Urinary System

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Urinary System

You are an LPN working on a medical-surgical floor in a team that consists of an RN and a medical assistant. Read through some of the chart entries over a 48-hour period and answer the questions at the end. Please make sure you cite any sources using APA format. You will find when there is a major clue.

0130: Admission nurses note (RN): Client arrived via EMS from long-term-care for evaluation of “low blood sugar.” Pt. arrived confused (alert and oriented X 1) and is a known diabetic. Finger stick was 45. Orange juice and crackers, given repeat finger stick 104. Pt now alert and oriented X 4. Report from the charge nurse at the long-term-care facility indicates that the client has been having frequent bouts of hypoglycemia.

0530: (RN) Foley catheter inserted for incontinence–pt. “too weak” to get up to the bathroom and is experiencing bouts of incontinence.

600 mL clear yellow urine noted. The nurse indicates that the ER is “very busy” and “short-staffed.” 0545 (Admitting Physician) See history and physical. Pt. admitted to the medical-surgical service for evaluation of recurrent hypoglycemia.

View the ER chart before the pt. is transferred to the floor:

0730: (RN) Report is given to RN on 3 North.

Emergency Department Chart

Client: Mabel Simpson

DOB: 4/23/1941

Admission Date 8/16/2019

Medical Diagnosis: recurrent hypoglycemia

Allergies: None

Urinary System

Vitals/ Data Collection: Temp.- 97.3 PO

History: Diabetes (insulin dependent)

Medications: Insulin R titrated to finger sticks

Allergies: None

Vitals/ Data Collection: Pulse- 68

History: Hypertension

Medications: Furosemide 20 MG twice per day

Allergies: None

Vitals/ Data Collection: Respirations- 18

History: Atrial Fibrillation

Medications: Warfarin 5 Mg Mon, Wed, Fri 2 Mg Tues, Thurs

Allergies: None

Vitals/ Data Collection: Blood Pressure- 122/86

History: Rheumatoid Arthritis

Medications: Enalapril 5 Mg once per day

Allergies: None

Vitals/ Data Collection: No C/O pain

History: Mild Heart Failure (class 1)

Medications: Proventil inhaler as needed for wheezing

Allergies: None

Vitals/ Data Collection: Alert and oriented X 4

History: Former Smoker- smoked 1 pack per day X 40 years- last smoked 10 years ago

Medications: Methotrexate 2.5 Mg per day

Allergies: None

Vitals/ Data Collection: Lungs: No adventitious sounds

History: Appendectomy as a child

Medications: Tylenol 650 Mg as needed for pain or fever

Allergies: None

Vitals/ Data Collection: + Bowel sounds

History: Mobility (baseline): able to ambulate slowly with minimal assist

Clear yellow urine draining from Foley catheter in adequate amts.

Medications: 

Allergies: None

Vitals/ Data Collection: Clear yellow urine draining from Foley catheter in adequate amts.

History: 

Medications: 

Allergies: None

8/16/2019

10:00: (RN) Pt received on 3 North. Alert and oriented X 4. Fingerstick 81. Eating breakfast. Offering no complaints.

Maternal Child Care Of Nursing

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Purpose of Assignment
Competency

Apply appropriate nursing care interventions for clients during pregnancy, labor, and birth.

Scenario

You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows.

Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits

Medical history: Chronic hypertension (HTN) x 5 years;

Allergies: Penicillin

Social history:
  • (+) tobacco, “occasional” per client (pt), <5 per/day currently, has smoked “off and on” for 15 years
  • (+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use
  • Abusive partner with first pregnancy, states she has a new partner x 4 years
  • Depression, currently not taking meds for treatment (tx)

Medications: Prenatal vitamins; Labetalol 200mg BID;

Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased)

Instructions

Write a two to three-page analysis of this scenario that answers the following questions:

  1. What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases and depression?
  2. Document the considerations of yourself as the professional nurse in regards to self-awareness; be aware of attitudes, values and beliefs that you hold related to clients from different social backgrounds so that care is not affected negatively.
  3. What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?
  4. What concerns should be discussed with Ms. Jones before she leaves her appointment?

