STDs Essay Assignment

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STDs Essay Assignment

An understanding of the factors surrounding women’s and men’s health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient. 
Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact..

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An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following as it applies to the scenario you were provided (not all may apply to each scenario):

* The factors that affect fertility (STDs). STDs Essay. STDs Essay Assignment

* Why inflammatory markers rise in STD/PID.

* Why prostatitis and infection happens. Also explain the causes of systemic reaction.

* Why a patient would need a splenectomy after a diagnosis of ITP.

* Anemia and the different kinds of anemia (i.e., micro and macrocytic).

Day 7 of Week 10

Submit your Case Study Analysis Assignment by Day 7 of Week 10

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting.

 

Discussion – Advanced Pathophysiology

 

Student’s Name

 

Institution of Affiliation

 

COURSE CODE Course Name

 

Instructor’s Name

 

Date

The factors that affect fertility (STDs)

 

Factors affecting fertility include age, the timing of sexual intercourse, type of lifestyle (use of alcohol, cigarette smoking, weight, exercises), and prescription or over-the-counter drugs. For this case scenario, STDs are the most integral factor affecting fertility. Studies show that STDs such as gonorrhea and Trichomoniasis are associated with the development of fallopian tube damage (Smolarczyk et al., 2021) STDs Essay. Cases of STDs may present like pelvic inflammatory disease, which can involve the female reproductive organs. Studies associate pelvic inflammatory disease (PID) with tubal factor infertility, proving STDs are significant factors that face infertility. STDs Essay Assignment

Why inflammatory markers rise in STD/PID.

Bacteria and other microorganisms are responsible for pelvic inflammatory disease and STDs. The presence of the pathogens in the body induces the secretion of cytokines and interleukins 1, 6 and 8 (Paulis, 2018). Interleukin 1 works in synergy with the Tumor Necrosis Factor to propagate the inflammatory process. The infiltration of substantial quantities of Tumor Necrosis Factor into organs (including organs in the pelvic) activates neutrophil-activating peptides. These inflammatory markers may be tested in the laboratory as C-reactive protein and procalcitonin. STDs Essay.

 

Why prostatitis and infection happens. Also explain the causes of systemic reaction.

 

Prostatitis occurs from the inflammatory process at the stroma lying close to prostate acini. Infections may take the form of acute bacterial, chronic or PID. Systemic spread of bacterial infection from the urinary tract into the prostate or from the lymph through the rectum may induce a systemic reaction. Acute prostatic bacterial infection may cause a systemic reaction. STIs including gonorrhea, chlamydia and human immunodeficiency virus are common causes of systemic infection.

 

Need for splenectomy after a diagnosis of ITP

 

Following the development of idiopathic thrombocytopenic purpura, the spleen may destroy and remove platelets from the circulation after wrongly considering them as foreign. According to Cooper and Ghanima (2019), a person diagnosed with ITP would require splenectomy to prevent unnecessary damage to platelets.

 

Anemia and the different kinds of anemia

 

Anemia is the condition of having a hemoglobin level that is lower than expected level for the respective age or gender (Bengi et al., 2018). The different kinds of anemia include:

 

Hypo-proliferative anemias – include normocytic, microcytic, and macrocytic anemia based on the mean corpuscular volume

Hypo-proliferative microcytic anemia – include anemia caused by chronic diseases, thalassemia, and iron deficiency anemia

Hypo-proliferative macrocytic anemia – these anemias may drug-induced, or involve deficiencies in vitamin b12 and folate, alcohol, liver disease STDs Essay

Hypo-proliferative normocytic anemia – aplastic anemia. STDs Essay Assignment

References

 

Bengi, G., Keyvan, H., Durmaz, S. B., & Akpınar, H. (2018). Frequency, types, and treatment of anemia in Turkish patients with inflammatory bowel disease. World journal of gastroenterology, 24(36), 4186.

 

Cooper, N., & Ghanima, W. (2019). Immune thrombocytopenia. New England Journal of Medicine, 381(10), 945-955.

 

Paulis, G. (2018). Inflammatory mechanisms and oxidative stress in prostatitis: the possible role of antioxidant therapy. Research and Reports in Urology, 10, 75.

