2023 The Study of Nursing Informatics Image Journal of Nursing Scholarship 27 227 231 see week 2 assigned reading

Nursing 2023 Healthcare information week2 assignment

The Study of Nursing Informatics Image Journal of Nursing Scholarship 27 227 231 see week 2 assigned reading 2023 Assignment

 

The Study of Nursing Informatics. Image: Journal of Nursing Scholarship, 27, 227-231. – see week 2 assigned reading.

 Provide 4 page (to include title and reference page) double spaced summary of this article.

Follow proper APA format and style and include a cover page, reference page, and any applicable tables or appendices.

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2023 Details In this assignment you will be exploring actual and potential health problems in the childhood years using a functional

Nursing 2023 Assessment Of The Child: Functional Health Pattern Analysis Worksheet

Details In this assignment you will be exploring actual and potential health problems in the childhood years using a functional 2023 Assignment

 Details:

In this assignment, you will be exploring actual and potential health problems in the childhood years using a functional health assessment and Erickson’s Stages of Child Development. To complete this assignment, do the following:

  1. Using the textbook, complete the “Children’s Functional Health Pattern Assessment.” Follow the instructions in the resource for completing the assignment.
  2. Cite and reference any outside sources used in your answers. Include in your assessment a thorough discussion of Erickson’s Stages of Child Development as it pertains to the development age of the child.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

NRS-434VN-R-Childrens-functional-health-pattern-assessment-Student.docx 

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2023 Write a case study about the given case scenario using the SOAP format and APA

Nursing 2023 Case Study For A Nurse Practitioner Program

Write a case study about the given case scenario using the SOAP format and APA 2023 Assignment

Write a case study about the given case scenario using the SOAP format and APA format. No Plagiarism need attached turnitin document.  Please read all instructions: The 1st IMAGE uploaded has THE CASE SCENARIO at the bottom that YOU WILL USE to create my case study using the SOAP FORMAT.  Please READ/ follow all instructions. P.S please review the Guidelienes/Rubric and template for an example ( attached below) The review of systems and physical examination should correlate with the given scenario. This is for my nurse practitioner masters program( final grade) PLEASE no plagiarism cite information using APA format.  I ALSO HAVE EPOCRATES TO RETRIEVE informatio if you need it. THANK YOU. 

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2023 I need a response for the following peers Peer 1 An allergy happens when the body s immune system responds to

Nursing 2023 Response 7

I need a response for the following peers Peer 1 An allergy happens when the body s immune system responds to 2023 Assignment

I need a response for the following peers

Peer 1. 

An allergy happens when the body’s immune system responds to a different substance, known as an allergen. Maybe it’s one thing you consume, inhale in the lungs of yours, inject into the body of yours, and contact. Those of the typical cold: eye tearing, postnasal drip, nasal congestion, sneezing, and itchy throat are resembled by signs of allergic rhinitis. Along with intense symptoms, possible complications of allergic rhinitis include loss of smell or taste, sinusitis, persistent cough, hoarseness as well as middle ear infections in kids, asthma attacks as well as death. A number of individuals experience symptoms of allergic rhinitis just during certain times during the entire year, when pollen levels are at levels that are high in the ecosystem. These times are usually on autumn and spring when plants and trees are blooming, therefore the title of seasonal allergic rhinitis. Certainly, the flowering season switches with the geographical location along with every species of plant. While in the season, these people might need symptom relief for just a couple of weeks. Some other individuals, nonetheless, are impacted by allergic rhinitis during the entire season since they’re continually exposed to inner allergens including dust mites, pet dander or perhaps. This particular variation is known as perennial allergic rhinitis. These people might need constant pharmacotherapy (Seidman et al., 2015). It’s usually not clear if an individual is having seasonal and perennial allergic rhinitis. Individuals with seasonal allergies might additionally be vulnerable to several of the perennial allergens. It’s additionally widespread for just one allergen to sensify the individual with someone else. For instance, throughout organic season, an individual can become hypersensitive to various other allergens, like mold spores or maybe pet dander. The body ‘s symptoms and response of allergic rhinitis will be the exact same, nonetheless, no matter certain allergens. Allergy assessments are able to help identify particular allergens which trigger symptoms. 

