2023 Respond to your colleagues posts by sharing your thoughts on their specialty supporting

Nursing 2023 Response to DQ#2

Respond to your colleagues posts by sharing your thoughts on their specialty supporting 2023 Assignment

Respond to your colleagues’ posts by sharing your thoughts on their specialty, supporting their choice or offering suggestions if they have yet to choose. 

 At least 2 references in each peer responses! 

Nursing informatics is essential in enhancing the effectiveness of nursing. Using statistics one can narrow down potential causes error or find the effectiveness of a process. In any area of nursing having a greater understanding of what is occurring and the effectiveness will only be beneficial.

As a behavioral health nurse a common problem is the rate of readmission among the local homeless population. Having more comprehensive data on the population such as, where are they being discharged to or are these places successful at helping decrease the need for hospitalization could substantially decrease the rate of readmission. Though anecdotal in the single year of being a behavioral health nurse I have witnessed a substantial amount of patients come in for three or more stay because of acute psychosis because of a lack of treatment outside of the hospital.

Having data on what are the most beneficial places to discharges patients to may have multiple outcomes. Hospital outreach may expand to the effective place and create a stronger partnership. Successful places may have successful interventions the hospital may be able to learn from and apply to their own inpatient stays. Additionally with this information less successful facilities may adapt to be more like successful ones. In a study about readmission rates after being discharged to a respite care facility it was found that there was roughly a 50% decrease in readmission rates within 90 days of discharge (Kertesz et al., 2009). An additional study of young homeless populations was able to identify key factors in identifying likelihood of readmission (Mackelprang et al., 2015.) Knowing a person will likely have to be readmitted because of their drug abuse for example may help identify that the hospital should use additional resources to help decrease the likelihood of this.

The homeless population is among some of the most disenfranchised and are frequently undertreated for their ailments due to lack of resources. Having a greater understanding can only help in providing care and giving them the resources to succeed.

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2023 APA format 3 peer review references due 10 13 18 at 2pm EST Patient Initials JH

Nursing 2023 Need response for below discussion post

APA format 3 peer review references due 10 13 18 at 2pm EST Patient Initials JH 2023 Assignment

APA format 3 peer review references due 10/13/18 at 2pm EST 

Patient Initials: __JH_____                Age: __60_____                                 Gender: ____M___

Subjective Data:

Chief Complaint: Case #3 “I have a cough that’s getting worse.” (Laureate Education, 2012).

HPI: Mr. Hendricks is a 60 year-year old Caucasian male who presents today complaining of a cough that is progressively getting worse; more frequent over the past three days. He states that his cough is accompanied by expectoration of thick green secretions accompanied by some blood at times. He has associated symptoms of shortness of breath that is aggravated when walking and nothing seems to help. Patient also states that he had difficulty trying to fall asleep last night because he felt like he was getting a fever and had intermittent chills and sweats and took Tylenol. He states “I have never felt like this before and would like to know what’s going.”

Medications: over the counter Tylenol 650mg po at nights.

Allergies: No known drug or food allergies. No seasonal allergies.

Past Medical History: No medical history provided.

Past Surgical History: No surgical history provided.

Immunization history: Up to date with immunizations. Influenza shot received September 2018. Pneumococcal vaccine received October 2018.

Personal/Social History: Patient denies smoking, drinks wine socially, exercise with brisk walking three times weekly and tries to eat a balanced diet. He has a master’s degree in finance and works as an accountant at an accounting firm. He is a safe driver who drives to work daily and always wears seatbelt. He lives with his wife who is a homemaker who helps baby sit twin granddaughters. Patient denies history of recent travel to foreign country within the three months.

Review of Systems

General: productive cough with green phlegm and blood at times; shortness of breath, chills, night sweats, fever and restlessness.

HEENT: Patient denies head or nasal congestion, headache, nasal discharge, dizziness, vertigo. Patient states productive cough with green-colored sometimes bloody phlegm.

Cardiovascular: Patient denies palpations. Has some chest tightness.

Respiratory: Patient states that he has SOB that worsens with walking. Has productive cough with green-colored sputum and occasional hemoptysis. Patient states that he hears whistling noises when he breathes.

Objective Data:

Physical exam:

General: Mr. Hendricks is a 60 year old Caucasian male and a good historian who is relatively healthy and has good hygiene. Alert and oriented x 3, looks age appropriate with normal facial expression and appropriate behavior. He coughed a few times during exam and appears to be in some respiratory distress with shortness of breath.

Vital signs: Ht. 5’9”, Wt. 210 lbs; BMI= 30, blood pressure 128/70, pulse of 82, respirations of 20 and labored, temperature of 100.9 and O2 saturation on room air of 89%.

HEENT: No headache or head masses. No lesions. Wears glasses. Pupils equal and reactive to light; ears symmetrical, no tenderness or discharge. No frontal or maxillary sinus tenderness. No discharge from nose and mucosa pink and moist. Wears partial upper dentures. Throat appears red. Good hygiene.

Neck: No masses, full range of motion. Thyroid size normal.

