Neurobiological Basis for PTSD Illness

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  • Briefly explain the neurobiological basis for PTSD illness.
  • Discuss the DSM-5 diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not?

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  • Discuss one other psychotherapy treatment option for the client in this case study. Explain whether your treatment option is considered a “gold standard treatment” from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners.

Need 3 sources and must attach the 3 sources.

https://www.youtube.com/watch?v=RkSv_zPH-M4. – Give an example from this video.  Neurobiological Basis for PTSD Illness

condition encompassing clinical experiences and critique

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discuss the condition encompassing clinical experiences and critique the post.

  • Length: A minimum of 180 words per post, not including references
  • Citations: At least one high-level scholarly reference in APA per post from within the last 5 years

Number 1 Post: RW

Trichomonas is the most common non-viral sexually transmitted infection in the world.  It is an important source of reproductive morbidity and thus is a public health problem.  However, it is not a reportable disease and surveillance is not generally done.  Most person infected with trichomonas are asymptomatic.  The treatment of choice for women has been metronidazole, for decades, and a single dose has been the first line of defense. (Kissinger, 2015). condition encompassing clinical experiences and critique

Pathogen and Proliferation

Trichomonas vaginalis, a parasitic protozoan, is a etiologic agent of trichomoniasis.  It is a flagellated protozoan possessing five flagella.  Although cell division has been extensively described through the use of microscopy, the life cycle of trichomonas is poorly understood.  Like many other protozoan parasites, it is known to exit only as a trophozoite and lacks a cystic stage.  Trichomonas is a primitive eukaryotic organism.  Although similar to many other eukaryotes it differs in its energy metabolism and shows remarkable similarity to primitive anerobic bacteria. (Petrin et al., 2018).  Trichomonas is a protozoan parasite that tends to destroy epithelial cells and induce pathogenesis. (Lin et al., 2015).

Male partner treatment

The CDC recommends male partners be treated with a single dose of 2g of metronidazole orally.  Concurrent treatment of all sex partners is vital for preventing reinfections.  Current partners should be referred for presumptive therapy.  Partners also should be advised to abstain from intercourse until they and their sex partners have been treated and any symptoms have resolved. (2021).

Metronidazole is a small molecule the enters trichomonas via passive diffusion.  The drug itself is inactive, but anaerobic reduction results in the formation of a cytotoxic nitro radical anion.  The nitro radial is then hypothesized to bind transiently to DNA, disrupting or breaking the strands and leading to cell death.  The action is a short-lived reaction rather than irreversible binding of the drug to DNA. (Cudmore et al., 2004).

Chlamydia

Chlamydia is a sexually transmitted infectious disease caused by the bacterium Chlamydia trachomatis.  It is the most commonly reported bacterial infection, Globally, it is the most common sexually transmitted infection.  It causes an ocular infection called “trachoma”, which is the leading infections cause of blindness worldwide.  In females, the cervix is the site that is most commonly infected. Chlamydial infections in women, especially if untreated, increase the risk of infertility and ectopic pregnancy.  In men, infection with chlamydia can lead to urethritis, epididymitis, prostatitis, proctitis, or reactive arthritis. (Mohseni et al., 2021).

 

 

Number 2 post: PG

A 16-year-old male presents with delayed pubertal signs and social immaturity. His lab values show low testosterone. He was administered GnRH, and no LH was produced. HCG was administered, which restored testosterone to normal levels.

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  1. Discuss male hypogonadism
  2. Explain hormone administration
  3. Is there a problem with the hypothalamus? Why or why not?

