Case Study A 60 year old woman with a 10 year history of Type II diabetes presents with multiple complications including retinopathy, peripheral neuropathy and declining renal function. She has not had the urge to eat as of recently she feels “full” after 2025

Case Study A 60 year old woman with a 10 year history of Type II diabetes presents with multiple complications including retinopathy, peripheral neuropathy and declining renal function. She has not had the urge to eat as of recently she feels “full” after a few bites. The incidence of nausea and feeling bloated occurs at least twice a day and even after a glass of water she feels bloated. She also complains of fatigue and not been able to keep up with daily chores. A radiographic gastric emptying study shows a prolonged gastric emptying time. Assignment Questions What is the typical diagnosis for a patient who presents with this clinical picture? What is the likely pathophysiologic process responsible for the presenting symptom? Support your response with a credible source. What is the class of the drug used to treat the pathophysiolog?. Discuss the pharmacologic management plan for this patient. Outline the mechanism of action and any possible contraindications of the pharmacologic management plan that you identified for the patient. Instructions Prepare and submit a 3-4 page paper [total] in length (not including APA format). Answer all the questions above. Support your position with examples. Please review the rubric to ensure that your assignment meets criteria. Submit the following documents to the Submit Assignments/Assessments area: Case Study: Gastrointestinal

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pathopysiology 2025

You are an RN working in an Urgent Care. Below is just a brief history of a client with information limited on purpose to encourage you to utilize your critical thinking skills. Subjective information : Miranda is a 26-year-old female who presents to the office with the complaint of diarrhea for 6 days. She states she has lost 8 pounds in one week. She is not currently taking any medications. She has tried over-the-counter remedies for the treatment of her diarrhea with minimal improvement. She is generally healthy with only a sinus and bladder infection on occasion. Objective information : She does not have a temperature, BP is 102/60, Pulse is 98, and her bowel sounds are present in all  quadrants and are hyperactive. Her abdomen is soft and mildly tender. In a 2-3 page paper, answer the following questions. Include, at minimum, two peer reviewed sources (in-text citation), and provide a Reference page (not included in the page count) using APA Editorial format. What is the pathogenesis of diarrhea? Describe the different mechanisms of diarrhea (osmotic, secretory and motility). With the limited information provided, what additional information would you like to obtain from her history and physical to help direct your care plan? Describe why obtaining this information would be helpful in leading you to a nursing diagnosis. What infectious or inflammatory conditions could she be suffering from?

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movie character health assessment 2025

Details: In this assignment, you will be creating a PowerPoint presentation based on the application of the functional health assessment of a movie character. To complete this assignment, choose a movie from the following list and identify a character from the movie on whom you would like to do a health assessment. If you wish to use a character from a movie not included on the following list, get the approval of your instructor. Films: Away From Her Lorenzo’s Oil Mask My Sister’s Keeper Philadelphia Rain Man Steel Magnolias Stepmom The Elephant Man The Mighty The Tic Code Directions: Create a PowerPoint presentation of 10-12 slides using the template “Movie Character Presentation.” Provide an introduction and background overview of the movie character (client). Assess the client using the “Functional Health Pattern Assessment.” Based on your “observations” and thoughts, document your assessment, providing examples from the movie. Describe any observed or potential cultural, geographic, religious, ethnic, or spiritual considerations of this client. Describe two normal health patterns of the client as well as two abnormal health patterns that you observe, and provide examples. Develop an appropriate nursing diagnosis for the client based on your assessment. Identify and describe three interventions for the client: health promotion, health prevention, and maintenance. Identify at least two possible resources or community services to which you would refer this client and provide rationale for your choices. In addition to submitting the presentation to the instructor, post your assignment to the Movie Character Health Assessment Presentation Main Forum as directed by instructor. Respond to other students’ posts in a manner that initiates or contributes to discussion. Each person should make at least three substantive comments. While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are not required to submit this assignment to Turnitin. NRS-434VN-R-MovieCharacterPresentationSamplePPT-Student.pptx

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Issues in Health Care Reform (Interview) 2025

