Ethical Dilemma In Nursing – 2025 Requirements A description of the dilemma which I will put the statement below

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Ethical Dilemma In Nursing – 2025

Requirements:
A description of the dilemma which I will put the statement below.
You will perform preliminary research on the assigned ethical dilemma and describe the dilemma. Clearly identify both positions grounded in scholarly literature. Disseminate information found to all group members.
Both positions of the dilemma are presented crediting supporting scholarly sources.
Appropriate ethical principles to support each position are used.
Needs to be APA format
Needs In-text citation
Needs Statistics related to Pediatric Nursing
Reference page
1 page minimum

Ethical Dilemma statement:
“An 8‐year‐old patient who needs a blood transfusion but is a Jehovah’s Witness.”

Nursing Discussion – 2025 To support your work use your course and text readings as well as the South University Online Library As

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Nursing Discussion – 2025

To support your work, use your course and text readings as well as the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format. Patient or lay person medical information portals such as webMD, Medscape, Mayo Clinic, or any disease foundations, such as the arthritis foundation or the diabetic foundation, are not acceptable resources for your scholarly work.

Response #1 Post a response to one peer in your discussion group. In the post identify the organ damage that can occur as a result of Hypertension. Describe the pathophysiologic process of the organ damage.

Peer Post

Physiology of Blood Pressure Control

              The body’s blood pressure is a measure of the pressures within the cardiovascular system during the pumping cycle of the heart. The blood pressure or systemic arterial pressure refers to the pressure measured within large arteries in the systemic circulation.   Each heartbeat forms a pressure wave that travels down the arterial system. The peak of the wave occurs during systole when blood is under pressure from cardiac contraction making the arterial wall expand.  During diastole when the heart is briefly relaxing-the arterial walls recoil, delivering a pulse.  Systemic circulation provides oxygenated blood to all organs in the body. After perfusing the organs, blood is returned to the right atrium of the heart through the systemic venous system (Lowry, 2016).

              Cardiac output is a major factor determining blood pressure, however, as blood flows into the arterial system it meets resistance (in the form of friction) from contact with blood vessel walls.  The main resistance to blood flow occurs in the arterioles, which are smaller vessels formed from the branching of arteries (Lowry, 2016). Resistance from all blood vessels in the systemic circuit combines to produce the systemic vascular resistance, which increases blood pressure in the systemic arterial system.  These two factors together cardiac output and the systemic vascular resistance, generate actual blood pressure in the systemic arterial system (Lowry, 2016).

Overactivity of the Sympathetic Nervous System (SNS)

 Decreased arterial pressure is detected by baroreceptors, which trigger a sympathetic response.  This stimulates an increase in heart rate and cardiac contractility leading to increased blood pressure.  The sympathetic nervous system serves as the final common pathway for controlling the smooth muscle tone of the blood vessels.  Most of the sympathetic preganglionic fibers that control vessel function originate in the vasomotor center of the brain stem and travel in the intermediolateral column of the spinal cord and exit with the ventral nerves; they then synapse with postganglionic fibers in the paravertebral ganglia.  Increasing sympathetic activity causes constriction of some vessels, such as those of the skin, gastrointestinal tract, and kidneys (Porth, 1998).

Overactivity of the Renin-Angiotensin-Aldosterone System (RAAS)

 The renin-angiotensin-aldosterone system is an essential regulator of arterial blood pressure.  The system relies on several hormones that act to increase blood volume and peripheral resistance.  It begins with the production and release of renin from juxtaglomerular cells of the kidney.  They respond to decreased blood pressure, sympathetic nervous system activity, and reduced sodium levels within the distal convoluted tubules of the nephrons.  In response to these triggers, renin is released from the juxtaglomerular cells and enters the blood where it comes in contact with angiotensinogen which is produced continuously by the liver.  The angiotensinogen is converted into angiotensin I by renin.  The angiotensin I then make its way to the pulmonary vessels, where the endothelium produces the angiotensin-converting enzyme (ACE).  Angiotensin I is then converted to angiotensin II by ACE (Shahoud et al., 2020).  Angiotensin II is a potent vasoconstrictor.  It acts directly on the kidney to increase sodium reabsorption in the proximal convoluted tubule.  Sodium is reabsorbed via the sodium-hydrogen exchanger.  Angiotensin II also promotes the release of aldosterone (Lowry, 2016). 