2. For allergic individuals, the most effective care is avoiding unpleasant allergens altogether (i.e. prevention). This might be possible in case the allergen is a certain meal, like peanuts, which could be cut off from the diet plan, although not if the air is laden with allergens including weed pollen. Although not one is actually hundred % effective, perhaps home air cleaners, conditioners, humidifiers, and filters supply totally different amounts of relief. Over-The-Counter medications or several prescription also provide help (Braido et al., 2014). Antihistamines. The consequences of histamine, the chemical which generates eye water and itching on the noses as well as causes sneezing throughout allergic reactions are contradicted by these medicines. Although young medicines don’t result in such an issue, sleepiness was a difficulty with the very first generation of antihistamines. Nasal steroids. These anti inflammatory sprays help reduce mucus, swelling, and inflammation production. They work nicely in conjunction with antihistamines and, at doses that are low for brief time periods, are quite totally free of unwanted side effects. Sodium chromolyn. A nasal spray, sodium chromolyn is able to help prevent hay fever, maybe by obstructing the release of histamine along with various other chemical substances which produce symptoms. It’s several unwanted side effects. Decongestants. Obtainable in capsule and squirt form, fine decongestant nasal secretions allowing it to lower swelling and discomfort in the sinuses. Meant for short term use, they’re generally used in conjunction with antihistamines. Extended use of aerosol decongestants are able to worsen symptoms, while decongestant capsules don’t have this particular issue. Combined medications. An antihistamine with a decongestant is combined by some allergy medicines. Examples include loratadine pseudoephedrine (Claritin D) and fexofenadine pseudoephedrine (Allegra D). Immunotherapy. Immunotherapy (allergic injections) is able to provide help for individuals that don’t find help with antihistamines or maybe nasal steroids. You will find 2 common kinds of immunotherapy, sublingual and allergic immunotherapy Alters the body ‘s immune reaction to allergens, therefore helping reduce allergy symptoms. Present immunotherapy therapies are restricted because of potential side effects. 

3- Interact with the allergist to produce techniques to stay away from the triggers of theirs: Monitor pollen as well as mold count; Weather reports in papers as well as television and radio usually incorporate the info throughout allergy stations; keep windows as well as doors closed at home and in the car of yours during allergy season; washing hands frequently with soap and soap; stay away from close communication with those things and anyone cold you’re sensitive to, like pollen, low cost, dust mites, etc. In order to stay away from pollen, recognize which pollens you’re hypersensitive to, after which examine the pollen count. In summer and spring, throughout the pollen season of grass and trees, levels are more at night. For early autumn and late summer, throughout grass pollen season, levels are much higher in the early morning. Bathing, changing and washing garments after working and playing outdoors and also using a 95 rated NIOSH filtration mask when cutting the grass or performing other outside responsibilities and also taking the proper medicine in advance. 

 

Peer 2 

Allergies are one of the most common chronic diseases. A chronic disease lasts a long time or occurs often. An allergy occurs when the body’s immune system sees a substance as harmful and overreacts to it. The substances that cause allergic reactions are allergens. When someone has allergies, their immune system makes an antibody called immunoglobulin E (IgE). These antibodies respond to allergens (Dylan, 2016). The symptoms that result are an allergic reaction. 

           Some of the most commonly used pharmacogenomic drugs are nasal sprays that relieve sinus-related symptoms, there are medications that can help reduce your body’s reaction to allergens. These drugs, both OTC and prescription, can be taken as liquids or pills.  Common allergy medicines include antihistamines (Lindgren, Stroh & Jakobsson, 2015).  Antihistamines work by blocking the effects of histamine (a chemical in the body that can cause allergy symptoms). They’re sometimes combined with other types of drugs.  Examples of antihistamines include Allegra (fexofenadine),     Azelastine (Astelin, Astepro).  In general, studies of the new generation of drugs show a weaker sedative effect when compared with the first-generation drugs. However, the second-generation drugs, often called nonsedating antihistamines, can also induce sedation. 

           Patient education should include how to identify possible triggers, how to use the medication, how to use a nasal spray, discussing side effects of commonly prescribed drugs, how allergy medication affects children, and how to use antihistamines. 

