Patient Complaint Tired All The Time; Heavy Menses

No citation required; Post responses in point form-briefly

Patient Complaint

Tired all the time; heavy menses

History

Susan is a 44-year-old white female who presents with a complaint of being tired and having low energy. She is a G3P3 mother of a 15-year-old, a 13-year-old, and a 10-year- old. She is 5 feet tall and weighs 145 pounds. Her blood pressure is 116/78 mm Hg and her heart rate is 82. Past medical history is unremarkable except for a history of heavy menses, which Susan reports seem to be getting heavier. Her menses are regular and last 5 or 6 days. Her husband of 18 years had a vasectomy, so she does not use any hormonal birth control. Screening for depression is negative. Patient Complaint Tired All The Time; Heavy Menses

Susan gets regular exercise, mostly walking. She walks every weekend with her friends, usually a 6-to-8-mile walk. Susan is concerned because she is noticing that she is short of breath going up even small hills and needs to rest after she gets back from her walks.

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Susan considers her diet well rounded. She has been trying to lose weight, so she has cut back on high-fat foods such as meat. She eats mostly fish and chicken for her protein.

She drinks two glasses of skim milk a day and eats a lot of salad to fill her up. Her salads are made with iceberg lettuce and tomatoes. She does not take any medications. She does not take a multivitamin.

Assessment

Complete blood count (CBC) indicates a white blood cell (WBC) count of 9.6, red blood cell count (RBC) of 4.6, hemoglobin (Hgb) 11.1, hematocrit (Hct) 34%, mean corpuscular volume (MCV) 84, mean corpuscular hemoglobin concentration (MCHC) 31, and red blood cell distribution width (RDW) 14.5%, and platelets and WBC differential are unremarkable. Ferritin level is 13. Thyroid studies are within normal limits.

Briefly what would be your initial management plan?

 

Briefly what follow-up laboratory would you draw? Patient Complaint Tired All The Time; Heavy Menses

 

Case study: 

An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.

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Answer the following questions:

1. What questions should you ask the patient? (take into consideration the patient’s age when listing your questions).
2. What teaching would you provide to prevent the recurrence of otitis media?
3. What expected outcomes would be specific to this situation?
4. Please include at least 1 reference and citation, reference needs to be from 2019-2021 time frame. Nursing homework help

Module 09 Assignment – Develop a Presentation about a Medication

Mmodule 09 Content

Top of Form

Aassignment Scenario

 

After graduating from nursing school and passing your boards, you accepted a position as an RN in the emergency center at Rasmussen General Hospital (RGH). In the weeks ahead, your emergency center plans to implement a new initiative where clients diagnosed with low-risk deep vein thrombosis (DVT) will be sent home on 3 months of oral anticoagulation therapy with rivaroxaban.

 

Historically, clients diagnosed with DVTs in the emergency center were admitted to the hospital’s observation unit. However, when surveyed about their experiences, many clients reported that this was costly, time-consuming, and inconvenient. Under RGH’s new program, emergency center nurses will be responsible for educating clients about their new medication and administering the first dose to the client before discharge. Module 09 Assignment – Develop a Presentation about a Medication

 

As part of this new initiative, all emergency center nurses at RGH must be trained to properly educate these clients on all aspects of their new medication regimen. Because you have demonstrated a keen interest in pharmacology, your manager has asked you to develop the educational tools that will be used to train the nurses at RGH.

 

It’s worth noting that the standard dosing for all low-risk DVTs is as follows:

 

1. • 15 mg BID, 12 hours apart, for 21 days
   • After 21 days, use 20 mg once per day
   • After 90 days, the client will follow up in the thrombosis clinic to evaluate if they meet criteria for discontinuing the medication

 

Assignment Instructions

 

Your manager explained that all of the emergency center nurses at RGH will be educated in small groups through a short, in-service training session. You have been asked to develop a professional-looking PowerPoint presentation that the trainers will use to guide the in-service sessions. Your PowerPoint will need to:

 

