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2023 Online Group Discussion 3 Obesity Online Group Discussion 3 Obesity 1 Discuss how being overweight can
by adminNursing 2023 Discussion post -Pathophysiology class
Online Group Discussion 3 Obesity Online Group Discussion 3 Obesity 1 Discuss how being overweight can 2023 Assignment
Online Group Discussion #3: Obesity
Online Group Discussion #3: Obesity
1- Discuss how being overweight can cause diseases in 4 different body systems. Include one scientific article to support your argument( You will need to include your article in the discussion). If the article is to long make to attach a copy of it, you will need a make a copy of the article and send it to me.
2- How could you help someone that is struggling with weight loss to improve their quality of life? What would you say to the person so she or he would understand about the importance of maintain a normal range weight as a way to prevent diseases?
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2023 This is a end of life HPRS 1303 issues class and this is due april 1 2018 1 What
by adminNursing 2023 Concepts of Hospice Care Discussion post and the Medscape discussion post
This is a end of life HPRS 1303 issues class and this is due april 1 2018 1 What 2023 Assignment
This is a end of life (HPRS- 1303) issues class and this is due april 1, 2018
1. What did you learn from this video? What are your thoughts? Support your answer through the use of peer reviewed scholarly sources from MedLine, Ebsco, Proquest, and/or Google Scholar. You must provide at least three additional sources to the video.
Please write a 300 to 500 word essay adhering to APA 6th Edition formatting guidelines ..Please watch this video links before doing the assignment here
Please also visit: www.nhpco.org/about/hospice-care (Links to an external site.)Links to an external site. and watch the embedded video as well. (Links to an external site.)Links to an external site.
This is a two part answer discussion posts please read the instruction on each and list the references on each
2. MedScape Article Discussion. this is also due April 1, 2018 before 11:59 pm
Report on article of your choice from www.medscape.com/hospice (Links to an external site.)Links to an external site.
What did you learn from this article? What are your thoughts? Support your answer through the use of peer reviewed scholarly sources from MedLine, Ebsco, Proquest, and/or Google Scholar. You must provide at least three additional sources to the video.
Please write a 300 to 500 word essay adhering to APA 6th Edition formatting guidelines
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2023 APA format for MSN degree 2 references from Walden University Library A heart attack or Myocardial infarction MI is the
by adminNursing 2023 Need response to discussion post below
APA format for MSN degree 2 references from Walden University Library A heart attack or Myocardial infarction MI is the 2023 Assignment
APA format for MSN degree 2 references from Walden University Library
A heart attack or Myocardial infarction (MI) is the leading factor of death in adults worldwide (Nicolai et al., 2018). MI occur in patients when the blood flow to the heart is blocked due to increased built of plaque within the walls of the blood vessels. Patients can experience sharp, sudden pain or heaviness in their chest as the first sign when experiencing an MI. This pain can be in the chest and move up to the jaw and down the left arm. When blood flow is decreased to the heart, there is an insufficient amount of oxygen supplied to the heart, and the electrolyte become imbalanced specifically potassium, calcium, and magnesium. The heart can only handle the blood, oxygen, and electrolyte imbalances for twenty minutes before tissue begins to die, at this point is the damage is irreversible (Huether & McCance, 2017). As an advanced practice nurse, an Electrocardiogram (ECG) would be first in diagnosing techniques. Depending on the results of the ECG will help determine how to treat the patient. If the ECG showed ST elevation, this means the patient needs to get to a cardiac catheterization lab urgently. If the ECG results within reasonable limits, treating the chest pain would be the next appropriate step. Medication used to treat stable chest pain are called nitrates. The most common name is nitroglycerin. The medication is placed underneath the tongue where it dissolves and should relieve the pain within one to five minutes (Arcangelo, Peterson, Wilbur, & Reinhold, 2017). When the ECG indicates a STEMI, a thrombolytic medication should be initiated to dissolve any blood clots in the arteries (Avoiding, 2005). A standard medication used in my patient care experience is heparin which is first based on weight for the first six hours of treatment. After six hours labs are drawn on the patient to determine whether the rate should be titrated up or down. After patient returns from cardiac catheterization lab, cardiology doctors can provide guidance on how to proceed with the proper medications for the patient.
Genetics and Ethnicity
If your parents have had an MI, does it mean you will have one? Likely the answer is no; research has shown necessarily doesn’t say you will but have found a link among ethnicity in Europeans, South Asians, Southeast Asians, and Arabs (Joseph et al., 2016). Specifically, there’s no genetic link to an MI but rather coronary artery disease (CAD) which can lead to MI. However modifiable risk factors, such as a healthy lifestyle, prove to be the most significant way to decrease the risk of an MI.
