Essentials Of Pathophysiology

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Module 08 Content

  1. J.S. is a 42-year-old man who lives in the Midwest and is highly allergic to dust and pollen and has a history of mild asthma. J.S’s wife drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler. J.S. was unable to lie down, and began to use accessory muscles to breathe. J.S. is immediately started on 4 L oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood gases is sent to the laboratory. J.S. appears anxious and says that he is short of breath.

    Vital signs
    BP = 152/84           HR = 124 bpm                  RR = 42       Temp = 100.40F
    ABGs
    pH = 7.31              PaCO2 = 48            HCO3 = 26   PaO2 = 55

    Instructions:
    Investigate the condition of asthma and the manifestations of the disease. Analyze the case study provided and determine what symptoms support the diagnosis of asthma. Complete this assignment by outlining the causes of asthma, the symptoms that the client presents and the management of the disorder using the attached document. Identify the treatment provided in the emergency department and determine what additional therapies are needed to mitigate the asthma symptoms and return the client to wellness.

    1. Do you have any concerns with the numbers above?
    2. Identify what may be causing J.S. to have an exacerbation of asthma.

the increasing percentage of older adult clients in the U.S

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the increasing percentage of older adult clients in the U.S

TOPIC: EFFECT AGEISM

Directions:

Due to the increasing percentage of older adult clients in the U.S., it is imperative that healthcare providers assess and confront their own attitudes and perceptions toward older adults.

 

1. Describe ageism and its impact on societal views of older adult clients.

2. Explain how ageism can influence the healthcare provisions of older adult clients.

3. As a healthcare provider, how can one best assess and confront attitudes, perceptions,

4. behaviors, and biases toward older adults?

No consideration for plagiarism, so be aware

 

WRITE FROM NURSING PERSPECTIVE

 

REFERENCES THREE WITH INTEXT CITATION

 

DUE 8/29/2021

Pharmaceutical And Therapeutics

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1.  How is Tuberculosis treated?

2.   What is Cipro used to treat? What are the adverse effects? What are the  contraindications? What are the medication interactions?

3.  Which medication is the first choice in treating C-Difficile infection?

4.   What are the adverse effects of amphoterocin B? What monitoring would  need to be done while on this medication? How is an amphoterocin B  infusion reaction treated?

5.  What is acyclovir used to treat? What are the adverse effects?

6.  Name two antiviral medications used to treat CMV.  What are the differences between these two drugs.

7.  What are the 5 types of HIV medications

8.  What are some nursing concerns for the patient on protease inhibitors?

9.  What medication is used to treat Syphilis?

10.  What is the most important thing that healthcare workers can do to help reduce the spread of infection?

the evolution of Palliative and Hospice Care

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This  is a case study about the evolution of Palliative and Hospice Care.   Please review the book and then read the following 2 articles before you address the case study.   Additionally, you may research the issue yourself to bring in extra  information.  Please answer the 2 questions on the case study.

http://www.medscape.com/viewarticle/723058    I have put this article on moodle-you can access it for free with  medscape account, but I wanted you to have it if you do not.

https://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000536.htm

An 85-year-old man with New York Heart Association class IV heart failure, hypertension, and moderate Alzheimer’s disease, who lives at home with his 84-year-old wife, arrives at his primary doctor’s office with complaints of worsening heart failure symptoms, including breathlessness, extreme fatigue, poor appetite, and continence problems.  His wife is feeling overwhelmed with his declining health and worries when he is not able to catch his breath and will no longer eat the food she fixes for him.

a.       Is this man a candidate for palliative care?

b.      What is palliative care and how is it different from hospice care?

c.       What is the goal of palliative care and what interventions might be tried to achieve these goals.

Cellular Adaptation, Injury, And Death profile

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Maria is a sedentary, 68-year-old woman who is overweight. She complains that her hands and feet are always cold, and she tires quickly when cleaning the house. At her most recent visit to her doctor, her blood pressure was 184/98 mm Hg. She has edema around her ankles and legs, and her physician is concerned about an echocardiogram that indicates Maria has an enlarged heart.

1. Identify two reasons why Maria will have tissue ischemia. How might this lead to hypoxia?

2. What are the two early and reversible changes that occur to tissue cells when they are hypoxic?

3. What specific type of cellular adaptation has taken place in Maria’s enlarged heart? What made you come to this conclusion?

REQUIRED TEXTBOOK: Norris, T. (2019). Porth’s Pathophysiology: Concepts of Altered Health States. 10th Ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. ISBN: 978-1-4963-7755-5

Please be brief with your answers-do not copy answers from the book-read the case study and answer in your own words-briefly! You are not required to cite as your answers should come from your textbook-it is a demonstration that you understand the content and the case study.

Follow this Example;

Case Study, Chapter 4, Genetic Control of Cell Function and Inheritance Marsha and Clement are both carriers of sickle cell anemia, a disease that is autosomal recessive. Their first child, Amelia, does not have the disease. Marsha and Clement are planning another pregnancy, but they are concerned about their second child having the condition. Clement’s father died from complications of sickle cell disease shortly before Amelia was born

1. What is the likelihood of Marsha and Clement having a baby with sickle cell anemia? What is the chance the baby will be a carrier of the disease, just like the parents?

