Factors that might impact the client’s pharmacokinetic and pharmacodynamic processes

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Examine Case Study: A Caucasian Man With Hip Pain. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

  • Decision #1
    • Which decision did you select?
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
  • Decision #2
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
  • Decision #3
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.

Note:Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

Factors that make some people healthy and others ill

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What are some factors that make some people healthy and others ill? Healthy People 2020 identifies five determinants of health that influence the health of individuals and populations. Healthy People 2020 describes them as “a range of personal, social, economic, and environmental factors that influence health status” (U.S. Department of Health and Human Services, 2018, About Determinants of Health, para. 1). Determinants fall into five categories, including (a) policy making, (b) social factors, (c) health services, (d) individual behavior, and (e) biology and genetics.

· Go to the Determinants of Health link at https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health (Links to an external site.), and click on each determinant to read about it.

· Choose one of the five determinants other than individual behavior (as we are all aware of how individual behavior impacts health). In your post, describe this determinant and its importance.

· Discuss how a community health nurse (CHN) could use one of the 17 intervention categories from the Public Health Intervention Wheel to address this determinant (Nies & McEwen, 2019).

U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (2018). Healthy People 2020: About Determinants of Health. Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health

The Role of the RN/APRN in Policy-Making

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Discussion 2 for wk 8

Discussion 2: The Role of the RN/APRN in Policy-Making

Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocatewould all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?

Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

To Prepare:

Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.

Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

By Day 3 of Week 8

Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.

THIS IS THE RUBRIC TO FOLLOW BELOW.

ExcellentGoodFairPoor
Main Posting45 (45%) – 50 (50%)Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.40 (40%) – 44 (44%)Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.35 (35%) – 39 (39%)Responds to some of the discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors.0 (0%) – 34 (34%)Does not respond to the discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness10 (10%) – 10 (10%)Posts main post by day 3.0 (0%) – 0 (0%)0 (0%) – 0 (0%)0 (0%) – 0 (0%)Does not post by day 3.
First Response17 (17%) – 18 (18%)Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English.15 (15%) – 16 (16%)Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.13 (13%) – 14 (14%)Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.0 (0%) – 12 (12%)Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited.
Second Response16 (16%) – 17 (17%)Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English.14 (14%) – 15 (15%)Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.12 (12%) – 13 (13%)Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.0 (0%) – 11 (11%)Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited.
Participation5 (5%) – 5 (5%)Meets requirements for participation by posting on three different days.0 (0%) – 0 (0%)0 (0%) – 0 (0%)0 (0%) – 0 (0%)Does not meet requirements for participation by posting on 3 different days.
Total Points: 100

Understanding architecture's influence on personal experience

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Write a 4–6-page examination of three different kinds of architecture that impact your daily life.

This assessment allows you to demonstrate your understanding architecture’s influence on personal experience.

For this assessment, complete the following:

  • Select three different kinds of spaces with which you are familiar in everyday life: places where you live, work, play, exercise, socialize, meditate, or worship.
    • Describe these spaces in detail, explaining what you observe, feel, think, and do when you are in each. Let your observation include lots of sensory inputs; you may first notice visual elements, but look for characteristic smells or sounds as well.
    • Examine your thoughts and feelings with the same degree of attention; is this a place that uplifts you or drags you down?
    • Consider the activities you pursue here, whether they are unique to this space or associated with it in your memory.
  • List the theoretical principles of architecture and apply those principles to the spaces you have described.
    • How do the architectural features of the space help to shape the variety of experiences you have when inhabiting it? Reflect on the traditional forms of architecture and assess how they contribute to what you observe, feel, think, and do in these spaces.
Additional Requirements
  • Written communication: Should be free of errors that detract from the overall message.
  • APA formatting: Your paper should be formatted according to APA (6th edition) style and formatting.
  • Length: 4–6 typed and double-spaced pages.
  • Font and font size: Times New Roman, 12 point.

The improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system

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New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings. 

To Prepare:

  • Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
  • Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
  • Identify and select 5 peer-reviewed articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

  • Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.
  • Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples. 