 

Smolarczyk, K., Mlynarczyk-Bonikowska, B., Rudnicka, E., Szukiewicz, D., Meczekalski, B., Smolarczyk, R., & Pieta, W. (2021). The Impact of Selected Bacterial Sexually Transmitted Diseases on Pregnancy and Female Fertility. International Journal of Molecular Sciences, 22(4), 2170. STDs Essay

 

 

Sources and Influences on Probabilities Discussion

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Sources and Influences on Probabilities Discussion

Consider when you are listening to a new patient who says they have had a fever for 3 days. You would use your

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knowledge and experience with probability to come to a diagnosis. What changes those probabilities? Is it age, is it other symptoms, is it new study results? What is the source of these probabilities and what causes these probabilities to change? This discussion is not to debate diagnoses, but to focus on the sources and influences on probabilities.

 

Holmes, A., Illowsky, B., & Dean, S. (2018). Introductory Business Statistics. Houston, Texas: Rice University.

Physicians Practice Management Discussion – Wk 9

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Physicians Practice Management Discussion – Wk 9

“Designing and Implementing an Effective Compliance Plan”

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The Office of Inspector General (OIG) has established a set of guidelines (e.g., auditing, monitoring, internal controls, sampling, due diligence, and standards of organizational and employee behavior, etc. Page 508 of the textbook) that physician practices should follow when creating a compliance plan. State your opinion as to which OIG guideline would be the single most significant aspect of a compliance plan for a small practice. Provide a rationale for your response.
According the text, the fundamental purpose of a compliance plan is to create an organizational culture that promotes the prevention, identification, and resolution of issues associated with risk. Suggest two (2) main aspects of a management strategy necessary to create this type of culture. Support your recommendations with at least one (1) real-world example.

What Are Your Long Term Nursing Goals for Your Nursing Career Essay

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What Are Your Long Term Nursing Goals for Your Nursing Career Essay

Write a 1 page essay on what are your long term nursing goals for your career.

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My goal is to become a family nurse practitioner. I started writing something but got stuck maybe you can use it.

 

My long term nursing career goals is to become a family nurse practitioner. I want to promote health in my community. By pursuing the highest possible education in nursing i can make a impact on others. In the future I would also consider becoming a nurse educator. I believe in caring for others in need as well as helping other nurse’s.

discussion

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discussion

“State Children’s Health Insurance Program” Please respond to the following:

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From the first e-Activity, specify whether your state follows the private insurance model or the Medicaid model for its CHIP. Analyze the impact that the choice of model has on the fiscal health of your state. Provide two (2) examples of this impact of model choice to support your analysis.
From the second e-Activity, examine at least two (2) changes to CHIP that have occurred as a result of the implementation of the Affordable Care Act. Hypothesize the potential effect that the changes in question could have on access to health care for children covered by CHIP. Support your rationale with one (1) specific example of such an effect for each change that you have identified.
E-activity

The State Children’s Health Insurance Program (CHIP) is implemented separately by each state. Use the Internet to research CHIP funding in your state. Be prepared to discuss.
Use the Internet to research the National Conference of State Legislatures’ Website, located at http://www.ncsl.org/issues-research/health/childrens-health-insurance-program-overview.aspx, as well as other related Websites to determine the impact the Affordable Care Act has on CHIP. Be prepared to discuss.

Healthcare Quality And Liability and Quality Discussion

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Healthcare Quality And Liability and Quality Discussion

PART A “Healthcare Quality” Please respond to the following:

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Examine two (2) well-known healthcare quality organizations that have taken two to three (2-3) measures to improve quality within the organizations themselves. Suggest one (1) additional measure that each organization could take to further improve healthcare quality.
Suppose you are a Quality Officer for a healthcare organization in your area. (Albany, NY) You have been tasked with creating a plan to reduce the increasing number of medical errors that occur within your organization. Specify two (2) quality initiatives that your organization could implement in order to reduce medical errors and their related costs. Determine the fundamental tenets of the Standard of Care that would influence quality in your organization.

PLEASE RESPOND TO CLASSMATE DISCUSSION WHETHER YOU AGREE OR NOT & A DETAILED WHY: The Joint Commission (TJC) is the most well known organization that has taken steps to increase the quality of care for hospitals. By establishing the ORYX Initiative in the 1990’s almost every hospital in the country has been accredited by TJC. By establishing training programs for quality assurance and providing quality assurance reviews of hospitals on demand, they have been able to show hospitals where they can improve and provides tools to do so. A second organization that is well known is Centers for Medicaid and Medicare Services. This organization works with TJC in ensuring quality assurance measures are standardized and practiced by all facilities. Working with hospitals as well as non-profit and private organizations, they provide quality assurance oversight for many institutions as well as training in outpatient quality of life initiatives.

