Gastrointestinal Function

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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 Function

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Case Study Questions

  1. 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.
  2. 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.
  3. 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 Function

Endocrine Function

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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 keep her hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone. Endocrine Function

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Case Study 2 Questions:

  1. In which races and ethnic groups is DM more prevalent?
  2. Based on C.B.’s clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis.
  3. 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.
  4. What would be the best initial therapy (non-pharmacologic and pharmacologic) to be recommended to C.B.?

has to be 500 words, with two cited references in APA format

Endocrine Function

Obstructive Pulmonary Disease

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Obstructive Pulmonary Disease

Goal: Develop a PowerPoint presentation on obstructive pulmonary disease.

The presentation must provide information about the incidence, prevalence, and pathophysiology of the disease/disorder at the cellular level. The presentation must educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific to this disorder. Patient education for management, cultural, and spiritual considerations for care must also be addressed. The presentation must specifically address how the disease/disorder affects 1 of the following age groups: infant, child, adult, or elderly. Obstructive Pulmonary Disease

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Format Requirements:

  • The presentation is original and logically organized.
  • Followed the APA format, including the citation of references.
  • A PowerPoint presentation with 10–15 slides was clear and easy to read. Speaker notes expanded upon and clarified the content on the slides.
  • Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) into your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).
  • Content Requirements:
  • Provide information about the incidence, prevalence, and pathophysiology of the disease/disorder at the cellular level.
  • Educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific to this disorder.
  • Provide patient education for management; cultural and spiritual considerations for care must also be addressed.
  • Must specifically address how the disease/disorder affects 1 of the following age groups: infant, child, adult, or elderly.

Obstructive Pulmonary Disease

 

 

NRNP 6541 Primary Care Of Adolescents And Children

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NRNP 6541: Primary Care Of Adolescents And Children

Journal Entry (2–3 pages):

  • Explain what has most excited and/or concerned you throughout your pediatric clinical experience.
  • Discuss how your personal definition of family and family roles has changed or stayed the same.
  • How has your understanding of family and family roles influenced your assessment of children and their families?

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  • Explain how your understanding of culture (both the culture of the provider and that of the child and his or her family) has changed and how it may have influenced the assessments you conducted during your practicum.
  • Assess how you did with accomplishing the goals and objectives you developed in Week 1 for the practicum experience.
  • Based on your practicum experience, refine your existing goals and/or develop new ones for your continued education and professional practice. Be sure to consider the NAPNAP Position Statement on Age Parameters for Pediatric Nurse Practitioner Practice.
  • Use the title page and references according to APA.

NRNP 6541: Primary Care Of Adolescents And Children

Implementing Electronic Health Records

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Implementing Electronic Health Records

In this writing assignment, you will be writing a one- to two-page paper explaining the implementation of electronic health records.

Step 1: Reflect on your involvement with the implementation of electronic health records (EHRs) in the clinical setting (either as a practicing nurse or as a student in the clinical setting).

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If you have not used an EHR, think about how you might implement an EHR in your practice setting. Answer the questions in Step 2 using this hypothetical EHR system.

Step 2: Address the following topics in your paper:

  • Explain at least three functional considerations to consider when implementing an EHR.
  • Explain the regulatory considerations for implementing EHRs.
  • Explain interoperability. Why is interoperability important?
  • Explain the integrity of the data. Why is data integrity important?
  • Explain why the security of data is important when implementing an EHR.
  • Explain the legal concerns surrounding the implementation of EHRs.

Cite any sources in APA format, 7th edition, with the link to the websites used.

Implementing Electronic Health Records

OFF-LABEL DRUG USE IN PEDIATRICS

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OFF-LABEL DRUG USE IN PEDIATRICS

Resouces to Use:

For your narrative:

  • Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific, and provide examples. OFF-LABEL DRUG USE IN PEDIATRICS
  • Explain strategies to make off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics. (Be Specific)

To Prepare:

  • Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.
  • Reflect on situations in which children should be prescribed drugs for off-label use.
  • Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.
  • Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific, and provide examples.
  • Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.

OFF-LABEL DRUG USE IN PEDIATRICS

Health Care Delivery

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Health Care Delivery

Health care in the United States is changing. A paradigm shift is occurring as more and more health care organizations are reorganizing existing business models from inpatient to outpatient services. That being said, you have been tasked with developing a proposal for the development of a health care facility that is designed to meet rapidly changing health care needs. Within your proposal, you are required to research and discuss the following:

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  • The type of facility you are recommending and the rationale behind your recommendation. For example, if you chose an ambulatory care facility, explain the reasons why this type of facility would be recommended over another type.
  • The type of health care delivery and services that are provided at the facility.
  • The type of staff that will work in the facility. Specify the position categories and/or titles for these positions, and include the credentials or licensures required by these positions in the state in which you live and where your proposed facility would be located.