 

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Male hypogonadism is a testosterone deficiency in men (Dlugasch & Story, 2021). According to Butanis et al. (2017), male hypogonadism results from testosterone or sperm levels in the testes not reaching the proper levels due to disruption of the hypothalamic-pituitary-testicular (HPT) axis. Male hypogonadism causes include congenital, tumors, disease, drug-related, acquired cases, or chronic illness (Salonia et al., 2019). Furthermore, a research study found metabolic syndrome as a causative factor to hypogonadism (Lawrence et al., 2017). In this document, male hypogonadism explored; primary plus secondary are explained; hormone administration explored, and is there a problem with the hypothalamus? Why or why not? condition encompassing clinical experiences and critique

The hypothalamus releases Gonadotropin-releasing hormone (GnRH) in normal physiology (Salonia et al., 2019). Also, in response to GnRH, the anterior pituitary secretes follicle-stimulating hormone (FSH) and luteinizing hormone (LH). Additionally, Sertoli and Leydig cells in the testis are stimulated to produce sperm and testosterone by FSH and LH. Typically, the above occurs in normal physiology. However, problems could arise due to factors that can contribute to hypogonadism. As mentioned earlier, there are two types of hypogonadism: primary and secondary. Primary hypogonadism stems from an inherent defect within the testes (Salonia et al., 2019). Therefore, low or absent testosterone levels are accompanied by high gonadotropin levels in the condition (Salonia et al., 2019).

Additionally, spermatogenesis is often severely impaired and may not respond to hormonal treatment (Salonia et al., 2019). Secondary hypogonadism (also known as central hypogonadism or hypogonadotropic hypogonadism) results from hypothalamic or pituitary dysfunction (Salonia et al., 2019). The biochemical characteristics of this condition are low or inappropriately normal gonadotropin levels and low total testosterone levels (Salonia et, 2019). Moreover, spermatogenesis is impaired, but treatment usually improves it (Salonia et ., 2019).

Clinicians should perform tests to determine if the condition is primary or secondary and treat accordingly (Lawrence et al., 2017). Also, patient education and management guidelines are vital during treatment. For example, Salonia et al. (2019) informed testosterone therapy for congenital cases of hypogonadism is lifelong, and management of acquired care depends on whether the condition can be managed or if the state is permanent. Treatment may consist of replacing testosterone to raise the level in the blood and assist in countering the symptoms of male hypogonadism (Salonia et al., 2019). Treatment, for instance of testosterone, comes in various forms, such as injectables, esters, gels, nasal gels, or oral (Salonia et al. 2019). Also, Salonia et al. (2019) mentioned treatment of males less than ten should be treated with caution due to bone age and that high doses could cause premature epiphyseal closure.

According to Mayo Clinic (2022), in male hypogonadism, one could be born with a congenital condition or develop later in life. As mentioned above, the primary problem is with the testes (Mayo clinic, 2022). However, this type of hypogonadism in secondary could indicate a problem in the hypothalamus or the pituitary gland (Mayo clinic, 2022). Moreover, The hypothalamus produces gonadotropin-releasing hormones, which cause the pituitary to produce follicle-stimulating hormones and luteinizing hormones (Mayo clinic, 2022). In addition, luteinizing hormones stimulate testosterone production in the testes (Mayo clinic, 2022).

In closing, hypogonadism is a testosterone deficiency in males, and supplemental steroids may aid in relieving symptoms of this disorder and raise the blood level of the hormone. The problem of hypogonadism may lie with the testes or central (in the brain) like the hypothalamus or pituitary gland. As professionals in health care, monitoring steroid use, client education, and client, plus steroid guidelines are vital in managing the disorder. condition encompassing clinical experiences and critique

Emerging Technologies Discussion Assignment

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Emerging Technologies Discussion Assignment

Assessment Description

From the electronic health record (EHR) to nanotechnology to 3-D printers and beyond, there are an increasing number of useful and innovative technologies being used in health care settings that have an important role in linking and organizing care and information. For this assignment, you will create a slide presentation to present to administrators and nurses providing direct patient care.

General Requirements:

Use the following information to ensure successful completion of the assignment:

  1. Use primary sources published within the last 5 years. Provide citations and references for all sources used.
  2. Doctoral learners are required to use APA style for their writing assignments.
  3. You are required to submit this assignment to LopesWrite to check for similarity scores and plagiarism.