The gene is recessive, so the parents will have a 25% chance of giving birth to a child with the disease. There is a 50% chance that the baby will be a carrier

2. Marsha suggested to the nurse at the local family planning clinic that if the baby were a boy, he might have a higher risk of developing the disease, just like his grandfather. How would you respond?

The disease is autosomal in nature, meaning the disease arises from an abnormality on chromosomes 1 to 22. These chromosomes are alike in both males and females.

  1. When Amelia, who does      not have sickle cell anemia, grows up and marries someone who does have      the disease, how likely will her children have the disease?

If Amelia has children to a father with sickle cell disease, the children will be carriers only.

use of social media for reviews and feedback

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Healthcare, like other industries, requires consumer feedback. That feedback is used as part of their reimbursement criteria. As a result, healthcare is experiencing an increase in the use of social media for reviews and feedback. For your Competency Discussion, review two or three consumer review sites, including one dedicated to healthcare practitioners and facilities (i.e., Yelp, RateMDs, Healthgrades).

Next, consider the impact reviews and social media could have on your health institution’s bottom line. Then, reflect on how sites like these could affect how you, as a healthcare administrator and leader, market to your target audience. Finally, think about what your strategy would be for managing consumer reviews on your own healthcare site.

To begin this Competency and meet your required engagement, post in the Discussion area a brief description of the consumer review websites you reviewed. Next, describe the impact reviews and social media could have on your health institution’s bottom line. Then, explain how sites like these could affect you, as a healthcare administrator and leader, market to your target audience. Finally, explain what your strategy would be for managing consumer reviews on your own healthcare site.

intrinsic and extrinsic motivation

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Motivation

Motivation is important to each of us.  Studying for a test, doing household chores, completing a task at work, all these activities require motivation to “get the job done.” Closely linked to motivation is emotion, if we are excited about a project, the motivation is there too.

This week our book describes five approaches of motivation and explains the functions of emotion. For this week’s discussion address the following:

Cognitive Approach

· How does the cognitive approach explain your motivation for college?

· In your response, focus on both your intrinsic and extrinsic motivation.

· Be specific and detailed in your response, incorporating ideas gained from the course materials.

Functions of Emotions

· What are the functions of emotions and how do they keep you motivated for success in college or your career goals?

· Elaborate on the link between emotions and motivation.

National Organization of Nurse Practitioner Faculties (NONPF)

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According to the National Organization of Nurse Practitioner Faculties (NONPF). There are nine core competencies. The first core competency is “Scientific Foundation Competencies” which uses science. And integrated research to develop new approaches to improve nursing practice. The second core competency is “Leadership Competencies” which provides control. And guidance initiating change while collaborating within the community. The third core competency is “Quality Competencies”. Which applies information obtained with evidence as a whole to ensure the highest standards. The fourth core competency is “Practice Inquiry Competencies”. Which promotes the shift of new information into practice to ultimately improve patient outcomes. The fifth core competency is “Technology and Information Literacy Competencies”. Which uses technology to obtain data aiding in the evaluation of nursing care.

Policy Competencies

The sixth core competency is “Policy Competencies” which emphasizes the existence of both a policy and a practice, ultimately going hand-in-hand. The seventh core competency is “Health Delivery System Competencies” which has relevance to applying awareness of organizational practices to enhance the delivery of health care. The eighth core competency is “Ethics Competencies” which highlights the consequences of one’s decisions.

The ninth core competency is “Independent Practice Competencies” which involves the ability to work independently and the act of being self-sufficient providing the foremost patient-centered care. My past, current, and future academic preparation meets these requirements because I use up-to-date factual information to support arguments, advocate for positive outcomes and change, support policies that promote quality, am aware of the significance of decisions, and can hold myself fully accountable for my decision-making. All of these core competencies are important as it relates to clinical practice because each of these competencies embody an ideal Nurse Practitioner.

References:

NONPF (2014). Nurse Practitioner Core Competencies Content. Retrieved on August 24, 2021 from https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/2014npcorecompscontentfinaln.pdfLinks to an external site.

Response to this discussion 50 to 200 words and should be supported by up to date references in APA format

Community And The Aging Adult

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A community’s response to the physical and mental health needs of its aging population has become a highly publicized topic within recent years. Taking into account your community’s elderly residential facilities, apply the following
Discuss what policies might a residential facility develop to minimize the chances that its residences will develop “institutionalism”

Include whether or not such polices are common or uncommon

Determine which stage of Erikson’s psychosocial development an aging adult may be in if they are suffering from institutionalism

Explain how understanding of the: social, emotional, cognitive, and physical development of the Aging Adult can be helpful in a clinical setting

things that cause you stress

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Can you list the top 5 things that cause you stress?  Briefly explain why you feel that way.  Label each as either eustress or distress and also label each as acute or chronic.  You will understand these terms better if you read the power point slides for this topic first.

Here is my example:

1.  My son – He is a wildland fire fighter in South Dakota – This would be Eustress since I should be happy that he has a job but it worries me for obvious reasons.  I would not label it as acute since he has been there since the middle of May but I don’t suppose it is chronic either since he will be coming home eventually.