Alterations of Hematology and Cardiovascular Systems

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Alterations of Hematology and Cardiovascular Systems

Case study 1

In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. You are required to submit this assignment to Turnitin. Alterations of Hematology and Cardiovascular Systems

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Case Study 1

Case Study 1 Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

Laboratory values are as follows: Hemoglobin = 8 g/dl Hematocrit = 32% Erythrocyte count = 3.1 x 10/mm RBC smear showed microcytic and hypochromic cells Reticulocyte count = 1.5% Other laboratory values were within normal limits. Alterations of Hematology and Cardiovascular Systems

Question Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.

Details: Case Study 2

In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. You are required to submit this assignment to Turnitin.

Case Study 2

Case Study 2 Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.

Question Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following: • Describe your approach to care. • Recommend a treatment plan. • Describe a method for providing both the patient and family with education and explain your rationale. • Provide a teaching plan (avoid using terminology that the patient and family may not understand). Alterations of Hematology and Cardiovascular Systems

Bariatric Surgery Essay

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Bariatric Surgery Essay

The case scenario provided will be used to answer the discussion questions that follow on Bariatric Surgery Essay.

Bariatric Surgery Essay Case Scenario

Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has high blood pressure, which he tries to control with sodium restriction and sleep apnea. He current works at a catalog telephone center. Bariatric Surgery Essay

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Objective Data

Height: 68 inches; Weight 134.5 kg BP: 172/96, HR 88, RR 26 Fasting Blood Glucose: 146/mg/dL Total Cholesterol: 250mg/dL Triglycerides: 312 mg/dL HDL: 30 mg/dL Critical Thinking Questions

What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not? Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: (a) Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime; (b) Ranitidine (Zantac) 300 mg PO at bedtime; and (c) Sucralfate / Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime. The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

Assess each of Mr. C.’s functional health patterns using the information given (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance). What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each. Remember you need at least 3 references. Bariatric Surgery Essay

Philosophy of Nursing Essay

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Philosophy of Nursing Essay

Write a Philosophy of Nursing Essay in which you describe your professional moral compass. As you write your paper, include the following: 1.What personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice? 2.Define values, morals, and ethics in the context of your obligation to nursing practice. Explain how your personal values, philosophy, and worldview may conflict with your obligation to practice, creating an ethical dilemma. 3.Reflect and share your own personal thoughts regarding the morals and ethical dilemmas you may face in the health care field. How do your personal views affect your behavior and your decision making?

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Do not be concerned with the use of ethical terminology for this paper.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

IOM Future of Nursing Recommendations Essay

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IOM Future of Nursing Recommendations Essay

Explain how you see yourself fitting into the following IOM Future of Nursing recommendations. Create an introductory paragraph to set-up the ideas for the reader. IOM Future of Nursing Recommendations Essay This should be at least five to seven sentences. The font must be Times New Roman, 12-point font. The paper must be double-spaced. Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020 Content about “Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020” presented here. Review the articles and weblinks found within the Syllabus under “Topic Material:” Use this research to support your discussion related to the concept of “Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020”. There should be at least five to seven sentences per paragraph. There must be citations in each paragraph to credit the source of the information. Recommendation 5: Double the number of nurses with a doctorate by 2020 Content about “Recommendation 5: Double the number of nurses with a doctorate by 2020” presented here.

