Peripheral Vascular Disease Case Studies

A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except for decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial pulses were markedly decreased compared with those of his left leg.

Studies

Results

Routine laboratory work

Within normal limits (WNL)

Doppler ultrasound systolic pressures

Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure)

Arterial plethysmography

Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves

Femoral arteriography of right leg

Obstruction of the femoral artery at the midthigh level

Arterial duplex scan

Apparent arterial obstruction in the superficial femoral artery

Diagnostic Analysis

With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic.

Critical Thinking Questions

1. What was the cause of this patient’s pain and cramping?

2. Why was there decreased hair on the patient’s right leg?

3. What would be the strategic physical assessments after surgery to determine the adequacy of the patient’s circulation?

4. What would be the treatment of intermittent Claudication for non-occlusion?

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Community Health Promotion

Your supervisor assigned you to a CDC committee that is trying to promote community success stories. Your first assignment is to submit a “success story worksheet” about the required reading: Partnership for a Healthy Community: A Tobacco Prevention Program in Central Aroostook County.

Use the CDC Success worksheet to help write a 2 – 3 page essay.

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Discuss the benefits of qualitative versus quantitative research

 

Discuss the benefits of qualitative versus quantitative research

300-word minimum

·         At least 1 outside scholarly reference is required besides the course textbook 

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Cystic fibrosis

Cystic Fibrosis

please follow all instruction on the attachment below The student will be given a maternity or pediatric disorder that they might have encountered or will encounter in nursing practice. Write a (6)-page paper with references in APA format. 

Required elements Points 

Description of the disorder

Priority Nursing Diagnosis and why  

Nursing Assessment / Clinical Manifestations

Nursing Plan/ Goals/ Outcomes

Nursing Interventions

Nursing Evaluations

Patient and Family teaching

Conclusion/ Summary

Cites four (4) APA format references (at least 5 years old)

I need all my require subject to be writing separately on the paper

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Professional Development Exercises

Assignment:

Professional Development Exercises :

  • Describe why there is such a struggle when addressing end-of-life issues
  • What are the differences between allowing a patient to die and physician-assisted suicide?
  • Discuss the controversy that can occur when considering a patient’s right to know whether a caregiver has AIDS and the caregiver’s right to privacy and confidentiality.
  • Describe the distinctions among wrongful birth, wrongful life, and wrongful conception. Discuss the moral dilemmas of these concepts
  • Discuss the arguments for and against partial birth abortions
  • Discuss why there is controversy over genetic markers and stem cell research

Please combine all of these responses into a single Microsoft Word document for submission. APA Format

Please submit only complete assignments (not partial or “draft” assignments).

Submit only the assignments corresponding to the module in this section.

You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question.

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introduction to nursing research DQ 4 TOPIC 1

 Compare independent variables, dependent variables, and extraneous variables. Describe two ways that researchers attempt to control extraneous variables. Support your answer with peer-reviewed articles. 

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Nusing

 

What is Res Ipsa Loquitor.   Why is this doctrine so important to health care practitioners and  organizations?  Your assignment should be at least two paragraphs, no  more than one page.  It is due 11:59 PM on 09/21  Book to be used as reference: Legal and Ethical Essentials of Health  Care Administration, 2nd edition; by George P. Pozgar, Published by  Jones and Bartlett, ISBN-10 1-4496-9434-9 (pbk).

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RN Capstone

 

Purpose

The purpose of this assignment is to learn how to identify and effectively manage conflicts that arise in care delivery settings resulting in better management of patient care, including appropriate delegation. You will gain insight into conflict management strategies and develop a plan to collaborate with a potential nurse leader about the conflict and its impact in a practice setting.

 

Directions

  1. Read Finkelman (2016), Chapter 13: Improving Teamwork: Collaboration, Coordination, and Conflict Resolution, section on Negotiation and Conflict Resolution, pp. 324-333.
  2. Write a 5-7 page paper (not including the title or References pages). Follow APA format. Consult your APA manual, and consider using the APA resources provided by Chamberlain. Cite the course textbook and two scholarly sources.
    • Cite the course textbook and two scholarly sources. Scholarly references must be published within the last 5 years, from the Chamberlain library only and must provide the permalink.
    • Review the information provided in our library of how to search for journal articles (Links to an external site.)
    • Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.)
  3. You are required to complete this assignment using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu  (Links to an external site.)  Click on the envelope at the top of the page. 
  4. Observe nurses in a care delivery setting. Identify a recurring conflict with the potential to negatively impact patient care. This should be from your practice setting or prelicensure experiences.
  5. Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved.
  6. REVIEW AND DISCUSS the four stages of conflict as found in Finkelman. IDENTIFY AND EXPLAIN how the stages of conflict relate to the example in your workplace.Do not use direct quotes.
  7. Describe how you would collaborate with a nurse leader to reach consensus on the best strategy to deal with the conflict. Besides the textbook, the paper needs to summarize conflict resolutions from two scholarly articles. 
  8. Describe the rationale for selecting the best strategy.
  9. Provide a summary or conclusion about this experience or assignment and how you may deal with conflict more effectively in the future.

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Translate research into practice

Research can take between 10-20 years to be translated into practice.   Discuss reasons why this may occur and describe the barriers this may have in primary care practice from a 100% evidence base. 

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Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory

 

  • Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
  • Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.
  • Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literatur

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