Directions:

 

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Your presentation must include the following elements:

  1. Identify and provide a brief description of a clinical problem.
  2. Identify a technology that can improve patient outcomes for that clinical problem.
  3. Select a theory to guide the presentation and discuss why this theory is applicable.
  4. Address how the technology you have identified will assist in resolving the clinical problem.
  5. Potential strengths and limitations of the technology selected.
  6. Discuss the method for patient education for use of the technology you have identified. Provide a rationale for its effectiveness.
  7. You must include the speaker’s notes with each slide Emerging Technologies Discussion Assignment

Use PowerPoint to create your slide presentation. Your slide presentation must contain a title slide, 12-15 slides of content, and a References slide. Use evidence to support your claims. A minimum of five references using APA style must be used. Speaker’s notes must be included for each individual slide (add a speaker notes section to demonstrate the verbal speech you would give along with each slide).

Presentation Tips:

Text slides are not meant to be read by the speaker, but by the audience. Lettering should generally be limited to four lines and should never be more than seven, including the title.

  1. It is advisable not to use more than eight words per line.
  2. Avoid too much detail and resist the temptation to overload the presentation with information.
  3. Avoid jargon and abbreviations, unless they are clear to all the audience.
  4. Aim at the average person in the audience.
  5. Use plain English.

Emerging Technologies Discussion Assignment

Healthcare Systems And Operations

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Healthcare Systems And Operations

Acute care defined

[Define acute care and provide an example of a patient needing acute care services.]

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 Patient considerations when choosing an acute care setting

Acute care visit at a

Primary Care Practice

 Acute care visit at an

Urgent Care Facility
Pros Cons Pros Cons
       
       
       
       

 

Continuity of care

[Write summary paragraph here.]

 

References

Healthcare Systems And Operations

Assessing the Genitalia and Rectum Assignment

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Assessing the Genitalia and Rectum Assignment

Patients are frequently uncomfortable discussing with healthcare professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.

 

In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

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To Prepare

Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.

Based on the Episodic note case study:

Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.

Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.

Consider what history would be necessary to collect from the patient in the case study.

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? Assessing the Genitalia and Rectum Assignment

Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

 

Analyze the subjective portion of the note. List additional information that should be included in the documentation.

Analyze the objective portion of the note. List additional information that should be included in the documentation.

Is the assessment supported by the subjective and objective information? Why or why not?

Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?

Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

GENITALIA ASSESSMENT

Assessing the Genitalia and Rectum Assignment

Subjective:

 

CC: dysuria and urinary frequency

HPI: RG is a 30 year old female with increase urinary frequency and dysuria that began 3 days ago. Pain is intermittent and described a burning only in urination, but c/o flank pain since last night. Reports intermittent chills and fever. Used Tylenol for pain with no relief. She rates her pain 6/10 on urination. Reports a similar episode 3 years ago.

PMH: UTI 3 years ago

PSHx: Hysterectomy at 25 years

Medication: Tylenol 1000 mg PO every 6 hours for pain

FHx: Mother breast cancer ( alive) Father hypertension (alive)

Social: Single, no tobacco , works as a bartender, positive for ETOH

Allergies: PCN and Sulfa

LMP: N/A

Review of Symptoms: Assessing the Genitalia and Rectum Assignment

 

General: Denies weight change, positive for sleeping difficulty because e the flank pain. Feels warm.

Abdominal: Denies nausea and vomiting. No appetite

Objective:

 

VS: Temp 100.9; BP: 136/80; RR 18; HT 6’.0”; WT 135lbs

Abdominal: Bowel sounds present x 4. Palpation pain in both lower quadrants. CVA tenderness

Diagnostics: Urine specimen collected, STD testing

Assessment:

 

UTI

STD

PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

Assessing the Genitalia and Rectum Assignment

TOPIC: Module 07 Assignment – Pediatric Assessment: PDA with RSV

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TOPIC: Module 07 Assignment – Pediatric Assessment: PDA with RSV

Purpose of Assignment

The goal of creating a nursing concept map and create a plan of care for a child with bronchiolitis. The nursing interventions would reflect the underlying respiratory syncytial virus with patent ductus arteriosus (PDA) history.