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Review the articles and weblinks found within the Syllabus under “Topic Material:” Use this research to support your discussion related to the concept of “Recommendation 5: Double the number of nurses with a doctorate by 2020”. There should be at least five to seven sentences per paragraph. There must be citations in each paragraph to credit the source of the information. Recommendation 6: Ensure that nurses engage in lifelong learning. Content about “Recommendation 6: Ensure that nurses engage in lifelong learning” presented here. Review the articles and weblinks found within the Syllabus under “Topic Material:” Use this research to support your discussion related to the concept of “Recommendation 6: Ensure that nurses engage in lifelong learning”. There should be at least five to seven sentences per paragraph. There must be citations in each paragraph to credit the source of the information. How will increasing your level of education affect how you compete in the current job market? Content about “How will increasing your level of education affect how you compete in the current job market?” presented here. Review the articles and weblinks found within the Syllabus under “Topic Material:” Use this research to support your discussion related to the concept of “How will increasing your level of education affect how you compete in the current job market? There should be at least five to seven sentences per paragraph. How will increasing your level of education affect your role in the future of nursing? Content about “How will increasing your level of education affect your role in the future of nursing?” presented here. Review the articles and weblinks found within the Syllabus under “Topic Material:” Use this research to support your discussion related to the concept of “How will increasing your level of education affect your role in the future of nursing?” IOM Future of Nursing Recommendations Essay There should be at least five to seven sentences per paragraph. There must be citations in each paragraph to credit the source of the information. In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations. Create a conclusion paragraph to wrap-up the ideas for the reader. This should be at least five to seven sentences. References This is where you document the sources utilized via in-text citations. Please use APA formatting.

2.How will increasing your level of education affect your role in the future of nursing?

While APA format is not required for the body of this IOM Future of Nursing recommendations assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

IOM Future of Nursing Recommendations Essay

 

Functional Health Patterns Essay

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Functional Health Patterns Essay

Select a community of interest (Cleveland, OH). It is important that the community selected be one in which a CLC group member currently resides. Students residing in the chosen community should be assigned to perform the physical assessment of the community. – Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide” that is attached to the assignment guidelines.

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– Description of Community and Community Boundaries: (People, Geographic, Geopolitical, Financial, Ethnic, Phenomenological Features and Types of Interactions, Goals, Interests, Barriers, and Challenges) – Description of community is complete. Boundaries are described in great detail, distinguishing environmental boundaries, environmental relationships, and external systems that comprise the open, community system.

– Discussion of Functional Health Patterns has to be clear, complete, and comprehensive, with indications for actual, at-risk and potential diagnoses – Provide recommendations for surveillance and preventive measures

Health History Essay

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Health History Essay

In this assignment, you will be completing a health assessment on an older adult. To complete this assignment, do the following:

1.Perform a health history on an older adult. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one. (If an older individual is not available, you may choose a younger individual). 2.Complete a physical examination of the client using the “Individual Health History and Examination Assignment” resource.

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Use the “Functional Health Pattern Assessment” resource as a guideline to assist you in completing the template. 3.Document findings of complete physical examination in Situation-Background-Assessment-Recommendation (SBAR) format. Refer to the sample SBAR Template located on the National Nurse Leadership Council website at https://www.ihs.gov/nnlc/includes/themes/newihstheme/display_objects/documents/resources/SBARTEMPLATE.pdf as a guide. 4.Document the findings of the physical examination in the assessment worksheet. 5.Using the “Individual Health History and Examination Assignment” resource, provide the physical examination findings summary with planned interventions for the client. Include any community services in the interventions. APA format is not required, but solid academic writing is expected.

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

Functional Health Pattern Analysis Worksheet Essay

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Functional Health Pattern Analysis Worksheet Essay

In this assignment, you will be exploring actual and potential health problems in the childhood years using a functional health assessment and Erickson’s Stages of Child Development. To complete this assignment, do the following:

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Using the textbook, complete the “Children’s Functional Health Pattern Assessment.” Follow the instructions in the resource for completing the assignment. Cite and reference any outside sources used in your answers. Include in your assessment a thorough discussion of Erickson’s Stages of Child Development as it pertains to the development age of the child. While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This Functional Health Pattern Analysis Worksheet Essay uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

 

Erickson’s Stages of Child Development Essay

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Erickson’s Stages of Child Development Essay

In this assignment, you will be exploring actual and potential health problems in the childhood years using a functional health assessment and Erickson’s Stages of Child Development. To complete this assignment, do the following:

