You are working as an APRN in your local primary care office. The rural town of Maynard has 300 people, a post office, doctor’s office, and a gas station. The primary source of income is farming or driving 45 minutes to a somewhat larger town. With the blizzard coming, all your patients except two have cancelled for the morning. Jose is scheduled at 0900; he is a nine-year-old Hispanic male born in Mexico. He and his family (Mom, Dad, and six siblings, ages six months to 14 years) moved into the area just a few months ago. Jose’s mother reported that he had nearly died at two months after contracting pertussis.

Your final patient of the morning is Irena, a 15-year-old teenage female who lives with her aunt in Maynard. Irena is Romanian and barely speaks any English. Her aunt has been your patient for the past few years, and she told you that Irena had been abducted in Romania at the age of 10. Irena’s parents found her quite by accident when a sex trafficking ring dumped all their “product” in a refugee camp in Serbia just a few months ago. Irena’s parents are still in Romania, but they sent Irena here to live with her aunt.

Having discussed many guidelines throughout this term, consider the content you have explored. Using this knowledge, answer the following questions related to your chosen scenario. Note: please try to choose a topic for your initial post that you did not choose previously during the semester or aren’t as familiar with so you can gain additional knowledge as we finish up this course

1. Discuss the guidelines assigned with your scenario.
2. Will both patients be treated in the same manner? Why or why not?
3. What would your treatment plan be for each of the individuals in your scenario?

Please include at least three scholarly sources within your initial post.

IT IS A REPLY TO ONE STUDENT :.. ONE PAGE THREE REFERENCES)

COLLAPSE

Top of Form

The healthcare organization I chose to review is the Mayo Clinic. Their mission is inspiring hope and promoting health through integrated clinical practice, education, and research. The Mayo Clinic’s vision is transforming medicine to connect and cure as the global authority in the care of serious or complex diseases (Mayo Clinic, 2020). The Mayo Clinic’s evidence-based practice research program is dedicated to improving the quality, effectiveness, and appropriateness of health care by synthesizing research evidence and facilitating the translation of findings into clinical practice. Also, the Mayo Clinic is one of only 12 institutions in the United States currently designated and funded as an evidence-based practice center by the Agency for Healthcare Research and Quality (AHRQ). The Evidenced-Based Practice Research Program at Mayo Clinic researches to evaluate and summarize all available evidence on a particular health care issue (Mayo Clinic, 2020). I believe the Mayo Clinic’s work is grounded in evidence-based practice because they have a research program solely dedicated to evidence-based practice. The information I discovered on the Mayo Clinic’s website has positively affected my perception of their organization because of its mission and vision statements as well as their research program dedicated to evidence-based practice. People with difficult and enigmatic medical conditions travel across the country and world to obtain medical care at the Mayo Clinic.

The Food and Drug Administration (FDA) is a U.S. government agency within the Department of Health and Human Services. Its primary role is to protect public health, by ensuring safety and effectiveness of drugs, vaccines, medical devices and food products. There are rigorous steps that may take years, and all these steps must be completed before a drug can be approved. The FDA has made some lifesaving investigational drug therapies available sooner than usual by offering an expedited drug approval process, known as “Fast Track”.

I. Discuss the process and regulations of Fast Track.

II. Identify which medical conditions warrant the use of “Fast Track” drugs.

1) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

             Part 4: minimum 1 page

             Part 5: minimum 3 pages 

             Part 6: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

Part 5: Minimum 5 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Community Nursing

The hospice nurse has a unique role in the provision of end of life services. 

1. Mention 3 important roles of the nurse while providing quality end -of-life care to seriously ill persons and their families. 

2. Explain their impact in community nursing.

Part 2: Nurding and aging

Skin Health: 

1. Discuss the signs and nursing care for the diagnoses of two (2) of the following skin conditions of the older adults; pruritus, and seborrheic keratosis

Cancer: 

A 75-year-old woman with breast cancer is at risk for complications. Following a left-sided mastectomy, the woman is to receive chemotherapy followed by tamoxifen. 

2. List, and discuss two (2) normal aging changes may increase her risk for complications?

Part 3: Physiology 1

1. Describe the pathophysiology of acute rheumatic fever, and rheumatic heart disease 

2. Discuss the pathophysiology, clinical manifestations, evaluation (include the revised Jones Criteria), and treatment of rheumatic fever.

Part 4: Physiology 2

1. Describe childhood acute lymphocytic leukemia (ALL) and G6PD deficiency 

2. Describe the incidence, pathophysiology, clinical manifestations, evaluation, and treatment of each.

Part 5: Physiology 3

Topic: iron deficiency

1. A discussion of the pathophysiology of the disease, including signs and symptoms.

2. An explanation of diagnostic testing and rationales for each.

3. A review of different evidence-based treatment modalities for the disorder obtained from guideline.gov or a professional organization.

4. How does the information in this case inform the practice of a master’s prepared nurse?

5. How should the master’s prepared nurse use this information to design a patient education session for someone with this condition?

6. What was the most important information presented in this case?

7. What was the most confusing or challenging information presented in this case?

8. Discuss a patient safety issue that can be addressed for a patient with the condition presented in this case.

Part 6: Pharmacology 

1. Discuss medications to treat seizures. 

2. What specifically should patients be taught about seizure medications to prevent adverse side effects?

 APA less than 10 % similarity

Week 7 Discussion Question: Chapter 29, Mental Health Disorders

Part One: Hypochondriasis can be a problem for older adults. What situations contribute to hypochondriasis and what interventions can nurses provide that will address this problem in older adults?