Neurological And Musculoskeletal Disorder

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Neurological And Musculoskeletal Disorders

Sabrina is a 26-year-old female who has just been diagnosed with multiple sclerosis. She has scheduled an appointment for a follow-up with her physician but has several questions about her diagnosis and is calling the Nurse Helpline for her hospital network. As she talks with the advanced practice nurse, she learns that her diagnosis also impacts her neurologic and musculoskeletal systems. Although multiple sclerosis is an autoimmune disorder, both the neurologic and musculoskeletal systems will be affected by adverse symptoms that Sabrina needs to be aware of and for which specific drug therapy plans and other treatment options need to be decided. Neurological And Musculoskeletal Disorders

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As an advanced practice nurse, what types of drugs will best address potential neurologic and musculoskeletal symptoms Sabrina might experience?

 

Linn, B. S., Mahvan, T., Smith, B. E. Y., Oung, A. B., Aschenbrenner, H., & Berg, J. M. (2020). Tips and tools for safe opioid prescribing: This review–with tables summarizing opioid options, dosing considerations, and recommendations for tapering–will help you provide rigorous Tx for noncancer pain while ensuring patient safety. Journal of Family Practice, 69(6), 280–292.

Write 1–2 page

  • Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
  • Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific, and provide examples. Be sure to support your response with evidence and references from outside resources.
  • What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
  • Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific, and provide examples.

Neurological And Musculoskeletal Disorders

Legal And Ethical Issues Related To Psychiatric Emergencies

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Legal And Ethical Issues Related To Psychiatric Emergencies

The diagnosis of psychiatric emergencies can include a wide range of problems, from serious drug reactions to abuse and suicidal ideation and behavior. Regardless of the care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations. In their role, PMHNPs can ensure a smooth transition from emergency mental health care to follow-up care and also bridge the physical-mental health divide in healthcare. Legal And Ethical Issues Related To Psychiatric Emergencies

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In this week’s assignment, you explore legal and ethical issues surrounding psychiatric emergencies and identify evidence-based suicide and violence risk assessments.

To Prepare

  • Review this week’s learning resources and consider the insights they provide about psychiatric emergencies and the ethical and legal issues surrounding these events.

The Assignment

In 2–3 pages, address the following:

  • Explain what your state laws for involuntary psychiatric care hold for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.
  • Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.
  • Explain the difference between capacity and competency in mental health contexts.
  • Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source.
  • Identify one evidence-based suicide risk assessment that you could use to screen patients.
  • Identify one evidence-based violence risk assessment that you could use to screen patients.

Legal And Ethical Issues Related To Psychiatric Emergencies

Medications Procedures In Health Care

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Medications and Procedures In Health Care

Presented a short (50–100 word) response to the topics given below. Be sure to clearly address each question. The assignment is to be submitted electronically as a Microsoft Word document to the instructor.

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  1. Identify the regulations concerning venipuncture, drug administration, and IV medication and how these standards apply in your field.
  2. Explain the repercussions that could arise from violating these standards.
  3. What are the responsibilities of a person in your health care position during a code arrest?
  4. Discuss the repercussions that could arise, both for the patient and you, in regards to the injection of contrast media.
  5. Explain the organization of the information supplied in the Physicians’ Desk Reference (PDR).
  6. What are the benefits of physicians using PDAs to order prescriptions for their patients?
  7. Compare the ratings of addictive drugs on the controlled drug standard. Give an example of each category.
  8. What are some reasons the imaging professional should chart carefully? In what ways is charting accomplished?
  9. Which examinations require charting, and how is this done?

APA format is not required, but solid academic writing is expected.

Medications and Procedures In Health Care

 

Male Reproductive Disorders

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Male Reproductive Disorders

Jose is a 55-year-old Hispanic male migrant worker who speaks limited English. He presented to the emergency room with complaints of edema of the scrotum, urinary retention, and hematuria. He does not have any pertinent past medical history. He is married and has five young children. He states he has been having problems for a while but has delayed seeing the doctor because of his work schedule and limited money. The doctor performs a digital rectal examination in the office and finds that Jose’s prostate is enlarged.

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Initial Post

Male reproductive disorders can have a great impact on a patient’s life. Based on the case study, answer the following questions in your discussion post:.

