Advanced Practice Care…1

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For this project, you will take on the role of a nurse practitioner treating a patient with a chronic condition (Coronary Artery Disease) . Your patient is not completely satisfied with the treatments you’ve tried and asks about a specific alternative therapy. Unfamiliar with these sorts of therapies, you decide to do some research before making recommendation. In this case, you get to decide what condition your patient has and which intervention he or she is interested in trying. Your objective is to determine whether or not you would recommend the regular treatment either alone or in combination with alternative treatment. The paper should not be more than 4 pages excluding the title page and references. APA format is required with a professional paper.

Need initial post for below discussion

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APA format 2 pages 4 peer review references 2 from Walden University Library

Due Monday April 30th at 7pm EST

 

Discussion: Urinary Tract Infections

Urinary tract infections (UTIs) are caused by bacteria—most often, Escherichia coli. However, certain viruses, fungi, and parasites can also lead to infection. The infection can affect the lower and upper urinary tract including the urethra, prostate (in males), bladder, ureter, and kidney. Due to the progression of the disease and human anatomy, symptoms present differently among the sexes, as well as among different age groups. It is important to understand how these factors and others impact the pathophysiology of UTIs. Advanced practice nurses must have this foundation in order to properly diagnose patients.

To prepare:

  • Review Chapter 30 in the Huether and McCance text and Chapter 32 of the Arcangelo text. Identify the pathophysiology of lower urinary tract and upper urinary tract infections. Consider the similarities and differences between the two types of infections.
  • Consider one type of drug that would be used to treat symptoms associated with urinary tract infections.
  • Consider gender and one of the following patient factors: genetics, ethnicity, age, or behavior. Consider how gender and the factor you selected might impact the pathophysiology of the urinary tract infections. Then, reflect on how these factors might impact the effects of prescribed drugs, as well as any measures you might take to help reduce any negative side effects.
By Day 3

Post a description of the pathophysiology of lower urinary tract and upper urinary tract infections, including their similarities and differences. Then, describe one type of drug that would be prescribed to treat symptoms associated with urinary tract infections. Finally, explain how gender and another patient factor might impact the pathophysiology of the urinary tract infections and the effects of prescribed drugs. Explain measures you might take to help reduce any negative side effects.

DQ3

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Review your state’s mandated reporter statute. Provide details about this in your post. If faced with a mandated reporter issue, what are the steps in reporting the issue? Create a mandated reporter scenario and post it. Respond to one of your peer’s scenarios using the guidelines for submission/reporting in your state. Be sure to include a reference to your state’s website related to mandated reporting.

(the state will be florida in USA)

TASK 827 – MUST BE DONE CORRECTLY

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 No plagiarism will be accepted

Instructions: Body of textHistory-history of creation/discovery and use-describe the chemical make-up of the drug (i.e., Crack is cocaine hydrochloride powder that has been processed to form a rock crystal that is then usually smoked).

At least half a page.

Production-is the drug natural or synthesized in the lab?

Ex: designer drug LSD (lab) versus naturally growing mushrooms (natural).  At least half a page.

Influence on Neurotransmitters and Receptors-Describe what neurotransmitters/receptors/hormones are involved.

How does the drug influence them? (be specific, i.e., serotonin receptors or even more specific, 5HT). At least half a page.

Effectiveness, Use and/or Abuse-what is the effectiveness of the drug (if it is used clinically) or if illicit, how potent is it (maybe talk here about cutting street drugs with other chemicals like baking soda, etc).

-is the drug abused?

If yes describe in terms of prevalence of use and abuse.

If no describe why-is the drug addictive or does it build a physical tolerance (need to increase the dose to keep working)?

If yes then how do you stop using it (taper down the dose, etc.). If no, then say why the receptors that it works on do not up or down regulate, etc.).  At least a page.

Physical, Mental, and Social Benefits/Dangers -Is this drug dangerous or useful or beneficial (physical, to the self,  the repercussions to society, to research, and the field of psychology) describe how and why?

At least a page.Conclusion -write a brief summary of the main points. -based on the research, is there conflicting data about the drug?

Is this supported by research?

Mention any discrepancies in the research that should be addressed.

Make sure you choose one specific drug and its influence on one specific population as we talked about in class.