A complex interaction involving insulin-resistance and endothelial function

 The endothelium, which lies between the blood and the vascular smooth muscle, serves as the physical barrier for vasoactive substances that circulate in the blood.  The endothelium plays an active role in controlling vascular function.  In capillaries, which are composed of a single layer of endothelial cells, the endothelium is active in transporting cell nutrients and wastes.  In addition to its function in capillary transport, the endothelium removes vasoactive agents such as norepinephrine from the blood, and it produces enzymes that convert precursor molecules to active products (Porth, 1998).

References

Lowry, M. (2016).  The Physiology of blood pressure regulation.  Retrieved on April 24, 2021 from  

https://www.nursingtimes.net.

Porth, C. (1998).  Pathophysiology: Concepts of Altered Health States. (5th ed.) Philadelphia,

          PA: Lippincott-Raven; ISBN 0-397-55413-3

Shahoud J, Sanvictores T, & Aeddula N. (2020). Physiology, Arterial Pressure Regulation.  Retrieved on       

              April 14, 2021 from: https://www.ncbi.nlm.nih.gov/books.

 

Proof In Turnitin . Soap Note – 2025 soap note please follow the rubric please need a turnitin report need to write a thorough Review

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Proof In Turnitin . Soap Note – 2025

soap note please follow the rubric. please need a turnitin report

  need to write a thorough Review of Systems (ROS), and a thorough physical examination. 

Chief Complaint: “I fell down in my house a week ago and my knee is still hurting”.

History of Present Illness: Mr. Brown is 45-year-old male teacher who presents to the clinic with symptoms of right knee pain related to a fall sustained at home one week ago while he was coming down the stairs. Patient states that he tripped and during the fall, the right knee twisted and was caught between two bars of the stair wells. Immediately after the fall, the pain was sharp and stabbing, and he was unable to walk straight and apply weight on the knee. He applied ice and took 800mg of Motrin and went to bed. Patient states he did not want to go to the emergency department because of the long wait. After 24 hours he applied warm compresses intermittently and took extra strength Tylenol as needed. Mitigating factors include ES Tylenol, heat application, and resting the knee. However, sometimes the pain is so severe that even Tylenol does not help. Aggravating factors are standing too long, bending the knee, and climbing stairs. He describes the pain as sharp, and annoying at the same time. At present time he feels like “something is not right inside the knee”. Level of pain is 8/10. He denies previous musculoskeletal injuries. Patient also reports shortness of breath but denies chest pain. 

PMH: Asthma, bipolar disorder. Left knee anterior crucial ligament (ACL) 10 years ago from basketball injury.

Past surgical history: Right hip replacement 15 years ago from kick boxing.

Medications/OTC: Theophylline, Prednisone, Singular, Geodon, Prozac, Benadryl.

Allergies: NKA.

Past family history: One brother with asthma, and another brother with bipolar. Maternal aunt with DM type II.

Health Maintenance: Immunization up to date.

Social history: Patient does not smoke, drink or use recreational drugs. He maintains a regular diet and exercises 3 times a week. He has been married for 10 years and lives with his wife and one adult son, and one teenage daughter. He is a mathematics teacher in the same high school where he attends clinic. He sleeps well.

With the information provided above, please continue the patient’s soap note to include:

Subjective: A thorough review of systems

Objective: A thorough physical examination

Primary diagnosis

3 differential diagnosis with one citation for each ddx (APA formatted).

Laboratory tests

Diagnostic testing

Management plan

Medications

Non-pharmacological approach

Follow up

Patient education and Health promotion

References: A minimum of 3 different references are required for this assignment. All references must be properly APA formatted.

This assignment will be graded according to the rubric. Please have the Rubric handy when you are writing the soap note.

 

Assignment: Neurological Disorders – 2025 In this assignment you will examine the clinical manifestations pathophysiology and developmental considerations

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Assignment: Neurological Disorders – 2025

 

In this assignment, you will examine the clinical manifestations, pathophysiology, and developmental considerations for two neurological disorders of your choosing.  Consider the effects of one of these disorders on infants or very young children and the other on any other age group.  

Step 1 Locate at least one professional, evidenced based resource to support your responses. 

Step 2 Download the attachment.

Step 3 Complete the worksheet.