1. • Be professional-looking, have a title slide, and 10-15 content slides.
   • Use the Speaker Notes feature in PowerPoint to reduce the amount of text that appears on the content slides.
   • The Speaker Notes for each slide will contain the text that will guide what the trainer will say while presenting the slides during the in-service.
   • The content slides themselves should be clear and easy to understand; they serve as an outline so the audience can follow along with what is being presented.
   • Be written using proper spelling/grammar and at a level that would be appropriate for the audience.
   • Remember the purpose of the training is to help nurses learn to educate their clients about the use of a medication. With that in mind, it may be helpful to provide examples of how to explain the information to a client in an easy to understand way without complicated, technical terms.
   • Include APA formatted in-text citations for at least 3 scholarly references and present the sources in APA format on a References slide.
   • Contain content addressing the items below.
   • Pharmacotheraputics
   • State the drug name and its therapeutic category
   • Pharmacodynamics (how does this drug work to achieve its intended response)
   • Pharmacokinetics (how is this drug absorbed, distributed, metabolized, and excreted).
   • Discuss dosage, scheduling, route, and length of therapy.
   • Describe what clients can expect regarding their therapeutic response and when it should develop
   • Introduce nondrug measures that clients can do to enhance their therapeutic response (e.g., specific diet to follow, exercise requirements, substances to avoid, special precautions to take, etc.)
   • Side Effects, Adverse Effects, and Interactions
   • Explain the symptoms of common side effects, and what clients can do to minimize any discomfort
   • Explain the symptoms of any major adverse effects, and what clients should do if they experience them
   • List the major adverse drug-drug interactions and drug-food interactions that clients need to be made aware of
   • Follow-up Care
   • Provide information regarding when clients should call their doctor for advice (e.g., questions, non-urgent symptoms, unpleasant side effects, etc.)
   • Emphasize any symptoms for which clients should seek immediate care (e.g., when to go to the emergency center or call 911) Module 09 Assignment – Develop a Presentation about a Medication

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Note: When developing a professional-looking presentation, it’s important to be mindful of how you layout your content. The slides should present key points, arranged in a logical manner, without extraneous information contributing to a cluttered look. Using the Speaker Notes feature in PowerPoint is a great way to include relevant details without overloading the slides.

 

For information about creating PowerPoint presentations or adding Speaker Notes, consult the resources below.

1. • Writing Guide: PowerPoints
   • How do I add Speaker Notes to my PowerPoint presentation slides?
   • PowerPoint FAQ
   • PowerPoint & APA: citing sources and creating reference lists in PPT presentations

Submit your completed assignment to the dropbox below. Please check the Course Calendar for specific due dates.

 

Save your assignment as a PowerPoint presentation. (Mac users, please remember to append the “.pptx” extension to the filename.) Module 09 Assignment – Develop a Presentation about a Medication

 

 

NURS682 Chronically II Assignment

Begin by identifying a patient from your clinicals who has a chronic health condition such as diabetes, COPD, hypertension, mental health diagnosis, and post stroke care. Discuss all aspects of healthcare coordination with the chosen diagnosis.

Begin by identifying a patient from your clinicals who has a chronic health condition such as diabetes, COPD, hypertension, mental health diagnosis, and post stroke care.NURS682 Chronically II Assignment.  Discuss all aspects of healthcare coordination with the chosen diagnosis. Your paper should include the following information:

1. Description of the patient’s health issues, diagnoses, and treatment plan.
2. Description of the interdisciplinary team that will participate in this care.
3. Can the CCCR model be used in managing this patient’s care? How so? If not, can you name another model to help in managing this patient’s care?
4. What is the cost of managing this disease? Are there resources available for the patient and family to help with costs and other factors such as commute and etc?
5. What is your role as the APRN in this team?
6. As the APRN, how can you evaluate if the care management is successful?
7. As the APRN, how can you evaluate if this patient needs a higher level of care?
8. Are there any barriers or challenges that you foresee for this patient? How can you overcome these barriers?

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• The body of your paper should be a three to four pages long. This does notinclude the title page and reference page. Papers that are more than four pages long will not be accepted. Incorporate information from the course text plus a minimum of three (3) scholarly references published within the last five (5) years. Textbooks are not to be considered scholarly references.
• Use current APA Style to write your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas.
• Headings are required.
• Be sure to allow time for editing and proofreading. Paper will be submitted through turnitin.com to check for plagiarism.

