Severe mid-epigastric abdominal pain that radiates to the back

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Severe mid-epigastric abdominal pain that radiates to the back

Q-1

Pancreatitis

Presentation

Severe mid-epigastric abdominal pain that radiates to the back. The pain improves when the patient leans forward or assumes the fetal position. And worsens with deep inspiration and movement. The patient will also complain of nausea, vomiting, and anorexia, and gives a history of heavy alcoholic intake.

Etiology

Several etiologic factors have been described for acute pancreatitis, but in 10% to 20% of cases an etiologic factor is idiopathic. The presence of microlithiasis or biliary sludge accounts for 80% of idiopathic pancreatitis. In the US, gallstones followed by alcohol intake are responsible for 80% to 90% of cases of acute pancreatitis. The most common cause worldwide is alcohol consumption (Chatila, Bilal & Guturu, 2019).

Common Differential Diagnosis

Myocardial infarction, hepatitis, cholecystitis, viral gastroenteritis, abdominal aortic aneurysm. Intestinal obstruction, peptic ulcer disease, cholangitis, choledocholithiasis, cholecystitis (Chatila, Bilal & Guturu, 2019).

Diagnostic Work-Up

Abdominal pain is the most common symptom I encounter all the time in the Emergency Department. Together with nausea, vomiting and anorexia. A detailed history is important in narrowing down numerous differentials of abdominal pain. Patients may present with agitation and confusion, and in severe distress. They may give a history of anorexia, nausea. And vomiting with poor oral intake (Chatila, Bilal & Guturu, 2019). The most common presenting symptom is mid-epigastric or left upper quadrant pain that radiates to the back. Sometimes band distribution, often straight through middle back;

Severe mid-epigastric abdominal pain that radiates to the back

many patients describe it as being “stabbed with a knife”, worsens with movement. And is alleviated when assuming the fetal position such as bent over, with spine, hips, and knees flexed. Any patient with an acute abdomen should have a complete blood count with differential and a blood chemistry including renal, liver. And pancreatic function tests. Mild leukocytosis with left shift and elevated hematocrit as a result of dehydration or low hematocrit as a result of hemorrhage can be seen (Chatila, Bilal & Guturu, 2019). Elevated levels of serum lipase or amylase (>3 upper limit of normal) support, but are not pathognomonic for, the diagnosis of acute pancreatitis. Serum lipase and amylase have similar sensitivity and specificity. Early and serial C-reactive protein (CRP) testing is used in acute pancreatitis as an indicator of severity and progression of inflammation (Chatila, Bilal & Guturu, 2019).

MRCP is generally used in patients with renal insufficiency. In hom the use of CT with intravenous contrast is discouraged. CT is the best initial modality for staging acute pancreatitis and detecting complications; however, for serial examinations. MRCP is gaining favor due to better imaging of biliary and pancreatic stones. As well as better characterization of solid versus cystic lesions. ERCP is an endoscopic technique for visualization of the bile and pancreatic ducts and is a sensitive. And specific diagnostic tool in acute pancreatitis. ERCP shows details of the pancreatic ductal anatomy including strictures, rupture. And pseudocysts (Chatila, Bilal & Guturu, 2019).

sexually transmitted infection (STI)

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Content:

Review information in your assigned readings to work on the assignment. The website below also has a variety of information to support your readings for the week.

Instructions:

Select a sexually transmitted infection (STI) and do research on it. Write a 3-5 page paper about the condition/issue. In the paper discuss the concepts below: WHAT;

· is the pathophysiology of one STI

is the etiology of the selected STI

are the clinical manifestations of the selected STI

· is the treatment for the selected STI

Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a References page using APA format.

Transforming Nursing Healthcare Through Technology

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Transforming Nursing Healthcare Through Technology

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

The Assignment: (2-3 pages not including the title and reference page)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

  • Planning and requirements definition
  • Analysis
  • Design of the new system
  • Implementation
  • Post-implementation support
  • Use APA format and include a title page and reference page.
  • Use the Safe Assign Drafts to check your match percentage before submitting your work.

