N512 Advanced Pathophysiology Assignment 1

N512 Advanced Pathophysiology Assignment 1

The purpose of this paper is to address the following clinical scenario with the use of your textbook, external credible literature, and/or reliable electronic sources. Use the guide below to draft your paper and review the rubric to ensure you have met the assignment criteria. The expected length of the paper is approximately 4-5 pages, which does not include the cover page and reference page(s). N512 Advanced Pathophysiology Assignment 1

Lisa Anderson, a 22 y.o., Caucasian single parent, is referred for genetic counseling by her pediatric Nurse Practitioner. She has a 3-year-old boy with developmental delay and small joint hyperextensibility. The pediatric Nurse Practitioner has diagnosed fragile X-associated mental retardation. She is currently pregnant with her second child at 14 weeks of gestation. The family history is unremarkable.

Please use the following headings/subheadings as a guide to draft your paper:

  1. Introduction (including a brief purpose statement)
  2. Identify the genetic mutation responsible for fragile X-associated mental retardation.
  3. Describe and discuss how it causes the clinical syndrome of developmental delay, joint hyperextensibility, large testes, and facial abnormalities.
  4. Identify which parent is the probable carrier of the genetic mutation?
  5. Explain why this parent and the grandparents are phenotypically unaffected.
  6. Discuss the likelihood that the unborn child will be affected?

VII. Conclusion

In regards to APA format, please use the following as a guide:

  • Include a cover page and running head (this is not part of the 4-5 page limit)
  • Include transitions in your paper (i.e. headings or subheadings)
  • Use in-text references throughout the paper
  • Use double space, 12 point Times New Roman font
  • Spelling, grammar, and organization are appropriate
  • Include a reference list (this is not part of the 4-5 page limit)
  • Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. ANA) N512 Advanced Pathophysiology Assignment 1

Assignment 1 Rubric – N512 Advanced Pathophysiology Assignment 1

Criteria

60 Points

55 Points

50  Points

40 Points

Earned Points

Content: Application & Analysis

Responds correctly and/or appropriately to all questions and criteria. Content is excellent. N512 Advanced Pathophysiology Assignment 1 

Demonstrates a high level of critical thinking, shows significant insight or creative thought about the topic, and does not merely recite the text/resources. Uses concepts and terminology correctly.  Detail rich and specific.

Responds correctly and/or appropriately to all questions and criteria. Content is good. 

Demonstrates some critical thinking throughout the paper and may also show some insight or creative thinking about the topic. Mostly uses concepts and terminology correctly (1-2 issues). Minor detail inconsistencies (1-2).

Responds correctly and/or appropriately to at least one question OR if only one question, partially responds to question. Does not address all criteria. Content is minimal. 

Demonstrates at least one critical thinking skill in the paper.  Attempts to use concepts and terminology correctly.  Several detail inconsistencies (3-5).

Paper is unclear and does not address the questions and/or criteria. Content does not meet requirements. Many inconsistencies and conflicting information (6+). 

 

 

/60

Criteria

20 Points

16 Points

14 Points

12 Points

Earned Points

Quality: Supporting Research & Sources

All work is accurately cited (where applicable) and appropriately supports content with research, text, multimedia, and/or other resources.  References are relevant and enhance the topic. Most of the work is accurately cited (where applicable) and adequately supports content with research, text, and/or resources.  One issue with reference or use of one inappropriate reference.  References are relevant to the topic. 2-3 issues with references, including the use of inappropriate references to support content. May fail to provide references to support content.  1-2 references are not relevant to the topic and/or distract from the topic at hand. 4 or more issues with references, including the use of inappropriate references to support content OR failure to include references (where applicable).  No supporting references are used OR they are used but 3+ references are not relevant to the topic. /20

Criteria

10 Points

8 Points

7 Points

6 Points

Earned Points

Organization

Paper is well-organized. Ideas are clear and arranged logically. Transitions are smooth, no flaws in logic. Paper is organized. Ideas are usually clear and arranged in an acceptable sequence (1-2 issues). Transitions are usually smooth (1-2 issues), good support. N512 Advanced Pathophysiology Assignment 1 Paper lacks organization. There are many problems with the approach (3-5 issues with organization). Some difficulty understanding ideas.  Issues with support and transitions (3-5). Paper is poorly organized and difficult to understand. Many issues with support and transitions (6+). Ideas are arranged illogically and do not make sense.  /10

Accuracy & Basic Writing Mechanics

Error-free, including APA formatting, reflecting clear understanding of various forms of expression and careful editing. Very few (less than 3) errors in spelling, grammar, syntax, and/or punctuation. Very few (less than 3) issues with APA formatting. Occasional poor choice of word. 4-5 errors in spelling, grammar, syntax, and/or punctuation. 4-5 issues with APA Formatting. Writing may be difficult to understand at times. More than 5 errors in spelling, grammar, syntax, and/or punctuation.  Many (6+ issues with APA formatting.  Writing is difficult to understand in many instances.  /10

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Discussion 1

See Van, a 35-year-old married Hmong-American woman recently underwent an annual Papanicolaou test (Pap smear) at her Certified Nurse Midwife’s practice, and the results were abnormal.  Her provider diagnosed her with low-grade cervical dysplasia.  What alterations at the cellular level would you expect to see with this diagnosis? Provide and discuss with your colleagues S. V.’s prognosis. Support your discussion with citations from the textbook, external credible literature and/or reliable electronic sources.

Remember to respond to at least two of your peers. Please refer to the Course Syllabus for Participation Guidelines & Grading Criteria.

Sample Discussion Response

When undergoing an annual pap smear test and being told that it was abnormal can be scary. As a family nurse practitioner one must be able to discuss the prognosis and treatments options for their patients during a scary time. However, it is also important to discuss with patients the importance of annual testing and especially with woman in child-bearing age. See Vans provider diagnosed her with low-grade cervical dysplasia at her annual pap smear screening. This is when there is abnormal cells that are found on the surface of ones cervix (Laughlin-Tommaso, 2020).  When a pap-smear is done there is a collection of cells from the squamocolumnar junction of the cervix (Laughlin-Tommaso, 2020).  When this is seen in cervical dysplasia squamous metaplasia causes the squamous cells to replace columnar cells (Cooper & McCathran, 2020). When this happens it allows for the entrance of human papillomavirus. Due to See Van only having low-grade cervical dysplasia treatment is not needed. When it comes to low-grade cervical dysplasia no treatment is needed, so given this See Vans prognosis is fair (Cooper & McCathran, 2020). However she should continue to get regular pap smears every year in order to follow up and ensure that the cervical dysplasia has not turned into a more aggressive form. Also given her ethnicity her chances of it turning into a more aggressive form is rare due to this condition being most common in Hispanic females. Sue Van also being married gives her a better prognosis because this helps to determine that she has only had one sex partner (Cooper & McCathran, 2020). However, it is still important for Sue Van to continue to been seen every year for her annual test to ensure her condition has not worsened. N512 Advanced Pathophysiology Assignment 1

Cooper DB, McCathran CE. Cervical Dysplasia. [Updated 2020 May 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430859/

Laughlin-Tommaso. (2020, June 27). Cervical dysplasia: Is it cancer? Mayo Clinic. N512 Advanced Pathophysiology Assignment 1 https://www.mayoclinic.org/diseases-conditions/cervical-cancer/expert-answers/cervical-dysplasia/faq-20058142

338 words

In reply to CD

Re: Dean Discussion 1

by Lorri – 

Hi C,

Thanks for the informative post. I too think that S. V.’s prognosis is good; however, you can’t really make an assumption that she has had only one sex partner based on the fact that she’s married. We don’t know how many partners she’s had, or how many her husband has had in the past. I agree that she should be tested annually, but according to Cooper and McCathran (2020), patients with a low-grade squamous intraepithelial lesion (LSIL) should return once a year for co-testing for the following 2 years, which involves a repeat Pap smear with HPV molecular testing, as the majority of the lesions will regress on their own. If HPV remains positive at either of the next 2 annual follow up visits, the patient would be referred for colposcopy, and if all tests are negative at both the 1- and 2-year follow-up visits, return for retesting with HPV-based testing in 3 years is recommended (Perkins et al., 2019).
I think you make a great point that S. V. should be screened on a regular basis, and I would say that a more in-depth sexual history would also be necessary. The USPSTF (2020) currently recommends the utilization of other health screens such as HIV, and depending on whether she has an increased risk, syphilis, gonorrhea, and chlamydia screenings as well.

Cooper, D. B., & McCathran C. E. (2020). Cervical Dysplasia. Treasure Island, FL: StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430859/

Perkins, R. B., Guido, R. S., Castle, P. E., Chelmow, D., Einstein, M. H., Garcia, F., Huh, W. K., Kim, J. J., PhD, Moscicki, A. B., Nayar, R., Saraiya, M., Sawaya, G. F., Wentzensen, N., & Schiffman, M. (2020) 2019 ASCCP risk-based management consensus guidelines for abnormal cervical cancer screening tests and cancer precursors. Journal of Lower Genital Tract Disease, 24(2), 102-131. https://doi:10.1097/LGT.0000000000000525

U.S. Preventive Services Task Force., & United States. (2017). U.S. Preventive Services Task Force (USPSTF). Rockville, MD: U.S. Dept. of Health & Human Services, Agency for Healthcare Research and Quality. https://www.ahrq.gov/prevention/guidelines/guide/section1.html. N512 Advanced Pathophysiology Assignment 1

BHA-FPX4002: History of the United States Health Care System

BHA-FPX4002: History of the United States Health Care System

Changes in Medical Education

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Changes in Medical Education

Write your introduction here. Include a brief explanation of the purpose of the paper and its main ideas.

The Changing Scope of Medical Education

Analyze the scope of change in medical education from the 1800s to today. How widespread are the newer technologies impacting medical training? Have there been mandated changes or have there been cultural changes that have impacted medical education?

Apprenticeship Model vs. Academic Model

Description and Comparison of Both Models

Describe both the apprenticeship and academic models of medical education in the 1800s, 1960s, early 2000s, and today. Compare and contrast the features of both models.