 

Competency

Apply the foundations of pediatric nursing when caring for clients with health alterations.

 

Scenario

You are working in a large urban pediatric clinic after-hours.

A mother brings her 6-month-old daughter, Vivi Mitchell, to the clinic for rhinorrhea, congestion, fever, and cough. Upon assessment, you identify the child has wheezing upon auscultation and on inspection, you identify retractions.

  • The child is in less than 10th percentile of weight and has a cardiac history of Patent Ductus Arteriosus (PDA).
  • Born at 36 weeks gestation.
  • Mother states this child doesn’t go to day care but her two other children ages 2 and 3 do attend daycare.
  • T- 102.1 HR 140 RR 40 BP 83/58 Pulse ox 96%
  • A swab for respiratory syncytial virus (RSV) is positive. TOPIC: Module 07 Assignment – Pediatric Assessment: PDA with RSV

 

Doctor orders – Nasal bulb suction and saline drops PRN, Tylenol 15mg/kg Q4 PRN for fever, Albuterol nebulizer in office and push po fluids as tolerated.

After the albuterol neb treatment, respirations are 36 and oxygen saturation is 100%. Wheezing has diminished. Mom is an ER nurse and the doctor feels comfortable that she has a nebulizer at home and can return to pediatric afterhours or ER if needed.

Client is discharged with these orders:

  • methylprednisolone 0.4 mg/kg oral BID for 3
  • Albuterol Q4 hours for 24 hours, then Q 6 hours for 24 hours, and Q6 as needed.
  • Call if needed prior to the Q4 dose.
  • Manage fever with Tylenol and continue hydration and nasal bulb suction Q6 while awake.
  • Return for re-evaluation in 3 days

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Instructions

In a two to three-page APA formatted paper, provide reponses for these questions and requests for information:

Criteria:

  1. Describe the pathophysiology of bronchiolitis and identify the most common organism causing this infection. What laboratory testing can confirm your suspicion?
  2. Describe the pathophysiology of PDA and why the history of PDA is significant in this scenario.
  3. What risk factors place Vivi Mitchell at a greater risk for the development of bronchiolitis?
  4. What are the characteristic signs/symptoms of bronchiolitis?
  5. Vivi Mitchell been prescribed the following medications; acetaminophen, albuterol nebulizer, corticosteroids. Provide the rationale for why each medication has been included as part of her medical management and explain any potential contraindications related to these medications.
  6. You are designing Vivi Mitchell’s plan of care. Identify two priority nursing diagnoses to include in your plan. For each nursing diagnosis, identify two SMART goals, and two interventions for each goal.
  7. What short and long-term possible complications should the nurse anticipate?
  8. What client education is appropriate for Vivi Mitchell as she is discharged from the after-care clinic?

* Include a minimum of four scholarly sources

 

Format

  • Standard American English (correct grammar, punctuation, etc.)
  • Logical, original and insightful
  • Professional organization, style, and mechanics in APA format

 

NO CONSIDERATION FOR PLAGIARISM

APA FORMAT AND INDEX CITATION

PLEASE WRITE FROM NURSING PROSPECTIVE

  • FOLLOW ALL Rubric Details CORRECTLY TO AGAIN FULL POINTS·

·         Criteria 1, 2, 3

23% of total grade

Mastery: Advanced or exceeds achievement

Addresses criteria correctly with thorough development of the topic. Gives clinical examples. Includes research in the answer.

14.72

Proficiency: Clear/effective achievement

Addresses criteria correctly. Demonstrates solid understanding of the topic. Gives examples without research.

13.69

Competence: Adequate/basic achievement

Addresses criteria correctly. Demonstrates basic understanding of the topic. TOPIC: Module 07 Assignment – Pediatric Assessment: PDA with RSV.

12.36

Emerging: Limited or growing achievement

Addresses criteria incorrectly.

