Gastrointestinal And Endocrine Function

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Gastrointestinal And Endocrine functions

Gastrointestinal Function:

R.H. is a 74-year-old black woman who presents to the family practice clinic for a scheduled appointment. She has complained of feeling bloated and constipated for the past month, sometimes going an entire week with only one bowel movement. Until this episode, she has been very regular all of her life, having a bowel movement every day or every other day. She reports straining most of the time, and it often takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies pain during straining. A recent colonoscopy was negative for tumors or other lesions. She has not yet taken any medications to provide relief for her constipation. Furthermore, she reports frequent heartburn (3–4 times each week), most often occurring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friend’s advice, she purchased a package of over-the-counter aluminum hydroxide tablets to help relieve the heartburn. She has had some improvement since she began taking the medicine. She reports using naproxen as needed for arthritic pain in her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise. Gastrointestinal And Endocrine functions

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Case Study Questions

In your own words, define constipation and name the risk factors that might lead to constipation. List the recommendations you would give to a patient who is suffering from constipation. You might use a previous experience you have. Based on the clinical manifestations in the R.H. case study, name and explain the signs and symptoms presented that are compatible with the constipation diagnosis. Complement your list with signs and symptoms not present in the case study.Sometimes, as an associate diagnosis and a complication, patients with constipation could have anemia. Would you consider that possibility based on the information provided in the case study? Gastrointestinal And Endocrine functions

Endocrine Function:

C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner, complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to stay hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, or 15 pounds in the last 6 months alone.

Case Study Questions

In which races and ethnic groups is DM more prevalent? Based on her C.B. clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis.If C.B. develops bacterial pneumonia on her right lower lobe, how would you expect her glycemia values to be? Explain and support your answer.What would be the best initial therapy—non-pharmacologic and pharmacologic—to be recommended to C.B.?

Gastrointestinal And Endocrine functions

Cancer And Diagnosis

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Cancer And Diagnosis

J.C. is an 82-year-old white man who was evaluated by a GI specialist due to abdominal discomfort, loss of appetite, weight loss, weakness, and occasional nausea.

Past Medical History (PMH):
Patient is diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a day. Atrial fibrillation is controlled with Rivaroxaban (15 mg by mouth once a day) and bisoprolol (10 mg by mouth once a day). Cancer And Diagnosis

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Labs:
Hb 12.7 g/dl; Hct 38.8%; WBC 8.2; Glycemia 74 mg/dl; Creatinine 0.8 mg/dl; BUN 9.8 mg/dl; AST 21 U/L; ALT 17 U/L; Bil T 1.90 mg/dl; Ind 0.69 mg/dl; Dir 1.21 mg/dl.

Diagnostic test:
Endoscopic Ultrasound of the Pancreas. Solid mass in the head of the pancreas, 4 cm, infiltrating the Wirsung duct. The solid mass enables it to infiltrate the superior mesenteric vein. A perilesional node is detected, 1.5 cm, metastatic aspect. Fine needle aspiration (FNA) biopsy: ductal adenocarcinoma.

Case study questions:

  1. Please name the potential most common sites for metastasis on J.C. and why.
  2. What are tumor cell markers, and why are tumor cell markers ordered for a patient with pancreatic cancer?
  3. Based on the case study described, proceed to classify the tumor based on the TNM Stage classification. Why is this classification important?
  4. Discussed characteristics of malignant tumors regarding their cells, growth, and ability to spread.
  5. Describe the carcinogenesis phase when a tumor metastasizes.
  6. Choose the tissue level that is affected by the patient discussed above: epithelial, connective, muscular, or neural. Support your answer.