Analysis of Evolution and Impact

            Analyze how the two models have evolved over time and the impact the evolution of these models has had on the quality of patient care.

Importance of Understanding History of Medicine

Explain why it is important to understand the history of medical education in order to help improve medical education in the future. Be sure to provide examples that illustrate your point.

Conclusion

Summarize the main themes of your paper.

 

References

(Include a minimum of four resources, all of which must be cited in the body of your paper.)

Young, K. M., & Kroth, P. J.  (2018). Sultz & Young’s health care USA: Understanding its organization and delivery (9th ed.). Jones & Bartlett Learning.

NRNP 6635 Week10 Assignment Walden

NRNP 6635 Week10 Assignment Walden

Week 10: Neurocognitive and Neurodevelopmental Disorders

The human brain only constitutes approximately 2% of an individual’s total body weight, a percentage that pales in comparison to the brain’s level of importance in human development (Koch, 2016). Although externally protected by layers of membranes as well as the skull, the brain is not very resistant to damage. Damage to the brain may compromise its functionality, which may, in turn, lead to neurodevelopmental disorders in childhood and adolescence or neurocognitive disorders for any number of reasons across the lifespan. NRNP 6635 Week10 Assignment Walden

This week, you practice assessing and diagnosing neurocognitive and neurodevelopmental disorders across the lifespan.

Reference: Koch, C. (2016, January 1). Does brain size matter? Scientific American. https://www.scientificamerican.com/article/does-brain-size-matter1/ NRNP 6635 Week10 Assignment Walden 

Learning Objectives – NRNP 6635 Week10 Assignment Walden

Students will:

  • Apply concepts, theories, and principles related to patient interviewing, diagnostic reasoning, and recording patient information
  • Formulate differential diagnoses using DSM-5 criteria for patients with neurocognitive and neurodevelopmental disorders across the lifespan

Learning Resources

Required Readings (click to expand/reduce) 

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.

  • Chapter 21, Neurocognitive Disorders
  • Chapter 31, Child Psychiatry

Document: Comprehensive Psychiatric Evaluation Template

Document: Comprehensive Psychiatric Evaluation Exemplar

Required Media (click to expand/reduce) 

MedEasy. (2016). Progressive neurocognitive disorders. | USMLE & COMLEX [Video]. YouTube. https://www.youtube.com/watch?v=KdcjyHvaAuQ

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Video Case Selections for Assignment (click to expand/reduce) 

Select one of the following videos to use for your Assignment this week. Then, access the document “Case History Reports” and review the additional data about the patient in the specific video number you selected.

Symptom Media. (Producer). (2017). Training title 48 [Video]. https://video-alexanderstreet-com.ezp.waldenulibrary.org/watch/training-title-48

Symptom Media. (Producer). (2017). Training title 50 [Video]. https://video-alexanderstreet-com.ezp.waldenulibrary.org/watch/training-title-50


Assignment: Assessing and Diagnosing Patients With Neurocognitive and Neurodevelopmental Disorders

Photo Credit: Getty Images

Neurodevelopmental disorders begin in the developmental period of childhood and may continue through adulthood. They may range from the very specific to a general or global impairment, and often co-occur (APA, 2013). They include specific learning and language disorders, attention deficit hyperactivity disorder (ADHD), autism spectrum disorders, and intellectual disabilities. Neurocognitive disorders, on the other hand, represent a decline in one or more areas of prior mental function that is significant enough to impact independent functioning. They may occur at any time in life and be caused by factors such brain injury; diseases such as Alzheimer’s, Parkinson’s, or Huntington’s; infection; or stroke, among others. NRNP 6635 Week10 Assignment Walden

For this Assignment, you will assess a patient in a case study who presents with a neurocognitive or neurodevelopmental disorder.

To Prepare:

  • Review this week’s Learning Resources and consider the insights they provide. Consider how neurocognitive impairments may have similar presentations to other psychological disorders.
  • Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this Assignment.
  • By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.
  • Identify at least three possible differential diagnoses for the patient. NRNP 6635 Week10 Assignment Walden
By Day 7 of Week 10

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.
Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
  • Objective: What observations did you make during the psychiatric assessment?
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). NRNP 6635 Week10 Assignment Walden

Historical Trend Analysis

Historical Trend Analysis

 

 

 

 

 

 

 

 

Historical Trend Analysis

 

 

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Historical Trend Analysis

Write your introduction here. Provide a brief explanation of the purpose of this historical trend analysis and how it might be used in your work as a health administrator (1 paragraph). Where appropriate, reference significant health care milestones, regulations, and measures for access, quality, and cost.

Trends and Regulations

Provide a brief description of the key measures of health care services, which are access, quality, and cost (1–2 paragraphs).

Health Care Access

Explain why access to health care is important and what it means. What U.S. legislation, regulatory agencies, and quality initiatives for the 1800s, 1900s and 2000s have influenced access to health care services in the United States. What does your milestone trend analysis reveal for access to care? (1–2 paragraphs)

Health Care Quality

Explain what quality health care is and why it is important. What U.S. legislation, regulatory agencies, and quality initiatives for the 1800s, 1900s and 2000s have influenced care quality in health care services in the United States. What does your trend analysis reveal for care quality? (1–2 paragraphs)

Health Care Cost

Explain what health care cost is and why it is important. What U.S. legislation, regulatory agencies, and quality initiatives for the 1800s, 1900s and 2000s have affected health care costs for medical services. What does your trend analysis reveal for medical service costs? (1–2 paragraphs)

Trend Analysis

Analyze the trends and regulations in health care access, quality, and cost to draw conclusions about the evolution of health care regulations and practice throughout the recent eras (1–2 paragraphs). Describe professional experiences or examples to illustrate the trends. Include citations and references to specific regulations, events, or agencies.

Conclusion

Summarize clear and concise conclusions of your trend analysis (1 paragraph). What are the trends revealed for health care access, quality, and cost? Draw a conclusion about how the changes have improved, been neutral, or inhibited progress of the U.S. health care system.

 

References

Kroth, P. J., & Young, K. M. (2018). Sultz & Young’s health care USA: Understanding its organization and delivery (9th ed.). Jones & Bartlett.

 

 

Appendix

 

Trend Analysis Table: Evolution of Access, Quality, and Cost in Health Care

 

Milestones Health Care Access Health Care Quality Health Care Costs
1800s

Regulatory Legislation, Agencies, or Quality Initiatives

Year, Milestone

·         Note

·         Note

Year, Milestone

·         Note

·         Note

Year, Milestone

·         Note

·         Note

Year, Milestone

·         Note

·         Note

Year, Milestone

·         Note

·         Note

Year, Milestone

·         Note

·         Note

1900s

Regulatory Legislation, Agencies, or Quality Initiatives

Year, Milestone

·         Note

·         Note

Year, Milestone

·         Note

·         Note

Year, Milestone

·         Note

·         Note

Year, Milestone

·         Note

·         Note

Year, Milestone

·         Note

·         Note

Year, Milestone

·         Note

·         Note

2000s

Regulatory Legislation, Agencies, or Quality Initiatives

Year, Milestone

·         Note

·         Note

Year, Milestone

·         Note

·         Note

Year, Milestone

·         Note

·         Note

Year, Milestone

·         Note

·         Note

Year, Milestone

·         Note

·         Note

Year, Milestone

·         Note

·         Note

 

Nursing homework help

Nursing homework help

DARLINE FRANCOIS

2 hours ago, at 5:50 PM

Top of Form

Answer:

  1. 1 1-What are Genes?

A unit of heredity which is transferred from a parent to offspring and is held to determine some characteristic of the offspring (proteins coded directly by genes). A distinct sequence of nucleotides forming part of a chromosome, the order of which determines the order of monomers in a polypeptide or nucleic acid molecule which a cell or virus may synthesize.

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      2 2-Describe what a chromosome is and how are present normally in human beings?

Chromosomes are thread-like structures located inside the nucleus of animal and plant cells. Each chromosome is made of protein and a single molecule od deoxyribonucleic acid (DNA). Passed from parents to offspring, DNA contains the specific instructions that make each type of living creature unique.

 

3 3-Concepts for: Euploid cells, Diploid Cells, Aneuploid Cells? What is a Polyploidy?

Euploid cells: Is a chromosomal variation that involves the entire set of chromosomes in a cell or an organism. Euploidy is more tolerated in plants than in animals. There may be in a single set (monoploidy), two sets (diploidy), or multiple sets (polyploidy).

 

Diploids cells: Diploid is a term that refers to the presence of two complete sets of chromosomes in an organism’s cells, with each parent contributing a chromosome to each pair. Humans are diploid, and most of the body ‘cells contain 23 chromosomes pairs.

 

Aneuploids Cells: Aneuploid cells have an abnormal number of chromosomes. Because each chromosome contains hundreds of genes, the addition or loss of even a single chromosome disrupts the existing equilibrium in cells. And in most cases, is not compatible with life.

 

 

 

 

4-What is a Trisomy and an example of it?

The presence of an extra chromosome in some or all the body’s cells. This results in a total of three copies of that chromosome instead of the normal two copies. For examples, Down syndrome (trisomy 21) is caused by having three copies of chromosome 21 instead of the usual two copies.

 

  1. 5 5-What means Homozygous and heterozygous in Mendelian Heritance?

Through careful study of patterns of inheritance, Mendel recognized that a single trait could exist in different versions, or alleles, even within an individual plant or animal.

An organism with two of the same alleles for a particular gene is homozygous at that locus; an organism with two different alleles for a particular gene is heterozygous at that locus. An organism phenotype is an observable trait.

 

  1. 6 6-Which are special features of X Linked genetic diseases?

X-linked inheritance means that the gene causing the trait, or the disorder is located on the X-chromosome. A male carrying such a mutation will be affected because he carries only one X chromosome. A female carrying a mutation in one gene, with a normal gene on the other X chromosome, is generally unaffected.