Resources:

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 267–287)
  • Chapter 15, “Informatics Tools to Promote Patient Safety and Quality Outcomes” (pp. 293–317)
  • Chapter 16, “Patient Engagement and Connected Health” (pp. 323–338)
  • Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 341–355)
  • Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 359–388)

Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement. Pain Management Nursing, 19(3), 212–221. doi:10.1016/j.pmn.2017.11.002

Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32–40. doi:10.3390/informatics4030032

https://www.healthit.gov/faq/what-electronic-health-record-ehr
https://www.himss.org/library/ehr/
https://class.waldenu.edu/bbcswebdav/institution/USW1/201970_27/MS_NURS/NURS_5051_WC/artifacts/USW1_NURS_5051_Dykes.pdfhttps://class.waldenu.edu/bbcswebdav/institution/USW1/201970_27/MS_NURS/NURS_5051_WC/artifacts/USW1_NURS_5051_Dykes.pdf

Rurbic:

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

·   Properly identify 5 peer-reviewed articles selected.
·   Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.–

Levels of Achievement:  Excellent 77 (77%) – 85 (85%)    Good 68 (68%) – 76 (76%)    Fair 60 (60%) – 67 (67%)    Poor 0 (0%) – 59 (59%)   

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.–

Levels of Achievement:  Excellent 5 (5%) – 5 (5%)    Good 4 (4%) – 4 (4%)    Fair 3.5 (3.5%) – 3.5 (3.5%)    Poor 0 (0%) – 3 (3%)   

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation–

Levels of Achievement:  Excellent 5 (5%) – 5 (5%)    Good 4 (4%) – 4 (4%)    Fair 3.5 (3.5%) – 3.5 (3.5%)    Poor 0 (0%) – 3 (3%)   

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–

Levels of Achievement:  Excellent 5 (5%) – 5 (5%)    Good 4 (4%) – 4 (4%)    Fair 3.5 (3.5%) – 3.5 (3.5%)    Poor 0 (0%) – 3 (3%) 

The role informatics plays in your professional responsibilities

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In this Discussion, you identify the role informatics plays in your professional responsibilities. You pinpoint personal gaps in skills and knowledge and then develop a plan for self-improvement.

To prepare:

· Review Nursing Informatics: Scope and Standards of Practice in this week’s Learning Resources, focusing on the different functional areas it describes. Consider which areas relate to your current nursing responsibilities or to a position you held in the past. For this Discussion, identify one or two of the most relevant functional areas.

· Review the list of competencies recommended by the TIGER Initiative. Identify at least one skill in each of the main areas (basic computer competencies, information literacy competencies, and information management competencies) that is pertinent to your functional area(s) and in which you need to strengthen your abilities. Consider how you could improve your skills in these areas and the resources within your organization that might provide training and support.

Post the key functional area(s) of nursing informatics relevant to your current position or to a position you recently held, and briefly describe why this area(s) is relevant. Identify the TIGER competencies you selected as essential to your functional area(s) in which you need improvement. Describe why these competencies are necessary and outline a plan for developing these competencies. Include any resources that are available to you within your organization and the ways you might access those resources. Assess how developing nursing informatics competencies would increase your effectiveness as a nurse.

Elder Abuse and Neglect

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  1. Elder Abuse and Neglect
    You are a charge nurse in the emergency department. An elderly woman arrives with bruises all over the upper torso of her body and down her left arm. She was brought in by her grandson who resides with her, and the grandson shares that he brought her in to be checked out because he thinks she may have fractured her wrist when she fell on the last step going down in the cellar to do laundry. He appears extremely stressed and states that his grandmother suffers from Alzheimer disease. When you put the patient’s name and demographic information into the electronic medical record it indicates that this patient was in 2 weeks prior with a concussion. 

    Instructions:
    1. Read the scenario above and answer the following question:
      1. How would you assess the situation?
      2. What nursing interventions would you utilize to help both the elderly woman and the grandson?
    2. Your paper should be:
      • One (1) page or more.
      • Use factual information from the textbook and/or appropriate articles and websites.
      • Cite your sources – type references according to the APA Style Guide.

