Eradication of H. pylori

/in /by

Peer 1

Discussion Question 1

1. What would you prescribe initially?

Eradication of H. pylori is critical to PUD treatment, all recommended treatment regimens include a combination of a PPI and antimicrobial therapy (Woo et al., 2020). Antimicrobial agents used include clarithromycin, tetracycline, amoxicillin, levofloxacin, and metronidazole (Woo et al., 2020). If H. pylori clarithromycin resistance in the local area is less than 15%, the first-line therapy is a PPI, clarithromycin. And amoxicillin or metronidazole for 14 days in patients with no previous history of macrolide exposure for any reason (Woo et al., 2020). There are different treatment regimens depending on each individual case but most patients will be started on Abx and PPI.

2. How long would you prescribe these medications?

Most antimicrobial treatment will be for 5-14 days depending on antimicrobial that works best for the patient. And the different elements that go along with the dx of H. pylori. Probiotics have also been found to improve eradication rates in patients being treated for Helicobacter pylori (Woo et al., 2020). Current guidelines follow a step-down approach, and treatment is begun with a proton pump inhibitor (PPI) (Woo et al., 2020). PPI treatment will continue even after infection is eradicated, 8 to 12 weeks until healing completes. Possible Daily use of PPI for high-risk patients (Woo et al., 2020).

3. What other possible meds could you prescribe to assist with the side effects from the medications prescribed?

Patients can be given triple or quadruple drug regimen that includes bismuth subsalicylate (Woo et al., 2020) But adverse drug reactions have been reported in up to 70% of patients taking bismuth-based four-drug regimens (Woo et al., 2020).Probiotics have also been found to improve eradication rates in patients being treated. Lifestyle modifications and antiacids can also help with the underlying disease.

4. How would the treatment vary if the patient has GERD instead?

GERD results from the reflux of chyme from the stomach into the esophagus (Woo et al., 2020). Drugs can be used to increase LES tone, reduce the amount of acid in the chyme, improve peristalsis and thereby decrease the time chyme is available to produce reflux. And decrease the exposure of the mucosa to highly acid material (Woo et al., 2020). Goal for GERD includes reduce or eliminate the symptoms, heal any esophageal lesions, manage or prevent complications such as stricture, Barrett’s esophagus, or esophageal carcinoma; and prevent relapse.

Meeting these goals requires a combination of lifestyle modification and drug therapy (Woo et al., 2020). Mild GERD symptoms are treated with OTC antiacids to control symptoms, Moderate to severe GERD is treated with Lifestyle changes, PPI for 8 weeks (Woo et al., 2020). Reevaluation is required after a few weeks for further treatment. Lifestyle changes include but not limited to taking PPI or antiacids 30-60 mins prior to eating or drinking anything. Do not lay down after meals, do not eat or drink anything before bedtime and Smoking cessation (Woo et al., 2020).

Discussion Question 2

Differential Diagnosis: Acute Gastritis, Esophageal Cancer, Hiatal Hernia, Helicobacter Pylori Infection.

GERD results from the reflux of chyme from the stomach into the esophagus (Woo et al., 2020). Drugs can be used to increase LES tone, reduce the amount of acid in the chyme, improve peristalsis and thereby decrease the time chyme is available to produce reflux, and decrease the exposure of the mucosa to highly acid material (Woo et al., 2020). Goal for GERD includes reduce or eliminate the symptoms, heal any esophageal lesions, manage or prevent complications such as stricture, Barrett’s esophagus, or esophageal carcinoma; and prevent relapse. Meeting these goals requires a combination of lifestyle modification and drug therapy (Woo et al., 2020).

Mild GERD symptoms are treated with OTC antiacids to control symptoms, Moderate to severe GERD is treated with Lifestyle changes, PPI for 8 weeks (Woo et al., 2020). Reevaluation is required after a few weeks for further treatment. Lifestyle changes include but not limited to taking PPI or antiacids 30-60 mins prior to eating or drinking anything. Do not lay down after meals, do not eat or drink anything before bedtime and Smoking cessation (Woo et al., 2020).