Each answer to your question should include the following:

  • A correct answer with thorough development of the topic
  • Gives clinical examples
  • Include evidence from scholarly sources
  • Appropriate use of medical terminology
Format
  • Standard American English (correct grammar, punctuation, etc.)
  • Logical, original and insightful
  • Professional organization, style, and mechanics in APA format
  • Submit document through Grammarly to correct errors before submission

Quantitative Data For Occupational Health Therapy

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 Quantitative Data For Occupational Health Therapy

Lindstrom, M., Sjostrom, S., and Lindberg, M., 2013. Stories of Rediscovering Agency: Home- Based Occupational Therapy for People With Severe Psychiatric Disability. Qualitative Health Research, 23(6), pp.728-740.

 

Study Purpose

The purpose of the study was to establish the effectiveness of Home-Based Occupational Therapy interventions under the Everyday Life Rehabilitation (ELR) model as a form of treatment for people with a severe psychiatric disability. The author fails to clearly state the purpose of the guiding research question for the study. Thereby prompting the reader to deduct the purpose of the study from the abstract and introduction. According to Lune and Berg (2011), The purpose of the study should be clearly stated and contain specific elements including the variables of the study. They study setting as well as the target population.

Whereas it is possible to deduct these elements from the article’s introduction, it is apparent that the author fails to meet the threshold for a plausible purpose statement. Comment by Beanlands, Clare: Are you sure this study focused on effectiveness? That would normally require a quantitative approach. Comment by Beanlands, Clare: Try to avoid critique that is perhaps directed towards what the researcher could have done to make it easier for you to critically appraise the article. Comment by Beanlands, Clare: Variables are usually associated with a quantitative approach Comment by Beanlands, Clare: In a journal article it is typical to use the introduction to explain the purpose to the study. So, what you should be evaluating is more about whether the study purpose is clearly explained rather than where it is explained.

 Quantitative Data For Occupational Health Therapy

The importance of the study is presented in the introduction. In this case, the authors note community-based housing facilities are the ideal environment for treating patients with severe psychiatric disabilities. Whereas these environments are optimally designed to help the patients meet their daily needs. Some inherent constraints deprive them of initiative and personal agency towards a meaningful and engaging occupation. Using the intervention measures proposed by the ELR model, it is possible to incentivize agency among the patients.

The importance of the study, therefore, is that it explores the interaction between occupational therapy interventions, transformations premised on home-based care, and agency initiatives from the perspective of the patients. Comment by Beanlands, Clare: Do they say this environment is ideal for treating patients? Ideal implies in cannot be improve upon. Also this is someone’s home first and foremost rather than a venue to receive treatment in. Comment by Beanlands, Clare: In this paragraph you are describing the article rather than critically appraising it.

The study is original in the sense that it focuses on the role of home-based occupational therapy interventions. In preempting the adverse consequences of the treatment process for patients with severe psychiatric disorders. Previous studies have focused on treating the original disorder without regard to the adverse effects of the treatment process. Comment by Beanlands, Clare: What do you mean by the treatment process? I am not sure this is the best term to use. Comment by Beanlands, Clare: This is very medical model and positivist. It does not demonstrate you have fully understood the qualitative paradigm or the article. Comment by Beanlands, Clare: Again this is descriptive. You need to go further than describing which the parts of the article demonstrate importance and originality and use literature to support your discussion.

Decision Making When Treating Psychological Disorders

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 Decision Making When Treating Psychological Disorders

Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.

For this Discussion, you will select an interactive media piece to practice decision making when treating patients with psychological disorders. You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient’s pathophysiology.

To Prepare
By Day 3 of Week 8

Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples.

By Day 6 of Week 8

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected a different interactive media piece on a psychological disorder, and provide recommendations for alternative drug treatments to address the patient’s pathophysiology.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Metacognition

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Metacognition

John Flavell + Lev Vygotsky + Jean Piaget
• Metacognition is the monitoring and control of thought, thinking about cognition, self reflection
• Metacognition is the process of being self-aware of one’s own personal learning strengths and weaknesses; strategy knowledge and use; and a capacity for self-reflection
Strategies to Improve Metacognitive Awareness:

Module 4: Cognitive Explanations of Learning

– Discuss with the class the importance of metacognitive knowledge
– Model your own metacognitive processes for students
– Ensure there is time for group discussion and reflection about learning activities
– Make visible the cognitive strategies students are using
Improve regulation of cognition by checking planning, monitoring and evaluating strategy use
Examples of Reflective Questions: https://4assignmenthelpers.com/module-4-cognitive-explanations-of-learning/
– What is your goal?

