Assignment : Case Study Assignment: Assessing Neurological

Assignment : Case Study Assignment: Assessing Neurological.Imagine not being able to form new memories. This is the reality patients with anterograde amnesia face. Although this form of amnesia is rare, it can result from severe brain trauma. Anterograde amnesia demonstrates just how impactful brain disorders can be to a patient’s quality of living. Accurately assessing neurological symptoms is a complex process that involves the analysis of many factors.In this Case Study Assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.To PrepareBy Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.With regard to the case study you were assigned:Review this week’s Learning Resources, and consider the insights they provide about the case study.Consider what history would be necessary to collect from the patient in the case study you were assigned.Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template.Provide evidence from the literature to support diagnostic tests that would be appropriate for each case.List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.CASE STUDYNeurological Cases for Week 9Case 1: Drooping of the face: A 33-year-old female comes to your clinic alarmed about sudden “drooping” on the right side of the face that began this morning. She complains of excessive tearing and drooling on her right side as well.THIS IS THE LINK TO DOWNLOAD THE BOOK:https://www.sendspace.com/file/wd7quhNOTE: Check the assignment for plagiarism

Nursing discussion post

Which of the culture and caring theories most resonates with you for your practice as an NP? How does the theory integrate the nursing paradigm?  What parts of the theory do you identify with? How does the theory help to meet CLAS standards to advance health equity?Please answer each question. Use apa format and one of the following references as well as another that you find within the last 5 years.Purnell, L. (2018). Models and theories focused on culture. In J. B. Butts & K. L. Rich, Philosophies and theories for advanced nursing practice, 3rd ed. (pp. 565-599). Burlington, MA: Jones & BartlettWatson Caring Science Institute. (2018). Core concepts of Jean Watson’s Theory of Human Caring/Caring Sciences. Retrieved from www.watsoncaringscience.orgDuffy, J. (2018).Theories focused on caring. In J. B. Butts & K. L. Rich, Philosophies and theories for advanced nursing practice, 3rd ed. (pp. 545-559). Burlington, MA: Jones & Bartlettabout 400 words

Benchmark – Risk Management Program Analysis – Part One

The purpose of this assignment is to analyze a health care risk management program.Conduct research on approaches to risk management processes, policies, and concerns in your current or anticipated professional arena to find an example of a risk management plan. Look for a plan with sufficient content to be able to complete this assignment successfully. In a 950‐1000-word paper, provide an analysis of the risk management plan that includes the following:Summary of the type of risk management plan you selected (new employee, specific audience, community‐focused, etc.) and your rationale for selecting that example. Describe the health care organization to which the plan applies and the role risk management plays in that setting.Description of the standard administrative steps and processes in a typical health care organization’s risk management program compared to the administrative steps and processes you identify in your selected example plan. (Note: For standard risk management policies and procedures, look up the MIPPA-approved accrediting body that regulates the risk management standards in your chosen health care sector, and consider federal, state, and local statutes as well.)Analysis of the key agencies and organizations that regulate the administration of safe health care in your area of concentration and an evaluation of the roles each one plays in the risk management oversight process.Evaluation of your selected risk management plan’s compliance with the standards of its corresponding MIPPA-approved accrediting body relevant to privacy, health care worker safety, and patient safety.Proposed recommendations or changes you would implement in your risk management program example to enhance, improve, or secure the aforementioned compliance standards.In addition to your textbook, you are required to support your analysis with a minimum of three peer‐reviewed references.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Balogun NR351 Scholarly Paper Phase 1

Scholarly Paper Phase1

Aquifer Family Medicine 32

Using the attached Aquifer Case Study, answer the following questions using the latest evidenced based guidelines:• Discuss the questions that would be important to include when interviewing a patient with this issue.• Describe the clinical findings that may be present in a patient with this issue.• Are there any diagnostic studies that should be ordered on this patient? Why?• List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.• Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.Complete 2 pagesProvide references