Testing for GERD: No testing if symptoms are “straightforward” GERD. If the patient does not respond to treatment with twice daily PPI, Endoscopy is recommended (Woo et al., 2020). Follow up with GI specialist as well for alarming symptoms to include melena, persistent vomiting, weight loss, anemia, hematemesis etc (Woo et al., 2020).

 

Reference:

 

Woo, T. M., Wynne, A. L., & Robinson, M. V. (2020). Pharmacotherapeutics for Advanced. Practice Nurse prescribers. F.A. Davis Company.

Abortion Pill

/in /by

1.  R Review the facts of the case.
• What are the details?
• What is the background or history?

2.  E Estimate (specify) the conflict or problem present in the case.
• What is at issue or at stake?

3.  S List main possible solutions to the case.

4.  O State important and probable outcomes or consequences of each solution.
• What will happen?
• What is likely to happen?
• What might happen?

5.  L Describe the likely impact of each main solution on people’s lives, and on the interests and concerns of entities (i.e., institutions, organizations, companies, governments and states), as well as nonhumans and the environment.
• Who will be benefited?
• Who will be harmed?
• Who else will be impacted and how?

moral principles

6.  V Explain the values upheld and those infringed by each main solution.
• Refer to relevant moral principles, e.g., honesty, harm, fidelity, autonomy, confidentiality, lawfulness, equal consideration of interests;
• Characterize salient moral rights, e.g., knowledge, privacy, life, free expression, due process, safety, property;
• If relevant, include consideration of the interests and rights of future generations.

7.  E Evaluate each main solution in terms of outcomes, likely impact and values upheld or infringed.

8.  D Decide which solution is best, state it, clarify its details, and justify it.

9.  D Defend the decision against objections to its main weaknesses.

Use this method to analyze and reach a decision about the best course of action in one of the following cases:

Actions case, (1) The “Abortion Pill”

Make sure you consider the case you choose in light of some of the moral theories and principles we have discussed in the class.

How much you write about each step in the method is up to you, but you should write a minimum of 500 words in total. Type up your analysis, with each step clearly numbered

Medical Law And Ethics

/in /by

Your best friend’s daughter comes into the office where you work seeking birth control pills.  You know that her mother does not know that she is sexually active.

Your friend’s daughter is the next patient and it’s your turn to room the next patient in line.  What are your options?Should you confront your friend’s daughter about being sexually active?Should you tell your friend that her daughter was seeking birth control pills?
Read above and reply to classmates responds  in 150 words.
Classmates responds:
Well, my first opinion on this type of situation would be to act professional towards whoever the patient was. I would take her to the back and do all the necessary things that usually done and seat her in a room to wait for the doctor. I would not treat her any different way or try to convince her to change her mind. I do not believe it would be my place to say anything to her especially while I am at work. I will say maybe if she has any questions or concerns that I am able to answer she can contact me at any time. I also would not say anything to my friend. If I said something to my friend, it would be breaking HIPAA laws and I could get in trouble by the law as well as lose my job for breaking the patient’s privacy. It does not matter who it is or who you are working for or where you are at the time, it is never okay to share anyone’s information without their consent.

U.S. crime strategies

/in /by

U.S. crime strategies

Researching programs or models of policing or corrections

Comparing U.S. crime strategies or issues with other nations

Exploring new technological advances that have changed the justice system

The paper should consist of various sections, such as introduction, literature review, conclusion etc.  Use at least 8 sources and follow APA format for this paper.   Title page, Abstract, and Reference pages are required but are not included in the required pages count.

General Writing Guidelines:

Use APA format for all portions of the paper. This should include:

Cover page

The body of the paper should be organized as follows:

Introduction

Literature review – find and document at least 8 relevant articles related to your topic.

Body

Conclusion

References

The final paper should be 10 pages in length. This does not include the cover page, references and appendices.  It should be double spaced no more than 12 point font.

Research Investigation Progress

/in /by

Module Four Question 1

Mark believes that people who create apps restricting or changing interaction with social media might be interested in his research.

Think about the research you’ve collected so far. What are some potential applications for this research in the real world? In other words, what are some ways that this research could be used?

Module Four Question 2

On the previous page, you identified possible applications of your research. Research whether anyone has investigated or created those applications. Note your findings here.