  1. Discuss the potential disease processes and signs and symptoms related to the disease process that Jose may be exhibiting.
  2. How would you provide multidimensional care to include cultural, psychosocial, spiritual, physical, and emotional needs for Jose?

Male Reproductive Disorders

Psychosocial Factors And Patient Education

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Psychosocial Factors And Patient Education

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

  1. Give examples of psychosocial factors that affect the health care professional and the effect those factors could have on patient education.
  2. Give examples of psychosocial factors that affect the patient and the effect those factors could have on patient education.

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  3. Explain what is meant by personality styles and give examples of approaches that could be used to help the patient. Include self-perception as a factor.
  4. List the steps in adjustment to illness and how the patient copes with each step.
  5. Explain the health professional’s role in teaching the patient at different life stages.
  6. Define the role of the family in patient education.
  7. How might the family influence the compliance of the patient and what measures can the health care professional use in communication with the family?

Psychosocial Factors And Patient Education

Assessing, Diagnosing, And Treating Adults With Mood Disorders

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Assessing, Diagnosing, And Treating Adults With Mood Disorders

  • Review the Focused SOAP Note template, which you will use to complete this assignment. There is also a Focused SOAP Note Exemplar provided as a guide for assignment expectations.
  • Review the video, Case Study: Petunia Park. You will use this case as the basis of this assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented on screen as an avatar.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient. Assessing, Diagnosing, And Treating Adults With Mood Disorders

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The Assignment

Develop 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:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomatology to derive your differential diagnosis? What are the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
  • Objective: What observations did you make during the psychiatric assessment?
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rule out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
  • Reflection notes: What would you do differently with this client if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

Assessing, Diagnosing, And Treating Adults With Mood Disorders

 

Case Study Pancreatitis

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Case Study: Pancreatitis

Nursing Situation: Pancreatitis

Brief Patient History:
Mr. C is a 38-year-old Hispanic male admitted to the intensive care unit from the emergency department (ED) in hypovolemic shock. Mr. C was initially diaphoretic, unresponsive, and pale, with a blood pressure of 70 systolic. After fluid resuscitation in the ED, his blood pressure increased to 90 systolic, and responsiveness was restored. Mr. C is a migrant worker from Mexico who speaks limited English and is married with four children. All family members live in Mexico, except his uncle. Mr. C’s uncle verbalizes that his nephew has been complaining of severe abdominal pain for the past few days, with frequent episodes of nausea and vomiting. Case Study Pancreatitis

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Clinical Assessment:
Mr. C is in a fetal position, complaining of nausea and intolerable knifelike abdominal pain radiating to his back. A physical examination reveals that Mr. C is restless, obeys commands, and moves all extremities. Bilateral breath sounds are diminished with bibasilar crackles, S1 and S2 without murmur and capillary refill greater than 3 seconds, and peripheral pulses are 1+. The abdomen is distended, and tenderness and guarding, hypoactive bowel sounds, and tympany are noted. Trousseau’s sign (carpopedal spasm with inflation of the blood pressure cuff) and Chvostek’s sign (muscle spasm of the face with a tap on the facial nerve) are present. Skin is cool, pale, and dry. IV fluids are Ringer solution at 200 mL/hr and a Foley catheter draining amber urine at 20 mL/hr.

Diagnostic Procedures:
Mr. C’s vital signs include a blood pressure of 92/68 mm Hg, a pulse of 122 beats/min that is thready and weak, a respiratory rate of 26 breaths/min, a temperature of 100.8°F, and a SpO2 of 92% on O2 at 4 L per nasal cannula. His arterial blood gases are: pH of 7.48, PaO2 of 80 mm Hg, PaCO2 of 48 mm Hg, and HCO3 level of 38 mEq/L. He has an O2 saturation of 95% and an FIO2 of 36%.