Integumentary: Warm and most

Respiratory: Thorax symmetrical with diminished breath sounds. B/L rales and expiratory wheezes throughout. Wet productive cough.

Cardiovascular: regular heart rate with good S1 and S2 heart sounds. No S3, S4 or murmur.

Gastrointestinal: abdomen protuberant. Normoactive bowel sounds in all four quadrants.

Peripheral vascular: No peripheral edema. 2+ dorsalis pedis pulses palpated bilaterally.

ASSESSMENT:

Lab Tests and Results:

  1. CBC: Blood tests are used to confirm an infection and to try to identify the type of organism causing the infection (Mayo Clinic, 2018.)
  2. Sputum culture: is taken after a deep cough and analyzed to help pinpoint the cause of the infection (Mayo Clinic, 2018).
  3. O2 saturation: decreased oxygen saturation indications indicates hypoxemia. Normal range should be 95-100% on RA (Mayo Clinic. 2018).

Diagnostics:

  1. Chest X-ray: helps your doctor diagnose pneumonia and determine the extent and location of the infection (Mayo Clinic, 2018).

 Differential Diagnoses:

  1. Bacterial pneumonia: is an infection of the air sacs in one or both lungs which may fill with fluid or pus, causing cough with phlegm or pus, fever, chills, and difficulty breathing, dullness to percussion, decreased breath sound, fatigue. It is most commonly caused by Streptococcus pneumoniae(Mayo Clinic, 2018). Since the patient appears to have most of these symptoms, this is a great possibility.
  2. Acute bronchitis: Acute bronchitis, often called a “chest cold,” is the most common type of bronchitis. It occurs when the airways of the lungs swell and produce mucus which makes one cough. It is caused by a virus and often occurs after an upper respiratory infection. Symptoms include sore throat, soreness in the chest, fever, coughing with or without mucus production, fatigue, mild headaches and watery eyes (CDC, 2017b). This can also be a possibility based on the patient’s symptoms.
  3. Asthma exacerbation: Asthma is a disease that affects your lungs. It causes repeated episodes of wheezing, breathlessness, chest tightness, and nighttime or early morning coughing. Asthma can be controlled by taking medicine and avoiding the triggers that can cause an attack (CDC, 2017a). This can also be a possibility based on the patient’s symptoms.
  4. Bronchiectasis exacerbation: Bronchiectasis is a condition in which the airways (called bronchial tubes) that branch from the trachea into each lung become widened and inflamed. Such damage limits the ability of the airways to clear bacteria and mucus from the lungs, resulting in sputum production, cough, and shortness of breath. Bronchiectasis can be congenital or acquired as a result of an infection. Symptoms include cough, shortness of breath, wheezing, weight loss, fatigue and chronic sinusitis (Mount Sinai, 2018). Based on these symptoms, this can be a possibility for patient diagnosis.
  5. COPD exacerbation: chronic obstructive pulmonary disease (COPD) experiences long-term and progressive damage to their lungs. This affects air flow to the lungs. Symptoms include rapid shallow breathing, increasing amounts of mucus, which is often yellow, green, tan, or even blood-tinged, experiencing shortness of breath at rest or with minimal activity, such as walking from one room to another and wheezing more than usual (Healthline.com, 2018). Based on patient symptoms, this can also be a possibility for the patient condition.

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to

physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Centers for Disease Control and Prevention (2017a). Asthma. Retrieved October 9, 2018 from:

https://www.cdc.gov/asthma/

Centers for Disease Control and Prevention (2017b). Bronchitis. Retrieved October 9, 2018

from: https://www.cdc.gov/antibiotic-use/community/for-patients/common-illnesses/bronchitis.html

Healthline.com (2018). COPD Exacerbation. Retrieved October 9, 2018 from:

https://www.healthline.com/health/copd/exacerbation-symptoms-and-warning-signs

Laureate Education. (Producer). (2012). Advanced health assessment and diagnostic reasoning.

Baltimore, MD: Author.

Mayo Clinic (2018). Pneumonia. Retrieved October 9, 2018 from:

https://www.mayoclinic.org/diseases-conditions/pneumonia/symptoms-causes/syc-20354204

Mount Sinai (2018). What is Bronchiectasis? Retrieved October 9, 2018 from:

http://nationaljewish.mountsinai.org/conditions-we-treat/bronchiectasis-and-ntm/

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2023 Review the Institute of Medicine IOM report The Future of Nursing Leading Change Advancing Health focusing on the

Nursing 2023 Professional Development of Nursing Professionals

Review the Institute of Medicine IOM report The Future of Nursing Leading Change Advancing Health focusing on the 2023 Assignment

 

Review the Institute of Medicine (IOM) report: “The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.

Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing. In your paper, include:

  1. The impact of the IOM report on nursing education.
  2. The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report.
  3. The impact of the IOM report on the nurse’s role as a leader.