The high risk-nutritional behaviors practiced among two or three different cultures

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 Topic 3 DQ 1

From the cultural groups you reviewed for the High-Risk Nutritional Practices assignment, briefly explain an unusual high-risk practice and how it impacts your role as a medical professional with reference.

 Topic 3 DQ 2

What factors influencing nutritional practices in the United States could be changed to improve health?with reference.

High-Risk Nutritional Practices Paper

Examine the high-risk nutritional behaviors associated with different cultures. Identify the historical perspectives, belief systems, and other factors associated with these high-risk nutritional behaviors for each culture. Write a 1,500-3,000 word paper on your findings in which you accomplish the following:

  1. Summarize the high risk-nutritional behaviors practiced among two or three different cultures.
  2. Discuss the historical perspectives and belief systems of these cultures that influence the high-risk nutritional behaviors.
  3. Explore additional influencing factors on high-risk behaviors for each culture. These may include, but are not limited to (a) education, (b) family roles, (c) spiritual beliefs, (d) health care practices, and (e) drug and alcohol use.

This paper requires minimum of six outside resources in addition to the textbook.

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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 Topic 4 DQ 1

Describe the spectrum of death and dying rituals and practices across cultures. Why are death and dying rituals so significant?

 Topic 4 DQ 2

What death and dying practices are contrary to your personal beliefs or chosen religious values? How will you support a patient’s death and dying rituals and practices, and still honor your own?

Allied health professionals are confronted with different death and dying practices. An effective allied health professional recognizes the importance of understanding different cultural practices, and learns how to evaluate the death, dying, and spiritual beliefs and practices across the cultures.

Read the two specified case histories and choose one for this assignment.

Chapter 4, “Stories of Abby: An Ojibwa Journey” and Chapter 14, “Stories of Shanti: Culture and Karma,” by Gelfland, Raspa, and Sherylyn, from End-of-Life Stories: Crossing Disciplinary Boundaries (2005), from the the GCU Library.

Identify your role as a health care professional in supporting Abby or Shanti’s dying rituals, and in creating strategies for displaying respect while still providing quality care. Integrate your strategies as you develop a care plan describing how you would approach the situation and care for the patient. Review the “Care Plan” template prior to beginning.

Include the following in your care plan:

  1. Communication: family and patient
  2. Treatment options that align with the specific culture
  3. Education: family and patient
  4. Family roles in the process
  5. Spiritual beliefs
  6. Barriers
  7. Cultural responses
  8. Any additional components that you feel would need to be addressed (from your perspective as a health care professional)

Care Plan

Patient’s Name: ____________________________________________________ Date: ________________________________________

Patient’s Diagnosis: ___________________________________________________________________________________________

Problems/Needs

(Include   date.)

Goals

Interventions/Actions

Discipline/Person Responsible

Outcome/Comments

(Initial and date.)

Topic 5 DQ 1

If you were caring for a child who could be cured if given blood transfusions, but whose parents refused permission to give the transfusions due to religious beliefs, what would you do?

 Topic 5 DQ 2

Some parents are refraining from giving certain immunizations to their children. How will this affect diseases in the United States in the future? How as medical professionals can we embrace these nontraditional practices?

Benchmark – Nontraditional Health Care Practices

Research different popular nontraditional health care practices. Write a 1,000-1,200 word paper exploring nontraditional health care practices and include the following:

  1. Describe nontraditional health care practices in different cultures. Compare at least three cultures.
  2. Explain how these practices affect wellness and prevention in different cultures.
  3. Identify the nontraditional health care options in your areas, and identify the number of people choosing to use them over traditional medical practices. Propose reasons why the number of people using nontraditional health care options is rising.

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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

The process of skin grafting for burn management

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ANSWER EACH QUESTION WITH ATLEAST 2-3 sentences

CASE STUDY: Respiratory

#1 Patient Profile: 

A 62-year-old female client with a history of COPD has been admitted to the hospital with acute exacerbation and left-sided pneumonia. 