A research paper is required to pass the course.  A 6 page APA paper based on a related biological psychology topic/phenomenon. On this paper, you will explore the influence and effects of a specific drug e.g. caffeine, alcohol, cocaine, Ritalin, etc.  on a specific target population of interest e.g. young college students, children with ADHD, women with bipolar disorder, young women with anorexia,

Number of Pages: 6 Pages

Page Line Spacing: Double spaced (Default)

Academic Level: College

Paper Format: APA

DQ 2

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Describe how the concepts of leadership and management differ from each other. In what areas do they overlap? Explain how the goals of management and leadership may sometimes overlap. As a nurse leader, do you believe you can expand your influence to create change by taking advantage of this overlap? Explain your answer.

DQ 1

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Based on the scientific management theory, what are some of the routines in health care that seem to be inefficient? What examples of participative decision making exist in your workplace? Provide your rationale.

(the work place will be NICU in a hospital)

Case Exemplar-LPN-BSN: An innovative articulation model

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  •     CHAPTER 7–LPN-BSN: An innovative articulation model
  1. How was the need determined to initiate this innovative educational program?
  2. Who were the major stakeholders?
  3. How was the project conceptualized?
  4. How were the program outcomes developed?
  • This is my book:  Start on page 167
  • Harris, J. L., Roussel, L., Thomas, P. L., & Dearman, C. (2015). Project Planning & Management: A Guide for Nurses and Interprofessional Teams. Jones & Bartlett Publishers.

Please respond to this question. Thanks.

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As it happens, there are real-life applications for interaction that we often come across. What is interesting to note is that it’s always beneficial to distinguish between the quantitative interactions with their qualitative counterparts.

So, could you further describe what significance “qualitative” interactions would have in statistics? What about “quantitative” ones? How can you distinguish between the two types of interactions between variables R and S?

Thanks,

Discussion: Diagnosis and Management of Genitourinary Disorders

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Many genitourinary (GU) disorders such as kidney disease begin developing during childhood and adolescence (Johns Hopkins Children’s Center, 2010). This early onset of disease makes it essential for you, as the advanced practice nurse caring for pediatric patients, to identify potential signs and symptoms. Although some pediatric GU disorders require long-term treatment and management, other disorders such as bedwetting or urinary tract infections are more common and frequently require only minor interventions. In your role with pediatric patients, you must evaluate symptoms and determine whether to treat patients or refer them for specialized care. For this Discussion, consider potential diagnoses, treatment, and/or referral options for the patients in the following three case studies.

Case Study 1

You see a 3-year-old with a 2-day history of complaints of dysuria with frequent episodes of enuresis despite potty training about 7 months ago. She is afebrile and denies vomiting. Physical examination is normal. Dipstick voided urine analysis reveals: specific gravity 1.015, Protein 1+ non-hemolyzed blood, 1+ nitrites, 1+ leukocytes, and glucose-negative.

Case Study 2

Mark is a 15-year-old with complaint of acute left scrotal pain with nausea. The pain began approximately 6 hours ago as a dull ache and has gradually worsened to where he can no longer stand without doubling over. He is afebrile and in marked pain. Physical exam is negative except for elevation of the left testicle, diffuse scrotal edema, and the presence of a blue dot sign.

Case Study 3

Maya is a 5-year-old who presents for a well-child visit. She is a healthy child with no complaints. Physical examination is normal. Routine urinalysis indicates 2+ proteinuria; specific gravity 1.020; negative for glucose, blood, leukocytes, and nitrites. Her blood pressure is normal, and she is at the 60th percentile for height and weight.

To prepare:

  • Review “Genitourinary Disorders” in the Burns et al. text.
  • Review and select one of the three provided case studies. Analyze the patient information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
  • Consider strategies for educating patients and families on the treatment and management of the genitourinary disorder.

By Day 3

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 genitourinary disorder.

Details: Benchmark – Professional Capstone and Practicum Reflective Journal

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Details: Benchmark – Professional Capstone and Practicum Reflective Journal

Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:

1. New practice approaches

2. Intraprofessional collaboration

3. Health care delivery and clinical systems

4. Ethical considerations in health care

5. Population health concerns

6. The role of technology in improving health care outcomes

7. Health policy

8. Leadership and economic models

9. Health disparities

Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.

Students will develop a 1,250-1,500-word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, you are required to retrieve and assess a minimum of 8 peer-reviewed articles. an abstract is not required, CITE WEBSITE SOURCE.