THESE ARE 2 DIFFERENT DISCUSSION QUESTIONS. ANSWER EACH SEPARATELY WITH ITS OWN REFERENCES

EACH ARE 400 WORDS WITH 2 SCHOLARLY REFERENCES

1) Explain the difference between internal and external evidence. How can each of these types of evidence be utilized for quality improvement in the clinical setting?

2) The CDC and Healthy People 2020 continue to educate on the importance, the improved ease of access and insurance coverage for screenings and vaccinations. It is the responsibility of nurses to engage our aging adults in self-advocating for services that benefit the individual and community health. How can you, as a registered nurse, impact older adults to encourage routine vaccination? What impact does this have on the community as a whole?

WEEK 12

Describe the key concepts underlying community activism and give examples of how each of these concepts applies to a specific context. Examine how advanced practice nurses can engage in community activism to limit further negative health impacts from Big Tobacco in their respective health communities.

Attached below is an additional resource, an article, that details various ways by which nursing professionals can engage in community activism.

Patient Advocacy and in the Community and Legislative Arena: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Advocacy-in-Community-and-Legislative-Arena.html?css=print

This is three separate assignment.  Each question is a minimal of 300 words with at least 2 peer review reference per assignment in 6th edition apa style.

1. What are the differential considerations of hyperthyroidism and hypothyroidism? Explain the clinical reasoning process you would employ to differentiate between these two conditions.
2. What are the differential considerations of right-sided and left-sided heart failure? What role does pulmonary hypertension play in these types of heart failure? Explain your reasoning.
3. A patient presents in an altered mental state in the ER. What would you consider pathological alterations in this patient? What process would you employ to determine differential diagnoses for this patient?

The case study should consist of a 12-15-slide presentation, including slide notes. Make sure to include: at least 6 peer review reference in 6th edition apa style.  All slides most include comprehensive speaker notes.

1. Appropriate demographic factors, such as age, gender, and ethnicity.
2. The reason the patient was seen.
3. Description of the pathophysiology of the disease process/processes observed.
4. Past medical history of the patient and the pathophysiology of the disease process/processes, if they are different from the current concern. Determine whether the patient’s past medical history has had an impact on any of the disease processes observed.
5. Diagnostic findings, such as lab values or imaging results. Include an explanation of how diagnostic findings may relate to the disease process/processes.
6. Differential diagnoses applicable to the patient, as well as rationale for why the differential diagnoses would or would not pertain to the patient.

 A 42-year-old Black male presented by ambulance to the emergency department with several hours of severe substernal chest pain at rest. Prior to presentation, he was physically active, had no history of cardiovascular disease, and took no medications he smoke 1 packs of cigarette a day and drinks social. Family history Father died of a heart attack at age 57 and he has an imediate family of high blood pressure. At the time of arrival, the patient had received aspirin 325 mg and several doses of sublingual nitroglycerin without pain relief. His initial vital signs showed a heart rate of 64 bpm, blood pressure of 196/104 mmHg, respiratory rate of 18 breaths per minute, and oxygen saturation of 95% on room air. Physical examination was unremarkable. The patient’s electrocardiogram showed sinus rhythm with small Q waves in leads III and aVF with T-wave inversions in leads II, III, and aVF and ST depressions in V5 and  The basic metabolic panel and complete blood count were within normal limits. A point-of-care troponin I level was elevated at 1.5 ng/mL (normal ≤ 0.06 ng/mL)