Examples of X-linked recessive conditions include Red-green color blindness. Red, green color blindness simply means that a person cannot distinguish shades of red and green (usually blue-green). Their visual acuity is normal.

 

 

7     7-What is a risk factor?

A risk factor or determinant is a variable associated with an increased risk of disease or infection. Due to a lack of harmonization across disciplines, determinant, in its more widely accepted scientific meaning, is often used as a synonym. Something that increase the chance of developing disease.

 

8     -8 Also, what is a congenital disease?

A congenital disorder is a condition that is present from birth. Congenital disorders can be inherited or caused by environmental factors. Congenital anomalies can be defined as structural or functional anomalies that occur during intrauterine life.

 

9     -9 Epigenetic and Mental Health.

Current mental health epigenetic research supports that adverse psychosocial experience are associated with mental disorders. Epigenetic has been linked to several disorders such as anxiety, stress, depression, schizophrenia, and addiction

Psychiatric disease is believed to result from a combination of genetic vulnerability and environmental influence. At the crux are epigenetic modifications, which mediate the influence of environment on the genome.

 

 

 

 

10  10-DNA Methylation: why is important?

DNA methylation is a biological process by which methyl groups are added to the DNA molecule. Methylation can change the activity of a DNA segment without changing the sequence. When located in a gene promoter, DNA methylation typically acts to repress gene transcription.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Orencia Gonzalez

What are Genes?

Genes are items of DNA (deoxyribonucleic acid) inside each cell that inform the cell what to do and when to expand and divide. Each gene is composed of a particular DNA series which contains the code (the directions) to make a certain healthy protein, each of which has a details task or function in the body.

Describe what a chromosome is and how are present normally in human beings?

Chromosomes are thread-like frameworks located inside the nucleus of pet and also plant cells. Each chromosome is made from healthy protein as well as a single particle of deoxyribonucleic acid (DNA). Passed from moms and dads to children, DNA consists of the specific guidelines that make each type of living creature one-of-a-kind. The distinct structure of chromosomes maintains DNA firmly twisted around spool-like healthy proteins, called histones (Park, et al., 2017). Without such product packaging, DNA particles would be as well lengthy to fit within cells. For a microorganism to grow and also work correctly, cells have to regularly separate to create brand-new cells to replace old, damaged cells. Throughout cellular division, it is necessary that DNA remains undamaged and uniformly distributed amongst cells. Chromosomes are a key part of the process that makes sure DNA is accurately duplicated as well as dispersed in the huge bulk of cellular division (Park, et al., 2017). Still, blunders do occur on unusual celebrations.

Concepts for: Euploid cells, Diploid Cells, Aneuploid Cells? What is a Polyploidy?

Euploldy is the presence of chromosome number which is the numerous of the basic chromosome set. An organism with the fundamental chromosome number 7, might have euploids with chromosome number 7, 14, 21, 28, 35, 42. Euploids are even more of different types– monoploids, diploids and also polyploids. Diploid cells have two collections of chromosomes (Park, et al., 2017). It is developed by the blend of two haploid cells. Most mammals are diploid, that is, they have two homologous duplicates of each chromosome in cells. They are generated by mitosis. Somatic cells in human beings are diploid cells. The aneuploidy refers to a condition in which you add or delete one or some chromosomes regular variety of chromosomes. Consequently, the number of chromosomes in aneuploidy might be better or less than the number of chromosomes in the wild type, a strain that is prevalent amongst people under natural conditions (Park, et al., 2017). Different kinds of aneuploidy can be recognized as nullisomy, monosomy, and also trisomy.

What is a Trisomy and an example of it?

A trisomy is a kind of polysomy in which there are three circumstances of a particular chromosome, instead of the regular two. A trisomy is a sort of aneuploidy (an unusual variety of chromosomes). Trisomies can occur with any kind of chromosome, yet frequently lead to miscarriage, instead of live birth. For instance, Trisomy 16 is one of the most usual trisomy in human pregnancies, happening in greater than 1% of pregnancies; just those pregnancies in which some typical cells occur in addition to the trisomic cells, or mosaic trisomy 16, survive (Iannello, & Belfiore, 2021).

What means Homozygous and heterozygous in Mendelian Heritance?

Homozygous (and its less usual kind homozygotic) indicates associating with a cell that has two the same alleles for a certain genetics at equivalent positions on homologous chromosomes. Heterozygous (and its less typical kind heterozygotic) indicates relating to a cell that has 2 various alleles for a certain genetics at corresponding positions on homologous chromosomes.

Which are special features of X Linked genetic diseases?

X-linked problems arise from mutated genetics on the X chromosome. Males, who have just one X chromosome (i.e., they are hemizygous), will totally express an X-linked problem. On the other hand, females, who have two X chromosomes, will certainly be carriers of the defect in the majority of cases, and so they are typically asymptomatic (Iannello, & Belfiore, 2021). Although women have two X chromosomes to the male’s one, products from this chromosome are quantitatively similar in both sexes since one of both X chromosomes in women is inactivated. X-linked problem with decreased variable VIII (hemophilia A), irregular element VIII with platelet dysfunction (von Willebrand’s illness), or aspect IX (hemophilia B– Christmas illness); characterized as mild, moderate, or extreme based upon quantity of variable existing.

What is a risk factor?

Risk variable is a variable associated with an increased risk of disease or infection. Danger variables are correlational and also not necessarily causal, since connection does not verify causation. For instance, being young can not be said to cause measles, yet young people have a greater price of measles due to the fact that they are much less most likely to have created immunity throughout a previous epidemic (Iannello, & Belfiore, 2021).

Also, what is a congenital disease?

Congenital heart disease is one or more problems with the heart’s structure that exist given that birth. Hereditary ways that you’re born with the condition. Congenital heart disease in grownups and also children can alter the way blood flows with the heart (Tonelli, 2016). There are many different kinds of congenital heart flaws.

Epigenetics and Mental Health.

Most of us can remember a miserable or stressful incident in our childhood years, but that’s very various from experiencing persistent trauma as well as stress and anxiety. Injury and also PTSD are classified as either basic or complicated. Basic trauma is normally related to a certain, considerable event, such as all-natural disaster or an auto crash (Tonelli, 2016). Complex trauma is persistent and prevalent, and also it’s this type of ongoing tension that influences individuals both physically as well as emotionally for the remainder of their lives. When youngsters mature in an atmosphere where they are subjected on a regular basis to what they regard as a risk, their nerves is perennially in a state of fight-flight-or-freeze. Epigenetics, in its simplest meaning, describes the stable modifications in genetics expression without adjustment of the DNA sequence. In the context of depression, these modifications are usually triggered by severe stress, and they can result in a boosted vulnerability in the mind’s limbic areas (Tonelli, 2016).

DNA Methylation: why is important?

DNA methylation is essential for silencing retroviral aspects, controling tissue-specific genetics expression, genomic imprinting, and also X chromosome inactivation. Notably, DNA methylation in various genomic regions may put in different impacts on genetics tasks based on the hidden hereditary series.

Reference

Park, M. J., An, G. J., Jeong, J. S., Kim, H. S., Hong, H. S., & Choe, M. (2017). Educational need assessment of advanced practice nurses on the pathophysiology. Journal of Korean Biological Nursing Science, 9(1), 85-102.

Iannello, S., & Belfiore, F. (2021). A review of pathophysiological, clinical and therapeutical aspects. Panminerva medica, 43(3), 177-209.

Tonelli, M. R. (2016). Integrating evidence into clinical practice: an alternative to evidence‐based approaches. Journal of evaluation in clinical practice, 12(3), 248-256.

 

 

 

 

 

 

 

 

 

Taymir Torres

Genes

Genes are the basic functional unit of heredity that act as guidelines to make proteins and are made up of DNA (Dueñas et.al, 2019).

Chromosome

A is a thread-like structure made of protein and a single molecule of DNA and is located in the nucleus of plant and animal cells. It is also passed to offspring from their parents and makes any living organism unique (Dueñas et.al, 2019).

Euploid cells, Diploid Cells, Aneuploid Cells and Polyploidy

Euploid cells are cells that possess a chromosomal variation where there is an additional set of chromosomes in a cell. The number of chromosomes in euploid cells is an exact multiple of chromosome number in normal cells. Diploid cells are cells with two sets of chromosomes. Aneuploid cells are cells with a variable number of chromosomes in a cell. This variation occurs when one or a few chromosomes are either deleted or added from the normal chromosome number (Dueñas et.al, 2019).

Trisomy

Trisomy is a genetic disorder where individuals have three sets of chromosomes instead of the normal two. The most common types of trisomy are triple X syndrome, Down syndrome, and Klinefelter syndrome (Dueñas et.al, 2019).

Homozygous and heterozygous in Mendelian Heritance

Mendelian inheritance is a biological inheritance that follows particular patterns to indicate how traits can be passed to offspring (Mittelsten, 2022). In Mendelian inheritance, a trait is inherited when through a certain pattern with a controlled single locus. Through mutation, a single gene has the power to cause a disease that can be inherited.

Homozygous refers to inheritance where an offspring inherits the same version of the gene from each parent resulting in two matching genes. Heterozygous refers to inheritance where an offspring ends up with two versions of a gene, one from each parent (Mittelsten, 2022).

 

X Linked genetic diseases

In X-linked inheritance, a father is unable to pass X-linked traits to their male offspring leading to X-linked recessive disorders (Matsunari et al., 2018). The X gene in males can mutate leading to X-linked recessive inheritance. However, x-linked recessive inheritance does not affect female since one carrying a mutation in one gene while the other gene in normal remains unaffected by recessive disorders.

Risk factor

A risk factor is anything that increases the chance of conducting a disease. In gene inheritance, risk factors are inherited from parents to offspring through genetic difference that increases the risk of getting diseases.

Congenital disease

A congenital disease is a medical condition inherited from parents that occur before or at birth (Duena et al., 2019). Some examples of congenital diseases are congenital heart disease, cleft lip and cleft palate, haemophilia, cystic fibrois and Down syndrome. A congenital disease is popularly referred to as a birth defect and can be acquired in fetal stage of development or from genetic inheritance from parents. A congenital disease can also be caused by environmental (external) factors.