Case Scenario For Uncontrol Blood Pressure And Non Compliant With Medication

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Practicum Case Scenario/ Study The following outlines general instructions for a case scenario/study submission. Please remember not to include any HIPPA information. Concerns and questions related to care should be included. Include references to treatment plans using APA format You can use https://nurseslabs.com/ or your choice. Completion of the case study counts toward the practicum experience. Case studies are expected to be a minimum of 500 words, detailed and comprehensive.

In this case, this patient is seeking care for increased blood pressure, complaining of severe headache, and feeling dizzy. The patient has not been compliant with her blood pressure medication due to not being able to afford it for the last 2 months. 

NURSING 2021 Case Scenario/Study

Student Name:

Submission Date:

Case Study:

Patient Initials, Age, Gender

Subjective information from the patient (History of Present Illness/Symptoms)

Current Medications

Medical History – Medical Problems

Objective findings from physical examination

Vital Signs, Weight, Height, BMI

Focused examination findings based on diagnoses being addressed.

Assessment

ICD-10 Diagnosis (include ICD-10 code) for contact dermatitis.

Nursing Diagnoses https://nurse.org/resources/nursing-diagnosis-guide/

Or  https://nurseslabs.com/

Plan

Care Plan based on the diagnosis.

Include specific nursing care planning for patients to include.

Potential issues with achieving quality, comprehensive care.

Information on best practice care considerations.

Care outcomes from current treatment

Possible side effects of medications or treatments

Patient education planning/instructions

Care outcomes

Plans for a follow-up to review response to treatment.

References: APA format must be within the last 5 years.

How Illness And Injury Affect The Mind

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How Illness And Injury Affect The Mind

Develop a teaching plan for treating the potential psychological issues that may result from health crises in either the elderly or young children. You will use PowerPoint to present your teaching plan. Some considerations to make include:

mental health

In what ways does mental health need to be considered across the illness/injury continuum. How can nurses help both patients and caregivers work through mental blocks and depression associated with an illness or injury?Although treatment will take place in a medical facility. How can non-medical treatments be used as a supplement?
Support your idea with a minimum of three references from the professional nursing literature in the assigned course readings and other references in the Walden Library. If they are relevant, you may use one or two professional Web sites in addition to the literature references.
Include the main elements of your presentation to a group of parents or elderly or their caregivers. This PowerPoint presentation should include between 8–10 slides. It will be assessed using the Week 3 Assignment. Prior to submitting your Assignment. Make sure to review the rubric, which is located in the Course Information area.
Note: Be sure to use the Walden Power Point template included in the Writing Resources and Program Success Tools.
Writing Resources and Program Success Tools
AWE Checklist (Level 4000)
This checklist will help you self-assess your writing to see if it meets academic writing standards for this course.http://academicguides.waldenu.edu/writingcenter/templates/generalhttp://academicguides.waldenu.edu/writingcenter/scholarlyvoicehttp://academicguides.waldenu.edu/writingcenter/webinars/scholarlywriting#s-lg-box-2773859http://academicguides.waldenu.edu/writingcenter/apa/citations/commonsourcesWalden University. (n.d.). Walden templates: General templates: APA course paper template with advice (7th ed.).
Retrieved May 31, 2019, from https://academicguides.waldenu.edu/writingcenter/templates/general
For this Assignment, review the following:
AWE Checklist (Level 4000)Writing Resources and Program Success ToolsWeek 3 Assignment RubricProvided an overview slide on the purpose of the presentation.–
Excellent9 (6%) – 10 (6.67%)
Proficient8 (5.33%) – 8 (5.33%)
Basic7 (4.67%) – 7 (4.67%)
Needs Improvement0 (0%) – 6 (4%)
Described ways mental health needs should be considered across the illness/injury continuum and focused on population to consider and target audience.–

Psychological Complications Resulting From Illnesses And Injuries

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Psychological Complications Resulting From Illnesses And Injuries

The nurse’s role goes far beyond that which is expected. Nurses are the main communicators between patients, doctors, and family, and they care for more than just physical ailments. Often, nurses are presented with difficult situations where being an advocate becomes paramount to the healing of the patient. One of the issues that patients with acute and chronic illnesses or extended hospitalization face is a tendency to become depressed. The nurse’s role in this situation requires more than just attention to the physical problem. Another situation where a nurse may need to shift his or her care is when a patient presents with a suspicious injury or illness. In addition to considering the legal and ethical responsibilities of the nurse, he or she must consider the psychological undertones that may be present.

