Discussion 1
Tom, a 26-year-old runner, came into the office today complaining of constant pain in the right ankle. While running his usual route, he accidentally stepped on a branch lying in his path, twisting his ankle inward.

He;

denies hearing a “pop.” He was able to walk, or limp, the remaining ¼ mile back to his home, where he immediately elevated and iced the ankle for 30 minutes.

took two acetaminophen 325 mg, showered and dressed for work, and drove to his place of employment. He continued to experience significant pain in the ankle, worse when walking. His foot became swollen. Since his job in a sporting goods store requires that he be on his feet most of the day, he was unable to continue his normal workday, and made a same-day appointment to be seen. He has no chronic diseases, takes no medication, and denies recent use of NSAIDs, as aspirin and ibuprofen cause him to have gastritis.

sprained the ankle last year, but was able to manage that injury at home.

Assessment
A 26-year-old, otherwise healthy male presents limping into the examination room, holding his right shoe in his hand. He grimaces with partial weight-bearing of the affected foot. He has local ecchymosis and 1+ edema over the anterolateral ligaments of the right ankle. Capillary refill, pulses, and sensation of the foot and toes are intact. There is no lateral or anterior instability of the joint or tendons. X-ray of the ankle and foot are negative for fracture or dislocation. He has a grade I lateral ankle sprain.

What pain relieving medications would you prescribe? Defend your choice.
How would you prescribe them?
What side effects should you educate the patient about?
Does the age of the patient influence what your choice?
Discussion Question 2
What;

organs are damaged mostly by taking NSAIDS?

patient education would you provide to someone taking NSAIDS? What organ is damaged by taking too much aspirin?

patient education should you provide to a patient taking Aspirin? List 3 diagnosis for which you would administer NSAIDS. List 3 diagnosis for which you would administer Aspirin. What labs or diagnostic tests would you perform for a patient who has consumed too much Aspirin and NSAIDS. Your response should be at least 350 words.

Gynecologic Health

Select a patient that you examined as a nurse practitioner student during the last three weeks of clinical on OB/GYN Issue. With this patient in mind, address the following in a SOAP Note 1 OR 2 PAGES :

Subjective: What details did the patient provide regarding her personal and medical history?

Objective: What observations did you make during the physical assessment?

Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters for this patient , as well as a rationale for this treatment and management plan.

Very Important:  Reflection notes: What would you do differently in a similar patient evaluation?

Reference

Gagan, M. J. (2009). The SOAP format enhances communication. Kai Tiaki Nursing New Zealand, 15(5), 15.

Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.

Chapter 6, “Care of the Well Woman Across the Life Span” ,“Care of the Woman Interested in Barrier Methods of Birth Control” (pp. 275–278)

Chapter 7, “Care of the Woman with Reproductive Health Problems”

“Care of the Woman with Dysmenorrhea” (pp. 366–368)

“Care of the Woman with Premenstrual Symptoms, Syndrome (PMS), or Dysphoric Disorder (PMDD)” (pp. 414–418)

Public Health And Policy

What are the roles of the federal government and state governments in the policy-making process? Describe the role of committees, and analyze similarities and differences between these roles. How does the composition of Congress and state legislatures influence the creation of public health policy? Consider party affiliation, racial and ethnic diversity, professional background of elected officials, etc. Use a specific example to demonstrate your point.

This is a discussion post for my Health Informatics class. The post must be at least 15 sentences and all resources used to support discussion must be written in APA format. We also have a book for class that we use to support our arguments. If you would like photos of this week’s chapter then I can post them. Here is the discussion topic.

Defend or refute the following – Patients should have real-time access to all information in their health records, including narrative notes.  State why you agree or disagree.  Feel free to use the internet for resources and give information that supports your answer.

You must respond to two of your peers.

Choose one peer to AGREE with and state why?  Make sure you read your textbook and use resources from articles, etc to back up your response. Do not just say “good job”, I agree with what you said.

Then choose one peer to DISAGREE with and give your reasoning why.  Again, use references from your textbook, resources from articles, etc. to back up your answer.

To begin, discuss the various national health care issues currently affecting the industry and select one that you want to focus on for the remaining three Learning Team assignments (Wk3, Wk4 & Wk6) in this course. You CANNOT choose Diabetes or Obesity or other diseases as a national issue because we already gave that as our video example in week 2’s individual diagram assignment (in the directions).

Use systems thinking and begin to draft a diagram that maps the complexities of the health care issue and the many variables that influence it. This assignment is a DIAGRAM, not a paragraph or paper. Paragraphs or papers will not be graded or read. Your diagram must speak for itself and explain everything. Do not abbreviate – spell everything out.

Title: Include a title that let’s viewers know what your diagram is trying to capture.

Click the Add Content button below to insert your assignment. When you are ready to turn the diagram in, click the Submit button. For additional help, check out the ULTRA: Access your assignments page.

Due Dates for all team assignments every week are Fridays (end of day). You can submit up to 4 days late past the Friday due date for 10% off. Once assignments are graded there are no regrades. This is a master level course. Do not ask to “re-do” an assignment.

Grading will be similar to Wk 2’s individual diagram (but your team must choose an appropriate national issue topic)