week 7 clinical

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A 42-year-old woman has noticed dry skin, fatigue, and weight gain over the past 3 months. Her blood pressure is 110/70 mm Hg, pulse 60/min, and heart and lungs are normal. Her skin feels rough and dry, but the rest of her examination is normal. Her biochemistry is normal, but the TSH is 39 mU/L. Provide at least 3 possible differential diagnoses and justify your rationale. Develop therapeutic plan options based on quality, evidence-based clinical guidelines.

Expectations

  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

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Topic 5 Q1

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 Health care organizations continually face challenges from various regulatory and government agencies while also being bound by Managed Care Organization (MCO) standards. View the video located in the study materials entitled “College of Nursing and Health Care Professions: Do We Know What Our Future Is?” for insight into the challenges of health care reform. Based on the video, describe two key reform factors that you believe will need to be addressed by future health care workers or leaders and explain why. (Note: You can download slides from this video for ease of review in developing your forum response). Additionally, what role does adherence to MCO standards play in your future health care vision?

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ACADEMIC SUCCESS AND PROFESSIONAL DEVELOPMENT PLAN PART 2: STRATEGIES TO PROMOTE ACADEMIC INTEGRITY AND PROFESSIONAL ETHICS

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Nurse-scholars have a significant obligation to their community as well. Their work must have academic and professional integrity. Their efforts are designed to add to the body of knowledge, advance the profession, and ultimately help in the care of patients. Work that lacks integrity is subject to erode quickly or worse.

Fortunately, there are strategies and tools that can help ensure integrity in academic and professional work. This Assignment asks you to consider these tools and how you might apply them to your own work.

In this Assignment you will continue developing your Academic Success and Professional Development Plan by appending the original document you began in the previous assignment.

To Prepare:

  • Reflect on the strategies presented in the Resources for this Module in support of academic style, integrity, and scholarly ethics.
  • Reflect on the connection between academic and professional integrity.

The Assignment:

Part 2, Section 1: Writing Sample: The Connection Between Academic and Professional Integrity

Using the Academic and Professional Success Development Template you began in Module 1, write a 2- to 3-paragraph analysis that includes the following:

  • Explanation for the relationship between academic integrity and writing
  • Explanation for the relationship between professional practices and scholarly ethics
  • Cite at least two resources that support your arguments, being sure to use proper APA formatting.
  • Use Grammarly and Turnitin to improve the product.
  • Explain how Grammarly, Turnitin, and paraphrasing contributes to academic integrity.

Part 2, Section 2: Strategies for Maintaining Integrity of Work

Expand on your thoughts from Section 1 by identifying and describing strategies you intend to pursue to maintain integrity and ethics of your:

  1. academic work as a student of the MSN program and
  2. professional work as a nurse throughout your career. Include a review of resources and approaches you propose to use as a student and a professional.

Note: Add your work for this Assignment to the original document you began in the Module 1 Assignment, which was built from the Academic Success and Professional Development Plan Template.

BY DAY 7 OF WEEK 3

Submit both Section 1 and Section 2 of Part 2.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

  1. To submit your completed assignment, save your Assignment as MD2Assgn_LastName_Firstinitial
  2. Then, click on Start Assignment near the top of the page.
  3. Next, click on Upload File and select Submit Assignment for review.

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Discussion about a healthcare issue

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Write a 2 pages Word document discussing a current public controversy surrounding a health care issue. Examine the issue from a sociopolitical, economic, and cultural perspective. Explain the ethical and legal dilemmas that nursing professionals face when health care issues are politicized.

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Endocrine System Case Study

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Joan Barker, age fifty-six years, comes for a routine physical examination. She states that she has been in perfect health and has no complaints. She has a history of asthma but currently requires no medications of any kind. Her physical examination is completely normal, except for a 2-cm firm, nontender, nonmobile mass in the upper outer quadrant of her left breast. She indicates that she does not perform regular breast self-examination and that she did not know the mass was there. She has no family history of breast cancer and has never been pregnant.

Answer the following questions about Ms. Barker’s condition:

  • What term is used to describe the benign condition that may have caused Ms. Barker’s breast mass?
  • What is inside the cysts of fibrocystic breast disease?
  • Mammography and ultrasonography reveal a solid lesion (not cystic). What is the most common type of breast cancer?
  • Biopsy determines that Ms. Barker has invasive carcinoma of the breast. What is the difference between ductal carcinoma in situ and invasive carcinoma of the breast?
  • Ms. Barker’s breast cancer has metastasized to her lungs. What is the difference between metastatic lung cancer and primary lung cancer?