Epigenetics and Mental Health

Epigenetics and mental health are related as exposure to environmental stressors can lead to the development of mental health or vice versa (Mews et al., 2019). For instance, while traumatic life events can trigger mental health problems, exposure to a salutary environment has a positive impact on mental health.

Methylation

Methylation is a chemical reaction, which affects nucleic acids and proteins, where a small molecule is added to other molecules (Joyce et al., 2018). While methylation may contribute to health problems, it is crucial to the overall wellbeing of an individual since it regulates tissue-specific gene expressions, silences retroviral elements, and plays a crucial role in gene imprinting. Methylation helps the body detoxify and regulate hormones.it helps the body make neurotransmitters that contribute to brain health and mental wellbeing of a person by balancing their mood.

 

References

Dueñas, A., Expósito, A., Aranega, A., & Franco, D. (2019). The role of non-coding RNA in congenital heart diseases. Journal of Cardiovascular Development and Disease, 6(2), 15.

Joyce, B. T., Zheng, Y., Zhang, Z., Liu, L., Kocherginsky, M., Murphy, R., … & Hou, L. (2018). miRNA-Processing gene methylation and cancer risk. Cancer Epidemiology and Prevention Biomarkers, 27(5), 550-557.

Matsunari, H., Watanabe, M., Nakano, K., Enosawa, S., Umeyama, K., Uchikura, A., … & Nagashima, H. (2018). Modeling lethal X-linked genetic disorders in pigs with ensured fertility. Proceedings of the National Academy of Sciences, 115(4), 708-713.

Mews, P., Calipari, E. S., Day, J., Lobo, M. K., Bredy, T., & Abel, T. (2021). From circuits to chromatin: the emerging role of epigenetics in mental health. Journal of Neuroscience, 41(5), 873-882.

Mittelsten Scheid, O. (2022). Mendelian and non-Mendelian genetics in model plants. The Plant Cell, koac070. https://doi.org/10.1093/plcell/koac070

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clara Pena Espinosa

What are Genes?

A gene is the basic physical as well as functional device of heredity. Genetics are composed of DNA. Some genes act as directions to make molecules called proteins.

Describe what a chromosome is and how are present normally in human beings?

A chromosome is a lengthy DNA particle with component or every one of the hereditary material of an organism. Most eukaryotic chromosomes consist of product packaging healthy proteins called histones which, assisted by chaperone healthy proteins, bind to and condense the DNA molecule to keep its integrity (Tkacs, et al., 2020). These chromosomes display a complicated three-dimensional framework, which plays a substantial role in transcriptional regulation.

Concepts for: Euploid cells, Diploid Cells, Aneuploid Cells? What is a Polyploidy?

A regular diploid cell has a total amount of 46 chromosomes, arranged in 23 sets. This is called a 2n cell. Diploid cells increase by mitotic cell division. Throughout reproduction, gametes such as sperms and also egg cells are generated by meiosis cellular division. Euploidy refers to the variation in the full set of chromosomes in a cell or microorganism. Euploidy is common in plants and also happens in high frequency than animals. Considering that chromosomal number in a cell affects the sex equilibrium of pets, euploidy in animal cells results in sterility (Tkacs, et al., 2020). Thus, euploidy is typically pertaining to plants greater than animals. Aneuploidy describes a variation in the total chromosome number in a cell or organism by addition or deletion of chromosomes. Unlike euploidy, it does not include a distinction of several full sets of chromosomes. As a matter of fact, aneuploidy does not alter the variety of chromosome sets, it just alters the regular total variety of chromosomes in a cell or microorganism.

What is a Trisomy and an example of it?

The term “trisomy” is made use of to describe the existence of an additional chromosome or three instead of the typical set. For instance, trisomy 21 or Down syndrome occurs when an infant is born with three # 21 chromosomes. In trisomy 18, there are 3 duplicates of chromosome # 18 in every cell of the body, as opposed to the normal pair (Collard, & Gelman, 2021). One of the most usual is Requirement Trisomy 21, in which the daddy’s sperm or the mom’s egg cell includes the extra chromosome. In Mosaic Down syndrome, the added chromosome automatically looks like the embryo creates.

What means Homozygous and heterozygous in Mendelian Heritance?

Homozygous has 2 same duplicates of the same allele coding for a specific attribute. Includes just one type of allele, either dominant or recessive. Self-fertilization leads to the repeating of the very same traits over generations. Only one kind of gamete is created. It can be either homozygous leading or homozygous recessive. Heterozygous has 2 different duplicates of alleles coding for a specific characteristic. Has various alleles for an attribute (Collard, & Gelman, 2021). Both leading and recessive. Self-fertilization leads to different mix of traits over the future generation. Two sorts of gametes are produced. Heterozygous alleles can reveal full dominance, codominance or insufficient supremacy.

Which are special features of X Linked genetic diseases?

X-linked recessive inheritance is a setting of inheritance in which a mutation in a genetics on the X chromosome triggers the phenotype to be always revealed in males (who are always homozygous for the gene anomaly due to the fact that they have one X and one Y chromosome) as well as in women that are homozygous for the gene anomaly. Ladies with one duplicate of the mutated genetics are service providers. X-linked inheritance means that the gene causing the quality or the condition is located on the X chromosome (Collard, & Gelman, 2021). Females have two X chromosomes while males have one X and also one Y chromosome. Carrier females that have only one copy of the anomaly do not typically express the phenotype, although distinctions in X-chromosome inactivation (called skewed X-inactivation) can cause varying levels of clinical expression in provider females, since some cells will share one X allele and also some will reveal the various other.

What is a risk factor?

Any kind of behavioral, hereditary, environmental, or other factor to consider which increases the probability of creating a condition or disorder, or becoming associated with hazardous circumstances.

Also, what is a congenital disease?

A congenital disorder is a condition that is present from birth. Congenital disorders can be acquired or caused by ecological aspects. Their impact on a child’s wellness as well as advancement isn’t always extreme, as well as often it can be fairly moderate. Nevertheless, a kid with a congenital disorder may experience a handicap or health problems throughout life. It’s natural to be concerned about congenital disorders if you’re pregnant or planning a maternity, specifically if your family has a background of a particular disorder (Laleman, et al., 2015). It’s feasible to examine for some, yet not all conditions while pregnant, and there are additionally points you can do to minimize the opportunities of your baby being born with a congenital disorder.

Epigenetics and Mental Health.

Epigenetics is a brand-new and also revolutionary concept in the field of psychology and psychological wellness. Epigenetics research is revealing that our genes can in fact switch on or turn off in action to what happens in our life and also how our atmosphere influences us. This understanding has actually lastly put to bed the olden debate relating to nature vs. support– in other words, whether who we are is established by our genetic make-up or by our life experiences (Laleman, et al., 2015). Epigenetics makes it clear that they work in tandem to influence both physical and also mental health and wellness.

DNA Methylation: why is important?

DNA methylation is the process of transferring 4 atoms into different materials in your body. Or, to break it down also further, methylation is the procedure your body uses to include methyl teams to the DNA particle, thus altering the task of a DNA sector without altering the sequence. DNA methylation manages gene expression by recruiting healthy proteins associated with genetics repression or by inhibiting the binding of transcription element( s) to DNA (Laleman, et al., 2015). The precise policy of DNA methylation is vital for normal cognitive function.

Reference

Tkacs, N., Herrmann, L., & Johnson, R. (Eds.). (2020). Advanced Physiology and Pathophysiology: Essentials for Clinical Practice. Springer Publishing Company.

Collard, C. D., & Gelman, S. (2021). Pathophysiology, clinical manifestations, and prevention of Diseases. The Journal of the American Society of Anesthesiologists, 94(6), 1133-1138.

Laleman, W., Van Landeghem, L., Wilmer, A., Fevery, J., & Nevens, F. (2015). Portal hypertension: from pathophysiology to clinical practice. Liver International, 25(6), 1079-1090.

 

 

 

 

 

 

 

 

 

 

 

 

Nursing homework help

Nursing homework help

First Name Last Name

Patricia France

English 150

5/21/21

In with the New

There is no doubt that America is having a mental health crisis. It is estimated that 46 million Americans today are suffering from some sort of mental health issue, ranging from anxiety to sever depression to paranoid schizophrenia. What is even more surprising is that despite the incredible amount of people who are suffering, less than 43 percent are actively seeking any sort of treatment for their mental health (Zhong). Whether it is the lack of available mental health treatment, the stigma that our culture has fabricated around mental health, or the fear of having expensive drugs with harmful side-effects pushed upon patients, it is more than apparent that our mental health as a nation is on the decline, and possibly beginning a spiral down. Luckily, our understanding of our mental health has come a long way from when we used to drill holes in people’s heads because we thought evil spirits were living there. We have broadened our understanding of our mental health and with that, an increased awareness of mental health, as well as new, innovative treatments have been developed to help those in need.

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Hippocrates, also known as the “Father of Medicine”, is thought to be the first physician to suggest a link between health and environment, diet, and lifestyle instead of the work of supernatural forces upon the human body. While many physicians are still struggling to convince people of this it would also be a long time until this approach to medicine would allow physicians around the world to make significant progress. We must remember that it is called “practicing medicine” and for good reason. I do not believe that there is a single doctor today that can tell you they completely understand the inner working of the human body, let alone the complexities of the human mind. Like the evolution of the treatment of our physical health, physicians would slowly and painstakingly peel back each layer of the human mind while meticulously putting the puzzle pieces together that make up the human psyche over the next two and a half millennia. Hippocrates had a total of eight mental health diagnoses which were, “Mania, Melancholy, Phrenitis, Insanity, Disobedience, Paranoia, Panic, Epilepsy and Hysteria” (Taylor). While some of these words are still used in modern medicine, the fact that physicians limited mental health diagnoses to only eight shows that we have already come a long way in broadening our understanding since Hippocrates’ time.