Assignment 1: Issues in Health Care Reform (Interview) According to the AACN (2006), “Political activism and commitment to policy development are central elements of professional nursing practice” (p. 13). Throughout this course, you will hone the skills and competencies required for this type of involvement in policy. Research is an essential step in the process of acquiring the skills and competencies, and interviews are one form of research that can serve as a valuable source of information. As such, this Assignment (which you will start this week, and submit by the end of Week 9) provides an opportunity for you to identify a health reform issue of interest and discuss the issue with a state or national politician (or their aide). To prepare: Identify a state or national politician (state representative or legislator, senator, congressman, governor, etc.), or aide, whom you would like to interview regarding current issues in health care reform. (I live in the state of Maryland. The 2 states senators are Chris Van Hollen since 2017 and Ben Cardin since 2007; the Governor name is Larry Hogan. You can also google any of the information about the state of Maryland in the US) As soon as possible, contact the individual’s office to request a meeting. Keep in mind that it may be difficult to get on their calendar, so plan accordingly. You may conduct the interview in person or by phone. In advance of the interview, ask yourself: What  health care policy issue is important to me personally? What  issue do I want to bring to this person’s attention? With this in mind, develop your list of questions for the interview around your selected health policy issue. In addition, you may wish to include questions related to health care reform: What  are your constituents most concerned about regarding health care reform? What  are the trade-offs associated with recent health care reform policy? To complete: Write a 3- to 4-page paper with at least 5 scholarly references providing a summary and analysis of the interview and the health care reform issues you discussed. Include an introduction and a conclusion. Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from appropriate Learning Resources and additional scholarly sources as appropriate ( at least 5 references) . Refer to the Publication Manual of the American Psychological Association to ensure that your in-text citations and reference list are correct. This assignment is due by Thursday 04/26/18 by 10 pm. Required Readings Bodenheimer, T., & Grumbach, K. (2016). Understanding health policy: A clinical approach (7th ed.). New York, NY: McGraw-Hill Medical. Chapter 5, “How Health Care is Organized – I: Primary, Secondary, and Tertiary Care” Chapter 6, “How Health Care is Organized – II: Health Delivery Systems” McClellan, M. (2010). Accountable care organizations in the era of health care reform. American Health & Drug Benefits, 3(4), 242–244. The PPACA of 2010 encourages the formation of accountable care organizations (ACOs) to improve the quality and efficiency of health care delivery. An ACO is a group of health care providers who coordinate care for their Medicare patients and share the financial incentives of health care improvement gains. Moore, K. D., & Coddington, D. C. (2010). Accountable care: The journey begins. Health Care Financial Management, 64(8), 57–63. This article provides information on the importance of health care provider organizations taking steps to become accountable care organizations (ACOs) and provides examples of systems that have historically functioned in this capacity. The authors also provide steps for developing and transitioning to an ACO structure. Institute of Medicine. (2010). The future of nursing: Leading change, advancing health. Retrieved from http://www.nationalacademies.org/hmd/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx This report discusses how nurses can and should play a fundamental role in meeting the challenges of increased demand for health care brought about by the implementation of the 2010 Affordable Care Act. In addition, it stresses the need for nurses to be partners with other health professionals and assume leadership roles in redesigning health care in the United States. Institute of Medicine. (2010). Report brief: The future of nursing: Leading change, advancing health. Retrieved from http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Recommendations.pdf This report brief highlights the four key recommendations from the Robert Wood Johnson and Institute of Medicine the Future of Nursing: Leading Change, Advancing Health report. The recommendations focus on nursing practice, education and training, partnerships with other healthcare professionals, and workforce planning and policymaking. HealthCare.gov. (n.d.). Understanding the Affordable Care Act. Retrieved from http://www.hhs.gov/healthcare/rights/index.html This website introduces the Affordable Care Act and presents the timeline for implementation of the various provisions of the Act. HealthCare.gov. (n.d.). Understanding the Affordable Care Act: About the law. Retrieved from http://www.hhs.gov/healthcare/rights/law/index.html Read the full Affordable Care Act law at this website. An overview of the law is also provided along with an outline of how the Affordable Care Act helps reduce health insurance costs. Required Media Laureate Education, Inc. (Executive Producer). (2011). Healthcare policy and advocacy: Reforming health care delivery: Accountable care organizations. Baltimore: Author. Note: The approximate length of this media piece is 7 minutes. In this media presentation, Dr. Kathleen White explains the structure of accountable care organizations (ACO) and discusses the benefits and challenges of becoming an ACO. Optional Resources APRN Joint Dialogue Group Report. (2008). Consensus model for APRN regulation: Licensure, accreditation, certification & education. Retrieved from http://www.aacn.nche.edu/education-resources/APRNReport.pdf Fisher, E. S., & Shortell, S. M. (2010). Accountable care organizations: Accountable for what, to whom, and how. JAMA: Journal of the American Medical Association, 304(15), 1715–1716. Fisher, E. S., Staiger, D. O., Bynum, J. W., & Gottlieb, D. J. (2007). Creating accountable care organizations: The extended hospital medical staff. JHealth Affairs, 26, w44-w57. doi:10.1377/hlthaff.26.1.w44–57 McClellan, M., McKethan, A. N., Lewis, J. L., Roski, J., & Fisher, E. S. (2010). A national strategy to put accountable care into practice. Health Affairs, 29(5), 982–990. Kaiser Health News. (2011). Accountable care organization proposed regulations: Resources. Kaiser Family Foundation. Retrieved from http://www.kaiserhealthnews.org/Stories/2011/March/31/ACO-Documents-In-The-News.aspx

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