Review the rubric for more information on how the assignment will be graded. Rubric will be submitted once bit is accepted. Thank you

Rubric

NURS 682 – Chronically Ill Patient Paper

NURS 682 – Chronically Ill Patient Paper
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomePatient Content	30 to >27.6 pts Proficient Description leaves the reader with a “holistic” picture of the patient’s history, diagnosis, management, and current plan of care. 27.6 to >24.6 pts Acceptable Description demonstrates a good understanding of the patient’s history, diagnosis, management, and current plan of care. 24.6 to >20.7 pts Needs Improvement Description demonstrates a fair understanding of the patient’s history, diagnosis, management, and current plan of care. 20.7 to >0 pts Unsatisfactory Description demonstrates no understanding of the patient’s history, diagnosis, management, and current plan of care.	30 pts
This criterion is linked to a Learning OutcomeClinic Setting Content	30 to >27.6 pts Proficient Provides a rich and detailed description of the clinic setting, providers, and support staff. Description leaves the reader with a complete picture of the setting and patients and diagnoses typically seen. NURS682 Chronically II Assignment 27.6 to >24.6 pts Acceptable Provides a good description of the clinic setting, providers, and support staff. Description leaves the reader with a good picture of the setting and patients and diagnoses typically seen. 24.6 to >20.7 pts Needs Improvement Provides a fair description of the clinic setting, providers, and support staff. Description leaves the reader with a fair picture of the setting and patients and diagnoses typically seen. 20.7 to >0 pts Unsatisfactory Provides no description of the clinic setting, providers, and support staff. Description leaves the reader with no picture of the setting and patients and diagnoses typically seen.	30 pts
This criterion is linked to a Learning OutcomeCare Coordination Model Content	20 to >18.4 pts Proficient Provides a rich and detailed description of the care coordination model proposed. Description is accurate and thorough demonstrating a sophisticated understanding of the care model. 18.4 to >16.4 pts Acceptable Provides a good description of the care coordination model proposed. Description is accurate and mostly thorough demonstrating a good understanding of the care model. 16.4 to >13.8 pts Needs Improvement Provides a fair description of the care coordination model proposed. Description is generally accurate demonstrating a fair understanding of the care model. 13.8 to >0 pts Unsatisfactory Provides no description of the care coordination model proposed. Description is inaccurate demonstrating a lack of understanding of the care model.	20 pts
This criterion is linked to a Learning OutcomeAnalysis	20 to >18.4 pts Proficient Demonstrates a sophisticated understanding and of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a sophisticated understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions.Provides an in-depth, critical analysis appropriately connecting findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings. 18.4 to >16.4 pts Acceptable Demonstrates a good understanding of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a good understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions. Provides a fairly in-depth, critical analysis connecting many findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings. 16.4 to >13.8 pts Needs Improvement Demonstrates a fair understanding of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a fair understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions. Provides a somewhat critical analysis connecting some findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings. 13.8 to >0 pts Unsatisfactory Demonstrates a lack of understanding of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a lack of understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions. Provides no critical analysis connecting findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings.	20 pts
This criterion is linked to a Learning OutcomeEvidence-based Research	10 to >9.2 pts Proficient Supplements the paper with relevant and appropriate research; clearly and thoroughly documents all sources of information. 9.2 to >8.2 pts Acceptable Supplements the paper with relevant and somewhat thorough research; generally, correctly documents all sources of information. 8.2 to >6.9 pts Needs Improvement Supplements the paper with little relevant research into the present: not all sources of information are clearly and thoroughly documented. 6.9 to >0 pts Unsatisfactory Does not supplement the paper with relevant research; does not appropriately document all sources of information.	10 pts
This criterion is linked to a Learning OutcomeAPA and Mechanics	10 to >9.2 pts Proficient The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly. 9.2 to >8.2 pts Acceptable The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly. 8.2 to >6.9 pts Needs Improvement The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Many sources are cited and referenced incorrectly, or citations and references are missing where needed. 6.9 to >0 pts Unsatisfactory No attempt to follow APA format is indicated. Sources are not used and/or there is no reference page. Mechanical errors significantly interfere with the readability of the paper.	10 pts
Total Points: 120

 

Module 8 Written Assignment Otitis Media

An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had a respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.

Answer the following questions:

1. What else should you ask the client?
2. What teaching would you reinforce to prevent the recurrence of otitis media?
3. What expected outcomes would be specific to this situation? Module 8 Written Assignment Otitis Media

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Needs at least one citation and reference

Interventions should have at LEAST:

3 things you would monitor/reassess,

3 things you would do or action

3 things you would teach your patient

The medication you would administer