One of the biggest problems is the stigma that we have allowed our culture to create surrounding mental health. It has permeated our television shows, movies, and minds. One of America’s most popular shows, “The Sopranos” opens with the lead character Tony, in the office of his new therapist. He immediately denies having a panic attack and then goes on to question the effectiveness of psychotherapy. Later in the pilot, Tony wonders where “Guys like Clark Gable went, you know the strong, silent types?”. Growing up all my life as a boy, I was expected to keep my emotions on the inside and believed that showing any sign of an emotion like sadness or having any doubt in myself would be perceived as a weakness. Talking with my friends it was like this for all of us, and even with my closest of friends we found it difficult to talk about anything that we thought was wrong with us. Now though, we know not only are these emotions normal for us to have but healthy for us to express them in a positive and non-destructive manner. These ideas were presented on a show that was so popular at the time, people would have viewing parties with their friends to watch the newest episodes. Tony’s battle with his psyche is the central conflict for the remainder of the series, and it paints a terrific picture of how psychotherapy and our mental health is viewed in America today.

Another major issue with America’s mental health is that we have been conditioned to seek happiness and relief inside of little orange bottles with white lids. Unfortunately, drugs are used as the first line of defense far too frequently in the treatment of our mental health. Some may argue that it is because so many people are suffering in America today, and that doctors simply cannot handle the staggering number of cases that they get. They take the easy way out and write a prescription for their patients in hopes of helping them and moving onto the next patient. It makes sense, if you could give someone a pill and cure what ails them, and move on to someone else, helping more and more people quickly and effectively, then why would doctors not want to do that? Prescriptions for antidepressants were so commonplace, I remember I had a close friend who was prescribed fluoxetine when we were in middle school because their therapist thought it would be the most effective treatment. Fluoxetine goes by a much more popular name, that most people are familiar with, Prozac. This is the root of the problem. The pharmaceutical industry has tenaciously pushed dangerous drugs on the American people while lining their own pockets.  Dr. Irving Kirsch is a retired psychologist who studied the effects of antidepressants, His book The Emperor’s New Drugs: Exploding the Antidepressant Myth investigates one of the most common mental health treatments in America and found the antidepressants he had studied were no more effective than the placebo effect on the patients involved. These drugs have very harmful side effects, such as weight gain, decreased libido, and, potentially, risk of suicide. So, if the drugs are not effective and they have the potential to be harmful, why has the U.S. seen such prolific use of drugs in the treatment of mental health? It may have something to do with the fact that of the 394 doctors who received over $100,000 from pharmaceutical companies in 2006, 116 of them were psychologists and that the pharmaceutical industry spent nearly a billion dollars on lobbying from 1998 to 2006 or that the pharmaceutical industries sales were around 289 billion in 2010 (Taylor). Anyone who has been unfortunate to have to go to the hospital has seen firsthand the capitalistic greed that has seeped into our healthcare industry. Where most other countries have some form of basic universal health care for their citizens, the U.S. healthcare industry is still mostly comprised of private companies that expect you to have insurance or to pay for treatments out of pocket. The costs and time investments of these treatments can discourage patients and makes drugs seem like a quick and easy fix. Physicians are encouraged to dole out drugs to get onto the next patient and make their hospital’s money or even worse get some form of kick back from the big pharmaceutical companies.

There needs to be another paradigm shift in the way that doctors are treating their mental patients. Electroconvulsive therapy, or electroshock therapy, used to be an incredibly commonplace treatment for a whole host of illnesses ranging from depression to extreme psychosis, just like doctors are handing drugs out left and right today. Doctors today know from their past mistakes that there are very extreme cases where electroconvulsive therapy can be useful when administered in an incredibly controlled environment, but they are far and few between (Taylor).  Why not take this same approach with the harmful drugs that have become so commonplace today? We have seen that they have negative side effects, just like electroconvulsive therapy when it is being used incorrectly, and sometimes they are not any more effective than the placebo effect. Instead of immediately reaching for a bottle Prozac, Wellbutrin, or Xanax, doctors should take a deeper assessment of their patients. If someone lost their job, their spouse left them, and their dog died all in the same week, I would imagine that they would feel terrible. Three devastating life changing events like that would almost be guaranteed too. But if that person then went to seek some professional help and were handed a prescription for antidepressants that could permanently alter their brain chemistry, would that benefit someone in that situation? Maybe continued psychotherapy during that person’s transition in life would be more beneficial without the risks that come from antidepressants or anti-anxiety medication. The important thing is not to immediately reach for the prescriptions and to see if something else might be able to help the patients instead. With that thought in mind, today doctors around the world are working together to try and figure out what they can do to improve our mental health in many different and innovative ways.

One of the more recent changes in the approach to mental health is the understanding of the important link between physical and mental health. Today you can go online and find a group to hike with, jog with or even do yoga with all with the expressed intent of improving your mental health. The benefits of all these activities on our mental health have begun to be investigated by doctors. According to the Anxiety and Depression Association of America (ADAA), studies show that physical activity can reduce stress levels and fatigue while improving concentration and cognitive function. The ADAA also states that people who exercise regularly are 25 percent less likely to develop any kind of anxiety disorder or depression. Another interesting study from the Joslin Diabetes Center showed that our gut biome may be directly linked to our mental health. Poor, high-fat diets that are often associated with obesity and type II diabetes were shown to increase depressive behaviors in mice. Once the mice were given antibiotics to flush out the harmful gut flora in them, after their mood improved and returned to normal the mice maintained their normal behavior when they were put on a poor diet and antibiotics simultaneously to negate any production of harmful (Haridy). Michelle Obama, probably the most famous first lady since Jackie Kennedy, made it her mission while she was first lady to improve the health of our country. She saw that obesity and laziness had spread across the U.S. like an epidemic and sought to eradicate it where possible. She pushed to have the sugar companies put the daily value of sugar on the labels of food and beverages, something that large sugar companies had lobbied against for decades. She pushed against childhood obesity in her “Let’s Play” initiative, where she encouraged healthy eating and the importance of exercise. She did all of this because she saw how unhealthy we are as a nation. With nearly one third of Americans being obese perhaps the first thing to try is improving where you can physically and seeing what that does for you mentally (Sinha).

While there is a currently a tremendous amount of people suffering from mental illnesses, the way that technology has been adapted to treat people has been truly innovative. Before the world stopped thanks to the Covid-19 pandemic, taking the time out of your day to go down to your therapist’s office for an hour-long session could be hard for people working multiple jobs, or have families to tend to. They might have to work during all their local therapists’ hours and cannot make it in when they are open, or perhaps the thought of going and sharing deep and intimate thoughts with a stranger in a foreign environment generates a lot of anxiety, especially in extreme cases like those suffering from agoraphobia. Luckily, there are things like Zoom for patients who would rather meet with their therapists from the comfort of their own home. Also, smartphone applications like BetterHelp have been developed and designed to allow people to seek out professional mental health for a whole host of illnesses such as depression, anxiety, eating disorders, and even borderline personality disorder. They have patients fill out a profile to match them with a mental health professional that they feel would be appropriate to treat you based on a lot of factors such as how you want to meet such as over the phone or video calls, when you can meet, and what you are looking to have treated. With over a million downloads currently, apps like BetterHelp shows it is obvious that being able to seek out professional help in a remote setting is starting to catch on. The pandemic prompted doctors to study the effectiveness of remote telepsychiatry as people were no longer able to meet with their physician face-to-face anymore, and countries like China reported a significant rise in remote telepsychiatry being used to treat people during the pandemic. Some may thing that the lack of face-to-face interaction maybe too much of a disadvantage to make telepsychiatry an effective tool in treatment, but all the evidence points to the contrary. The Indian Journal of Psychiatry has an article titled ““Telepsychiatry” in the time of Covid-19: Overcoming the challenges” and it states that when it comes to matter of the effectiveness of telepsychiatry, that “the quality of doctor–patient interactions is the same as an in-person interview, while it also is seemingly cost-effective.”. Telepsychiatry is on the rise and could very well be the next big innovation in the treatment of mental health.

The Center of Disease Control and Prevention says that today in the United States nearly 1 out of 10 children from the ages of 2-17 suffers from attention-deficit/hyperactivity disorder (ADHD). What is worse is that over 60 percent of these children also suffer from some other form of mental illness as well such as depression, anxiety, Autism spectrum disorder, Tourette syndrome or behavioral problems. While the average number of children with ADHD that are getting treatment is higher than the national average, all these children deserve effective treatment and should have it available to them. Unfortunately, the treatment that the lucky ones do receive come with drugs as only 15% of the children receiving treatment were not on some form of medication for their ADHD. These medications include things like Adderall which is known to cause loss of appetite, nausea, vomiting, headache, and trouble sleeping just to name a few off the laundry list of side effects. The Food and Drug Administration approved the first ever video game that could be prescribed for treating ADHD in 2019, hopefully taking a step towards ending the drugs being pushed onto our children. EndeavorRx is a racing game designed to help relieve the symptoms brought on by ADHD, and half of the parents of the children involved in the study of the game said they saw “a clinically meaningful change in their children’s day-to-day impairments,” and that was just after a month of treatment with EndeavorRx. Another benefit of EndeavorRx is, that contrary to the mainstream media’s belief, children that were treated with EndeavorRx had “No serious adverse reactions with EndeavorRx in any study to date.”. Every child deserves every opportunity to grow up healthy both physically and mentally. Why not treat common ailments like ADHD with things that kids already enjoy like video games instead of drugs with detrimental side effects?  Maybe in the future instead of handing your child a bottle full of Ritalin, doctors will prescribe them a Nintendo or PC game instead.

Americans are suffering from mental illnesses at a staggering rate. We need to change the way that we approach our mental health and start doing something positive for it. Too many people are embarrassed to seek help, and the few that are trying to do something, are given a bottle of pills, and told that those will make everything better. We should take a step back and look at the other factors like diet, lack of exercise or alternative treatments like EndeavorRx as viable options instead of always reaching for the medicine cabinet. People can seek out help when and where they need it with the option of telepsychiatry and apps on their smart phones. While America might be suffering from poor mental health now, our future might be one where we better understand the human psyche and how to keep the mind healthy thanks to the innovations being made today.