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Using the textbook, complete the “Children’s Functional Health Pattern Assessment.” Follow the instructions in the resource for completing the assignment. Cite and reference any outside sources used in your answers. Include in your assessment a thorough discussion of Erickson’s Stages of Child Development as it pertains to the development age of the child. While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This Erickson’s Stages of Child Development Essay uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Health Care Providers Marketing Strategies Essay

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Health Care Providers Marketing Strategies Essay

Write a four to six (4) page paper in which you:

  1. Determine the key characteristics of the users of the products and/or services of the health care provider you selected.
  2. Analyze the competitive environment of the health care provider you selected and recommend a course of action for strategic marketing success.
  3. Determine which tools of the marketing mix available to health care providers would be most effective for the health care provider you selected.
  4. Determine the best possible pricing strategy for at least one of the products or services offered by the health care provider you selected. Health Care Providers Marketing Strategies Essay
  5. Provide at least three (3) qualified sources, e.g., peer-reviewed journals, professional organization Website, or health care provider Websites.

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Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required page length.

The specific course learning outcomes associated with this assignment are:

  • Analyze the competitive environment of a health services organization and identify a course of action that will allow for strategic marketing success.
  • Analyze the users of the health care system.
  • Describe the various tools of the marketing mix available to health care providers.
  • Use technology and information resources to research issues in health services marketing.
  • Write clearly and concisely about health services marketing using proper writing mechanics.

Health Care Providers Marketing Strategies Essay

Case Study: Fetal Abnormality

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Case Study: Fetal Abnormality

Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in the U.S. for the last three years and have finally earned enough money to move out of their Aunt Maria’s home and into an apartment of their own. They are both hard workers. Jessica works 50 hours a week at a local restaurant and Marco has been contracting side jobs in construction. Six months before their move to an apartment, Jessica finds out she is pregnant. Case Study: Fetal Abnormality

Four months later, Jessica and Marco arrive at the county hospital, a large, public, nonteaching hospital. A preliminary ultrasound indicates a possible abnormality with the fetus. Further scans are conducted and it is determined that the fetus has a rare condition in which it has not developed any arms, and will not likely develop them. There is also a 25% chance that the fetus may have Down syndrome.

Dr. Wilson, the primary attending physician, is seeing Jessica for the first time, since she and Marco did not receive earlier prenatal care over concerns about finances. Marco insists that Dr. Wilson refrain from telling Jessica the scan results, assuring him that he will tell his wife himself when she is emotionally ready for the news. While Marco and Dr. Wilson are talking in another room, Aunt Maria walks into the room with a distressed look on her face. She can tell that something is wrong and inquires of Dr. Wilson. After hearing of the diagnosis, she walks out of the room wailing loudly and praying aloud. Case Study: Fetal Abnormality

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Marco and Dr. Wilson continue their discussion, and Dr. Wilson insists that he has an obligation to Jessica as his patient and that she has a right to know the diagnosis of the fetus. He furthermore is intent on discussing all relevant factors and options regarding the next step, including abortion. Marco insists on taking some time to think of how to break the news to Jessica, but Dr. Wilson, frustrated with the direction of the conversation, informs the husband that such a choice is not his to make. Dr. Wilson proceeds back across the hall, where he walks in on Aunt Maria awkwardly praying with Jessica and phoning the priest. At that point, Dr. Wilson gently but briefly informs Jessica of the diagnosis, and lays out the option for abortion as a responsible medical alternative, given the quality of life such a child would have. Jessica looks at him and struggles to hold back her tears.

Jessica is torn between her hopes of a better socioeconomic position and increased independence, along with her conviction that all life is sacred. Marco will support Jessica in whatever decision she makes, but is finding it difficult not to view the pregnancy and the prospects of a disabled child as a burden and a barrier to their economic security and plans. Dr. Wilson lays out all of the options but clearly makes his view known that abortion is “scientifically” and medically a wise choice in this situation. Aunt Maria pleads with Jessica to follow through with the pregnancy and allow what “God intends” to take place, and urges Jessica to think of her responsibility as a mother. Case Study: Fetal Abnormality