Note: You should include a minimum of 3 references, properly cited in APA format.

Health Care Delivery

The Patient Centered Medical Home Model

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The Patient-Centered Medical Home Model

Week 7 Discussion: The Patient-Centered Medical Home Model

Step 1: The patient-centered medical home (PCMH) model, also known as a health home, is a health care delivery model designed to improve access to care, increase quality, and reduce costs.  Familiarize yourself with the PCMH model. Use these websites or research them on your own. The Patient-Centered Medical Home Model

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Step 2: For this discussion, select one of the health care delivery settings discussed in the assigned reading (e.g. home health/hospice, long term care, the VA system, retail/nursing clinics, community health centers) and consider ways in which the setting could incorporate aspects of the PCMH model.  Specifically, address access, quality, and cost. Finally, discuss the nurse’s role in advocating for these changes. If possible, share your own experiences and example of this model (or related principles).

Step 3: Read other students’ posts and respond to at least two of them by Friday at 11:59 pm MT.

Cite any sources in 7th. ed APA format.

Select Reply to join the discussion.  See rubric for grading details. You can find this by clicking the three dots to the top right of this thread.

Response Posts: In your responses to your classmates, contribute to the discussion with your own original professional opinions or interpretation of the course materials. Peer Responses do not require research for this course, so you do not need to include a reference and citation. If you choose to include research, APA formatting points will not be deducted for errors.

The Patient-Centered Medical Home Model

Health Promotion Part 2

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Health Promotion Part 2

This is a continuation of the health promotion program proposal, part one, which you submitted previously. Please approach this assignment as an opportunity to integrate instructor feedback from Part I and expand on ideas adhering to the components of the MAP-IT strategy. Include the necessary levels of detail you feel appropriate to assure stakeholder buy-in. Health Promotion Part 2

Directions

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You have already completed steps 1–4. Make sure you revise this initial submission according to your instructor’s comments.

1. Describe the health problem. Using data and statistics supports your claim that the issue you selected is a problem. What specifically will you address in your proposed health promotion program?

Be sure your proposed outcome is realistic and measurable.

2. Describe the vulnerable population and setting. What are the risk factors that make this a vulnerable population? Use evidence to support the risk factors you have identified.

3. Provide a review of literature from scholarly journals on evidence-based interventions that address the problem. After completing a library search related to effective interventions for your chosen health promotion activity, you will write a review that evaluates the strengths and weaknesses of all the sources you have found. You might consult research texts for information on how to write a review of the literature found in your search.

4. Select an appropriate health promotion/disease prevention theoretical framework or conceptual model that would best serve as the framework guiding the proposal. Provide rationale for your selection, which includes discussion of the concepts of the selected model For this assignment, add criteria 5-8 as detailed below:

5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention, which include the resources necessary, those involved, and feasibility for a nurse in an advanced role. Be certain to include a timeline. (2 to 4 paragraphs). (You may use bullets if appropriate.).

6. Thoroughly describe the intended outcomes. Describe the outcomes in detail in accordance with the SMART goal approach. (1 paragraph).

7. Provide a detailed plan for evaluation for each outcome. (1 paragraph).

8. Thoroughly describe possible barriers/challenges to implementing the proposed project, as well as strategies to address these barriers/challenges. (1 paragraph).

9. Conclude the paper with a conclusion paragraph. Don’t type the word “conclusion.”. Here, you will share your insights about this strategy and your expectations regarding achieving your goals. (1 paragraph).

Health Promotion Part 2

 

Pathophysiology Assignment Paper

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Pathophysiology Assignment Paper

The gastrointestinal (GI) tract is the body’s entry point for nutrients, including fluids and electrolytes needed to sustain life. Disorders of the GI tract are often grouped into the following categories: alteration of digestive function, absorptive function, immunologic function, and neuroendocrine function.

What are the stimuli to the multiple substances that control gastric acid secretion? What risks result from having strong acidity in the stomach?

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What is the pathophysiology of Helicobacter pylori?

The liver is a complex organ with many contributions to homeostasis that are often not appreciated until liver function declines. The liver has the capacity to rebound and regenerate after a variety of acute chemically or virally induced insults, but it is vulnerable to chronic chemical or infectious damage.

What blood tests are appropriate for a patient with a suspected acute liver injury?

Explain the rationale for ordering these tests, and patterns of results that you might see in a patient with acute HAV infection.

Pathophysiology Assignment Paper