Works Cited

“: Online Counseling & Therapy – Apps on Google Play.” Google, Google, play.google.com/store/apps/details?id=com..

“Data and Statistics About ADHD.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 16 Nov. 2020, www.cdc.gov/ncbddd/adhd/data.html.

“EndeavorRx.” Children’s Technology Review, vol. 28, no. 3, Sept. 2020, p. 9. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&db=f6h&AN=145892778&site=eds-live.

Haridy, Rich. “Exciting Insight into Role Gut Bacteria Play in Obesity-Related Depression and Anxiety.” New Atlas, 18 June 2018, newatlas.com/gut-bacteria-obesity-depression-anxiety/55072/.

Kirsch, Irving. The Emperor’s New Drugs: Exploding the Antidepressant Myth. Basic Books, 2011.

Perera SR, Gambheera H, Williams SS. “Telepsychiatry” in the time of COVID-19: Overcoming the challenges. Indian J Psychiatry 2020; 62: S391-4.

Sinha, Ashish C., editor. OXFORD TEXTBOOK OF ANAESTHESIA FOR THE OBESE PATIENT. OXFORD UNIV PRESS, 2021.

Taylor, Michael A. Hippocrates Cried: The Decline of American Psychiatry. Oxford Univ. Press, 2013.

Zhong Li, et al. “Telepsychiatry Adoption across Hospitals in the United States: A Cross-Sectional Study.” BMC Psychiatry, vol. 21, no. 1, Apr. 2021, pp. 1–12. EBSCOhost, doi:10.1186/s12888-021-03180-8.

Nursing homework help

Nursing homework help

Mayelin Ruiz

 

Atrophy

Atrophy is the decrease in the size of a tissue, cell, organ, or any body part. The term suggests that the part of the body that was atrophied was a normal size according to the individual’s age and circumstance before the decrement occurred.

Physiologic atrophy

Physiologic atrophy is a type of atrophy where a body part decreases in size due to insufficient use of muscle. This type of atrophy is caused by physical inactiveness and therefore can be reversed through better and proper nutrition and sufficient exercise (Galluzi et al., 2018). (c)

Hypertrophy

Hypertrophy refers to the increase and growth of muscle cells through exercise. Physical exercise tones and improves muscles leading to an increase in size. People who often work out or exercise by lifting heavy weights contribute to their muscle increment.

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Hyperplasia

Hyperplasia is the enlargement of body tissues or organs due to an increased amount of organic tissue. This increment in the amount of organic tissue is a result of cell proliferation.

Pathologic hyperplasia

Pathologic hyperplasia is the increment in cell production in a normal organ or tissue due to precancerous or abnormal changes such as an abnormal stressor. This condition can lead to several disorders due to high or abnormal levels of cell production.

Dysplasia

Dysplasia is a term that describes the presence of abnormal cells in a body organ or tissue. Although dysplasia is not a type of cancer it can become cancer if it is severe.

Metaplasia

Metaplasia is the process of replacing one type of mature tissue with another tissue that is not indigenous to the part of the tissue. Metaplasia is caused by environmental factors such as inflammation and microorganisms.

Mechanisms of cell injury

There are four main mechanisms of cell injury. These mechanisms are acute-phase responses, ischemic (anoxic), heat shock, and oxidative responses.

Reversible Vs irreversible

Reversible cell injury is a type of cell injury caused by a short period of hypoxia or ischemia. Cells subjected to this kind of injury can revert to normal activities and conditions (Bielaszewska et at., 2017). On the other hand, irreversible cell injury is a type of cell injury that leads to the death of a cell or causes tissue damage. This type of cell injury includes hydrolysis of phospholipids and interruption of membrane integrity among others.

Necrosis Vs apoptosis

Necrosis is a kind of cell death that is caused by uncontrolled external factors. This kind of cell death is passive, untimely, and accidental as a result of external perturbations. It is characterized by the uncontrolled release of inflammatory cellular contents (Alisha et al., 2019). Meanwhile, apoptosis is described as a kind of cell death by predefined cell suicide by destroys itself by actively dismantling, therefore, leaving the body functioning smoothly by avoiding inflammation.

Nucleus

The nucleus is a crucial part of a cell that controls and regulates all the activities of the cell. It also carries genes and other hereditary information.

Nucleolus

The nucleolus is a part of a cell that facilitates the biogenesis of ribosomes. It achieves this function by processing, synthesizing, and arranging ribosomal RNA into preribosomal particles.

Mitochondrion

Mitochondrion generates energy to power the cell by breaking down sugar and fat through cellular respiration.

Ribosomes

Ribosomes are cell organelles that synthesize proteins.

Cytoplasm

The cytoplasm is a fluid in a cell that provides a medium for chemical reactions such as cell growth and cell organelle replication.

Cell membrane

The cell membrane protects the organelles inside of a cell from the outside environment. It also regulates materials being transported inside and outside of the cell.

Hyperkalemia and Hypocalemia

Hyperkalemia is a high level of potassium in the blood. There are various causes of hyperkalemia in the body. Two of these causes are kidney disease, which occurs if the kidney is not functioning properly, and a diet that has high potassium, especially in patients with advanced kidney disease. Hyperkalemia is characterized by shortness of breath, muscle weakness, heart palpations, chest pains, and nausea among other symptoms such as tingling and unusual feeling.

On the other hand, hypokalemia is an extremely low level of potassium in the body. There are several symptoms of hypokalemia such as muscle cramps, abnormal heart rhythms, fatigue, weakness, and constipation (Barrera et al., 2018). Hypokalemia is caused by kidney failure, folic acid deficiency, and some asthma medications.

Hypercalcemia and Hypocalcemia

Hypercalcemia is a condition where there are high levels of calcium in the body. Hypercalcemia is caused by cancer and overactivity in parathyroid glands. Hypercalcemia symptoms include bone pain, stomach pain, and increased urination and thirst.

Meanwhile, hypocalcemia is a condition where there is an extremely low level of calcium in the blood (Banerjee et al., 2020). It is caused by inadequate vitamin D, renal disease, and hypoparathyroidism. Symptoms of hypocalcemia include muscle spasms, depression, memory loss, confusion, hallucinations, and weak nails.

Hypercalcemia and Hyponatremia

Hypercalcemia is a high concentration of sodium in the blood, especially in individuals who do not drink sufficient water. Symptoms of hypernatremia include fatigue, thirst, and restlessness. Hypernatremia is caused by impaired thirst mechanisms and insufficient water in the body. Hyponatremia is a low concentration of sodium in the blood. It is caused by excess water in the body heart failure and inappropriate antidiuretic hormone production in the body.

Acidosis and Acidosis

Acidosis is a build-up of acid in the blood caused by the overproduction of acids in the body. In its severe form acidosis leads to labored breathing and poor lung function. Alkalosis is excess base in body fluids such as blood. Alkalosis can be due to decreased carbon dioxide levels in the blood.

(a) Mr. Epperson’s myocytes were initially injured by ischemia.

(b) Ischemia injures cells faster than hypoxia alone.

(c) Reversible myocyte swelling was caused by a lack of ATP to fuel ion pumps.

(d) Irreversible myocyte injury occurred when mitochondrial and plasma membranes were disrupted.

(e) Dissolving the blood clot rescued some myocytes by providing oxygen for generating ATP.

(f) Dissolving the blood clot damaged some myocytes by reperfusion injury.

 

 

References

Alishahi, M., Ghaedrahmati, F., Kolagar, T. A., Winlow, W., Nikkar, N., Farzaneh, M., & Khoshnam, S. E. (2019). Long non-coding RNAs and cell death following ischemic stroke. Metabolic Brain Disease34(5), 1243-1251.

Banerjee, R., Joshi, N., & Nagotu, S. (2020). Cell organelles and yeast longevity: an intertwined regulation. Current Genetics66(1), 15-41.

Barrera, K., Stanek, A., Okochi, K., Niewiadomska, Z., Mueller, C., Ou, P., … & Huan, C. (2018). Acinar cell injury induced by inadequate unfolded protein response in acute pancreatitis. World Journal of Gastrointestinal Pathophysiology9(2), 37.

Bielaszewska, M., Rüter, C., Bauwens, A., Greune, L., Jarosch, K. A., Steil, D., … & Karch, H. (2017). Host cell interactions of outer membrane vesicle-associated virulence factors of enterohemorrhagic Escherichia coli O157: Intracellular delivery, trafficking, and mechanisms of cell injury. PLoS Pathogens13(2), e1006159.

Galluzzi, L., Vitale, I., Aaronson, S. A., Abrams, J. M., Adam, D., Agostinis, P., … & Turk, B. (2018). Molecular mechanisms of cell death: recommendations of the nomenclature committee on cell death 2018. Cell Death & Differentiation25(3), 486-541.

 

 

 

 

Clara Pena Espinosa

5 hours ago, at 2:59 PM

 

NEW

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1-    Which are the concepts of?

Atrophy: the partial or full wasting away of a part of the body.

Physiologic atrophy: Physiological atrophy is a function of the growth modifications of an organism (atrophy of the thymus throughout puberty, atrophy of the sex glands, skin, and also bones in old people, and so forth). General pathological atrophy (emaciation, cachexia) shows up in cases of insufficient nourishment, persistent infection or intoxication, or problems of the endocrine glands or of the main nerves.

Hypertrophy: the augmentation of a body organ or cells from the increase in size of its cells

Hyperplasia: abnormal increase in quantity of a tissue or body organ triggered by the development and also growth of brand-new regular cells.

Pathologic hyperplasia: indication of unusual or precancerous adjustments. A typical reason for pathological hyperplasia is the unwanted of hormones. Estrogen stimulation in the endometrium can cause abnormal spreading, and androgens can provide a prostatic hyperplasia. This hyperplasia is thankfully in control as well as there is no anomaly in the cell division law genes. Also, if the hormone is eliminated, the hyperplasia will regress.