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Nursing homework help

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Most of the elderly at their end-of-life stage do not die at home as it is their desire. Despite the development of palliative care programs, it has remained a challenge to ensure that most of the elderly die in their homes. One of the main reasons that have made it difficult is the absence of a family caregiver who is willing to take care of an elderly patient. A patient who is at the end-of-life stage is supposed to have a person that is close to him or her so as to give them the attention they require. For elderly, having a committed family member would be significant because it gives them a sense of belonging and satisfaction, even as they near their death. However, it is hard to find such family caregivers, because most of them prefer taking their elderly relatives to a hospital where they can receive professional assistance. Moreover, few home caregivers have been trained to provide healthcare service properly; all these factors make it hard for attention to be given to elderly patients in their homes (Hudson, 2003).

As a nurse, one can support their clients during the end-of-life treatment by approaching the family member that is recommended by a patient and explain the need of having home-based care. It would be a key factor in ensuring that the family members understand the dynamics of providing care to the elderly from home. It would also be a way of ensuring that family members agree to take care of a patient, since they would be convinced from a professional point of view. Moreover, as a nurse, I would do my best to assist these family members in any way to ensure the comfort of a patient. For instance, a nurse can constantly visit a patient and provide the necessary care at home (Hudson, 2003).

 

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comment from post 5

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I agree with you Peggy, that helping families identify their strengths will help them function better.  While addressing the dysfunctional patterns it is also important to point out what the family is doing right.  Giving them positive reinforcement along with assigning tasks to help with dysfunctional patterns will help the family more than just pointing out the negative.  The family structural theory will help with this by identifying those positive strengths that the family encompasses.  It is our roles to also stay positive in implementing new ideas for the family.  It is our role as a healer to help individuals balance various parts of their lives (Edelman, Kudzma, Mandle, 2014). By doing so, we are helping the family succeed.

 

I NEED YOU TO COMMENT FROM THIS POST, NO MORE THAN 150 WORDS NEEDED AND A REFERENCE.

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Assignment 3: Quantitative Annotated Bibliography

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In this week’s discussion question you were asked to consider a potential problem (appropriate to your role option) that you would like to investigate through nursing research. For this assignment you will review current research from South’s Online Library and provide a critical evaluation on that research through an annotated bibliography. An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue’s OWL: https://owl.english.purdue.edu/owl/resource/614/01/

A total of four annotated bibliographies are to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a quantitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable.

Each annotation must address the following critical elements:

  • Explanation of the main purpose and scope of the cited work
  • Brief description of the research conducted
  • Value and significance of the work (e.g., study’s findings, scope of the research project) as a contribution to the subject under consideration
  • Possible shortcomings or bias in the work
  • Conclusions or observations reached by the author
  • Summary as to why this research lends evidence to support the potential problem identified specific to your role option.

Please submit to the W1 Assignment 3 Dropbox by Monday, January 2, 2017.

Assignment 3 Grading Criteria
Maximum Points
Articles selected are appropriate to role option and support the potential problem identified.
20
Addresses required elements for each of the 4 nursing research articles that provide supportive evidence for the problem.
40
Articles selected meet guidelines (quantitative methodology, nursing scholarly literature, no older than 5 years since publication).
30
Followed APA guidelines for writing style, format, spelling, and grammar.
10
Total:
100

Shows the help line number for South University Online Inc. The number is 1-888-444-3404.

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Assignment and Discussion

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Endocrine and Musculoskeletal System

The endocrine and musculoskeletal systems play important roles in the regulation and coordination of activities throughout the body. When alterations of these systems occur, many patients require long-term drug therapies. In addition to drugs prescribed by their health care providers, patients with these disorders also often take herbal and dietary supplements. According to the American Diabetes Association, 22 percent of diabetic patients use herbal therapy and 31 percent use dietary supplements (American Diabetes Association, 2009). This may impact the effects of prescribed drugs, as well as pose a concern of adverse drug reactions in patients. When treating patients with endocrine and musculoskeletal disorders, it is important to educate patients on associated risks. As an advanced practice nurse prescribing drugs, you must carefully consider all drug, herbal, and dietary therapies prior to finalizing treatment plans.

This week you examine types of drugs prescribed to patients with endocrine and musculoskeletal disorders, as well as the impact of patient factors on the effects of drugs. You also explore ways to improve patient treatment plans including suggested drug therapies. Finally, you examine types of diabetes and the impact of diabetes drugs on patients.

Learning Objectives

By the end of this week, students will:

· Analyze types of drugs prescribed to treat endocrine and musculoskeletal disorders

· Evaluate the impact of patient factors on the effects of prescribed drugs for endocrine and musculoskeletal disorders

· Evaluate drug therapy plans to treat endocrine and musculoskeletal disorders

· Analyze patient education strategies for treatment and management of endocrine and musculoskeletal disorders

· Differentiate types of diabetes

· Evaluate the impact of diabetes drugs on patients

· Understand and apply key terms, concepts, and principles related to prescribing drugs to treat endocrine and musculoskeletal disorders

Photo Credit: Mark Hatfield/iStock / Getty Images Plus/Getty Images

 

Learning Resources

This page contains the Learning Resources for this week. Be sure to scroll down the page to see all of this week’s assigned Learning Resources. To access select media resources, please use the media player below.