Two initiatives that an organization can implement is to have a team dedicated in oversight for documentation and follow-ups. Monthly revues of medical records. This will ensure that documentation is properly annotated as well as allowing for the ability to identify problems in diagnosis and after care instructions. A second way which is much easier but a little more costly would be to ensure the use of the electronic health record system. This system has built in quality assurance programs which are designed to check for errors in reporting as well as creating a standardized method of record keeping without the risk of damage to hard copy files or the loss of information due to misfiling.

Part B – “Liability and Quality” Please respond to the following:

As a healthcare administrator, you have been tasked with researching your hospital’s compliance in the proper reporting of both medical and non-medical errors made by the staff. Compare the relationship of hospital’s corporate liability with that of each employee’s vicarious liability in the event of an error. Discuss the essential steps that your organization can take to reduce occurrences in both. Provide at least two (2) examples of the successful application of such steps to support your rationale.
Interpret the extent to which public reporting and value-based purchasing improve healthcare quality. Include a comparison of two to three (2-3) advantages to each reporting method. Support your response with two (2) examples of healthcare quality improvements that could have resulted from of an organization implementing each type of reporting method in question.

PLEASE RESPOND TO CLASSMATE DISCUSSION WHETHER YOU AGREE OR NOT & A DETAILED WHY: Medical errors do happen everyday and at every healthcare facility. The importance of reporting is pivotal in educating and future prevention. Many of the rules and regulations that are in place are there because there was an incident that occurred that required its implementation. Employees should report any and all errors made or discovered so that a proper assessment can be made. Reporting should be signed off by supervisors and quality control reps. The reports can be monitored to see if there is a bigger issue going on such as an individual not performing their duties properly or an equipment malfunction that needs to be service.

Improvement can be developed by reviewing the public reports. Public reporting should be a mandatory reporting platform. The organization should be as transparent as possible as it is a patients right to know the stats of a health care facility. It will also show good faith that the organization is not hiding or covering any malicious practices. Public reporting can also be used as measurement for possible geographical reasons for the errors. Patient Safety and Quality Improvement Act ( PSQIA) made a system that allows health care providers to anonymously report medical errors for data analysis. Being able to report anonymously takes away the fear of being attacked by the organization or provider that is being reported. This type of reporting can also help reduce the amount of errors that go unreported therefore providing more accurate data.

Nurs 6053 Strategies for Facilitating the Group Process

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Nurs 6053 Strategies for Facilitating the Group Process

Your experiences working with groups—whether you perceive them as positive, negative, or neutral—can be used to facilitate insight and development. Health care, with its focus on interprofessional teamwork and collaboration, offers ample opportunities and an imperative for continuous learning.

For this Discussion, you focus on strategies for facilitating the group process.

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To prepare:

· Review the information in this week’s Learning Resources regarding the stages of group formation, problematic roles individuals play in groups, and strategies for facilitating and maintaining positive group collaboration. In particular, review Learning Exercise 19.14 of the course text.  Nurs 6053 Strategies for Facilitating the Group Process

 

· Reflect on various groups with which you have been or are currently involved. Select one specific group to analyze for the purposes of this Discussion. Identify the purpose or task that the group is or was meant to perform.

· Consider the four stages of group formation (forming, storming, norming, and performing). How would you describe the progression between stages? Is there a stage in which you believe your group is or was “stuck”?

· Consider the task or group-building role you normally play in a group setting. How could you apply the information from the Learning Resources to improve your group participation and facilitation, as well as the functioning of the group as a whole? Nurs 6053.

· In addition, think about which individuals within your group (including yourself) may fall into problematic roles such as the Dominator, the Aggressor, or the Blocker. How have you and your group members addressed the enactment of these roles and its impact on interactions? With information from the Learning Resources in mind, what strategies would you apply now or going forward?

Post a description of a group with which you have been or are currently involved. Assess where the group is in terms of the four stages of group formation. If you are reflecting on a past experience, explain if your group moved through all four stages. Describe the task or group-building role you typically play, or played, in this group. Then, explain what strategies you, as a leader, can apply to better facilitate the group process and address any problematic individual roles in the group. Nurs 6053 Strategies for Facilitating the Group Process

Resources Given:

https://www.mindtools.com/pages/article/newTMM_95.htm

https://www.mindtools.com/pages/article/newLDR_86.htm

Nurs 6053

AIU Online Importance of Making Decisions Discussion

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AIU Online Importance of Making Decisions Discussion

Discussion Board (5/25) As a manager, one of the most important duties you perform is making decisions. What is the importance of making decisions and how is programmed decision different from nonprogrammed decisions. Please cite examples of each. Please: one or two paragraphs
Purchase answer to see full attachment

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Complete Discussion Question

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Complete Discussion Question

Write a 175- to 265-word response to the following questions:

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How has evidence-based research influenced health care research? Why is it important in the health care industry?