Dysplasia: is any of various sorts of irregular growth or advancement of cells (tiny scale) or organs (macroscopic scale), and also the irregular histology or physiological framework resulting from such development. Dysplasias on a mostly tiny scale include epithelial dysplasia and also coarse dysplasia of bone.

Metaplasia: is the conversion from one kind of regular adult cell to another kind of normal adult cell.

2-    What are the main four mechanism of Cell Injury?

– deficiency of ATP.

– lowered degrees of oxygen as well as boosted degrees of oxygen-derived complimentary radicals.

– increased concentration of intracellular calcium and also loss of calcium steady-state.

– problems in membrane layer leaks in the structure.

3-    Cell injury: reversible vs irreversible, differences between each…

The primary difference in between relatively easy to fix and permanent cell injury is that the relatively easy to fix cell injury can go back to the normal problems by modifying the homeostasis of the cell whereas the irreparable cell injury can not go back to the sensible problems as the cell has actually passed the climax. Relatively easy to fix and also permanent cell injury are 2 sorts of cell injury that can lead to cell death. Moreover, relatively easy to fix cell injury results in mobile swelling as well as fat build-up while irreversible cell injury causes death or apoptosis.

4-    Cell Death: concepts of necrosis and apoptosis.

In apoptosis, the afflicted cell proactively joins the cell death process, whereas in death the cell death takes place in action to unfavorable problems in the cell’s environment.

5-    Function of this cell organelles:

Nucleus: DNA Storage Space

Nucleolus: helps in healthy protein synthesis and also manufacturing of the ribosome in the cells.

Mitochondria: Power production

Ribosomes: Protein synthesis

Cytoplasm: The cytoplasm holds all the essential parts of a cell including cytosol, cell organelles, inclusions, etc. Cytoplasm is straight pertaining to cell expanding and also development. The cytoplasm is the centre of several metabolic activities in the cell. From glycolysis to cellular division processes all take place in cytoplasm (McCance, & Huethe, 2014). The cytoplasm secrets enzymes, responsible for various biochemical reactions. The cytoplasm relocates all the metabolic waste materials of the cell in the direction of their location and eliminates them from the cell. It likewise removes foreign particles from cell.

Cell Membrane Layer: Define the within and outside of a cell.

6-   Hyperkalemia and Hypokalemia, causes and symptoms.

Hypokalemia as well as hyperkalemia are common electrolyte problems brought on by changes in potassium intake, transformed excretion, or transcellular shifts. Diuretic usage and also intestinal losses prevail root causes of hypokalemia, whereas kidney illness, hyperglycemia, and medicine use prevail causes of hyperkalemia. Digestion conditions like Crohn’s illness or colitis can enhance your risk of hypokalemia due to the fact that they can create chronic looseness of the bowels (McCance, & Huethe, 2014). You may likewise be at threat if you have a bad stomach bug that causes severe throwing up or looseness of the bowels. As well as you can lose potassium if you’re peing frequently or sweating greatly. Common neurologic symptoms of hyperkalemia can consist of: Reduced reflexes, Prickling, Numbness (unusual).

7-   Hypercalcemia and Hypocalcemia, causes and symptoms.

Hypercalcemia, or greater than typical degree of calcium in your blood, is a fairly usual searching for. Hypercalcemia can be caused by more than 25 separate diseases, numerous medicines and also dehydration. Primary hyperparathyroidism and numerous sort of cancers cells make up the greatest percentage of all individuals with hypercalcemia. In key hyperparathyroidism, one or more of the four parathyroid glands, situated behind the thyroid gland in your neck, generate too much parathyroid hormonal agent. Usually, the parathyroid glands deal with the kidneys, skeletal system and intestines to thoroughly manage the degree of blood calcium. However occasionally a parathyroid gland ends up being overactive, causing excess parathyroid hormone being released and an elevated blood calcium degree (McCance, & Huethe, 2014). Although having signs and symptoms of hypercalcemia is unusual, signs and symptoms can consist of: Even more regular urination and thirst, Tiredness, bone discomfort, headaches, Queasiness, vomiting, constipation, decline in cravings, Forgetfulness, Lethargy, depression, amnesia or irritation, Muscle pains, weak point, cramping and/or twitches.

Hypocalcemia describes reduced levels of calcium located on a blood test. It can trigger symptoms like tingling, muscle aches, and also heart rhythm issues that can vary from moderate to serious. Hypocalcemia may create symptoms such as the following: Sensations of pins and needles or prickling, Muscle mass aches, spasms, or weakness, Dry skin or other skin issues, Breakable nails, Difficulty swallowing, Lack of breath and also wheezing, Seizures, Heart rhythm troubles, Cardiomyopathy, Exhaustion, and Psychological disturbances such as anxiety and also complication. Many people recognize that calcium belongs of your bones (McCance, & Huethe, 2014). But calcium is likewise found in your blood as well as inside your body’s cells. Actually, calcium is associated with numerous vital organic processes. As an example, it plays roles in blood clotting and in assisting particular enzymes to function. It is likewise essential for appropriate signaling in your nerves as well as muscle mass, including your heart muscle. As a result of this, your body works to firmly control the amount of calcium existing in your blood. If it’s expensive, it tries to bring it down; if it’s as well reduced, it attempts to bring it up.

8-   Hypernatremia and Hyponatremia. causes and symptoms.

Hypernatremia refers to sodium degrees in the blood being too high. Sodium plays a crucial duty in features such as contraction, nerve impulse generation, and liquid balance. The main causes Resource of hypernatremia are inadequate liquid consumption or too much loss of fluids, causing not enough liquid in the blood. Several wellness factors can cause hypernatremia or enhance its possibility. These consist of: dehydration, Vomiting, kidney disease, unchecked diabetic issues, diabetes insipidus, severe looseness of the bowels, mental deterioration, high temperature, ecstasy (McCance, & Huethe, 2014). Having too much sodium in the blood may cause no signs and symptoms, as well as a person may be not aware of it. Nonetheless, it can cause symptoms and problems such as: extreme thirst, tiredness, confusion, adjustments in mood, muscle twitching, convulsions, seizures, coma.

Hyponatremia is a problem where sodium degrees in the blood are less than normal. Oftentimes, excessive water in the body weakens the salt, creating the condition. Chronic, extreme vomiting or diarrhea and other reasons for dehydration. This triggers your body to lose electrolytes, such as salt, as well as additionally enhances ADH degrees. Drinking excessive water. Consuming alcohol too much amounts of water can create low salt by overwhelming the kidneys’ capability to eliminate water (McCance, & Huethe, 2014). Since you lose sodium through sweat, alcohol consumption excessive water during endurance activities, such as marathons and also triathlons, can additionally weaken the salt web content of your blood. Hormonal changes. Adrenal gland insufficiency (Addison’s condition) affects your adrenal glands’ ability to produce hormones that aid maintain your body’s equilibrium of salt, potassium and water. Reduced levels of thyroid hormonal agent additionally can cause a reduced blood-sodium degree. The leisure drug Ecstasy. This amphetamine enhances the threat of serious as well as also deadly instances of hyponatremia. Hyponatremia creates neurologic signs varying from complication to seizures to coma. The extent of the symptoms depends on just how reduced the salt degrees remain in the blood stream and how swiftly they drop (McCance, & Huethe, 2014). In a lot of cases, blood sodium levels drop gradually, generating only moderate signs as the body has time to make changes. Symptoms are extra severe when blood salt levels fall promptly.

9-   What is acidosis and what is alkalosis?

Acidosis vs alkalosis might occur as a result of different underlying troubles, yet they have numerous similarities and can often be detected as well as treated similarly. Acidosis describes the problem of having an unwanted of acid in the blood. There are two sorts of acidosis: metabolic and breathing. Alkalosis is an excess in the concentration of alkaline materials or alkali in the blood and body fluids. A pH of 7 is a neutral focus of antacids. This problem is characterized by a high plasma pH (above 7.45), high bicarbonate focus, as well as low PCO2. The symptoms of acidosis are the following: feeling weary, having sore muscular tissues, troubles with breathing, as well as sensation woozy, confusion, modifications in heart rate or high blood pressure, lack of ability to urinate or sweat, as well as discomfort in the chest area (McCance, & Huethe, 2014). If you experience these signs and symptoms while additionally really feeling sick with a high temperature it is necessary to look for healthcare quickly. Symptoms of acidosis might consist of Confusion (can proceed to stupor or coma), Hand shake. Impaired thinking. Muscle twitching. Queasiness, vomiting. Tingling or tingling in the face, hands, or feet.

Altered Cellular and Tissue Biology: Environmental Agents

10- Mr. Epperson was lifting a heavy piece of furniture when he experienced crushing pain in his chest, began sweating heavily, and was nauseated. His wife drove him to the hospital, where he was diagnosed with a myocardial infarction (heart attack) and given intravenous drugs to dissolve a clot that was obstructing a major coronary artery. After his hospitalization, Mr. Epperson’s doctor told him that some of his heart muscle had died. Match the questions with the correct answers regarding the cell injury in Mr. Epperson’s heart.

  1. Mr. Epperson’s myocytes were initially injured by ___ ischemia ____.
  2. Ischemia injures cells faster than ___ hypoxia ____ alone.
  3. Reversible myocyte swelling was caused by lack of ____ ATP ___ to fuel ion pumps.
  4. Irreversible myocyte injury occurred when mitochondrial and plasma ___ membranes ____ were disrupted.
  5. Dissolving the blood clot rescued some myocytes by providing ___ oxygen ____ for generating ATP.
  6. Dissolving the blood clot damaged some myocytes by ___ reperfusion ____ injury.
  7. hypoxia
  8. sodium
  9. oxygen
  10. ATP
  11. ischemia
  12. necrosis
  13. reperfusion
  14. membranes
  15. apoptosis

Reference

McCance, Kathryn L. & Huethe, Sue E. (2014). Pathophysiology: The Biology Basis for Disease in Adults and Children. 7th Edition. Evolve Elsevier. ISBN-13: 978-0323088541

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NUR 690 Nursing Informatics Practicum Assignment

NUR 690 Nursing Informatics Practicum Assignment

For this part of the project, you will elicit requirements and data for the successful implementation of the project solution. Write an essay (500–750 words) addressing the following:
Identify the subject matter experts needed to gather data and determine requirements. NUR 690 Nursing Informatics Practicum
Describe the requirement elicitation process.
Describe the functional requirements that are needed to complete the project solution.
Refer to \”Nursing Informatics Practicum Project Overview,\” located in Course Materials, for further information.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. NUR 690 Nursing Informatics Practicum Assignment

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Project info: I am including all this information below , as I feel like you can help me moving forward with future homework , and actual power presentation based on the project idea and topic from I formation and data included here.