For this Discussion, you will consider delicate situations that nurses often face and analyze the implications of these situations. Reflect on a patient care situation in which you have encountered one of the following:

  • A suspicious illness or injury
  • Depression resulting from illness or injury

strategies for managing the circumstances

Then, locate at least one scholarly journal article related to your patient care situation that offers strategies for managing the circumstances

Respond to the following:

Support your response with references from the professional nursing literature.

Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).

Ethical Principle Application

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APA format, 1-2 paragraph for each section, 2-3 references. 

SCENARIO

You have been working as a nurse in the adult oncology unit for the past year. You have developed a close relationship with many of your patients, but Mr. Newcomb has a special place in your heart. He has been diagnosed with stage 4 pancreatic cancer and has undergone aggressive chemotherapy. Each day his wife has come to the unit to be with her husband. They have been married for over 40 years and share a deep love.

Mr. and Mrs. Newcomb have made the decision to no longer continue with treatment and have decided that hospice care is needed. Over the past few days, you have watched Mr. Newcomb’s health decline, and you can tell from your experience that he does not have much time left to live. Mr. Newcomb has been very open about discussing his death, and you have had the opportunity to learn about his life and the legacy he will leave behind.

While you are completing your rounds, you stop in Mr. Newcomb’s room to see how he is doing. You ask, “Is there anything else I can do for you?” Mr. Newcomb has rarely asked for anything, but today he has one request. Mr. Newcomb states, “Before I die, I would like to see my mistress one more time. Mrs. Newcomb is always here. Do you think you could tell her that I will be busy for a few hours tomorrow so I can make arrangements to see my mistress one more time?”
Reflect on the following questions before you begin working on this task:

•   What would you do in this scenario?

•   How can your knowledge of ethical principles be utilized to determine your response to Mr. Newcomb?

•   How would this affect you as a nurse and direct provider of care for Mr. Newcomb?

QUESTIONS

Ethical Principle Application

(A1) Responding to Mr. Newcomb’s Request 

Describe how you would respond to Mr. Newcomb’s request.

(A2) Applied Principles of Beneficence, Non-Maleficence, Autonomy, and Justice

Evaluate how you applied the principles of beneficence, non-maleficence, autonomy, and justice to the scenario.

(A3) Personal Beliefs and Values 

Examine how personal beliefs and values influenced your response to the scenario.

(A4) Three Strategies to Promote Self-Care

Describe three strategies to promote self-care SUCH AS eating well, exercising, sleep hygiene, stress management, maintaining healthy relationships, etc.

Strategic management deals 

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Strategic management deals

To help you with your discussion, please consider the following questions: What;

  • clarification do you need regarding the posting?
  • differences or similarities do you see between your posting and other classmates’ postings?
  •  additional questions do you have after reading the posting?
  • item you found to be compelling and enlightening.

1.- Gloria:    Before we get into what activities are involved in strategic management let’s first discuss what it does. Strategic management deals with finding relationships. In order to secure that various sector within the company goal to meet what is required by the company. It creates room for objectives. Researching the environment where competition is coming from. Looking for data within the inside of the organization strategies of evaluation. Making sure management gives way for approaches going around the organization at hand. Strategic management uses both short-term and long-term actions. Before beginning short term activities a written list of long term. Activities should be made available so that you can located where the position of the market is.

Strategic management deals

Make a choice as to where your place is. And what will the futuristic vision of the company be in years to come. Give a written history once again of long term goals which offer assistance for you to spot the mission. Carrying out these steps is a vital resource in reaching all purposes with the company. As well as getting specified positions in market at an set  time frame.