9.57

·         Criteria 4, 5, 6

15% of total grade

Mastery: Advanced or exceeds achievement

Addresses criteria correctly with thorough development of the topic. Gives clinical examples. Includes research in the answer.

9.6

Proficiency: Clear/effective achievement

Addresses criteria correctly. Demonstrates solid understanding of the topic. Gives examples without research.

8.93

Competence: Adequate/basic achievement

Addresses criteria correctly. Demonstrates basic understanding of the topic.

8.06

Emerging: Limited or growing achievement

Addresses criteria incorrectly.

6.24

·         Criteria 7, 8, 9

31% of total grade

Mastery: Advanced or exceeds achievement

Addresses criteria correctly with thorough development of the topic. Gives clinical examples. Includes research in the answer.

19.84

Proficiency: Clear/effective achievement

Addresses criteria correctly. Demonstrates solid understanding of the topic. Gives examples without research.

18.45

Competence: Adequate/basic achievement

Addresses criteria correctly. Demonstrates basic understanding of the topic.

16.67

Emerging: Limited or growing achievement

Addresses criteria incorrectly.

12.9

·         Tone

15% of total grade

Mastery: Advanced or exceeds achievement

Uses consistent professional tone with excellent use of medical terminology.

9.6

Proficiency: Clear/effective achievement

Tone is professional. Good use of medical terminology.

8.93

Competence: Adequate/basic achievement

Tone is professional. Inconsistent use of medical terminology.

8.06

Emerging: Limited or growing achievement

Tone is consistently unprofessional with poor use of medical terminology.

6.24

·         Spelling and Grammar

9% of total grade

Mastery: Advanced or exceeds achievement

Demonstrates an exemplary application of spelling and grammar.

5.76

Proficiency: Clear/effective achievement

Displays proper grammar application and writing contains minimal to no spelling errors. May contain rare improper uses of words (ex., their vs. there), a misplaced modifier, or a run-on sentence, but does not detract from the overall understanding of the sentence and/or paragraph.

5.36

Competence: Adequate/basic achievement

Spelling and grammar errors occur but are inconsistent. Paragraphs and sentences are coherent but may exhibit spelling errors, run-on’s or fragments, and/or improper verb tense usage.

4.84

Emerging: Limited or growing achievement

Spelling and grammar contain substantial errors that makes sentences and/or paragraphs incoherent.

3.74

·         APA Style

7% of total grade

Mastery: Advanced or exceeds achievement

APA citations are free of style and formatting errors.

4.48

Proficiency: Clear/effective achievement

Errors in APA citations are less noticeable and do not detract from the ability to locate the original source (for example, a missing or misused comma or period, missing parentheses, author name not properly abbreviated, indentation is misaligned). TOPIC: Module 07 Assignment – Pediatric Assessment: PDA with RSV.

4.17

Competence: Adequate/basic achievement

Errors in APA citations are noticeable and may detract from the ability to locate the original source (for example, no title provided, year of publication is missing, no punctuation).

3.76

Emerging: Limited or growing achievement

Citations do not follow APA Style. Quotations, paraphrases, and summaries are not cited, or there is no attempt to cite them using APA style.

 

The Environment and Ethical Obligation

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The Environment and Ethical Obligation

Reviewing Appendix B in Butts, choose two of the Nine Tenets of the Code of Ethics for Nurses and describe how you will personally apply each tenet in the practice setting with your patients. Describe in detail the purpose of the tenet and provide examples of the tenet applied in practice. Explain why it is important to uphold the tenet in maximizing the quality of patient care, and identify how it enhances your own practice as a nurse.

Your paper should be 1-2 pages.

Include a title page and a reference page to cite your text. Adhere to APA formatting throughout, and cite any outside sources you may use.

I choose: The Environment and Ethical Obligation

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1. The Environment and Ethical Obligation

Virtues focus on what is good and bad in regard to whom we are to be as moral persons; obligations focus on what is right and wrong or what we are to do as moral agents. Obligations are often specified in terms of principles such as beneficence or doing good; nonmaleficence or doing no harm; justice or treating people fairly; reparations, or making amends for harm; fidelity, and respect for persons. Nurses, in all roles, must create a culture of excellence and maintain practice environments that support nurses and others in the fulfillment of their ethical obligations.