Cancer And Diagnosis

 

Contemporary Nursing Practice

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Contemporary Nursing Practice

Details:
The field of nursing has changed over time. In a 750-1,000-word paper, discuss nursing practice today by addressing the following:

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  1. Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.
  2. Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how the scope of practice changes between an associate and a baccalaureate nurse.
  3. Identify a patient care situation and describe how nursing care, or approaches to decision-making, differ between the BSN-prepared nurse and the ADN nurse.
  4. Discuss the significance of applying evidence-based practice to nursing care and explain how the academic preparation of the RN-BSN nurse supports its application.
  5. Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Contemporary Nursing Practice

 

Nursing Theory And Conceptual Model Presentation

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Nursing Theory And Conceptual Model Presentation

Nursing theories are tested, and there are systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Prepare a 10- to 10-slide PowerPoint in which you describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:

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  1. Present an overview of nursing theory. Provide evidence that demonstrates support for the model’s efficacy in nursing practice. Explain how the theory proves the conceptual model.
  2. Explain how nursing theory incorporates the four metaparadigm concepts.
  3. Provide three evidence-based examples that demonstrate how nursing theory supports nursing practice. Provide support and rationale for each.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Nursing Theory And Conceptual Model Presentation

 

 

Nontraditional Health Care Practices

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Nontraditional Health Care Practices

Research different popular nontraditional health care practices. Write a 1,000-1,200-word paper exploring nontraditional health care practices and include the following:

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  1. Describe nontraditional health care practices in different cultures. Compare at least three cultures.
  2. Explain the importance of these practices in providing holistic and quality health care.
  3. Identify the nontraditional health care options in your areas, and identify the number of people choosing to use them over traditional medical practices. Propose reasons why the number of people using nontraditional health care options is rising.

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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Nontraditional Health Care Practices

Benchmark – Capstone Project Change Proposal

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Benchmark: Capstone Project Change Proposal

In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply the evidence-based research steps and processes required as the foundation to address a clinically-oriented problem or issue in future practice. Benchmark: Capstone Project Change Proposal

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Develop a 1,250-word written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Clinical problem statement.
  3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
  4. PICOT question.
  5. A literature search strategy was employed.
  6. Evaluation of the literature.
  7. Applicable change or nursing theory utilized.
  8. Proposed implementation plan with outcome measures.
  9. Discussion of how evidence-based practice was used in creating the intervention plan.
  10. Plan for evaluating the proposed nursing intervention.
  11. Identification of potential barriers to plan implementation and a discussion of how these could be overcome.
  12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.

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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1: Exemplify professionalism in diverse health care settings.

2.2: Comprehend nursing concepts and health theories.

3.2: Implement patient care decisions based on evidence-based practice.

Benchmark: Capstone Project Change Proposal

Evolving Practice Of Nursing And Patient Care Delivery Models

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Evolving Practice Of Nursing And Patient Care Delivery Models

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available in the community, and fewer will be available in acute care hospitals. Evolving Practice Of Nursing And Patient Care Delivery Models

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  1. Write an informal presentation (500–700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words, summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Evolving Practice Of Nursing And Patient Care Delivery Models

 

 

Early Onset Schizophrenia

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Early-onset schizophrenia

Assignment 1: Early-Onset Schizophrenia

Children and adolescents with schizophrenia have more difficulty functioning in academic or work settings, and significant impairment usually persists into adulthood. They may have speech or language disorders and, in some cases, borderline intellectual functioning. These individuals are more likely to complete suicide attempts or die from other accidental causes. Schizophrenia is characterized by positive and negative symptoms. Positive symptoms include hallucinations, delusions, and behavior disturbances. Negative symptoms include blunted affect and attention, apathy, and a lack of motivation and social interest. Early-onset schizophrenia

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In this assignment, you compare treatment plans for adults diagnosed with schizophrenia with treatment plans for children and adolescents diagnosed with schizophrenia. You also consider the legal and ethical issues involved in medicating children diagnosed with schizophrenia.

Learning Objectives

Students will:

· Compare evidence-based treatment plans for adults versus children and adolescents diagnosed with schizophrenia

· Analyze legal and ethical issues surrounding the forceful administration of medication to children diagnosed with schizophrenia

· Analyze the role of the PMHNP in addressing issues related to the forceful administration of medication to children diagnosed with schizophrenia

To prepare for this assignment:

· Review the learning resources concerning early-onset schizophrenia.