Employees feedback should be a valuable tool in before even writing long term goal. And gives clarity to the direction of the vision for the company. Understanding is provided by the manager. In charge of what steps will be taken to bring goal formed to come to life. Short term activities are connected to long term activities. And have a set time frame as well as being precise and within the bonds of the organization. It give detailed information on how to carryout goals that are long term.

Management once again has this responsibility to look after the ins and outs. When appointing what goals happen when or to whom it is given to. When business check up on goals that where set and discover such goals have be carried out from different sectors and single persons. If a move occurred within  in the business you have to be willing to work with them as to adjust activities in the short term nature. If and when these goal don’t make the standards of achievement you may want to change around workers from one department to the next and in other functions that give more successful outcomes.

Strategic management deals

strategic management is a guide that connects to functions with this plan that produce goals set in order. Offers direction in conversations when making choices centered on resources within the cost budget that accomplish standards set which boosts effectiveness in operations. Allows you to look in the future to better prepare for unforeseen risk. When a facility implements strategic management they can prevent high risk situations before they happen, this enables them to adhere to changing trends happening in the market and giving them added advantage from their competition. It defines what the direction is and assist to create real time objectives and goals that connect to the vision and mission charted for it.

Strategic management

2.- Adrienne :            Strategic management includes both long-term and short-term activities as it happens on an ongoing basis. When a health care facility uses strategic management, this allows them to sustain their operations with long term in mind by completing short term goals with all levels of management and employees involved. Strategic management allows the management team to create the vision, mission, and the processes of the business. As the facility environment changes, the focus can be adjusted to help accomplish the strategic goals (Contributor, 2020). By following the business plan, the set deadlines and milestones will be completed as planned while meeting your long-term strategic goals. Strategic management starts with planning the activities for the future now and making sure all departments are aligned with the same plan for success of the whole business.

Strategic management is important to the future of a health care facility as you are essentially managing every single area of the facility with the future in mind and doing the absolute best you can in all areas (Contributor, 2020). With the constant changes taking place in the health care industry today, it is wise to have an ongoing plan that will put together the strategy and mission of the facility into play. The standard strategic plan is a three-to-five-year plan with scheduled reviews taking place to ensure the progress being made is correct and changes made as the health industry grows are being added. A strategic management plan is typically made up of these four different areas:

strategic plan for achieving specific health care quality and safety improvements

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Assessment Instructions: Strategic Planning

  • Develop a 5-10 year strategic plan for achieving specific health care quality and safety improvements, based on the analysis you completed in Assessment 1. Use either an AI approach or your SWOT analysis and a chosen strategic planning model.
    Introduction
    Evaluation of strategic choices is important. The methods for selecting strategic alternatives help leaders organize significant issues to support decision making. However, it is important that the techniques do not make the decision. Rather, leaders should use the techniques to reveal the inherent situation and to organize their thought processes. This assessment provides you with an opportunity to evaluate and apply some of the techniques for successful strategy development and implementation.
  • Note: You will use your care setting environmental analysis as the basis for developing your strategic plan in this assessment.
    Preparation
    The feedback you received on your care setting environmental analysis has been positive. Consequently, you have been asked to select one of the potential improvement projects you noted in your analysis and create a full, 5–10-year strategic plan to achieve the desired quality and safety improvement outcomes. You will develop your strategic plan, using either an AI approach (addressing the design stage), or by building on your SWOT analysis and applying a strategic planning model of your choice.
  • How you structure your plan should be based on whether you are taking an appreciative inquiry approach or using a specific strategic planning model. Regardless of the approach you choose, the requester of the plan has asked that you address the key points outlined below in the strategic plan requirements. In addition, your plan should be 5–8 pages in length.

  • strategic plan for achieving specific health care quality and safety improvements

  • Note: Remember, you can submit all, or a portion, of your draft plan to Smarthinking for feedback before you submit the final version for this assessment. However, be mindful of the turnaround time for receiving feedback, if you plan on using this free service.
    As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.