Environmental factors contribute to working conditions and include but are not limited to: clear policies and procedures that set out professional ethical expectations for nurses; uniform knowledge of the Code and associated ethical position statements. Peer pressure can also shape moral expectations within a work group. Many factors contribute to a practice environment that can either present barriers or foster ethical practice and professional fulfillment. These include compensation systems, disciplinary procedures, ethics committees and consulting services, grievance mechanisms that prevent reprisal, health and safety initiatives, organizational processes and structures, performance standards, policies addressing discrimination and incivility position descriptions, and more. Environments constructed for the equitable, fair, and just treatment of all reflect the values of the profession and nurture excellent nursing practice The Environment and Ethical Obligation.

2.

9.2 Integrity of the Profession

The values and ethics of the profession should be affirmed in all professional and organizational relationships whether local, inter-organizational, or international. Nursing must continually emphasize the values of respect, fairness, and caring within the national and global nursing communities in order to promote health in all sectors of the population. A fundamental responsibility is to promote awareness of and adherence to the codes of ethics for nurses (the American Nurses Association and the International Council of Nurses and others). Balanced policies and practices regarding access to nursing education, workforce sustainability, and nurse migration and utilization are requisite to achieving these ends. Together, nurses must bring about the improvement of all facets of nursing, fostering and assisting in the education of professional nurses in developing regions across the globe.

The nursing profession engages in ongoing formal and informal dialogue with society. The covenant between the profession and society is made explicit through the Code of Ethics for Nurses with Interpretive Statements, foundational documents, and other published standards of nursing specialty practice; continued development and dissemination of nursing scholarship; rigorous educational requirements for entry into practice, advanced practice, and continued practice including certification and licensure; and commitment to evidence informed practice.

Reference

Butts, J. B. (2016). Nursing Ethics, 4th Edition. [Bookshelf Online]. Retrieved from https://vsaccess.vitalsource.com/#/books/9781284099096/ The Environment and Ethical Obligation

Module 08 Assignment – Pediatric Data, Assessment, and Prioritization of Interventions

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Module 08 Content

Top of Form

Purpose

The nursing student should be able to identify seizure activity, how to educate the family and or caregiver of the pediatric patient on what to do if a seizure occurs and what medications to administer, implement safety to prevent injury and treatment of fracture. Develop education to support discharge based on assessment of data.

Competency

Prioritize nursing interventions when caring for pediatric clients with health disorders.

Scenario

A 5-year-old Gabriel is a multiracial male weighing 48 lbs with an allergy to penicillin arrives in the emergency room, no cultural considerations identified. You are handed the following notes on the patient that read:

He arrived in ER with his mother after falling out of bed after jerking movement activity as witnessed by his older brother while sleeping. Right-upper extremity appears with deformity. Mother and child speak English. Child has no significant medical history. Mother reports incontinent of urine during episode.

Your Assessment

Vital Signs: T 102.9, P 135, R 24, BP 118/60, O2 sat 100% RA

General Appearance: appears drowsy; face flushed, quiet

Neuro: oriented X3

Cardiovascular: unremarkable

Respiratory: lungs clear

Integumentary: very warm, dry

GI/GU: abdomen normal

Physician Orders

    • Complete Blood Count (CBC)
    • Complete Metabolic Panel (CMP)
    • Urinalysis with culture and sensitivity (U/A C&S)
    • Blood Cultures x 2
    • X-rays kidneys,
    • Influenza screening
    • Acetaminophen 15 mg/kg PO now
    • Ibuprofen 10 mg/kg PO now
    • Pad side rails
    • Suction at bedside with seizure precautions
    • Radiographs of right arm
    • Cast to right arm
    • Start PO fluids and increase as tolerated

The physician discharges Gabriel from ER to home with a diagnosis of; Right ear infection, Acute Febrile Seizure and fracture of the right ulna.

