NR533 week 3.1

Respond

 

This sounds very complicated and intensive. It is good that the employees have an understanding of the final budget so they can know their responsibility.

Dr. Strong

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Digestive System

1. What are the functions that the liver, gallbladder and pancreas play in digestion? Explain.

2. Chapter 5 discusses many pathological conditions related to the digestive system and divides them based on their location (oral cavity, upper GI tract, Lower GI tract ect..). Pick 4 pathological conditions, one from each group, define them and explain the signs, symptoms, diagnosis and treatment for each one.

3. You have learned so far the suffixes -tomy, -ectomy and -stomy. Explain the differences in the meanings of each suffix and illustrate using examples of medical terms that are realted to the digestive system.

4. This week, you are expected to go over the digestive system case study under the week’s module. In the case study, the patient (Mrs. Kreider) has undergone false diagnosis multiple times (indigestion, diverticulosis, jaundice, colonic polyps, etc…).

a. Describe each misdiagnosed condition, the reason behind each misdiagnosis and the lab tests and procedures that were used.

b. What was the actual diagnosis? What is the medical term for this condition? What was done to reach this diagnosis?

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Assignment: Lab Assignment: Ethical Concerns

Based on the scenarios provided:

  • Select one scenario, and reflect on the material presented throughout this course.
  • What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
  • Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

The Lab Assignment

Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

pick one out of the scenario and write on:

Please follow assignment instructions and you may pick one of the following ethical case studies:

CASE STUDY 1 The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.

CASE STUDY 2 A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.

CASE STUDY 3 A 27-year-old man with Crohn’s disease has been admitted to the emergency room with an extreme flare-up of his condition. He explains that he has not been able to afford his medications for the last few months and is concerned about the costs he may incur for treatment

CASE STUDY 4 A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled.

CASE STUDY 5 A 17-year-old boy has come in for a check-up after a head injury during a football game. He has indicated that he would like to be able to play in the next game, which is in 3 days.

CASE STUDY 6 A 12-year-old girl has come in for a routine check-up and has not yet received the HPV vaccine. Her family is very religious and believes that the vaccine would encourage premarital sexual activity.

CASE STUDY 7 A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient unit at a hospice to receive end-of-life care, but his wife wants him to remain at home.

Rubric:

Write a detailed 1-page narrative (not a formal paper) addressing the following:

·  Explain the health assessment information required for a diagnosis of your selected patient (include the scenario number). 

  Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature. 

Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.

Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation 

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list. 

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Nursing

Create a narrated PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose.

Your presentation should be 5–6 minutes in length and should include a video with you as presenter.

Your Change Implementation and Management Plan should include the following:

  • An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
  • A description of the change being proposed
  • Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
  • Details about the type and scope of the proposed change
  • Identification of the stakeholders impacted by the change
  • Identification of a change management team (by title/role)
  • A plan for communicating the change you propose
  • A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

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nursing theorist

Please select a nursing theorist. You may choose a grand theorist or a middle range theorist. There are few nursing theorist listed in your textbook you can choose from or you can select a different one. Please verify with the instructor the theorist you choose prior to beginning your work. Write a 3-5 page paper on your nursing theorist. Include in your paper an introduction to the theorist, the key points of their theory, the model diagram or the concept map used, and how the theory is applied in nursing practice. Include at least one peer reviewed nursing journal article published within the last five year (The article must cite or apply your assigned nursing theorist). Please follow the rubric closely to earn all possible points.

Refer to the Publication Manual of the American Psychological Association (6th ed.) (APA) for referencing and citing sources.

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Discussion

Multicultural competence is still evolving within the field of human and social services as the constructs and paradigms that undergird it continue to evolve through practice and research. What started as a desire to recognize differences has moved toward the goal of understanding the complex multiple identities, or intersectionality, that an individual may exhibit (Garran & Werkmeister Rozas, 2013). The goal of this course has been to increase your awareness of the need for culturally sensitive, ethical practice within the field, and also to present strategies and sources through which you might increase your knowledge and skills in this area.

As a result of its complexity, however, multicultural competence is necessarily a career-long journey. For this Discussion, you examine the progress you have made toward multicultural competence and areas for future professional development in this area. You also consider the immense potential for multicultural competency in human and social services to impact social change initiatives.

To Prepare:

  • Reflect back on the assignments you have completed during this course. Think about what you have learned and what you need to continue to work on to be successful as a human and social services profession.
  • Review the article “Cultural Competence Revisited” in this week’s Learning Resources.

Post an explanation of the areas you feel you need to develop in order to become more multiculturally competent and why. Finally, include an explanation of how multicultural competency relates to and impacts social change.

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Chinese and Japanese case studies

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussions and any insights gained from it.

4. Create your APA formatted essay-style submission, with references, be sure to cite your sources and check your spelling.

Assignment:

Complete the following Case Studies:

  • Chinese case study #1
  • Japanese case study #1

Write a 3-4 page APA essay, using two scholarly sources in addition to the textbook.

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Healthcare Marketing and Strategy

Before beginning work on this discussion forum, please review the link “Doing Discussion Questions Right,” the expanded grading rubric for the forum, and any specific instructions for this topic.

Before the end of the week, begin commenting on at least two of your classmates’ responses. You can ask technical questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. Submit your responses in the Discussion Area.

In recent years, promotions have become an important part of healthcare strategy. Promoting a service is often very different than the promotion of a product. Equally important is the medium through which you promote your service, whether it is in person; online or through traditional promotional avenues, promotion has become a critical aspect of a marketing strategy.

  • Compare the use of print media and the Internet in the promotion of healthcare services. What are the advantages and disadvantages of each? Explain.