Module Four Question 3

After reviewing your initial list of questions, are there any that you have yet to answer by searching credible sites and gathering C.R.A.P.P.O. approved sources along the way? Make a note of those questions here, as well as your plan for answering them.

Module Four Question 4

1. Edit the response to give your answer (YES or NO), and then briefly explain why.

Module Four Question 5

2. Edit the response to give your answer (YES or NO), and then briefly explain why.

Module Four Question 6

Write a research question for Mark. Please note, there is no one correct answer.

Medical Law And Ethics

/in /by

Medical Law And Ethics

Three concepts that I have learned that I believe will be very important when working in the medical field. First would be what ethical decisions are. And what makes them so important when treating patients. Second would be the legal aspect of HIPAA rules including who is a covered entity. And the third would be the use of medical records in court.

      An ethical decision will always be legal one, therefore when making certain decisions regarding a patients care. It must always be legal and for the benefits of the patient without disregard of another (Fregmen, 2020).
      By knowing the HIPAA rules and regulations pertaining to patient privacy, I can make sure that all patients privacy is kept confidential. By using the techniques learned for keeping electronic, paper, and verbal personal health information confidential. I can ensure this information is only being used for the treatment. And care of all patients and those involved.
    When specific people are requesting a patient’s personal health information for legal reasons. A subpoena is required to release this information and can only be released to the person listed on the subpoena (Fremgen, 2020).
 Word Count 190
References
Fremgen, B.F. (2020). Medical law and ethics (6th ed.). Upper Saddle River, NJ: Pearson.

Social Media

/in /by

Engaging Social Media With Political Advocacy

For this week’s discussion, we will look to the Twitter feed and locate a Tweet that describes a new health care initiative or an issue you are passionate about or that speaks to you.

1. Explore this initiative in detail and share your thoughts on the plan.
2. Discuss your thoughts about the Tweet and whether you can support the initiative or not. Be sure to use evidence in support of your position.
3. Within the political climate of government today, does this initiative have any hope of moving forward? Share your position based on the evidence.
4. Compose a Tweet (no more than 140 characters) that adequately addresses your response to the original post and share this Tweet in the discussion

Please answer each question separated and use 3 sources no later than 5 years

Engaging Social Media With Political Advocacy

/in /by

Engaging Social Media With Political Advocacy

For this week’s discussion, we will look to the Twitter feed and locate a Tweet that describes a new health care initiative or an issue you are passionate about or that speaks to you.

1. Explore this initiative in detail and share your thoughts on the plan.
2. Discuss your thoughts about the Tweet and whether you can support the initiative or not. Be sure to use evidence in support of your position.
3. Within the political climate of government today, does this initiative have any hope of moving forward? Share your position based on the evidence.
4. Compose a Tweet (no more than 140 characters) that adequately addresses your response to the original post and share this Tweet in the discussion

Please answer each question separated and use 3 sources no later than 5 years

Healthcare Information Technology Trends

/in /by

NOTES: 300 words with 4 resources. Please read the instruction below

Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere. That lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be. Or how the next new idea for applying existing technology can benefit outcomes.

In this Discussion, you will reflect on your healthcare organization’s use of technology. And offer a technology trend you observe in your environment.

To Prepare:

· Reflect on the Resources related to digital information tools and technologies. Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.

· Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

ASSIGNMENT

Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe two potential benefits and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

The Evolution Of The Metabolic Process

/in /by

As with other structures and functions within cells, evolution has driven the metabolic processes. This has created both unique processes in organisms and universal key characteristics.
Viewing metabolism through the lens of evolution, answer the following questions

  1. Propose a hypothesis of how these processes evolved. What evidence did you use to propose this evolution? Defend your hypothesis.
  2. Identify universal characteristics across organisms that utilize each process in the metabolic pathways. For each characteristic/structure, explain what properties these characteristics/structures have that make them useful across organism types. Then, explain why the amphibolic pathways of metabolism are advantageous for the cells that utilize the full spectrum.
  3. Next, identify unique characteristics or pathways that specialized cells use to create their own version of the metabolic processes. Looking at archaea can help identify these variations on the process. After identifying these changed characteristics or pathways compare these to the “normal” characteristics and pathways, determining why each organism utilizes their specific one and not the other.
  4. Finally, hypothesize about future evolutionary changes that may be observed.