This week you will be creating the body of the paper. Your paper should include the following items:

• 5-7 pages that explain how technology has been used to improve healthcare delivery and information management within the focus area you selected in Module 01.
• Incorporate at least 3-5 resources to add to and back up your statements.
• Follows APA formatting and standard mechanics in grammar, punctuation, and spelling.
• Include in-text citations and your reference list.

 As an emergency medical services (EMS) manager, you have been asked to develop a comprehensive injury prevention program for your EMS agency that is both internal for employees and external to the community. You must present this program at the next EMS system meeting. Prepare a PowerPoint that provides details of the program. Your PowerPoint should include the points listed below. Discuss the components of an injury prevention program. Detail each part of the program rather than just creating a list. Provide recommendations for the creation and implementation of the program. Your PowerPoint presentation must be a minimum of six slides, not counting the title or reference slides. You must use at least two academic resources, at least one of which must come from the CSU Online Library, and the information from these sources must be cited and referenced in APA format. 

Need 2 nursing posts done. 300 words min EACH, min 1 scholarly source (NO OLDER than 5 years*****), APA format. Please answer every question with each post. 

POST 1

A 17-year-old African American female from the inner city complains of severe chest and abdominal pain. Upon examination, the attending physician performs an EKG, chest x-ray, and an abdominal and chest clinical examination and finds nothing. Assuming she is drug seeking, he sends her home. She comes back to the ER 4 hours later and now you see the patient. She explains that she was running track this past afternoon at school and that despite being very hot (100 F) she pushed on. Afterwards, she starts feeling extensive pain in her chest and abdomen. She has jaundiced eyes, her blood pressure is 98/50, pulse is 112, Temperature = 99.9 F, Respirations = 28. The pain seems out of proportion to the physical findings. During a review of her medical history, she tells the provider that she has history of sickle cell anemia. At this time, it is determined that she is in a sickle cell crisis.

1. What is the etiology of sickle cell anemia?

2. Describe in detail the pathophysiological process of sickle cell anemia.

3. Identify hallmark signs identified from the physical exam and symptoms.

4. Describe the pathophysiology of complications of sickle cell anemia.

5. What teaching related to her diagnosis would you provide?

POST 2

Jesse is a 57-year-old male who presents with gradual onset of dyspnea on exertion and fatigue. He also complains of frequent dyspepsia with nausea and occasional epigastric pain. He states that at night he has trouble breathing especially while lying on his back. This is relieved by him sitting up. His vitals are 180/110, Pulse = 88, Temperature = 98.0 F, Respirations = 20. After a thorough work-up, he is diagnosed with congestive heart failure.

1. What is the etiology of congestive heart failure?

2. Describe in detail the pathophysiological process of congestive heart failure.

3. Identify hallmark signs identified from the physical exam, diagnostic lab work and symptoms.

4. Describe the pathophysiology of complications of congestive heart failure

5. What teaching would you provide this patient to avoid heart failure symptoms?

ANSWER BOTH QUESTIONS 

Neurological System Case Study – #1

Mrs. Smith is an 85 year female with a history of Hypertension, diabetes and osteoarthritis. Her daughter who cares for her reports that she became suddenly confused beginning last night. She recognizes her daughter but has been unable to remember her grandchildren’s names. She continuously asks her daughter “What are those kids doing in our house?” Her mother was in and out of bed all night and slept very little. Her daughter does say that her mother seemed better this morning, but on the way to your office she became more confused again. Review of systems is significant for a dry cough for the past few days. She has not had a fever. Her appetite has been poor. Her exam is normal except for some fine crackles in her left lung base. Mrs. Smith’s daughter says, “My dad had Alzheimer’s and now it looks like I am going to have to go through that with my mother”

1) What are the possibilities for change in Mrs. Smith’s current mental status?

2) What is your top differential diagnosis? Give 3 reasons why you chose that diagnosis.

3) How can you differentiate depression, dementia and delirium?

4) Explain to Mrs. Smith’s daughter what treatment is needed and what you think her prognosis is.

Neurological System Case Study – #2

A 40-year-old male comes to see you for follow up. He states that he had a seizure at home yesterday and was taken to the emergency room. He is accompanied by his wife who witnessed the seizure. He states he has never had a seizure in the past.

Discussion Questions:
1) What would you ask him and his wife regarding the seizures, and why? 

2) What would be the most important parts of a physical exam in this patient and why?

3) What lab or radiology tests would you want to do and why? He tells you he has no insurance so be sure to defend the importance of a particular test.