  • strategy development and implementation.

  • Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
    Strategic planning models aid in setting goals, establishing time frames, and forging a path toward achieving those goals. Consider the strategic planning models you are familiar with:

    • Which model would you choose to create goals and outcomes that could address the area of concern you identified in your Assessment 1 SWOT analysis?
    • Why is this model the best choice among alternatives?
    • How does goal setting through appreciative inquiry provocative propositions differ from goal setting in the strategic planning model you selected?
    • Additional Requirements
      Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so at a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.
      Writing, Supporting Evidence, and APA Style
    • Write clearly, with professionalism and respect for stakeholders and colleagues.
    • Integrate relevant sources of evidence to support your assertions.
      • Cite at least 3–5 sources of scholarly or professional evidence.
    • Format your document using APA style. Use the APA Style Paper Tutorial [DOCX]. Be sure to include:
      • A title page and reference page. An abstract is not required.

Professional Accountability In Nursing

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RGP Task 1: Professional Accountability

Student Name

Western Governors University

Date

Professional Accountability

A. Identify a nursing theory that has influenced your values and goals.

A nursing theory that has influenced the candidate’s values and goals is identified.

 

1. Explain how nurses apply the identified theory from part A to implement excellent nursing practices.

The explanation of how nurses apply the selected theory in part A to plan excellent nursing practices is logical.

 

2. Discuss how the identified theory from part A fits your professional practice.

The discussion of how the theory from part A fits the candidate’s professional practice is relevant, and it accurately addresses the identified theory.

 

B. Identify the contributions of two historical nursing figures in the nineteenth or twentieth century.

The contributions of 2 historical nursing figures in the nineteenth or twentieth century is identified.

 

1. Compare the differences in contributions of the two historical figures identified in part B.

The comparison accurately addresses the differences in the contributions of the 2 historical figures identified in part B and is logical and well supported.

 

2. Describe how the contributions of the two historical figures influence your professional nursing practice.

The description of how the contributions of the 2 historical nursing figures have influenced the candidate’s nursing practice is accurate.

 

C. Explain the functional differences between the State Board of Nursing and the American Nurses Association (ANA).

The explanation of the functional differences between the State Board of Nursing and the ANA is accurate and well supported.

Professional Accountability In Nursing

1. Define the roles of these two organizations.

The definition of the roles of the State Board of Nursing and the ANA is provided and supported.

 

2. Explain how these two organizations influence your nursing practice.

The explanation of how the State Board of Nursing and the ANA influence the candidate’s nursing practice is accurate and relevant.

 

3. Explain the requirements for professional license renewal in your state (NEW JERSEY)

The explanation of the requirements for professional license renewal in the candidate’s state is accurate and well supported.

 

a. Discuss the consequences of failure to maintain license requirements in your state.

The discussion of the consequences of failure to maintain license in the candidate’s state is accurate.

 

 

4. Compare the differences between registered nursing license requirements in a compact state versus a non-compact state.

The comparison accurately addresses the differences between registered nursing license requirements in a compact state versus a non-compact state and is well supported.

 

D. Discuss the functional differences between the Food and Drug Administration and the Center for Medicare and Medicaid Services (see the web links below).

The discussion of the functional differences between the given agencies is accurate and well supported.

 

1. Discuss how the two regulatory agencies influence your professional nursing practice.

The discussion of how the regulatory agencies influence the candidate’s professional nursing practice is relevant.

 

a. Describe your role as a patient advocate in promoting safety when a patient has requested to use an alternative therapy.

The discussion of the candidate’s role as a patient advocate in promoting safety when the patient has selected an alternative treatment is relevant.

 

E. Discuss the purposes of the Nurse Practice Act in your state and its impact on your professional practice.

The discussion of the purposes of the Nurse Practice Act and its influence on the candidate’s professional practice is accurate and well supported.

 

1. Discuss the scope of practice for a RN in your state.

The discussion of the scope of practice for an RN in the candidate’s state is logical and well supported.