Project Idea: improving quality of patient care via a Federal Quality program and working with providers to move data to wisdom.

Add info for weekly meetings/conference.

Business need: to assist providers in the MIPS program.

Scope: in assisting providers with mandatory reporting requirements, to aid these providers in providing better care, and moving beyond simply reporting data to using this data as a meaningful way to improve care and model practice policy.

Problem: Providers see the MIPS program as burdensome and un-meaningful

Solution: 1:1 work with providers, practices, clinics etc. to a.) help providers report their data, b.) aid providers in understanding why the data is meaningful. c.) work with providers to improve data and patient care in subsequent years, d.) work with providers to make meaningful changes using data to improve patient care, which improves future reporting.. NUR 690 Nursing Informatics Practicum

Adult Health Case study Hypertension

Adult Health Case study Hypertension

HPI:

E.W.  is a 40-year old African American male, who has had difficulty controlling his HTN lately. He is visiting his primary care provider for a thorough physical examination and to renew a prescription to continue his blood pressure medication.

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PMH:

 

  • Chronic sinus infections
  • Hypertension for approximately 11 years
  • Pneumonia 6 years ago that resolved with antibiotic therapy
  • One major episode of major depressive illness caused by the suicide of his wife of 15 years, 5 years ago.
  • No surgeries
  • Allergies to Penicillin (Rash)

 

FH:

 

  • Father died at age 49 from AMI; had HTN
  • Mother has DM and HTN
  • Brother died at age 20 from complication of CF
  • Two younger sisters are A & W

SH:

 

The patient is a widower and lives alone. He has a 15-year-old son who lives with a maternal aunt. He has not spoken with his son for four years. The patient is an air traffic controller at the local airport. He smoked cigarettes for approximately 10 years but stopped smoking when he was diagnosed with HTN.  He drinks “several beers every evening to relax” and does not pay particular attention to the sodium, fat or carbohydrate content of the foods that he eats. He admits to “salting almost everything he eats, sometimes even before tasting it.” He denies ever having dieted. He takes an occasional walk but has no regular daily exercise program.

 

Meds:

  • Hydrochlorothiazide 50 mg PO QD
  • Pseudoephedrine hydrochloride 60 mg PO Q6hr prn
  • Beclomethasone dipropionate 1 spray into each nostril Q6 hr prn

 

Review of Systems:

 

  • States that his overall health has been fair to good during the past 12 months
  • Weight has increased by approximately 20 pounds during the last year
  • Denies chest pain, shortness of breath at rest, headaches, nocturia, nosebleeds, and hemoptysis
  • Reports some shortness of breath with activity, especially when climbing stairs, and that breathing difficulties are getting worse
  • Denies any nausea, vomiting, diarrhea, or blood in the stool
  • Self-treats occasional right knee pain with OTC extra-strength acetaminophen
  • Denies any genitourinary symptoms

 

Physical Exam and Lab tests

 

General:

The patient is an obese black man in no apparent distress. He appears to be his stated age.

 

Vital Signs:

BP: 155/96 sitting

HR: 73, regular

RR: 15, unlabored

Temp: 98.8 degrees F

Height: 5’11”

Weight: 221 lb

BMI: 31.

 

HEENT:

 

  • Tympanic membrane intact and clear throughout
  • No nasal drainage
  • No exudates or erythema in oropharynx
  • PERRLA, pupil diameter 3. mm bilaterally
  • Sclera without icterus
  • EOMI
  • Fundoscopy reveals mild arteriolar narrowing with no nicking, hemorrhages, exudates, or papilledema.

Supple without masses or bruits

Thyroid normal

Negative lymphadenopathy

 

Lungs:

Mild basilar crackles bilaterally

No wheezes

 

Heart:

RRR

Prominent S3 sound

No murmurs or rubs

 

ABD:

 

Soft and nondistended

Non tender with no guarding or rebound

No masses, bruits, or organomegaly

Normal bowel sounds

 

Rectal/GU

 

Normal size prostate without nodules or asymmetry

Heme negative stool

Normal penis and testes

 

Ext:

No CCE

Limited ROM right knee

 

Neuro

 

No sensory or motor abnormalities

CNs II-XII intact

Negative Babinski

DTRs=2+

Muscle tone = 5/5 throughout

 

Laboratory tests

Na                      139meq/L RBC                    5.9mil/mm33 Mg                           2.4mg/dL
K                          3.9meq/L WBC                   7,100/mm3 P04                          3.9mg/dL
Cl                        102meq/L AST                   29 IU/L Uric acid                 7.3mg/dL
HCO3                  27 meq/L ALT                   43 IU/L Glu, fasting            110mg/dL
BUN                     17mg/dL ALK phos       123 IU/L T. Chol                 275mg/dL
Cr                          1.0mg/dL GGT               119 IU/L HDL                      31mg/dL
HgB                      16.9g/dL T. Bilirubin      0.9mg/dL LDL                     179mg/dL
Hct                         48% T. protein      6.0g/dL Trig                      290mg/dL
Plt                   235,000/mm3 Ca                  9.3mg/dL PSA                    1.3ng/mL

 

Urinalysis results:

Appearance- clear, amber in color

Specific gravity- 1.017

Ph- 5.3

Protein- negative

 

RBC- 0

WBC- 0

Bacteria- negative

 

ECG:

Increased QRS voltage suggestive of LVH

 

ECHO:

Moderate LVH with EF = 46%

 

Interdisciplinary Plan Proposal

Interdisciplinary Plan Proposal

Interdisciplinary Plan Proposal

            Write a brief introduction (2 to 3 sentences) to your proposal that outlines the issue you are attempting to solve, the part of the organization in which the plan would be carried out, and the desired outcome. This will set the stage for the sections below.

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Objective

Describe what your plan will do and what you hope it will accomplish in one or two succinct sentences. Also, comment on how the objective, if achieved, will improve organizational or patient outcomes. For example:

Test a double-loop feedback model for evaluating new product risk with a small group of project managers with the goal of reducing the number of new products that fail to launch. This objective is aligned to the broader organizational goal of becoming more efficient taking products to market and, if successful, should improve outcomes by reducing waste.

Questions and Predictions

For this section ask yourself 3 to 5 questions about your objective and your overall plan. Make a prediction for each question by answering the question you posed. This helps you to define the important aspects of your plan as well as limit the scope and check its ability to be implemented.

For example:

  1. How much time will using a double-loop feedback model add to a project manager’s workload?
    1. At first, it will likely increase their workloads by 5 to 10 percent. However, as the process is refined and project managers become more familiar and efficient, that percentage will decrease.

Change Theories and Leadership Strategies

For this section, you may wish to draw upon the research you did regarding change theories and leadership for the Interview and Interdisciplinary Issue Identification assessment. The focus of this section is how those best practices will create buy-in for the project from an interdisciplinary team, improve their collaboration, and/or foster the team’s ability to implement the plan. Be sure that you are including at least one change theory and at least one leadership strategy in your explanation. Always remember to cite your sources; direct quotes require quotation marks and a page or paragraph number to be included in the citation.

Another way to approach your explanations in this section is to think through the following:

  • What is the theory or strategy?
  • How will it likely help an interdisciplinary team to collaborate, implement, and/or buy in to the project plan?
    • Make sure to frame this explanation within the organizational context of the proposed plan, that is, your interviewee’s organization.

Team Collaboration Strategy

In this section, begin by further defining the responsibilities and actions that represent the implementation of the plan. One strategy to defining this is to take a “who, what, where, and when” approach for each team member.

For example:

  • Project Manager A will apply the double-loop feedback model on one new product project for a single quarter.
  • Project Manager B will apply the double-loop feedback model on all new product projects for a quarter.

Vice President A will review the workloads of project managers using the double-loop feedback model every Thursday for one quarter.

After you have roughly outlined the roles and responsibilities of team members, you will explain one or more collaborative approaches that will enable the team to work efficiently to achieve the plan’s objective. As with the change theories and leadership strategies, you may draw on the research you conducted for the Interview and Interdisciplinary Issue Identification assessment. However, you are being asked to give a more in-depth explanation of the collaboration approaches and look at how they will help the theoretical interdisciplinary team in your plan proposal.

Another way to approach your explanations in this section is to think through the following:

  • What is the collaboration approach?
  • What types of collaboration and teamwork will best help the interdisciplinary team be successful?
  • How is the collaboration approach relevant to the team’s needs and will it help drive success?
    • Make sure to frame this explanation in terms of the subject of the plan proposal; that is, your interviewee’s organization.

Required Organizational Resources

For this section, you will be making rough estimates of the resources needed for your plan proposal to be successful. This section does not have to be exact but the estimates should be realistic for the chosen organization.

Items you should include or address in this section:

  • What are the staffing needs for your plan proposal?
  • What equipment or supplies are needed for your plan proposal?
    • Does the organization already have these?
      • If so, what is the cost associated with using these resources?
      • If not, what is the cost of acquiring these resources?
    • What access (to patients, departments, and so forth) is needed?
      • Are there any costs associated with these?
    • What is the overall financial budget request for the plan proposal?
      • Staff time, resource use, resource acquisition, and access charged?
        • Remember to include a specific dollar amount in your request.

After you have detailed your budget, make sure that you explain any impacts on organizational resources that could happen if your plan is not undertaken and successful. In other words, if the issue you are try to solve through your plan proposal persists or gets worse, what will be the potential costs to the organization?

 

 

References