Cite a minimum of three references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

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2023 Please answer ONE of the following DQ s Please provide the questions that is being answered as the heading Please

Nursing 2023 Pathophysiology DQ week 2

Please answer ONE of the following DQ s Please provide the questions that is being answered as the heading Please 2023 Assignment

 Please answer ONE of the following DQ’s.  Please provide the questions that is being answered as the heading. Please be careful with the similarity. This is the second time I have to send this question because the professor is very strictly.

 

A 23-year-old woman presents to the OB-GYN office you work at. She was recently surprised to learn that she is pregnant. She estimates that she is about 8 weeks along. She tells you that she regularly drinks on the weekends with her friends. She asks you “Is that a problem? As long as I don’t drink very much, I can still have a drink occasionally while I’m pregnant, right?”

a.            How would you answer her questions?

b.            What types of abnormalities can be caused by alcohol, and how does genetics influence this?

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2023 For the following two questions please write at least 3 paragraphs each ARIAL 12 FONT Be sure to explore

Nursing 2023 NURSING SCOPE W6D

For the following two questions please write at least 3 paragraphs each ARIAL 12 FONT Be sure to explore 2023 Assignment

For the following two questions please write at least 3 paragraphs each ARIAL 12 FONT.  Be sure to explore and read more than one reference and it include it in your paper.  

Questions:

1. What do you think about the current image of nursing?

2. What factors facilitate professional role development in Nursing?

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2023 Current Events Continue to investigate and examine current events as they relate to health care services and society

Nursing 2023 Current events

Current Events Continue to investigate and examine current events as they relate to health care services and society 2023 Assignment

  • Current Events  
  • Continue to investigate and examine current events as they relate to health care services and society.   Choose one current event article to share and summarize, post a citation and include a URL or link if possible. Note you’re your summary should include not only the information from the article but also how the article relates to the information in the learning plan, including both terms and concepts. 
  • Your current events article should relate to one of the following categories:  
  • The News Hunters will follow the health services news during the learning plan.
  • The Policy and Legislation Analysts will focus on policy and legislation issues.
  • The Culture Watch Club will investigate the social issues relating to health care. 

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2023 Topic Discuss the Importance of Proper Pain Assessment Differentiate between acute

Nursing 2023 Essay / Health and Physical Assesment

Topic Discuss the Importance of Proper Pain Assessment Differentiate between acute 2023 Assignment

Topic: Discuss the Importance of Proper Pain Assessment

* Differentiate between acute and chronic pain, the different assessment tools that can be used depending on the age of the patient, and management of pain. 

* List 3 pain assessment tools used (Newborn, Toddler, Adult).

Your response should be at least 600 words. 

*APA formatted paper 

Title page, Introduction, Body paragraph, Conclusion, Reference Page.

Reference should be within 5 years.

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2023 Describe how the concepts of leadership and management differ from each other In what areas

Nursing 2023 Please follow the instructions below ,at least 250 words please

Describe how the concepts of leadership and management differ from each other In what areas 2023 Assignment

 Describe how the concepts of leadership and management differ from each other. In what areas do they overlap? Explain how the goals of management and leadership may sometimes overlap. As a nurse leader, do you believe you can expand your influence to create change by taking advantage of this overlap? Explain your answer. 

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2023 A resume is a personal document whose purpose is to promote one in a positive manner This resume will

Nursing 2023 Resume

A resume is a personal document whose purpose is to promote one in a positive manner This resume will 2023 Assignment

A resume is a personal document whose purpose is to promote one in a positive manner. This resume will be a current true representation of you as a professional Nurse practitioner. You can focus it as if you were applying for your current position. Each section in the resume should have a heading. Design should be uniform throughout the document and power words should be included. All sections must be flawless for spelling, punctuation, grammar, truth, etc. This resume should be accompanying by a cover letter. The cover letter formally introduces you and creates a critical first impression Should be specifically tailored to a specific position and company. Use professional vocabulary and style. Highlight relevant experiences / qualities as they relate to the position. 

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2023 You must answer the 4 questions 3 times You must submit 3 documents each one 1 page in

Nursing 2023 Complementary x 3 ( Due: 24 hours)

You must answer the 4 questions 3 times You must submit 3 documents each one 1 page in 2023 Assignment

 

You must answer the 4 questions 3 times. You must submit 3 documents (each one 1 page), in each one you must answer the 4 questions. Copy and paste will not be admitted. You should address the questions with different wording, different references, but always, objectively answering the questions.

_____________________________________________________________

1) **********minimum 1 full pages per document= total 3 pages ( not words)**************************** (cover or reference page not included) 

2)¨**********APA norms  ( All paragraphs need to be cited properly. All responses must be in a narrative format)

3)********** It will be verified by Turnitin and SafeAssign***************** 

___________________________________________________________

1) What is meditation?

2) Discuss the benefits of meditation? (mention at least 3). 

3 ) Is there any research study that support the benefits discussed in question 2? 

4) Have you ever practiced meditation? Discuss your experience?

____________________________________________________________

You must answer the 4 questions 3  times. You must submit 3  documents (each one 1 page), in each one you must answer the 4 questions. Copy and paste will not be admitted. You should address the questions with different wording, different references, but always, objectively answering the questions.

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