The nurse observes increased anterior-posterior diameter of the chest, reddish-blue skin tone, and prolonged expiratory phase when breathing. 

Admission vital signs: temperature 101.5 F (oral), blood pressure 154/92, heart rate 110, and respiratory rate 26 breaths/minute.

Critical Thinking Questions:

 Answer each question thoroughly and with details

1)    What nursing diagnosis is the priority for this patient and why?

2)    During the initial physical assessment of the patient, the patient exhibits a frequent cough with copious purulent secretions expectorated.

 This assessment finding is compatible with which etiology of pneumonia?

 What type of nursing care would you then provide?

3)    What should the nutritional plan for this patient include? Explain why?

Case Study: Burn/Trauma

You are caring for Mr. Stevenson a 26 year male patient who is an employee in a chemical plant on the assembly line. There was a unusual event and two explosive chemicals combined and caused a chemical explosion in the plant. Mr. Stevenson was near to the explosion and sustained severe burns from the accident. 

He is now a patient in the Burn/Trauma ICU receiving life saving care. Mr. Stevenson received 3rd degree burns to his entire chest and back and his entire right leg front and back. He sustained second degree burns to his entire face. He is intubated, sedated and on a ventilator at the moment.

Please answer the following questions.

1) According to the Rule of Nines, what percentage of his body received burns? Please explain your answer in details.

2) Explain in details what is meant by treating the ABCDE’s of Burn Injuries?

3) What would be his fluid resuscitation goals for the first 24 hours? How about after that?

4) According to the American Burn Association, name at last 5 findings that would necessitate a referral to a burn center?

5) Explain the process of skin grafting for burn management.

GI CASE STUDY: 

#1 Patient Profile: A 56-year-ld male patient tells you that he has been having abdominal pain about 3 hours after he eats. It feels like burning and is mostly in the upper abdomen. He gets some relief with over-the-counter antacids. 

Critical Thinking Questions: Answer each question completely and thoroughly.

1) What is the differential diagnosis?

2) An endoscopy is ordered on this patient, and he is found to have multiple scattered duodenal ulcers. Now what do you think?

3) Suppose the serum gastrin is high. How can a diagnosis of Zollinger-Ellison syndrome be confirmed?

4) What are the signs and symptoms of Zollinger-Ellison and how would you educate your patient?

#2 Patient Profile:

 A 46-year-old patient tells you he’s been vomiting blood, but he does not bring any in for you to see. 

Critical Thinking Questions: Answer each question completely and thoroughly.

1) What is the differential diagnosis and what priority question should you ask?

2) What lab tests would you expect the physician to order?

3) What is an appropriate nursing diagnosis and what education would you provide?

Important considerations and potential complications of mental health disorders management

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assignment mental health disorders

A 38-year-old woman presents to the office with complaints of weight

loss, fatigue, and insomnia of 3-month duration. She reports that she has

been feeling gradually more tired and staying up late at night because

she can’t sleep. She does not feel that she is doing as well in her occupation

as a secretary and states that she has trouble remembering things.

She does not go outdoors as much as she used to and cannot recall the

last time she went out with friends or enjoyed a social gathering. She

feels tired most of the week and states she feels that she wants to go to

sleep and frequently does not want to get out of bed. She denies any

recent medication, illicit drug, or alcohol use. She feels intense guilt

regarding past failed relationships because she perceives them as faults.

She states she has never thought of suicide, but has begun to feel increasingly

worthless.

Her vital signs and general physical examination are normal, although

she becomes tearful while talking. Her mental status examination is significant

for depressed mood, psychomotor retardation, and difficulty attending

to questions. Laboratory studies reveal a normal metabolic panel, normal

complete blood count, and normal thyroid functions.

➤ What is the most likely diagnosis?

➤ What is your next step?

➤ What are important considerations and potential complications of

management? 

 all job only association journal and references no websites. APA format