history of cough and congestion

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For this questions, please read the following case study and then respond to the questions noted below.

Mr. JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and congestion. He says it started out as a “normal cold” and it will not go away, has a productive cough for green mucous and has green nasal discharge. And says he has had a low-grade temperature for the past 2 days. John reports an intermittent frontal headache with this cold. He is otherwise healthy, with no known allergies.  In his assessment it is found that his vital signs are stable, temperature is 99.9 degrees F, tympanic membranes (TMs) are clear bilaterally, pharynx is erythematous with no exudate; there is greenish postnasal drainage; turbinates are swollen and red; frontal sinus tenderness; no cervical adenopathy, and lungs are clear bilaterally.

1. Is there any additional subjective or objective information you need for this client? Explain.

2. Would you treat Mr. JDs cold? Why or why not?

3. What would you prescribe and for how many days? Include the class of the medication, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings.

4. Would this treatment vary if Mr. JD was a 10 year-old 78 lb child? Include the class of the medication, mechanism of action, dosing, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings

5. What health maintenance or preventive education is important for this client based on your choice medication/treatment?

Patient’s Spiritual Needs

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In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

  1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
  2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
  3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be 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. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

AttachmentsPHI-413V-RS-T3T5CaseStudyHealingAndAutonomy.docx

Neuropsychology

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Neuropsychology, by definition, is the study of the relationship between the human brain and human behavior (Jackson & Milberg, 2018). There are many different theories about the relationship between biological, psychological, cognitive, emotional, social, cultural and interpersonal factors influential in psychopathology.

Psychopathological development is a process that is formed over the human lifespan.  There are many influential pieces of psychopathology—personal experiences across the lifespan influence this developmental process. For example, parents, friends, school relationships, sexual partners are significantly influential in development. (Butcher & Kendall, 2018).  Parents play a significant role in the influence of development of their children.  This is related to genetic factors, the ability to control children’s exposures and direct interactions with their environment, and choices about environment.  These key influential factors will influence a child development across their lifespan.  (Barker & Ramchandani, 2017).

Biological factors that affect the development of psychopathology

Biological factors that affect the development of psychopathology are factors with a physical cause. Physical causes include anything that physically plays a role in psychopathology development.  A few examples of these include neuroanatomy, genetics, prenatal exposure, and exposure to toxins.

Psychological, interpersonal, and emotional factors are related to behavioral, cognitive, and emotional development.  Most psychological factors develop and change throughout a person’s life.  Different life experiences within a person’s environment include a broad range between having all emotional needs met vs being a victim of abuse.

Social and cultural advantages/disparities also are key players in the development of psychopathology. Having access to proper education, health care, safety, and secure surroundings helps solidify development of psychopathology. While not having adequate access to educational opportunities, health care, or a safe environment will affect the plasticity of the developing brain, resulting in changed behavior. Having protective factors in place reassures the human brain and result in the development of psychopathology.

Being subjected to positive outside opportunities in many forms assists the development systems, resulting in brain development, positive social behavior, and cultural beliefs. The framework of psychopathology has many implications concerning different origins, assessment processes, levels of classifications, methods of prevention and treatment. (Butcher & Kendall, 2018).  Assessing a patient in an evaluation is a crucial diagnostic tool to unlocking the influencing factors of a patient’s developmental process.

References

Barker, B., Iles, J. E., & Ramchandani, P. G. (2017). Fathers, fathering and child psychopathology. Current Opinion in Psychology, 15, 87–92. https://doi-org.ezp.waldenulibrary.org/10.1016/j.copsyc.2017.02.015

Butcher, J. N., & Kendall, P. C. (2018). Introduction to childhood and adolescent psychopathology. In J. N. Butcher & P. C. Kendall (Eds.), APA handbook of psychopathology: Child and adolescent psychopathology., Vol. 2. (pp. 3–14). American Psychological Association. https://doi-org.ezp.waldenulibrary.org/10.1037/0000065-001

Jackson, C. E., & Milberg, W. P. (2018). Examination of neurological and neuropsychological features in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.), APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders., Vol. 1. (pp. 65–90). American Psychological Association. https://doi-org.ezp.waldenulibrary.org/10.1037/0000064-004

nurse practitioner program

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nurse practitioner program

For this assignment, you will complete a Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessments. And diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The Aquifer assignments are highly interactive. And a dynamic way to enhance your learning. Material from the Aquifer cases may be present in the quizzes, the midterm exam, and the final exam.

