ENG Mod 3 Discussion

Of course we can laugh when our parents and grandparents (or even we) reflect on the “good ol’ days” when life was simple and children played in the yard, made fun out of anything they could find, and spent minimal time in front of the “boob tube” and even less playing video games. But even if television, the media, film, computers/internet, and video games aren’t necessarily bad for children and teens, give some thought to what they are missing out on by spending so much time with these everyday “outlets.” What might they be doing instead and what might those other activities do for their mental, emotional, and physical health? Have we lost touch with human interaction/communication on some level? Have we come so far that it is too late to get some of that back?

Benchmark – Human Experience Across the Health-Illness Continuum

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

  1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
  2. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
  3. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

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.

Nurs 6541 Case Senario

You see a 2-month-old for a well-child visit. She is breastfed and nurses every 2 to 3 hours during the day, but her mother reports she is not nursing as vigorously as before. She sleeps one 4-hour block at night. Birth weight was 7 pounds 5 ounces. Weight gain over the last 2 weeks reveals gain of 5 ounces per week. Physical examination reveals the following: HEENT exam is benign, lung sounds are clear, a new III/VI systolic ejection murmur is noted along the left lower sternal border, cap refill is brisk, skin is pink and moist, and abdominal exam is benign.

Questions

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the respiratory, cardiovascular, and/or genetic disorder.

Nursing Assignment Part Two

Part Two:

This assignment will be at least 1500 words or more

This week you will reflect upon the effects of the nursing shortage to answer the following questions:

  • What steps can we take to address the nursing shortage?
  • Briefly define the series of events that led to the nursing shortage.
  • Reflect on your future role as a nurse or healthcare employee in the midst of a nursing shortage crisis.
  • How do you see the role of legislature contributing to safe staffing during a shortage?

Assignment Expectations: 

  • Length:
    • 1500-2000 words (6-8 pages); answers must thoroughly address the questions in a clear, concise manner
  • Structure:
    • Include a title page and reference page in APA style
  • References:
    • Two scholarly references are required; you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions

VDQ@2AA

Provide at least Five Targeted Questions you would ask the patient to build his or her health history and to assess his or her health risks.

“CASE STUDY #1”

JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has ahx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter.”

Note: REMEMBER AT LEAST THREE REFERENCES AND APA FORMAT

Nursing Assignment Part One (2 Parts)

Part one: (400 words) What impact has the nursing shortage had on healthcare? What measures should we incorporate to ensure quality care with a shortage in nursing staff?

Part Two: (400 words) How has the nurse practitioner impacted the healthcare market in the past decade?

IMMUNIZATION RECORD SPREADSHEET! DUE TODAY 9/4/2019 EASTERN

MUST BE CORRECT AND APPROPRIATE!!

Plot out on an Excel or other type of spreadsheet the required immunizations per CDC recommendations for the following patient. Immunizations should include all immunizations the patient should have received up to this point.

DO NOT COPY AND PASTE FROM THE CDC WEBSITE OR ANY OTHER SOURCE. THIS MUST BE YOUR OWN WORK, ALL COPY/PASTES WILL RECEIVE A ZERO.

A 18 year old male patient entering college in the Fall who will be staying in a dormitory. Start with infancy and up to this current day. Create what you think would be the appropriate record. ( START WITH MONTHS )

Assessment#3Class#7

See attachment.

  • attachment

    Assessment3Cla

MUST BE ANSWERED WITH RATIONALE.. CASE STUDY (NURSING RELATED) MUST BE TURNED IN TODAY 9/4/19 EASTERN

 COMPLETE THE CASE STUDY BELOW!!

1) Greg is a nurse serving a community-based group home for individuals with developmental and mental health disabilities. He is responsible to provide nursing services for 14 residents in three group homes. To best serve his clients, as well as the larger community of disabled residents, he has taken several courses related to the needs of those with disabilities.

1.Greg has learned that the historical view of those with disabilities has evolved. In current frameworks, it is viewed as important to differentiate among the concepts of impairment, disability, and handicap. In this framework, the concept of a person’s limited ability to perform an activity in an expected way is best described as a(n): Give a rationale and a reference (50 words)

  1. Impairment
  2. Disability
  3. Handicap
  4. Deficit

2.Most of Greg’s clients require assistance in multiple functional areas. This assistance is necessary, in part, because of environmental and social barriers that affect their quality of life. A common barrier to proper health care is poor access to transportation services. This is an example of what type of barrier? Give a rationale and a reference (50 words)

  1. Psychological
  2. Geographic
  3. Cultural
  4. Organizational

3.Many of Greg’s clients experience limitations in their ability to function on some level. According to U.S. Census Bureau definitions, the client who requires assistance with money management, paying bills, etc., is said to have a limitation in: Give a rationale and a reference (50 words)

  1. Functional activities
  2. Activities of daily living
  3. Instrumental activities of daily living
  4. Financial management

4. Greg has served in his current position since 1990. During this period of time, he has become convinced of the importance of the advocacy role of community health nurses and he has participated in efforts to pass landmark legislation protecting the rights of those with disabilities. This legislation, which resulted in the formalized expectation of “reasonable accommodations,” is referred to as the: Give a rationale and a reference (50 words)

  1. Americans with Disabilities Act
  2. Individuals with Disabilities Education Act
  3. Ticket to Work Act
  4. Work Incentives Improvement Act

Case study Guidelines

  1. Answer the questions asked with rationale
  2. No more or less than 200 words total. (give or take 10 words)
  3. Use at least one reference using APA citation guidelines
  4. No more than 1-2 spelling and grammar mistakes
  5. Original post ( Do not copy another student’s work)

3 page paper including all the 3 scenarios and disorders identified APA

Consider the following scenarios:

Scenario 1:

Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell.  Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.

Scenario 2:

Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.

Scenario 3:

Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.

To Prepare

  • Review the three scenarios,
  • Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.
  • Review the examples of “Mind Maps—Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
  • Review the Application Assignment Rubric found under Course Information

To Complete

Write a 3-page paper excluding the title page, reference page and Mind Map that addresses the following:

  • For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes.  You are required to discuss all three scenarios within the paper component of this assignment.
  • Construct one mind map on a selected disorder presented in one of the scenarios. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.