Diagnostic values for Mr. C are as follows:
WBC, 19,600 units/L; hematocrit (Hct), 48.3%; hemoglobin (Hgb), 11.6 g/dL;
blood urea nitrogen (BUN), 18 mg/dL; serum creatinine, 1.2 mg/dL; serum glucose, 220 mg/dL; serum amylase, 280 Somogyi units/mL; serum lipase, 13.5 Somogyi units/mL; serum sodium, 140 mEq/L; serum potassium, 2.9 mEq/L; serum calcium, 5.8 mg/dL; serum albumin, 2.8 mg/dL; serum magnesium, 0.9 mg/dL; serum C-reactive protein, 140 mg/dL; and serum lactate, 3 mmol/L.

Medical Diagnosis
Acute Pancreatitis/Ranson criteria of 4

Questions

  1. What problems or risks do you identify for this patient?
  2. What major outcomes do you expect to achieve for this patient?
  3. What interventions must be initiated to monitor, prevent, manage, or eliminate the problems and risks identified?
  4. What possible learning needs would you anticipate for this patient?
  5. What cultural and age-related factors may have a bearing on the patient’s plan of care?

Case Study: Pancreatitis

Family Health Assessment Part I

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Family Health Assessment, Part I

Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance. Family Health Assessment, Part I

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This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

  1. Values/Health Perception
  2. Nutrition
  3. Sleep/Rest
  4. Elimination
  5. Activity/Exercise
  6. Cognitive
  7. Sensory-Perception
  8. Self-Perception
  9. Role Relationship
  10. Sexuality
  11. Coping

Select a family other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied with in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750–1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix to your assignment. Family Health Assessment, Part I

Include the following in your paper:

  1. Describe the family structure. Include individuals and any relevant attributes defining the family composition, such as race/ethnicity, social class, spirituality, and environment.
  2. Summarize the overall health behaviors of the family. Describe the current health of the family.
  3. Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
  4. Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Family Health Assessment, Part I

APNs As Healthcare Policy Leaders

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APNs As Healthcare Policy Leaders

explanation of how healthcare policy can impact the advanced practice nurse profession

2. An explanation of why advocacy is considered an essential component of the advanced practice nurse’s role

3. Discuss the four pillars of Transformational leadership and the effect it may have on influencing policy change

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Description

explanation of how healthcare policy can impact the advanced practice nurse profession

Research healthcare policy for APNs on a state and national level and the impact on the APN profession

explanation of why advocacy is considered an essential component of the advanced practice nurse’s role  APNs As Healthcare Policy Leaders

Describe advocacy in healthcare terminology.

Discuss how advocacy is an essential role of the APN and its impact on patient care.

Discuss the four pillars of Transformational leadership and the effect it may have on influencing policy change

Define transformational leadership.

Discuss how Transformational Leadership may have an effect on influencing policy change

Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic, and political factors.

Demonstrate professional and personal growth concerning the advocacy role of advanced practice nursing in fostering policy within diverse healthcare settings.

Advocate for institutional, local, national, and international policies that foster person-centered healthcare and nursing practice.

All writing submitted should reflect graduate student quality and APA writing rules. All writing informed by outside sources should include APA-formatted citations and associated scholarly, current references. 1500 words

APNs As Healthcare Policy Leaders

 

Healthcare Quality Improvement Trends in Saudi Arabia

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Healthcare Quality Improvement Trends in Saudi Arabia

For this assignment, you will research trends in healthcare quality improvement in Saudi Arabia. Identify any two contemporary trends (last 3 years) that focus on improving quality.

Prepare a PowerPoint presentation detailing the following:

  • Detail two quality improvement trends in KSA healthcare, including their origins and aims
  • Discuss which healthcare sectors are most impacted by these trends
  • Evaluate the key barriers to implementation
  • Explain how do these trends impact your organization and its quality improvement efforts

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Your PowerPoint presentation should meet the following requirements:

  • Include 7-8 slides, not including your title and reference slides.
  • Each slide must provide detailed speaker notes, with a minimum of 100 words per slide. Notes must draw from and cite relevant reference materials.
  • Provide support for your statements with citations from a minimum of six scholarly articles. These citations should be stated in the Notes section of the slide on which they appear. Two of these sources may be from the class readings, textbooks, or lectures, but four must be external.
  • Formatted per Saudi Arabia Electronic University and APA formatting guidelines.
  • Utilize headings to organize the content of your work.
  • Professional design and transitions.

Healthcare Quality Improvement Trends in Saudi Arabia