Response using APA 6th format. All posts must be supported by peer-reviewed 

articles no older than 5 years of publication.

Below are  the original questions if you needed. 

A 35-year-old comes to the clinic. He states, “It’s getting close to allergy season and I need something to keep me from getting sick. Last year the doc gave me a shot, a spray, some pills, and an inhaler. They worked really  well but I don’t remember what they were. Can I have those things again? I just can’t afford to miss work.”

Please answer the following questions in a narrative format: 

  1. Discuss the epidemiology of allergies.
  2. What are your treatment options (consider pharmacoeconomic)? Compare first and second-generation antihistamines.
  3. What education will you provide to the patient?

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2023 CASE STUDY CHIEF COMPLAINT I have been having dark stool and stomach pain for

Nursing 2023 Med Surg

CASE STUDY CHIEF COMPLAINT I have been having dark stool and stomach pain for 2023 Assignment

CASE STUDY

==============

CHIEF COMPLAINT: “I have been having dark stool and stomach pain for 3 days.”

HISTORY OF PRESENT ILLNESS: Mr. Marsh is a 32 year old who has been recently promoted to junior partner at a prestigious law firm. He is proud of his accomplishments at such a young age, and after being with the firm for a short time. He admits to feeling pressure and stress due to this new stage. He’s been having stomach pain for about a month, but it has worsened over the past few days. He reports that his stool has a dark, black appearance as well. Because of his hectic schedule, he does not really eat much, but when he does eat, he has a burning pain after meals. He takes medications for pain relief.

Prior to this visit, Mr. Marsh is healthy. His past medical history was for a tonsillectomy & adenoidectomy at age 10. Denies smoking, drinking or recreational drug use. He has annual check-ups as scheduled.

PHYSICAL EXAMINATION: AAOx 3. Well groomed, well nourished white male. Vital signs: BP 110/80 mmHg, HR 100/bpm right arm sitting, RR-18/bpm, T 98.6

HEENT/SKIN: Head is normocephalic. PERRLA. Tympanic membrane pearly gray. Patent nares. No bulging turbinates. Neck supple, trachea midline. Pallor of face. Mucous membranes moist, intact.

CARDIOVASCULAR: Lungs are clear to auscultation and percussion. S1, S2. No murmurs, bruit or thrills. Peripheral pulses are present but are rapid and weak.

ABDOMEN/RECTUM: To be completed by the nurse.

Rectal examination revealed black, tarry stool.

LABORATORY TESTS: Hemoglobin 9gm/dL, Hematocrit 27%, MCV 90. WBC 13,000/mm. PT/PTT – normal. BUN 12 mg/dL, Creatinine 0. 8 mg/dL. EKG-normal sinus rhythm, Chest x-ray -normal. X-ray of abdomen (kidney, ureter, bladder-KUB) is unremarkable.

  1. What are signs and symptoms of anemia?
  2. What is rebound tenderness? Guarding?
  3. What do the vital signs reveal?
  4. What would your abdominal assessment reveal? (Think IAPP)

a.Inspection-

b. Auscultation-

c. Percussion-

d. Palpation-

5.What medication could have contributed to his symptoms?

6. What is the diagnosis?

7. What medication regimen would be ordered for treatment?

==================

DISCUSSION

==================

Please write 1 paragraph for each of the following (total 3 paragraphs) and each paragraph shall be no more than 6 sentences.

*** Minus 1 point for extra long paragraphs or over 9 sentences.

(Make sure to post in the assignment & discussion tabs)

1. What is the difference between osteoporosis, osteopenia & osteomalacia?

2. Name 3 treatments for osteoporosis.

3. For what reason would a wrench need to be readily accesible for a patient on an orthopedic unit?

4. What is the proper order/sequence to assess the GI system?

5. Name one medication that affects the oral cavity (i.e. gums).

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2023 Read Chapter 4 1 which of the following behaviors may be 1 ethical but illegal 2 legal

Nursing 2023 NURSING LEADERSHIP DISCUSSION BOARD WK 4

Read Chapter 4 1 which of the following behaviors may be 1 ethical but illegal 2 legal 2023 Assignment

 

Read Chapter 4

1-which of the following behaviors may be (1) ethical but illegal, (2) legal but unethical, (3) illegal and unethical, and (4) legal and ethical.