Required Readings

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Arcangelo, V. P., & Peterson, A. M. (Eds.). (2013). Pharmacotherapeutics for advanced practice: A practical approach (3rd ed.). Ambler, PA: Lippincott Williams & Wilkins.

· Chapter 36, “Osteoarthritis and Rheumatoid Arthritis” (pp. 538–559)  This chapter examines the causes, pathophysiology, and diagnostic criteria of osteoarthritis and rheumatoid arthritis. It then outlines the process of selecting, administering, and managing drug therapy for both disorders.

 

· Chapter 37, “Fibromyalgia” (pp. 560–567)  This chapter explores the causes, pathophysiology, and diagnostic criteria of fibromyalgia. It also covers the process of selecting, administering, and managing drug therapy for this disorder.

 

· Chapter 45, “Diabetes Mellitus” (pp. 696–714)  This chapter begins by identifying the causes, pathophysiology, and diagnostic criteria of diabetes mellitus. It then examines the process of selecting, administering, and managing drug therapy for patients with diabetes mellitus.

 

· Chapter 46, “Thyroid Disorders” (pp. 715–729)  This chapter explores the causes, pathophysiology, diagnostic criteria, and administration of drug therapy for patients with thyroid disorders, including hypothyroidism, hyperthyroidism, thyroid nodules, subclinical thyroid disease, and thyroiditis. It also discusses the mechanisms of prescribed drugs, as well as proper dosages and potential adverse reactions.

Ben-Zacharia, A. (2011). Therapeutics for multiple sclerosis symptoms. The Mount Sinai Journal of Medicine, 78(2), 176–191.

Note: Retrieved from the Walden Library databases.

 

This article covers the diagnosis, treatment, and management of multiple sclerosis and explores methods for treating other health issues that arise from multiple sclerosis.

Kargiotis, O., Paschali, A., Messinis, L., & Papathanasopoulos, P. (2010). Quality of life in multiple sclerosis: Effects of current treatment options. International Review of Psychiatry, 22(1), 67–82.

Note: Retrieved from the Walden Library databases.

 

This article examines the process of evaluating and diagnosing patients who present with symptoms of multiple sclerosis and explores treatment and rehabilitation methods.

Peterson, K., Silverstein, J., Kaufman, F., & Warren-Boulton, E. (2007). Management of type 2 diabetes in youth: An update. American Family Physician, 76(5), 658–664.

Note: Retrieved from the Walden Library databases.

 

This article outlines the process of diagnosing, treating, and managing youths with or at risk of type 2 diabetes. It also suggests methods for body weight management and reducing cardiovascular disease risks.

 

Drugs.com. (2012). Retrieved from http://www.drugs.com/

 

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

 

Required Media

 

Laureate Education, Inc. (Executive Producer). (2012). The endocrine system and diabetes. Baltimore, MD: Author.

 

This media presentation explores the endocrine system and diabetes including diagnosis and treatment of the disease.

 

Note: The approximate length of this media piece is 5 minutes.

 

 

Laureate Education, Inc. (Executive Producer). (2012). Advanced pharmacology – Mid-course review. Baltimore, MD: Author.

 

This media is an interactive mid-course review covering course content.

 

ASSIGNMENT

 

 

Diabetes and Drug Treatments

Diabetes is an endocrine system disorder that affects millions of children and adults (ADA, 2011). If left untreated, diabetic patients are at risk for several alterations including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations. In this Assignment, you compare types of diabetes including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

To prepare:

· Review this week’s media presentation on the endocrine system and diabetes, as well as Chapter 45 of the Arcangelo and Peterson text and the Peterson et al. article in the Learning Resources.

· Reflect on differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.

· Select one type of diabetes.

· Consider one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.

· Think about the short-term and long-term impact of the diabetes you selected on patients including effects of drug treatments.

By Day 7

Write a 2- to 3- page paper that addresses the following:

· Explain the differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.

· Describe one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Include dietary considerations related to treatment.

· Explain the short-term and long-term impact of this diabetes on patients including effects of drugs treatments.

 

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

 

 

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Case Study, Mohr CHAPTER 14, Groups and Group Interventions

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Case Study, Mohr

CHAPTER 14, Groups and Group Interventions

In completing the case study, students will be addressing the following learning objectives:

Discuss the advantages of group therapy.

Discuss the nurse’s role in working with groups.

1. Mary, a student nurse, is studying for an upcoming examination in her psychiatric–mental health nursing class.  Mary is reviewing group psychiatric therapy and made some practice test questions on this topic.  Help Mary study by answering the following questions.

(Learning Objectives: 7, 10)

a. Why does group therapy benefit clients with a psychiatric diagnosis?

  • How can the psychiatric nurse best facilitate a community support group?

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