Self-Care
After a patient experiences an MI, usually, they are set up to attend a Cardiac rehabilitation program. This program helps the patient get back to a healthy lifestyle while incorporating changes to prevent an MI in the future. Advanced practice providers should closely watch patients with hypertension, diabetes, and hyperlipidemia. Research has shown if a patient has two out three diagnoses they are at higher risk for a heart attack (Avoiding, 2005). Encouraging physical activity, a healthy diet, and smoking cessation are critical factors in patient education. Studies suggest educating patients on doing at least thirty minutes of activity a day such as walking, gardening, or housework also to cut out fast food that is high in fat and sugary drinks (Advance et al., 2005).
Reference
Arcangelo, V. P., Peterson, A. M., Wilbur, V. & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.
Avoiding heart attacks and strokes. [electronic resource]: don’t be a victim – protect yourself. (2005). Geneva: World Health Organization, c2005.
Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.
Joseph, P. G., Pare, G., Asma, S., Engert, J. C., Yusuf, S., & Anand, S. S. (2016). Clinical Research: Impact of a Genetic Risk Score on Myocardial Infarction Risk Across Different Ethnic Populations. Canadian Journal Of Cardiology, 321440-1446. doi:10.1016/j.cjca.2016.05.014
Nicolai, J., Müller, N., Noest, S., Wilke, S., Schultz, J., Gleißner, C. A., & … Bieber, C. (2018). To change or not to change – That is the question: A qualitative study of lifestyle changes following acute myocardial infarction. Chronic Illness, 14(1), 25-41. doi:10.1177/1742395317694700
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2023 COMMENT 1 primary intervention in disaster planning is the planning prior to the disaster Davis
by adminNursing 2023 Please Do A Comment Base In These . Write At Least 140 Words. Academic References Need. Write The References In Each Comment. Please Not Together. References From (2012 -2018 ). Please Read Carefully The Comments. Good Reference Is Important DUE TO REVIEW
COMMENT 1 primary intervention in disaster planning is the planning prior to the disaster Davis 2023 Assignment
COMMENT 1
primary intervention in disaster planning is the planning prior to the disaster (Davis, et al., 2010). In the case of the Haiti earthquake the disaster was present prior to the actual earthquake. The country was already stricken by poverty. This national poverty lead to infrastructure problems that were difficult for disaster response to overcome.
Managing the problem of impoverished nations infrastructure prior to a disaster would slow the progression of disease after disaster strikes. The healthcare needs of Haiti were not being met prior to the disaster. Hospitals were underfunded and when disaster struck the hospitals and medical facilities that were not built to be earthquake resistant were severely damaged. Funding of proper facilities and education of disaster planning of healthcare workers and the community would have gone a long way in easing the extent of the Haiti disaster.
Tertiary interventions directed at managing this disaster would be funding of programs to improve the economy and lessen the impact of poverty for Haiti. Once immediate healthcare needs are met, the process of rebuilding with a focus on overall improvement of economy so that it is sustainable for the future is needed.
There are many organization and charitable foundations involved in improving the economies and infrastructures of countries to lessen the overall impact of poverty. International Action is a charitable foundation that currently has a focus on bringing clean water to Haiti. They are building sustainable supply of clean water. The organization is working the local population to provide affordable clean water. I would choose to work with this organization because they are making an improvement in an infrastructure that improves health and safety of a basic necessity, clean water.
COMMENT 2
Primary prevention with patients who experienced the 2010 earthquake in Haiti, would focus on preventing disease from occurring. For Instance, the community health nurse could attempt to prevent patients from breathing in dust, and air contaminants by having them, and staff wear masks. Medical staffing was somewhat scarce, however staff available are to make sure to use universal precautions to ensure that patients are not exposed to illness, and disease, from other patients, by staff who did not take their time to wash their hands properly, and Don gown, and gloves when necessary.
An example of a Secondary Prevention, would be to require staff keep all patient wounds covered and clean. Patients that may have suffered injury, or loss of a limb would need proper wound care. Although, water supplies were limited, making sure that patient wounds are cleaned with peroxide, or betadine, and keeping the wound covered with clean bandages so that patient’s wounds wont’s become infected. Also, if patients skin has been exposed to foreign objects (such a wood or nails) if the patient is not up to date on their shots they may need a tetanus shot or booster. Tertiary intervention would focus on reducing complications of disease. Patients that were suffering from Sepsis would need to be monitored closely, and treated with antibiotics or Patients with fever would be treated with antipyretics.
All three of the proposed interventions listed above fall under the Post Impact Phase. “The post impact phase has to parts, the emergency phase, and the recovery phase” (Mauer, & Smith, 2009 All the above listed interventions happened during the Post Impact Phase. The disaster had already occurred, and these are the steps to be taken after. In a disaster situation, I would work with organizations such as FEMA. FEMA’s (or the Federal Emergency Management Agency) “mission is to help people before, during, and after disasters” (FEMA, 2018)
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