Knowlege check

1. CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.1 of 2 Questions:Why is HDL considered the “good” cholesterol?QUESTION 21. CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.2 of 2 Questions:Explain the role inflammation has in the development of atherosclerosis.QUESTION 31. A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.Question:What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub?1 pointsQUESTION 41. A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought he had the flu and took him to an Urgent Care Center. He was given Tamiflu® and sent home. He says the Tamiflu didn’t seem to work. States had a slight sore throat a couple weeks ago and attributed it to the flu. Physical exam revealed thin young man who appears to be uncomfortable but not acutely ill. Posterior pharynx reddened and tonsils 3+ without exudate. + anterior and posterior cervical lymphadenopathy. Tachycardic and a new onset 2/6 high-pitched, crescendo-decrescendo systolic ejection murmur auscultated at the left sternal border. Rapid strep +. The patient was diagnosed with acute rheumatic heart disease (RHD).Question:Explain how a positive strep test has caused the patient’s symptoms.QUESTION 51. The APRN sees a 74-year-old obese female patient who is 2 days post-op after undergoing left total hip replacement. The patient has had severe post op nausea and vomiting and has been unable to go to physical therapy. Her mucus membranes are dry. The patient says she feels like the skin on her left leg is too tight. Exam reveals a swollen, tense, and red colored calf. The patient has a duplex ultrasound which reveals the presence of a deep venous thrombosis (DVT).Question:Describe the factors that could have contributed to the development of a DVT in this patient explain how each of the factors could cause DVT.QUESTION 61. A 45-year-old woman is 10 days status post partial small bowel resection for Crohn Disease and has been recuperating at home. She suddenly develops severe shortness of breath, becomes weak, and her blood pressure drops to 80/40 mmHg (previous readings ~130/80s mmHg). The pulse oximetry is 89% on room air. The APRN suspects the patient experienced a massive pulmonary embolus.Question:Explain why a large pulmonary embolus interferes with oxygenation.QUESTION 71. A 45-year-old woman is 10 days status post partial small bowel resection for Crohn Disease and has been recuperating at home. She suddenly develops severe shortness of breath, becomes weak, and her blood pressure drops to 80/40 mmHg (previous readings ~130/80s mmHg). The pulse oximetry is 89% on room air. While waiting for the Emergency Medical Service (EMS) to arrive, the APRN places EKG leads and the EKG demonstrates right ventricular strain.Question:Explain why a large pulmonary embolism causes right ventricular strain.– FoQUESTION 81. A 12-year-old girl is brought to the Emergency Room (ER) by her mother with complaints of shortness of breath, wheezing, tachypnea, tachycardia, and a non-productive cough. The mother states they had just come from a fall festival where the entire family enjoyed a hayride. The symptoms began shortly after they left the festival but got better a couple hours after they returned home. The symptoms began again about 6 hours later and seem to be worse. The mother states there is no history of allergies or frequent respiratory infections. The child is up to date on all vaccinations. The child was diagnosed with asthma. The nurse practitioner explained to the mother that her child was exhibiting symptoms of asthma, and probably had an early asthmatic response and a late asthmatic response.Question 1 of 2:Explain early asthmatic responses and the cells responsible for the responses.QUESTION 91. A 12-year-old girl is brought to the Emergency Room (ER) by her mother with complaints of shortness of breath, wheezing, tachypnea, tachycardia, and a non-productive cough. The mother states they had just come from a fall festival where the entire family enjoyed a hayride. The symptoms began shortly after they left the festival but got better a couple hours after they returned home. The symptoms began again about 6 hours later and seem to be worse. The mother states there is no history of allergies or frequent respiratory infections. The child is up to date on all vaccinations. The child was diagnosed with asthma. The nurse practitioner explained to the mother that her child was exhibiting symptoms of asthma, and probably had an early asthmatic response and a late asthmatic response.Question 2 of 2:Explain late asthmatic responses and the cells responsible for the responses.QUESTION 101. A 64-year-old man with a 40 pack/year history of cigarette smoking has been diagnosed with emphysema.  He asks the APRN if this means he has COPD.Question 1 of 2:Explain the pathophysiology of emphysema and how it relates to COPD.QUESTION 111. A 64-year-old man with a 40 pack/year history of cigarette smoking has been diagnosed with emphysema.  He asks the APRN if this means he has COPD.Question 2 of 2:Explain the pathophysiology of chronic bronchitis and how it relates to COPD.QUESTION 121. Mr. Jones is a 78-year-old gentleman who presents to the clinic with a chief complaint of fever, chills and cough. He also reports some dyspnea. He has a history of right sided CVA, COPD, dyslipidemia, and HTN. Current medications include atorvastatin 40 mg po qhs, lisinopril, and fluticasone/salmeterol. He reports more use of his albuterol rescue inhaler.Vital signs Temp 101.8 F, pulse 108, respirations 21. PaO2 on room air 86% and on O2 4 L nasal canula 94%. CMP WNL, WBC 18.4. Physical exam reveals thin, anxious gentleman with mild hemiparesis on left side due to CVA. HEENT WNL except for diminished gag reflex and uneven elevation of the uvula, CV-HR 108 RRR without murmurs, rubs, or click, no bruits. Resp-coarse rhonchi throughout lung fields. CXR reveals consolidation in right lower lobe. He was diagnosed with community acquired pneumonia (CAP).Question:Patient was hypoxic as evidenced by the low PaO2. Explain the pathologic processes that caused this patient’s hypoxemia.1 pointsQUESTION 131. A 64-year-old woman with moderately severe COPD comes to the pulmonary clinic for her quarterly checkup. The APRN reviewing the chart notes that the patient has lost 5% of her body weight since her last visit. The APRN questions the patient and patient admits to not having much of an appetite and she also admits to missing some meals because it “takes too much work” to cook and consume dinner.Question:The APRN recognizes that COPD has a deleterious effect on patients. Explain why patients with COPD are at risk for malnutrition.