Regulatory Environment in Health Care

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HA4070D – Regulatory Environment in Health Care

Discussion 03: Universal Health Care

 

The United States is the only industrialized nation not offering government-sponsored universal health care. Consider the following questions in a discussion or add a few of your own:

.What legal and economic precedents continue this trend? Would universal health care be detrimental to the US economy, citizens be better or worse off?

you consider “Universal Health Care” a liberal, socialist idea? OR

.Would you see preventing universal health care a conservative political response?

.What is universal health care?

.Is there any way it could work?

.Should the U.S. just let the free market do its thing to control prices, accessibility, etc?

Base your discussion on material from the text and your own experience. Cite sources when necessary. Remember to write 150 words in complete sentences.

The Law of Health Care  Finance & Regulation–Vitalsource Bookself-username-crtshhill49@yahoo.com-Password-#magicMAN61

Regulatory Environment in Health Care

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HA4070D – Regulatory Environment in Health Care

Assignment 03: HMO and Malpractice

 

Directions

Write a two to three page paper on the legal basis for the immunization of HMOs from being sued for malpractice. 

Consider such things as:

• the relationship of the HMO with its member physicians. The HMO organizational structure (IPA versus PPO versus staff model and so forth),

• the principle of direct liability, enterprise liability, indemnification. ERISA preemption, ostensible agency, and anything else that you believe would fall under an HMO’s vulnerability to being sued.

An historical perspective would enhance the strength of your paper. Remember to cite sources.

The Law of Health Care  Finance & Regulation–Vitalsource Bookself-username-crtshhill49@yahoo.com-

Importance Of Communication In A Workplace

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Importance Of Communication In A Workplace

Every day, and at almost every minute, our work flow changes and so many roles must work together to make it a positive and healthy experience for our patients. Since my workplace ranked as a mildly healthy, there is some civility to the organization. I believe civility is present when management is involved in conflict. For example, if there is an issue between a nurse and a doctor, the manager of my unit will work with both parties to come up with a solution. When it comes to direct co-workers, less civility is present. For example, if a day shift RN is upset over the workload left behind by a night shift RN, staff are known to complain to one another and never directly speak with the other staff member in order to resolve the situation.

From there, it creates an environment of hostility and gossip. For me, this incivility is being handled by the co-workers, like myself, who are taking the initiative to stop and redirect the management of those feelings. For example, recently a nurse was upset over medications not being given and interventions not being done by an off going RN. It was also an observed pattern of that staff member. I spoke with the frustrated RN and told them how I would handle that situation and it would be best to address it, away from other staff, when the returning nurse came back to the floor. Luckily, the nurse took my advice and handled the situation with respect. Both nurses came out of the situation in a better place.

Please

APA format

3 references not more than 5 years

1 page

method of punishing

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method of punishing a convicted felon

Using the research hypothesis that you formulated in Module 2, find a few related Academic Journals and read them. Once you have finished, write an annotated bibliography.

Requirements:

The purpose of this assignment will be to provide a small literature review surrounding the 5 journals you have selected. You will select your journals based off of the question formulated for the hypothesis assignment. :  This is the question below

Research question: Is the death penalty a moral method of punishing a convicted felon.

Hypothesis0: The death penalty is a moral method of punishing a convicted felon

Hypothesis1: The death penalty is not a moral method of punishing a convicted felon.

Please be sure to summarize your findings. Provide a synopsis of the measurements used in your articles as well as the findings.

This paper should be between 3-5 pages long. Be sure to use scholarly sources and peer reviewed journals.

Please note, proper grammar, syntax, and spelling are expected.

 Ethical Dilemmas in Forensics

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Your answers to EACH of the three questions must be between 150-250 words (for a total of 450-750 words). This means question 1 should be at least 150 words, question 2 should be at least 150 words, etc. Writing 200 words for question 1 and only 100 words for question 2 is not acceptable.

Can I use quotes?

Responses must be written in your own words. No quotes allowed.

1a. What have you learned about finding, documenting, and identifying evidence?

1b. What are some issues with finding, documenting, and identifying evidence?

2a. What have you learned about what forensics can and cannot tell us?

2b. What do you think can increase the effectiveness of forensic evidence?

3a. What have you learned about some of the issues (ethical, safety, etc.) facing crime scene investigations?

This is with really no assigned material just basic opinion of what learned in class

Links for the question info:

Confirmation Bias, Ethics, and Mistakes in Forensics – Forensic Pathways (forensic-pathways.com)

Ethical Dilemmas in Forensics | Forensic Files (socalnailz.com)