medical history positive for hypertension and Type II diabetes mellitus

A 58-year-old obese white male presents to ED with chief complaint of fever, chills, pain, and swelling in the right great toe. He states the symptoms came on very suddenly and he cannot put any weight on his foot. Physical exam reveals exquisite pain on any attempt to assess the right first metatarsophalangeal (MTP) joint. Past medical history positive for hypertension and Type II diabetes mellitus. Current medications include hydrochlorothiazide 50 mg po q am, and metformin 500 mg po bid. CBC normal except for elevated sedimentation rate (ESR) of 33 mm/hr and C-reactive protein (CRP) 24 mg/L. Metabolic panel normal. Uric acid level 6.7 mg/dl.

Course Announcements

Students-this case does not have a dx, so you will have to provide it. Look carefully at the labs and explain what they mean and at the medications and consider if they have anything to do with the case, at all of the aspects of this patient’s health and lack of health. Read the questions that are posted for Week 8 and please make sure you address all of them as well as address what I have written above. Please make sure you discuss the pathophysiology in-depth, which is something some students are not doing. This is seen in primary care, so it is an especially good dx for you to learn about. I will be looking also for you to discuss medications that are used to treat this and discuss any dietary issues associated with this illness

An understanding of the neurological and musculoskeletal systems. Is a critically important component of disease and disorder diagnosis and treatment. This importance is magnified by the impact that that these two systems can have on each other. A variety of factors and circumstances affecting the emergence and severity of issues in one system can also have a role in the performance of the other.

Effective analysis often requires an understanding that goes beyond these systems and their mutual impact. For example, patient characteristics such as, racial and ethnic variables can play a role

medical history positive for hypertension and Type II diabetes mellitus

An understanding of the symptoms of alterations in neurological and musculoskeletal systems is a critical step in diagnosis and treatment. For APRNs this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

• Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.
• Any racial/ethnic variables that may impact physiological functioning.
• How these processes interact to affect the patient.

Day 7 of Week 8

Submit your Case Study Analysis Assignment by Day 7 of Week 8.

Reminder: The College of Nursing requires that all papers submitted include a title page. Introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting.

CC: Itchy skin lesions

HPI: A male patient who present to the facility with itchy skin lesions that has been present for few months. According to him, he noticed the lesions on his knees and is now extending to his elbows and scalp. He reports that the lesions are slightly itchy and this has been the case for the last three weeks. She is stressful since the affected areas are now becoming painful. He has tried to change the bathing soap with no change and has been using ibuprofen 400mg three time a day for the relief of pain. According to him, the severity is 7/10.

Medications: OTC Ibuprofen 400 mg PO every 6 hours and Ortho Tri-cyclin 1 tablet PO daily

PMH Allergies: NKDA   Medication Intolerances: No history of any medication intolerance   Chronic Illnesses/Major traumas: No history of the chronic or major traumas reported   Hospitalizations/Surgeries: No history of hospitalization for HTN, diabetes, asthma, peptic ulcers, lung illness, heart disease, Tuberculosis, kidney problem or the thyroid issues

Family History: Mother is alive and diagnosed with diabetes. Father dead with no known cause of the death. Maternal grandfather, dead, diagnosed with psoriasis

Social History: he is an undergraduate and a retired teacher. Like working in the farm. Reports no history of substance or alcohol use. Lives with the wife and three grandchildren. Stable and can perform his ADLs independently.

types of crisis and their impact on the patient safety and health

Florida National University NUR4516

Course Reflection

Guidelines

Purpose

The purpose of this assignmentis to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the NUR4516 course.

Course Outcomes

This assignment provides documentation of student ability to meet the following course outcomes:

· The student will identify the different types of crisis and their impact on the patient safety and health (AACN Essentials, QSEN: safety, teamwork and collaboration, quality improvement, informatics andpatient centered care).

· The student will be able to approach and safely manage patient/families in crisis.

 

Points

This assignment is worth a total of 100 points (10%).

Due Date

Submit your completed assignment under the Assignment tab by Monday11:59 p.m. EST of Week 8 as directed.

Requirements

1. The Course Reflectionis worth 100 points (10%) and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

2. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q&A forum under the Discussions tab.

3. The length of the reflection is to be within three to six pages excluding title page and reference pages.

4. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

a. Course Reflection

b. Conclusion

Preparing Your Reflection

The BSN Essentials (AACN, 2008)outline a number ofhealthcare policy and advocacycompetencies for theBSN-prepared nurse. Reflect on the NUR4516 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

 

1. “Integrate theories and concepts from liberal education into nursing practice.

2. Synthesize theories and concepts from liberal education to build an understanding of the humanexperience.

3. Use skills of inquiry, analysis, and information literacy to address practice issues.

4. Use written, verbal, nonverbal, and emerging technology methods to communicate effectively.

5. Apply knowledge of social and cultural factors to the care of diverse populations.

6. Engage in ethical reasoning and actions to provide leadership in promoting advocacy, collaboration,and social justice as a socially responsible citizen.

7. Integrate the knowledge and methods of a variety of disciplines to inform decision making.

8. Demonstrate tolerance for the ambiguity and unpredictability of the world and its effect onthe healthcare system.

9. Value the ideal of lifelong learning to support excellence in nursing practice.” (p. 12).

Reference:

American Association of Colleges of Nursing [AACN]. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.

Health Care Delivery Models And Nursing Practice

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper. Discuss action taken for reform and restructuring. And the role of the nurse within this changing environment.

Include the following:

1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice. And describe the expectations and responsibilities of the nursing role in these situations.
3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends. And in the promotion of patient safety and quality care in diverse health care settings.
4. Research emerging trends. Predict two ways in which the practice of nursing. And nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide. Located in the Student Success Center.