Evidence-Based Project, Part 1: Identifying Research Methodologies

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:1). ZERO (0) PLAGIARISM2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS.Thank you.Is there a difference between “common practice” and “best practice”?When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.To Prepare:Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.Part 1: Identifying Research MethodologiesAfter reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:The full citation of each peer-reviewed article in APA format.A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Nursing discussion.

Discussion: Ethical and Legal Foundations of PMHNP CareAdvanced practice nursing in all specialties is guided by codes of ethics that put the care, rights, duty, health, and safety of the patient first and foremost. PMHNP practice is also guided by ethical codes specifically for psychiatry. These ethical codes are frameworks to guide clinical decision making; they are generally not prescriptive. They also represent the aspirational ideals for the profession. Laws, on the other hand, dictate the requirements that must be followed. In this way, legal codes may be thought to represent the minimum standards of care, and ethics represent the highest goals for care.Photo Credit: [Hero Images]/[Hero Images]/Getty ImagesFor this Discussion, you select a topic that has both legal and ethical implications for PMHNP practice and then perform a literature review on the topic. Your goal will be to identify the most salient legal and ethical facets of the issue for PMHNP practice, and also how these facets differ in the care of adult patients versus children. Keep in mind as you research your issue, that laws differ by state and your clinical practice will be dictated by the laws that govern your state.To PrepareSelect one of the following ethical/legal topics:AutonomyBeneficenceJusticeFidelityVeracityInvoluntary hospitalization and due process of civil commitmentInformed assent/consent and capacityDuty to warnRestraintsHIPPAChild and elder abuse reportingTort lawNegligence/malpracticeIn the Walden library, locate a total of four scholarly, professional, or legal resources related to this topic. One should address ethical considerations related to this topic for adults, one should be on ethical considerations related to this topic for children/adolescents, one should be on legal considerations related to this topic for adults, and one should be on legal considerations related to this topic for children/adolescents.By Day 3 of Week 2Briefly identify the topic you selected. Then, summarize the articles you selected, explaining the most salient ethical and legal issues related to the topic as they concern psychiatric-mental health practice for children/adolescents and for adults. Explain how this information could apply to your clinical practice, including specific implications for practice within your state. Attach the PDFs of your articles.