A. Working in a clinic that performs abortions

b. Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on “breathing machines”

c. Respecting the health surrogate’s wishes regarding termination of life support of her friend

d. Observing a coworker take out two tablets of oxycodone as ordered for pain management for his patient but keeping one for himself, administering only one tablet to the patient.

2-differentiate among the following: deontological theories, utilitarianism, and principlism.

3-what do you think about health-care professionals disclosing information to clients about a poor prognosis, even though the information may cause severe distress.

4-What do they think about health-care professionals disclosing information to clients against family wishes?

5. You see a colleague use another nurse’s password to access the medication administration system and take out a narcotic. What would you do?

6.Your colleague’s child fell and was brought to the emergency department. She comes back up to the unit and tells you that they cleaned and debrided the wound, and she needs to change the dressings twice a day using a wet to dry method. You see her go into the supply system and remove the dressings and saline using a patient’s identification number. What would you do?

7. You are caring for a patient who has a terminal disease. He asks you if he is dying. Would you tell him? If yes, how? If no, what might you say? .

8-You are administering hydromorphone to a patient. The patient asks you what you are administering. Would you tell the patient about the medication?

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2023 Medical Television Program Watch TV program s of your choice Submit in a WORD document

Nursing 2023 medical terminology

Medical Television Program Watch TV program s of your choice Submit in a WORD document 2023 Assignment

  

  1. Medical Television Program: Watch TV program(s) of your choice. Submit, in a      WORD document, the title of the program(s), at least 25 medical terms*      that were used in the program(s) and the definition of the term using the      process included in the book (1, 2, 3), if applicable. Points will be      deducted for misspelling, incorrect definition, and/or poor choice of      medical terms. This may require more than one program be viewed to obtain 25      medical terms. 

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2023 Step 1 Read the following quote by Hubert H Humphrey United States politician 1911 1978 It was

Nursing 2023 Week 8 Discussion

Step 1 Read the following quote by Hubert H Humphrey United States politician 1911 1978 It was 2023 Assignment

Step 1: Read the following quote by Hubert H. Humphrey, United States politician (1911-1978).

“It was once said that the moral test of government is how that government treats those who are in the dawn of life, the children; those who are in the twilight of life, the elderly; and those who are in the shadows of life, the sick, the needy, and the handicapped.”

Step 2: Post a response to the discussion board by addressing the following questions:

  1. Do you agree or disagree with the Humphrey statement? Why or why not?
  2. State your reasons based on your knowledge of the health care system, current research, observations in the clinical area, and personal experience.
  3. Justify your responses with appropriate resources.

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2023 Read a selection of your colleagues responses and respond to at least two

Nursing 2023 post-Jody

Read a selection of your colleagues responses and respond to at least two 2023 Assignment

  Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who were assigned a different patient case study, and provide recommendations for alternative drug treatments to address the patient’s pathophysiology. Be specific and provide examples. 

                                             Main Post

Knowing how to diagnose and treat complex patient illnesses is important to understand as an advanced practice provider.  The case study provided this week is about a 66 year old women with a history of MI, HTN, Hyperlipidemia, and diabetes mellitus who presents with sudden onset of diaphoresis, nausea, vomiting, dyspnea, followed by a bandlike upper chest pain that she rates 8/10 and radiates down her left arm.  With the health history and her current symptoms, I am immediately worried about another cardiac event for this patient.  This patient has many risk factors for cardiac events. Not only does she have previous heart history, she has HTN, Hyperlipidemia and Diabetes, all of which increase her risk for cardiac events significantly. Brewer et al. (2015) state that the number of men and women who are affected by and die from CAD outnumber all other conditions including all forms of cancer in the US.  Women present differently when having cardiac events.  Brewer et al. (2015), points out that there is significant evidence that adverse outcomes in women with IHD may be fueled by underestimation of cardiovascular disease risk, leading to underdiagnosis and undertreatment.

