Assignment 4.1: Urinary System Anatomy and PhysiologyThis assignment supports the following lesson objectives:Identify the anatomical structures of the urinary system and their functions Describe the

Assignment 4.1: Urinary System Anatomy and Physiology

This assignment supports the following lesson objectives:

• Identify the anatomical structures of the urinary system and their functions
• Describe the composition of urine
• Explain the physiology of the urinary system

Assignment Overview

This presentation assignment explores the anatomy and physiology of the urinary system.

Deliverables

·       A five-slide PowerPoint presentation

Activity Details

Perform the following tasks:

Step 1: Create a PowerPoint presentation

Create a five-slide PowerPoint presentation that covers the following topics:

o   Anatomy of the urinary system

o   Path of urine formation

o   Composition of urine

Conduct research as necessary and include images in your slides (cite your sources). Be concise. Put detailed notes in the notes section of each slide.

Diabetes Case StudyChief Complaint“My left foot feels weak and numb. I have a hard time pointing my toes up.”History of Present IllnessD.T. is 42-year-old Caucasian woman who has had an elevated b

Diabetes Case Study

Chief Complaint

“My left foot feels weak and numb. I have a hard time pointing my toes up.”

History of Present Illness

D.T. is 42-year-old Caucasian woman who has had an elevated blood sugar and cholesterol 2 years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed her fasting blood sugar was 160 and her cholesterol was 250. However, she felt “perfectly fine at the time” and did not want to take any more medications. Except for a number of “female infections,” she has felt fine recently.

Today, she presents to the clinic complaining that her left foot has been weak and numb for nearly 3 weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. She does report that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 50 pounds since her last pregnancy 10 years ago, 20 pounds in the last 6 months alone.

Past Medical History

• Seasonal allergic rhinitis (since her early 20s)
• Breast biopsy positive for fibroadenoma at age 30
• Gestational diabetes with second child 10 years ago
• Multiple yeast infections during the past 3 years that she has self-treated with OTC antifungal creams and salt bath
• Hypertension for 10 years

Past Surgical History

C-section 14 years ago

OB-GYN History

• Menarche at age 11
• Last pap smear 3 years ago

Family History

• Type 2 DM present in older brother and maternal grandfather. Both were diagnosed in their late 40s. Brother takes both pills and shots.
• Mother alive and well
• Father has COPD
• Two other siblings alive and well
• All three children are alive and well

Social History

• Married 29 years with 3 children; husband is a school teacher
• Family lives in a four bedroom single family home
• Patient works as a seamstress
• Smokes 1 pack per day (since age 16) and drinks two alcoholic drinks 4 days per week
• Denies illegal drug uses
• Never exercises and has tried multiple fad diets for weight loss with little success. She now eats a diet rich in fats and refined sugars.

Allergies

NKDA

Medications

• Lisinopril 10 mg daily
• Loratadine 10 mg daily

Review of Systems

General

Admits to recent onset of fatigue

HEENT

Has awakened on several occasions with blurred vision and dizziness or lightheadedness upon standing: Denies vertigo, head trauma, ear pain, difficulty swallowing or speaking

Cardiac

Denies chest pain, palpitations, and difficulty breathing while lying down

Lungs

Denies cough, shortness of breath, and wheezing

GI

Denies nausea, vomiting, abdominal bloating or pain, diarrhea, or food intolerance, but admits occasional episodes of constipation

GU

Has experienced increased frequency and volumes of urination, but denies pain during urination, blood in the urine, or urinary incontinence

EXT

Denies leg cramps or swelling in the ankles and feet; has never experienced weakness, tingling or numbness in arms or legs prior to this episode

Neuro

Has never had a seizure and denies recent headaches

Derm

Has a rash under her bilateral breast and in groin area

Endocrine

Denies a history of goiter and has not experienced heat or cold intolerance

Vital Signs

BP 165/100, T 98 F, P 88 regular, HT 5 feet 4 inches, RR 20 non labored, WT 210 lbs

What you need to do:

• Develop an evidence-based management plan.
• Include any pertinent diagnostics.
• Describe the patient education plan.
• Include cultural and lifespan considerations.
• Provide information on health promotion or health care maintenance needs.
• Describe the follow-up and referral for this patient.
• Prepare a 3–5-page paper (not including the title page or reference page).