Prioritization Discussion

Week 3: Prioritization Discussion Case StudyReview the following Prioritization Principles videos:Prioritizationhttps://www.youtube.com/watch?v=WRElSFt674M (Links to an external site.)Nursing Leadership – ABCDE Principle and Patient Prioritizationhttps://www.youtube.com/watch?v=hWTKT4Z1ae0 (Links to an external site.)Nursing Leadership – Efficient Nursing Practice & Delegationhttps://www.youtube.com/watch?v=iI4HIZpScPQ (Links to an external site.)Maslow’s Hierarchy of Needs as it relates to PrioritizationIntroduction:Setting priorities is an essential and critical thinking skill.Priority setting is perhaps the most critical skill in good time management, because all actions we take have some type of relative importance.Management of a patient load depends heavily on setting priorities.Generally, the new nurse tends to focus on one problem at a time rather than seeing the whole picture and may have difficulty in priority setting.Through the assessment process, patients help the nurse define their needs, establish interventions, and implement the plan of care. This is where individualized priority-setting between patients and nurses occurs.By necessity some care needs will be delayed in preference to more pressing needs of other patients.Priorities will be influenced by the acuity of the patient’s condition and the acuity of all patient’s assigned to a nurseTime Management:Three Basic Steps in Time ManagementAllow time for planning and establish priorities.Complete the highest priority task whenever possible, and finish one task before beginning another.Reprioritize based on the remaining tasks and on new information that may have been received.Priority ranking of patients:First level patient problemThese are threats to a patient’s immediate survival or safety and demand immediate nursing intervention. ABC’s (airway, breathing, circulation).Second level patient problemConcerns such things as mental status change, acute pain, acute urinary elimination, untreated medical problems requiring immediate attention (diabetic needing insulin) abnormal pathology lab results, risks of infection, safety, or security.Third level patient problemThose that do not fit into the above two categories such as monitoring for medication side effects, lack of patient knowledge, longer patient longer-term problems with living activities, etc.No life-threatening problems existThe nurse used both professional judgment and the patient to set priorities and determine planning.This is a continually changing aspect of assessment of patients.Priority Setting Traps:“Whatever hits first”This trap occurs when an individual simply responds to things as they happen rather than thinking first and then acting. This is common to new nurses.“Path of least resistance”In this trap the individual makes the assumption that it is easier to do a task by himself or herself and fails to delegate appropriately.“Squeaky wheel”In this trap, the individual falls prey to those who are most vocal about their requests and then feels a need to respond to the time frame imposed by the ““squeaky wheel” rather than his or her own.“Default”The individual feels obligated to take on tasks that no one else has come forward to do.“Inspiration”In this trap, individuals wait until they become “inspired” to accomplish a task. Some tasks will never be inspiring, and the wise time manager recognizes that the only thing that will complete these tasks is hard work and appropriate attention to the matter.Managing time at work:Being overwhelmed by work and time constraints lead to increased errors, omission of important tasks, and general feelings of stress and ineffectiveness.Time management skills are learned although some people are better at it than others.Disorganization results from poor planning and prioritization.Simple suggestions for time management:Gather all the supplies and equipment that will be needed before starting an activity. Breaking down a job mentally into parts before beginning the activity may help the nurse identify what supplies are needed.Group or “cluster” activities that are in the same location. If you have walked a long distance down a hallway, attempt to do several things there before going back to the nurses station. Another example is a home health nurse, group client visits geographically when possible to minimize travel time.Document your nursing interventions as soon as possible after an activity is completed. Waiting until the end of the workday to complete necessary documentation increases the risk of inaccuracies and incomplete documentation.Strive to end the workday on time. Although this is not always possible, delegating appropriately to others and making sure that the workload goal for any given day is reasonable are two strategies that will help accomplish this goal.Schedule difficult tasks during the period of the day you are most productive and simpler, more routine tasks during less productive times.Time wasters:ProcrastinationThe three most common reasons for procrastination are:Not wanting to beginNot knowing where to beginNot knowing where to begin, even if you wanted to do, which you don’t.Poor planningFailure to establish goals and objectivesInability to delegateInability to say noManagement by crisisHasteIndecisivenessCoping with short short-staffing:Prioritize you assignmentsOrganize your workloadBe a team playerMake a rule that no one can sit until everyone can sit. Pitch in and help others.Use unlicensed personnel wiselyEncourage family participationInform and involve nursing administrationCommunicate effectively and nicelyTake care of yourselfMaintain a positive attitudeAttitude is everything. If you go into a is challenging situation with a positive attitude you can achieve great results. A negative attitude can bring down the morale and performance of the entire team.Scenario:Assume that you are the Charge Nurse of a team with one LPN and one nursing assistant on the 7A-3P shift at an acute care hospital. The three of you are responsible for providing total care to 10 patients. Prioritize the following list of 10 things you need to accomplish this morning. Use a 1 for the first thing you will do and a 10 for the last.________Check MAR against the orders________Listen to night shift report from 0700-0720________Perform walking rounds to assess the night shift report and to introduce yourself to patients.________Hang four (4) 0900 IV medications________Set up the schedule for breaks and lunch among your team members________Give the 0845 pre-op on patient going to surgery at 0900________Pass the 0830 breakfast trays________Read the charts on new admissions that you are responsible for on the unit________Check 0600 blood glucose results for 0730 insulin administration________Consult with the interdisciplinary healthcare team to develop and/or revise patient plans of careNow, create an initial discussion posting that provides the rationale for how your prioritized your day in relation to Maslow’s Hierarchy of Needs. Your initial posting must be completed by Wednesday, 3/17/2021 by 11:59 pm. On another day, you must respond to two of your classmates by Sunday, March 21/2021 by 11:59 pm.References:Hägg-Martinell, A., Hult, H., Henriksson, P., & Kiessling, A. (2020). Nursing Students Learn to Handle Stress and to Prioritize in a Complex Context During Workplace Learning in Acute Internal Medicine Care – An Ethnographic Study. Advances in medical education and practice, 11, 21–30. https://doi.org/10.2147/AMEP.S230476Toney-Butler TJ, Thayer JM. Nursing Process. [Updated 2020 Jul 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. [Figure, Maslow’s Hierarchy of Needs for…] Available from: https://www.ncbi.nlm.nih.gov/books/NBK499937/figure/article-26037.image.f1/

Focused Soap Note

The AssignmentDevelop a Focused SOAP Note, including your  differential diagnosis and critical-thinking process to formulate a  primary diagnosis. Incorporate the following into your responses in the template:** Please see attachments for complete assignment.Thank you