history of fatigue and weight loss of approximately 10lbs in the last 3-6 months

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history of fatigue and weight loss of approximately 10lbs in the last 3-6 months

Ted is a 38 yo male (established patient) who presents to your office due to 9-month history of fatigue, weight loss of approximately 10lbs in the last 3-6 months. And night sweats. His only significant previous medical history was the repair of a ventricular septal defect and patent ductus arteriosus as an infant. He took no prescribed or over-the-counter medications. Aad never smoked cigarettes.ETOH use: 2-3 drinks per week and pt mentions that he had a twin brother that died 3 years ago.

Abnormal findings on examination were hepatosplenomegaly and supraclavicular, axillary, and inguinal lymphadenopathy.

Question 1

What other questions would you ask the patient?

Question 2

What systems should be included in his exam and why? (I have already given you a few hints)

Question 3

After asking more questions Ted admits that he has abdominal pain. Vomiting with large meals occasionally. And noticed he has trouble with swallowing during meals unless he has “lots of water”. Based on the information you have be given. What are at least 3 differential diagnoses you may consider?

Question 4

What further investigation/work-up would a provider consider (labs, scans, referrals)?

Question 5

What type of follow-up would you schedule for this patient and why?

Peter Moves In With Family

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Peter Moves In With Family

After experiencing a number of health problems. Peter (85 years old) has recently moved in with his son Joe and daughter-in-law Alyssa in an up-and-coming subdivision just outside of the city. In recent months, Peter has experienced a number of health concerns, including some falls and frequent problems remembering things. Doctors think Peter might be showing signs of dementia.

Lately, Peter has noticed that he has not been receiving his mail as he did when he lived by himself. Peter asked Joe if he has noticed anything about the missing mail. Joe assures him that when the mail is delivered to the mailbox at the end of their road, he makes sure to collect and open all of Peter’s mail to ensure it is handled promptly. This makes Peter uneasy. He feels he is completely capable of dealing with his own mail and does not feel that Joe needs to do it for him. However, since he has recently moved in with Joe and is relying on Joe to help him with some of his day-to-day tasks, Peter is fearful of confronting his son and hurting his new living arrangement.

a)   Do you see any signs of possible abuse? If so, what types of abuse? 

b)  How should you provide support services to an older person when suspected or confirmed abuse is occurring?

c)   How should you provide services to the client when the alleged perpetrator is

Non-Pharmacological Treatment

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Non-Pharmacological Treatment

SBAR report from the charge nurse:

Situation: Jared Griffin is a 63-year-old African American male who had a right TKA yesterday morning at 0800.

Background: Mr. Griffin has a history of osteoarthritis. Mild hypertension, and irregular heart rhythm. His last incident of irregular heart rhythm was 2 years ago. He is a carrier of MRSA and is currently under contact precautions.

Assessment: Mr. Griffin is afebrile and vital signs have been stable during the night. Pain level has been at a 2-3. He dangled his feet off the side of the bed yesterday evening, and the physical therapist has just been in to see him. He has been able to bend his knee to a 75-degree angle, and the goal is 90 degrees. His dressing was changed by the surgeon at 0700 on his morning round, at which time the drain was discontinued. His intravenous (IV) fluids have been discontinued, and the IV is saline locked.

Recommendation: The physical therapist has reported that Mr. Griffin was not feeling well aft

COVID 19 Pandemic 

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COVID 19 Pandemic

Case study

COVID 19 pandemic was resolved when scientist in the Philippines discovered vaccine. All the lives of humanities went back to normal including those nursing students of University. As a part of the community nursing program Student Nurse Jamilla Ayuda was assigned to Boyag Family the head of the family died because of COVID 19.Mrs. Boyag a plain house wife was in the middle of grieving, she cannot sleep well and opened her anxiety in facing life without his husband. She also told the nurse that her children are experiencing bullying at school because of the stigma of being PUI.

 

Questions

1.   From the situation, derive two nursing diagnosis. Discuss your answer by defining the characteristics that validates this diagnosis.

2.   On your formulated nursing diagnosis how can the student nurse will provide a holistic care for this situation?

3.   What is the major intervention pertinent to the outcomes that link well with holistic care?

School Health And STDs

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School Health And STDs (Community Health ) Writ

4. Create your Assignment submission and be sure to cite your sources, use APA 7th edition  style as required, check your spelling.

Assignment:

Design a PowerPoint presentation for high school aged students discussing normative aging changes, sexuality, STDs, and prevention.

**You should include a slide or two for each of the following:  Gonorrhea, Chlamydia, Herpes, HIV, Syphillis, HPV

The assignment should be submitted in PowerPoint format. With at least 10 content slides (in addition to a title slide and reference slide) and include at least two scholarly sources other than provided materials.

Conflict Management Resources

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Discussion Board 5 – Conflict Management Resources

Initial Post: Search online for different resources that you could use or suggest to someone else who is experiencing different types of conflict. Cite the website or source. Answer the following:

#1 What resource could you use for a conflict with a manager, director, boss, or someone in a position of authority over you? Why is this is a good resource?