Section 5: Proposed Core Team of Change Champions……Continuation from previous areas of projectIn Week 4, you examined the benefits of stakeholder involvement and the negative consequences that may

Section 5: Proposed Core Team of Change Champions……Continuation from previous areas of project

In Week 4, you examined the benefits of stakeholder involvement and the negative consequences that may arise if this is not sufficiently addressed during strategic planning. This week you have been considering how to leverage the influence of change champions and facilitate team building to promote the successful implementation of a proposed change.

How would you create a core team of change champions for the change you are proposing through your Course Project?

To prepare:

• Reflect on the results of your SWOT analysis (submitted in Week 7) and other elements of your strategic plan.
• Think about how effective stakeholder involvement would promote the successful adoption and implementation of your proposed change.
• Consider the following:
  • What strategies would help you to develop a core team to generate buy-in for this change?
  • Which stakeholders should be included in the process as change champions? How and when should they become involved?
• Begin to write a 1- to 2-page description of your core team of change champions, which will be submitted next week

Please answer this two post. APA FORMAT. do 100 to 150 world in each answer.SuselleAs the population continues to grow in the USA it is becoming clear that In the near future there will be a shortage

Please answer this two post. APA FORMAT. do 100 to 150 world in each answer.

Suselle

As the population continues to grow in the USA it is becoming clear that In the near future there will be a shortage of primary care physician access or primary care physicians that will be overloaded with patients sacrificing patient centered care and possibly leading to less than favorable patient satisfaction. The next years the population in the USA is increasing and so is the number of elders. “In 2050, the population aged 65 and over is projected to be 83.7 million, almost double its estimated population of 43.1 million in 2012. The baby boomers are largely responsible for this increase in the older population, as they began turning 65 in 2011. “(Hogan, Ortman, Velkoff, 2014)

Due to the increase in aging population and lac of primary care physicians in the work force there might be a very big disparity in access to healthcare across the population. Nurse practitioners can fill this void if our practice can be standardized accross the nation and if NPs can be given more authority to attend to communities which are lacking in healthcare access and primary care. Randomized studies that compared patient services from NPs and GPs found that nurse practitioner spent more time with patients, billed more effectively and had patients follow up with more visits when necessary. Patients also reported higher satisfaction with nurse practitioner and outcomes were in par with GPs. There is no doubt that NPs will be able to fill this role in the coming future. Nurse practitioners can work together with GPs to soften their work load and work in an interdisciplinary setting to provide efficient and compassionate care to each individual. As nurse practitioners we should always work with the safety of each patient in mind and prepare ourselves to become the best practitioners we can be. (Durie, Roland, Roberts, Leese,Venning 2000).

Reference

Ortman, J. M., Velkoff, V. A., & Hogan, H. (2014). An aging nation: the older population in the United States (pp. 25-1140). United States Census Bureau, Economics and Statistics Administration, US Department of Commerce.

Sanny

Nurse practitioners (NP) play one of the most important in the health care system, this is based on the fact that they manage patients overall care; precisely they are entitled to prescrib treatment and medication. Furthermore, they also interpret and order diagnostic tests. Nurse practitioners can be highly considered when looking for primary care providers, this is because Nurses practitioners are found to be providing important health care education and meeting all the medical needs in a health care center. For Nurses practitioners to be strong in an organization, first they must have a higher and greater level of compassion, analytical skills, and self-confidence as some of their top most quality. The ability to properly communication can also be termed as one of the most valuable qualities of NP. (Sangster-Gormley, 2013) With such qualities being in place, institutions will find it easy to fix the gap with NP at the time when there is shortage in primary health care providers. 

Nurse practitioners are very important in an organization, how to improve the understanding of the NP roles really matters a lot. First, institutions and other companies must understand that NP is the one who is responsible for reducing the entire patient’s visits across all the healthcare settings. Therefore, when there is a shortage of primary care providers, insurances and other companies should learn to deploy the great use of NP so that the patients can be kept out of the hospitals, bearing in mind that NP is the primary care provider’s profession that is growing rapidly. (Sangster-Gormley, 2013)

References

Sangster-Gormley, E. (2013). How case-study research can help to explain implementation of the nurse practitioner role. Nurse Researcher, 20(4).