Political Advocacy

/in /by

Our focus on learning this week has been related to defining health care policy, invested stakeholders, and ways in which the practice scholar can advocate for change. As you consider the readings and learning activities this week, it is time to apply these activities to your proposed DNP Project. Answer the following questions as it relates to your DNP Project:

  1. Have you met with the decision makers at the practicum site to determine the type of problem they are having and ways in which your project might be developed to address this problem? What was the outcome of this meeting?
  2. Please share your proposed PICOT question in question format. Is this PICOT question likely to change in the future?
  3. Describe the translation science model you will be using or are considering using as a part of your project.
  4. What is the current priority you have for the development of your project and do you believe you have support for this project from the practicum site decision makers?

Advanced Pathophysiology

/in /by

45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields.

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

  • The      cardiovascular and cardiopulmonary pathophysiologic processes that result      in the patient presenting these symptoms.
  • Any racial/ethnic variables that may impact physiological functioning.
  • How these  processes interact to affect the patient.

RESPIRATION, NUTRITION, AND EXCRETION

/in /by

RESPIRATION, NUTRITION, AND EXCRETION

Discussion 7

99 unread replies.1010 replies.

UNIT 5 RESPIRATION, NUTRITION, AND EXCRETION.

DISCUSSION # 7

Compose 400 words or more discussion to respond the following:

Name the four layers of the digestive tract wall.

Name of the three types of salivary glands.

What is the primary digestive function of the pharynx?

Describe the location of the esophagus.

What are the three main divisions of the stomach?

What are the three main divisions of the small intestine?

What are intestinal villi? What is their function?

What are the four main division of the colon?

What are haustra?

Where is the vermiform appendix located?

Where is the liver located?

Name three of the many functions of the liver?

Describe the route of bile from the gallbladder to the duodenum.

Family Assessment.

/in /by

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000 word create a plan of action to incorporate health promotion strategies for this family. Include the following:

Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.
Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.

current health care delivery system

/in /by

current health care delivery system

First take the position that the associate degree/diploma degree in nursing is “sufficient” for an RN to practice within the current health care delivery system. Next take the alternate position that the BSN should be the minimal level of education for a professional registered nurse. How has nursing education evolved to support a competent nursing work force?

this should be in APA format with citation.

ethnic minority group

/in /by

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In  a 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

  1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
  2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
  3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
  4. What health promotion activities are often practiced by this group?
  5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
  6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Prepare this assignment according to the guidelines found in the APA Style Guide.

newborn health challenge

/in /by

1.  Choose a newborn health challenge such as Down’s syndrome, cleft lip and palate, or absence of digits.

  • a.   How might parents from various cultures feel about the cause of this condition?
  • b. How does this compare with the biomedical understanding?

2.  An emergency room nurse is taking care of a 5-year-old boy who suffered trauma from a bike accident. His family identifies as Jehovah’s Witnesses. The nurse explains that the boy may need a blood transfusion. The parents express concern because taking blood, including via blood transfusion, is discouraged by their religion, a stance with which they agree.

  • a.   How should the nurse discuss this situation with the parents and the interdisciplinary health care team?
  • b.   What do you think the best course of action should be?
  • c. What are the primary ethical issues related to the refusal of blood transfusions in a child?

patient’s cardiovascular risk

/in /by

Length: A minimum of 300 words, not including references

· Citations: At least one high-level scholarly reference in APA from within the last 5 years

 

The 42-year-old female patient presents for follow up on lab results from her annual physical exam completed a week ago. The lab results are as follows: Triglycerides 225, LDL 170, HDL 22, HgBA1c 8.3% Patient history reveals a 20 pack-a-year smoking history and type 2 diabetes. The last labs done 18 months ago were normal. What is this patient’s cardiovascular risk based on these lab results? Describe how the FNP would clinically manage and follow up this patient. List the pharmacological and non-pharmacological interventions.

OR

A 66 year old male presents to your office complaining of shortness of breath for the past five days which has gotten progressively worse.  His shortness of breath is worse when lying down and with exertion. He complains of a cough, especially at night. He also reports increased swelling in both legs bilaterally and mild substernal chest pressure. The patient has a history of diabetes, hypertension, and a prior myocardial infarction.  His vital signs are: BP 208/102, HR 116, RR 28, T 98.4, 94% oxygen saturation. On exam you note rales in the lung bases bilaterally as well as 1+ pitting edema in the lower extremities bilaterally.  The patient is sitting up and in no acute respiratory distress.

Provide the most likely diagnosis based on the HPI and PE. In addition, provide your interpretation of the cues found in the assessment. List at least 3 possible differential diagnoses and justify your rationale. Develop therapeutic plan options based on quality, evidence-based clinical guidelines.

Health Promotion

/in /by

Health Promotion

S.M. is a nurse practitioner in a large midwestern city. Today she is participating in a health fair at the Islamic Cultural Center. She is anticipating attendance by many families of Arab-American descent.

S.M. knows common health issues in Arab Americans include cardiovascular disease and diabetes. Her goals today are to gain the trust of the families she meets, learn about their health behaviors, provide education about healthy lifestyles, and arrange any follow-up care that may be needed.

1- During the health fair, S.M. assesses her clients’ risk factors, including person-dependent factors and environmental-dependent factors. List at least 3 examples of a person-dependent factors and environmental dependent-factors

2-Define and describe the primary goals of screening.

3-Discuss your thoughts on the relationship between economics and nutrition. How would you advise people of low socioeconomic status to eat healthy on a budget? How would you respond to patients whose financial restraints limit their access to food?

4-Identify potential barriers to patient teaching and how you would address these barriers.

medical clinic for primary care

/in /by

LW is a 32 year old female patient who comes to your medical clinic for primary care.  She has been on hormonal contraceptives for years, although she’s just been married and has stopped her pills in hopes of becoming pregnant.  Her PMHx includes obesity, HTN (diagnosed 3 years ago), familial hypercholesterolemia, and PCOS.  Her current medications are as follows: Metformin 2000 mg PO daily, Lisinopril 10 mg PO daily, rosuvastatin 5 mg PO daily, and a multivitamin.

GD is an 82-year-old patient is taking 2 mg of terazosin for BPH every morning. He comes in complaining of dizziness, generalized muscle weakness and persistent lower urinary tract symptoms (LUTS).

How should you advise these patients and manage their medications?  What was the process you went through to assess the current medications and to recommend an updated regimen?

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight.  Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced.  A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section.