms compared to Euro-Canadians, who reported more psychological symptoms” (Andrews & Boyle, 2016).  As a health care provider it is important to recognize the differences.

Unlike persons living in the general U.S. population, Chinese and Chinese Americans often do not report feeling sad when they are depressed. Depression-related signs and symptoms that are commonly reported by Chinese patients include the following: Boredom, discomfort, pain fatigue, unexplained physical abnormalities” (Smith, 2018). Frequently, signs will be down-played or ignored by the patient for fear of embarrassment of diagnosis of a mental health condition. “There is a strong social stigma and sense of shame in Chinese culture regarding depression (Smith, 2018). Because of this seeking care may not be an option and care may be delayed.

Other than being prescribed medications as what seems last resort for depression, complementary and alternative medicine (CAM )therapies may be used. CAM therapies that are explored are Chinese herbal therapy, acupuncture, and movement therapy known as t’ai chi. As noted by Smith (2018), they are the most commonly used interventions for treatment of depression that is also known as “shenjing” in Chinese culture. There was such noted success with movement therapy, a study was formally recognized showing huge improvement of signs and symptoms among participants over a 12 week course (Smith, 2018). Movement therapy, specifically T’ai Chi should be explored as a recommendation for individuals who are capable and willing to try it before prescribing medications that often come with side effects.

-Allyson

  • Reference
  • Andrews, M. M., & Boyle, J. S. (2016). Transcultural concepts in nursing care (7th ed.). Philadelphia: PA. Wolters Kluwer.
  • Smith, N. (2018) Chinese Patients: Providing Culturally Competent Care to Patients with Depression. Ipswich, Massachusetts. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=nup&AN=T903134&site=eds-live&scope=site

Reference: American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

Andrews, M. M., & Boyle, J. S. (2016). Transcultural concepts in nursing care (7th ed.). Philadelphia: PA: Wolters Kluwer.

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Evidence-Based Project

Assignment: Evidence-Based Project

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.
  • Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
  • Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you used keywords to search on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

  • The full citation of each peer-reviewed article in APA format.
  • A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
  • A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
  • A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
  • A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you

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Mandatory Minimum Staffing Ratios 

Case Study, Chapter 10, Mandatory Minimum Staffing Ratios

A nurse manager is attending a national convention and is attending a concurrent session on staffing ratios. Minimum staffing ratios are being discussed in the nurse manager’s own state. The nurse manager has a number of questions about staffing ratios that the session is covering. The nurse manager knows that evidence exists that increasing the number of RNs in the staffing mix leads to safer workplaces for nurses and higher quality of care for patients.

1. What are the three general approaches recommended by the American Nurses Association (2017) to maintain sufficient staffing?

2. Summarize the findings that are often cited as the seminal work in support of establishing minimum staffing ratio legislation at the federal or state level.

3. Analyze what proponents and critics say about whether mandatory minimum staffing ratios are needed.

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