The Assignment (2 pages):

· Compare at least two evidence-based treatment plans for adults diagnosed with schizophrenia with evidence-based treatment plans for children and adolescents diagnosed with schizophrenia.

· Explain the legal and ethical issues involved with forcing children diagnosed with schizophrenia to take medication for the disorder and how a PMHNP may address those issues.

Note: All papers submitted should include a title page, an introduction, a summary, and references.

Assignment 1: Early-Onset Schizophrenia

Children and adolescents with schizophrenia have more difficulty functioning in academic or work settings, and significant impairment usually persists into adulthood. They may have speech or language disorders and, in some cases, borderline intellectual functioning. These individuals are more likely to complete suicide attempts or die from other accidental causes. Schizophrenia is characterized by positive and negative symptoms. Positive symptoms include hallucinations, delusions, and behavior disturbances. Negative symptoms include blunted affect and attention, apathy, and a lack of motivation and social interest.

In this assignment, you compare treatment plans for adults diagnosed with schizophrenia with treatment plans for children and adolescents diagnosed with schizophrenia. You also consider the legal and ethical issues involved in medicating children diagnosed with schizophrenia.

Learning Objectives

Students will:

· Compare evidence-based treatment plans for adults versus children and adolescents diagnosed with schizophrenia

· Analyze legal and ethical issues surrounding the forceful administration of medication to children diagnosed with schizophrenia Early-onset schizophrenia

· Analyze the role of the PMHNP in addressing issues related to the forceful administration of medication to children diagnosed with schizophrenia

To prepare for this assignment:

· Review the learning resources concerning early-onset schizophrenia.

The Assignment (2 pages):

· Compare at least two evidence-based treatment plans for adults diagnosed with schizophrenia with evidence-based treatment plans for children and adolescents diagnosed with schizophrenia.

· Explain the legal and ethical issues involved with forcing children diagnosed with schizophrenia to take medication for the disorder and how a PMHNP may address those issues.

Note: All papers submitted should include a title page, an introduction, a summary, and references.

Early-onset schizophrenia

Building A Comprehensive Health History

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Building A Comprehensive Health History

Comprehensive Health History in which you examine how social determinants of health such as age, gender, ethnicity, and environmental situations impact the health and risk assessment of the patients you serve. Also, consider how social determinants of health influence your interview and communication techniques as you work in partnership with a patient to gather data to build an accurate health history.

take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor. Building A Comprehensive Health History

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With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

  • How would your communication and interview techniques for building a health history differ with each patient?
  • How might you target your questions for building a health history based on the patient’s social determinants of health?
  • What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
  • Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
  • Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
  • Develop at least five targeted questions You would ask your selected patient to assess his or her health risks and begin building a health history.

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

APA citation: 3 to 4 References within 5 years

Building A Comprehensive Health History

 

 

Effects Of Leadership Styles Health Care

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Effects Of Leadership Styles Health Care

For this assignment, explore the different types of leadership styles. In a 10- to 12-slide PowerPoint, discuss which approaches are most effective for a health care setting and why. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the topic materials for additional guidance on recording your presentation with Loom. Include an additional slide for the following: the title page, the loom link (at the beginning), and an additional slide for references at the end. Effects Of Leadership Styles Health Care

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  1. Define leadership style and explain why it is important for health care leaders to understand their leadership style.
  2. Outline the leadership skills and behaviors necessary to leverage diversity, foster inclusion, and ensure professionalism and professional responsibility.
  3. Examine different leadership styles. Describe two leadership styles that would be especially effective in a health care setting and explain why. Discuss the advantages and challenges of each of these leadership styles.
  4. Explain how leadership styles are impacted by personal, organizational, societal, multicultural, and global norms and values.

A minimum of three academic references from credible sources are required for this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS Health Sciences

4.4: Identify how various leadership styles are impacted by personal, organizational, societal, multicultural, and global norms and values.

Effects Of Leadership Styles Health Care