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Your initial posting should be addressed at 150-300 words. Submit your document to this Discussion Area by the due date assigned. Be sure to cite your sources using APA format.

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instrustion

We will be watching the movie “Sound and Fury” in class as part of our cultural awareness of the deaf community.  We will have a special guest speaker that will further discuss the topic of deaf culture as she experiences it.

Your assignment is to create a PowerPoint titled “What nurses need to know about deaf culture in Minnesota.”  You are to use the movie, “Sound and Fury” as well as other online resources provided on Blackboard to address this content.  You are to create a basic PowerPoint that includes your “spoken portion” in the notes section of each slide.  There must be at least 10 slides and 4 references included in the PowerPoint and appropriate citations throughout as required. You will find that the MN Department of Human Services and the National Institute of Deafness and Communications Disorders will lead you to a number of other resources along the way.  Explore these as they will help you to better grasp what is available to individuals in the U.S. and state of MN. Please note that Wikipedia is not a valid reference for any project. You can use all websites as references for this project if you choose but be sure to use solid websites and to cite them correctly on your slides. YOU WILL NOT PRESENT THIS IN CLASS.

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Case Study

Assignment Details

For this assignment you will be given a case study about a young lady named Sarah Smith. Review the information provided and answer the questions following. Be sure to cite your references. Look at Sarah as if she is a patient in your office seeking care. What are your immediate concerns? What needs to be done for her? Be thorough and succinct in your responses.

Case Study:

Sarah Smith is a 28 y/o African American female who presents to the office with c/o wound to her left foot for the past few days. States she had tripped and fell while barefoot scraping the top of her foot on the pavement. She denies any other injury from the incident. Over the past 24 hours the wound has had “smelly” drainage. Has been experiencing generalized achiness, but denies fever and chills. Did not seek medical attention at the time of injury. Has been using hydrogen peroxide to clean her wound. Is unclear of her last tetanus vaccination. Patient PMHx significant for DM II. States that she takes her medications when she remembers, and does not always check her blood sugar.

PMHx:

Asthma: no hospitalizations for exacerbation.

DM II

PSHx:

Denies

SHx:

Former tobacco user: ceased smoking 2 years ago. Had smoked 1ppd x 5 years

ETOH: socially

Illicit drugs: denies

FHx:

Significant for paternal DM, otherwise unremarkable

Medications:

Metformin: 500mg BID po – did not take the last few days

Albuterol MDI: 2 puffs every 6 hours prn – last use just PTA

Singulair: 10mg po daily

Trinessa: 1 tab po daily – last taken this am

Allergies:

PCN: hives

LNMP: 2 weeks ago.

G0p0

ROS:

General: denies any weight changes, fatigue or fever; + body aches

Skin: denies any rashes; + wound to left foot

HEENT: denies headache, head injury, dizziness, lightheadedness;

Denies any vision changes

Denies any hearing changes, tinnitus, vertigo, earache

Denies any nasal congestion, discharge, nose bleeds or sinus tenderness

Denies any sore throat, difficulty swallowing

Neck: denies any swollen glands, pain

Breasts: denies any pain, discharge

Respiratory: denies any dyspnea; positive cough and wheezing

CV: denies any chest pain, edema

GI: denies any nausea/vomiting/diarrhea/constipation; denies bloody stools

PV: denies claudication, swelling to LE

GU: denies frequency, urgency, burning;

Denies vaginal discharge, itching, sores

Denies penile discharge, itching or sores

MS: positive pain to left foot

Psych: denies nervousness, depression

Neuro: denies Headache, dizziness, vertigo, syncope, weakness; + numbness to right LE

Heme: denies any easy bruising

Physical Exam:

Vital signs: 100.5 (tympanic), 162/88, 118, 22, O2 sat 95% on RA

Height: 5’5”     Weight: 250 lbs.

Blood glucose: 230 (Fasting; states has not eaten yet today)

patient awake, alert, oriented x 4 in NAD

Skin: warm, dry, color WNL. 4 cm lesion noted to anterior left foot with crusting and purulent drng; + surrounding erythema extending up 7 cm proximally

HEENT: head nontraumatic, normocephalic

Pupils PERRLA, EOMs intact; disc margins sharp, without hemorrhages, exudates; no AV nicking noted

Ears: bilateral TM with good cone of light and intact

Nose: mucosa pink, septum midline; no sinus tenderness appreciated

Mouth: mucosa pink, moist; tongue midline; tonsils 1+ without exudate

Neck: supple; trachea midline; no LAD

Resp: regular and unlabored; lungs with end expiratory wheezing throughout

CV: RRR, S1 and S2 noted; no s3, s4 or murmur appreciated

Abdomen: soft, non-distended; Bs + x 4; no tenderness with palpation; no CVA tenderness with percussion

Genitalia: deferred

Rectal: deferred

Extremities: warm and without edema; calves supple, non-tender

PV: no LE edema

MS: + swelling to left foot; + tenderness of 2-4th left metatarsals; + left pedal pulse; CMS intact; Cap refill < 2 sec.

Neuro: alert, cooperative; thought coherent; oriented x 4; cranial nerves II-XII intact

Questions:

1. List your differentials for her current problems. Remember you should have at least three different differentials for each problem. Include rationale for each differential.

2. At this time what medical diagnoses are you most concerned about? Do they impact other diagnoses? If so, how?

3. What diagnostic images would you order? Provide your rationale. What are you trying to rule in or out?

4. What laboratory work would you order? What would you anticipate to be abnormal? Provide your rationale for each.

5. What is your comprehensive plan of care? Include your rationales.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above)
  • consult the Grading Rubric to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and

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