  • In the header row of the table, enter names of the disorders.
  • In the remaining rows of the table, enter a description of the disorder, the clinical manifestations, the underlying pathophysiology, and developmental considerations (consider the age of onset with respect to the physiological, psychological, and social implications of the disease).  
  • Be sure to cite all sources used to complete the worksheet and provide a reference using proper APA formatting

Leading As A Practice Scholar – 2025 Leading as a Practice Scholar video Links to an external site Watch the video to address the following Be

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Leading As A Practice Scholar – 2025

 

Leading as a Practice Scholar

video (Links to an external site.)Watch the video to address the following. Be sure to provide specific examples for each practice of exemplary leadership.

  • How will you establish personal credibility as a leader? How will you model the way for others?
  • What strategies will you use to inspire a shared vision for those you lead?
  • How will you challenge the current process to lead change?
  • What strategies will you use to enable others to act?
  • How will you recognize the contributions of others?

  

Instructions:

Use an APA 7 style and a minimum of 250 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.

Leading As A Practice Scholar – 2025 Leading as a Practice Scholar video Links to an external site Watch the video to address

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Leading As A Practice Scholar – 2025

 

Leading as a Practice Scholar

video (Links to an external site.)Watch the video to address the following. Be sure to provide specific examples for each practice of exemplary leadership.

  • How will you establish personal credibility as a leader? How will you model the way for others?
  • What strategies will you use to inspire a shared vision for those you lead?
  • How will you challenge the current process to lead change?
  • What strategies will you use to enable others to act?
  • How will you recognize the contributions of others?

  

Instructions:

Use an APA 7 style and a minimum of 250 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.

Cultural Competence And Nutrition In Health Promotion – 2025 Objectives Examine the importance of cultural competency in health promotion Discuss the

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Cultural Competence And Nutrition In Health Promotion – 2025

 

Objectives:

  1. Examine the importance of cultural competency in health promotion.
  2. Discuss the application of cultural theories to provide effective family-centered care.
  3. Discuss the significance of nutrition education in health promotion.

 Discuss why nutrition is a central component in health promotion. What are some of the nutritional challenges for emerging populations? What roles do nutritional deficiency and nutritional excess play in disease? 

Using 250-300 Words APA format with references

Health Assessment – 2025 Hello this task is for health assessment specifically for the respiratory system PLEASE Complete ALL patient

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Health Assessment – 2025

 

Hello, this task is for health assessment, specifically for the respiratory system. PLEASE Complete ALL patient history from page 1 to page 3; All patient physical exam questions must be answered on the right side which is blank. DO NOT do the last part of Nursing Diagnoses and Collaboration Problems. The teacher does NOT want the answers to be this is just normal and you should briefly describe each answer you give on the right side of each question that is asked on the left side. YOU MUST CREATE A CLINICAL CASE that is consistent with what the teacher is asking, and the clinical case must be from a patient with a respiratory diagnosis. Please must fill in all the fields, do not leave anything blank except Diagnoses and Collaboration Problems.

The bibliography is Physical Examination and Health Assessment 6th Edition by Carolyn Jarvis

Health Promotion In Community. – 2025 In regards to family health risk read the case study below and answer the questions The local health department

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Health Promotion In Community. – 2025

 

In regards to family health risk, read the case study below and answer the questions.  The local health department was notified by the school counselor at the local high school of a 16 year old girl(student) who is  four months pregnant.  The student is in high school, lives at home with her mother, step father and younger sister. (Please reference Stanhope & Lancaster,  9th edition chapter 28 p.622-642, family health risks)

1.  What assessment tool would you use to collect more data about the family?

2.  Give example of two items you would ask to begin data collection.

3.  Briefly describe and provide your rationale for two things you would do to help this family prepare for the immediate future situation including the care of a newborn. 

Nursing – 2025 Analyze the increased complexity of care among older adults Your supervisor needs

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Nursing – 2025

  • Analyze the increased complexity of care among older adults.

Your supervisor needs to make sure that each of the in-service topics will be covered by someone, so she is asking the staff to communicate their topic preference. Below is the list of problems your supervisor wants the nursing staff to be able to teach older adult clients (and/or their family members) about.

  • Diabetes
  • Your supervisor has asked you to submit a 1-page and half  proposal, written using proper spelling, grammar, and APA, which addresses the following:
  1. Identify the client problem your in-service will address.
  2. Describe at least 5 consequences of the client’s problem as it relates to the health, safety, and well-being of older adults.
  3. Explain your rationale for choosing the client problem you selected.