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Discharge orders include:

    • Follow up with pediatrician in 7 days
    • Follow up with pediatric orthopedics in 7-10 days
    • Cefuroxime 30mg/kg PO BID for 10 days not to exceed 1,000mg daily. What is the recommended dosage if cefuroxime is supplied as an oral suspension 125mg/5ml or 250mg/5ml?
    • Acetaminophen 15 mg/kg PO Q4 hours PRN fever or pain and ibuprofen 10 mg/kg PO Q6 hours PRN fever and pain for up to 3 days
    • Acetaminophen is available as 160 mg/5 mL. Ibuprofen is available as 100 mg/ 5 mL.
    • What is the amount of acetaminophen in mg and ml per dose? What is the amount of ibuprofen in mg and ml per dose?

Instructions

Develop a discharge plan with three goals listed in order of priority, prior to discharge from current orders. Provide rationale for why you listed the goals in a particular order. Also, list three nursing interventions to meet each of the goals (you should have nine interventions in total). Last, give the mother the exact dosage she will need to give the child for acetaminophen, ibuprofen, and the cefuroxime when she gets home and explain why the exact dosage is important.

Format

    • Standard American English (correct grammar, punctuation, etc.)
    • Logical, original and insightful
    • Professional organization, style, and mechanics in APA format

 

NO CONSIDERATION FOR PLAGIARISM

APA FORMAT AND INDEX CITATION

PLEASE WRITE FROM NURSING PROSPECTIVE

References three

  • FOLLOW ALL Rubric Details CORRECTLY TO AGAIN FULL POINTS
  • Dosage

16% of total grade

Mastery: Advanced or exceeds achievement

The correct dosage is specified and the explanation for the exact dosage is skillfully explained.

9.6

Proficiency: Clear/effective achievement

The correct dosage is specified and the explanation for the exact dosage is evident.

8.93

Competence: Adequate/basic achievement

The incorrect dosage is specified and the explanation for the exact dosage is reasonable based on the incorrect dosage.

8.06

Emerging: Limited or growing achievement

The incorrect dosage (or no dosage) is specified and there is no explanation for the exact dosage.

6.24

  • Discharge Goals and Prioritization of Discharge Goals

33% of total grade

Mastery: Advanced or exceeds achievement

Goals are detailed and listed in order of priority. The rationale for the prioritization of the goals is explained in depth.

19.8

Proficiency: Clear/effective achievement

Goals are concise and listed in order of priority. The rationale for the prioritization of the goals is sufficient.

18.41

Competence: Adequate/basic achievement

Goals are reasonable and listed in order of priority. The rationale for the prioritization of the goals is mostly reasonable.

16.63

Emerging: Limited or growing achievement

Only partial goals are listed, or the goals listed are vague. Rationale for the prioritization of the goals is vague or missing.

12.87

  • Nursing Interventions

40% of total grade

Mastery: Advanced or exceeds achievement

The nursing interventions are detailed and show a direct relation to the goals listed.

24

Proficiency: Clear/effective achievement

The nursing interventions are sufficient and are mostly related to the goals listed.

22.32

Competence: Adequate/basic achievement

The nursing interventions are reasonable and occasionally relate to the goals listed.

20.16

Emerging: Limited or growing achievement

Only partial nursing interventions are listed and/or the interventions seldom relate to the goals listed.

15.6

  • Spelling and Grammar

5% of total grade

Mastery: Advanced or exceeds achievement

Demonstrates an exemplary application of spelling and grammar.

3

Proficiency: Clear/effective achievement

Displays proper grammar application and writing contains minimal to no spelling errors. May contain rare improper uses of words (ex., their vs. there), a misplaced modifier, or a run-on sentence, but does not detract from the overall understanding of the sentence and/or paragraph.