Due to the acute presentation of this patient, treating her quickly to prevent further heart damage is imperative. An EKG needs to be done within 10 minutes of the patients’ arrival to review for ST elevation and blood sent to lab to evaluate cardiac enzymes.  Oxygen would be my first medication intervention.  The patient complains of dyspnea and chest pain with radiation on a scale of 8/10.  Anytime there is pain we assume there is damage being done to the heart.  Oxygen will help with the dyspnea and provide extra oxygen to the tissues in the heart and hopefully prevent damage.  ASA 4 chewable 81mg tablets would also need to be administered to this patient.  Aspirin suppresses platelet aggregation, producing an immediate antithrombotic effect.  It has been identified as causing a substantial reduction in mortality.

Morphine to treat the pain is the treatment of choice in acute STEMI situations.  In addition to treating the pain, it improves hemodynamics by promoting venodilation and reducing cardiac preload.  It can also reduce modest arterial dilation and in so reduce afterload as well.  This reduction in preload and afterload help by lowering cardiac oxygen demand, helping to preserve the ischemic myocardium.  Beta blockers are also important in treating acute STEMI. The reduce cardiac pain, infarct size, and short-term mortality.  They also reduce recurrent ischemia and reinfarction.  They reduce myocardial wall tension and may decrease the risk for myocardial rupture. Continued use of oral beta-blockers increases long term survival rates.  They work by blocking preventing beta receptor activation.  Ultimately this reduces heart rate and contractibility, reducing oxygen demands and blood pressure. They increase coronary blood flow and myocardial oxygen supply.  This patient is already taking Metoprolol 50mg BID at home so this step has already been taken.

The patient’s cardiac enzymes are positive which verifies an acute cardiac event.  The rest of her labs and vital signs are normal. My next drug of choice would be nitroglycerin, which according to Rosenthal et al. (2018), acts directly on vascular smooth muscle to promote vasodilation.  This works by increasing the blood flow to the ischemic areas of the heart.  Educating the patient that this medication cause headache, orthostatic hypotension, and reflex tachycardia are important, along with the benefits of this medication for her current condition.  Nitroglycerin should be avoided in patients with hypotension, bradycardia, and suspected right ventricular infection.

I work in a small critical access hospital so at this point I would be contacting a tertiary care center for cardiology recommendations and transfer of cares for this patient.  Sometimes the cardiologist will recommend reperfusion therapy with fibrinolytics prior to transfer for PCI therapy.  Fibrinolytic drugs resolve clots by converting plasminogen into plasmin, a proteolytic enzyme that digests the fibrin meshwork that holds a clot together.  The common drugs used for this is alteplase, reteplase, and tenecteplase.  These drugs are most effective when presentation is early.  When given in a timely manner they can open the occluded artery in 80% of patients.  The major complications of this therapy are bleeding, which occurs in 1-5% of patients.  Intercranial hemorrhage is the greatest concern.  Patients undergo an intense screening process to make sure they are appropriate candidates for therapy and reduce the risk of these complications.  Patients who receive this therapy are also treated with anticoagulants such as heparin and antiplatelets such as aspirin or Plavix.  These are proven to decrease mortality in acute cardiac events.

The patient at this time is ready to be transferred to a cardiac unit for further evaluation and treatment by a cardiologist.  Making sure the patient is educated and understands each treatment and why it is important along with the risks is an important part of treating acute cardiac events.  It is a scary time for the patient and knowing what is going on can help to ease anxiety and fears.

   

                                                References

Anderson, J. L., & Morrow, D. A. (2017). Acute Myocardial Infarction. The New England Journal of Medicine. doi: 10.1056/NEJMral606915

Brewer, L. C., Svatikova, A., & Mulvagh, S. L. (2015). The Challenges of Prevention, Diagnosis and Treatment of Ischemic Heart Disease in Women. Cardiovascular Drugs and Therapy29(4), 355–368. doi: 10.1007/s10557-015-6607-4

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

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2023 A walk through the Business section of any bookstore or a quick Internet search on the topic will

Nursing 2023 Leadership

A walk through the Business section of any bookstore or a quick Internet search on the topic will 2023 Assignment

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

  • Review the Resources and examine the leadership theories and behaviors introduced.
  • Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
  • Reflect on the leadership behaviors presented in the three resources that you selected for review.

By Day 3 of Week 4

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

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