Bariatric Surgery Discussion Question

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Bariatric Surgery Discussion Question

1.      What health risks associated with obesity does Mr. C. have?

High Blood Pressure, Diabetes, Physical Inactivity, Sleep Apnea, Cardiovascular Disease.

2.       Is bariatric surgery an appropriate intervention? Why or why not?

According to American Society for Metabolic and Bariatric Surgery (ASMBS). The qualifications for bariatric surgery in most areas include:

  • ·         BMI ≥ 40, or more than 100 pounds overweight (ASMBS, 2017).
  • BMI ≥35 and at least one or more obesity-related co-morbidities such as type II diabetes (T2DM), hypertension, sleep apnea and other respiratory disorders, non-alcoholic fatty liver disease, osteoarthritis, lipid abnormalities, gastrointestinal disorders, or heart disease (ASMBS, 2017).
  • Inability to achieve a healthy weight loss sustained for a period of time with prior weight loss efforts (ASMBS, 2017).

According to these qualifications he would be a candidate. He has elevated glucose making him at risk of diabetes and abnormal lipid being a risk of cardiovascular disease. He has evidence of high blood pressure and sleep apnea. His BMI is at 47.75. Bariatric Surgery Discussion Question

 

3.      The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

0600 Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL)

0700 breakfast

1000 Mylanta 15ml PO

1100 Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL)

1200 lunch

1500 Mylanta 15ml PO

1700 Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL)

1800 dinner

2100 Mylanta 15ml PO

2200 snack/bedtime-

Ranitidine (Zantac) 300 mg PO, Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL

 

 

4.      Functional health patterns include

 

health-perception and management- he has always been heavy and needs help with obtaining correct nutritional structure to help with controlled calories, fats, sodium and sugar as well as increasing regular exercise program.

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nutritional – metabolic- He has gained a large amount of weight over last few years. He needs to learn to control food consumption, also increase of activity. recognizing foods with high fats, high sodium, and making better choices.

 

Elimination- Nothing is mentioned so further assessment should be done. Watch for constipation of loose stools. An increase of fiber to help with constipation. Watch for change in bowels with new medications.

 

activity-exercise- Having an office job and perhaps no desire to exercise can lead to weight gain. He should increase activity by walking at lunch. Joining an exercise gym.

 

sleep-rest-  He is overweight and has sleep apnea, so sleep is probably restless, so a need of a CPAP to get quality sleep may be a good choice. Bariatric Surgery Discussion Question

 

cognitive-perceptual- He is able to make his needs known, he works and with known information is able to care for himself

 

self-perception – self-concept- low self-esteem, feeling that he has always been heavy

 

role-relationship- He is a single man.

 

sexuality – reproductive- Needs further assessment

 

coping – stress tolerance- He may overeat due to stress or low self-esteem. He does watch his sodium intake to help cope with hypertension. He is wanting to change his appearance and enhance his health with a weight loss plan. Recommend exercise to help relieve any stress and help cope with change of lifestyle.

 

5.      What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.

1.      Patient needs to see a nutritional consult to provide him with a healthy diet. This is important because he needs to learn a healthy pattern before having a surgery. He needs to recognize that his eating patterns are partially responsible for his weight gain.

2.      His sleeping needs to be improved. He cannot have a healthy mind when you are exhausted. Adequate sleep can help improve mental status and provide you energy to make lifestyle changes that are necessary.

3.      He needs to be educated about his high blood sugar. Again, meeting with a nutrition consult can help in this area. He need to have the appropriate equipment to check his own blood sugar.

4.      Patient needs to make sure that he is taking the medications at the appropriate times to benefit his peptic ulcer disease. He also need to make sure that he tells all consults about his medications to avoid adverse reactions with any new medications.

5.      Patient needs to continue to watch sodium intake and be educated about other causes of hypertension, like stress and lack of cardio exercise. Recommend his becoming involved in walking or joining a gym.

 

 

American Society for Metabolic and Bariatric Surgery (ASMBS). (2017). Patient Learning Center.  Retrieved August 28, 2017, from https://asmbs.org/patients/. Bariatric Surgery Discussion Question