#2 What resource could you use for a conflict with a spouse, significant other, close friend, or family member? Why is this is a good resource?

#3 What resource could you use for an internal conflict you are experiencing by yourself (or if someone else is experiencing internal conflict? Why is this is a good resource?

Initial Posts: 1 initial post, 250-500 words, at least one academic reference,

Developing Organizational Policies And Practices

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Developing Organizational Policies And Practices

A student asks the healthcare professional to explain the pathophysiologic process of alcoholic cirrhosis. What statement by the professional would not be consistent with complete knowledge about this process?

 

Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

Developing Organizational Policies And Practices

A student asks the healthcare professional to explain the pathophysiologic process of alcoholic cirrhosis. What statement by the professional would not be consistent with complete knowledge about this process?

 

Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

Developing Organizational Policies And Practices

To Prepare:

  • Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
  • Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
  • Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.

The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

  • Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
  • Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
  • Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
  • Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
  • Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.
  • Due to the nature of this assignment, your instructor may require more than 7 days to provide you with quality feedback.

national healthcare issue

To Prepare:

  • Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
  • Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
  • Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.

The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

  • Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
  • Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
  • Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
  • Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
  • Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.
  • Due to the nature of this assignment, your instructor may require more than 7 days to provide you with quality feedback.

Acid-Base Imbalance

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Acid-Base Imbalance

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Module 05 Content

 

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Competency

Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.

 

Scenario

Tony is a 56-year-old, African-American male with a history of sickle cell disease, hypertension, and CKD stage 4 was seen in the renal clinic. His kidney function has been declining over the last decade, but has been stable over the last two years. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a not wanting to eat, fast heartbeat, and feeling exhausted. Upon physical examination, you notice that Tony is having long, deep breaths his respiratory rate is 25 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 132/71 mm Hg, and his pulse oximetry is 91% on room air. You notify the MD. He orders oxygen at 2 L via NC, IV fluids, and an arterial blood gas.

 

Tony’s ABG results:

pH 7.3

PaCO2 – 31 mm Hg

PaO2 – 80 mm Hg

HCO3 – 18 mEq/L

 

Instructions

In a 1-2 page Word document:

1. Determine Tony’s acid-base imbalance

2. Describe possible causes of the imbalance

3. Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance

4. List the multidimensional care strategies that are appropriate for the care of Tony

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advent of informatics based on big data

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advent of informatics based on big data

Data is indeed everywhere today, and we are expected to get a glut of data more with the coming development in technologies like the Internet of things.  So far, we, in our everyday lives, are familiar with data collected by our cellphones and computers.  However, in the medical field even more data is collected by different devices every time a patient goes for a test, his biometric data. Data from health records, pharmaceutical research, public records. EHR and so on (Durcevic, 2020).  The collection and analysis of this big data is a complex task and the data needs to be stored with care.

However, this big data can be utilized in innumerous ways from finding new cures to aiding R.D. To streamlining operations to reducing the price in healthcare administration (Glassman, 2017).  For instance, big data can improve patient care through operational efficiency.  Hospitals can use big data to figure out when patients are more likely to be admitted to hospitals or when the hospitals will be very busy (Glassman, 2017).

advent of informatics based on big data

This information will help them plan their near-term future and decide when they should call the staff and when they can afford to let them leave (Glassman, 2017).  Similarly, big data can also help manage information related to hospital facilities. Which can thus be used for cost reduction.  The savings can then be reinvested back in the healthcare facility for improved care.  Moreover, big data can help providers provide more individualized care by helping them respond to conditions more accurately.  This reduces errors (Glassman, 2017). 

However, there are many challenges and risks also associated with the advent of informatics based on big data.  The most obvious risk is the privacy concerns associated with sharing all kinds of information related to patients and staff members (Rn, 2016).  Closely connected to the issue of privacy is the issue of security (Rn, 2016).  There is a good chance that patient information can be hacked in and stolen if it is not protected properly.

Given the obvious and numerous benefits of big data. It is likely that organizations are not going to desire to get rid of its potential in their workplace.  Rather, they will have to find a way around arresting its main sources of concern.  For instance. The providers can invest in the security of patient data and be paranoid about implementing it daily.  Moreover, all employees who handle big data need to be trained extensively in using it the right way so that they do not misuse it or leak it by mistake.

health outcomes of the population of the Kingdom of Saudi Arabia

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health outcomes of the population of the Kingdom of Saudi Arabia

Discuss in detail the process that researchers go through once. They are aware of a problem by finding a problem that you feel would be important to improve. The health outcomes of the population of the Kingdom of Saudi Arabia. Identify the important variables that you want to study for this research.

Be sure to support your statements with logic and argument, use at least two peer-reviewed articles and cite them to support your statements. Post your initial response early and check back often to continue the discussion. Be sure to respond to two of your peers’ posts as well.

You are required to reply to at least two peer discussion question post answers to this weekly discussion question and/or your instructor’s response to your posting. These post replies need to be substantial and constructive in nature. They should add to the content of the post and evaluate/analyze that post answer. Normal course dialogue doesn’t fulfill these two peer replies, but is expected throughout the course. Answering all course questions is also required.