2.79

Competence: Adequate/basic achievement

Spelling and grammar errors occur but are inconsistent. Paragraphs and sentences are coherent but may exhibit spelling errors, run-on’s or fragments, and/or improper verb tense usage.

2.52

Emerging: Limited or growing achievement

Spelling and grammar contain substantial errors that makes sentences and/or paragraphs incoherent.

1.95

  • APA Style

6% of total grade

Mastery: Advanced or exceeds achievement

APA citations are free of style and formatting errors.

3.6

Proficiency: Clear/effective achievement

Errors in APA citations are less noticeable and do not detract from the ability to locate the original source (for example, a missing or misused comma or period, missing parentheses, author name not properly abbreviated, indentation is misaligned).

3.35

Competence: Adequate/basic achievement

Errors in APA citations are noticeable and may detract from the ability to locate the original source (for example, no title provided, year of publication is missing, no punctuation).

3.02

Emerging: Limited or growing achievement

Citations do not follow APA Style. Quotations, paraphrases, and summaries are not cited, or there is no attempt to cite them using APA style.

2.34

 

Nursing homework help

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  1. Title: Making good use of your limited time: Supporting novice nurses.
    Author:  Matter & K. A. Wolgast
    Year of publication:  2020
    Journal:  Nursing Clinics of North America, volume 55, issue 1, pages 39-49

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Discusses the need for a tool kit for new nurses for safe/efficient care.  Includes the
necessity of embracing personal support (peers, mentors, teamwork, orientation) and
system supports (EHR, Smart pumps, etc.)Nursing homework help

Community Needs And Health Screening Initiative

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Community Needs And Health Screening Initiative

Directions

For this Assignment you will pick one recommended screening from United States Preventive Task Force A and B Recommendations.

An initiative is a project, an event, so something in the community is ideal. Workplace location for employees is fine too. Please include the following suggested level one headings so content is clear and easily identified. Community Needs And Health Screening Initiative

Theory or Conceptual Model

Choose a theory or conceptual model that you think might work for your initiative and explain the theory or model here.  You may choose to independently research your model to help you explain its application to your initiative. If you have found another model you will like to use, not listed, contact your instructor.

Screening Purpose

Discuss why it is important to screen for this condition. This is where you address your community assessment and the reason for this need in your community/ population choice. Support your stance with statistics and information, ideally related to the location and population.

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Population

Clearly address the demographics that are being screened; where they live, state, county, ages, races included etc. Provide a brief general community assessment as it related to the condition and the population.

Location/ Setting

Briefly explain where you are doing this. It should be very specific (e.g., Senior Citizen Center in Monroe Co on Saturday). Think about what kind of facility or area you will need. Include comments explaining how this location meets the needs of your target population and screening choice.

Screening Activity

This section is what you are doing at the screening and should completely align with the screening guideline for the condition. Also all health promotion screenings include some brief prevention education component.

 Outcome Goals

Bullet specific goals here. What do you hope to accomplish with your screening?

Cost

This is the cost for you to develop and conduct the initiative. It is best displayed as a brief Word table showing what it costs you to conduct the screening; paper, equipment, rentals etc. Volunteers are fine, but everything is not free. Students must demonstrate they can develop a cost estimate for a community screening intervention that is realistic and takes into account financials. If there is a cost for the attendees that should go here as well.  Community Needs And Health Screening Initiative

Summary

Provide a summary of your screening, general benefit to the community and why it is important. Master’s-prepared nurse educators, leaders, nurse practitioners and all specialty nursing fields are contributors to health promotion in populations across the life span. This Assignment is focused on preventive screening applications in the community, workplace or school settings. You should be able to apply this knowledge to their specialty focus as it relates to health promotion and epidemiology.

This should be a 3–4 page paper, excluding title page, and references. A person should be able to read your paper and understand fully what you are screening, where, when, the costs and how it is supported in the guideline. Ideally a person would be able to duplicate your screening initiative, based on the clarity you present. This paper should adhere to appropriate APA formatting and citation style. A minimum of 3–4 sources should be used.

Community Needs And Health Screening Initiative