Learn how to access and navigate Aquifer.

This week, complete the Aquifer case titled “Family Medicine 19: 39-year-old man with epigastric pain”

Apply information from the Aquifer Case Study to answer the following discussion questions:

· Discuss the Mr. Rodriquez’s history that would be pertinent to his gastrointestinal problem. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.

· Describe the physical exam and diagnostic tools to be used for Mr. Rodriguez. Are there any additional you would have liked to be included that were not?

· Please list 3 differential diagnoses for Mr. Rodriguez. And explain why you chose them.  What was your final diagnosis and how did you make the determination?

· What plan of care will Mr. Rodriquez be given at this visit. Include drug therapy and treatments; what is the patient education and follow-up?

the biological,  developmental and sociocultural components that combined work together to cause mental illness  

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It is important to understand the biological,  developmental and sociocultural components that combined work together to cause mental illness

Genetics, injury and trauma, and hormonal fluctuations all contribute to psychopathology. Alzheimer’s, bipolar disorder and depression all have been found to have genetic tendency to run in families. Trauma to the temporal lobes in a traumatic brain injury can cause memory loss and personality changes (Sadock, Sadock and Ruiz, 2015).  Estrogen and progesterone fluctuations during menopause and menarche can cause mood swings and hypothyroidism has been known to cause depression (Sadock, Sadock, and Ruiz, 2015). Imbalances of neurotransmitters like serotonin and dopamine cause depression and psychosis.

Having a genetic predisposition for an illness like bipolar or schizophrenia does not mean that a person will necessarily manifest that illness (Butcher and Kendall, 2018). Environmental factors like marijuana use or emotional trauma and stress can trigger the gene to be expressed ( Butcher and Kendall, 2018). Delayed or absent bonding between mothers and babies can cause reactive attachment disorder and is thought to be a cause of borderline personality disorder ( Butcher and Kendall, 2018). Reactive attachment disorder is very common in babies from Eastern European orphanages because they do not get the skin to skin contact that allows them to bond (Butcher and Kendall, 2018). 

Cultural competence is vital in accurately assessing for mental illness. In Asian cultures, mental illness is socially unacceptable so they often present with somatic complaints like sleeplessness, irritability, headache and GI upset, that fall under a label formerly referred to as neurasthenia, now called shenjing shuairuo (Schwartz, 2002). In Western cultures, these symptoms would fall under the category of anxiety or depressive disorders, but patients are not likely to seek help for a mental illness but they treat shenjing shuairuo with rest, healthy food and mild exercise (Schwartz, 2002).

References

Butcher, J. N., & Kendall, P. C. (2018). Introduction to childhood and adolescent psychopathology. In J. N. Butcher & P. C. Kendall (Eds.), APA handbook of psychopathology: Child and adolescent psychopathology., Vol. 2. (pp. 3–14). American Psychological Association. https://doi-org.ezp.waldenulibrary.org/10.1037/0000065-001

Cheung, F. M., & Mak, W. W. S. (2018). Sociocultural factors in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.), APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders., Vol. 1. (pp. 127–147). American Psychological Association. https://doi-org.ezp.waldenulibrary.org/10.1037/0000064-006

Schwartz, P.Y. (2002). Why is neurasthenia important in Asian cultures? Western Journal of Medicine, 176(4), 257

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.

 

quality and safety of care in nursing graduates

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quality and safety of care in nursing graduates

in an overall format any suggestions on the Curriculum QSEN format?

Many nursing schools are revising their curriculum to integrate QSEN competencies. The intent of this initiative is to improve both quality and safety of care in nursing graduates. Visit the QSEN website at www.qsen.org. Share your thoughts on whether you think that this initiative is a positive step in nursing education. Then, select ONE of the competencies. Briefly describe it, and then explain how you might integrate this competency into the nursing curriculum. Describe how I might assess student achievement of knowledge, skills, and attitudes related to this competency.

Ethical And Legal Implications Of Prescribing Drugs

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As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult. 

Review the scenario assigned

  • Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.
  • Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.
  • Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
  • Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
  • Explain the process of writing prescriptions, including strategies to minimize medication errors.